He patunga iti, he karawarawa rānei tō waewae, kāore anō kia ora, ā, kei te mau tonu? He wai kei te turuturu pea? He kiri rānei kei tō waewae e huri ana te tae, e haunga kino ana? Ehara ēnei i te patunga noa. I roto i ngā kupu hauora, ka kiia ēnei he mate pukupuku. Ina koa mēnā he mate huka tōu, me whakaaro rua koe ki tēnei. Nā te mea ki te kore tēnei mate e tiakina tika, he nui te tūponotanga ka kino rawa atu. Nō reira, me kōrero tātou mō tēnei mea katoa i tēnei rā.
He kīanga māmā noa iho, he aha ngā mate pukupuku waewae?
He mate pukupuku waewae noa iho te mate pukupuku tuwhera i runga i tō kiri, inā koa i ō waewae, i ō matimati rānei, e kore e ora, e mau tonu, e hoki anō rānei.
He maha ngā wā ka honoa tēnei āhuatanga ki te mate huka. Ko te neuropathy, he raruraru o te mate huka, ka ngaro pea te rongo o ngā waewae. Kātahi, kāore pea koe e kite i tētahi karawarawa iti, i tētahi motu rānei i tō waewae. Ahakoa kāore pea koe e rongo, ko tēnei patunga iti ka nui haere, ka hohonu haere, ka huri hei mate pukupuku.
He tino ngāwari ēnei mate pukupuku ki te pangia e te mate. I ētahi wā ka tino kino rawa atu ēnei mate, ā, me tapahi pea tētahi wāhanga o te waewae, o te māikuku rānei.
Whakaarohia tēnei: Tata ki te 15% o te hunga mate huka ka pāngia e te mate pukupuku waewae i roto i ō rātou oranga. Ā, heoi anō, i waenganui i te 14% me te 24% o te hunga e pāngia ana e te mate pukupuku waewae me tango tetahi wāhanga o ō rātou waewae. Nō reira, ehara tēnei i te mea hei whakaaro māmā noa iho.
Ko wai te mea tino pea ka pāngia e tēnei āhuatanga?
Ahakoa ka taea e te tangata te pāngia e ngā mate pukupuku waewae, he nui ake te mōrearea o ētahi tāngata. He mea nui kia tino tupato mēnā kei a koe tētahi o ēnei āhuatanga e whai ake nei:
- Mate huka: Koinei te tino take mōrearea.
- Ngā raruraru tohanga toto: Ki te kore e pai te rere o te toto ki ngā waewae, ka roa ake te ora o ngā patunga.
- Mate Manawa: Ka pāngia hoki te rere o te toto e te mate manawa.
- Momona: I te pikinga o te taumaha o te tinana, ka piki ake hoki te pēhanga ki ngā waewae.
- Mate whatukuhu.
- Ngā āhua rerekē o te waewae: Hei tauira, ngā āhuatanga pēnei i te bunion me te hammertoe.
- Te kai tupeka me te waipiro: Ka piki ake hoki te mōrearea i ēnei tikanga.
He aha te āhua o tēnei mate pukupuku, ā, he aha ōna wāhanga?
He maha ngā āhua me ngā tae o ngā mate pukupuku waewae. He āhua hōhonu, he rite ki te rua kōhao te āhua.
Te āhua me te tae o te mate pukupuku
Ka taea e ēnei whara te kōwhai, te māwhero, te whero, te hina, te mangu rānei.Mena he mangu tō patunga, ko te tikanga kua mate ngā pūtau kiko o taua wāhi (Necrosis, Gangrene rānei). He mate tino kino tēnei.
Te rahi me te hohonu o te mate pukupuku
Ka tīmata pea ēnei i te iti o te wheua, ā, ki te kore e rongoatia tika, ka tipu pea ki te kapi i te waewae katoa. Ka piki haere hoki te hohonutanga o te patunga. He rerekē ngā tikanga a ngā tākuta hei ine i tēnei hohonutanga. Hei tauira, e ono ngā wāhanga e ai ki te whakarōpūtanga a Wagner.
| Tau | He whakaahuatanga māmā mō te āhua |
|---|---|
| Wāhanga 0 | Kāore te kiri i pakaru, engari he mōrearea. |
| Wāhanga 1 | He patunga pāpaku kei te paparanga mata o te kiri anake. |
| Wāhanga 2 | He hōhonu te patunga, ā, tērā pea ka horapa ki ngā uaua. |
| Wāhanga 3 | Kua hōhonu te patunga ki te wheua, ā, e kitea ana te wheua. |
| Wāhanga 4 | Te mate o ngā kiko o mua o te waewae (Gangrene). |
| Wāhanga 5 | Kua mate te kiko o te waewae katoa (Gangrene). |
He aha ngā tohu tōmua e whakaatu ana kei te puta he mate pukupuku?
I te tīmatanga o te puta o te mate pukupuku, ka kite pea koe i ngā panoni o te kiri o tō waewae pēnei i ēnei:
- Kiri maroke, kiri pakaru
- Ka rite te kiri ki te korara
- Whero kiri
- He āhua ponana
Ina nui haere te whara, ka puta ngā tohu pēnei i:
- Te matotoru o te kiri huri noa i te patunga (pērā i te karu)
- He wai, he wai rānei e puta mai ana i te patunga (tērā pea kei runga i tō tōkena)
- Ngā ira parauri i runga i te kiri
- He kakara kaha, he kakara kino
E rua ngā momo matua o ēnei mate waewae:
E rua ngā momo mate pukupuku matua ka pā ki ō waewae. He mea tino nui te mōhio ki te rerekētanga i waenga i ngā momo e rua hei rongoā.
| Āhuatanga | Ngā Mate Pukupuku Neurotrophic | Ngā Mate Pukupuku Arteri |
|---|---|---|
| Take matua | Te neuropathy nā te mate huka. | Te hekenga o te rere o te toto nā te whaiti o ngā oko toto (Te Mate o te Arteri Peripheral). |
| Mamae | I te nuinga o te wā kāore he mamae. | He mamae nui te mamae , inā koa i te pō. |
| Tauwāhi | He maha ngā wā ka pā ki ngā kapu o ngā waewae, te wāhi e tino heke ai te taumaha o te tinana. | Ngā rekereke, ngā māikuku, i waenganui i ngā māikuku, me ngā wāhi e kōpiripiri ai ngā hū. |
| Āhua | He māwhero/whero te tae. Kua ara ake ngā taha o te patunga. | He kōwhai, he hina, he mangu rānei. Kāore he toto i te nuinga o te wā. |
Me pēhea te rongoā mō tēnei?
Ko ngā whāinga matua o te maimoatanga he whakaora i te patunga, he whakaiti i te mamae, me te ārai i tōna hokinga mai. Ka rerekē te mahere maimoatanga i runga i te momo mate pukupuku kei a koe me te take.
Ngā Maimoatanga Kore-Pokanga
Ka taea e tēnei maimoatanga te whai hua mō ngā mate pukupuku i ngā wāhanga tōmua.
- Te tiaki patunga ā-pākihi: Ka tere ake te ora o ngā patunga ina puritia kia makuku, kia hipokina hoki.
- Ngā rongoā paturopi: Mena he mate pāwera.
- Te tango i te taumaha: Ka whakamamahia te whara mā te whakamahi i ngā hū motuhake, he mea whakarewa, he tūru wīra rānei.
- Kia teitei te waewae.
Ngā Maimoatanga Pokanga
Mena he kino rawa te mate pukupuku, inā koa kua pangia, me mahi pokanga pea.
- Te tango i ngā kiko kua pangia, kua mate rānei: Te tango i ngā kiko kua pangia, kua mate rānei.
- Ngā whakapiri kiri: Ka whakamahia ngā whakapiri kiri hei hipoki i ngā patunga.
- Te tango, te whakatika rānei i ngā wāhanga o ngā wheua mēnā e tika ana.
He aha taku e taea ai hei whakaiti i te mōrearea?
Koinei te wāhanga tino nui. Mā te whai i ēnei tikanga, ka taea e koe te ārai i te tupu o ēnei mate pukupuku, ā, ahakoa ka puta, ka taea e rātou te aukati i te hokinga mai.
Ko te mea nui, ki te mea he mate huka koe, me tirotiro i ō waewae i ia rā.
- Tirohia ō waewae i ia rā: I muri i te kaukau me mua i te kakahu hu, tirohia marietia ngā kapu o ō waewae, i waenganui i ō māikuku, me te taha o ō maikuku. Tirohia mēnā he pupuhi, he motu, he ngatata, he whero, he pupuhi rānei. Whakamahia he whakaata hei tirotiro i ō waewae. Ki te kore e taea, tonoa he mema o te whānau kia mahi pērā.
- Whakahaeretia tō mate huka: Me whai i ngā tohutohu a tō tākuta.
- Kaua rawa e hikoi tahanga, ahakoa i roto i te whare.
- Kia mau ngā hū e tau pai ana ki a koe, ā, e whakamarie ana hoki. Kaua ngā hū e tino piri rawa, kaua hoki e tino rahi rawa.
- Kia tūpato i te tapahi i ō maikuku: Tapahia ō maikuku kia tika tonu ina ngohengohe i muri i te kaukau.
- Āta karohia te momi hikareti.
- Whakahaerehia te toto toto me ngā taumata cholesterol.
- Kia mau tonu te taumaha hauora.
- Ki te kite koe i tētahi raruraru iti noa iho, me toro atu ki tō tākuta tonu.
Karere Tangohia ki te Kāinga
- Mena he mate huka tōu, he mea nui ake te tirotiro i ō waewae i ia rā.Me mahi tonu. Me waiho tēnei hei tikanga mō tōu oranga katoa.
- Ki te kite koe i tētahi patunga kāore e ora, he whero, he pupuhi, he haunga kino, he rerekē rānei te tae o tō waewae, o ō matimati rānei, me toro atu ki te tākuta tonu .
- Kaua e hikoi waewae kore, ahakoa i te kāinga. Ahakoa he whara iti noa iho ki ō waewae, ka taea te kino.
- Ka kino ake pea tēnei āhuatanga i te kai hikareti nā te mea ka whakararuraru i te rere o te toto. Nō reira, he mea tino nui kia kaua e kai hikareti.
- Kaua e wehi i tēnei mate. Mēnā ka kitea wawetia, ka rongoatia hoki, ka taea te whakahaere pai me te kore he raruraru nui.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He aha te mate e whakamahia ai ngā kāpū/papa Isradipine (Isradipine / DynaCirc)?
He pire toto toto tino whai hua tēnei (Calcium Channel Blocker - CCB) i hangaia hei whakahaere i te 'Pēhanga Toto Teitei'! Ehara i te mea ka whakaiti noa i te toto toto tēnei rongoā, engari kāore hoki e pā ki te tere o te manawa, nō reira ka whakamahia e ngā tākuta hei rongoā haumaru.
💬 Me pēhea te whakaheke tere i te toto mā te tango i tēnei pire toto toto (Isradipine)?
Kia kōpiri/kōpiri te oko toto, kia piki ake te pēhanga, me uru ngā matūriki 'Konupūmā' ki roto i te uaua o te oko toto! Ina uru tēnei rongoā ki roto i te toto, ka ārai/kati, ka raka hoki i ngā kuaha konupūmā katoa (ngā awa konupūmā momo-L) i roto i aua oko toto 100%! Nā te mea kāore te konupūmā e uru, kāore te oko toto e kōpiri, ā, ka tino wetekina (Vasodilation). Kātahi ka rere ngāwari te toto pērā i te awa, ā, ka heke te pēhanga.
💬 He aha ngā pānga taha whakarihariha o te tango i tēnei rongoā (Isradipine)?
Ko ngā pānga taha nui rawa atu, me te tino whakarihariha o tēnei, ko te pānga pea o te 'mamae upoko' me te 'whero' ki ētahi tāngata (nā te whānui o ngā uaua toto). Waihoki, pērā i ētahi atu pire CCB, kei reira te mōrearea o te pupuhi o te pona/waewae (edema ā-taha) me te tere ohorere o te ngakau (palpitations) (reflex tachycardia).
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