Ua lohe paha ʻoe, "Auē, ua loaʻa koke i kēlā kanaka ʻōpio kahi ʻūpā koko." A i ʻole ua pehu koke kou wāwae a ʻeha? I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi i kapa ʻia ʻo 'Thrombophilia' hiki ke hana i nā mea e like me kēia. Mai makaʻu i kou lohe ʻana i kēia inoa, he maʻi kēia e loaʻa i nā poʻe he nui. ʻO ia ke kumu he mea nui loa ka makaʻala i ia mea.
I ka pōkole, he aha ka Thrombophilia?
ʻO ka Thrombophilia kahi kūlana i ʻoi aku ka maʻalahi o ke koko a me ka wikiwiki ma mua o ke koko maʻamau. Kāhea nā kauka i kēia he kūlana 'hypercoagulable'. ʻO ia hoʻi, ua hoʻonui ʻia ka hiki o ke koko ke koko. Hiki ke lilo i genetic a i loaʻa paha kēia. I kēia manawa e noʻonoʻo i ka mea e hana ʻia ke ʻoki ʻoe i kou lima me ka pahi? Ua nalowale kahi koko liʻiliʻi, a ma hope o kekahi manawa, ua hana ʻia kahi clot koko ma ia wahi a ua pau ke kahe ʻana o ke koko. He hana pale maoli ia i loko o ko mākou kino. Ma hope o ka ho'ōla ʻana o ka ʻeha, hoʻoheheʻe hou ke kino i ke clot koko a wehe iā ia. Akā, hana ʻia kekahi mea ʻē aʻe i kahi kanaka me Thrombophilia. ʻOiai ʻaʻole pono ke kino, hana ʻia nā clots koko i loko o nā aa koko. A i ʻole, ʻaʻole i hoʻoheheʻe ʻia a wehe pono ʻia nā clots koko i hana ʻia. ʻO ka pilikia nui, ʻo ia ka wā e hele ai kēia mau clots koko ma nā aa koko a ālai i kahi kīʻaha koko e alakaʻi ana i kahi ʻōkana koʻikoʻi. No ka mea, loaʻa i kēlā me kēia cell i loko o ko mākou kino ka oxygen e pono ai mai ke koko. Inā ālai ʻia kahi aʻa, ʻaʻole hiki iā ia ke lawe i ka oxygen. Hiki i kēia ke alakaʻi i nā kūlana koʻikoʻi e like me
ka hōʻeha puʻuwai a me ka hahau .
ʻElua mau ʻano nui o ka thrombophilia:
E like me kā mākou i ʻōlelo ai ma mua, hiki ke hoʻokaʻawale ʻia kēia ʻano i ʻelua ʻano nui ma muli o ke ʻano o kona hiki ʻana mai. 1.
Thrombophilia i loaʻa: ʻO kēia ke ʻano maʻamau. ʻAʻole ia he mea i hoʻoilina ʻia. Hiki ke hana ʻia e kekahi mau lāʻau lapaʻau a mākou e lawe ai, ko mākou nohona, a i ʻole nā maʻi ʻē aʻe. ʻO ka mea maʻamau a koʻikoʻi o kēia mau ʻano ʻo ia
ka Antiphospholipid Syndrome . 2.
Thrombophilia i hoʻoilina ʻia (Genetic/Inherited Thrombophilia): He ʻano genetic kēia āu e loaʻa ai mai kou makuahine, makuakāne, a i ʻole nā mea ʻelua. Aia nā protein i loko o ko mākou kino e kaohi ana i ke kāpili ʻana o ke koko. Ma muli o kēia mau loli genetic, ʻaʻole paha e hana pono kēlā mau protein. A i ʻole e hana paha ke kino i ka liʻiliʻi o nā protein e hoʻōki ai i ke kāpili ʻana o ke koko.
Inā ua loaʻa iā ʻoe nā clots koko ma mua o 40 mau makahiki, ua loaʻa iā ʻoe kekahi mau hāʻule ʻana o ka hāpai ʻana, a inā he moʻolelo ko kekahi o kou ʻohana no nā clots koko, hiki iā ʻoe ke loaʻa i kēia thrombophilia i hoʻoilina ʻia.
He aha nā ʻano like ʻole o ka thrombophilia hānau?
Aia nā ʻano like ʻole o kēia maʻi hoʻoilina. E nānā kākou i kekahi o nā ʻano nui.
| ʻAno Thrombophilia Genetic | He wehewehe maʻalahi e pili ana i ia mea |
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| ʻO ka Thrombophilia Factor V Leiden | ʻO kēia ka mea maʻamau o nā ʻano hoʻoilina. Hoʻopilikia ia i ka 1% a i ka 5% o ka heluna kanaka. Hoʻonui ia i ka pilikia o ka loaʻa ʻana o kahi ʻaʻa koko i loko o kahi aʻa hohonu i ka wāwae (Deep Vein Thrombosis - DVT) no ka manawa mua. |
| ʻO ka Thrombophilia Prothrombin | ʻO kēia ka lua o ke ʻano maʻamau. Aia kahi pilikia kiʻekiʻe o ka pulmonary embolism, DVT, a me ka hāʻule ʻana o ka hāpai keiki. |
| Ka hemahema o ka protein C | He mea kākaʻikahi kēia. Nui ka pilikia o ka hoʻihoʻi ʻia ʻana o ke koko. Inā hoʻoilina kēia maʻi mai nā mākua ʻelua, hiki ke hoʻoweliweli i ke ola. |
| Ka hemahema o ka protein S | He mea kākaʻikahi nō hoʻi kēia. ʻO kahi ʻano kākaʻikahi loa (i hoʻoilina ʻia mai nā mākua ʻelua) hiki ke hoʻoulu i nā pilikia koko e hoʻoweliweli i ke ola i nā pēpē hānau hou. |
| Ka hemahema o ka antithrombin | He mea kākaʻikahi nō hoʻi kēia (e kū mai ana i loko o 1 i loko o 500 a 5,000 mau kānaka). Akā, ʻoi aku ka nui o ka pilikia o ka poʻe me kēia maʻi i ka loaʻa ʻana o nā ʻūpā koko ma mua o ka poʻe me nā maʻi hoʻoilina ʻē aʻe. Ma mua o 80% o ka poʻe me kēia maʻi e loaʻa i hoʻokahi ʻūpā koko ma ka piha ʻana o 50 makahiki. |
He aha nā hōʻailona o ke koko ʻūlū?
ʻO ka hapa nui o ka manawa, ʻaʻole paha ʻoe e ʻike he thrombophilia kou. Kū mai ka pilikia ke hana ʻia kahi ʻūpā koko a ʻike ʻia nā hōʻailona. ʻOkoʻa kēia mau hōʻailona ma muli o kahi i hana ʻia ai ke ʻūpā.
| ʻĀpana kino | Nā hōʻailona e manaʻo ʻia |
|---|
| lolo | - Nā hopu ʻana
- ʻEha poʻo koke a koʻikoʻi
- Paʻakikī i ka ʻōlelo ʻana a me ka ʻike ʻana
- Manaʻo o ka ʻeha ma kekahi ʻaoʻao o ke kino
|
| Puʻuwai | |
| Nā māmā | |
| Wāwae a lima paha | - Pehu koke
- ʻEha nui
- Mehana ke pā aku
|
| ʻōpū | |
He aha nā kumu a me nā mea e hoʻopilikia ai i ka hoʻomohala ʻana o ka thrombophilia?
Ma waho aʻe o nā kumu hoʻoilina, hiki i nā kumu ʻē aʻe a me nā mea pilikia ke hoʻoulu i ka thrombophilia a hoʻonui paha i ka pilikia o nā ʻūpā koko.
Nā kumu nui:
- ʻO ka maʻi Antiphospholipid
- ʻO ka Disseminated Intravascular Coagulation (DIC), kahi maʻi koko kakaikahi
- Hepatitis
- ka maʻi HIV
- Maʻi akepaʻa
Nā kumu e hoʻonui ai i ka pilikia:
- Kaumaha Loa: ʻO ka momona kahi kumu nui o ka pilikia no nā ʻūpā koko.
- Hāpai keiki: ʻO nā loli hormonal i ke kino i ka wā hāpai e hoʻonui maoli i ke ʻano o ke koko e pipili.
- Ka hoʻohana ʻana i nā huahana paka: Hōʻino ka puhipaka i nā kīʻaha koko a maʻalahi ke kūkulu ʻia ʻana o nā ʻūpā koko.
- Nā maʻi ʻē aʻe: Nā kūlana e like me ka maʻi diabetes, ke kanesa, ka maʻi puʻuwai, a me ka atherosclerosis.
- Ke noho ʻana ma ke kūlana hoʻokahi no ka manawa lōʻihi: Ke noho nei i ka haukapila ma hope o ke ʻoki kino, ma kahi mokulele lōʻihi a holo kaʻa paha, a i ʻole ke noho ʻana ma ka hana, hiki ke emi ke kahe koko ma nā wāwae a hiki ke hana ʻia nā ʻūpā koko.
- Ke hana ʻoki kino ʻia nei.
- ʻO ka lawe ʻana i nā pila hoʻomalu hānau a i ʻole ka lāʻau hoʻololi hormone (HRT) nona ka hormone estrogen.
- Loaʻa kahi moʻolelo ʻohana o nā ʻōpū koko.
- Ka ʻelemakule ʻana.
- Nā hānau ʻole ʻana i hiki ʻole ke loaʻa ke kumu.
- Loaʻa ma mua o hoʻokahi ʻūpā koko ma mua o 40 mau makahiki.
E hoʻomanaʻo, ʻoiai he hoʻokahi a ʻoi aku paha o kēia mau mea pilikia iā ʻoe, ʻaʻole ia he manaʻo e loaʻa iā ʻoe kahi ʻūpā koko. Akā, he mea nui e makaʻala iā lākou a e hahai i ka ʻōlelo aʻo a kāu kauka.
Pehea e ʻike ai inā loaʻa iaʻu kēia maʻi?
Ke loaʻa iā ʻoe kahi ʻūpā koko a ke mālama ʻia nei no ia mea, manaʻo paha kāu kauka i ka thrombophilia. A laila e hana lākou i kekahi mau hoʻokolohua e hōʻoia i ke kūlana.
- Kou mōʻaukala lapaʻau: E nīnau ʻia ʻoe e pili ana i nā ʻūpā koko ma mua, inā paha ua loaʻa i kekahi o kou ʻohana, a i ʻole inā ua loaʻa iā ʻoe kekahi mau hāʻule koko.
- Hoʻokolohua Kino: Nānā i ka pehu a me ka ʻeha i hoʻokumu ʻia e ke koko ʻūlū.
- Nā hoʻāʻo koko: Hana ʻia nā hoʻāʻo koko kūikawā e nānā i nā kūlana genetic a i ʻole nā hemahema protein ʻē aʻe e hoʻoulu ai i ka thrombophilia.
- Nā hoʻokolohua ʻē aʻe: Hiki ke hana ʻia nā hoʻokolohua e like me nā scan ultrasound, CT scans , a i ʻole angiograms e ʻike ai i kahi kikoʻī o ke koko.
ʻO wai ka mea e pono ke hana i kēia hoʻokolohua?
ʻAʻole hana pinepine ʻia kēia mau hoʻokolohua no nā kānaka āpau. Hiki i kāu kauka ke kauoha i kēia mau hoʻokolohua ma nā kūlana aʻe:
- Inā he ʻūpā koko kou ma mua o 50 mau makahiki.
- Inā he moʻolelo ko kekahi poʻe o kou ʻohana no nā ʻūpā koko.
- Inā kū mai kahi ʻūpā koko me ka ʻole o kekahi mau kumu pilikia maopopo.
- Inā kū mai nā ʻūpā koko ma nā wahi ʻē (e laʻa, nā lima, ka ʻōpū).
- Inā he pinepine kāu mau hāʻule ʻana.
- Inā makemake ʻoe e ʻike inā ua pilikia kou ʻohana.
He aha nā lāʻau lapaʻau no ka thrombophilia?
ʻAʻohe lāʻau lapaʻau no ka thrombophilia hānau. Akā hiki ke
mālama maikaʻi ʻia, e pale ana i nā ʻūpā koko a alakaʻi i kahi ola maʻamau. Aia nā koho lapaʻau i ke ʻano o ka thrombophilia āu, inā ua hana ʻia kahi ʻūpā koko, a me ke koʻikoʻi o ke kūlana.
- Nā Anticoagulants: ʻO kēia nā lāʻau lapaʻau nui. Hana kēia mau lāʻau lapaʻau ma ka pale ʻana i nā ʻōpū koko hou mai ka hoʻokumu ʻana a ma ka hoʻolohi ʻana i ka ulu ʻana o nā ʻōpū koko e kū nei. ʻO Heparin lāua ʻo Warfarin nā lāʻau lapaʻau kahiko. Loaʻa nā lāʻau lapaʻau hou i maʻalahi ke lawe. Pono paha kekahi poʻe e lawe i kēia mau lāʻau lapaʻau no ke koena o ko lākou ola.
- Nā Thrombolytics: Hoʻohana ʻia kēia mau mea i nā pilikia a me nā hihia koʻikoʻi wale nō. No ka laʻana, inā he mea hoʻoweliweli ke koko nui i loko o nā māmā i ke ola, hiki ke hāʻawi ʻia kēia mau lāʻau lapaʻau ma ke ʻano intravenous e hoʻoheheʻe koke i ke koko.
- Nā Kāʻei Hoʻopaʻa: Hiki i kāu kauka ke aʻo aku iā ʻoe e ʻaʻahu i kēia mau ʻano kāʻei kūikawā e hōʻemi i ka pehu a mālama i ke kahe koko maikaʻi, ʻoi aku hoʻi no ka poʻe i loaʻa nā ʻōpū koko i ko lākou mau wāwae.
- ʻOki kino: He mea kākaʻikahi loa, inā ʻaʻole hiki ke hoʻoheheʻe ʻia kahi ʻūpā koko nui me ka lāʻau lapaʻau, pono paha ke ʻoki kino e wehe ai.
Nā mea hiki iā mākou ke hana e hōʻemi i ka pilikia
Inā ʻike ʻoe he thrombophilia kou, a i ʻole he pilikia paha ke kūkulu ʻana i nā ʻūpā koko, he mea nui loa ia e hoʻololi i kou nohona.
- E pale loa i ka puhipaka.
- E mālama i ke kaumaha o ke kino olakino.
- E hoʻoikaika kino mau. ʻOiai kekahi mea maʻalahi e like me ka hele wāwae he mea maikaʻi ke hana i kēlā me kēia lā.
- Ma nā huakaʻi lōʻihi: Inā ʻoe e huakaʻi ana no ka manawa lōʻihi ma luna o ka mokulele a i ʻole ke kaʻa, e ala i luna i kēlā me kēia hola a ʻelua paha a hele wāwae iki, e hoʻoluliluli i kou mau wāwae.
- Ma hope o ke ʻoki kino: E ala i waho o kahi moe a hoʻomaka e hele wāwae i ka wā e ʻae ai kāu kauka.
- Nā lāʻau lapaʻau i loaʻa ka estrogen: Inā ʻoe e lawe nei i nā lāʻau lapaʻau i loaʻa ka estrogen, e like me nā pila hoʻomalu hānau, e kamaʻilio me kāu kauka e pili ana i kēia pilikia. E hiki iā ia ke kuhikuhi i kahi koho kūpono nāu.
- ʻŌlelo aʻo a ke kauka: Inā ʻoe e lawe ana i ka lāʻau hoʻokahe koko, e lawe iā ia i ka manawa kūpono a me ka nui kūpono. Mai ho'ōki i ka lawe ʻana i ka lāʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
I ka manawa hea e ʻike ai i ke kauka
Inā loaʻa iā ʻoe ka thrombophilia, he mea nui e mālama mau i ka launa pū ʻana me kāu kauka a e hana koke inā ʻike ʻia kekahi mau hōʻailona.
I ka manawa hea e ʻimi ai i ke kōkua lapaʻau: E ʻike i kāu kauka a i ʻole
e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila. - Pehu hou, ʻeha, a ʻulaʻula paha i ka wāwae a i ʻole ka lima.
- ʻO ke kahe koko ʻana ma ke ʻano ʻē, e like me ke kahe ʻana o ka ihu, ke koko i loko o ka mimi a i ʻole ka ʻōpala, ma muli o nā lāʻau hoʻomāmā koko.
- Inā he kānalua a he nīnau paha kāu e pili ana i kou kūlana.
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- ʻEha nui koke o ka umauma a i ʻole ka paʻakikī o ka hanu ʻana (he mau hōʻailona paha kēia o ka hōʻeha puʻuwai a i ʻole ka embolism pulmonary).
- ʻEha poʻo nui koke, paʻakikī i ka ʻōlelo ʻana, a nāwaliwali paha ma kekahi ʻaoʻao o ke kino (he mau hōʻailona paha kēia o ka hahau ʻana).
- Ke kahe koko nui a mau nei ma muli o kahi ʻoki.
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Leka Lawe-Home
- ʻO ka Thrombophilia kahi kūlana i paʻa ai ke koko me ka maʻalahi a me ka wikiwiki ma mua o ka maʻamau. Hiki i kēia ke lilo i mea i loaʻa i ka wā hānau a i ʻole kekahi mea e ulu aʻe ma hope o ke ola.
- He nui ka poʻe me kēia maʻi e ola me ka ʻole o ka loaʻa ʻana o nā ʻūpā koko. ʻIke wale ʻia nā hōʻailona inā hana ʻia kahi ʻūpā koko i loko o kahi aa koko a ālai i ke kahe ʻana o ke koko.
- Hiki i ke koko ke lilo i mea koʻikoʻi inā hana ia i loko o ka lolo, ka puʻuwai, nā māmā, a i ʻole nā wāwae, no laila he mea nui e makaʻala i nā hōʻailona.
- ʻOiai ʻaʻole hiki ke ho'ōla loa ʻia kēia maʻi, hiki ke mālama maikaʻi ʻia a hoʻemi ʻia ka pilikia ma ka lawe ʻana i ka lāʻau lapaʻau e like me ke kauoha a kāu kauka a me ka hahai ʻana i kahi nohona olakino.
Thrombophilia, ʻūpā koko, DVT, embolism pulmonary, thrombosis, ʻūpā koko, mea hoʻokahe koko
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