He aha ka Pulmonary Embolism? Nā Hōʻailona, Nā Kumu, & Lapaʻau

Hana ʻia ka pulmonary embolism i ka wā e kāohi ai kahi clot koko i kekahi o nā arteries i loko o kou mau māmā. Ke pale nei kēia kāohi ʻana i ke koko momona oxygen mai ka holo pono ʻana ma o kou ʻiʻo māmā, hiki ke paʻakikī i ka hanu a kaumaha i kou naʻau.

E noʻonoʻo e like me kahi pilikia kaʻa ma ke ala nui o kou māmā. I ka wā e pilikia ai kahi clot i kekahi o kēia mau ala koʻikoʻi, hoʻopilikia ia i ke kahe maʻamau o ke koko e lawe ana i ka oxygen ma o kou kino. ʻOiai ke kani nei kēia he weliweli, ʻo ka ʻoiaʻiʻo maikaʻi, hiki ke mālama ʻia ka pulmonary embolism, ʻoi aku hoʻi i ka wā e hopu koke ʻia ai.

He aha nā hōʻailona o ka pulmonary embolism?

ʻO ka hōʻailona maʻamau loa o ka pulmonary embolism ka hanu pōkole koke e like me ka puka ʻana mai kahi ʻole. Hiki iā ʻoe ke manaʻo e hiki ʻole iā ʻoe ke hopu i kou hanu, ʻoiai ʻoe e noho mālie ana a hana paha i nā hana māmā.

Eia nā hōʻailona e pono ai ʻoe e nānā, me ka hoʻomanaʻo ʻana e hiki ke ʻokoʻa lākou mai ke kanaka a i ke kanaka:

• Hanu pōkole koke a i ʻole ka paʻakikī o ka hanu
• ʻEha umauma ʻoi e hiki ke ʻoi aku ka ʻino i ka wā e hanu hohonu ai ʻoe a i ʻole ke kikoʻī
• ʻO ka wikiwiki o ka naʻau a i ʻole ka manaʻo e like me ka holo ʻana o kou naʻau
• Ke kikoʻī, i kekahi manawa me ka sputum koko-streaked
• Ke manaʻo māmā, dizziness, a i ʻole faint
• Ke kahe nui ʻana o ka hou me ka kumu maopopo ʻole
• ʻEha wāwae a i ʻole ka pehu, ʻoi aku hoʻi i hoʻokahi wāwae

Loaʻa i kekahi poʻe ka mea a nā kauka i kapa ai ʻo

ʻO ka hapa nui o nā embolism pulmonary e hoʻomaka ana ma ke ʻano he mau clot koko i loko o nā veins hohonu o kou mau wāwae, kahi kūlana i kapa ʻia ʻo deep vein thrombosis a i ʻole DVT. Hiki i kēia mau clot ke haki a hele i loko o kou kahe koko i kou mau māmā.

He mau kumu e hiki ai ke hoʻonui i kou mau manawa e loaʻa ai kēia mau clot weliweli:

• Ka neʻe ʻole lōʻihi mai nā lele lōʻihi, moe moe, a i ʻole ka ʻoki kino
• ʻOki kino nui hou, ʻoi aku hoʻi ma nā wāwae, nā ʻūhā, a i ʻole ka ʻōpū
• Nā lāʻau lapaʻau e like me nā pīni hānau a i ʻole ka hoʻololi hormone
• Ke hapai a me ka wā ma hope o ka hānau
• Ka maʻi kanesa a me nā lāʻau lapaʻau kanesa
• Nā maʻi clotting koko i hoʻoilina ʻia
• Ka maʻi naʻau a i ʻole ka hahau
• Ka puhi paka
• Ka momona

I nā hihia kakaikahi, hiki i nā mea ʻē aʻe ma waho o nā clot koko ke hoʻokumu i ka embolism pulmonary. ʻO kēia mau mea e komo pū ana i ka momona mai nā iwi haki, nā pūpū ea, a i ʻole ka wai amniotic i ka wā hānau. Eia naʻe, ʻo nā clot koko ka kumu maʻamau loa.

I kekahi manawa, ʻaʻole hiki i nā kauka ke ʻike i kahi mea hoʻonāukiuki kūikawā, kahi i kapa ʻia ʻo ka embolism pulmonary unprovoked. ʻAʻole kēia manaʻo ua hana hewa ʻoe - ʻo ia wale nō ka manaʻo ua hana kou kino i kahi clot me ka ʻole o kahi kumu kūwaho maopopo.

I ka wā e ʻike ai i ke kauka no ka embolism pulmonary?

Pono ʻoe e ʻimi i ka mālama pilikia koke inā loaʻa iā ʻoe ka hanu pōkole koke, ka ʻeha umauma, a i ʻole ka hoʻomaha koko. Pono kēia mau hōʻailona i ka mālama pilikia koke no ka mea hiki i ka embolism pulmonary ke hoʻoweliweli i ke ola me ka ʻole o ka mālama koke.

Kāhea i ka 911 a i ʻole e hele i ka lumi pilikia koke inā loaʻa iā ʻoe:

• Ka pilikia hanu koke a nui
• Ka ʻeha umauma ʻoi aku ka nui me ka hanu
• Ka hoʻomaha koko
• Ka wikiwiki o ka naʻau me ka dizziness a i ʻole ka hiolo
• Ka hiolo koke

ʻOiai inā he māmā kou mau hōʻailona, ​​mai kali e ʻike inā e hoʻomaikaʻi lākou ma o lākou iho. Hiki i nā hōʻailona embolism pulmonary ke hoʻonui koke, a ʻo ka mālama mua e hoʻomaikaʻi nui i kou hopena.

Inā loaʻa iā ʻoe nā mea pilikia e like me ka ʻoki kino hou, ka lōʻihi o ka neʻe ʻole, a i ʻole ka mōʻaukala ʻohana o nā ʻōpala koko, e makaʻala nui i nā loli hanu a i ʻole ka pehu o nā wāwae. Pono kēia i ka kāhea koke ʻana i kāu mea lawelawe ola.

He aha nā mea pilikia no ka pulmonary embolism?

Hiki i ka hoʻomaopopo ʻana i kāu mau mea pilikia ke kōkua iā ʻoe a me kāu kauka e lawe i nā hana pale. ʻO kekahi mau mea pilikia hiki iā ʻoe ke kaohi, ʻoiai ʻo nā mea ʻē aʻe he ʻāpana o kāu mōʻaukala lapaʻau a i ʻole genetics.

ʻO nā mea pilikia hiki iā ʻoe ke hoʻopilikia:

• Paka - hōʻino i nā kīʻaha koko a hoʻonui i ka clotting
• Noho lōʻihi a moe paha
• Momona - kaumaha ke kaumaha ma nā veins wāwae
• Nā lāʻau hormone e like me ka birth control a i ʻole ka hormone replacement
• Ka nele o ka hana kino

Nā mea pilikia e pili ana i kāu mōʻaukala lapaʻau a i ʻole genetics:

• Nā ʻōpala koko ma mua a i ʻole pulmonary embolism
• Mōʻaukala ʻohana o nā maʻi clotting koko
• Kanesa a i ʻole ka mālama ʻana i ka kanesa
• Maʻi naʻau a i ʻole ka hāʻule o ka naʻau
• Kekahi mau kūlana autoimmune
• ʻO ka makahiki ma luna o 60 mau makahiki

Nā mea pilikia manawa pōkole e hoʻonui i kou mau manawa i nā manawa kikoʻī e komo pū ana i ka hāpai ʻana, ka ʻoki kino hou, ka hoʻokomo ʻia ʻana i ka haukapila, a i ʻole ka huakaʻi lōʻihi. ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ka ʻike ʻana i kāu mau mea pilikia e ʻae iā ʻoe a me kāu hui olakino e lawe i nā hana palekana i ka wā e pono ai.

He aha nā pilikia hiki ke loaʻa i ka pulmonary embolism?

ʻOiai ke ola maikaʻi ka hapa nui o nā kānaka mai ka pulmonary embolism me ka mālama kūpono, hiki ke loaʻa kekahi mau pilikia. ʻO ka pilikia nui loa i kēia manawa, ʻo ia ka hiki i kahi clot nui ke kau i ka ukana weliweli ma kou naʻau.

ʻO nā pilikia hiki ke loaʻa:

• Hypertension pulmonary - ke kiʻekiʻe o ke koko i loko o nā arteries o ka mākū
• Hāʻule o ka naʻau mai ka hana nui e ho'āʻo ana e pūpū i ke koko ma o nā moku i pani ʻia
• Pōkole o ka hanu mau loa
• Nā clots koko hou
• Make, ʻoi aku hoʻi me nā clots nui a i ʻole ka mālama lohi

He pilikia koʻikoʻi akā maʻamau ʻole ka hypertension thromboembolic pulmonary mau loa, kahi e hoʻomau ai ka ʻili ʻili mai nā clots kahiko e pani i ke kahe koko ʻoiai ma hope o ka mālama ʻana. Hiki i kēia ke hoʻokumu i nā pilikia hanu mau loa a me ka hoʻoikaika ʻana o ka naʻau.

ʻOi aku ka haʻahaʻa o ka pilikia o nā pilikia ke ʻike ʻia a mālama koke ʻia ka embolism pulmonary. ʻO ka hapa nui o nā kānaka i loaʻa ka mālama wikiwiki a kūpono e ola i nā ola maʻamau a olakino me ka ʻole o nā hopena lōʻihi.

Pehea e ʻike ʻia ai ka embolism pulmonary?

Hiki ke paʻakikī ke ʻike i ka embolism pulmonary no ka mea ua like kona mau hōʻailona me nā kūlana ʻē aʻe e like me ka hoʻouka ʻana o ka naʻau a i ʻole ka pneumonia. E hoʻomaka kāu kauka ma ka nīnau ʻana i kāu mau hōʻailona a me ka mōʻaukala lapaʻau.

ʻO nā ho'okolohua diagnostic maʻamau e komo pū ana:

• CT pulmonary angiogram - kiʻi kikoʻī o nā moku koko i loko o kou mau mākū
• Ho'okolohua koko D-dimer - ana i nā mea i hoʻokuʻu ʻia i ka wā e haki ai nā clots koko
• X-ray umauma - kāpae i nā pilikia mākū ʻē aʻe
• Electrocardiogram (ECG) - nānā i kou rhythm naʻau
• Ultrasound o nā wāwae - ʻimi i nā clots koko i nā veins wāwae

Ua manaʻo ʻia ka CT pulmonary angiogram he ho'okolohua kūlana gula no ka mea hiki ke hōʻike pololei i nā clots i loko o nā arteries mākū. Hiki i kāu kauka ke kauoha pū i nā ho'okolohua koko e nānā i ka maikaʻi o kou clotting koko a e ʻimi i nā maʻi clotting ma lalo.

I kekahi mau hihia, hoʻohana nā kauka i kahi ʻōnaehana helu ʻana olakino e hoʻohui i kāu mau hōʻailona, nā kumu pilikia, a me nā hopena ho'okolohua e hoʻoholo i ka hiki ke loaʻa ka embolism pulmonary. Kūleʻa kēia i ka alakaʻi ʻana i nā ho'okolohua e kauoha ai a me ka wikiwiki e mālama ai iā ʻoe.

He aha ka mālama no ka embolism pulmonary?

ʻO ka mālama ʻana i ka embolism pulmonary e kau nui ana i ka pale ʻana i ka nui ʻana o ka clot, ka pale ʻana i ka hoʻokumu ʻana o nā clots hou, a me ke kōkua ʻana i kou kino e hoʻoheheʻe i ka clot i loaʻa. Hoʻomaka ka hapa nui o ka mālama ʻana koke, ʻoiai ma mua o ka loaʻa ʻana o nā hopena hoʻokolohua a pau.

ʻO nā mālama nui e komo pū ana:

• Anticoagulants (nā mea hoʻohilahila koko) e like me ka heparin, warfarin, a i ʻole nā lāʻau hou aku
• Thrombolytics (nā lāʻau hoʻoheheʻe clot) no nā hihia koʻikoʻi
• Kānana vena cava haʻahaʻa - kahi mea liʻiliʻi e hopu i nā clots ma mua o ka hiki ʻana i nā māmā
• Embolectomy - ka wehe ʻana i nā clots nui, weliweli ola
• Oxygen therapy e kōkua i ka hanu

ʻO nā mea hoʻohilahila koko ka mālama maʻamau loa a maʻamau loa ia. Hiki iā ʻoe ke hoʻomaka me nā inikini a i ʻole nā ​​​​lāʻau IV ma ka haukapila, a laila hoʻololi i nā papa e hiki ai iā ʻoe ke lawe ma ka home. ʻO ka lōʻihi o ka mālama ʻana mai ʻekolu mahina a i ke ola holoʻokoʻa, ma muli o kāu mau kumu pilikia.

No nā embolism pulmonary nui e hoʻoweliweli ana i kou ola, hiki i nā kauka ke hoʻohana i nā lāʻau hoʻoheheʻe clot a i ʻole e hana i nā kaʻina hana pilikia e wehe i ka clot. Loaʻa i kēia mau mālama nā pilikia hou aku akā hiki ke ola ola i nā hihia koʻikoʻi.

Pehea e hoʻokele ai i ka hoʻōla ma ka home i ka wā o ka mālama ʻana i ka embolism pulmonary?

Lawe ka hoʻōla ʻana mai ka embolism pulmonary i ka manawa, a he mea nui ia e hoʻomanawanui iā ʻoe iho i ka hoʻōla ʻana o kou kino. Hoʻomaka ka hapa nui o nā kānaka e ʻike i ka maikaʻi i loko o kekahi mau lā o ka mālama ʻana, akā hiki i ka hoʻōla piha ke lawe i nā hebedoma a i nā mahina.

Eia pehea ʻoe e kākoʻo ai i kāu hoʻōla ʻana:

• E lawe i kāu lāʻau hoʻohilahila koko e like me ka mea i kuhikuhi ʻia
• E hoʻonui mālie i kāu pae hana i kou ʻike ʻana i ka ikaika
• E komo i nā lole komo inā kuhikuhi ʻia
• E noho wai ma ka inu ʻana i ka wai nui
• E pale i nā hana e hiki ke hoʻoulu i ke kahe koko i ka wā e loaʻa ana nā mea hoʻohilahila koko
• E nānā i nā hōʻailona o ke kahe koko e like me ka ʻūlū maʻamau ʻole a i ʻole ke kahe koko lōʻihi mai nā ʻokiʻoki

He mea maʻamau ke luhi a i ʻole ka pōkole o ka hanu no kekahi mau pule ma hope o ka hoʻomaka ʻana o ka mālama. Pono ka manawa o kou mau māmā e ho'ōla a hoʻokumu i nā ʻano kahe koko hou a puni nā wahi i ālai ʻia.

E makaʻala i kekahi mau hōʻailona e ʻoi aku ka ʻino e like me ka pōkole o ka hanu, ka ʻeha o ka umauma, a i ʻole nā ​​hōʻailona o ke kahe koko. E kelepona koke i kāu mea mālama ola inā ʻike ʻoe i kekahi mau loli e hopohopo ai.

Pehea e pale aku ai i ka embolism pulmonary?

ʻO ka pale ʻana ke kaulele i ka hōʻemi ʻana i kou pilikia o ka hoʻomohala ʻana i nā clots koko ma ka mua. Hiki i nā loli maʻalahi o ke ola ke hoʻolilo i kahi ʻokoʻa nui i ka hōʻemi ʻana i kou pilikia.

ʻO nā hana palekana e komo pū me:

• E noho ikaika a pale i ka noho lōʻihi a i ʻole ka moe moe
• E hoʻoneʻe i kou mau wāwae maʻamau i nā huakaʻi lōʻihi
• E mālama i ke kaumaha olakino
• E inu wai nui, ʻoi aku hoʻi i ka wā e huakaʻi ai
• Mai puhi paka
• E hahai i ka ʻōlelo a kāu kauka e pili ana i nā lāʻau lapaʻau hormone
• E komo i nā lole komo inā kuhikuhi ʻia

Inā kiʻekiʻe kou pilikia ma muli o ka ʻoki kino, ka hoʻokomo halemai, a i ʻole nā ​​kūlana olakino, hiki i kāu kauka ke kuhikuhi i nā mea hoʻohilahila koko ma ke ʻano he palekana. He mea maʻamau kēia ma hope o nā hana nui a i ʻole i ka wā o nā noho halemai lōʻihi.

I nā lele lōʻihi a i ʻole nā ​​huakaʻi kaʻa, e ho'āʻo e hele a puni i kēlā me kēia hola a ʻelua paha. Inā ʻaʻole hiki iā ʻoe ke ala, e hoʻohuli i kou mau kuʻekuʻe wāwae a me nā ʻiʻo keiki maʻamau e mālama i ke kahe koko i kou mau wāwae.

Pehea ʻoe e hoʻomākaukau ai no kāu kūkā me ke kauka?

ʻO ka hele ʻana i mākaukau i kāu kūkā e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka ʻike pololei loa a me ka mālama kūpono. E kākau i kou mau hōʻailona, ​​i ka wā i hoʻomaka ai lākou, a me ka mea e hoʻomaikaʻi ai a i ʻole ka ʻino o lākou.

E lawe mai i kēia ʻike i kāu kūkā:

• Papa piha o nā lāʻau lapaʻau a me nā mea hoʻohui i kēia manawa
• Nā kikoʻī e pili ana i ka huakaʻi hou, ka ʻoki kino, a i ʻole ka neʻe ʻole lōʻihi
• Mōʻaukala ʻohana o nā clots koko a i ʻole nā ​​maʻi clotting
• Kekahi mau hanana ma mua o nā clots koko
• Nā kāleka ʻinikua a me ka hōʻike

E mākaukau e wehewehe kikoʻī i kāu mau hōʻailona, me ka hoʻokomo ʻana i ka manawa i hoʻomaka ai lākou, pehea ka nui o ko lākou ʻino, a inā he mea e hoʻoulu ai a hoʻomaha paha iā lākou. Mai hoʻoemi i kāu mau hōʻailona - ʻoi aku ka maikaʻi o ka hāʻawi ʻana i ka ʻike nui ma mua o ka liʻiliʻi.

Inā hiki, e lawe mai i kahi hoa ʻohana a hoaaloha paha e hiki ke kōkua i ka hoʻomanaʻo ʻana i nā ʻike koʻikoʻi a hāʻawi i ke kākoʻo i ka wā e hiki mai ana i kahi kipa kaumaha.

He aha ka mea nui e pili ana i ka embolism pulmonary?

He kūlana koʻikoʻi akā hiki ke mālama ʻia ka embolism pulmonary e pono ai ka nānā koke ʻana o nā kauka. ʻO ka mea nui loa e hoʻomanaʻo ai, ʻaʻole loa e nānā ʻole ʻia ka hanu pōkole koke, ka ʻeha umauma, a i ʻole ka hāʻule ʻana o ke koko.

Me ka ʻike mua ʻana a me ka mālama kūpono, hoʻōla piha ka hapa nui o nā kānaka me ka embolism pulmonary a ola mau i ke ola maʻamau. ʻO ke kī, ʻo ia ka ʻike mua ʻana i nā hōʻailona a me ka ʻimi ʻana i ka mālama ola koke.

Inā loaʻa iā ʻoe nā kumu pilikia no nā clots koko, e hana pū me kāu mea lawelawe ola e hoʻomohala i kahi papa hana palekana. Hiki i nā hana maʻalahi e like me ka noho ʻana i ka hana, ka mālama ʻana i ke kaumaha olakino, a me ka hahai ʻana i nā ʻōlelo aʻoaʻo olakino ke hōʻemi nui i kou pilikia.

E hoʻomanaʻo ʻoe ʻike maikaʻi loa ʻoe i kou kino. E hilinaʻi i kou mau manaʻo inā ʻaʻole kūpono kekahi mea, a mai kānalua e ʻimi i ka mālama olakino ke hopohopo ʻoe e pili ana i kāu mau hōʻailona.

Nā nīnau pinepine e pili ana i ka embolism pulmonary

Hiki iā ʻoe ke ola i ka embolism pulmonary?

ʻAe, ola ka hapa nui o nā kānaka i ka embolism pulmonary ke ʻike ʻia a mālama koke ʻia. Me nā lāʻau lapaʻau hou e like me nā mea hoʻohaʻahaʻa koko a me nā lāʻau lapaʻau e hoʻopau ai i nā clots, ua kiʻekiʻe loa ka nui o ka ola. ʻO ke kī, ʻo ia ka loaʻa ʻana o ka mālama olakino koke i ka wā e ʻike mua ʻia ai nā hōʻailona.

Pehea ka lōʻihi e hoʻōla ai mai ka embolism pulmonary?

ʻO ka manawa hoʻōla e ʻokoʻa ana mai ke kanaka a ke kanaka, akā ʻo ka hapa nui o nā kānaka e hoʻomaka ana e ʻoi aku ka maikaʻi i loko o kekahi mau lā ma hope o ka hoʻomaka ʻana o ka mālama ʻana. ʻO ka hoʻōla piha e lawe pinepine i kekahi mau pule a i kekahi mau mahina paha. E pono paha ʻoe e lawe i nā mea hoʻohaʻahaʻa koko no ka liʻiliʻi o ʻekolu mau mahina, a pono kekahi poʻe iā lākou i ka lōʻihi e pili ana i kā lākou mau kumu pilikia.

Hiki anei ke hana hou ka pulmonary embolism?

ʻAe, hiki i ka pulmonary embolism ke hana hou, ʻoiai inā loaʻa iā ʻoe nā kumu pilikia e hoʻomau nei a i ʻole nā ​​maʻi clotting ma lalo. Eia naʻe, ʻo ka lawe ʻana i nā mea hoʻohaʻahaʻa koko e like me ka mea i kuhikuhi ʻia a me ka hahai ʻana i nā ʻōlelo a kāu kauka e hoʻemi nui ai i kou pilikia o kahi hanana ʻē aʻe. E kōkua kāu hui olakino e hoʻoholo i ka lōʻihi o kāu pono i ka mālama ʻana e pale aku i ka hana hou.

Pehea ka manaʻo o ka ʻeha umauma mai ka pulmonary embolism?

ʻO ka ʻeha umauma mai ka pulmonary embolism he ʻoi pinepine a me ka ʻokiʻoki, ʻoi aku ka maikaʻi i ka wā e hanu hohonu ai ʻoe, ka ʻūhā, a i ʻole ka neʻe ʻana. Ke wehewehe nei kekahi poʻe iā ia he ʻeha koke, ikaika e like ʻole me ka ʻeha o nā ʻiʻo a i ʻole ka heartburn. Hiki i ka ʻeha ke loaʻa ma kekahi ʻaoʻao o kou umauma a i ʻole e pālahalaha ma kou wahi umauma āpau.

Ua palekana anei ka hoʻoikaika kino ma hope o ka loaʻa ʻana o ka pulmonary embolism?

ʻAe, ua paipai pinepine ʻia ka hoʻoikaika kino mālie i ka wā e hoʻōla ai mai ka pulmonary embolism, akā pono ʻoe e hoʻomaka mālie a hahai i nā kuhikuhi a kāu kauka. ʻO ka hele wāwae pinepine ka ala maikaʻi loa e hoʻomaka ai, e hoʻonui mālie i kou mamao a me kou wikiwiki i kou manaʻo ʻana i ka ikaika. E pale i nā haʻuki pilina a i ʻole nā ​​hana me ka pilikia koko kiʻekiʻe i ka wā e lawe ana i nā mea hoʻohaʻahaʻa koko, a e nīnau mau i kāu mea lawelawe olakino ma mua o ka hoʻomaka ʻana i kahi papahana hoʻoikaika kino hou.