He patunga kei ō waewae e kore e ora? Me ako tātou i ngā mea katoa e pā ana ki ngā Mate Pukupuku Waewae!

Ina pāngia tātou e te patunga iti i tō tātou waewae, e whakaaro ana tātou katoa ka ora i roto i ētahi rā. Engari i ētahi wā, ka roa pea ēnei patunga mō ngā wiki, tae noa ki ngā marama, ka waiho koe ki roto i te raruraru. Koinei te huarahi e kōrero ai tātou mō ngā patunga whakarihariha e puta mai ana i ō tātou waewae, e roa ana te wā e ora ai. I roto i te kupu hauora, ka kiia ēnei ko '(Ngā Mate Pukupuku Waewae)'.

He aha ēnei mate pukupuku waewae kāore e ora?

He māmā noa iho, ko te mate pukupuku waewae he patunga kāore anō kia ora mō ngā wiki e rua neke atu ahakoa te maimoatanga . Ko te nuinga o te wā ka kitea ēnei mate pukupuku i te rohe i waenganui i tō pona me tō turi.

He maha ngā wā ka puta he wai i roto i ēnei patunga (tērā pea he pūhā) . Ki te kore e rongoatia tika, ka nui haere pea ēnei patunga. Hei tauira, ki te mea he patunga waewae tōu, ā, kāore e ora i muri i ngā marama e toru o te maimoatanga, ka kiia e mātou he mate mau tonu .

E ai ki ngā tatauranga mai i ētahi whenua whakawhanake o te ao, tata ki te 1% o ngā pakeke e pāngia ana e tēnei mate. He tino noa tēnei raruraru i waenga i te hunga neke atu i te 65 tau te pakeke . Tata ki te 4% o rātou he patunga kāore e ora i ō rātou waewae. Nō reira, ehara tēnei i te mea hei whakaaro māmā noa iho.

He aha i puta ai ngā mate pukupuku waewae?

He maha ngā take e puta ai ngā mate pukupuku waewae. Me titiro tātou ki ngā mea matua.

1. Ngā raruraru uaua (Te ngoikore o te uaua mau tonu)

Koinei te tino take e puta ai ngā mate pukupuku waewae. He iti ngā takirere o roto i ngā uaua o ō tātou waewae. He rite ēnei ki ngā tatau. Ko tā rātou mahi he aukati i te rere o te toto ki runga, ki te ngākau, ki raro hoki. Engari ki te kore e mahi tika ēnei takirere, ka hoki te toto ki runga, ka puea ki roto i ngā waewae o raro .

Whakaarohia he rite ki te takirere pakaru i roto i te paipa wai, ka noho te wai ki te wāhi kotahi. Ina noho pēnei te toto, ka piki ake te pēhanga i roto i ngā uaua o ngā waewae. Kātahi ka pakaru ngā oko toto tino angiangi o te kiri. Ka puta te mumura, te mākūkū, te maroke o te kiri, ā, i te mutunga ka pakaru te kiri me te puta he mate pukupuku.

2. Te Mate Huka (Diabetes Mellitus)

E mōhio ana koe he mate te mate huka (`(Diabetes Mellitus)`) ka pā mai he maha ngā raruraru. Nā te mea he tiketike tonu te taumata huka toto o te tangata mate huka, ka puta ngā ngako ki roto i ngā oko toto, ka ārai i a rātou . Pērā i te waikura e puta ana i roto i te paipa wai tawhito.

Ina āraia ngā uaua pēnei, ka heke te nui o te toto e rere ana ki ngā waewae. Nō reira, ka pakaru pea ngā io . Ka kiia tēnei ko te '(Diabetic Neuropathy)'. Ina ngoikore pēnei ngā io, kāore pea koe e rongo i tētahi patunga iti, i tētahi motu rānei i roto i tō waewae. I ētahi wā, ahakoa he motu iti e mau ana ki roto i tō hu, kāore pea e kitea kia huri rā anō hei patunga nui. Waihoki, he puhoi rawa te ora o ngā patunga nā te mate huka .

3. Te Mate o te Arorangi o te Puku (PAD)

I tēnei āhua, ka puta he mea rite ki te mate huka. Ka puta ngā putunga ngako (atherosclerosis) i roto i ngā uaua e kawe ana i te toto ki ngā peka o te tinana, ka āta ārai i aua uaua. Hei whakamārama, ka āraia ngā uaua matua e kawe ana i te toto ki ō tātou waewae .

Ka aha rā? Kāore e ranea te toto e tukuna ana ki ngā waewae. Nō reira, kāore e ranea te hāora me ngā matūkai. Ina tupu tēnei, ka roa te wā e ora ai ahakoa he patunga iti. He nui ake te tūponotanga ka pāngia te hunga mate huka e tēnei mate (PAD) .

4. Te toto toto tiketike / te toto toto tiketike

He hoariri puku anō hoki te toto toto tiketike (te toto toto tiketike). Ki te kore e whakahaeretia pai, ka pā mai he mate puku mamae (te mate puku Martorell) ki te waewae o raro, inā koa ki te pona waewae. Ka āraihia ngā oko toto iti (ngā capillary) o te kiri e te toto toto tiketike, ka motuhia te rere o te toto ki te kiri. Kātahi ka mate ngā pūtau kiri, ka puta hei mate puku.

Ko wai kei te nui ake te mōrearea ki te whara o te waewae?

He nui ake te tūponotanga o ētahi tāngata ki te pāngia e ēnei whara waewae i ētahi atu. Kia kite tātou ko wai rātou:

• Mō ngā wāhine: E rua ngā wā ka nui ake te tūponotanga o ngā wāhine ki te pāngia e tēnei mate i ngā tāne.
• Taumaha nui rawa: Ka piki ake pea tēnei mōrearea nā te momona nui, nā te taumaha rānei i te wā e hapū ana.
• Hītori whānau: Mena he raruraru uaua tō tētahi o tō whānau (hei tauira, he uaua varicose), ka pāngia pea koe e tēnei mate.
• Ētahi atu āhuatanga hauora: Ngā tāngata whai mate pēnei i te mate huka, te toto toto tiketike, me te mate rumatiki.
• Pokanga: Mō te hunga kua pokangahia te hope, te turi rānei.
• Ngā whara me ngā aituā: Ngā whara kino pēnei i te whati o ngā wheua.
• Te kore o te korikori tinana: Mō te hunga e noho roa ana ki te wāhi kotahi, kāore e hikoi, ā, he mate pēnei i te pararutiki.
• Te Momi hikareti: Ka taea e te momi hikareti te kino i ngā uaua toto me te whakararu i te rere o te toto.
• Ētahi atu raruraru uaua: Mō te hunga whai mate pēnei i te uaua varicose, te vasculitis, me te venous thromboembolism.

He aha ngā tohu o te mate pukupuku waewae?

Mēnā he whara tō waewae, me pēhea te mōhio atu? Anei ētahi o ngā tohu matua:

• Te patunga kore e ora: Koinei te tohu matua. Ki te kore te patunga e ora i muri i ngā wiki e rua o te maimoatanga, tera pea he `(Pukupuku Waewae)`.
• Te āhua o te patunga: Tērā pea he whero, he papura, he parauri, he kōwhai rānei te patunga. I ētahi wā, ka kitea he maha o ēnei tae e whakaranua ana. Tērā pea ka puta he wai, he mea rite ki te pūkahukahu rānei i roto i te patunga.
• Ngā huringa kiri:
• Tērā pea ka maroke te kiri huri noa i te patunga, ka unahi, ka mākūkū hoki .
• Tērā pea ka puta mai ngā mea pēnei i ngā puku mārō ki te kiri, ka piri rānei te kiri.
• Ka rerekē pea te tae o te kiri, ka puta he whero, he kikorangi, he papura rānei, pērā i te marō .
• Mamae: Tērā pea ka mamae ō waewae, inā koa i muri i te tū roa .
• Pupuhi: Ka kitea pea te pupuhi (edema) i ngā waewae o raro.

Me pēhea te mohio ki ngā mate pukupuku o te waewae?

Mena kei a koe ēnei tohu, me toro atu koe ki te tākuta. I te nuinga o te wā, ka tirohia ēnei patunga e te tohunga toto. Ka tirotirohia e ia tō kiri me te patunga.

Hei tāpiri, ka taea hoki e koe te whakahaere i ngā whakamātautau penei:

• Whakamātautau tohu pona-pūkahukahu: Ka whakamahia te hangarau ultrasound hei ine i te toto totoka me te rere o te toto i roto i ngā waewae.
• Kohikohi kiri: Ka tangohia he tauira o ngā pūtau kiri me te wai mai i te patunga, ka tirotirohia i raro i te karuārai hei tirotiro mō ngā mate pāwera, ngā mate kiri rānei.

Me pēhea te rongoā i ngā patunga o te waewae?

He uaua te whakaora i ngā mate pukupuku waewae. I ētahi wā , ahakoa te rongoā, ka roa pea ngā mate pukupuku mō ngā marama, mō ngā tau rānei . Kaua e manukanuka, ka taea te whakaora mēnā ka rongoatia tika.

Ko ngā kōwhiringa maimoatanga e whakawhirinaki ana ki ngā āhuatanga pēnei i te momo whara me tōna pūtake. Ko ngā whāinga matua a te tākuta ko:

1. Te whakaora i te patunga.

2. Te whakaiti i te pupuhi.

3. Te ārai i te hokinga mai o te patunga i a ia e ora ana.

Anei ētahi o ngā tikanga maimoatanga matua:

• Te rongoā pēhanga: Hei whakapai ake i te rere o te toto i roto i ngā waewae, ka whakamahia ngā momo tōkena motuhake (tōkena pēhanga) me ngā takai rānei. Ka pēhia te waewae e ēnei, ka āwhina ki te pana i te toto ki runga.
• Teitei o ngā waewae: Mā te pupuri i ō waewae kia teitei ake i tō ngākau mō te iti rawa i te haora i te rā, mō te iti rawa i te ono rā, ka āwhina i te rere o te toto ki te ngākau.
• Te tiaki patunga: He mea tino nui tēnei.
• Te tono i te tākuta kia tangohia te kiri mate o te patunga (`(debridement)`).
• Te whakamahi i ngā rongoā paturopi ā-rohe hei ārai i te mate.
• Whakarerekētia te takai o te patunga i ia wā, i ia wā.
• Ngā rongoā:
• Mena he mate kei roto i te patunga, ka taea te hoatu he paturopi.
• Tērā pea ka hoatu hoki ngā rongoā (ngā vasodilator) hei āwhina i te whakawhānui i ngā oko toto me te whakapai ake i te rere o te toto.
• Whakaora hāora hyperbaric (`(Whakaora hāora hyperbaric)`):He tikanga maimoatanga motuhake tēnei. Ka noho koe i roto i tētahi rūma hyperbaric ka manawa i te hāora parakore. Ka whakanui ake tēnei i te nui o te hāora i roto i te toto, ka tere ake te whakaora o te patunga.
• Te maimoatanga mō ngā uaua: Mena he raruraru āu pēnei i ngā uaua varicose, ka taea e koe te whai maimoatanga pēnei i te sclerotherapy (te werohanga rongoā ki roto i ngā uaua) te endovascular ablation rānei (te whakamahana i ngā uaua mai i roto me te hiri atu).
• Pokanga: I ētahi wā ka hiahiatia he pokanga hei tango, hei whakatika, hei whakakapi, hei karo rānei i tētahi uaua kua pakaru.
• Ngā hononga kiri: Mena he nui ake te patunga i te 4 inihi, ki te kore rānei e ora ētahi atu maimoatanga, ka taea te tango i te kiri mai i tētahi atu wāhanga o te tinana ka honoa ki runga i te patunga.

Me pēhea te ārai i ngā mate pukupuku waewae?

Ahakoa ka ora te patunga o te waewae, tera pea ka hoki mai anō . Nō reira, he mea nui kia tiakina ēnei mea:

• I a koe e noho ana, e moe ana rānei, kia mau tonu ō waewae ki runga ake i tō ngākau . Ka taea e koe te whakatakoto i tētahi mea pēnei i te urunga iti ki raro i ō waewae.
• Kia mau ki te taumaha hauora . Kia nui te korikori tinana . He pai hoki te hikoi pakupaku i ia rā.
• Mena kei a koe ngā āhuatanga e pā ana ki te rere o te toto, pērā i te mate huka, te toto toto tiketike, te cholesterol tiketike, te mate Raynaud rānei, me whakahaere pai aua āhuatanga . Me ata whai i ngā tohutohu a tō tākuta.
• Mena he kaipaipa koe, kati rawa . Ka taea hoki e koe te rapu awhina i te taote mō tēnei.
• Hei ārai i te maroke o te kiri, whakamahia ngā horoi ngawari . Pania he hinu whakamakuku i muri i te kaukau.
• Mauria he tōkena pēhi, he takai rānei mō te iti rawa i te haora i te rā. Mā tēnei ka pai ake te rere o te toto ki ō waewae. Pātai atu ki tō tākuta kia whiriwhiria te mea e tika ana māu.

He aha ngā raruraru pea o te mate pukupuku waewae?

Mena ka mau tonu ngā patunga kāore e ora, ka taea e rātou te whakaputa ake i ngā raruraru.

• Mate wheua (Osteomyelitis): Ka taea e te patunga te hōhonu, ka pā he mate ki ngā wheua. Mēnā ka kino rawa atu, ka taea pea te tapahi i te wheua.
• Te mate pūkahukahu: He mate huakita kino ki te kiri me ngā kiko i raro i te kiri. Tērā pea ka whero, ka pupuhi, ka mahana te wāhi e karapoti ana i te patunga.
• Sepsis: Ki te tae te mate ki roto i te toto, ka tūpono te mate.
• Matepukupuku kiri: Ka puta pea tētahi momo matepukupuku kiri (matepukupuku pūtau-pūtau) i ētahi wā mai i ngā patunga roa kāore e ora.

He aha te tirohanga mō te tangata kua whara te waewae?

Ka taea e ngā whara waewae te arahi ki te hauātanga i ētahi wā. Ka taea e ēnei whara te whakauaua i te hikoi, te mahi, me te noho i te oranga noa. Ka hiahiatia pea he haerenga pinepine ki ngā tākuta, ki ngā wāhi tiaki patunga, tae noa ki te whakaurunga ki te hōhipera.

Āhea ahau me toro atu ki te tākuta?

Mena he patunga kāore e ora i tō waewae, ā, kei te pāngia koe e ēnei tohu, me toro atu ki te tākuta tonu :

• Te kirika, te mātao rānei.
• Mena he mamae nui e pā ana ki te whara ka uaua ai te moe, te mahi rānei i ngā mahi o ia rā .
• Ngā tohu kua pangia te patunga: te whero huri noa i te patunga, te mahana, te pupuhi, me te putanga mai o te wai kawa kino mai i te patunga.

He aha taku e pātai atu ai ki taku tākuta?

Ina haere koe ki te tākuta, he mea pai kia pātai koe i ēnei pātai:

• "E te tākuta, he aha i pā mai ai tēnei patunga ki tōku waewae?"
• "He aha te maimoatanga pai rawa atu ka taea e au te whiwhi?"
• "He aha ngā huringa ka taea e au te mahi hei whakaora i tēnei patunga, hei ārai hoki i tēnei mea kei puta anō?"
• "He aha ngā tohu motuhake me māharahara ahau mō ngā raruraru?"

He mamae, he kore whakamarie, ā, he roa te wā e ora ai ngā mate pukupuku waewae. Nō reira, me tiaki motuhake te patunga hei ārai i te mate me te āwhina i te patunga kia ora.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Nō reira, e ai ki tā tātou i kōrero ai, ehara te mate pukupuku waewae e kore e ora (`(Leg Ulcer)`) i te mea ngāwari ki te rongoā. Engari, kaua e mataku. Ki te pāngia koe e tēnei raruraru, ko te mea tuatahi me mahi koe ko te toro atu ki tētahi tākuta whai tohu, kimihia te take tika, ka tīmata i te rongoā tika.

Mā te whai i ngā tohutohu a tō tākuta, te tiaki tika i tō patunga, te whakamutu i te kai paipa mēnā he kai paipa koe, te whakahaere i tō taumaha, me te whakahaere i ngā mate pēnei i te mate huka, ka āwhina nui i a koe ki te whakahaere i tēnei mate. Kia maumahara, ka hoki anō ēnei patunga ahakoa kua ora, nō reira he mea nui kia whai tonu i ngā tohutohu a tō tākuta. Kia tere tō ora!

` Ngā mate pukupuku waewae, te mate huka, te toto toto tiketike, ngā raruraru uaua, te whakaora patunga, ngā mate kiri