Kia mārama tātou he aha te toto e totohu ana, ahakoa nō roto, nō waho rānei.

Kua kite koe ahakoa he patunga iti, kāore e mutu te toto? I ētahi wā rānei, i rite koe ki te toto mai i tētahi wāhi i roto i tō tinana, i pāngia rānei koe e ngā tohu rite? Inaa, ko tēnei toto, arā, te mate e kiia nei ko te `(Hemorrhage)`, ka nui ake te kino i tō whakaaro. Nō reira, me kōrero taipitopito tātou mō tēnei i tēnei rā, i te reo Sinhala kia mārama ai koe.

He aha te toto, te "Hemorrhage" rānei?

Ki te kī ngāwari, ka pakaru te uaua toto (toto toto) i roto i tō tātou tinana, ā, ka turuturu te toto i roto, koinei te mea e kiia nei e tātou ko te `(Hemorrhage)`. Ka taea hoki tēnei toto te puta i roto i te tinana, ā, i tēnei wā ka kiia e tātou ko te ``hemorrhage o roto``. I tētahi atu taha, ki te kitea te toto i waho, mai i te patunga, i te kōhao rānei i roto i te tinana, he ``hemorrhage o waho``. Ka taea e tēnei toto te iti, te nui rānei hei pā ki te ora.

I te nuinga o te wā, ka whakaarohia e tātou ēnei āhuatanga e kiia nei ko te "totoka" he āhuatanga ohorere hauora e hiahia ana kia tere te maimoatanga hauora .

He aha ngā momo toto e puta mai ana?

Nā te mea he uaua toto kei roto i ō tātou tinana, he maha ngā huarahi ka puta ai tēnei `(Hemorrhage)`. Anei ētahi tauira:

• Te toto i roto i te uma (`Hemothorax`): Whakaarohia kei te kī tonu te wāhi i waenganui i ō pūkahukahu me te rara (`wāhi pleural`) i roto i tō uma i te toto. He aha te mea ka tupu i muri mai? Ka pēhia ō pūkahukahu , ka uaua ai te manawa, ā, ka mamae pea tō uma. Ka kiia tēnei mate ko `(Hemothorax)`.
• Te toto toto i roto i te angaanga (te toto roro rānei): He āhua kino ake tēnei. Ka puta mai i te toto kore e taea te whakahaere i roto i tō roro, i waenganui rānei i ngā kiriuhi angiangi e karapoti ana i a ia. Mena ka puta te toto i roto i te roro, ka kiia he whiu toto. He tino kino tēnei momo whiu, ā, ka tere tonu te noho hei morearea mō te ora. Ko tētahi atu momo whiu, he whiu ischemic, ko te aukati i te rere o te toto ki te roro, engari he rerekē tēnei. Ka puta te toto i konei.
• Te toto i muri i te whānautanga (PPH): He take tino nui tēnei mō ngā whaea. Ko te toto i muri i te whānautanga, ko te PPH rānei, ko te toto nui rawa atu i te tara i muri i te whānautanga. He mate tino kino tēnei, ā, ka mate pea. Ka puta pea tēnei mate i roto i ētahi haora i muri i te whānautanga, tae atu ki te 12 wiki i muri i te whānautanga.
• Te toto i waenganui i ngā meninges o te roro me ngā kiriuhi tiaki e karapoti ana i te roro ka kiia he toto i waenganui i ngā meninges o te roro (SAH). He āhuatanga ohorere hauora anō hoki tēnei.
• Ngā ira toto i te mā o te kanohi ('Subconjunctival hemorrhage'):Kua kite pea koe i ētahi tāngata he whero toto kei te mā o ō rātou kanohi. Ko te tikanga o tēnei he "Subconjunctival hemorrhage." Koinei te wā e kohia ai te toto ki roto i te kiriuhi angiangi e karapoti ana i te kanohi e kiia nei ko te "conjunctiva." Kāore tēnei i te tino kino pērā i ētahi atu momo toto.

Ko ngā marō , arā, ko te kohikohinga toto i raro i te kiri e pāngia ana e tātou katoa, he tauira iti noa iho o te "totoka." Ko tētahi atu kupu e pā ana ko te "hematoma." E pā ana ki te kohikohinga toto i roto i te kiko.

He aha ngā tohu o te toto?

Ka rerekē ngā kare ā-roto e pā ana ki a koe ina toto koe, i runga i te wāhi e toto ana me te kino o te toto.

E ai ki ngā tākuta, kāore he tohu nui e puta mai ana tae noa ki te ngaronga o te 15% o te toto katoa o te tinana (totoke Akomanga I).

Heoi, ki te ngaro te 15% ki te 30% o te nui o te toto i roto i tō tinana (te toto o te akomanga II) , ka tīmata ēnei tohu ki te puta:

• Te whanoke, te māuiui rānei (nā te toto toto iti tēnei e hua ai).
• Te ngenge me te mangere.
• Whakapairuaki me te ruaki.
• Te uaua ki te manawa (dyspnea) me te tere haere o te manawa.
• Te pikinga o te tere o te ngakau (tachycardia).

Mena kei a koe, kei tētahi rānei e tata ana ki a koe ēnei tohu, me waea atu koe ki te 1990 tonu atu, me haere rānei ki te wāhanga ohorere o te hōhipera tata.

Ki te ngaro atu i te 30% o te nui o tō toto katoa, ka kino rawa atu te āhua. I roto i ēnei āhuatanga, ka pā mai pea ēnei āhuatanga:

• Pōhēhētanga.
• Ngā hopukanga.
• Te ngaronga o te māramatanga.
• Te ohorere hypovolemic (te ohorere i puta mai i te hekenga nui o te toto toto).

Ngā tohu motuhake o te toto o roto

Ka puta pea ngā tohu motuhake i te toto o roto i ētahi wāhanga o te tinana:

• Ānini: He ānini ohorere, he nui te ānini , he panoni o te tirohanga, he pōhēhē, me te māuiui i te taha kotahi o te tinana.
• Uma: Te uaua ki te manawa , te mamae o te uma, me te maremare toto.
• Puku (puku): Te pupuhi, te kī rānei o te puku, te pupuhi o te puku, te ruaki toto, te toto i roto i te mimi, i te tūtae rānei.
• Ngā wheua, ngā hononga, me ngā uaua: Te marō, te pupuhi, me te mamae. Engari ko te mea nui kia maumahara ko te kohikohinga toto i roto i te wāhi kuiti (hei tauira, i waenganui i ngā uaua o te ringa, o te waewae rānei) me te pikinga o te pēhanga i roto i ngā kiko he āhuatanga ohorere hauora.Ka taea e tēnei te whakararu i ngā io me ngā uaua toto, ka ngaro ai te mahi a taua wāhi mō ake tonu atu.

Mena kei a koe ēnei tohu pēnei i te mea i kōrerotia i mua ake nei, he mea tino nui kia rapu tohutohu hauora tonu atu.

Me pēhea koe e tino mōhio ai mēnā kei te toto koe?

Ina hoki, i ētahi wā he uaua ki a tātou te mārama ki te kino o te toto. Hei tauira, ko te toto ihu. I te nuinga o te wā, he mea noa, ehara i te mea nui. Heoi, ki te puta mai te toto i tētahi oko toto nui, i tētahi uaua rānei, ka nui rawa, ka uaua hoki te whakamutu. E ai ki te kōrero i mua ake nei, he mea noa anō hoki te toto tara i muri i te whānautanga. He mea noa, ā, e tumanakohia ana. Heoi, ki te nui rawa, ka waiho hei āhuatanga morearea e kiia nei ko te toto muri i te whānautanga.

Ko te mea pai ko te aro ki tō tinana me ō tohumate. Waihoki, ki te mea he āwangawanga āu mō te nui o te toto e puta ana, me rapu tohutohu hauora. Kia tūpato ki ngā tohumate o te toto nui (pēnei i te whanoke, te ngenge, me te poto o te manawa). Ki te mea he āwangawanga iti noa iho tāu mō te toto, kaua e mangere ki te rapu awhina hauora.

He aha te take e toto ai pēnei? He aha ngā take?

Ka puta tēnei momo toto ina pakaru tetahi, neke atu rānei ngā uaua toto. Ko te kaha o te toto ka whakawhirinaki ki te wāhi o te tinana me te rahi o te uaua toto kua pakaru.

He maha ngā take me ngā āhuatanga ka taea te whakararu, te whakanui rānei i te mōrearea o te toto. Anei ētahi tauira:

• Te mate whakamahi waipiro: He take nui tēnei mō te mate toto subarachnoid.
• Ngā mate toto totoka: Hei tauira, ngā āhuatanga pēnei i te mate antiphospholipid.
• Ngā mate toto: Ngā mate whānau pēnei i te hemophilia me te mate Von Willebrand.
• Matepukupuku.
• Ko ētahi rongoā: Ko ētahi tauira ko ngā rongoā whakangawari toto pērā i te warfarin (Coumadin®), te aspirin (tae atu ki te aspirin pēpi), te clopidogrel (Plavix®), me te apixaban (Eliquis®).
• Ko ētahi mate toto: ngā āhuatanga pēnei i te hereditary hemorrhagic telangiectasia me ngā aneurysms (ka ngoikore ai ngā toto toto, ka pupuhi pērā i ngā poihau).
• Ngā raruraru o te maimoatanga hauora: Ngā raruraru ka puta i muri i ngā mahi pēnei i te pokanga.
• Te kino ki tētahi okana o roto: Hei tauira, mā te whakamahinga roa o ngā rongoā whakamamae mamae pērā i te ibuprofen (Advil®) ka puta he mate puku me te toto.
• Ngā whara: Ngā motu, ngā whati nui, ngā whara roro.
• Ngā whara: Ngā mea pēnei i ngā patunga pū, ngā werohanga, me ētahi atu.
• Ngā kirika toto huaketo: He mate ēnei e puta mai ana i tētahi rōpū huaketo. Ka taea e ēnei huaketo te kino i ngā oko toto me te whakaheke toto nui. Hei tauira, ko te Ebola, te kirika dengue, te Marburg, me te kirika kōwhai.

Me pēhea te tautuhi a ngā tākuta i te "(Hemorrhage)"?

Ka tātaritatia e ngā tākuta he toto i runga i ō tohu (hei tauira, te whanoke) me ngā kitenga o te whakamātautau tinana (hei tauira, te pikinga o te tere o te ngakau, te heke o te toto toto). Ko te mahi e whai ake nei ko te kimi i te pūtake o te toto me te take. He maha ngā wā ka kitea te toto o waho. Heoi, he uaua ake te toto o roto.

Ka whakahaerehia e te tākuta he whakamātautau tinana, ka pātai atu mō ō tohu me tō hītori hauora, ā, ka tono pea hoki i ngā whakamātautau whakaahua (pēnei i ngā karapa) me ngā whakamātautau taiwhanga.

He aha ngā maimoatanga mō te toto?

Ko te maimoatanga o te toto toto tiketike e whakawhirinaki ana ki etahi mea:

• Kei hea te toto e rere ana, ā, kei roto, kei waho rānei i te tinana.
• Te kaha o taua mea.
• Ko te tino take o te toto.
• He mate, he whara rānei āu?

Mena kāore i te mōhiotia te take, ā, he nui rānei te toto, me kawe pea koe ki te hōhipera hei rongoā. Mā tō rōpū hauora e kimi te take, ā, ka rongoā tika. Tērā pea ka hiahiatia ētahi mea pēnei i:

• Pokanga.
• Ngā werohanga huaora K: (Ina koa mēnā kei te tango koe i ngā rongoā pēnei i te warfarin, hei āwhina i te whakamutu i te toto).
• Ngā wai werohanga uaua ('wai werohanga IV').
• Ngā whakawhiti toto.

Āwhina tuatahi mō te tangata e toto ana

Ka taea hoki e koe te whakarato i te āwhina tuatahi ki tētahi e toto nui ana – ahakoa ko koe, ko tētahi atu rānei. Whāia ēnei mahi:

1. Waea atu tonu ki te 1990, ki tō nama āwhina ā-rohe rānei.

2. Whakatakotoria te tangata whara. Mena he patunga kei tōna ringa, kei tōna waewae rānei, hiki ake te wāhanga whara ki runga ake i te taumata o te ngākau ki te taea.

3. Mena kei a koe ngā taputapu hauora, taupokina te patunga ki te tauera parakore, ki te kakahu ma rānei.

4. Me tono atu ki te tangata whara kia pupuri i te patunga ki tōna ringa. Ki te kore e taea e ia, me mahi e koe.

5. Ki te mau tetahi mea (hei tauira, he wahi karāhe, he wahi rakau rānei) ki roto i te patunga, kaua e unuhia. Whakamaua te takai e karapoti ana.

6. Ki te whakamahi koe i tētahi tourniquet (he whitiki e herea pūmau ana ki runga i te patunga hei aukati i te toto), me mahi noa mēnā e mōhio ana koe ki te mahi tika, ā, hei huarahi whakamutunga anake mēnā he nui te toto e puta mai ana.(He tikanga tēnei hei whakamutu i te toto mā te whakamahi i tētahi mea pēnei i te rākau, i te kakahu rānei hei pēhi i te patunga. Heoi, me mahi tēnei e te tangata e mōhio ana ki te aha me mahi, nā te mea ka pā kino pea mēnā ka hē te mahi.)

He aha te āhua o te whakaoranga mō te tangata kua pāngia e te toto?

Mena he toto tōu, ko tō matapae (tirohanga) e whakawhirinaki ana ki ētahi āhuatanga:

• He aha te momo `(Hemorhage)` tēnā?
• Te kaha o taua mea.
• Te tere o te whiwhinga o te maimoatanga.
• Tō tau me tō hauora whānui.

Ko te aro wawe ki te hauora te huarahi ki te ora pai ake. Kia whiwhi koe i te maimoatanga, ka hoatu e tō tīma hauora he whakaaro pai ki a koe mō ngā mea ka tumanakohia i roto i ngā rā kei te heke mai.

Ngā raruraru ka puta mai i te `(Hemorrhage)`

Ko ngā raruraru o te toto e puta mai ana i te whakahekenga o te nui o te toto e tae atu ana ki ō whekau, ko te nuinga o te wā ka puta ko te hekenga o te nui o te toto e tae atu ana ki ō whekau. Ka mate pea ngā kiko me ngā pūtau i tēnei, ā, ka puta ake ngā raruraru pēnei i:

• Te ngoikore o te okana.
• Ngā hopukanga.
• Koma.
• Te mate.

Ko te toto tetahi o ngā tino take o ngā mate ka taea te ārai, inā koa i waenga i te hunga e pāngia ana e ngā whara kino.

Ka pā mai pea ētahi momo toto toto motuhake ki ētahi raruraru motuhake. Hei tauira, ka pā mai pea he kino tuturu ki te roro me ngā raruraru pūnaha io i te toto toto o te roro. Ka pā mai pea he mate e kiia nei ko te mate Sheehan i te wā e pakaru ai tō repe pituitary i te toto nui rawa atu i te wā e toto nui ana te pēpi i te wā e hapu ana.

Ko ētahi atu raruraru noa ko te toto anō me ngā raruraru e pā ana ki te whakaurunga ki te hōhipera (hei tauira, te totohu o ngā uaua hōhonu, me te mate pāwera).

Me noho tonu te toto ki roto i ō tātou uaua toto. Ina turuturu, ina nui, ka pā mai he raruraru nui. Mō te toto, ko te mea nui ko te rapu awhina hauora tonu. Mēnā kei te toto nui koe, kei te toto rānei tetahi o ō whanaunga, ki te whakapae rānei koe kei te toto koe i roto, kaua e whakaroa ki te haere ki te hōhipera.

Hei whakamutunga, ngā mea hei maumahara māu

Āe, ki taku whakaaro kua mārama pai koe ki tā tātou i kōrero ai, arā, ko te "(Hemorrhage)", arā, ko te toto. Ko te mea nui, ki te mea he rerekē te toto e puta mai ana i a koe, kaua e wareware noa, me te whakaaro, "Āe, he mea iti noa iho," me rapu tohutohu hauora tonu.Waihoki, ki te mea kei a koe ngā tohu e tohu ana kei te toto koe i roto i tō tinana (hei tauira, he ānini nui ohorere, he ruaki toto, he tūtae mangu), he pono anō hoki tēnā, ā, me toro atu koe ki te tākuta tonu atu.

Kia maumahara, ki te whiwhi tātou i te maimoatanga i te wā wawe, ka taea e tātou te ārai i ngā mate kino maha. Nō reira, kia aro tonu ki tō tinana. Ki te mea he raruraru, he ruarua rānei āu, kaua e wehi, kaua hoki e mangere ki te toro atu ki te tākuta me te tiki tohutohu. Kia ora tonu!

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