Kei a koe anō hoki ngā raruraru tonu i ō waewae/ringa i muri i te DVT? Me ako tātou mō (Post-Thrombotic Syndrome)!

Mena kua pāngia koe e te toto totoka i roto i tētahi uaua hohonu i tō waewae, i tō ringa rānei, e mōhiotia ana ko te Deep Vein Thrombosis (DVT) , tera pea he raruraru roa kei a koe. He rite ki tētahi patunga e ora ana, engari ka waiho pea he koha iti, he mamae rānei. I tēnei rā, ka kōrero tātou mō tētahi āhuatanga ka pā kino ki ētahi tāngata mō te wā roa i muri i te DVT. Koinei te mea e kīia ana e ngā tākuta ko te Post-Thrombotic Syndrome , ko te Postphlebitic Syndrome rānei.

He aha te Post-Thrombotic Syndrome? He māmā noa iho...

Whakaarohia kei a koe te mate toto toto hohonu (DVT) i roto i tō waewae, i tō ringa rānei. Ahakoa ka rongoatia pai, i ētahi wā ka pā te toto toto ki te uaua. He rite ki te mea kua mau ki roto i te paipa wai, ā, ki te tangohia e koe, ka pā tonu te kino ki te paipa.

Ka taea e tēnei kino te whakararu i te ngāwari o ngā uaua, ā, kāore e mahi tika ngā takirere e āwhina ana i te rere o te toto. Ka puta te toto ki roto i ngā uaua kua pakaru, kaua ki te hoki ki te ngākau. Ina pēnei te toto, ka piki ake te pēhanga i roto i ngā uaua, ka puta ngā tohu pēnei i te mamae me te pupuhi . Koinei te mea e kiia nei e tātou ko te kohinga tohu (Post-Thrombotic Syndrome). Tērā pea he tino ngawari ngā tohu o ētahi tāngata, engari ko ētahi he tino kino rawa atu, ā, kāore e taea e rātou te mahi i roto i ō rātou oranga o ia rā.

Mena kua pāngia koe e te DVT i roto i ngā tau e rua kua pahure ake nei, ā, kei te pāngia koe e ēnei tohu, me toro atu ki te tākuta tonu. Ka taea e rātou te aromatawai i tō āhua me te tīmata i te maimoatanga tika hei whakaora i a koe.

He pēhea te noa o tēnei āhuatanga?

He mate noa te Post-Thrombotic Syndrome i waenga i te hunga kua pāngia e te DVT. E pāngia ana te 20 me te 50 o ia 100 tāngata i roto i ngā tau e rua o te tātaritanga DVT. Arā, he maha ngā tāngata e pāngia ana.

Mena kei a koe te Post-Thrombotic Syndrome, he tino uaua ki te toto i roto i taua uaua kua pakaru te hoki ki te ngākau. Ko tēnei huihuinga toto te take o ngā momo raruraru katoa.

He aha ngā tohu o tēnei? He aha ō tātou kare ā-roto?

Ko ngā tohumate o te Post-Thrombotic Syndrome (PTS) ka pā ki te waewae, ki te ringa rānei i puta ai te DVT. Tērā pea ka pāngia koe e ēnei āhuatanga:

• Mamae: Mamae te waewae, ina koa ka hikoi, ka tū rānei. I ētahi wā ka kiia tēnei ko te claudication .
• Te mamae, te ngau rānei me te mea kei te hurihia he uaua .
• Te taumaha me te ngenge o ngā ringa/waewae.
• Mākūkū (Pruritus) .
• Te ngenge, te mākūkū, me ngā kare ā-roto rerekē (Paresthesia) .

Tērā pea he ngawari ēnei tohu mō ētahi, engari he kino mō ētahi atu.Ka pā pea ki a koe. Tērā pea ka kitea e koe ka piki ake ēnei tohu ina tū koe, ina hikoi rānei mō te wā roa, ā, ka heke iho ina okioki koe mō tētahi wā. Tērā pea ka piki ake ēnei mamae i te mutunga o te rā. Mō ētahi tāngata, ka mau tonu pea ēnei tohu, ka haere mai, ka haere atu rānei.

He aha ngā tohu o waho o te Post-Thrombotic Syndrome?

Ko ngā tohu he mea ka pā ki a tātou. Ko ngā tohu he mea ka kitea e tātou. Ka tirohia hoki e tō tākuta ēnei tohu.

• Pupuhi (Edema): Te pupuhi o te ringa, o te waewae rānei e pāngia ana.
• Te whero o te kiri , te rerekē rānei o te tae.
• Te mātotoru o te kiri , he rite ki te hiako.
• Te putanga mai o ngā uaua varicose hou.
• Te putanga mai o ngā uaua pungawerewere iti.
• Ki te kino rawa te āhua, ka puta pea ngā patunga kore e ora (ngā mate pukupuku uaua) .

He aha tēnei (Post-Thrombotic Syndrome) ka puta? He aha te take?

Ko te take māmā rawa ko te pakaru o ō uaua nā te Deep Vein Thrombosis (DVT) .

He takirere kotahi te ara o ngā uaua hohonu i roto i ō tātou waewae me ō tātou ringa e tuku ana i te toto kia rere i te taha kotahi anake. Pērā i te tatau, ka taea anake te whakatuwhera i te taha kotahi. Ka āwhina ēnei takirere i te rere o te toto ki te ngākau. Heoi, ina puta he toto totoka i roto i te uaua, ka taea e te toto totoka te kino i aua takirere. Kātahi ka kore e mahi tika ngā takirere.

Nā reira, ka tino pōturi te rere o te toto. Engari i te rere pai ki te ngākau, ka pupū te toto i roto i ngā uaua. Ka piki ake te pēhanga i roto i ngā pakitara o te uaua, ka puta ngā tohu i whakahuatia i mua ake nei.

Ko wai te mea tino mōrearea ki tēnei mate?

Ka taea e te tangata kua pāngia e te DVT te whakawhanake i te Post-Thrombotic Syndrome. Heoi, he nui ake te mōrearea mēnā kua pāngia koe e te DVT anō , inā koa i te ringa, i te waewae rānei. Arā, mēnā he maha ngā toto toto kua totohu i te wāhi kotahi.

Waihoki, ka nui ake tō mōrearea mēnā kua pāngia koe e tētahi o ngā tohu e whai ake nei o te toto totoka i mua:

• Me i horapa ki tētahi wāhanga nui o te uaua.
• He nui ake te mōrearea o te toto totoka i te huha o runga, i te hope rānei (e kiia nei ko te proximal DVT ) i te toto totoka i te kuao kau (e kiia nei ko te distal DVT ). He nui rawa te mōrearea mēnā ka puta te toto totoka i roto i te uaua iliac , i te uaua femoral noa rānei.
• Mena he toto totoka kei roto i tētahi uaua nui kei tō tinana o runga, kei tō pakihiwi, kei tō uma rānei o runga (e kiia ana tēnei ko te thrombosis o te uaua axillo-subclavian) .
• Mena he toto totoka (toto totoka toenga) kāore i memeha katoa ahakoa i muri i te maimoatanga.

Hei tāpiritanga, he maha atu anō ngā āhuatanga mōrearea:

• Mena kei a koe tētahi mate o mua pērā i te ngoikore o ngā uaua mau tonu (CVI) .
• NāuMena he nui ake tō taupū papatipu tinana (BMI) i te 30 (ko te tikanga he momona rawa koe).

Me pēhea te tautuhi a ngā tākuta i te mate Post-Thrombotic Syndrome?

Ka tātaritatia tēnei mate e ngā tākuta mā te whakamātautau tinana . I roto i tēnei whakamātautau, ka:

• Pātai atu mō tō hītori hauora (pēnei i te āhua o tō pānga ki te DVT i mua, me ngā maimoatanga kua riro i a koe).
• Ka pātai atu rātou mō ō tohumate me tōna pānga ki tō oranga o ia rā.
• Ka tirotirohia ō waewae me ō ringa mō ngā tohu o te Post-Thrombotic Syndrome (pēnei i te pupuhi me ngā huringa kiri).

I runga i ēnei mōhiohio, ka whakatauhia e te tākuta mēnā kei a koe te Post-Thrombotic Syndrome, ā, mēnā kei roto, he aha te kaha o tōna mate.

He aha te tauine Villalta?

Tērā pea kua rongo koe i tō tākuta e kōrero ana mō te 'tauine Villalta' . He huarahi paerewa tēnei e whakamahia ana e ngā tākuta hei tātaritanga i tēnei mate me te aromatawai i tōna kaha. He rite ki tētahi rārangi arowhai me te kaute. Kei roto ko te 5 ngā tohu me te 6 ngā tohu. Ka hoatu e te tākuta he kaute mō ia tohu me te tohu:

• 0 ngā tohu: Kāore i te tīariari.
• Kaute 1: He iti noa te kitea.
• Kaute 2: He āhua kitea.
• Kaute 3: Tino kino.

Kātahi ka tāpirihia e te tākuta ēnei kaute katoa. Mena he iti iho i te 4 te kaute katoa, kāore koe i te mate Post-Thrombotic Syndrome. Mena he 5, neke atu rānei ō tohu, kei a koe te mate.

Ka whakarōpūhia anō te āhua nei hei ngawari, hei taurite, hei kino rānei i runga i ēnei kaute:

• Kaute 5 ki te 9: Āhua ngawari.
• Ngā kaute 10 ki te 14: Āhua taurite.
• Mena he mate pukupuku, he 15, neke atu rānei te kaute: he tino kino te āhua.

Mā tō tākuta ēnei hua e whakamārama ki a koe, me te kī atu hoki ki a koe tōna tikanga.

He whakamātautau motuhake hei tautuhi i tēnei mate?

Kāore he whakamātautau tātaritanga motuhake hei tautuhi i te Post-Thrombotic Syndrome. Heoi, i ētahi wā, ka tono pea ngā tākuta i tētahi 'Duplex ultrasound' hei tirotiro i te rere o te toto i roto i ngā uaua.

He aha ngā maimoatanga mō te Post-Thrombotic Syndrome?

Ko te tikanga, ko te rongoā he rongoā pēhi, he whakarerekētanga momo noho, me te whakakori tinana . Tērā pea ka hiahia ētahi tāngata ki te pokanga, ki te rongoā rānei mō ngā mate pukupuku uaua. Ka whakaritea e ngā tākuta te rongoā kia rite ki ngā hiahia o ia tangata. Ko te whāinga matua o te rongoā he whakaiti i ō tohu me te whakapai ake i te kounga o tō oranga.

Te rongoā pēhanga

Tērā pea ka tohua e tō tākuta he tōkena pēhi motuhake māu.Tērā pea ka taea te kī he mau ēnei. Koinei te tikanga tino whakamahia mō te rongoā pēhi. Me mau tonu ēnei tōkena (he maha ngā wā i ia rā). Ka pēhia e ēnei tōkena ngā uaua o tō kuao kau, ā, ka pai ake te rere o te toto i roto i ngā uaua. Ahakoa ka piri pea ina mau, kaua e mamae.

He rerekē ngā momo tōkena e whakarato ana i ngā taumata pēhanga rerekē. Mā tō tākuta e tohu te momo tōkena tika mōu.

Tērā pea ka roa te wā e taunga ai koe ki te mau i ēnei (tōkena pēhi). He mea nui kia kōrero koe ki tō tākuta mō ō rātou āhua, me te mea ka taea e koe te mau tika. Tērā pea ka whakarerekētia e tō tākuta te taumata o te pēhi i runga i tō āhua me te nui o te whakamarie e tukuna ana e ngā tōkena mō ō tohumate.

Ko ētahi atu maimoatanga mō te thrush ko:

• He taputapu āwhina whakahoki-uaua: Hei tauira , ko te Venowave® . He taputapu rite ki te papu tēnei ka mau ki tō kaki hei āwhina i te rere o te toto. Ka taea e koe te mau i te kāinga, i a koe rānei e haereere ana.
• Pūrere pēhanga hau ā-wā (IPC): He pūeru hau tēnei e mau ana ki te waewae i te hōhipera.

Ngā huringa āhua noho

Mā te whakarerekē i ngā momo āhua noho ka āwhina nui ki te whakaiti i ō tohumate. Tērā pea ka tūtohu tō tākuta i ētahi mea pēnei i:

• Kia mau ō waewae ki runga ake i te taumata o tō ngākau , ahakoa e noho ana koe, e takoto ana rānei.
• Kia mau tonu te taumaha tinana hauora .
• Whakamahia ngā hinu whakamākū hei ārai i te maroke, te ngatata rānei o te kiri.

Whakakorikori tinana

Ka āwhina te whakakori tinana ki te whakapai ake i te rere o te toto me te whakaiti i ngā tohu. Hei tauira, mēnā kua pāngia ō waewae e te Post-Thrombotic Syndrome, ka tūtohu pea tō tākuta i ngā whakakori tinana hei whakapakari i ngā uaua o ō waewae.

Nā te mea he kaha te pupuhi o ngā uaua o tō kuao kau, ā, he rite ki te "ngākau tuarua". Ina hikoi koe, ka āwhina te whakahekenga o ngā uaua o tō kuao kau ki te pupuhi i te toto mai i ō waewae me ō waewae ki tō ngākau. Nō reira, ina whakapakari koe i aua uaua, ka whiwhi ō uaua i te āwhina e hiahiatia ana hei kawe tika i te toto.

Ka whakapai ake te whakakori tinana i tō ngāwari me tō manawanui o te ngākau. Kōrero tonu ki tō tākuta i mua i te tīmatanga o tētahi kaupapa whakakori tinana hou. Māna koe e kī atu ko ēhea ngā whakakori tinana e haumaru ana, e tika ana hoki mō ō hiahia.

Pokanga

I ētahi wā motuhake, ka tūtohu pea ngā tākuta kia pokanga, kia rongoā rānei ki te endovenous (hei tauira, te stenting) hei whakapai ake i te rere o te toto i roto i ngā uaua. Mā tō tākuta koe e kī atu mēnā he pai taua rongoā māu.

Te maimoatanga mō ngā mate pukupuku uaua

Ki te kino rawa te āhua , ka puta pea ngā mate pukupuku uaua . He mea nui kia tika te rongoā me te āta tiaki i ēnei mate pukupuku. Ki te kore, ka puta pea ngā raruraru nui, pērā i te tapahi i te waewae. Tērā pea ka tūtohu tō tākuta i tētahi, i ētahi rānei o ēnei e whai ake nei:

• Ngā rongoā paturopi.
• Ngā takai, ngā takai rānei hei taupoki i te patunga.
• Ngā takai pēhanga, ngā tōkena rānei.
• Te horoi i te patunga i ia rā.
• Ngā hinu kakara.
• Ngā rongoā whakamamae mamae.
• Ko te tango i ngā kiko mate te tikanga o te debridement.
• Te tuku ki ngā tohunga hei āwhina i te whakahaere i ngā mate pūmau pēnei i te mate huka.

Kia pēhea te roa o te mate Post-Thrombotic Syndrome?

He mate mau tonu te mate muri-thrombotic. Ko te tikanga ka taea e tō tākuta te āwhina i a koe ki te whakahaere i tēnei mate, engari kāore e taea te whakaora . Ka taea e te maimoatanga te whakaiti i ō tohu me te whakapai ake i tō kaha ki te mahi, ki te whakahoahoa, me te ngahau e ai ki tāu e hiahia ana.

Ka taea te ārai i te mate pukupuku muri-thrombotic?

Kāore e taea te ārai i ngā wā katoa te mate Post-Thrombotic Syndrome. Nā te mea kāore e taea te ārai i ngā wā katoa te mate Deep Vein Thrombosis (DVT). Heoi, ka taea e kōrua ko tō tākuta te mahi tahi ki te whakaiti i tō mōrearea:

• Tāutuhia, ā, whakaitihia ngā āhuatanga mōrearea mō te DVT: Ko te huarahi pai ki te ārai i te DVT (Post-Thrombotic Syndrome) ko te ārai i tōna whanaketanga i te tuatahi. Ngāna ki te whakaiti i ngā āhuatanga mōrearea ka taea e koe te whakarerekē. Hei tauira, ka taea e koe te whakaiti i tō mōrearea mā te karo i ngā hua tupeka, te noho kaha, me te pupuri i te taumaha hauora. Ma tō tākuta koe e kī ko ēhea ngā āhuatanga mōrearea me aro atu koe, me pēhea hoki te whakawhanake i tētahi mahere mō rātou.
• Te tautuhi wawe me te maimoatanga tika o te DVT: Mena he DVT tōu, ka taea e te tautuhi wawe me te maimoatanga te āwhina i te whakaiti i te kino o ō uaua. Ka taea hoki e ia te āwhina ki te aukati i ngā DVT a meake nei. Nā te mea mena he DVT anō tōu, ka nui ake tō tūponotanga ki te whakawhanake i te mate muri-thrombotic. Ma tō tākuta e whakatau te mahere maimoatanga pai rawa atu māu. Ko te tikanga ko te tango i te rongoā anticoagulant mō ētahi marama, neke atu rānei.

Me pēhea taku tiaki i ahau anō?

Mā tō tākuta koe e tohutohu mō te tiaki i a koe anō i a koe e noho ana i te kāinga. Me āta whai i aua tohutohu, ā, me pātai atu mēnā he mea kāore i te mārama. Ko te tikanga, ka taea e koe te mahi i ēnei mea:

• Tangohia tō rongoā kia rite ki te mea i whakaritea .
• I a koe e noho ana, e takoto ana rāneiKia tū ake ō waewae.
• Kaua e noho roa . Me whai wā poto hei hikoi me te totoro i tō tinana.
• Whakamahia he hinu whakamakuku hei pupuri i te hauora o tō kiri .

He mea nui anō hoki kia tiakina tō hauora hinengaro . Ka taea e te noho me te Post-Thrombotic Syndrome te whakararuraru i te hinengaro me te hinengaro. Ka taea e te hunga whai mate pēnei te pāngia e te pouri, te manukanuka, me te iti o te whakaaro ki a rātou anō. Tērā pea ka āwangawanga rātou kei pāngia anō rātou e te toto totoka. Tērā pea ka pouri hoki rātou nā te mea kāore e taea e rātou te mahi i ngā mea i mahia e rātou i mua nā ō rātou tohu.

Mena kei te pāngia koe e ēnei kare ā-roto, he tino āwhina te kōrero ki tētahi kaiwhakatakoto whakaaro, ki tētahi kaiwhakaora hinengaro rānei. Ka taea e rātou te āwhina i a koe ki te whakatau i ēnei kare ā-roto, me te kimi i ngā otinga hei whakapai ake i tō wairua.

Āhea ahau me toro atu ki taku tākuta?

Ka tukuna atu e tō tākuta he tirotiro tirotiro hei aroturuki i tō āhua. He mea nui kia tae atu koe ki ēnei wā katoa kia taea ai e tō tākuta te whakarerekē i tō mahere maimoatanga ina hiahiatia.

Ki te puta he tohu hou , ki te rerekē rānei ō tohu , waea atu ki tō tākuta tonu.

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

Mā ēnei pātai koe e āwhina ki te ako atu mō tō mate:

• He pono kei a au te Post-Thrombotic Syndrome? Mena koinā, he aha te kino o tēnei?
• He aha ngā maimoatanga e taunaki ana koe māku?
• He aha ngā huringa me mahi e au i roto i tōku āhua noho?
• He aha ngā mahi whakakori tinana e tika ana mōku?
• He aha rā taku tirohanga?

Ina whiwhi koe i te tātaritanga mō te Post-Thrombotic Syndrome, tera pea he maha āu pātai me āu mataku. Kaua e manukanuka, kei reira tō tākuta hei whakautu i ō pātai me te ārahi i a koe i roto i te maimoatanga. Ahakoa he mea noa tēnei mate, he ahurei ō hiahia me ō āwangawanga. Mahi tahi me tō tākuta ki te kimi rauemi hei tautoko i tō hauora tinana me tō hauora hinengaro.

Karere Tangohia ki te Kāinga

Ko te Post-Thrombotic Syndrome (PTS) he āhuatanga ka puta i muri i te DVT, ā, he tino mamae. Engari ka taea te whakahaere .

Ko te mea nui ko te rapu wawe i te maimoatanga tika mēnā ka pāngia koe e te DVT, kia mōhio ki ngā tohu e whai ake nei, ā, me rapu tohutohu hauora mēnā e tika ana.

Mā te whai i ngā tohutohu a tō tākuta, te huri i ngā momo noho e tika ana, me te whakamahi tika i ngā tōkena pēhi ka āwhina i a koe kia nui te whakamarie. Kia maumahara, ehara i te mea ko koe anake, ā, kei reira ngā tākuta hei āwhina i a koe ki te whakatau i tēnei mate.

` Te Mate Pukupuku i Muri i te Thrombotic, DVT, Ngā Totoka Toto, Te Mate Uaua, Te Mamae o te Waewae, Te Pupuhi o te Waewae, Ngā Whara o te Uaua