Kua rongo kē koe i te 'toto toto'? I ētahi wā, ka taea e te toto te hanga i ngā toto toto kāore e hiahiatia i roto i ngā oko toto o tō tātou tinana. Ka taea e tēnei te arahi ki ngā āhuatanga morearea pēnei i te whakaeke ngakau me te whiu. I tēnei rā, e kōrero ana tātou mō tētahi rongoā tino nui e whakamahia ana e ngā tākuta hei ārai i te hanganga o ēnei toto toto morearea. Ko te Heparin tēnā.
He aha te Heparin i te whakarapopototanga?
He rongoā te Heparin hei ārai i te toto totoka. I roto i tā mātou reo, he 'whakangawari toto', arā, ka whakaiti i te kaha o te toto ki te totoka, ā, ka paku 'angiangi' te toto.
E rua ngā mahi matua o tēnei:
1. Ka ārai i te hanganga o ngā toto toto hou.
2. Ka ārai i te nui haere o te toto kua totoka kē.
Engari kia maumahara koe ki tētahi mea: Ka taea e te Heparin te āwhina ki te whakarewa i te toto totoka, engari kāore e taea te pakaru katoa me te whakarewa i te toto kua puta kē.
Kāore e taea e ō tātou whekau te mimiti i te heparin. Nō reira, kāore e taea te tango i tēnei rongoā hei pire. Engari, e rua ngā huarahi e hoatu ai ki te tinana: mā te wai tote e hoatu ana ki roto i te uaua (IV), mā te werohanga rānei i raro i te kiri.
He pēhea te mahi a te heparin i roto i ō tātou tinana?
Hei mārama ki tēnei, me tango he tauira iti. Whakaarohia ko te tukanga toto totoka i roto i tō tātou tinana he rite ki tētahi raina huihuinga e hangaia ai ngā motuka. Ko te mahi a ngā kaimahi rerekē i roto i tēnei raina huihuinga ka hanga he toto totoka.
Ko tā te Heparin mahi he aukati i te mahi a ētahi o ngā kaimahi tino nui e rua o tēnei wāhi mahi.
- Thrombin: Koinei te mea matua o te tukanga toto totoka. Ka whakakorea e te Heparin tēnei Thrombin.
- Tauwehe Xa: Ko tētahi atu tauwehe nui tēnei e āwhina ana i te toto kia totoka. Ka aukatia e te Heparin tana mahi.
Hei whakarāpopototanga, ko tā te heparin he waiho i ngā patu a ngā kaimahi tino nui e rua o te tukanga toto toto ki te taha, ā, ka mutu tā rātou mahi. Kātahi ka mutu te hanga o ngā toto toto toto.
He aha ngā whakamahinga o te Heparin?
Ka whakamahia e ngā tākuta te heparin hei rongoā, hei ārai rānei i ngā totoka ka pā kino ki te tinana. Kei te ripanga i raro nei ētahi o ēnei āhuatanga.
| Āhua/Tauākitanga | He whakamārama māmā |
|---|---|
| Te toto totoka i roto i ngā uaua (Venous thromboembolism - VTE) | Ka puta he toto totoka i roto i te uaua o te tinana. |
| Te toto toto hohonu (DVT) | He toto totoka, he maha ngā wā kei roto i tētahi uaua hohonu o te waewae, o te ringa rānei. |
| Te embolism pūkahukahu (PE) | Ka pakaru te toto totoka i roto i te uaua ka haere ki ngā pukahukahu, ka noho ki reira. |
| Te whakaeke ngakau me te whiu | Ngā āhuatanga e hua mai ana i te toto totoka i roto i te uaua toto i te ngākau, i te roro rānei. |
| Te manawa pāwera rerekē (Atrial fibrillation - Afib) | Mā tēnei panonitanga o te manawataki ka nui ake te mōrearea o te totoka i roto i te ngākau. |
| Ngā pokanga nui, ngā aituā rānei | Hei ārai i te hanganga o ngā toto totoka i muri i te pokanga, i te wā rānei e takoto roa ana ki te moenga nā tētahi aituā. |
| Te dialysis whatukuhu (Dialysis) | Hei ārai i ngā totoka i roto i te mīhini dialysis. |
Hei tāpiritanga, ka hoatuhia te Heparin i ētahi wā i te wā e hapū ana ina whakapaetia he mōrearea ki te tamaiti i roto i te kōpū, nā te mea kāore tēnei rongoā e whiti i te whenua whānau ki te pēpi.
He aha ngā mea ka tupu ina hoatu he Heparin ki a koe?
Ki te whakatau te tākuta ki te hoatu heparin mā te uaua (IV), ko te mea tuatahi ka mahia e rātou ko te tango i tētahi tauira o tō toto ka whakamātautau. Mā taua pūrongo whakamātautau ka whakatauhia te nui tika o te heparin e tika ana kia hoatu ki a koe.
He maha ngā wā ka whakamahia te aPTT (te wā thromboplastin wāhanga whakahohe)He whakamātautau toto tēnei e kiia nei ko te whakamātautau toto toto. Ka ine tēnei whakamātautau i te roa o te wā e totoka ai ō toto. Ahakoa kua tīmata koe ki te tango i te heparin, ka mahia tonutia tēnei whakamātautau hei whakarite kei te tika te mahi a te rongoā, ā, hei whakarerekē i te horopeta mēnā e tika ana.
Kia pēhea te roa me tango e au te Heparin?
Kei te take e hoatu ana te Heparin ki a koe. Hei tauira, i muri i te pokanga, ka hoatu pea mō te whitu ngā rā, kia taea rā anō e koe te ara ake me te hikoi.
Ko te tikanga ka hoatu he Heparin i roto i te hōhipera. I mua i tō wehenga atu i te hōhipera, ka whakawhitihia e tō tākuta he pire ka taea e koe te tango i te kāinga.
He aha ngā painga o te whakamahi i te Heparin?
- Tere te mahi: Ka tīmata tonu te mahi ina tukuna mā roto i te uaua.
- Tere te memeha: Ka tere te memeha o ngā pānga o te rongoā ina mutu te tango.
- Te whakahurihanga o te pānga: Mena ka puta he mea pēnei i te toto, ka taea te whakahuri i te pānga mā te hoatu i te rongoā ārai mate Protamine .
- Wheako: He rongoā rongonui, pono hoki kua whakamahia e ngā tākuta mō ngā tekau tau.
Kia tūpato hoki tātou ki ngā pānga taha me ngā mōrearea.
Ko te mōrearea nui rawa atu o te tango i te heparin ko te toto nui rawa . Ahakoa he whara iti noa iho tōu, ka nui ake pea te toto i tō te tikanga. Nō reira me tino tupato koe i te tango i te heparin. Mena kei te hōhipera koe, tonoa he awhina i mua i te ara ake i te moenga. Ka āwhina tēnei ki te ārai i te hinganga.
He mea tino nui: Me kōrero koe ki tō tākuta mō ētahi atu rongoā, huaora, rongoā Ayurvedic rānei e tangohia ana e koe. Ka taea e ētahi rongoā te taunekeneke me te Heparin, ā, ka whakanui ake, ka whakaiti rānei i ōna pānga. Kaua rawa e tīmata i tētahi rongoā hou me te kore e pātai tuatahi ki tō tākuta.
Ngā pānga taha e kitea whānuitia ana:
- Te mamae, te kikorangi rānei i te wāhi i werohia ai.
- Te ngaro o te makawe (he wā poto).
- Te iti o te maha o ngā pereti toto (Thrombocytopenia).
Ki te pā mai ēnei tohu ki a koe, me kōrero tonu atu ki tō tākuta!
Ki te pāngia koe e tētahi o ēnei tohu, kaua e warewaretia. Me whakamōhio tonu atu ki tō tākuta, me haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera.
- Te uaua ki te manawa, te tere o te manawa.
- Te toto e kore e taea te aukati (hei tauira, mai i te ihu, i te kapia).
- Ngā ira kikorangi ohorere me ngā marō i te tinana.
- Te ngoikore ohorere, te ngoikore rānei o tetahi taha o te tinana.
- Te tūtuki me te pōhēhē i te wā e hikoi ana.
- Te panoni ohorere o te tirohanga, o te whakarongo rānei.
- Te mamae nui o te upoko.
- Te mamae o te uma, te tere rānei o te papā o te ngakau.
- Te ruaki me te mea he puehu kawhe.
- He tūtae pango, he paru, he toto rānei kei roto i te tūtae.
- He mimi parauri, he mimi whero rānei.
He rongoā tino nui te Heparin hei whakaora i ngā oranga. Ka whakatau ngā tākuta ki te hoatu ki a koe i muri i te paunatia o ngā painga me ngā mōrearea. Nō reira, ki te mea he pātai āu mō tēnei, kaua e wehi ki te kōrero ki tō tākuta.
Karere Tangohia ki te Kāinga
- He momo rongoā 'whakangawari toto' te Heparin e ārai ana i te hanganga o ngā totoka kino i roto i te tinana.
- Ka hoatu tēnei hei werohanga mā roto i tētahi uaua (IV) i raro rānei i te kiri. Kāore e taea te tango hei pire.
- Ka whakatauhia te horopeta e tika ana kia hoatu ki a koe ma roto i ngā whakamātautau toto.
- Ko te mōrearea matua o te tango i tēnei rongoā ko te toto nui rawa, nō reira kia tūpato kia tiakina koe i ngā whara.
- Ki te kite koe i tētahi toto rerekē, he marō, he tohu whakapae rānei, me whakamōhio tonu atu ki tō tākuta.
- He mea nui kia kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe.
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