He toto totoka kei roto i te uaua o tō ringa? (Axillo-Subclavian Vein Thrombosis) - Me kōrero tātou mō tēnei!

Kei te pāngia koe e te mamae ohorere o tō ringa, te pupuhi, te kikorangi rānei? Kei te māuiui, kei te taumaha rānei tō ringa? Ehara ēnei i te tohu hei wareware. Tērā pea he toto totoka i roto i tētahi uaua nui i tō ringa, i tō kēkē rānei. I roto i ngā kupu hauora, ka kiia tēnei ko (Axillo-Subclavian Vein Thrombosis) ko (ASVT rānei) . Kaua e manukanuka, ka kōrerohia e mātou tēnei i roto i tētahi huarahi māmā ka taea e koe te mārama.

He aha tēnei (Axillo-Subclavian Vein Thrombosis)?

I roto i ngā kupu māmā noa iho, ko te Axillo-Subclavian Vein Thrombosis (ASVT) he toto totoka e puta mai ana i roto i te uaua subclavian , i te uaua nui i tō pakihiwi, i te uaua axillary rānei, he uaua i tō kēkē. Whakaarohia ō uaua he paipa wai. Ki te pēhia he rara, he wahi mīti rānei e tata ana ki tēnei uaua, ka ārai i te rere o te toto, ka puta he toto totoka.

He maha ngā wā ka puta tēnei āhuatanga i te whara o tō ringa o runga, i te taumahatanga rānei o tō ringa i ngā nekehanga auau. E kiia ana e ētahi ko te mate Paget-Schroetter , ko ētahi ko te thrombosis i puta mai i te whakapau kaha , arā, "he toto totoka i puta mai i te whakapau kaha."

He onge tēnei (Deep Vein Thrombosis - DVT)?

Ae, tera pea taua raruraru kei a koe. Ko te (ASVT) he momo mate e kiia nei ko te (Deep Vein Thrombosis) ko te (DVT) rānei. Ko te (DVT) he wā e puta ai he toto totoka i roto i te uaua hohonu o te tinana. Engari ko te nuinga o te wā ka kōrero tātou mō te (DVT) e kōrero ana tātou mō ngā toto totoka e puta ana i roto i ngā waewae. He maha ngā wā ka puta mai i ngā mea pēnei i te momona, te kore mahi tinana, te koroheketanga, me ētahi atu mate e pā ana ki ngā uaua.

Heoi, ko ngā toto totoka i roto i te ringa, e kiia nei ko te ASVT, ka puta pinepine mai i tētahi aituā, i te whakamahinga roa rānei o te ringa. He rerekē pea ngā tohu me ngā maimoatanga mō ēnei āhuatanga e rua i ētahi wā.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei (ASVT)?

Ahakoa ka pāngia te tangata e tēnei mate, he nui ake te mōrearea o ētahi tāngata. Ko ētahi o ēnei ko:

• He pukumahi tonu, he hauora whānui .
• Ngā taiohi i waenga i te 15 me te 45 tau te pakeke .
• Ko te hunga e takaro ana i ngā hākinakina (hei tauira, ko ngā kaiwhiu tere i te kirikiti, ko ngā kauhoe, ko ngā kaihiki taumaha) ko te hunga rānei e mahi ana me ō rātou ringa e ara tonu ana (hei tauira, ko ngā kaipeita, ko ngā kaihikohiko, ko te hunga e mahi ana i ngā mahi hiki taumaha). Whakaarohia, ina mahi koe me ō ringa e ara ake ana, e takahurihia ana hoki i te ara kotahi, ka pēhia aua uaua.
• Ngā tāngata whai mate toto totoka ira .

He rerekē ngā momo (ASVT)?

Āe, e rua ngā momo matua o (ASVT):

1. ASVT Matua:Koinei te momo tino noa, e puta mai ana i ngā nekehanga uaua, auau o te ringa.

2. ASVT Tuarua: Nā ētahi taputapu hauora kua whakatōkia ki roto i tō uma o runga tēnei. Hei tauira:

• (Te katitere uaua pokapū) (he ngongo kua whakaurua ki roto i te uaua matua)
• (Defibrillator) (he taputapu hei whakaora i te mahi a te ngākau)
• (Pacemaker) (he taputapu e whakahaere ana i te manawa o te ngakau)
• (Putanga rongoā) (He taputapu iti e whakatakotoria ana ki raro i te kiri hei hoatu rongoā)

Ka taea hoki e ēnei taputapu te whakawhāiti i ngā uaua toto me te hanga i ngā totoka.

He pēhea te noa o te (ASVT)?

Ehara i te mea tino noa te ASVT. E ai ki ngā tatauranga, kotahi, e rua rānei ngā tāngata e pāngia ana i roto i te 100,000 i ia tau. Heoi, 10% ki te 20% noa iho o ngā DVT katoa i te pito o runga ka puta mai i te ASVT. Nō reira, mai i taua tirohanga, he tau nui tēnei.

He aha ngā tohu o te (ASVT)?

Mena kei a koe te ASVT, ka pāngia pea koe e tētahi, e ētahi atu rānei o ēnei tohu:

• Mamae ringa: Ka pā ohorere mai, i ētahi wā ka tino kino.
• Ngā uaua e kitea ana i roto i ngā ringaringa: Tērā pea ka puta te pupuhi o ngā uaua nā te kuiti o te rere o te toto.
• Kikorangi te kiri (Cyanosis): Ka kikorangi pea te kiri o ngā ringaringa. Ko te tikanga tēnei he korenga o te hāora.
• Te taumaha, te ngenge rānei o te ringa: Tērā pea ka uaua ki te hapai, ki te neke rānei i tō ringa.
• Te pupuhi ohorere o te ringa: Ka tīmata te pupuhi ohorere o te ringa.

He mea nui, i ētahi wā (10% - 20%) ka pakaru mai tēnei toto toto i te uaua, ka haere mā roto i te toto, ka haere ki ngā pukahukahu. Ka kiia tēnei he Pulmonary Embolism (PE) . He āhuatanga tino morearea tēnei. Ka taea e ia te whakararu nui i ngā pukahukahu, ā, ka taea hoki te whakararu i te ora. Nō reira, ki te tīmata koe ki te pāngia e tētahi o ēnei tohu, me toro atu koe ki te tākuta me te kore e moumou taima.

He aha tēnei (ASVT) ka puta ai?

E ai ki tā mātou i kōrero ai i mua, ko te tino take ko ngā nekehanga auau o te ringa. Whakaarohia, kei te hiki tonu koe i ngā taumaha, kei te takaro hākinakina rānei. Kātahi ka ngenge, ka pupuhi hoki ngā uaua huri noa i tō pakihiwi me tō kēkē. Ka taea e ēnei uaua pupuhi te pēhi i ngā oko toto i reira (ina koa ko ngā uaua subclavian, axillary rānei).

I roto i te wā, ka taea e tēnei pēhanga te kino i te pakitara o te uaua, ā, ka puta he kiko whara. Kātahi ka whaiti te uaua mai i roto, ka whakaiti i te nui o te toto ka taea te rere mā roto. Ka arahi pea tēnei ki te rere kino o te toto, me te piki ake o te mōrearea o te toto totoka. I ētahi wā ka kiia tēnei āhuatanga ko te Thoracic Outlet Syndrome (TOS).E kiia ana hoki ko. Ko tōna tikanga kua whaiti te wāhi i te taha whakarunga o te uma (putanga o te uma), ka pēhia ngā uaua me ngā io.

I ētahi wā, ka puta te ASVT i te rerekētanga o te rara tuatahi, i ngā huringa rānei o ngā uaua, o ngā hononga rānei e karapoti ana i ngā uaua i te ringa me te pakihiwi.

Me pēhea te tautuhi a te tākuta i tēnei (ASVT)?

Ina haere koe ki te tākuta me ngā tohu kua whakahuatia ake nei, ka tirohia tuatahitia koe e ia. Ka taea e te tākuta te kite i ngā mea pēnei i te pupuhi o tō ringaringa, ngā panonitanga o te tae, me ngā uaua e pupuhi ana i roto i te tirohanga kotahi.

Kātahi ka hiahia pea koe ki te mahi i ētahi whakamātautau hei whakarite:

• (Uiui-orooro takirua): Koinei te whakamātautau tuatahi e mahia ana. Ka whakamahia ngā ngaru oro hei tirotiro i te rere o te toto i roto i ngā uaua, me te kite mēnā he toto totoka kei roto. He whakamātautau ngāwari, kāore he mamae.
• Te tātaritanga venography e arahina ana e te catheter: I ētahi wā ka mahia tēnei whakamātautau. I roto i tēnei whakamātautau, ka tukuna he ngongo iti, angiangi (catheter) mā roto i te uaua ki te wāhi e whakaarohia ana kei reira te toto totoka, ā, ka werohia he tae motuhake ki roto i te uaua mā roto i te catheter. Kātahi ka tangohia ngā hihi-X hei tirotiro i te wāhi e āraihia ana te uaua me te rahi o te toto totoka.
• (CTA - angiography tomography rorohiko): He rite tēnei ki te matawai CT, engari ka tirohia ngā uaua toto. Ka mahia hoki mā te werohanga i tētahi tae.
• (MRA - angiography aukume): He whakamātautau e whakamahi ana i te matawai MRI hei tirotiro i ngā uaua toto.

Ka taea e ēnei whakamātautau te whakatau tika mēnā kei reira te āhua (ASVT), kei hea, me tōna kaha.

He aha ngā maimoatanga mō (ASVT)?

Ko te mea pai rawa atu, kei reira ngā maimoatanga whai hua mō te ASVT. Ko te maimoatanga matua e kiia ana ko te thrombolysis , ko te thrombolytic therapy rānei.

Ko te werohanga o tētahi rongoā hei whakarewa i te toto totoka, hei tango atu hoki, e ai ki te kōrero i mua ake nei, tika tonu ki roto i te uaua kei reira te toto totoka mā roto i tētahi ngongo iti (kātene) . Ka whakarewahia e tēnei te toto totoka, ā, ka whakahokia mai te rere o te toto i roto i te uaua.

I ētahi wā, ka haere tahi tēnei maimoatanga (thrombectomy) me tētahi mea e kiia nei ko te (thrombectomy) . Arā, ko te tango i te toto totoka, mā te mahi ā-ringa, mā te pokanga iti rānei.

I muri i ēnei maimoatanga, ka hoatu he rongoā whakaiti toto ki a koe, pērā i te Warfarin me ētahi atu rongoā hou, mō ētahi marama hei ārai i te hanganga anō o ngā toto totoka. He mea tino nui kia tangohia tēnei rongoā mō te roanga o te wā e tohutohu ana tō tākuta ki a koe.

Hei tāpiritanga, ka hoatu e te tākuta ki a koe ēnei tohutohu e whai ake nei:

• Whakaitihia te whakamahinga o te ringa e pāngia ana kia memeha rawa rā anō ngā tohu.
• Kia teitei ake ō ringaringa ina taea (kia paku teitei ake).
• Te whakaora tinanaTirohia. Mā tēnei koe e āwhina ki te whakahoki mai i te nekehanga me te kaha o tō ringaringa.
• Mauria he pūeru pēhi (pērā i te tōkena piri) ki te ringa e pāngia ana. Mā tēnei ka āwhina i te whakaiti i te pupuhi me te whakapai ake i te rere o te toto.

Me mahi pokanga rānei?

I ētahi wā, āe. Tērā pea ka tūtohutia kia pokangahia hei tango katoa i te aukati me te whakaiti i te tūponotanga o te puta anō o ngā toto totoka. Kei roto i tēnei pokanga te tango i te aukati. Hei tauira, ka tangohia pea tētahi wahi o te rara tuatahi, tētahi wahi mīti rānei e puta ai te aukati. Mā tēnei ka taea te rere noa o te toto i roto i te uaua.

He aha tā tātou e taea ai te aukati i te whanaketanga o (ASVT)?

Ahakoa kāore e taea te ārai katoa, he maha ngā mea ka taea e tātou te mahi hei whakaiti i te mōrearea:

• Me neke mārire ngā uaua o ō ringaringa, me te mahi i ngā mahi whakakori tinana pēnei i te totoro tinana .
• Kaua e whakakorikori rawa i ō uaua i ngā wā katoa .
• Ki te mea kei te hiki taumaha koe, kei te whakakori tinana kaha rānei, me okioki koe i waenganui .
• I ngā wā katoa e taea ai, ngana ki te whakamahi i tō ringa kāore i te matua (hei tauira, ki te mea he ringa matau koe, whakamahia tō ringa maui ina taea).

Ka pēhea te āhua i muri i te maimoatanga?

Ko te nuinga o te hunga whai ASVT ka tino ora i muri i te maimoatanga. Kua whakaatuhia e ngā rangahau mēnā ka kitea wawe te mate, ka rongoatia hoki, i te tīmatanga tonu o ngā tohu, ka eke te ōrau angitu ki te 90% ki te 95% .

Heoi anō, tera pea ētahi tāngata ka pāngia e te raruraru e kiia nei ko te Post-thrombotic Syndrome (PTS) . I roto i tēnei, ka mau tonu pea ngā tohu pēnei i te mamae roa, te taumaha, me te pupuhi i te ringa e pāngia ana. Nō reira, he mea nui kia whai i ngā tohutohu a tō tākuta ahakoa kua oti te maimoatanga.

Āhea tātou me toro atu ki te tākuta i te wā e taea ai?

Ki te kite koe i tētahi o ngā tohu tuatahi o te ASVT, rapua tonutia he tohutohu hauora . Kaua e whakaroa, ina koa mēnā ka pāngia koe e tētahi o ēnei e whai ake nei:

• Mamae o te uma
• Te ngoikore i ngā ringa e rua, i ngā waewae rānei
• Te uaua ki te manawa (dyspnea)

He tohu pea ēnei mō tētahi āhuatanga morearea pērā i te Pulmonary Embolism (PE).

(ASVT) Mena koinā, he aha ngā pātai me pātai atu koe ki te tākuta?

Ki te kī atu tō tākuta kei a koe te ASVT, he mea pai kia pātai atu koe i ēnei pātai:

• He aha ngā huringa āhua noho ka taea e au te mahi hei whakaiti i te mōrearea o te toto totoka?
• Ka taea tonu e au te whakakorikori tinana me te mahi ā-ringa?
• Me aha ahau hei ārai i te hanganga anō o ngā toto totoka?
• Kia pēhea te roa e hiahiatia ana e koe te tango i te rongoā whakaiti toto?

Ko te mea nui hei maumahara (Karere hei tango ki te kāinga)

Ko tāku tumanako kua mārama ake koe ki tā tātou i kōrero ai i tēnei rā (Axillo-Subclavian Vein Thrombosis - ASVT). Hei whakarāpopototanga:

• Ko te (ASVT) he wā e puta ai he toto totoka i roto i tētahi uaua nui i roto i tō ringa, i tō kēkē rānei.
• Ka tupu pinepine tēnei nā te mea ka whakamahia tonutia te ringa i roto i te āhua hoha.
• Ka taea e koe te whakapae mēnā ka pāngia koe e ngā tohu pēnei i te mamae ohorere, te pupuhi, me te kiri kikorangi o tō ringaringa.
• Ko te thrombolysis (he rongoā hei whakarewa i ngā toto totoka) me te thrombectomy (te tango i ngā toto totoka) ngā maimoatanga matua.
• Ko te mea nui ko te tautuhi wawe i te mate, me te tīmata i te maimoatanga. Ki te pērā koe, he nui ake te tūponotanga ka ora katoa koe.

Ki te pā mai ēnei tohu ki a koe, kaua e mataku, me toro atu ki te tākuta i taua wā tonu. Kia ora tonu!

` te totohu o te uaua axillo-subclavian, te ASVT, te toto totoka, ngā uaua ringa, te mamae pakihiwi, te pupuhi o te ringa, te DVT, te mate pūkahukahu, te mate Paget-Schroetter