He aha te Thrombosis Uaua? Tohutohu, Take, me te Maimoatanga

Ko te thrombosis uaua (DVT) tētahi toto kōtiti e hanga ana i roto i tētahi o ngā uaua hohonu o tō tinana, te nuinga i ō waewae. Whakaarohia he rite ki te mātotoru o tō toto, ā, ka hanga he kohinga matotoru i roto i te uaua kei te hohonu o ngā uaua o ō uaua, kāore i te tata ki te mata o tō kiri.

Ahakoa pea ka rongo koe i te wehi, he āhuatanga taea te whakahaere te DVT ina kitea wawe ka tukuna tika te maimoatanga. Ko te mārama ki ngā tohu, me te mohio ki te wa hei rapu awhina ka taea te whakarereke i te ora me te hauora roa.

He aha ngā tohu o te Thrombosis Uaua?

Ka taea e ngā tohu DVT te ngawari i te tīmatanga, ā, ka kore pea etahi e kite i ētahi tohu. Ko ngā tohu tino noa ka pā ki te waewae i hanga ai te kōtiti, ahakoa ka rerekē mai i te tangata ki te tangata.

Ko ēnei ngā tohu matua hei titiro:

• Pūngāwerewere i tētahi waewae, turi, rānei waewae kāore e rite ki te taha ke
• Te mamae, te ngawari rānei i tō waewae ka rite pea ki te kopikopiko, te mamae rānei
• Te mahana o te rohe e pā ana ina pa atu koe
• Te kiri whero, te tae rānei, te nuinga me te tae kikorangi
• Te mamae o te waewae e kino ake ana ina piko koe i tō waewae ki runga
• Te mamae, te mamae rānei i te waewae e pā ana

I etahi wā ka puta te DVT kahore he tohu marama, koia te take i kiia ai he āhuatanga “ngāwari”. Ka mahi pea tō tinana ki te whakangaro i ngā kōtiti iti ake i te āhua noa, kāore rānei te kōtiti e aukati i te rere o te toto kia nui rawa te whakaputa i ngā huringa e kitea ana.

I roto i ngā take onge, ka pā pea ngā tohu ki ō ringa mena ka hanga te kōtiti i roto i te uaua o te ringa. Ka taea tēnei te puta i muri i ngā mahi hauora e pā ana ki ngā uaua o te ringa, mai rānei i ngā nekehanga ringa tūāitia i roto i ētahi mahi, i ngā hākinakina rānei.

He aha ngā take o te Thrombosis Uaua?

Ka puta te DVT ina mutu te rere o tō toto, ka arahi ki te hanganga kōtiti. Kei te hiahia tō toto ki te neke haere tonu i roto i ō uaua, engari ka taea e ētahi āhuatanga te whakaroa i tēnei mahi.

Ko ngā take matua e āwhina ana ki te whanaketanga DVT ko:

• Te kore e neke roa mai i ngā rerenga roroa, te takoto moe, te noho rānei mō ngā wā roa
• Te pokanga, ina koa ngā mahi nui e pā ana ki ō waewae, ō hope, ō kopu rānei
• Te whara, te pakaru rānei ki ō uaua mai i ngā aituā, i ngā mahi hauora rānei
• Ētahi rongoā penei i ngā pire whakahaere whānau, i te rongoā whakakapinga homoni rānei
• Te hapu me te wā muri i te whānau na te pēhanga nui me ngā huringa homoni
• Te mate pukupuku me ētahi maimoatanga mate pukupuku e pā ana ki te toto kōtiti
• Ngā mate toto kōtiti i te whānau e rere ana i roto i ngā whānau

Kei roto i tō toto te taurite ataahua o ngā take kōtiti e aukati ana i te ngā toto nui me te hanganga kōtiti e kore e hiahiatia. Ina huri tēnei taurite, ka taea pea te hanga kōtiti i tō toto ahakoa kahore he whara e hiahia ana ki te whakaora.

Kaore i te noa, ka puta te DVT mai i ngā āhuatanga onge penei i te mate May-Thurner, kei reira te uaua e pehia ana e te ate, mai rānei i ngā mate onge e pā ana tika ki ō oko toto.

Nō hea te haere ki te taote mō te Thrombosis Uaua?

Me whakapiri atu koe ki tō kaiwhakarato hauora tonu mena ka kite koe i te pūngāwerewere, te mamae, te huringa tae rānei i tō waewae. Ko ēnei tohu e tika ana kia whakawhiwhia te tiaki hauora wawe na te mea ka taea e te maimoatanga wawe te aukati i ngā raruraru nui.

Rapua te tiaki hauora ohorere tonu mena ka pā atu koe ki ngā tohu e neke ana pea te kōtiti ki ō ngā manawa, he āhuatanga e kiia nei ko te embolism manawa. Ko ēnei tohu ohorere ko te manawa poto ohorere, te mamae o te uma e kino ake ana me te manawa, te tere o te ngākau, te kuhunga toto, te ngoikore rānei.

Kaua e tatari mena kei te pā atu koe ki ēnei tohu whakatūpato, ahakoa kaore koe i tino mohio kei te hono atu rātou ki te DVT. Ka tino pai ake tō rōpū hauora ki te aromatawai i a koe wawe ka kitea he mea kino, i te whakaroa i te maimoatanga mō tētahi āhuatanga ka mate pea.

He aha ngā take morearea mō te Thrombosis Uaua?

Ko te mārama ki ō take morearea whaiaro ka taea te awhina i a koe ki te tango i ngā mahi aukati me te mohio ki te wa ka nui ake pea tō ngoikoretanga ki te whanaketanga DVT. Ko ētahi take morearea ka taea e koe te whakahaere, ko ētahi ko te wāhanga noa o tō hītori hauora, o tō ira rānei.

Ko ngā take morearea noa ko:

• Te tau neke atu i te 60, ahakoa ka puta te DVT i tetahi tau
• Te taumaha nui, te momona rānei, e whakapēhanga ana i ngā uaua waewae
• Te kai hikareti, e pā ana ki te rere o te toto me te kōtiti
• Te noho, te takoto rānei mō ngā wā roa
• Te whiwhi DVT, te embolism manawa rānei i mua
• Te hītori whānau o ngā mate toto kōtiti
• Te pokanga, te noho whare hauora rānei tata nei
• Te mate pukupuku, te maimoatanga mate pukupuku rānei

He maha ngā take morearea o ētahi, ka taea te whakanui ake i tō tūponotanga ki te whanaketanga DVT. Heoi, ko te whiwhi take morearea kaore e tikanga ka whanake koe i te kōtiti. He tokomaha ngā tangata he maha ngā take morearea kaore e pā ki te DVT, ka whanake pea ētahi atu he torutoru ngā take morearea.

Ko ngā āhuatanga ira onge penei i te tauira Factor V Leiden, te kore rānei o te pūmua C ka taea te whakanui ake i tō morearea kōtiti. Ko ēnei mate ira e pā ana ki te kōtiti o tō toto, ā, me tirotiro motuhake pea i roto i tō oranga.

He aha ngā raruraru pea o te Thrombosis Uaua?

Ahakoa ka ora te nuinga o ngā tangata he DVT ki te maimoatanga tika, he mea nui kia mārama ki ngā raruraru pea kia taea ai e koe te mohio ki ngā tohu whakatūpato me te rapu i te tiaki tika ina hiahiatia.

Ko te raruraru nui tonu ko te embolism manawa, e puta ana ina motu tetahi wāhanga o te kōtiti toto ka haere ki ō ngā manawa. Ka taea e tēnei te aukati i te rere o te toto ki ō ngā uaua manawa, ā, ka mate pea mena kaore i te tukuna wawe te maimoatanga.

Ko ētahi atu raruraru ka puta pea ko:

• Te mate muri-thrombotic, e puta ai te mamae waewae roa me te pūngāwerewere
• Te kore e mahi tika ngā uaua waewae
• Ngā huringa kiri me ngā mate pūngāwerewere i te rohe e pā ana
• Ngā wāhanga DVT hou i te heke mai
• Te iti o te nekehanga me te kounga o te ora mai i ngā tohu e haere tonu ana

Ko te mate muri-thrombotic e pā ana ki te 20-30% o ngā tangata kua whiwhi DVT, e puta ana i ngā marama ki ngā tau i muri i te kōtiti tuatahi. Kaore e taea e ngā waahanga uaua i pakaru te pupuhi toto ki tō ngākau, e arahi ana ki te pūngāwerewere me te kore e pai.

Kaore i te noa, ka taea e te DVT nui te whakaputa i te pūngāwerewere nui e tapahi ana i te rere o te toto ki ō ngā uaua waewae, he āhuatanga e kiia nei ko te phlegmasia cerulea dolens. Ko tēnei āhuatanga hauora ohorere e hiahia ana ki te whakauru wawe hei whakaora i te waewae.

Me pēhea te aukati i te Thrombosis Uaua?

Ko te rongo pai ko te nuinga o ngā take DVT ka taea te aukati mā ngā huringa oranga ngāwari me te matauranga o ō take morearea. Ko te aukati e aro ana ki te pupuri i tō toto e neke ana haere tonu me te pupuri i te rere o te toto hauora.

Mena kei te nui ake tō morearea, kei te tūpono rānei koe ki ngā āhuatanga e whakanui ake ana i te tūponotanga DVT, ko ēnei ngā rautaki aukati whai hua:

• Neke tonu i ngā haerenga roa, i ngā wā noho rānei
• Kakahu i ngā kākahu komiriti penei i te tohutohu a tō taote
• Noho makuku pai, ina koa i te wa e haere ana
• Pupuri i te taumaha hauora mā te kai me te whakakori tinana
• Whakamutu i te kai hikareti hei whakapai ake i tō rere o te toto
• Tangohia ngā rongoā toto ngāwari penei i te tohutohu
• Whakaarahia ō waewae ina okioki mena ka taea

I te wā e noho ana i te whare hauora, i muri rānei i te pokanga, ka whakamahi pea tō rōpū hauora i ētahi atu tikanga aukati penei i ngā taputapu komiriti whakarereke, i ngā rongoā toto ngāwari rānei. Ko ēnei whakauru e rite ana ki tō taumata morearea motuhake me tō āhuatanga hauora.

Ko ngā whakakori ngāwari penei i ngā pupuhi turi, ngā whakaara kau, te hikoi hoki i ngā tawhiti poto ka taea te whakapai ake i te rere o te toto i ō waewae. Ahakoa ngā nekehanga iti ia haora ka taea te whakarereke i te aukati i te hanganga kōtiti.

Me pēhea te whakatau i te Thrombosis Uaua?

Ko te whakatau i te DVT e whakauru ana i te whakamātautau tinana, te arotake hītori hauora, me ngā whakamātautau motuhake hei whakaatu i te rere o te toto i ō uaua. Ka tīmata tō taote mā te uiui mō ō tohu me te tirotiro i te rohe e pā ana.

Ko te whakamātautau whakatau tino noa ko te ultrasound rua, e whakamahi ana i ngā ngaru oro hei hanga i ngā whakaahua o te rere o te toto i ō uaua. Ka taea e tēnei whakamātautau kore mamae te whakaatu mena kei te noho tētahi kōtiti, ā, ka āwhina ki te whakatau i tōna rahi me tōna wāhi.

Ko ētahi atu whakamātautau ka tūtohu pea tō taote ko:

• Te whakamātautau toto D-dimer hei tirotiro i ngā hua kōtiti pakaru
• Te venography mā te whakamahi i te tae whakakāhua hei whakaatu i ngā uaua i runga i te X-ray
• Ngā tātaritanga CT, MRI rānei mō ngā take uaua, ina kore e tino whakatau te ultrasound
• Ngā whakamātautau toto hei tirotiro i ngā mate kōtiti

Ko te whakamātautau D-dimer e ine ana i ngā mea e tukuna ana ina pakaru ngā kōtiti toto. Ahakoa ka taea e ngā taumata teitei te whakaatu i te hanganga kōtiti, ko tēnei whakamātautau anake kaore e ranea ki te whakatau i te DVT na te mea he maha ngā āhuatanga ka taea te whakaputa i ngā taumata D-dimer teitei.

I roto i ngā take onge kaore ngā whakamātautau noa e tino whakatau, ka tono pea tō taote i ngā whakaahua motuhake penei i te venography whakaata manawa, te venography rorohiko tātaritanga rānei hei whiwhi i te whakaahua marama ake o tō hanganga uaua me te rere o te toto.

He aha te maimoatanga mō te Thrombosis Uaua?

Ko te maimoatanga DVT e aro ana ki te aukati i te kōtiti mai i te nui ake, te whakaiti i tō morearea o te embolism manawa, me te whakaiti i ngā raruraru roa. Ka taea te tukuna te nuinga o ngā tangata ki te rongoā, ahakoa ka hiahia pea etahi take ki ētahi atu whakauru.

Ko te huarahi maimoatanga matua e whakauru ana i ngā rongoā anticoagulant, e kiia nei ko ngā rongoā toto ngāwari. Kāore ēnei rongoā e whakaheke i tō toto, engari e aukati ana i ngā kōtiti hou mai i te hanganga, ā, e āwhina ana i tō tinana ki te whakangaro i ngā kōtiti o nāianei i te āhua noa.

Ko ngā whiringa maimoatanga noa ko:

• Ngā werohanga Heparin mō te anticoagulation wawe
• Ngā papa Warfarin mō te whakaheke toto roa
• Ngā anticoagulants waha hou penei i te rivaroxaban, te apixaban rānei
• Ngā kākahu komiriti hei whakaiti i te pūngāwerewere me te whakapai ake i te rere o te toto
• Te maimoatanga thrombolytic hei whakangaro i ngā kōtiti nui i roto i ngā take kino

Ko te roa o te maimoatanga e tae ana ki te toru ki te ono marama, ahakoa ka hiahia pea etahi tangata ki te anticoagulation roa ake i runga i ō rātou take morearea me te mea ko tēnei te wāhanga DVT tuatahi.

I roto i ngā take onge e whakauru ana i ngā kōtiti nui, i te morearea nui o te embolism manawa rānei, ka tūtohu pea tō taote i ngā maimoatanga kaha ake penei i te thrombolysis arahi-catheter, te thrombectomy pokanga rānei hei tango i te kōtiti.

Me pēhea te whakahaere i te Thrombosis Uaua i te kāinga?

Ahakoa he mea nui te maimoatanga hauora, he maha ngā mea ka taea e koe te mahi i te kāinga hei tautoko i tō ora me te whakaiti i te kore e pai. Ko ēnei mahi tiaki whaiaro e mahi tahi ana me ō rongoā kua tohua hei awhina i a koe ki te ora pai ake.

Ko ngā rautaki whakahaere mamae me te pūngāwerewere e whakauru ana i te whakaara i tō waewae e pā ana ki runga ake i te taumata ngākau ina taea, te whakamahi i ngā kākahu mahana mō te ngāwari, me te tango i ngā kai whakaora mamae kore-tohutohu penei i te whakaae a tō taote.

Ko ngā mahi tiaki kāinga nui ko:

• Te tango i ngā rongoā penei i te tohutohu kahore he whakakore i ngā horo
• Te kakahu i ngā kākahu komiriti i te rā
• Te noho mahi mā te hikoi ngāwari penei i te whakaae
• Te karo i te noho roa, te tū rānei
• Te tirotiro i ngā tohu o ngā raruraru
• Te pupuri i ngā whakaritenga whai muri me tō kaiwhakarato hauora

Ko te whakakori ngāwari penei i te hikoi ka taea te awhina i tō ora mā te whakaputa i te rere o te toto me te aukati i te ngoikore o ngā uaua. Tīmata noa ka whakanui haere i tō taumata mahi i te wā e pai ake ana ō tohu, ā, ka whakaae tō taote.

Tirohia ngā tohu whakatūpato e hiahia ana ki te tiaki hauora ohorere, penei i te mamae kino ake, te pūngāwerewere rānei, te manawa poto ohorere, te toto rānei i te wa e tango ana i ngā rongoā toto ngāwari.

Me pēhea te whakarite mō tō whakaritenga taote?

Ko te whakarite pai mō tō whakaritenga e āwhina ana ki te whakarite ka whiwhi koe i te whakatau tino tika me te mahere maimoatanga tika. Ka hiahia tō taote ki ngā korero taipitopito mō ō tohu, tō hītori hauora, me ētahi rongoā kei te tango koe.

I mua i tō haerenga, tuhia te wā i tīmata ai ō tohu, he aha te mea e pai ake ai, te kino ake rānei, me ētahi mahi, i ngā kaupapa rānei i arahi pea ki a rātou. Whakauruhia ngā korero mō te haere tata nei, te pokanga, i ngā wā kore e neke rānei.

Kawe mai i ēnei korero ki tō whakaritenga:

• Rārangi katoa o ngā rongoā me ngā taapiri o nāianei
• Te hītori whānau o ngā kōtiti toto, i ngā mate kōtiti rānei
• Ngā mahi hauora, ngā noho whare hauora rānei tata nei
• Ētahi atu wāhanga DVT, te embolism manawa rānei
• Ngā pānui mō ngā whiringa maimoatanga me ngā huringa oranga

Kaua e whakaroa ki te uiui mō tō āhuatanga, ngā whiringa maimoatanga, me te aha e tatari ana i te wā e ora ana. Ko te mārama ki tō mahere maimoatanga e āwhina ana i a koe ki te whai i te pai ake me te mohio ki te wa ka hiahia pea koe ki te tiaki hauora atu.

Whakaarohia te kawe mai i tētahi mema whānau, i tētahi hoa rānei hei awhina i a koe ki te mahara ki ngā korero nui me te whakarato tautoko i te wā ka rite pea ki te whakaritenga nui.

He aha te mea nui mō te Thrombosis Uaua?

Ko te thrombosis uaua he āhuatanga nui engari he āhuatanga taea te whakaora ina whakatau wawe ka whakahaere tika. Ko te mea nui hei mahara ko te rapu tiaki hauora wawe ina kite koe i ngā tohu ka taea te aukati i ngā raruraru me te arahi ki ngā hua pai ake.

Ki te maimoatanga tika, ka ora te nuinga o ngā tangata he DVT katoa ka hoki ki ō rātou mahi noa. Ahakoa ka pā pea etahi ki ngā pānga roa, ko te whai i tō mahere maimoatanga me te mahi i ngā huringa oranga e tūtohu ana ka taea te whakaiti i tō morearea o ngā raruraru.

Ko ngā rautaki aukati penei i te noho mahi, te pupuri i te taumaha hauora, me te matauranga o ō take morearea ka taea te tiaki i a koe mai i te whanaketanga DVT i te heke mai. Kia mahara ko te whiwhi i tētahi wāhanga kaore e tikanga ka tūpono koe ki te nui ake, ina koa me te whakahaere hauora tika.

Ngā pānui e uiui pinepinetia ana mō te Thrombosis Uaua

Ka taea te ngaro te DVT i a ia ano kahore he maimoatanga?

Ahakoa ka taea te whakangaro i ngā kōtiti iti i te āhua noa, ko te DVT e hiahia ana ki te maimoatanga hauora hei aukati i ngā raruraru nui penei i te embolism manawa. Ko te waiho i te DVT kaore i te maimoatia e whakanui ake ana i tō morearea o ngā raruraru mate kino, no reira he mea nui kia rapu wawe i te tiaki hauora ina puta ngā tohu.

E hia te roa te ora mai i te DVT?

Ka tīmata te nuinga o ngā tangata ki te pai ake i roto i ngā rā torutoru ki ngā wiki i te tīmatanga o te maimoatanga, ahakoa ka taea te ora katoa i ngā marama maha. Ka hiahia pea koe ki te tango i ngā rongoā toto ngāwari mō te toru marama, ā, ka taea pea te roa ake o ētahi tohu penei i te pūngāwerewere iti i te wā e ora ana tō uaua.

Ka taea e au te whakakori me te DVT?

Ko te hikoi ngāwari e whakaohotia ana i te wā e tīmata ana te maimoatanga, na te mea e āwhina ana ki te whakapai ake i te rere o te toto me te aukati i ngā raruraru. Heoi, me karo koe i ngā mahi kaha, i ngā hākinakina hono rānei i te wa e tango ana i ngā rongoā toto ngāwari. Whai tonu i ngā tohutohu motuhake a tō taote mō ngā taumata mahi i te wā e maimoatia ana.

Ka whiwhi anō au i te DVT i te heke mai?

Ko tō morearea o te DVT hou e whakawhirinaki ana ki ngā take maha, tae atu ki te take i puta ai tō wāhanga tuatahi me ō take morearea e haere tonu ana. Ko te 10-30% o ngā tangata e pā ana ki tetahi atu DVT i roto i ngā tau 10, engari ko te whai i ngā rautaki aukati me te whakahaere i ngā take morearea ka taea te whakaiti i tēnei tūponotanga.

He kai kāore au e kai i te wa e tango ana i ngā rongoā toto ngāwari?

Mena kei te tango koe i te warfarin, me pupuri koe i te kai hua K hua, arā, kia tupato ki ngā huawhenua matomato. Ko ngā rongoā toto ngāwari hou e iti ake ana ngā herenga kai. Ka hoatu e tō kaiwhakarato hauora ngā tohutohu motuhake i runga i tō rongoā, ā, he mea nui kia karo i te inu waipiro nui me ētahi atu rongoā toto ngāwari.