Kua rongo koe i tētahi e kī ana he 'gangrene' tōna? Kua rongo pea koe i tēnei kupu e pā ana ki tētahi patunga kua tino pangia, ki tētahi waewae, ki tētahi ringa rānei kua mangu. He āhuatanga hauora tino morearea tēnei e hiahia ana kia rongoatia tonutia. Ki te kī māmā, ko te gangrene te wā e mutu ai te rere o te toto ki tētahi wāhanga o tō tinana, ka mate ai te kiko o taua wāhi. Ahakoa ka taea te tupu i ngā wāhi katoa, ko te nuinga o te wā ka tīmata i ngā maihao, i ngā matimati rānei. I tēnei rā, ka kōrerohia tēnei i roto i tētahi huarahi māmā, ngāwari hoki ki te mārama.
He aha rawa te gangrene?
Whakaarohia me whai hāora me ngā matūkai ia pūtau me ia kiko o te tinana kia ora ai. Ka haria ēnei mea e te toto. Ka aha mēnā ka mutu te rere o te toto ki tētahi wāhanga o te tinana mō tētahi take? Pērā i te mate o te rākau me te kore wai, ka tīmata hoki te mate o te kiko o taua wāhanga. Koinei te mea e kiia nei e tātou ko te gangrene .
Ko te mea nui, ko te mate pukupuku he mate kiko tonu. Heoi, ehara i te mea ko te mate pukupuku katoa he mate. I ētahi wā, ka mutu te rere o te toto, ā, ka mate te kiko, me te kore he mate huakita. Heoi, ki te hono te mate huakita ki te kiko mate, ka kino rawa atu te āhua. Ki te kore e rongoatia wawetia, ka taea e tēnei āhuatanga te whakararuraru nui, tae atu ki te mate.
He aha ngā momo matua o te gangrene?
Ka taea te wehewehe i te gangrene ki ētahi momo matua. He rerekē te āhua o ia momo. Me titiro tātou ki te aha.
| Momo gangrene | He whakamārama māmā |
|---|---|
| Te Gangrene Maroke | He take noa iho tēnei o te toto totoka. Kāore he mate huakita. Ka maroke, ka unahi, ka mangu te kiri e pāngia ana. Kāore e kitea he pupuhi kapi i te pūkahukahu. He mea noa ake tēnei i roto i te hunga whai mate pēnei i te mate huka me te atherosclerosis, ka ārai pea i ngā oko toto nā te nui o te cholesterol. |
| Te Gangrene Makuku | He mate huakita kino tēnei ka puta ina mutu te rere o te toto. E ai ki tōna ingoa, ka pupuhi te kiri, ka pupuhi, ka puta he wai rite ki te pūhā. Koia i huaina ai ko 'māku'. He tino kino te haunga. Ka tere te horapa o tēnei momo mate ki ētahi atu kiko hauora. |
| Te Gangrene Hau | He momo tino morearea tēnei, ā, he tere te horapa. Ko ētahi momo huakita e uru ana ki te tinana mā roto i ngā patunga hohonu ka whakaputa hau i roto i ngā uaua. Ka whakangaro tēnei i te kiko. Ki te pēhia e koe te kiri e pāngia ana, ka rongo koe i te tangi 'chiri chiri' me te mea kei te pakū ngā mirumiru hau i raro. Ka taea e tēnei te whakararu i te ora i roto i ētahi haora. |
| Te Gangrene o Fournier | He mate huakita tino onge tēnei, he mate kino hoki. Ka puta i roto i ngā ira tangata me ngā wāhi e karapoti ana. He nui ake te kitea i roto i ngā tāne. |
| Gangrene ā-roto | Ka puta tēnei ina motuhia te rere o te toto ki tētahi okana i roto i te tinana. Hei tauira, ka puta pea tēnei āhuatanga i roto i te pūkahukahu, i ngā whekau, i te apeni rānei. |
He aha ngā tohu o te gangrene?
Ka rerekē pea ngā tohu o te gangrene i runga i te momo. Engari he tohu noa iho ēnei ka kitea. Mena kei a koe tētahi o ēnei, me toro atu koe ki te tākuta tonu.
- Te rerekētanga o te kiri: Tērā pea ka mā te kiri o te wāhi kua pāngia, kātahi ka whero, ka papura, ka kakariki, ā, i te mutunga ka mangu.
- Mamae nui: I te tīmatanga, ka pāngia pea te wāhi e te mamae nui, kātahi ka ngaro katoa te rongo i te matenga o te kiko.
- Te pupuhi me te māuiui: Tērā pea ka pupuhi, ka māuiui hoki te wāhi e pāngia ana.
- Kiri makariri: Ki te whakaritea ki ētahi atu wāhi hauora, he tino makariri te kiri kua pakaru ina pā atu.
- Puku kakara kino: I roto i te gangrene maku, ka puta pea ngā mirumiru ka puta he puku kakara kino, he wai toto rānei.
- Oro 'Heri-Heri': I roto i te mate pukupuku hau, ina pēhia te kiri ki runga, ka rangona he oro me te mea kei te pakū ngā mirumiru hau i raro.
- Ngā tohu noa:Tērā pea ka puta ngā tohu pēnei i te kirika, te ngenge, te tere o te ngakau, te tere o te manawa, me te pōhēhē hinengaro, inā koa ka horapa te mate puta noa i te tinana (sepsis).
Ko te mea nui ko te panoni o te tae o te kiri. I te tīmatanga, ka mā te kiri nā te ngoikore o te rere o te toto, kātahi ka whero, ka parauri haere, ā, i te mutunga ka papura, ka kakariki-pango rānei. Tērā pea he uaua ki te tangata he kiri mangu te kite i ēnei panoni tae i te tīmatanga.
He aha ngā take me ngā tūponotanga mō te gangrene?
Ko te tino take o te gangrene ko te aukati i te rere o te toto ki tētahi wāhanga o te tinana. He maha ngā tino take me ngā āhuatanga mōrearea e whai wāhi ana ki tēnei.
Ngā take e aukati ai te rere o te toto:
- Ngā mate o ngā oko toto: Ko ngā putunga cholesterol i roto i ngā oko toto, me te whakawhāiti i aua putunga (Te Mate o te Artery Peripheral) te tino take o te gangrene maroke.
- Ngā whara kino: Mēnā ka puta he whara nui, pērā i te aituā motuka, te mau rānei i roto i ngā mīhini, ā, ka pakaru ngā uaua toto.
- Ngā raruraru mai i te pokanga: Ahakoa he tino onge, ka raru pea te rere o te toto i muri i ētahi pokanga.
- Ngā Mate Pukupuku: Ka pupuhi te kiko me te toto i te mate kitakita kāore i rongoatia.
Ngā tāngata e piki ake ana te mōrearea ki te whakawhanake i te gangrene:
- Ngā Tūroro Mate Huka: He tino noa te mate huka i tō tātou whenua. Ka kino ngā oko toto me ngā io i te mate huka. Nō reira, ka iti haere te rongo o ngā waewae, ahakoa he patunga iti noa iho, ā, he nui te tūponotanga kāore e tere te ora, ka pangia, ka whanake te gangrene. Me tino tiaki te hunga mate huka i ō rātou waewae.
- Ngā kaipaipa: Ka kino te kaipaipa i ngā uaua toto, ā, ka whakawhāiti i aua uaua.
- Momona: Ka whakanui ake te momona i te mōrearea o te gangrene, nā te mea ka arahi pea ki ngā mate pēnei i te mate huka me te toto toto tiketike.
- Ngā tāngata whai pūnaha ārai mate ngoikore: Ko te hunga whai HIV/AIDS, ngā tūroro mate pukupuku, me te hunga e whiwhi ana i te rongoā chemotherapy, he iti ake te kaha ki te whawhai ki ngā mate urutā.
- Te mate a Raynaud: He āhuatanga ka mutu te rere o te toto ki ngā maihao me ngā matimati mō te wā poto ina pāngia e te makariri.
Me pēhea te tautuhi me te rongoā i te gangrene?
Ki te whakaaro koe kei a koe ngā tohu o te gangrene, me toro atu koe ki te tākuta, me haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera i runga i te wā tonu.
Ka tirotirohia koe e te tākuta, ka pātai atu mō tō hītori hauora, ā, ka whakaritea ētahi whakamātautau mēnā e tika ana.
- Ngā whakamātautau toto: Tirohia mēnā he mate pāwera me te maha o ngā pūtau toto mā.
- Ahurea huakita: Tāutuhia ngā huakita e puta ai te mate, ā, tohua te paturopi tino tika.
- Ngā whakamātautau whakaahua: Ka taea e te matawai X-ray, CT, MRI rānei te rapu i te kino o te kiko me te hau.
- Whakamātautau rere toto: Ngā whakamātautau motuhake hei tirotiro mō ngā aukati i roto i ngā oko toto.
Ngā tikanga maimoatanga
E toru ngā whāinga matua o te rongoā i te gangrene: te tango i ngā kiko mate, te whakahaere i te mate, me te whakaora i te rere o te toto.
1. Ngā rongoā paturopi: Mēnā he mate huakita, ka hoatu ngā rongoā paturopi kaha ki roto i te uaua hei whakahaere i taua mate.
2. Te tango i ngā kongakonga: He tikanga pokanga tēnei. Kāore e ora te kiko kua pakaru. Nō reira, me tango mā te pokanga. Ki te kore, ka horapa te mate ki te kiko hauora.
3. Pokanga hei whakaora i te rere o te toto: Ka taea te mahi pokanga hei whakawhanui i tētahi oko toto kua āraia (Angioplasty) hei waihanga rānei i tētahi ara hou hei karo i taua ara (Pokanga Bypass).
4. Te Whakaora Hāora Hyperbaric (HBOT): I roto i tēnei, ka whakanohoia te tūroro ki roto i tētahi rūma hyperbaric, ā, ka whakahaua kia manawahia e ia te hāora parakore 100%. Ka tino whakanuia e tēnei te taumata hāora i roto i te toto, ka āwhina i te whakaora o ngā kiko.
5. Te tapahi i te waewae: I ngā wā tino kino, ina kore e angitu ētahi atu maimoatanga, ko te huarahi anake hei whakaora i te ora o te tūroro ko te tango pokanga i te peka e pāngia ana, pērā i te maihao, te māikuku, te ringa rānei. E kiia ana tēnei he huarahi whakamutunga e ngā tākuta.
Āhea koe me rapu awhina hauora ohorere?
He āhuatanga ohorere hauora te gangrene. Mēnā kei a koe ēnei tohu e whai ake nei, haere tonu ki te Tari Ohorere o te hōhipera (ETU).
- Mena kua mangu tō kiri, kua kore e taea te mātakitaki, kua mātao, kua pupuhi rānei tētahi wāhanga o tō tinana.
- Mena he haunga kino te patunga kāore e ora, he pirau rānei e puta mai ana.
- Mena kei te pāngia koe e te kirika me te mamae nui ohorere.
Mena kei a koe ēnei tohu me te uaua ki te manawa, te tere o te ngakau, te pōhēhē hinengaro, me te werawera makariri, ko te tikanga kua horapa te mate puta noa i te tinana, ā, kei te whanake hei mate morearea e kiia nei ko te septic shock . Nō reira, me tere tonu te maimoatanga.
Karere Tangohia ki te Kāinga
- Ko te gangrene te matenga o te kiko nā te korenga o te rere o te toto ki tētahi wāhanga o te tinana. He mate hauora tino morearea tēnei, ā, he mea nui hoki.
- Ko ngā tohu matua ko te rerekētanga o te kiri (ina koa te pōuri), te mamae nui, te pupuhi, me te pupuhi kakara kino. Ki te kite koe i ēnei, kaua e whakaroa.
- He nui ake te mōrearea o te hunga mate huka ki te pāngia e te gangrene, nō reira he mea nui kia whai i ngā tohutohu a tō tākuta me te tiaki pai i ō waewae.
- He mea nui te wā i te rongoā i te gangrene. Ko te wawe o te tīmatanga o te rongoā, ko te pai ake o ngā hua.
- Mena kei a koe ētahi whakapae mō te gangrene, kaua e whakapae noa, engari me toro atu ki tō tākuta tonu.
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