Whakaarohia, kei te toto nui tetahi i roto i tētahi aituā nui i te rori. I te wā rānei o tētahi pokanga nui, ka ngaro te nui o te toto i te kore e tūmanakohia. I ēnei wā, ki te kore e mahi tika te tukanga toto toto i roto i tō tātou tinana, ka waiho hei tūponotanga nui ki te ora. I roto i ngā take tino kino ka kōrerohia e tātou te maimoatanga whakaora ora e kiia nei ko te Fresh Frozen Plasma, ko te FFP rānei e mōhiotia ana e tātou katoa. Tērā pea ka mataku koe, ka hiahia hoki koe ki te mōhio ina whakahuatia tēnei ingoa e tō tākuta. Nō reira, i tēnei rā, me kōrero tātou i roto i te huarahi ngāwari me te hoahoa mō te aha tēnei FFP, ko wai te tangata e hoatu ana, me pēhea, me ōna painga me ōna mōrearea.
He aha te Fresh Frozen Plasma (FFP)?
Ehara i te mea kotahi anake te mea i hangaia ai ō tātou toto. He maha ngā wāhanga. Whakaarohia he rite ki te huamata hua. Pērā i ngā momo hua rerekē kei roto, he maha anō hoki ngā wāhanga matua o roto i ō tātou toto.
- Ngā pūtau toto whero: Koinei ngā mea e kawe ana i te hāora puta noa i ō tātou tinana.
- Ngā toto mā: Koinei tā tātou ope taua e whawhai ana ki ngā iroriki e puta ai te mate.
- Ngā pereti toto: Ina pāngia koe e te motu, koinei te mea tuatahi ka puta mai hei aukati i te toto me te hipoki i te patunga, pērā i te pāreti iti.
- Plasma: Koinei te kiripuaki matua o tā tātou pūrākau. Ko te Plasma te wāhanga wai kōwhai o te toto. Ko ngā pūtau katoa kua whakahuatia i runga ake nei e mānu ana i te taha o tēnei 'awa' e kiia nei ko te plasma.
Ehara i te wai anake tēnei toto toto. He maha ngā pūmua, ngā homoni, me ngā tote kei roto, he mea nui mō ō tātou oranga. Ko ngā mea tino nui o ēnei ko ngā pūmua e kiia nei ko ngā "pūmua toto totoka, ngā pūmua toto totoka rānei".
Whakaarohia ēnei matū toto totoka he rōpū miihini iti. Mēnā ka whara, ka pakaru rānei tētahi oko toto, ka tere te hanga e ēnei miihini, me ngā pereti toto kua whakahuatia i runga ake nei, he mata hei karapoti i te rohe, pērā i te 'ārai toto', ka mutu katoa te toto. Mēnā kāore tēnei tukanga e mahi tika, ahakoa he patunga iti noa iho, ka nui rawa te toto e puta.
Ko te FFP te tukanga tango i ngā pūtau katoa mai i te toto i tukuna mai e te tangata, ka wehea ko tēnei plasma utu nui anake. Kātahi, hei tiaki i aua 'kaihangarau' utu nui, arā, ngā mea totoka, ka tangohia te toto ka whakatiohia ki te pāmahana -18 nekehanga Celsius, ki raro iho rānei i roto i ngā haora 8. Nō reira te ingoa 'Fresh Frozen'.
Ko wai rā te hunga e hiahia ana ki te maimoatanga FFP?
Ehara te FFP i te maimoatanga e hoatu ana ki ngā tāngata katoa e toto ana. He maimoatanga whai hua tēnei e whakamahia ana e ngā tākuta i roto i ētahi take motuhake, ina kore e ranea ētahi atu maimoatanga. Kia titiro tātou he aha aua take.
| Ina hiahiatia te maimoatanga | Hei whakamārama noa iho... |
|---|---|
| Te toto nui (Te Ngaronga Toto Nui) | I ngā wā pēnei i te aituā motuka nui, te hinganga mai i te teitei, te pokanga uaua rānei, ka tangohia ohoreretia he nui o te toto mai i te tinana. I tēnei wā, ka tino heke hoki ngā matū toto totoka. I taua wā, ka hoatu te FFP hei whakaora i aua matū kua heke, hei whakahaere hoki i te toto. |
| Ngā ngoikoretanga o ngā āhuatanga toto totoka (Ngā ngoikoretanga o te tauwehenga toto toto) | He mate whānau tō ētahi tāngata. Hei tauira, ko te hemophilia . I roto i ēnei mate, ko ētahi o ngā mea e hiahiatia ana mō te toto totoka kāore i te hangaia i roto i te tinana. Waihoki, ka puta tēnei raruraru i roto i te hunga he mate ate. Nā te mea ko te ate te nuinga o te wā ka hangaia ēnei mea totoka. Ina hoatu he toto ki ēnei tāngata, ka whakamahia te FFP hei whakarato i aua mea koretake. |
| Mō te hunga e tango ana i ngā rongoā whakaiti toto pēnei i te Warfarin | He rongoā te Warfarin hei ārai i te toto totoka, e hoatu ana mō ngā āhuatanga pēnei i te mate manawa. Mēnā ka pāngia tetahi e tango ana i tēnei rongoā e te aituā, ā, ka tīmata te toto, he tino uaua ki te whakamutu. Ahakoa ka hoatu he huaora K mō tēnei, ka roa te wā e mahi ai. Nō reira, hei otinga tere, ka hoatu te FFP hei whakarato tika i ngā āhuatanga totoka e tika ana. |
| He āhuatanga onge e kiia nei ko te TTP (Te Purpura Thrombocytopenic Thrombotic) | He mate tino onge, he mate morearea hoki tēnei. Ka puta he toto totoka i roto i ngā oko toto iti o te tinana. Mā te hoatu i te FFP, ka taea e te tinana te whakaora i te whākōkī e ngaro ana, me te whakahaere i te mate. |
He momo FFP anō kei reira?
Ae, he maha ngā momo FFP, he iti noa ngā rerekētanga o ia momo i roto i te āhua o te hanga me te wā e hangaia ai. Kua rongo pea koe i ngā ingoa pēnei i te `PF24` me te `Cryo-poor plasma` rānei. Engari kāore ēnei ingoa i te tino hira ki a koe. He taipitopito hangarau ēnei e hira ana ki ngā tākuta me ngā kaimahi taiwhanga. Mā rātou e whiriwhiri te momo plasma e tika ana mō tō āhua. Nō reira, kāore koe e manukanuka ki tēnā.
Me pēhea te tuku i te maimoatanga FFP? He mamae?
Ko te maimoatanga FFP ka mahia i roto i te hōhipera. Ehara i te pokanga nui. He tikanga māmā noa iho, pērā i te hoatu i te wai tote.
1. Te Whakarite: Tuatahi, tangohia te putea FFP mai i te pouaka tio ka whakanoho ki roto i tētahi kaukau wai wera motuhake kia tae rā anō ki te pāmahana o te tinana. Kāore e taea te whakamahana i tēnei ki roto i te ngaruiti, nā te mea ka whakangaromia ngā pūmua whai hua o roto.
2. Te whakauru i te aho IV: Muri iho, ka whakaurua e te nēhi, e te tākuta rānei he cannula iti ki roto i te uaua i tō ringa. He rite tēnei ki te whakauru i te ngira hei hoatu tote ki a koe. Haunga te ngau iti, kāore he mamae nui.
3. Te hoatu i te plasma: Inaianei kua honoa te putea kei roto te plasma kōwhai kua whakaranua ki te raina IV. Kātahi ka ata werohia ki roto i tō tinana mā roto i tō uaua. Kei roto i te putea FFP te 200-250 miririta. E 30 ki te 45 meneti te roa hei whakauru ki roto i tō tinana. Mā te tākuta e whakatau te maha o ngā putea hei hoatu ki a koe i runga i te kaha o tō mate.
4. Aroturuki: I roto i tēnei maimoatanga, ka noho tētahi nēhi ki tō taha, ka tirotiro tonu i tō toto toto, tō tere o te manawa, me te pāmahana o te tinana . Ka tino aro nui rātou ki ngā mate pāwera katoa. Nō reira, kāore koe i te mokemoke, ā, kei te mātakitaki tonu tētahi i a koe.
5. Ngā whakamātautau: I mua atu, ā, i muri i te hoatutanga o te FFP, ka tangohia ngā tauira toto mai i a koe, ā, ka mahia ngā whakamātautau pēnei i te "whakamātautau PT/INR" me te "whakamātautau PTT" hei tirotiro i te tere o te toto totoka. Mā tēnei ka taea e rātou te kite i te angitu o te maimoatanga.
Ko te mea nui, ki te pāngia koe e te mamae, te mākūkū, te uaua rānei ki te manawa i tēnei tukanga, me kōrero tonu atu ki te nēhi, ki te tākuta rānei.
Ka taea te hoatu FFP ki tētahi tangata o tētahi momo toto?
He pātai tino nui tēnei. E mōhio whānuitia ana tātou me ōrite ngā momo toto ina koha toto. Ina koha toto whero, e mōhio ana tātou ko te toto momo O he "kaituku toto whānui" ka taea te hoatu ki te tangata katoa.
Engari mō te koha i te toto, he tino rerekē tēnei kōrero!
I roto i te toto toto, ko te toto toto mai i te tangata he momo toto AB tōna te kaituku ao whānui , ka taea te hoatu ki te tangata he momo toto ahakoa pēhea.Ka tupu tēnei. Waihoki, ko te tangata he toto momo O anake ka whiwhi i te plasma momo O.
Kaua e manukanuka ki tēnei. I roto i tētahi āhuatanga ohorere, ki te kore e mōhiotia tō momo toto, ka whiriwhiria e ngā tākuta me ngā kaimahi o te pēke toto te kōwhiringa haumaru mō te katoa ki te hoatu i te toto toto ki a koe. Ka ngana tonu rātou ki te hoatu i te toto toto e ōrite ana ki tō momo toto.
He aha ngā painga me ngā mōrearea pea o te maimoatanga FFP?
Pērā i ngā maimoatanga hauora katoa, he iti noa ngā painga o te maimoatanga FFP, engari he iti noa ngā mōrearea.
Ko te painga matua:
Ko te painga nui rawa atu, ko te painga anake o tēnei , he maimoatanga whakaora ora. Mēnā he toto kāore e taea te whakahaere, ka taea e te FFP te whakarato i ngā āhuatanga toto totoka e tika ana, te whakamutu i te toto, me te whakaora i te ora o te tūroro. Koinei te mea tino nui o tēnei maimoatanga.
Ngā tūponotanga pea (Ngā raruraru):
He mea nui kia maumahara he tino onge ēnei mōrearea. Nā te mea he tino pai te paerewa o ngā ratonga peeke toto i Sri Lanka, ka mahia ngā mahi katoa hei whakaiti i ēnei mōrearea.
| Mōrearea | Ko te tikanga... |
|---|---|
| Mate pāwera (Ngā Tauhohenga Mate Pāwera) | I ētahi wā ka taea e te tinana te urupare ki te parāoa toto e whiwhihia ana mai i waho. Ka puta pea ngā tohu iti pēnei i te marō me te mākūkū. I te nuinga o te wā ka taea te whakahaere wawe i ēnei mā te rongoā. |
| Ngā mate urutā (Ngā mate urutā) | He tino iti rawa tēnei mōrearea ināianei. Nā te mea ka whakamātauhia katoatia ngā tāngata e tuku toto ana mō ngā mate pēnei i te HIV, te Hepatitis B, me te C. Nō reira, kāore he take e mataku rawa ai koe ki tēnei mōrearea. |
| TRALI (whara pūkahukahu) (Whara Pūkahukahu Koretake e Pā Ana ki te Whakawhitinga Huka) | He tino onge tēnei engari he kino rawa.Āhua. Ina kore ētahi o ngā matū i roto i te plasma e mahi pai ki tō tinana, ka kī ō pukahukahu i te wai, ā, ka uaua ki te manawa. I te nuinga o te wā ka puta tēnei i roto i ngā haora e 6 i muri i te whiwhinga o te plasma. |
| TACO (te nui rawa o te wai) (Te Taumahatanga Tote e Pā Ana ki te Whakawhitinga Toto) | Ina koa mō te tangata e mate ana i te ngākau, i te mate tākihi rānei, ina werohia he nui o te wai ki roto i te tinana i te wā kotahi, tērā pea kāore e taea e te ngākau te whakahaere. Ka piki ake te toto toto, ka uaua hoki te manawa. E mōhio ana ngā tākuta ki tēnei, ā, e whakahaere ana hoki i te tere o te hoatutanga o te plasma. |
Āhea koe me kōrero ki te tākuta? Me haere koe ki te ETU?
Ka tukuna koe i te hōhipera i muri i te whakaūnga kua tino ora koe. Heoi, tera pea ka puta ētahi pānga taha i muri i tō hokinga ki te kāinga.
Kōrero ki tō tākuta mēnā ka pāngia koe e ēnei tohu:
Ki te pā mai tētahi āhua pēnei i muri i tō hokinga ki te kāinga, waea atu ki te hōhipera i rongoa i a koe, me te whakamōhio atu rānei ki tō tākuta.
- Ki te pāngia koe e te kirika me te makariri
- Mena ka puta he mākūkū, he ponana, he pupuhi rānei i tō tinana
- Ki te kore te whakapairuaki me te ruaki
- Ki te pōuri koe, ki te māuiui rānei tō mahunga
- Mena he mamae tō tuara
Ki te pāngia koe e ēnei tohu, haere tonu ki te ETU!
He āhuatanga ohorere hauora ēnei tohu e whai ake nei. Tērā pea he tohu ēnei mō ngā mate kino pēnei i a TRALI, TACO rānei kua whakahuatia ake nei. Ka puta pea ēnei i roto i ngā haora e 6 i muri i te whiwhinga o te plasma.
- Te uaua ki te manawa
- Ngā tere o te ngakau
- Kirika
Ki te pā mai tētahi o ēnei tohu ki a koe, haere tonu ki te Tari Ohotata (ETU) o te hōhipera tata rawa atu, kaua e tatari.
Karere Tangohia ki te Kāinga
- Ko te FFP te wāhanga wai o te toto i kohaina, he nui ngā pūmua e hiahiatia ana mō te whakapakeketanga o te toto.
- Ko te nuinga o te wā ka whakamahia hei whakahaere i te toto nui me te rongoā i te hunga e pāngia ana e te mate totoka.
- He maimoatanga tino whai hua tēnei e taea ai te whakaora i ngā oranga.
- Ka tukuna te maimoatanga i roto i te hōhipera, i raro i te tirotiro a te tākuta, i tētahi huarahi māmā, pērā i te hoatu i te wai tote.
- Pērā i ngā maimoatanga katoa, he iti noa ngā mōrearea, engari ka tohua e ngā tākuta tēnei maimoatanga i muri i te whakaaro ki ngā painga me ngā mōrearea. He tino onge ngā pānga taha kino.
- Ki te pāngia koe e te uaua ki te manawa, te tere o te ngakau, te kirika rānei i muri i te maimoatanga, whakaarohia he āhuatanga ohorere tēnei, ā, haere tonu ki te Tari Ohotata (ETU) o te hōhipera.
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