Whakaarohia kei te tapatapahi huawhenua koe i roto i te kīhini, ā, ka motu tō ringa. Me kī rānei ka hinga tētahi tamaiti nohinohi i a ia e tākaro ana, ā, ka whāwhā tōna turi. I te tīmatanga, he iti noa te toto, engari i muri i tētahi wā, ahakoa kāore tātou e mahi i tetahi mea, ka mutu noa te toto, tika? Ehara tēnei i te mea noa iho. He tikanga parepare whakamiharo tēnei i roto i tō tātou tinana. I roto i te rongoā, ka kiia tēnei he hemostasis . He whakarāpopototanga, koinei te tukanga taiao e aukati ana i te toto mai i te patunga, ā, e whakarite ana i te tinana ki te whakaora i taua patunga.
Nā, me pēhea te puta o tēnei tukanga e kiia nei ko te hemostasis?
He kōrero tino whakamere tēnei. E rua ngā wāhanga o te kupu hemostasis. Ko te tikanga o "Hemo" he "toto" ā, ko te tikanga o "stasis" he "mutu" he "pūmau" rānei. I roto i ngā kupu ngāwari, ko tōna tikanga he "whakamutu i te rere o te toto." Ka tīmata tēnei tukanga i roto i ngā hēkona ruarua o te whara. He mea noa te puta o te toto mai i te whara mō te rua ki te whitu meneti.
Ehara tēnei i te tukanga kotahi-taahiraa. Ka puta i roto i tētahi raupapa o ngā taahiraa, pērā i te mahi tahi a tētahi rōpū tohunga toi ki te whakaoti i tētahi kaupapa. Me titiro tātou ki ngā taahiraa matua e whā.
| Ngā Hipanga | He aha te mea ka tupu (i roto i ngā kupu māmā) |
|---|---|
| Hipanga 1: Te whakawhāiti i ngā oko toto | Ka whakawhāiti ngā oko toto (ngā uaua toto) i te wāhi i whara ai, pērā i te pēhi i tētahi paipa wai. Ka whakaroa tēnei i te rere o te toto. |
| Hipanga 2: Te hanga i tētahi mono rangitahi | Ko ngā pereti toto, he momo pūtau iti e mānu ana i roto i ō tātou toto, ka tere ki te wāhi i whara ai, ka piri ki reira. Ka piri tahi rātou, ka hiritia te patunga mō te wā poto. He rite ki te taupoki i te pounamu. Ka kiia hoki tēnei he hemostasis tuatahi . |
| Hipanga 3: Tīmata i te mekameka toto totoka | Ka tīmata te mahi tūturu. He aha kei roto i te totoKa whakahohehia ngā pūmua e kīia nei ko ngā take toto totoka tetahi i muri i tetahi, hei whakakaha ake i taua hiri rangitahi. He rite tēnei ki te tauhohenga mekameka. Ka kiia tēnei ko te hemostasis tuarua . |
| Hipanga 4: Te hanganga o te toto toto pumau | Ā tōna wā, ka huihui ngā pereti toto me tētahi pūmua motuhake e kiia nei ko te fibrin hei hanga i tētahi toto toto pakari, pumau, pērā i ngā pereki me te moata e hanga ana i tētahi pakitara. Ka kati katoatia te patunga. Ā muri ake nei, i te wā e ora ana te patunga, ka memeha tēnei toto toto, ā, ka puta he kiri hou. |
Ki te kī ngāwari, ko te hemostasis te "pāreti" tūturu o te tinana. Ki te kore tēnei, ahakoa he karawarawa iti noa iho, ka taea e tātou te toto nui, ā, ka mōrearea pea te ora.
He aha te mea ka tupu mēnā ka hē tēnei tukanga?
Ahakoa he tino pai te mahi a tēnei tukanga, i ētahi wā ka hē pea. Kātahi ka puta ake ngā raruraru e rua:
1. Te ngoikore o te toto: Koinei te wā kāore te toto e totoka tika ina hiahiatia. Ahakoa he patunga iti noa iho, ka roa te toto e puta ai, ka puta ai he marō me he mate.
2. Te toto totoka nui: Koinei te wā ka puta ai ngā toto totoka i roto i te tinana i te wā kāore e hiahiatia ana. He tino morearea tēnei.
Mena ka nui rawa te toto totoka (Hypercoagulability)
He mea morearea tēnei nā te mea ka taea e ngā toto toto kore e hiahiatia e puta mai ana i roto i te tinana (e kiia nei e tātou ko te thrombosis ) te haere mā roto i ngā oko toto ka noho ki roto i ngā whekau nui pēnei i te roro, te ngākau, me ngā pukahukahu. Koinā te mea ka tupu.
- Te whiu: Mena ka āraia e te toto totoka te oko toto e kawe ana i te toto ki te roro.
- Te whakaekenga o te ngākau: Mena ka āraia e te toto totoka te oko toto e tuku toto ana ki te ngākau.
- Te Puku o te Pūkahukahu: Ka puta pea tēnei ina pakaru te toto totoka ( Deep Vein Thrombosis - DVT ), e hanga ana i roto i te uaua hohonu o te waewae, ka mau ki roto i te uaua o ngā pūkahukahu.
Ka taea e ētahi momo mate pukupuku, ngā āhuatanga ira (hei tauira, te Factor V Leiden , te ngoikore o te Pūmua C ), me ētahi atu āhuatanga hauora (hei tauira, te mate Antiphospholipid , ngā mate kino - sepsis ) te whakanui ake i te toto totoka i tēnei ara.
Mena ka tino heke te toto totoka (Hypocoagulability)
Ko te ritenga kē tēnei. Nā te mea kāore tō toto e totoka tika, ka mōrearea pea tetahi whara. Ahakoa he motu iti noa iho ka nui te toto ka puta. Tērā pea ka puta he toto e kore e kitea i roto i te tinana.
Ko ngā tauira matua o tēnei ko:
- Hemophilia: He mate ira tēnei kāore te tinana e whakaputa i tētahi, i ētahi rānei o ngā mea e hiahiatia ana mō te toto totoka.
- Te mate a Von Willebrand: He mate ira noa tēnei e rite ana ki te hemophilia.
- Thrombocytopenia: He hekenga o te maha o ngā pereti toto, arā, ngā pūtau toto matua e whakapakeke ana. Ka kitea tēnei āhuatanga i roto i ētahi momo mate pukupuku (hei tauira, te leukemia ).
Me pēhea e mōhio ai koe mēnā he raruraru pēnei?
Mena kei a koe ēnei tohu, ka tukuna koe e tō tākuta ki tētahi tohunga toto. Ka pātai ia mō ō tohu, ā, ka whakahau i ngā whakamātautau toto e tika ana.
Ko ētahi o aua whakamātautau ko:
- Tatau Toto Katoa (CBC)
- Te Tatau o ngā Pereti
- Te Wā Toto
- Te Wā Prothrombin (PT)
- Wā Thromboplastin Wāhanga Whakahohe (aPTT)
- Taumata Fibrinogen
Āhea koe me toro atu ki te tākuta?
Ki te pā mai ētahi tohumate, kaua rawa e warewaretia. He āhuatanga ohorere pea ēnei.
| Kāwai tohu | Ngā mea hei aro atu |
|---|---|
| Ngā tohu o te pikinga o te toto totoka (Hypercoagulability) - He āhuatanga ohorere ēnei, haere tonu ki te ETU! | |
| Roro (pararutiki) | Te ngoikore o te taha kotahi o te tinana, te uaua ki te kōrero, te piko o te taha kotahi o te mata, te mamae nui o te upoko. |
| Ngā mate o te ngākau | Mamae te uma, uaua ki te manawa, ngoikore, tere te pā o te ngakau, hemo te ngākau. |
| I roto i ngā pukahukahu (Pulmonary Embolism) | Te poto ohorere o te manawa, te mamae o te uma, te maremare toto, te kikorangi o ngā ngutu, o ngā maihao rānei, te hemonga o te ngākau. |
| I roto i te waewae (DVT) | Te mamae, te pupuhi, me te whero i te rohe o te hope, i tētahi atu wāhi rānei o te waewae. |
| Ngā tohu o te ngoikore o te toto - kōrero ki tō tākuta mēnā kei a koe ēnei. | |
| Ngā āhuatanga noa | • Te toto pinepine o te ihu, me te uaua ki te whakamutu. • Te toto o ngā kapia i te wā e parai ana i ō niho. • Ahakoa he patunga iti noa iho, ka taea te toto mō te wā roa. • Ngā marō (ngā ira kikorangi/papura) o te tinana, kāore he take. |
Karere Tangohia ki te Kāinga
- He tukanga taiao, he tukanga nui te hemostasis e mutu ai te toto i roto i te tinana i tētahi whara.
- He tukanga uaua tēnei e whai wāhi ana ki ētahi taahiraa.
- I ētahi wā ka hē tēnei tukanga. E rua ngā āhuatanga e kiia nei ko te hypercoagulability, ko te hypocoagulability rānei, he mea morearea.
- Ko ngā tohu pēnei i te mamae ohorere o te uma, te uaua ki te manawa, te ngaronga rānei o te māramatanga i te taha kotahi o te tinana, he tohu pea tēnei o te toto totoka. Mēnā he pēnei, haere tonu ki te Tari Ohotata o te hōhipera (ETU) .
- Ki te mea kei te māuiui koe, kāore he take, kei te toto nui rānei i ngā patunga iti, kaua e warewaretia, ā, me kōrero ki tō tākuta .
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