Created at:1/13/2025
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Ko ngā kōpuku toto te ara māori o tō tinana ki te aukati i te toto ina whara koe. Whakaarohia he papaki iti e hanga ana ina matotoru te toto, ka piri tahi ki te hiri i ngā tapahi, i ngā patunga rānei. Ahakoa he mea nui tēnei tukanga kōpuku mō te whakaora, ka puta ngā raruraru ina hanga ngā kōpuku i roto i ō uaua toto i te wā e kore ai e tika, i te wā rānei e kore ai e rewa tika i muri i te mahi.
Ko ngā kōpuku toto he pūhui rite ki te hēre e hanga ana ina huri te toto wai ki tētahi āhua-pātea. Ka hangaia e tō tinana mā tētahi tukanga uaua e uru ana ki ngā pūtau toto iti (platelets) me ngā pūmua e kīia ana ko ngā mea kōpuku e mahi tahi ana hei rāpa māori.
E rua ngā momo kōpuku toto matua me mōhio koe. Ka hanga ngā kōpuku ā-arterial i roto i ngā uaua e kawe ana i te toto whai hāora mai i tō ngākau ki ētahi atu wāhanga o tō tinana. Ka puta ngā kōpuku ā-venous i roto i ngā uaua e whakahoki ana i te toto ki tō ngākau, ā, he nui ake tēnei i ngā kōpuku ā-arterial.
Ko te wāhi e hanga ana te kōpuku e whakatau ana i te nui o te raruraru. Ko ngā kōpuku i ō waewae, i ō pūkahukahu, i tō roro rānei ka waiho hei āwangawanga nui nā te mea ka aukati i te rere o te toto ki ngā okana nui.
Ka rerekē te Ōrite o ngā kōpuku toto i runga i te wāhi e hanga ana i tō tinana. He maha ngā tāngata e whakaahua ana i te Ōrite hei mamae hōhonu, e kore e ngaro i te okiokinga, i te huringa tūnga rānei.
Mēnā he kōpuku tō waewae, ka kite pea koe i te pōhū, te mahana, me te ngawari i te wāhi e pā ana. Ko te mamae ka tīmata i tō kuao waewae, ā, ka rite ki te kōpiko, ki te charley horse rānei e kore e ngaro. Ka puta pea te whero, te rerekē rānei o te tae o tō kiri.
Ka taea e ngā kōpuku i ō pūkahukahu te pā mai i te poto o te manawa, te mamae koi i te uma e kaha ake ana ina hāhū hōhonu koe, me te tere o te pōkē. Ka pā mai pea te mare ki ētahi tāngata, ā, ka puta pea te hūpē whai toto.
He mea nui kia mōhio kāore ngā pūpū toto katoa e puta ngā tohu e kitea ana. Ko ētahi tāngata he mea e kīia ana e ngā tākuta he pūpū toto "puku" kāore e puta ngā tohu e kitea ana kia nui ake te kino.
Ka puta ngā pūpū toto i te wā e kaha rawa ana te pūnaha pūpū toto o tō tinana, i te wā rānei e puhoi ana te rere o te toto. Mā te māramatanga ki ēnei take ka āwhina i a koe ki te mōhio i te wā e nui ake ai tō tūponotanga.
Ko ēnei ngā mea e tino pā ana ki te hanganga o ngā pūpū toto:
Ko ētahi tāngata he āhuatanga tūturu ō rātou e kaha ai te pūpū o te toto. Ko ēnei mea ira, i te taha o te noho rānei, ngā mea o te taiao, ka nui ake te tūponotanga o te pūpū.
Ngā pūpū toto he tohu pea o ngā momo āhuatanga hauora e pā ana ki te kaha o tō toto ki te rere noa. Mā te mōhio ki ēnei hononga ka āwhina i a koe ki te mārama he aha te take e puta ai ngā pūpū.
He maha ngā āhuatanga hauora ka nui ake ai tō tūponotanga ki te pūpū toto:
I roto i ngā take onge, ka tohu pea ngā pūpū toto i ngā mate pūpū toto tuku iho pēnei i te ngoikoretanga o te Factor V Leiden, i te ngoikoretanga rānei o te pūmua C. E pā ana ēnei āhuatanga ira ki te pūpū me te whakakore i tō toto.
I ētahi wā ka waiho hoki ngā pūpū toto hei tohu whakatūpato moata mō ngā āhuatanga nui ake pēnei i te whiu, i te whakaeke ngākau rānei, ina koa ka hanga i roto i ngā uaua e tuku ana i te toto ki te roro, ki te ngākau rānei.
I ētahi wā ka taea e ngā pūpū toto iti te whakakore noa iho mā te pūnaha hanga-i-roto o tō tinana e kīia nei ko te fibrinolysis. Ka pakaru ēnei tukanga i ngā pūpū mā te whakamahi i ngā enzyme e hangaia ana e tō tinana mō tēnei kaupapa.
Heoi, kaua rawa koe e whakaaro ka ngaro noa iho tētahi pūpū toto, ina koa kei te pā koe i ngā tohu. Ko ngā pūpū nui ake, ko ērā rānei kei ngā wāhi mōrearea, te tikanga me rongoā hauora hei ārai i ngā raruraru nui.
Ka pā te kaha o tō tinana ki te whakakore i te pūpū ki te pakeketanga, te hauora whānui, me te rahi me te wāhi o te pūpū. Ahakoa ka ngaro pea ētahi pūpū iti me te kore he wawaotanga, e kore e taea te matapae ko ēhea ka ngaro, ko ēhea rānei kāore.
Ahakoa te nuinga o ngā pūpū toto e hiahia ana ki te rongoā hauora, he āwhina ka taea e koe te tango i te kāinga i raro i te tohutohu a tō tākuta. Ka taea e ēnei huarahi te āwhina i te whakapai ake i te rerenga toto me te whakaiti i tō tūponotanga ki te whakawhanake i ētahi atu pūpū.
Anei ētahi rautaki tiaki kāinga hei āwhina i tō whakaora:
He mea nui kia mōhio ko ēnei rongoā kāinga me whakakī, kaua e whakakapi, i te rongoā rongoā. Kaua rawa e ngana ki te rongoā i te toto toto e whakapae ana mā te rongoā kāinga anake, nā te mea ka puta he raruraru e whakatuma ana i te ora.
Ko te rongoā rongoā mō te toto toto ko te tikanga ko ngā rongoā e ārai ana i te hanganga o ngā toto hou, ā, ka āwhina i te whakakore i ngā mea e noho ana. Ka whiriwhiria e tō tākuta te huarahi pai rawa atu i runga i te wāhi o te toto, te rahi, me tō hauora whānui.
Ko ngā rongoā rongoā tino noa ko ngā anticoagulants (whakaiti toto) pēnei i te warfarin, heparin, i ngā rongoā hou rānei pēnei i te rivaroxaban. Kāore ēnei rongoā e whakakore i ngā toto e noho ana engari e ārai ana i a rātou kia nui ake, ā, ka aukati i te hanganga o ngā mea hou.
Mō ngā āhuatanga nui ake, ka whakamahi pea ngā tākuta i te rongoā thrombolytic, e uru ana ki ngā rongoā e whakakore ana i ngā toto. Ko te tikanga ka rahuitia tēnei rongoā mō ngā keehi e whakatuma ana i te ora nā te mea he nui ake te tūponotanga o ngā raruraru toto.
I ētahi wā, ka hiahiatia pea te wawaotanga pokanga. Ko ngā tikanga pēnei i te thrombectomy ka taea te tango i ngā toto, i ngā tātari vena cava rānei ka taea te whakanoho kia mau i ngā toto i mua i te tae ki ō pūkahukahu.
Me whai wawe koe i te rongoā mena ka pā ki a koe ētahi tohumate e tohu ana he pūtau toto. Mā te rongoā wawe e ārai ngā raruraru nui, e whakaora i tō ora.
Whakapā atu ki ngā ratonga ohorere tonu mena ka kite koe i ēnei tohu whakatūpato:
Kaua e tatari kia kite mena ka pai ake ngā tohumate i a rātou anō. Ka tere te neke o ngā pūtau toto i roto i tō toto, ka puta ngā raruraru e whakatuma ana i te ora pērā i te pulmonary embolism, te whiu rānei.
Mā te māramatanga ki ō āhuatanga mōrearea e āwhina i a koe ki te whai i ngā mahi ārai, me te mōhio ki te wā ka nui ake te tūponotanga ki te whanaketanga o ngā pūtau toto. Ko ētahi āhuatanga ka taea e koe te whakahaere, ko ētahi atu he wāhanga o tō hanganga ira, o tō hītori rongoā rānei.
Koinei ngā āhuatanga mōrearea nui e whakanui ana i ō tūponotanga ki te whanaketanga o ngā pūtau toto:
Ko ngā āhuatanga mōrearea iti noa iho engari he mea nui ko ētahi āhuatanga autoimmune, te mate tākihi, me ngā mate pūtau ira. Mā te whai i ngā āhuatanga mōrearea maha e whakanui nui ana i tō tūponotanga whānui ki te whanaketanga o ngā pūtau.
Ka taea e ngā pūpū toto te arahi ki ngā raruraru nui ina aukati ana rātou i te rere o te toto ki ngā okana nui, ka pakaru rānei, ka haere ki ētahi wāhi o tō tinana. Mā te māramatanga ki ēnei putanga ka whakanui i te take he mea nui te rongoā wawe.
Ko ngā raruraru tino nui ka mōrearea ki te ora, me te hiahia kia uru tonu mai te rongoā:
I ngā wā onge, ka taea e ngā pūpū toto te pā ki te mate o te kiko (necrosis) ki te aukati katoa rātou i te tuku toto ki tētahi wāhi mō te wā roa. I ētahi wā ka hiahia tēnei ki te uru mai o te pokanga, ki te tapahi rānei i ngā wā tino nui.
Ka whakawhanake hoki ētahi tāngata i ngā raruraru roa pēnei i te mamae tonu, te pōro, te huringa kiri rānei i ngā wāhi i hanga ai ngā pūpū i mua. Ka pā nui ēnei pānga wā roa ki te kounga o te ora.
I ētahi wā ka taea te pōhēhē i ngā pūpū toto ki ētahi atu āhuatanga e pā ana ki ngā tohu rite. Koinei te take he mea nui te arotake rongoā tika mō te tātaritanga tika me te rongoā tika.
He maha ngā wā ka pōhēhē i ngā pūpū toto waewae ki ngā uaua, ngā uaua tōia, ngā shin splints rānei nā te mea ka pā ana ki te mamae me te pōro rite. Ko te rerekētanga nui ko te mamae pūpū kāore i te pai ake i te okiokinga, ā, ka kino ake pea i te wā.
Ka taea te pōhēhē i ngā tohu o te pūkahukahu ki ngā whakaeke ngākau, te pūkahukahu, ngā whakaeke āwangawanga rānei. Heoi, ko te tīmatanga ohorere o ngā uaua manawa me te mamae o te uma me whai tonu te arotake rongoā tonu.
I ētahi wā ka pohehe ngā pūpū toto i roto i te roro mō te migraine, ētahi atu mate tūāki rānei, inā koa i ngā wā tuatahi. Ko te āhuatanga motuhake ko te āhua ohorere, te kaha o te tūāki me ētahi atu tohu neurological.
Ka taea e ngā pūpū toto te hanga tere, i ētahi wā i roto i ngā hāora i muri i tētahi kaupapa whakaoho pēnei i te pokanga, te kore rānei e neke. Heoi, he rerekē te wā tika i runga i ō āhuatanga tūpono me ngā āhuatanga. Ko ētahi pūpū ka pūremu haere i ngā rā, i ngā wiki rānei, i te wā e hanga tere ana ētahi atu hei whakautu ki ngā wharanga koi, ki ngā tikanga rongoā rānei.
Kāore e taea e te nuinga o te tangata te rongo i tētahi pūpū toto e neke ana i roto i ō rātou toto. Heoi, ka pāngia pea e koe ngā tohu hou ohorere ka tae mai tētahi pūpū, ka aukati i tētahi oko toto i tētahi wāhi rerekē. Hei tauira, ki te pakaru tētahi pūpū waewae, ka haere ki ō pūkahukahu, ka ohorere koe ka pāngia e te uaua o te manawa me te mamae o te uma.
E whakaatu ana te rangahau ka nui ake pea ngā pūpū toto i ngā marama o te takurua, nā te nui ake pea o ngā mahi o roto, te kore wai, me ngā huringa o te pēhanga toto. Heoi, ka puta ngā pūpū toto i ngā wā katoa o te tau, ā, he iti noa iho ngā rerekētanga o te tau ki ētahi atu āhuatanga tūpono.
Ka taea e te ahotea roa te āwhina i te hanganga o te pūpū toto mā te whakanui i te mumura, te whakanui i te pēhanga toto, me te pā ki te āhua o te pūpū o tō toto. Ahakoa te ahotea anake e kore e pā ki ngā pūpū, ka taea e ia te āwhina, inā koa ka honoa ki ētahi atu āhuatanga tūpono pēnei i te kai paipa, te noho rānei mō te wā roa.
He rerekē te roa o te rongoā whakaheke toto i runga i te take i puta ai tō pūpū toto me ō āhuatanga tūpono takitahi. Ko ētahi tāngata e hiahia ana ki te rongoā mō ētahi marama noa iho, ā, ko ētahi atu tāngata ka hiahia pea ki te rongoā whakaheke toto mō te roanga o te oranga. Ka arotakehia e tō tākuta te tūponotanga o ngā pūpū toto ā muri ake nei ki te tūponotanga o ngā raruraru toto hei whakatau i te roa pai mō tō āhuatanga motuhake.