E mamae ana ō waewae ina hikoi koe? Tērā pea he mate pūkahukahu taha!

Kei te mamae rānei ō waewae, inā koa ō kōpū waewae, ina hikoi koe, ina koa mō ngā tawhiti poto? Ka memeha haere i muri i tō noho mō tētahi wā ka okioki, engari ka hoki mai anō ina hikoi koe? Mena koinā, he mea nui pea tēnei ki a koe. Ka kiia tēnei mate ko te 'Peripheral Artery Disease' , ko te PAD rānei te poto. Me kōrero noa iho, i roto i te huarahi e mārama ai koe.

He aha te 'Mate o te Arorangi Peripheral'?

Ki te whakarapopototanga, ko te Mate Puku Ā-Taiao he āhuatanga e pupū ake ai ngā putunga ngako (pēka) i roto i ngā uaua e kawe ana i te toto ki ō waewae, ka āta whakawhāiti haere i a rātou. Whakaarohia he rite ki te paipa wai e purua ana e te paru, ā, ka āta whakaitihia te rere o te wai. He rite ō tātou uaua ki ngā paipa. He tino maeneene te taha o roto, nō reira ka taea e te toto te rere pai me te kore e totohu.

Heoi, i te mea ka piki haere te nui o tēnei 'paparanga' (he paparanga ngako me te cholesterol) ki runga i ngā pakitara o ngā uaua toto, ka iti haere te wāhi i roto i te uaua toto. I roto i te rongoā, e kiia ana hoki tēnei ko te 'atherosclerosis' . I ētahi wā, ka pakaru te mata mārō o tēnei 'paparanga', ka taea ai te hanga i ngā 'platelets' (he momo pūtau toto e āwhina ana i te toto kia totoka), ka whakawhāiti ake i te uaua toto.

Ina aukatia te uaua toto, kāore e taea te rere o te toto mā roto. Ka ngaro te hāora me ngā matūkai i ngā kiko o ngā waewae e tukuna ana e taua uaua toto. Ka taea e tēnei te kino i aua kiko, ā, ka mate rātou (gangrene) . Ko te nuinga o te wā ka pā tēnei mate ki ngā māikuku me ngā waewae.

Ka tere te pāngia o ētahi tāngata e te PAD, ko ētahi ia ka pōturi ake te pāngia. He maha atu anō ngā āhuatanga e pā ana ki tēnei, pērā i te wāhi kei roto i tō tinana te paraka me tō hauora whānui.

He pēhea te noa o tēnei 'mate uaua taha' (PAD)?

He mate noa ake te PAD i tō whakaaro. E kiia ana kei waenganui i te 8 me te 12 miriona tāngata i te Hononga o Amerika e pāngia ana e tēnei mate. Heoi, i ētahi wā ka hē te tātaritanga me te kore e rongoatia. Nō reira, tera pea he nui ake te tau tuturu.

He aha ngā pānga o te PAD ki tōku tinana? He aha ngā tohu?

Ko te tohu matua, ko te tohu tino kitea o te PAD ko te claudication . He mamae tēnei i ngā waewae (ina koa ngā kōpū waewae) ina hikoi koe, ina whakakori tinana rānei. Ka ngaro tēnei mamae ina okioki koe. Ka puta tēnei nā te mea kāore e nui te hāora e whiwhi ana ngā uaua o te waewae.

Engari kāore ngā pānga o te PAD i te herea noa ki te uaua ki te hikoi. Ka taea hoki e ia te whakaputa i ngā mate kore e ora i ō waewae, i ō waewae rānei.Ka piki ake te mōrearea o te pāngia e te whiu. Mēnā ka kino rawa te mate PAD, ka huri ēnei whara hei wāhi kiko mate (gangrene), ā, me tango pea te waewae, te waewae rānei (amputation). Whakaarohia tō tātou matua keke a Siripala, kāore e taea e ia te hikoi poto ki te toa, e kī tonu ana ia he mamae tōna waewae, he rite tonu pea ki tēnei.

He aha ngā tohu noa o te PAD?

Ehara i te mea ka pāngia te katoa e te PAD e ngā tohu. Tata ki te 50% o rātou kāore pea he tohu. Ka āta haere tēnei. Ka tīmata pea te puta o ngā tohu ina kua 60%, neke atu rānei te whāiti o te uaua.

Ko ngā tohu noa ko:

• Te mamae, te kōpiripiri, te mamae rānei o ngā waewae, o te papa rānei (intermittent claudication) e puta ana i te wā e hikoi ana, e piki ana rānei i ngā arawhata. Ka heke iho tēnei i te wā e okioki ana.
• He wera, he mamae nui i ngā waewae me ngā māikuku (mamae okiokinga ischemic) ahakoa e okioki ana, inā koa i te takoto i runga i te moenga i te pō .
• Te kiri makariri o ngā waewae.
• Te kite i te whero, i ētahi atu huringa tae rānei o te kiri.
• Ngā mate kiri me ngā kiko ngohengohe maha (ina koa i ngā waewae).
• Ngā mate pukupuku kāore e ora i runga i ngā waewae me ngā matimati.

He mea nui: Mena kei a koe ēnei tohu, he mea tino nui kia tere tonu te toro atu ki te tākuta mō ētahi tohutohu. Nā te mea, ki te kitea wawe te PAD, ka taea te tīmata te maimoatanga i mua i te puta mai o ngā raruraru nui pēnei i te mate manawa, te whiu rānei.

He wāhanga anō kei te PAD?

Ae, he maha ngā tikanga a ngā tākuta hei whakarōpū i te PAD. He māmā ake te whakarōpūtanga Fontaine. Anei ngā wāhanga:

• Wāhanga I: Kāore he tohu.
• Wāhanga IIa: Mamae ngawari o te waewae i te wā e whakakorikori ana (mamae te claudication).
• Wāhanga IIb: Mamae waewae ngawari ki te kino (mamae waewae ngawari ki te kino).
• Wāhanga III: Mamae ngā waewae ahakoa i te okiokinga (mamae okiokinga ischemic).
• Wāhanga IV: He mate pukupuku, he gangrene rānei.

He aha ngā raruraru ka pā mai i te PAD?

Ki te kore e rongoatia, me tapahi pea te waewae, te waewae rānei o te hunga whai PAD (ā, he onge te ringa) . He nui rawa tēnei mōrearea mō te hunga whai mate huka.

Nā te mea he hononga tō tātou pūnaha tohanga toto, kāore ngā pānga o te PAD e herea noa ki te peka e pāngia ana. Ko te hunga whai atherosclerosis i roto i ngā uaua o ngā waewae ka pāngia hoki e te mate i ētahi atu wāhi o te tinana. Ko te tikanga o tēnei , ka pāngia pea te tangata whai PAD e te mate uaua coronary, te mate ngakau, te whiu, te mate ischemic transient (TIA) rānei., ko te tikanga he nui ake te mōrearea o ngā mea pēnei i te whiu iti i te tangata kāore he PAD. Tata ki te 1 i roto i te 3 te tūponotanga o te tangata whai mate manawa ki te pāngia e te PAD i ōna waewae.

He aha te tino take o te PAD?

Ko te tino take ko te whanaketanga o te atherosclerosis i roto i ngā uaua o ngā waewae (ā, he onge noa iho ngā ringa). Pērā i roto i ngā uaua o te ngākau, ka puta ngā putunga ngako (plaque) ki runga i ngā pakitara o ngā uaua toto, ka āta whakawhāiti haere i ngā uaua, ā, ka mutu, ka āraia.

He aha ngā āhuatanga mōrearea mō te PAD?

Ko te kai tupeka te mea tino nui, tino kaha hoki mō te PAD me ōna raruraru. Inaa, 80% o te hunga whai PAD he kaipaipa o nāianei, o mua rānei. Mā te kai tupeka ka piki ake te mōrearea o te whakawhanake i te PAD mā te 400%. Ka taea hoki e ia te whakaroa i te tīmatanga o ngā tohu tae atu ki te 10 tau.

Ki te whakatauritea ki te hunga kāore e kaipaipa, ko te hunga e kaipaipa ana, ā, he PAD ō rātou, he nui ake te tūponotanga ka pāngia rātou e:

• Te mate i te whakaeke ngakau, i te whiu rānei.
• Ngā hua kino o te pokanga bypass i ngā waewae.
• Me tapahi te ringa, te waewae rānei.

Ahakoa he wahine koe, he tāne rānei, kei te tūpono koe ki te whakawhanake i te PAD mēnā kei a koe tētahi, ētahi rānei o ēnei āhuatanga tūpono:

• Te whakamahinga o ngā hua tupeka (koinei te mea tino kaha).
• He mate huka (Diabetes Mellitus) tō te tangata.
• E 50 tau te pakeke, neke atu rānei.
• He uri Āwherika-Amerika tōu (ahakoa kāore tēnei i te tino pā ki Sri Lanka, he mea pai kia mōhio koe).
• He hītori whaiaro, he hītori whānau rānei mō te mate ngakau, te mate rānei o ngā oko toto.
• He toto toto tiketike (hypertension).
• He nui te cholesterol (Hyperlipidemia).
• Te momona o te puku.
• He mate toto totoka tō te tinana.
• He mate tākihi tō te mate (he take mōrearea pea tēnei, ā, he hua anō hoki nō te PAD).

Me pēhea te tātaritanga o te PAD? (Tauātanga)

Ina kite koe i tētahi tākuta, ka tirotirohia koe e ia, ka pātai atu mō tō hītori hauora me ngā āhuatanga mōrearea. Tērā pea ka mahia ētahi whakamātautau kore-whakaeke hei kimi mēnā kei a koe te PAD, ā, mēnā kei a koe, te kaha o tōna mate. Ka āwhina ēnei whakamātautau ki te kimi mēnā he aukati kei roto i tētahi oko toto:

• Taupū pona-pūngoi (ABI): Ka ine tēnei i te pēhanga toto i roto i te pona me te ringa.
• Te tuhi i te rōrahi oro (PVR).
• Te oro-matawai i ngā uaua toto.

I ētahi wā, e hiahiatia ana he whakamātautau whakaekenga e kiia nei ko te angiogram hei kite i ngā aukati o ngā uaua.

Ka taea te huri i te PAD?

Āe, kua whakaatuhia e ētahi rangahauMā te whakakori tinana me te whakahaere i te cholesterol me te toto totoka ka taea te whakakore i ngā tohu o te PAD.

Mā te kitenga wawe, ngā huringa āhua noho, me te maimoatanga, ka taea te aukati i te kino haere o te PAD. Ki te whakaaro koe kei te mōrearea koe ki te PAD, ki te mea rānei kua pāngia koe e ngā tohu, tirohia tō tākuta whānau, he tohunga rongoā toto, he tohunga ngakau rānei hei tīmata i tētahi kaupapa ārai, maimoatanga rānei i taua wā tonu.

He aha ngā maimoatanga mō te PAD?

Ka taea te rongoā i te PAD mā te whakarerekē i te āhua noho, ngā rongoā, me ngā tikanga hauora.

E rua ngā whāinga matua o te maimoatanga PAD:

1. Te whakaiti i tō mōrearea ki ngā mate pūnaha toto , pērā i ngā whakaeke ngakau me ngā whiu.

2. Whakaitihia te mamae i a koe e hikoi ana, ā, whakapai ake i te kounga o tō oranga.

Ngā huringa āhua noho

Ka tīmata te maimoatanga PAD mā te whakarerekē i te āhua noho hei whakaiti i ō tūponotanga mōrearea. Anei ētahi mea ka taea e koe te mahi:

• Kati rawa te whakamahi i ngā hua tupeka. Pātai atu ki tō tākuta mō ngā kaupapa hei āwhina i a koe ki te whakamutu i te momi hikareti.
• Kai i tētahi kai taurite he nui te muka, he iti hoki te cholesterol, te ngako, me te konutai. Whakawhāitihia te ngako ki te 30% o te katoa o ngā kaora o ia rā. Kaua te ngako kukū e neke ake i te 7% o te katoa o ngā kaora. Āta karohia ngā kai i hangaia ki ngā ngako whakawhiti, pērā i ngā hinu huawhenua kua whakapūmauhia te hauwai me te hauwai.
• Whakakorikori tinana. Tīmatahia he kaupapa whakakorikori tinana auau, pērā i te hikoi. He maimoatanga pai te hikoi mō te PAD. Ka taea e te hunga e hikoi auau te whakanui ake i te tawhiti ka taea e rātou te hikoi i mua i te mamae o ō rātou waewae.
• Whakahaerehia ētahi atu āhuatanga hauora pēnei i te toto toto tiketike, te mate huka, me te cholesterol tiketike.
• Kia iti te ahotea. Mā ngā mahi pēnei i te whakakorikori tinana, te yoga, me te whakaaroaro ka āwhina i tēnei.
• Kia pai te tiaki i te waewae me te kiri hei ārai i ngā mate me te whakaiti i te tūponotanga o ngā raruraru.

Ngā rongoā

Ka taea e ngā rongoā pēnei i ngā rongoā whakaheke toto , ngā rongoā statin , me ngā rongoā mate huka te āwhina ki te whakahaere i ngā āhuatanga mōrearea mō te PAD me te whakaiti i te mōrearea o te whiu me te mate ngakau.

Tērā pea ka tohua e tō tākuta he rongoā ārai-pereti, pērā i te aspirin, i te clopidogrel rānei, hei ārai i te toto totoka. Tērā pea ka hoatu e rātou he rongoā ko te cilostazol hei whakanui ake i te tawhiti ka taea e koe te hikoi. Ka āwhina tēnei rongoā i te hunga e whakakorikori ana i te claudication mō ngā wā roa i mua i te mamae o ō rātou waewae.

Ngā kaupapa whakakori tinana e tirotirohia ana

Mā te kaupapa whakakori tinana e tirotirohia ana e te rata ka āwhina i te whakaiti i te mamae o te waewae, me te āwhina hoki i a koe kia haere tonu. Ko te tikanga, me hikoi koe i runga i te mīhini oma i te iti rawa i ngā rā e toru i te wiki.

Me hikoi te hunga whai PAD mō te 30 ki te 60 meneti i te rā, ahakoa i te kāinga. Ko te tohutohu tino noa ko te whakamahi i te mahi "Tīmata/Whakamutu":

• Hīkoi kia ngawari te mamae, kātahi ka tū.
• Taria kia ngaro rawa te mamae.
• Tīmata anō te hikoi.

Ngā maimoatanga iti rawa te whakaekenga, te pokanga rānei

Mō ētahi tāngata, ahakoa ngā marama o te whakakori tinana me te rongoā, ka tino kino te mamae o te waewae, ā, ka whakararuraru i ngā mahi o ia rā. I ngā wā tino kino, me whakapai ake pea te rere o te toto hei whakaiti i te mamae ahakoa e okioki ana, hei āwhina rānei i te whakaora i te whara.

Ko ngā kēhi PAD kua horapa ake, e puta ai te mamae nui me te kore e taea te hikoi, me hiahia pea he maimoatanga endovascular (he iti noa te whakaekenga) he maimoatanga pokanga rānei. Ko ētahi o ngā maimoatanga e whakamahia ana mō te mate ngakau ka whakamahia hoki mō te PAD:

• Angioplasty: Te whakawhānui i tētahi uaua kua āraia mā te whakamahi i tētahi taputapu rite ki te poihau.
• Te whakatakotoranga o te stent: Te whakaurunga o tētahi ngongo mata iti hei pupuri i te uaua kia tuwhera tonu.
• Pokanga karo i te uaua ā-taha: Te waihanga i tētahi ara rerekē mō te rere o te toto (he maha ngā wā mā te whakamahi i tētahi atu uaua i roto i te tinana) hei karo i te uaua kua āraia.
• Atherectomy: Te tango i te paraka i roto i te uaua mā te whakamahi i tētahi taputapu motuhake.

Ngā raruraru pea i muri i te maimoatanga

Mena ka pāngia koe e tētahi o ngā raruraru e whai ake nei i muri i ēnei maimoatanga, me whakamōhio tonu koe ki tō tākuta. Tērā pea he tohu ēnei o tētahi mate pāwera, o tētahi atu raruraru rānei:

• Te pupuhi, te toto, te mamae rānei i te wāhi i werohia ai te catheter.
• Mamae o te uma.
• Te uaua ki te manawa.
• Te kirika, te makariri rānei.
• Pōuriuri.
• Te pupuhi o ngā waewae.
• Mamae puku.
• Ka huaki te tapahi pokanga.

Ka rerekē te roa o te wā e ora ai koe i te maimoatanga i runga i te maimoatanga i whiwhi koe. Me noho pea koe ki te hōhipera mō te pō kotahi, neke atu rānei. Ahakoa he torutoru ngā rā e ora ai koe i te tango i te ate, he wiki pea te roa mō te angioplasty. E ono ki te waru wiki pea te roa mō te tango i te peripheral artery bypass graft.

Me pēhea te whakaiti i te mōrearea o te PAD? (Ārai)

Kia mōhio koe kei a koe ngā āhuatanga mōrearea mō te PAD, tera pea ka hihiri koe ki te ārai i tēnā. Ko te tohutohu kotahi mō te pupuri i te hauora o tō ngākau ka pā ki te tiaki i tō rere toto:

• Whakahaerehia tō taumaha.
• Kai i ngā kai iti te ngako, iti te huka, ā, kia rima ngā tūnga o ngā huarākau me ngā huawhenua hou i ia rā.
• Kaua e whakamahia ngā hua tupeka.
• Me te whakaae a tō tākuta, me whakakorikori tinana koe mō te 30 meneti pea i te rā, i te nuinga o ngā rā o te wiki.

Mena he mate manawa tōu, kōrero ki tō tākuta mō ngā āhuatanga mōrearea o te PAD. Kōrerotia ki tō tākuta ngā tohumate katoa e pā ana ki a koe, pērā i te mamae o te waewae, te ngoikore, te kore rānei o te ngākau.

He aha tāu e tumanako ai mēnā kei a koe te PAD?

Pērā i ngā mate hauora maha, he māmā ake te rongoā i te PAD mēnā ka kitea wawe. He rerekē te tere o te whanaketanga o te PAD i ia tangata, i ia tangata. He maha ngā mea e whakawhirinaki ana ki tēnei, tae atu ki te wāhi kei reira te papa me tō hauora whānui.

He mate pea te PAD mōu puta noa i tō oranga. Ahakoa kāore he rongoā mō te PAD, ka taea e koe te whakahaere. Ka taea e koe te ārai i te kino haere o te PAD mā te mahi i ēnei mea:

• Te kore e whakamahi i ngā hua tupeka.
• Te whakakorikori tinana i ia wā, i ia wā.
• Whakaitihia te ngako, ā, kai i ngā kai hauora.
• Te whakahaere i ō āhuatanga mōrearea, pērā i te mate huka, te cholesterol tiketike, me te toto toto tiketike.

Me pēhea taku tiaki i ahau anō? (Te tiaki i ahau anō)

He mea nui kia tiakina pai ō waewae kia kore ai e ora ngā patunga. Ko ngā mahi tiaki waewae mō te hunga whai PAD ko:

• Mauria he hu whakamarie, he hu e tau pai ana.
• Tirohia ō waewae me ō waewae i ia rā mō ngā mirumiru, ngā motu, ngā kapiti, ngā karawarawa, ngā mate pukupuku rānei. Tirohia hoki mēnā he whero, he mahana, he maikuku tipu, he kōpaka, he kiri mārō. Pērā i te tangata mate huka, me tiaki e koe ō waewae.
• Kaua e whakaroa ki te rongoā i tētahi raruraru iti noa iho o te waewae, o te kiri rānei.
• Kia ma ō waewae, kia makuku hoki (kaua e pania he hinu whakamakuku ki te patunga tuwhera).
• I muri i te kaukau, kutikutia ō whao i a rātou e ngohengohe ana. Tapahia kia tika, ka whakakōkō kia papatahi ki te kōnae whao.

I ētahi wā, ka tukuna pea koe e tō tākuta ki tētahi tākuta waewae , inā koa mēnā he mate huka tōu. Ka taea e ia te āwhina i ngā pūngāwerewere, ngā pūngāwerewere, me ētahi atu raruraru waewae.

Āhea koe me toro atu ki te tākuta?

Tirohia he tākuta i roto i ngā take e whai ake nei:

• Ki te pāngia koe e te mate kino i roto i te patunga o tō waewae, ka horapa te mate ki ō uaua, ki ō kiko, ki te toto, me ō wheua. Ki te kino te mate, me kawe pea koe ki te hōhipera.
• Mena he uaua rawa te hikoi, ahakoa te kore e taea te mahi i ngā mahi noa.
• Ki te mamae ō waewae ahakoa kei te okioki koe , he tohu tēnei kei te ngoikore te rere o te toto.

Āhuatanga ohorere:Ki te kore e taea e koe te rongo i tō waewae, kāore e taea te neke, he rerekē rānei te tae o te kiri i tō toenga waewae, haere tonu ki te rūma whawhati tata. Ko te tikanga tēnei kua mutu te rere o te toto ki tō waewae, kāore he whakatūpato.

He aha ngā pātai me pātai atu e au ki taku tākuta?

• Me rongoā ahau hei whakaiti i te mōrearea o te PAD?
• Kia pēhea te tawhiti me hikoi ahau ina tīmata ahau i tētahi kaupapa hikoi?
• Me pokanga ahau mō te PAD?

Hei whakamutunga, kia maumahara ki tēnei (Karere hei tango ki te kāinga)

He nui ngā mea ka taea e koe te mahi hei ārai, hei whakaroa rānei i te whanaketanga o te Peripheral Artery Disease, arā, te PAD, mā te whakarerekē i te āhua o tō noho. Puritia ō wā tirotiro katoa me tō tākuta me te tohunga toto, ā, tangohia ō rongoā katoa e ai ki te whakahaunga. Mā te mōhio ki ngā tohu whakatūpato o ngā raruraru PAD ka āwhina i a koe ki te mōhio me pēhea te rapu āwhina. Tiakina ō waewae, nā te mea ka haria koe e rātou ki tawhiti!

Mate pūkahukahu ā - ringa, PAD, mamae waewae, pūkahukahu ā-ringa, tohanga toto, kai paipa, mate huka, cholesterol, atherosclerosis, claudication