Ko e Mamahi ʻi he Ngaahi Vaʻe: Ko e Ngaahi ʻUhinga, Ngaahi Fakatātā mo e Founga Puleʻi
Fakangatangata ʻi he vae
Ko e fakangatangata ʻi he vae; ʻe lava ke hoko mei he ngaahi hui, ngaahi hui toto, ngaahi hui sino, ngaahi hui neva pe ngaahi hui toto, pea ʻoku fakahaaʻi ʻe he ngaahi meʻa kehekehe. ʻI he taimi kehe, ʻoku hoko pē ʻi he vae ʻa e ngaahi māfana, ka ʻi he ngaahi taimi kehe, ʻoku lava ke hoko mei he ngaahi palopalema fakafaitoʻo ʻi he ngaahi konga kehe ʻo e sino. ʻI he moʻui fakaʻaho, ʻoku lava ke hoko ʻa e fiemaʻu lahi ʻo e ngaue fakasino, nofo fuoloa pe tuʻu fuoloa, ʻo fakatupu ʻa e mālōlō, pea ʻoku ne fakatupu ʻa e fakangatangata ʻi he vae ʻi he ngaahi tuʻunga nounou; ka ʻoku ʻi ai foki ʻa e ngaahi fakangatangata ʻoku fakahaaʻi ʻe he ngaahi palopalema fakafaitoʻo lahi ange.
Ko e hā e ngaahi founga ʻoku hā ai ʻa e fakangatangata ʻi he vae?
ʻOku faingofua ke ongoʻi ʻa e fakangatangata ʻi he vae mei he hiku vae ki lalo ʻo e mokomoko, pea ʻe lava ke hā ʻi he ngaahi founga hange ko e sī, vela, mamahi pe kosi. ʻE lava ke hoko ko ha palopalema nounou, ka ʻoku ʻi ai foki ʻa e ngaahi taimi ʻoku hoko ai ko e fakaʻilonga kamata ʻo ha mahaki mahuʻinga ʻoku lolotonga hoko. ʻOku totonu ke ʻave tokanga ki he ngaahi fakangatangata ʻoku toe hoko pe toe lahi ange, sī ʻo e hui sino, kosi mo e ngaahi fakangatangata fuoloa. ʻI he ngaahi taimi nounou, ʻoku lava ke hoko ʻa e fakangatangata ʻi he vae ko ha fakaʻilonga kamata ʻo e mahaki mahuʻinga hange ko e fakamate loto pe fakamate ʻe he toto.
Ngaahi ʻuhinga lahi ʻoku fakatupu ai ʻa e fakangatangata ʻi he vae
ʻOku lahi ʻa e ngaahi ʻuhinga ʻo e fakangatangata ʻi he vae pea ʻoku fiemaʻu ke vakaiʻi fakalahi ʻa e ngaahi meʻa ʻoku ʻi lalo. Ko e ngaahi ʻuhinga lahi taha ʻo e fakangatangata ʻi he vae ko ʻeni:
Kosi ʻo e hui sino mo e ngaahi spasimo
Ko e kosi ʻo e hui sino ʻoku hoko ʻi he taimi ʻoku vave ai ke kosi ʻa e hui, pea ʻoku lava ke hoko ʻi he taimi ʻoku ʻikai ke ʻi ai ha vai ʻi he sino, ngaue lahi, kai ʻikai totonu mo e mole ʻo e ngaahi minelali. ʻOku lahi hono hoko ʻi he kau vaʻinga mo e ngaahi taimi mafana.
Fakamālohi mo e fakapikopiko ʻo e neva
Ko e fakamālohi ʻo e neva lahi hange ko e neva siyatiki ʻi he feituʻu ʻo e konga mokomoko, ʻoku ne fakatupu fakangatangata ʻi he vae, mamahi, ongoʻi vela mo e kosi ʻo e hui sino. ʻOku faingataʻa ke hoko ʻa e fakapikopiko ʻo e neva ʻi he taimi ʻoku lahi ai e mamafa, fehalaaki ʻo e tuʻunga, ngaue lahi pe palopalema mei he fakamanava.
Mālohi ʻo e toto mo e palopalema ʻo e fakamafola toto
Ko e aterosklerosis pe mole ʻo e toto; hange ko e toto māolunga, kolestolo lahi, maʻi suka, inu sigareti mo e motuʻa, ʻoku ne fakatupu ke mole pe mālohi ʻa e ngaahi toto. ʻOku faingofua ke lahi ʻa e fakangatangata ʻi he taimi ʻoku ngaue ai, pea ʻoku siʻisiʻi ʻi he taimi malōlō. ʻOku lava ke hā foki ʻa e māfana, ʻuli, fufuu pe mamahi ʻi he vae.
Fakafita ʻo e mokomoko mo e palopalema ʻo e hui mokomoko
Ko e fakafita ʻo e mokomoko pe mole ʻo e konga ʻo e mokomoko, ʻoku ne fakatupu fakamālohi ʻi he ngaahi neva ʻi he mokomoko pea fakatupu fakangatangata, vaivai mo e faingataʻa ʻo e ngaue ʻi he vae. ʻOku faingofua ke hā ʻa e ngaahi fakangatangata ni ʻi he taimi nofo, ʻalu, pe tauhi mamafa, pea ʻoku lava ke hoko mo e mamahi.
Palopalema ʻo e ngaahi hui
Ko e atraiti (kilikilimi) ʻi he hui vae, mokomoko pe ngaahi palopalema ʻi he hui, hange ko e meniskusi pe mamahi ʻo e kakano, ʻoku ne fakatupu fakangatangata ʻi he vae. ʻOku lahi ʻa e mamahi ʻi he vae ʻi he taimi ʻoku ʻalu ai pe tuʻu; pea ʻoku lahi ʻa e mamahi ʻi he mokomoko ʻi he taimi ʻoku ʻalu ai.
Sinirome ʻo e vae ʻikai malōlō
ʻI he taimi efiafi mo e pō, ʻoku kamata pē ʻa e ongoʻi fiemaʻu ke ngaueʻi ʻa e vae, seʻe mo e fakangatangata, pea ko ha palopalema lahi ʻoku kau ai ʻa e neva. ʻOku faingofua ke fakasiʻi ʻa e ngaahi fakaʻilonga ʻaki ha ʻalu pe ngaue.
Mamahi ʻo e neva ʻoku fakatupu ʻe he suka
Ko e neva diabetiki ʻoku hoko ʻi he kakai maʻi suka; ʻoku ne fakatupu ongoʻi mamahi, vela, kosi mo e mamahi lahi ʻi he vae. ʻOku lava ke lahi ʻa e mamahi ʻi he taimi ngaue, pea ʻoku lava ke hoko mo e mamahi.
Fakangatangata ʻi he vae ʻi he taimi maʻitaki
ʻOku faingofua ʻa e fakangatangata ʻi he vae ʻi he taimi maʻitaki ʻi he mālohi ʻo e sino mo e liliu ʻo e homoni. ʻOku lava ke lahi ʻa e mamahi kapau ʻoku vaivai ʻa e hui sino pe kamata ʻa e maʻitaki mo e mamafa lahi. ʻOku lava ke fakalahi ʻa e mamahi ʻe he ngaahi palopalema hange ko e suka ʻi he maʻitaki.
Fakangatangata ʻi he vae ʻi he fanau
Ko e fakangatangata ʻi he vae ʻi he fanau, ʻoku kamata ʻi he pō pea hoko ʻi ha houa siʻi, ʻoku kau ia mo e tupu lahi ʻo e sino. Kapau ʻoku ʻikai ke ʻi ai ha fufuu, kula pe ʻuli pea ʻoku nounou ʻa e mamahi, ʻoku ʻikai fiemaʻu ke hohaʻa. Ka ʻoku totonu ke vakaiʻi lelei kapau ʻoku hokohoko pe pe ʻi ai ha ngaahi fakaʻilonga kehe.
Fakatātā ʻo e fakangatangata ʻi he vae mo e taimi ke ʻalu ki he toketā
Kapau ʻoku toe hoko ʻa e fakangatangata ʻi he vae, ʻikai ke mole ʻaki ha malōlō, ʻi ai ʻa e mamahi, faingataʻa ʻo e ngaue, liliu lanu pe mamahi, ʻoku totonu ke feʻiloaki mo ha toketa. ʻE fai ʻe he toketa ha fehuʻi fakalahi, sivi sino, pea kapau ʻoku fiemaʻu, ʻe ngaueʻaki ʻa e ngaahi meʻangāue hange ko e ronteni, MR, ultrasound mo e sivi neva EMG.
Ko e hā e meʻa ʻe lava ke fai ke fakasiʻi ai ʻa e fakangatangata ʻi he vae?
ʻOku kehekehe ʻa e ngaahi founga ʻoku fakahā ki he ngaahi ʻuhinga kehekehe, ka ʻoku ʻi ai ʻa e ngaahi founga ʻe lava ke tokoni ke fakasiʻi ai ʻa e mamahi:
Ko ha tā shower mafana pe tā fufuu mafana ʻe lava ke tokoni ke malōlō ʻa e hui sino.
Malōlō mo tauhi ʻa e vae ʻi ʻolunga, ʻe lava ke fakasiʻi ʻa e fufuu mo e mamahi.
ʻE lava ke ngaueʻaki ʻa e fakamamahi ʻi he fakahā ʻa e toketa.
Ko ha masaki mālie ʻo e hui sino ʻe lava ke fakalahi ʻa e fakamafola toto mo e malōlō.
ʻOku mahuʻinga ke ʻaloʻi ʻa e ngaahi sapatu maolunga.
Ko e ngaue fakasino fakahoko, ʻe tokoni ke mālohi ʻa e hui sino mo fakasiʻi ʻa e faingataʻa ʻo e mamahi ʻi he kahaʻu.
ʻOku mahuʻinga ke inu vai mo kai totonu ke maluʻi ai mei he kosi mo e mamahi.
ʻI he ngaahi palopalema hange ko e mamafa lahi, ʻoku fiemaʻu ke liliu e founga moʻui, tokoni fakafaitoʻo pe taotao ke puleʻi ʻa e fakangatangata ʻi he vae.
Ngaahi Fehuʻi ʻOku Fai Laumālie
1. Ko e hā e ʻuhinga lahi ʻo e fakangatangata ʻi he vae?
Ko e ʻuhinga lahi taha ko e mālōlō ʻo e hui sino, tuʻu fuoloa pe ngaue lahi. ʻOku lava ke hoko foki mei he fakapikopiko ʻo e neva, mole ʻo e toto, mahaki ʻo e hui mo e suka.
2. Ko e hā e meʻa ʻe lelei ki he fakangatangata ʻi he vae ʻi ʻapi?
Ko ha tā fufuu mafana, malōlō, masaki mālie, inu vai lahi mo tauhi ʻa e vae ʻi ʻolunga ʻe lava ke fakasiʻi ʻa e mamahi. Ka ʻoku lahi pe ʻikai ke mole ʻa e mamahi, ʻe fiemaʻu ke ʻalu ki he toketa.
3. Ko e hā e ngaahi taimi ʻoku matuʻaki faingataʻa ai ʻa e fakangatangata ʻi he vae?
Kapau ʻoku kau mo e fufuu, liliu lanu, mole ʻo e ngaue, vaivai pe mamahi ʻi he vae, pe ʻoku vave mo lahi ʻa e mamahi, ʻoku totonu ke sivi fakafaitoʻo vave.
4. Ko e hā e ngaahi mahaki ʻoku fakahaaʻi ʻe he fakangatangata ʻi he vae?
Mole ʻo e toto, mahaki ʻo e neva (neva diabetiki), suka, mahaki romatiki, palopalema ʻo e hui mo e ngaahi mahaki fakapikopiko ʻe lava ke fakatupu fakangatangata ʻi he vae.
5. Ko e hā e ʻuhinga ʻoku lahi ai ʻa e fakangatangata ʻi he vae ʻi he maʻitaki?
Ko e mamafa lahi, liliu ʻo e fakamafola toto mo e homoni ʻoku ne fakalahi ʻa e fakangatangata ʻi he vae ʻi he maʻitaki. ʻOku mahuʻinga ke mālohi ʻa e hui sino mo e ngaue totonu ʻi he taimi ko ʻeni.
6. Ko e hā e ʻuhinga ʻo e fakangatangata ʻi he vae ʻi he fanau?
ʻI he ngaahi taimi lahi, ʻoku kau ia mo e tupu lahi ʻo e sino pea ʻoku ʻikai fakatuʻutāmaki. Ka ʻoku ʻi ai ha fufuu, ʻuli pe mamahi lahi, ʻoku totonu ke ʻalu ki he toketa.
7. Ko e hā e taimi ke ʻalu ai ki he toketa ki he fakangatangata ʻi he vae?
Kapau ʻoku toe hoko ʻa e mamahi ʻi he ʻaho 3-4, lahi mo ʻikai ke mole, faingataʻa ke ʻalu, pe ʻi ai ha ngaahi fakaʻilonga kehe (fufuu, mafana, kula), ʻoku totonu ke ʻalu ki he toketa.
8. Ko e hā e meʻa ʻe lava ke fai ke maluʻi ai mei he fakangatangata ʻi he vae?
Ngaue fakasino fakahoko, inu vai totonu, kai totonu, fili sapatu totonu mo tauhi mamafa totonu ʻe lava ke maluʻi mei he fakangatangata ʻi he vae.
9. Ko e hā e founga ke ʻilo ai ʻa e mole ʻo e toto ʻi he vae?
Kapau ʻoku lahi ʻa e mamahi ʻi he taimi ʻoku ʻalu ai pea siʻisiʻi ʻi he taimi malōlō, māfana pe ʻuli ʻa e vae, pe ʻikai ke māʻoniʻoni ʻa e mamahi ʻi he vae, ʻoku fakahaaʻi ia ki he mole ʻo e toto.
10. Ko e hā e founga ke ʻilo ai ʻa e fakangatangata ʻi he vae ʻoku fakatupu ʻe he fakapikopiko ʻo e neva?
Ongoʻi mamahi, kosi, mamahi vela mo e vaivai ʻo e hui sino; ʻoku muimui ʻa e ngaahi fakaʻilonga ʻi he hala ʻo e neva mei he mokomoko ki he vae.
11. Ko e hā e ngaahi sivi ʻoku fai ki he fakangatangata ʻi he vae?
Hili e sivi sino, ʻe lava ke kole ʻa e toketa ki ha sivi hange ko e ronteni, ultrasound, MR mo e sivi neva (EMG).
12. ʻE lava ke mole pē ʻa e fakangatangata ʻi he vae ʻi he taimi?
Ko e fakangatangata ʻi he hui sino nounou ʻoku faingofua ke mole ʻi he ngaahi ʻaho siʻi. Kapau ʻoku fuoloa pe lahi ʻa e mamahi, ʻoku totonu ke kole tokoni fakapolofesinale.
Ngaahi Ngaahi Konga
Kautaha Moʻui ʻo Mamani (WHO), Fakamālohi mo e Ngaahi Mahaki ʻo e Hui mo e Sino
Kautaha ʻAmelika ʻo e Kau Tohitohi Fakaʻosi ʻo e Hui (AAOS), Fakangatangata ʻi he Vae: Ngaahi ʻUhina mo e Fakalahi
Kautaha ʻAmelika ʻo e Suka (ADA), Taʻiala ki he Neva Diabetiki
Ngaahi Potungaue Ma'olunga ki he Mo'ui (NIH), Fakatokanga ki he Mahaki Peripheral Artery
Mayo Clinic, Fakamahino ki he Restless Leg Syndrome
Kautaha 'a e Romatology 'Amelika (ACR), Mahaki 'o e Sivi mo e va'e