Kua rongo koe i tētahi tākuta e hoatu ana ki a koe, ki tētahi rānei o tō whānau, he rongoā 'whakaiti toto' i roto i te hōhipera? Ko te rongoā e hoatu ana ki a koe he heparin. He tokomaha hoki e kī ana he 'whakaiti toto'. Engari he āhua hē pea tēnei ingoa. Kāore e 'whakaiti' ana i te toto pērā i te wai. He aha rā? Ka ārai i te hanganga o ngā toto toto kino i roto i ō tātou tinana, ka ārai rānei i te nui haere o te toto toto kua noho kē. Nō reira, i tēnei rā, me kōrero tātou mō te heparin, he mea nui ki te tini o te tangata, i roto i tētahi huarahi māmā me te mārama.
He aha rawa te Heparin?
He kupu ngāwari, he rongoā ārai toto te heparin. Arā, he rongoā e ārai ana i te toto kia kore e totoka. Kāore e pakaru, e whakarewa rānei i te toto kua puta kē, engari ka taea e ia te āwhina i te tinana kia whakarewa mā te ārai i tōna rahi haere.
Tērā pea kei te miharo koe he aha i kore ai tēnei e hoatu hei pire. Ko te take, kāore e taea e ō tātou whekau te mimiti i tēnei rongoā e kiia nei ko te heparin. Nō reira, ki te tangohia e tātou hei pire, kāore he painga. Koia te take e rua ngā huarahi e hoatu ai te rongoā e kiia nei ko te heparin:
1. Mā te wai tote e tukuna ana ki roto i te uaua (Whāinga IV): Ka tere te mahi a tēnei nā te mea ka uru tika te rongoā ki roto i te toto.
2. Hei werohanga i raro i te kiri (Wehenga i raro i te kiri): Ina hoatu pēnei, ka roa pea te kotahi, e rua rānei hāora ka mimiti te rongoā ki roto i te tinana.
He pēhea te mahi a te heparin i roto i ō tātou tinana?
Hei mārama ki tēnei, me tango he tauira iti. Whakaarohia he tukanga uaua te hanganga o te toto totoka i roto i tō tātou tinana, he rite ki te hanga hua i roto i te wheketere. Me mahi tahi ngā kaimahi rerekē (ngā matū me ngā pūmua rerekē i roto i tō tātou tinana) i roto i te kotahitanga.
Ko 'Thrombin' rāua ko 'Factor Xa' ngā kaimahi matua o tēnei wheketere. Mā ēnei e mahi ētahi o ngā mahi whakamutunga me ngā mahi tino nui o te tukanga hanga toto totoka.
He rite te mahi a te Heparin ki tētahi kaiwhakahaere atamai e haere mai ana, ka waiho ki tahaki ngā patu a ēnei kaimahi matua e rua. Arā, ka uru te heparin ki roto, ka whakakore i te 'thrombin' me te 'factor Xa'. Kātahi ka kore e taea e rātou te mahi i tā rātou mahi. Ā tōna wā, ka mutu te mahi a te wheketere katoa, ā, ka mutu te hanga toto hou. Kei te mārama koe? He tino māmā noa iho, tika?
He aha ngā āhuatanga e whakamahia ai te heparin e ngā tākuta?
He rongoā tino nui te Heparin hei whakaora i ngā oranga. Nō reira, e whakamahia ana hei rongoā me te ārai i ngā momo mate hauora. Me titiro tātou ki ngā take matua.
| Āhua/Tauākitanga | He whakamārama māmā |
|---|---|
| Te Thromboembolism o te Uaua (VTE) | Te hanganga o te toto totoka i roto i te uaua o te tinana. E rua ngā momo matua o tēnei (DVT me te PE). |
| Te toto totoka i roto i te uaua hohonu (Deep Vein Thrombosis - DVT) | He toto totoka, i roto i te uaua hohonu o te waewae, o te ringa rānei. He nui ake tēnei mōrearea i muri i te pokanga nui, i te wā rānei me noho roa koe ki te wāhi kotahi. |
| Te Pukupuku Pūkahukahu (PE) | Ka pakaru te toto totoka e puta mai ana i tētahi wāhi pērā i te DVT, ka mau ki roto i tētahi uaua o ngā pukahukahu. He āhuatanga ohorere, he āhuatanga morearea hoki tēnei. |
| Te whakaekenga o te ngākau | Hei ārai i te hanganga o ngā toto totoka anō i roto i te whakaeke ngakau i puta mai i te toto totoka i roto i te uaua e tuku toto ana ki te ngakau. |
| Whiu | I ngā wā o te whiu i puta mai i te toto totoka i roto i te uaua toto i roto i te roro. |
| Ngā Pokanga Nui | Ina koa i muri i ngā pokanga pēnei i te whakakapinga hope, turi rānei, he nui ake te mōrearea o te tūroro ki te pāngia e te toto totoka nā te mea kāore e taea te neke. Hei ārai i tēnei. |
| Te Whakapūngao o te Atrial (Afib) | Hei whakaiti i te mōrearea o te hanga toto i roto i te ngākau nā te koretake o te ngakau, ka taea te haere ki te roro, ka pāngia ai te roro e te whiu. |
| Te tātaritanga whatukuhu | Hei ārai i ngā toto e pupū ana i roto i te mīhini dialysis e horoi ana i te toto o ngā tūroro e pāngia ana e te ngoikore o te whatukuhu. |
Hei tāpiritanga, tera ētahi wā ka whakamahia te heparin mēnā he nui te mōrearea o te whaea ki te toto totoka i te wā e hapu ana, nā te mea kāore e kino ki te tamaiti i roto i te pēpi.
He aha ngā mea ka puta ina hoatu he heparin? Me pēhea te aroturuki?
Ehara i te mea ko te heparin anake te rongoā e hoatu ana e ngā tākuta. He rongoā tēnei e hoatu ana me te tino tupato, me te aroturuki tonu.
I mua i te tīmatanga o te maimoatanga heparin, ka tangohia e tō tākuta he tauira o tō toto, ka whakahaerehia he whakamātautau.
Ko te ingoa o tēnei whakamātautau ko te aPTT (activated partial thromboplastin time) . Ka ine i te roa o te wā e totoka ai ō toto. Ka whakamahia te hua hei whakatau i te horopeta o te heparin e tika ana kia hoatu ki a koe.
Ahakoa kua tīmata koe i te maimoatanga heparin, ka tangohia tonutia ō toto i ngā wā katoa (hei tauira, i ia 6 hāora) ā, ka tuaruatia tēnei whakamātautau aPTT. Ka tirohia mēnā he rawaka, he nui rawa, he kore rānei te horopeta o te heparin e hoatu ana ki a koe. Nō reira, ka whakatikatikahia e tō tākuta te horopeta kia mau tonu ki te taumata tika māu. I ētahi wā ohorere, ina hiahiatia he hua tere, ka whakamahia tētahi atu whakamātautau e kiia nei ko te ACT (activated clotting time) .
Kia pēhea te roa me tango e au te heparin?
Kei te take katoa tēnei e hoatu ana te heparin ki a koe. Hei tauira, i muri i te pokanga nui, ka hoatu pea mō te 7 rā tae noa ki te wā e taea ai e koe te ara ake me te hikoi. Mō te mate pēnei i te mate manawa, ka hoatu pea mō ētahi rā tae noa ki te wā e whakahaerea ai te mate.
Ko te Heparin he rongoā e hoatu ana i te hōhipera. I mua i tō hokinga ki te kāinga i te hōhipera, ka tangohia e tō tākuta te heparin i hoatu mā te IV, ka whakawhiti i a koe ki tētahi atu rongoā whakaiti toto ka taea e koe te tango hei pire.
Ngā painga, ngā mōrearea, me ngā pānga taha o te heparin
Pērā i ngā rongoā katoa, he painga, he mōrearea hoki tō te heparin.
Ko ngā painga matua o te heparin
- Tere te mahi: Ka mahi tonu, inā koa ka tukuna mā roto i te uaua.
- Te tere o te whakakorenga: Ina mutu te rongoā, ka tere te ngaro atu o ōna pānga i te tinana. He mea tino nui tēnei i ngā āhuatanga pēnei i mua i te pokanga.
- Te āheinga ki te hoki whakamuri i te pānga: Mena ka whakanuia te horopeta heparin, ā, ka puta te toto, he rongoā kei reira e kiia nei ko te protamine ka taea te huri tonu i tōna pānga.
- Ngā tau o te whakawhirinaki:He rongoā tēnei kua tino rangahautia, ā, kua whakamahia haumarutia e ngā tākuta huri noa i te ao mō ngā tekau tau.
Ngā tūponotanga me ngā pānga taha
Ko te mōrearea matua, ko te mōrearea tino kino ko te toto nui rawa . Ina tae te heparin ki roto i te tinana, ahakoa he patunga iti noa iho, ka taea e ia te toto nui rawa.
Nō reira, ki te pāngia koe e tētahi marō rerekē i te wā e whiwhi ana koe i te maimoatanga heparin, he toto ngā kapia i te wā e parai ana i ō niho, he toto rerekē rānei , me whakamōhio tonu atu ki tō tākuta, ki tō nēhi rānei .
Ki te ara ake koe i te moenga i a koe e noho ana i te hōhipera, tonoa he āwhina mōu kia whakaitihia te tūponotanga o te hinga. Ki te hinga koe, he nui ake te tūponotanga o te toto.
Ki te tino nui te horopeta ka riro mai, he iti noa te tūponotanga ka toto noa ngā whekau o roto pērā i te roro, ngā pukahukahu, me te puku. Heoi, he tino iti tēnei mōrearea nā te mea ka whakahaeretia te horopeta mā roto i ngā whakamātautau toto auau i te hōhipera.
Tētahi atu mea nui! Tērā pea ka taunekeneke ētahi atu rongoā e tangohia ana e koe me te heparin. Nō reira, he mea nui kia kōrero koe ki tō tākuta mō ētahi atu rongoā, huaora, rongoā otaota rānei e tangohia ana e koe.
Ētahi atu pānga taha:
- Te mamae, te maru rānei i te wāhi i werohia ai.
- Te ngaro o te makawe (he wā poto noa iho tēnei).
- Te iti o te maha o ngā pereti toto (Thrombocytopenia). He mea anō tēnei e aro turukihia ana e ngā tākuta mā roto i ngā whakamātautau toto.
Ngā tohu whakatūpato e hiahia ana kia aro wawe atu ki te hauora
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i a koe e tango ana i te heparin, he tohu pea tēnei o te toto nui. Nō reira , kaua e whakaroa, rapua tonutia he tohutohu hauora , haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera.
| Ngā tohu whakatūpato | |
|---|---|
| 🔴 He uaua ki te manawa, he tere te manawa. | 🔴 Te toto e kore e taea te aukati (hei tauira, mai i te ihu). |
| 🔴 He marō, he ira, he ponana rānei o te kiri. | 🔴 Te ngoikore ohorere, te māuiui rānei i tetahi taha o te tinana. |
| 🔴 Te pōhēhē ohorere, te uaua ki te hikoi. | 🔴 Te uaua ohorere ki te kite, ki te whakarongo rānei. |
| 🔴 He mamae nui te upoko. | 🔴 Te mamae o te uma, te tere rānei o te pā o te ngakau. |
| 🔴 E ruaki ana me te mea he puehu kawhe. | 🔴 He tūtae mangu, he paru, he toto rānei kei roto. |
| 🔴 Ka huri parauri, ka whero rānei te mimi. | |
Ki te mea kua whakatau te tākuta i te hōhipera ki te hoatu heparin ki a koe, kaua e wehi. Ko te tikanga he mea tino nui te ārai i te toto totoka i runga i tō āhua. Ka aroturuki tonu ngā tākuta i a koe, ka hoatu hoki ki a koe te horopeta e tika ana, e haumaru ana hoki. Ki te mea he pātai āu mō tēnei, kaua e wehi ki te pātai ki tō tākuta.
Karere Tangohia ki te Kāinga
- Ehara te Heparin i te rongoā whakaheke toto, engari he rongoā e ārai ana i te hanganga o ngā totoka kino .
- Kāore e taea te tango i tēnei hei pire. Ka hoatu noa hei werohanga, mā te wai tote rānei ka tukuna ki roto i te uaua .
- Ko te mōrearea nui rawa atu o tēnei maimoatanga ko te nui ake o te toto i te mea noa , nō reira kia tūpato ki ngā aituā pēnei i te hinganga.
- He mea nui kia whakamōhiotia tō tākuta mō ngā rongoā katoa e tangohia ana e koe (tae atu ki ngā huaora me ngā rongoā Ayurvedic).
- Ki te kite koe i ngā tohu whakatūpato pēnei i te ruaki e rite ana ki te paura kawhe, te tūtae mangu, te toto rānei e kore e taea te aukati, rapua tonutia he tohutohu hauora.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero