Trombosis o ka aa hohonu - hoʻokuʻu

Ua mālama ʻia ʻoe no ka thrombosis hohonu (DVT). ʻO kēia kahi ʻano e hana ai ke kōkuʻu koko i loko o kahi aa koko ʻaʻole ma luna a kokoke paha i ka ʻili o ke kino.

Hoʻopili nui ia i nā veins nui i ka wāwae o lalo a me ka ʻūhā. Hiki i ke kīpoki ke pale i ke kahe o ke koko. Inā wāwahi ka hāwele a neʻe i loko o ke kahe o ke koko, hiki ke paʻa i nā kīʻaha koko i nā akemāmā.

E komo i nā kaomi kaomi inā kuhikuhi ʻia e kāu kauka. Hiki iā lākou ke hoʻomaikaʻi i ke kahe o ke koko i kou mau wāwae a hoʻoliʻiliʻi paha i kou makaʻi no nā pilikia lōʻihi a me nā pilikia me ke kahe o ke koko.

• Hōʻalo i ka paʻa ʻana o nā lāʻau.
• Inā ʻoe e hoʻohana i ka wai ʻili ma kou mau wāwae, e hoʻomaloʻo ia ma mua o kou kau ʻana i nā lāʻau.
• E kau i ka pauka i kou mau wāwae i mea e maʻalahi ai ke kau ʻana i nā stockings.
• E holoi i nā stockings i kēlā me kēia lā me ke kopa liʻiliʻi a me ka wai. E holoi a hoʻokuʻu iā lākou e maloʻo.
• E ʻike pono i nā ʻāpana ʻelua o nā stockings e komo ai i ka holoi ʻia ʻana o nā paʻa ʻē aʻe.
• Inā paʻakikī loa kāu mau lāʻau, e haʻi i kāu mea mālama ola. Mai hōʻoki wale i ke kau ʻana iā lākou.

Hāʻawi paha kāu kauka iā ʻoe i ka lāʻau e wīwī i kou koko e kōkua i ka mālama ʻana i nā clots hou aʻe mai ka hana ʻana. ʻO nā lāʻau warfarin (Coumadin), rivaroxaban (Xarelto), a me apixaban (Eliquis) kekahi mau laʻana o nā mea hōʻemi koko. Inā kuhikuhi ʻia ʻoe i ka lahilahi o ke koko:

• E lawe i ka lāʻau e like me ke kuhikuhi a kāu kauka.
• ʻIke i ka mea e hana ai inā ʻike ʻoe i kahi lāʻau.
• Pono paha ʻoe e kiʻi pinepine i nā hoʻokolohua koko e ʻike pono i ka lawe ʻana i ka mahele lāʻau kūpono.

E nīnau i kāu mea hāʻawi i nā hana a me nā hana ʻē aʻe palekana iā ʻoe e hana.

MAI noho a moe i lalo i ke kūlana like no nā wā lōʻihi.

• MAI noho ʻoe e kau i ke kaomi paʻa ma ka hope o kou kuli.
• E hāpai i kou mau wāwae i kahi noho a noho paha inā pehu kou mau wāwae ke noho ʻoe.

Inā pilikia ka ʻōhū, e hoʻomaha i kou mau wāwae ma luna o kou puʻuwai. Ke hiamoe, hana i ka wāwae o ka moena i mau ʻīniha i ke kiʻekiʻe ma mua o ke poʻo o kahi moe.

Ke huakaʻi nei:

• Ma ke kaʻa. Kū pinepine, a hele i waho a hele a puni no kekahi mau minuke.
• Ma ka mokulele, kaʻa ʻōhua, a kaʻaahi paha. E ala aʻe a holoholo pinepine.
• ʻOiai e noho ana i loko o kahi kaʻa, kaʻa ʻōhua, mokulele a i ʻole kaʻaahi. E hoʻowīwī i kou manamana wāwae, hoʻopaʻa a hoʻomaha i kou mauʻiʻo keiki, a hoʻololi pinepine i kou kūlana.

MAI Puhi. Inā hana ʻoe, e noi i kāu mea nāna e hāʻawi i ke kōkua no ka haʻalele ʻana.

Inu ma kahi o 6 a 8 paha mau kīʻaha (1.5 a 2 liters) o ka wai i ka lā, inā ʻōlelo ka mea hāʻawi ua maikaʻi.

E hoʻohana i ka paʻakai liʻiliʻi.

• Mai hoʻohui i ka paʻakai i kāu meaʻai.
• MAI ʻai i nā meaʻai i hiki i ka kēpau a me nā meaʻai i hana ʻia me ka paʻakai he nui.
• E heluhelu i nā lepili meaʻai e nānā ai i ka nui o ka paʻakai (sodium) i nā meaʻai. E noi i kāu mea hāʻawi i ka nui o ka sodium maikaʻi āu e ʻai ai i kēlā me kēia lā.

Kāhea i kāu kauka inā:

• ʻIke kou ʻili, polū, a anuanu paha e hoʻopā
• ʻOi aku ka nui o ka pehu i loko o ʻelua a ʻelua paha o kou mau wāwae
• He kuni paha ʻoe a i ʻole chills
• Pokole ʻoe i ka hanu (paʻakikī ka hanu)
• He ʻeha kou umauma, keu hoʻi inā ʻoi aku ka maikaʻi i ka hanu ʻana i loko
• Uha ʻoe i ke koko

DVT - hoʻokuʻu; Koko koko i nā wāwae - hoʻokuʻu; Thromboembolism - hoʻokuʻu; ʻO ka thromboembolism Venous - thrombosis hohonu; Post-phlebitic maʻi pale - hoʻokuʻu; Post-thrombotic Syndrome - hoʻokuʻu

• Pākuʻi puʻe

ʻOihana no ka ʻimi noiʻi ola kino a me ka pūnaewele ʻoihana. Kou Alakaʻi i ka pale ʻana a me ka mālama ʻana i nā Clots Koko. www.ahrq.gov/patients-consumers/prevention/disease/bloodclots.html#. Hoʻohou ʻAukake 2017. Loaʻa iā Malaki 7, 2020.

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. ʻO Venombo Thromboembolism (Clots Koko). www.cdc.gov/ncbddd/dvt/facts.html. Hoʻohou i Pepeluali 7, 2020. Loaʻa iā Malaki 7, 2020.

Kearon C, Akl EA, Ornelas J, et al. ʻO Antithrombotic therapy no ka maʻi VTE: ka papa kuhikuhi CHEST a me ka hōʻike papa loea. Umauma. 2016; 149 (2): 315-352. PMID: 26867832 pubmed.ncbi.nlm.nih.gov/26867832/.

Kline JA. ʻO ka pulmona embolism a me ka thrombosis hohonu o ke aʻa. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 78.

• Huʻi koko
• Trombosis aa hohonu
• Pāhoihoi ultrasound
• Wā thromboplastin manawa (PTT)
• Heluna pāluna
• Ka manawa Prothrombin (PT)
• Embolus pulmonary
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