Kei te ahua ngoikore ō ringaringa me ō waewae i ētahi wā, kei te mātao noa rānei ō maihao me ō matimati? Kei te mamae ō waewae me te mea kei te kōpiri ō uaua i a koe e hikoi ana? He maha ngā wā ka warewarehia ēnei e tātou, he mea noa iho. Heoi, he tohu pea ēnei kei te ngoikore te rere o tō toto. Ehara tēnei i te mate tonu, engari he tohu pea nō tētahi atu mate. Nō reira, me kōrero tātou mō tēnei mea i tēnei rā tonu, he māmā noa iho.
He aha te tohanga toto ngoikore?
Whakaarohia he rite tō tātou tinana ki tētahi tāone nui. Kei ia whare o tēnei tāone (arā, kei ia pūtau o tō tātou tinana) he whatunga rori e kawe ana i ngā mea nui pēnei i te kai, te wai, me te hāora. Ko ēnei rori ko ō tātou uaua toto. Ko ngā waka e kawe ana i ēnei mea nui i runga i ēnei rori ko ō tātou toto. Ko te pokapū matua, ko te miihini rānei, o tēnei pūnaha kawe waka katoa ko tō tātou ngākau.
Nō reira, ina ora te ngākau, ngā oko toto (ngā uaua, ngā uaua), ka puta tēnei ratonga kawe me te kore e mutu. Ka whiwhi ia pūtau o te tinana i te hāora me ngā matūkai e hiahiatia ana i te wā tika, ā, ka whakahokia ngā para i hangaia i roto i ngā pūtau.
Ko te koretake o te rere o te toto he tikanga kei reira he aukati, he ārai, he raruraru rānei i roto i tēnei pūnaha kawe waka. Pērā i te rākau e hinga ana ki te rori, ka puta he raruraru waka. Mā tēnei aukati ka kore e rere tika te toto. Ina koa ki ngā wāhi e tawhiti rawa atu ana i te ngākau, arā, ki ngā pito o ō tātou maihao me ō tātou matimati, he iti rawa te rere o te toto.
Ko te raruraru nui rawa atu o tēnei ko te kore e whiwhi tika ana ngā pūtau i te hāora. Ina kore he hāora i a rātou, kāore e taea e ngā pūtau te mahi tika i ā rātou mahi. Ko te wā tēnā ka tīmata te puta o ngā tohu.
He aha ngā tohu o te koretake o te tohanga toto?
Ina heke te rere o te toto i roto i te tinana, ka puta mai ngā tohu maha. Ko te nuinga o ēnei ka pā ki ngā wāhanga o te tinana, pērā i ngā ringa, ngā waewae, me ngā maihao. Me titiro tātou ki ēnei tohu.
| Tohu | Hei whakarāpopototanga... |
|---|---|
| Te ngoikore, te ahua rānei o te "oho hiko" i ngā peka | Ka kiia tēnei he kare ā-roto "pins and needles". Ka puta pea tēnei kare ā-roto ina whakaitihia te rere o te toto ki ngā io. |
| He makariri tonu ngā ringa me ngā waewae. | Ka āwhina hoki te rere o te toto ki te pupuri i te pāmahana o te tinana. Ina heke te rere o te toto, ka mātao ake ngā ringa me ngā waewae i ērā atu wāhanga o te tinana. |
| Te mamae o ngā uaua i te wā e hikoi ana | Ina hikoi au mō te wā poto, ka rite te ahua o ngā uaua o ōku waewae ki te haehae me te mamae. Ka memeha haere tēnei mamae ina noho au mō tētahi wā. Ka puta tēnei nā te mea kāore aua uaua e whiwhi ana i te hāora e hiahiatia ana e rātou. |
| Te rerekētanga o te kiri | I ētahi wā ka mā, ka kikorangi rānei te kiri nā te iti o te hāora i roto i te toto. |
| Pupuhi waewae | Ki te kore e pai te rere o te toto, kāore e taea e te wai te rere tika i roto i te tinana, ā, ka kohikohi pea ki ngā wāhi pēnei i ngā waewae, ka pupuhi. |
| Ngā uaua varicose | Mena he kikorangi/papura te āhua o ngā uaua o ō waewae, he ponapona hoki, he raruraru pea tērā ki te rere o te toto. |
| Mamae o te uma | Mena he raruraru kei ngā uaua e tuku toto ana ki te ngākau, tera pea ka pāngia koe e te mamae o te uma. He tohu kino tēnei . |
He aha ngā tino take o te koretake o te rere o te toto?
Kāore he take kotahi mō tēnei mate, engari he maha ngā āhuatanga ka whai wāhi ki tēnei. Ko te tikanga, ko te hunga neke atu i te 40 tau te pakeke, te hunga taumaha rawa, te hunga mate huka, me te hunga kāore e nui te whakakori tinana, ko rātou te hunga e nui ana te mōrearea. Me titiro tātou ki ngā take matua.
| Take | He aha te mea ka tupu ki tēnei? |
|---|---|
| Te atherosclerosis | He whakarāpopototanga noa iho, ka kohikohi te cholesterol me te ngako i roto i ngā oko toto, ka aukati i te rere o te toto. Pērā i te paru e kohikohi ana i roto i te paipa wai, ka whakaiti i te rere o te wai. |
| Mate Huka (Diabetes Mellitus) | Ina noho teitei tonu te huka toto mō te wā roa, ka pakaru ngā oko toto, ka aukati i te rere o te toto. |
| Te toto toto tiketike | Ina rere te toto i roto i ngā uaua i te pēhanga teitei, ka pakaru, ka ngoikore hoki ngā pakitara o ngā uaua, ka aukati hoki i te rere o te toto. |
| Te momi hikareti | Ka pakaru tika ngā oko toto i ngā matū i roto i ngā hikareti, ka nui ake te tūponotanga o te atherosclerosis. |
| Momonatanga | I te pikinga ake o te taumaha o te tinana, ka piki ake te mōrearea o ngā mate maha e whakararuraru ana i te tohanga toto, pērā i te mate huka, te toto toto tiketike, me te cholesterol. |
| Te Thrombosis o te Uaua Hōhonu (DVT) | Ka puta tēnei ina puta he toto totoka i roto i tētahi uaua hohonu o te waewae. Ka ārai ohorere pea tēnei i te rere o te toto ki te waewae. |
| Te Pukupuku Pūkahukahu | He āhuatanga tino nui, he āhuatanga whāiti hoki tēnei.Ko te DVT te wā e whati ai tētahi wahi toto totoka e hanga ana i roto i te waewae, ka mau ki roto i tētahi uaua o ngā pukahukahu. |
| Te Mate o te Uaua o te Takiwā (PAD) | He hua anō hoki tēnei o te atherosclerosis. He tino take tēnei o te mamae o ngā waewae i te wā e hikoi ana, inā koa nā te whaiti o ngā uaua toto e tuku toto ana ki ngā waewae. |
| Te mate a Raynaud | Mō te hunga e pāngia ana e tēnei mate, ina pāngia e te makariri, e te ahotea rānei, ka whakawhāiti ohorere ngā uaua e tuku toto ana ki ngā maihao me ngā matimati. Kātahi ka mā, ka kikorangi, ka tīmata te ngoikore o ngā maihao. |
Me pēhea te tātaritanga tika a te tākuta i tēnei mate?
Mena kei a koe ngā tohu kua whakahuatia ake nei, ko te mea pai ko te toro atu ki tō tākuta whānau. Ka mahi ia i ētahi mahi hei tātaritanga i te mate.
1. Whakamātautau tinana: Ka tirohia e te tākuta ō ringaringa me ō waewae. Ka tirohia e ia te pupuhi, te rerekētanga o te tae kiri, me ngā patunga. Ka tirohia hoki e ia te manawa o ō ringaringa me ō waewae.
2. Te pātai atu ki a koe mō ngā taipitopito: He maha ngā pātai ka pātaihia ki a koe, pērā i ō tohumate, te roa o te wā e pāngia ana koe e ēnei tohumate, mēnā kei a koe ētahi atu mate pēnei i te mate huka, te toto toto tiketike rānei, mēnā kei te kaipaipa koe, me te mea kei roto i tō whānau ēnei mate.
3. Ngā whakamātautau motuhake: Mena e tika ana, ka tūtohu pea te tākuta i ētahi whakamātautau pēnei hei kimi i te tino take.
- Doppler Ultrasound: Ka taea e tēnei te tirotiro i te tere o te rere o te toto i roto i ngā uaua toto, me te tirotiro mēnā he aukati kei roto.
- Whakamātautau Taupū Pona-Pūngao (ABI): Ka inehia, ka whakatauritehia hoki te toto i roto i tō waewae me tō ringa. Mena he iti iho te toto i roto i tō waewae i tō ringa, ko te tikanga kāore tō waewae e whiwhi ana i te nui o te toto e rere ana.
- Angiography, CT Scan rānei: Ka tangohia e ēnei whakamātautau he whakaahua mārama o ngā oko toto, ā, ka taea te tohu i te wāhi me te nui o te aukati.
- Ngā whakamātautau toto: Ka āwhina ēnei ki te kimi i ngā mea pēnei i te taumata cholesterol, te taumata huka, me te mea he raruraru toto totoka.
He aha ngā maimoatanga mō tēnei?
Ko te maimoatanga e whakawhirinaki ana ki te take o tō tohanga toto ngoikore. Mā tō tākuta e whiriwhiri te maimoatanga e pai ana ki a koe. Ka taea te wehewehe i ēnei ki ngā wāhanga matua e toru.
1. Ngā huringa āhua noho
Koinei te mea nui rawa atu, te mea tuatahi hoki hei mahi. Ahakoa ka whakamahia e koe he rongoā, ki te kore koe e mahi i ēnei huringa, he iti noa iho ngā hua.
- Ki te kai paipa koe, kati tonu.
- Te taunga ki tētahi kai hauora (he iti iho te hinu, te tote, te huka, he nui ake ngā huawhenua me ngā hua).
- He tino whai hua te whakakori tinana auau (ahakoa he mahi māmā noa pēnei i te hikoi mō te 30 meneti i te rā).
- Te whakahaere i te taumaha o te tinana.
- Mena kei a koe te mate huka, te toto toto tiketike, te cholesterol rānei, kia pai te whakahaere i aua mea.
2. Te rongoā
I runga i tō āhua, ka tohua pea e tō tākuta ngā rongoā pēnei i:
- Ngā Statin: Ka whakaitihia e ēnei te taumata o te cholesterol kino i roto i te toto, ā, ka ārai i te putunga ki roto i ngā oko toto.
- Ngā rongoā ārai toto: Ka whakaitihia e ngā rongoā pēnei i te aspirin te mōrearea o te toto totoka.
- Ngā rongoā whakangawari toto: Ka ārai ngā rongoā pēnei i te Warfarin i te hanganga o ngā toto totoka. Ka hoatu motuhaketia ēnei mō ngā āhuatanga pēnei i te DVT.
- Ngā rongoā mō te toto toto tiketike.
3. Te pokanga me ētahi atu maimoatanga
I ētahi wā, ki te kaha rawa te aukati i roto i ngā uaua toto, ā, kāore e taea te whakahaere mā te rongoā anake, me whakamahi i ngā maimoatanga pēnei.
- Angioplasty: He tikanga e whakaurua ai he taputapu rite ki te poihau ki roto i tētahi oko toto kua āraia, ā, ka pupuhihia hei whakawhanui i te oko toto. I ētahi wā ka whakaurua he taputapu iti rite ki te mata e kiia nei ko te stent hei ārai i te oko toto kei āraia anō.
- Pokanga Ārai: Te ārai i te oko toto kua āraia, ka waihanga i tētahi ara hou mā te whakamahi i tētahi wahi uaua i tangohia mai i tētahi atu wāhanga o te tinana.
- Te tango i ngā toto totoka mā te whakamahi i te katitere: Mena ka mau he toto totoka nui, ka tangohia mā te whakamahi i tētahi taputapu motuhake.
Āhea koe me rapu tohutohu hauora?
He mea tino nui tēnei. Ahakoa he noa ētahi tohu, ko ētahi he tohu mō tētahi āhuatanga ohorere. Nō reira, kia mōhio koe ki te rerekētanga.
| Āhea te rapu tohutohu hauora | |
|---|---|
| Tirohia te tākuta mēnā kei a koe ēnei tohu: | |
| - | Mena ka puta he tohu hou. |
| - | Mena kāore te rongoā o nāianei e whakaora i ngā tohu. |
| - | Ki te puta whakarere mai he pupuhi, he whero, he mamae rānei i te waewae (he tohu pea tēnei nō te DVT). |
| He āhuatanga ohorere ēnei! Haere tonu ki te ETU (Emergency Treatment Unit)! | |
| - | Te mamae ohorere o te uma , te uaua ki te manawa. |
| - | Ki te ngaro katoa ōu mamae i ō waewae. |
| - | Mena ka pāngia koe e te mamae nui, e te ngoikore rānei o ō waewae ahakoa kei te tū noa koe, kāore hoki e mahi i tētahi mahi whakakori tinana. |
Karere Tangohia ki te Kāinga
- Ehara te ngoikore o te tohanga toto i te mate, he tohu noa iho nō tētahi atu mate.
- Kaua e warewarehia ngā āhuatanga pēnei i te ngoikore o ō ringaringa me ō waewae, te mātao, te mamae rānei o ō waewae i a koe e hikoi ana. Kōrero ki tō tākuta mō tēnei mea.
- Ko te mea pai rawa atu, ko te mea nui rawa atu hoki hei mahi hei whakahaere i tēnei mate ko te whai i tētahi momo noho hauora . He mea nui te whakamutu i te momi hikareti, te whakakori tinana, me te whai i tētahi kai pai.
- Mena kei a koe ngā mate pēnei i te mate huka, te toto toto tiketike rānei, mā te whakahaere i aua mate ka pai te rere o te toto.
- He āhuatanga ohorere te mamae ohorere o te uma, te uaua ki te manawa, te ngaro rānei o te rongo i te waewae. Mēnā he pēnei, haere tonu ki te Tari Ohorere (ETU) o te hōhipera tata.
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