Whakaarohia ko ngā uaua toto puta noa i tō tātou tinana he rite ki te whatunga rori i roto i te tāone. Kei roto i ēnei rori te rere o te toto, e kawe ana i te hāora me ngā matūkai e hiahiatia ana e ia pūtau o tō tātou tinana. Ina pai te haere o ngā mea katoa, ka puta tēnei waka me te kore he arai. Engari he aha te mea ka tupu mēnā ka āraia tēnei rori matua e tētahi arai nui, pērā i tētahi kōhatu nui? Ka mutu katoa ngā waka, tika? Ka pērā anō te mea ka tupu mēnā ka puta he toto totoka (thrombus) i roto i tētahi o ō tātou uaua toto. Ka mutu te rere o te toto, ka nui te kino ki te okana e tukuna ana e taua uaua, ā, ka taea hoki te whakararu i te ora. I tēnei rā kei te kōrero tātou mō tētahi pokanga motuhake e mahia ana hei whakaora i ngā ora i roto i tētahi āhuatanga morearea pēnei.
He aha te tikanga o te Thrombectomy?
He pokanga te tango i te toto toto kua mau ki roto i tō uaua toto (he uaua toto rānei, he uaua rānei). He rite ki te tango i te aukati i roto i te paipa wai, ā, ka rere anō. Ko te whāinga matua o tēnei pokanga he whakahoki mai i te rere noa o te toto kua āraia e te toto toto.
Ka taea e ēnei toto toto te hanga i ngā wāhi rerekē o ō tātou tinana. Ko ngā mea tino kitea ko:
- I roto i ngā waewae
- I roto i ngā ringaringa
- Whekau
- I roto i te roro
- I roto i ngā pukahukahu
- I roto i te ngākau
I ētahi wā me mahi tēnei pokanga i roto i ētahi haora noa iho, nā te mea ki te kore e tika te mahi, he nui te tūponotanga ka ngaro tetahi peka, ka ngaro rānei te ora.
Ko wai rā te tangata e hiahia ana ki tēnei pokanga?
Mena he toto totoka tōu, ka ngana tuatahi tō tākuta ki te rongoā i te tuatahi. Hei tauira, ka hoatu pea he rongoā ārai toto, he rongoā thrombolytic rānei ki a koe. Heoi, ki te kore ēnei rongoā e whakahaere i te toto totoka, ki te nui rānei te toto totoka, ā, i roto i te āhuatanga ohorere, ka whakatau pea tō tākuta ki te mahi i te thrombectomy.
Ko ngā take matua mō tēnei pokanga ko:
- Ārai i ngā raruraru e morearea ana ki te ora: Ki te puta he toto totoka i roto i tētahi oko toto nui e arahi ana ki te roro, ki te ngākau rānei, ka mate pea.
- Ārai i te kino o ngā okana mō ake tonu atu: Ki te motuhia te rere o te toto ki te ringa, ki te waewae rānei, ka tīmata te mate o te kiko o taua okana. Ki te kore e tere te whakahoki mai i te rere o te toto, ka hauā pea te okana, ka tapahia rānei.
- Ārai i te embolus: Koinei te wā ka pakaru te toto kua hanga i tētahi wāhi, ka haere tahi me te toto, ka piri ki tētahi atu wāhanga o te tinana, hei tauira, ki roto i ngā pukahukahu. He mate tino morearea hoki tēnei.
He aha ngā take e kore ai e tika kia pokangahia te thrombectomy?
Āe, kāore e taea e te katoa te mahi i tēnei pokanga. I ētahi wā, ka nui ake te kino o tēnei mahi i ngā painga. Mena kei a koe tētahi o ēnei āhuatanga e whai ake nei, ka whakatau pea tō tākuta kia kaua e mahi i tēnei pokanga:
- Mena kei te wāhi tino uaua ki te toro atu mā te pokanga te toto totoka.
- Mena kei roto i tētahi oko toto iti rawa te toto totoka, mā te whakauru i ngā taputapu ki taua wāhi hei tango i te toto totoka ka kino pea te uaua tonu.
- Mena ka taea e koe te whakahaere pai i te toto totoka mā te rongoā .
- Mena kei a koe tētahi mate toto kua pā ki mua.
- Mena he toto kei roto i te roro (he toto i roto i te angaanga) .
- Mena he toto toto tiketike tōu, kāore e taea te whakahaere ahakoa he rongoā.
- Mena kua neke atu i te 30 ngā rā te pakeke o te toto totoka, ā, he roa tonu te wā .
Ko te mea nui, ko te tākuta anake e āta tirotiro ana i tō āhua hauora ka taea te whakatau mēnā me tango te thrombectomy.
Ngā mate matua e rongoatia ana e te thrombectomy
He maha ngā momo mate e whakamahia ana tēnei pokanga. Me titiro tātou ki ēnei.
| Āhua | He whakamārama māmā |
|---|---|
| Te Thrombosis o te Uaua Hōhonu (DVT) | Te hanganga o te toto totoka i roto i te uaua hohonu o te tinana (i te nuinga o te wā i te waewae). |
| Te Ischemia o te Waewae Whakapeka | He aukati ohorere nā te toto totoka o te uaua e tuku toto ana ki te ringa, ki te waewae rānei. |
| Whiu | Te kino ki tētahi wāhanga o te roro nā te mea he toto totoka e ārai ana i tētahi oko toto e tuku toto ana ki te roro. |
| Te Whakaekenga Manawa (Te Infarction o te Myocardial) | Te aukati i ngā uaua o te ngākau e tuku toto ana ki te ngākau mā te toto totoka. |
| Te Pukupuku Pūkahukahu | Ka pakaru te toto kua puea ake i tētahi atu wāhi o te tinana (i te waewae i te nuinga o te wā) ka mau ki roto i tētahi uaua o ngā pukahukahu. |
| Te Ischemia Mesenteric Whakapeka | Te aukati ohorere o te uaua e tuku toto ana ki ngā whekau. |
He aha ngā momo pokanga thrombectomy?
E rua ngā tikanga matua mō te mahi i tēnei pokanga. Me titiro tātou ki ngā rerekētanga i waenganui i ngā mea e rua.
| Pokanga / Tuwhera o te Thrombectomy | Te tango i te Thrombectomy ā-kiri / iti noa te whakaekenga |
|---|---|
| I tēnei mahi, ka tapahia e te taote pokanga te kiri i runga ake i te uaua kei reira te toto totoka, ka whakatuwhera i te uaua toto, ka tangohia tika te toto totoka. Ina koa, ka tapahia te uaua toto, ka whakauruhia he taputapu iti rite ki te poihau ki roto, kātahi ka unuhia te toto totoka. Kātahi ka tuia anō te uaua. | Kāore e hiahiatia he tapahi nui. Ka hangaia he kōhao iti ki te kiri, ā, ka whakaurua he ngongo angiangi e kiia nei ko te catheter ki roto i te uaua toto. Kātahi, mā te whakamahi i ngā tikanga whakaahua pēnei i ngā hihi-X, ka arahina tēnei ngongo ki te wāhi o te toto totoka. I reira, ka whakamahia he taputapu motuhake hei wawahi i te toto totoka kia mongamonga, hei ngongo rānei i a ia pērā i te mīhini horoi korehau. |
| I te nuinga o te wā ka mahia tēnei i raro i te mate whakamoe whānui. | He maha ngā wā ka mahia tēnei mā te hoatu i tētahi rongoā whakamoe ki te tūroro. Kāore e hiahiatia he rongoā whakamoe nui. |
Me aha koe i mua i te pokanga?
I ētahi wā ka mahia tēnei hei pokanga ohorere, nō reira, kāore pea he wā hei whakarite. Heoi, ki te mea he pokanga kua whakaritea, ka kī atu tō tākuta ki a koe i ēnei e whai ake nei:
- Ngā whakamātautau whakaahua: Ka tono pea rātou i ngā whakamātautau pēnei i te ultrasound, MRI, CT scan rānei kia kitea ai te rahi me te wāhi tika o te toto totoka.
- Te whakamutu i te kai hikareti: Mena he kai hikareti koe, me mutu wawe tonu i mua i te pokanga. Ka pā mai pea ngā raruraru i muri i te pokanga ki te kai hikareti.
- Te whakamutu i ētahi rongoā: Me kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā huaora me ngā rongoā otaota. Tērā pea ka tonoa koe kia mutu te tango i ngā rongoā whakaiti toto (anticoagulants) i ētahi rā i mua i te pokanga.
He aha ngā mea ka tupu i te wā o te pokanga?
Ka rerekē pea tēnei tukanga i runga i te momo pokanga e mahia ana e koe. I runga i te rahi me te wāhi o te toto totoka, ka roa pea te tukanga mō te haora, mō ētahi haora rānei. Ko te tikanga whānui, koinei te mea ka tupu:
1. Whakamoemiti/Whakamarie: Ka werohia te rongoā whakamoemiti, te rongoā rānei ki roto i te uaua i tō ringa kia kore ai koe e mamae.
2. Tapahi/Pūwero: I roto i te pokanga tika, ka tapahia te kiri ki te wāhi kei reira te uaua toto. I roto i te tikanga tapahi-iti, ka hangaia he kōhao iti mā roto i te kiri ki te uaua.
3. Tātaritanga (Tikanga ā-kiri): Ka whakauruhia te tātaritanga (catheter) me ngā waea ki roto i te uaua mā te kōhao, ka arahina ki te wāhi o te toto totoka i a koe e titiro ana ki te matawai.
4. Te tango i te toto totoka: I roto i te pokanga tika, ka tangohia te toto totoka ki waho mā te whakamahi i te cannula poihau. I ētahi atu tikanga, ka kuruhia te toto totoka, ka whakarewaina, ka momihia rānei ki waho mā te whakamahi i ngā taputapu motuhake.
5. Katinga: I roto i te pokanga tika, ka tuia anō te oko toto me te kiri kua tapahia kia kotahi. I tētahi atu tikanga, ka tangohia te cannula, ā, ka whakakīia te kōhao, ka whakamahia rānei he taputapu motuhake (taputapu katinga toto) hei katinga i te kōhao.
He aha ngā mea ka tupu i muri i te pokanga? Ā, he aha ngā mōrearea?
I muri i te pokanga, ka haria koe ki te wāhanga tirotiro, ā, ka aro turukihia ō tohu ora (te toto toto, te tere o te manawa, me ētahi atu). Ka taea e ētahi te hoki ki te kāinga i taua rā anō. Engari ko ētahi me noho ki te hōhipera mō ētahi rā. Kei tō āhua te āhua.
I a koe e hoki ana ki te kāinga, ka kōrero atu te tākuta ki a koe mō ēnei mea:
- Me pēhea te tiaki i te ara tapahi.
- Ngā rongoā hei tango, me ngā mea kāore e tika ana kia tangohia.
- Āhea ka taea te tīmata anō i ngā mahi noa?
Pērā i ngā pokanga katoa, he mōrearea ētahi o te tango i te toto totoka, engari he iti noa iho ēnei mōrearea ki te whakataurite ki te kino e puta mai ana i te toto totoka.
Kia titiro tātou ki ngā painga me ngā mōrearea matua.
| Ngā Painga | Ngā Tūponotanga |
|---|---|
| Te kaha ki te whakaora oranga. | Te pakaru o te uaua toto, te whaiti rānei (stenosis). |
| Te ārai i te ngaronga o tētahi peka, pērā i te ringa, i te waewae rānei. | Te toto nui rawa. |
| Te whakaiti i te kino o te roro i puta mai i ngā āhuatanga pēnei i te pararutiki. | Te kohi toto i raro i te kiri (Hematoma). |
| Ka tere te whakahoki mai i te rere o te toto, ka mutu te kino ki ngā whekau. | Ngā āhuatanga pangia. |
| Ka pakaru te toto totoka ka piri ki roto i ngā pukahukahu (embolism pūkahukahu). | |
| Tētahi atu toto totoka. |
Ngā āhuatanga ohorere e hiahia ana kia toro atu ki te tākuta
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i tō hokinga ki te kāinga i te pokanga, me waea atu koe ki tō tākuta i taua wā tonu . Me haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
- Te toto: Mena he toto kei te wāhi i pokanga ai.
- Mamae o te uma: Ki te pāngia koe e te mamae o te uma, e te kikī rānei.
- Te uaua ki te manawa (dyspnea): Mena ka pāngia koe e te uaua ki te manawa.
- Pōhēhē: Ki te pōuri koe, ki te māuiui rānei tō mahunga, ki te mea rānei kei te ngaro tō māramatanga.
- Pōuriuri, ngaro rānei te taurite: Ki te pōuriuri koe, ā, he uaua ki te hikoi.
- Kirika: Ki te pāngia koe e te kirika, he tohu pea tēnei nō te mate pāwera.
- Te mamae, te pupuhi, te ngoikore rānei o ngā ringa, o ngā waewae rānei.
- Ka turuturu mai he wai rite ki te pulu i te wāhi i tapahia.
He tohu pea ēnei tohu mō tētahi raruraru nui, nō reira kaua e warewaretia.
Karere Tangohia ki te Kāinga
- He maimoatanga nui, he whakaora ora te tango i te toto totoka e mau ana i roto i te uaua toto mā te pokanga.
- Kāore e hiahiatia ana tēnei pokanga mō ngā toto totoka katoa. Ka taea te rongoā i te nuinga mā te rongoā. Ka mahia tēnei pokanga i ngā wā ohorere me ngā wā kino.
- E rua ngā tikanga matua mō te mahi i tēnei pokanga (te pokanga tika me te pokanga iti rawa te whakaekenga). Mā tō tākuta e whakatau ko tēhea tikanga te mea pai mōu.
- He mea tino nui kia whai i ngā tohutohu a te tākuta (te rongoā, te whakarerekētanga o te momo noho) kia kore ai e puta anō ngā toto totoka i muri i te pokanga.
- Kia tūpato ki ngā tohu whakatūpato ka puta i muri i te pokanga. Mēnā ka puta mai ēnei tohu, rapua tonutia he tohutohu hauora.
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