He mākū tonu ō waewae, he makariri hoki? Me kōrero tātou mō te 'Waewae Tūroa'!

Kua rongo kē koe i tētahi mea e kīia ana ko 'Trench Foot'? Tērā pea he ingoa hou tēnei ki a koe. Engari he mate tēnei ka pā ki ō tātou waewae, ā, me aro atu ki tēnei. He mea nui rawa kia mōhio koe ki tēnei mate mēnā ka roa te wā e pāngia ana ō waewae e te makuku me te makariri. Me titiro tātou ki te tikanga o 'Trench Foot', te take e pā mai ai, me pēhea hoki te karo atu.

He aha te Trench Foot? He māmā noa iho...

Ki te whakarapopoto, ko te 'Trench Foot' he āhuatanga e puta ana ina mau ō waewae i roto i ngā tōkena, i ngā hū rānei mākū mō te wā roa, tae noa ki ngā rā, ā, ka pāngia e te makariri. E kīia ana tēnei e ētahi ko te 'Immersion Foot Syndrome'. Whakaarohia, ki te noho tonu tātou i roto i te taiao mākū, makariri, me te paru pea, ka tīmata te kino o te kiri me ngā kiko o ō tātou waewae.

He momo whara makariri kore-huka tēnei. Ko te tikanga, kāore e hiahiatia kia iti rawa te pāmahana pērā i te hukapapa hei puta ai tēnei āhuatanga, engari ka puta pea i ngā pāmahana i runga ake i te hukapapa. Ko ētahi atu āhuatanga ko te (Chilblains) (he āhua pupuhi), (Frostnip) (hukapapa o te kiri), me te (Raynaud's phenomenon) (he āhuatanga e whakawhāiti ana ngā oko toto, ā, ka mā ngā maihao). Mena ka pakaru te kiri me ngā kiko nā te 'trench foot', he nui te tūponotanga o te mate . He tino mamae tēnei, engari ko te rongo pai ko te taea te rongoā me te ārai .

He aha i huaina ai tēnei ko 'Trench Foot'?

I ahu mai te ingoa 'trench foot' i tētahi kōrero tawhito. I te tau 1812 i whakaahuahia tuatahitia ai tēnei mate e tētahi taote hōia Wīwī e rongoā ana i ngā hōia o te ope taua a Napoleon. Engari i rongonui i te ao i te Pakanga Tuatahi o te Ao. I taua wā, me noho ngā hōia ki roto i ngā rua wai, paru mō ngā rā, i ētahi wā he wiki. Nā te makariri, te makuku, me te paru i pāngia ai te tini o ngā hōia e tēnei mate. I waenganui i te tau 1914 me te tau 1915 anake, neke atu i te 20,000 ngā hōia Peretānia i rongoātia mō te 'trench foot'. Waimarie, he huarahi pai ake hei ārai me te rongoā i tēnei rā. Heoi, kei te puta tonu tēnei mate i ētahi wā .

Ko wai te mea tino pea ka pāngia e te 'trench foot'?

Ko te āhua e mōhiotia ana ko te 'trench foot' ka kitea nuitia i roto i te hunga i roto i te ope taua, i a rātou e whakangungu ana me ngā mahi whawhai. Heoi anō, ka pāngia hoki te hunga i roto i ētahi atu kāwai. Hei tauira:

• Mō te hunga kāinga kore: He maha ngā wā me mau tonu rātou i ngā tōkena me ngā hu kotahi. Ka roa rātou e pāngia ana e te haumākū me te makariri nā te mea kāore he wāhi tika hei nohoanga mō rātou.
• Mō te hunga e haere ana ki ngā kōnohete puoro: Ka taea hoki tēnei mō te hunga e haere ana ki ngā kōnohete puoro nui e tū ana i waho mō ngā rā maha, ā, e tūwhera ana ki ngā wāhi makariri, mākū, me ngā wāhi paru pea.
• Ngā tāngata e mahi ana i te taha o te wai: Ka taea hoki e ngā kaihao ika, ngā kaimahi tauranga, me ētahi atu e noho roa ana i roto i te wai nā ā rātou mahi te whakawhanake i te 'waewae awaawa'. Ahakoa i tō tātou whenua, me tūpato hoki te hunga e mahi ana i ngā mara i te wā ua, te hunga rānei e noho roa ana i roto i te wai i ngā wā waipuke, ina koa he makariri te taiao.
• Mō te hunga e mahi ana i ngā mahi o waho: Ko te hunga he hiahia nui ki te piki maunga me te hikoi i te ngahere ka pāngia pea e tēnei mate mena kāore rātou e whakawhiti i ō rātou tōkena me ō rātou hu mākū i te wā tika. He mea pai kia maumahara ki tēnei ina mahi ana i ēnei mahi i ngā rohe maunga o Sri Lanka (pērā i a Nuwara Eliya, Haputale) me te mea he makariri, he mākū hoki te taiao.

He aha ngā tohu o te 'waewae awaawa'?

I te kaha haere o te uaua o te waewae, ka rerekē te āhua me te āhua o te waewae.

I te tīmatanga, ka rongo pea koe i ō waewae e ngenge ana, e ngau ana, e tino ngenge ana rānei . Tērā pea ētahi tāngata e rongo ana me te mea kei te pēhia tetahi mea ki roto i ō rātou waewae, e taumaha ana rānei ō rātou waewae, pērā i te rākau. Ka uaua pea te hikoi māu. I te tīmatanga, ka whero kanapa pea ō waewae. Engari i roto i te wā, i te mea ka whakawhāitihia ngā uaua toto, ka mā, ka kirikiri, ka mā ō waewae .

Kia puta koe i te makariri, ka tīmata anō te kiri o ō waewae ki te huri i te tae. Mena he kiri mā tōu, ka huri pea ō waewae ki te kikorangi, ki te papura rānei nā te hekenga o te rere o te toto . Mena he kiri pouri tōu, kāore pea tēnei huringa tae e tino kitea. Ka makariri hoki te kiri, ka puta he iraira i ētahi wāhi . Hei tāpiri, tera pea ka pupuhi . I ētahi wā kino, ka piki rua pea te rahi o ō waewae!

I te mahana anō o ō waewae, ka whero kanapa anō pea . Tērā pea ka pāngia koe e te mamae nui, e ngā kare ā-roto rerekē rānei i te hokinga mai o te toto ki ō waewae. Tērā pea ka puta he mirumiru, he mate pukupuku, he mate tuwhera rānei i ō waewae. Ka taea e ēnei te whakaraerae i a koe ki ngā mate harore me ngā mate kitakita. Tērā pea ka tino pāngia tō kiri e ngā huringa pāmahana, e te pā noa rānei.

He aha te take o te waewae awaawa?

Ka puta te waewae o te awaawa ina roa te wā e pāngia ana ō waewae e te makariri, te mākū. Kia maumahara, kāore e hiahiatia kia tino makariri rawa te pāmahana. Ka taea te puta te waewae o te awaawa ahakoa i raro i te 16 nekehanga Celsius (60 nekehanga Fahrenheit) .

Ina honoa te makariri me te haumākū, ka tīmata te ngoikore o ngā oko toto iti (ngā capillary) i roto i ō waewae . Ka taea e tēnei te kino i ngā kiko e karapoti ana. Hei tāpiri, ka pā te iti o te rere o te toto ki tō tohanga toto me te mahi a ngā io.

Ko te nui rawa o te werawera o ngā waewae (Hyperhidrosis) ka waiho hei take mō ngā 'waewae awaawa'.

Kia pēhea te roa o te whanaketanga o te waewae rua?

I te nuinga o te wā, me noho te waewae o te waewae ki te makariri, ki te haukū mō te kotahi ki te toru rā. Heoi, i ētahi wā ka puta te mate i roto i te 10 ki te 14 hāora noa iho . Nō reira, he mea nui kia tūpato.

Me pēhea te mōhio o te tākuta ki tēnei hei 'waewae awaawa'?

Ka whakahaerehia e tō tākuta he whakamātautau tinana tuatahi hei tautuhi i te waewae hohonu. Ka tirohia e ia ō waewae, ka pātai atu mō ō tohu. Ka pātai atu anō hoki ia mō tō taiao tata nei. Mena kua pāngia koe e te makariri, te haukū mō ngā haora torutoru noa iho, tera pea ka whakapae tō tākuta he waewae hohonu koe.

Ka hiahia tō tākuta ki te whakarite kia kore ō tohumate e puta mai i tētahi mate, i tētahi atu āhuatanga rānei, pērā i te hukapapa. Tērā pea ka tonoa e ia he whakamātautau tatau toto mā, he whakamātautau ESR rānei (Erythrocyte Sedimentation Rate) . Ka tirohia e te whakamātautau ESR te mumura i roto i tō tinana. Tērā pea ka tonoa koe kia tango i tētahi matawai X-ray, i tētahi matawai wheua rānei mēnā e whakapae ana rātou kei a koe he mate wheua (osteomyelitis).

He rongoā kei te wātea mō te 'trench foot'? Ka taea te whakaora?

Āe, tino tika! Ka taea te whakaora katoa i te waewae awaawa mēnā ka kitea wawetia . Ko te maimoatanga mō te waewae awaawa ko:

• Te whakamahana mārie i ngā waewae: Ki te tere rawa te whakamahana, ka mamae nui, ka pupuhi hoki. Nō reira, me āta whakamahana.
• Te pupuri i ō waewae kia ma, kia maroke, kia mahana: Ka tohutohu tō tākuta kia horoia ō waewae, kia maroke, kia mahana hoki.
• Te okioki me te pupuri i ō waewae kia teitei ake i tō ngākau: Ka āwhina tēnei ki te ārai i te puta o ngā mate me ngā pupuhi hou.
• Paturopi: Ka tohua pea e te tākuta ngā paturopi hei ārai i te mate.
• He werohanga whakapakari tetanus: Ka hoatu anō hoki tēnei mēnā e tika ana.
• Ngā rongoā whakamamae mamae: Ka taea e koe te tango i ngā rongoā whakamamae mamae pērā i te "NSAID" (ngā rongoā anti-inflammatory kore-steroidal) me te "Acetaminophen" (paracetamol). Heoi, i ētahi wā ka tohua pea e te tākuta he rongoā e kiia nei ko te "Amitriptyline".

Me pēhea taku tiaki i ahau anō i muri i te maimoatanga?

I muri i te maimoatanga o te waewae roa, me mahi koe i ētahi mea hei whakarite kia ora tonu ō waewae. Ko ēnei:

• Me mau he takirua tōkena ma, maroke i ia rā.
• Kaua e mau tōkena ina moe koe. Pērā ai ka maroke tonu ō waewae.
• Tirohia ō waewae i ia rā.Kia mataara mō ngā tohu e kino haere ana ngā tohu, mō ngā tohu rānei o te mate pāwera.
• Kaua e momi hikareti me te whakamahi i ētahi atu hua kei roto te nikotīni. Ka taea e te nikotīni te whakaiti i te rere o te toto ki ō waewae.
• Kai i ngā kai whai kiko i te pūmua. Mā tēnei ka āwhina i te tukanga whakaora.

Me pēhea te ārai i te whanaketanga o te 'trench foot'?

He mate te waewae o te awaawa ka taea te ārai . Mā ēnei mahi ārai e āwhina i a koe ki te karo i te whanaketanga o tēnei mate:

• Whakakapia ngā tōkena me ngā hu/pūtu mākū i te wā e taea ai.
• Whakamarokehia ō waewae mā te waiho ki te hau. Kia mau tonu te maroke o ō waewae.
• Kia teitei ake ō waewae i ngā wā katoa e taea ai.
• Whakawhitihia he takirua tōkena hou i te iti rawa kotahi i te rā.
• Mauria he hū, he pūtu rānei e tau pai ana ki a koe, ā, kaua e tino kikī rawa.

Kia maumahara, e pā ana te kīwaha "he pai ake te ārai i te rongoā" ki tēnei 'waewae awaawa'.

He aha te mea ka puta mēnā ka pāngia koe e te 'trench foot'? He mea hei wehi māu?

I ngā wā o mua, he mate kino te waewae hohonu, ā, ka mate pea. Heoi, i ēnei rā, ki te kitea wawetia, ka rongoatia hoki, ka taea te whakaora katoa i te nuinga o ngā mate o te waewae hohonu . Ka taea e koe te tumanako ka ora katoa koe i tēnei mate. Heoi anō, tera pea ka mamae ētahi mō tētahi wā i te mea ka hoki mai te rongo katoa o te waewae.

Ka taea e te 'tīwae awaawa' te whakaputa raruraru morearea?

Āe, ki te kore e rongoatia, ka puta pea ngā raruraru nui. Ka puta pea ngā āhuatanga pēnei i te (Cellulitis) (he mate kitakita o te kiri) me te (Gangrene) (mate o te kiko). I ngā take kino, me tapahi pea tetahi wāhanga o te waewae hei ārai i te horapa haere o te mate (Gangrene). Ko ētahi atu raruraru ko te (Sepsis) (he paihana toto) tae noa ki te mate.

He mate mamae te 'waewae awaawa' i tapaina i ngā mate i pā ki ngā hōia awaawa i te Pakanga Tuatahi o te Ao. He maha ngā hōia i ngaro ō rātou waewae, ā, i mate ētahi i taua mate. Engari i ēnei rā, he nui ngā mōhiotanga e pā ana ki te ārai me te rongoā.

Hei whakamutunga, kia mahara ki tēnei !

Ko te rongoā pai rawa atu mō te waewae maui ko te ārai . Ki te mōhio koe ka roa koe i roto i te taiao makariri, haukū, me āta tupato . Me mau tonu he takirua tōkena tāpiri, ā, me whakarite kia tika te noho o ō hu. Mā ngā mea ngāwari pēnei, kāore koe e manukanuka ki te waewae maui. Tiakina ō waewae, kia ora tonu hoki!

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