Kua pupuhi ohorere tō ringa, kua kikorangi hoki? Tērā pea he Axillo-Subclavian Vein Thrombosis (ASVT) tēnei?

Whakaarohia he taitama hauora koe e takaro kirikiti ana, e whakakorikori tinana ana i te whare takaro. Engari ka tīmata tō ringa ki te mamae, ki te pupuhi, ā, ka ahua kikorangi. E whakaarohia ana he rite ki te whara o te uaua. Engari he mate kino ake tēnei, engari he tino taea te rongoā. I tēnei rā ka kōrero tātou mō tētahi o aua mate, ko te 'Axillo-Subclavian Vein Thrombosis' ko te ASVT rānei te whakarapopototanga.

He aha te tikanga o tēnei ASVT?

Ki te whakarapopoto, ko te ASVT te hanganga o te toto totoka i roto i te uaua hohonu i tō ringa o runga, pērā i te uaua axillary, te uaua subclavian rānei. Ka puta tēnei i muri i te whara o tō ringa, i te wā rānei e whakamahia nuitia ana tō ringa, ā, ka mahi tonu koe i taua mea. Ka kiia hoki tēnei mate ko te mate Paget-Schroetter me te thrombosis i puta mai i te kaha.

He momo DVT anō hoki tēnei? He aha te rerekētanga?

Ae, he momo mate toto toto hohonu (DVT) anō hoki te ASVT. Engari ina rongo tātou mō te DVT, ka rongo tātou mō ngā toto toto e puta ana i roto i ngā waewae. Ka puta mai i ngā āhuatanga pēnei i te noho i te tūranga kotahi mō te wā roa, te momona, me te koroheketanga. Engari he rerekē rawa tēnei āhuatanga e kiia nei ko te ASVT i tērā.

Ka taea e koe te mārama ki tēnei rerekētanga mai i te ripanga i raro nei.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei mate?

Ahakoa he āhua rerekē tēnei, ko te ASVT te mea pea ka puta i roto i te hunga hauora tinana, he hunga hihiri, he hunga hoki e kaha ana te ora , inā koa ko te hunga i waenga i te 15 me te 45 tau te pakeke.

Whakaarohia ngā tāngata pēnei:

• Ko te hunga e whai wāhi ana ki ngā mahi whakakori tinana, ngā hākinakina rānei e hiahia ana kia hiki ake ō rātou ringa, pērā i te pōro tere i te kirikiti, te tākaro poipapa, te kaukau, te hiki taumaha rānei.
• Ngā tāngata e mahi ana i ngā mahi ā-ringa, pērā i ngā kaipeita me ngā kaihiko.
• Kei te mōrearea hoki te hunga whai mate toto totoka.

He aha ngā tohu o tēnei mate?

Ko ngā tohu o te ASVT ka puta ohorere mai. Ko ngā tohu matua ko:

• Mamae i te ringa.
• Ka pupuhi ngā uaua o ngā ringa, ā, ka kitea mārama.
• Te tae kikorangi o te kiri o ngā ringaringa (Cyanosis).
• He kare ā-roto e taumaha ana, e ngenge ana rānei i te ringa.
• Te pupuhi ohorere o te ringa (koinei te tohu tino kitea).

He aha te tino take o te ASVT?

Anei te āhua o tana mahi. Whakaarohia he uaua toto (uaua) i roto i tō pakihiwi he rite ki te paipa wai. I ia taha o tēnei paipa, ka piri pūmau te rara me te uaua. Ina mahi koe i tētahi mahi whakakori tinana, i tētahi mahi rānei e hiahia ana koe ki te hiki i tō ringa, ka pēhia te uaua i waenganui i taua uaua me te rara, ka whara.

I roto i te wā, ka puta he kiko koha ki te wāhi o tēnei whara, ka whakawhāiti haere i te uaua. Ka aukati tēnei i te rere o te toto. Koinei te wā ka tīmata te hanga o ngā toto totoka. Ko te mate matua e ārai ana i tēnei uaua ko te thoracic outlet syndrome (TOS).

Me pēhea e kitea ai tēnei e koe, e Tākuta?

I runga i ō tohumate, ki te whakapae tō tākuta i tēnei, ka whakaritea e ia ētahi whakamātautau hei whakaū i te āhua i muri i te whakamātautau tinana.

• Te whakamātautau oro-rua: Koinei te whakamātautau tino noa. Ka whakamahia ngā ngaru oro hei tirotiro i te rere o te toto i roto i ngā uaua, me te kite mēnā he toto kua pupū ake.
• Te tātaritanga venography e arahina ana e te catheter: Ka whakauruhia he ngongo iti (catheter) ki roto i te uaua, ka werohia he tae motuhake, ā, ka tangohia he hihi-X hei tirotiro i te wāhi kei reira te toto totoka me te āhua o te aukati o te uaua.
• CTA (angiography tomography rorohiko): Ka tangohia e te matawai CT ngā whakaahua taipitopito o ngā uaua.
• MRA (angiography aukume): Te tirotiro i ngā uaua mā te whakamahi i te matawai MRI.

He aha ngā maimoatanga mō tēnei?

He mate te ASVT me rongoā. Kāore i te pai te whakaroa i te rongoā. Ko te tikanga rongoā matua ko te 'Thrombolysis'.

Ngā tikanga maimoatanga

• Te whakapūpū toto (te whakarewa toto totoka): Ko te whakauru tika i tētahi rongoā whakarewa toto totoka ki roto i te uaua kei reira te toto totoka mā roto i tētahi ngongo rite ki te cannula (catheter).
• Thrombectomy (tango toto totoka): I ētahi wā ka tangohia ā-tinana e ngā tākuta tēnei toto totoka mā te pokanga iti.
• Ngā rongoā whakaheke toto: I muri i te tango i te toto totoka, ka hoatu he rongoā whakaheke toto ki a koe mō ētahi marama hei ārai i te hanganga anō o ngā toto totoka.

Haunga tēnei maimoatanga, ka hoatu e te tākuta ētahi atu tohutohu ki a koe.

• Whakangāwaritia te ringa kia ngaro ra ano ngā tohu.
• Ko te pupuri i te ringa ki runga e kiia ana ko te "whakaara ringa".
• Te tuku ki te rongoā tinana.
• Te mau i tētahi hipoki rite ki te takai (pukoro pēhi) ki te ringa.

I ētahi wā, ka tangohia he wahi iti o te uaua, he wahi rānei o te rara tuatahi e ārai ana i te uaua mā te pokanga kia rere noa ai te uaua.

Kei te pēhea te āhua i muri i te maimoatanga?

Koinei te mea tino nui. Mēnā ka kitea wawetia te ASVT, ā, ka tīmata wawe te maimoatanga, ka tino angitu ngā hua. Kua whakaatuhia e ngā rangahau he 90% ki te 95% te ōrau angitu.

Heoi, tera pea ētahi tāngata ka pāngia e te raruraru e kiia nei ko te 'post-thrombotic syndrome (PTS).' Ko te tikanga o tēnei ka mau tonu ngā tohu pēnei i te mamae, te taumaha, me te pupuhi o te ringa ahakoa kua rongoatia. Nō reira, he mea nui kia tino whai i ngā tohutohu a te tākuta.

Ka taea te ārai i tēnei āhuatanga?

Ahakoa e kore e taea te ārai katoa, he maha ngā mea ka taea e koe te mahi hei whakaiti i te mōrearea.

• Kaua e mahi i ngā mahi whakakori tinana uaua, kaua hoki e mahi mō te wā roa, ā, me whai okiokinga i waenganui i aua mahi.
• Me totoro ōu uaua i mua atu, ā, i muri hoki i te whakakori tinana hei totoro i ō uaua ringa.
• Kaua e hapai i ngā taumaha e kore e taea e ō uaua te pupuri.
• Ngāna ki te whakamahi i tō ringa kāore i te matua i ngā wā katoa e taea ai.

Āhea ahau me toro atu ki te tākuta?

Me toro atu ki te tākuta i te wā tuatahi ka kitea te ASVT (te pupuhi ohorere, te mamae, te kikorangi o te ringa). Waihoki, ki te puta mai ēnei tohu e whai ake nei, whakaarohia he āhuatanga ohorere, ā, haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.

• Mamae o te uma
• Te uaua ki te manawa (dyspnea)
• te ngoikore