Kua pāngia koe e te toto totoka i roto i tō uaua, e mamae ai, e pupuhi ai hoki? Me kōrero tātou mō te Thrombophlebitis!

Kua pāngia koe e te mamae rerekē, te pupuhi rānei i te uaua o tō waewae, o tō ringa rānei? I ētahi wā, ka whero, ka mahana te wāhi ina pā atu. Mena kua pāngia koe e tētahi mea pēnei, tera pea he mate e kiia nei ko te thrombophlebitis. Kaua e manukanuka, me kōrero noa iho tātou.

He aha te Thrombophlebitis? He māmā noa iho...

I te whakarapopototanga, ko te Thrombophlebitis te mumura o te uaua (phlebitis) i puta mai i te toto totoka (thrombus) e hanga ana i roto i tō uaua. Ko te tikanga o tēnei ko "thrombophleb-itis".

Ki te wehewehea te tikanga o tēnei:

• Ko te tikanga o te kupu "Thrombo-" he toto totoka. He toto totoka tēnei e puta ana i roto i te uaua.
• Ko te tikanga o "-phleb-" he uaua, he mea e pā ana ki ngā uaua.
• Ko te tikanga o te "-itis" ko te mumura, arā, te pupuhi, te whero, te mamae, me ērā atu.

Nō reira, ina huihuia ēnei mea katoa, ka puta he āhuatanga e kiia nei ko te thrombophlebitis. Ahakoa e kitea nuitia ana i roto i ngā uaua o ngā waewae, ka taea tonu te puta i roto i ngā uaua katoa o te tinana.

Me pēhea te whanaketanga o tēnei mate? He toto totoka i te tuatahi? He mumura rānei?

He rite tēnei ki te pātai "ko te heihei i mua, ko te hua manu rānei i mua". E rua ngā huarahi ka puta ai te thrombophlebitis:

1. Te toto totoka tuatahi, kātahi ka mumura: Ko te mea ka tupu i konei ko te puta o te toto totoka i roto i te uaua, ka puta he mamae me te riri ki te pakitara o te uaua. Koia te take ka pupuhi, ka whero, ka mamae hoki te uaua.

2. Ka puta tuatahi te mumura, ā, muri iho ka puta he toto totoka: I ētahi wā, ka pupuhi, ka mumura te roto o te uaua (e kiia nei e tātou ko te 'Phlebitis' i roto i te rongoā) nā te mate urutā, nā tētahi atu take rānei. Kātahi ka nui ake te tūponotanga ka piri te toto totoka ki taua wāhi mumura, ka mau.

Ko te thrombophlebitis he mea ā-rohe noa iho. Ko te tikanga ka puta pea i roto i te uaua kotahi, i roto rānei i ētahi uaua. Heoi, he mea morearea pea mēnā ka horapa. I runga i te wāhi e puta ai te toto totoka, ka taea e ia te arahi ki tētahi mate kino e kiia nei ko te deep vein thrombosis (DVT) he āhuatanga ohorere rānei e morearea ana te ora e kiia nei ko te pulmonary embolism (Pulmonary Embolism) .

He rerekē te (Thrombosis) me te (Thrombophlebitis)?

Āe, ahakoa he hononga kei waenganui i ngā mea e rua, kāore i te rite. Ko te thrombosis te hanganga o te toto totoka i roto i tētahi o ō uaua toto. Arā, ko te Thrombophlebitis he tukanga e pā ana ki te Thrombosis i ētahi wā (engari kāore i te wā katoa). I roto i te Thrombophlebitis, me mumura te uaua me te toto totoka.

He rerekē ngā momo thrombophlebitis?

Ae, ka puta te thrombophlebitis i roto i ngā uaua katoa o tō tinana. Heoi, he maha ngā momo motuhake kua tapaina i runga i te take me te wāhi o te mate. Me titiro tātou ki ētahi o aua momo:

Te Thrombosis o te Uaua Hōhonu (DVT)

Koinei te momo toto totoka tino noa kua rongohia e te nuinga o te tangata, ā, he ahua morearea ake. Ko te toto totoka hohonu (DVT) he totoka e puta ana i roto i tētahi uaua nui, hohonu i roto i tō tinana (i roto i ō waewae te nuinga). He āhuatanga ohorere hauora tēnei. Mena ka pakaru te totoka ka mau ki roto i tētahi uaua i roto i ō pukahukahu, ka puta he mate morearea e kiia nei ko te pulmonary embolism .

Te toto totohu o te mata

Ka puta tēnei i roto i ngā uaua iti o ō ringaringa, o ō waewae rānei e tata ana ki te kiri. Kāore i te tino kino pērā i te mate toto hohonu (DVT). Heoi, he tohu pea ēnei kei a koe te mate toto hohonu (DVT). Ka taea hoki e ēnei te arahi ki ētahi atu mate kino.

Te Thrombophlebitis Heke

E ai ki te ingoa, koinei te wā e "neke" ai te toto totoka me tōna mumura e pā ana mai i tētahi uaua ki tētahi atu, arā, ka neke rātou. I ētahi wā, ka taea e ngā totoka maha te hanga i roto i ngā uaua maha i te wā kotahi. I tēnei take, he nui te mōrearea o te totoka i roto i tētahi uaua iti e haere ana ki tētahi uaua nui ake, ka puta he āhuatanga morearea e kiia nei ko te pulmonary embolism.

Te toto totoka

I tēnei take, ko te mate (Thrombophlebitis) i puta mai i tētahi mate urutā, ko te mate urutā rānei (Thrombophlebitis). Ina puta mai tētahi mate urutā, ka taea e ia te arahi ki ngā mate kino. Ko ētahi tauira ko:

• (Te mate Lemierre): Ka puta tēnei ina horapa te mate manawa o runga ki tētahi uaua nui i te kaki (te uaua jugular).
• (Pylephlebitis): I tēnei, ka mumura, ka pangia hoki ngā uaua e kawe ana i te toto mai i tō puku o runga ki tō ate (ngā uaua portal).
• Te toto toto i pangia: Ka pakaru te toto toto kua pangia (te toto toto i pangia) i te wāhi i hangaia ai, ka noho ki tētahi atu wāhanga o te tinana. Ka horapa pea te mate taketake, ka ārai i tētahi, i ētahi atu rānei o ngā oko toto, i ngā mea e rua rānei.

He tino morearea te mate toto totoka, nā te mea kua horapa te mate puta noa i te tinana. Ka taea e tēnei te arahi ki tētahi āhuatanga e kiia nei ko te sepsis , ka nui rawa te urupare a tō pūnaha ārai mate ki tētahi mate. He āhuatanga ohorere hauora e morearea ana ki te ora te sepsis. Me tere te tātaritanga me te maimoatanga.

Ko wai te mea tino tūpono ka pāngia e tēnei mate?

Ka taea te tūponotanga o te toto totoka i ngā tau katoa, inā koa mō te hunga whai mate hauora, momo āhua noho rānei. Heoi, ka piki haere te tūponotanga o te whakawhanake i tēnei mate (thrombophlebitis) i muri i te 45 tau . Ka piki haere tonu tēnei tūponotanga i a koe e pakeke haere ana.

E hia te auau o tēnei āhuatanga?

I runga i te momo thrombophlebitis, ka rerekē tēnei āhuatanga mai i te onge ki te noa. Ko te tauira tino noa, rongonui hoki o tēnei ko te deep vein thrombosis (DVT). I te Hononga o Amerika anake, tata ki te 900,000 ngā kēhi o te DVT i ia tau, ā, i waenga i te 60,000 me te 100,000 ngā mate i ia tau. Ehara tēnei āhuatanga i te mea onge i Sri Lanka.

He aha ngā tohu o tēnei?

He maha ngā tohu e kitea ana i roto i te thrombophlebitis:

• Pupuhi: Ka puta ohorere tēnei. Ka kitea nuitia tēnei pupuhi i roto i ngā uaua e tata ana ki te kiri. I ngā wā tino kino, ka kitea tonutia te pupuhi o ngā uaua e rere ana i roto i te tinana. Mena he nui atu i te kotahi te toto totoka, ka rite ēnei wāhi ki ngā puku. Mena ka puta tēnei i roto i te ringa, i te waewae rānei, tera pea ka pupuhi anō hoki te wāhanga o raro o taua ringa/waewae, ahakoa he onge.
• Ngā panonitanga o te āhua o ngā uaua: Ina pā koe ki tētahi uaua kua āraia e te toto totoka, kua mumura rānei, ka matotoru ake, ka mārō ake i te uaua noa. Ka pā pea tēnei ki tētahi uaua, ki ētahi uaua rānei e tata ana ki te toto totoka.
• Mamae, ngawari rānei: He mamae te thrombophlebitis i te nuinga o te wā. Tērā pea ka ngawari te pā atu ki te rohe huri noa me runga ake i te toto totoka, ka mamae rānei te pēhi, ka mamae noa iho rānei. Mēnā he nui te toto totoka, kei roto i tētahi uaua iti, he maha rānei ngā toto totoka, ka tino kino te mamae. He tokomaha e whakaahua ana i te mamae he "mamae me te whakapairuaki ."

Hei tāpiri atu ki ēnei, ko ētahi atu tohu e kitea ana i ētahi wā, engari kāore i te kitea i ngā wā katoa, ko:

• Te rerekētanga o te kiri i te wāhi pupuhi: Tērā pea ka whero ake, ka pōuri ake rānei te kiri e tata ana ki te toto totoka i te kiri e karapoti ana. Tērā pea ka rite ki te whero i te taha o te patunga, o te marō rānei. He mea tino noa tēnei ina puta he toto totoka i roto i ngā uaua e tata ana ki te kiri. Heoi, ka taea hoki te puta me ngā toto totoka nui ake i roto i ngā uaua hohonu, ina tino āraia rānei te uaua.
• Te mahana: Ina pā atu koe ki te wāhi i totoka ai te toto, ki te wāhi rānei e karapoti ana i a ia, tera pea ka mahana ake i ngā wāhi i tawhiti atu.

He aha te take o tēnei āhuatanga?

He maha ngā āhuatanga ka pā mai te thrombophlebitis. Ka taea e ēnei te whakapūpū i te toto, te whakanui ake rānei i te mōrearea o te toto:

• Ngā āhuatanga ira (whanau): Ka ngāwari ake te toto toto i ngā huringa (whakarerekētanga) o tō DNA . Ka riro mai i ētahi tāngata ēnei huringa mai i ō rātou mātua. Ahakoa ka taea te rongoā i ēnei āhuatanga ira, ka roa tonu, ā, kāore e taea te rongoā.
• Ngā uaua varicose: Mena he uaua varicose ōu, he kikorangi, he rite ki te pūngāwerewere i ō waewae, he tino mōrearea koe ki te whakawhanake i te thrombophlebitis i taua wāhi.
• Whara: Ka taea e ngā whara ki ngā uaua, ki te tata rānei ki ngā uaua te whakapūpū i te mumura, ka arahi pea ki te toto totoka. Hei tauira, ki te hinga koe ka whara kino i tō waewae, ka pakaru pea tētahi uaua i taua wāhi, ā, ka puta pea tēnei āhuatanga.
• Ngā maimoatanga hauora me ngā rongoā: Ka taea e ngā taura me ngā catheter (ngā ngongo e tuku ana i ngā rongoā me ngā wai mā roto i te uaua) te whakaputa toto totoka (thrombophlebitis). Ka taea hoki e ētahi maimoatanga homoni (tae atu ki ētahi momo pire ārai whānau) te whakanui ake i te mōrearea o ngā toto totoka.
• Te whakamahi tarukino ā-iwi: Mena he kaiwhakamahi tarukino koe, he nui ake tō tūponotanga ki te pāngia e te thrombophlebitis. Nā te mea ka taea e ngā ngira paru, ngā ngira rānei e whakamahia hē ana te arahi ki ngā mate kino. Ka taea e ēnei mate te arahi ki te mumura me tēnei āhuatanga.
• Te kore nekehanga: Ko te hunga e noho roa ana i te wāhi kotahi, hei tauira, ko te hunga e mahi ana i te tari, e whakamahi ana rānei i te rorohiko, tera pea he ngoikore te rere o te toto. Ka piki ake te tūponotanga o te toto totoka. Ka pā pea tēnei ki te hunga e rere ana i ngā rererangi roa, ki te hunga rānei e haere ana i roto i te motuka, i tētahi atu waka rānei mō te wā roa. Whakaarohia, pērā i te wā e haere ana koe i runga pahi mai i Colombo ki Jaffna.
• Ētahi atu āhuatanga, āhuatanga rānei ka pā ki te toto totoka: He maha ngā āhuatanga mōrearea, pērā i te mate pukupuku, te momona, te mate pūnaha ārai mate e kiia nei ko te lupus , me ētahi mate toto. Ko te hunga e takoto ana i te moenga, e kore rānei e taea te neke nā te āhuatanga pērā i te pararutiki, ka nui ake pea te mōrearea. He āhuatanga mōrearea te momi hikareti i roto i te āhua noho. Waihoki, ki te matewai koe, ka piki ake tō mōrearea.
• Te haputanga, i muri tata mai rānei i te whānautanga: Ka piki ake te mōrearea o te toto totoka i te wā e hapu ana mō ngā take maha. Kāore taua mōrearea e memeha tonu i muri i te whānautanga o te pēpi.

He mate hopuhopu tēnei?

Ahakoa i ētahi wā ka puta mai i te mate pukupuku, ehara te thrombophlebitis i te mate hopuhopu. E pā ana hoki tēnei ki ngā āhuatanga ira. Arā, ko ēnei āhuatanga, e tukuna iho ana i ngā mātua ki ngā tamariki (DNA), kāore e tino puta ai te thrombophlebitis, engari ka taea e rātou te whakararu i te toto totoka, ka arahi pea ki tēnei āhuatanga.

Me pēhea te tautuhi a ngā tākuta i tēnei?

I te nuinga o te wā ka tātaritatia e ngā tākuta te thrombophlebitis i roto i te hōhipera, inā koa i roto i te rūma whawhati tata. Nā te mea he hononga tata te thrombophlebitis ki ngā mate kino, mōrearea hoki pērā i te DVT.

Ka tātaritatia te thrombophlebitis e tō tākuta mā te whakamātautau tinana, ngā whakamātautau whakaahua, me ngā whakamātautau taiwhanga.He mea nui kia whakakotahihia ēnei tikanga rerekē, nā te mea kāore e taea e te whakamātautau tinana anake te tautuhi i te thrombophlebitis. He maha atu anō ngā mate he rite ngā tohu, ko ētahi he tino morearea. Nō reira, he tino whai hua ngā whakamātautau whakaahua me ngā whakamātautau taiwhanga, ā, he mea nui anō hoki i ētahi wā, hei ārai i ngā raruraru nui.

He aha ngā whakamātautau e mahia ana hei tautuhi i tēnei mate?

Ina rapua he mate e kiia nei ko te thrombophlebitis, ka whakahaerehia pea e ngā tākuta he maha ngā momo whakamātautau. Ko ētahi o ēnei ko:

• Whakamātautau tinana: I konei, ka rapu te tākuta i ngā tohu e kitea ana o te thrombophlebitis, inā koa te pupuhi, te huri rānei o te tae o te kiri. He maha ngā wā ka pāngia e te wāhi e pāngia ana. Mā tēnei ka āwhina i te kite i ngā tohu, i ngā tohu rānei e kore e kitea ngāwari engari ka taea te rongo. Tērā pea ka whakamahia e ia he stethoscope hei whakarongo ki tō pā, inā koa i ngā waewae o raro.
• Ngā whakamātautau taiwhanga: He maha ngā whakamātautau taiwhanga rerekē ka āwhina i te tautuhi i te thrombophlebitis, pērā i te tātari i te kaha o tō toto ki te totoka, te rapu taunakitanga o ngā totoka kua puta, te rapu tohu rānei o te mate.
• Ngā whakamātautau whakaahua: Ko tētahi huarahi nui ki te tautuhi i te thrombophlebitis ko te kite i te toto totoka e puta ai. Ko te ultrasound (e whakamahi ana i ngā ngaru oro auau teitei, he rite ki te sonar) he whakamātautau noa e mahia ana hei rapu i ngā āhuatanga e puta ai ngā toto totoka. Ko ngā hihi-X (e mahia ana mā te werohanga i tētahi wai ki roto i te uaua kia kitea ake ai te aukati) he mea noa hoki.

I ētahi wā onge, ko te thrombophlebitis heke kua whakahuatia ake nei he tohu pea mō ētahi momo mate pukupuku, inā koa ko te mate pukupuku o te puku. Nō reira, ka whakahaerehia pea e ngā tākuta he whakamātautau hei rapu i aua mate pukupuku.

Me pēhea te rongoā i tēnei? Ka taea te whakaora?

Mēnā he thrombophlebitis i puta mai i te whakamahi i te catheter IV, ko te tango i te catheter te taahiraa tuatahi. Ko ētahi atu maimoatanga e whai ake nei:

Ngā rongoā

He maha ngā momo rongoā hei āwhina i te whakahaere i ngā tohu o te thrombophlebitis me te whakarewa i te toto totoka e pā ana. Ko ēnei:

• Ngā rongoā whakamamae: Nā te mea he tino mamae te thrombophlebitis, ko te whakahaere mamae te mea nui rawa atu. He maha ngā wā ka mahia tēnei mā te whakamahi i ngā rongoā whakamamae ngawari pērā i te acetaminophen (hei tauira, Panadol®, Tylenol®), ngā rongoā anti-inflammatory kore-steroidal (NSAID) rānei (hei tauira, Ibuprofen, Naproxen). Mena he nui te mamae, ka tohua pea e tō tākuta he rongoā whakamamae kaha ake.
• Ngā rongoā whakangawari toto / Ngā rongoā ārai toto:Ko te tikanga o te thrombophlebitis he kotahi te toto totoka kei roto. Heoi, ki te mea he totoka kotahi, tera pea ka nui ake te tūponotanga o te puta mai o ētahi atu totoka. Hei ārai i te puta mai o ngā totoka totoka anō, inā koa ngā totoka totoka e morearea ana ki te ora pērā i te pulmonary embolism, he maha ngā wā ka hoatu e ngā tākuta he rongoā whakaiti toto ki a koe. Heoi, ki te mea kei roto te totoka totoka i tētahi uaua iti, kāore pea koe e hiahiatia kia rongoāhia ki ngā rongoā whakaiti toto.
• Ngā rongoā thrombolytic: E kiia ana hoki ko ngā "rongoā pakaru toto." Ka whakarewa kaha ēnei rongoā i ngā toto kua puta kē. Ka taea te hoatu mā te IV, ka taea rānei te hoatu tika ki te toto kua toto mā te whakamahi i ngā catheter kua whakanohoia ki roto i ō uaua.
• Ngā rongoā paturopi: Mena he mate pāwera te hononga o te mate (thrombophlebitis), he mea nui ngā rongoā paturopi. Ka taea e ngā rongoā paturopi te ārai i te horapa o te mate puta noa i te tinana (sepsis).

Ngā tikanga pokanga, ngā tikanga whakamahi catheter, ētahi atu tikanga rānei

I ētahi wā onge, ko te pokanga pea te kōwhiringa pai rawa atu hei rongoā i tētahi take nui o te thrombophlebitis (ina koa i ngā waewae). Tērā pea ka uru atu ki te pokanga tētahi, ētahi rānei o ngā tikanga e whai ake nei:

• Te tango i te toto toto i roto i te uaua mā te whakamahi i ngā taputapu: Ka taea tēnei mā te tapahi i ngā wahi iti kia taea ai e te taote pokanga te tango ā-tinana i te toto totoka mai i te uaua. Ko tētahi atu tikanga ko te whakamahi i ngā katitere hei momi i te toto totoka.
• Te tango i te uaua: E ai ki te ingoa, ko te tango i te uaua raruraru tēnei. I roto i tēnei tikanga, ka mahia e tō taote pokanga ētahi tapahi iti ki te wāhi e pāngia ana. Mā roto i ēnei tapahi ka taea e ia te tae atu ki te uaua kua pakaru, te momotu mai i tō pūnaha tohanga toto, me te tango atu.
• Te tango i te uaua: He momo tango uaua anō hoki tēnei, engari he tikanga tino motuhake. I roto i te tango i te uaua, ka tapahia e tō taote pokanga ētahi tapahi iti hei tae atu ki te uaua e pā ana, ka momotu mai i te toenga o te pūnaha tohanga toto. Kātahi ka mirohia he waea iti mā roto i te uaua, ka mirohia kia piri ki roto i te uaua, tae noa ki te pito kē. Kia tae ki te pito, ka taea e rātou te kukume i te waea, ā, ka puta mai te uaua me ia (he rite ki te kuhu i tō ringa ki roto i te tōkena ka hurihia ki roto ki waho).
• Te Ārai i te Toto: I ētahi wā, kāore e taea e te toto te rere tika i roto i te uaua kua pakaru i te thrombophlebitis. Ko tētahi huarahi hei āwhina ko te tango i tētahi wāhanga o te uaua toto mai i tētahi atu wāhi o te tinana ka whakamahi hei hanga i tētahi oko toto hou - ka mahi tēnei hei ārai i te wāhi kua āraia, ka taea ai te rere tika o te toto.
• Te whakaora i te kiriuhi:I roto i tēnei, ka werohia e te tākuta, he taote pokanga, he tohunga rānei, he wai motuhake ki roto i te uaua e pāngia ana. Ka kati tēnei i te uaua. Mā te kati i ngā wāhi raruraru, ka taea te ārai katoa i te hanganga anō o ngā toto totoka.
• Ngā tikanga e whakamahi ana i te catheter: Ka taea e ngā tākuta te whakamahi i ēnei tikanga hei whakawhānui i te wāhi whaiti o te uaua e pāngia ana. Ka taea hoki e rātou te whakamahi mō ngā ablation (ngā tikanga e whakamahi ana i te wera hei hanga kiko whara me te aukati i te rere o te toto ki te wāhi raruraru).

Ngā taonga pēhi e taea te mau

Tērā pea ka kī atu tō tākuta kia mau koe i ngā kākahu pēhi, i ngā tōkena pēhi rānei. Mā ēnei mea, pērā i ngā tōkena, ngā tōkena, ngā takai rānei, ka pēhi tonu (engari he ngawari) ki ētahi wāhanga o tō tinana. Ka āwhina taua pēhi ki te ārai i te hanganga o ngā toto toto hou, me te whakaiti i te mamae me te pupuhi mai i ngā toto toto kua puta.

Me pēhea taku whakahaere i aku tohumate/te tiaki i ahau anō?

I te nuinga o te wā, kāore e hiahiatia ngā maimoatanga kua whakahuatia ake nei. I roto i ēnei āhuatanga, tera pea ka tūtohu tō tākuta i ngā maimoatanga tautoko pēnei i:

• Ngā rongoā whakamamae: Kei roto i tēnei ko ngā rongoā whakamamae e hokona kore-tohu, pērā i ngā NSAID.
• Ngā kōpeke mahana: Ka taea hoki e ngā mea pēnei i te ruku ki te wai wera te āwhina i te whakaiti i te mamae e pā ana ki tēnei mate.
• Teitei: Mena kei tō ringa te wāhi e pāngia ana, inā koa he waewae, mā te hiki ake i taua ringa/waewae ka āwhina i te whakaiti i te pupuhi me te mamae.
• Ngā mate pēhanga: E ai ki ngā maimoatanga o mua, ka taea e ngā mate pēhanga ka taea te mau te āwhina i ngā tohu o ngā toto totoka o nāianei me te ārai i te hanganga o ngā totoka hou.

Kia pēhea te roa ka pai ake ai taku āhua i muri i te maimoatanga? Kia pēhea te roa ka ora ai ahau?

Ko te kaha o tō āhua me te maimoatanga e whiwhi ana koe ka whakatau i te roa o te wā e pai ake ai tō āhua me te ora. I te nuinga o te wā, i a koe e rongoātia ana ō tohumate, inā koa ki te rongoā mamae, me tīmata koe ki te pai ake. Ko te nuinga o te tangata ka ora mai i te thrombophlebitis i roto i ētahi rā, engari tera pea ka roa ake te wā mō ētahi tāngata (ina koa mēnā he raruraru ō rātou, mēnā kei roto te toto totoka i tētahi wāhi nui, mēnā rānei i pokangahia rātou).

Me pēhea taku ārai i tēnei? Me pēhea taku whakaiti i te mōrearea?

Ko te mea nui hei ārai i te thrombophlebitis ko te mōhio kei te tūpono koe ki te whakawhanake i te toto totoka. Mena e mōhio ana koe ki tēnei, ka taea e tō tākuta te tohu rongoā, pērā i ngā rongoā whakangawari toto, hei āwhina i te aukati i te hanganga o te toto totoka i te tuatahi.

Engari, he maha ngā āhuatanga pea e uaua ai te ārai, ki te kore e taea. Ko tētahi take, kāore pea koe e mōhio kei a koe tētahi mate hauora (ira, ira rānei) e puta ai ngā toto totoka. Ko tētahi atu tauira, he raruraru onge ngā toto totoka o tētahi āhuatanga noa o te ao, pērā i te hāputanga.

Heoi anō, kei reira ētahi mea ka taea e koe te mahi hei whakaiti i tō tuponotanga ki te whakawhanake i te toto totoka (thrombophlebitis). Ko te mea nui ko te whakaiti, te whakakore rānei i ngā āhuatanga mōrearea ka taea e koe te whakahaere. Ko ngā mea ka taea e koe te awe nui ko:

• Te whakamahi tupeka: Kati te whakamahi tupeka (tae atu ki te vape, te ngaungau rānei i te tupeka). Ki te kore koe e whakamahi tupeka, kaua e tīmata.
• Te whakamahinga o ngā raau taero ā-uaua: Mena he kaiwhakamahi raau taero ā-uaua koe, mā te whakamutu ka taea e koe te whakaiti i tō tupono ki tēnei mate. Mena ka haere tonu koe ki te whakamahi i ngā raau taero, ka taea e koe te whakaiti i tō tupono mā roto i ngā mea pēnei i ngā kaupapa whakawhiti ngira, e āwhina ana ki te aukati i ngā mate mai i te whakawhitiwhiti ngira paru.
• Nekeneke haere: Ki te noho roa koe i te wāhi kotahi, ahakoa i te mahi, i te wā okioki rānei, ka nui te rerekētanga o te whakatika me te nekeneke haere. Ki te mea kei runga koe i te haerenga roa i runga motuka, i te rererangi rānei, ka kitea hoki e koe he huarahi hei whakatika me te nekeneke haere.
• Tangohia tika tō rongoā: Mena kua tohua e tō tākuta ngā rongoā whakaiti toto, kia tino tangohia kia rite ki ngā tohutohu. Ki te mutu ohorere te tango, ka tino piki ake tō tupono ki te whakawhanake i te toto totoka (ka arahi pea ki te thrombophlebitis).
• Inumia he nui te wai: Mā te inu i te nui o ngā wai ka āwhina i te whakaiti i te tūponotanga o te whakawhanake i te thrombophlebitis.
• Whakahaerehia tō hauora: Ko tētahi o ngā huarahi pai ki te tiaki i tō hauora me tō oranga ko te whai i tētahi haerenga ā-tinana ā-tau (e kiia ana he haerenga ā-tinana, he haerenga oranga tinana rānei). He wāhi pai tēnei haerenga ā-tau mō tō tākuta ki te kite i ngā raruraru hauora kei a koe, kāore he tohu, tae atu ki ngā āhuatanga e whakanui ana i te mōrearea o te toto totoka (thrombophlebitis). Mena he āhuatanga kei a koe e whakanui ana i tō mōrearea, inā koa ngā mate toto totoka, te mate pukupuku rānei, pātai atu ki tō tākuta mō ō āwangawanga mō tēnei āhuatanga.
• Kia tiakina koe: He mea nui te kai i tētahi kai hauora, te noho kaha (kia 150 meneti pea te iti rawa o te whakakori tinana kaha-waenga ia wiki), me te pupuri i te taumaha hauora. Ka āwhina ēnei ki te whakaiti i tō tupono ki te whakawhanake i ngā mate kino maha, tae atu ki te thrombophlebitis.
• Mauria he tōkena pēhi, he tōkena pēhi rānei: Ka tūtohu pea tō tākuta i ngā tōkena pēhi, i ngā tōkena pēhi rānei hei āwhina i te ārai i te totoka (thrombophlebitis).

He aha taku e tumanako atu ai mēnā kei a au tēnei āhuatanga?

He mate kino te thrombophlebitis, engari kāore e puta he raruraru i a ia anō. He tohu noa iho tēnei mō ngā raruraru toto totoka. Ka taea e ēnei raruraru te arahi ki ngā mate kino ake, i ētahi wā ka mate. Ki te kitea wawetia, ka taea te rongoā i te thrombophlebitis, ā, he onge ngā raruraru. Heoi, ki te roa te tātaritanga me te rongoā i te mate, ka nui ake te tūponotanga ki te whakawhanake i ngā raruraru kino ake.

Kia pēhea te roa o tēnei āhuatanga?

He mate poto noa iho te thrombophlebitis, inā koa me te tātaritanga me te maimoatanga wawe. He onge te roa o tēnei mate neke atu i te torutoru hāora, nā te mea ka roa ake te noho, ka nui ake te tūponotanga ka huri hei raruraru kino.

He aha te tirohanga mō tēnei āhuatanga?

Ahakoa ko te thrombophlebitis anake, kāore i te tino mōrearea. Heoi, ki te pāngia koe e tēnei mate, he nui ake te tūponotanga ki te whakawhanake i ētahi atu mate, pērā i te DVT, te Pulmonary Embolism rānei. He āhuatanga ohorere hauora ēnei e rua. Ka roa ake tō tatari ki te whiwhi maimoatanga, ka nui ake te mōrearea o tēnei mate. Mā te whakaroa i te maimoatanga ka nui ake te tūponotanga o ngā raruraru roa, pērā i te mamae mau tonu i roto i ngā uaua kua pāngia, te whara rānei (ka taea te aukati i te rere o te toto).

Me pēhea taku tiaki i ahau anō?

Mena kei a koe ngā āhuatanga e whakanui ake ai i te mōrearea o te toto totoka (thrombophlebitis), ko te mea pai rawa atu ka taea e koe ko te whakahaere i aua āhuatanga. Kei roto i tēnei ko:

• Tirohia tō tākuta i ia wā, i ia wā.
• Tangohia tāu rongoā kia rite ki tā tō tākuta i tohutohu ai.
• Āta karohia ngā whanonga, ngā āhuatanga rānei ka whakapiki ake i tō mōrearea.

Āhea ahau me kōrero ki taku tākuta, me rapu rānei i te maimoatanga?

Mena kei a koe ētahi tohu o te thrombophlebitis, me kōrero koe ki tō tākuta. Tirohia tō tākuta mena he hītori tō te thrombophlebitis (he raruraru toto toto rānei, pērā i te DVT), ā, ki te hoki mai anō ētahi o ō tohu, ki te kino haere rānei.

Haere ki te hōhipera mēnā he āhuatanga ohorere!

Mena kei a koe ētahi tohu o te toto totoka, me haere tonu koe ki te hōhipera. Mena ka pā te toto totoka ki tō ringa, ki tō waewae rānei, ko ēnei tohu ko:

* Te rerekētanga o te tae o te ringa/waewae e pāngia ana (he mā ake te āhua i te mea noa).

* Mena he makariri ake te kiri o te wāhi e pāngia ana, o te ringa/waewae rānei ki te pā atu i te kiri o ngā wāhi kāore i pāngia.

* Mēnā kei a koe te thrombophlebitis, ētahi atu tohu rānei o te toto totoka e ahua neke haere ana mai i tētahi wāhi ki tētahi wāhi. He mea nui rawa tēnei mēnā kei te mamae tō uma, kei te poto rānei te manawa, ētahi atu tohu rānei o te toto totoka e puta ana i te taha, i muri tata mai rānei. He mate pūkahukahu tēnei.He tohu pea tēnei o tētahi āhuatanga ohorere hauora e morearea ana ki te ora. Mēnā ka puta tēnei, me waea tonu atu koe ki te 1990 (Suwa Seriya), ki tō nama ohorere ā-rohe rānei.

Whakarāpopototanga me ngā mea hei maumahara

He tohu whakatūpato nui pea te thrombophlebitis mō tētahi mate kino ake. Ahakoa kāore i te mōrearea i a ia anō, me toro atu koe ki te tākuta kia mōhio ai mēnā he raruraru tōu. Ko ētahi tohu e hiahia ana kia rapu awhina hauora wawe tonu koe. Mā te tātaritanga me te maimoatanga tere, kāore pea te thrombophlebitis e puta he raruraru nui, e whakararuraru rānei i tō oranga. Nō reira, he mea nui kia mōhio koe ki ēnei tohu. Ki te whakaaro koe kei a koe tētahi, kaua e mangere ki te toro atu ki te tākuta.

` Thrombophlebitis, toto totoka, phlebitis, DVT, Pūkahukahu Pūkahukahu, mamae waewae, pupuhi o ngā uaua