He aha te DIC? He āhuatanga morearea e puta ai ngā toto totoka i roto i te tinana (Disseminated Intravascular Coagulation)

Whakaarohia te toto ohorere mai i tō tinana katoa, me te marutanga hoki i ngā wāhi katoa. He tino whakamataku tēnei, kāore? I tēnei rā ka kōrero tātou mō tētahi mate kino, engari he tino onge. Ko te ingoa hauora o tēnei ko te Disseminated Intravascular Coagulation, ko te DIC rānei hei whakarapopototanga. Me kōrero ngāwari tātou mō tēnei, i roto i tētahi huarahi e mārama ai koe.

He aha te DIC?

He raruraru tino uaua, he raruraru nui hoki te DIC e puta ana i roto i tā tātou pūnaha toto totoka. He mea tino rerekē te āhua o tēnei. I tētahi taha, ka tīmata te hanga o te maha o ngā totoka iti i roto i ngā uaua toto o te tinana, me te kore e hiahiatia. I tētahi atu taha, ko tēnei te take nui rawa atu e āwhina ana i te totoka kia puta, ka puta ai te toto e kore e taea te whakahaere .

He aha ngā tohu o te DIC?

I tēnei āhua, ka puta ngātahi te toto totoka me te totohu, nō reira ka puta pea ngā tohu e pā ana ki ngā mea e rua.

He aha i puta ai tēnei DIC? Me titiro tātou ki tēnei mea me ētahi atu taipitopito.

Hei mārama ki tēnei, me mārama tātou ki te āhua o te totohu o ō tātou tinana. Whakaarohia he motu iti kei tō ringa. I taua wā, ka huihui ngā pereti toto i roto i ō tātou toto me ngā mea totohu i hangaia e te ate hei hiri i te patunga me te aukati i te toto. He rite ki te whakamahi i ngā pereki (ngā pereti toto) me te sima (ngā pūmua) hei whakapiri i tētahi kōhao i roto i te pakitara.

Engari mō te DIC, ka tino whakararuraruhia tēnei tukanga.

Wāhanga tuarua o te āhua DIC

1. Wāhanga 1 (Ngā Puku Toto): Nā te mate kino, ka tīmata te hanga o ngā mano tini o ngā puku toto iti i roto i ngā oko toto iti puta noa i te tinana. Ka tapahia e tēnei te rere o te toto ki ngā whekau nui pēnei i te roro, ngā whatukuhu, me ngā pukahukahu. Me te mea nei kua āraia ohoreretia ngā rori iti katoa o te tāone.

2. Wāhanga 2 (Te Toto): Mā te hanga toto toto koretake, ka pau katoa ngā pereti toto me ngā pūmua toto toto i roto i tō tātou tinana. Inaianei, ki te puta he patunga, kāore he "pereki me te sima" e hiahiatia ana e te tinana hei kati. Ko te mutunga he toto nui, kāore e taea te whakahaere.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i te DIC?

E ai ki tā mātou i kōrero ai i mua ake nei, he hua tēnei nō tētahi atu mate kino. Nō reira, ko te hunga whai mate e whai ake nei he nui ake te tūponotanga ki te whakawhanake i te DIC:

Me pēhea te kitenga a ngā tākuta i tēnei?

Ko te DIC ka puta i te nuinga o te wā i roto i te tangata kua noho ki te hōhipera, ā, e whiwhi ana i te maimoatanga mō tētahi mate hauora nui. Ka arotakehia e tō tākuta ō tohu me tō hītori hauora. Hei tāpiri, ka whakahaerehia e rātou ētahi whakamātautau toto motuhake hei whakaū i te mate.

• Te Tatau Toto Katoa (CBC): Tirohia mēnā he iti te tatau toto.
• Wā Prothrombin (PT) me te Wā Thromboplastin Āhua Wāhanga (PTT): Inehia te wā e pau ana kia totoka ai te toto.
• Whakamātautau Fibrinogen: Ka tirohia te taumata o te pūmua e āwhina ana i te toto kia totoka.
• Whakamātautau D-dimer: He matū ka puta mai i te wā e pakaru ai ngā toto totoka i roto i te tinana. Ko te nui o tēnei he tohu matua o te DIC.

He aha ngā maimoatanga mō tēnei?

Ko te taahiraa tuatahi, ko te taahiraa nui rawa atu hoki, i roto i te rongoā i te DIC, ko te rongoā i te mate taketake (hei tauira, te sepsis) i puta ai te mate. Kāore e taea te rongoā i te DIC anake me te kore e rongoā i taua mate.

I a rātou e whakarato ana i taua maimoatanga tuatahi, ka mahi ngā tākuta i ēnei hei whakahaere i te DIC:

• Ngā whakawhiti toto toto: Whakahokia mai ngā pūmua (ngā mea whakaheke toto) e hiahiatia ana mō te whakaheke toto.
• Te koha i ngā toto toto whero me ngā pereti toto: Te whakaora i ngā toto toto whero me ngā pereti toto kua heke nā te toto.
• Ngā rongoā ārai toto:I ētahi wā, ka hoatu ēnei rongoā (ngā rongoā whakaiti toto) hei whakahaere i ngā totoka e kore e hiahiatia.

Āhea koe ka hiahia ohorere ai ki te toro atu ki te tākuta?

Ki te mea kei te tino pāngia koe, tetahi atu rānei e mōhiotia ana e koe, ā, ka puta whakarere mai ēnei tohu e whai ake nei, haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera .

• Mena he nui te toto e puta mai ana, kāore e taea te aukati .
• Mena ka puta ngā tohu o te mate manawa (mamae nui o te uma, uaua ki te manawa).
• Mena ka puta ngā tohu o te whiu (te piko ki te taha kotahi o te mata, te uaua ki te kōrero, te ngaro o te rongo i te ringa).

Ka taea te whakaora katoa i te DIC?

Ae, e tino taea ana. Mena ka whakahaerea pai te pūtake o te DIC , ka taea e te tūroro te ora katoa. Mā ngā maimoatanga tautoko, pērā i te whakawhiti toto me te whakawhiti toto, ka taea te āwhina i te whakaora i te pūnaha toto totoka.

Ko te tikanga o te mate DIC kei te whawhai kē koe ki tētahi atu mate hauora nui. Nō reira, ka taea e koe te aro atu ki tēnei wero tāpiri. Engari, me whai i ngā tohutohu a tō tākuta.

• Tangohia te rongoā kua tohua i te wā kua tohua, me te horopeta kua tohua. Kaua e mutu te tango i tētahi rongoā, kaua hoki e whakarerekē i te horopeta me te kore he tohutohu a tō tākuta.
• Kaua e whakamahi i ngā rongoā whakamamae mamae, ngā huaora, me ētahi atu tāpiringa rānei i hokona mai i te whare rongoā me te kore kōrero ki tō tākuta.
• Mena kei te tango koe i ngā rongoā ārai toto, me whakamōhio atu ki ngā tākuta katoa e tirotiro ana i a koe.

He mea noa te mataku ina rongo koe mō tētahi mate kino pēnei. Engari kia maumahara, he pūkenga ngā tākuta me ngā kaimahi hōhipera o tō tātou whenua kua whakangungua ki te whakahaere i ēnei mate uaua. Nō reira, he mea tino nui te whakawhirinaki ki a rātou me te rapu maimoatanga.