Kua kite koe i te wā e motuhia ana, e rakurakuhia ana rānei tō ringa, tō waewae rānei, ka mutu te toto i muri i tētahi wā? He tikanga parepare whakamiharo tēnei i roto i tō tātou tinana. Ka kiia tēnei ko te "Pupuri Toto". Ka mahi tika tēnei tukanga, koia te take ahakoa he whara iti, kāore e nui te toto e puta, ā, ka puta he aituā nui. Heoi, i ētahi wā, kāore tēnei tukanga pupuri toto e mahi tika. Ka puhoi ake i te mea e tika ana, ka tere ake rānei i te mea e tika ana. Koinei te wā me mahi e ngā tākuta he whakamātautau motuhake hei rapu i tēnei. I tēnei rā ka kōrero tātou mō tētahi whakamātautau toto tino nui. Ko te whakamātautau PTT tēnā.
He aha te tikanga o tēnei whakamātautau PTT?
Ko te whakamātautau PTT, ko te whakamātautau Partial Thromboplastin Time rānei, he whakamātautau toto māmā e tango ana i tētahi tauira o tō toto ka ine, i roto i ngā hēkona, i te roa o te wā e totoka ai taua toto.
Whakaarohia he rite ki tētahi rōpū kaimahi tunu kai mohio e taka kai ana. Hei whakarite i tēnei kai kia tika, me tāpirihia ia kai ki te raupapa tika, me te nui tika hoki. He rōpū "kai tunu kai" kei roto i tā tātou tukanga toto toto. I roto i te rongoā, ka kiia rātou he "pūmua toto toto." He pūmua motuhake ēnei i roto i ō tātou toto. Mena kei te ngaro tētahi o ēnei pūmua toto toto, ki te kore rānei e mahi tika, ka whakaroahia te tukanga toto toto katoa, pērā i te whakaroa o te kai. Ko te whakamātautau PTT te mea matua e tirotiro ana mēnā kei te mahi tika ēnei pūmua toto toto, ā, kei te tere tika.
Kua rongo pea koe i tēnei whakamātautau e kiia nei ko aPTT . Ko tōna tikanga he activated Partial Thromboplastin Time . Kāore i te tino rerekē. I karangatia pērātia nā te mea ka tāpirihia e te taiwhanga he matū motuhake ki tō tauira toto hei "whakahohe" i te tukanga toto totoka.
Ko te mea nui ko te whakamātautau PTT ka whakamātautau i te nuinga o ngā mea totoka e āwhina ana i te totoka. Engari he maha atu anō ngā mea kāore e whakamatautauria e tēnei whakamātautau. Tērā atu anō tētahi whakamātautau e kiia nei ko te whakamātautau PT (whakamātautau Wā Prothrombin) hei whakamātautau i ēnei. I ētahi wā ka tono pea tō tākuta kia mahia e koe ēnei whakamātautau e rua. Kia mārama ake ai te tukanga katoa.
I raro i ngā āhuatanga hea ka tono atu ai te tākuta kia mahia e koe he whakamātautau PTT?
He maha ngā take e tonoa ai koe kia whakamātauria tēnei whakamātautau. Ko te tikanga, ka tūtohu te tākuta i tēnei whakamātautau i roto i ngā āhuatanga e whai ake nei:
| Take/Tauākitanga | He whakamārama māmā |
|---|---|
| Te toto toto pinepine, te toto toto nui rānei | Mena he maha ngā wā ka toto tō kapia, he maha ngā wā ka toto tō ihu, he roa rānei te wā ka mutu te toto ahakoa he patunga iti noa iho. |
| Te marutanga mō te kore take mārama | Ki te puta whakarere mai he ira kikorangi (maru) ki tō tinana, ā, kāore anō kia pā ki tetahi mea. |
| He toto totoka i roto i te oko toto | Mena kei te whakapaehia kua puta he toto totoka i roto i te uaua toto i te waewae, i tētahi atu wāhi rānei. |
| I mua i te pokanga | Ka mahia tēnei i mua i tētahi pokanga nui hei whakarite kia noho noa tō kaha ki te totoka. Ka āwhina tēnei ki te ārai i te toto koretake i te wā o te pokanga. |
| I te wā e whiwhi ana i te maimoatanga heparin | He rongoā whakaheke toto te Heparin. He maha ngā wā ka mahia tēnei whakamātautau hei tirotiro mēnā he tika te horopeta e hoatu ana ki te tangata e tango ana i tēnei rongoā. Mēnā he nui rawa te horopeta, ka puta te toto, ā, ki te iti rawa, ka puta he toto totoka. |
| Ina puta pinepine ngā materoto | Ka whakamahia hoki tēnei whakamātautau hei tirotiro i ngā raruraru toto totoka, ka puta ai he materoto auau i roto i ētahi wāhine. |
| Ina pāngia koe e te mate ate | He maha ngā mea e hanga ana i te toto totoka e te ate. Ka taea te whakararu i tēnei tukanga i roto i te tangata he mate ate tōna. |
Me whakarite ahau i mua i te whakamātautau? He aha ngā mea ka puta ina tangohia te toto?
Te whakarite mō te whakamātautau
Koinei te rongo pai rawa atu. Kāore he whakaritenga motuhake e hiahiatia ana mō te whakamātautau PTT. Kāore koe e hiahia ki te nohopuku, ki te mahi rānei i tētahi atu mea. Engari ka hoatu e au he tohutohu iti ki a koe. Inuhia he nui te wai i mua i tō haerenga ki te tuku toto. Mā tēnei ka māmā ake te mahi mā te tangata e tango toto ana nā te mea ka paku kapi ake ō uaua, ka mārama ake te kite. Waihoki, ki te mau koe i tētahi hāte ringaringa poto, kāore koe e manukanuka ki te hiki i ō ringa.
Me pēhea te tango toto
He tino māmā noa iho tēnei mahi, pērā i te tuku toto i te nuinga o te wā.
1. Ka whakanohoia koe e te nēhi, e te āpiha hauora rānei ki runga i tētahi tūru, ka tono atu kia pupuri pai koe i tō ringa.
2. Kātahi ka whakatakotoria he here rapa (torniquet) ki tō ringa o runga, ā, ka whakakahangia kia paku mārama. Ka mahia tēnei kia kitea ake ai ngā uaua toto.
3. Kātahi ka tīpakohia he uaua e tika ana tata ki te tuke, ā, ka horoia te wāhi ki tētahi wahi miro iti.
4. Muri iho, ka werohia he ngira iti rawa ki roto i te uaua, ā, ka kohia te nui o te toto e hiahiatia ana ki roto i tētahi ngongo motuhake. I tēnei wā, ka paku noa te ngau, me te mea kua ngaua koe e te pōpokorua .
5. Ina tangohia te toto, ka tangohia te here rapa e herea ana ki te ringa, ka tangohia te ngira, ka whakatakotoria he miro ki te wāhi i werohia, ā, ka pēhia mō tētahi wā. Kātahi ka pania he pāreti iti ki te wāhi.
Koia kē! He torutoru meneti noa iho te roa o te tukanga katoa. Whai muri i te tuku toto, ka taea e koe te mahi i ō mahi o ia rā. I ētahi wā, ka paku kikorangi (maru) te wāhi i werohia ai te ngira. Ka memeha noa iho tēnei i roto i ētahi rā, nō reira kaua e manukanuka.
He aha te kōrero a te pūrongo PTT? Me pēhea te whakamārama i ngā hua?
Ka wātea mai ngā hua o tō whakamātautau PTT i roto i ngā hēkona . Arā, ko te wā e pau ana kia totoka ai tō toto.
Ko te awhe noa mō te tangata hauora kei waenga i te 25 me te 35 hēkona . Engari he mea nui tēnei kia mōhio: Ka rerekē pea tēnei awhe noa i waenga i tētahi taiwhanga ki tētahi taiwhanga . Nō reira, whakatairitehia tō uara ki te awhe noa e hoatu ana ki a koe i runga i tō pūrongo.
He aha te tikanga o te PTT teitei?
Mena he teitei ake tō PTT i te awhe noa (hei tauira, 40, 50 hēkona rānei), ko te tikanga he roa ake te wā e totoka ai tō toto i te tikanga. He maha ngā take ka pā mai ai tēnei.
| Take pea | He whakamārama māmā |
|---|---|
| Te whakanui ake i te horopeta o te Heparin | Mena kei te tango koe i te heparin, he rongoā whakaiti toto, ko te tikanga o te nui o te PTT ka nui ake pea te horopeta i te mea e tika ana. |
| Ngā āhuatanga ira | I roto i ngā āhuatanga whānau mai pērā i te hemophilia , te mate von Willebrand rānei, ka kore e kitea he ngoikoretanga o ngā mea e whakapakeke ai te toto. |
| Mate ate | Ka taea e ngā mate ate pēnei i te cirrhosis te whakaiti i te hanga o ngā mea whakapakeke toto me te whakanui ake i te uara PTT. |
| Te korenga o te huaora K | He huaora nui te Huaora K mō te tukanga toto totoka. Ina kore e ranea te Huaora K i roto i te tinana, ka whakaroa te toto totoka. |
| Mate Pūnaha Ārai Mate | I ētahi wā ka mahi te pūnaha ārai mate o te tinana ki ngā mea e whakapakeke ana i te toto. I ēnei wā, ka piki ake hoki te uara PTT. |
| Leukemia | Ka pā pea ētahi momo mate pukupuku toto ki te tukanga toto totoka. |
Kia maumahara, kaua e mataku mēnā ka kite koe i te PTT kua piki ake. Ehara tēnei i te tātaritanga mate, he tohu nui noa iho mā tō tākuta. Ka whakahau ia i ētahi atu whakamātautau kia kitea ai te take o tēnei.
Me aha koe mēnā he ruarua koe mō ngā hua?
I muri i te whiwhinga o te pūrongo mai i te taiwhanga, mēnā he pātai, he āwangawanga rānei āu mō ngā uara o roto, ko te mea pai ko te tūtaki ki tō tākuta nāna i tono tēnei whakamātautau māu, ka kōrero mōna .
- Ka whakaarohia e tō tākuta ō tohumate, ētahi atu rongoā e tangohia ana e koe, me ngā hua o tēnei whakamātautau PTT, ā, ka whakatau tika i te mea hei mahi i muri mai.
- Tērā pea ka tonoa koe kia whakamātauria ētahi atu whakamātautau toto motuhake.
- Mena kei te tango koe i te heparin, tera pea ka tonoa koe kia huri i te horopeta o te rongoā.
Kaua rawa e whakatakoto i tō whakatau i runga i ngā mea e kitea ana e koe i runga i te ipurangi, i ngā kōrero rānei a ētahi atu. Me kōrero ki tō tākuta mō tēnei.
Karere Tangohia ki te Kāinga
- He whakamātautau toto māmā noa iho te PTT, engari he mea tino nui, e ine ana i te roa o te wā e totoka ai tō toto.
- Kāore he whakaritenga motuhake e hiahiatia ana (pēnei i te nohopuku) hei mahi i tēnei whakamātautau.
- Ko te hua o te PTT kei waho i te awhe noa, he tohu pea tēnei nō tētahi raruraru hauora kei raro iho. Ehara i te tohu tātaritanga.
- Ahakoa te āhua o tō hua, kaua e mataku, engari me kōrero tonu ki tō tākuta kia mārama ai koe, kia mōhio ai hoki koe ki ngā mahi hei whai ake.
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