Ua kahaha paha ʻoe i ka wā e loaʻa ai iā ʻoe kahi ʻoki liʻiliʻi i ka wā e ʻumi ai, a i ʻole i ka wā e ʻoki ai ʻoe i kou lima me ka pahi i ka wā e ʻoki ana i nā mea kanu, a laila pau ke kahe ʻana o ke koko ma hope o kekahi manawa? He mea ia e kahaha ai. ʻO ke kumu o kēia he ʻano pale kūlohelohe i loko o ko mākou kino. Kāhea mākou ia he 'blood clotting'. He mea nui loa kēia e hana ai i ka wā e hōʻeha ʻia ai ko mākou kino a pale ia i ke kahe nui ʻana o ke koko a me ka hōʻino ʻana i ko mākou ola. Eia naʻe, i kekahi manawa, me ke kumu ʻole, hoʻomaka kēia mau clots koko e hana i loko o ke kino i loko o nā aa koko. ʻĀ, hiki ke lilo i mea weliweli iki. No laila i kēia lā, ma kēia ʻatikala, e kamaʻilio mākou e pili ana i nā mea maikaʻi e pili ana i ke kahe ʻana o ke koko, a me nā manawa e hiki ai ke lilo i mea weliweli.
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I ka ʻōlelo maʻalahi, he aha kēia ʻūpā koko?
He ʻōpū mānoanoa, e like me ka jelly ka ʻōpū koko e hana ʻia ana i loko o ko kākou mau kīʻaha koko. Ke loaʻa iā ʻoe kahi ʻoki, ʻeha, a ʻoki kino paha, kōkua kēia mau ʻōpū i ka hoʻōki ʻana i ke kahe nui ʻana o ke koko. ʻO ia kā lākou hana nui a maikaʻi loa.
Eia nō naʻe, ma muli o kekahi mau kūlana olakino a i ʻole nā kumu ʻē aʻe, hiki ke hana ʻia nā ʻūpā koko i loko o nā aʻa me ka ʻole o ka ʻeha. ʻO kēia ka manawa e ʻike ʻia ai nā hōʻailona like ʻole. I kekahi manawa hiki i kēia kūlana ke hoʻoweliweli i ke ola .
He aha ka mea i hana ʻia ai kēia mau ʻūpā koko?
ʻO ke kumu nui o ko mākou ʻūpā koko he ʻelua ʻāpana.
1. Nā Platelets: He mau ʻāpana liʻiliʻi kēia i hana ʻia e ko kākou iwi iwi. ʻAʻohe o lākou kala. Hana lākou e like me nā limahana liʻiliʻi e wikiwiki e hoʻoponopono i nā ʻeha.
2. Fibrin: He ʻano protein kēia i loaʻa i loko o ko kākou koko. He ʻano pipili kona. Ua like ia me ka nui o ke kaula.
I ka ʻōlelo maʻalahi, ke loaʻa kahi ʻeha, pili pū nā platelets a sila i ka ʻeha. A laila, hana kahi protein i kapa ʻia ʻo fibrin i kahi ʻupena e hoʻopaʻa ana i nā platelets a me nā ʻulaʻula koko e hele ana ma waena, e hana ana i kahi ʻūpā ikaika. A laila pau ke kahe ʻana o ke koko. Loaʻa i ke ʻulaʻula koko kona kala no ka mea ua paʻa nā ʻulaʻula koko i loko o ka ʻupena fibrin.
Nā wahi weliweli kahi e hiki ai ke hana ʻia nā ʻūpā koko a me kā lākou mau hōʻailona
Hiki ke hana ʻia kahi ʻūpā koko ma nā wahi āpau o ke kino. Akā, he mea weliweli loa nā ʻūpā koko e hana ʻia ana ma kekahi mau wahi no ka mea hiki iā lākou ke ālai loa i ke kahe ʻana o ke koko i ko kākou mau kino koʻikoʻi. ʻO ka ʻike ʻana i kēia kūlana hiki ke kōkua i ka hoʻopakele ʻana i nā ola.
| Kahi o ke koko koko | He aha kona inoa? | Nā hōʻailona i ʻike pinepine ʻia |
|---|---|---|
| Nā aa koko hohonu i nā wāwae a i ʻole nā lima | ʻO ke koko i loko o ke aʻa hohonu (Deep Vein Thrombosis - DVT) | - Ka pehu ʻana ma kekahi wāwae a lima paha. - ʻEha nui a ʻūmiʻi paha. - Nā loli o ke kala o ka ʻili (ʻulaʻula a polū paha). - ʻOi aku ka mehana o ka ʻāina ke hoʻopā ʻia ma mua o nā wahi ʻē aʻe. |
| Nā māmā | ʻO ka Embolism Pulmonary (PE) | - Paʻakikī koke ka hanu ʻana. - ʻEha nui o ka umauma (ʻoi aku hoʻi i ka wā e hanu hohonu ai). - ʻŪhū (hiki ke komo i ke koko). - Puʻuwai wikiwiki, poniuniu. |
| lolo | Hahau | - Ka mae koke ʻana a i ʻole ka nāwaliwali o ka maka, ka lima, a i ʻole ka wāwae (pinepine ma kekahi ʻaoʻao o ke kino). - Paʻakikī i ka ʻōlelo ʻana a i ʻole ka ʻōlelo ʻana me ka ʻole o ka pololei. - ʻEha poʻo koʻikoʻi koke. - Paʻakikī ka ʻike ʻana, paʻakikī ka hele ʻana. |
| Puʻuwai | Maʻi hohola | - He ʻeha e kaomi ana a ʻūmiʻi ana ma waenakonu o ka umauma. - Hola kēia ʻeha i nā lima, ʻāʻī, ʻauwae, a i ʻole ke kua. - Paʻakikī ka hanu ʻana. - Ka hou ʻana, ka nausea, ka luaʻi ʻana. |
ʻO ka mea nui loa, inā ʻike ʻoe a i ʻole kekahi āu i ʻike ai i kekahi o kēia mau hōʻailona, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila, me ka hoʻokaʻulua ʻole. I loko o ia kūlana, he mea nui ka manawa.
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Check Availability →Nā maʻi koko koko
ʻElua mau ʻano nui o nā maʻi koko. ʻO kekahi ke koko ʻole ke koko i ka wā e pono ai, a ʻo kekahi ke koko nui ke koko i ke ʻano pono ʻole.
| Nā maʻi koko - nā maʻi koko koko | Nā maʻi clotting - ke kāpili nui ʻana o ke koko |
|---|---|
| He paʻakikī i ka poʻe me kēia mau maʻi ke hoʻōki i ke kahe ʻana o ke koko mai kahi ʻeha liʻiliʻi. | Hoʻopuka ko lākou kino i nā ʻūpā koko me ke kumu ʻole. |
| Nā Laʻana: - Ka maʻi Von Willebrand: He kūlana i pili pinepine i ka hoʻoilina. - Thrombocytopenia: Ka emi ʻana o ka nui o nā platelets i loko o ke koko. - Hemophilia hoʻoilina): Ka emi ʻana o ka hana ʻana o nā protein i loko o ke kino e pono ai no ke kāpili ʻana o ke koko. | Nā Laʻana: - Factor V Leiden: He kūlana maʻamau o ka genetic e hoʻonui ai i ka pilikia o DVT a me PE. - Hoʻololi ʻana o ka Prothrombin Gene: He kūlana hoʻoilina nō hoʻi kēia. - Antiphospholipid Syndrome: Hana ʻia kēia e kahi pilikia me ka ʻōnaehana pale. |
He aha nā kumu ʻē aʻe e hoʻonui ai i ka pilikia o nā ʻūpā koko?
Ma waho aʻe o nā kūlana olakino i ʻōlelo ʻia ma luna, hiki i ko kākou nohona a me nā pilikia olakino ʻē aʻe ke hoʻonui i ka pilikia o nā ʻūpā koko. He mea nui e makaʻala i kēia mau mea.
- Makahiki: ʻOi aku ka nui o ka pilikia o ka poʻe ma luna o 65 mau makahiki i ka loaʻa ʻana o nā ʻūpā koko.
- Hāpai keiki: Hoʻonui ka pilikia ma muli o nā loli hormonal a me nā loli ʻē aʻe i ke kino i ka wā hāpai a me ka postpartum.
- Momona: ʻO ke kaumaha o ke kino ke kumu nui o nā ʻūpā koko.
- Kanesa: ʻO kekahi mau ʻano maʻi kanesa a me nā lāʻau lapaʻau no ka maʻi kanesa (e like me ka chemotherapy) e hoʻoulu i ka hoʻokumu ʻana o ke koko.
- Nā lāʻau hoʻomalu hānau a i ʻole ka lāʻau lapaʻau hormone: ʻO ka lawe ʻana i nā lāʻau hoʻomalu hānau a i ʻole nā lāʻau lapaʻau hormone ʻē aʻe i loaʻa ka hormone estrogen e hoʻonui i kou pilikia.
- Puhipaka: Hoʻopōʻino ka puhipaka i nā kīʻaha koko a hoʻonui i ka pilikia o ke kāpili ʻana o ke koko.
- Noho lōʻihi loa ma ke kūlana hoʻokahi:E noʻonoʻo ʻoe e hele ana mai Colombo a i Jaffna ma ke kaʻa, a i ʻole e noho ana ʻoe ma kahi noho keʻena no nā hola i ka manawa. Pono ʻoe e noho ma kahi moe ma hope o ke ʻoki ʻana. I ia mau hihia, lohi ke kahe koko ma nā wāwae, hiki ke alakaʻi i nā maʻi e like me DVT.
Hiki iā mākou ke pale i nā ʻūpā koko?
ʻAʻole hiki iā mākou ke pale loa i kahi maʻi genetic. Eia nō naʻe, hiki iā mākou ke hōʻemi nui i ka pilikia ma ka loaʻa ʻana o ka lāʻau lapaʻau a me ka hoʻololi ʻana i ke ʻano o ka nohona. He nui nā kumu pilikia ʻē aʻe i hiki iā mākou ke kaohi.
- E ʻike pinepine i kāu kauka: E hana i kahi nānā makahiki. E kamaʻilio me kāu kauka e pili ana i kāu mau kumu pilikia.
- E komo i nā hoʻāʻo ʻana no ke kanesa: Mai hōʻole i nā hoʻāʻo ʻana no ke kanesa i ʻōlelo ʻia (e.g., ka maʻi umauma, ka ʻāʻī, ka ʻōpū) ma muli o ka makahiki a me ke kāne.
- E mālama i ke kaumaha olakino: E kāohi i ke kaumaha o kou kino ma o ka ʻai kaulike a me ka hoʻoikaika kino.
- E hoʻōki loa i ka puhipaka: Inā ʻoe e puhipaka, e hoʻoholo e hoʻōki i kēia lā. Hiki iā ʻoe ke ʻimi i ke aʻo lapaʻau no kēia.
- E inu i ka wai nui: ʻO ka pale ʻana i ka dehydration hiki ke kōkua i ka kaohi ʻana i ke kahe koko.
- E noho hana: Inā noho ʻoe no ka manawa lōʻihi, e ala a hele a puni ma ka liʻiliʻi hoʻokahi manawa i ka hola. E hoʻomaʻamaʻa i kou mau wāwae. Ke hele wāwae lōʻihi, e lulu pinepine i kou mau wāwae.
- E hahai i ka ʻōlelo aʻo a kāu kauka: Inā ʻōlelo kāu kauka ua pilikia ʻoe i nā ʻūpā koko, e lawe i nā lāʻau lapaʻau (e laʻa me nā lāʻau hoʻokahe koko) e like me kāna i kauoha ai.
ʻO ka mea hope loa, he hana koʻikoʻi ke kāpili ʻana o ke koko no ka palekana o ko kākou kino. Akā inā e hele ia ma mua o kona palena, ʻo ia hoʻi, inā e hana ʻia kahi clot i loko o nā aʻa koko me ke kumu ʻole, hiki ke hoʻoweliweli i ke ola. ʻO ka mea nui loa, ʻo ia ka makaʻala i nā kumu pilikia a me nā hōʻailona. Inā he kānalua a hopohopo paha kāu e pili ana i kēia, e ʻoluʻolu e kamaʻilio me kāu kauka ʻohana. E nānā ʻo ia i kou olakino a hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo e pono ai.
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- He hana kūlohelohe ke kāpili ʻana o ke koko e hoʻōki ai i ke kahe ʻana mai kahi ʻeha. Akā i kekahi manawa hiki ke hana pono ʻole ʻia i loko o ke kino a ālai i nā kīʻaha koko.
- E makaʻala mau i nā hōʻailona e like me ka pehu ʻana o ka wāwae a me ka ʻeha (DVT), ka ʻeha koke o ka umauma a me ka pōkole o ka hanu (PE), a me ka maneʻo ma kekahi ʻaoʻao o ka maka a i ʻole ke kino (Stroke).
- ʻO ka makahiki, ka hāpai ʻana, ka momona, ka puhipaka, a me ka noho ʻana ma ke kūlana hoʻokahi no ka manawa lōʻihi e hoʻonui ai i ka pilikia o ke kāpili ʻana o ke koko.
- Inā ʻike ʻoe i kekahi o nā hōʻailona weliweli i ʻōlelo ʻia ma luna,Mai hoʻonele i ka manawa a e hele koke i ka haukapila.
- Hiki iā ʻoe ke kaohi nui i kēia kūlana ma ke kamaʻilio ʻana me kāu kauka e pili ana i kou pilikia a me ke ola ʻana i kahi nohona olakino.
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