E aʻo hou kākou e pili ana i ka Venous Thromboembolism (VTE) i kēia manawa.

Ua noʻonoʻo paha ʻoe pehea e paʻa ai ke koko e kahe ana ma o ko kākou mau aa koko i kekahi manawa ma kahi hoʻokahi a hana i nā ʻōpū? He mea weliweli paha kēia, akā he mea nui loa ia e makaʻala i kēia. No ka mea, a laila hiki iā kākou ke hana koke inā pono. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi ʻōpū koko i loko o kahi aa koko, kahi kūlana i kapa ʻia e nā kauka he (Venous Thromboembolism - VTE).

He aha ka Venous Thromboembolism (VTE)?

I ka ʻōlelo maʻalahi, ʻo (Venous Thromboembolism) ke ʻano o ka hoʻokumu ʻia ʻana o kahi ʻaʻa koko i loko o kahi aʻa koko i loko o ko mākou kino, kahi ʻano aʻa koko e lawe ana i ke koko haumia i ka puʻuwai, e ālai ana i ke kahe ʻana o ke koko. Maanei, ʻo "Thrombo" ke ʻano o ka ʻaʻa koko. ʻO "Embolism" ke ʻano o ka hele ʻana o ia ʻaʻa koko ma ke aʻa koko a paʻa i kekahi wahi. ʻO "Venous" ke ʻano o loko o nā aʻa koko.

Ke kamaʻilio nā kauka e pili ana iā VTE, ke kamaʻilio nui nei lākou e pili ana i ʻelua ʻano o nā ʻūpā koko:

1. Deep Vein Thrombosis (DVT): ʻO kēia ka wā e hana ʻia ai nā ʻōpū koko i loko o nā aa koko hohonu e holo ana ma o nā ʻiʻo, i loko hohonu o ke kino.

2. Pulmonary Embolism (PE): Hana ʻia kēia i ka wā e haki ai kahi ʻaʻa koko mai kahi DVT a i ʻole kahi ʻaʻa koko mai kahi wahi ʻē aʻe a hoʻopaʻa ʻia i loko o kahi aa koko i loko o nā māmā.

E noʻonoʻo e pili ana i ia mea, lawe mai kēia mau aa koko i ke koko i ka puʻuwai mai nā wahi mamao o ko mākou kino, e like me ko mākou mau lālā. No laila, ke ālai ʻia kahi aa koko e kahi ʻūpā koko, hoʻomaka ke koko e hōʻiliʻili ma hope o ka wahi i ālai ʻia. A laila hiki i kēlā wahi ke pehu a lilo i mumū. Eia kekahi, ʻaʻole loaʻa i nā ʻāpana ma mua o ka wahi i ālai ʻia ka oxygen a me nā meaʻai e pono ai lākou. Hiki i kēia ke hōʻeha nui i nā aa koko, nā ʻiʻo, a me nā ʻōpū. I kekahi mau hihia, no ka laʻana, inā ālai ʻia kahi aa koko e lawe ana i ke koko i nā māmā e kahi "VTE", hiki ke hoʻoweliweli i ke ola .

Pehea e hana ʻia ai nā ʻūpā koko i loko o nā aa koko e like me kēia?

ʻOiaʻiʻo, he pane maʻamau a olakino hoʻi ke koko ʻana o ko kākou kino. Hiki iā ʻoe ke noʻonoʻo iā ia he ʻōpala e hana ʻia i ka wā e maloʻo ai kahi ʻeha liʻiliʻi ma ka ʻili o ko kākou ʻili a kahe iki ke koko. Pēlā nō ia. Ke loaʻa kahi ʻeha i loko o ke kino, inā he maʻi ia, mānoanoa iki ke koko e pale i ke koko mai ke kahe ʻana i waho. Inā he maʻi kēia, mālama ʻia ka uhi o ke kīʻaha koko me he mea lā he ʻeha.

ʻO ka maʻamau, ke hoʻomaka ka ʻeha a i ʻole ka maʻi e ho'ōla, e heheʻe ke koko. Akā i kekahi manawa, ʻaʻole ia e hana . A i ʻole, hiki ke hana ʻia nā koko me ka ʻole o ka ʻeha. Hiki ke hana ʻia kēia e kekahi mau mea. I ia mau hihia, inā nui ka koko, hiki iā ia ke ālai loa i ke aʻa.

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Pehea ka hopena o kēia mau ʻūpā koko i kou kino?

Manaʻo ka poʻe he nui ke noʻonoʻo lākou i kahi ʻūpā koko, ʻo ia hoʻi he ʻūpā koko e hoʻoulu ai i ka "Hoʻouka Puʻuwai" a i ʻole "Stroke." Eia naʻe, ʻaʻole ʻo "VTE" ke ʻano o ke ʻūpā koko e hana mau ʻia i loko o nā aʻa (nā aʻa koko e lawe ana i ke koko mai ka puʻuwai a i ke koena o ke kino). Eia naʻe, hiki ke like ka weliweli .

ʻO ka pilikia koʻikoʻi loa, ʻo ia ka wā e hemo ai kahi VTE, a i ʻole ke koko ʻūlū, mai kona wahi i hoʻomaka ai, hele i loko o ke kahe koko, a noho i loko o nā aʻa o nā māmā . Ua kapa ʻia kēia he Pulmonary Embolism (PE). Hoʻopaʻa ka PE i ke kahe o ka oxygen a me ke koko i nā māmā. I ka manawa like, piʻi ke koko i loko o nā aʻa. Ua kapa ʻia kēia ʻano he Pulmonary Hypertension. Inā hoʻomau kēia, hiki ke hana i ka hāʻule ʻana o ka puʻuwai a me ka make.

ʻO ka VTE ka mea pinepine e loaʻa i loko o nā aʻa koko hohonu o ko mākou kino, ʻoi aku hoʻi ma nā wāwae a i ʻole nā ​​​​lima a i ʻole i loko o nā aʻa koko i loko o nā ʻiʻo. Ke hana ʻia kahi clot koko i loko o kahi aʻa koko hohonu, ua kapa ʻia ʻo Deep Vein Thrombosis (DVT). Ke ālai ka DVT i kahi aʻa koko, hiki iā ia ke hana i ka mumū, ka pehu, a me ka ʻulaʻula, hiki ke hōʻino i ka aʻa koko i ka wā lōʻihi. Hiki i kēia ke alakaʻi i kahi kūlana i kapa ʻia ʻo Chronic Venous Insufficiency a i ʻole Post-thrombotic Syndrome. ʻAʻole nā ​​​​DVT āpau e ālai i kahi aʻa koko, akā hiki iā lākou, no laila ua hoʻokaʻawale ʻia lākou he Venous Thromboembolic Disease. He mea nui hoʻi e hoʻomanaʻo inā haki kahi clot koko a hele i nā māmā, hiki iā ia ke hana i ka PE.

He aha ka ʻokoʻa ma waena o ke ʻano o ka thrombosis (ʻaʻa koko) a me ke ʻano o ka thromboembolism (pale ʻana o ke koko i loko o ke kahe koko)?

I ka ʻōlelo maʻalahi, ʻo (Thrombosis) ke ʻano o ka ʻūlū koko. ʻO (Thromboembolism) ke ʻano o ka ʻūlū koko e hele ana ma ke kahe koko a paʻa i kahi, e ālai ana i ke kahe o ke koko. ʻO (Deep Vein Thrombosis - DVT) a me (Pulmonary Embolism - PE) ʻelua ma lalo o ka malu o (Venous Thromboembolic Disease). No ka mea, hiki i kēia mau mea ʻelua ke ālai i ke kahe o ke koko i loko o nā aa koko.

ʻO ka superficial venous thrombosis (SVT) he ʻūpā koko e hana ʻia ana i loko o nā aʻa liʻiliʻi a kokoke i ka ʻili o ka ʻili, a ʻaʻole ia e hoʻoulu i nā pilikia koʻikoʻi. ʻOiai ʻo ka hapalua o nā DVT ʻaʻole ia e hoʻoulu i nā pilikia, pono lākou e noʻonoʻo ʻia no ka mea hiki iā lākou ke hoʻoulu i nā pilikia a he kumu pilikia no ka PE.

Pehea ka maʻamau o kēia kūlana i kapa ʻia ʻo VTE?

ʻOiai ma kekahi mau ʻāina holomua o ka honua, ʻo (VTE) ke kolu o nā maʻi vascular maʻamau ma hope o (Heart Attack) a me (Stroke). ʻO ke ʻano kēia, pili kēia maʻi i hoʻokahi i loko o 1000 mau kānaka i kēlā me kēia makahiki. Ma kahi o ka hapalua o ka poʻe i loaʻa i (VTE) e loaʻa pū kekahi i (Pulmonary Embolism - PE). Eia kekahi, ma kahi o 25% o ka poʻe i loaʻa i (PE) e make ana. Ua ʻōlelo ʻia hoʻi ua pāpālua ka pilikia o ka loaʻa ʻana o (VTE) i kēlā me kēia ʻumi makahiki ma hope o 40 mau makahiki .

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

ʻO kaʻoiaʻiʻo, hiki i kekahi ke loaʻa iā VTE. Eia nō naʻe, aia kekahi mau mea e hoʻonui ai i ka pilikia. E noʻonoʻo he 25% a 50% o nā hihia VTE e kū mai me ke kumu ʻole. ʻO kekahi 20% e pili ana i ka maʻi kanesa. ʻO kekahi 20% e pili ana i ke ʻoki kino. Eia kekahi, loaʻa i kekahi poʻe nā maʻi clotting koko, kahi e ʻoi aku ai ka maʻalahi o ka hoʻomohala ʻana i nā clots koko.

He aha nā kumu o VTE?

Nui nā kumu e hiki ai ke hana ʻia nā ʻūpā koko. Eia nō naʻe, he paʻakikī ke ʻōlelo maopopo inā e ulu nui kahi ʻūpā koko e ālai i kahi aa koko a haki paha a hele i nā māmā. ʻO ka poʻe e loaʻa ana iā VTE he ʻoi aku ma mua o hoʻokahi kumu pilikia.

Loaʻa i kekahi poʻe kahi kaulike ʻole o nā protein i loko o ko lākou koko e kōkua ai i ke kāpili ʻana o ke koko ((Thrombophilia)). Hiki i kēia ke hoʻomaʻalahi i ke kāpili ʻana o ko lākou koko a hoʻemi i ka hiki ke hoʻoheheʻe i nā clots i hana ʻia. Hiki ke hoʻoilina kēia, a i ʻole he hopena ʻaoʻao paha ia o kekahi maʻi olakino ʻē aʻe.

I kekahi manawa, ke kū mau ke kino, ʻo ia hoʻi, ke neʻe ʻole ia , lohi ke kahe ʻana o ke koko i loko o nā aa koko a hiki ke hana ʻia nā ʻūpā koko. E noʻonoʻo wale, ke hele ʻoe i kahi huakaʻi lōʻihi, ke noho ʻoe ma ke kūlana like no nā hola ma ke kaʻa a kaʻaahi paha, a i ʻole ke noho ʻoe ma kahi noho i ka lā a pau ma ke keʻena, a i ʻole ke maʻi ʻoe a paʻa i kahi moe, aia kēia pilikia.

ʻO ke kumu maʻamau o nā ʻūpā koko he ʻeha a he maʻi paha. I kekahi manawa, hana ʻia kēia ʻeha e ka lāʻau lapaʻau. No ka laʻana, hiki ke hana ʻia i ka wā o ke ʻoki kino, chemotherapy no ka maʻi kanesa, a i ʻole ke hoʻokomo ʻia kahi laina IV (intravenous wai) i loko o ka lima a i ʻole ke hoʻokomo ʻia kahi catheter. ʻOi aku ka nui o ka pilikia o ka poʻe e noho ana ma ka haukapila no ka manawa lōʻihi. ʻO kēia no ka mea ke hoʻōla nei lākou mai kahi ʻeha a i ʻole ka maʻi, ke hana nei i nā lāʻau lapaʻau koʻikoʻi, a ke hoʻolilo nei i ka manawa nui ma kahi moe haukapila.

He aha nā kumu e hoʻonui ai i ka pilikia o VTE?

Eia kekahi mau mea e hiki ai ke hoʻonui i kou pilikia o ka hoʻomohala ʻana i ka VTE:

• ʻEha i kahi aa koko ma muli o kahi haki a i ʻole ke ʻoki kino.
• Nā kūlana maʻi.
• Ka emi ʻana o ke kahe koko ma muli o ka noho mālie ʻana ma kahi hoʻokahi no ka lōʻihi loa.
• Nā kūlana genetic i hoʻoili ʻia i nā hanauna a me ka mōʻaukala ʻohana o VTE.
• Ka piʻi ʻana o nā pae o ka hormone (Estrogen) ma muli o ka hāpai ʻana, ka hoʻohana ʻana i ka pila hoʻomalu hānau, a i ʻole ka lāʻau hoʻololi hormone ((Hormone Replacement Therapy)).
• Nā maʻi kāpili koko, no ka laʻana (Factor V Leiden disease), (Polycythemia Vera) a me (Sickle Cell Disease).
• ʻO kekahi mau maʻi mau loa, no ka laʻana, ke kanesa, ka maʻi puʻuwai, a me ka Inflammatory Bowel Disease (IBD).
• Nā kumu o ke ʻano o ka nohona, ʻo ia hoʻi, ka puhipaka, ka momona, a me ka nele i ka hoʻoikaika kino.
• Makahiki (ʻoi aku ka maʻamau o ka VTE i waena o ka poʻe ʻelemakule. Hiki paha kēia ma muli o ka nui o nā maʻi like ʻole a me nā mea ola maikaʻi ʻole i waena o lākou).

He aha nā hōʻailona o ka 'VTE'?

Inā paʻa kahi aʻa koko ma muli o ka thrombosis aʻa koko hohonu (DVT), hiki ke ulu nā hōʻailona ma kahi o ke koko koko. ʻO kēia mau mea:

• Ka pehu ʻana (ʻoi aku hoʻi ma kekahi wāwae a lima paha)
• ʻUlaʻula
• Mehana ka manaʻo ke hoʻopā ʻoe i kēlā wahi
• ʻEha (ʻoi aku hoʻi i ka wā e kū ana a hele wāwae paha)

ʻO nā hōʻailona o ka (PE), ʻo ia hoʻi, he ʻūpā koko i loko o nā māmā, hiki ke ʻike koke ʻia, i kekahi manawa me ka ʻole o nā hōʻailona mua o ka (DVT). ʻO kēia mau hōʻailona:

• ʻEha ka umauma (ʻoi aku hoʻi i ka wā e hanu hohonu ai)
• Paʻakikī ka hanu ʻana (hoʻomaka koke)
• Hoʻonui ʻia ka helu o ka puʻuwai
• Hoʻonui ʻia ka hanu ʻana
• Vertigo (manaʻo e like me ʻoe e milo ana)
• Nalowale o ka ʻike
• Ke hou nei a i ʻole ke anu nei
• Ke ʻū ʻana i ke koko

Mea nui: Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​he mea nui loa e ʻimi koke i ke kōkua lapaʻau , no ka mea, he mau hōʻailona paha kēia o kahi maʻi koʻikoʻi.

Pehea e ʻike ʻia ai ka maʻi 'VTE'?

Aia kekahi mau kūlana ʻē aʻe i loaʻa nā hōʻailona like me DVT a me PE. I mea e hōʻoia ai he maʻi Venous Thromboembolic kou, e nīnau kāu kauka e pili ana i kou mōʻaukala olakino, e ʻike i nā kumu pilikia no VTE, a e kāpae i nā kūlana ʻē aʻe. Hiki iā lākou ke hana i kahi hoʻāʻo koko maʻamau e ʻimi i nā hōʻailona o nā clots koko. A laila e hoʻohana lākou i nā hoʻokolohua kiʻi, e like me nā scans, e ʻike i kahi o ke clot.

He aha nā hoʻokolohua i hoʻohana ʻia e ʻike ai i ka VTE?

Hana ʻia nā hoʻokolohua like ʻole e ʻike ai i ka (DVT) a me ka (PE).

Nā hoʻokolohua e ʻike ai i ka DVT

• Nā hoʻāʻo koko: Aia kahi hoʻāʻo koko i kapa ʻia ʻo ka hoʻāʻo D-dimer. Ana kēia i ka pae o kahi mea i hoʻokuʻu ʻia i ka wā e haki ai nā ʻūpā koko. Inā kiʻekiʻe ka pae o kēia mea, hiki ke lilo i hōʻailona o kahi ʻūpā koko. Hiki ke hana ʻia nā hoʻāʻo koko e ana i ka pae oxygen i loko o ke koko a e nānā i nā maʻi ʻūpā koko hoʻoilina.
• ʻO ke ultrasound vascular: He hoʻāʻo kiʻi ʻeha ʻole kēia. ʻO ia ke koho mua e nānā i nā aa koko a pehea e kahe ai ke koko ma o lākou. I kekahi manawa ua kapa ʻia ʻo ia he ultrasound duplex no ka mea he ʻelua ʻāpana. Ma ka ʻāpana mua, hoʻohana ke kauka i kahi mea hana e like me ke koʻokoʻo e kuhikuhi i nā nalu kani i nā aa koko a loaʻa nā kiʻi ma kahi pale. A laila hiki ke hoʻopaʻa ʻia ka aa koko e ʻike inā e ʻūlū maʻamau ana a i ʻole ua ālai ʻia e kahi ʻūpā koko. Ma ka ʻāpana ʻelua, kuhikuhi ʻia nā nalu kani e ʻike pehea e kahe ana ke koko i loko o ka aa koko. Ke kahe maʻamau ke koko, loli nā nalu kani ma o kahi hanana i kapa ʻia ʻo ka hopena Doppler.
• MR venography:Hiki ke ʻoi aku ka hilinaʻi o kahi ʻano hana i kapa ʻia ʻo Magnetic Resonance Imaging (MRI) ma mua o ka ultrasound no ka nānā ʻana i nā aa koko ma nā wahi e like me ka ʻōpū, ka umauma, a me ka pelvis. Ma ka MR venography, hoʻohana ʻia nā nalu radiofrequency e ʻike i nā clots koko. Pono kēia hoʻāʻo iā ʻoe e moe i loko o kahi mīkini MRI maʻamau. Hiki ke hāʻawi ʻia iā ʻoe kahi kala kūikawā e kōkua i nā aa koko e ʻike maopopo.
• ʻO ka venography hoʻohālikelike: He hoʻāʻo X-ray kuʻuna kēia. Eia hou, hoʻokomo ʻia kahi dye hoʻohālikelike i loko o kahi aʻa e ʻike nui ʻia ai nā aʻa ma nā kiʻi. ʻOiai he ʻoi aku ka invasive ma mua o nā hoʻokolohua kiʻi ʻē aʻe, ua manaʻo ʻia he pololei loa. Hiki ke hana ʻia kēia inā ʻaʻole maopopo nā hoʻokolohua ʻē aʻe. Hoʻokomo ka loea X-ray i kahi ʻōmole liʻiliʻi i loko o kekahi o kou mau aʻa nui, alakaʻi iā ia i ke ala kūpono, hoʻokomo i ka dye hoʻohālikelike, a laila lawe i kahi X-ray.

Nā hoʻāʻo e ʻike ai i ka PE

• ʻO ka pulse oximetry: Inā hōʻike kāu mau hōʻailona i kahi PE, e ana mua paha kāu kauka i ka pae oxygen i loko o kou koko ma ke kau ʻana i kahi sensor pulse oximetry ma kou manamana lima. Inā haʻahaʻa ka pae oxygen, hiki ke ma muli o ka PE a i ʻole kekahi maʻi māmā a puʻuwai paha.
• X-ray umauma: ʻOiai ʻaʻole hiki i kahi X-ray umauma ke ʻike i kahi PE, hiki iā ia ke ʻike i nā maʻi ʻē aʻe o ka māmā a i ʻole ka puʻuwai e hiki ai ke hoʻoulu i kāu mau hōʻailona.
• ʻO ka CT pulmonary angiography (CTPA): ʻO kēia ka hoʻāʻo maʻamau no ka ʻike ʻana i ka PE. Hoʻopuka ka CT scan i nā kiʻi ʻekolu-dimensional (3-D) o nā aʻa koko a me nā aʻa i loko o kou mau māmā. ʻO ke ʻano o "Pulmonary" e pili ana i nā māmā, a ʻo "angiography" he X-ray o nā kīʻaha koko. ʻAʻole invasive ka CTPA, akā pono paha ke hoʻokomo ʻana i kahi dye contrast i loko o kahi aʻa koko.
• ʻO ka angiogram pulmonary: Inā ʻaʻole i hoʻoholo ʻia nā hoʻokolohua ʻē aʻe, hiki i kahi angiogram pulmonary kuʻuna ke hāʻawi i nā hopena paʻa. Eia nō naʻe, he ʻano invasive iki ia. No kēia angiogram, hoʻokomo ke loea X-ray i kahi ʻōmole i loko o kekahi o kou mau aa nui, e hoʻokomo iā ia ma kou umauma, e hoʻokomo i ka dye contrast, a laila lawe i kahi X-ray.

He aha nā lāʻau lapaʻau no VTE?

ʻO nā koho lapaʻau no ka (Venous Thromboembolism) e pili ana i ka weliweli o ke koko. Hiki ke mālama ʻia kekahi mau hihia (DVT) me nā lāʻau lapaʻau waha. Eia nō naʻe, pono paha e wehe koke ʻia kekahi mau hihia (PE). Hiki i kāu kauka ke wehe i kahi (PE) hoʻoweliweli ola me kahi catheter i hoʻokomo ʻia ma o kahi aʻa, a i ʻole e hoʻokomo paha i kahi lāʻau (thrombolytic) e hoʻoheheʻe koke i ke koko. Eia naʻe, ma muli o nā pilikia e hiki mai ana, hana ʻia kēlā mau hana i nā kūlana pilikia wale nō.

Inā ʻaʻole i hoʻoweliweli koke ka VTE i ke ola, ke kālele nei ka lāʻau lapaʻau i ka hoʻōki ʻana i nā clots e kū nei mai ka nui ʻana a me ka pale ʻana i nā clots hou mai ke kūkulu ʻana. ʻO ia mau lāʻau pale e komo pū me nā anticoagulants, ʻo ia nā lāʻau lapaʻau e hoʻomāmā i ke koko, a me nā stockings compression, e kōkua ana i ka mālama ʻana i ke kahe koko maikaʻi. I nā hihia paʻakikī, hiki i kāu kauka ke kuhikuhi i kahi hana kino, e like me ke kau ʻana i kahi kānana i loko o kahi aa koko e pale ai i nā clots koko mai ka hele ʻana i kou mau māmā.

Pehea e hiki ai iā ʻoe ke pale aku i ka VTE?

Nui nā kumu pilikia no ka hoʻomohala ʻana i ka venous thromboembolism, ʻaʻole hiki iā mākou ke kaohi i nā mea āpau. Eia nō naʻe, ma ke ʻano laulā, ʻo ka noho ʻana i ka hana ke ala maʻalahi loa e pale aku ai . ʻOiai ʻo ka hapa nui o nā DVT e hana ʻia ma nā wāwae, ʻo ka mālama ʻana i ke kahe koko maikaʻi ma nā wāwae hiki ke hōʻemi nui i ka pilikia.

Inā ʻoe e noho no ka manawa lōʻihi, inā paha ma ka hana a i ʻole ke hele wāwae ʻana, e hōʻoia e ala a hele wāwae mau a hoʻomaʻamaʻa i nā ʻiʻo o kou wāwae. E kōkua kēia i ka hōʻemi ʻana i ke koko. Inā maʻi ʻoe a i ʻole e hoʻōla ana mai ke ʻoki kino, ʻo ke ala ʻana a me ka neʻe ʻana i ka wā hikiwawe e hiki ke kōkua i ka hōʻemi ʻana i kou pilikia o nā ʻōpū koko. Hiki i ka hoʻoikaika kino ke kōkua i ka hōʻemi ʻana i ke kaumaha a mālama i ke kaumaha olakino . ʻO kēia nā mea ʻē aʻe e hiki ke kōkua i ka VTE.

Pehea ʻoe e mālama ai iā ʻoe iho ma hope o kahi VTE?

Inā loaʻa iā ʻoe kahi VTE, e makaʻala i kēia mau mea:

• E hele no ka mālama maʻamau. E nānā kāu kauka i kou kūlana a hoʻoholo i ka lōʻihi o kou lawe ʻana i kāu lāʻau lapaʻau.
• E lawe i kāu lāʻau lapaʻau e like me ke kuhikuhi ʻia. Eia nō naʻe, inā loaʻa iā ʻoe ke kahe koko nui (kahi hopena koʻikoʻi o nā lāʻau hoʻokahe koko), e hoʻōki koke i ka lawe ʻana i ka lāʻau lapaʻau a kāhea aku i kāu kauka.
• E makaʻala i nā hōʻailona o ke koko ʻūlū, ʻoiai ka pehu ʻana ma nā wāwae a me ka ʻeha ke hoʻopā ʻia.
• E hoʻomau i kahi nohona olakino. E noho hana ikaika, inu i ka wai he nui, e hoʻokele i ke kaumaha, a e hoʻōki i ka puhipaka inā ʻoe e puhipaka ana.

E hoʻomanaʻo, he nui nā kumu like ʻole o ka Venous Thromboembolism. Aia paha kekahi mau mea pilikia āu i ʻike ʻole ai a ʻaʻole hiki iā ʻoe ke hoʻololi.

Ma hope o kēia mau kamaʻilio a pau, eia nā mea āu e pono ai e hoʻomanaʻo!

Nui nā kumu e hiki ke kōkua i kahi kūlana i kapa ʻia ʻo (Venous Thromboembolism - VTE). Loaʻa paha iā ʻoe nā kumu pilikia āu i ʻike ʻole ai, a ʻo kekahi o lākou ʻaʻole hiki iā mākou ke kaohi. Eia nō naʻe, nui nā mea hiki iā ʻoe ke hana e pale aku i kahi (VTE) . A, inā hana ʻia, hiki ke hoʻokele pono ʻia.

Inā he mau hopohopo kāu e pili ana i kēia, e kamaʻilio me kāu kauka e pili ana i kāu mau kumu pilikia kikoʻī a pehea e hiki ai iā ʻoe ke hōʻemi i kou pilikia. ʻO ka mea nui loa, ʻo ia ke ʻimi koke i ka ʻōlelo aʻoaʻo lapaʻau inā loaʻa iā ʻoe nā hōʻailona o ka "VTE". Lawe mākou i nā ʻūpā koko āpau, ʻo nā mea āu i loaʻa ai i kēia manawa a me nā mea āu e loaʻa ai i ka wā e hiki mai ana, me ke koʻikoʻi. No laila, mai makaʻu e ʻike i ke kauka i ka wā e loaʻa ai iā ʻoe kekahi mau hopohopo. ʻO kou olakino kā mākou mea nui loa!

ʻO ke koko paʻa, aʻa koko, DVT, PE, māmā, Venous Thromboembolism, VTE