Te Wera o ngā Waewae: Ngā Pūtake, Ngā Tohu, me ngā Tikanga Whakahaere
He aha te Rongo o te Tahu o te Waewae?
Ko te rongo o te tahu o te waewae, i ētahi tāngata ka puta he āhua māmā, i ētahi atu ka tino kitea, ka tino whakararuraru hoki. Ko tēnei āhuatanga, he pikinga o te mahana me te mamae ki te kapu o te waewae te nuinga, engari i ētahi wā ka toro atu ki te rekereke me ngā waewae. Ka taea te mau tonu o te tahu me te mamae, ā, i ētahi wā ka iti iho, ka ngaro rānei. Hei tāpiri, ka kitea hoki te kākā, te rangirua rānei i ēnei wāhi.
He aha te Mate Tahu Waewae?
I roto i te rongoā, e mōhiotia ana hoki ko te "Grierson-Gopalan syndrome", ko te tahu waewae he mate e tino kitea ana ki te kapu o te waewae, engari i ētahi wā ka toro atu ki te rekereke me ngā waewae. Ka whakaatu tēnei mate i te pikinga o te mahana ki te waewae, te tahu, ā, i ētahi wā ka piri mai te rangirua me te kākā. He rerekē te kaha o ngā tohumate i ia tangata, engari i te nuinga o te wā ka tino kitea i te pō, ā, ka pā kino ki te kounga o te moe.
Ko te tino tairongo ki ia pā atu ki ngā waewae e kīia ana ko te "hyperesthesia", ā, he tohumate e kitea nuitia ana i te mate tahu waewae. Kei raro nei ngā tohumate e hono ana ki tēnei mate:
He pikinga o te mahana, he rongo tahu rānei, ka kaha ake i te pō
He rangirua, he kākā ki ngā waewae, ki ngā waewae roa rānei
He mamae koi, he mamae pērā i te weronga, te tapahi rānei
He taumaha, he mamae pōuri ki ngā waewae
He whero me te tino mahana ki te kiri
He tino tairongo ki te pā atu
He rerekē te kaha me te roa o ngā tohumate i ia tangata. Tērā pea ka rongo tētahi i te tahu māmā, mau tonu, ā, ka rongo tētahi atu i te mamae kaha ake, ā, ka puta i ētahi wā anake.
He Aha te Take o te Rongo Tahu o te Waewae?
Ko te tino take o te tahu waewae ko te "neuropathy", arā, ko te whara o ngā io. Ka kitea nuitia tēnei i te hunga mate huka roa, i te hunga kāore e pai te whakahaere i te huka toto. Ka tukuna e te whara io he karere hē ki te roro ahakoa kāore he whara tūturu ki te kiko; ka puta ai te kākā, te rangirua me te rongo tahu ki ngā waewae.
Hei tua atu, he maha anō ngā āhuatanga ka puta ai te tahu waewae:
Mate whatukuhu mauroa
Ngā raruraru tairongo nā te pānga ki ngā io iti o te kiri (neuropathy io iti)
Te kore o te huaora B12, folate, B6 rānei
Te inu waipiro nui
Te iti o te homoni tairoiti (hypothyroidism)
Ngā mate urutā pērā i te mate Lyme
Ngā mate harore pērā i te waewae o te kaitākaro
HIV/AIDS
Te kohikohinga pūmua hē ki ngā io (amyloid polyneuropathy)
Ngā tukanga rongoā patu mate pērā i te chemotherapy
Te nui o te huaora B6
Ngā pānga taha o ētahi rongoā
Erythromelalgia, arā, te whānui o ngā uaua ki te ringa me te waewae
Te paitini ki ngā konganuku taumaha pērā i te arataki, te mercury, te arsenic
Te mumura o ngā uaua (vasculitis)
Ngā urupare hē a te pūnaha ārai mate ki ētahi kiko (sarcoidosis)
Ngā mate io pērā i te Guillain-Barre syndrome me te chronic inflammatory demyelinating polyneuropathy (CIDP)
I ētahi tāngata, ahakoa ngā whakamātautau whānui, kāore e taea te kimi i te tino take o te tahu waewae.
He Aha te Take ka Kaha ake te Tahu o te Waewae i te Pō?
Ka kaha ake te rongo tahu ki ngā waewae i te pō. I muri i te kaha o te rā, i te pānga rānei o tētahi urutā māmā, ka puta pea he tahu wā poto, engari ki te auau tonu, ki te mau tonu, he tohu pea nō te whara io. E mōhiotia ana ka pā kino te tahu waewae i te pō ki te moe me te kounga o te moe. Anei ētahi tikanga māmā hei whakaiti i tēnei āhuatanga:
Te waiho i te waewae ki te wai mahana (kāore e tahu) mō te 10-15 meneti
Te whakatā me te hiki i ngā waewae
Te whakamahi rongoā ā-waha, ā-kiri rānei i raro i te tohutohu a te rata
Te mirimiri māmā
Te Kite i te Take o te Tahu Waewae
He mea nui te kimi i te take o te rongo tahu o te waewae kia tika ai te rongoā. Engari, ehara i te mea māmā te ine i te tahu, te mamae rānei. Ka whakamahia ēnei tikanga mō te tātaritanga:
Ngā kōrero hauora me te tirohanga ā-tinana: Ka kohikohi tō rata i ngā pārongo mō tō hauora, ngā rongoā e whakamahia ana, me ngā tohumate. Ka arotake hoki i te wāhi pāngia, ngā urupare, ngā tohu urutā, ngā rerekētanga o te kiri.
Ngā whakamātautau uaua me te io: Ka ine te electromyography (EMG) i te mahi hiko o ngā uaua, ā, ka āwhina ki te kimi i ngā raruraru uaua, io rānei. Ka arotake hoki te whakamātautau tere tuku karere io i te kaha tuku karere o ētahi io.
Ngā whakamātautau taiwhanga: Mā ngā whakamātautau toto ka tirohia te taumata huka toto, ngā taumata huaora, ngā mahi whatukuhu me te tairoiti. Ki te hiahiatia, ka tirohia hoki te mimi, te wai roro tuaiwi rānei.
Te tapahi io: I ētahi wā onge, ki te uaua te tātaritanga, ka tangohia he tauira io iti hei tirohanga ā-karu whārahi.
Ngā Ara me ngā Rautaki Rongoā mō te Tahu Waewae
I te rongoā mō te tahu waewae, ko te whāinga matua kia mōhiotia te tino take, kia hangaia he mahere rongoā e hāngai ana ki taua take. Hei tauira, ki te take o te neuropathy huka, ko te whakahaere huka toto me te ārai i te whara io te mea nui; ki te take harore, ka whakamahia ngā kirīmi patu harore.
Mēnā kāore e taea te rongoā hāngai ki te take, kāore rānei e kitea te take, ka arotahi ki te whakapai ake i te kounga oranga me te whakaiti i ngā tohumate. Ko ētahi o ngā tūtohunga me ngā kōwhiringa rongoā ko ēnei:
Te whakakī i ngā huaora (pērā i te B12, B6, folate) i raro i te aratohu a te rata
Te karo i te inu waipiro nui
Te whakamahi i te rongoā dialysis ki te mate whatukuhu
Te tautoko homoni tika ki te kore o te homoni tairoiti
Te whakahaere kai, rongoā, insulini rānei mō te hunga mate huka
Te whakamahi rongoā ā-waha, ā-kiri rānei ki te hiahiatia
Ehara te mate tahu waewae i te mate mōrearea tonu ki te oranga, engari ka pā kino ki te noho o ia rā me te moe i te wā roa. Mā te rongoā me te aroturuki whaiaro, me ngā tohutohu a te rata, ka taea te whiwhi hua pai.
Ngā Pātai Auau
1. He aha te take ka puta te rongo tahu ki te kapu o te waewae?
Ko te rongo tahu ki te waewae, he maha ka puta nā te whara io (neuropathy), te kore huaora, te mate huka, te inu waipiro, me ētahi atu āhuatanga. Ka taea hoki te take i te mate harore, ētahi mate metabolism, i ētahi wā onge ngā pānga taha o ētahi rongoā.
2. Ka taea te tahu waewae te ngaro noa iho?
Kei te take, i ētahi wā ka ngaro wā poto; engari ki te whara io, ki te mate pūnaha rānei, ka mau tonu pea. Mēnā he roa, he kaha te tahu, me rapu tonu i te rata.
3. He aha ngā mahi ka taea i te kāinga mō te tahu waewae?
Mō ngā āhuatanga māmā, ko te whakatā i te waewae, te karo i ngā mahana tino nui, te pupuri kia mākū, te waiho ki te wai mahana, me te kōwhiri hū tika ka whai hua. Mēnā he tino kitea ngā tohumate, kaua e rongoā i a koe anake, me ui ki te rata.
4. He aha te take ka kaha ake te rongo tahu ki ōku waewae i te pō?
Nā te tairongo ake o ngā io i te pō, ngā rerekētanga o te rere toto, me te aro o te hinengaro ki ētahi atu mea i te ao, ka kaha ake te rongo tahu i te pō.
5. He tohu te tahu waewae mō ētahi mate?
Ko te neuropathy huka, te kore huaora, te raruraru tairoiti, te mate whatukuhu, ngā mate harore, ētahi mate io me te mate autoimmune ka takea ai te tahu waewae.
6. I te āhua pēhea me rapu au i te rata?
Mēnā ka piri te mamae nui, te ngoikore, te rangirua mau tonu, te uaua ki te hīkoi, te tere o te kino, ngā whara, ngā tohu urutā ki te kiri, me rapu wawe i te arotake hauora.
7. He aha ngā whakamātautau ka mahia mō te tahu waewae?
Ka kohikohi tō rata i tō kōrero hauora, ka whakamahere pea i ngā whakamātautau toto, ngā whakamātautau io me te uaua, ā, ki te hiahiatia, te tapahi kiri, io rānei.
8. He pai te tāpiri huaora mō te tahu waewae?
Mā te hunga kua kitea he kore huaora, ka whai hua te tāpiri huaora i raro i te tohutohu a te rata.
9. He āhuatanga mau tonu ka puta i te wera o te waewae?
Mēnā kāore te raruraru kei raro i te mata, pērā i te neuropathy mate huka taumaha, e kitea wawe, e rongoā wawe, ka taea te kino mau tonu ki ngā io.
10. Ka kitea te wera o te waewae i ngā tamariki?
Ahakoa he onge, ka taea e ētahi raruraru matū, io rānei te take i te wera o te waewae i ngā tamariki. Me arotake te rata tamariki i tēnei āhuatanga.
11. Ka pā ki te waewae katoa, ki ētahi wāhi motuhake rānei te wera?
Ka taea te pā ki te kapu o te waewae, ā, ka taea hoki te toro ki te rekereke me ngā waewae. Ka taea e te wāhi me te toro o ngā tohu te tohu i te take.
12. He aha atu ngā whekau ka puta he āhua ōrite?
Ka taea te rongo i te wera, te koretake rānei i ngā ringa me ngā waewae raro, ā, i ētahi wā ka pā hoki ki ngā ringa. Ko ēnei momo tohu ka tohu pea i te pānga whānui o ngā io, i tētahi mate pūnaha rānei i te tinana.
Ngā Rauemi
Te Whakahaere Hauora o te Ao (WHO): Ngā Mate Io: Ngā Wero Hauora Tūmatanui
Te Rōpū Mate Huka o Amerika (ADA): Tauākī Tūranga mō te Neuropathy Mate Huka
Te Whare Wānanga Neurology o Amerika (AAN): Aratohu mō te Neuropathy Whero Iti me te Mamae Neuropathic
Te Whare Rangahau Mate Io me te Whatiwhati o Amerika (NINDS): Mōhiohio Neuropathy Āpiti
Te Whare Hauora Mayo: Wera o te Waewae (Arotake Hauora, 2023)