Kua rongo kē koe i ngā toto totoka e rere ana i roto i ngā oko toto i roto i ō tātou tinana? Ina hoki, he mea tino nui ngā totoka hei aukati i te toto ina whara ō tātou tinana. Engari i ētahi wā, kāore he take, ki te puta he totoka i roto i ngā oko toto, ka paku morearea. Nā te mea ka taea e ēnei totoka te aukati i te rere o te toto, ā, ka puta he raruraru nui. I roto i ēnei āhuatanga, ka kiia he pokanga motuhake hei tango i aua totoka he Embolectomy. I tēnei rā, ka kōrerohia e tātou tēnei mea i roto i te huarahi māmā noa iho, i roto i te huarahi e mārama ai koe.
He aha te tikanga o te Embolectomy?
Ko te embolectomy he tango pokanga i te toto totoka e piri ana ki roto i te uaua toto (toto toto). I ētahi wā ka kiia tēnei ko te thrombectomy. He iti noa te rerekētanga i waenganui i ēnei ingoa e rua. Kia mārama tātou ki tēnā.
Whakaarohia he toto totoka e hanga ana i roto i tētahi oko toto nui i tō waewae. Mēnā ka noho tonu tēnei totoka ki tōna tūranga, ka kiia e tātou he thrombus . Inaianei whakaarohia ka whati tētahi wāhanga iti o tēnei totoka, ka haere tahi me te toto, ka haere ki ō pukahukahu ka piri ki roto i tētahi oko toto iti i reira. Waihoki, ko te totoka e hanga ana i tētahi wāhi, ka haere ki tētahi atu wāhi ka piri ka kiia he embolus .
Nō reira, i roto i ngā kupu māmā noa iho, ko te Thrombectomy te tango i te toto totoka (`thrombus`) i te wāhi i hangaia ai. Ko te Embolectomy te tango i te toto totoka (`embolus`) kua haere, ā, kua piri ki tētahi atu wāhi. Heoi, i ēnei rā, he maha ngā wā ka whakamahia ngātahitia ēnei kupu e rua.
Mā te taote pokanga, mā te tākuta rānei kua whakangungua ki ngā tikanga iti rawa te whakaekenga e mahi tēnei mahi pokanga. I runga i te wāhi kei reira te toto totoka, ka taea tēnei te mahi pokanga ohorere rawa atu . Mēnā ka aukatia e te toto totoka te rere o te toto ki tētahi okana nui o te tinana, ka taea te whakararu i te ora.
Ko wai e hiahia ana ki tēnei pokanga, ā, i roto i ēhea āhuatanga?
Ko te Thrombosis Utauta Hōhonu he āhuatanga e puta ai he toto totoka i roto i te uaua hōhonu o te waewae. Mēnā ka pakaru tēnei toto ka haere ki ngā pukahukahu, ka puta he āhuatanga kino e kiia nei ko te Pulmonary Embolism . Mēnā kāore e taea te whakahaere i tēnei āhuatanga mā te rongoā, ka whakatau pea te tākuta ki te mahi i tētahi Embolectomy.
I te nuinga o te wā, he nui ake te mōrearea o ētahi tāngata ki te pāngia e te toto totoka i ētahi atu. He maha ngā āhuatanga ka pā mai ai tēnei.
- Mō te hunga whai mate ngakau
- Mō te hunga momona
- I te wā e hapu ana
- I roto i ngā take matepukupuku
- Mō te hunga whai mate ira e pā ana ki te toto totoka
He aha te take e taunaki ai te tākuta i tēnei pokanga?
Ko te nuinga o te hunga he toto totoka ka hoatu tuatahitia ki a rātou ngā rongoā whakaiti toto, engari me mahi pokanga pea i ngā wā e whai ake nei:
- Mena kāore e taea te hoatu ki a koe ngā rongoā ārai toto, ngā rongoā thrombolytic rānei mō tētahi take.
- Ahakoa te hoatutanga o aua rongoā, kāore te toto totoka e memeha, ā, ka kino haere te āhua.
- Tērā te mōrearea o tētahi āhuatanga e kiia nei ko te paradoxical embolism , arā, ko te tūponotanga o te rere o te toto totoka mā roto i tētahi kōhao iti i roto i te ngākau ka haere ki tētahi okana nui pēnei i te roro.
I te nuinga o te wā, ka whakatauhia tēnei momo whakatau e tētahi tīma tākuta e huihui ana, e āta tirotiro ana i te āhua o te tūroro.
Kia ako tātou i ia taahiraa me pēhea te whakahaere i te pokanga.
E rua ngā huarahi matua e taea ai tēnei pokanga. Ka whiriwhiria e te tākuta te tikanga pai rawa atu i runga i te rahi me te wāhi o te toto totoka.
He aha ngā mea ka tupu i mua i te pokanga?
I a koe e whakarite ana mō te pokanga, ka whakarite te tīma hauora i ngā whakamātautau me ngā taputapu e tika ana.
- Mena ka whakahaerehia he pokanga tuwhera (Pokapū Embolectomy), ka whakaritea he matawai e kiia nei ko te transesophageal echocardiogram hei aroturuki i te mahi a te ngakau i te wā o te pokanga.
- Ka whakamahia e te embolectomy catheter he mīhini ultrasound hei kimi i te wāhi tika o te toto totoka me te tikanga hihi-X e kiia nei ko te angiogram hei ārahi i te catheter.
Ahakoa te tikanga o te pokanga, ka hoatu he rongoā whakamoe ki a koe kia kore ai koe e mamae.
Ngā mea ka tupu i te wā o te pokanga
Mā te ripanga i raro nei tātou e āwhina ki te mārama ki te rerekētanga o ēnei tikanga e rua me te āhua o te whakahaere i a rāua.
| Tikanga | Te āhua o te mahi |
|---|---|
| Te tango i te kātene | Kāore he tapahi nui i tēnei.
|
| Pokanga Tuwhera (Pokanga Embolectomy) | I roto i tēnei, ka whakatuwheratia te uma, ā, ka mahia te pokanga.
|
Kei ētahi tūroro he taputapu iti e kiia nei ko te tātari vena cava hei ārai i te rere o ngā toto totoka ki ngā pukahukahu a muri ake nei.
He aha ngā mea ka tupu i muri i te pokanga?
Kia oti te pokanga, mēnā i pokanga tuwhera koe, ka tuia ngā tapahi o roto, o waho hoki, ā, ka tangohia koe i te mīhini ngākau-pūkahukahu. Mēnā he catheter tōu, ka whakakīkīhia te tapahi iti, ā, ka takaihia.
I muri i te pokanga, tera pea ka:
- Me haere tonu te tango i ngā rongoā anticoagulants hei whakangawari i ō toto.
- Me whai anō koe i tētahi matawai (Transthoracic echocardiogram) hei tirotiro i te mahi a te ngākau.
- Me noho pea koe ki te wāhanga tiaki nui (ICU) mō ētahi rā.
Me kōrero anō hoki tātou mō ngā painga me ngā huakore (ngā mōrearea)
Pērā i ngā maimoatanga hauora katoa, he painga, he mōrearea hoki tō tēnei.
Ehara tēnei pokanga i te mea mā te katoa, engari koinei pea te kōwhiringa pai rawa atu mā te hunga kāore e taea te tango i ngā rongoā whakaiti toto, kāore hoki e pai ki aua rongoā, ā, he tino kino hoki ngā tohu, kia tere ai te ora.
Heoi, he mea nui kia mōhio tātou ki ngā mōrearea e pā mai ana i tēnei pokanga.
| Ngā Tūponotanga o te Pokanga Embolectomy | |
|---|---|
| Ngā Mōrearea o te Tikanga Tātari Catheter (He iti noa te Whakaurunga) | |
| Te toto | Ka puta te toto i te mea kua pakaru tetahi oko toto. |
| Te pakaru o te ngākau | Tērā pea ka pā te whara o te ngākau, te pāorooro rānei o te ngakau (arrhythmia). |
| Te toto toto e toe ana | Kāore pea e taea te tango katoa i te toto totoka. |
| Ngā tūponotanga o te pokanga tuwhera | |
| Te toto nui | Te toto nui i te wā o te pokanga, i muri rānei i te pokanga. |
| Mate ngakau | Tērā pea ka tere te pā o te ngakau (supraventricular tachycardia - SVT) me te ngoikore o te ngakau. |
| Ētahi atu mōrearea | Ka pā te ngoikore o te whatukuhu, te mate, ā, he tino onge pea te mate. |
Te whakaoranga me te wā e tika ai kia kite anō i te tākuta
Me noho koe ki te hōhipera mō ētahi rā i muri i te pokanga. Ka whakaaetia koe kia hoki ki te kāinga ina hoki anō tō manawa me te mahi o tō ngākau ki te āhua noa. He tere ake te whakaoranga i muri i te tikanga catheter i muri i te pokanga tuwhera.
I ngā wā o mua, he tokomaha ngā tāngata i pokangahia i mate. Heoi, nā te whanaketanga o te pūtaiao hauora, kua tino rerekē taua āhuatanga . I ēnei rā, kua heke te mōrearea o te mate mai i tēnei pokanga ki waenga i te 5% me te 16%. Kua kitea i roto i tētahi rangahau e 73% o ngā tāngata i pokangahia kei te ora tonu, ā, kei te ora pai i muri i ngā tau e rima.
Kia tupato ki ēnei tohu!
Ki te pā mai tētahi o ēnei tohu ki a koe i muri i te hokinga ki te kāinga, me whakamōhio tonu atu koe ki tō tākuta .
- Te uaua ki te manawa
- Ngā tohu o te mate i te wāhi i tapahia (pupuhi, whero, rerenga wai)
- Mamae o te uma
- Ngā tere o te ngakau
- Te toto rerekē
He rite tonu te āhua, engari he rerekē! (Ētahi atu maimoatanga)
Tērā ētahi atu kupu e rite ana te tangi ki te embolectomy. Me titiro tātou ki ngā rerekētanga i waenganui i a rāua.
Te tango i te embolectomy me te endarterectomy
Ko te embolectomy te tango i te toto totoka. Ko te endarterectomy te tango pokanga i ngā putunga ngako (pēka) e hangai ana i roto i te uaua toto. Ka mahia tēnei hei ārai i te aukati i ngā uaua toto.
Te Embolectomy me te Whakaora Thrombolytic
Ko te embolectomy he tikanga tinana e tango ana i te toto totoka mā te pokanga. Ko te rongoā thrombolytic he werohanga rongoā ki roto i te uaua hei whakarewa i te toto totoka i roto i te tinana. I ētahi wā ka puta he toto i roto i ētahi atu wāhi o tēnei rongoā, pērā i te roro.
E kite ana koe, he maha ngā huarahi rerekē hei rongoā i ngā toto totoka. Mā tō tākuta e whakatau ko tēhea te maimoatanga pai rawa atu māu, me te mea haumaru hoki māu. Mena kua whakaritea koe, tētahi rānei e mōhio ana koe kia mahi i tēnei momo pokanga, kaua e wehi ki te pātai atu ki tō tākuta i ō pātai mō taua mea.
Karere Tangohia ki te Kāinga
- Ko te embolectomy he tango pokanga i te toto totoka kino e piri ana ki roto i te uaua toto.
- E rua ngā huarahi matua e mahia ai tēnei: mā te catheter (he ngongo angiangi) me te pokanga uma tuwhera.
- He whakaora ora pea tēnei pokanga mō ngā tūroro kāore e aro mai ki ngā rongoā whakaiti toto, kāore rānei e taea te tango.
- Pērā i ngā pokanga katoa, he mōrearea anō hoki tēnei, engari nā te hangarau hauora o ēnei rā, he tino teitei te angitu.
- Ki te pāngia koe e ngā tohu pēnei i te uaua ki te manawa, te mamae rānei o te uma i muri i te pokanga, me whakamōhio tonu atu ki tō tākuta.
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