Kua whakaarohia e koe te hiranga o te toto totoka i roto i ō tātou tinana? Nā tēnei tukanga ka mutu te toto ina he whara iti. Engari, me pēhea mēnā ka totoka te toto i roto i te tinana, kāore he take? He mea morearea pea tēnā. I tēnei rā ka kōrero tātou mō tēnei āhuatanga. Ko te ngoikore o te Pūmua S, ko te `(Te ngoikore o te Pūmua S)` rānei.
He aha te korenga o te Pūmua S?
Whakaarohia te tukanga toto totoka i roto i tō tātou tinana he rite ki te pirihimana waka e whakahaere ana i te waka e raru ana. Me whai tangata hei whakahaere i ngā mea katoa. Waihoki, ko tētahi o ngā pūmua tino nui e whakahaere ana i te toto totoka i roto i tō tātou tinana ko te Pūmua S.
Nā, ko te korenga o te Pūmua S he iti iho i te mea e kiia nei ko te "pirihimana" te Pūmua S rānei i roto i tō tātou tinana i tā tātou e hiahia ana. Ka ahatia rā? Nā te mea kāore he tangata hei whakahaere i te tukanga toto totoka, ka nui rawa te mahi, ā, ka tīmata te hanga toto totoka me te kore e hiahiatia.
Ko ngā toto toto e puta mai ana i tēnei ara ka puta pinepine i roto i ngā uaua hohonu o ngā waewae. Ka kiia tēnei he thrombosis uaua hohonu (DVT) . I ētahi wā ka pakaru atu tēnei toto toto i reira ka haere tahi me te toto ki ngā pukahukahu ka piri. He āhuatanga tino morearea tēnei. Ka kiia tēnei he embolism pūkahukahu (PE) . I ētahi wā, ka puta hoki ēnei toto toto i roto i ngā uaua o te roro, o te puku rānei.
Engari kotahi te mea nui me maumahara koe ki konei. Arā, ehara i te mea ko te hunga katoa e pāngia ana e tēnei ngoikoretanga o te Pūmua S ka pāngia e te toto totoka. Ko te nuinga o te tangata ka ora noa, kāore he raruraru.
He pēhea te noa o tēnei mate? Ā, āhea te wā e tino mōrearea ai?
He āhua onge te korenga o te Pūmua S. I te nuinga o te wā, he tuku iho, arā, he ira. Engari ka taea hoki e ētahi āhuatanga o waho te take.
Mena kei a koe tēnei mate, tera pea ētahi āhuatanga ka nui ake te mōrearea o te toto totoka. Me titiro tātou ki aua āhuatanga.
| Te whai wāhitanga ki te whakanui ake i te mōrearea | He whakamārama māmā |
|---|---|
| Te haputanga | I te wā e hapu ana, ka piki ake te āhua o te toto ki te totoka nā ngā huringa homoni o te tinana me ngā huringa o te tohanga toto. |
| Te koroheketanga | Ka piki ake te mōrearea i te kaumātuatanga i te mea ka heke te mahi a te tinana, ka puta mai hoki ētahi atu mate hauora. |
| Ētahi rongoā | Mā te tango i ngā pire ārai whānau, i ētahi atu rongoā homoni rānei, ka nui ake te mōrearea. |
| Kei te pokangahia | I muri i te pokanga nui, tera pea ka takoto noa koe ki te moenga mō tētahi wā, ka whakararu pea tēnei i te rere o te toto, ka puta ai hoki he toto totoka. |
| Whara | I muri i tētahi aituā nui, ka piki ake pea te hiahia o te tinana ki te totoka hei tauhohenga. |
| Te noho i te tūranga kotahi mō te wā roa | Hei tauira, mā ngā āhuatanga pēnei i te rere roa, te mate rānei e takoto ana i runga i te moenga ka whakaiti i te rere o te toto ki ngā waewae, ā, ka puta te DVT. |
He aha ngā tohu o tēnei mate?
I te nuinga o te wā, kāore he tohu o te tangata he ngoikore te Pūmua S tae noa ki te hanganga o te toto totoka. Mēnā ka hangaia he toto totoka, ka rerekē ngā tohu i runga i te wāhi e hangaia ai.
- Mena ka puta he toto totoka (DVT) i roto i tō waewae:
- Te pupuhi o te waewae kotahi, inā koa te rohe o te uma.
- Te mamae, te pakari rānei o te waewae.
- Te whero, te māhana rānei o te kiri o te waewae.
- Mena ka puta he toto totoka (PE) i roto i ō pukahukahu (he āhuatanga ohorere tēnei):
- Te uaua ohorere ki te manawa.
- Te mamae o te uma, ina koa i te wā e manawa hōhonu ana.
- Te tere o te manawa me te piki haere o te tere o te ngakau, kāore he take.
- Pōuriuri, ngaro rānei te māramatanga.
- Te rerenga toto o te hūpē.
- I te wā e hapu ana: Tērā pea ka puta he materoto, he raruraru rānei.
- Mō ngā tamariki nohinohi (i ngā wā tino kino): Tērā pea ka puta ngā āhuatanga rite ki te whiu.
He aha i puta ai tēnei ngoikoretanga o te Pūmua S?
E rua ngā take matua mō tēnei. Ko tētahi he taonga tuku iho (inherited) ko tētahi he taonga whiwhi (acquired) .
1. Ngā take tuku iho
Koinei te mea tino noa. Ko te whakaputanga o te Pūmua S i roto i tō tātou tinana e whakahaerehia ana e te ira e kiia nei ko te PROS1 . Mena he whakarerekētanga, he whakarerekētanga rānei kei roto i tēnei ira, ka ngoikore te whakaputanga o te Pūmua S.
- Ki te riro mai i a koe tēnei ira kua whakarerekētia i te kotahi o ngā mātua , ka pāngia koe e te ngoikore ngawari o te Pūmua S.
- Ki te riro mai i a koe tēnei ira i ngā mātua e rua , ka tino kino te āhua o te ngoikore. He tino onge tēnei.
2. Ngā take o waho
Ka taea hoki e ētahi āhuatanga hauora te whakaiti i te taumata o te Pūmua S i roto i te tinana. He mea noa ake tēnei i te tuku iho.
| Ngā take o waho pea |
|---|
| Mate ate |
| Te mate tākihi me te mate nephrotic |
| Te rongoā matū mō te mate pukupuku |
| Ētahi mate urutā |
| Te korenga o te huaora K |
| Te whakamahinga o te pire hapūtanga me te pire ārai whānau |
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Tērā pea ka whakapae tō tākuta i tēnei, inā koa i roto i ēnei āhuatanga:
- Mena he hītori tō tētahi o tō whānau mō te toto totoka pinepine (Venous Thromboembolism).
- Mena he maha tonu ngā totoka kua puta .
- Mena kua pāngia koe e te toto totoka i mua i te 50 tau te pakeke, ā, kāore anō kia kitea he take motuhake .
- Mena kua puta he toto totoka ki ngā wāhi rerekē kāore e puta he toto totoka i te nuinga o te wā (pērā i te roro, ngā whekau, te ate) .
Mena ka ara ake tēnei momo whakapae, ka mahi te tākuta i ngā mahi e whai ake nei hei whakaū i te mate:
1. Ngā whakamātautau toto: Ka whakamātauria tō toto mō ngā taumata o te Pūmua S me ētahi atu āhuatanga e pā ana ki te toto totoka.
2. Whakamātautau tinana: Ka whakahaerehia he whakamātautau tinana katoa hei tirotiro mō ētahi atu raruraru.
3. Tō hītori hauora: Ka pātai atu mātou ki a koe mō ō āhuatanga hauora me ērā o tō whānau.
Me pēhea te rongoā?
Ko te tikanga maimoatanga e whakawhirinaki ana ki te mea he toto totoka tōu.
Ko te mea nui, ahakoa ka whakaūtia e te whakamātautau toto kei a koe te ngoikore o te Pūmua S, ki te mea kāore anō kia pāngia koe e te toto totoka, kāore pea koe e hiahia ki te haere tonu ki te tango rongoā.
Heoi, ki te mea kua pāngia koe e te toto totoka (DVT, PE rānei), ka tīmata tō tākuta ki te hoatu i ngā rongoā ārai toto . Ka mahi ēnei mā te aukati i te hanganga o ngā toto totoka hou, me te ārai hoki i te nui haere o ngā toto totoka o mua. Ko ngā momo rongoā e whakamahia whānuitia ana ko:
- Heparin
- Warfarin
- Rivaroxaban
- Apixaban
- Dabigatran
Anei tētahi mea me mōhio koe: Ki te whakatau tō tākuta ki te hoatu i tētahi rongoā ko "Warfarin" te ingoa, me hoatu e ia he rongoā ko "Heparin" te ingoa (he maha ngā wā hei werohanga) i ētahi rā i mua. Ki te kore koe e pena, ka pā mai pea he raruraru e kiia nei ko ngā toto totoka i roto i te kiri me ngā kiko ngohengohe. Engari kāore tēnei raruraru e puta me ētahi atu rongoā hou.
Ka roa pea tō maimoatanga mai i ētahi marama ki te roanga o tō oranga, i runga i te wā i hangaia ai tō toto totoka me ētahi atu āhuatanga mōrearea.
He aha tāu e mahi ai mā te hunga kāore he toto totoka, engari he ngoikore?
Ko te whāinga a te tākuta mō te hunga pēnei he āwhina i te ārai i te hanganga o ngā toto totoka.
- Tērā pea ka tohutohuhia koe kia kaua e tango i ngā rongoā e whakanui ana i te toto totoka, pērā i ngā pire ārai whānau.
- Mena kei te pokanga koe, kei te hapu koe, kei te takoto rānei koe ki te moenga mō tētahi wā nā tētahi aituā , ka tūtohutia pea kia whakamahia e koe ngā rongoā whakaheke toto mō tētahi wā poto anake mō taua wā.
Me pēhea taku tiaki i ahau anō?
- Mena kei te tango koe i te Warfarin: Me tirotiro tō INR i ngā wā katoa.Me whakamātau toto koe. Mā tēnei ka tirohia mēnā he tika te horopeta o te `(Warfarin)` e hoatu ana ki a koe. Nā te mea me whakarerekē pea te horopeta o tēnei rongoā i ia wā, i ia wā.
- Mena kei te tango koe i ngā rongoā whakangawari toto: Kia tūpato ki te toto. Kia tūpato i te whakamahi i ngā mea koi pēnei i te maripi. He pai ake te whakamahi i te paraihe niho ngohengohe me te heu hiko.
- Kia tūpato ki ngā tohu o te DVT me te PE: Me taea e koe te kite i ngā tohu pēnei i te pupuhi o te waewae, te mamae o te uma, me te poto o te manawa mēnā ka puta.
Āhea ahau me kite i te tākuta, me te haere ki te ETU?
### Waea atu ki tō tākuta tonu i ēnei wā:
- Ki te hinga koe, ki te pāngia rānei koe e tētahi atu aituā i a koe e tango ana i ngā rongoā whakaheke toto.
- Mena he toto rerekē kei roto (hei tauira, he toto i roto i te ihu, he toto i roto i te mimi, i te paru rānei).
- Ki te whakapae koe he DVT tōu (he toto totoka kei te waewae) .
### Mena kei a koe ēnei tohu, haere tonu ki te Tari Whawhati Tata (ETU):
- Mena kei te tango koe i ngā rongoā whakangawari toto, ā, kei te ruaki toto koe, kei te maremare toto rānei .
- Ki te pā tōu mahunga, ki te pā whakarere rānei he ānini nui .
- Mena he toto kei roto, kāore e taea te aukati .
- Ki te whakaaro koe kei a koe ngā tohu o te PE (he toto totoka i roto i te pukahukahu) (te poto ohorere o te manawa, te mamae o te uma, te tere o te ngakau, te whanoke).
Karere Tangohia ki te Kāinga
- Ko te korenga o te Pūmua S he āhuatanga e whakanui ake ai i te auau o te toto ki te totoka. He maha ngā wā ka tukuna iho tēnei.
- Ehara i te mea ka pāngia te katoa e tēnei ngoikoretanga e te toto totoka. Ko te nuinga o te tangata kāore he raruraru.
- Kia tūpato tonu ki ngā tohu pēnei i te pupuhi o te waewae, te mamae (DVT) me te poto ohorere o te manawa me te mamae o te uma (PE).
- Mena kua tohua he rongoā whakaiti toto ki a koe, me tango kia rite ki tā te tākuta i tohutohu ai, i te horopeta tika, i te wā tika. Kaua e mutu te tango i te rongoā.
- Ki te puta mai he tohu ohorere, mōrearea hoki, kaua e wehi ki te rapu tohutohu hauora tonu atu, ki te haere rānei ki te Wāhanga Maimoatanga Ohotata (ETU).
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