Ua noʻonoʻo paha ʻoe i ka mea e hiki mai ana inā ua ālai koke ʻia kekahi kīʻaha koko i loko o ko kākou kino e kekahi mea? ʻAʻole paha i hana ʻia kēlā iā ʻoe. Akā, he mea kēia e pono ai kākou a pau e ʻike. No ka mea, ʻo ke kīʻaha koko e ālai ʻia ana e like me kēia, kahi kūlana i kapa ʻia ʻo (Embolism), hiki ke lilo i mea weliweli loa i kekahi manawa. No laila, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku a maʻalahi i kēia lā?
He aha ka embolism? I ka ʻōlelo maʻalahi...
I ka ʻōlelo maʻalahi, ʻo ka embolism ka wā e ālai ʻia ai kekahi o kou mau kīʻaha koko, a i ʻole kahi e kahe ai ke koko, e kekahi mea. ʻO ka hapa pinepine, ʻo kēia ālai ʻana ke kumu o kahi ʻūpā koko i hana ʻia ma kahi ʻē aʻe. Eia naʻe, ʻaʻole wale nā ʻūpā koko, akā hiki i nā mea ʻē aʻe ke hele mai kekahi wahi o ke kino a i kekahi a ālai i kahi kīʻaha koko e like me kēia.
E noʻonoʻo e like me kahi ʻāpana lepo e paʻa ana i loko o kahi paipu wai. ʻOi aku ka paʻa o kekahi mau kīʻaha koko ma muli o ko lākou nui a me ke ʻano ma mua o nā mea ʻē aʻe. Hiki ke hana ʻia kēia ma kahi e māhele ai kahi kīʻaha koko nui i nā kīʻaha liʻiliʻi, a i ʻole kahi i emi ai ke kīʻaha koko ma muli o nā waihona momona (atherosclerosis).
Hiki i kēia mau embolisms ke hana ma nā wahi āpau o kou kino, me kou lolo, nā māmā, nā puʻupaʻa, a me ka spleen. ʻO ke ʻano maʻamau o ka embolism aia i loko o nā māmā. Ke hana ʻia kahi clot koko i loko o nā aa o kou mau wāwae a hele i kou mau māmā, ua kapa ʻia ʻo ia he pulmonary embolism, a i ʻole PE .
He aha nā ʻano like ʻole e hiki ai ke hana i ka embolism?
Hiki ke hoʻokaʻawale ʻia kahi embolism i kekahi mau ʻano ma muli o ke ʻano o ka mea i paʻa i loko o ke kīʻaha koko. E nānā:
- Thromboembolism: ʻO kēia ke ʻano maʻamau o ke koko ʻaʻa . Hoʻokumu ʻia ia e kahi koko ʻaʻa e hana ʻia ma kahi ʻē aʻe o ke kino, ʻoi aku hoʻi ma nā aʻa hohonu o nā wāwae (Deep Vein Thrombosis - DVT).
- ʻO ka embolism tumor: Kekahi mea e like me kahi ʻāpana o ke kele kanesa.
- ʻO ka embolism momona: Hiki ke hōʻiliʻili ka momona i loko o ke koko i ka wā o ka haki iwi nui.
- Septic embolism: He ʻōpū koko e pili ana i kahi maʻi.
- ʻO ka embolism ea: No ka laʻana, hiki ke hana ʻia e ke kinoea naikokene i ka wā e luʻu ai.
- ʻO ka embolism wai amniotic: Pili kēia me ka hānau keiki ʻana a he mea kakaikahi loa ia.
ʻO kēia mau mea, ʻo Venous Thromboembolism , ʻo ia hoʻi kahi ʻaʻa koko e hana ʻia i loko o nā aʻa a ālai iā lākou, ʻoi aku ka maʻamau ma mua o nā ʻaʻa arterial. ʻO ka ʻoiaʻiʻo, ma kahi ʻāina e like me ʻAmelika, ua hōʻike ʻia he 900,000 mau kānaka i kēlā me kēia makahiki e loaʻa i kēia maʻi. Eia kekahi, ʻo Pulmonary Embolism ke kolu o ke kumu nui o ka make e pili ana i ka puʻuwai a me nā kīʻaha koko ma ka honua. (ʻO nā helu ʻekahi a me ʻelua ʻo Stroke a me Heart Attack).
He aha nā hōʻailona o kahi embolism?
Inā hoʻokumu ʻia kahi embolism i loko o kou aʻa, e ālai ia i ke kahe o ke koko. ʻIke ʻoe, lawe ke koko i ka oxygen e pono ai kēlā me kēia cell i loko o ko kākou kino. No laila, inā ʻaʻole hiki i ke koko ke hele, ʻaʻole hiki i ka oxygen ke hele. ʻO kēia nele o ka oxygen ke kumu o kahi kūlana i kapa ʻia ʻo "infarct," kahi e hōʻino ai i ke kino e pono ai kēlā oxygen. Hiki i kēia ke hōʻeha. I kekahi manawa, hiki i kēia nele o ka oxygen ke make.
E noʻonoʻo i kahi ʻaʻa koko (thrombus) e hana ana i loko o kahi aʻa koko hohonu i kou wāwae, a haki nā ʻāpana liʻiliʻi o ia mea a hele pū me ke koko i ka ʻaoʻao ʻākau o kou puʻuwai. Mai laila mai, hoʻopuka ʻia ke koko i nā māmā. Hoʻopaʻa ʻia kēia mau ʻaʻa koko liʻiliʻi (pulmonary emboli) i loko o nā kīʻaha koko liʻiliʻi i loko o nā māmā, e hana ana i ka infarct o ka māmā. He mea kākaʻikahi loa, hiki i nā mea nui (pulmonary emboli) ke ālai loa i ke kahe maʻamau o ke koko mai ka ʻaoʻao ʻākau o ka puʻuwai a i nā māmā.
ʻOkoʻa nā hōʻailona o ka embolism ma muli o ke ʻano a me kahi o ka embolism. ʻAʻole paha i loaʻa i kekahi poʻe kekahi mau hōʻailona. Eia kekahi o nā hōʻailona:
- Pōkole o ka hanu
- Nā pae oxygen koko haʻahaʻa (Hypoxemia)
- Ka hanu wikiwiki akā pāpaʻu (Tachypnea)
- Ka nāwaliwali, ka luhi
- ʻEha poʻo
- Nā kiko ʻulaʻula ma ka ʻili (Petechiae)
- ʻEha umauma
- Ka wikiwiki o ka puʻuwai (Tachycardia)
- kuni
- Ka pehu ʻana ma ka lima a i ʻole ka wāwae
- Nā hopu ʻana
- Vertigo
- Ka luaʻi a me ka nausea
- Ke koko haʻahaʻa (Hypotension)
He aha ke kumu nui o ka embolism?
ʻO ka hapa pinepine, loaʻa ka embolism pulmonary i loko o nā māmā. ʻO ke kumu nui o kēia, ʻo ia nā ʻōpū koko i loko o nā aʻa o nā wāwae (Deep Vein Thrombosis - DVT) . I kekahi manawa, hiki ke loaʻa ka embolism pulmonary ma muli o ka DVT i loko o nā aʻa hohonu o nā lima.
Aia kekahi mau kumu ʻē aʻe no ka hana ʻana o ka embolism:
- Ka maʻi o ka ʻili o loko o ka puʻuwai (infective endocarditis)
- ʻO ka fibrillation atrial (ka puʻuwai puʻuwai kūpono ʻole)
- ʻO ka thrombus ventricular hema
- He iwi haki i loko o kahi ulia nui
- Ka maʻi ʻaʻai
- Nā maʻi like ʻole
- ʻO ka maʻi pancreatitis
- ʻOki ʻana i ka momona
- Hoʻoili iwi iwi
- Maʻi diabetes hāpai
- Placenta accreta (pili hohonu o ka placenta i ka paia uterine)
ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia (embolism)?
Aia kekahi mau kumu pilikia maʻamau no kahi ʻōpū koko (embolism). E nānā inā pili kekahi o kēia mau mea iā ʻoe:
- Hana ʻole kino: Noho ma kahi hoʻokahi no ka lōʻihi loa, ʻoiai ma hope o ke ʻoki kino.
- Nā ʻoki kino a me kekahi mau lāʻau lapaʻau: Ma hope o nā ʻoki kino nui.
- Ka hāʻule ʻana o ka puʻuwai
- Hahau
- Ka maʻi ʻaʻai
- Nā ʻeha kino (Trauma)
- Ke koko kiʻekiʻe (Hypertension)
- Ka hoʻohana ʻana i nā huahana paka (puhipaka)
- Ka hoʻohana ʻana i nā pila hoʻomalu hānau
- Nā kūlana e hoʻoulu ai i ke koko e paʻa maʻalahi
- ʻO kekahi mau mea lapaʻau, e like me nā pacemakers
He aha nā pilikia e hiki ke kū mai ma muli o ka embolism?
ʻOkoʻa nā pilikia o ka embolism ma muli o kahi e hana ʻia ai. Hiki ke lilo i mea weliweli loa. Eia kekahi o nā pilikia:
- Nā mea ʻino i ka hana o ka lolo, e like me ka nalowale o ka hoʻomanaʻo
- Nā hewa o ka puʻuwai (Arrhythmia)
- Hoʻopau ʻia ka puʻuwai
- Maʻi hohola
- ʻEdema lolo
- ʻEdema puʻuwai
- ʻO ka maʻi hoʻopilikia hanu koʻikoʻi (ARDS)
- Ka nalowale ʻana o kahi lima a i ʻole ka wāwae
- ʻO ka ʻōpū splenic
- Ka make ʻana o nā ʻiʻo i loko o ka puʻupaʻa, ka spleen, a i ʻole kekahi ʻano kino i hoʻopilikia ʻia
- ʻO ka regurgitation o ka valve Tricuspid (ka hoʻihoʻi ʻana o ke koko ma o ka valve puʻuwai)
- Ka hāʻule ʻana o ka puʻupaʻa
- Ka hāʻule ʻana o ka puʻuwai
- Hahau
- Hiki nō ke nalowale ke ola.
ʻO ia hoʻi, ʻaʻole kēia he mea e lawe māmā ʻia. ʻOiai paha he mea liʻiliʻi ia, inā ʻaʻole mālama ʻia i ka manawa kūpono, hiki iā ia ke alakaʻi i nā pilikia e hoʻoweliweli ana i ke ola.
Pehea e ʻike pololei ai ke kauka i kēia (embolism)?
Inā loaʻa iā ʻoe nā hōʻailona o ka embolism, e nānā mua ke kauka iā ʻoe. E ʻike paha ke kauka i nā mea e like me nā loli o ka ʻili a i ʻole ka paʻakikī o ka hanu ʻana. Inā kānalua ʻia he embolism, hiki iā ia ke hana i kekahi mau hoʻokolohua.
Ma muli o ke ʻano o ka embolism, hiki ke hana ʻia nā hoʻokolohua aʻe:
- Nā hoʻāʻo koko
- X-ray umauma
- ʻO ke ultrasound Doppler - e nānā i ke kahe koko i loko o nā kīʻaha koko.
- ECG (Electrocardiogram - EKG) - Nānā i ka hana o ka puʻuwai.
- CT scan (Computed Tomography - CT scan)
- Hoʻāʻo MRA(Angiogram Resonance Magnetic - MRA)
- MRI (Kiʻi Hoʻohālikelike Magnetic)
- ʻAngiogram - He kiʻi X-ray o nā kīʻaha koko ma hope o ka hoʻokomo ʻana i kahi kala.
- Nā hoʻāʻo ultrasound o ka puʻuwai: (Transthoracic echocardiogram - TTE) a me (Transesophageal echocardiogram - TEE)
- I kekahi manawa, hana ʻia kahi biopsy e nānā i kahi ʻāpana o ka ʻiʻo.
He aha nā lāʻau lapaʻau no ka embolism?
ʻO ka pahuhopu nui o ka mālama ʻana no ka embolism ka wehe ʻana i ka mea i paʻa i loko o ke kīʻaha koko a hoʻihoʻi i ke kahe koko. I ka hapanui o nā hihia, ʻo ke koho mua ka mālama ʻana me nā lāʻau lapaʻau.
Eia kekahi mau lāʻau lapaʻau no ka embolism:
- Nā Anticoagulants : Ke ʻōlelo nei mākou he "thrombify" kēia i ke koko.
- ʻO Thrombolytics : Hoʻoheheʻe pololei kēia i ke koko a wehe iā ia.
- Nā lāʻau lapaʻau no ka embolism
- Nā lāʻau lapaʻau e hoʻonui ai i ka hana o ka puʻuwai (Inotropes)
- ʻO ka lāʻau lapaʻau oxygen a i ʻole ka lāʻau lapaʻau oxygen hyperbaric
- Embolectomy (wehe ʻoki ʻana i kahi embolism)
I nā hihia koʻikoʻi loa, pono paha i ka poʻe me ka embolism nā lāʻau lapaʻau ola hou aʻe, e like me CPR , ECMO (kahi mīkini e hana ma kahi o ka puʻuwai a me nā māmā), a me nā mīkini e kōkua iā lākou e hanu.
Aia kekahi mau hopena ʻaoʻao o ka lāʻau lapaʻau?
ʻAe, minamina, hiki ke loaʻa kekahi mau hopena ʻaoʻao. Aia kahi pilikia o ke kahe ʻana o ke koko, ʻoiai me nā lāʻau lapaʻau i kapa ʻia ʻo anticoagulants a me thrombolytics. Ke wehe ʻia kahi clot koko ma ke ʻoki ʻana (embolectomy), aia paha nā pilikia e like me:
- Ka hōʻino ʻana i kahi kīʻaha koko
- Ke kahe ʻana o ke koko
- Ka lohi o ka puʻuwai (Bradycardia)
- Ke koko haʻahaʻa (Hypotension)
- Hoʻopau ʻia ka puʻuwai
He aha ka mea e hana ai inā kū mai kahi embolism?
ʻAʻohe hōʻailona o kekahi poʻe me ka embolism, aʻo kekahi poʻe he mau hōʻailona koʻikoʻi loa. ʻO ke ʻano o kou mālama ʻia ʻana e hilinaʻi ʻia i kekahi mau kumu, me ka nui a me ke koʻikoʻi o ka embolism, a me kahi i hoʻomaka ai.
He kūlana hoʻoweliweli ke Embolism i ke ola, no laila hiki i ka ʻike mua ʻana a me ka mālama koke ʻana ke hoʻonui i kou manawa e hoʻōla ai.
He aha kā mākou e hana ai e pale aku i ka embolism?
ʻAe, hiki iā mākou ke pale aku i kekahi mau ʻano embolism. Inā pilikia ʻoe i ka embolism, hiki i kāu kauka ke ʻōlelo i kēia mau mea:
- Ke hele nei i kahi mamao loa (e like me ka mokulele a kaʻa paha), e ala i kēlā me kēia mau hola a hāpai iki a hoʻohaʻahaʻa i kou mau kuʻekuʻe wāwae (nā pumps bipi).Hiki i kēia ke kōkua i ka mālama ʻana i ke kahe maikaʻi o ke koko ma nā wāwae.
- Nā lāʻau hoʻomāmā koko (Anticoagulants) .
- Ke hoʻohana nei i nā stocking compression kūikawā.
- He mea hana e hoʻopili ai i ke kaomi i nā wāwae (Intermittent Pneumatic Compression Device - IPC device) .
- No kekahi poʻe, hiki ke kau ʻia kahi kānana i loko o ke aʻa nui e lawe ana i ke koko mai ke kino haʻahaʻa a i ka puʻuwai (ka kānana vena cava haʻahaʻa) . Pale kēia i nā ʻūpā koko mai ka hele ʻana i ka puʻuwai a me nā māmā.
Pehea wau e mālama ai iaʻu iho inā loaʻa iaʻu kahi embolism?
Ma hope o kahi embolism, pono paha ʻoe i ka hoʻōla hou ʻana e hoʻōla ai. ʻO kēia no ka mea ua hōʻino paha ka embolism i nā wahi e like me kou lolo a i ʻole kou māmā. Hana ʻia kēia hōʻino no ka mea ua ʻoki ka embolism i ka oxygen i kēlā ʻōkana a wahi paha.
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe nā hōʻailona o ka embolism, pono ʻoe e ʻimi koke i ke kōkua lapaʻau. Mai hoʻokaʻulua.
Ma hope o kahi embolism, pono ʻoe e hoʻomau i ka ʻike ʻana i kāu kauka a hahai i kāna mau kuhikuhi. ʻOi loa inā ʻoe e lawe ana i nā lāʻau lapaʻau e like me nā anticoagulants, e nānā kāu kauka e ʻike inā ʻoe e lawe pololei ana iā lākou a inā ua loli kou pilikia o ke kahe ʻana o ke koko.
He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?
Hiki iā ʻoe ke nīnau i kāu kauka i nā nīnau penei:
- No ke aha i loaʻa ai iaʻu kēia (embolism)?
- He aha nā manawa kūpono e ho'ōla ai ma muli o koʻu kūlana?
- He aha ka lāʻau lapaʻau maikaʻi loa noʻu?
- He aha kaʻu e hana ai e pale aku ai i kahi embolism ʻē aʻe e like me kēia mai ka hana hou ʻana?
I ka hōʻuluʻulu manaʻo (Leka Lawe-Home)
He mea maʻamau ka hopohopo e pili ana i kahi maʻi i kapa ʻia ʻo embolism, no ka mea, hiki ke hoʻoweliweli i ke ola. ʻO ia ke kumu he mea nui loa ka loaʻa koke ʻana o ka lāʻau lapaʻau. Inā loaʻa iā ʻoe nā hōʻailona o ka embolism, e ʻimi koke i ke kōkua lapaʻau. Ma hope o ka lāʻau lapaʻau, e kiʻi i ke kākoʻo mai kou ʻohana a me kou mau hoaaloha. Inā hopohopo ʻoe a hopohopo paha e pili ana i ka loaʻa ʻana o kahi embolism ʻē aʻe, e kamaʻilio me ke kākāʻōlelo. ʻAʻole ʻoe hoʻokahi, a mai makaʻu e noi i ke kōkua.
ʻEmbolism , ʻūpā koko, paʻa ʻana o ke kīʻaha koko, embolism pulmonary, Pulmonary Embolism, DVT, nā hōʻailona, lāʻau lapaʻau, pale ʻana
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo