Whakaarohia te mamae ohorere o te uma o tētahi e arohaina ana, te kore e taea te kōrero... te ngaro ohorere rānei te māramatanga o tētahi taha o te tinana... I taua wā, ka mataku katoa tātou, ka tere ki te hōhipera i te wā e taea ai. I roto i tēnei pakanga ora-me-te-mate, i tēnei rā kei te kōrero tātou mō tētahi momo rongoā tino kaha, tino whai hua hoki e whakamahia ana e ngā tākuta hei whakaora i ngā oranga. Ko ēnei e kiia ana ko ngā Thrombolytics, arā, ko ngā "rongoā whakarewa toto".
He aha ēnei rongoā thrombolytics? Kia mārama noa iho.
He kupu whakarāpopoto, he 'rongoā whakakore toto toto' ēnei, arā, he rongoā e whakarewa ana, e tango ana hoki i ngā toto toto kino e puta ana i roto i ō tātou uaua toto, e aukati ana i te rere o te toto. He momo whākōkī ēnei.
Whakaarohia mēnā ka mau te paru ki roto i te paipa wai, ka mutu te rere o te wai. Waihoki, mēnā ka mau te toto totoka ki roto i tētahi o ō tātou uaua toto, ka mutu te rere o te toto. Mēnā ka mutu te rere o te toto ki tētahi okana tino nui pērā i te roro, te ngākau, te pukahukahu rānei, kāore e taea te whakaaro ki te kino ka pā mai.
Koinei te wāhi e uru mai ai ngā rongoā e kiia nei ko ngā thrombolytics. Ka pakaruhia e ēnei rongoā te pūmua e kiia nei ko te fibrin e hanga ana i te toto totoka, ka whakarewa i te toto totoka, ka whakahokia mai te rere o te toto . Mā tēnei ka taea e te okana kua āraia te whiwhi hāora anō, ka ārai i ngā kino atu.
I roto i ēhea wā ka whakamahia ai tēnei rongoā?
Ehara ēnei i te momo rongoā ka taea te hoko mai i te toa rongoā. Ka whakamahia noa ēnei i roto i ngā hōhipera, inā koa i roto i ngā rūma ohorere (ETU), ina puta he āhuatanga morearea. He mea nui te wā ki konei . Mena ka taea te hoatu i ēnei rongoā i roto i ngā haora tuatahi o te āhuatanga ohorere, he tino pai ngā hua.
I ētahi wā ka taea te tīmata i tēnei maimoatanga i roto i te waka tūroro. Ka hoatu pea e te tākuta tēnei rongoā mā te werohanga IV ki roto i te uaua i tō ringa, mā te whakamahi rānei i te catheter hei whakauru tika atu ki roto i te toto totoka.
| Āhuatanga hauora | He whakamārama māmā |
|---|---|
| Whiu | He toto totoka i roto i te uaua e tuku toto ana ki te roro. He mea tino nui kia tukuna i roto i ngā haora 3-4.5 tuatahi o te tīmatanga o ngā tohu . |
| Te whakaekenga o te ngākau | He toto totoka i roto i te uaua o te ngākau e tuku toto ana ki te ngākau. He maimoatanga nui tēnei i roto i ngā hōhipera kāore i a rātou ngā ratonga hei whakauru i tētahi ngongo (stent) ki roto i te ngākau me te tango i te 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 Thrombosis o te Uaua Hōhonu (DVT) | He maha ngā wā ka puta he toto totoka i roto i ngā uaua hohonu o ngā waewae. |
| Ētahi atu take | Te aukati i te uaua toto i te waewae, te aukati rānei i te katitere uaua pokapū mō te wā roa e te toto totoka. |
Te rerekētanga i waenga i ngā rongoā thrombolytic me ētahi atu 'rongoā whakangawari toto'
He wāhi tēnei e pōhēhē ai te tini o te tangata. Kua rongo pea koe i ngā 'rongoā whakaiti toto' pērā i te Warfarin, te Aspirin, me te Clopidogrel. Engari he rerekē rawa ngā Thrombolytics.
Ngā rongoā thrombolytic: He rongoā ēnei e whakamahia ana i roto i te āhuatanga ohorere hei wawahi me te whakarewa i te toto toto kua puta kē, ā, kei te aukati i te uaua toto . He rite ki te whakamahi i te dynamite hei tango i te toka nui e aukati ana i te huarahi.
Ngā rongoā ārai toto/Ārai toto toto (pērā i te Warfarin, te Aspirin): Ka mahi ēnei rongoā mā te aukati i te hanganga o ngā toto toto hou, morearea . He rongoā roa tēnei e whakaiti ana i te mōrearea o ngā toto toto. He rite ki te whakatakoto kupenga haumaru ki te huarahi hei aukati i ngā toka kei taka ki raro.
He aha ngā painga me ngā mōrearea o ēnei rongoā?
Ko te painga nui ko te kaha o ēnei rongoā ki te whakaora tere i te rere o te toto, me te whakaiti i te kino tuturu ki te roro, ki te ngākau rānei i te korenga o te hāora. Ina koa i roto i te āhuatanga pēnei i te whiu, ko te wawe o te tango i tēnei rongoā, ko te nui ake o te tūponotanga o te ora katoa.
Engari, pērā i tētahi rongoā kaha, kei reira ētahi mōrearea.
Ko te mōrearea matua, ko te mōrearea tino kino ko te toto kore e taea te whakahaere. Nā te mea ka mahi tēnei rongoā mā te whakarewa i ngā toto totoka, ka taea te toto i ngā wāhi katoa o te tinana. Ina koaMena he toto kei roto i te roro, he tino morearea. Ka taea e ia te puta anō he whiu.
Ko wai kei te nui ake te mōrearea o te toto?
- Mō ngā kaumātua
- Mō te hunga he mate pāwera ki te toto
- Te hunga kua pokangahia tata nei, kua whara nui rānei
- Mō te hunga kua tango kē i ngā rongoā whakaiti toto pēnei i te Warfarin
- Mō te hunga he toto toto tiketike kāore i te whakahaeretia
Nō reira, ka whakatau te tākuta ki te hoatu i tēnei rongoā mēnā ka whakaarohia te āhua o te tūroro me ngā āhuatanga mōrearea katoa, ka nui ake te painga o te hoatutanga i te rongoā i te mōrearea . Ka aroturuki tonu te hunga hauora i tō toto toto me ētahi atu mea i te wā e rongoatia ana, ā, i muri hoki i te rongoā.
Āhea koe me rapu tohutohu hauora tonu?
He mea tēnei me maumahara tonu koe. Mēnā he iti noa iho tō whakapae kei te pāngia koe, kei tētahi rānei e tata ana ki a koe, ngā tohu o te mate manawa, te whiu rānei, kaua e moumou taima.
Ki te pāngia koe e ngā tohu o te mate manawa, te whiu rānei (hei tauira, te mamae ohorere o te uma, te uaua ki te manawa, te ngoikore o te taha kotahi o te tinana, te uaua ki te kōrero), waea atu ki te Ratonga Āwhina Hauora 1990 i taua wā tonu, ka haria rānei koe ki te Tari Whawhati Tata (ETU) i te wā e taea ai .
I ngā āhuatanga pēnei, he mea nui ia hēkona. Mā te maimoatanga tere ka taea te whakaora i ngā oranga me te ārai i ngā hauātanga mō te wā roa.
Karere Tangohia ki te Kāinga
- He momo rongoā kaha ngā thrombolytics e hoatu ana i roto i te wā ohorere hei whakarewa i te toto toto kua puta kē.
- Ka whakamahia ēnei i roto i ngā āhuatanga morearea pēnei i te whiu me te whakaeke ngakau.
- He mea nui te wā mō te angitu o tēnei maimoatanga. Mā te whakaurunga ki te hōhipera i te tīmatanga o ngā tohu ka pai ake ngā putanga.
- I te mea ko te toto te mōrearea matua o ēnei rongoā, ka tohua ēnei e te tākuta i muri i te whakaaroaro pai ki ngā painga me ngā mōrearea ki te tūroro.
- Kia tūpato ki ngā tohu o te mate manawa, te whiu rānei, me ō whānau anō hoki. Mā te mahi tonu ka taea te whakaora i te ora.
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