Kei te pāngia koe e te mamae, te ngoikore rānei o ō waewae, inā koa ka hikoi poto koe, ka piki arawhata rānei? Kāore e memeha i muri i te noho mō tētahi wā? He tokomaha e whakaaro ana he wāhanga noa tēnei o te koroheketanga, o te mamae hononga rānei, engari he tohu pea tēnei mō tētahi mea kino ake. I tēnei rā kei te kōrero tātou mō tētahi āhuatanga e kiia nei ko te Peripheral Artery Disease, ko te PAD rānei, e puta ai ēnei tohu. He āhuatanga tēnei ka taea te whakahaere ngāwari mēnā ka kitea wawe.
He aha te mate o te uaua taha (PAD)?
Āe, me kī pēnei. He whatunga toto kei a tātou ( ngā uaua ) e kawe ana i te toto ki ngā wāhanga katoa o ō tātou tinana, tika? He rite ki te pūnaha paipa e kawe ana i te wai puta noa i te whare. Ko te Mate Arteri Peripheral (PAD) ko te wā e whaiti haere ana aua uaua, inā koa ko ērā e kawe ana i te toto ki ngā waewae, ngā hope, me ētahi wā ki ngā ringa.
Whakaarohia i roto i te wā, ka waikura ngā paipa wai o tō whare, ka purua hoki e te paru, ka whakaiti i te rere o te wai mai i te puna. Waihoki, ka kohia ngā mea pēnei i te ngako me te cholesterol ki roto i ō tātou oko toto, ka hanga he 'pēra'. I roto i te rongoā, ka kiia tēnei ko te (atherosclerosis) . Ka whakaitihia e tēnei pēra te wāhi i roto i ngā oko toto. Kātahi ka aukati i te rere o te toto mā roto i a rātou. Ka tīmata taua mamae ina kore ngā uaua o ngā waewae e whiwhi i te hāora me ngā matūkai e hiahiatia ana e rātou mai i te toto.
Neke atu i te 200 miriona tāngata e pāngia ana e tēnei mate puta noa i te ao. Ka piki ake te mōrearea o te pangia e te kaumātuatanga. Nō reira, he mea tino nui kia mōhio ki tēnei.
He aha ngā tohu o te PAD?
He tokomaha te hunga kāore e whakaatu i ngā tohu i te tīmatanga. Heoi, i te haere whakamua o te mate, ka puta pea ēnei tohu. Me titiro tātou ki ngā tohu matua.
| Tohu | Whakaahuatanga |
|---|---|
| Te mamae o te waewae i te wa e mahi ana | Koinei te tohu tino kitea. Tērā pea ka pāngia koe e te mamae, te pakari, te ngenge, te ngoikore rānei i tō huha, i tō papa rānei ina hikoi koe, ina piki arawhata rānei. He mea whakamiharo, ka memeha haere tēnei mamae i roto i te 10 meneti i muri i te okiokinga. |
| Te mamae e puta ana ahakoa e okioki ana | I te haere whakamua o te mate, ka pāngia pea koe e te mamae wera i ō waewae, i ō waewae, i ō matimati rānei ina takoto noa koe, inā koa i te pō. Tērā pea ka memeha te mamae ina whakatakotoria tō waewae ki raro. He tohu kino ake tēnei. |
| Ngā patunga kore e ora (ngā mate pukupuku) i ngā waewae me ngā matimati | Nā te ngoikore o te rere o te toto i roto i ngā waewae, ka roa te wā e ora ai ngā karawarawa iti. I ētahi wā ka huri ēnei hei patunga nui, ā, ka pangia. |
| Ngā huringa o te tae kiri me te pāmahana | Ki te āraia rawatia tētahi oko toto, ka huri pea te kiri o te waewae ki te papura, ki te kakariki, ki te mangu, ki te mā rānei . Tērā pea ka mātao ake te waewae i tērā atu waewae. Tērā pea ka rongo koe i te ahua "ngā titi me ngā ngira" . He āhuatanga tēnei e hiahia ana kia rapua he awhina hauora ohorere. |
Ko te mea nui, mā te wāhi o te mamae ka taea e koe te whakaatu i te wāhi e aukati ana te uaua toto. Hei tauira, ki te mamae koe i tō papa, i ō hope, i ō huha rānei, ko te aukati pea kei roto i ngā uaua toto nui i roto i tō puku o raro, i tō hope rānei. Ki te mamae noa iho i tō hope, ko te aukati pea kei roto i ngā uaua toto e tata ana ki ō turi .
Mō ngā tāne, ka raru pea te rere o te toto ki te ure i tēnei mate , ka hua ake ai te koretake o te ure .
Ko wai kei te nui ake te mōrearea ki te whakawhanake i te PAD?
Ahakoa ka taea e te tangata te pāngia e tēnei mate, he nui ake te mōrearea o ētahi tāngata. Tirohia mēnā kei a koe ētahi o ēnei āhuatanga mōrearea .
- Mō ngā kaipaipa : Koinei te take mōrearea matua, me te mea tino kino rawa atuKa kino te momi hikareti i ngā pakitara maeneene o roto o ngā oko toto, ā, ka tere ake te hanganga o ngā toto totoka.
- Mō te hunga mate huka : Ka taea hoki e ngā taumata huka toto tiketike te kino i ngā oko toto. Ko te tangata mate huka me te kai paipa e rua ki te whā ngā wā ka nui ake te tūponotanga ka pāngia e te PAD i te tangata kāore i te pāngia e tētahi o ēnei mate.
- Mō te hunga he toto toto tiketike: I te pikinga o te toto, ka pakaru ngā pakitara o ngā uaua toto, ā, ka māmā ake te hanga o ngā toto totoka.
- Mō te hunga he nui te cholesterol, te triglyceride rānei: Ka nui ake te ngako i roto i te toto, ka nui ake te tūponotanga ka whakatakotoria ki roto i ngā oko toto hei paraka.
- Mō te hunga e pāngia ana e te mate whatukuhu mau tonu.
- Mena kua pāngia tetahi o tō whānau e te PAD, te mate ngakau, te whiu rānei.
He aha ngā hua kino ka puta mai mēnā kāore e rongoatia?
Ki te kore koe e aro ki tēnei, me te whakaaro he raruraru waewae noa iho, tera pea ka pā he pānga kino.
Ko tētahi ko te wā e mutu katoa ai te rere o te toto ki te waewae, ā, ka tīmata te mate o te kiko. Ka kiia tēnei ko te gangrene . Mēnā ka puta tēnei, me tapahi pea te maihao, te matimati, te wāhanga rānei o te waewae hei aukati i te horapa o te mate puta noa i te tinana. Engari kaua e manukanuka, kei te whakapau kaha ngā tākuta ki te ārai i tēnei mea.
Tērā tētahi mea nui ake. Whakaarohia, mēnā kua aukatia ngā uaua toto i roto i ō waewae, he nui te tūponotanga ka aukatia ngā uaua e kawe ana i te toto ki tō ngākau me tō roro i te ara kotahi. Ko te tikanga o tēnei, he nui ake te tūponotanga o te tangata whai PAD ki te pāngia e te mate ngakau , e te whiu rānei. Nō reira, ko te rongoā i te PAD ehara i te mea ko te whakaora i ō waewae anake, engari ko te whakaora hoki i tō ora.
Me pēhea te tautuhi tika a te tākuta i tēnei mate?
Ina haere koe ki te tākuta, ka pātai tuatahi ia ki a koe mō ō tohumate. Kātahi ka tirotirohia ō waewae. Ina koa, ka rongo ia i ngā pā o ngā wāhanga rerekē o ō waewae hei tirotiro i ngā huringa o te rere o te toto.
I muri i tēnei, ka taea te whakahaere i ētahi whakamātautau hei whakaū i te mate:
- Taupū pona-pūnaha (ABI): He whakamātautau tino māmā tēnei, kāore he mamae. Ka ine i te pēhanga i roto i tō ringa me te pēhanga i roto i tō pona, ā, ka whakataurite i ngā mea e rua. I te nuinga o te wā, me paku teitei ake te pēhanga i roto i tō pona i te pēhanga i roto i tō ringa. Mena he iti, ko te tikanga he raruraru kei te rere o te toto ki tō waewae.
- Te tirotiro i ngā oko toto:He rite tēnei ki te matawai i tētahi pēpi. Ka taea e ia te kite i te tere o te rere o te toto i roto i ngā uaua toto me ngā ārai katoa.
- Te tuhi i te rōrahi o te manawa (PVR): Ka ine tēnei i te nui o te toto e rere ana ki ngā waewae.
- Angiogram CT / MRA (Angiogram Resonance Aukume – MRA): Ka taea e ēnei te tango pikitia taipitopito o ngā uaua toto me te tautuhi i te wāhi me te whānuitanga o te aukati.
He aha ngā maimoatanga mō te PAD?
Ko te maimoatanga e whakawhirinaki ana ki te kaha o ō tohu. I ngā wāhanga tōmua, ka taea te whakahaere pai mā te whakarerekē i te momo noho me te rongoā.
1. Ngā huringa āhua noho
Koinei te tūāpapa o te maimoatanga.
- Korikori Tinana: He tino whai hua te korikori tinana, inā koa ko te korikori tinana e tirotirohia ana (Whakaora Korikori Tinana Hanganga) . I konei, ka meinga koe kia hikoi i runga i te mīhini oma. Ina tīmata te mamae o ō waewae, ka mutu koe mō tētahi wā, ā, ina mutu te mamae, ka hikoi anō koe. Ka whakaoho tēnei i te tipu o ngā uaua toto hou i roto i ō waewae.
- Ngā kai hauora mō te ngākau: He mea tino nui te kai i ngā kai e nui ana i ngā huawhenua, i ngā hua rākau, i ngā nati, me ngā witi katoa, ā, he iti hoki te hinu me te tote i roto.
- Te Whakamutu i te Momi hikareti: Ka kī atu anō ahau, ko te mea pai rawa atu māu ko te whakamutu i te momi hikareti i tēnei rā tonu mēnā ka pēnā koe. Kōrero ki tō tākuta mō te āwhina mō tēnei.
2. Ngā rongoā (ngā momo rongoā)
Tērā pea ka tohua e tō tākuta ēnei momo rongoā.
- Ngā rongoā whakangawari toto: Ka whakaiti i te toto totoka, ka whakahaere hoki i te rere o te toto. (Hei tauira: Clopidogrel, Aspirin)
- Ngā rongoā whakaheke cholesterol (Statins): Ka whakaiti i te hanga o te paraka i roto i ngā oko toto.
- Ngā rongoā toto toto tiketike: Whakaitihia te kino o ngā oko toto.
- Ngā rongoā whakawhanui i ngā oko toto: Ka āwhina ēnei rongoā ki te whakawhanui i ngā oko toto, ka whakanui ake i te tawhiti ka taea e koe te hikoi me te kore mamae. (Hei tauira: Cilostazol)
3. Te tiaki motuhake mō ngā waewae
He mea tino nui kia tiakina e te tangata whai PAD ō rātou waewae.
- Tirohia ō waewae i ia rā mō ngā patunga, ngā kapiti, me ngā pakaru kua huri ke te tae.
- Horoia ō ringaringa ki te hopi i ia rā, ka whakamaroke kia tino maroke, tae atu ki waenganui i ō matimati.
- Kaua rawa e hikoi waewae kore.
- Whakamahia he hu me he tōkena e kore e rahi te tau, e ngohengohe ana hoki.
4. Ngā Tukanga me ngā Pokanga
Mena kāore e taea te whakahaere i te mate mā te rongoā me ngā huringa momo noho, ki te kaha rawa rānei te mate, me whakamahi pea koe i tēnei momo maimoatanga.
- Angioplasty: Ka whakauruhia he ngongo angiangi (catheter) ki roto i te oko toto kua āraia, ā, ka pupuhihia he taputapu rite ki te poihau ki te pito hei whakawhānui i te aukati. I ētahi wā ka whakauruhia he taputapu iti rite ki te mata e kiia nei ko te stent hei pupuri i a ia kei kati anō.
- Atherectomy: Ka whakamahia he catheter hei waru i te pereti i roto i te oko toto.
- Pokanga ārai uaua ā-taha: He rite ki te pokanga ārai ngakau, ka hangaia he uaua hou mā te whakamahi i tētahi oko toto i tangohia mai i tētahi atu wāhanga o te tinana, i tētahi oko toto horihori rānei hei ārai i te oko toto kua āraia.
Āhea ahau me toro atu ki te tākuta? Āhea ahau me haere ki te ETU?
Ki te pāngia koe e ēnei āhuatanga, me toro atu ki tō tākuta.
- Mena kua tīmata noa ngā tohu, kei te kino haere rānei ngā tohu o nāianei.
- Mena he tino uaua te hikoi, ā, kāore e taea e koe te mahi i ngā mahi noa.
- Ki te mamae ō waewae ahakoa tū noa.
- Mena he patunga kei tō waewae e kore e ora.
Ngā āhuatanga ina hiahia koe ki te haere ki te hōhipera i te wā e hiahiatia ana:
Ki te kore e taea te nekeneke tō waewae, ki te rerekē rānei te tae (he mā, he papura rānei) ā, he makariri ake i te waewae kē, ko te tikanga kua mutu te rere o te toto. He āhuatanga ohorere tēnei. Me haere tonu koe ki te ETU (Emergency Treatment Unit).
He mate mō te wā roa te PAD. Engari ki te tika te whakahaere, ka taea e koe te noho noa. He mea nui kia mau tonu te whakapā atu ki tō tākuta.
Karere Tangohia ki te Kāinga
- Kaua e warewarehia te mamae o te waewae i te wā e hikoi ana, he mea noa hoki. He tohu pea tēnei nō te Peripheral Artery Disease (PAD).
- Ehara te PAD i te mate waewae anake. He tohu whakatūpato nui tēnei kei te tūpono koe ki te mate manawa me te whiu.
- Ko te momi hikareti me te mate huka ngā tino take mō te whanaketanga o tēnei mate. Ki te momi hikareti koe, kati i tēnei rā tonu.
- Ka taea te whakahaere pai i te mate mā te whakarerekē i te āhua noho (te whakakori tinana, te kai pai) me te whakamahi i te rongoā i tohua e tō tākuta.
- Kia tino tiakina ō waewae. Tirohia i ia rā, kia ma, ā, kia mau hoki i ngā hu e tika ana.
- Kaua e warewarehia ngā tohu. Tirohia te tākuta tonu mō ētahi tohutohu. Tērā pea ka ora tō waewae me tō oranga.
Te mate o te uaua o te taha, te PAD, te mamae o te waewae, te ngaro o te makawe, te aukati i ngā oko toto, te atherosclerosis, te kai paipa, te mate huka
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