He uaua pupuhi kei roto i ō waewae? Me kōrero tātou mō te mate uaua!

Ka kite koe i ētahi wā i ngā uaua kikorangi, papura rānei i roto i ō waewae? He taumaha noa iho rānei, he mākūkū, he mamae rānei ō waewae? Tērā pea ka whakaaro ētahi he mea noa tēnei, he mea ka puta i muri i te tū roa, i muri rānei i te whakapau kaha. Heoi, ko ēnei tohumate pea te tohu tuatahi o tētahi raruraru ki te pūnaha uaua o tō tātou tinana, arā, te pūnaha uaua e kawe ana i te toto paru. Nō reira, i tēnei rā, me kōrero tātou mō tēnei mea me ētahi atu kōrero, he aha te mate uaua, me pēhea te whanaketanga, me ngā mea ka taea e tātou te mahi hei tiaki i a tātou anō mai i tēnei mate.

He aha te Mate Uaua? Kia mārama tātou ki tēnei mea!

Ki te whakarapopoto, ko te Mate Uaua he mate e pā ana ki ngā uaua o te tinana, te momo oko toto e kawe ana i te toto paru ki te ngākau. Kei te mōhio koe, he rite ēnei uaua ki ngā ngongo ngāwari, tuwhera. He wāhanga tino nui o te pūnaha tohanga toto e kawe ana i te toto puta noa i te tinana.

Ko te mahi matua a ngā uaua he kawe i te toto kua pau te hāora (me kī tātou he "toto paru") ki te ngākau i muri i te whakamahinga i roto i ngā wāhanga rerekē o te tinana. Kātahi ka horoia e te ngākau tēnei toto, ka tāpirihia te hāora, ka panaia ki te toenga o te tinana. I tētahi atu taha, ka kawe ngā uaua i te toto ma, he nui te hāora mai i te ngākau ki te toenga o te tinana. He mea tino nui mō tō tātou hauora kia tika te mahi a ēnei e rua.

Inaianei tirohia, he mea tino whakamiharo kei roto i ēnei uaua. Ka kiia ēnei he takirere . He rite ēnei ki ngā tatau iti. Ina neke tātou, ina hikoi tātou, ina kuiti ō tātou uaua, ka tuwhera ēnei takirere. Kātahi ka rere te toto i te taha kotahi, arā, ki te ngākau, ki runga. Ina okioki anō ngā uaua, ka kati ēnei takirere. Kātahi ka mutu te rere o te toto ki raro nā te kaha o te kaha ā-papa. Whakaarohia he takirere e aukati ana i te rere o te wai ki raro ina ringihia te wai ki roto i te tāke wai.

Heoi, ki te pakaru ngā takirere o roto i ngā uaua nā tēnei mate uaua, tērā pea kāore e kati tika. He aha te mea ka tupu mēnā ka tupu tēnā? Whakaarohia, ki te kore e taea e taua tatau te kati tika, ka tīmata te toto ki te turuturu whakamuri, ka taea rānei te rere ki ngā taha e rua. Koinā te wā ka tīmata te puta o ngā raruraru takitahi, arā, ngā tohu e pā ana ki te mate uaua.

He aha ngā momo mate uaua? Kia tūpato tātou!

He maha ngā momo mate uaua. Me titiro tātou ki ngā momo matua:

• Ngā Puku Toto: Kāore e taea anake te puta i ngā waewae me ngā ringa, engari i roto hoki i ngā uaua o ngā whekau o roto pērā i ngā whatukuhu, te whēkau, ngā whekau, me te ate, i roto i ngā uaua o te roro (Cerebral Vein Thrombosis), i roto i ngā uaua o ngā whatukuhu (Renal Vein Thrombosis), tae noa ki roto i ngā pukahukahu (Pulmonary Embolism).
• Te Thrombosis Utauta Hōhonu (DVT): He āhuatanga tēnei kua rongohia e te tini tāngata, ā, he āhua whakamataku pea. Ka puta mai ina puta he toto totoka i roto i te uaua hōhonu (i ngā waewae, i ētahi wā i ngā ringa) e rere ana ki roto rawa i te tinana.Ehara i te mea he mate mōrearea te DVT kotahi. Heoi, ki te pakaru tēnei toto toto ka haere i roto i te toto ka mau ki roto i te uaua o ngā pukahukahu, ka kiia tēnei he Pulmonary Embolism (PE), he āhuatanga ohorere e mate ai.
• Te Thrombophlebitis Papa: Koinei te wā e puta ai he toto totoka i roto i te uaua papa , e tata ana ki te kiri. Ko tēnei momo toto totoka kāore e haere ki ngā pukahukahu ki te kore e haere tuatahi ki te pūnaha uaua hohonu. Heoi, ka taea e ia te mamae nui.
• Te ngoikore o te uaua mau tonu: Ka puta tēnei āhuatanga ina kore te toto i roto i ngā uaua e neke tika, ā, ka noho pūmau. Ka puta pea te pupuhi tonu o ngā waewae, te pikinga o te pēhanga i roto i ngā uaua, te rerekētanga o te kiri (pango, parauri rānei), me ngā patunga kāore e ora, e mōhiotia ana ko ngā mate pukupuku venous stasis .
• Ngā Uaua Varicose me ngā Uaua Spider: He āhuatanga noa ēnei e kitea ana e te tini o te tangata, ā, i ētahi wā ka kiia he raruraru āhua. Koinei te wā ka ngoikore ai ngā pakitara o ngā uaua, ka piko, ka pupuhi, ka kitea hoki ngā uaua i runga ake i te mata o te kiri. He iti ake ngā uaua spider , he rite ki te pūngāwerewere.
• Ngā Mate Pukupuku Uaua: He patunga ēnei e roa ana te wā e ora ai, e puta anō rānei i muri i te ora. Ko te nuinga o te wā ka kitea i raro i te turi, i te taha o roto o te waewae, me runga ake i te pona waewae.
• Ngā Fistula Arteriovenous: He āhuatanga rerekē tēnei e hono tika ai te uaua toto (te oko toto e kawe ana i te toto ma) me te uaua toto (te oko toto e kawe ana i te toto paru) kāore he mea i waenganui.

He pēhea te noa o ēnei mate uaua?

He nui ake te kitea o ēnei mate i tō whakaaro. Hei tauira, i tētahi whenua pērā i Amerika, e ai ki ngā pūrongo neke atu i te 30 miriona tāngata e pāngia ana e ēnei āhuatanga. E ai ki ngā kairangahau ka piki ake tēnei tokomaha ā muri ake nei. Nā te mea ka roa ake te ora o te tangata, ka nui haere hoki tōna taumaha, ka piki ake hoki te mōrearea ki te pāngia e ēnei mate uaua.

E ai ki te whakatau tata ki te 33% o ngā pakeke, arā, kotahi i roto i te toru, he uaua varicose tō rātou. Waihoki, tata ki te 1% o ngā pakeke ka pāngia e ngā mate pukupuku waewae uaua .

He aha ngā tohu o te mate uaua? Kia tūpato ki tēnei!

I roto i te mate uaua, ka pāngia pea koe e ēnei tohu i ō waewae, i ō ringa rānei:

• Te mamae, te kōpiripiri, te koretake rānei o ngā waewae.
• Te whero o te kiri, te māhana rānei o te wāhi.
• Te taumaha o ngā waewae, o ngā ringa rānei.
• Te mākūkū, te wera rānei o te kiri.
• Te pupuhi.
• Ngā uaua e pupuhi ana.

Mena kei a koe tētahi, neke atu rānei o ēnei tohu, he mea whakaaro nui kia rapu tohutohu hauora, kaua e warewarehia.

He aha i puta ai ēnei mate uaua? He aha ngā take?

He maha ngā take o te mate pukupuku:

• He hapa kei roto i te hanganga o ngā uaua i te whānautanga.
• He aituā, he whara rānei ki ngā uaua.
• Ngā pānga i puta mai i ētahi atu mate uaua.
• Te ngoikore o ngā pakitara o te uaua nā ngā āhuatanga pēnei i te hāputanga, te koroheketanga, ngā kiore, ngā pukupuku rānei.
• Te toto toto tiketike.

Ko wai kei te nui ake te mōrearea ki te pāngia e ēnei mate uaua?

He nui ake te tūponotanga o ētahi tāngata ki te pāngia e te mate uaua i ētahi atu. Me titiro tātou ko wai rātou:

• Mena he mate uaua (hītori whānau) tō tetahi o te whānau.
• I te wā e hapu ana (ngā huringa homoni me te pēhanga ki ngā uaua nā te pēpi e tipu haere ana)
• Mena he nui ake tō BMI (Body Mass Index) i te 30. (Ko te tikanga he taumaha rawa koe mō tō teitei)
• Mō ngā wāhine. (nā ngā pānga o ngā homoni)
• Ko te hunga e noho roa ana i te tūranga kotahi, inā koa ko te tū, ko te noho rānei. (hei tauira, ngā kaiako, ngā kaimahi toa, ngā tāngata e mahi ana i ngā tari e noho roa ana)
• Mō te hunga e tango ana i ngā pire ārai whānau, i te rongoā whakakapinga homoni rānei.
• Mō te hunga e whakamahi ana i ngā hua tupeka (ngā kaipaipa).

He aha atu ngā raruraru ka puta mai i te mate uaua?

Ki te kore e rongoatia tika te mate uaua, ka arahi pea ki ētahi atu raruraru hauora. Whakaarohia, kotahi te raruraru ka arahi ki ngā raruraru maha atu.

• Ka taea e ngā toto totoka i roto i ngā uaua i runga ake i te kiri (te thrombophlebitis o runga) te arahi ki te thrombosis o te uaua hohonu (DVT) .
• Ka taea e te DVT te arahi ki te ngoikore o te uaua mau tonu (CVI) te pulmonary embolism rānei (PE) .
• Ka taea e te embolism pūkahukahu te whakaputa i te toto toto tiketike pūkahukahu .
• Ka taea e ngā uaua varicose te whakaputa i te thrombophlebitis papatahi , i ngā mate pukupuku rānei.
• Ki te kore e ora tika ngā mate pukupuku uaua , ka pangia pea, ā, ka puta he mate kino pērā i te gangrene .

Nō reira, ki te puta mai ngā tohu o te mate uaua, he mea nui kia kaua e warewarehia, engari me rapu tohutohu hauora me te rapu maimoatanga tika.

Me pēhea te mohio mena kei a koe te mate uaua?

Ki te whakaaro koe kei a koe ngā tohu o te mate uaua, ko te mea tuatahi me mahi e koe ko te toro atu ki te tākuta. Ka pātai atu te tākuta ki a koe mō ō tohu, me te mea kua pāngia tētahi o tō whānau e ēnei āhuatanga (hītori hauora whānau). Kātahi ka tirotirohia e rātou te tinana. Ki te tika, ka tūtohu pea rātou i ētahi whakamātautau hei whakaū i te mate.

He aha ngā whakamātautau e mahia ana mō tēnei?

He whai hua ngā whakamātautau pēnei i te tautuhi i ngā mate uaua:

• Taupū pona-puku (ABI): Ka ine tēnei i te rere o te toto ki ngā waewae.
• Ultrasound: Koinei te whakamātautau tino noa, kāore he mamae. Ka taea te tirotiro i ngā mea pēnei i te rere o te toto i roto i ngā uaua, mēnā he toto totoka kei roto, me te mea kei te mahi tika ngā takirere.
• Te oro-matawai ā-roto (IVUS): Ko te whakauru i tētahi kāmera iti ki roto i tētahi uaua hei tirotiro.
• Matawai CT (Tomography Rorohiko - CT): Ka taea hoki e tēnei te tango whakaahua taipitopito o roto o te tinana.
• Matawai MRI (Magnetic Resonance Imaging - MRI): Ko tētahi atu whakamātautau tēnei e whakarato ana i ngā whakaahua mārama o roto o te tinana.
• Whakamātautau angiogram: I tēnei whakamātautau, ka werohia he wai motuhake ki roto i ngā uaua, ā, ka tangohia he hihi-X hei tirotiro mēnā he aukati kei roto i te rere o te toto.

Mā te tākuta e whakatau ko ēhea ngā whakamātautau hei mahi i runga i tō āhua.

He aha ngā rongoā mō ngā mate uaua?

He maha ngā āhuatanga e pā ana ki te maimoatanga mō te mate uaua, tae atu ki te momo mate, tōna kaha, me tō hauora whānui. Ko ēnei momo maimoatanga te nuinga:

• Ngā Rongoā: Ka taea te hoatu rongoā hei ārai i ngā totoka, hei whakarewa i ngā totoka o nāianei, hei whakaiti hoki i te mamae.
• Tōkena pēhi, takai rānei: He tōkena motuhake ēnei, he takai rānei, ka mau ki ngā waewae. Ka pēhia ngā uaua, ka āwhina i te rere o te toto ki runga, ka whakaiti i te pupuhi.
• Ngā huringa āhua noho: He mea tino nui tēnei. Ngā mea pēnei i te kai i ngā kai iti te ngako, te whakakori tinana i ia rā, me te whakamutu i te kai tupeka.
• Ngā tikanga motuhake, ngā pokanga rānei: I ētahi wā, ka hiahiatia pea ngā tikanga motuhake, ngā pokanga rānei ki ngā uaua.

Ngā rongoā me ngā maimoatanga motuhake

Ka rerekē ngā rongoā me ngā maimoatanga e hoatu ana i runga i te momo mate. Anei ētahi tauira:

• Ngā rongoā ārai toto: Ka kiia hoki ēnei he rongoā whakaiti toto.
• Ngā rongoā thrombolytic: Ka hoatu ēnei mō ngā toto toto nui, i roto i ngā āhuatanga ohorere.
• Te tango i ngā uaua varicose i roto i te endovenous:Kei roto i tēnei ko te whakamahi i ngā hangarau pēnei i te taiaho, te sclerotherapy, te auau irirangi rānei hei whakakore i te wāhanga kua pakaru o te uaua mai i roto.
• Te tango pokanga i te toto totoka (Thrombectomy): Ka tangohia ētahi toto totoka nunui i tēnei ara.
• Tātari Vena Cava: He taputapu tātari iti, he rite ki te tātari, ka whakanohoia ki roto i tētahi uaua nui hei ārai i te toto totoka kei haere ki ngā pukahukahu, mō te hunga whai DVT engari kāore e taea te tango i ngā rongoā whakangawari toto.
• Pokanga uaua: Pokanga hei tango, hei whakatika rānei i ngā uaua kua pakaru.

Ko te mea nui ko te kōrero ki tō tākuta mō te maimoatanga e tika ana māu. Kia mārama ki ngā painga, ngā huakore, me ngā pānga taha o ia maimoatanga.

He pānga taha kei te rongoā?

Ae, pērā i ngā maimoatanga hauora katoa, ka pā mai ētahi pānga taha o te maimoatanga uaua. Kei te momo maimoatanga e whiwhi ana koe. Nō reira, he mea nui kia kōrerohia ēnei ki tō tākuta i mua i te tīmatanga o te maimoatanga.

Kia pēhea te roa ka pai ake ai taku āhua i muri i te maimoatanga?

He rerekē hoki tēnei i ia tangata, i ia tangata, ā, i runga anō i te momo maimoatanga. Ka taea e ētahi maimoatanga te whakarato i te whakaora tere. Ka taea e te mate pēnei i te thrombophlebitis papatahi te memeha i roto i ētahi wiki. Heoi, ko ētahi mate uaua ka roa ake te wā ki te memeha. Ko ētahi tāngata he mate uaua mau tonu , ko te tikanga me noho roa rātou me te mate. Ka taea e tō tākuta te hoatu i ētahi tohutohu ki a koe i runga i tō āhuatanga.

Me pēhea te whakaiti i te mōrearea o te mate uaua? Ko te ārai te mea pai rawa atu!

Mā te pupuri i te hauora o ō tātou uaua me te pūnaha manawa katoa (te pūnaha ngākau me ngā oko toto) ka taea te whakaiti i te tūponotanga o te mate uaua. Anei ētahi mea ka taea e koe te mahi hei whakatutuki i tēnei:

• Mena kei a koe ngā mate pēnei i te toto toto tiketike, te cholesterol tiketike, me te mate huka momo 2, me whakahaere pai aua mate.
• Whakakorikori tinana mō te 30-60 meneti pea ia rā, i te nuinga o ngā rā o te wiki. He pai ngā mahi pēnei i te hikoi, te eke pahikara, me te kaukau.
• Ki te mea he tangata koe e noho ana, e tū ana rānei mō te wā roa, me neke haere, me hikoi haere i te iti rawa i te kotahi i te haora. Pērā anō hoki i a koe e haereere ana.
• Āta karohia te whakamahi i ngā hua tupeka.
• Kia mau ki te taumaha hauora mō tō teitei.
• Kai i ngā kai iti te tote me te ngako kukū.
• Whakahaerehia te ahotea kia pai.

Ka aha mēnā he mate uaua tōu? Kaua e manukanuka, ka taea te whakahaere!

Ki te kore e rongoatia, ka kino haere te mate uaua, ka pā ki te kounga o tō oranga. Nō reira, mā te whiwhi maimoatanga tika ka āwhina i te whakahaere i tēnei āhuatanga me te whakapai ake i te kounga o tō oranga.Ka taea e ētahi mate uaua, hei tauira ko ngā uaua varicose me ngā uaua spider , te hoki mai anō i muri i te maimoatanga. Ka taea hoki e ngā mate pukupuku uaua te hoki mai anō.

Nō reira, he mea tino nui kia haere tonu ngā whakamātautau e ai ki te tohutohu a te tākuta, me te whai i ngā tohutohu a te tākuta. Me mahi anō pea koe i ngā whakamātautau pēnei i te ultrasound hei tirotiro i te āhua o ngā mea.

Me pēhea taku tiaki i ahau anō? Tērā ētahi mea ka taea e koe te mahi!

Ahakoa e noho ana koe, e tū ana rānei, ki te taea , hikoi haereere, nekehia ō waewae i te iti rawa kotahi i te hāora. Mā tēnei ka āwhina i te rere o tō toto. He āwhina nui hoki te matara atu i ngā hua tupeka mō te hauora o ō uaua toto. Ki te hiahia āwhina koe ki te whakamutu i tēnei whanonga, pātai atu ki tō tākuta mō tēnei.

Āhea ahau me toro atu ki te tākuta?

Puritia ngā wā katoa i whakaritea e tō tākuta. Waihoki, ki te kite koe i ētahi huringa o ō tohumate o ia rā, ki te āhua kino haere rānei, me whakamōhio tonu atu ki tō tākuta.

Āhea koe me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ? Kia tino tupato ki tēnei!

Mena kei te tango koe i ngā rongoā whakaiti toto/whakaheke toto, ā, he nui rawa te toto e toto ana koe, rapua tonutia te maimoatanga whawhati tata.

Waihoki, ki te pāngia koe e ngā tohu o te toto totoka i roto i ngā pukahukahu (Pulmonary Embolism - PE) , waea atu ki te 911, ki tō nama urupare ā-rohe rānei. Kei roto i ēnei tohu:

• Te poto ohorere o te manawa.
• Mamae o te uma.
• Te tere o te manawa o te ngakau.
• Maremare, i ētahi wā he toto.
• Kiri kikorangi.

Ki te puta mai ēnei tohu, me whakaaro he āhuatanga ohorere tēnei, ā, me haere tonu ki te hōhipera.

He aha ngā pātai me pātai atu koe ki te tākuta?

Ina haere koe ki te tākuta, ka taea e koe te pātai i ēnei pātai kia mārama ai koe ki tō āhua:

• Kia pēhea te kaha o taku mate uaua?
• Me aha ahau hei whakahaere i tēnei āhuatanga i te kāinga?
• Me rongoā ahau? Me rongoā rānei ahau, me pokanga rānei?
• He aha ngā maimoatanga ka taea e au te whiwhi i tō whare hauora?

Hei whakamutunga, kia mahara...

He mate te mate uaua e pāngia ana e te tini tāngata, nō reira, ehara i te mea ko koe anake. Ko te mea nui ko te kōrero tuwhera ki tō tākuta mō tō mate, me te ngana ki te whakahaere i tēnei mate me tā rātou āwhina. Mā te nui ake o tō mōhio ki tō mate, ka pai ake tō kaha ki te whakatau whai whakaaro me te tiaki i a koe anō. Nō reira, kaua e wehi ki te pātai, kia mōhio koe. Kia ora koe!

Mate Uaua , Pukupuku Toto, DVT, Uaua Varicose, Uaua, Pupuhi Waewae, Tohanga Toto