Whakaarohia, he aha te mea ka tupu mēnā ka kore e taea e te pūnaha ā-tinana te aukati i te toto, kātahi ka mutu rawa? Ka puta he toto iti ki tō tinana katoa, ka ngaro ngā mea katoa e hiahiatia ana, ā, kāore e taea te aukati i te toto ahakoa he whara iti. Ko tētahi o ngā mate tino kino, uaua hoki e kōrerohia ana i tēnei rā , ko te DIC (Disseminated Intravascular Coagulation) . Ahakoa he ingoa whakamataku tēnei, me mārama noa iho.
He aha rawa te DIC?
He māmā noa iho, he mate kino te DIC e pā ana ki te kaha o tō toto ki te totoka. Ko te mea ka tupu, ka pōrearea te pūnaha totoka o tō tinana. E rua ngā wāhanga matua o tēnei mate.
1. Wāhanga 1 (Wāhanga Hanga Totoka): I tēnei wāhanga, ka tīmata te hanga o ngā mano tini totoka ririki puta noa i tō tinana, i roto i ō uaua toto . Hei hanga i ēnei totoka, ka whakamahia e tātou he maha o ngā pereti toto me ngā mea e ārai ana i te totoka. He rite ki te whakamahi i te maha o ngā poraka sima hei hanga taiepa iti kāore e hiahiatia puta noa i te tāone. Mā tēnei, ka tere te pau o ēnei mea.
2. Wāhanga 2 (Wāhanga Toto): Kua pau ngā pereti toto me ngā pūmua e hiahiatia ana hei totoka. I tēnei wā, ahakoa he whara iti, kāore e taea te aukati i te toto . Nā te mea kāore i te tinana te "sima" e hiahiatia ana hei hanga totoka. Ka puta te toto nui kāore e taea te whakahaere. Koinei te wāhanga tino morearea o te mate, ā, me rongoā tonu.
He mea nui, kāore te DIC e puta ko ia anake. Ka puta tonu mai i tētahi atu mate hauora nui, i tētahi atu raruraru rānei. E ai ki ngā pūrongo ka puta i roto i te 1% o ngā tūroro e noho ana i te hōhipera.
He aha ngā take o te DIC?
E ai ki tā mātou i kōrero ai i mua ake nei, ko te DIC te take o tētahi mate hauora. He rerekē te take i ia mate, i ia mate. Ko te tikanga ka tīmata mā te urunga mai o tētahi mea ke (hei tauira, ngā paitini huakita , ngā kongakonga kiko kua pakaru) ki roto i te toto. Me titiro tātou ki ngā take matua.
| Momo take | Ngā tauira me ngā whakaahuatanga |
|---|---|
| Ngā take o te DIC ohorere (whakamataku) |
|
| Ngā Take o te DIC Mau tonu |
|
He aha ngā tohu pea o te DIC?
Ko ngā tohu e pā ana ki a koe ka whakawhirinaki ki te puta ohorere mai o te mate DIC (kaha) ka āta haere rānei (mau tonu).
Ngā Tohu o te DIC Whakapeka
Ko te tohu matua me te tino morearea o tēnei ko te toto kore e taea te whakahaere.
- Te toto nui mai i te wāhi pokanga, te wāhi werohanga IV, te ihu, ngā kapia rānei.
- Ka puta ngā maru puta noa i te tinana, kāore he take.
- Te ruaki toto.
- Te rere toto me te tūtae.
- Te toto e rere ana ki roto i te roro, te ara nakunaku, ngā uaua, ngā kōhao tinana rānei.
Ngā Tohu o te DIC Mau tonu
Ko te tūponotanga matua o tēnei momo ehara i te toto, engari ko ngā toto toto e puta mai ana i ngā wāhanga tōmua. Ka taea e ēnei toto toto te haere me te aukati i ngā oko toto i roto i ngā whekau nui.
- Te ngoikore o ngā okana: Mena ka aukatia te rere o te toto ki tētahi okana pēnei i ngā whatukuhu, te ate, ngā pukahukahu rānei e te toto totoka.
- Ngā whiu: Mena ka āraia he oko toto i roto i te roro e te toto totoka.
- Te mate manawa: Mēnā ka aukatia tētahi oko toto e tuku toto ana ki te manawa.
- Te Thromboembolism o ngā uaua hōhonu (DVT): Ka puta he toto totoka i roto i ngā uaua o ngā waewae, o ngā ringa rānei, ka pupuhi, ka mamae hoki aua wāhi.
- Te uaua ki te manawa: Mena ka haere te toto totoka ki ngā pukahukahu.
I ētahi wā, kāore pea he tohu e puta mai i te DIC puhoi te tīmatanga. Waihoki, ko te toto mai i ngā wāhi e toru e kore e pā i te wā kotahi (hei tauira, te toto o te ihu, te kapia, me te mimi) he tohu pea o te DIC.
He aha ngā maimoatanga mō te DIC?
Ko te mea tuatahi, ko te mea nui rawa atu hoki, mā ngā tākuta e mahi i roto i te mate DIC, ko te rongoā i te mate taketake i puta ai te DIC. Hei tauira, mēnā he mate (sepsis) te take o te DIC, ka hoatu he paturopi mō taua mate.
Hei tāpiritanga, ka tukuna hoki he maimoatanga hei whakahaere i ngā tohumate i puta mai i te DIC.
- Ngā whakawhiti toto ki te toto: Mena kua nui rawa te toto kua ngaro, ka hoatu te toto ki te toto hei whakakapi i ngā pūmua (ngā mea whakaheke toto) e hiahiatia ana mō te whakaheke toto.
- Ngā whakawhiti toto pereti: Ka hoatu ēnei hei whakahoki mai i te maha o ngā pereti kua heke nā te toto.
- Whakaora hāora: Mena ka pakaru te rere o te toto ki tētahi okana nā te toto totoka, ka hoatu he hāora hei ārai i te kino o taua okana.
- Ngā rongoā ārai toto toto: Ka taea te whakamahi i ngā rongoā whakaiti toto pēnei i te heparin . Tērā pea koe e whakaaro ana, "Āe, he aha te take e hiahia ai te tangata kua toto kē ki ētahi atu rongoā whakaiti toto?" Me tino tupato te whakamahinga o ēnei. Ka hoatu hei ārai i te hanganga o ngā toto toto kino ake, inā koa i roto i te DIC mau tonu, i ngā wāhanga tōmua rānei o te mate. He whakatau tēnei mā tō tākuta anake e taea te whakatau.
He āhuatanga ohorere hauora te DIC acute. Me rongoatia i roto i te wāhanga tiaki nui (ICU) o te hōhipera, i te wāhanga maimoatanga ohorere rānei (ETU). Kaua e manukanuka, i te nuinga o te wā ka puta tēnei i te wā pokanga, i te wā whānau rānei, ā, kei reira tonu te tīma hauora hei hoa mōu.
I muri i tō wehenga atu i te hōhipera, ka haere tonu tō tākuta ki te aroturuki i a koe, me te tirotiro anō hoki mō ngā āhuatanga hauora me ngā raruraru e pā ana ki te DIC.
Karere Tangohia ki te Kāinga
- Ehara te DIC i te mate e puta takitahi ana. He raruraru tonu ia nō tētahi atu mate hauora nui (hei tauira, te sepsis, te mate pukupuku, te whara nui).
- Ko te mea ka tupu i tēnei take, tuatahi, ka puta he toto toto koretake puta noa i te tinana, kātahi ka pau ngā matū e hiahiatia ana hei toto toto, ka puta he toto kāore e taea te whakahaere.
- Ko te arotahi o te maimoatanga ko te rongoā i te mate taketake i puta ai te DIC, me te whakahaere i ngā tohu.
- Mena ka pāngia koe e te toto ohorere, e te maru kino rānei mai i ngā wāhi maha o tō tinana, kāore he take e kitea ana, ina koa mēnā he mate kino anō tōu, me toro atu ki tō tākuta tonu, me haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
DIC, Te Pupuhitanga o te Toto i roto i ngā Āhuatanga o te Toto, Te Totoka, Te Toto, Te Totohu, Te Sepsis, Ngā Tohu
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