Kua pāngia koe e tētahi motu iti, ā, kua puta he toto iti, kātahi ka mutu noa iho? He tikanga parepare whakamiharo tēnei i roto i tō tātou tinana. Hei whakamutu i te toto, ka puta he toto totoka i roto i tō tātou tinana. He tukanga tino nui, he tukanga noa tēnei. Engari, whakaarohia te mea ka puta mēnā ka puta tēnei toto totoka me te kore he whara, i roto noa i tō tinana, i roto i ō uaua toto . Koinei te mea e kiia nei e tātou he mate totoka, i roto rānei i ngā kupu hauora '(Hypercoagulable State)' '( Thrombophilia )' rānei.
Hei whakarāpopototanga, he aha tēnei mate toto totoka?
Koinei te wā ka ngawari ake te totoka i te mea noa. Ka hangaia he totoka ina huihui ngā pūmua i hangaia e tō tātou ate ( ngā mea totoka ) me ngā pereti toto i roto i ō tātou toto. He mea nui tēnei hei whakamutu i te toto ina whara. Engari ki te kaha rawa tēnei tukanga, ka raru pea.
Ka kiia e mātou ngā toto toto kāore e hiahiatia e hanga ana i roto i ngā uaua he "thrombus" he "embolus" rānei.
He tino mōrearea tēnei āhuatanga?
Ae, he mea morearea tēnei mēnā kāore e rongoatia. Nā te mea ka taea e ngā toto toto te hanga i ngā wāhi katoa o tō tātou tinana. Ka taea te hanga i roto i ngā uaua e kawe ana i te toto mai i te ngākau ki ētahi atu wāhanga o te tinana, me roto hoki i ngā uaua e kawe ana i te toto mai i te tinana ki te ngākau.
Mena ka puta he toto totoka i roto i ngā uaua...
Ka pakaru te toto totoka e puta ana i roto i te uaua, ka haere tahi me te toto, ka puta ai ngā raruraru matua e rua:
- Te toto toto hohonu (DVT): Koinei te wā e puta ai he toto totoka i roto i te uaua hohonu, inā koa i roto i ngā waewae, i te hope, i ngā ringa, i te ate, i ngā whekau, i ngā whatukuhu rānei. Whakaarohia kei runga koe i te waka rererangi mō ngā hāora i ia wā. Mā te pupuri i ō waewae ki te kotahi tūranga ka ārai i te rere o te toto , ā, ka puta he toto totoka i roto i te uaua i roto i tō waewae. Ka kiia tēnei ko te DVT.
- Te Embolus Pūkahukahu: He āhuatanga ohorere tēnei. Ka puta tēnei āhuatanga ina pakaru te toto kua puta i te waewae, pērā i te DVT, ka noho ki roto i te uaua o ngā pūkahukahu. Ka tūpono pea tēnei ki te ora.
Mena ka puta he toto totoka i roto i ngā uaua...
Ko ngā uaua toto ngā oko toto e tuku ana i te toto whai hāora ki te roro, te ngākau, me ngā peka. Mēnā ka puta he toto totoka i roto i tētahi o ēnei, ka pā he kino nui.
- Te whiu: Mena ka aukatia e te toto totoka te uaua e tuku toto ana ki te roro.
- Te whakaekenga o te ngakau: Mena ka aukatia e te toto totoka te uaua o te ngakau e tuku toto ana ki te ngakau.
- Te mamae nui o te waewae me te uaua ki te hikoi.
- I ētahi wā, me tango pea te ringa, te waewae rānei.
Ka taea hoki e tēnei āhuatanga te arahi ki te materoto i te wā e hapu ana. He tino teitei tēnei mōrearea mō te hunga whai mate pēnei i te "Antiphospholipid Syndrome." I te nuinga o te wā, ka piki ake te mōrearea o te toto totoka i te rima ngā wā i te wā e hapu ana nā te pikinga o te rōrahi toto me te pēhanga i roto i te tinana.
Me pēhea koe e mōhio ai mēnā kei a koe tēnei mate? He aha ngā tohu?
Ka whakawhirinaki ngā tohu ki te wāhi o te tinana i puta ai te toto totoka. Ka rerekē pea ngā tohu i ia tangata, i ia tangata.
| Tohu | He aha te mea e tohuhia pinepinetia ana? |
|---|---|
| Te pupuhi, te whero, te mamae, me te mahana o te waewae | Tērā pea ka puta he toto totoka i roto i ngā uaua hohonu (Deep Vein Thrombosis - DVT) . |
| Te mamae ohorere o te uma me te uaua ki te manawa | Tērā pea ka puta he toto totoka i roto i ngā pukahukahu (pulmonary embolism) . He āhuatanga ohorere tēnei. |
| Te ngoikore ohorere o te mata, te ringa, te waewae rānei (ina koa i te taha kotahi), te uaua ki te kōrero, te panoni rānei o te tirohanga | He mate whiu pea . He āhuatanga ohorere tēnei. |
| Te kikī i waenganui o te uma, te mamae e horapa ana ki te ringa maui, ki te kauae, ki te tuara rānei, te werawera | He mate manawa pea . He āhuatanga ohorere tēnei. |
He aha i puta ai ēnei mate? He aha ngā take?
Ka taea te wehewehe i ngā mate toto totoka kia rua ngā wāhanga matua: ngā take whānau mai (ira) me ngā take whiwhi.
| Momo take | Whakaahuatanga me ngā tauira |
|---|---|
| 1. Ngā Take Tuku Iho / Ngā Take Ira | |
| Ngā hapa ira | He taonga tuku iho ēnei i ō tātou mātua. Ehara i te mea ka pāngia te katoa e ēnei mate e te toto totoka, engari he nui ake te mōrearea.
|
| 2. Ngā take i riro mai | |
| Ētahi atu āhuatanga hauora |
|
| Te āhua noho me ētahi atu āhuatanga | |
Me pēhea te tautuhi a ngā tākuta i tēnei mate?
Ahakoa he toto totoka tōu, ehara i te mea he mate ira tōu, nō reira ka āta tirohia e tō tākuta ōu hītori hauora whaiaro me tō hītori hauora whānau.
Ko te tikanga, ko te hunga whai āhuatanga mōrearea e whai ake nei ka tukuna mō ēnei whakamātautau:
- Mena he hītori tō tetahi o te whānau mō tēnei momo toto totoka.
- Mena ka pāngia te taiohi kei raro iho i te 50 tau te pakeke e te toto totoka.
- Mena ka puta he toto totoka ki ngā wāhi rerekē, pērā i ngā ringa, te ate, te roro rānei.
- Mena ka puta he toto totoka kāore he take motuhake.
- Mena he toto totoka tonu kei a koe.
- Mena ka puta pinepine ngā mate pāwera.
- Mena kua pāngia koe e te whiu i te wā taitamariki.
He aha ngā whakamātautau e mahia ana?
Ka mahia ētahi whakamātautau toto hei aromatawai i tō āhua.
- PT-INR: Mena kei te tango koe i te rongoā 'Warfarin', ka mahia tēnei whakamātautau hei tirotiro i te tere o te totoka o tō toto.
- aPTT: Ka mahia tēnei whakamātautau hei tirotiro i te urupare a te toto ki te rongoā 'Heparin' mēnā kei te tango koe.
- Tatau Toto Katoa (CBC): He tatau toto katoa.
- Whakamātautau Fibrinogen
Ka whakahaerehia ngā whakamātautau ira motuhake hei tautuhi i ngā mate whānau. Ka whakahaerehia hoki e rātou ngā whakamātautau hei tirotiro i ngā taumata pūmua pēnei i te `Protein C`, `Protein S`, me te `Antithrombin`.
Nā te mea he tino tairongo ēnei whakamātautau, he mea tino nui kia mahia i roto i tētahi taiwhanga motuhake, kia tika ai te whakamārama a te tākuta whai mātauranga.
Me pēhea te rongoā?
I te nuinga o te wā, ka hiahiatia anake te maimoatanga mēnā ka puta he toto totoka i roto i te uaua. Ko te whāinga matua o te maimoatanga he ārai i te puta o ngā toto totoka anō, me te aukati i te nui haere o ngā toto totoka o mua.
Ka mahia tēnei mā te whakamahi i ngā rongoā whakaiti toto. I roto i ngā kupu hauora, ka kiia ēnei he 'Anticoagulants'.
Ngā rongoā e whakamahia ana i te nuinga o te wā:
- Āpipirini
- Warfarin (he momo pire ā-waha)
- Heparin (he werohanga ka tukuna ki roto i te uaua, i raro rānei i te kiri i te hōhipera)
- He heparin taumaha-iti-ngota (he werohanga ka taea te werohanga i raro i te kiri i te kāinga kotahi, e rua rānei i te rā)
- Fondaparinux (werohanga)
- Ngā rongoā ārai toto ā-waha tika (DOAC) - koinei te whakatupuranga hou o ngā pire ā-waha (hei tauira, Rivaroxaban, Apixaban)
Mā tō tākuta e whakatau ko tēhea rongoā te mea pai māu, me te roa o te wā e tangohia ai, me te momo aroturukitanga e tika ana kia whai ake.
He mea tino nui: Ki te mea kei te tango koe i tētahi rongoā pēnei i te 'Warfarin', kaua e mutu te tango, kaua hoki e whakarerekē i te horopeta me te kore e kōrero ki tō tākuta mō tētahi take. Waihoki, kāore te 'Warfarin' e pai ana mēnā kei te hapu koe, kei te whakaaro rānei kia hapu. Kia mahara ki te whakamōhio atu ki tō tākuta mō tēnei.
Me tino tupato ahau ki taku e kai ana, e inu ana hoki i te wā e tango ana ahau i te Warfarin?
Āe. Ko ngā kai whai rawa i te huaora K, inā koa, ka pā ki te whai huatanga o te Warfarin. Nō reira, he mea tino nui kia whai i ngā tohutohu kai a tō tākuta i te wā e tango ana i tēnei rongoā.
Ko ētahi kai he nui te huaora K
- Ngā pihi Brussels
- Pīnihi
- Pūrokoro
Ehara tēnei i te kī kāore koe e kai i ēnei kai, engari he mea nui kia ōrite tonu te nui o te kai e kainga ana e koe i ia rā. Kōrero ki tō tākuta mō tēnei.
Mena kei a koe tēnei āhuatanga, me pēhea koe e tiaki ai i a koe anō?
- Mena kei te tango koe i ngā rongoā pēnei i te Warfarin, mauria he poroporo tautuhi hauora e kī ana koinei te mea hei āwhina i a koe ki te whiwhi maimoatanga tika i roto i te āhuatanga ohorere.
- Ka taea e ētahi rongoā ka hokona kore utu, pērā i ngā rongoā whakamamae, te taunekeneke me tēnei rongoā whakangawari toto. Nō reira, kōrero ki tō tākuta i mua i te tango i tētahi atu rongoā.
- Me whakahaere i ngā whakamātautau toto auau (pēnei i te PT-INR). Me whakarerekē pea te horopeta o tō rongoā i runga i ngā hua.
- Mena kei te hiahia koe ki te pokanga, ki te whakaaro rānei koe kia hapu, me whakamōhio atu ki tō tākuta i mua i te wā.
Āhea ahau me kite i te tākuta?
Ina tangohia e koe ngā rongoā whakangawari toto, ahakoa he motu iti noa iho, ka nui ake pea te toto, ka puta rānei he marō. He mea noa tēnei.
Heoi, ki te nui rawa te toto e puta mai ana i a koe, ki te kite rānei koe i ngā ira toto nunui, me waea atu tonu ki tō tākuta.
Waihoki, ki te whakaaro koe kei a koe ngā tohu o te DVT (te pupuhi o te waewae, te mamae), rapua tonutia he tohutohu hauora.
Āhea koe me haere ki te Wāhanga Maimoatanga Ohotata (ETU)?
Ki te pāngia koe e tētahi, e ētahi rānei o ngā tohu e whai ake nei, he āhuatanga ohorere hauora tēnā. Haere tonu ki te Tari Ohorere (ETU) o te hōhipera tata rawa atu.
* Te mamae ohorere o te uma me te uaua ki te manawa (tērā pea he tohu o te pulmonary embolism).
* Ngā tohu o te mate manawa, te whiu rānei.
He uaua pea te noho me tēnei mate. Engari mā te rongoā tika me ngā tohutohu tika a te tākuta, ka taea e koe te noho i tētahi oranga noa. Kei reira tō tākuta hei āwhina i a koe. Nō reira kaua e mangere ki te kōrero ki a ia mō ngā pātai, ngā āwangawanga rānei kei a koe.
Karere Tangohia ki te Kāinga
- Ko te mate toto totoka he āhuatanga e nui ake ai te mōrearea o te hanga ngāwari o ngā toto totoka ki roto i ngā oko toto o te tinana, me te kore e hiahiatia.
- Ko ngā take o tēnei he whānautanga (ira) he mea rānei e puta mai ana i te wā e ora ana (pēnei i te mate pukupuku, te pokanga, te haputanga).
- Ka rerekē ngā tohu i runga i te wāhi e noho ana te toto totoka. He āhuatanga ohorere e morearea ai te ora o ngā toto totoka i roto i ngā pukahukahu, roro, ngākau rānei.
- Ko te rongoā matua ko ngā rongoā whakaiti toto (ngā rongoā ārai toto). Me tango ēnei kia rite ki ngā tohutohu a te tākuta.
- Mena kei te tango koe i ngā rongoā whakaiti toto, kia mōhio koe ki te whakamōhio atu ki tō tākuta i mua i te tango i ētahi atu rongoā, i mua i te pokanga, me i mua i te hāputanga.
- Ki te kite koe i te toto nui rawa, i ngā tohu rerekē rānei, rapua tonutia he tohutohu hauora.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero