Kei te mamae ō waewae, inā koa i te rohe o te kuao kau, ina hikoi koe? Kei te ahua kei te ngaro te kaha o ō waewae i muri i te hikoi mō te tawhiti poto, ā, te āhua nei ka heke iho ina okioki koe? Tērā pea kei te āta aukatihia te uaua toto i roto i tō waewae. Ka kiia tēnei āhuatanga ko te Peripheral Artery Disease (PAD). I tēnei rā kei te kōrero tātou mō tētahi pokanga motuhake e mahia ana ina tino kino tēnei āhuatanga, ā, kāore e taea te whakahaere mā ētahi atu maimoatanga.
He aha te ārai i te uaua taha?
He rite ki te hanga i tētahi ara whakawhiti hou hei karo i ngā waka taumaha i runga i te rori. Ka hangaia te cholesterol me ētahi atu matū ngako i roto i ngā uaua e kawe ana i te toto ki ō tātou tinana, inā koa ki ō tātou waewae, ā, ka hanga he "pēra." I roto i te wā, ka hangaia tēnei pēra ka aukati i ngā uaua toto. Ka tangohia e tēnei ngā kiko o ō tātou waewae i te hāora me ngā matūkai e hiahiatia ana e rātou.
Nō reira, i roto i te pokanga Peripheral Artery Bypass , ka hangaia e te taote pokanga he ara hou hei karo i te oko toto kua āraia. Ko te tikanga o tēnei ko te whakamahi i tētahi oko toto hauora mai i tō tinana ake (he uaua nō tō waewae te nuinga) he tānga toto rānei. Ka honoa tēnei ki runga ake, ki raro hoki i te wāhi kua āraia, ka hangaia he ara hou mō te rere o te toto.
Ko wai rā te tangata e hiahia ana ki tēnei pokanga?
Ehara tēnei pokanga i te mea mā te katoa e pāngia ana e te PAD. Ka whakamātau tuatahi tō tākuta i ngā rongoā, i ngā huringa āhua noho (pēnei i te whakamutu i te momi hikareti, te whakakori tinana, me te kai), me ētahi atu maimoatanga pea e uru ana ki ngā tapahi iti (pēnei i te angioplasty, te stenting rānei).
Ko te tikanga, ko tēnei pokanga ka tūtohutia mā te hunga kāore anō kia angitu ngā hua mai i tētahi o ēnei tikanga, ā, kua tino āraia hoki tētahi wāhanga nui o ō rātou uaua toto.
He maha ngā take matua hei whakaaroaro mō tēnei pokanga.
| Tohu | He aha te tikanga o tēnei? |
|---|---|
| Te mamae o te waewae i te wā e hikoi ana, i te pō rānei | Ka puta tēnei mamae ina kore e whiwhi hāora ngā uaua nā te iti o te rere o te toto. Mēnā he tino kino te mamae, ā, kāore e taea te moe i te pō, he mate kino rawa atu tēnei. |
| Ngā patunga kore-ora i runga i ngā waewae | Nā te ngoikore o te rere o te toto, kāore e whiwhi ngā patunga i ngā matūkai e hiahiatia ana hei whakaora. Ahakoa he karawarawa iti noa iho, ka taea e ia te huri hei patunga nui. |
| Te mate o te kiko (Gangrene) | Koinei te wāhanga tino kino. Ina tata motu katoa te rere o te toto ki te waewae, ka mangu ngā māikuku, ngā wāhanga rānei o te waewae, ka tīmata te mate. Ki te kore e mahia he pokanga i tēnei wā, me tapahi pea te waewae. |
Me aha koe i mua i te pokanga?
Ina whakatau te tākuta ki te mahi i tēnei pokanga ki a koe, ka whakahaerehia e ia ētahi whakamātautau hei tirotiro i tō hauora whānui.
- Electrocardiogram (EKG): Tirohia te mahi hiko o te ngākau.
- Matawai Ultrasound: Tirohia te wāhi e aukatihia ana ngā uaua toto, me te kaha o taua mea.
- Ngā whakamātautau toto: Tirohia ngā mea pēnei i te huka toto, te cholesterol, me te mahi a te whatukuhu.
- Whakamātautau ahotea: Ka mahia tēnei whakamātautau i ētahi wā hei tirotiro i te mahi a te ngākau i te wā e whakakorikori ana.
Ko te mea nui, ki te mea he kaipaipa koe, me mutu rawa te kaipaipa i ētahi wiki i mua i tō pokanga. Ka whakawhāitihia ō uaua toto e te kaipaipa, ā, ka nui ake te tūponotanga o ngā raruraru i muri i te pokanga. Me karo hoki koe i te kai, i te inu rānei i muri i te waenganui pō i te pō i mua i tō pokanga, ā, me mutu hoki te tango i ngā rongoā kua tohutohuhia e tō tākuta kia mutu.
Me pēhea te mahi i te pokanga?
Ka tukuna he rongoā whakamoe whānui ki a koe (he ngaronga katoa o te māramatanga) kia kore ai koe e mamae i te wā e pokangahia ana. Kātahi ka tapahia e te taote pokanga he 4-8 inihi te roa i runga ake, i raro hoki i te oko toto kua āraia. Mena kei te whakamahia he uaua hauora i roto i tō waewae hei hanga i te pokanga taha, ka tapahia anō hoki he oko motuhake mō tēnā.
Kātahi ka tuia marietia te hononga ki ngā oko toto hauora i runga ake, i raro hoki i te mea i aukatia. Kia oti te hanga i te toto hou, ka katihia te tapahi ki ngā tuitui, ki ngā tīpene rānei. Ka roa pea te tukanga katoa mai i te rua ki te ono hāora, i runga i te uaua o te pokanga.
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, me noho koe ki te hōhipera mō te 2-5 rā pea. I tēnei wā, ka tirohia e ngā tākuta me ngā nēhi tō manawa, tō toto toto, me tō kirika. Ko te mea nui, ka tirohia tonutia e rātou kia pai ai te rere o te toto ki te waewae i pokaina. Ka hoatu e rātou he rongoā mamae ki a koe.
I muri i tō hokinga ki te kāinga, ka tohua e te tākuta ētahi rongoā hei whakamahi tonu māu.
- Ngā rongoā momo statin (e whakaiti ana i te cholesterol).
- Ngā rongoā pērā i te Aspirin , te Clopidogrel rānei (hei ārai i te toto totoka i roto i te tākihi hou).
He mea noa te ngaro o te hiahia kai, te mamae, te ngoikore rānei o ngā wāhi i tapahia, te pupuhi o ngā waewae, me te mamae o ngā uaua ina hikoi ana i ngā wiki tuatahi i muri i te hokinga ki te kāinga. Ka iti haere ēnei i roto i te wā. E ono ki te waru wiki pea ka ora katoa.
He aha ngā painga me ngā mōrearea o tēnei pokanga?
Pērā i ngā pokanga nui katoa, he painga, he mōrearea anō hoki tō tēnei pokanga.
| Ngā Painga | Ngā Tūponotanga/Ngā Raruraru |
|---|---|
| Te whakaora i te mamae nui o te waewae kāore i whakaorangia e ētahi atu maimoatanga. | Ngā toto totoka. |
| Ka tīmata te whakaora o ngā patunga kāore anō kia ora. | Ngā mate pāwera i roto i ngā motu. |
| Whakakorea te mōrearea o te ngaro o te waewae i te gangrene. | Te toto nui rawa. |
| He hua roa te pumau (60%-85% o ngā whakawhitinga kei te pai tonu te mahi ahakoa kua 5 tau te roa). | Te kino ki ngā io i te rohe e pokangahia ana. |
| Te whakapai ake i te kounga o te oranga me te kaha ki te hikoi. | He iti noa te mōrearea o te mate manawa (tata ki te 3% o ngā pokanga). |
Kāore te nuinga o te tangata e pāngia e ngā raruraru nui. Heoi, ko te hunga neke atu i te 70 tau te pakeke me te hunga he mate hauora kē atu, pērā i te mate huka, te mate tākihi rānei, he nui ake te mōrearea o ngā raruraru. I ētahi wā, ahakoa he pokanga hou kua hangaia, ka āraihia pea i muri i ngā tau maha. Ki te tupu tēnā, me mahi anō pea te maimoatanga.
I muri i tō hokinga ki te kāinga, ki te pāngia koe e te kirika, ki te mātao rānei, ki te puta mai he wai rite ki te pūkahukahu i te wāhi i pokangahia ai, ki te rerekē ohorere rānei te tae, te āhua, te kare rānei o tō waewae, me toro atu ki tō tākuta tonu, me haere rānei ki te Tari Ohotata (ETU) o te hōhipera i runga i te wā tonu.
Karere Tangohia ki te Kāinga
- Ko te pokanga taha uaua o te uaua o te waewae he pokanga nui e mahia ana ki te hunga he tino ārai ngā oko toto o ō rātou waewae, ā, kāore anō kia pai te āhua ki ētahi atu maimoatanga.
- Mena he kaipaipa koe, he mea nui kia mutu rawa te mahi i mua atu, i muri hoki i te pokanga kia angitu ai te mahi.
- Tangohia te rongoā e tohua ana e tō tākuta i te wā tika. Kaua e wareware ki te tango i ō rongoā whakaiti toto, inā koa.
- Kaua e mahue ngā wā tirotiro ki te whare hauora i muri i te pokanga. Me tirotiro tonu tō tākuta i te rere o te toto i roto i ō waewae.
- Ki te kite koe i te kirika, i te rere mai i te motu, i te panoni ohorere rānei o tō waewae, rapua tonutia he tohutohu hauora.
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