Whakaarohia te pūnaha toto o tō tātou tinana he rite ki tētahi whatunga rori i roto i tētahi tāone pukumahi. Ka haere tonu te toto i roto i ēnei rori hei whāngai i ō tātou okana katoa, pērā i tō tātou ngākau, roro, me ngā pukahukahu. Nā, he aha te mea ka tupu mēnā ka āraia ohoreretia tēnei rori matua, arā, he oko toto, e tētahi toto toto nui? Pērā i tētahi aituā nui i runga i te rori me ngā waka, ka mutu pea te rere o te toto ki ō tātou okana, ka arahi atu ki tētahi āhuatanga tino morearea pērā i te mate manawa, te whiu rānei. I tēnei rā, e kōrero ana tātou mō tētahi maimoatanga tino nui e whakamahia ana e ngā tākuta hei whakakore i tētahi toto toto e morearea ana ki te ora, hei whakaora anō i te rere o te toto.
He aha te Whakaora Thrombolytic?
Ko te tikanga o tēnei i te reo Sinhala ko te 'maimoatanga whakarewa toto toto'. He māmā noa iho, ko te tuku i ngā rongoā tino kaha (thrombolytics) ki te tinana hei whakarewa i ngā toto toto kino e mau ana i roto i ngā oko toto. Kia memeha te toto toto, ka tuwhera anō te oko toto kua āraia, ā, ka hoki anō te rere o te toto ki te okana e pāngia ana. He maimoatanga whakaora ora tēnei e whakamahia ana i roto i ngā āhuatanga ohorere . Ko te wawe o te tīmatanga o tēnei maimoatanga, ko te tūponotanga ka angitu.
Ko wai e hiahia ana ki tēnei maimoatanga, ā, i roto i ēhea āhuatanga?
Ko te tikanga ka whakaarohia e ngā tākuta tēnei maimoatanga i roto i ngā āhuatanga ohorere nui pēnei i ēnei e whai ake nei.
- Te Pīhanga o te Ngākau o te Ngākau: Ina āraia te uaua o te ngākau e te toto totoka e tuku toto ana ki te ngākau, ina koa kāore he whakatakotoranga stent, he pokanga rānei e wātea ana.
- Te Whiu Ischemic: He whiu i puta mai i te aukati o te toto i roto i te uaua e tuku toto ana ki te roro.
- Te Pukupuku Pūkahukahu: Ina pakaru te toto totoka e hanga ana i tētahi atu wāhi o te tinana (i ngā waewae te nuinga) ka mau ki roto i tētahi uaua o ngā pūkahukahu.
- Te Thrombosis Utauta Hōhonu (DVT): Ko ngā toto toto nui, inā koa i roto i ngā uaua hōhonu o ngā waewae, ka puta he raruraru pērā i te kikorangi o ngā waewae, te mamae nui, ā, kāore e pai ki ngā rongoā whakaheke toto noa (anticoagulants).
- Te Āraitanga o te Arorangi Tapawhā: Ka āraia e te toto totoka tetahi uaua nui i roto i te ringa, i te waewae rānei .
He tāngata anō kei reira kāore e tika kia whiwhi i tēnei maimoatanga?
Āe, tino tika. Nā te mea ko te toto te tino mōrearea o tēnei maimoatanga, kāore e tukuna ki ētahi tūroro. Nā te mea mō rātou, tera pea ka nui ake te kino o te maimoatanga i te painga.
| Ngā āhuatanga matua kāore e hoatu te Whakaora Thrombolytic | |
|---|---|
| Tūnga | Whakaahuatanga |
| Te toto kaha | Mena kei te toto kē koe i tētahi wāhi o te tinana (hei tauira, mai i ngā whekau). |
| Te toto toto o te roro i ngā wā tata nei | Mena kua pakaru mai tētahi oko toto i roto i te roro i ngā wā tata nei (he whiu toto). |
| He pokanga tata nei | Ina koa mēnā kāore i roa mai i te pokanga roro, tuaiwi rānei. |
| Te toto toto tiketike kāore i te whakahaerehia | Te toto toto tiketike e kore e taea te whakahaere ahakoa te rongoā. |
| Mate whatukuhu kino | He tino ngoikore te mahi a te whatukuhu. |
| He whara o te upoko i tata nei | Mehemea kāore i roa mai i te wā i puta ai he whara nui o te upoko. |
Hei tāpiri, ka whakaaroaro rua ngā tākuta mō tēnei mea nā te mea he nui ake te mōrearea o ngā whaea hāpu me ngā kaumātua ki ngā raruraru.
Me pēhea te whakahaere i tēnei maimoatanga?
E rua ngā tikanga matua mō te maimoatanga, kei runga i tō āhua me tō hiahia wawe.
1. Te Whakatōtōtanga Pūnaha
Koinei te tikanga e whakamahia whānuitia ana i ngā wā ohorere (te mate manawa, te whiu).
- Ko te tikanga tēnei ko te tuku tika i te rongoā whakarewa toto ki roto i te toto mā te ipu IV e whakanohoia ana ki roto i te uaua o te ringa.
- Ka haere tahi tēnei rongoā me te toto, ka tae ki te wāhi i puta ai te toto totoka, kātahi ka tīmata ki te whakarewa.
- I te nuinga o te wā ka mahia tēnei tikanga i roto i te wāhanga tiaki nui (ICU) . E tata ana ki te haora te roa o te tikanga katoa.
2. Te Thrombolysis e whakahaerehia ana e te catheter
He maha ngā wā ka whakamahia tēnei tikanga mō ngā maimoatanga kua whakaritea i mua i te wā pērā i te DVT, te PAD rānei.
- I tēnei tikanga, ka hangaia he kōhao iti mā roto i te kiri o te hope, te kaki, te ringa rānei, ā, ka whakaurua he ngongo roa, angiangi rawa e kiia nei ko te catheter mā roto i taua ngongo i te taha o te uaua toto.
- Mā te whakamahi i te hangarau rite ki te hihi-X, ka anga tika te pito o tēnei katitere ki te wāhi o te toto totoka.
- Kātahi ka werohia tika te rongoā ki roto i te toto totoka mā te catheter. I ētahi wā, ka taea te whakamahi i tētahi taputapu motuhake i te pito o te catheter hei wawahi i te toto totoka (thrombectomy miihini).
- E 48 hāora pea (2 rā) te roa o tēnei tikanga kia memeha rawa te toto totoka. I tēnei wā, ka puritia koe ki te hōhipera, ā, ka tirotirohia e te tīma hauora.
He aha ngā mōrearea me ngā raruraru o te maimoatanga?
Pērā i ngā maimoatanga hauora katoa, he tūponotanga kei reira.
Ko te mōrearea matua me te mōrearea tino kino o tēnei maimoatanga ko te toto o roto , inā koa mēnā ka puta i roto i te roro, ka arahi pea ki te whiu.
Haunga tēnei mōrearea matua, he iti anō te tūponotanga ka puta ēnei mea e whai ake nei:
- Ngā urupare mate pāwera ki te rongoā.
- Te toto, te maru rānei i te wāhi i werohia ai te cannula, te catheter rānei.
- Te toto toto iti (te toto toto iti).
- Ka whati tetahi wahi iti o te toto totoka e memeha ana, ka piri ki roto i tētahi atu uaua toto.
- Te pakaru o ngā whatukuhu (ina koa mō te hunga mate huka).
- He toto iti nei e puta mai ana i te ihu, me te tūtae, me te mimi rānei.
Mā tō tākuta ēnei mōrearea e whakamārama ki a koe, ki ō kaitiaki rānei i mua i te maimoatanga.
I muri i te maimoatanga me te whakaoranga
I muri i te maimoatanga, ka whakahaerehia e te tākuta ētahi whakamātautau, pērā i te angiogram me te CT scan, hei tirotiro mēnā kua memeha katoa te toto totoka.
Me noho koe ki te wāhanga tiaki nui (ICU) mō te iti rawa i te kotahi te rā, ā, muri iho ka noho koe i raro i te tirotiro whānui mō tētahi atu rā, e toru rānei.
I muri i tō hokinga ki te kāinga, tera pea ka tohua e tō tākuta he rongoā whakaiti toto hei ārai i te hanganga anō o ngā toto totoka . He mea tino nui kia tino whai i ēnei tohutohu.
Ngā tohu whakatūpato me toro atu koe ki te tākuta i muri i te hokinga ki te kāinga
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei,Whakamōhio atu ki tō tākuta tonu atu, haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera e tata ana.
| Tohu | Whakaahuatanga |
|---|---|
| Mamae o te uma | Te mamae ohorere, te mamae nui haere rānei o te uma. |
| Te toto tonu | Te toto tonu, te turuturu rānei o te wai mai i te wāhi i whakauruhia ai te cannula/catheter. |
| Kirika | Te kirika, kāore he take. |
| Te ānini nui, te whakapairuaki rānei | Ka piki haere te ānini, te ruaki, te whakapairuaki rānei. |
| Te ngoikore o ngā peka | Te ngenge, te mākūkū rānei o ngā ringa, o ngā waewae rānei. |
| Te pupuhi/te whero o te patunga | Mamae, pupuhi (edema), whero, mahana rānei i te wāhi i werohia ai. |
Karere Tangohia ki te Kāinga
- He maimoatanga tino nui te rongoā thrombolytic, he whakaora ora hoki e whakarewa ana i ngā toto totoka i roto i ngā uaua toto i ngā wā ohorere pērā i te whakaeke ngakau me te whiu.
- Ko te tere o te tīmatanga o tēnei maimoatanga, ko te angitu ake o ngā hua. Koia te mea nui kia haria koe ki te hōhipera i te wā tonu ka tīmata ngā tohu.
- Ko te mōrearea matua o tēnei maimoatanga ko te toto i roto i te tinana.Koinei te āhua. Nō reira, kāore tēnei maimoatanga e pai mō te katoa.
- I muri i te maimoatanga, he mea nui kia tangohia te rongoā i tohua e te tākuta i te wā tika, me te tango i te wā tika hei ārai i te hanganga anō o ngā toto totoka.
- Ki te puta mai ētahi tohu whakatūpato i muri i te hokinga ki te kāinga, rapua tonutia he tohutohu hauora.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero