Kei te pāngia koe e te mamae nui o ō waewae, inā koa ō kōpū waewae, me te mea kei te kōpikopiko, kei te hurihuri rānei ina hikoi koe mō te wā poto? Engari ka memeha katoa te mamae ina tū koe, ka okioki mō tētahi wā? Mena he wheako mōhio tēnei ki a koe, he mea nui tēnei kaupapa e kōrerohia ana e tātou i tēnei rā ki a koe. Ko tēnei mate e kiia nei e tātou ko te "Intermittent Claudication" i roto i te pūtaiao hauora.
He aha te Intermittent Claudication?
Ehara tēnei i te mate, engari he tohu o tētahi mate. He māmā noa iho, he mamae e pā ana ki ō uaua i a koe e mahi ana, pērā i a koe e hikoi ana. Engari ka memeha haere tēnei mamae i a koe e okioki ana. I ētahi wā, he tino kino rawa atu tēnei mamae, ā, me mutu te hikoi.
Nā te mea he raruraru tō tinana ki te rere o te toto . Ina hikoi koe, he nui ake te hāora e hiahiatia ana e ngā pūtau o ngā uaua o ō waewae i te mea noa. Engari ina kore e nui te toto (me te hāora) e whiwhi i aua uaua mā roto i ngā oko toto, ka tīmata koe ki te rongo i te mamae. Ina tū koe, ka okioki, he iti ake te hāora e hiahiatia ana e ngā uaua, nō reira he iti noa te toto e riro mai ana i a rātou. Nō reira ka ngaro te mamae.
He aha te āhua o tēnei mamae?
He maha ngā tāngata e rongo ana i tēnei he mamae koi, he mamae puhoi. He rite ki te mea e kumea ana, e kōmimitia ana rānei he uaua. E kīia ana hoki e ētahi he "hōiho Charley". Ka nui ake tō whakakori tinana, tō hikoi rānei, ka nui ake te mamae. I ētahi wā, ka ngoikore pea ngā io o ngā waewae nā te koretake o te rere o te toto.
Ehara tēnei i te mamae hononga. Ahakoa te ahua o te mamae he rite ki te mamae hononga, ehara i te '(Arthritis).' Waihoki, ki te memeha te mamae i roto i ētahi meneti i muri i te okiokinga, ko te tikanga he '(Intermittent Claudication).'
He aha tēnei e tupu nei? He aha te take matua?
Ko te tino take o tēnei tohu he mate e kiia nei ko te Peripheral Artery Disease (PAD) . Whakaarohia ngā oko toto i roto i tō tātou tinana he rite ki ngā paipa wai. I roto i te wā, ka hanga te waikura me te paru i roto i te paipa wai, ā, ka purua ngā kōhao o te paipa, pērā anō hoki, ka hanga ngā ngako me te cholesterol i roto i ō tātou oko toto (ngā uaua) ka hanga i te mea e kiia nei ko te "plaque". Ka kiia tēnei e tātou ko te '(Atherosclerosis)'.
Ina whakawhāitihia ngā uaua toto e ngā pereti toto, ka heke te nui o te toto e rere ana i roto i aua uaua. He pono rawa tēnei ina whakawhāitihia ngā uaua toto e tuku toto ana ki ngā waewae, e kiia nei ko te PAD. Ka puta te mamae ina kore e nui te hāora e whiwhi ana ō waewae i a koe e whakakorikori tinana ana, pērā i a koe e hikoi ana.
He aha ngā whakamātautau ka mahia e te tākuta hei tautuhi i tēnei?
Mena kei a koe ēnei tohu,Me tino kite koe i tētahi tākuta. Tērā pea ka tonoa e te tākuta ētahi whakamātautau hei kimi i te tino pūtake o tēnei mamae.
| Whakamātautau | Hei whakarāpopototanga, he aha tāu e mahi ai ki taua mea? |
|---|---|
| Whakamātautau Tinana | Ka tirohia ō waewae me ō waewae mō ngā pā. Mena he ngoikore ngā pā, kāore rānei e pāngia, he tohu tēnā kei te pāngia koe e te raruraru. |
| Taupū Pona-Tuarua (ABI) | Ka inehia, ka whakatauritea te toto toto i roto i tō ringa me tō pona. Mēnā he rerekētanga nui i waenganui i ngā mea e rua, he tohu tēnei nō te PAD. |
| Angiogram | Ka werohia he wai motuhake (he tae rerekē), ā, ka mahia he hihi-X hei kimi i ngā wāhi kua āraia ngā oko toto. |
| CT, MRA rānei | He momo matawai anō hoki ēnei. Ka taea e ngā whakamātautau CT angiograms, MRA rānei te kite mārama i ngā wāhi e raru ana ngā uaua toto. |
| Te Whakamātautau Ā-Iwi | He matawai mā te whakamahi i ngā ngaru oro. Ka taea e tēnei te kimi i ngā wāhi e whaiti ana ngā uaua toto. |
Me pēhea te rongoā mō tēnei mate?
Ko te whāinga matua o te maimoatanga he whakapai ake i te rere o te toto ki ngā waewae. Ahakoa kāore e taea e ēnei maimoatanga te whakaora katoa i te mate, ka taea e rātou te whakahaere i ngā tohu me te whakangawari ake i te oranga. Ka taea te wehewehe i ngā tikanga maimoatanga ki ngā wāhanga matua e toru.
1. Ngā huringa āhua noho
Ka taea e koe te mahi i ēnei mea.
- Te hikoi auau:Hīkoi mō te 30 meneti pea i te rā, e toru ngā rā i te wiki. Kati ina pāngia koe e te mamae, okioki, ka hīkoi anō. Mā tēnei ka āwhina i te hanga i ngā uaua toto hou i roto i ō waewae.
- Te pupuri i te taumaha hauora: Ka kino haere pea tēnei āhuatanga i te pikinga ake o te taumaha o te tinana.
- Kai hauora: Kai i ngā kai hei āwhina i te whakahaere i ngā mate pēnei i te mate huka, te cholesterol tiketike, me te toto toto tiketike.
- Te whakamutu rawa i te momi hikareti me te whakamahi tupeka: He tino kino ēnei ki ngā oko toto.
- Te whakahaere ahotea: Ka pā tika te hauora hinengaro ki te hauora o te ngākau me te pūnaha tohanga toto.
2. Ngā rongoā
Ka tohua pea e tō tākuta ngā rongoā pēnei i:
- Ngā rongoā whakangawari toto: Ka ārai ēnei i ngā raruraru nui pērā i te hanganga o ngā toto totoka me te aukati ohorere i ngā oko toto.
- Ngā Statin: Ka whakaiti i ngā taumata cholesterol me te whakahaere i te hanganga o te paraka i roto i ngā oko toto.
- Ngā rongoā toto toto tiketike: Ka whakawhanuihia e ēnei ngā oko toto, ka whakahaere hoki i te rere o te toto.
- Rongoā mate huka: Ki te mea he mate huka tōu, he mea tino nui kia pai te whakahaere i tōna mate.
3. Pokanga, ētahi atu tikanga rānei
Mena kāore ngā huringa o te momo noho, ā, kāore hoki ngā rongoā e whakahaere i te āhua, ka tūtohu pea tō tākuta kia pokangahia, kia mahia rānei tētahi atu tikanga.
- Angioplasty: Ka whakauruhia he taputapu rite ki te poihau ki roto i tētahi oko toto kua whaiti, ā, ka pupuhihia hei whakawhanui i te oko toto.
- Te whakatakotoranga o te stent: Whai muri i te angioplasty, ka whakatakotoria he taputapu rite ki te mata (stent) ki roto i te oko toto hei ārai i tōna whaiti anō.
- Pokanga Ārai: Ka hangaia he ara hou mā te whakamahi i tētahi oko toto i tangohia mai i tētahi atu wāhanga o te tinana, he rite ki te hanga i tētahi ara hou mō te rere o te toto huri noa i tētahi oko toto kua āraia.
Āhea koe me toro atu ki te tākuta?
Mena kua mōhio kē koe kei a koe te "Intermittent Claudication", kia tūpato ki ēnei tohu e whai ake nei. Mena kei a koe tētahi o ēnei, tirohia tonutia tō tākuta , haere rānei ki te Tari Whawhati Tata (ETU) .
- Ki te mea ka pāngia koe e te makariri nui, te ngoikore rānei o te waewae.
- Mena ka roa te wā e ora ai ngā patunga o ngā waewae, ka puta rānei he patunga hou (ngā mate pukupuku).
- Mena he tohu mate pāwera kei te taha o te patunga (pupuhi, whero, mamae, mahana).
- Mena ka pāngia koe e te mamae o te uma, e te uaua rānei ki te manawa me te mamae o te waewae.
- Mena kei te mamae ō waewae ahakoa kei te okioki koe .
- Mena ka pāngia koe e te mamae ohorere, te mamae nui rānei, ka neke rānei te mamae mai i tōna tūranga ki tētahi atu wāhi.
Ka uaua pea te hikoi me ngā mahi o ia rā nā tēnei āhuatanga. Heoi, mā te kitenga wawe me te maimoatanga tika, ka taea te ārai i te kino haere, ā, ka taea e koe te noho noa i te oranga noa.
Karere Tangohia ki te Kāinga
- Ehara te intermittent claudication i te mate, engari he tohu i puta mai i te raruraru o te tohanga toto. Ko te tino take ko te Peripheral Artery Disease (PAD).
- Ki te pāngia koe e te mamae o ō waewae (ina koa ngā kuao kau) i a koe e hikoi ana, ā, ka memeha haere i a koe e okioki ana, me kōrero koe ki tō tākuta.
- Mā te whakamutu i te momi hikareti, te hikoi auau, te kai i ngā kai hauora, me te whakahaere i tō taumaha ka āwhina nui ki te whakahaere i tēnei mate.
- He mea tino nui te whakamahi i ngā rongoā kia rite ki te whakahaunga a te tākuta.
- Ki te mamae koe ahakoa e okioki ana, kua mārō ō waewae, kāore rānei ō patunga e ora ana, rapua tonutia he tohutohu hauora.

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