Hiki i ka Haipuni Waiwai Ke Hōʻike i nā Pūpū Waiwai?

Hiki i ka haipuni waiwai ke hoʻomaka i ke kaʻina hana o ka nānā ʻana i nā pūpū waiwai, akā ʻaʻole hiki i ka hapa nui o nā wahi ke hōʻoiaʻiʻo i ka maʻi maʻi ma ko lākou ʻaoʻao. Hiki i nā kikowaena haipuni waiwai he nui ke hana i kahi hoʻokolohua kino, loiloi i kāu mau kumu pilikia, a holo i kahi D-dimer blood test e kōkua i ka hoʻoholo ʻana inā paha he pūpū waiwai. Eia nō naʻe, ʻo nā hoʻokolohua kiʻi e pono ai e ʻike maoli a hōʻoiaʻiʻo i kahi pūpū, e like me ka duplex ultrasound a i ʻole CT scan, ʻaʻole ia e loaʻa pinepine ma nā wahi haipuni waiwai maʻamau.

No laila, ʻo ka pane pōkole: hiki i ka haipuni waiwai ke lilo i wahi mua pono inā kānalua ʻoe i kahi pūpū waiwai i kou wāwae a ʻaʻole koʻikoʻi kāu mau ʻōuli. Akā inā hōʻike kāu mau ʻōuli i kahi mea koʻikoʻi hou aku, e like me kahi pūpū i kou mau māmā, pono ʻoe e hele pololei i ka lumi pilikia.

Heaha ka Haipuni Waiwai Hiki ke Hana?

Ke komo ʻoe i kahi kikowaena haipuni waiwai me nā hopohopo e pili ana i kahi pūpū waiwai, e hoʻomaka ka mea lawelawe me kekahi mau mea.

ʻO ka mea mua, e hana lākou i kahi hoʻokolohua kino. E nānā lākou i ka wahi i hoʻopilikia ʻia, maʻamau kou wāwae, no nā hōʻailona e like me ka pehu, ʻulaʻula, mehana, a me ka palupalu. E nānā lākou inā ʻoi aku ka pehu o kekahi wāwae ma mua o kekahi, ʻo ia kekahi o nā hōʻailona nui o ka deep vein thrombosis (DVT).

A laila, hoʻohana ka nui o nā mea lawelawe haipuni waiwai i kekahi mea i kapa ʻia ʻo Wells Score. He mea hoʻohana hoʻohana ʻia ia e hāʻawi i nā helu ma muli o kāu mau ʻōuli, ka moʻolelo olakino, a me nā kumu pilikia. Kōkua ia i ka mea lawelawe e hoʻomaopopo i ka nui o kou loaʻa ʻana i kahi pūpū waiwai. ʻO nā mea e like me ka ʻokiʻoki hou, ka noho ʻole lōʻihi, ka maʻi ʻaʻai ikaika, a me ka pehu ʻana o ka wāwae hoʻokahi e hoʻohui i nā helu i ka helu. ʻO ka helu haʻahaʻa ka manaʻo ʻaʻole paha he pūpū. ʻO ka helu kiʻekiʻe ka manaʻo pono ʻia ka hoʻokolohua hou aʻe.

Inā hōʻike kāu Wells Score i ka pilikia haʻahaʻa a waena paha, hiki i ka mea lawelawe ke kauoha i kahi D-dimer blood test. Hiki i nā wahi haipuni waiwai he nui ke holo i kēia hoʻokolohua ma ka wahi. Ana ka D-dimer i kahi ʻāpana protein i hana ʻia e kou kino ke hoʻokaʻawale ʻo ia i nā pūpū waiwai. Inā maʻamau kāu D-dimer, he mea maikaʻi loa ia i ka hoʻopau ʻana i kahi pūpū waiwai. ʻO kahi hopena maʻamau i hui pū ʻia me kahi Wells Score haʻahaʻa ka lawa ia e ʻōlelo ai ʻaʻole paha he DVT.

Eia naʻe, he palena koʻikoʻi ka D-dimer test. ʻOiai he mea naʻauao ia, ʻo ia hoʻi, ʻaʻole ia e nalo i kahi pūpū maoli, ʻaʻole ia he kikoʻī. ʻO ia hoʻi, hiki ke kiʻekiʻe ia no nā kumu ʻē aʻe ma mua o kahi pūpū waiwai. ʻO nā mea e like me ka ʻokiʻoki hou, ka hāpai ʻana, ka maʻi, ka mumū, ka maʻi ʻaʻai, a me ka ʻelemakule paha e hoʻoulu ai i kahi kiʻekiʻe D-dimer me ka ʻole o kahi pūpū. No laila, ʻaʻole hōʻoiaʻiʻo ka D-dimer maikaʻi i kahi pūpū. ʻO ia wale nō ka manaʻo pono ʻia ka hoʻokolohua hou aʻe.

[IMG:https://assets.getbeyondhealth.com/health-lib/blogs/manual_upload_20260216033430_urgent-care-blood-clot.png]

Heaha ka Hana inā Pono ka Hoʻokolohua Hou?

Ma ʻaneʻi kahi e hiki ai i ka hapa nui o nā kikowaena haipuni waiwai ke hele. ʻO ka hoʻokolohua hoʻoholo no kahi pūpū waiwai i ka wāwae he compression ultrasound, i kapa ʻia hoʻi he duplex ultrasound. He hoʻokolohua ʻole ʻeha, ʻole invasive kēia kahi e hoʻopā ai ka technician i kahi wand ma kou wāwae e nānā i nā veins hohonu a nānā no nā pūpū. He pololei loa ia i ka ʻike ʻana i nā pūpū i nā veins o ka ʻūhā, ʻoiai hiki ke nalo i nā pūpū liʻiliʻi i ka ʻūhā.

ʻO kekahi mau wahi haipuni waiwai, ʻoi aku ka nui a i ʻole ka mea i pili pū me nā ʻōnaehana haukapila, he hiki ke kiʻi ultrasound. Inā ʻaʻole ʻoe maopopo, pono ke kāhea mua e nīnau. Inā ʻaʻohe ultrasound o kāu haipuni waiwai, e kuhikuhi ka mea lawelawe iā ʻoe i kahi wahi i loaʻa ia mea, ʻo ia hoʻi he kikowaena kiʻi a i ʻole he keʻena pilikia, maʻamau i ka lā like.

No ka pulmonary embolism i manaʻo ʻia (he pūpū waiwai i nā māmā), pono ʻia ka CT angiography scan. ʻAʻole loaʻa kēia ʻano kiʻi ma nā wahi haipuni waiwai. Pono ia i kahi keʻena pilikia.

I ka Manawa hea ʻoe e Pāleʻe ai i ka Haipuni Waiwai a Hele i ka ER?

He kūpono ka haipuni waiwai ke kaupalena ʻia kāu mau ʻōuli i kou wāwae a maikaʻi ʻoe ma ka holoʻokoʻa. Akā, ʻo kekahi mau ʻōuli ka manaʻo pono ʻoe i ka mālama pilikia koke, no ka mea, hiki ke kuhikuhi i kahi pulmonary embolism, ʻo ia kahi pūpū waiwai i hele mai kahi vein i kou mau māmā. He kūlana weliweli kēia i ke ola.

E hele i ka keʻena pilikia a i ʻole kāhea iā 911 inā ʻike ʻoe:

• Ka ʻokiʻoki koke o ka hanu ʻaʻole hiki iā ʻoe ke wehewehe

• Ka ʻeha o ka umauma ʻoi e pāʻinoʻino ana i ka wā e hanu hohonu ai a i ʻole ka ʻū

• He puʻuwai wikiwiki a ʻole like ʻole

• Ka ʻū ʻana i ke koko

• Ka manaʻo māmā ka poʻo, ʻuʻuku, a ʻole ka hele ʻole

• Ka hāʻule koke ʻana o ke koko a i ʻole ka manaʻo e hele ʻoe

Pono ka pulmonary embolism i ka hoʻomaopopo a me ka hoʻōla koke ʻia. Loaʻa i nā keʻena pilikia nā CT scanner, nā mea hoʻoheheʻe koko, a me nā mea nānā e pono ai no ka mālama ʻana i kēia. ʻO ka kali ʻana a i ʻole ka hele mua ʻana i ka haipuni waiwai i kēia kūlana hiki ke lilo i manawa nui.

Pehea ka DVT Symptoms i Manaʻo Māmā?

I kekahi manawa, ʻaʻole manaʻo ka pūpū waiwai i ka wāwae he mea nui. Hiki ke mau ka ʻeha akā ʻaʻole koʻikoʻi, e like me ka ʻeha mau ʻana i loko o kou ʻūhā. Hiki iā ʻoe ke ʻike i ka pehu māmā i hoʻokahi wāwae ʻaʻole ma laila i ka lā ma mua, a i ʻole e ʻoi aku ka mehana o ka ʻili ke hoʻopā aku. Hiki ke maʻalahi kēia mau ʻōuli e hoʻolei ʻia ma ke ʻano he ʻiʻo huki ʻia a i ʻole ka ʻeha liʻiliʻi.

ʻO ka ʻokoʻa ʻo ka ʻeha ʻiʻo mai ka ʻeha maʻamau e hoʻomaikaʻi me ka hoʻomaha a hoʻomaikaʻi i loko o ʻelua mau lā. ʻO ka ʻeha pūpū waiwai ka manaʻo e mau ana a hoʻopaʻa ʻia i hoʻokahi wahi, a hiki ke pāʻinoʻino i ka wā ma mua o ka hoʻomaikaʻi ʻana. Inā kānalua ʻoe, ʻoi aku ka maikaʻi e nānā ʻia ma mua o ka kali ʻana. Hoʻopilikia ka DVT i kahi o 300,000 a 600,000 mau ʻAmelika i kēlā me kēia makahiki, a ʻo ka hoʻōla mua ʻana me nā mea hoʻoheheʻe koko hiki ke pale i ka pūpū mai ka ulu ʻana a i ʻole ka haki ʻana a hele i nā māmā.

Heaha na Kumu Pilikia ka Mea pono e ike?

ʻOi aku ka nui o kou loaʻa ʻana i kahi pūpū waiwai inā ua hele ʻoe i kekahi o kēia mau kūlana:

• Ka lele lōʻihi a i ʻole ka holo kaʻa kahi āu i noho ai no nā hola

• ʻO ka ʻokiʻoki hou, ʻoi aku ka nui o kou puʻupuʻu, kou kuli, a i ʻole kou ʻōpū

• Ka noho ʻana i kahi moe lōʻihi a i ʻole ka halemai

• Ka ʻeha a haki paha o ka wāwae

• Ka lawe ʻana i ka lāʻau hānau hormonal a i ʻole ka lāʻau pani hormone

• Ka hāpai ʻana a i ʻole nā mahina mua ma hope o ka hānau ʻana

• Ka maʻi ʻaʻai ikaika a i ʻole ka lāʻau lapaʻau ʻana

• Ka moʻolelo pilikino a ʻohana paha o nā pūpū waiwai

• Ka ʻelemakule ma mua o 60, ka mea puhi paka, a i ʻole ka momona nui

Inā loaʻa iā ʻoe ʻelua a ʻoi aku paha o kēia mau kumu pilikia a loaʻa iā ʻoe ka ʻeha a i ʻole ka pehu ʻana o ka wāwae ʻaʻole i wehewehe ʻia, pono ke nānā ʻia koke a ma hope paha.

Heaha ka Mea Pono e Hana koke?

Inā kaupalena ʻia kāu mau ʻōuli i ka pehu ʻana o ka wāwae, ka ʻeha, a i ʻole ka mehana a maikaʻi ʻoe ma ka holoʻokoʻa, he kūpono a pinepine hoʻi ka wahi mua ʻo ka hele ʻana i ka haipuni waiwai. Hiki i ka mea lawelawe ke nānā iā ʻoe, helu i kāu pilikia, a holo i kahi D-dimer test. Inā maikaʻi nā mea a pau, hiki iā ʻoe ke hoʻomaha. Inā kiʻekiʻe ka D-dimer a i ʻole ka kiʻekiʻe o kāu helu pilikia, e lawe lākou iā ʻoe i kahi kūpono no ka kiʻi kiʻi koke.

Inā loaʻa iā ʻoe kekahi mau ʻōuli o ka umauma, ka paʻakikī o ka hanu ʻana, a i ʻole ka manaʻo ʻoe e hele ʻoe, e haʻalele i ka haipuni waiwai a hele i ka ER. Pono ka pulmonary embolism i ka nānā pilikia, a ua hoʻolako ʻia ka ER e mālama i kēlā. ʻO ka mea nui loa ka mālama pono ʻana i kāu mau ʻōuli a mai manaʻo ʻaʻole ia e hala koke.