He aha te Edema? Tohutohu, Take, me te Maimoatanga
Created at:1/16/2025
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He aha te edema?
Ko te edema te pupuhi e puta mai ana ina mau te wai nui atu ki roto i ngā kiko o tō tinana. Whakaarohia he mau tonu te wai nui atu i te mea tika ki ngā wāhi pēnei i ō waewae, ō waewae, ō ringa, rānei i tō mata.
Ka puta tēnei pupuhi ina rere te wai i ngā uaua toto iti ki ngā kiko o te taha tere atu i te kaha o tō tinana ki te tango atu. Ahakoa ka āta whakaarohia te edema, he maha ngā wā he huarahi no tō tinana ki te whakautu ki te whara, te mate, te āhuatanga hauora rānei kei raro.
Ko te nuinga o ngā keehi o te edema he wā poto, ā, ka taea te whakahaere. Heoi, ka taea e te pupuhi roa te tohu kei te hiahia ngā whatumanawa, ngā whatukuhu, ngā atu rānei o ngā tūpuna ki te tiaki hauora.
He aha ngā tohu o te edema?
Ko te tohu tino kitea o te edema ko te pupuhi e kitea ana i ngā wāhi e pā ana. Ka kite pea koe i te kaha o ō hu, ka uaua te tango i ngā mowhiti, te pupuhi rānei i tō mata ina ara koe.
Ko ēnei ngā tohu matua hei tiaki:
- Te pupuhi i ō waewae, ō turi, ō waewae, ō ringa, te mata rānei
- Te kiri e titiro ana i te whakawhāiti, te kanapa, te kaha rānei
- He poka e noho ana ina pehi koe i te wāhi pupuhi (e kiia ana ko te edema pupuhi)
- Ngā kakahu, ngā whakapaipai rānei e kaha ake ana i te mea noa
- Te ngoikore o te ngāwari i ngā hononga pēnei i ngā turi, ngā ringaringa rānei
- Te piki o te taumaha mai i te pupuri wai
I etahi wā, ka kite pea koe i te kiri e mahana ana ki te pa atu, te tae rānei. Ka āwhina ēnei tohu i tō tākuta ki te mohio ki te momo edema kei a koe, me te aha pea te take.
He aha ngā momo edema?
Ka whakarōpūhia te edema i runga i te wāhi e puta mai ana i roto i tō tinana, me te aha te take. Ka āwhina te mārama ki ēnei momo rerekē ki te whakamārama i te take o te pupuhi, ā, ka ārahi i ngā whakatau maimoatanga.
Ko ngā momo matua ko ēnei:
- Edema taha: Te pupuhi i ō ringa, ō waewae, ō ringaringa, ō waewae rānei
- Edema pūkahukahu: Te kohikohi wai ki roto i ō pūkahukahu (e hiahia ana ki te tiaki hauora tonu)
- Edema roro: Te pupuhi i roto i tō roro (he āwangawanga hauora)
- Edema macular: Te kohikohi wai ki roto i te retina o tō kanohi
- Edema waewae: Te pupuhi motuhake i ō waewae me ō turi
- Edema mata: Te pupuhi i te taha o ō kanohi, ō paparinga, te mata katoa rānei
Ko te edema taha te momo tino noa ka tūtaki koe. Ko te nuinga o te wā ka pā ki ngā taha e rua o tō tinana, ahakoa i etahi wā ka kitea pea i tetahi taha atu i tetahi.
He aha ngā take o te edema?
Ka whanake te edema ina pakaru te toenga wai noa o tō tinana. Ka taea tēnei te puta mai i ngā take maha, mai i ngā āhuatanga noa o te oranga ki ngā āhuatanga hauora uaua ake.
Ko ngā take noa ko ēnei:
- Te noho roa, te tū rānei: Ka toia te wai e te kaha o te whenua ki raro i tō tinana
- Te kai i te tote nui rawa: Ka pupuri tō tinana i te wai atu hei whakawaiho i te konutai
- Te hapu: Ka puta te pupuhi noa mai i ngā huringa homoni me te nui o te toto
- Rongoā: Ngā rongoā toto teitei, ngā steroids, me ētahi rongoā huka
- Ngā whara: Ngā whara, ngā tahuna, ngā mate rānei e puta ai te pupuhi rohe
- Te rangi wera: Ka whakawhāiti te wera i ngā uaua toto, ka nui ake te wai e rere ana
Ka taea hoki e ngā āhuatanga hauora kino ake te whakaoho i te edema. Ka uaua ake te pupuri toto i te ngakau, ka puta te wai ki roto i ō kiko. Ka pā te mate whatukuhu ki te kaha o tō tinana ki te kānana me te tango i te wai nui atu.
Ko ngā raruraru ate, ngā toto toto, me ētahi āhuatanga autoimmune ētahi atu take pea. Ka hiahia tō tākuta ki te torotoro i ēnei wāhi pea ki te mau tonu, te kino rānei tō pupuhi i te wā.
Nōhea te haere ki te tākuta mō te edema?
Me whakapiri atu koe ki tō kaiwhakarato hauora ki te kore e pai ake te pupuhi i roto i ngā rā torutoru, te pā rānei ki ō mahi o ia rā. Ahakoa ka mutu noa te edema ngawari, e tika ana kia arotakehia te pupuhi mau tonu e te hauora.
Rapua te tiaki hauora tonu ki te pāngia koe e:
- Te pupuhi ohorere, nui i tō mata, ō ngutu, tō arero rānei
- Te uaua ki te manawa, te mamae uma rānei me te pupuhi
- Te pupuhi i tetahi waewae anake, ina koa me te mamae, te wera rānei
- Te piki tere o te taumaha (nui atu i te 2-3 pauna i te rā)
- Te pupuhi kaore e pai ake ina whakaara koe i te wāhi e pā ana
- Te kiri e whero ana, e mahana ana, he mate rānei
Ka taea e ēnei tohu te tohu i ngā āhuatanga kino pēnei i ngā toto toto, ngā raruraru ngakau, ngā mate pāwera kino rānei. Ka āwhina te whiwhi i te tiaki hauora tere ki te aukati i ngā raruraru me te whakautu i ngā take hauora kei raro.
He aha ngā take morearea mō te edema?
Ka nui ake te tupono o te whanake i te edema i roto i tō oranga. Ka āwhina te mārama ki ēnei take morearea ki te mohio ina puta mai pea te pupuhi, me te tango i ngā mahi aukati.
Ka piki tō morearea ki te:
- Ngā āhuatanga ngakau: Te kore o te ngakau, ngā raruraru o te waewae ngakau, te ngakau rānei
Ka takaro hoki te tau i tetahi wāhi, i te mea he maha ngā pakeke kua ngoikore ngā pakitara uaua toto, ā, ka inu pea i ngā rongoā e āwhina ana ki te pupuhi. Ka piki ake te morearea o te haputanga noa i te huringa homoni me te peepi e tipu ana e whakatakoto ana i te pehanga ki ngā uaua toto.
Te whai i te hītori whānau o te mate ngakau, te mate whatukuhu rānei, te taumaha nui, me te noho noa ka taea te whakaoho i te edema.
He aha ngā raruraru pea o te edema?
Ahakoa ehara te edema i te mea kino, ka taea e te kore whakaora te arahi ki ētahi raruraru e pā ana ki tō mātauranga me tō hauora. Ka roa ake te noho o te wai ki ō kiko, ka nui ake ngā raruraru ka puta.
Ko ngā raruraru pea ko ēnei:
- Ngā raruraru kiri: Ka nui ake te tupono o te kiri whakawhāiti ki ngā kotinga, ngā mate, me ngā mate
- Te ngoikore o te nekehanga: Ka pakaru ngā hononga pupuhi, ka mamae te neke
- Ngā raruraru rere toto: Ka whakawhāiti te rere toto i te whakaora o te whara
- Te piki o te morearea mate: Ka whakarato te kiko pupuhi i tetahi papa mo te pūngao
- Te tohu: Ka taea e te pupuhi roa te whakarahi i ngā huringa kiko pumau
- Ngā toto toto: Ka piki te morearea o te toto toto i ngā wāhi pupuhi
I ngā keehi kino, ka taea e te edema kore whakaora te arahi ki ngā mate, ngā whara tuwhera rānei e whakaora ana i te wā roa. He maha ngā wā e puta mai ana ēnei raruraru ina kore e whakahaeretia tika te take o te edema.
Ko te rongo pai ko te nuinga o ngā raruraru ka taea te aukati me te maimoatanga tika me ngā mahi tiaki whaiaro. Ka āwhina te mahi tahi me tō rōpū hauora ki te karo i ēnei raruraru me te whakautu i te take o tō pupuhi.
Me pēhea te aukati i te edema?
Ka taea e koe te tango i ētahi mahi whai hua hei whakaiti i tō morearea ki te whanake i te edema, te aukati rānei i te kino ake. Ko te nuinga o ngā rautaki aukati e arotahi ana ki te tautoko i te toenga wai noa o tō tinana me te rere toto.
Ko ngā tikanga aukati whai hua ko ēnei:
- Neke tonu: Haereere i ia haora ki te noho, te tū rānei koe mō ngā wā roa
- Whakaarahia ō waewae: Whakaarahia ki runga ake i te ngakau ina okioki
- Kakahu i ngā kākahu komiri: Ka āwhina ēnei ki te pehi i te wai ki tō ngakau
- Whakaitihia te kai tote: Whakaarohia te iti iho i te 2,300mg o te konutai i te rā
- Noho makuku: Ka āwhina te inu wai i ō whatukuhu ki te mahi tika
- Whakapakari tinana tonu: Ka whakapai ake te mahi tinana i te rere toto me te whakaheke lymphatic
Ko te whakahaere i ngā āhuatanga hauora kei raro he wāhi nui ki te aukati. Ko te tango i ngā rongoā penei i te whakahaere, te tirotiro i tō toto teitei, me te pupuri i te huka pai katoa e āwhina ana ki te aukati i te whanake o te edema.
Ki te hapu koe, ko te moe i tō taha me te karo i ngā kakahu kaha i ō ringaringa me ō turi ka āwhina ki te whakaiti i te pupuhi. I te wā o te rangi wera, ko te noho i ngā wāhi whakahaere hau me te karo i te wera roa o te rā ka whakaiti i te pupuri wai e pā ana ki te wera.
Me pēhea te whakatau i te edema?
Ka tīmata tō tākuta mā te tirotiro i ngā wāhi pupuhi me te uiui mō ō tohu, tō hītori hauora, me ō rongoā. Ka pehi ratou ki te kiri pupuhi ki te kite mena ka waiho he tohu, me te tirotiro i te whakautu o te pupuhi ki te whakaara.
Ka āwhina te whakamātautau tinana ki te whakatau i te momo me te kino o tō edema. Ka whakarongo hoki tō tākuta ki tō ngakau me ō pūkahukahu, ka tirotiro i tō toto teitei, ka rapu i ētahi atu tohu e tohu ana ki tetahi take kei raro.
Ka taea e ngā whakamātautau atu ko ēnei:
- Ngā whakamātautau toto: Tirohia te mahi whatukuhu, ngā enzyme ate, me ngā taumata pūmua
- Ngā whakamātautau mimi: Rapua te pūmua, ngā tohu rānei o ngā raruraru whatukuhu
- Te X-ray uma: Ka whakaatu mena kua kohikohi te wai ki roto i ō pūkahukahu
- Echocardiogram: Ka whakamahi i ngā ngaru oro hei aromatawai i te mahi ngakau
- Ultrasound: Tirohia ngā toto toto, ngā raruraru uaua rānei i ngā wāhi e pā ana
- Ngā tātaritanga CT, MRI rānei: Ka whakarato i ngā whakaahua taipitopito ki te kore e whai hua ngā whakamātautau atu
Ka āwhina ēnei whakamātautau ki te whakatau mena kei te puta mai tō edema i ngā raruraru ngakau, whatukuhu, ate, uaua rānei. Ka ārahi ngā hua i tō mahere maimoatanga, ka āwhina ki te tirotiro i tō ahunga whakamua i te wā.
He aha te maimoatanga mō te edema?
Ko te maimoatanga mō te edema e arotahi ana ki te whakaiti i te pupuhi me te whakautu i te aha te take. Ko te huarahi e whakawhirinaki ana ki te ngawari me te wā poto o tō edema, te hono rānei ki tetahi āhuatanga hauora kino ake kei raro.
Ka tūtohutia pea e tō tākuta:
- Ngā diuretics (ngā pire wai): Ka āwhina i ō whatukuhu ki te tango i te wai nui atu mā te mimi
- Te rongoā komiri: Ngā kākahu, ngā tāpiringa rānei e tuku ana i te pehanga ngawari hei whakaiti i te pupuhi
- Te whakaara: Te whakaara i ngā waewae e pā ana ki runga ake i te ngakau i ngā wā maha i te rā
- Ngā huringa kai: Te whakaiti i te konutai me te kai i ngā kai whai pāhare pātai
- Te whakaora i ngā āhuatanga kei raro: Te whakahaere i te kore o te ngakau, te mate whatukuhu, ngā take atu rānei
- Ngā whakatikatika rongoā: Te whakarereke i ngā rongoā e āwhina ana ki te pupuri wai
Mō te lymphedema (te pupuhi mai i ngā raruraru pūnaha lymphatic), ko ngā tikanga miri motuhake me ngā kakahu komiri e whakarato ana i te whakaora nui. Ka taea hoki e te mahi whakapakari tinana te whakapai ake i te rere toto me te whakaiti i te pupuhi.
Ka whakaritea tō mahere maimoatanga ki tō āhuatanga motuhake. Ko ētahi tāngata e hiahia ana ki ngā huringa oranga anake, ko ētahi atu e hiahia ana ki ngā rongoā, ngā whakauru nui ake rānei hei whakahaere i tō edema.
Me pēhea te whakahaere i te edema i te kāinga?
Ka taea e ētahi rongoā kāinga te āwhina ki te whakaiti i te edema ngawari me te tautoko i tō maimoatanga hauora. Ka pai ake te mahi o ēnei mahi tiaki whaiaro ina whakauruhia ki te tiaki hauora ngaio, ina koa mō te pupuhi mau tonu.
Ko ngā rautaki whakahaere kāinga whai hua ko ēnei:
- Whakaarahia ngā wāhi pupuhi: Whakatūria ngā waewae, ngā ringa rānei ki runga i ngā uru ki runga ake i te ngakau mō te 15-20 meneti i ngā wā maha i te rā
- Haereere ngawari: Ahakoa te nekehanga mārama e āwhina ana ki te pehi i te wai ki tō ngakau
- Me mahi ngā pupuhi turi: Whakawhāitihia me te tohu i ō waewae hei whakaoho i ngā uaua kau
- Tuku i ngā komiri makariri: Whakamahia mō te 15-20 meneti hei whakaiti i te pupuhi me te kore ngāwari
- Kakahu i ngā kakahu huruhuru, ngāwari: Kaua e whakamahi i ngā potae kaha i ō ringaringa, ō turi, tō hope rānei
- Moe me ngā waewae whakaara: Whakatūria he uru i raro i ō waewae i te wā e takoto ana
Tātaihia tō kai konutai mā te pānui i ngā tohu kai me te tunu kai hou i te wāhi o te kai kai whakahaere. Ko te inu wai nui pea kaore e whakaarohia, engari ko te noho makuku e āwhina ana i tō tinana ki te pupuri i te toenga wai tika.
Ka taea hoki e te miri ngawari te āwhina ki te neke i te wai mai i ngā kiko pupuhi. Whakamahia ngā wiri mārama, ki runga ki tō ngakau, engari kaua e miri ki te whai koe i ngā toto toto, ngā mate kiri rānei.
Me pēhea te whakarite mō tō hui tākuta?
Ko te haere ki tō hui whakarite e āwhina ana i tō tākuta ki te mārama pai ake ki ō tohu me te whakawhanake i te mahere maimoatanga whai hua. Ka taea e te whakarite iti te whakaputa i tō haerenga nui ake me te whai kōrero.
I mua i tō hui:
- Tātaihia ō tohu: Tuhia te wā e puta mai ana te pupuhi, te aha e pai ake ai, te kino rānei
- Rārangihia ngā rongoā katoa: Whakauruhia ngā rongoā rongoā, ngā rongoā kore-whakahaere, me ngā taapiri
- Tuhia tō hītori hauora: Ngā raruraru ngakau, whatukuhu, ate rānei o mua
- Whakatepehia te pupuhi: Whakamahia he tepe hei tepe i te wāhi pupuhi ki te taea
- Tangohia ngā whakaahua: Whakaatuhia te ahua o te pupuhi i ngā wā rerekē o te rā
- Tuhia ngā pūrongo: Whakaritea he rārangi kia kaua e wareware i ngā āwangawanga nui
Kawe mai he mema whānau, he hoa rānei ki te hiahia koe ki te tautoko i te wā o te hui. Ka taea e rātou te āwhina i a koe ki te mahara ki ngā kōrero nui me te uiui i ngā pūrongo kaore pea koe e whakaaro ki reira.
Kia rite ki te kōrero mō ō mahi o ia rā, kai, me te āhua o te pupuhi ki tō oranga. Ka āwhina ēnei kōrero i tō tākuta ki te mārama ki te pikitia katoa me te tūtohutia ngā whiringa maimoatanga tino tika.
He aha te mea nui mō te edema?
Ko te edema he āhuatanga noa e whakautu ana ki te maimoatanga tika me ngā mahi tiaki whaiaro. Ahakoa kaore e pai te pupuhi, ka āwangawanga rānei, ko te nuinga o ngā keehi ka taea te whakahaere me te huarahi tika.
Ko te mea nui hei mahara ko te pupuhi mau tonu, te kino rānei e tika ana kia arotakehia e te hauora. Ka taea e te arotake me te maimoatanga wawe te aukati i ngā raruraru me te whakautu i ngā take hauora kei raro e puta mai ana pea i tō edema.
Ko te mahi tata atu ki tō rōpū hauora, te whai i ngā tūtohu maimoatanga, me te whakarereke i ngā āhuatanga oranga e tika ana ka taea te āwhina i a koe ki te whakahaere i te edema. He maha ngā tāngata e kite ana i te whakaora nui mā te whakakotahitanga o te maimoatanga hauora me ngā rautaki tiaki kāinga ngāwari.
Kaua e whakaroa ki te whakapiri atu ki tō tākuta ki te whai koe i ngā āwangawanga mō te pupuhi. Me te tiaki tika me te aro, ka taea e koe te whakaiti i te pā o te edema ki tō oranga o ia rā me tō hauora katoa.
Ngā pūrongo e ui ana mō te edema
Q1: Ka taea te whakaiti i te edema mā te inu wai nui atu?
Ae, ko te noho makuku tika ka taea te āwhina ki te whakaiti i te edema i ngā keehi maha. Ina maroke koe, ka pupuri tō tinana i te wai kaha ake, ka kino ake te pupuhi. Ko te inu wai tika e āwhina ana i ō whatukuhu ki te mahi tika me te pupuri i te toenga wai hauora puta noa i tō tinana.
Q2: He noa te edema i te wā hapu?
Ko te pupuhi ngawari i ō waewae, ō turi, me ō ringa he mea noa i te wā hapu, ina koa i te tuarua me te tuatoru o ngā marama. Heoi, ko te pupuhi ohorere, te kino rānei, ina koa i tō mata, i ō ringa rānei, ka taea te tohu i tetahi āhuatanga kino e kiia ana ko te preeclampsia, me te hiahia ki te tiaki hauora tonu.
Q3: E hia te roa o te mutu o te edema?
Ka rerekē te wā i runga i te take me te kino o tō edema. Ko te pupuhi ngawari mai i te noho roa pea ka mutu i roto i ngā haora o te whakaara me te nekehanga. Heoi, ko te edema e pā ana ki ngā āhuatanga hauora pea ka roa ngā rā ki ngā wiki hei whakapai ake me te maimoatanga tika.
Q4: Ka taea e ētahi kai te kino ake te edema?
Ae, ko ngā kai nui te konutai ka taea te kino ake te edema mā te whakaoho i tō tinana ki te pupuri wai atu. Ko ngā kai whakahaere, ngā kai wharekai, me ngā hupa kānana he maha ngā wā he tote huna. Arotahi ki ngā kai hou, katoa, me te whakamahi i ngā otaota me ngā mea kakara i te wāhi o te tote mō te reka.
Q5: Me manukanuka ahau ki te pā anake te edema ki tetahi waewae?
Ko te pupuhi i tetahi waewae anake ka nui ake te āwangawanga atu i te pupuhi i ngā waewae e rua, i te mea ka taea te tohu i te toto toto, te mate, te whara rānei. Me whakapiri atu koe ki tō tākuta tonu ki te whai koe i te pupuhi kotahi-taha, ina koa ki te haere tahi me te mamae, te wera, te whero rānei i te wāhi e pā ana.