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Aia kekahi ʻūpē koko i loko o nā māmā? E aʻo pono kākou e pili ana i ka Pulmonary Embolism (PE)!

Aia kekahi ʻūpē koko i loko o nā māmā? E aʻo pono kākou e pili ana i ka Pulmonary Embolism (PE)!

Ua loaʻa koke anei iā ʻoe iho ka pilikia o ka hanu ʻana a me ka makaʻu iki i ka wā e ʻeha ai kou umauma? Ua manaʻo paha ʻoe he hōʻeha puʻuwai ia. Akā ua ʻike anei ʻoe aia kekahi kumu koʻikoʻi no kēia mau hōʻailona? ʻO ia ke koko i loko o kahi kīʻaha koko e alakaʻi ana i nā māmā, kahi kūlana i kapa ʻia ʻo Pulmonary Embolism (PE) . ʻAʻole kēia he mea kakaikahi e like me kou manaʻo. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī, ma ke ʻano maʻalahi loa.

He aha ka Pulmonary Embolism (PE)?

I ka ʻōlelo maʻalahi, ʻo ka embolism pulmonary he ʻūpā koko e hana ʻia ana i loko o kahi kīʻaha koko i loko o kou mau māmā. Ua ʻike anei ʻoe pehea e hana ai kēia? ʻO kahi ʻūpā koko e hana ʻia ana ma kahi ʻē aʻe o kou kino, ʻo ka hapa nui ma kahi aʻa koko i kou wāwae a lima paha , e haki a hele i loko o kou kahe koko, a laila paʻa i loko o kou mau māmā. E noʻonoʻo iā ia e like me kahi ālai ʻana i kahi ala wai.

He aha ka mea e hana ʻia ke paʻa kahi ʻūpā koko i loko o nā māmā e like me kēia?

  • Ua kaupalena ʻia ke kahe ʻana o ke koko i nā māmā.
  • E emi ana ka nui o ka oxygen i loko o nā māmā.
  • Piʻi ke koko i loko o nā aʻa pulmonary.

He pilikia olakino kēia. Inā ʻaʻole e mālama koke ʻia, hiki i ka pulmonary embolism ke hōʻeha i ka puʻuwai a i ʻole nā ​​māmā, a i kekahi manawa make. ʻO ka ʻoiaʻiʻo, ua ʻōlelo ʻia ma kahi o 33% o ka poʻe me ka pulmonary embolism e make ma mua o ko lākou ʻike ʻia ʻana a me ka mālama ʻia ʻana. No laila hiki iā ʻoe ke ʻike i ke koʻikoʻi o kēia, ʻeā?

Eia nō naʻe, inā ʻike pololei ʻia a mālama koke ʻia ka maʻi, ʻaʻole pinepine kēia maʻi e make.

Pehea ka maʻamau o kēia ʻano?

I kēia manawa, ke noʻonoʻo nei paha ʻoe i ka maʻamau o kēia (Pulmonary Embolism). ʻOiaʻiʻo, ʻo ia kekahi o nā maʻi maʻamau o ka puʻuwai a me nā kīʻaha koko i ʻike ʻia ma ka honua holoʻokoʻa. ʻOiaʻiʻo, ʻo ia ke kolu o ke kūlana maʻamau ma hope o ka hōʻeha puʻuwai a me ka hahau. E noʻonoʻo wale, ma kahi ʻāina e like me ʻAmelika wale nō, ma kahi o 900,000 mau kānaka e loaʻa ana i kēia kūlana (PE) i kēlā me kēia makahiki. No laila, ʻaʻole kēia he mea e pono ai kākou e hoʻowahāwahā, ʻeā?

He aha nā hōʻailona o kēia?

ʻO nā hōʻailona mua o ka embolism pulmonary ka pōkole o ka hanu a me ka ʻeha o ka umauma . Hiki ke ʻoi aku ka ʻeha ke hoʻoikaika kino ʻoe a i ʻole e hanu hohonu.

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​pono ʻoe e ʻimi koke i ke kōkua lapaʻau. He maʻi koʻikoʻi ka pulmonary embolism, akā hiki ke mālama maikaʻi ʻia. Hiki i ka mālama mua ke hōʻemi nui i ka pilikia o ka make.

Hiki ke ʻokoʻa nā hōʻailona o ka embolism pulmonary ma muli o ke koʻikoʻi o ke koko. Loaʻa i ka nui o ka poʻe nā hōʻailona, ​​​​akā ʻaʻole paha kekahi o lākou i loaʻa.

ʻO nā hōʻailona nui e ʻike ʻia:

  • Ka pōkole koke o ka hanu - Hiki ke hana kēia inā ʻoe e hana ana a i ʻole e hoʻomaha ana.
  • Ka hanu wikiwiki ʻana.
  • He leo hūʻū ka wheezing i ka wā e hanu ana.
  • ʻEha ʻoi i wehewehe ʻole ʻia ma ka umauma, lima, kua, poʻohiwi, ʻāʻī, a i ʻole ka ʻauwae . Hiki i kēia ʻeha ke like me nā hōʻailona o ka hōʻeha puʻuwai a hiki ke ʻoi aku ka ʻino ke hanu ʻoe.
  • ʻŪhū - hiki ke hele mai me ka phlegm koko.
  • ʻIli keʻokeʻo, hou ka hou, ʻili polū.
  • Ka wikiwiki o ka puʻuwai (Pulse).
  • Ka hou nui ʻana.
  • I kekahi mau hihia, aia paha ka hoʻomaha ʻole, ka poniuniu, ka maule ʻana, a i ʻole ka nalowale o ka ʻike.

Pehea ka lōʻihi e hiki ai i kekahi ke loaʻa i kēia me ka ʻole o nā hōʻailona?

Loaʻa i kekahi poʻe nā hōʻailona palupalu loa i ka wā mua. Hiki ke ulu mālie kēia mau hōʻailona i nā lā a i ʻole nā ​​pule. I ka hala ʻana o ka manawa, piʻi mālie nā hōʻailona a hiki i kou ʻike. Eia nō naʻe, no kekahi poʻe, hiki ke ʻike ʻia nā hōʻailona i loko o nā minuke, a i ʻole kekona, o ka embolism pulmonary. No laila pono ʻoe e makaʻala loa i kēia.

He aha nā kumu no kēia?

ʻAe, e nānā kākou pehea e hana ai kēia (Pulmonary Embolism), ʻo ia hoʻi, he aha nā kumu o kēia. ʻO ke kumu nui he ʻūpā koko e hana ʻia ana i loko o kahi aʻa koko ma kahi ʻē aʻe o ke kino, ʻoi aku hoʻi ma nā wāwae a i ʻole nā ​​​​lima, e haki ana mai laila mai, e hele ana ma ke kahe koko a paʻa i loko o nā māmā. Ke hana ʻia nā ʻūpā koko ma nā wahi e like me nā wāwae, kapa mākou ia (Deep Vein Thrombosis) a i ʻole (DVT) .

Aia kekahi mau kumu nui no ke kumu o ka hoʻokumu ʻana o nā clots koko:

  • He hōʻiliʻili a "hōʻuluʻulu" paha o ke koko ma kekahi wahi o ke kino (pinepine he lima a he wāwae paha). Hana pinepine ʻia kēia ma hope o ke ʻoki kino, ma hope o ka noho lōʻihi ʻana ma kahi moe, a ma hope paha o kahi huakaʻi lōʻihi (ma ke kaʻa, kaʻaahi, mokulele). E noʻonoʻo e pili ana iā ia, ke noho ʻoe ma ke kūlana like no nā hola, e ālai iki ʻia ke kahe o ke koko i kou mau wāwae, ʻeā? ʻO ia ka manawa e piʻi ai ka pilikia o nā ʻūpā koko.
  • ʻO ka hōʻino ʻana i kahi kīʻaha koko, no ka laʻana, ma muli o ka haki a i ʻole ke ʻoki ʻana (ʻoi aku hoʻi o ka ʻūhā, ke kuli, a i ʻole ka wāwae).
  • Nā kūlana olakino ʻē aʻe. No ka laʻana, nā maʻi cardiovascular - nā kūlana e like me (Congestive heart failure), (Atrial fibrillation), hōʻeha puʻuwai a i ʻole ka hahau ʻana.
  • Nā loli i kāu mau kumu hoʻopaʻa koko. Hiki ke hoʻonui ʻia kēia mau kumu hoʻopaʻa koko i kekahi mau ʻano maʻi kanesa, a i ʻole i ka poʻe e lawe ana i ka lāʻau lapaʻau hoʻololi hormone, a i ʻole i kekahi poʻe e lawe ana i nā pila hoʻomalu hānau. Eia kekahi, aia ka poʻe me nā maʻi hoʻopaʻa koko i ka pilikia.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia?

I kēia manawa, e nānā kākou i ka mea i ʻoi aku ka nui o ka loaʻa ʻana o kēia (Pulmonary Embolism), ʻo ia hoʻi, ʻo wai ka mea i pilikia. Aia kekahi mau ʻano maʻamau, kekahi mau maʻi, a i ʻole kekahi mau kūlana e hoʻonui ai i kēia pilikia.

  • No ka poʻe i loaʻa ke koko i loko o ka wāwae, ʻo ia hoʻi, Deep Vein Thrombosis (DVT).
  • No ka poʻe e kū mau ana no ka wā lōʻihi, e like me ka wā e holo ana ma ke kaʻa, kaʻaahi, a i ʻole ka mokulele (e.g., kahi huakaʻi kaʻa lōʻihi ma waena o ka ʻāina).
  • ʻO ka poʻe i loaʻa koke nei i kahi ʻeha a hōʻino paha i kahi kīʻaha koko ma muli o ke ʻoki ʻana, kahi haki, a i ʻole kahi kūlana e like me nā veins varicose.
  • ʻO ka poʻe e hoʻohana ana i nā ʻano kaohi hānau e pili ana i ka hormone (e like me nā pila kaohi hānau, nā ʻāpana, nā apo) a i ʻole ka lāʻau hoʻololi hormone.
  • No nā poʻe me ke kūlana koko koko.
  • No ka poʻe me ka mōʻaukala ʻohana o nā ʻōpū koko.
  • No ka poʻe e puhipaka ana i kēia manawa.
  • No nā poʻe me ka maʻi diabetes mellitus.
  • No ka poʻe e ʻeha ana i ka maʻi kanesa.
  • No nā poʻe ma luna o 60 mau makahiki.
  • No ka poʻe me ka mōʻaukala o ka hāʻule ʻana o ka puʻuwai, ka hōʻeha puʻuwai, a i ʻole ka hahau ʻana.
  • No ka poʻe me ka Body Mass Index (BMI) ma luna o 25, ʻo ia hoʻi, ke kaumaha nui, a i ʻole no ka poʻe me ka BMI ma luna o 30, ʻo ia hoʻi, ka momona.
  • No nā wahine hāpai a i ʻole nā ​​​​​​wahine i loko o ʻeono pule o ka hānau ʻana.
  • No ka poʻe i hoʻokomo ʻia kahi catheter venous waena ma o kahi aʻa koko ma ka lima a i ʻole ka wāwae.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea pilikia, a ua loaʻa iā ʻoe kahi ʻūpā koko ma mua, he mea nui loa e kamaʻilio me kāu kauka a hana i nā hana e hōʻemi i kou pilikia o ka PE.

He aha nā pilikia e hiki ai i kēia ke hana?

ʻO ka Pulmonary embolism hiki ke hana i nā pilikia e like me:

  • Cyanosis - ʻO ke ʻano o ka ʻili e like me ka poni ʻulaʻula, i hōʻike ʻia e ka nele o ka oxygen.
  • Maʻi hohola.
  • Hahau.
  • ʻO ke koko kiʻekiʻe o ka pulmonary - ʻO ke ʻano kēia o ka hoʻonui ʻia ʻana o ke kaomi i loko o nā kīʻaha koko o nā māmā.
  • Pūʻiwa.
  • ʻO ka infarction pulmonary - ʻO kēia ka make ʻana o nā ʻiʻo o ka māmā.

He mau kūlana koʻikoʻi kēia e pono ai ka mālama koke ʻana no ka PE.

Pehea ʻoe e ʻike ai i kēia?

ʻAe, inā loaʻa iā ʻoe nā hōʻailona e like me kēia, pehea e ʻike ai ke kauka a kahu maʻi paha i ka pulmonary embolism? Nānā lākou i kāu mau hōʻailona, ​​​​​​kou mau kumu pilikia, a laila hana lākou i kekahi mau hoʻokolohua.

  • Nā hoʻāʻo koko - I waena o kēia mau mea , he mea nui ka hoʻāʻo D-dimer .
  • ʻO ka angiogram tomography computed (CT) - He scan CT kūikawā kēia e nānā ana i nā ʻōpū koko i loko o nā kīʻaha koko o nā māmā.
  • ʻO ke kani ʻana o nā wāwae ma ke ʻano he ultrasound. - Hana ʻia kēia e nānā no ka Deep Vein Thrombosis (DVT) ma nā wāwae. Maanei e hiki ai i kahi clot ke hele i nā māmā.
  • VQ scan - Inā ʻaʻole hiki iā ʻoe ke loaʻa ka mea hoʻohālikelike e pono ai no ka CT scan, hiki i kēia scan ke ʻike i nā ʻūpē koko i loko o nā māmā.
  • ʻO ka ʻōmimika pulse (pulse ox)- He mea e hoʻopaʻa ai i kou manamana lima a ana i nā pae oxygen.
  • Echocardiogram - kahi loiloi ultrasound o ka puʻuwai.

Ma waho aʻe o kēia, hiki ke hana ʻia nā hoʻokolohua ʻē aʻe:

  • ʻO ka angiogram puʻuwai.
  • X-ray umauma.

Pehea e mālama ai? (Lapaʻau)

He pilikia olakino kēia (Pulmonary Embolism). Hoʻōla pinepine ʻia ia ma ka haukapila. A laila hiki ke nānā pono ʻia kou kūlana. ʻO ka lōʻihi o kou noho ʻana ma ka haukapila e pili ana i ke koʻikoʻi o ke koko i hoʻopaʻa ʻia. Aia kekahi mau manawa ʻaʻole pono kekahi poʻe e noho ma ka haukapila.

ʻO ka lāʻau lapaʻau nui no ka embolism pulmonary ʻo ia nā lāʻau hoʻokahe koko i kapa ʻia ʻo anticoagulants .

Ma muli o ke koʻikoʻi o ke koko a me kona hopena i nā ʻōpū ʻē aʻe, e like me kou puʻuwai, hiki ke mālama ʻia ʻoe me ka thrombolytic therapy (blood clot-dissolving treatment), ʻoki kino, a i ʻole nā ​​​​kaʻina hana ʻē aʻe e hoʻomaikaʻi ai i ke kahe koko i loko o nā kīʻaha koko o nā māmā.

Nā lāʻau anticoagulant

I nā hihia he nui, hāʻawi ʻia ka lāʻau lapaʻau ma ke ʻano he mau lāʻau anticoagulant, ʻo ia hoʻi, nā mea hoʻokahe koko . Hana kēia mau lāʻau lapaʻau ma ka hōʻemi ʻana i ka hiki o kou koko ke kāpili. Pale kēia i ka hoʻokumu ʻana o nā clots koko hou a hoʻōki i nā clots e kū nei mai ka nui ʻana.

E like me nā lāʻau lapaʻau āpau, he mea nui loa ia e ʻike pono pehea a me ka manawa e lawe ai i kēia lāʻau lapaʻau (anticoagulant), a e hahai i nā ʻōlelo a kāu kauka. ʻO ke ʻano o ka lāʻau lapaʻau i hāʻawi ʻia iā ʻoe, pehea ka lōʻihi o kou lawe ʻana, a me nā hoʻokolohua hahai e pono ai ʻoe e loaʻa e pili ana i kāu hōʻailona. No laila he mea nui e hele i kāu kauka a me ka lab i kēlā me kēia lā. Ma kēlā ala, hiki iā lākou ke ʻike pehea ʻoe e pane nei i ka lāʻau lapaʻau. ʻOiai e lawe ana (anticoagulant), pono nō hoʻi ʻoe e loaʻa nā hoʻokolohua koko maʻamau (e like me ka hoʻāʻo manawa prothrombin ) e ʻike i ka wikiwiki o ke kāpili ʻana o kou koko.

Nā kāmaʻa hoʻopaʻa

He ʻano kūikawā kēia o nā kāmaʻa wāwae. Hoʻomaikaʻi kēia mau kāmaʻa wāwae i ke kahe koko ma nā wāwae. Ua ʻike paha ʻoe i nā poʻe me ka Deep Vein Thrombosis (DVT) e hoʻohana ana i kēia mau mea. Pono ʻoe e hoʻohana i kēia mau mea e like me ke kauoha a kāu kauka. ʻO kēia mau kāmaʻa wāwae he lōʻihi a hiki i ke kuli. Kōkua lākou i ka hoʻopaʻa ʻana i kou mau wāwae a pale i ke koko mai ka hōʻiliʻili ʻana. E nīnau i kāu kauka e pili ana i ke ʻano o ka hoʻohana ʻana i kēia mau kāmaʻa wāwae, pehea ka lōʻihi e ʻaʻahu ai iā lākou, a pehea e holoi ai a mālama iā lākou i ka maʻemaʻe.

Nā lāʻau lapaʻau ʻē aʻe (Nā Kaʻina Hana)

Inā he mea hoʻoweliweli ke ola o ka pulmonary embolism, a inā ʻaʻole i holo pono nā lāʻau ʻē aʻe, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino a i ʻole kahi catheter e wehe i ke koko i hoʻopaʻa ʻia mai ke aʻa pulmonary. ʻO ka lāʻau thrombolytic kekahi koho ʻē aʻe. Pili kēia i ka hāʻawi ʻana iā ʻoe i nā "clot busters" (nā lāʻau lapaʻau e hoʻoheheʻe i nā koko i hoʻopaʻa ʻia) . ʻO kahi laʻanaHe lāʻau lapaʻau i kapa ʻia ʻo Tissue Plasminogen Activator (TPA). Hāʻawi ʻia kēia lāʻau lapaʻau ma ka ʻOihana Pōpilikia a i ʻole ka Intensive Care Unit (ICU) o ka haukapila a nānā pono ʻia. Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau inā haʻahaʻa kou koko a inā paʻa ʻole kou kūlana ma muli o ka pulmonary embolism.

I kekahi manawa, e ʻōlelo paha kāu kauka i kahi kānana vena cava . He ʻano kānana kēia i hoʻokomo ʻia i loko o ke aʻa nui loa o ke kino. Ke hoʻokomo ʻia kēia, ua paʻa nā ʻōpū koko i loko o kēia kānana ma mua o ko lākou hiki ʻana i nā māmā.

Nā hopena ʻaoʻao o ka lāʻau lapaʻau

ʻO ke kahe koko kekahi o nā hopena ʻaoʻao nui o nā lāʻau lapaʻau i hoʻohana ʻia e mālama i ka embolism pulmonary. ʻO ia ke kumu e hāʻawi ai nā kauka iā ʻoe i ka nui kūpono o ka anticoagulant a i ʻole thrombolytic no kou kūlana. He mea maʻalahi hoʻi iā lākou ke nānā i kou kūlana i kou wā ma ka haukapila.

Pehea ka wikiwiki o koʻu ho'ōla ʻana ma hope o ka lāʻau lapaʻau?

E hoʻomaka ʻoe e ʻoluʻolu i loko o hoʻokahi pule o ka hoʻomaka ʻana o ka lāʻau lapaʻau. Eia nō naʻe, hiki ke hala nā mahina, a hiki i nā makahiki, e hoʻōla piha ai mai ka pulmonary embolism.

No ka mea, i ka wā e ālai ʻia ai nā kīʻaha koko i loko o nā māmā, pono ka puʻuwai e hana ikaika e pamu i ke koko. E like me ka paipu wai i pani ʻia e hoʻonui ai i ke kaumaha o ka motika. No kēia kumu, ma hope o ka PE, he mau mahina e hoʻi ai kekahi o nā keʻena o ka puʻuwai i ka maʻamau. Hiki i kēia ke hoʻolilo iā lākou i mea paʻakikī ke hana ikaika e like me ka wā ma mua.

Hiki ke pale ʻia kēia? (Kāohi ʻana)

ʻAe, hiki iā ʻoe ke kōkua i ka pale ʻana i kēia i kahi nui. No ka pale ʻana i ka pulmonary embolism, e hana i kēia mau mea:

  • E hoʻoikaika kino mau. Inā ʻaʻole hiki iā ʻoe ke hele, e hoʻoneʻe i kou mau lima, nā wāwae, a me nā wāwae no kekahi mau minuke i kēlā me kēia hola. Inā ʻike ʻoe e noho ana ʻoe a kū paha no ka manawa lōʻihi, e ʻaʻahu i nā kāmaʻa hoʻopaʻa e hoʻomaikaʻi i ke kahe ʻana o ke koko.
  • E inu i ka wai he nui, akā e kaupalena i ka waiʻona a me ka caffeine.
  • Mai hoʻohana i nā huahana paka.
  • Mai keʻa i kou mau wāwae.
  • Mai ʻaʻahu i nā lole paʻa.
  • E mālama i ke kaumaha olakino nou.
  • E hoʻokiʻekiʻe i kou mau wāwae no kahi o 30 mau minuke i ʻelua manawa i ka lā.
  • E kamaʻilio me kāu kauka e pili ana i ka hōʻemi ʻana i kāu mau kumu pilikia, ʻoiai inā ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana kahi ʻūpā koko ma mua.
  • E kamaʻilio me kāu kauka e pili ana i kahi (Vena cava filter).

He aha kāu e manaʻo ai inā loaʻa iā ʻoe kahi PE?

Inā ʻaʻole mālama ʻia, he maʻi koʻikoʻi loa ka pulmonary embolism e hiki ai ke hoʻopilikia mau loa a make paha. Make koke kekahi poʻe ma hope o ka pulmonary embolism, a i ʻole i loko o kekahi mau hola. Hiki ke hana ʻia kēia ma mua o ka hiki ʻana i ke kauka ke ʻike i ke ʻano.

Inā loaʻa iā ʻoe ka maʻi puʻuwai a i ʻole ka maʻi māmā, ʻoi aku ka nui o kou pilikia o ka make ʻana mai ka PE. Eia nō naʻe, ma muli o nā ʻano hana kiʻi i hoʻomaikaʻi ʻia, he 1% a 3% wale nō o ka poʻe e make ai ka pulmonary embolism.

Me ka mālama ʻana, pili kāu prognosis i ka nui o ke koko i hoʻokomo ʻia, ka poloka, kou olakino holoʻokoʻa, a me ka maikaʻi o ka puʻuwai e pamu ai i ke koko.

E nalowale loa anei ka PE?

Hiki ke hala nā mahina, a hiki i nā makahiki, no ka hoʻopau loa ʻana o ka pulmonary embolism. I kekahi manawa, hiki i nā PE hou ke alakaʻi i kahi maʻi mau i kapa ʻia ʻo chronic thromboembolic pulmonary hypertension (CTEPH) .

Pehea wau e mālama ai iaʻu iho?

Pono ʻoe e lawe i nā lāʻau hoʻokahe koko no ʻekolu a ʻeono mahina, a ʻoi aku paha. Mai hoʻōki i ka lawe ʻana iā lākou a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe. I ka wā e lawe ana i nā lāʻau hoʻokahe koko, e akahele e like me ka hiki i nā hana e hiki ai iā ʻoe ke hōʻeha a kahe ke koko.

E kamaʻilio me kāu kauka e pili ana i kāu mālama ʻana a hahai i kā lākou ʻōlelo aʻo e hōʻemi i kou pilikia o ka loaʻa ʻana o kahi PE ʻē aʻe. Hiki iā lākou ke kuhikuhi i nā mea e like me ka haʻalele ʻana i ka puhipaka, ka hoʻoikaika kino hou ʻana, a me ka hoʻololi ʻana i kāu mau ʻano ʻai.

E hele i kēlā me kēia hālāwai me ke kauka a me ka lab e ʻike pehea ʻoe e pane nei i nā lāʻau lapaʻau i kuhikuhi ʻia.

Inā hopohopo a makaʻu paha ʻoe ma hope o ka PE, e noi i kāu kauka e kamaʻilio me ke kākāʻōlelo. E kōkua ia iā ʻoe.

Āhea ʻoe e ʻike ai i ke kauka?

E ʻike i kāu kauka no nā manawa hoʻopaʻa. E haʻi i kāu kauka inā ʻeleʻele kou mau ʻōpala, he ʻeha poʻo nui kou, a i ʻole he palapū kou e ulu nui ana i ka wā e lawe ana i nā lāʻau hoʻokahe koko. He mau hōʻailona paha kēia o ke kahe koko i loko.

Āhea ʻoe e hele ai i ka Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe nā hōʻailona o ka Pulmonary Embolism (i ʻōlelo ʻia ma mua), e ʻimi koke i ka lāʻau lapaʻau. Mai hoʻokaʻulua.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Eia kekahi mau nīnau āu e makemake ai e nīnau i kāu kauka:

  • He aha ka lāʻau lapaʻau maikaʻi loa noʻu?
  • Pehea ka lōʻihi e pono ai iaʻu e lawe i ka lāʻau lapaʻau āu i kauoha mai ai?
  • Āhea kaʻu hoʻāʻo hahai hou aʻe?

Ma hope o ka embolism pulmonary, e ʻike paha ʻoe ʻaʻole e like hou kou ola. He mea nui e ʻae i kēlā. ʻAʻole paha e maopopo i kekahi poʻe ke makaʻu nei ʻoe i ka hana hou ʻana. No laila, he mea kōkua ke kamaʻilio e pili ana i kou mau makaʻu me kahi hui kākoʻo a kākāʻōlelo paha. E hakakā i kou mau makaʻu a e hoʻomau i ka hahai ʻana i nā ʻōlelo a kāu kauka, me ka lawe ʻana i nā lāʻau lapaʻau a lākou e kuhikuhi ai.

Leka Lawe-Home

Hiki ke hiki koke mai ka Pulmonary Embolism,He kūlana koʻikoʻi loa ia, a he mea hoʻoweliweli paha i ke ola. Eia nō naʻe, inā ʻike mua ʻoe i nā hōʻailona a ʻimi koke i ke kōkua lapaʻau, hiki iā ʻoe ke ho'ōla piha. No laila, inā ʻike ʻoe i nā hōʻailona e like me ka paʻakikī o ka hanu ʻana a i ʻole ka ʻeha o ka umauma, mai lawe māmā. E ʻike koke i ke kauka. He mea nui loa hoʻi no ka poʻe me nā kumu pilikia e hoʻāʻo e hōʻemi iā lākou. Aia kou olakino ma kou mau lima!


ʻO ka Pulmonary Embolism, PE, Puʻu Koko Mama, Pōkole o ka Hanu, ʻEha Umauma, DVT, Puʻu Koko, Nā Lāʻau Hoʻomāmā Koko, Nā Anticoagulants

Frequently Asked Questions (FAQ)

Pehea ka lōʻihi e hiki ai i kekahi ke loaʻa i kēia me ka ʻole o nā hōʻailona?

Loaʻa i kekahi poʻe nā hōʻailona palupalu loa i ka wā mua. Hiki ke ulu mālie kēia mau hōʻailona i nā lā a i ʻole nā ​​pule. I ka hala ʻana o ka manawa, piʻi mālie nā hōʻailona a hiki i kou ʻike. Eia nō naʻe, no kekahi poʻe, hiki ke ʻike ʻia nā hōʻailona i loko o nā minuke, a i ʻole kekona, o ka embolism pulmonary. No laila pono ʻoe e makaʻala loa i kēia.

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Aia kekahi ʻūpē koko i loko o nā māmā? E aʻo pono kākou e pili ana i ka Pulmonary Embolism (PE)!

Aia kekahi ʻūpē koko i loko o nā māmā? E aʻo pono kākou e pili ana i ka Pulmonary Embolism (PE)!

Ua loaʻa koke anei iā ʻoe iho ka pilikia o ka hanu ʻana a me ka makaʻu iki i ka wā e ʻeha ai kou umauma? Ua manaʻo paha ʻoe he hōʻeha puʻuwai ia. Akā ua ʻike anei ʻoe aia kekahi kumu koʻikoʻi no kēia mau hōʻailona? ʻO ia ke koko i loko o kahi kīʻaha koko e alakaʻi ana i nā māmā, kahi kūlana i kapa ʻia ʻo Pulmonary Embolism (PE) . ʻAʻole kēia he mea kakaikahi e like me kou manaʻo. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī, ma ke ʻano maʻalahi loa.

He aha ka Pulmonary Embolism (PE)?

I ka ʻōlelo maʻalahi, ʻo ka embolism pulmonary he ʻūpā koko e hana ʻia ana i loko o kahi kīʻaha koko i loko o kou mau māmā. Ua ʻike anei ʻoe pehea e hana ai kēia? ʻO kahi ʻūpā koko e hana ʻia ana ma kahi ʻē aʻe o kou kino, ʻo ka hapa nui ma kahi aʻa koko i kou wāwae a lima paha , e haki a hele i loko o kou kahe koko, a laila paʻa i loko o kou mau māmā. E noʻonoʻo iā ia e like me kahi ālai ʻana i kahi ala wai.

He aha ka mea e hana ʻia ke paʻa kahi ʻūpā koko i loko o nā māmā e like me kēia?

  • Ua kaupalena ʻia ke kahe ʻana o ke koko i nā māmā.
  • E emi ana ka nui o ka oxygen i loko o nā māmā.
  • Piʻi ke koko i loko o nā aʻa pulmonary.

He pilikia olakino kēia. Inā ʻaʻole e mālama koke ʻia, hiki i ka pulmonary embolism ke hōʻeha i ka puʻuwai a i ʻole nā ​​māmā, a i kekahi manawa make. ʻO ka ʻoiaʻiʻo, ua ʻōlelo ʻia ma kahi o 33% o ka poʻe me ka pulmonary embolism e make ma mua o ko lākou ʻike ʻia ʻana a me ka mālama ʻia ʻana. No laila hiki iā ʻoe ke ʻike i ke koʻikoʻi o kēia, ʻeā?

Eia nō naʻe, inā ʻike pololei ʻia a mālama koke ʻia ka maʻi, ʻaʻole pinepine kēia maʻi e make.

Pehea ka maʻamau o kēia ʻano?

I kēia manawa, ke noʻonoʻo nei paha ʻoe i ka maʻamau o kēia (Pulmonary Embolism). ʻOiaʻiʻo, ʻo ia kekahi o nā maʻi maʻamau o ka puʻuwai a me nā kīʻaha koko i ʻike ʻia ma ka honua holoʻokoʻa. ʻOiaʻiʻo, ʻo ia ke kolu o ke kūlana maʻamau ma hope o ka hōʻeha puʻuwai a me ka hahau. E noʻonoʻo wale, ma kahi ʻāina e like me ʻAmelika wale nō, ma kahi o 900,000 mau kānaka e loaʻa ana i kēia kūlana (PE) i kēlā me kēia makahiki. No laila, ʻaʻole kēia he mea e pono ai kākou e hoʻowahāwahā, ʻeā?

He aha nā hōʻailona o kēia?

ʻO nā hōʻailona mua o ka embolism pulmonary ka pōkole o ka hanu a me ka ʻeha o ka umauma . Hiki ke ʻoi aku ka ʻeha ke hoʻoikaika kino ʻoe a i ʻole e hanu hohonu.

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​pono ʻoe e ʻimi koke i ke kōkua lapaʻau. He maʻi koʻikoʻi ka pulmonary embolism, akā hiki ke mālama maikaʻi ʻia. Hiki i ka mālama mua ke hōʻemi nui i ka pilikia o ka make.

Hiki ke ʻokoʻa nā hōʻailona o ka embolism pulmonary ma muli o ke koʻikoʻi o ke koko. Loaʻa i ka nui o ka poʻe nā hōʻailona, ​​​​akā ʻaʻole paha kekahi o lākou i loaʻa.

ʻO nā hōʻailona nui e ʻike ʻia:

  • Ka pōkole koke o ka hanu - Hiki ke hana kēia inā ʻoe e hana ana a i ʻole e hoʻomaha ana.
  • Ka hanu wikiwiki ʻana.
  • He leo hūʻū ka wheezing i ka wā e hanu ana.
  • ʻEha ʻoi i wehewehe ʻole ʻia ma ka umauma, lima, kua, poʻohiwi, ʻāʻī, a i ʻole ka ʻauwae . Hiki i kēia ʻeha ke like me nā hōʻailona o ka hōʻeha puʻuwai a hiki ke ʻoi aku ka ʻino ke hanu ʻoe.
  • ʻŪhū - hiki ke hele mai me ka phlegm koko.
  • ʻIli keʻokeʻo, hou ka hou, ʻili polū.
  • Ka wikiwiki o ka puʻuwai (Pulse).
  • Ka hou nui ʻana.
  • I kekahi mau hihia, aia paha ka hoʻomaha ʻole, ka poniuniu, ka maule ʻana, a i ʻole ka nalowale o ka ʻike.

Pehea ka lōʻihi e hiki ai i kekahi ke loaʻa i kēia me ka ʻole o nā hōʻailona?

Loaʻa i kekahi poʻe nā hōʻailona palupalu loa i ka wā mua. Hiki ke ulu mālie kēia mau hōʻailona i nā lā a i ʻole nā ​​pule. I ka hala ʻana o ka manawa, piʻi mālie nā hōʻailona a hiki i kou ʻike. Eia nō naʻe, no kekahi poʻe, hiki ke ʻike ʻia nā hōʻailona i loko o nā minuke, a i ʻole kekona, o ka embolism pulmonary. No laila pono ʻoe e makaʻala loa i kēia.

He aha nā kumu no kēia?

ʻAe, e nānā kākou pehea e hana ai kēia (Pulmonary Embolism), ʻo ia hoʻi, he aha nā kumu o kēia. ʻO ke kumu nui he ʻūpā koko e hana ʻia ana i loko o kahi aʻa koko ma kahi ʻē aʻe o ke kino, ʻoi aku hoʻi ma nā wāwae a i ʻole nā ​​​​lima, e haki ana mai laila mai, e hele ana ma ke kahe koko a paʻa i loko o nā māmā. Ke hana ʻia nā ʻūpā koko ma nā wahi e like me nā wāwae, kapa mākou ia (Deep Vein Thrombosis) a i ʻole (DVT) .

Aia kekahi mau kumu nui no ke kumu o ka hoʻokumu ʻana o nā clots koko:

  • He hōʻiliʻili a "hōʻuluʻulu" paha o ke koko ma kekahi wahi o ke kino (pinepine he lima a he wāwae paha). Hana pinepine ʻia kēia ma hope o ke ʻoki kino, ma hope o ka noho lōʻihi ʻana ma kahi moe, a ma hope paha o kahi huakaʻi lōʻihi (ma ke kaʻa, kaʻaahi, mokulele). E noʻonoʻo e pili ana iā ia, ke noho ʻoe ma ke kūlana like no nā hola, e ālai iki ʻia ke kahe o ke koko i kou mau wāwae, ʻeā? ʻO ia ka manawa e piʻi ai ka pilikia o nā ʻūpā koko.
  • ʻO ka hōʻino ʻana i kahi kīʻaha koko, no ka laʻana, ma muli o ka haki a i ʻole ke ʻoki ʻana (ʻoi aku hoʻi o ka ʻūhā, ke kuli, a i ʻole ka wāwae).
  • Nā kūlana olakino ʻē aʻe. No ka laʻana, nā maʻi cardiovascular - nā kūlana e like me (Congestive heart failure), (Atrial fibrillation), hōʻeha puʻuwai a i ʻole ka hahau ʻana.
  • Nā loli i kāu mau kumu hoʻopaʻa koko. Hiki ke hoʻonui ʻia kēia mau kumu hoʻopaʻa koko i kekahi mau ʻano maʻi kanesa, a i ʻole i ka poʻe e lawe ana i ka lāʻau lapaʻau hoʻololi hormone, a i ʻole i kekahi poʻe e lawe ana i nā pila hoʻomalu hānau. Eia kekahi, aia ka poʻe me nā maʻi hoʻopaʻa koko i ka pilikia.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia?

I kēia manawa, e nānā kākou i ka mea i ʻoi aku ka nui o ka loaʻa ʻana o kēia (Pulmonary Embolism), ʻo ia hoʻi, ʻo wai ka mea i pilikia. Aia kekahi mau ʻano maʻamau, kekahi mau maʻi, a i ʻole kekahi mau kūlana e hoʻonui ai i kēia pilikia.

  • No ka poʻe i loaʻa ke koko i loko o ka wāwae, ʻo ia hoʻi, Deep Vein Thrombosis (DVT).
  • No ka poʻe e kū mau ana no ka wā lōʻihi, e like me ka wā e holo ana ma ke kaʻa, kaʻaahi, a i ʻole ka mokulele (e.g., kahi huakaʻi kaʻa lōʻihi ma waena o ka ʻāina).
  • ʻO ka poʻe i loaʻa koke nei i kahi ʻeha a hōʻino paha i kahi kīʻaha koko ma muli o ke ʻoki ʻana, kahi haki, a i ʻole kahi kūlana e like me nā veins varicose.
  • ʻO ka poʻe e hoʻohana ana i nā ʻano kaohi hānau e pili ana i ka hormone (e like me nā pila kaohi hānau, nā ʻāpana, nā apo) a i ʻole ka lāʻau hoʻololi hormone.
  • No nā poʻe me ke kūlana koko koko.
  • No ka poʻe me ka mōʻaukala ʻohana o nā ʻōpū koko.
  • No ka poʻe e puhipaka ana i kēia manawa.
  • No nā poʻe me ka maʻi diabetes mellitus.
  • No ka poʻe e ʻeha ana i ka maʻi kanesa.
  • No nā poʻe ma luna o 60 mau makahiki.
  • No ka poʻe me ka mōʻaukala o ka hāʻule ʻana o ka puʻuwai, ka hōʻeha puʻuwai, a i ʻole ka hahau ʻana.
  • No ka poʻe me ka Body Mass Index (BMI) ma luna o 25, ʻo ia hoʻi, ke kaumaha nui, a i ʻole no ka poʻe me ka BMI ma luna o 30, ʻo ia hoʻi, ka momona.
  • No nā wahine hāpai a i ʻole nā ​​​​​​wahine i loko o ʻeono pule o ka hānau ʻana.
  • No ka poʻe i hoʻokomo ʻia kahi catheter venous waena ma o kahi aʻa koko ma ka lima a i ʻole ka wāwae.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea pilikia, a ua loaʻa iā ʻoe kahi ʻūpā koko ma mua, he mea nui loa e kamaʻilio me kāu kauka a hana i nā hana e hōʻemi i kou pilikia o ka PE.

He aha nā pilikia e hiki ai i kēia ke hana?

ʻO ka Pulmonary embolism hiki ke hana i nā pilikia e like me:

  • Cyanosis - ʻO ke ʻano o ka ʻili e like me ka poni ʻulaʻula, i hōʻike ʻia e ka nele o ka oxygen.
  • Maʻi hohola.
  • Hahau.
  • ʻO ke koko kiʻekiʻe o ka pulmonary - ʻO ke ʻano kēia o ka hoʻonui ʻia ʻana o ke kaomi i loko o nā kīʻaha koko o nā māmā.
  • Pūʻiwa.
  • ʻO ka infarction pulmonary - ʻO kēia ka make ʻana o nā ʻiʻo o ka māmā.

He mau kūlana koʻikoʻi kēia e pono ai ka mālama koke ʻana no ka PE.

Pehea ʻoe e ʻike ai i kēia?

ʻAe, inā loaʻa iā ʻoe nā hōʻailona e like me kēia, pehea e ʻike ai ke kauka a kahu maʻi paha i ka pulmonary embolism? Nānā lākou i kāu mau hōʻailona, ​​​​​​kou mau kumu pilikia, a laila hana lākou i kekahi mau hoʻokolohua.

  • Nā hoʻāʻo koko - I waena o kēia mau mea , he mea nui ka hoʻāʻo D-dimer .
  • ʻO ka angiogram tomography computed (CT) - He scan CT kūikawā kēia e nānā ana i nā ʻōpū koko i loko o nā kīʻaha koko o nā māmā.
  • ʻO ke kani ʻana o nā wāwae ma ke ʻano he ultrasound. - Hana ʻia kēia e nānā no ka Deep Vein Thrombosis (DVT) ma nā wāwae. Maanei e hiki ai i kahi clot ke hele i nā māmā.
  • VQ scan - Inā ʻaʻole hiki iā ʻoe ke loaʻa ka mea hoʻohālikelike e pono ai no ka CT scan, hiki i kēia scan ke ʻike i nā ʻūpē koko i loko o nā māmā.
  • ʻO ka ʻōmimika pulse (pulse ox)- He mea e hoʻopaʻa ai i kou manamana lima a ana i nā pae oxygen.
  • Echocardiogram - kahi loiloi ultrasound o ka puʻuwai.

Ma waho aʻe o kēia, hiki ke hana ʻia nā hoʻokolohua ʻē aʻe:

  • ʻO ka angiogram puʻuwai.
  • X-ray umauma.

Pehea e mālama ai? (Lapaʻau)

He pilikia olakino kēia (Pulmonary Embolism). Hoʻōla pinepine ʻia ia ma ka haukapila. A laila hiki ke nānā pono ʻia kou kūlana. ʻO ka lōʻihi o kou noho ʻana ma ka haukapila e pili ana i ke koʻikoʻi o ke koko i hoʻopaʻa ʻia. Aia kekahi mau manawa ʻaʻole pono kekahi poʻe e noho ma ka haukapila.

ʻO ka lāʻau lapaʻau nui no ka embolism pulmonary ʻo ia nā lāʻau hoʻokahe koko i kapa ʻia ʻo anticoagulants .

Ma muli o ke koʻikoʻi o ke koko a me kona hopena i nā ʻōpū ʻē aʻe, e like me kou puʻuwai, hiki ke mālama ʻia ʻoe me ka thrombolytic therapy (blood clot-dissolving treatment), ʻoki kino, a i ʻole nā ​​​​kaʻina hana ʻē aʻe e hoʻomaikaʻi ai i ke kahe koko i loko o nā kīʻaha koko o nā māmā.

Nā lāʻau anticoagulant

I nā hihia he nui, hāʻawi ʻia ka lāʻau lapaʻau ma ke ʻano he mau lāʻau anticoagulant, ʻo ia hoʻi, nā mea hoʻokahe koko . Hana kēia mau lāʻau lapaʻau ma ka hōʻemi ʻana i ka hiki o kou koko ke kāpili. Pale kēia i ka hoʻokumu ʻana o nā clots koko hou a hoʻōki i nā clots e kū nei mai ka nui ʻana.

E like me nā lāʻau lapaʻau āpau, he mea nui loa ia e ʻike pono pehea a me ka manawa e lawe ai i kēia lāʻau lapaʻau (anticoagulant), a e hahai i nā ʻōlelo a kāu kauka. ʻO ke ʻano o ka lāʻau lapaʻau i hāʻawi ʻia iā ʻoe, pehea ka lōʻihi o kou lawe ʻana, a me nā hoʻokolohua hahai e pono ai ʻoe e loaʻa e pili ana i kāu hōʻailona. No laila he mea nui e hele i kāu kauka a me ka lab i kēlā me kēia lā. Ma kēlā ala, hiki iā lākou ke ʻike pehea ʻoe e pane nei i ka lāʻau lapaʻau. ʻOiai e lawe ana (anticoagulant), pono nō hoʻi ʻoe e loaʻa nā hoʻokolohua koko maʻamau (e like me ka hoʻāʻo manawa prothrombin ) e ʻike i ka wikiwiki o ke kāpili ʻana o kou koko.

Nā kāmaʻa hoʻopaʻa

He ʻano kūikawā kēia o nā kāmaʻa wāwae. Hoʻomaikaʻi kēia mau kāmaʻa wāwae i ke kahe koko ma nā wāwae. Ua ʻike paha ʻoe i nā poʻe me ka Deep Vein Thrombosis (DVT) e hoʻohana ana i kēia mau mea. Pono ʻoe e hoʻohana i kēia mau mea e like me ke kauoha a kāu kauka. ʻO kēia mau kāmaʻa wāwae he lōʻihi a hiki i ke kuli. Kōkua lākou i ka hoʻopaʻa ʻana i kou mau wāwae a pale i ke koko mai ka hōʻiliʻili ʻana. E nīnau i kāu kauka e pili ana i ke ʻano o ka hoʻohana ʻana i kēia mau kāmaʻa wāwae, pehea ka lōʻihi e ʻaʻahu ai iā lākou, a pehea e holoi ai a mālama iā lākou i ka maʻemaʻe.

Nā lāʻau lapaʻau ʻē aʻe (Nā Kaʻina Hana)

Inā he mea hoʻoweliweli ke ola o ka pulmonary embolism, a inā ʻaʻole i holo pono nā lāʻau ʻē aʻe, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino a i ʻole kahi catheter e wehe i ke koko i hoʻopaʻa ʻia mai ke aʻa pulmonary. ʻO ka lāʻau thrombolytic kekahi koho ʻē aʻe. Pili kēia i ka hāʻawi ʻana iā ʻoe i nā "clot busters" (nā lāʻau lapaʻau e hoʻoheheʻe i nā koko i hoʻopaʻa ʻia) . ʻO kahi laʻanaHe lāʻau lapaʻau i kapa ʻia ʻo Tissue Plasminogen Activator (TPA). Hāʻawi ʻia kēia lāʻau lapaʻau ma ka ʻOihana Pōpilikia a i ʻole ka Intensive Care Unit (ICU) o ka haukapila a nānā pono ʻia. Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau inā haʻahaʻa kou koko a inā paʻa ʻole kou kūlana ma muli o ka pulmonary embolism.

I kekahi manawa, e ʻōlelo paha kāu kauka i kahi kānana vena cava . He ʻano kānana kēia i hoʻokomo ʻia i loko o ke aʻa nui loa o ke kino. Ke hoʻokomo ʻia kēia, ua paʻa nā ʻōpū koko i loko o kēia kānana ma mua o ko lākou hiki ʻana i nā māmā.

Nā hopena ʻaoʻao o ka lāʻau lapaʻau

ʻO ke kahe koko kekahi o nā hopena ʻaoʻao nui o nā lāʻau lapaʻau i hoʻohana ʻia e mālama i ka embolism pulmonary. ʻO ia ke kumu e hāʻawi ai nā kauka iā ʻoe i ka nui kūpono o ka anticoagulant a i ʻole thrombolytic no kou kūlana. He mea maʻalahi hoʻi iā lākou ke nānā i kou kūlana i kou wā ma ka haukapila.

Pehea ka wikiwiki o koʻu ho'ōla ʻana ma hope o ka lāʻau lapaʻau?

E hoʻomaka ʻoe e ʻoluʻolu i loko o hoʻokahi pule o ka hoʻomaka ʻana o ka lāʻau lapaʻau. Eia nō naʻe, hiki ke hala nā mahina, a hiki i nā makahiki, e hoʻōla piha ai mai ka pulmonary embolism.

No ka mea, i ka wā e ālai ʻia ai nā kīʻaha koko i loko o nā māmā, pono ka puʻuwai e hana ikaika e pamu i ke koko. E like me ka paipu wai i pani ʻia e hoʻonui ai i ke kaumaha o ka motika. No kēia kumu, ma hope o ka PE, he mau mahina e hoʻi ai kekahi o nā keʻena o ka puʻuwai i ka maʻamau. Hiki i kēia ke hoʻolilo iā lākou i mea paʻakikī ke hana ikaika e like me ka wā ma mua.

Hiki ke pale ʻia kēia? (Kāohi ʻana)

ʻAe, hiki iā ʻoe ke kōkua i ka pale ʻana i kēia i kahi nui. No ka pale ʻana i ka pulmonary embolism, e hana i kēia mau mea:

  • E hoʻoikaika kino mau. Inā ʻaʻole hiki iā ʻoe ke hele, e hoʻoneʻe i kou mau lima, nā wāwae, a me nā wāwae no kekahi mau minuke i kēlā me kēia hola. Inā ʻike ʻoe e noho ana ʻoe a kū paha no ka manawa lōʻihi, e ʻaʻahu i nā kāmaʻa hoʻopaʻa e hoʻomaikaʻi i ke kahe ʻana o ke koko.
  • E inu i ka wai he nui, akā e kaupalena i ka waiʻona a me ka caffeine.
  • Mai hoʻohana i nā huahana paka.
  • Mai keʻa i kou mau wāwae.
  • Mai ʻaʻahu i nā lole paʻa.
  • E mālama i ke kaumaha olakino nou.
  • E hoʻokiʻekiʻe i kou mau wāwae no kahi o 30 mau minuke i ʻelua manawa i ka lā.
  • E kamaʻilio me kāu kauka e pili ana i ka hōʻemi ʻana i kāu mau kumu pilikia, ʻoiai inā ua loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana kahi ʻūpā koko ma mua.
  • E kamaʻilio me kāu kauka e pili ana i kahi (Vena cava filter).

He aha kāu e manaʻo ai inā loaʻa iā ʻoe kahi PE?

Inā ʻaʻole mālama ʻia, he maʻi koʻikoʻi loa ka pulmonary embolism e hiki ai ke hoʻopilikia mau loa a make paha. Make koke kekahi poʻe ma hope o ka pulmonary embolism, a i ʻole i loko o kekahi mau hola. Hiki ke hana ʻia kēia ma mua o ka hiki ʻana i ke kauka ke ʻike i ke ʻano.

Inā loaʻa iā ʻoe ka maʻi puʻuwai a i ʻole ka maʻi māmā, ʻoi aku ka nui o kou pilikia o ka make ʻana mai ka PE. Eia nō naʻe, ma muli o nā ʻano hana kiʻi i hoʻomaikaʻi ʻia, he 1% a 3% wale nō o ka poʻe e make ai ka pulmonary embolism.

Me ka mālama ʻana, pili kāu prognosis i ka nui o ke koko i hoʻokomo ʻia, ka poloka, kou olakino holoʻokoʻa, a me ka maikaʻi o ka puʻuwai e pamu ai i ke koko.

E nalowale loa anei ka PE?

Hiki ke hala nā mahina, a hiki i nā makahiki, no ka hoʻopau loa ʻana o ka pulmonary embolism. I kekahi manawa, hiki i nā PE hou ke alakaʻi i kahi maʻi mau i kapa ʻia ʻo chronic thromboembolic pulmonary hypertension (CTEPH) .

Pehea wau e mālama ai iaʻu iho?

Pono ʻoe e lawe i nā lāʻau hoʻokahe koko no ʻekolu a ʻeono mahina, a ʻoi aku paha. Mai hoʻōki i ka lawe ʻana iā lākou a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe. I ka wā e lawe ana i nā lāʻau hoʻokahe koko, e akahele e like me ka hiki i nā hana e hiki ai iā ʻoe ke hōʻeha a kahe ke koko.

E kamaʻilio me kāu kauka e pili ana i kāu mālama ʻana a hahai i kā lākou ʻōlelo aʻo e hōʻemi i kou pilikia o ka loaʻa ʻana o kahi PE ʻē aʻe. Hiki iā lākou ke kuhikuhi i nā mea e like me ka haʻalele ʻana i ka puhipaka, ka hoʻoikaika kino hou ʻana, a me ka hoʻololi ʻana i kāu mau ʻano ʻai.

E hele i kēlā me kēia hālāwai me ke kauka a me ka lab e ʻike pehea ʻoe e pane nei i nā lāʻau lapaʻau i kuhikuhi ʻia.

Inā hopohopo a makaʻu paha ʻoe ma hope o ka PE, e noi i kāu kauka e kamaʻilio me ke kākāʻōlelo. E kōkua ia iā ʻoe.

Āhea ʻoe e ʻike ai i ke kauka?

E ʻike i kāu kauka no nā manawa hoʻopaʻa. E haʻi i kāu kauka inā ʻeleʻele kou mau ʻōpala, he ʻeha poʻo nui kou, a i ʻole he palapū kou e ulu nui ana i ka wā e lawe ana i nā lāʻau hoʻokahe koko. He mau hōʻailona paha kēia o ke kahe koko i loko.

Āhea ʻoe e hele ai i ka Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe nā hōʻailona o ka Pulmonary Embolism (i ʻōlelo ʻia ma mua), e ʻimi koke i ka lāʻau lapaʻau. Mai hoʻokaʻulua.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Eia kekahi mau nīnau āu e makemake ai e nīnau i kāu kauka:

  • He aha ka lāʻau lapaʻau maikaʻi loa noʻu?
  • Pehea ka lōʻihi e pono ai iaʻu e lawe i ka lāʻau lapaʻau āu i kauoha mai ai?
  • Āhea kaʻu hoʻāʻo hahai hou aʻe?

Ma hope o ka embolism pulmonary, e ʻike paha ʻoe ʻaʻole e like hou kou ola. He mea nui e ʻae i kēlā. ʻAʻole paha e maopopo i kekahi poʻe ke makaʻu nei ʻoe i ka hana hou ʻana. No laila, he mea kōkua ke kamaʻilio e pili ana i kou mau makaʻu me kahi hui kākoʻo a kākāʻōlelo paha. E hakakā i kou mau makaʻu a e hoʻomau i ka hahai ʻana i nā ʻōlelo a kāu kauka, me ka lawe ʻana i nā lāʻau lapaʻau a lākou e kuhikuhi ai.

Leka Lawe-Home

Hiki ke hiki koke mai ka Pulmonary Embolism,He kūlana koʻikoʻi loa ia, a he mea hoʻoweliweli paha i ke ola. Eia nō naʻe, inā ʻike mua ʻoe i nā hōʻailona a ʻimi koke i ke kōkua lapaʻau, hiki iā ʻoe ke ho'ōla piha. No laila, inā ʻike ʻoe i nā hōʻailona e like me ka paʻakikī o ka hanu ʻana a i ʻole ka ʻeha o ka umauma, mai lawe māmā. E ʻike koke i ke kauka. He mea nui loa hoʻi no ka poʻe me nā kumu pilikia e hoʻāʻo e hōʻemi iā lākou. Aia kou olakino ma kou mau lima!


ʻO ka Pulmonary Embolism, PE, Puʻu Koko Mama, Pōkole o ka Hanu, ʻEha Umauma, DVT, Puʻu Koko, Nā Lāʻau Hoʻomāmā Koko, Nā Anticoagulants

Frequently Asked Questions (FAQ)

Pehea ka lōʻihi e hiki ai i kekahi ke loaʻa i kēia me ka ʻole o nā hōʻailona?

Loaʻa i kekahi poʻe nā hōʻailona palupalu loa i ka wā mua. Hiki ke ulu mālie kēia mau hōʻailona i nā lā a i ʻole nā ​​pule. I ka hala ʻana o ka manawa, piʻi mālie nā hōʻailona a hiki i kou ʻike. Eia nō naʻe, no kekahi poʻe, hiki ke ʻike ʻia nā hōʻailona i loko o nā minuke, a i ʻole kekona, o ka embolism pulmonary. No laila pono ʻoe e makaʻala loa i kēia.

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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