Te toto totoka i roto i te uaua ate (Portal Vein Thrombosis): Me kōrero tātou mō tēnei!

Tērā ētahi mate ka puta puku mai i roto i te tinana, kāore he tohu e kitea ana. Ko tētahi o aua mate ko te toto totoka i roto i te uaua tomokanga o te ate, arā, i roto i te kupu hauora, he mate e kiia nei ko te "Portal Vein Thrombosis" . Tērā pea he āhua kino rawa atu tēnei, nō reira me kōrero taipitopito atu tātou mō tēnei mea, me pēhea?

He aha tēnei mea e kiia nei ko te portal vein thrombosis ((Portal Vein Thrombosis))?

I roto i ngā kupu māmā, he uaua toto matua tō te ate e kawe ana i te toto ki tō ate mai i ētahi atu okana i roto i tō puku (pērā i tō puku me ō whekau). Ka kiia tēnei ko te uaua portal . Ina puta he toto toto (thrombus) i roto i te uaua portal, i roto i ngā manga e peka atu ana ki te ate, i roto rānei i tētahi o ngā uaua kē atu e tuku toto ana ki reira (pērā i te uaua mesenteric superior me te uaua splenic), ka whaiti, ka ārai katoa rānei i te uaua, ka kiia ko te portal vein thrombosis, ko te PVT rānei.

He mate kino tēnei. Engari he maha ngā wā kāore e whakaatu i ngā tohu i te tīmatanga. Nō reira, kāore pea koe e mōhio kei a koe tēnei momo toto totoka. Tērā pea ka kitea noa i te wā e whakamātautauhia ana mō tētahi atu mea, kāore rānei i te kitea i muri i tētahi raruraru pērā i te toto toto tiketike (te pikinga o te pēhanga i roto i ngā uaua o te ate). Ka taea e ēnei raruraru te whakararu i te ora mēnā kāore e rongoatia tika. Ina koa mēnā kei a koe ngā tohu pērā i te ruaki toto, te toto rānei i roto i tō tūtae, he kino rawa tēnei, ā, me rapu tonu koe i te tohutohu hauora.

Ko te hunga e pāngia ana e te fibrosis ate, inā koa ko te cirrhosis, he nui ake te mōrearea ki te whakawhanake i te thrombosis vein portal. Ko te hunga e pāngia ana e ētahi atu mate hauora, pērā i ngā mate toto totoka, he nui ake hoki te mōrearea. Nō reira, ki te mea kei a koe tētahi o ēnei āhuatanga mōrearea, he mea nui kia kōrero koe ki te tākuta, kia whakamātauria, kia tātaritanga me te rongoā i te wā e taea ai.

He momo thrombosis uaua portal (PVT) anō kei reira?

Ae, ka wehea e ngā tākuta tēnei "Portal Vein Thrombosis" kia rua ngā momo matua, i runga i te tangata e pāngia ana e ia:

• Ko te Thrombosis o ngā uaua poutū o te ate (PVT) te momo thrombosis tino noa e pā ana ki te ate . He āhuatanga tēnei e puta ai ngā toto totoka i roto i te uaua poutū i roto i te hunga whai ate.
• Te Thrombosis Utauta Pouaka Kore-Ati (PVT): He toto toto tēnei ka puta i roto i te tangata kāore he atiorati.

He mea nui te mārama ki tēnei whakarōpūtanga mō te whakamahere maimoatanga. Hei tauira, ka whakatauhia e ngā tākuta ngā whakatau maimoatanga i runga i te mea he cirrhosis tōu. Mā te cirrhosis ka nui ake te tūponotanga o ngā raruraru, ka pā pea ki tō matapae. Heoi, kei te ako tonu ngā tākuta mō ngā momo thrombosis uaua portal e rua me te whakaiti i ngā raruraru. Nō reira, he mea nui kia kōrero ki tō tākuta mō ō whiringa maimoatanga me ngā mea ka taea e koe te tumanako.

He pēhea te noa o tēnei āhuatanga?

Kāore e kitea te Portal Vein Thrombosis i roto i te hunga kāore he mate ate. Heoi, ko ētahi rōpū, inā koa ko te hunga he cirrhosis, he nui ake te mōrearea. Tata ki te kotahi i roto i te whā o te hunga he cirrhosis ka pāngia e te PVT. Nā te mea ka whakaroa te rere o te toto i roto i te kiko whara i roto i te ate. Ina puhoi te rere o te toto, ka nui ake te tūponotanga ka puta he toto totoka.

He aha ngā raruraru ka pā mai i te portal vein thrombosis (PVT)?

Ka rerekē pea ēnei raruraru i runga i ngā mea pēnei i te wāhi kei reira te toto totoka me ētahi atu mate hauora kei a koe. Ko ētahi o ngā raruraru ka puta ko:

• Ngā varices esophageal (te pupuhi o ngā uaua i roto i te esophagus)
• Te toto o te puku (GI)
• Te kino ki ngā whekau nā te iti o te rere o te toto ((Mesenteric Ischemia))
• Te pikinga o te pēhanga i roto i ngā uaua o te ate ((Portal Hypertension))
• Te whēkau nui (te whēkau nui)

He aha ngā tohu o te mate toto toto o te uaua portal (PVT)?

He tokomaha te hunga kāore he tohu. He maha ngā wā ka tātarihia te mate e ngā tākuta mā roto i ngā whakamātautau whakaahua mō tētahi atu take.

Heoi, ki te puta he raruraru, ka puta pea ngā tohu. Ko ēnei tohu ko:

• Te ruaki toto.
• He toto kei roto i te tūtae (pango, whero rānei).
• Pupuhi te puku, te hauhautanga.
• Te pupuhi o ngā waewae me ngā pona waewae ((Edema)).
• Mamae puku, toitoi.

He aha ngā take e pupū ai te toto i roto i tēnei uaua tomokanga?

E kiia ana tēnei e ngā tākuta he mate 'maha-ira' . Ko te tikanga, e rua, neke atu rānei ngā āhuatanga e puta ai.

E toru ngā āhuatanga matua e whai wāhi ana ki te hanganga o te toto totoka i roto i tō "uaua Portal":

• He āhua totoka rawa tō toto ((Hypercoagulable State)). Ko te tikanga he tere ake te totoka o tō toto i tō te tangata noa.
• Te puhoi o te rere o te toto i roto i te ate.
• Te pakaru o te pakitara o roto (endothelium) o te uaua tomokanga.

He aha ngā āhuatanga mōrearea mō tēnei mate?

Ka taea e ngā āhuatanga hauora maha te whakanui ake i tō tupono ki te toto totoka me te whakaroa i te rere o te toto i roto i te ate. Ko ētahi o ēnei āhuatanga mōrearea ko:

• Ngā Pūngāwerewere Puku.
• Te mate ārai-phospholipid ((Te Mate Ārai-phospholipid)).
• Te korenga o te ārai-thrombin ((Te korenga o te ārai-thrombin)).
• Te mate pukupuku o te ate ((Cirrhosis)).
• Tauwehe V Leiden ((Tauwehe V Leiden)) - He āhuatanga ira tēnei e pā ana ki te toto totoka.
• Ngā mate pukupuku (hei tauira, te pancreatitis).
• Ngā mate pukupuku myeloproliferative ((Ngā Mate Pukupuku Myeloproliferative)) - He mate ēnei e pā ana ki te hinu wheua.
• Te mate nui o te toto toto tiketike.
• Te haputanga.
• Te Kore o te Pūmua C ((Te Kore o te Pūmua C)).
• Te korenga o te pūmua S ((Te korenga o te pūmua S)).
• Te whakarerekētanga ira prothrombin ((Te whakarerekētanga ira prothrombin)).

Hei tāpiritanga, ka taea e ētahi pokanga puku (hei tauira, te tango i te uaua o te puku) te kino i te pakitara o roto o te oko toto, ka piki ake ai tēnei mōrearea.

Me pēhea te tātaritanga o te toto toto o te uaua tomokanga (PVT)?

Ka tātaritatia tēnei mate e ngā tākuta mā te whakamātautau tinana katoa me ngā whakamātautau maha. Ka pātai atu hoki rātou mō tō hītori hauora kia kitea ai mēnā he take mōrearea kei a koe mō te whakawhanake i te "Portal Vein Thrombosis".

He aha ngā whakamātautau e mahia ana hei tautuhi i tēnei?

Tērā pea ka tonoa e tō tākuta ngā whakamātautau pēnei hei tātaritanga i te "Portal Vein Thrombosis" me te rapu i ngā raruraru:

• Matawai CT ((Matawai Tomography Rorohiko (CT)).
• Whakamātautau orooro Doppler ((Doppler Ultrasound)). Ka taea te whakamahi i tēnei hei tirotiro i te rere o te toto i roto i ngā uaua toto, me te kite mēnā he toto kua pupū.
• Ngā whakamātautau mahi ate ((Ngā Whakamātautau Mahi Ate)).
• Matawai MRI ("(Whakaahua Āhua Aukume (MRI).)

Ka whakatauhia tō mahere maimoatanga i runga i ngā hua o ēnei whakamātautau.

Me pēhea te rongoā a ngā tākuta i te trombosis o te uaua portal (PVT)?

Mā ngā tākuta e whakatau takitahi te maimoatanga mō ia tūroro. Arā, ka whakaritea e rātou te maimoatanga kia rite ki ō hiahia. He maha ngā āhuatanga e pā ana ki tēnei:

• Kei hea te toto totoka.
• Te take o te hanganga toto totoka.
• Ētahi atu mate hauora kei a koe (hei tauira, te cirrhosis).
• Mehemea he raruraru kei reira.
• Tō hītori hauora katoa.

Ko ngā kōwhiringa maimoatanga pea ko:

• Ngā rongoā ārai toto: Ka āwhina ēnei rongoā ki te aukati i te nui haere o ngā toto totoka me te ārai i te hanganga o ngā toto totoka hou. Heoi, nā te mea he nui ake te mōrearea o te hunga whai mate ate toto ki te toto o roto, ka tino tupato te whakamahi a ngā tākuta i ēnei rongoā.
• Te Whakaora Thrombolytic:Mena kāore e ranea ngā rongoā ārai toto anake, ka taea te hoatu i tēnei maimoatanga hei wai e ringihia ana ki roto i te uaua (IV) mā roto rānei i tētahi ngongo iti (catheter) hei whakarewa i te toto totoka. Tērā pea ka whakamahia anō hoki e ngā tākuta tēnei tikanga mena kāore ō whekau e whiwhi toto nui ana.
• Te Huringa Portosystemic Intrahepatic Transjugular (TIPS): He tikanga anō hoki tēnei e whakamahi ana i tētahi catheter iti. Ka whakamahia hei whakahaere i ngā raruraru o te thrombosis o te uaua portal, inā koa te toto GI. Kei roto i tēnei ko te hanga i tētahi kauhanga mā roto i tō ate me te hono i tō uaua portal ki tētahi uaua nui i roto i tō ate. Mā tēnei ara hou ka taea e te toto mai i ō whekau te karo i te ate. Ka whakaitihia te pēhanga i roto i ngā uaua i roto i tō ate, ka whakaitihia te mōrearea o te toto. Heoi, nā te mea ko te tikanga o te ate ko te tātari i ngā paitini mai i ō toto, kei te rere haere te toto kāore i tātarihia i roto i tō tinana. Nō reira, ko tētahi mōrearea o tēnei maimoatanga ko te haere o ngā paitini ki te roro, ā, ka pā ki te mahi a te roro ((Hepatic Encephalopathy)).

He mea tino nui kia kōrerohia e tō tākuta ngā painga me ngā huakore o ēnei maimoatanga kia mārama ai koe ki ngā painga me ngā huakore pea o ēnei maimoatanga i runga i tō āhua.

He aha te matapae mō tēnei āhuatanga?

Ko tō tākuta te tangata pai rawa atu hei pātai atu mō te matapae o tō āhua. Māna koe e kī atu ki ngā mea hei tumanako atu māu i runga i tō āhua. Ka rerekē pea te tūponotanga o te ora me te roanga o te oranga mai i te totohu o te uaua portal i runga i:

• Te take o te hanganga toto totoka.
• Ahakoa kei a koe te (Cirrhosis), kāore rānei.
• Ētahi atu mate hauora kei a koe.
• Ngā raruraru e puta ake ana.
• Te āhua o tō ate.

I te nuinga o te wā, mā te tautuhi me te maimoatanga wawe ka nui ake te tūponotanga o te ora.

Ka taea te ārai i te mate toto toto o te uaua tomokanga (PVT)?

Kāore e taea te ārai i ngā toto totoka, tae atu ki ngā mea kei roto i te uaua portal. Heoi, kei reira ētahi mea ka taea e koe te mahi hei whakaiti i tō mōrearea:

• Me haere ki ngā tirotiro hauora ā-tau, me te haere ki ngā whakamātautau whai muri katoa e whakahaua ana e tō tākuta. Hei tauira, ki te mea kei te pāngia koe e te cirrhosis i ngā wāhanga tōmua, ka taea e te kitenga wawe te āwhina ki te ārai i te PVT.
• Mahi tahi me tō tākuta ki te whakahaere i ngā mate hauora kei a koe. Hei tauira, ki te mea he mate pēnei i te mate huka ((Diabetes Mellitus)) tōu, kia pai te whakahaere.
• Tangohia ō rongoā katoa kia rite ki te whakahaunga, i ngā wā tika.
• Ki te puta he tohu hou ki a koe, ki te rerekē rānei ō tohu, me kōrero tonu atu ki tō tākuta.

Āhea ahau me toro atu ki te tākuta?

Kia mahara ki te haere ki ō tirotiro hauora ā-tau. Mēnā ka puta he tohu hou kāore i te mārama, me toro atu ki tō tākuta i te tuatahi.

Mena kei a koe tētahi, neke atu rānei ngā āhuatanga mōrearea mō te whakawhanake i te (Portal Vein Thrombosis), he mea pai kia kōrero koe ki tō tākuta mō tēnei mea. Ka pātai atu ia ki a koe mō tō taumata mōrearea whaiaro me ngā mea ka taea e koe te mahi hei whakaiti i tēnei.

Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Ko tētahi raruraru o te toto toto o te uaua portal ko te toto toto nui o te puku (GI). He maha ngā wā ka puta ohorere mai ngā tohu, ā, ka kaha rawa atu. Mena kei a koe tētahi o ēnei tohu, haere ki te hōhipera, waea atu rānei ki te 911 tonu:

• Ki te pōuri koe, ki te ngoikore rānei (syncope).
• Mena he pango, he whero rānei ō tūtae, he ruaki toto rānei.
• Mena he tere te pao o te ngakau.

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

Anei ētahi pātai hei āwhina i a koe ki te ako atu mō tō āhuatanga:

• He aha i pā mai ai tēnei toto totoka ki ahau?
• He aha te mahere maimoatanga pai rawa atu mōku?
• Me tango rongoā ahau? Mena koinā, kia pēhea te roa?
• He aha ngā painga me ngā ngoikoretanga o ngā maimoatanga?
• He aha taku e tumanako ai i a au e ora ake ana?
• He aha taku matapae mō te wā roa ((Matapae))?

He mea whakamataku te kitenga he toto totoka tōu. I roto i tētahi āhuatanga pēnei i te "Portal Vein Thrombosis", tera pea koe e whakaaro he aha ngā raruraru ka puta, me te nui o aua raruraru. Tuhia ō pātai ka whakapuaki atu ki tō tākuta. Akohia ngā mea katoa e hiahia ana koe ki te mōhio mō tō āhua me ngā kōwhiringa maimoatanga. Mā te taha o tō tākuta, ka kitea e koe he ara ki te ora.

Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)

Āe, hei whakarāpopototanga i tā tātou i kōrero ai, ko te Portal Vein Thrombosis he toto totoka e aukati ana i te uaua matua e kawe ana i te toto ki te ate.

Ahakoa kāore e kitea ngā tohu i te tīmatanga, he mate kino tēnei, inā koa mō te hunga e pāngia ana e te cirrhosis.

Ki te ruaki toto, ki te toto rānei i roto i tō tūtae, rapua tonutia he tohutohu hauora.

Mena he āhuatanga mōrearea kei a koe, he mea nui kia kōrero koe ki tō tākuta mō ēnei āhuatanga, kia whiwhi hoki i ngā whakamātautau e tika ana. Ko te kitenga wawe me te maimoatanga te mea pai rawa atu. Kia ata whai i ngā tohutohu a tō tākuta, kaua hoki e wehi ki te pātai mēnā he āhuatanga tōu. Kia ora tonu!

Te toto toto i roto i te ate, te mate ate, te mate ate, te aukati i ngā oko toto, te PVT