Kua whakaaro kē koe he aha kei roto i ō tātou waewae, inā koa kei te rohe o te hope? I ētahi wā ka pāngia tātou e te mamae, e te pupuhi rānei i roto i ō tātou waewae, ka whakaaro tātou, "He aha ai tēnei?" I tēnei rā ka kōrero tātou mō tētahi wāhanga iti o tō tātou tinana he mea nui i ngā wā pēnei, engari kāore tātou e kōrero nui mōna. Ko te uaua tēnā e kiia nei ko te 'Posterior Tibial Vein'. Ahakoa he ahua uaua te ingoa, he tino māmā, he tino nui hoki tana mahi.
He aha te uaua tibial posterior?
Ko te 'Posterior Tibial Vein' he uaua toto, kei te pito o raro o tō waewae, i raro i te turi. Ehara ēnei i te uaua noa iho, engari nō tētahi momo uaua e kiia nei ko ngā uaua hohonu . E rua o ēnei uaua kei tō waewae matau, e rua hoki kei tō waewae maui.
Ko te mahi matua a ēnei uaua he kohi toto mai i tō tumuaki, i ō pona waewae, me ō kapu waewae, ka pana ake ki tō ngākau. Whakaarohia rātou he motuka iti e kukume ana i te wai mai i raro.
Me whakamahara atu mātou ki a koutou mō te rere o te toto i roto i ō tātou tinana?
Hei mārama ki te mahi a tēnei uaua, he mea āwhina kia mārama ki te rere o te toto i roto i ō tātou tinana. He pūnaha tino whakamiharo.
1. Me tīmata tātou ki te ngākau: Ko tō tātou ngākau te papu matua. Ka pupuhi i te toto whai hāora puta noa i te tinana mā roto i ngā uaua toto e kiia nei ko ngā uaua toto . Ka haria e tēnei toto te hāora me ngā matūkai ki ia pūtau me ia okana o roto i tō tātou tinana.
2. Ngā whakawhitiwhitinga i roto i ngā pūtau: I muri i te tukunga o te hāora ki ngā pūtau, ka tāpirihia te hauhā waro, he hua para mai i aua pūtau, ki te toto. Inaianei kua "paru" tēnei toto.
3. Te hurihanga o ngā uaua: Koinei te wāhi e whai wāhi mai ai ngā uaua, pērā i tā tātou toa. Ka kohia e ēnei uaua te toto poke, he iti te hāora, he nui te waro hauhā, mai i te tinana katoa, ka whakahokia ki te ngākau.
4. Te purenga e ngā pukahukahu: Ko te toto poke kua uru ki te ngākau ka pupuhihia mai i te ngākau ki ngā pukahukahu. Ko te hāora e tangohia ana e tātou ina manawa tātou ka tāpirihia ki te toto, ā, ko te hauhā waro i roto i te toto ka tukuna ina manawa tātou. Inaianei kua ma anō te toto, kua kī tonu i te hāora.
5. Hoki ki te tīmatanga: Ka hoki tēnei toto ma, whai hāora ki te ngākau, ka papua puta noa i te tinana. Ka haere tonu tēnei huringa mō te roanga o te oranga.
Nō reira, ka kite koe, he hononga tino nui te 'Posterior Tibial Vein' i roto i tēnei huringa nui. Ehara i te mahi ngāwari te whakahoki mai i te toto mai i te raro o ngā waewae.
Kei hea tonu tēnei uaua?
Ka tīmata te 'Posterior Tibial Vein' i tō hononga pona. Mai i reira, ka piki ki roto i tō huha. Ka mutu i raro noa i tō turi.
Ina tae atu ki te uaua popliteus i muri rawa i te turi, ka honoa tēnei uaua ki tētahi atu uaua, te uaua tibial o mua. Ka honoa ngā mea e rua hei hanga i te uaua nui e kiia nei ko te uaua popliteal. Mai i reira, ka haere te toto ki runga.
He aha atu ngā momo uaua hōhonu kei roto i te waewae?
E toru ngā momo uaua hohonu matua i roto i ō tātou waewae i raro i te turi. Kei te tata katoa ēnei momo uaua tetahi ki tetahi, ā, ka kohia te toto mai i ngā wāhi rerekē.
| Ingoa o te uaua | Te wāhi kohi toto | Tauwāhi |
|---|---|---|
| Te uaua Tibial o muri | Ka kohia te toto mai i ngā kapu o ngā waewae. | Ka rere i te taha o roto o te makawe. |
| Uaua Tibial o mua | Ka kohia te toto mai i te taha whakarunga o te waewae (tuara). | Ka rere i te taha o waho o te makawe. |
| Te uaua tibial peroneal | Ka kohia te toto mai i te taha o te waewae. | Ka rere iho i waenganui o te makawe. |
Ngā āhuatanga ka pā ki te Posterior Tibial Vein
Ahakoa kāore pea tātou e kite i ēnei mea kia pai rā anō te mahi a ngā mea katoa, tera pea ka puta he raruraru ka pā ki te mahi a ēnei io. Koinā te wā ka tīmata ai tātou ki te kite i ngā tohu.
| Āhuatanga hauora | He whakamārama ngāwari noa iho |
|---|---|
| Te Thrombosis o te Uaua Hōhonu (DVT) | Koinei te hanganga o te toto totoka i roto i te uaua hohonu. He tino morearea tēnei. Nā te mea ki te pakaru te toto totoka ka aukati i te uaua i roto i ngā pukahukahu (Pulmonary Embolism), ka mate pea. |
| Ngā uaua varicose | Ina ngoikore ngā pakitara o ngā uaua, ina kore rānei e mahi tika ngā takirere o roto, ka tīmata te rere whakamuri o te toto. Kātahi ka piko, ka pupuhi, ka puta he kikorangi, he pona hoki ngā uaua ki te mata o te kiri. |
| Te ngoikore o te uaua mau tonu | He āhuatanga e uaua ai ngā uaua o ngā waewae ki te whakahoki i te toto ki te ngākau. Nā te ngoikore o ngā takirere i roto i ngā uaua ka turuturu te toto ki raro. Ka pupuhi pea ngā waewae, ka mamae, ka huri te tae o te kiri. |
Me pēhea te tirotiro i te hauora o ēnei uaua?
Mena kei a koe ngā tohu pēnei i te pupuhi o tō waewae, te mamae ohorere, te whero rānei o te kiri, me toro atu koe ki tō tākuta tonu . Māna koe e tirotiro, ā, ki te tika, ka tukuna koe mō ngā whakamātautau e whai ake nei:
- Te Whakamātautau Uira-rua: Koinei te whakamātautau tino noa. He rite ki te matawai pēpi. Ka taea te tirotiro ngāwari me te kore mamae i te rere o te toto i roto i ngā uaua, me te tirotiro mēnā he toto totoka kei roto.
- Venogram: Ko te werohanga o tētahi wai motuhake (he rauemi whakawhiti) ki roto i tētahi uaua, me te tango i ētahi whakaahua hihi-X. Mā tēnei ka taea e koe te kite mārama mēnā he aukati kei roto i te rere o te toto.
He aha ngā maimoatanga mō ēnei āhuatanga?
Ko te tikanga maimoatanga e whakawhirinaki ana ki tō āhua me tōna kaha. Mā tō tākuta koe e hoatu ki a koe te tohutohu pai rawa atu mō tēnei.
- Tōkena Kōpeke: He tōkena motuhake ēnei hei pēhi mārie i te waewae. Ka āwhina tēnei ki te whakaiti i te toto e pupū ana, ā, ka āwhina hoki ki te neke ake.
- Ngā Rongoā: Ka tohua pea e tō tākuta ngā rongoā hei ārai i te toto totoka (ngā rongoā ārai toto) me ngā rongoā hei whakaiti i te nui o te wai i roto i te tinana (ngā rongoā whakaheke toto).
- Ngā maimoatanga motuhake: I ētahi wā, kei reira ngā maimoatanga hou pērā i te "whakaora toto toto e whakamahia ana e te catheter", te "whakaora taiaho", me te "sclerotherapy", e werohia ai he matū ki roto i te uaua hei whakakore i taua uaua.
- Pokanga: I ētahi wā tino kino, ka hiahiatia pea te pokanga hei tango, hei whakatika, hei waihanga rānei i tētahi ara rerekē mō te rere o te toto (he 'arai') ki te uaua kua pakaru.
Ngā mea ngāwari ka taea e tātou te mahi hei pupuri i te hauora o ō tātou uaua
"He pai ake te ārai i te rongoā," te kī a rātou. Nō reira, hei ārai, hei whakaiti rānei i te putanga mai o ēnei raruraru, he iti noa ngā tikanga māmā ka taea e tātou te whakauru ki roto i ō tātou oranga o ia rā.
- Kaua e whiti i ō waewae i a koe e noho ana. Mā te whiti i tētahi waewae ki runga i tētahi ka whakararu i te rere o te toto.
- Kia paku teitei ō waewae. Ina noho koe i runga i te tūru, tautokohia ō waewae ki runga i tētahi paepae iti. Ina moe koe, whakatakotoria he urunga ki raro i ō waewae. Mā tēnei ka āwhina i te rere o te toto ki te ngākau mā te āwhina o te kaha ā-papa.
- Whakakorikori tinana i ngā wā katoa. Mā ngā mahi whakakorikori tinana pēnei i te hikoi, te oma, me te kaukau ka whakahohe i ngā uaua o ō waewae, ā, ina pēhi aua uaua, ka āwhina i te whakawhānui i ngā uaua me te pupuhi toto ki runga.
- Kaua e noho roa i te tūranga kotahi. Ki te mea me noho, me tū rānei koe i te wāhi kotahi i tō mahi, hikoi poto, rūrūtia ō waewae, ka huri i ngā tūranga i te iti rawa i te kotahi i te hāora.
- Whakahaerehia tō taumaha. I te pikinga ake o tō taumaha tinana, ka nui ake te pēhanga e pā ana ki ngā uaua o ō waewae.
- Kaua e kai hikareti. Ka taea e te kai hikareti te kino i ngā uaua toto.
Nō reira, he wāhanga iti te 'Posterior Tibial Vein' o tō tātou tinana, engari he tino nui. He mea tino nui te tiaki i tōna hauora mō tō tātou hauora whānui.
Karere Tangohia ki te Kāinga
- Ko te 'Posterior Tibial Vein' he uaua kei roto rawa i te kōpū o tō waewae. Ka kohia te toto mai i ngā kapu o ō waewae me ō kōpū, ka haria ki te ngākau.
- He āhuatanga morearea pea ngā toto totoka i roto i ēnei uaua (`Deep Vein Thrombosis` - DVT). Mēnā ka pāngia koe e te mamae ohorere, te pupuhi, te whero rānei i tō waewae, rapua tonutia he tohutohu hauora.
- Ko ngā uaua varicose me te ngoikore o te uaua mau tonu ētahi atu āhuatanga noa e pā ana ki ēnei uaua.
- Mā te whakakori tinana auau, te pupuri i tō taumaha, te karo i te noho roa, me te pupuri i ō waewae kia teitei ka āwhina i te tiaki i te hauora o ō uaua.
- Ki te kite koe i tētahi āhua rerekē o ō waewae, kaua rawa e warewaretia. He mea tino nui kia kōrero koe ki tō tākuta, kia whiwhi ai i ngā tohutohu tika.
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