Kua ohorere koe i te wā e heu ana koe, i te wā rānei e tapahia ai tō ringa ki te maripi i a koe e tapatapahi ana i ngā huawhenua, ā, ka mutu te toto i muri i tētahi wā? He mea tino miharo tēnei. Ko te take o tēnei he tikanga tiaki taiao i roto i tō tātou tinana. Ka kiia e tātou ko te 'toto toto'. He mea tino nui tēnei hei mahi ina whara tō tātou tinana, ā, ka ārai i te toto nui me te kino ki ō tātou oranga. Heoi, i ētahi wā, kāore he take, ka tīmata te hanga o ēnei toto toto i roto i te tinana i roto i ngā uaua. Āe, he mea morearea pea tēnā. Nō reira, i tēnei rā, i roto i tēnei tuhinga, ka kōrero tātou mō ngā mea pai mō te toto toto, me ngā wā hoki e morearea ai.
He whakarāpopototanga noa iho, he aha tēnei toto totoka?
He puranga matotoru, rite ki te tiēre te toto totoka e puta ana i roto i ō tātou uaua toto. Mēnā he motu, he whara, he pokanga rānei, ka āwhina ēnei toto totoka ki te aukati i te toto nui. Koinei tā rātou mahi matua, mahi pai rawa atu hoki.
Heoi, nā ētahi āhuatanga hauora, nā ētahi atu take rānei, ka taea e ngā toto toto te hanga i roto i ngā uaua, kāore he whara. Koinei te wā e puta ai ngā tohu maha. I ētahi wā ka taea e tēnei āhuatanga te whakararu i te ora .
He aha te mea i hangaia ai ēnei toto totoka?
E rua ngā wāhanga matua o tō tātou toto totoka.
1. Ngā pereti toto: He pūtau ririki ēnei i hangaia e tō tātou hinu wheua. Kāore he tae. He rite tā rātou mahi ki ngā kaimahi ririki e tere ana ki te whakatika i ngā patunga.
2. Fibrin: He momo pūmua tēnei e kitea ana i roto i ō tātou toto. He piri tōna āhua. He rite ki te miro maha.
I te kīanga māmā noa iho, ina he patunga, ka piri ngā pereti toto ki a rātou anō, ka hiritia te patunga. Kātahi ka hangaia he mata e te pūmua e kiia nei ko te fibrin hei pupuri i ngā pereti toto me ngā toto whero e haere ana i roto, ka hanga he toto totoka kaha. Kātahi ka mutu te toto. Ka whero te tae o te toto totoka nā te mea ka mau ngā toto whero ki roto i te mata fibrin.
Ngā wāhi morearea ka puta ai ngā toto totoka me ō rātou tohu
Ka taea e te toto toto te puta i ngā wāhi katoa o te tinana. Engari he tino morearea ngā toto toto e puta ana i ētahi wāhi nā te mea ka taea e rātou te aukati katoa i te rere o te toto ki ō tātou whekau nui. Mā te mōhio ki tēnei āhuatanga ka āwhina i te whakaora i ngā oranga.
| Te wāhi o te toto totoka | Ko wai tōna ingoa? | Ngā tohu e kitea whānuitia ana |
|---|---|---|
| Ngā uaua hohonu i roto i ngā waewae, i ngā ringa rānei | Te toto totoka i roto i te uaua hohonu (Deep Vein Thrombosis - DVT) | - Te pupuhi i te ringa kotahi, i te waewae rānei. - Mamae nui, mamae kōpiri rānei. - Ngā panonitanga o te tae kiri (whero, kikorangi rānei). - He mahana ake te pā atu o te rohe i ērā atu wāhi. |
| Ngā pūkahukahu | Te Pukupuku Pūkahukahu (PE) | - Te uaua ohorere ki te manawa. - Te mamae nui o te uma (ina koa i te wā e manawa hōhonu ana). - Maremare (tērā pea he toto). - Te tere o te manawa, te whanoke. |
| Roro | Whiu | - Te ngoikore ohorere, te kore rānei e mōhiotia te kanohi, te ringa, te waewae rānei (he maha ngā wā ka pā ki te taha kotahi o te tinana). - Te uaua ki te kōrero, te kore rānei e kōrero tika. - Te ānini nui ohorere. - He uaua ki te titiro, he uaua ki te hikoi. |
| Ngākau | Te whakaekenga o te ngākau | - He mamae e pēhi ana, e kōpiri ana i waenganui o te uma. - Ka horapa tēnei mamae ki ngā ringa, ki te kaki, ki te kauae, ki te tuara rānei. - Te uaua ki te manawa. - Te werawera, te whakapairuaki, te ruaki. |
Ko te mea nui, ki te pāngia koe, tētahi atu rānei e mōhio ana koe e tētahi o ēnei tohu, haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera, kaua e whakaroa. I roto i tēnei āhuatanga, he mea nui te wā.
Ngā mate toto totoka
E rua ngā momo matua o ngā mate toto totoka. Ko tētahi ko te kore e totoka te toto i te wā e tika ana, ko tētahi ko te nui rawa o te toto totoka i te ara kāore e tika ana.
| Ngā Mate Toto - Ngā mate toto totoka | Ngā Mate Pupuhi Toto - Te nui rawa o te pupuhi toto |
|---|---|
| He uaua ki te hunga whai mate nei te aukati i te toto ahakoa mai i tētahi patunga iti. | Ka puta he toto totoka koretake i roto i ō rātou tinana. |
| Ngā tauira: - Te mate a Von Willebrand: He mate e pā mai ana i ngā ira tuku iho. - Thrombocytopenia: Te hekenga o te maha o ngā pereti toto i roto i te toto. - Hemophilia (Hemophilia Tuku Iho): Te hekenga o te hanga o ngā pūmua i roto i te tinana e hiahiatia ana mō te toto totoka. | Ngā tauira: - Factor V Leiden: He āhuatanga ira noa e whakanui ana i te mōrearea o te DVT me te PE. - Te Hurihanga o te Ira Prothrombin: He āhuatanga ira anō hoki tēnei. - Te Mate Pāwera ki te Pūnaha Ārai-Pūhopū: Ka puta tēnei i te raruraru o te pūnaha ārai mate. |
He aha atu ngā āhuatanga ka whakanui ake i te mōrearea o te toto totoka?
Haunga ngā āhuatanga hauora kua whakahuatia ake nei, ka taea hoki e tō tātou āhua noho me ētahi atu raruraru hauora te whakanui ake i te mōrearea o te toto totoka. He mea nui kia mōhio ki ēnei.
- Tau: Ko te hunga neke atu i te 65 tau te pakeke he nui ake te mōrearea ki te whakawhanake i ngā toto totoka.
- Te Hapūtanga: Ka piki ake te mōrearea nā ngā huringa homoni me ētahi atu huringa o te tinana i te wā e hapū ana me muri i te whānautanga.
- Momona: Ko te taumaha nui o te tinana tētahi atu take mōrearea nui mō te toto totoka.
- Matepukupuku: Ko ētahi momo matepukupuku me ngā maimoatanga matepukupuku (hei tauira, te chemotherapy) ka whakaoho i te hanganga toto totoka.
- Ngā pire ārai whānau, rongoā homoni rānei: Mā te tango i ngā pire ārai whānau, i ētahi atu rongoā homoni rānei kei roto te homoni estrogen ka nui ake pea tō mōrearea.
- Te Momi hikareti: Ka kino te momi hikareti i ngā uaua toto, ā, ka nui ake te tūponotanga o te toto e pupuhi ana.
- Te noho roa rawa i te tūranga kotahi:Whakaarohia kei te haere koe mai i Colombo ki Jaffna mā runga pahi, kei te noho rānei koe i runga i te tūru tari mō ngā hāora. Me noho tonu koe i te moenga i muri i te pokanga. I roto i ēnei āhuatanga, ka puhoi te rere o te toto i roto i ngā waewae, ka arahi pea tēnei ki ngā mate pēnei i te DVT.
Ka taea e tātou te ārai i te toto totoka?
Kāore e taea e tātou te ārai katoa i tētahi mate ira. Heoi, ka taea e tātou te whakaiti i te mōrearea mā te whiwhi maimoatanga me te huri i te āhua o te noho. He maha atu anō ngā āhuatanga mōrearea ka taea e tātou te whakahaere.
- Tirohia tō tākuta i ia wā: Me tirotiro ā-tau koe. Kōrero ki tō tākuta mō ngā āhuatanga mōrearea e pā ana ki a koe.
- Whai wāhi ki ngā whakamātautau mate pukupuku: Kaua e wareware ki ngā whakamātautau mate pukupuku kua tūtohutia (hei tauira, te mate pukupuku o te ū, te kaki, te koroni) i runga i te tau me te ira tangata.
- Kia mau ki te taumaha hauora: Whakahaerehia tō taumaha mā te kai taurite me te whakakori tinana.
- Kati rawa te kai paipa: Ki te mea he kai paipa koe, me whakatau koe kia mutu i tēnei rā tonu. Ka taea hoki e koe te rapu tohutohu hauora mō tēnei.
- Inumia he nui te wai: Mā te ārai i te matewai ka āwhina i te whakahaere i te toto totoka.
- Kia kaha tonu: Ki te noho roa koe, whakatika, ka hikoi haere i te iti rawa kotahi i te haora. Whakakorikoria ō waewae. Ina hikoi roa koe, rūrūtia ō waewae i ngā wā katoa.
- Whāia ngā tohutohu a tō tākuta: Ki te mea mai tō tākuta kei te mōrearea koe ki te toto totoka, tangohia ngā rongoā (hei tauira, ngā rongoā whakaiti toto) kia rite ki tāna i whakahau ai.
Hei whakamutunga, he tukanga nui te toto totoka mō te haumaru o tō tātou tinana. Engari ki te neke atu i tōna rohe, arā, ki te puta he toto totoka i roto i ngā uaua, ka mate pea koe. Ko te mea nui ko te mōhio ki ngā āhuatanga mōrearea me ngā tohu. Mena he ruarua, he mataku rānei ōu mō tēnei, tena koa kōrero ki tō tākuta whānau. Māna e tirotiro tō hauora, ā, ka hoatu ki a koe ngā tohutohu e tika ana.
Karere Tangohia ki te Kāinga
- He tukanga taiao te toto totoka e aukati ana i te toto mai i tētahi whara. Engari i ētahi wā ka puta noa i roto i te tinana me te kore e hiahiatia, ka aukati i ngā oko toto.
- Kia tūpato tonu ki ngā tohu pēnei i te pupuhi me te mamae o te waewae (DVT), te mamae ohorere o te uma me te poto o te manawa (PE), me te ngoikore i te taha kotahi o te mata, o te tinana rānei (Stroke).
- Ko te pakeketanga, te haputanga, te momonatanga, te momi hikareti, me te noho i te tūranga kotahi mō ngā wā roa ka piki ake te mōrearea o te toto totoka.
- Ki te pāngia koe e tētahi o ngā tohu kino kua whakahuatia ake nei,Kaua e moumou taima, haere tonu ki te hōhipera.
- Ka taea e koe te whakahaere i tēnei āhuatanga mā te kōrero ki tō tākuta mō tō mōrearea me te noho i tētahi oranga hauora.
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