Kua rongo kē koe mō tētahi tangata e pupuhi ana i te waewae, ā, ka kitea e te tākuta he "toto toto"? He tangata taitamariki pea, he āhua hauora, e haria teretia ana ki te hōhipera me te mamae ohorere o te uma me te uaua ki te manawa? Ina rongo tātou i ēnei kōrero, ka pōhēhē pea te mārama he aha i puta ai. He maha ngā wā, ka whakapae tātou i ēnei take nā te koroheketanga, te momona rānei. Heoi, i ētahi wā he ahurei te take pērā i te tae o ō kanohi, i te āhua o ō makawe rānei—he āhuatanga ira i tukuna iho mai i ō mātua. I tēnei rā, kei te kōrero tātou mō tētahi āhuatanga tuku iho e whakanui ake ana i te mōrearea o te toto toto: Te Hurihanga Ira Prothrombin , i konei i Nirogi Lanka.
He aha te whakarerekētanga o te ira prothrombin i roto i ngā kupu māmā noa iho?
Ahakoa te ahua hangarau o te ingoa, he māmā noa iho te ariā. Me titiro tātou ki te āhua o te whakahaere a tō tinana i te toto totoka. Ina whiwhi koe i tētahi motu iti, ka mutu te toto i muri i ētahi meneti, tika? Ka puta tēnei nā te mea ka whakahohehia te pūnaha toto totoka matatini o tō tinana. Ka whakawhirinaki tēnei tukanga ki ngā pūmua maha e mōhiotia ana ko ngā Tauwehe Totoka.
Ko te prothrombin tētahi o aua pūmua, e mōhiotia ana ko te Factor II . I te nuinga o te wā, ka whakaputahia e tō tinana te nui tika o taua mea.
Heoi, ki te mea kei a koe te Prothrombin Gene Mutation, he nui ake te nui o tēnei pūmua e whakaputaina ana e tō tinana i tō mea e hiahiatia ana. Whakaarohia he rite ki tētahi tunu kai: ki te hiahiatia he tīpune huka e rua i roto i tētahi kapu tī, ā, ka tāpirihia e tētahi e rima, e ono rānei, ka tino reka rawa. Waihoki, mā te nui o te Prothrombin ka "piripiri" ō toto, ka nui ake te āhua o te hanga totoka.
Nā tēnei, ka nui ake te tūponotanga o te whakawhanake i ngā toto totoka (thrombosis) i roto i ō uaua, engari kāore he whara. Ko te nuinga o te wā ka puta ēnei totoka i roto i ngā uaua hohonu o ō waewae—he āhuatanga e kiia nei ko te Deep Vein Thrombosis (DVT) . I ētahi wā, ka pakaru tetahi wahi o taua totoka ka haere ki ngā pukahukahu, ka aukati i te oko toto. He āhuatanga hauora morearea tēnei e mōhiotia ana ko te Pulmonary Embolism (PE) .
Me pēhea te tuku iho i tēnei ira? Te mārama ki te ira homozygous me te ira heterozygous
He māmā noa iho te mārama: ka whiwhi koe i tētahi kape o ia ira mai i tō whaea, me tētahi mai i tō pāpā.
1. He ira rerekē: I riro mai i a koe te ira hapa i tō whaea, i tō pāpā rānei , engari kāore i a rāua tokorua. I puta mai i tō matua kē tētahi ira hauora, noa iho. Koinei te āhua tino kitea. I tēnei wā, he paku teitei ake te mōrearea o te whakawhanake i te toto totoka i tērā o te tangata noa. Tata ki te rua, te toru rānei i roto i te 1,000 tāngata whai i tēnei āhua ka pāngia pea e te toto totoka.
2. Homozygous: He tino onge tēnei. I tēnei horopaki, i whiwhi koe i te ira hapa mai i ngā mātua e rua . Nā te mea e rua āu tārua o te whakarerekētanga ira, he maha ngā wā ka nui ake tō tuponotanga ki te whakawhanake i te toto totoka i tērā o te hunga he heterozygous.
Ka Tukuna atu e Au Tēnei ki Aku Tamariki?
He maha ngā mātua e āwangawanga ana mō tēnei.
- Mena he Homozygous koe (e rua ngā tārua o te whakarerekētanga ira kei a koe), ka tukuna atu e koe kia kotahi te tārua ira hapa ki ō tamariki katoa .
- Mena he Heterozygous koe (he tārua hapa tōu), e 50% te tūponotanga ka riro i tētahi o āu tamariki taua ira. He rite tonu ki te whiu moni.
He aha ngā tohu o tēnei āhuatanga?
Anei te wāhanga tino nui: Kāore te whakarerekētanga ira prothrombin e puta ai he tohu.Ahakoa kei a koe tēnei ira, tera pea ka tino noa koe. He tokomaha te hunga kāore e mōhio kei a rātou tēnei ira, ā, e ora pai ana ō rātou oranga katoa, kāore he toto totoka e puta.
Ka puta noa te raruraru mēnā ka puta he toto totoka i te ira. Mēnā koinei te āhua, ka kite koe i ngā tohu e pā ana ki te toto totoka tonu.
| Te Wāhi o te Toto | Ngā Tohu Tūpono |
|---|---|
| Te Thrombosis Utauta Hōhonu (DVT) i te waewae, i te ringa rānei |
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| Te Pukupuku Pūkahukahu (PE) i roto i ngā pūkahukahu |
|
He mea nui: He mate ohorere hauora te toto totoka i roto i ngā pukahukahu ( Pulmonary Embolism ). Mena ka pāngia koe e ēnei tohu, rapua tonutia te awhina ohorere, waea atu rānei ki te 911/ratonga ohorere.
He aha atu anō ngā āhuatanga hei whakanui ake i te mōrearea o te toto totoka?
Āe, tino tika. E ai ki tā mātou i kōrero ai, ehara i te mea ka tino pāngia koe e tēnei ira. Heoi, ki te mea kei reira ētahi atu āhuatanga mōrearea, ka nui ake tō mōrearea. Whakaarohia he tāpiri penehīni ki te ahi.
- Te Momi hikareti: Ka kino te momi hikareti i ō uaua toto , ā, ka nui ake te tūponotanga o te toto totoka .
- Te Pokanga: He maha ngā wā e hiahiatia ana he okiokinga roa i runga i te moenga mō ngā pokanga nui, ka whakaroa i te rere o te toto , ā, ka arahi pea tēnei ki te hanganga toto totoka.
- Momonatanga ( Momonatanga ): Ka nui ake te pēhanga o ō uaua i te taumaha nui, ka piki ake te mōrearea whānui.
- Te Hapūtanga: I te wā e hapū ana, ka piki ake te mōrearea o te toto totoka nā ngā huringa homoni me te pēhanga o te pēpi e tipu ana ki ō uaua.
- Ngā Pire Whakawhanau, te Whakaora Homoni rānei: Kei roto i ētahi ārai hapūtanga me ngā rongoā homoni te estrogen, ka nui ake ai tō mōrearea.
- Te koroheketanga: I a koe e pakeke haere ana, ka piki ake te mōrearea ā-tūturu o te hanganga toto totoka.
- Te kore e nekeneke mō te wā roa:
- Te okiokinga roa mō te moenga hōhipera.
- Te aukati i te nekehanga nā te mea i tāpirihia he maka i muri i te whati o te wheua.
- Te haere tawhiti i runga i ngā waka rererangi, pahi, motuka rānei, e maha ngā hāora te roa.
Me pēhea te tautuhi i tēnei mate?
Kāore e taea e ngā whakamātautau toto paerewa (pēnei i te Tatau Toto Katoa) te kite i tēnei. Me whai whakamātautau ira motuhake mā te whakamahi i tētahi tauira toto hei tautuhi i te mate.
Heoi, kāore ngā tākuta e taunaki ana i tēnei whakamātautau mō te katoa. I te nuinga o te wā ka whakapae te tākuta, ā, ka whakahau i tēnei whakamātautau mēnā:
- Neke atu i te kotahi ō toto toto kua pāngia e te toto totoka i mua.
- Ka puta he toto totoka i a koe e tamariki ana, ā, kāore he raruraru hauora e kitea ana.
- He hītori tō te whānau tata (matua, tuākana, teina rānei) mō ngā mate toto totoka.
Me pēhea te rongoā?
He mea nui kia wehewehea ngā mea e rua:
1. Te rongoā i te mate ira: I tēnei wā, kāore he huarahi hauora hei whakarerekē i ō ira . Mena kei a koe te Mutunga Ira Prothrombin, he wāhanga tēnei o tō hanganga ira mō te wā katoa.
2. Te rongoā i ngā toto totoka: Heoi, ka taea e tātou te whakahaere i te mōrearea o te hanganga toto totoka me te rongoā i ngā toto totoka e puta mai ana.
Mena ka pāngia koe e te DVT, e te PE rānei, tera pea ka tīmata tō tākuta i te maimoatanga me ngā rongoā whakaiti toto e kiia nei ko ngā Anticoagulants . I roto i ngā āhuatanga ohorere, ka tukuna pea ngā rongoā Thrombolytic mā te werohanga hei whakarewa i te toto totoka. I roto i ngā take onge, ka whakamahia pea he catheter, he tikanga pokanga rānei hei tango i te toto totoka.
Ka rerekē te roa o te maimoatanga mō ia tangata. Ko ētahi e toru marama noa iho te roa o te rongoā e hiahiatia ana, ko ētahi e hiahia ana ki ngā rongoā whakaheke toto mō te wā katoa, i runga i te aromatawai a tō tākuta i tō āhua mōrearea.
He aha te pānga o tēnei ki te haputanga?
He āwangawanga noa tēnei, he mea nui hoki mō te tini o ngā wāhine.
- Mena kei a koe te whakarerekētanga ira Prothrombin , ā, he hītori toto totoka tōu , ka tūtohu pea tō tākuta kia werohia he iti te horopeta o te whakaheke toto (pēnei i te Heparin) i ia rā puta noa i tō hapūtanga me ētahi wiki i muri i te whānautanga. He haumaru ēnei werohanga mō tō pēpi.
- Heoi, ki te mea kei a koe tēnei ira engari kāore anō kia puta he toto totoka , kāore e hiahiatia he maimoatanga hauora i te wā e hapu ana.
Me whakatau tēnei e tō kaiwhakarato hauora i ia take, i ia take. Mena kei te whakamahere koe kia hapu, kei te hapu rānei, he mea nui kia whakamōhio atu koe ki tō Tākuta Whānau me ētahi atu kaiwhakarato hauora mō tō āhua ira.
Āhea koe me toro atu ki te tākuta?
He mea nui te tautuhi wawe i ngā tohu hei ārai i ngā raruraru nui.
| Ngā Tohu hei Mataara | Mahi e hiahiatia ana |
|---|---|
| Ngā tohu o te DVT: Mamae, pupuhi, whero, mahana rānei i te ringa, i te waewae rānei. | Whakapā atu ki tō tākuta matua tonu atu, toro atu rānei ki te tari urupare tata. |
| Ngā tohu PE: Mamae o te uma, poto te manawa, te tere o te ngakau rānei. | Kaua e whakaroa. Rapua he awhina hauora ohorere tonu. He āhuatanga ohorere tēnei e morearea ai te ora. |
| Mena kei te tango koe i ngā rongoā whakaiti toto (Anticoagulants) i tēnei wā. | Kia tino piri ki ngā whakamātautau toto me ngā wā tirotiro i whakaritea e tō tākuta. |
Hei whakamutunga, kaua e mataku mēnā ka kitea e koe kei a koe te whakarerekētanga ira Prothrombin. Kia maumahara, ko te nuinga o te hunga whai ira pēnei he ora hauora, he oranga kī tonu. Ko ngā mahi nui ko te noho mōhio, te karo i ngā āhuatanga mōrearea (pēnei i te momi hikareti me te momona), te pupuri i te oranga hauora, me te rapu tohutohu hauora tonu mēnā ka puta he tohu.
Karere Tangohia ki te Kāinga
- He mate ira tuku iho te whakarerekētanga ira prothrombin; ehara i te mea nāu.
- Ahakoa kei a koe tēnei ira, ehara i te mea ka tino pāngia koe e te toto totoka; he maha ngā tāngata kāore he raruraru e pāngia ana e te mate.
- Kāore tēnei ira e puta ai ngā tohu. Ka puta noa ngā tohu mēnā ka puta he toto totoka (DVT, PE rānei).
- Kia tūpato ki ngā tohu pēnei i te pupuhi/mamae o te waewae (DVT) te mamae/pōrearea ohorere rānei o te uma (PE).
- Ko te Pulmonary Embolism (PE) he āhuatanga ohorere hauora e hiahia ana kia tere te maimoatanga.
- Mā te whakamutu i te momi hikareti, te whakahaere i tō taumaha, me te noho kaha ka tino whakaiti i te mōrearea o te toto totoka.
- Me whakamōhio atu ki ō tākuta mō tō āhua ira i mua i tētahi pokanga, i te wā e hapu ana, i ngā wā rānei e kōrero ana ki a koe i ia wā.
- Ko te pupuri i te kōrero tata ki tō tākuta me te whai i ā rātou tohutohu te huarahi pai rawa atu hei tiaki i tō hauora.
Te Huringa Ira Prothrombin, te whakarerekētanga o te Tauwehe II, ngā mate toto totoka, te Thrombosis Utauta Hōhonu (DVT), te Pulmonary Embolism (PE), ngā āhuatanga ira, ngā rongoā whakaiti toto, me ngā rongoā ārai toto. I Nirogi Lanka, kei konei mātou hei āwhina i a koe ki te mārama ki ēnei āhuatanga uaua. Mena ka pāngia koe e ngā tohu o te toto totoka, rapua tonutia te awhina hauora i tō tari ohorere tata atu, waea atu rānei ki te 911.
