He taitama koe e pai ana ki te tākaro hākinakina, ā, he pai ki te oma me te pekepeke? Engari i muri i te tīmatanga o te oma, ka pāngia koe e te mamae rerekē, te taumaha, te ngoikore rānei i te waewae o raro (te rohe o te waewae o te kau) i muri i te tawhiti poto? Ka ngaro i muri i te okiokinga poto, engari ka hoki mai anō te mamae ina tīmata anō koe ki te oma? Ehara pea tēnei i te whara uaua anake. I tēnei rā kei te kōrero tātou mō tētahi mate onge kāore i te mōhiotia e te tini o te tangata, engari ka pāngia pea ngā taiohi e tākaro hākinakina ana.
He aha te Popliteal Artery Entrapment Syndrome (PAES)?
Ahakoa te ahua uaua, he tino māmā noa iho te tukanga. He mate onge te PAES e pā ana ki ngā oko toto i roto i ō tātou waewae. Ka puta ina aukatia te uaua matua e rere ana i muri i ō tātou turi, te uaua popliteal, e tētahi uaua tata (te uaua gastrocnemius).
Pērā i te wā e takahia ana e te tangata he paipa wai, ka puhoi te rere o te wai. Ina oma, ina peke rānei tātou, ka whakawhāitihia e tēnei uaua ō tātou uaua toto. Kātahi ka heke te rere o te toto ki te waewae o raro mō te wā poto. Nā tēnei hekenga o te rere o te toto, kāore ngā uaua e whiwhi i te hāora e hiahiatia ana e rātou, ā, ka kohia ngā mea pēnei i te waikawa lactic, ka puta ai ngā tohu pēnei i te mamae, te taumaha, te ngenge, me te ngoikore o te waewae.
Ko te mea pai rawa atu, ka memeha haere ēnei tohu i roto i te toru ki te rima meneti i muri i te whakamutu i te whakakori tinana. Heoi, ki te kore e rongoatia, ka kino haere te āhua i roto i te wā. Ka mura te mamae i muri i te oma poto noa iho, ā, ka roa pea te wā e memeha haere ana.
Ko wai te mea tino pāngia e tēnei āhuatanga?
Ko te PAES te mea tino kitea i roto i ngā kaitākaro taitamariki i waenga i te 15 me te 25 tau te pakeke. He nui ake te mōrearea o te hunga e takaro ana i ngā hākinakina e uru ana ki te oma. Hei tauira:
- Ngā Hākinakina (Oma me te Papa)
- Oma Whenua-ā-Rohe
- Whutupaoro
- Rekereke
- Hoki papa
He tino onge tēnei mate. E kiia ana ka pāngia e te iti iho i te 1% o te taupori. Nō reira, i te nuinga o te wā, ina pāngia tātou e tēnei momo mamae, ka whakaaro tātou he whāwhā noa iho o te uaua.
He mate anō kei reira e rite ana ki te PAES?
Āe. Tērā tētahi āhuatanga he rite tonu ngā tohu ki tēnei, engari he nui ake te kitea i te PAES. Ko te ingoa o tēnei ko te Chronic Exertional Compartment Syndrome (CECS) . He mamae anō hoki tēnei nā te pikinga rerekē o te pēhanga i roto i ngā uaua waewae i te wā e whakakorikori ana. I ētahi wā ka pāngia te tangata e te PAES me te CECS i te wā kotahi.
Ka taea e te tākuta te wehewehe i waenga i ngā mea e rua mā te whakahaere whakamātautau. I roto i te PAES, ka tirohia e rātou mēnā ka heke te toto toto i roto i te waewae i te wā e whakakorikori ana. I roto i te CECS, ka inehia e rātou te pēhanga i roto i ngā uaua o te waewae i mua atu, ā, i muri mai hoki i te whakakorikori.
He aha ngā tohu o te PAES?
Tērā pea ka pāngia koe e ēnei tohu i roto i tō hope me/ranei i ō waewae i a koe e whakakorikori tinana ana. Ka memeha haere ēnei i roto i ētahi meneti torutoru i muri i tō mutunga o te whakakorikori tinana.
| Tohu | Te āhua o te āhua |
|---|---|
| Ngā mamae me ngā mamae | Tērā pea ka rite ki te mamae koi e puta mai ana i roto. |
| Ngenge | E tino ngenge ana ōku waewae, kāore he ora. |
| Taumaha | He taimaha rawa te āhua o tōku waewae, kāore e taea te hapai. |
| Te hurihuri o te uaua | Kātahi anō ka pēhia ōku waewae, ka pōrearea hoki. |
| te ngoikore | Tērā pea ka pā te ngaungau ki ngā waewae me ngā waewae. |
| mumura | Ka rongo ētahi i te werawera me te mea kei te wera ō rātou waewae i roto. |
He aha ngā pūtake o te PAES?
E rua ngā take matua e āraia ai tēnei uaua toto.
1. Te pēhanga ā-tinana
Koinei te momo tino kino. He mea whānau mai .Ka āraia te uaua toto nā te panoni o te tūnga o te uaua, o te uaua rānei i muri i tō turi. He nui ake te kitea o tēnei i roto i ngā tāne. Tērā pea ka pā ki te waewae kotahi anake. Mēnā ka āraia te uaua toto pēnei mō te wā roa, ka pakaru pea.
- Ka taea te puta he mate pukupuku i roto i te uaua toto.
- Ka taea e te toto toto te hanga, ka piri.
- I roto i te wā, ka taea e te uaua toto te aukati rawa (pōrearea).
2. Te pēhanga mahi, te pēhanga ā-tinana rānei
I tēnei āhuatanga, mai i te whānautanga mai o ō uaua ki ō uaua toto, kei te tūnga noa iho. Engari nā te āhua o te mahi a ō uaua, inā koa ka pēhi koe i tō waewae ki raro ('plantar flexion'), ka pēhi ngā uaua i ngā uaua toto. He nui ake te kitea o tēnei momo i roto i ngā wāhine, ā, ka pā pea ki ngā waewae e rua i te wā kotahi. I tēnei momo, kāore he kino tuturu ki ngā uaua toto.
Me pēhea te tautuhi tika i tēnei mate?
Mena kei a koe ēnei tohu, ko te mea pai ko te toro atu ki tētahi tohunga toto . Māna koe e tirotiro.
- Tuatahi, ka tirohia e rātou mēnā ka heke tō pā o te manawa i a koe e okioki ana.
- Kātahi ka tirohia mēnā he rerekētanga kei roto i te tere o te pā o te manawa ina pēhia tō waewae ki runga, ki raro hoki i tētahi ātete.
Tērā pea ka rongo pai te tangata whai PAES i tōna pā o te manawa i te wā e okioki ana, engari ka heke, ka ngaro rānei tōna pā o te manawa ina whakakorikori tinana, ina pēhi rānei i ōna waewae.
He aha ngā whakamātautau e mahia ana hei whakaū i te mate?
Whai muri i te whakamātautau tinana, ka tūtohu pea tō tākuta i ētahi whakamātautau hei whakaū i te mate. Ka taea e ēnei te whakarato i tētahi pikitia mārama o te rere o te toto i roto i ō waewae.
| Whakamātautau | He aha te mea ka tupu noa |
|---|---|
| Te taupū pona-puku me te whakakori tinana | Ka inehia tō toto i ō ringaringa me ō waewae i mua atu, ā, i muri mai hoki i te whakakori tinana. Mēnā he PAES tōu, ka iti iho tō toto i ō waewae i tō toto i muri i te whakakori tinana. |
| Te oro-oro takirua | He matawai tēnei e whakamahi ana i ngā ngaru oro. Ka taea te kite mēnā kua āraia te uaua toto, me te aha ka pā ki te rere o te toto ina puritia tō waewae ki raro, ā, kia mau tonu i te āhua noa. |
| Angiography tomographic rorohiko (CTA) | Ka mahia te matawai CT mā te werohanga i tētahi matū motuhake (`tae`) ki roto i te tinana. Mā tēnei ka taea hoki e koe te kite i te wāhi tuturu o te aukati o ngā oko toto hei whakaahua 3D. |
| Angiography aukume aukume (MRA) | Ka whakamahia e te matawai MRI he papa aukume. Ka taea hoki te kite mārama i te āhua o ngā uaua toto me ngā uaua. |
He aha ngā maimoatanga mō tēnei?
Ko te pokanga te maimoatanga pai rawa atu, me te tino angitu mō te PAES.
Kaua e manukanuka, he pokanga tēnei e roa ana mō te haora pea, ā, ka mahia i raro i te mate whakamoe whānui. Ka tangohia e te taote pokanga tētahi wāhanga iti o te uaua e ārai ana i te oko toto. Mā tēnei ka taea e te oko toto te mahi noa, ā, ka hoki te rere o te toto ki te waewae ki te āhua noa.
Mena kua pakaru, kua āraia hoki te uaua toto nā te momo ārai ā-tinana, me tango pea e te taote te ārai, me mahi rānei i tētahi pokanga karo mā te whakamahi i tētahi wahi uaua toto hou mā roto.
Kāore he maimoatanga kē atu, kāore he pokanga?
He maimoatanga kore-pokanga kei reira mō te hunga e pāngia ana e te sciatica mahi. Ko te werohanga Botulinum toxin A (Botox®) tēnei. I roto i tēnei, mā te āwhina o te matawai, ka werohangahia tēnei rongoā ki roto i te uaua e whakawhāiti ana i te uaua toto. Ka pararutiki te uaua mō te wā poto, ā, ka whakawhāiti. Heoi, ka roa te pānga mō te 3-6 marama pea. I ētahi wā, ki te whakawhāiti tonu te uaua, kāore ngā tohu e hoki mai. Heoi, he iti iho te angitu o tēnei maimoatanga i tō te pokanga.
Nā te mea he angitu ngā hua o te pokanga i roto i te 90% neke atu o ngā take, koinei te mea e tūtohu pinepinetia ana e ngā tākuta.
Kia pēhea te roa o te wā e ora ai i muri i te maimoatanga?
E whā ki te ono marama pea te roa hei whakaora katoa i muri i te pokanga, ā, ka tīmata anō te tākaro hākinakina.
- I muri i te pokanga, me noho koe ki te hōhipera mō te pō kotahi.
- I ngā wiki tuatahi e rua, me uru ki te maimoatanga whakaora tinana ngā mahi totoro waewae me ngā mahi whakapakari tinana.
- I muri i ngā wiki e rua, ka taea e koe te tīmata i ngā whakangungu hei whakapakari i ngā waewae.
He mea tino nui kia tere ai te ora me whai koe i ngā tohutohu a tō tākuta me tō kaiwhakaora tinana.
He aha ngā pātai me pātai atu e au ki taku tākuta?
Ina kite koe i tō tākuta, kaua e wareware ki te pātai i ēnei pātai.
- He PAES ā-tinana, ā-mahi rānei tōku?
- E taunaki ana koe kia pokangahia tōku mate? He aha ai?
- Ka taea e au te tākaro anō i taku hākinakina i muri i te pokanga?
Mena he kaitākaro taitamariki koe, kaua e wareware noa ki te mamae o te waewae. He maha ngā take. Mā te tere o te tautuhi tika ka āwhina i a koe ki te whiwhi maimoatanga tere.
Karere Tangohia ki te Kāinga
- Mena he kaitākaro taitamariki koe, ā, ka pāngia koe e te mamae tonu o ō waewae, te taumaha, te ngoikore rānei i a koe e whakakorikori ana, kaua e warewaretia.
- He mate onge te Popliteal Artery Entrapment Syndrome (PAES), engari ka taea te rongoā.
- He mea tino nui kia kite i tētahi tohunga toto kia tika ai te tautuhi i te mate.
- I ngā wā maha, ka taea e te pokanga te whakaora katoa i tēnei mate, ā, ka taea e ngā kaitākaro te hoki angitu ki ā rātou mahi hākinakina.
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