He aha tēnei ringaringa pupuhi e mau ana koe ki ō waewae? Me ako tātou mō te Intermittent Pneumatic Compression (IPC)

Kua noho koe i roto i te moenga hōhipera i muri i te pokanga, ā, ka kite koe i tētahi nēhi e haere mai ana, ka whakatakoto i tētahi ringaringa tauhou ki tō waewae, ka hono atu ki tētahi mīhini iti? I muri i tētahi wā, ka kī te ringaringa i te hau, ka whakakīkī i tō waewae, kātahi ka tukuna anō te hau. Me te mea kei te mirimiri mārietia tō waewae e tētahi. Ki te tini o te tangata, he wheako tino tauhou tēnei. Nā, he aha rawa te mahi a tēnei? He aha i mahia ai tēnei i roto i te hōhipera? I tēnei rā, ka kōrerohia e tātou tēnei i roto i tētahi huarahi māmā ka taea e koe te mārama.

He aha te Kōpeketanga Hauātea Ā-Wā Poto (IPC)?

Ki te whakarāpopototanga, koinei te ingoa hauora mō te tukanga i kōrerohia i runga ake nei. Ko te Intermittent Pneumatic Compression (IPC) he taputapu e rite ana ki te ringaringa pupuhi. Ko te tikanga ka mau ēnei ki ō waewae, arā, te wāhanga o tō waewae i raro i te turi. I ētahi wā ka kiia hoki tēnei he Sequential Compression Device (SCD) .

Ko te kaupapa matua o tēnei taputapu he ārai i te hanganga o ngā toto totoka i roto i ō waewae. Me pēhea te mahi i tēnā? Ka pupuhihia, ka whakaitihia hoki e tētahi mīhini iti e piri ana ki tēnei ringaringa i ia wā. Mā tēnei, i te wā e whakapūmau ana, e whakangāwari ana hoki te waewae, ka pai ake te rere o te toto i roto i ngā uaua o ngā waewae.

I roto i ēhea āhuatanga ka whakamahia ai ēnei taputapu IPC?

Ko te tikanga, ka whakamahia tēnei taputapu ina whiwhi maimoatanga koe i te hōhipera, ina koa ka kore e taea e koe te neke haere. Ka mauria i a koe e okioki ana i runga i te moenga, e noho ana rānei i runga i te tūru.

He maha ngā wā ka whakamahia tēnei:

• I muri i te pokanga nui: Tērā pea he uaua ki te hikoi mō ētahi rā i muri i te pokanga.
• I muri i te whiu: Ka uaua hoki te nekeneke a ngā tūroro whiu.
• Nā te mate kino: Mō ngā tūroro me noho ki te moenga mō ngā rā maha nā te mate.

He maha ngā wā ka puta tēnei āhuatanga DVT i roto i ngā uaua hohonu o te huha, o te hope rānei. He tino morearea tēnei. Nā te mea, ki te pakaru te toto totoka mai i reira, ka haere tahi me te toto, ka mau ki roto i te uaua o ngā pukahukahu, ka kiia e mātou ko te Pulmonary Embolism (PE) . Ka taea e tēnei te whakararu i te manawa, ā, i ētahi wā ka mate ohorere. Nō reira, ka ārai te taputapu IPC i tēnei āhuatanga DVT morearea kei puta.

Hei tāpiritanga, ka whakamahia hoki tēnei tikanga hei ārai i te toto totoka i roto i ngā whaea kāore e nekeneke nui ana i te wā e hapu ana, i muri rānei i te whānautanga i te hōhipera. Hei tāpiritanga, ka whakamahia hoki ēnei taputapu IPC hei rongoā mō te mate e kiia nei ko te Lymphedema (te pupuhi o te pūnaha lymphatic).

He aha te mahi a tēnei? He aha ngā painga me ngā mōrearea?

E ai ki tā mātou i kōrero ai i mua, ka whakakīia tēnei ringaringa ki te hau kotahi i te meneti, ā, ka whakakukū i te waewae, kātahi ka tukuna te hau, ka wetekina te waewae.

• Ina pēhia te waewae: Ka panaia te toto i roto i ngā waewae ki te ngākau.
• Ina whakangā te waewae: Ka rere te toto hou, whai kiko i te hāora, ki roto i ngā uaua o ngā waewae.

Ka āwhina hoki tēnei tukanga ki te tuku i ngā matū taiao mai i te tinana hei ārai i te toto totoka. Ko te painga nui o tēnei ko te homai i ngā painga ōrite o te hikoi me te kore rongoā . He taputapu tino whai hua tēnei, he taputapu whakaora ora, inā koa mō te hunga kāore e taea te tango i ngā rongoā whakaiti toto (anticoagulants) me te hunga rānei e tūpono ana ki te mate.

Engari, pērā i ngā mea katoa, tērā pea ka puta he raruraru iti, me ngā mōrearea tino onge.

Āhea te wā me kōrero atu ahau ki te tākuta?

Mena ka pāngia koe e tētahi o ngā tohu e whai ake nei i a koe e whakamahi ana i te taputapu IPC, he mea nui kia whakamōhio atu koe ki te tākuta, ki te nēhi rānei i taua wā tonu.

• Te pupuhi ohorere, te mahana, te mamae rānei o te waewae: He tohu pea ēnei o te DVT.
• Te whero, te mamae, te mumura rānei o te kiri kei reira te ringaringa: Me tirotiro koe mēnā he kino te kiri.
• Te poto ohorere o te manawa: He tohu kino pea tēnei mō te Pulmonary Embolism (PE), nō reira me rapu tonu i te awhina hauora.
• Ki te kore te mīhini e mahi tika ana: arā, ki te kore e pupuhihia, e kore e mahi. Nō reira, whakamōhio atu ki ngā kaimahi.

Me aha ahau hei whakamāmā ake i tēnei?

I a koe e takoto ana i te moenga, me piko tō pona waewae kia maha ngā wā i te rā. Arā, me anga ō matimati ki te papa, kātahi ka tōia tō mata ki a koe. Mā tēnei mahi ngāwari ka āwhina i te rere o te toto.

Waihoki, ina whakaaetia e te tākuta, ko te hikoi poto i te wāhanga e whā, e rima rānei ngā wā i te rā te huarahi pai me te huarahi māmā ki te ārai i te toto totoka. Engari kia mahara, i mua i te hikoi, kia tino tangohia tēnei pūeru IPC. Ki te hikoi koe me te mau i tēnei, he nui te tūponotanga ka mau koe, ka hinga. Ki te uaua ki te tango, pātai atu ki te nēhi mō te āwhina.