Kei te pāngia hoki koe e te mamae nui o ō waewae, inā koa ka hikoi koe mō te wā poto? Ka memeha te mamae ina noho koe mō tētahi wā, kātahi ka hikoi anō? Kei te pāngia rānei koe e te ngoikore o ō waewae, te makariri o ō waewae, te whakaaro rānei he roa te wā e ora ai ahakoa he patunga iti? He tohu pea ēnei o tētahi aukati i roto i te pūnaha toto o tō tinana, inā koa i roto i ngā uaua e kawe ana i te toto ki ō waewae. I tēnei rā, ka kōrero tātou mō tētahi otinga whakarerekē ora i roto i ēnei āhuatanga, arā, he pokanga 'takahi'.
Tuatahi, kia kite tātou he aha te mate toto.
He kupu ngāwari tēnei, he raruraru tēnei kei te pūnaha toto i roto i tō tātou tinana. He whatunga uaua kei roto i tō tātou tinana e kawe ana i te toto ki ngā kokonga katoa. Pērā i te pūnaha paipa e kawe ana i te wai ki tō tātou whare. E rua ngā momo uaua. Ko ngā uaua e kawe ana i te toto ma (me te hāora me ngā matūkai) mai i te ngākau ki te toenga o te tinana e kiia ana he uaua . Ko ngā uaua e kawe ana i te toto poke mai i te tinana ki te ngākau e kiia ana he uaua .
I roto i tētahi āhuatanga e kiia nei ko te 'Mate Toto', ka puta ngā mea pēnei i te hinu me te cholesterol ki roto i ngā pakitara o ēnei uaua, pērā i te waikura e puta ana i roto i te paipa wai, ā, ka āta whaiti haere te rere o te toto. I roto i ngā kupu hauora, ka kiia tēnei ko te 'Mate Toto Peripheral' (PAD) . Ina whaiti haere te rere o te toto pēnei, kāore ngā okana e tawhiti ana i te ngākau, inā koa ko ngā waewae, e whiwhi i te hāora me ngā matūkai e hiahiatia ana e rātou. Koia te take e puta ai ngā tohu pēnei i te mamae me te ngoikore i te wā e hikoi ana.
Whakaarohia, he aha te mea ka tupu mēnā ka takahia e te tangata te paipa e whakamakuku ana i ngā rākau i roto i tō māra? Ka heke te wai e puta mai ana i te pito o te paipa, kāore? Ka pērā anō te mea ka tupu ki ngā uaua toto i roto i ō tātou waewae.
Nā, he aha te pokanga bypass?
Āe, kua mārama koe inaianei he aha te tikanga o te uaua kua āraia. Ko te tikanga o te 'takahi' ko te waihanga i tētahi ara kē atu mō tēnei uaua kua āraia.
Whakaarohia he nui ngā waka i te Huarahi o Colombo-City, ā, kāore e taea e ngā waka te neke. He aha te mahi a te kāwanatanga? Ka hangaia e rātou he huarahi tere hou hei karo i taua waka, tika? Waihoki, ka whakamahia e te taote pokanga he oko toto hou, he ngongo horihori rānei hei karo i tētahi oko toto kua āraia, ka hangaia he ara hou mō te rere o te toto me te kore he aukati.
Ka kiia e mātou tēnei rori hou he 'tāpiri' . Ka whakamahia tēnei 'tāpiri' hei:
1. He uaua mai i tētahi atu wāhanga o tō tinana: Ko te uaua tino whakamahia ko te uaua saphenous, kei raro i te kiri o te waewae. I ētahi wā, ka taea hoki te whakamahi i te uaua i te ringa. Koinei te kōwhiringa pai rawa atu.
2. He paipa i hangaia ki te rauemi hangai:Mēnā kāore e taea te uru atu ki tētahi uaua mai i tō tinana, inā koa he tino nui te uaua toto e tika ana kia karohia (hei tauira, te aorta i roto i tō puku), ka whakamahia he ngongo horihori pēnei.
Ko te whāinga matua o tēnei pokanga he whakahoki mai i te rere o te toto ki ngā waewae, he whakamamae i te mamae, he whakaora i ngā patunga, ā, i roto i te āhuatanga kino rawa atu, he whakaora i a koe i te mōrearea o te tapahi i te waewae.
He aha ngā momo matua o te pokanga bypass?
He maha ngā momo pokanga whakawhiti. Ka tapaina ēnei i runga i te wāhi e hono ana te oko toto kua āraia me te uaua hou. Me titiro tātou ki ētahi o ngā momo e tino kitea ana i tō tātou whenua.
| Momo pokanga | Hei whakarāpopototanga, he aha te mea ka tupu? |
|---|---|
| Te Arawhiti Aortobifemoral | Ko te tikanga o tēnei ko te waihanga i tētahi ara hou mai i te pito o raro o te aorta i roto i te puku ki ngā uaua matua e rua e kawe ana i te toto ki ngā waewae (ngā uaua femoral). He rite te āhua o tēnei tānga ki te 'Y' e hurihia ana ki raro. |
| Te Arai Femur-Popliteal (Fem-Pop) | Ko te tikanga o tēnei ko te whakatakoto i tētahi pokanga whakawhiti mai i te uaua femoral i roto i te hope ki te uaua popliteal i runga ake, i raro rānei i te turi. Koinei te pokanga tino noa e mahia ana mō ngā uaua kua purua i roto i ngā waewae. |
| Te Arai Femoral-Tibial | I roto i tēnei, ka hangaia he ara hou mai i te uaua iliac ki ngā uaua tibial, kei raro rawa i te turi. Ka mahia tēnei pokanga ina kei raro rawa te aukati. |
He aha ngā whakamātautau me mahi i mua i te pokanga?
Āe, tino tika. Ka whakahaerehia e tō tākuta ētahi whakamātautau i mua i te whakamahere i te pokanga. Mā tēnei ka āwhina i a ia ki te whakatau i te wāhi me te nui o te uaua toto e āraia ana.
- Taupū Pona-Tuarua (ABI):He whakamātautau tino māmā tēnei. Ka inehia e rātou tō toto toto i roto i tō pona me tō ringa (brachial) ka whakataurite i ngā uara e rua. Mena he iti iho te toto i roto i tō waewae i te toto i roto i tō ringa, ko te tikanga he ārai kei te rere o te toto ki tō waewae.
- Te Whakamātautau Ira Toto: He whakamātautau kore mamae tēnei, he rite ki te mea e mahia ana ina whānau he pēpi. Ka taea te kite mārama i te rere o te toto i roto i ngā uaua toto, mēnā he toto totoka kei roto, me ngā wāhi e āraihia ana.
- Ētahi atu whakamātautau: I ētahi wā ka whakatau pea tō tākuta ki te tirotiro i tō āhua ngākau. Nā te mea he maha ngā tāngata he raruraru ō rātou uaua toto i ō rātou waewae, ka raru pea ō rātou uaua toto i roto i ō rātou ngākau.
He aha ngā mea ka tupu i te rā o te pokanga?
Ka mahia tēnei pokanga i roto i te hōhipera, i roto i te rūma pokanga. Kāore he mea hei wehi māu. Ka tiakina koe e ngā tākuta me ngā nēhi.
1. Whakamoemiti: Tuatahi, ka tirohia koe e te tohunga whakamoemiti, ka hoatu ki a koe te rongoā e tika ana hei pupuri i a koe kia moe hohonu i te roanga o te pokanga. Ka kiia tēnei ko te 'Whakamoemiti Whānui' .
2. Pokanga: I muri i tō moe, ka tapahia e te taote pokanga ētahi tapahi iti ki tō kiri hei uru atu ki ngā uaua toto e pā ana. Ko te wāhi me te rahi o ēnei tapahi ka whakawhirinaki ki te momo pokanga bypass e mahia ana e koe.
3. Te hono i te pokanga whakawhiti: Muri iho, ka tangohia e te tākuta te 'tāpiri' kua tīpakohia (tō ake uaua, he ngongo horihori rānei) ka hono atu ki te uaua hauora i runga ake, i raro hoki i te mea kua āraia mā te whakamahi i ngā tuitui angiangi rawa.
4. Te kati i ngā tapahi: I muri i te hanganga o te ara hou, ka tirohia te rere o te toto, ā, ka kati anō i ngā tapahi i mahia ki te kiri ki ngā tuitui.
Ko te tikanga , e rua ki te ono hāora te roa o tēnei tukanga katoa, i runga i te uauatanga o te pokanga bypass e mahia ana e koe.
He tūponotanga kei roto i tēnei pokanga?
Pērā i ngā pokanga katoa, tera pea he tūponotanga me ngā raruraru ka puta. Heoi, ka taea te whakaiti i ēnei tūponotanga i raro i te tirotiro a tētahi tīma hauora mohio. He paku teitei ake te tūponotanga o ngā raruraru, inā koa mō te hunga whai mate hauora pēnei i te mate manawa, te mate tākihi, me/ranei te mate huka.
| Ngā raruraru matua pea | |
|---|---|
| Te ngoikore o te tākai taha | Ka taea e ngā toto totoka te puta i roto i te rori hou, ā, ka piri anō. |
| Te toto mai i ngā motu | I muri i te pokanga, ka toto pea ngā tuitui. |
| Ngā mate urutā | Ka taea e ngā iroriki te uru ki ngā tapahi, ki ngā pokanga hou rānei kua whakaurua. |
| Te pakaru o te io | Tērā pea ka ngoikore, ka ngoikore rānei te waewae. |
| Ētahi atu raruraru | Ngā āhuatanga pēnei i te mate manawa, te niumōnia rānei. |
He aha ngā mea ka tupu i muri i te pokanga? He pēhea te roa o te wā whakaora?
I muri i te pokanga, me noho koe ki te hōhipera mō ētahi rā. I roto i tēnei wā:
- Ka hoatu he rongoā whakamamae mamae ki a koe.
- Ka hoatu ngā rongoā ārai toto hei ārai i te toto e pupuhi ana i roto i te tākai hou.
- Mā te hunga nēhi ō patunga e horoi, ā, ka tiakina pai hoki.
Ko te mea nui ko te ara ake i te moenga ka tīmata te hikoi i te wā e taea ai. Tērā pea he uaua tēnei i te tīmatanga, engari he mea nui kia haere mārire, e ai ki ngā tohutohu a tō tākuta me te kaiwhakaora tinana. Mā tēnei ka pai ake te rere o te toto, ā, ka tere ake tō ora.
Ahakoa kua hoki koe ki te kāinga, me hoki mārire koe ki tō āhua o ia rā. Me mutu pea te hiki i ngā taumaha me te mahi i ngā mahi uaua mō tētahi wā.
Nā tēnei pokanga i whakatau te 'rerenga' i roto i ō uaua toto. Engari, kaua e wareware, kei roto tonu i tō tinana ngā tino take o tēnei mate (Peripheral Artery Disease - PAD). Ko te tikanga tēnei ko tō whai wāhitanga tuarua tēnei.
Kia ora ai te kiriuhi mō te wā roa, me whakarerekē e koe tō momo noho.
- Ki te kai paipa koe, kati i tēnei rā: Ko te kai paipa te tino take o te korenga o te hononga.
- Whakahaerehia te mate huka, te toto toto tiketike, me te cholesterol: Tangohia ngā rongoā i tohua e tō tākuta i te wā tika.
- Kai i tētahi kai hauora: whakaitihia te hinu, te tote, me te huka. Kai atu i ngā huawhenua, ngā hua rākau, me ngā rau kakariki.
- Whakakorikori tinana kia rite ki ngā tohutohu a tō tākuta: Ahakoa ngā mahi whakakorikori tinana māmā pēnei i te hikoi i ia rā, he tino whai hua.
- Haere ki ngā wāhi hauora i te wā tika: Me tūtaki ki tō taote pokanga, ka tirotiro i te āhua o te pokanga i ia wā, i ia wā.
Āhea ahau me kite anō i te tākuta?
Mena ka pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te pokanga, waea atu ki tō tākuta tonu atu.
| Ki te kite koe i tētahi panoni pēnei i tō waewae... | |
|---|---|
| - Mamae kore e taea te whakamanawanui | - Ngā waewae makariri, mā, kikorangi rānei |
| - Te ngoikore, te ngaro rānei o te kare ā-roto | - Mēnā ka kino haere ngā mate pukupuku o te waewae, ka puta mai rānei he mate pukupuku hou |
| Mena ka puta mai ētahi atu raruraru... | |
| - Kirika | - Whakapairuaki me te ruaki |
| - Te whero me te mahana huri noa i ngā wahi i tapahia | - He wai rite ki te pūhā e maringi ana mai i ngā patunga |
Ki te pāngia koe e te mamae ohorere o te uma, te uaua ki te manawa, te mamae ohorere rānei o te waewae me te makariri, te koma o ngā waewae, haere tonu ki te Tari Ohotata (ETU) o te hōhipera tata.
Karere Tangohia ki te Kāinga
- Ko te Pokanga Ārai Toto he tikanga whakaora ora e karo ana i te oko toto kua āraia, ka waihanga i tētahi ara hou mō te rere o te toto.
- Ka taea e tēnei te whakaiti i te mamae o te waewae, me te ārai i te mōrearea o te tapahi i te waewae.
- Kia angitu ai te pokanga, he mea nui kia whakarerekētia tō momo noho i muri i te pokanga. Me mutu rawa te kai paipa.
- Kia mau tonu te whakahaere i te mate huka, te toto toto tiketike, me te cholesterol.
- Ki te pāngia koe e ētahi tohu rerekē i muri i te pokanga, kaua e mataku, engari me whakamōhio tonu atu ki tō tākuta.
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