He aha te Claudication? Ngā Tōmhanga, Ngā Take, me te Maimoatanga

Ko te claudication te mamae o te waewae, te kōkō, e puta ana i te wā e hikoi ana koe, e whakakori ana rānei, ā, ka pai ake i te wā e okioki ana koe. Whakaarohia he rite tēnei ki te tangi o ngā uaua o ō waewae mō te toto nui atu e mau ana i te hauora i te wā e mahi ana, he rite ki te āwangawanga o tō uma i te wā e whakakori ana koe ki te hiahia atu tō ngākau ki te hauora.

Ka pā tēnei āhuatanga ki te mano tini o te iwi, ā, tērā pea ka nui ake te pānga i te wā e koroheke ana rātou. Ko te rongo pai, he tino whakahaerehia te claudication mā te huarahi tika, ā, he tokomaha ngā tāngata e ora tonu ana, e whai hua ana i muri i te whakamārama i ngā mea e puta ana, me te whakatika.

He aha te claudication?

Ka puta te claudication ina kore e ranea te rere o te toto ki ngā uaua o ō waewae i te wā e mahi tinana ana koe. Me nui atu te hauora mō ō uaua i te wā e hikoi ana koe, e whakakori ana rānei, engari kāore e taea e ngā uaua toto e whakaitihia ana, e aukatihia ana rānei te tuku i te toto hei whakatutuki i tēnei hiahia.

Ko te kupu i ahu mai i te kupu Latina e whakaatu ana ki te ‘ngākau’, e whakaatu ana ki te hikoi a te tini o te iwi i te wā e pā ana ki tēnei āhuatanga. Ko te nuinga, ka pā te claudication ki ngā uaua o ō kauae, ahakoa ka uru pea ki ō huha, ki ō hope, ki ō hope rānei.

E rua ngā momo matua me mārama koe. Ko te claudication wā-wā te momo tino noa, kei reira te mamae e haere ana, e haere ana rānei me te mahi. I tetahi atu taha, ko te claudication neurogenic, ka puta ina pēhi ngā raruraru o te tuaiwi i ngā uaua, kāore i ngā raruraru o te uaua toto.

He aha ngā tōmhanga o te claudication?

Ko te tohu tino nui ko te mamae o te uaua, te kōkō, te ngenge rānei e tīmata ana i te wā e hikoi ana koe, e whakakori ana rānei, ā, ka ngaro i roto i ngā meneti o te okioki. Ka āwhina tēnei tauira whakataurite ki ngā tākuta ki te wehewehe i te claudication mai i ētahi atu raruraru o te waewae.

Ko ēnei ngā tōmhanga ka pā pea ki a koe, ā, kia mahara ko te wheako o te katoa ka rerekē.

• Te kōkō, te mamae rānei i ngā uaua o ō kauae, o ō huha, o ō hope rānei
• Te ngenge o te uaua, te taumaha rānei e whakapakeke ana i te hikoi
• Te mamae e tīmata ana i muri i te hikoi i te tawhiti kotahi
• Te whakaora i roto i te 1-5 meneti i muri i te mutu me te okioki
• Te makariri, te ngenge rānei o ō waewae rānei
• Ngā pupuhi e whakaora ana i ō waewae rānei
• Te kiri mā, ngāwari o ō waewae
• Te ngoikore, te kore rānei o te pūngāwerewere i ō waewae rānei

Kaore e tino noa, ka pā pea ki ētahi tāngata ngā tōmhanga nui ake e tohu ana pea i ngā raruraru nui o te rere o te toto. Kei roto i ēnei te mamae tonu ahakoa i te okioki, ngā huringa tae i ō waewae rānei, ngā whara rānei e kore e ora tika.

Ko te mamae e rite ana ki te mamae hohonu, te kōkō, te tahumaero rānei. Ka whakaahuahia e ētahi tāngata he rite ki te ‘whakamau’ o ō uaua, te ‘pa ki te pakitara’ rānei i te wā e hikoi ana.

He aha ngā momo claudication?

E rua ngā momo matua o te claudication, ā, ko te mārama ki te momo pea kei a koe ka āwhina i te huarahi tika o te maimoatanga. He rerekē ngā take o ia momo, ā, ka hiahia pea ki ngā rautaki whakahaere rerekē.

Ko te claudication wā-wā te momo tino noa, ā, ka puta nā te rere o te toto kino. Kua whakaitihia, kua aukatihia rānei ō uaua, te nuinga na te atherosclerosis, ko te tikanga he kōeke ngako kua hangaia ki runga i ngā pakitara o te uaua i te roa o te wā.

Ko te claudication neurogenic, e kiia ana hoki ko te pseudoclaudication, ka puta ina whakaiti te awa o tō tuaiwi, ka pēhi i ngā uaua. Ko tēnei momo e pā ana ki ngā waewae e rua i te wā kotahi, ā, ka pā pea ki te mamae o te tuaiwi, te ngenge, te wiri rānei.

Ko te rerekētanga matua ko te claudication neurogenic pea ka pai ake i te wā e tō te taha ki mua (penei i te tuku i te kāreti hokohoko), i te wā e hiahia ana te claudication toto ki te okioki katoa hei whakatau.

He aha ngā take o te claudication?

Ko te take tino noa o te claudication ko te atherosclerosis, he āhuatanga kei reira ngā kōeke ngako e kiia nei ko te plaque e hangaia ana i roto i ō uaua i ngā tau maha. Ka whakaiti tēnei hanga i ō uaua, ka whakaiti i te rere o te toto ki ngā uaua o ō waewae.

He maha ngā take e āwhina ana ki te whanake i te claudication, ā, ko te nuinga he whakakotahitanga, kāore i te kotahi noa te take:

• Te whakakā, e kino ana i ngā pakitara o te uaua, ā, e tere ana te hanga o te plaque
• Te mate huka, e kino ana i ngā uaua toto i te roa o te wā
• Te toto teitei e whakapēhi ana i ngā pakitara o te uaua
• Ngā taumata cholesterol teitei e āwhina ana ki te hanga o te plaque
• Ngā huringa e pā ana ki te pakeketanga i ngā uaua toto
• Te hītori whānau o te mate ngakau
• Te noho noa kaore e whakatairanga i te rere o te toto pai
• Te momona, e whakapēhi ana i tō pūnaha rere toto

Kaore e tino noa, ka puta te claudication mai i ngā toto kōeke, te mumura o te uaua, ngā āhuatanga onge rānei e pā ana ki te hanganga o te uaua toto. Ka whanakehia e ētahi tāngata i muri i ngā whara e kino ana i ngā uaua, i ētahi rongoā rānei e pā ana ki te rere o te toto.

I roto i ngā take onge, ngā āhuatanga penei i te mate a Buerger (nui atu te noa i ngā kaitukutuku taitamariki) te embolism arterial rānei (ngā toto kōeke e haereere ana) ka puta ngā tōmhanga rite. Ka hiahia ēnei āhuatanga ki ngā huarahi maimoatanga motuhake.

Nō hea te kite i te taote mō te claudication?

Me kite koe i tō taote ki te pāngia koe e te mamae o te waewae, te kōkō, te ngenge rānei e puta ana i te wā e hikoi ana, ā, ka pai ake i te wā e okioki ana. Ka taea e te aromatawai, te maimoatanga wawe te aukati i te kino o te āhuatanga, ā, ka āwhina i a koe ki te pupuri i tō kaha ki te neke.

Kaua e tatari ki te rapu awhina hauora ki te kite koe i ēnei tohu whakatūpato nui ake. Ka tohu pea kua tino whakaitihia tō rere o te toto:

• Te mamae i ō waewae rānei ahakoa kei te okioki koe
• Ngā pupuhi, ngā whara rānei i ō waewae rānei e whakaora ana i te wā roa, kāore rānei
• Ngā huringa tae nui i ō waewae rānei
• Te makariri nui o ō waewae rānei
• Te ngaro o te huruhuru i ō waewae rānei
• Te kore e taea te kite i ngā pūngāwerewere i ō waewae

Ka tohu pea ēnei tohu i te ischemia o te waewae nui, he āhuatanga nui e hiahia ana ki te tiaki hauora tonu. Ahakoa he iti ake te noa o tēnei i te claudication noa, he mea nui kia mohio ki ēnei tohu whakatūpato.

Ahakoa he ngāwari ngā tōmhanga, he mea tika te kōrero ki tō kaiwhakarato hauora. Ko te claudication te tohu i te mate ngakau e pā ana ki ētahi atu wāhanga o tō tinana, tae atu ki tō ngākau me tō roro.

He aha ngā take morearea mō te claudication?

Ko te mārama ki ō take morearea ka āwhina i a koe ki te tango i ngā kaupae whakatairanga hei aukati i te claudication, hei ārai rānei i te kino ake. He maha o ēnei take kei roto i tō mana whakahaere, he rongo pai tēnei.

Ko ngā take morearea tino nui ko te noho me ngā āhuatanga hauora e kino ana i ō uaua toto i te roa o te wā:

• Te whakakā, te whakamahi rānei i te tapeka i roto i tetahi ahua
• Te mate huka, ina koa ki te kore e pai te whakahaere i te huka toto
• Te toto teitei (hypertension)
• Ngā taumata cholesterol, triglyceride rānei teitei
• Te pakeke neke atu i te 50, ahakoa ka puta i mua
• Te hītori whānau o te mate uaua o te taha, te mate ngakau rānei
• Te momona, te taumaha nui rānei
• Te noho noa me te iti o te whakakori auau

He maha ngā take morearea kaore e taea e koe te whakarereke, penei i tō pakeketanga, i tō ira tangata (he nui ake te morearea o ngā tāne), me te hītori whānau. Heoi, he maha ngā take morearea e taea te whakarereke mā ngā huringa noho, me te whakahaere hauora.

He iti ake te noa, engari he mea nui tonu ngā take morearea ko te mate whatukuhu roa, ētahi āhuatanga autoimmune, me te hītori o te rongoā radiation ki ngā waewae. Ka pā pea ētahi rongoā ki te rere o te toto, ahakoa he iti rawa tēnei.

He aha ngā raruraru pea o te claudication?

Ahakoa he whakahaerehia te claudication, ka taea pea te haere tonu ki ngā raruraru rere o te toto nui ake ki te kore e maimoatia. Ko te mārama ki ēnei wāhi pea ka āwhina i a koe ki te mataara ki ō tōmhanga me tō maimoatanga.

Ko ngā raruraru pea mai i ngā take kounga-ora ki ngā take hauora nui ake:

• Te whakaiti i te kaha ki te hikoi me te whakaiti i te mahi tinana
• Te ngaro o te motuhake i ngā mahi o ia rā
• Te ngoikore o te uaua, te ngoikore rānei mai i te iti o te whakamahinga
• Te ischemia o te waewae nui me te mamae nui me te kino o te kiko
• Ngā whara, ngā pupuhi rānei e kore e ora i runga i ngā waewae rānei
• Te nui ake o te morearea o te mate ngakau, te mate roro rānei
• I roto i ngā take nui, te hiahia pea ki te tapahi

Ko te rongo pai, ko te nuinga o ngā tāngata e pā ana ki te claudication kaore e whanake i ēnei raruraru nui, ina koa mā te maimoatanga tika me te whakahaere noho. Ka whakaiti nui te tiaki hauora auau me te whai i tō mahere maimoatanga i ēnei morearea.

Kaore e tino noa, ka whanakehia e ētahi tāngata te ischemia o te waewae nui, kei reira te rere o te toto ka whakaitihia ngāwari nā te toto kōeke, te whakaiti nui rānei. Ko tēnei he āwangawanga hauora e hiahia ana ki te maimoatanga tonu.

Me pēhea te aukati i te claudication?

Ko te aukati e aro ana ki te pupuri i ngā uaua toto hauora, me te rere o te toto pai i tō oranga katoa. He maha o ngā rautaki ano e aukati ana i te mate ngakau e āwhina ana ki te aukati i te claudication.

Ko ngā rautaki aukati tino whai hua e whakautu ana ki ngā take o te mate uaua:

• Kaua rawa e tīmata ki te whakakā, ki te mutu rānei ki te whakakā koe i tēnei wā
• Pupuri i te toto teitei hauora mā te kai, te whakakori, me te rongoā ki te hiahiatia
• Pupuri i ngā taumata cholesterol i roto i te whānuitanga hauora
• Whakahaere i te mate huka mā te whakahaere pai i te huka toto
• Whakakori auau, e whai ana ki te 30 meneti te nuinga o ngā rā
• Pupuri i te taumaha hauora
• Kai i te kai hauora ngakau e whai hua ana i ngā hua, ngā huawhenua, me ngā witi katoa
• Whakahaere i te ahotea mā ngā rautaki whakahaere hauora

Ki te whai koe i ngā take morearea penei i te mate huka, te toto teitei rānei, ko te mahi tata ki tō kaiwhakarato hauora hei pupuri i a rātou i te whakahaere pai he mea nui. Ka taea e ngā tirotiro auau te hopu i ngā raruraru i te wā wawe i te wā e tino taea ana te maimoatanga.

Ahakoa ngā huringa iti ka taea te whakarereke nui. Hei tauira, ka taea e te hikoi 10-meneti o ia rā te whakapai ake i te rere o te toto, ā, ka taea e te whakaiti i te tote te whakaiti i te toto teitei.

Me pēhea te whakatau i te claudication?

Ko te whakatau i te claudication e tīmata ana mā tō taote e whakarongo ana ki ō tōmhanga me tō hītori hauora. Ko te tauira whakataurite o te mamae o te waewae me te hikoi e pai ake ana i te wā e okioki ana e whakarato ana i ngā tohu kaha mo ngā mea e puta ana.

Ka mahi pea tō taote i te tirotiro tinana e uru ana ki te tirotiro i ngā pūngāwerewere i ō waewae rānei, te whakarongo ki ngā oro koretake i runga i ō uaua, te rapu rānei i ngā tohu o te rere o te toto kino penei i ngā huringa kiri, ngā whara whakaora-iti rānei.

He maha ngā whakamātautau e taea ai te whakau i te whakatau, te whakatau rānei i te nui o tō āhuatanga. Ko te tohu ankle-brachial (ABI) te whakamātautau tuatahi e mahihia ana. Ka whakaritea e ia te toto i tō kuiti ki te toto i tō ringa mā te whakamahi i te pūngāwerewere toto ngāwari me te taputapu ringa.

Ka uru pea ngā whakamātautau atu ki te whakaahua ultrasound hei whakaatu i te rere o te toto, te whakamātautau treadmill hei kite i te tawhiti ka taea e koe te hikoi i mua i te puta o ngā tōmhanga, te whakaahua nui ake rānei penei i te CT, te MR angiography rānei hei tiki i ngā whakaahua taipitopito o ō uaua.

I roto i ngā take uaua, ka tūtohu pea tō taote i te angiography, kei reira te tae whakakā e ringihia ana ki ō uaua hei hanga i ngā whakaahua tino taipitopito. Ko tēnei whakamātautau e tiakina ana mō ngā tāngata e whakaaro ana ki ngā whiringa maimoatanga pokanga.

He aha te maimoatanga mō te claudication?

Ko te maimoatanga mō te claudication e aro ana ki te whakaora i ō tōmhanga, te whakapai ake i tō kaha ki te hikoi, te aukati rānei i te kino ake o te āhuatanga. Ko te rongo pai, he tokomaha ngā tāngata e kite ana i te whakapai ake nui mā te whakakotahitanga tika o ngā maimoatanga.

Ka uru pea tō mahere maimoatanga ki ētahi atu huarahi e mahi tahi ana:

• Te maimoatanga whakakori e aroturukihia ana hei whakapai ake i te tawhiti hikoi me te whai hua o te uaua
• Ngā rongoā hei whakapai ake i te rere o te toto, hei aukati rānei i ngā toto kōeke
• Te whakarereke i te take morearea penei i te mutu whakakā me te whakahaere i te mate huka
• I ētahi wā, ngā tukanga hei whakatuwhera i ngā uaua kua aukati

Ko te maimoatanga whakakori te maimoatanga tino whai hua mō te claudication. Ka taea e te kaupapa hikoi whakarite, te nuinga e aroturukihia ana e ngā tohunga hauora, te whakapai ake nui i te tawhiti ka taea e koe te hikoi, te whakaiti rānei i ō tōmhanga.

Ka uru pea ngā rongoā ki ngā rongoā antiplatelet penei i te aspirin, te clopidogrel rānei hei aukati i ngā toto kōeke, ngā rongoā whakaiti-cholesterol, ā, i ētahi wā ngā rongoā i hangaia hei whakapai ake i te rere o te toto ki ngā uaua waewae.

Mō ngā take nui, ngā tukanga penei i te angioplasty (te whakatuwhera i ngā uaua mā te poroporo iti) te pokanga bypass rānei (te hanga i ngā huarahi hou i ngā uaua kua aukati) pea ka tūtohuhia. Ko ēnei e tiakina ana mō ngā tāngata he nui ngā herenga, ngā tohu rānei o te ischemia o te waewae nui.

Me pēhea te whakahaere i te claudication i te kāinga?

Ko te whakahaere kāinga he tino wāhi nui ki te whakahaere i ngā tōmhanga claudication, ki te aukati rānei i te haere tonu. Ko ngā rautaki e whakamahi ana koe i te kāinga e whakatau ana i te pai o tō mahi i te roa o te wā.

Ko te hikoi tō taputapu tino kaha mō te whakahaere i te claudication i te kāinga. Tīmata ki ngā tawhiti poto, ā, whakapiki haere i te wā e taea ana. Ki te puta te mamae, okioki kia mutu ra ano, ka haere tonu ki te hikoi. Ka āwhina tēnei huarahi ‘mutu-me-haere’ ki te hanga i tō kaha ki te hikoi i te roa o te wā.

Ka tino nui te tiaki waewae ina whai raruraru rere o te toto koe. Tirohia ō waewae i ia rā mō ngā kotinga, ngā pupuhi, ngā huringa tae rānei. Pupuri i ō waewae kia ma, kia maroke, kakahu i ngā hu e pai ana, ā, kaua rawa e haere waewae kau, ina koa i waho.

Ko te whakahaere i ētahi atu āhuatanga hauora i te kāinga e tautoko ana i tō maimoatanga katoa. Kei roto i ēnei te tango i ngā rongoā penei i te whakahaua, te mataara i te huka toto ki te whai koe i te mate huka, te kai i te kai hauora ngakau, te karo rānei i te tapeka i roto i ngā ahua katoa.

Ka taea e te whakahaere pāmahana te āwhina i te whakamarie. Pupuri i ō waewae kia mahana, engari kaua e whakamahi i ngā papa whakamahana, ngā pounamu wai wera rānei, i te mea ka arahi pea te iti o te āhua ki ngā tahuna. Engari, kakahu i ngā koti mahana me ngā tarau i te wā makariri.

Me pēhea te whakarite mō tō hui taote?

Ko te whakarite mō tō hui ka āwhina i a koe ki te whiwhi i te nuinga mai i tō wā me tō kaiwhakarato hauora. Ko te haere mai i te whakahaere me ngā korero me ngā pūrongo ka whai hua ake te haerenga mō kōrua.

I mua i tō hui, tuhia ngā kōrero mō ō tōmhanga. Kia mārama te tawhiti ka taea e koe te hikoi i mua i te tīmatanga o te mamae, te āhua o te mamae, te roa o te ngaro i te wā e okioki ana, me te kite rānei koe i ētahi huringa i te roa o te wā.

Kawe mai i te rārangi katoa o ngā rongoā katoa e tango ana koe, tae atu ki ngā rongoā-kāinga me ngā taapiri. Whakaritea hoki he whakarapopototanga o tō hītori hauora, ina koa ngā raruraru ngakau, te mate huka, te toto teitei, ngā pokanga o mua rānei.

Whakaarohia te kawe mai i te mema whānau, te hoa rānei ki tō hui. Ka taea e rātou te āwhina i a koe ki te mahara ki ngā korero nui, te whakarato rānei i te tautoko, ina koa ki te āwangawanga koe mō ō tōmhanga.

Tuhia ngā pūrongo e hiahia ana koe ki te ui ki tō taote. Ka uru pea ēnei ki ngā pūrongo mō ngā herenga mahi, te wā hei awangawanga mō ngā tōmhanga, ngā huringa noho rānei e tino āwhina ana i tō āhuatanga.

He aha te mea nui mō te claudication?

Ko te claudication he āhuatanga whakahaerehia e pā ana ki te tini o te iwi, ina koa i te wā e koroheke ana. Ahakoa ka awangawanga pea i te wā tuatahi e pā ana koe ki ngā tōmhanga, ko te mārama kei reira ngā maimoatanga whai hua ka hoatu he tumanako me te whakaohooho ki te rapu tiaki.

Ko te mea nui rawa kia mahara ko te claudication e tino whakautu ana ki te maimoatanga, ina koa i te wā e hopukina wawe ana. He tokomaha ngā tāngata e whakapai ake nui ana i tō rātou kaha ki te hikoi me te kounga ora mā te maimoatanga whakakori, ngā huringa noho, me te tiaki hauora tika.

Ko tēnei āhuatanga he tohu ano hoki e hiahia ana tō pūnaha ngakau ki te aro. Ko te tiaki i te claudication te tikanga te tiaki pai ake i tō hauora ngakau me tō hauora toto, e pai ana ki tō tinana katoa.

Kaua e tukua te claudication kia mutu koe i te ora ora, whai hua. Mā te huarahi tika me te tautoko mai i tō rōpū hauora, ka taea e koe te whakahaere i tēnei āhuatanga me te haere tonu ki te mahi i ngā mea e pai ana koe.

Ngā pūrongo e ui pinepinetia ana mō te claudication

Ka taea te ngaro atu te claudication?

Kaore e tino pai ake te claudication me te kore maimoatanga, ā, ka nui ake te kino i te roa o te wā ki te haere tonu te mate uaua. Heoi, mā te maimoatanga tika tae atu ki te maimoatanga whakakori me te whakahaere i te take morearea, he tokomaha ngā tāngata e kite ana i te whakapai ake nui i ō rātou tōmhanga. Ka kite pea etahi i te hokinga mai o to ratou kaha ki te hikoi ki nga taumata tata-noa me te maimoatanga pumau.

He haumaru te whakakori me te claudication?

Ae, ko te whakakori tetahi o ngā maimoatanga tino whai hua mō te claudication, engari me mahi i raro i te aratohu hauora i te tīmatanga. Ko te maimoatanga whakakori e aroturukihia ana te maimoatanga paerewa koura. Ka taea e tō taote te āwhina i a koe ki te whakawhanake i te mahere whakakori haumaru e whakapiki haere ana i tō kaha i te wā e whakaute ana i ngā rohe o tō tinana.

Ka hiahia ahau ki te pokanga mō te claudication?

Ko te nuinga o ngā tāngata e pā ana ki te claudication kaore e hiahia ki te pokanga, ā, ka taea te whakahaere i tō āhuatanga mā te whakakori, ngā rongoā, me ngā huringa noho. Ko te pokanga, ngā tukanga rānei penei i te angioplasty e tiakina ana mō ngā tāngata he nui ngā tōmhanga e whakaiti nui ana i ngā mahi o ia rā, ngā tohu rānei o te ischemia o te waewae nui.

E hia te roa o te kite i te whakapai ake mā te maimoatanga?

He tokomaha ngā tāngata e tīmata ana ki te kite i ētahi whakapainga i tō rātou tawhiti hikoi i roto i te 4-8 wiki i muri i te tīmatanga o te kaupapa whakakori whakarite. Ko te whakapai ake nui e puta ana i te 3-6 marama o te maimoatanga pumau. Ka rerekē te raupapa i runga i tō hauora katoa, te nui o tō āhuatanga, me te pumau o tō whai i tō mahere maimoatanga.

Ka taea e te claudication te pā ki ngā waewae e rua?

Ae, ka taea e te claudication te pā ki tetahi waewae, ki ngā waewae e rua rānei, ahakoa e tīmata ana i tetahi waewae, ā, ka pā pea ki tetahi atu. Ki te pā ki ngā waewae e rua, ka tohu pea i te mate uaua whānui ake. Ka rerekē pea te wheako o ētahi tāngata i ia waewae, he nui ake te pānga o tetahi i tetahi atu.