He toto totoka kei roto i ngā pukahukahu? Me ako tātou mō te Pulmonary Embolism (PE)!

Kua kitea kētia e koe he uaua ki te manawa, ā, ka mataku koe i te mamae o tō uma? I whakaaro pea koe he mate manawa. Engari i mōhio koe he take nui ake pea mō ēnei tohu? Ko te toto totoka i roto i te oko toto e anga atu ana ki ngā pukahukahu, he mate e kiia nei ko te Pulmonary Embolism (PE) . Ehara tēnei i te mea onge pērā i tō whakaaro. Nō reira, i tēnei rā, me kōrero tātou mō tēnei mea me te taipitopito, me te tino māmā.

He aha te Pulmonary Embolism (PE)?

He kupu ngāwari noa iho, ko te pulmonary embolism he toto totoka e puta mai ana i roto i te uaua toto i roto i ōu pukahukahu. E mōhio ana koe me pēhea tēnei? Ko te totoka e puta mai ana i tētahi atu wāhi o tō tinana, i roto i te uaua i tō waewae, i tō ringa rānei , ka pakaru mai, ka haere mā roto i ō toto, ā, ka mutu ka mau ki roto i ō pukahukahu. Whakaarohia he aukati i roto i te ara wai.

Ka aha mēnā ka mau te toto totoka ki roto i ngā pukahukahu pēnei?

• Kua whakawhāitihia te rere o te toto ki ngā pukahukahu.
• Ka heke te nui o te hāora i roto i ngā pukahukahu.
• Ka piki ake te toto toto i roto i ngā uaua pūkahukahu.

He āhuatanga ohorere hauora tēnei. Ki te kore e rongoatia wawetia, ka pā kino pea te ngākau, te pūkahukahu rānei i te pulmonary embolism, ā, i ētahi wā ka mate. Inaa, e kīia ana tata ki te 33% o te hunga e pāngia ana e te pulmonary embolism ka mate i mua i te tautuhi me te rongoā. Nō reira, ka kite koe i te kino o tēnei, tika?

Heoi, ki te tika te tautuhi me te rongoā i te mate, ā, ki te tere tonu te rongoā, he onge te mate o tēnei mate.

He pēhea te noa o tēnei āhuatanga?

Tērā pea kei te whakaaro koe ki te whānui o tēnei (Pulmonary Embolism). Inaa, koinei tētahi o ngā mate tino noa o te ngākau me ngā oko toto e kitea ana puta noa i te ao. Inaa, koinei te tuatoru o ngā mate tino noa i muri i te mate ngākau me te whiu. Whakaarohia, i roto i tētahi whenua pēnei i a Amerika anake, tata ki te 900,000 tāngata e pāngia ana e tēnei mate (PE) i ia tau. Nō reira, ehara tēnei i te mea e tika ana kia warewarehia e tātou, tika?

He aha ngā tohu o tēnei?

Ko ngā tohu tuatahi o te pulmonary embolism ko te poto o te manawa me te mamae o te uma . Ka kino ake pea tēnei mamae ina whakakorikori tinana koe, ina manawa hōhonu rānei.

Mena kei a koe ēnei tohu, me rapu tohutohu hauora tonu koe. He mate kino te pulmonary embolism, engari ka taea te rongoā pai. Mā te rongoā wawe ka tino whakaiti i te tūponotanga o te mate.

Ka rerekē ngā tohu o te pulmonary embolism i runga i te kaha o te toto totoka. He maha ngā tāngata e pāngia ana e ngā tohu, engari ko ētahi kāore pea he tohu.

Ko ngā tohu matua ka kitea ko:

• Te poto o te manawa ohorere - Ka pā tēnei ahakoa kei te mahi koe, kei te okioki rānei.
• Te manawa tere.
• He tangi whiowhio te wheezing i te wā e manawa ana.
• He mamae koi, kāore i te mārama te take, i te uma, i te ringa, i te tuara, i te pakihiwi, i te kaki, i te kauae rānei . Ka rite pea tēnei mamae ki ngā tohu o te mate manawa, ā, ka kino pea ina manawa koe.
• Maremare - tera pea ka puta mai he huware toto.
• He kiri mā, he werawera, he kiri kikorangi.
• Te tere o te manawa (Pulse).
• Te werawera nui.
• I ētahi wā, ka pāngia pea koe e te manukanuka, te whanoke, te ngoikore, te ngaro rānei o te māramatanga.

Kia pēhea te roa ka pāngia ai te tangata e tēnei āhuatanga, kāore he tohu?

He tino ngawari ngā tohu o ētahi tāngata i te tīmatanga. Tērā pea ka puta mārire ēnei tohu i roto i ngā rā, i ngā wiki rānei. I roto i te wā, ka piki haere ngā tohu, ā, ka kitea e koe. Heoi, mō ētahi atu, ka puta pea ngā tohu i roto i ngā meneti, i ngā hēkona rānei, o te mate pūkahukahu. Nō reira, me tino tupato koe ki tēnei.

He aha ngā take mō tēnei?

Āe, me titiro tātou me pēhea te puta o tēnei (Pulmonary Embolism), arā, he aha ngā take o tēnei. Ko te take matua he toto totoka e puta ana i roto i tētahi uaua i tētahi atu wāhi o te tinana, inā koa i ngā waewae, i ngā ringa rānei, ka whati mai i reira, ka haere mā roto i te toto, ka mau ki roto i ngā pukahukahu. Ina puta he totoka i ngā wāhi pēnei i ngā waewae, ka kiia e tātou ko (Deep Vein Thrombosis) ko (DVT rānei) .

He maha ngā take matua e puta ai ngā toto totoka:

• He kohinga, he "pūmautanga" rānei o te toto ki tētahi wāhi o te tinana (he maha ngā wā he ringa, he waewae rānei). Ka puta tēnei i muri i te pokanga, i muri i te noho roa i runga i te moenga, i muri rānei i te haerenga roa (mā runga motuka, tereina, rererangi). Whakaarohia, ina noho koe i te tūranga kotahi mō ngā hāora, ka paku āraia te rere o te toto i roto i ō waewae, tika? Koinei te wā ka piki ake te mōrearea o te toto totoka.
• Te pakaru o te uaua toto, hei tauira, nā te whati, te pokanga rānei (ina koa ko te hope, te turi, te waewae rānei).
• Ētahi atu āhuatanga hauora. Hei tauira, ngā mate pūnaha toto – ngā āhuatanga pēnei i te (Congestive heart failure), te (Atrial fibrillation), te whakaeke ngakau, te whiu rānei.
• Ngā panonitanga o ō āhuatanga toto totoka. Ka piki ake pea ēnei āhuatanga totoka i roto i ētahi momo mate pukupuku, i roto rānei i te hunga e tango ana i te rongoā whakakapinga homoni, i roto rānei i te hunga e tango ana i ngā pire ārai whānau. Waihoki, kei te mōrearea te hunga he mate totoka tō rātou.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei?

Nā, kia kite tātou ko wai ka nui ake te tūponotanga ki te pāngia e tēnei (Pulmonary Embolism), arā, ko wai kei te mōrearea. Tērā ētahi whanonga, ētahi mate, ētahi āhuatanga rānei ka whakanui ake i tēnei mōrearea.

• Mō te hunga he toto totoka kei te waewae, arā, ko te Deep Vein Thrombosis (DVT).
• Mō te hunga e noho pūmau ana mō te wā roa, pērā i te haere mā runga motuka, tereina, rererangi rānei (hei tauira, he haerenga roa mā runga motuka whakawhiti whenua).
• Te hunga kua whara, kua pakaru rānei te uaua toto nā te pokanga, te whati rānei o te uaua, te mate rānei pērā i te uaua varicose.
• Ko te hunga e whakamahi ana i ngā tikanga ārai whānau e hangai ana ki ngā homoni (pēnei i ngā pire ārai whānau, ngā pāti, ngā mowhiti) me te rongoā whakakapinga homoni rānei.
• Mō te hunga e pāngia ana e te mate toto totoka.
• Mō te hunga he hītori whānau tō te toto totoka.
• Mō te hunga e momi hikareti ana i tēnei wā.
• Mō te hunga e pāngia ana e te mate huka mellitus.
• Mō te hunga e pāngia ana e te mate pukupuku.
• Mō te hunga neke atu i te 60 tau te pakeke.
• Mō te hunga kua pāngia e te ngoikore o te ngākau, te whakaeke ngākau, te whiu rānei.
• Mō te hunga he nui ake i te 25 te Taupū Papatipu Tinana (BMI), arā, he taumaha rawa, mō te hunga he nui ake i te 30 te BMI, arā, he momona.
• Mō ngā wāhine hapu, mō te hunga rānei i roto i ngā wiki e ono i muri i te whānautanga.
• Mō te hunga kua whakauruhia he catheter uaua pokapū mā roto i te uaua i te ringa, i te waewae rānei.

Mena kei a koe tētahi, neke atu rānei o ēnei āhuatanga mōrearea, ā, kua pāngia koe e te toto totoka i mua, he mea tino nui kia kōrero koe ki tō tākuta me te mahi i ngā mahi hei whakaiti i tō mōrearea ki te PE.

He aha ngā raruraru ka pā mai i tēnei?

Ka taea e te Pulmonary Embolism te whakararuraru i ngā raruraru pēnei i:

• Cyanosis - he kikorangi te tae o te kiri, e hua mai ana i te kore o te hāora.
• Te whakaekenga o te ngākau.
• Te whiu.
• Te toto toto tiketike o te pūkahukahu - Ko te tikanga tēnei he pikinga o te pēhanga i roto i ngā oko toto o ngā pūkahukahu.
• Te ohorere.
• Te mate pūkahukahu - Koinei te matenga o te kiko o te pūkahukahu.

He āhuatanga kino ēnei e hiahia ana kia tere te rongoā mō te PE.

Me pēhea te tautuhi i tēnei?

Āe, ki te pā mai ēnei tohu ki a koe, me pēhea te tātaritanga a te tākuta, a te nēhi rānei i te mate pūkahukahu? Ka tirohia e rātou ō tohu, ō āhuatanga mōrearea, kātahi ka mahia ētahi whakamātautau.

• Ngā whakamātautau toto - I roto i ēnei , he mea nui te whakamātautau D-dimer .
• Angiogram tomography rorohiko (CT) - He matawai CT motuhake tēnei e rapu ana i ngā totoka i roto i ngā oko toto o ngā pukahukahu.
• Te tirotiro i ngā waewae mā te whakamahi i te ultrasound. - Ka mahia tēnei hei tirotiro mō te Deep Vein Thrombosis (DVT) i roto i ngā waewae. Koinei te wāhi ka taea e te toto totoka te haere ki ngā pukahukahu.
• Matawai VQ - Ki te kore e taea e koe te tiki i te rauemi whakahāngai e hiahiatia ana mō te matawai CT, ka taea e tēnei matawai te kite i ngā totoka i roto i ngā pukahukahu.
• Pūorooro pātere (pūorooro pātere)- He taputapu e piri ana ki tō matihao hei ine i ngā taumata hāora.
• Echocardiogram - he whakamātautau ultrasound o te ngākau.

Hei tāpiritanga ki tēnei, ka taea te whakahaere i ētahi atu whakamātautau:

• Angiogram pūkahukahu.
• X-ray o te uma.

Me pēhea te rongoā? (Te rongoā)

He āhuatanga ohorere hauora tēnei (Pūkahu Embolism). I te nuinga o te wā ka rongoatia i roto i te hōhipera. Kātahi ka taea te aro turuki i tō āhua. Ko te roa o te wā e noho ana koe i te hōhipera ka whakawhirinaki ki te kaha o te toto totoka. He wā anō kāore pea ētahi tāngata e hiahia ki te noho ki te hōhipera.

Ko te maimoatanga matua mō te embolism pūkahukahu ko ngā rongoā whakangawari toto e kiia nei ko ngā anticoagulants .

I runga i te kaha o te toto totoka me tōna pānga ki ētahi atu okana, pēnei i tō ngākau, ka taea te rongoā i a koe mā te rongoā thrombolytic (maimoatanga whakarewa totoka), te pokanga, ētahi atu tikanga wawao rānei hei whakapai ake i te rere o te toto i roto i ngā uaua toto o ngā pukahukahu.

Ngā rongoā ārai totoka

I te nuinga o te wā, ka tukuna te maimoatanga hei rongoā ārai toto, arā, he rongoā whakaiti toto . Ka mahi ēnei rongoā mā te whakaiti i te kaha o tō toto ki te totoka. Ka ārai tēnei i te hanganga o ngā totoka hou, ā, ka aukati hoki i te nui haere o ngā totoka o mua.

Pērā i ngā rongoā katoa, he mea tino nui kia mōhio koe ki te āhua me te wā e tangohia ai tēnei rongoā (anticoagulant), me te whai i ngā tohutohu a tō tākuta. Ko te momo rongoā e hoatu ana ki a koe, te roa o te wā e hiahiatia ana kia tangohia, me ngā whakamātautau whai muri me whai koe, ka whakawhirinaki ki tō mate. Nō reira, he mea nui kia haere koe ki tō tākuta me tō taiwhanga i ia rā. Pērā ai, ka taea e rātou te kite i tō urupare ki te rongoā. I a koe e tango ana (anticoagulant), me whai whakamātautau toto auau koe (pērā i te whakamātautau wā prothrombin ) kia kite ai i te tere o te totoka o tō toto.

Tōkena kōpeketanga

He momo tōkena motuhake ēnei. Ka whakapai ake ēnei tōkena i te rere o te toto i roto i ngā waewae. Tērā pea kua kite koe i ngā tāngata whai mate pūkahukahu uaua hōhonu (DVT) e whakamahi ana i ēnei. Me whakamahi e koe ēnei kia rite ki te whakahau a tō tākuta. Ko te nuinga o ēnei he tōkena tae noa ki te turi. Ka āwhina ēnei ki te pupuri i ō waewae kia piri, kia ārai hoki i te toto kei pupū. Pātai atu ki tō tākuta mō te whakamahinga o ēnei tōkena, te roa o te mau, me te horoi me te pupuri kia ma.

Ētahi atu maimoatanga (Ngā Tukanga)

Mena he mate mōrearea te pulmonary embolism, kāore rānei i angitu ētahi atu maimoatanga, ka tūtohu pea tō tākuta i te pokanga, i te catheter rānei hei tango i te toto totoka mai i te uaua pulmonary. Ko te rongoā thrombolytic tētahi atu kōwhiringa. Kei roto i tēnei ko te hoatu i ngā "clot busters" (ngā rongoā hei whakarewa i ngā toto totoka) . Hei tauira,He rongoā e kiia nei ko te Tissue Plasminogen Activator (TPA). Ka hoatuhia tēnei rongoā ki te Tari Ohotata o te hōhipera, ki te Wāhanga Tiaki Kaha rānei (ICU) ā, ka āta tirotirohia. Ka taea te hoatu i tēnei maimoatanga mēnā he iti tō toto toto, he koretake rānei tō āhua nā te pulmonary embolism.

I ētahi wā, ka tūtohu pea tō tākuta i tētahi tātari vena cava . He momo tātari tēnei ka whakaurua ki roto i te uaua nui rawa atu o te tinana. Ina whakaurua tēnei, ka mau ngā toto totoka ki roto i tēnei tātari i mua i te haere ki ngā pukahukahu.

Ngā pānga taha o te maimoatanga

Ko te toto tētahi o ngā pānga taha matua o ngā rongoā e whakamahia ana hei rongoā i te pulmonary embolism. Koia te take ka hoatu e ngā tākuta ki a koe te horopeta tika o te anticoagulant, te thrombolytic rānei mō tō āhua. He māmā ake hoki mā rātou te aroturuki i tō āhua i a koe e noho ana i te hōhipera.

Kia pēhea te tere o taku ora ake i muri i te maimoatanga?

Ka tīmata koe ki te pai ake i roto i te wiki pea o te tīmatanga o te maimoatanga. Heoi, ka roa pea ngā marama, tae atu ki ngā tau, kia tino ora ai koe i te pulmonary embolism.

Nā te mea ina aukatia ngā oko toto i roto i ngā pukahukahu, me kaha ake te mahi a te ngākau ki te pupuhi toto. Pērā i te paipa wai kua aukatia e te taumahatanga o te motuka. Nā konei, i muri i te PE, ka roa ngā marama ka hoki tētahi o ngā rūma o te ngākau ki te āhua noa. Ka uaua pea tēnei ki a rātou te mahi kaha pērā i mua.

Ka taea te ārai i tēnei? (Te ārai)

Āe, ka taea e koe te āwhina i te ārai i tēnei ki te whānuitanga nui. Hei ārai i te pulmonary embolism, me mahi ēnei mea:

• Whakakorikori tinana i ngā wā katoa. Ki te kore e taea e koe te hikoi, nekehia ō ringaringa, ō waewae, me ō waewae mō ētahi meneti i ia hāora. Ki te mōhio koe ka noho, ka tū rānei koe mō te wā roa, mauria he tōkena pēhi hei whakapai ake i te rere o te toto.
• Inumia he nui te wai, engari me whakawhāiti te waipiro me te kawheine.
• Kaua e whakamahia ngā hua tupeka.
• Kaua e whiti i ō waewae.
• Kaua e kakahuria he kākahu piri.
• Kia mau tonu tō taumaha hauora.
• Kia teitei ake ō waewae mō te 30 meneti, kia rua ngā wā i te rā.
• Kōrero ki tō tākuta mō te whakaiti i ngā āhuatanga mōrearea, inā koa mēnā kua pāngia koe, tētahi rānei o tō whānau e te toto totoka i mua.
• Kōrero ki tō tākuta mō tētahi (tātari Vena cava).

He aha ngā mea ka taea e koe te tumanako mēnā he PE tōu?

Ki te kore e rongoatia, he tino kino te mate pūkahukahu embolism ka pā he hauātanga tuturu, he mate rānei. Ka mate tonu ētahi tāngata i muri i te mate pūkahukahu, i roto rānei i ētahi haora. Ka tupu pea tēnei i mua i te taea e te tākuta te tautuhi i te mate.

Mena he mate manawa, he mate pūkahukahu rānei tōu, he nui ake te mōrearea o te mate i te PE. Heoi, nā te whakapai ake o ngā tikanga whakaahua, ko te 1% ki te 3% anake o te tangata ka mate i te pulmonary embolism.

I te maimoatanga, ko tō āhua ora ka whakawhirinaki ki te rahi o te toto totoka, te aukati, tō hauora whānui, me te pai o te pupuhi toto a tō ngākau.

Ka ngaro rawa atu rānei te PE?

Ka roa pea ngā marama, tae noa ki ngā tau, kia ea rawa ai te pulmonary embolism. I ētahi wā, ka taea e ngā PE maha te arahi ki tētahi mate mau tonu e kiia nei ko te chronic thromboembolic pulmonary hypertension (CTEPH) .

Me pēhea taku tiaki i ahau anō?

Me tango e koe ngā rongoā whakaiti toto mō te toru ki te ono marama, neke atu rānei. Kaua e mutu te tango i ēnei tae noa ki te wā e kīia ai koe e tō tākuta. I a koe e tango ana i ngā rongoā whakaiti toto, kia tūpato ki ngā mahi ka whara ai koe, ka toto ai hoki.

Kōrero ki tō tākuta mō tō tiaki whai muri, me te whai i āna tohutohu hei whakaiti i tō tupono ki te pāngia anō e te PE. Tērā pea ka tūtohu rātou i ētahi mea pēnei i te whakamutu i te momi hikareti, te whakanui ake i te whakakori tinana, me te whakarerekē i ō tikanga kai.

Haere ki ia wā hui me te tākuta me te taiwhanga kia kite ai koe me pēhea tō urupare ki ngā maimoatanga kua tohua.

Ki te mea kei te manukanuka koe, kei te mataku rānei i muri i te whakangungu tinana, tonoa tō tākuta kia kōrero ki tētahi kaiwhakatakoto whakaaro. Mā rātou koe e āwhina.

Āhea koe me toro atu ki te tākuta?

Tirohia tō tākuta mō ngā wā tirotiro whai muri. Kōrero atu ki tō tākuta mēnā he mangu ō tūtae, he mamae nui tōu upoko, he maru rānei e nui haere ana i te wā e tango ana koe i ngā rongoā whakangawari toto. He tohu pea ēnei o te toto o roto.

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

Mena kei a koe ngā tohu o te Pulmonary Embolism (i whakahuatia ake nei), rapua tonutia he maimoatanga. Kaua e whakaroa.

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

Anei ētahi pātai ka hiahia pea koe ki te pātai atu ki tō tākuta:

• He aha te maimoatanga pai rawa atu mōku?
• Kia pēhea te roa me tango e au te rongoā i whakaritea e koe?
• Āhea taku whakamātautau whai muri?

I muri i te mate pūkahukahu, tērā pea ka kitea e koe kāore tō oranga e rite anō ki tērā. He mea nui kia whakaaetia tēnā. Tērā pea kāore ētahi e mārama kei te wehi koe kei pā anō tēnei. Nō reira, he mea āwhina pea te kōrero mō ō wehi ki tētahi rōpū tautoko, ki tētahi kaitohutohu rānei. Whawhaitia ō wehi, ā, me whai tonu i ngā tohutohu a tō tākuta, tae atu ki te tango i ngā rongoā e tohua ana e rātou.

Karere Tangohia ki te Kāinga

Ka puta ohorere pea te Pulmonary Embolism,He mate tino kino tēnei, ā, tera pea ka mate. Heoi, ki te kite wawe koe i ngā tohu, ā, ka rapu awhina hauora tonu, ka taea e koe te ora katoa. Nō reira, ki te pāngia koe e ngā tohu pēnei i te uaua ki te manawa, te mamae rānei o te uma, kaua e whakahawea. Tirohia te tākuta tonu. He mea nui hoki kia ngana te hunga whai take mōrearea ki te whakaiti i aua tohu. Kei roto i ō ringaringa tō hauora!

Te Pukupuku Pūkahukahu, PE, Te Toto Pukupuku, Te Poto o te Manawa, Te Mamae o te Uma, Te DVT, Ngā Toto Pukupuku, Ngā Rongoā Whakaiti Toto, Ngā Rongoā Whakaheke Toto