Kei te kikorangi ō waewae, ā, kei te tino mamae? Ko 'Phlegmasia Cerulea Dolens' tēnā? Me kōrero tāua mō tēnei!

Kua rongo kē koe i tētahi āhuatanga e puta ai he toto totoka i roto i tētahi uaua i tō waewae, i tō ringa rānei, ka kikorangi, ka pupuhi, ka mamae? He āhuatanga kino tēnei, engari ehara i te mea noa. I tēnei rā ka kōrero tātou mō tēnei āhuatanga e kiia nei ko te 'Phlegmasia Cerulea Dolens' . Kaua e manukanuka, he mea nui kia mōhio koe ki tēnei āhuatanga.

He aha tēnei 'Phlegmasia Cerulea Dolens'?

Ki te kī māmā noa, ko te `Phlegmasia Cerulea Dolens` he āhua e puta ai he toto toto nui, he toto toto maha rānei i roto i ngā uaua hohonu o te tinana, inā koa i ngā waewae (ā, i ētahi wā i roto i ngā ringa) (e mōhiotia ana ko te `Deep Vein Thrombosis`, `DVT` rānei), ka ārai katoa i ngā uaua. Whakaarohia he paipa wai e āraihia ana e te paru nui, ka pupū te wai, kaua e rere.

Ina āraia te uaua pēnei, kāore te toto e rere tika i roto. Kāore e taea e te toto te rere ki raro, ki runga rānei. Ka ahatia? Ka kohia te toto ki taua wāhi, ka pupuhi te waewae. Ka whakanuia e tēnei pupuhi te pēhanga i roto i te uaua, ka pēhia ngā uaua e kawe ana i te hāora. He rite ki te hautai kua mākū rawa ki te mimiti i te wai. Kāore e taea te tāpiri atu i te wai ki roto kia pēhia rā anō e koe. Koinā te mea e tupu ana i konei. Ka whakaitihia hoki te nui o te hāora e tae atu ana ki ngā kiko.

Ko te mea nui ko tēnei he āhuatanga ohorere hauora . Ki te kore e tātaritatia, e rongoātia wawetia, ka pakaru pea te waewae, ā, ka mate pea. Nō reira, he mea nui kia mōhio ki ēnei tohu.

He pēhea te noa o tēnei āhuatanga?

He tino onge te mate 'Phlegmasia Cerulea Dolens'. Arā, he mea tino onge te kitea. Kotahi, e rua rānei ngā wā ka kite ētahi tākuta i tētahi tūroro pēnei i roto i ā rātou mahi katoa. Nō reira, kāore he tatauranga nui mō tēnei.

He aha ngā tohu o te 'Phlegmasia Cerulea Dolens'?

Ko te tikanga o te ingoa he "pupuhi kikorangi mamae." Koinei te whakaahua o ngā tohu. Rapua tētahi o ēnei i tō waewae, i tō ringa rānei:

• Te rerekētanga o te kiri: Tērā pea ka puta he tae whero, kikorangi-papura. Tērā pea ka horapa tēnei tae ki te waewae katoa.
• Mamae nui: Ehara i te mamae noa iho, engari he mamae nui e uaua ana ki te whakamanawanui.
• Pupuhi: He tino pupuhi, he uaua ki te pā atu.
• Ngā pūkahukahu kiri: I ētahi wā ka puta mai ngā pūkahukahu kī tonu i te wai ("pūkahukahu").
• Te ngenge, te mākūkū rānei: Tērā pea ka rite ki te werohia, ki te mākūkū rānei.

E kīia ana hoki, nā te hanganga o te pūnaha tohanga toto o tō tātou tinana, he nui ake te tūponotanga ka puta tēnei āhuatanga ki te waewae maui .

He aha ngā take o te 'Phlegmasia Cerulea Dolens'?

Ko te tino take o tēnei he toto toto nui (Venous Thromboembolism).I te nuinga o te wā ka puta tēnei hei raruraru o te `DVT` i te waewae. Arā, ka puta he toto totoka i roto i te uaua, ka nui haere, ka ārai i te pūnaha uaua katoa.

Ko wai te mea tino mōrearea mō tēnei?

He rite ngā āhuatanga mōrearea mō te whakawhanake i te 'Phlegmasia Cerulea Dolens' ki ngā āhuatanga mōrearea mō te toto totoka whānui. Ko ēnei:

• Matepukupuku: Koinei te take mōrearea matua, ā, koinei hoki te mea tino kitea.
• Pokanga: I muri i te pokanga nui.
• Whara: He whara kino, inā koa ki ngā waewae.
• Te hapūtanga: I te wā e hapū ana, ā, i muri i te whānautanga.
• Ngā pire ārai whānau ā-waha, te rongoā homoni rānei:
• Mate Puku Mumura (IBD):
• Te Taupū Papatipu Tinana (BMI) neke atu i te 30: Ko te tikanga he momona rawa.
• Ngā mate toto totoka: Tērā pea ka whānau mai ētahi tāngata me te āhua o te totoka ngāwari.
• Te ngoikore o te uaua: Kāore ngā takirere i roto i ngā uaua e mahi tika ana.
• Te mate May-Thurner: Ka pēhia he uaua i te waewae maui e te uaua nui.
• Te ngoikore o te ngākau:
• Te noho roa i te wāhi kotahi/te noho ki te moenga ('Kāore e taea te nekeneke'): Hei tauira, me noho koe ki te moenga mō ētahi rā i muri i tētahi pokanga nui.

E ai ki ngā pūrongo, ko te nuinga o te wā ka pā tēnei āhuatanga ki te hunga i waenga i te 40 me te 50 tau te pakeke .

He aha ngā raruraru pea ka pā mai i te 'Phlegmasia Cerulea Dolens'?

He mate kino tēnei, ā, ka nui pea ngā raruraru.

Tata ki te 50% o te hunga whai `Phlegmasia Cerulea Dolens` ka pāngia e te mate e kiia nei ko te `Gangrene`, arā, te matenga o ngā kiko . Mēnā ka pāngia e te gangrene, ka taea e ia te tapahi i te waewae, i te ringa rānei.

Waihoki, ka pāngia ēnei tāngata e te mate e kiia nei ko te 'Pulmonary Embolism', he toto totoka e rere ana ki ngā pukahukahu . He tino morearea hoki tēnei ki te ora.

Me pēhea te mōhio ki te 'Phlegmasia Cerulea Dolens'?

Mena kei a koe ēnei tohu, ka arotakehia e te tākuta tō hītori hauora, ā, ka whakahaerehia he whakamātautau tinana. Tērā pea ka pātai atu rātou ki a koe i ngā pātai pēnei i:

• "Nōnahea i tīmata ai ēnei tohu?"
• "He aha te mea kāore e taea e koe te mahi nā tēnei mea?"
• "Kua rongoatia koe mō ngā raruraru o ngā uaua toto i mua?"
• "He raruraru tō tetahi o tō whānau ki te toto totoka?"

He aha ngā momo whakamātautau ka mahia?

Hei whakatau tika mēnā kei a koe te 'Phlegmasia Cerulea Dolens', ka whakahaerehia pea e tō tākuta ēnei whakamātautau e whai ake nei:

• Matawai Ultrasound:Tirohia mēnā he toto totoka kei roto i ngā uaua, me te āhua o te rere o te toto.
• Ngā whakamātautau toto: Tirohia mēnā he tohu o te toto totoka, te āhua o te mate, me ētahi atu.
• `Angiogram Tomography Rorohiko (CT Angiogram):` Ka taea e tēnei te tango whakaahua taipitopito o ngā uaua.
• Angiogram Āhua Aukume (MR Angiogram): Ko tētahi atu tikanga tēnei mō te tiki whakaahua o ngā uaua.

Me pēhea te rongoā i te `Phlegmasia Cerulea Dolens`?

He āhuatanga ohorere tēnei, nō reira me tīmata tonu te maimoatanga.

Ka hiki ake tō waewae e te tākuta kia 60 nekehanga ki runga ake i tō ngākau . Mā tēnei ka āwhina i te rere o te toto mai i ngā uaua o tō waewae, ka whakapai ake i te tohanga toto, ka whakaiti i te pupuhi. Tērā pea ka hoatu he wai ki a koe, ka takai i tō waewae katoa ki te takai pēhi, ā, ka tono kia hikoi haere koe.

I ētahi wā , me te rongoā anō hoki, me whai tikanga hauora anō hoki. Mena he pupuhi tō waewae, he tohu rānei nō te gangrene, ko te tikanga kei roto tō waewae i te mōrearea nui. Ka ngana ngā tākuta ki te tango i te toto totoka i te wā tere tonu, ā, ka rongoā i te Phlegmasia Cerulea Dolens i mua i te tīmatanga o te gangrene.

Ko ngā whāinga matua o te maimoatanga ko:

• Te tango i ngā toto totoka.
• Te whakatuwhera i ngā uaua me te whakaora i te rere o te toto.
• Āraia te kino haere o te āhuatanga.

Ngā rongoā me ngā maimoatanga motuhake

Ka taea te whakamahi i ngā maimoatanga e whai ake nei mō te `Phlegmasia Cerulea Dolens`:

• Ngā rongoā ārai toto totoka: Hei tauira, ngā rongoā pēnei i te Heparin. He rongoā ēnei ka werohia ki roto i ngā uaua.
• `Thrombolysis`: I tēnei mahi, ka tukuna he ngongo angiangi e kiia nei ko te `catheter` mā roto i te uaua ki te wāhi o te toto totoka, ā, ka tukuna he rongoā mā roto hei whakarewa i te toto totoka.
• `Thrombectomy`: Ko te tango i te toto totoka mā te tapahi iti, mā te pokanga nui rānei (`tikanga tuwhera`).
• Te angioplasty me/ranei te whakatakotoranga stent: Ka mahia ēnei hei pupuri i te tuwhera o te uaua i roto i te hunga e pāngia ana e te mate May-Thurner.

Ngā raruraru/ngā pānga taha o te maimoatanga

Ka pā mai pea ngā raruraru pēnei i te pokanga nui ('pokanga tuwhera') hei tango i te toto totoka:

• Ka nui ake te tūponotanga o te hanganga anō o te toto totoka.
• Te pakaru o te uaua toto.

He mōrearea te toto i roto i ngā rongoā ārai toto me ngā maimoatanga thrombolysis. Nā te mea ka taea e te thrombolysis te whakararu i te pulmonary embolism, ka tūtohu pea ngā tākuta i ētahi wā he tātari vena cava raro (IVC) hei ārai i tēnei.

Kia pēhea te roa ka pai ake ai taku āhua i muri i te maimoatanga?

Tērā pea ka tīmata ētahi tāngata ki te pai ake i roto i te haora kotahi i muri i te tīmatanga o ngā rongoā ārai toto. Heoi, ko te nuinga o te iwi kāore e pai ake tae noa ki ētahi haora i muri i te tīmatanga o te rongoā. Ki te kore te āhua e pai ake i roto i ngā haora 6-12, ka tūtohu pea te tākuta i tētahi tikanga hei tāpiri atu ki te rongoā.

Mēnā ka pokangahia hei tango i te toto totoka, ka kite pea koe ka tere te ngaro atu o ngā mea pēnei i te pupuhi me te rerekētanga o te tae o te waewae. Tērā pea ka rongo koe i te rerekētanga i muri tonu i te pokanga .

Ka taea te ārai i te `Phlegmasia Cerulea Dolens`?

Āe, ki tētahi taumata ka taea. Ka taea te ārai i tēnei mate mā te aukati i te DVT (te toto toto hohonu) mā te rongoā rānei i te DVT i mua i te whanaketanga hei Phlegmasia Cerulea Dolens.

He aha ngā mea ka taea e au te tumanako mēnā kei a au te 'Phlegmasia Cerulea Dolens'?

Ko te 'Phlegmasia Cerulea Dolens' he mate ka ngaro tō waewae, ka mate rānei. Koia te take ka tere te mahi a ngā tākuta, ka tīmata hoki i te maimoatanga hei ārai i te kino haere o tō mate. Tērā pea ka whakaaro koe kei te tere rātou ki te hoatu rongoā ki a koe, ki te whakarite rānei i a koe mō te pokanga . Ko te take, ko te maimoatanga tere te huarahi pai ki te whiwhi i ngā hua pai rawa atu .

Me noho koe ki te hōhipera mō ētahi rā. Tērā pea ka whai atu koe i ētahi atu matawai (whakamātautau whakaahua) hei tirotiro kua ngaro katoa ngā toto totoka.

Tirohanga mo `Phlegmasia Cerulea Dolens`

Ko te angitu o te maimoatanga thrombolysis he 85% ki te 95%.

Heoi, ki te kore e rongoatia, ka taea e te Phlegmasia Cerulea Dolens te arahi ki te gangrene. Ki te puta te gangrene, ko te mōrearea o te tapahi i te waewae kei waenganui i te 20% me te 50% . Ahakoa te gangrene, ahakoa kāore rānei, ko te mōrearea o tēnei mate he mate kei waenganui i te 20% me te 40%.

Ki te kore e rongoatia tika, ka hoki anō pea te 'Phlegmasia Cerulea Dolens'.

Ahakoa te tere o te maimoatanga, he tokomaha te hunga e pāngia ana e te 'Phlegmasia Cerulea Dolens' ka pāngia pea e ngā raruraru ki ngā takirere i roto i ō rātou uaua, me te āhua e kiia nei ko te 'Post-thrombotic syndrome' ā muri ake nei.

Me pēhea taku tiaki i ahau anō?

I muri i te maimoatanga tuatahi, me haere tonu te tango i ngā rongoā whakaiti toto (anticoagulants) hei ārai i te hokinga mai o te mate. I runga i tō āhua, me tango pea e koe ēnei rongoā mō ētahi marama, neke atu rānei.

Āhea ahau me kite i te tākuta?

Me tirotiro tonu tō tākuta i tō toto kia tika ai te taumata o te toto e totoka ana. Me toro atu hoki koe ki te tākuta i ia wā, i ia wā, kia kite ai mēnā ka puta he raruraru ā muri ake nei.

Āhea ahau me haere ki te Tari Whawhati Tata (ETU) ?

Mena kei a koe ngā tohu o te 'Phlegmasia Cerulea Dolens', mēnā rānei kua pāngia koe e ngā tohu i mua, ā, kei te pāngia anō koe e ēnei tohu ināianei, rapua tonutia he tohutohu hauora . Waihoki, ki te pāngia koe e ngā tohu o tētahi atu toto totoka, ngā tohu rānei o te 'Pulmonary Embolism', me haere tonu koe ki te hōhipera.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ka taea e koe te pātai atu ki tō tākuta i ngā pātai pēnei:

• "Kia pēhea te roa e tangohia ai e au ēnei rongoā ārai toto?"
• " Kia pēhea te auau o taku haerenga mai mō te tirotiro ā-muri?"
• "He aha te take i pā ai taku `DVT`?"

He aha te rerekētanga i waenganui i te 'Phlegmasia Alba Dolens' me te 'Cerulea Dolens'?

He raruraru anō hoki te `Phlegmasia Alba Dolens` i puta mai i te toto totoka. Heoi, kāore e aukati i te rere o te toto ki ō kiko. Ko te tikanga o te kupu `alba` i roto i te ingoa he `mā`. Ko te tikanga ka mā te waewae. Ka puta pea te `Alba Dolens` i mua i te whanaketanga o te `Phlegmasia Cerulea Dolens`.

He mate kino rawa atu te 'Phlegmasia Cerulea Dolens'. Ka pā ki te rere o te toto. Ka motuhia te rere o te toto ki ngā kiko kei reira te toto totoka.

Ko te mea nui rawa atu hei maumahara mā tātou i tēnei pūrākau!

He mea nui te wā mō te `Phlegmasia Cerulea Dolens`. Mēnā kei a koe, kei tētahi rānei o tō whānau ēnei tohu, kaua e mangere ki te rapu awhina hauora tonu. He mea nui te maimoatanga tere hei whakaora i tētahi waewae, me te ora pea.

I ētahi wā, ka pāngia koe e te mataku ina hohoro te whakatau a ngā tākuta, ina tere hoki tā rātou mahi. Engari, e mahi ana rātou i tēnei hei painga mōu. Ki te mea he mea kāore koe e mārama, kaua e wehi ki te pātai. Ko te mōhio te taahiraa pai rawa atu ki te haumaru.

Phlegmasia Cerulea Dolens, DVT, Totoka, Pupuhi Waewae, Ārai Uaua, Gangrene, Pupuhi Pūkahukahu