He uaua pūmau anō hoki ō waewae? Me ako tātou mō te PAD me te Atherectomy!

Kei te mamae, kei te mamae rānei ō waewae, inā koa i te rohe o te hope, ina hikoi koe? Ka piki ake tēnei mamae ina hikoi koe i tawhiti atu, ā, ka heke ina tū noa koe? Mena kei a koe ēnei tohu, tera pea ka pāngia koe e tēnei mate. Kaua e manukanuka, he mate tēnei e pāngia ana e te tini tāngata. I tēnei rā, me kōrero tātou mō ngā take o tēnei me tētahi tikanga maimoatanga hou e kiia nei ko te Atherectomy.

He aha te PAD? He aha i āraia ai ngā uaua?

Ki te whakarapopoto, ko te PAD te tikanga mō te Peripheral Artery Disease . I roto i te reo Sinhala, he aukati i ngā oko toto (arteries) e kawe ana i te toto ki ngā whekau tawhiti pērā i ngā peka o tō tātou tinana. Whakaarohia i roto i te wā, ka mau ngā mea pērā i te waikura me te paru ki roto i te paipa wai. Waihoki, ka taea te whakatakoto i te "pēra" ki roto i ō tātou oko toto. Ko tēnei pēra he paparanga i hangaia e te kohikohinga o ngā mea pērā i te cholesterol, te ngako, me te konupūmā. I roto i te rongoā, ka kiia tēnei ko (Atherosclerosis) .

I te mea ka whakawhāiti haere te uaua toto nā tēnei aukati, ka heke te nui o te toto e rere ana i roto. Ina whakakorikori tinana koe, ina hikoi rānei, ka nui ake te toto e hiahiatia ana e ngā uaua o ō waewae, arā, he nui ake te hāora. Engari nā te mea kua aukatia ngā uaua, kāore e whiwhi i te nui o te toto e hiahiatia ana e rātou. Koinā te wā ka puta mai ai te mamae me te korekore.

He aha te maimoatanga e kiia nei ko te atherectomy?

He maimoatanga motuhake te atherectomy e tango ana, e horoi ana rānei i te paraka kua hangai ki roto i tētahi oko toto kua āraia. Ehara tēnei i te pokanga nui. Ko te whakauru i tētahi ngongo tino angiangi (catheter) mā roto i tētahi o ō oko toto ka ārahi i a ia ki te wāhi kua āraia. Kei te pito o tēnei ngongo he mata tino angiangi, he koi, he taputapu rānei e tuku ana i te mārama laser.

Ka tapahia, ka waruhia hoki e tēnei taputapu te papaki kua mārō. I ētahi wā, ka uru pea tēnei maimoatanga ki te angioplasty poihau hei whakatuwhera anō i te uaua toto, ki te stent rānei hei ārai i tōna kati anō. Mā tō tākuta tēnei e whakamārama taipitopito atu ki a koe.

E hia ngā momo atherectomy?

Ae, he rerekē ngā tikanga tango toto e whakamahia ana e ngā tākuta, i runga i te āhua me te wāhi o te aukati i roto i te uaua toto. He maha ngā momo matua.

Me aha ahau i mua i tēnei maimoatanga?

I mua i tō haerenga ki tēnei maimoatanga, ka whakaritea e tō tākuta ētahi whakamātautau kia kitea ai te aukati o ō uaua toto.

• Angiography: He whakamātautau e werohia ai he tae motuhake ki roto i ngā uaua, ā, ka tangohia he hihi-X hei hanga i tētahi mahere o ngā uaua.
• Te Whakamātautau Ira-ā-Toi: He matawai e whakamahi ana i ngā ngaru oro hei tirotiro i te rere o te toto i roto i ngā uaua me te kite i ngā aukati.

I te rā i mua i tō maimoatanga, ka whiwhi koe i ētahi tohutohu motuhake.

• Kua tae te wā ki te whakamutu i te kai me te inu.
• Mō te tango, te whakamutu rānei i ngā rongoā e tangohia ana e koe, inā koa ngā rongoā ārai toto .

He mea tino nui kia whai i ēnei katoa kia rite ki ngā tohutohu a tō tākuta.

He aha ngā mea ka tupu i te wā e rongoatia ana?

Ina haere koe ki te hōhipera, ka hoatu he kākahu motuhake hei kakahu māu. Kātahi ka hoatu he rongoā ki a koe hei whakangāwari i a koe kia kore ai koe e mamae i te wā e rongoatia ana. He maha ngā wā ka mahia tēnei i a koe e mōhio ana, engari me te whakangāwari ngawari.

1. Ka hangaia e te tākuta he kōhao iti ki roto i te uaua toto i tō hope, i tō ringa rānei, ka whakauru i tētahi ngongo angiangi (catheter) mā roto.

2. Kātahi, i a koe e titiro ana ki te mata hihi-X, ka arahina marietia te ngongo ki te wāhi o te uaua kua purua.

3. Kia tae atu koe ki te ārai, whakahohehia te taputapu (mata, taiaho rānei) i te pito o te ngongo ka waru, ka tapahi rānei i te paparanga kōwhai.

4. Ka taea te mahi anō i tēnei tukanga kia maha ngā wā kia kore ra ano he arai ki te rere o te toto.

I te nuinga o te wā, e rua hāora te roa o tēnei tukanga katoa.

He aha ngā mea hei tumanakohia i muri i te maimoatanga?

I muri i te maimoatanga, me takoto papatahi koe i runga i te moenga mō ētahi hāora (tērā pea e ono hāora) hei ārai i te toto mai i te wāhi i whakaurua ai te catheter. I tēnei wā, ka tirotirohia tonutia e ngā nēhi tō pēhanga toto me tō manawa.

I te nuinga o te wā, he maimoatanga tēnei e āhei ai koe ki te hoki ki te kāinga i taua rā anō, me te kore e noho ki te hōhipera. Heoi anō, me noho pea ētahi tāngata ki te hōhipera mō te rā kotahi. Kei tō āhua te āhua. Ka taea e koe te hoki anō ki ngā mahi o ia rā i roto i ētahi rā. Heoi anō, he pai ake te pātai atu ki tō tākuta mō ētahi tohutohu.

He aha ngā painga o tēnei?

Ko te painga matua o te tango i te wheua i roto i te pokanga, ka taea te mahi mā te tapahi iti, kaua mā te pokanga nui . Ka poto ake te wā whakaora, ka iti ake te mamae, ā, ka iti ake te koha.

He pānga taha, he mōrearea rānei kei reira?

Pērā i ngā maimoatanga hauora katoa, tera pea ētahi mōrearea.

• Ina waruhia e koe te paparanga kōwhai, ka whati pea tētahi wahi iti ka piri ki tētahi atu uaua iti kei mua i a koe.
• He tino onge te pakaru o te pakitara o te uaua i te taputapu waru, ka puta he rakuraku, he kōhao rānei.

Engari kāore ēnei e tino puta pinepine ana. Ka mahi ngā tākuta mātau i ngā mahi katoa e tika ana hei whakaiti i ēnei mōrearea.

Āhea koe e hiahia ana ki te kite anō i te tākuta?

Ina hoki koe ki te kāinga i muri i te maimoatanga, me waea atu koe ki tō tākuta tonu mēnā ka puta he tohu hou, ka kino haere rānei tētahi o ō tohu o nāianei. Kia tino tupato ki ēnei e whai ake nei:

• Te mamae nui i te hope, i te waewae rānei kua rongoatia.
• Te pupuhi o te waewae (Edema) .
• Te whero, te mahana rānei i te wāhi e rongoatia ana.
• Te mātao, te ngoikore rānei o te waewae i rongoatia.

Ki te pā mai tētahi mea pēnei ki a koe, kaua e warewaretia. Rapua he tohutohu hauora tonu.