I ētahi wā ka rongo koe i te pupuhi o ō waewae, te mamae, te kikī rānei o tō uma? Ehara ēnei i te mea noa iho. Tērā pea ko te take o tēnei he iti noa te taurite o te tukanga toto toto o tō tinana. Inaa, he mea nui te toto toto toto i roto i tō tātou tinana hei whakaora i te ora. Engari ki te nui rawa, kāore e tika ana, he tino morearea hoki. I tēnei rā kei te kōrero tātou mō tētahi whakamātautau toto nui e rapu ana i taua taurite.
He aha te Pūmua S?
He kupu whakarāpopoto, he momo pūmua motuhake te Pūmua S e hangaia ana e tō tātou ate. Ko tana mahi matua he whakahaere i te tukanga toto totoka i roto i tō tātou tinana.
Whakaarohia tō pūnaha toto totoka he pūnaha parai o te motuka. Ina whara tātou, he mea nui te toto totoka hei whakamutu i te toto. He rite ki te patu i ngā parai hei whakamutu i te motuka i mua i te tukinga. Engari he aha te mea ka tupu mēnā ka puta he toto totoka i roto i ō uaua, kāore he take? He rite ki te wā e taraiwa ana koe i te rori, ā, ka mutu ō parai, ka mutu ngā wira e whā.
Waihoki, ki te puta he toto totoka i roto i ngā uaua, ka taea e ia te aukati i te rere o te toto, ā, ka puta he āhuatanga morearea. Ko te Pūmua S tētahi mea e whakahaere ana i te toto totoka koretake, pērā i tētahi wāhanga nui o te pūnaha parai o tō tātou tinana. Ka mahi tahi te Pūmua S me ētahi atu pūmua pērā i te Pūmua C me te anti-thrombin.
He aha te korenga o te Pūmua S?
Ko te korenga o te Pūmua S ko te tikanga kāore i te nui tēnei pūmua nui i roto i tō tinana. Ina tupu tēnā, me te mea kua ngoikore te pūnaha parai i kōrerotia e au i mua ake nei. Ko te tikanga ka piki ake te mōrearea o te toto totoka i roto i ngā oko toto. I roto i te rongoā, ka kiia tēnei āhuatanga ko te mōrearea o te Venous Thromboembolism (VTE).
He mate ira tēnei ka tukuna iho i tētahi whakatipuranga ki tētahi whakatipuranga. Engari he tino onge. Heoi, i ētahi wā, ka nui ake te mōrearea o tēnei toto totoka. Hei tauira:
- I te wā e hapu ana
- I te wā e pokangahia ana
- Mena kei te tango koe i ngā pire ārai whānau kei roto ngā homoni
- Mena kei te tango koe i te rongoā whakakapinga homoni (HRT)
- Ina noho koe i te tūranga kotahi mō te wā roa, pērā i runga i ngā waka rererangi.
Engari kia maumahara, i ētahi wā ka puta he toto totoka, kāore he take motuhake. Ka piki ake tēnei mōrearea i muri i te 55 tau te pakeke.
He aha ngā āhuatanga morearea ka puta ina kore e rawaka te Pūmua S?
Ka taea e te korenga o te Pūmua S te arahi ki ngā āhuatanga kino e rua. Me mārama tātou ki ēnei mā te whakamahi i tētahi ripanga.
| Āhua | He whakamārama ngāwari me ngā tohu |
|---|---|
| Te Thrombosis o te Uaua Hōhonu (DVT) | Ka puta tēnei ina puta he toto totoka (thrombus) i roto i tētahi uaua hohonu o te tinana. I te nuinga o te wā ka puta i ngā waewae. Ko ētahi o ngā tohu ko te pupuhi, te mamae, te ahua o te kōpiripiri i tētahi waewae, i tētahi ringa rānei, te mahana ki te pā atu, me te uaua pupuhi. |
| Te Pukupuku Pūkahukahu (PE) | He nui ake te mōrearea o tēnei. Ko te PE he pakaru o tētahi wāhanga o te toto totoka i hangaia i te wā o te DVT, ka haere mā roto i te toto ki te ngākau, ā, mai i reira ka mau ki roto i tētahi oko toto i roto i ngā pukahukahu. He āhuatanga ohorere tēnei, he āhua morearea pea ki te ora! Ko ngā tohu ko te poto ohorere o te manawa, te mamae nui o te uma e kino haere ana ina manawa hohonu koe, te tere o te ngakau, me te maremare toto i ētahi wā. Mena ka pāngia koe e ēnei tohu, me haere tonu koe ki te tari ohorere o te hōhipera (ETU). |
He aha te Whakamātautau Mahi Pūmua S?
Ko te whakamātautau toto tino nui hei whakatau mēnā kei roto koe i te mōrearea ko te Whakamātautau Mahi Pūmua S. Ehara i te mea ka ine noa tēnei whakamātautau i te nui o te Pūmua S i roto i tō toto, engari me tōna 'kaha' hoki. Arā, ka ine i tōna kaha ki te aukati i te toto totoka. Ka taea e ia te kite i te nuinga o ngā momo ngoikore o te Pūmua S.
Ki te mahi koe i tēnei whakamātautau...
Ki te tono tō tākuta kia mahia tēnei whakamātautau, me kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe (ina koa ko ngā rongoā whakaiti toto me ngā homoni). Nā te mea ka taea e ētahi rongoā te whakarerekē i ngā hua o tēnei whakamātautau. Nō reira, he mea tino nui kia kōrerotia ngā mea katoa me te kore e huna i tetahi mea.
Me pēhea te mārama ki ngā uara i roto i te pūrongo whakamātautau?
Ko te awhe noa mō te mahi a te Pūmua S i roto i te pūrongo kei waenganui i te 60% me te 150% . Heoi, ka rerekē pea tēnei i ia taiwhanga. Nō reira, ka whakataurite tō tākuta i ō hua ki te awhe noa i roto i tō pūrongo, ā, ka whakamārama tika i tōna tikanga.
- He iti te ngohe o te pūmua S: Ko te tikanga o tēnei he iti te kaha o tō tinana ki te whakahaere i te toto totoka. Ko te tikanga o tēnei he nui ake tō tūponotanga ki te whakawhanake i ngā mate pēnei i te DVT, te PE rānei.
- Mena he teitei te uara o te Pūmua S (Teitei): Ka piki ake tēnei uara i roto i ētahi tāngata, inā koa i a rātou e pakeke haere ana. Heoi, kāore anō kia kitea he raru nui ki te hauora. Arā, ko te pikinga o tēnei uara kāore e whakanui ake i te mōrearea o te toto.
Ko wai e hiahia ana ki te mahi i tēnei whakamātautau?
Tērā pea ka tūtohu tō tākuta i tēnei whakamātautau mēnā kei te whakaaro koe kei te tūpono koe ki te whakawhanake i tētahi mate toto totoka, inā koa mēnā:
- Mena he toto totoka kei roto i tō tinana, kāore he take e kitea ana (hei tauira, he pokanga, he haerenga roa, me ētahi atu).
- Mena he hītori tō tētahi o tō whānau mō te toto totoka pinepine (Venous Thromboembolism - VTE).
- Mena kua tākutatia kētia tētahi o tō whānau kei te ngoikore te Pūmua S.
- Mena kua maha atu i te kotahi ō materoto.
I runga i ngā hua o tēnei whakamātautau, ka taea e tō tākuta te tohu rongoā hei āwhina i a koe ki te ārai i ngā toto totoka rerekē.
Karere Tangohia ki te Kāinga
- He pūmua nui te Pūmua S e whakahaere ana i te toto totoka i roto i tō tātou tinana, e mahi ana pērā i te "pēki".
- Ki te heke tēnei taumata Pūmua S, ka piki ake te mōrearea o te whakawhanake i ngā āhuatanga morearea pēnei i te DVT (thrombosis uaua hohonu) me te PE (embolism pūkahukahu).
- He mea nui te Whakamātautau Ngohe Pūmua S hei aromatawai i tēnei mōrearea.
- Mena kei te whakahaerehia tēnei whakamātautau ki a koe, he mea nui kia whakamōhio koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe.
- Mena he hītori tōu, tō whānau rānei mō ngā toto totoka kāore i te whakamāramatia, kōrero ki tō tākuta mō tēnei mea, kia whiwhi ai i ngā tohutohu e tika ana.
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