Kei te pupuhi ohorere tō waewae, ā, kei te mamae hoki? Tērā pea he DVT (Deep Vein Thrombosis)

Kua pupuhi tetahi o ō waewae, ā, kua werawera ina pā atu? He mamae ina hikoi, ina tū rānei koe? He whero pea te kiri o tō waewae? He tokomaha e whakaaro ana he whāwhā noa iho, he whāwhā rānei te pona. Engari i ētahi wā he mea nui rawa atu, ā, me aro tonu ki tēnei. I tēnei rā kei te kōrero tātou mō te toto totoka i roto i te uaua hohonu, e mōhiotia ana rānei i roto i te rongoā ko te Deep Vein Thrombosis (DVT) .

He aha te DVT?

E rua ngā momo uaua toto i roto i tō tātou tinana. Ko tētahi ko ngā uaua o waho e kitea ana i raro i te kiri. Ko tētahi ko ngā uaua nui e rere ana i roto i te tinana. Ko te Deep Vein Thrombosis (DVT) ko te wā e puta ai he toto toto (thrombus) i roto i ēnei uaua hohonu. Whakaarohia he rite ki te paru e mau ana i roto i te paipa wai, e aukati ana i te rere o te wai. Ka taea e tēnei toto toto te aukati katoa, te aukati rānei i te rere o te toto i roto i te uaua. Ko tēnei āhuatanga he mea tino noa i roto i ngā uaua o ngā waewae (ina koa ko ngā huha, ko ngā papa rānei), me te pelvis. Heoi, he onge te wā ka puta ai he toto toto i roto i ngā uaua o ngā ringa, o te roro, o ngā whekau, o te ate , o ngā whatukuhu rānei.

He aha te take e kino ai te DVT?

Ki te noho tonu te āhua o te DVT, ehara i te mea mōrearea ki te ora. Heoi, ko te tino mōrearea ko te pakaru o te toto kua puta i roto i tēnei uaua, ka tīmata te haere i roto i te toto. Whakaarohia, he aha ka tupu mēnā ka pakaru te toto (e kiia ana tēnei ko te 'emboli') ki tētahi oko toto i roto i ngā pukahukahu, ā, ka mau? Koinei te mea e kiia ana e mātou ko te Pulmonary Embolism (PE) . He āhuatanga tino mōrearea tēnei, he āhuatanga mōrearea ki te ora. Nō reira, he mea nui kia tātaritanga me te rongoā i te mate i te wā tonu e whakapae ana koe kei a koe te DVT. Hei tāpiritanga, tata ki te haurua o te hunga whai DVT ka pāngia pea e ngā raruraru roa e kiia nei ko te Post-Thrombotic Syndrome .Koinei te wā e pakaru ai ngā takirere ngawari o roto i ngā uaua i te toto totoka, ka noho te toto ki roto i ngā waewae, kaua e pupuhi tika. Ka pupuhi pea, ka mamae, ka parauri te kiri, me ngā patunga e uaua ana ki te whakaora (ngā mate puku uaua) mō ngā marama, mō ngā tau rānei.

Me pēhea koe e mōhio ai mēnā kei a koe te DVT? He aha ngā tohu?

Kāore e kitea ngā tohumate o te katoa e pāngia ana e te DVT. Tata ki te 30% o ngā tāngata ka pāngia e te DVT, kāore he tohumate. Ko ētahi tāngata he tino ngawari noa iho ō rātou tohumate, kāore rātou e kite. Heoi anō, kei reira ētahi tohumate noa. Mena kei a koe ēnei tohumate, inā koa ka puta noa i te waewae kotahi, me āwangawanga koe.

Kia tūpato ki ngā tohu o te Pulmonary Embolism (PE)!

Ka kitea e ētahi tāngata he DVT i muri i te pakaru o te toto totoka ka mau ki roto i ō rātou pukahukahu. Nō reira, kia tūpato ki ngā tohu e whai ake nei.

• Te mamae ohorere o te uma
• Te uaua ki te manawa
• Te maremare toto
• Pōuriuri (vertigo)
• Hei maka karakia

He aha ngā āhuatanga mōrearea mō te DVT?

Ka pāngia te tangata katoa e te DVT, engari he nui ake te mōrearea o ētahi tāngata. Me titiro tātou he aha rātou.

• Te noho puku mō ngā wā roa: Whakaarohia kei te eke pahi koe mai i Colombo ki Jaffna, Sri Lanka, kei te eke waka rererangi rānei mō ngā hāora ki te tae atu ki te whenua. I roto i ēnei haerenga roa, mā te pupuri i ō waewae ki te tūranga kotahi ka whakaroa i te rere o te toto , ka arahi hoki ki te toto totoka. Pērā anō hoki i muri i te pokanga nui, mēnā rānei me noho koe ki te moenga mō ngā rā nā te mate.
• Pokanga, aituā rānei: Mena ka pakaru ngā uaua nā te pokanga, nā te aituā rānei, ka piki ake te mōrearea o te toto totoka.
• Neke atu i te 40 tau te pakeke: Ka piki haere te mōrearea i te pakeketanga.
• Te haputanga me muri i te whānautanga: Ko te mōrearea o te DVT te mea tino nui i te wā e hapu ana, me te ono wiki i muri i te whānautanga.
• Taumaha rawa/Momona: He nui ake te mōrearea o te hunga taumaha rawa.
• Te kai hikareti: Ka whakanui ake te kai hikareti i te mōrearea o te toto totoka.
• Te mate pukupuku me ngā maimoatanga mate pukupuku: Ko ētahi momo maimoatanga mate pukupuku me ngā maimoatanga mate pukupuku (hei tauira, te chemotherapy) ka whakanui ake i te mōrearea o te DVT.
• Ngā pire ārai whānau, te rongoā homoni rānei: Tērā pea ka paku whakanui ake ngā pire ārai whānau me te rongoā homoni kei roto te homoni estrogen i te mōrearea o te toto totoka.
• Hītori whānau: Mena kua pāngia tetahi o tō whānau (whaea, pāpā, tuākana/teina) e te DVT, kei te mōrearea hoki koe.
• Ngā take ira: Tērā pea ka whānau mai ētahi tāngata me ngā āhuatanga e ngāwari ai te totoka.
• Ētahi atu āhuatanga hauora: Ka taea hoki e ngā mate pūnaha ārai mate pēnei i te lupus, te mate mumura o te puku, ngā uaua varicose (ngā uaua varicose i ngā waewae), me te mate COVID-19 te whakanui ake i te mōrearea o te DVT.

E te tākuta, me pēhea te tautuhi tika i te DVT?

Mena kei a koe ngā tohu o te DVT, ka tirohia koe e tō tākuta, ka pātai atu mō tō hītori hauora me ngā āhuatanga mōrearea, kātahi ka whakahau i ētahi whakamātautau hei whakaū i te mate.

• Uira Matawai-ā-uaua: Koinei te whakamātautau matua, ā, ko te whakamātautau e whakamahia whānuitia ana hei kite i te DVT. He rite ki te matawai pēpi. Kāore he mamae. Ka taea te kite mārama i te rere o te toto i roto i ngā uaua, me te kite rānei mēnā he toto totoka.
• Venography: Kāore tēnei e whakamahia nuitia ana i ēnei rā. Ko te werohanga o tētahi wai motuhake (tae) ki roto i tētahi uaua, kātahi ka tangohia he hihi-X.
• Matawai MRI, matawai CT rānei: I ētahi wā, ka mahia pea ēnei whakamātautau mēnā kei te whakapaetia he toto totoka i roto i ngā uaua hohonu, pērā i te puku, i te roro rānei.
• Ngā whakamātautau toto motuhake: Mena kua pāngia koe e te DVT kāore he take mārama, he hītori whānau rānei tōu, ka whakatau pea tō tākuta ki te mahi i ngā whakamātautau toto motuhake hei tirotiro i ngā āhuatanga ira e pā ana ki te toto totoka.

He aha ngā maimoatanga mō te DVT?

He iti noa ngā whāinga matua mō te rongoā i te DVT.

• Te aukati i te nui haere o te toto totoka.
• Hei ārai i te pakaru o te toto totoka, kia kore ai e rere ki ngā pukahukahu.
• Te aukati i te hanganga o ngā toto toto hou.
• Te whakaiti i te mōrearea o ngā raruraru roa (Post-Thrombotic Syndrome).

He maha ngā tikanga maimoatanga matua hei whakatutuki i ēnei whāinga.

1. Ngā rongoā whakaiti toto (Ngā rongoā ārai toto)

Ko te ingoa o tēnei i te reo Pākehā ko ngā 'Anticoagulants'. Mā ēnei rongoā ka whakaiti i te kaha o te toto ki te totoka. Ko te mea nui, kāore ēnei rongoā e 'whakarewa' i te totoka kua puta kē. Engari, ka aukati i te nui haere o te totoka, me te hanganga o ngā totoka hou. I roto i te wā, ka taea e ngā tukanga taiao o te tinana te whakarewa haere i te totoka. Ka whakamahia ngā rongoā pēnei i te 'Warfarin' me te 'Heparin' mō tēnei. Mā tō tākuta e whakatau ko tēhea rongoā te mea tika māu, me te roa hoki o te wā e hiahiatia ana e koe. I te nuinga o te wā, me tango e koe tēnei rongoā mō te 3-6 marama, mō ētahi tāngata rānei, mō te toenga o tō oranga.

2. Ngā Tōkena Kōpeketanga

Kāore ēnei i rite ki ngā tōkena noa. He tōkena motuhake ēnei e piri pai ana ki ngā pona waewae. He mea hanga kia tino piri ki ngā pona waewae, ā, ka āta heke te piri ki ngā turi. Mā tēnei ka āwhina i te rere o te toto ki runga i ngā waewae, me te kore e tū. Mā te mau i ēnei i te roanga o te rā ka taea te whakaiti i te pupuhi me te mamae o ngā waewae mā te 50%.

3. Tātari IVC

Ehara tēnei i te rongoā mō te katoa. E taunakihia ana mō te hunga kāore e taea te tango i ngā rongoā whakaiti toto, e pāngia ana rānei e te toto totoka i a rātou e tango ana. I konei, ka whakaurua he taputapu iti rite ki te mata (he `tātari`) ki roto i te uaua matua o te tinana, te `Vena Cava`. Ko tā tēnei he hopu i te toto totoka kua whati i te waewae i mua i te haere ki ngā pukahukahu.

Me pēhea te ārai i te hokinga mai o te DVT?

Kia pāngia koe e te DVT, he mea nui kia āraihia kia kore ai e pāngia anō. Waihoki, ki te mea kei te mōrearea koe ki te DVT, me mahi koe i ngā mahi hei ārai i tēnei mea kei pāngia anō.

Mena kua pāngia koe e te DVT:

• Tangohia te rongoā i tohua e te tākuta kia tika, kia tika hoki i te wā tika. Kaua e mahue tetahi rā.
• Haere ki ngā wāhi rongoā me ngā whakamātautau toto i ngā rā kua whakaritea.
• Whakamahi i tētahi momo noho hauora (kai pai, whakakori tinana, me te karo i te kai hikareti).

Mena kei te mōrearea koe ki te DVT, hei ārai i tēnei:

• I ngā haerenga roa: Whakatika, hikoi haereere i te iti rawa kotahi i te haora. I a koe e noho ana, mahihia he korikori tinana pēnei i te huri i ō pona waewae me te neke i ō matimati ki runga, ki raro.
• I muri i te pokanga: Whakatika i te moenga ka tīmata te hikoi i te wā e taea ai. Me mahi i tā tō tākuta e tohutohu ai.
• Inumia he wai e nui ana i ngā wā katoa.
• Kōrero ki tō tākuta, me te tiki tohutohu mō ngā huarahi hei whakaiti i tō mōrearea.

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