Whakaarohia te mamae ohorere o te uma, te uaua ki te manawa, te kumea rānei te waha ki te taha, ā, kāore e taea te kōrero. He aha te utu nui o ia hēkona i tēnei wā? Ko te take pea o tēnei he toto totoka i roto i te uaua toto e kawe ana i te toto ki te roro, ki te ngākau rānei. I tēnei rā kei te kōrero tātou mō tētahi maimoatanga motuhake e kiia nei ko te "clot-busting," e whakarewa ana i aua toto totoka e morearea ana ki te ora.
He aha tēnei maimoatanga whakaiti toto?
I roto i ngā kupu hauora, he rongoā kaha tēnei e "wāwāhi" ana, e whakarewa ana, e tango ana rānei i ngā toto totoka e morearea ana ki te ora. I roto i ngā kupu hauora, ka kiia tēnei he rongoā Fibrinolytic , he rongoā Thrombolytic rānei. Ko tā ēnei rongoā he whakarewa tika i ngā totoka ka arahi pea ki ngā āhuatanga morearea pēnei i te mate ngakau, te whiu rānei, te whakatuwhera anō i ngā oko toto kua āraia, me te whakaora anō i te rere o te toto.
I roto i ngā āhuatanga hea e hiahiatia ai tēnei maimoatanga?
Ko te nuinga o te wā ka whakamahia tēnei maimoatanga mō ngā āhuatanga ohorere, kino hoki. He maha ngā wā ka whakamahia hei rongoā i ngā āhuatanga e whai ake nei:
| Āhuatanga hauora | He whakamārama māmā |
|---|---|
| Te whakaekenga o te ngākau | Te aukati i te uaua toto (te uaua coronary) e tuku toto ana ki te ngākau mā te toto totoka. |
| Whiu | Ka āraia tētahi oko toto e tuku toto ana ki te roro e te toto totoka. |
| Te Pukupuku Pūkahukahu | Ka āraia te uaua toto e tuku toto ana ki ngā pukahukahu e te toto totoka. |
| Te Thrombosis o te Uaua Hōhonu (DVT) | He toto totoka, i te nuinga o te wā kei roto i tētahi uaua hohonu o te waewae. |
| Ētahi atu take | Te aukati i ētahi atu uaua o te tinana, te aukati i ngā ngongo e whakamahia ana mō te dialysis, te aukati rānei i te pokanga bypass. |
He aha te hiranga o te wā?
He mea nui te wā i roto i tēnei maimoatanga, inā koa i roto i te take o te whiu. Mā te tango i tēnei rongoā i roto i te 3 ki te 4.5 hāora i muri i te tīmatanga o ngā tohu ka taea te whakaiti i te mōrearea o te pakaru o te roro tuturu. Ko te tikanga he mea tino nui kia tīmatahia tēnei maimoatanga i roto i te 30 meneti i muri i te kawe mai o te tūroro ki te wāhanga maimoatanga ohorere (ETU) o te hōhipera. Ko te wawe o te tīmatanga o te maimoatanga, ko te pai ake o ngā hua.
He pai mō te katoa tēnei maimoatanga?
Kāo. Nā te mea he rongoā tino kaha tēnei, kāore e taea te hoatu ki te hunga he āhuatanga mōrearea ō rātou. Ina whakaurua koe ki te hōhipera, ka whakahaerehia e te tīma hauora ngā whakamātautau e tika ana hei whakatau mēnā he pai koe mō tēnei maimoatanga.
Ngā take kāore pea e tika mō tēnei maimoatanga
Kāore tēnei maimoatanga e hoatu ki tētahi e whai ana i ēnei āhuatanga:
| Te take pea mō te kore e tika kia whiwhi maimoatanga |
|---|
| Mena kua neke atu i te 75 tau tō pakeke |
| Mena kua pāngia koe e te toto roro o mua |
| Mena kei te tango koe i ngā rongoā whakaheke toto i tēnei wā |
| Mena kua pāngia koe e te whiu i roto i ngā marama e toru kua pahure ake nei |
| Mena kei te toto toto tonu koe i tētahi wāhi o te tinana, kua pokangahia rānei i ngā wā tata nei, kua pāngia rānei koe e tētahi aituā kino |
| Mena kua kitea he pukupuku roro tōu |
| Mena kei te hapu koe |
| Mena he toto toto tiketike tōu kāore i te whakahaeretia |
| He tino iti te maha o ngā pereti toto |
Kāore tēnei rārangi i te katoa. Tērā pea ētahi atu āhuatanga ka pā ki tō āhua. Nō reira, me whakatau e tō tākuta te whakatau whakamutunga.
Te āhua o te maimoatanga
I mua atu, ā, i te wā e rongoatia ana
Nā te mea he āhuatanga ohorere tēnei, ka whakaurua tika koe ki te wāhanga tiaki nui (ICU) . Ka aroturuki tonu te tīma hauora i tō tere o te ngakau me tō toto toto. Ka hoatu te rongoā mā te aho IV i roto i tō ringa, mā te ngongo angiangi rānei (catheter) e ārahi ana ki te wāhi o te toto totoka. I te wā e rongoatia ana, ka whakamahia ngā whakamātautau pēnei i te matawai CT, te matawai MRI rānei hei tirotiro mēnā kei te memeha te toto totoka.
I ētahi wā, hei tāpiritanga ki tēnei maimoatanga, ka taea te whakamahi i tētahi atu tikanga e kiia nei ko te Mechanical Thrombectomy . Ko tēnei ko te wawahi tinana i te toto totoka mā te whakamahi i tētahi catheter me te tango mā te mimi .
I muri i te maimoatanga
Kia angitu te maimoatanga, ka tirohia e ngā tākuta mēnā kei te toe tonu ētahi wāhanga o te toto totoka. Tērā pea ka hiahiatia he maimoatanga tāpiri. Hei tauira, me whakamahi he stent, he angioplasty poihau, he pokanga tuwhera rānei. He maha ngā wā ka tohua ngā rongoā anticoagulant, pērā i te Warfarin , i te Heparin rānei, hei ārai i ngā toto totoka a muri ake nei.
He aha ngā painga me ngā mōrearea o te maimoatanga?
Ko te painga matua ko te taea e tēnei maimoatanga te whakarewa i te toto totoka me te whakahoki mai i te rere o te toto ki te ngākau, ki te roro, ki ētahi atu okana nui rānei. Ka taea e tēnei te ārai i ngā kino e morearea ai te ora, me te whakaiti i ngā kino ka taea mō te wā roa.
Ko te mōrearea matua ko te toto . Ka puta tēnei i ngā huarahi rerekē.
- Te toto mai i te wāhi i whakaurua ai te cannula
- Toto ihu
- Te toto i roto i te mimi
- Te toto i roto i te tūtae
- Te toto nui rawa atu i roto i te tara i roto i ngā wāhine
- He tino onge engari he tino kino te mōrearea o te toto roro .
Engari kia maumahara, mō te nuinga o te tangata, he nui ake ngā painga o tēnei maimoatanga i ngā mōrearea. Mā tō tākuta e whakatau mēnā he tika tēnei māu.
Kāore te maimoatanga e angitu 100% i ngā wā katoa. I roto i te 25% o ngā take, kāore pea e memeha katoa te toto totoka. I roto i ēnei take, me whakamahi pea i ētahi atu tikanga maimoatanga.
Kia pēhea te roa o te wā e ora ai?
He rerekē te roa o te wā whakaora i ia tangata, i ia tangata. I te nuinga o te wā me noho koe ki te hōhipera mō te iti rawa i te rā kotahi i muri i te maimoatanga. Heoi, ki te kino tō mate, me noho pea koe ki te hōhipera mō te wā roa ake.
Ki te pāngia koe e ngā tohu pēnei i te toto nui rawa, te mamae e kore e taea te whakamanawanui, te kirika rānei i muri i te maimoatanga, waea atu ki tō tākuta tonu atu , whakamōhio atu rānei ki te hōhipera i whiwhi ai koe i te maimoatanga.
Karere Tangohia ki te Kāinga
- Ko te rongoā fibrinolytic he maimoatanga ohorere e hoatu ana hei whakakore i ngā toto toto e morearea ana ki te ora, pērā i ngā mea e puta mai ana i ngā whakaeke ngakau, i ngā whiu rānei.
- He mea nui te wā i roto i tēnei maimoatanga. Mēnā ka puta ngā tohu o te whiu, mā te haere wawe ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera ka taea te whakaora i te ora.
- Kāore tēnei maimoatanga e pai mō te katoa. Mā ngā tākuta e whakatau mēnā he pai, kāore rānei, i runga i tō āhua.
- Ahakoa ko te toto te mōrearea matua, he maha ngā wā ka nui ake ngā painga o te maimoatanga i ngā mōrearea.
- He mea tino nui kia whai i ngā tohutohu a te tākuta ahakoa kua oti te maimoatanga, ā, kia toro atu ki te tākuta tonu mēnā ka puta he raruraru.
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