ʻO nā mea e pono ai ʻoe e ʻike e pili ana i ka Thrombectomy (ka wehe ʻana i nā clot koko)

Ua lohe paha ʻoe i kekahi e ʻōlelo ana, "Ua paʻa kahi ʻūpā koko"? Hiki i kēia ke lilo i mea weliweli loa. E noʻonoʻo i nā kīʻaha koko i loko o ko kākou kino e like me kahi ʻōnaehana o nā paipu. Inā hana ʻia kahi ʻūpā koko, i kapa ʻia he thrombus, a paʻa i kēlā me kēia wahi o kēia mau paipu, ua pau loa ke kahe ʻana o ke koko ma o lākou. Inā hana ʻia kēia ma kahi aʻa koko nui e hoʻolako ana i ke koko i ka lolo, ka puʻuwai, a i ʻole ka lima a i ʻole ka wāwae, hiki ke hōʻino ʻia kēlā ʻōkana, a hiki paha ke hoʻoweliweli i ke ola. I loko o ia ʻano pilikia, e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau koʻikoʻi loa e hiki ke hoʻopakele i ke ola i kēia lā.

I ka ʻōlelo maʻalahi, he aha ka Thrombectomy?

ʻO ka Thrombectomy ke kaʻina hana o ka wehe ʻana i kahi ʻaʻa koko i paʻa i loko o kekahi o ko mākou mau kīʻaha koko (nā aʻa koko a i ʻole nā ​​​​uaua koko) ma o ke ʻoki ʻana a i ʻole kahi hana kūikawā like. Ua like ia me ka wehe ʻana i kahi ʻāpana lepo i paʻa i loko o kahi paipu wai a hoʻokuʻu hou i ka wai e kahe.

Hiki i kēia mau ʻūpā koko ke hana ʻia ma nā wahi he nui o ko kākou kino. Loaʻa pinepine lākou ma nā wāwae, nā lima, nā ʻōpū, ka lolo, nā māmā, a me ka puʻuwai. I kekahi manawa pono e wehe koke ʻia kēia mau ʻūpā koko, i loko o kekahi mau hola. A i ʻole, hiki iā lākou ke hōʻeha mau loa i ke kino i hoʻopilikia ʻia a i ʻole e hoʻoweliweli i ke ola.

ʻO wai ka mea e pono maoli ai kēia lāʻau lapaʻau?

ʻO ka maʻamau, ke hana ʻia kahi ʻūpā koko, aia nā lāʻau lapaʻau e hāʻawi ʻia e hoʻoheheʻe iā ia. Kāhea mākou iā lākou he 'anticoagulants' (nā mea hoʻoheheʻe koko) a me 'thrombolytics' (nā lāʻau lapaʻau hoʻoheheʻe koko). Akā i kekahi manawa, ʻaʻole hiki i kēia mau lāʻau lapaʻau wale nō ke wehe i ke ʻūpā, a i ʻole aia nā hihia kahi i loaʻa ʻole ai ka lāʻau lapaʻau. ʻO ia ka manawa e hoʻoholo ai nā kauka e hana i kahi Thrombectomy.

ʻO ka mea nui e pono ai kēia lāʻau lapaʻau no:

• Inā he pilikia o ka pōʻino i ke ola .
• Inā aia kahi pilikia o ka haki ʻana o kahi ʻōpū koko (thrombus) mai kona wahi mua a hele i loko o ke kahe koko e noho ma kahi ʻē aʻe o ke kino (no ka laʻana, i loko o nā māmā) (he embolus).
• Inā he pilikia o ka hōʻino mau loa ʻana i ke kino a i ʻole ka ʻiʻo pili.

He mea nui loa kēia ʻano hana no ka hoʻihoʻi koke ʻana i ke kahe o ke koko i ka lolo a i ʻole ka puʻuwai, ʻoi aku hoʻi i nā kūlana pilikia e like me ka hahau ʻana a me ka hōʻeha puʻuwai.

I nā hihia hea ʻaʻole i hana ʻia kahi thrombectomy?

ʻAʻole hana ʻia kēia lāʻau no kēlā me kēia ʻūpā koko. I kekahi mau hihia, aia kekahi mau kumu no ke kumu ʻaʻole hiki a ʻaʻole pono e hana ʻia kēia. E nānā kākou i ke ʻano o ia mau mea.

He aha nā ʻano hana nui no ka wehe ʻana i kēia mau ʻūpā koko?

ʻElua ala nui e hana ai i ka thrombectomy. Ua like ia me ka hana ʻana i lua nui e kūkulu i alanui, a i ʻole ka ʻeli ʻana i lua liʻiliʻi a hoʻoponopono iā ia mai loko mai.

1. ʻOki wehe (ʻoki / Thrombectomy wehe)

Ma kēia kaʻina hana, ʻoki ke kauka lapaʻau i ka ʻili ma luna o ke aʻa koko e loaʻa ana ke koko i loko, wehe mālie i ke aʻa koko, hoʻokomo i kahi mea hana kūikawā e like me ka pōpō (he balloon catheter) a huki i waho i ke koko i hoʻopaʻa ʻia. A laila humuhumu pono ʻia ke aʻa koko a pani ʻia ka ʻili. ʻO kēia ke ʻano kuʻuna.

2. ʻO ka Thrombectomy Percutaneous / Minimally Invasive

ʻO kēia ke ʻano hana i hoʻohana nui ʻia a holomua hoʻi i kēia manawa. ʻAʻohe ʻoki nui. Akā, ua hana ʻia kahi puka liʻiliʻi i loko o kahi kīʻaha koko ma ka lima a i ʻole ka wāwae, a ua hoʻokomo ʻia kahi ʻōmole lahilahi (catheter) ma loko.

Me ka hoʻohana ʻana i ka ʻenehana kiʻi e like me nā kukuna X, alakaʻi ʻia kēia ʻōmole i kahi o ke koko i hoʻopaʻa ʻia. A laila, hoʻokomo ʻia nā mea hana kūikawā ma o ka ʻōmole,

• Hiki ke wāwahi ʻia ke koko i mau ʻāpana liʻiliʻi a hoʻoheheʻe ʻia ('macerated').
• ʻOkoʻa, hiki ke omo ʻia ke koko i loko o ke koko, e like me ka mea hoʻomaʻemaʻe mīkini hoʻoheheʻe ('Aspiration Thrombectomy').

He holomua loa kēia ʻano hana, no ka mea, ʻaʻohe ʻeha nui, no laila hiki i ka mea maʻi ke ho'ōla koke.

He aha nā kūlana e hiki ke mālama ʻia me kēia lāʻau?

Hoʻohana ʻia kēia lāʻau lapaʻau, i kapa ʻia ʻo thrombectomy, no nā kūlana olakino koʻikoʻi he nui.

• ʻO ka Thrombosis Vein Deep (DVT): Nā ʻūpā koko, ʻoiai ma nā aʻa hohonu o nā wāwae.
• Hahau: Hoʻopili kahi ʻūpā koko i kahi kīʻaha koko e hoʻolako ana i ke koko i ka lolo.
• Myocardial Infarction: He ʻūpā koko i loko o nā aʻa coronary e hoʻolako koko i ka puʻuwai.
• ʻO ka Pulmonary Embolism: ʻO kahi ʻōpū koko i hana ʻia ma kahi ʻē aʻe o ke kino e haki a hoʻopaʻa ʻia i loko o kahi aʻa koko i loko o nā māmā.
• ʻO ka Ischemia Limb ʻĀkiu: Ka nalowale koke ʻana o ke kahe o ke koko i ka lima a i ʻole ka wāwae.
• Ka ālai ʻana o nā kīʻaha koko e hoʻolako ana i ke koko i nā ʻōpū (Mesenteric Ischemia) a i ʻole nā ​​puʻupaʻa (Renal Artery Occlusion).

He aha ka mea e hana ʻia ma mua a ma hope o ka lāʻau lapaʻau?

Ma mua o ka mālama ʻana

I kekahi manawa hana ʻia kēia ma ke ʻano he kaʻina hana ulia pōpilikia, no laila ʻaʻohe manawa e hoʻomākaukau ai. Eia nō naʻe, ma mua o ka hoʻolālā ʻana o ka thrombectomy, e noi paha kāu kauka iā ʻoe:

• Nā hoʻokolohua kiʻi: Hiki ke kauoha ʻia kahi ultrasound, MRI, a i ʻole CT scan e hoʻoholo i ka nui a me kahi o ke koko koko.
• Ke haʻalele ʻana i ka puhipaka: Inā ʻoe e puhipaka, ua ʻōlelo ʻia ʻoe e haʻalele ma mua o ke ʻoki ʻana.
• Ka ʻIke Lāʻau Lapaʻau: Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (me nā lāʻau hoʻokahe koko, nā lāʻau hoʻomaha ʻeha, a me nā huaora). Pono paha e hoʻōki ʻia kekahi mau lāʻau lapaʻau ma mua o ke ʻoki ʻana.

Ma hope o ka mālama ʻana

Ma hope o ka lāʻau lapaʻau, e lawe ʻia ʻoe i kahi keʻena nānā a nānā ʻia a hiki i ka paʻa ʻana o kou kūlana. Hiki i kekahi poʻe ke hoʻi i ka home i ka lā hoʻokahi. Pono paha kekahi e noho i ka haukapila no kekahi mau lā. Aia kēia i kahi o ke koko a me ke ʻano o ka lāʻau i hāʻawi ʻia.

Ma hope o ka hoʻi ʻana i ka home,

• Hāʻawi i nā ʻōlelo aʻoaʻo no ka mālama ʻana i ka maʻemaʻe o ka ʻeha.
• Pono ʻoe e hoʻomau i ka lawe ʻana i nā lāʻau hoʻokahe koko e pale ai i ke kūkulu hou ʻana o nā ʻūpā koko.
• Hiki ke ʻōlelo ʻia iā ʻoe e ʻaʻahu i nā socks kūikawā (compression stockings) no kou mau wāwae.

ʻO ka mea nui loa, ʻo ia ka hahai pono ʻana i nā ʻōlelo a kāu kauka.

He aha nā pono a me nā pilikia?

E like me nā lāʻau lapaʻau āpau, loaʻa i kēia lāʻau nā pono a me nā pilikia.

I ka manawa e ʻimi koke ai i ke aʻo lapaʻau

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o kāu lāʻau lapaʻau, e kāhea koke aku i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.

• Ke kahe ʻana o ke koko a i ʻole ka pus e kahe ana mai ka ʻeha.
• ʻEha ka umauma a i ʻole ka paʻakikī o ka hanu ʻana.
• Kuni .
• Pōʻino nui a i ʻole ke poʻo māmā.
• Ka huikau a i ʻole ka nalowale o ka ʻike.
• ʻEha nui, pehu , a i ʻole ka maneʻo o nā lima a i ʻole nā ​​wāwae.

Mai hoʻowahāwahā i kēia mau hōʻailona. Hiki iā lākou ke lilo i hōʻailona o kahi pilikia ʻē aʻe.