Ka pāngia koe e te mamae nui i ō waewae i ētahi wā, inā koa i ō huha me ō kōpū waewae, ina hikoi koe? Me mutu koe nā te mamae nei ina hikoi koe i tawhiti? Kāore rānei, ka roa te wā e ora ai ngā patunga iti i ō waewae, ka mātao rānei ō waewae ina pā atu, ā, ka rerekē te tae? Ko te take matua o ēnei mea ko te aukati i ngā oko toto (ngā uaua) e kawe ana i te toto ki ō waewae. Nō reira, ina kino rawa atu tēnei mate, ko tētahi o ngā maimoatanga matua me te tino whai hua e taunakihia ana e ngā tākuta ko te pokanga taha. Me kōrero tātou mō tēnei i tēnei rā.
He aha te Pokanga Ārai Toto?
He tino māmā noa iho tēnei. Whakaarohia kua kati rawatia tētahi rori matua i roto i tētahi tāone nui mō te mahi tiaki. Kātahi ka kore e taea e ngā waka te haere, tika? Nā, he aha te mahi a ngā mana whakahaere? Ka tahakihia e rātou taua rori ka hanga he rori taha hou, he rori tahaki, kia tae atu ai ngā waka ki tō rātou ūnga.
Koinei tonu te mea e tupu ana i roto i ō tātou tinana i te wā o te pokanga bypass. Ina āraia te uaua nui e kawe ana i te toto ki tō waewae e ngā mea pēnei i te cholesterol ka aukatia rawatia te rere o te toto, ka hangaia e te taote pokanga he ara hou mō te rere o te toto huri noa i te uaua kua āraia.
Ka whakamahia he 'tāpiri' hei hanga i tēnei ara hou. Tērā pea he uaua tēnei tāpiri mai i tētahi atu wāhanga o tō tinana (mai i tō waewae i te nuinga o te wā). Tērā pea he rauemi hangai motuhake. Ko te whāinga matua o tēnei pokanga he whakahoki mai i te rere pai o te toto ki tō waewae, kia ora tonu te kiko, ā, kia kore ai koe e mate i te tūponotanga nui o te tapahi i te heke mai.
Ko wai e hiahia ana ki tēnei pokanga?
Ko tēnei pokanga e hiahiatia ana mō te hunga he tino aukati ngā uaua e tuku toto ana ki ō rātou waewae. E mōhiotia ana tēnei āhuatanga hauora ko te 'Peripheral Artery Disease (PAD).' Ina kaha rawa te mate 'PAD', ka tino heke te tuku toto ki ngā waewae, ā, ka tīmata te mate o ngā kiko o ngā waewae. Ka kiia tēnei ko te 'Critical Limb Ischemia'.
Ki te kī ngāwari, ki te kore he toto e rere ki te waewae, kei roto te waewae i te mōrearea. He maha ngā wā ka whakamahia tēnei pokanga arai hei whakaora i ngā waewae o ngā tūroro i roto i ēnei āhuatanga tino kino.
He aha ngā momo matua o te pokanga bypass?
He maha ngā momo pokanga. Ka tapaina ēnei i runga i te uaua e tīmata ai te pokanga whakawhiti toto me te uaua e tukuna ana te toto. Ka taea e koe te whiwhi whakaaro pai mō tēnei mai i te ripanga i raro nei.
| Ingoa o te pokanga (Momo o te pokanga taha) | Ko te mea e tupu ana he mea noa iho |
|---|---|
| Te arai taha o te uaua o te hononga o te waewae me te waewae | Ka tīmata mai i te uaua matua nui (Aorta) i roto i te puku, ka wehea kia rua pērā i te 'Y' e hurihia ana ki raro, ā, ka hono atu ki ngā uaua matua (ngā uaua femoral) i roto i ngā huha o ngā waewae e rua. |
| Te arai femoral-popliteal | Ka tīmata mai i te uaua femoral i roto i te hope, ka hono atu ki te uaua popliteal i runga ake, i raro rānei i te turi. |
| Te arai femoral-tibial | Ka tīmata mai i te uaua femoral i roto i te hope, ka hono atu ki ngā uaua tibial i raro i te turi. |
Ngā whakamātautau i mua i te pokanga
Āe, tino tika. Ka whakahaerehia e tō tākuta ētahi whakamātautau i mua i te whakamahere i tō pokanga. Ko ngā whakamātautau matua ko:
- Taupū pona-pūnaha: Mā tēnei ka ine i te toto i roto i tō ringa me tō pona, ka whakataurite i ngā mea e rua. Mā tēnei ka taea e koe te whakaaro ki te nui o te toto kua heke ki ō waewae.
- Te Matawai Ultrasound o ngā Toto (Matawai Doppler): He matawai kore mamae tēnei ka taea te tirotiro tika i te rere o te toto i roto i ngā uaua me ngā ārai katoa.
Hei tāpiritanga, i te mea he maha ngā tāngata he raru uaua waewae, tera pea he raru anō hoki ki ō rātou uaua ngākau, ka tirohia hoki e ngā tākuta te hauora o tō ngākau i mua i te pokanga. He mea tino nui tēnei mō tō haumaru.
Te āhua o te pokanga me ngā tūponotanga pea
Ka tū te pokanga i roto i te rūma pokanga o te hōhipera. Tuatahi, ka hoatu he rongoā whakamoe whānui ki a koe (he rongoā whakamoe). Nō reira, kāore koe e rongo i tetahi mea i te wā o te pokanga. Kātahi ka mahia e te taote pokanga ētahi tapahi (tapahanga) ki te kiri kia tae atu ki ngā uaua e tika ana. Muri iho, ka tangohia te tārai tika, ka karohia te uaua kua āraia, ā, ka hangaia he ara hou me ngā tuitui tino pai. Ko te tikanga ka roa pea tēnei pokanga i waenga i te rua ki te ono hāora.
Pērā i ngā pokanga katoa, he mōrearea anō hoki kei reira, inā koa mō te hunga whai mate pēnei i te mate huka, te mate ngakau, te mate tākihi rānei.
| Ngā tūponotanga mōrearea/ngā raruraru pea |
|---|
| Te korenga o te pokanga ārai - Ko te tikanga tēnei kua whakaitihia, kua āraia rānei te rere o te toto i roto i te pokanga. |
| Te toto mai i ngā motu. |
| Te mate pāwera, te mate rānei o te hononga. |
| Te pakaru o ngā io, te ngoikore, te ngoikore rānei o te waewae. |
| Te whakaekenga o te ngākau. |
| Pūngāwerewere. |
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, me noho koe ki te hōhipera mō ētahi rā. Ka hoatu he rongoā ārai toto ki a koe hei ārai i te hanganga o ngā toto totoka i roto i te pokanga hou kua hangaia.
Ko te mea nui rawa atu , kia kī atu pea tō tākuta kia ara ake koe i te moenga, kia tīmata hoki te hikoi haere. He mea nui tēnei kia tere tonu ai te rere o te toto, kia tere ai hoki tō ora. Tērā pea ka hiahia ētahi tāngata ki te whakaora tinana. Mā te āta haere, ka taea e koe te hoki ki ō mahi o ia rā.
Kia maumahara ki tētahi mea nui. Kāore tēnei pokanga e whakaora katoa i tō PAD. Ka whakahaere noa i ngā tohumate, ā, ka ora tō waewae. I roto i te wā, ka āraia anō ēnei tānga. He mea noa te korenga o te tānga i roto i te hunga momi hikareti. Nō reira, ko te angitu o te pokanga kei runga i tō momo noho.
Āhea koe me waea atu ki tō tākuta tonu atu?
Ina hoki koe ki te kāinga i muri i te pokanga, kia tino tupato ki ngā tohu e whai ake nei. Mēnā kei a koe tētahi o ēnei, whakamōhio tonu atu ki tō tākuta, ki te hōhipera rānei i whiwhi ai koe i te maimoatanga.
| Ngā tohu whakatūpato hei tirotiro māu | |
|---|---|
| Mena kei te kitea ēnei tohu i te waewae i tāraihia: | |
| - Mamae hou, mamae kino rānei | - Ngā waewae makariri, mā, kikorangi rānei |
| - Te ngoikore, te kore rānei e rongo i tetahi mea | - Te kino haere o ngā patunga waewae |
| Mena he tohu noa atu anō o ngā 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 |
Karere Tangohia ki te Kāinga
- Ko te Takahi Toto he pokanga e karo ana i tētahi oko toto kua āraia, ka waihanga i tētahi ara hou mō te rere o te toto.
- Ko te whāinga matua o tēnei he whakaora i te rere o te toto ki te waewae, me te tiaki i a ia mai i te mōrearea o te tapahi.
- Kia angitu ai te pokanga me te pupuri i te pokanga mō te wā roa, he mea nui kia mutu rawa te kai paipa , me te whakahaere tika i ngā mate pēnei i te mate huka me te toto toto tiketike.
- Ahakoa i muri i te pokanga, he mea tino nui kia mau tonu te whakapā atu ki tō tākuta me te tirotiro i a koe anō i ia wā.
- Ki te kite koe i tētahi mamae hou, i te ngoikore, i te rerekē te tae, i te kino haere rānei o tētahi patunga i tō waewae, kaua e warewaretia, engari me whakamōhio tonu atu ki tō tākuta.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero