Ngā mea me mōhio koe mō te Thrombectomy (tango toto totoka) !

Kua rongo koe i tētahi e kī ana, "Kua mau te toto totoka"? He tino morearea tēnei. Whakaarohia ngā uaua toto i roto i tō tātou tinana he pūnaha paipa. Ki te puta he toto totoka, e kiia nei ko te 'thrombus', ā, ka mau ki hea i roto i ēnei paipa, ka mutu katoa te rere o te toto i roto i aua paipa. Ki te puta tēnei i roto i tētahi uaua nui e tuku toto ana ki te roro, ki te ngākau, ki te ringa, ki te waewae rānei, ka pakaru pea taua okana, ā, tera pea ka mate. I roto i tētahi āhuatanga ohorere pēnei, ka kōrero tātou mō tētahi maimoatanga hauora tino nui ka taea te whakaora i te ora i tēnei rā.

He aha te tikanga o te Thrombectomy?

Ko te tango i te toto totoka e piri ana ki roto i tētahi o ō tātou uaua toto (ngā uaua toto rānei) mā te pokanga, mā tētahi atu tikanga motuhake rānei. He rite ki te tango i tētahi wahi paru e piri ana ki roto i tētahi paipa wai, ā, ka tukuna kia rere anō te wai.

Ka taea e ēnei toto toto te hanga i roto i ngā wāhi maha o ō tātou tinana. Ko te nuinga o te wā ka kitea i roto i ngā waewae, i ngā ringa, i ngā whekau, i te roro, i ngā pukahukahu, me te ngākau. I ētahi wā me tango wawe ēnei toto toto toto, i roto i ētahi haora. Ki te kore, ka taea e rātou te whakararu tuturu i te okana e pāngia ana, ka mate rānei.

Ko wai rā te tangata e hiahia ana ki tēnei maimoatanga?

I te nuinga o te wā, ina puta he toto totoka, ka hoatu he rongoā hei whakarewa. Ka kiia ēnei he 'anticoagulants' (ngā rongoā whakangawari toto) me te 'thrombolytics' (ngā rongoā whakarewa toto). Engari i ētahi wā, kāore e taea e ēnei rongoā anake te tango i te toto totoka, i ētahi wā rānei kāore he rongoā e wātea ana. Koinā te wā e whakatau ai ngā tākuta ki te mahi i te Thrombectomy.

Ko te mea nui e hiahiatia ana tēnei maimoatanga mō:

• Mena he tūponotanga kei pā kino ki te ora .
• Mena kei te tūpono te pakaru o te toto (thrombus) mai i tōna wāhi taketake ka haere i roto i te toto ka noho ki tētahi atu wāhi o te tinana (hei tauira, i roto i ngā pukahukahu) (he embolus).
• Mena he mōrearea kei te pakaru tūturu te okana, te kiko rānei e tika ana.

He mea tino nui tēnei tikanga hei whakaora wawe i te rere o te toto ki te roro, ki te ngākau rānei, inā koa i ngā wā ohorere pēnei i te whiu me te mate ngakau.

I roto i ēhea āhuatanga kāore e mahia te thrombectomy?

Kāore tēnei maimoatanga e mahia mō ngā toto toto katoa. I ētahi wā, tera ētahi take kāore e taea, kāore rānei e tika kia mahia. Kia titiro tātou he aha ēnei.

He aha ngā tikanga matua mō te tango i ēnei toto totoka?

E rua ngā huarahi matua hei tango i te toto. He rite ki te hanga i tētahi kōhao nui hei hanga rori, ki te keri rānei i tētahi kōhao iti ka whakatika mai i roto.

1. Pokanga tuwhera (Pokanga / Thrombectomy tuwhera)

I roto i tēnei tikanga, ka tapahia e te taote pokanga te kiri ki runga i te uaua kei roto te toto totoka, ka whakatuwhera mārire i te uaua, ka whakauru i tētahi taputapu motuhake rite ki te poihau (he 'poihau catheter') ka unuhia te toto totoka. Kātahi ka tuia marietia te uaua, kātahi ka katihia te kiri. Koinei te tikanga tuku iho.

2. Te tango i te Thrombectomy ā-kiri / iti rawa te whakaekenga

Koinei te tikanga e whakamahia whānuitia ana, ā, e matatau ana hoki i ēnei rā. Kāore he tapahi nui. Engari, ka hangaia he kōhao iti ki roto i te uaua toto i te ringa, i te waewae rānei, ā, ka whakaurua he ngongo angiangi (he catheter) mā roto.

Mā te whakamahi i ngā hangarau whakaahua pēnei i ngā hihi-X, ka arahina tēnei ngongo ki te wāhi o te toto totoka. Kātahi ka tukuna ngā taputapu motuhake mā roto i te ngongo,

• Ka taea te wawahi i te toto totoka kia iti, kātahi ka whakarewaina ('macerated').
• Heoi anō, ka taea te tango i te toto totoka, pērā i te whakamahi i te mīhini whakakore toto ('Aspiration Thrombectomy').

He tino angitu tēnei tikanga nā te mea kāore he whara nui, nō reira ka tere te ora o te tūroro.

He aha ngā āhuatanga ka taea te rongoā mā tēnei maimoatanga?

Ko tēnei maimoatanga, e kiia nei ko te thrombectomy, e whakamahia ana mō ngā āhuatanga hauora tino nui.

• Te toto totohu hohonu (DVT): Ngā toto totoka, te nuinga i roto i ngā uaua hohonu o ngā waewae.
• Te whiu: Ka ārai te toto totoka i tētahi oko toto e tuku toto ana ki te roro.
• Te Infarction Myocardial: He toto totoka i roto i ngā uaua coronary e tuku toto ana ki te ngākau.
• Te Pukupuku Pūkahukahu: Ka pakaru te toto kua hanga ki tētahi atu wāhi o te tinana, ka mau ki roto i tētahi uaua o ngā pūkahukahu.
• Te Ischemia o ngā Waewae me ngā Peka: Te ngaronga ohorere o te toto ki te ringa, ki te waewae rānei.
• Te aukati i ngā oko toto e tuku toto ana ki ngā whekau ('Mesenteric Ischemia') me ngā whatukuhu ('Renal Artery Occlusion').

He aha ngā mahi i mua atu, ā, i muri mai i te maimoatanga?

I mua i te maimoatanga

I ētahi wā ka mahia tēnei hei tikanga ohorere, nō reira kāore he wā hei whakarite. Heoi, i mua i te tango i te toto i roto i te toto, ka tono pea tō tākuta ki a koe kia:

• Ngā whakamātautau whakaahua: Ka taea te tono i tētahi matawai ultrasound, MRI, CT rānei hei whakatau i te rahi me te wāhi tika o te toto totoka.
• Te whakamutu i te kai paipa: Ki te kai paipa koe, me whakamutu koe i mua i te pokanga.
• Mōhiotanga ki ngā Rongoā: Me kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe (tae atu ki ngā rongoā whakaiti toto, ngā rongoā whakamamae, me ngā huaora). Me mutu pea te tango i ētahi rongoā i mua i te pokanga.

I muri i te maimoatanga

I muri i te maimoatanga, ka haria koe ki tētahi wāhanga tirotiro, ā, ka tirotirohia kia tau tō āhua. Ka taea e ētahi te hoki ki te kāinga i taua rā anō. Ko ētahi me noho pea ki te hōhipera mō ētahi rā. Kei te wāhi kei reira te toto totoka me te momo maimoatanga i hoatu.

I muri i te hokinga ki te kāinga,

• Ka hoatu tohutohu mō te pupuri i te patunga kia ma.
• Me haere tonu te tango i ngā rongoā whakaiti toto hei ārai i te hanganga anō o ngā toto totoka.
• Tērā pea ka kīia atu ki a koe kia mau i ngā tōkena motuhake (tōkena pēhi) mō ō waewae.

Ko te mea nui ko te whai i ngā tohutohu a tō tākuta kia tika.

He aha ngā painga me ngā mōrearea?

Pērā i ngā maimoatanga hauora katoa, he painga, he mōrearea hoki tō tēnei.

Āhea te rapu tohutohu hauora tonu

Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i tō maimoatanga, waea atu ki tō tākuta tonu atu , haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera tata.

• Te toto , te pūhā rānei e turuturu ana mai i te patunga.
• Te mamae o te uma , te uaua rānei ki te manawa.
• Kirika .
• Te whanoke nui, te māhunga rānei.
• Te pōhēhē, te ngaro rānei o te māramatanga.
• Te mamae nui, te pupuhi , te ngoikore rānei o ngā ringa, o ngā waewae rānei.

Kaua e warewarehia ēnei tohu. He tohu pea ēnei mō tētahi atu raruraru.