Kia ako tātou i ētahi atu kōrero mō te Fat Embolism Syndrome.

Ina hinga tetahi, ka whati te ringa, te waewae rānei, ka pāngia rānei e tētahi aituā kino, ko te whara te mea nui rawa atu e whakaarohia ana e tātou. Engari i ētahi wā, ka puta he āhuatanga e haere tahi ana me ēnei āhuatanga, kāore tātou e kōrero nui ana mōna, engari he mea morearea pea. Ko tētahi o aua āhuatanga e kiia ana ko te "Fat Embolism Syndrome ." Me kōrero ngāwari tātou mō tēnei, i roto i tētahi huarahi e mārama ai koe.

He aha tēnei `(Fat Embolism Syndrome)`?

Ki te kī ngāwari, ko te `(Fat Embolism Syndrome)` ko te wā e piri ai ngā matūriki ngako, ngā pata hinu rānei, ki roto i ō oko toto, ā, ka whakararuraru i te rere o te toto. Whakaarohia he rite ki te paru e piri ana ki roto i te paipa wai, ā, ka mutu te rere o te wai. Ina aukatia te rere o te toto pēnei, ka pāngia te roro, ngā pukahukahu, te kiri, me te maha atu o ngā wāhanga o te tinana. He tino onge tēnei mate. I te nuinga o te wā, kāore i te tino kino. Heoi, ki te kino rawa te mate, ka paku morearea.

He aha te rerekētanga i waenga i te embolism ngako me te embolism pūkahukahu?

I mua i te mārama ki te rerekētanga o ngā kupu e rua, me mārama tātou ki te tikanga o ētahi kupu.

• Te Embolism: Koinei te wā ka mau tetahi mea ki roto i te uaua toto. He toto totoka pea tēnei, he mirumiru hau, he matūriki ngako rānei e kōrerohia ana e tātou.
• Te Pukupuku Ngako: Koinei te wā e mau ai tētahi, ētahi rānei o ngā matūriki ngako ki roto i te oko toto.
• Te Puku o te Pūkahukahu: Koinei te wā ka mau tetahi mea ki roto i te oko toto i roto i ngā pūkahukahu.

Ko te nuinga o te wā ka puta te embolism pūkahukahu i te toto totoka, engari ka taea hoki e te embolism ngako te puta. He āhuatanga ohorere hauora e morearea ana ki te ora. I roto i te Fat Embolism Syndrome, ahakoa kāore he embolism pūkahukahu e puta, ka puta pea ngā uauatanga manawa.

Ko wai te mea tino pāngia e tēnei āhuatanga?

Ka pā te embolism ngako ki te tangata katoa. Engari he mea miharo, he tino onge tēnei i roto i ngā tamariki nohinohi. He mea tino noa mēnā ka whati tō hope, ka whati rānei tētahi wheua roa o tō tinana.

Ahakoa he tino onge, ka taea hoki e ētahi atu mate te puta. Anei ētahi tauira:

• Te pokanga whakakapinga turi, hope rānei
• Ngā wera nui
• Mena ka whiwhi koe i te whakaora manawa ohorere (CPR)
• Te koiora wheua, te whakawhitinga rānei
• Pancreatitis whakapeka
• Ate momona
• Te tango momona
• I roto i ngā āhuatanga pēnei i te anemia pūtau marino.

He pēhea te noa o tēnei āhuatanga?

Ina hoki, i ia wā ka whati te wheua, ka uru pea ngā matūriki ngako iti ki roto i tō toto. Engari i te nuinga o te wā, kāore i te nui hei whakararuraru.

Ka pā te Fat Embolism Syndrome ki te 0.5% ki te 2% o te hunga e whati ana i te wheua roa kotahi, pērā i te femur. Heoi, ki te whati ngā wheua maha i te wā kotahi, inā koa te pelvis, ka piki ake te mōrearea ki te 5% ki te 10%.

He aha te mea ka pa ki te tinana i roto i tēnei āhuatanga?

Ka taea e te `(Fat Embolism Syndrome)` te mea morearea mēnā ka eke ki te taumata kino rawa atu. Nā te mea ka uaua rawa te manawa. Mēnā ka kino haere, ka nui te taumahatanga ki te ngākau nā te pānga ki ngā pukahukahu, ka nui rānei te taumahatanga ki te ngākau nā te pānga ki ngā pukahukahu, ka mutu te mahi a te ngākau, ā, ka mate pea.

He aha ngā take mō tēnei?

Ko te embolism ngako he wā e uru ana tētahi, ētahi rānei o ngā matūriki rite-ngako ki roto i tō toto, ka aukati i te rere o te toto i roto i ētahi oko toto. Ka puta ēnei emboli ngako ina whati te wheua. Engari i te nuinga o te wā, he iti rawa, kāore e puta he raruraru. Koia te take he onge te puta o ngā raruraru i ēnei emboli ngako.

Ko ēnei "emboli ngako" te mea pea ka raru ina whati ētahi momo wheua. 95% o ēnei take he whati o te wheua hope "(pelvis)" me ngā wheua roa o te tinana. He tino teitei tēnei mōrearea ina whati te wheua huha "(femur)", te wheua nui i raro i te turi "(tibia)" me te wheua angiangi i muri mai "(fibula)".

I te nuinga o te wā, ka piri ēnei matūriki ngako e kohia ana i roto i te toto ki roto i ngā oko toto tino angiangi e kiia nei ko ngā capillaries, e tata ana ki te mata o tō kiri. Ka puta pea ngā tohu iti pēnei i te ponana kiri. Engari i ētahi wā, ka piri ēnei matūriki ngako ki roto i ngā oko toto tino angiangi i ngā wāhi tino nui pēnei i te ngākau, te roro, ngā kanohi, me ngā pukahukahu, ka puta he raruraru nui, he morearea ki te ora.

Tērā pea ka whakapae te tākuta kei te mate koe mēnā e toru ngā tohu matua (ahakoa ka taea te tautuhi i te mate me te kore e kitea ngā tohu e toru). Ko ēnei he ponana kiri motuhake, he pānga ki te mahi a te roro, me ngā pānga ki ngā pukahukahu.

He aha ngā tohu?

Ko te mate embolism momona ka puta i roto i ngā rā e 2-3 i muri i te whati nui, i tētahi atu whara kino rānei. Heoi, i ētahi wā ka puta wawe mai i roto i ngā haora 12 i muri i te whara. Ko ngā tohu matua ko:

• Te uaua ki te manawa: Ko te uaua ki te manawa, te tere o te manawa, me te poto o te manawa he tohu noa o te "Fat Embolism Syndrome." Ko ēnei tohu te mea tuatahi ka puta.
• Ngā huringa o te āhua hinengaro: Ka pā pea tēnei āhuatanga ki te mahi a te roro. Ka pā mai pea te ānini, te pōhēhē, te huringa o te whanonga, te kore aro, te puhoi rānei o te urupare. I ētahi wā, ka taea te haurangi me te koma.
• Te ponana petechial:Ko ngā petechiae he ira iti, he rite ki te marō, e puta mai ana i runga i tō kiri. Ka puta mai ēnei i te wā e pakaru ana ngā oko toto iti e kiia nei ko ngā capillaries i raro i te kiri. Ka kitea ēnei ira i te nuinga o te wā i runga i te upoko, te kaki, te uma, me ngā ringa. Ka puta anō hoki i roto i ngā kamo me roto i te waha. He āhua motuhake tēnei ponana ki tēnei mate.

Ētahi atu tohu pea:

• Ngā tere o te ngakau
• Kirika
• Te kōwhai o te kiri, te mā rānei o ngā kanohi nā te mate ate
• Ngā huringa tirohanga

Tērā atu anō ngā tohu haumanu ka taea e ngā tākuta te tirotiro. Kāore pea ēnei e kitea e koe, engari ka taea te kite mā roto i ngā whakamātautau:

• Te iti o te mākū o te hāora i roto i te toto
• Te mate toto iti
• Ngā raruraru whatukuhu
• Ngā raruraru tirohanga
• Te iti o te tatau pereti toto me ētahi atu huringa o te matū o te toto.

He mate hopuhopu tēnei?

Kāo, ehara te `(Fat Embolism Syndrome)` i te mate hopuhopu.

Me pēhea te tautuhi i tēnei?

I tēnei wā, kāore he tikanga paerewa e whakaaetia whānuitia ana mō te tautuhi i tēnei mate. Nō reira, ka tautuhia e ngā tākuta tēnei mate i runga i ō tohu, i te whakamātautau tinana, i ngā whakamātautau tautuhi, me ngā whakamātautau taiwhanga.

I te wā e tirotirohia ana tō tinana, ka rapu te tākuta i ngā tohu me ngā āhuatanga o tō tinana. Ka whakarongo rātou ki tō ngākau me ō pukahukahu mā te whakamahi i tētahi stethoscope.

Ko ngā tohu matua e toru i kōrerotia i mua ake nei – te poto o te manawa, ngā panonitanga o te āhua hinengaro, me te ponana petechial – ka kitea noa i waho. Nō reira, i roto i te nuinga o ngā wā, inā koa i ngā wā tino kino, ka taea te tautuhi i te mate mā te whakamātautau tinana anake.

He aha ngā momo whakamātautau e mahia ana?

Hei tautuhi i tēnei mate, ka taea te whakahaere i ngā whakamātautau e whai ake nei:

• Ngā rangahau whakaahua: Ka taea e ngā tākuta te tono i ngā hihi-X, ngā karapa CT, ngā karapa MRI rānei o tō mahunga, o tō uma rānei, hei whakakore i ngā mate morearea pēnei i te whiu, te pulmonary embolism rānei. Ka taea e ēnei karapa te āwhina ki te whakakore i aua mate me te whakaū i te Fat Embolism Syndrome.
• Ngā whakamātautau tātaritanga: Ina pāngia te ngākau e ngā tohu o te Fat Embolism Syndrome, ka taea te mahi i ēnei whakamātautau. Hei tauira, he whakamātautau Electrocardiogram (ECG), e ine ana i te ngohe hiko o te ngākau, he koiora kiri rānei, e tangohia ana he wahi iti o te kiri hei tirotiro mēnā kei te piri ngā matūriki ngako ki roto i ngā uaua o te kiri.
• Ngā whakamātautau taiwhanga: Ka rapua e ēnei whakamātautau ngā huringa nui o te hanganga matū o tō toto, me ngā matūriki ngako i roto i tō toto, mimi, huware rānei.

Me pēhea te rongoā? He rongoā anō kei reira mō tēnei?

Kāore he rongoā motuhake mō te `(Fat Embolism Syndrome)`.Kāore hoki he mahere maimoatanga paerewa mō tēnei. Ko te maimoatanga ko te whakahaere i ngā tohu, te whakamahi i ngā taputapu whakaora ora, me te ārai i ngā raruraru anō.

Ko te whāinga matua i konei ko te whakarato i te manaaki tautoko. Arā, ko te arotahi a ngā kaiwhakarato hauora ki te rongoā i ngā tohu me ngā pānga o te mate, kaua ki te whakaora i te mate tonu.

He aha te momo rongoā/maimoatanga e whakamahia ana?

Ka taea te whakamahi i ēnei maimoatanga mō te `(Fat Embolism Syndrome):`

• Corticosteroids: Ka whakaitihia e ēnei rongoā te mumura o te tinana. Ka tohua ēnei e ngā kaiwhakarato hauora hei whakaiti i te pupuhi, hei āwhina i ngā pukahukahu, hei whakangāwari hoki i te manawa. Heoi, me nui ake ngā rangahau hei whakaū mēnā me whakamahi hei rongoā paerewa mō tēnei mate.
• Ngā rongoā whakangawari toto: Ka āwhina ēnei ki te ārai i ngā toto e pupū ake ana i te mate Fat Embolism Syndrome. Heoi, kāore i te rawaka ngā taunakitanga hei kī mēnā me hoatu ēnei ki te hunga katoa e pāngia ana e te Fat Embolism Syndrome.
• Ngā tātari vena cava: He taputapu ēnei ka taea e ngā tākuta te whakauru ki roto i tētahi o ō uaua, ka tukuna te toto ki tētahi wāhi motuhake. Ina whakaurua ki roto i te vena cava, te oko toto nui rawa atu o tō tinana (e kawe ana i te toto ki te ngākau), ka hopukina e ēnei tātari ngā toto totoka ka piri ki roto i ngā pukahukahu. Ka āwhina tēnei ki te ārai i te pulmonary embolism, i ngā pānga manawa rānei o te fat embolism syndrome.
• Hāora: Koinei tētahi o ngā maimoatanga tere me te māmā mō ngā raruraru manawa katoa. Ina whakanuia e koe te tuku hāora, kāore ō pūkahukahu me tō ngākau e mahi kaha ki te kawe i te hāora ki tō tinana.
• Te Whakaoraora i te Membrane Extracorporeal (ECMO): Ko te ECMO he tikanga e tangohia ai te toto mai i tō tinana, ka tukuna mā roto i tētahi mīhini motuhake, ka tangohia mai i te tinana, ka whakakīia ki te hāora. Kātahi ka whakahokia te toto ki tō tinana. Ka taea e tēnei maimoatanga te āwhina i ō pukahukahu kia ora mā te hoatu i tētahi wā okiokinga mēnā he nui ngā raruraru manawa e pā ana ki a koe nā te Fat Embolism Syndrome.
• Whakapūngao: He taputapu whakapūngao te whakapūngao e mahi ana i te mahi manawa māu. He maimoatanga noa tēnei mō te hunga he nui ngā raruraru manawa e morearea ana ki te ora. Ka tīmata mā te whakaurunga o te ngongo, arā, ko te whakauru i tētahi ngongo ki roto i tō pūngao hau, ka hono atu ki tētahi whakapūngao hau. I te nuinga o te wā ka tukua koe kia moe i tēnei wā hei āwhina i a koe kia noho pai.

He aha ngā raruraru/ngā pānga taha o te maimoatanga?

Kāore he raruraru tika e pā ana ki te `(Fat Embolism Syndrome)`. Heoi, i ngā wā tino kino, ka pāngia pea tō roro, ō kanohi, ō pukahukahu rānei mō te wā roa. Heoi, ka ora katoa te nuinga o te tangata.Me pātai atu koe ki tō tākuta mō ngā pānga taha, ngā raruraru rānei e pā ana ki tō āhua. Ka taea e ia te whakarato i ngā mōhiotanga e hāngai ana ki tō āhua me ō hiahia.

E ai ki ētahi taunakitanga, he nui ake te mōrearea o te hunga whai Fat Embolism Syndrome ki te whakawhanake i ngā raruraru pēnei i te deep vein thrombosis (DVT) me ngā pānga roa ki te roro. Heoi anō, kāore anō kia whakaūtia tēnei taunakitanga. Me nui ake ngā rangahau hei whakatau mēnā koinei te āhua.

Me pēhea taku tiaki i ahau anō/te whakahaere i ngā tohumate?

Ka raru pea te manawa i te Fat Embolism Syndrome, ā, ka whakararuraru hoki i te mahi noa o te roro, nō reira kaua e ngana ki te rongoā i a koe anō. Ko te mea pai ko te haere tonu ki te hōhipera ki te rapu tohutohu hauora.

Me pēhea te whakaiti i te mōrearea o tēnei mate – me pēhea rānei te ārai?

I te mea he maha ngā wā ka haere tahi te `(Fat Embolism Syndrome)` me ngā whati wheua, he mea tino nui kia whakauhia ngā wheua whati. Ko te tikanga ka mahia tēnei mā te whakanoho tika i ngā wheua whati, me te pupuri kia kore e neke. Mēnā he whati kino, me mahi pea he pokanga.

I ētahi wā, ka tohua pea e ngā tākuta ngā corticosteroids hei ārai i tēnei mate i muri i te whati kino. Heoi anō, me nui ake ngā rangahau hei whakatau mēnā he nui ake ngā painga o tēnei huarahi i ngā mōrearea pea.

He aha te tirohanga mō tēnei āhuatanga?

Ko te reiti mate o te mate ngako embolism kei waenga i te 5% me te 20%. Heoi, kua heke haere te reiti mate i ngā tau tata nei. Ko te take nui o tēnei ko ngā mahi ārai me te aroturuki tata i te hunga tino mōrearea i roto i ngā hōhipera.

He tino morearea te `(Fat Embolism Syndrome)` mēnā ka pāngia e ngā uauatanga manawa nui, e te ngoikore rānei o te ngākau. Ko te mōrearea o te whakawhanake i tētahi o ēnei ka tino nui mēnā ka kino te mate, mēnā rānei ka whakaroahia te maimoatanga.

I ngā āhuatanga ngawari ki ngā āhuatanga ngawari, ka memeha noa te "Fat Embolism Syndrome". He onge ngā pānga mō te wā roa.

Kia pēhea te roa ka pai ake ai taku āhua i muri i te maimoatanga? Kia pēhea te roa ka ora ai ahau?

I te nuinga o te wā, ehara te `(Fat Embolism Syndrome)` i te mate kino. Ka ea noa iho i roto i ētahi rā. I ngā wā tino kino, ka roa pea ngā rā, ngā wiki rānei hei ea i ngā raruraru kiri, pūnaha io rānei (roro). Ka ea noa iho ngā raruraru manawa i roto i te tau. Ahakoa kāore e ea noa iho, kāore i te tino kino ngā raruraru manawa kia hiahiatia he maimoatanga hauora tonu.

Me pēhea taku tiaki i ahau anō?

I te nuinga o te wā, kāore he take e tika ai te mahi i ngā mahi whakatūpato motuhake i muri i te `(Fat Embolism Syndrome)`. Heoi, me tino tupato koe ki ngā wheua whati i puta ai tēnei āhuatanga. Mēnā ka whati anō te wheua, ka taea e tēnei āhuatanga (mēnā kāore anō kia puta) te puta anō rānei.

Mena he pātai āu mō tō āhua motuhake, ko tō tākuta te tangata pai rawa atu hei ārahi i a koe ki ngā mea hei āwhina i a koe i a koe e ora ake ana i tēnei āhua.

Āhea ahau me toro atu ki taku tākuta?

Ka tūtohu tō tākuta i ngā wā tirotiro me te tiaki i a koe kia kitea ai mēnā he pānga roa (he tino onge) e pā ana ki te "Fat Embolism Syndrome." Ka kōrero atu hoki tō tākuta ki a koe he aha ngā tohu me ngā tohu e hiahia ana kia tirohia e te rata.

Āhea ahau me haere ki te Tari Whawhati Tata (ETU) ?

Ki te whati tō ringa, tō waewae rānei, me haere tonu koe ki te hōhipera. Ko ngā whare hōhipera te wāhi pai rawa atu hei rongoā i ēnei momo whati, hei āwhina hoki ki te ārai i ngā raruraru me ētahi atu raruraru.

Waihoki, ki te mea kei a koe te `(Fat Embolism Syndrome)`, ki te tīmata koe ki te kite i ngā huringa o tō āhua hinengaro, ki te whakaatu rānei koe i ngā tohu e pā ana ki te `(Pulmonary Embolism)`, me haere tonu koe ki te hōhipera.

Ngā tohu o ngā huringa o te āhua hinengaro:

• Te pōhēhē, te riri rānei
• Te kore aro, te puhoi rānei o te urupare
• Te wiri

Ngā tohu o te `(Pūkahukahu)`:

• Mamae o te uma
• He uaua ki te manawa, ina koa ka puta wawe mai, ka puta ohorere mai rānei
• Te maremare, te wheezing rānei (ina koa mēnā ka maremare toto koe)

He mate onge te Fat Embolism Syndrome e memeha haere ana, ā, kāore he pānga roa. Heoi, i ētahi wā – inā koa i ngā wā tino kino, i te wā rānei kāore i te rongoatia wawe – ka mōrearea, ka mate rānei. He waimarie, nā te whanaketanga o te pūtaiao hauora, inā koa te tātaritanga me te maimoatanga wawe, kua tino whakaitihia ngā mōrearea e pā ana ki tēnei mate.

Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)

He mate onge engari he mate morearea te Fat Embolism Syndrome ka puta ina noho ngā matūriki ngako ki roto i ngā oko toto i muri i te mea pērā i te whati wheua.

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Ko te mea nui ko te rapu awhina hauora tonu atu mēnā ka whati te wheua, ka puta rānei tētahi o ngā tohu kua whakahuatia ake nei (ina koa ko te poto o te manawa, ngā huringa hinengaro, me te kiri mākūkū) . Mā te maimoatanga wawe ka ārai i te nuinga o ngā hua kino rawa atu. Kaua e ngana ki te rongoā i a koe anō. Ko tō tākuta te tangata pai rawa atu hei tohutohu i a koe.

Te totohu ngako , te whati wheua, ngā uauatanga manawa, te mate pūkahukahu, te aukati i ngā oko toto, te ponana petechial, te maimoatanga hauora ohorere