He aha te embolismu paru? Tohutohu, Take, me te Maimoatanga

Ka puta te embolismu paru ina aukati te toto kōtiti i tetahi o ngā ātiretā i roto i ō ringaringa. Ka aukati tēnei aukatinga i te toto whai-hākari-waiora mai te rere tika i roto i ō kiko ringaringa, ka āhei te whakapakari i te manawa me te whakapā i tō ngākau.

Whakaarohia he rori rori i roto i te pūnaha rori o ō ringaringa. Ka mutu te kōtiti i tetahi o ēnei huarahi nui, ka raru te rere o te toto e kawe ana i te hākari-waiora puta noa i tō tinana. Ahakoa te ahua wehi, ko te rongo pai ko te embolismu paru ka taea te whakaora, ina koa ka mau wawe.

He aha ngā tohu o te embolismu paru?

Ko te tohu tino noa o te embolismu paru ko te poto o te manawa ka puta mai i te koretake. Ka rite pea koe ki te kore e taea e koe te hopu i tō manawa, ahakoa kei te noho koe, kei te mahi ranei i ngā mahi māmā.

Ko ēnei ngā tohu me titiro atu koe, me te mahara kei te rereke mai i te tangata ki te tangata:

• Te poto o te manawa, te uaua ranei ki te manawa
• Te mamae o te uma ka kaha ake ina manawa hohonu koe, ina mare ranei
• Te tere o te ngākau, te ahua ranei o tō ngākau e oma ana
• Te mare, i etahi wā me te sputum toto-pātai
• Te mārama, te wiri, te ngoikore ranei
• Te wera nui kahore he take mārama
• Te mamae o te waewae, te pupuhi ranei, ina koa i tetahi waewae

Ka wheako etahi i te mea e kiia ana e ngā tākuta he "waikore" embolismu paru, kei reira ngā tohu he iti rawa, he iti rawa ranei te kitea. I roto i ngā take onge, ko te tohu tuatahi pea ko te hinga ohorere, te raruraru nui ranei o te manawa e hiahia ana ki te tiaki mate tere.

Ko te kaha o ngā tohu e whakawhirinaki ana ki te rahi o te kōtiti me te nui o tō ringaringa e pā ana. Ka taea e ngā kōtiti iti te whakaoho i ngā tohu ngawari, ka taea e ngā mea nui te whakaoho i ngā raruraru manawa nui ake.

He aha ngā take o te embolismu paru?

Ko te nuinga o ngā embolismu paru ka tīmata hei kōtiti toto i roto i ngā uaua hohonu o ō waewae, he āhuatanga e kiia nei ko te thrombosis uaua hohonu, ko te DVT ranei. Ka taea e ēnei kōtiti te pakaru me te haere i roto i tō toto ki ō ringaringa.

He maha ngā take ka piki ake ō tūmanako ki te whanake i ēnei kōtiti kino:

• Te kore e neke roa mai i ngā rerenga roa, te takoto moenga, te pokanga ranei
• Te pokanga nui tata nei, ina koa i ngā waewae, i ngā hope, i te kopu ranei
• Etahi rongoā penei i ngā pire whakawhānau, te rongoā whakakapi hormone ranei
• Te hapu me te wā muri i te whānau
• Te mate pukupuku me ngā maimoatanga mate pukupuku
• Ngā mate toto kōtiti kua oti te whakawhiwhi
• Te mate ngākau, te pēhanga ranei
• Te whakakī
• Te momona

I roto i ngā take onge, ka taea e ētahi atu mea atu i ngā kōtiti toto te whakaoho i te embolismu paru. Kei roto i ēnei te ngako mai i ngā wheua pakaru, ngā pupuhi hau, te wai amniotic ranei i te wā whānau. Heoi, ko ngā kōtiti toto tonu te take tino noa.

I etahi wā, kaore e taea e ngā tākuta te kimi i tetahi kaiwhakaoho motuhake, e kiia ana he embolismu paru kore-whakaoho. Kāre i te tikanga i mahi he koe – ko te tikanga noa i hanga e tō tinana he kōtiti kahore he take o waho mārama.

Nōhea te haere ki te tākuta mō te embolismu paru?

Me rapu koe i te tiaki mate tere mena ka wheako koe i te poto o te manawa, te mamae o te uma, te mare ranei i te toto. Me hiahia ēnei tohu ki te tiaki hauora tere na te mea ka mate pea te embolismu paru kahore he maimoatanga tere.

Waea atu ki te 111, ki te rūma mate tere ranei inaianei mena kei a koe:

• Te uaua ohorere, nui ki te manawa
• Te mamae o te uma ka kaha ake te manawa
• Te mare i te toto
• Te tere o te ngākau me te wiri, te ngoikore ranei
• Te hinga ohorere

Ahakoa ngā tohu ngawari, kaua e tatari kia pai ake rātou. Ka taea e ngā tohu embolismu paru te kino tere, a ka pai ake te maimoatanga wawe i ō hua.

Mena kei a koe ngā take morearea penei i te pokanga tata nei, ngā wā roa o te kore e neke, te hītori whānau ranei o ngā kōtiti toto, kia aro nui ki ngā huringa manawa, te pupuhi ranei o te waewae. Me waea wawe tēnei ki tō kaiwhakarato hauora.

He aha ngā take morearea mō te embolismu paru?

Ka taea e te maarama ki ō take morearea te awhina i a koe me tō tākuta ki te tango i ngā kaupae aukati. Ko etahi take morearea ka taea e koe te whakahaere, ko etahi atu he wāhanga o tō hītori hauora, o tō ira ranei.

Ngā take morearea ka taea e koe te whakauru:

• Te whakakī – ka kino ngā uaua toto me te piki ake o te kōtiti
• Te noho roa, te takoto moenga ranei
• Te momona – ka whakapā atu i ngā uaua waewae
• Ngā rongoā hormone penei i te whakawhānau, te whakakapi hormone ranei
• Te kore o te mahi tinana

Ngā take morearea e pā ana ki tō hītori hauora, tō ira ranei:

• Ngā kōtiti toto o mua, te embolismu paru ranei
• Te hītori whānau o ngā mate toto kōtiti
• Te mate pukupuku, te maimoatanga mate pukupuku ranei
• Te mate ngākau, te kore ngākau ranei
• Etahi āhuatanga autoimmune
• Te pakeke neke atu i te 60 tau

Ngā take morearea tūpono e piki ake ana ō tūmanako i ngā wā motuhake, tae atu ki te hapu, te pokanga tata nei, te noho whare hauora, te haerenga tawhiti ranei. Ko te rongo pai ko te mohio ki ō take morearea ka taea e koe me tō rōpū hauora te tango i ngā mahi tiaki ina hiahiatia.

He aha ngā raruraru pea o te embolismu paru?

Ahakoa ko te nuinga o te iwi ka ora pai mai i te embolismu paru me te maimoatanga tika, ka puta etahi raruraru. Ko te morearea nui rawa atu ko te kōtiti nui ka taea te whakapā kino ki tō ngākau.

Ngā raruraru pea:

• Te toto-teitei paru – teitei toto i roto i ngā ātiretā paru
• Te kore ngākau mai i te mahi nui e ngana ana ki te pupuhi toto i roto i ngā oko aukati
• Te poto o te manawa
• Ngā kōtiti toto hou
• Te mate, ina koa me ngā kōtiti nui, te maimoatanga whakaroa ranei

He raruraru onge, he kino hoki te toto-teitei paru thromboembolic, kei reira te kiko pūāhua mai i ngā kōtiti tawhito e mau tonu ana te aukati i te rere toto ahakoa muri i te maimoatanga. Ka taea e tēnei te whakaoho i ngā raruraru manawa me te whakapā ngākau tonu.

Ko te morearea o ngā raruraru he iti ake ina kitea me te maimoatanga wawe te embolismu paru. Ko te nuinga o te iwi e whiwhi ana i te maimoatanga tere, tika ka haere tonu ki te noho ora, hauora kahore he pānga roa.

Me pēhea te whakatau i te embolismu paru?

Ka uaua te whakatau i te embolismu paru na te mea ka taurite ona tohu ki ētahi atu āhuatanga penei i te mate ngākau, te mate huhu ranei. Ka tīmata tō tākuta mā te uiui mō ō tohu me tō hītori hauora.

Ngā whakamātautau whakatau noa:

• Te angiogram paru CT – te whakaahua taipitopito o ngā uaua toto i roto i ō ringaringa
• Te whakamātautau toto D-dimer – te ine i ngā mea e tukuna ana ina pakaru ngā kōtiti toto
• Te X-ray uma – te whakakore i ētahi atu raruraru paru
• Te electrocardiogram (ECG) – te tirotiro i tō tere ngākau
• Te ultrasound o ngā waewae – te titiro ki ngā kōtiti toto i roto i ngā uaua waewae

Ko te angiogram paru CT te whakamātautau paerewa koura na te mea ka taea te whakaatu tika i ngā kōtiti i roto i ō ātiretā paru. Ka taea hoki e tō tākuta te tono i ngā whakamātautau toto ki te tirotiro i te pai o tō kōtiti toto me te titiro ki ngā mate kōtiti kei raro.

I etahi wā, ka whakamahi ngā tākuta i te pūnaha tohu hauora e whakakotahi ana i ō tohu, ngā take morearea, me ngā hua whakamātautau ki te whakatau i te tūpono o te embolismu paru. Ka awhina tēnei ki te arahi i ngā whakamātautau hei tono me te tere o te maimoatanga.

He aha te maimoatanga mō te embolismu paru?

Ko te maimoatanga mō te embolismu paru e arotahi ana ki te aukati i te kōtiti mai i te nui ake, te aukati i ngā kōtiti hou mai i te hanga, me te awhina i tō tinana ki te whakakore i te kōtiti o nāianei. Ko te nuinga o te maimoatanga ka tīmata tonu, ahakoa i mua i te hokinga mai o ngā hua whakamātautau katoa.

Ngā maimoatanga matua:

• Ngā anticoagulants (ngā kaiwhakangawari toto) penei i te heparin, te warfarin, ngā rongoā hou ranei
• Ngā thrombolytics (ngā rongoā whakakore kōtiti) mō ngā take kino
• Te kaitahuri vena inferior cava – he taputapu iti hei hopu i ngā kōtiti i mua i te tae atu ki ngā ringaringa
• Te embolectomy – te tango pokanga o ngā kōtiti nui, mate kino ranei
• Te rongoā hākari-waiora hei awhina i te manawa

Ko ngā kaiwhakangawari toto te maimoatanga tino noa, a he tino whai hua te nuinga. Ka tīmata pea koe me ngā werohanga, ngā rongoā IV ranei i te whare hauora, katahi ka whakawhiti ki ngā pire ka taea e koe te tango i te kāinga. Ko te roa o te maimoatanga e rereke ana mai i te toru marama ki te ora tonu, e whakawhirinaki ana ki ō take morearea.

Mō ngā embolismu paru nui e whakawehi ana i tō ora, ka taea e ngā tākuta te whakamahi i ngā rongoā whakakore kōtiti, te mahi ranei i ngā mahi tere hei tango i te kōtiti. Kei ēnei maimoatanga ngā morearea nui ake, engari ka ora ai i ngā take kino.

Me pēhea te whakahaere i te ora i te kāinga i te wā maimoatanga embolismu paru?

Ko te ora mai i te embolismu paru e tango ana i te wā, a he mea nui kia manawanui ki a koe ano i te ora o tō tinana. Ko te nuinga o te iwi ka tīmata te pai ake i roto i ngā rā torutoru o te maimoatanga, engari ka taea te ora tonu te tango i ngā wiki ki ngā marama.

Koinei te huarahi ka taea e koe te tautoko i tō ora:

• Tangohia tō rongoā kaiwhakangawari toto kia rite ki te tohu
• Piki haere te taumata mahi ina pai ake koe
• Kakahu i ngā kākahu komirihi mena ka tohutohuhia
• Noho makuku mā te inu wai nui
• Kaua e mahi i ngā mahi ka taea te toto i te wā e inu ana i ngā kaiwhakangawari toto
• Tirohia ngā tohu toto penei i te pupuhi koretake, te toto roa ranei mai i ngā kotinga

He mea noa te ngenge, te poto ranei o te manawa mō ngā wiki maha i muri i te tīmatanga o te maimoatanga. Me wātea te wā mō ō ringaringa ki te ora me te whakatū i ngā tauira rere toto hou i ngā wāhi aukati.

Kia aro nui ki ngā tohu kino penei i te piki o te poto o te manawa, te mamae o te uma, ngā tohu toto ranei. Whakapā atu ki tō kaiwhakarato hauora inaianei mena ka kite koe i ngā huringa awangawanga.

Me pēhea te aukati i te embolismu paru?

Ko te aukati e arotahi ana ki te whakaiti i tō morearea ki te whanake i ngā kōtiti toto i te tuatahi. Ka taea e ngā huringa oranga ngāwari te whakarereke nui ki te whakaiti i tō morearea.

Ngā rautaki aukati:

• Noho mahi me te karo i te noho roa, te takoto moenga ranei
• Nekehia ō waewae i ngā haerenga roa
• Whakahaere i te taumaha hauora
• Noho makuku, ina koa i te wā haerenga
• Kaua e whakakī
• Whai i te tohutohu a tō tākuta mō ngā rongoā hormone
• Kakahu i ngā kākahu komirihi mena ka tohutohuhia

Mena kei te nui tō morearea na te pokanga, te noho whare hauora, ngā āhuatanga hauora ranei, ka taea e tō tākuta te tohu i ngā kaiwhakangawari toto hei aukati. He mea noa tēnei i muri i ngā mahi nui, i te wā noho roa ranei i te whare hauora.

I ngā rerenga roa, ngā haerenga waka ranei, ngana ki te haereere i ia haora, rua ranei. Mena kaore e taea e koe te whakatika, whakawhāitihia ō turi me ō uaua kēmu kia mau tonu te rere o te toto i ō waewae.

Me pēhea te whakarite mō tō hui tākuta?

Ko te haere ki tō hui i te whakarite ka awhina i te whakarite kia whiwhi koe i te whakatau tino tika me te maimoatanga tika. Tuhia ō tohu, te wā i tīmata ai rātou, me te mea e pai ake ana rātou, e pai ake ranei.

Kawe mai ēnei korero ki tō hui:

• Rārangi katoa o ngā rongoā me ngā taapiri o nāianei
• Ngā kōrero mō te haerenga tata nei, te pokanga, te kore e neke roa ranei
• Te hītori whānau o ngā kōtiti toto, ngā mate kōtiti ranei
• Ngā wāhanga o mua o ngā kōtiti toto
• Ngā kāri inihua me te whakamārama

Kia rite ki te whakaatu i ō tohu i roto i ngā kōrero, tae atu ki te wā i tīmata ai rātou, te nui o rātou, me te mea he aha e whakaoho ana, e whakaora ranei i a rātou. Kaua e whakaiti i ō tohu – he pai ake te tuku i ngā korero nui rawa atu i te iti rawa.

Mena ka taea, kawe mai he mema whānau, he hoa ranei ka taea te awhina i te mahara ki ngā korero nui me te whakarato tautoko i te wā pea he toro whakapā.

He aha te tango matua mō te embolismu paru?

Ko te embolismu paru he āhuatanga kino engari ka taea te whakaora e hiahia ana ki te tiaki hauora tere. Ko te mea nui rawa atu hei mahara ko te poto o te manawa, te mamae o te uma, te mare ranei i te toto kaua rawa e warewarehia.

Me te whakatau wawe me te maimoatanga tika, ko te nuinga o te iwi me te embolismu paru ka ora katoa ka haere tonu ki te noho ora. Ko te matua ko te mohio wawe ki ngā tohu me te rapu i te tiaki hauora tere.

Mena kei a koe ngā take morearea mō ngā kōtiti toto, mahi tahi me tō kaiwhakarato hauora ki te whakawhanake i te mahere aukati. Ka taea e ngā kaupae ngāwari penei i te noho mahi, te pupuri i te taumaha hauora, te whai ranei i ngā tohutohu hauora te whakaiti nui i tō morearea.

Kia mahara kei te mohio koe ki tō tinana. Whakawhirinaki ki ō ngakau mena kaore he mea e tika ana, kaua hoki e whakaroa ki te rapu i te tiaki hauora ina manukanuka koe mō ō tohu.

Ngā pātai maha e ui ana mō te embolismu paru

Ka ora rānei koe i te embolismu paru?

Ae, ko te nuinga o te iwi ka ora i te embolismu paru ina whakatauhia me te maimoatanga tere. Me ngā maimoatanga hou penei i ngā kaiwhakangawari toto me ngā rongoā whakakore kōtiti, he nui te auau ora. Ko te matua ko te whiwhi i te tiaki hauora tere ina puta tuatahi ngā tohu.

E hia te roa o te ora mai i te embolismu paru?

Ko te wā ora e rereke ana mai i te tangata ki te tangata, engari ko te nuinga o te iwi ka tīmata te pai ake i roto i ngā rā torutoru o te tīmatanga o te maimoatanga. Ko te ora tonu e tango ana i ngā wiki maha ki ngā marama torutoru. Me inu pea koe i ngā kaiwhakangawari toto mo te toru marama, a ko etahi atu e hiahia ana ki a rātou mō te roa ake e whakawhirinaki ana ki ō take morearea.

Ka puta anō rānei te embolismu paru?

Ae, ka taea te puta anō te embolismu paru, ina koa mena kei a koe ngā take morearea tonu, ngā mate kōtiti ranei kei raro. Heoi, ko te inu i ngā kaiwhakangawari toto kia rite ki te tohu me te whai i ngā tohutohu aukati a tō tākuta e whakaiti nui ana i tō morearea mō tetahi atu wāhanga. Ka awhina tō rōpū hauora ki te whakatau i te roa o te maimoatanga e hiahia ana koe ki te aukati i te puta anō.

Me pēhea te ahua o te mamae uma mai i te embolismu paru?

Ko te mamae uma mai i te embolismu paru he maha he koi, he wero, he kaha ake te kino ina manawa hohonu koe, ina mare ranei, ina neke ranei. Ka whakaatu etahi i te mamae ohorere, kaha e rereke ana i te mamae uaua, te ngau ranei. Ka taea te mamae i tetahi taha o tō uma, te horapa ranei puta noa i tō rohe uma.

He haumaru te whakakori i muri i te embolismu paru?

Ae, ko te whakakori ngawari te nuinga o te whakaoho i te wā ora mai i te embolismu paru, engari me tīmata koe i te ngawari me te whai i te aratohu a tō tākuta. Ko te haere te huarahi pai ki te tīmata, te piki haere i tō tawhiti me tō tere ina pai ake koe. Kaua e mahi i ngā hākinakina hono, ngā mahi ranei me te morearea toto nui i te wā e inu ana i ngā kaiwhakangawari toto, me te tirotiro tonu ki tō kaiwhakarato hauora i mua i te tīmatanga o tetahi kaupapa whakakori hou.