He ahua pupuhi, he taumaha rānei tō tinana i ētahi wā ina ara ake koe i te ata? He ahua rānei kei te noho noa koe i runga i te tūru tari i te rā roa, kei te noho roa rānei i runga i te pahi, kātahi ka heke iho i te pahi, kua pupuhi rawa ō waewae me ō pona waewae, ā, kua piri ō hu? He mea tēnei e pā ana ki te tini o te tangata. I roto i te rongoā, ka kiia tēnei āhuatanga he pupuhi, he 'edema' rānei. I te nuinga o te wā, kāore he mea hei manukanuka, engari i ētahi wā he tohu pea nō tētahi atu mate kino i roto i tō tātou tinana. Nō reira, he mea tino nui kia mōhio ki ngā mea katoa mō tēnei mea me te kore e mataku. Me kōrero noa tātou mō tēnei i tēnei rā.
Nā, he aha rawa te edema?
I te whakarapopototanga, ko te edema te kohikohinga o ngā wai, inā koa te wai, i roto i ngā kiko o tō tātou tinana, ka pupuhi ai. Whakaarohia kei roto i ō tātou tinana he whatunga o ngā ngongo iti e kiia nei ko ngā oko toto me ngā oko lymphatic. Koinei ngā wai e kawe ana i ngā hiahia o te tinana me te tango i ngā para. I ētahi wā, ina he tetahi mea ki tēnei pūnaha, ka turuturu ētahi o ēnei wai ki roto i ngā kiko ka kohikohi ki reira. Koinā te wā ka pupuhi ai taua wāhi.
Ka puta tēnei pupuhi i ngā wāhi katoa o te tinana, engari ka kitea nuitia i roto i:
- I runga i ngā waewae e rua
- He pai ngā pona waewae.
- I runga i ngā waewae
- I ngā ringa e rua
- I te mata
Ahakoa ka pā tēnei ki te tangata o ngā tau katoa, he nui ake te kitea i roto i ngā wāhine hāpu me te hunga neke atu i te 65 tau te pakeke. I te nuinga o te wā, ki te mea he pupuhi iti noa iho, ka memeha noa iho i roto i te rā kotahi, e rua rānei. Nō reira, he uaua ki te kī tika i te auau o tēnei.
He aha ngā tohu o te pupuhi? Me pēhea te mōhio ki tēnei?
Ehara i te mea uaua ki te mōhio kei te pupuhi koe. Ko te tohu matua ko te ahua o tētahi wāhanga o tō tinana he nui ake, he pupuhi ake i te tikanga. Ka taea hoki e koe te aro ki ēnei mea.
| Tohu | Te āhua/ngā kare ā-roto o koe |
|---|---|
| Te āhua pupuhi/rahi | He nui ake, he pupuhi hoki te āhua o tētahi wāhanga o te tinana (hei tauira, te waewae, te ringa) i te āhua noa. |
| Te huringa kiri | Kua tino totoro te kiri i te wāhi pupuhi, ā, he kanapa te āhua. |
| Te taumaha me te pakari | He kikī, he taimaha te āhua o te wāhi pupuhi, me te mea kei roto e kī ana i tētahi mea. |
| Te uaua ki te hikoi | Ina pupuhi ō waewae, ō pona waewae, ō waewae rānei, ka uaua pea te hikoi, ka ngoikore hoki te tinana. |
| He mamae iti | I ētahi wā, ka rongo pea koe i te mamae iti, i te mamae rānei i te wāhi pupuhi. |
| Te maremare, te uaua rānei ki te manawa | He tohu kino rawa atu tēnei. Ka pā tēnei mēnā ka kohia te wai ki roto i ngā pukahukahu (pūkahukahu pupuhi). |
He aha te take e pupuhi ai tōku tinana pēnei? He aha ngā take?
Kāore he take kotahi o te pupuhi, he maha pea. Ina haere koe ki te tākuta, ko te mea tuatahi ka mahia e ia ko te kimi i te take o tō pupuhi.
| Take | He whakamārama māmā |
|---|---|
| Te kaha ā-papatipu | Ina tū koe, ina noho rānei i te tūranga kotahi mō te wā roa, ka kohia te wai i roto i tō tinana i roto i ō waewae me ō waewae nā te kaha o te kaha. Ka kiia hoki tēnei ko te "edema whakawhirinaki". |
| Te ngoikore o te uaua | He iti ngā takirere o roto i ngā uaua o ō tātou waewae. Ka aukati ēnei i te rere o te toto ki raro, ka pana ki runga, ki te ngākau. Ina ngoikore ēnei takirere, kāore te toto e rere tika ki runga, ā, ka pupū ki roto i ngā waewae. E pā ana hoki tēnei ki te āhuatanga o ngā uaua varicose. |
| Ētahi atu mate pūtake | Ka taea hoki e te pupuhi te tohu i ētahi atu mate, pērā i te ngoikore o te ngākau, te mate pūkahukahu, te ate, te whatukuhu, te mate tairoi rānei . He mea tino nui tēnei. |
| Ngā pānga taha o ngā rongoā | Ko ētahi rongoā, hei tauira, ko ētahi rongoā mō te toto toto tiketike me ngā rongoā whakamamae, ka puta hoki te pupuhi hei pānga taha. |
| Te kai tōtika koretake | Ki te kore koe e kai i tētahi kai taurite, inā koa ka nui rawa te tote (konutai) ka tāpirihia e koe ki tāu kai, ka taea e tō tinana te pupuri i te wai, ka pupuhi. He nui te tote i roto i te mīti/ika maroke, i ngā hōtiti, i ngā ranu, me ngā kai kua tākaihia e tātou. |
| Te haputanga | I te wā e hapu ana, i te tipu haere o te kōpū, ka pēhia ngā uaua toto nui i te puku o raro. Nō reira, he mea noa te pupuhi o ngā waewae, ka aukati i te rere o te toto mai i ngā waewae ki runga. |
| Ngā raruraru pūnaha ārai mate | Ka taea hoki te pupuhi i te mate pāwera, te mate pāwera, te wera, te whara, te toto totoka rānei. |
Me pēhea te tātaritanga a te tākuta i tēnei? He nui ngā pupuhi kei reira?
Ina haere koe ki te tākuta, ka tirohia tuatahitia e ia tō tinana. Ka aro atu ia ki ngā mea pēnei i te pupuhi, te tae o te kiri, me te kanapa.
Kātahi ka whakahaerehia e ia tētahi whakamātautau motuhake. Ko te 'whakamātautau poka' te ingoa.Ko tāu mahi i konei he pēhi i tō matihao ki te wāhi pupuhi mō te 5 ki te 15 hēkona. Mēnā ka puta he kōhao iti i te tangohanga o tō matihao, he tohu tēnei kua kohia te wai i roto i te kiko.
Ka wehea te kaha o te pupuhi ki ētahi taumata i runga i te tere o te hokinga mai o ēnei whara ki te noho noa.
| Tau | Te Hōhonutanga o te Runga | Wā Whakahoki |
|---|---|---|
| Tau 1 | He kōhao iti, e rua mirimita te rahi | Ka hoki anō ki te āhua noa ina pēhia. |
| Tau 2 | He kōhao e 3-4 mirimita te whānui | Ka ora ake i roto i te iti iho i te 15 hēkona. |
| Tau 3 | He kōhao e 5-6 mirimita te whānui | Ka ora ake i roto i te 15 ki te 60 hēkona. |
| Tau 4 | He awaawa e 8 mirimita te hohonu | E rua, e toru meneti pea te roa hei hoki ki te āhua noa. |
Me pēhea te rongoā i te pupuhi?
Ko te rongoā mō te pupuhi ka whakawhirinaki ki te pūtake. Engari i te hoatu noa i te rongoā hei whakaiti i te pupuhi, ka ngana ngā tākuta ki te rongoā i te pūtake.
- Mena nā te mate pūkahukahu:Hei tauira, ki te mea he kaipaipa koe nā te mate pēnei i te "Emphysema" me te "Chronic Bronchitis" rānei, ka tohutohu tō tākuta kia mutu rawa te kaipaipa.
- Mena kei a koe tētahi āhuatanga pēnei i te ngoikore o te ngākau mau tonu , ka kīia atu pea koe kia whakahaere i tō taumaha, kia whakawhāiti i te wai e inumia ana e koe i ia rā, me te whakahaere hoki i te nui o te tote i roto i tō kai. Mena ka inu waipiro koe, ka kīia atu pea koe kia whakaiti i taua mea.
- Ngā pānga taha o tētahi rongoā: Ki te kitea ko te pupuhi i puta mai i tētahi rongoā e tangohia ana e koe, ka mutu pea te rongoā e tō tākuta, ka whakaiti i te horopeta, ka whakawhiti rānei i a koe ki tētahi atu rongoā.
Kia maumahara ki tētahi mea tino nui: Kaua rawa e mutu te tango i tētahi rongoā, kaua hoki e whakarerekē i te horopeta me te kore e kōrero ki tō tākuta. Mā te mahi pēnā ka kino ake pea ō mate hauora kē atu.
He aha ngā mea ka taea e koe te mahi i te kāinga hei whakaiti i te pupuhi?
I a koe e rongoā ana i te pūtake, e torutoru ngā mea māmā ka taea e koe te mahi hei whakaiti i te mamae e puta mai ana i te pupuhi.
- Whakaarahia ō waewae: Ina noho koe, ina takoto rānei i te moenga, whakatakotoria kia rua, kia toru rānei ngā urunga ki raro i ō waewae, kia teitei ake i te taumata o tō ngākau. Mā tēnei ka āwhina i te rere o te wai ki roto i tō tinana i te ātete ki te kaha ā-papa.
- Kaua e noho tonu i te tūnga kotahi: Kaua e noho, e tū rānei i te wāhi kotahi mō te wā roa rawa. Whakatika, hikoi haereere, me te neke i ō waewae, kia kotahi te iti rawa i te haora.
- Whakamahia ngā tōkena motuhake: Kei ngā whare rongoā ngā tōkena tautoko, ngā tōkena pēhi rānei. Ka pēhi mārie ēnei i te wāhi pupuhi, ā, ka āwhina ki te ārai i te kohikohinga o te wai.
- Whakaitihia te tote: He mea tino nui tēnei. Whakaitihia te nui o te tote e kainga ana e koe. Whakaitihia te nui o te tote i roto i ngā kai kēne, ngā ranu, ngā hōtiti, ngā pīkara, me ngā ika maroke ki te nui e taea ana.
- Whāia ngā tohutohu a tō tākuta: Tērā pea ka hoatu he rongoā whakaheke toto (e kiia ana ko te 'pire wai') hei āwhina i tō tinana ki te tango i te wai nui i roto i te mimi. Tangohia te rongoā i te wā tika.
I roto i ēhea āhuatanga me toro atu koe ki te tākuta i te wā e hiahiatia ana?
Ahakoa he pupuhi noa iho, ki te puta ētahi tohu, he āhuatanga ohorere pea. Ki te pērā, me toro atu koe ki te tākuta i taua wā tonu.
| Ki te puta mai ēnei tohu, rapua tonutia he tohutohu hauora. |
|---|
| Mena he mamae nui, he whero, he rerekē rānei te tae o te kiri i te wāhi pupuhi. |
| Mena kua pakaru te kiri, ā, kua puta he patunga tuwhera ki te wāhi pupuhi. |
| Ki te uaua te manawa, te mamae rānei o te uma . He āhuatanga ohorere tēnei, haere tonu ki te Tari Ohorere (ETU) o te hōhipera tata. |
| Mena ka pupuhi ohorere tetahi waewae, tetahi ringa rānei (he tohu pea tēnei o te toto totoka). |
| Mena he nui rawa te pupuhi, ā, kāore e taea e koe te hikoi, te neke rānei i tō tinana. |
Ehara te pupuhi i te mea hei wareware noa. I ētahi wā koinei pea te tohu tuatahi o tētahi mate kino ake. Nō reira, ki te mea he pupuhi rerekē tōu, he mea whakaaro nui kia toro atu ki te tākuta kia kitea ai te take.
Karere Tangohia ki te Kāinga
- Ko te edema te kohikohinga o te wai i roto i ngā kiko o te tinana. He mea noa pea, he tohu rānei nō tētahi mate kino.
- Mā te tū roa, te kai nui rawa i te tote, te hāputanga, me ngā mate o te ngākau, te whatukuhu, me te ate ka puta ai tēnei.
- Mena he uaua ki te manawa me te pupuhi, te pupuhi i te waewae kotahi anake, te mamae rānei o te uma, me toro atu ki te tākuta tonu. He āhuatanga ohorere pea tēnei.
- I te kāinga, mā te pupuri i ō waewae kia teitei, te whakaiti i te kai tote, me te hikoi pakupaku ka āwhina i te whakaiti i te pupuhi.
- Kaua rawa e tango i te rongoā i tāu e pai ai, kaua hoki e mutu te tango me te kore kōrero ki tō tākuta.
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