Huʻi koko

ʻO nā kīʻaha koko nā ʻōpē e kū i ka wā e paʻakikī ai ke koko mai kahi wai a i kahi paʻa.

• ʻO ke kīʻaha koko e hana i loko o kekahi o kou mau veins a i ʻole nā ​​aʻa i kapa ʻia he thrombus. Hiki paha i kahi thrombus ke hana i kou puʻuwai.
• ʻO kahi thrombus e wāwahi a hele i kahi wahi i ke kino i kahi ʻē aʻe i kapa ʻia he embolus.

Hiki i kahi thrombus a embolus paha ke ālai a hoʻopau loa paha i ke kahe o ke koko i loko o kahi kīʻaha koko.

• Hiki i kahi paʻa i ke aʻa e pale i ka oxygen mai ka hiki ʻana i nā kiko i kēlā wahi. Kāhea ʻia kēia ischemia. Inā mālama koke ʻole ʻia ka ischemia, hiki i ke kino ke hōʻeha a make paha.
• ʻO ka paʻa ʻana i ke aa e hana pinepine i ka hoʻoulu wai a me ka pehu.

ʻO nā kūlana kahi e kūpono ai ke kōkō ʻana o ke koko i loko o nā uaua me:

• Noho ma kahi moe lōʻihi lōʻihi
• Noho no nā wā lōʻihi, e like me ka mokulele a kaʻa paha
• I ka wā a ma hope o ka hāpai ʻana
• Lawe i nā pilina hoʻomalu a i ʻole nā ​​estrogen estrogen (ʻo ia hoʻi i nā wahine puhipaka)
• Hoʻohana lōʻihi o kahi catheter intravenous
• Ma hope o ke kaha ʻana

ʻOi aku ka nui o ke kahe o ke koko ma hope o kahi ʻeha. ʻO nā kānaka me ka maʻi ʻaʻai, ka momona, a me ka maʻi o ke ake a me nā puʻupaʻa pū kekahi me ka maʻi koko.

Hoʻonui pū ka puhi ʻana i ka makaʻu o ke kūkulu ʻana i nā clots koko.

ʻO nā kūlana i hoʻoili ʻia i waena o nā ʻohana (hoʻoilina) e hana hou iā ʻoe e hana i nā kahe koko ʻole. ʻO nā kūlana hoʻoilina e pili ana i ka hoʻopili ʻana:

• ʻO Factor V Leiden hoʻololi
• Prothrombin G20210A hoʻololi

Nā kūlana ʻano ʻē aʻe, e like me ka protein C, protein S, a me nā hemahema antithrombin III.

Hiki i kahi ʻoki koko ke ālai i ke aʻa a i ʻole ka uaua i ka puʻuwai, e pā ana i ka:

• Puʻuwai (angina a i ʻole ka puʻuwai puʻuwai)
• Intestines (mesenteric ischemia a i ʻole mesenteric venous thrombosis)
• Nā hakuʻala (renal vein thrombosis)
• ʻO nā aʻa wāwae a lima paha
• Nā wāwae (deep vein thrombosis)
• Lungs (pulmonary embolism)
• Ka ʻāʻī a i ʻole ka lolo (hahau)

Lole; Emboli; Thrombi; ʻO Thromboembolus; Mokuʻāina ʻo Hypercoagulable

• Trombosis o ka aa hohonu - hoʻokuʻu
• Lawe iā warfarin (Coumadin, Jantoven) - he aha e nīnau aku ai i kāu kauka
• Lawe iā warfarin (Coumadin)

• ʻO Thrombus
• Trombosis venous hohonu - iliofemoral

ʻO Anderson JA, Hogg KE, Weitz JI.Nā mokuʻāina ʻo Hypercoagulable. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 140.

ʻO Schafer AI. E hoʻokokoke i ka mea maʻi me ka kahe ʻana a me ka thrombosis: nā mokuʻāina hypercoagulable. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 162.