Ngā Tikanga Tiaki Kaiwhakawhanau i roto i ngā Take Rūmātiki
Pendahuluan
Ko te mate rumatiki (RA) he mate pūnaha ārai mate mau tonu e puta ai te mumura o ngā hononga, ā, ka pā ki ngā okana maha. Mō ngā wāhine o te tau whānautanga, he pānga nui tō te RA ki te hauora whānautanga, te hāputanga, te whānautanga, te whānautanga i muri i te whānautanga, me te whāngai ū. I roto i te horopaki o te whānautanga, ko te tiaki i ngā whaea whai RA ehara i te mea ko te aroturuki i te hāputanga me te oranga o te pēpi anake, engari ko te whakahaere i ngā tohu, te aukati i ngā raruraru, ngā whakatikatika rongoā, me te mātauranga me te tautoko hinengaro-pāpori. E matapakihia ana e tēnei tuhinga ngā tikanga tiaki whāngai whānui me te whai hua mō ngā take RA.
He Tirohanga Whānui mō te Rheumatoid Arthritis i te Wā Hapūtanga
Ko te mate RA e tohuhia ana e te mamae o ngā hononga, te pakari o te ata, te pupuhi, me te ngoikore o te mahi. Mō ētahi wāhine, ka pai ake pea ngā tohu o te RA i te wā e hapu ana nā ngā huringa ārai mate, engari mō ētahi atu, ka mau tonu, ka kino ake rānei, inā koa i te wā i muri i te whānautanga. Ko te pānga o te RA ki te haputanga ka uru atu ki te pikinga o te mōrearea o te whānautanga wawe, te taumaha iti i te whānautanga, me ngā herenga ki ngā mahi a te whaea e whakararuraru ana i ngā matea kai me te nekenekehanga. Hei tāpiri, ko te whakamahinga o ētahi rongoā ārai mate, rongoā ārai mumura rānei ka tūpono ki te pēpi mena kāore e whakahaerea tika.
Ngā Mātāpono Taketake o te Manaaki Kaiwhakawhanau mō ngā Whaea me te RA
Ko te tiaki i te mate pukupuku RA e ahu mai ana i ngā mātāpono e whai ake nei:
1. Te haere tonu o te tiaki mai i mua i te haputanga ki muri i te whānautanga.
2. Te mahi tahi a ngā tohunga ngaio me ngā tākuta whānau me ngā tākuta wahine, ngā tākuta rumatiki, ngā tākuta kai, me ngā tākuta whakapakari tinana.
3. Te whakahaere i ngā mōrearea mā te tirotiro, te aroturuki tata, me ngā tukunga i te wā tika.
4. He huarahi whānui e uru ana ki ngā āhuatanga tinana, hinengaro, pāpori, tae atu ki ngā matea whānau.
Ngā Tikanga Tiaki Kaiwhakawhanau i te Wā o Mua i te Hapūtanga
He mea nui te wā i mua i te haputanga nā te mea ka pā te RA me ōna rongoā ki te momonatanga me te haumaru o te hāputanga. Ko ngā tikanga tiaki a te kaiwhakawhanau i tēnei wā ko:
1. Aromatawai whānui
– Hītori hauora: te roa o te RA, te mahi a te mate, ngā hononga e pāngia ana, ngā herenga mahi.
– Hītori rongoā: te whakamahinga o ngā DMARD (Disease Modifying Anti-Rheumatic Drugs), corticosteroids, NSAID, ngā rongoā koiora rānei.
– He hītori o ngā hāputanga o mua me ngā raruraru whānau.
2. Te tohutohu whakamahere haputanga
– E whakanui ana i te hiranga o te hāputanga ina kei raro i te mana whakahaere o te RA (kua murua te mate, kua iti rānei te mahi).
– Kōrerohia ngā rongoā e haumaru ana, me ngā rongoā me whakamutu i mua i te hapūtanga. He mate pāwera ētahi rongoā RA, nō reira he mea nui te kōrero ki te tākuta e haere ana.
3. Mātauranga mō te āhua noho
– He kai taurite, he nui te pūmua, te konupūmā, me te huaora D hei tautoko i te hauora o ngā wheua.
– Ngā mahi ā-tinana māmā e whakaaetia ana pērā i te totoro me ngā korikori hononga hei pupuri i te nekenekehanga.
– Te whakahaere i te ahotea me te kounga o te moe nā te mea ka taea e te ahotea te whakararu i ngā tohu mumura.
Ngā Tikanga Tiaki Kaiwhakawhanau i te Wā Hapūtanga
I te wā e hapu ana, me aroturuki ngā kaiwhakawhanau i te taha o te whaea me te pēpi, me te noho urutau hoki ki ngā mate o te RA.
1. Ngā aromatawai auau me ngā aromatawai motuhake
– Ngā tirotiro noa mō te hāputanga: te toto totoka, te taumaha, te teitei o te hope o te kōpū, te tere o te manawa o te pēpi, ngā tohu mōrearea o te hāputanga.
– Aromatawai RA: te nui o te mamae, te pakari, te pupuhi o ngā hononga, te kaha ki te mahi i ngā mahi o ia rā, me ngā tohu o ngā pānga taha o te rongoā pēnei i te toto toto tiketike, te pikinga rānei o te huka toto nā ngā steroids.
2. Te whakahaere mamae kore-rongoā
– Me whakamahi he kōpeke mahana ki ngā hononga mārō, he kōpeke matao rānei ki ngā hononga pupuhi, e ai ki te urupare a te tangata takitahi.
– Te whakangā manawa hōhonu, ngā tikanga whakararuraru, me te tautoko hinengaro.
– Ngā tūranga okiokinga e taunakitia ana hei whakaiti i te pēhanga ki ngā hononga, hei tauira, te whakamahi i tētahi urunga tautoko.
3. Āwhina ki te whakamahinga rongoā (mahi tahi)
Kāore ngā kaiwhakawhanau e tohu rongoā mō te RA, engari he mahi nui tā rātou ki te whakarite kia tutukihia ngā whakaritenga, kia aroturukitia ngā pānga taha, me te whakatenatena i ngā haerenga ki te tākuta auau. Me whakamahara anō hoki ngā kaiwhakawhanau ki ngā whaea kia kaua e mutu ohorere te tango rongoā me te kore he tohutohu hauora, nā te mea ka pā kino te pikinga o te RA ki te whaea me te tamaiti i roto i te pēpi.
4. Te aroturuki i te kai me te mate toto
I ētahi wā, ka ārai te iti o te nekehanga i ngā whaea ki te whakarite kai totika. Ka taea e ngā kaiwhakawhanau te whakawhanake rautaki: he mahere kai māmā, he tautoko whānau, me ngā mahere tahua ngāwari ki te whakarite. Me matapae te mate toto iti, nā te mea ka taea e te mumura mau tonu te whakaoho i te mate toto iti o te mate mau tonu.
5. Te kimi me te ārai i ngā raruraru
– Aroturukihia te mōrearea o te toto toto tiketike i te wā hapūtanga, te mate huka i te wā hapūtanga (ina koa mēnā kei te whakamahi i ngā steroids), me ngā tohu o te mate pāwera nā te mea ka taea e ngā rongoā ārai mate te whakaiti i te pūnaha ārai mate o te tinana.
– Te taunaki i ngā werohanga ārai mate i te wā e hapu ana, kia rite ki ngā kaupapa here ā-motu me ngā āhuatanga haumanu.
Ngā Tikanga Tiaki Kaiwhakawhanau i te Whānautanga
Me āta whakamahere te whānautanga o ngā whaea whai RA, inā koa mēnā ka pāngia ngā hononga o te hope, te turi, te tuaiwi rānei.
1. Mahere whānau takitahi
– Te kōrero mō ngā tikanga whānau i te toru marama whakamutunga o te hapūtanga, te whakahaere mamae, me te hiahia pea mō ngā taputapu āwhina.
– Tērā pea ka whānau noa te whānautanga o ētahi whaea, engari mā ngā herenga hononga, ngā raruraru whānau rānei ka nui ake te tūponotanga o te pokanga.
2. Te whakahaere i te tūranga mahi
– Mā te kaiwhakawhanau e āwhina ki te whiriwhiri i tētahi tūranga e pai ana, e haumaru ana hoki mō ngā hononga, hei tauira, te takoto ki tō taha (taha taha), te noho-haurua, te tūranga rānei me te tautoko turi.
– Āta karohia ngā tūranga e tino piko ai te hononga e mamae ana.
3. Ngā tikanga whakaiti mamae
– Ngā mahi manawa, te mirimiri māmā, me te tautoko tonu.
– Te mahi tahi mō te rongoā hei whakangāwari i te mamae mēnā e tika ana, e ai ki te tikanga me te āhua o te whaea.
4. Te ārai i te ngenge
Ka māmā ake te ngenge o ngā whaea whai RA. Me whakawhanake e ngā kaiwhakawhanau ngā rautaki penapena pūngao pēnei i te okioki i waenga i ngā mamae, te nui o te wai, me te tautoko mai i te whānau/hoa whānau.
Ngā Tikanga Tiaki Kaiwhakawhanau i muri i te Whānautanga me te Whānau U
He wā e ngāwari ana te horapa o te mate RA i te wā o muri i te whānautanga. Nō reira, me aro nui te tiaki i muri i te whānautanga ki te aroturuki i te mate me te rite o te whaea ki te tiaki i tana pēpi.
1. Te aroturuki i ngā mura me ngā āhuatanga whānui
– Aromatawai i te mamae o ngā hononga, te kōpiko, me te kaha ki te tiaki i a koe anō.
– Tirohia ngā tohu o te mate pāwera, te toto i muri i te whānautanga, me te nekenekehanga o te kōpū, kia rite ki ngā paerewa tiaki i muri i te whānautanga.
2. Tautoko whāngai ū
– Kāore te RA e aukati i te whāngai ū, engari ka taea e te mamae o ngā hononga o te ringa me te pakihiwi te whakararu i te whakamoe. Ka taea e ngā kaiwhakawhanau te whakaako i ngā tūranga whāngai ū ergonomic: te takoto taha, te pupuri whutupaoro me te urunga, te whakamahi rānei i te urunga whāngai hei whakaiti i te taumahatanga o te ringa.
– Te mahi tahi ki te tohutohu mō te haumaru o ngā rongoā RA i te wā e whāngai ana i te pēpi, nā te mea ka taea e ētahi rongoā te uru ki te waiū ū. Ka akiaki ngā kaiwhakawhanau i ngā whaea ki te kōrero ki a rātou anō i mua i te tīmatanga anō i ētahi rongoā.
3. Te mātauranga mō te tiaki pēpi he haumaru mō ngā hononga
– Whakaakona ngā tikanga hiki pēpi me te tautoko, te whakamahi i ngā kaikawe ergonomic, me ngā tēpu whakawhiti pēpi kia kore ai e piko pinepine.
– Whakatenatenahia te whakawhitiwhiti mahi me tō hoa rangatira/whānau mō ngā mahi e whakamamae ana, pērā i te kaukau i tāu pēpi i te wā e pāngia ana e te mumura.
4. Te tirotiro hauora hinengaro
Ka piki ake te mōrearea o te pouri o te pēpi, te pouri rānei i muri i te whānautanga i te mamae mau tonu. Me mahi ngā kaiwhakawhanau i ngā tirotiro māmā, me tautoko, me tuku kōrero mō ngā tohu o te pouri.
Te Tuhituhi me te Aromatawai i te Manaaki
Me tuhi pūmau ngā kaiwhakawhanau i ngā aromatawai katoa, ngā mahere, ngā mahi, me ngā aromatawai. Kei roto i ngā aromatawai: te whakahaere i ngā tohu o te RA, te whai i te haerenga ANC, te āhua kai, ngā hua aroturuki i waenga i te whaea me te pēpi, me te angitu o te whāngai ū me te urutau i muri i te whānautanga. Mena ka kitea ngā tohu mōrearea (hei tauira, te toto toto tiketike, te poto o te manawa, te kirika, te ngoikore o te nekehanga o te pēpi, te mamae nui rānei o ngā hononga me te pupuhi nui), me tuku wawe atu.
Te Katinga
Ko ngā tikanga tiaki tamariki mō te rumatiki rheumatoid me whai huarahi whakamahere, mahi tahi, me te arotahi ki te whaea. Mā te aromatawai whānui, te aroturuki tata puta noa i te hapūtanga, te whānautanga kua whakaritea, me te tautoko kaha i muri i te whānautanga me te whāngai ū, ka taea e ngā kaiwhakawhanau te āwhina i ngā wāhine whai RA kia hapū haumaru, kia pai ake ai te kounga o te oranga. He nui te awe o te whakawhitiwhiti kōrero whai hua, te mātauranga whānau, me te mahi tahi a ngā tohunga ngaio ki te tiaki angitu kia pai ai te hauora o te whaea me te pēpi.
