Kei te puta mai hoki ō uaua kikorangi, papura rānei i ō waewae? Kei te pupuhi tonu rānei ō waewae, ā, kei te taumaha tonu te ahua? Ahakoa he raruraru noa ēnei mō te tini o te tangata, i ētahi wā he tohu ēnei o tētahi mate e pā ana ki ngā uaua toto o roto i tō tātou tinana, inā koa ko ngā uaua. Nō reira, i tēnei rā ka kōrero tātou mō te aha tēnei mate uaua, te `(Mate Uaua)` rānei, me ngā maimoatanga mōna. Kaua e mataku, he mea tino nui kia mōhio koe ki tēnei.
He kupu ngāwari noa iho, he aha te mate uaua?
Whakaarohia, he whatunga o ngā uaua toto puta noa i tō tātou tinana. Ka kiia ēnei uaua he uaua toto. O ēnei, ko ngā uaua e kawe ana i te toto mai i te tinana ki te ngākau ko ngā uaua. I roto i te uaua hauora he wāhanga iti rite ki te tatau, e kiia ana he takirere. Kotahi anake te huarahi e tuwhera ana ēnei. Nō reira ka rere tonu te toto ki te ngākau, ā, kāore e hoki mai.
Heoi, i roto i tētahi āhuatanga pēnei i te 'Venous Insufficiency', kāore ēnei takirere e mahi tika. Ko te mea ka tupu, kāore te toto e neke whakamua, engari ka noho pūmau i te wāhi kotahi, ka rere whakamuri rānei. Koinei te mea e kīia ana e tātou ko te mate uaua. Mā te rongoā i tēnei ka whakahokia mai te rere o te toto, ka whakaiti i te tūponotanga o ngā raruraru.
Ngā momo mate uaua noa
- Ngā totoka toto: Te hanganga o ngā totoka toto i roto i ngā uaua.
- Te ngoikore o te uaua mau tonu (CVI): Te noho pūmau o te toto nā te ngoikore o ngā takirere o roto i ngā uaua mō te wā roa.
- Te toto totoka i roto i ngā uaua hohonu o te tinana (i ngā waewae te nuinga). He āhua kino ake tēnei.
- Te Puku Pūkahukahu: He toto totoka e pakaru mai ana i te DVT ka haere ki ngā pūkahukahu. He mate tino kino, he morearea hoki tēnei.
- Te toto totoka o waho: Ka puta he toto totoka i roto i ngā uaua i raro i te kiri, ka pupuhi, ka whero, ka mamae hoki te uaua.
- Ngā uaua varicose me ngā uaua pungawerewere: He uaua pupuhi, piko e kitea ana i runga ake i te kiri. He tokomaha hoki e kī ana i ēnei he "uaua pungawerewere".
He aha ngā maimoatanga kāore he pokanga?
I te nuinga o te wā, ka ngana tuatahi te tākuta ki te whakahaere i te mate me te kore pokanga. Ka taea te whakamahi i tēnei maimoatanga ko ia anake, ka taea rānei te whakamahi tahi me ētahi atu maimoatanga.
| Tikanga maimoatanga | He aha te mea ka tupu ki tēnei? |
|---|---|
| Ngā rongoā whakaheke toto (Anticoagulation) | Ka ārai ēnei rongoā i ngā toto totoka. He mea tino nui ēnei mō ngā āhuatanga pēnei i te DVT me te aukati i te hanganga o ngā toto totoka. |
| Ngā momo tōkena motuhake (Tōkena Kōpeketanga) | Ka pēhia mārire e ēnei tōkena ngā waewae, ka whakaiti i te toto e kohia ana i roto i ngā uaua. Ka āwhina i te whakahaere i ngā uaua varicose me te DVT. |
| Ngā huringa āhua noho | Ka taea te whakahaere i ngā tohu mā te whakakorikori tinana, te hikoi, te pupuri i ō waewae kia paku teitei, me te whakaiti i tō taumaha. |
| Te whakaora i te kiriuhi | He maimoatanga motuhake tēnei mō ngā uaua varicose. Ka werohia e te tākuta he wai motuhake ki roto i te uaua varicose. Mā tēnei ka mimiti te uaua, ka ngaro haere i roto i te wā. |
Ngā maimoatanga hou mā te whakamahi i ngā catheter
I roto i ēnei tikanga, ka tapahia he wahi iti e te tākuta ki te kiri, ka whakauru i tētahi catheter , he ngongo angiangi rawa, ki roto i te uaua. Nā te mea kāore e hiahiatia he tapahi nui, ka poto ake te wā whakaora, ā, ka iti ake ngā raruraru.
- Angioplasty: Ka whakauruhia he catheter ki roto i tētahi uaua kua āraia, ā, ka pupuhihia he poihau iti ki te pito hei whakawhānui i te uaua mai i roto. Mā tēnei ka ngāwari ake te rere o te toto. I ētahi wā, ka whakanohoia he stent , he ngongo mata iti, ki roto i te uaua hei ārai i tōna whaiti anō.
- Te rongoā toto toto e whakamahia ana e te katita: Ka whakauruhia he katita ki te wāhi kei reira te toto totoka, ā, ka werohia tika atu ngā rongoā toto totoka ki roto. Ka memeha te toto totoka i roto i ētahi haora, i ētahi rā rānei.
- Te tango wera endovenous: Ka kiia hoki tēnei ko te whakaora laser. Ka whakamahia he catheter hei tuku i te mārama laser, i te kaha wera rānei ki roto i te uaua kāore e mahi tika ana, ka "hiritia" te uaua mai i roto. Kātahi ka mimiti te uaua, ka tīmata te rere o te toto i roto i ngā uaua hauora.
- Tātari Vena cava:He tātari iti tēnei, he rite te āhua ki te maru. Ka whakanohoia ki roto i te uaua matua o roto i tō tātou puku (vena cava). Ka whakamahia hei ārai i te rere o ngā toto e puta ana i roto i ngā waewae ki te roro, ki ngā pukahukahu rānei.
I roto i ēhea āhuatanga e hiahiatia ai te pokanga?
Ko te tikanga, ka tūtohutia te pokanga mēnā kāore i angitu ētahi atu maimoatanga māmā, mēnā rānei he kino rawa te mate.
Mena ka nui te whakararuraru o tēnei āhuatanga i ō mahi o ia rā, ki te mea rānei kei te tūpono koe ki tētahi āhuatanga kino ake pērā i te DVT, te Pulmonary Embolism rānei, ka whakaarohia pea e tō tākuta te pokanga.
He maha ngā momo pokanga matua:
- Te here me te tango i te uaua varicose: Ko tēnei ko te here i te uaua varicose e raru ana, kātahi ka tangohia. I ētahi wā ka mahia tēnei pokanga mā roto i ngā tapahi iti mā te whakamahi i tētahi taputapu pēnei i te endoscope.
- SEPS (pokanga perforator endoscopic subfascial): Ka mahia tēnei pokanga ki te hunga kua pakaru ō rātou uaua i ngā waewae o raro, ā, kāore anō kia ora ō rātou patunga (ngā mate pūkahukahu).
- Te pokanga arai: He rite ki te hanga i tētahi arai hei arai i tētahi ara kīkī, ko te hanga i tētahi ara hou huri noa i tētahi oko toto kua āraia. Ka taea tēnei te mahi mā te whakamahi i tētahi wahi o tō ake uaua, i tētahi ngongo horihori rānei (tāpiri).
He aha ngā painga me ngā mōrearea o ēnei maimoatanga?
Pērā i ngā maimoatanga katoa, he tūponotanga, he painga anō hoki. Hei tauira, ka taea e ngā rongoā whakaiti toto te whakaheke toto te whakaheke toto. He iti noa te tūponotanga o te mate i te wā e pokanga ana.
Heoi, i te nuinga o te wā, he nui ake ngā painga o ēnei maimoatanga i ngā mōrearea. Ka taea e ēnei maimoatanga te āwhina ki te ārai i ngā raruraru morearea pērā i te pulmonary embolism. Ka taea hoki e rātou te whakaora i ngā tohu pērā i te pupuhi o te waewae, te mamae, te mākūkū, me ngā uaua varicose. Ma tō tākuta koe e whakamārama te maimoatanga pai rawa atu mō tō mate.
Āhea te rapu tohutohu hauora tonu
Mena kei a koe ētahi o ngā tohu e whai ake nei i muri i te maimoatanga mō te mate uaua (te whakamahi i te catheter, te pokanga rānei), me toro atu ki tō tākuta tonu atu , me haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
- Mamae o te uma
- Te toto tonu, te wai rānei mai i ngā motu
- Kirika
- Ānini
- Whakapairuaki, ruaki rānei
- Te mamae nui, te pupuhi rānei i te taha o te tapahi
- Te ngoikore o ngā peka
- Te whero, te mahana rānei huri noa i te tapahi
Karere Tangohia ki te Kāinga
- He mate uaua te mate e whakararuraru ana i te rere o te toto i roto i ngā uaua o te tinana. He tino noa ēnei.
- Ki te puta mai ngā tohu pēnei i te pupuhi o te waewae, te mamae, te kitea rānei o ngā uaua, kaua e warewarehia. Tirohia he tākuta kia kitea ai te take.
- He maha ngā momo maimoatanga e wātea ana i ēnei rā, tae atu ki ngā rongoā, ngā whakarerekētanga momo noho, ngā maimoatanga hou e whakamahi ana i te catheter, me te pokanga.
- Kāore e hiahiatia he pokanga mō te katoa. Mā tō tākuta e whakatau ko tēhea te maimoatanga e pai ana māu.
- Mā te maimoatanga tika, ka taea e te tini o te tangata te karo i ngā raruraru kino me te noho ora noa, ora kaha.











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