Kua whakaaro koe he aha te mea ka puta ina rere te toto i roto i ngā oko toto i roto i ō tātou tinana, ā, ka puta he toto totoka i tētahi wāhi i te ara? He āhuatanga whakamataku, he āhuatanga ohorere hoki. Ko te tango pokanga i tētahi toto totoka e morearea ana ki te ora ka kiia ko te embolectomy. I tēnei rā, ka kōrerohia tēnei mea i roto i tētahi huarahi māmā ka taea e koe te mārama.
He aha te tikanga o te Embolectomy?
Ko te embolectomy te tikanga tango i te toto totoka e mau ana i roto i te uaua toto, ā, e aukati ana i te rere o te toto. I ētahi wā ka kiia ko te thrombectomy. He rite tonu te tikanga o ngā ingoa e rua, arā, ko te tango i te toto totoka.
E rua ngā momo o ēnei toto totoka:
1. Embolus: Whakaarohia he toto totoka ka puta i tētahi wāhi pēnei i tō waewae, ka whati atu i reira, ka haere tahi me te toto, ka piri ki tētahi atu wāhi, pēnei i ō pukahukahu. Koinei te mea e kīia nei e tātou he embolus , he totoka ka whati atu i te wāhi i hangaia ai, ka piri ki tētahi atu wāhi.
2. Thrombus: Ka puta tēnei momo toto totoka, ā, ka puta he raruraru i te wāhi kotahi. Ko te tikanga, kāore e pakaru, ā, e kore e haere ki hea, ka noho tonu ki te wāhi i puta ai. Ka kiia tēnei he Thrombus .
I te nuinga o te wā, he mea nui te toto totoka hei aukati i te toto ina whara tātou. Engari i ētahi wā, kāore he take e kitea ana, ka tīmata te hanga toto totoka ki ngā wāhi o te tinana kāore e tika ana. Koinei te wā me tango e ngā tākuta te toto totoka.
Ko wai e hiahia ana ki tēnei pokanga?
Ko te tango i te toto i roto i te uaua hohonu o te waewae ka tūtohutia kia tangohia noa iho. Hei tauira, ko te toto totoka i roto i te uaua hohonu o te waewae e kiia ana ko te Deep Vein Thrombosis (DVT) . Mena ka pakaru te toto totoka ka noho ki roto i ngā pukahukahu, ka puta he mate tino morearea e kiia nei ko te Pulmonary Embolism . Mena kaore e taea te whakahaere i te mate ma te rongoā, ka whakamahia e ngā tākuta tēnei pokanga.
He maha ngā āhuatanga ka piki ake te mōrearea o te toto totoka:
- Mate manawa: Ina kore e mahi tika te mahi a te manawa, ka nui ake te tūponotanga ka puta he toto totoka.
- Momonatanga: Ka whakanui ake hoki te taumaha tinana i te mōrearea o te toto totoka.
- Te Hapūtanga: Ka paku piki ake te mōrearea o te toto totoka i te wā e hapū ana nā ngā huringa homoni me ētahi atu huringa o te tinana.
- Matepukupuku: Ka taea e ētahi momo matepukupuku me ngā maimoatanga matepukupuku te whakapūpū i te toto.
- Ko ētahi mate toto totoka:He nui ake anō hoki tēnei mōrearea mō te hunga he mate toto totoka ira tō rātou.
E rua ngā tikanga mō te mahi pokanga embolectomy
I runga i te rahi o tō toto totoka me tōna wāhi e noho ana, e rua ngā tikanga matua e whakamahia ana e ngā tākuta hei tango atu. Kia tirohia tata atu ēnei tikanga e rua.
| Tikanga | Me pēhea te mahi (māmā noa iho) |
|---|---|
| Te tango i te kātene | He tikanga iti noa iho tēnei. Ka whakangāwarihia te kiri o te kaki, o te hope rānei, ka tapahia he wahi iti, ā, ka tukuna he ngongo angiangi (catheter) mā roto i te uaua toto ki te wāhi i puta ai te toto totoka. Ka mahia tēnei mā te whakamahi i tētahi tikanga rite ki te hihi-X. Kātahi ka momihia te toto totoka i roto i te ngongo, pērā i te mīhini horoi korehau. He iti ake te tapahi i tēnei tikanga, nō reira ka tere ake te whakaora. |
| Te Embolectomy Pokanga | He mahi pokanga nui tēnei. Ka whakamahia tēnei tikanga ina koa mēnā he toto toto nui kei roto i ngā pukahukahu, i te ngākau rānei. I konei, ka tangohia te sternotomy waenga i waenganui o te uma, ka whakawhitia te ngākau me ngā pukahukahu ki tētahi mīhini mō te wā poto (Cardiopulmonary Bypass), ā, ka whakatuwherahia e te taote pokanga te oko toto e tika ana, ka tangohia ā-ringa te toto toto. |
He aha ai te pokanga? Kāore e taea te mahi mā te rongoā?
He maha ngā wā, ka hoatu tuatahitia ngā rongoā whakangawari toto ki te hunga he toto totoka. Hei tauira, ko ngā rongoā anticoagulants (ngā rongoā hei ārai i te totoka) me ngā rongoā thrombolytics (ngā rongoā hei whakarewa i ngā toto totoka o nāianei). Heoi, i ētahi wā, me mahi tēnei pokanga. Ko ēnei take ko:
- Mena kāore e taea e koe te tango i ēnei rongoā whakaiti toto nā ētahi atu mate hauora.
- Mena kāore te toto totoka e memeha ahakoa te rongoā, ki te kino haere rānei tō āhua.
- Mena he tino kino ngā tohu i puta mai i te toto totoka, ā, me tere te maimoatanga.
He aha ngā mea ka tupu i muri i te pokanga? Ā, he aha ngā mōrearea?
I muri i te pokanga, me noho koe ki te hōhipera mō ētahi rā, i roto pea i te wāhanga tiaki nui (ICU). Ka tirotirohia koe e ngā tākuta kia hoki rā anō tō manawa me te mahi o tō ngākau ki te āhua noa. Mena i pokanga tuwhera koe, ka roa ake te wā whakaora i tō wā i pokangahia ai he catheter.
Pērā i ngā pokanga katoa, he mōrearea anō hoki tō tēnei pokanga.
- Ngā mōrearea o te tikanga tākai katitere: Te toto nā te kino o te uaua toto, te kino o te ngākau, te arrhythmia rānei, te kore e taea te tango katoa i te toto totoka.
- Ngā mōrearea o te pokanga tuwhera: Te toto nui, te tere o te pā o te ngakau (SVT - Supraventricular Tachycardia), te ngoikore o te ngakau, te ngoikore o te whatukuhu, me te mate pāwera.
Ahakoa ēnei mōrearea, ko te mea nui kia maumahara ko te mahi i tēnei pokanga ka mahia anake ina tino tika hei whakaora i te ora. Nō reira, ka whakatau ngā tākuta i tēnei i muri i te whai whakaaro ki ngā painga me ngā huakore.
Āhea te wā e kite ai i te tākuta i muri i te pokanga
He mea tino nui te tiaki i tō tinana ahakoa kua hoki koe ki te kāinga. Mēnā ka pāngia koe e tētahi o ngā tohu e whai ake nei, me whakamōhio tonu koe ki tō tākuta . Mēnā he nui rawa ngā mate, haere ki te Tari Ohotata (ETU) o te hōhipera tata.
- Te uaua ki te manawa
- Ka rere te wahi i tapahia, ka whero, ka pupuhi rānei (he tohu mate)
- Mamae o te uma
- Ngā tere o te ngakau
- Te toto nui rawa
Karere Tangohia ki te Kāinga
- Ko te embolectomy he tikanga pokanga hei tango i te toto totoka e mau ana i roto i te uaua toto, tera pea ka mate.
- E rua ngā huarahi matua e mahia ai tēnei: he pokanga iti mā te whakamahi i tētahi catheter (ngā ngongo angiangi) me tētahi pokanga nui mā te whakamahi i tētahi uma tuwhera.
- Ka tūtohu ngā tākuta i tēnei pokanga i ngā wā tino kino anake kāore e taea te whakahaere mā te rongoā.
- Pērā i ngā pokanga katoa, he mōrearea kei reira, engari me mahi pea tēnei hei whakaora i te ora.
- Whaia ngā tohutohu a tō tākuta i muri i te pokanga. Rapua tonutia he tohutohu hauora mēnā ka pāngia koe e ētahi tohu rerekē.
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