Ina rongo tātou i te kupu "amputation" arā, te tango pokanga i tētahi wāhanga o te tinana, ka tino mataku, ka ohorere hoki tātou. He mea noa tēnei. Engari he wā anō ka taea ai tēnei te whakaora ora, te rongoā nui hoki. Nō reira, mā te mōhio ki tēnei mea ka tino āwhina i te whakaiti i taua mataku. I tēnei rā, ka kōrero tātou mō te tikanga o tēnei pokanga, te take me mahi ai, me ngā mea ka tupu i muri mai.
He aha i tika ai kia tangohia te wāhanga o te tinana mā te pokanga?
Kāore he tangata e tango noa i te ringa, i te waewae, i te maihao rānei. Me tino kitea he take hauora nui mō tēnei. He māmā noa iho, ka whakatau ngā tākuta mēnā kua tino pakaru tetahi wāhanga o te tinana, ā, kāore e taea te whakaora, ā, ka pā kino ki te tinana katoa.
Ko te take matua o tēnei ko te koretake o te rere o te toto . Hei whakamārama, kāore te okana e whiwhi toto nui nā te whaiti, te pakaru rānei o ngā uaua toto. Ka kiia tēnei āhuatanga ko te '(Peripheral Arterial Disease)'. Whakaarohia te mea ka puta mēnā kāore tā tātou rākau e whiwhi wai? Ka mate haere, tika? Koinei te āhua, ina ngaro te hāora me te kai mai i te toto, ka tīmata te mate o ngā pūtau o roto i tō tātou tinana. Kātahi ka pirau taua wāhanga, ka puta he mate kino.
Haunga tēnei take matua, tera pea he maha atu anō ngā take e tika ai tēnei pokanga.
| Take | He whakamārama māmā |
|---|---|
| Aituā kino | Ina kuru, ina pakaru rānei te ringa, te waewae rānei, ā, kāore e taea te whakatika, pērā i te aituā motuka, i te wera nui rānei. |
| He pukupuku matepukupuku | Hei aukati i te horapa o te pukupuku matepukupuku i roto i ngā wheua, i ngā uaua rānei, me tango taua wāhanga. |
| He mate urutā kāore e taea te whakahaere | He mate kino kāore e taea te whakaora ahakoa ngā rongoā paturopi, ā, ka horapa puta noa i te tinana. |
| Te matotoru o te kiko io (Neuroma) | I ētahi wā me tango he wāhanga iti, pērā i te matihao, nā te mea ka matotoru haere te kiko io. |
| Ngau hukapapa | Te matenga o ngā kiko o te tinana nā te makariri rawa. (Kāore tēnei i te mea noa i tō tātou whenua). |
Me pēhea te mahi i te pokanga?
Ko te tikanga, e 5-14 ngā rā, neke atu rānei, hei noho hōhipera mō tēnei momo pokanga, kei runga i tō āhua hauora me te āhua o te pokanga.
Ka whakamoea koe i mua i te pokanga. E rua ngā huarahi e taea ai tēnei.
1. Whakamoemiti Whānui: I tēnei, ka moe katoa koe, ā, e kore koe e rongo i tetahi mea kia oti rā anō te pokanga.
2. Te Whakamamae Tuaiwi: I tēnei, ka whakangāwaritia tō tinana mai i te hope ki raro. Kei te mōhio koe, engari kāore koe e mamae.
I te wā e mahi ana i te pokanga, ko te whāinga matua a te tākuta he tango i ngā kiko kua pakaru katoa, me te waiho i te nui o ngā kiko hauora e taea ana.
He maha ngā tikanga e whakamahia ana e ngā tākuta hei whakatau i te wāhi tika hei tango.
- Ka tirohia e rātou mēnā he pā o te manawa e tata ana ki te wāhi e whakaaro ana rātou ki te tango.
- Ka whakaritea te pāmahana kiri o te ringa/waewae kua whara ki te pāmahana o te ringa/waewae hauora.
- Āta tirohia ngā wāhi e whero ana te kiri.
- Tirohia mēnā he pāngia te kiri e tata ana ki te wāhi e hiahia ana koe ki te tango.
I te wā o te pokanga, ka mahia e te taote pokanga ngā mahi e whai ake nei:
- Ka tangohia katoatia ngā kiko mate me ngā kongakonga wheua kua kuru.
- Ka whakangawari i ngā ira koi, kāore i te ōrite o ngā wheua.
- Hei whakamutu i te toto, ka hiritia kia mau ngā uaua toto me ngā io.
- Ka tapahia ngā uaua, ka hangaia kia taea ai te tāpiri i tētahi ringa, i tētahi waewae rānei hei hanga i tētahi atu mea ki te wāhanga e toe ana (te tumu).
I ētahi wā ka kati tonu te taote pokanga i te patunga mā te whakamahi i ngā whāriki kiri. Ka kiia tēnei he "Motuhanga Kati". Heoi, ki te mea he tūponotanga o te mate, ki te mea rānei me tango atu ētahi atu kiko, ka waiho pea te patunga kia tuwhera mō ētahi rā.
Te wā whakaora me te whakaoranga
He rerekē te oranga o te tangata i muri i te pokanga. He maha ngā mea e whakawhirinaki ana ki tēnei, tae atu ki tō hauora whānui me te āhua o te pokanga.
I te hōhipera:
Mā ngā kaimahi o te hōhipera koe e whakawhiti i ngā takai o tō patunga, e whakaako rānei i a koe ki te mahi i tēnei mea. Mā te tākuta koe e tirotiro mō ngā āhuatanga hauora ka whakaroa i te whakaora o te patunga, pērā i te mate huka. Mā rātou koe e hoatu he rongoā hei āwhina i te whakaiti i te mamae me te ārai i te mate.
Mamae Pīrori: He mea tēnei e pāngia ana e te tini o te tangata. He māmā noa iho, ko te whakaaro kei te noho tonu te ringa/waewae kua tangohia, ā, kei te mamae tonu. Ehara tēnei i te raruraru hinengaro, engari he mea e pāngia ana. Ki te pāngia koe e tētahi mea pēnei, kaua rawa e huna. Kia mōhio koe ki te kōrero ki tō tākuta. Ka taea e ia te whakarato i te maimoatanga me te tohutohu e tika ana.
Ka tīmata te whakaora tinana i muri i ētahi rā. Ka mahia ngā mahi totoro ngawari i te tuatahi. Ka taea e koe te tīmata ki te whakakorikori me te waewae/ringa hangai i muri i te rua wiki pea.
E 4-8 wiki te roa mō te whakaora tino pai o te patunga.
He roa te wā e hiahiatia ana hei taunga ki tēnei huringa nui, ā-tinana, ā-hinengaro hoki. He mea noa iho tēnā. Kaua rawa e mamae ko koe anake. Inoi atu mō te āwhina.
Ko ngā mahi whakaora mō te wā roa ko:
- Ngā mahi whakakori tinana hei whakapakari i ngā uaua me te whakapai ake i te mana whakahaere.
- Ngā mahi e whakawhanake ana i te kaha ki te mahi i ngā mahi o ia rā me te kore e mahi takitahi.
- Te whakamahinga o ngā peka horihori ('Prosthesis') me ētahi atu taputapu āwhina .
- He mea nui kia rapu tautoko me te tohutohu i tō tākuta, i tētahi kaiwhakatakoto whakaaro whai tohu rānei, hei āwhina i a koe ki te whakatau i te pouri o te ngaronga o tētahi wāhanga o te tinana, me te urutau ki te āhua hou o tō tinana.
Karere Tangohia ki te Kāinga
- He tikanga pokanga tika te tapahi i te waewae hei whakaora i te ora, hei whakapai ake rānei i te kounga o te ora. Ehara i te mea he korenga o te maimoatanga hauora.
- He haerenga tinana, he haerenga kare ā-roto hoki te tukanga whakaora, ā, e hiahia ana te wā, te manawanui, me te tautoko.
- He mea tino nui te mahi tahi me tō tākuta, te kaiwhakaora tinana, me te kaitohutohu. Kaua e wehi ki te pātai atu ki a rātou me te whakapuaki i ō āwangawanga.
- Ki te pāngia koe e te 'mamae wairua', e te ahotea hinengaro rānei, kaua e huna, engari me rapu tonu i te tohutohu hauora. He tokomaha ngā tāngata ka taea te āwhina i a koe.
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