ʻO nā mea āpau āu e ʻike ai e pili ana i nā Clots Koko i ka ʻōpū
Anter
- He aha nā ʻōuli o ke kōkō o ke kōpū ʻōpū?
- ʻO ka ʻōpū ʻōpū kahi hōʻailona o ka maʻi ʻaʻai?
- ʻO wai ka mea e makaʻu i nā ʻōpū o ke kōpū?
- Pehea kahi maʻi koko i loko o ka ʻōpū i ʻike ʻia?
- Pehea e mālama ai i nā kahe koko i loko o ka ʻōpū?
- Outlook
Hiki iā ʻoe ke loaʻa i ke koko i loko o ka ʻōpū?
Hoʻopili ke koko koko hohonu, i ʻike ʻia ma ke ʻano he thrombosis hohonu (DVT), ma ke ʻano o ka wāwae o ka ʻūhā, nā ʻūhā, a me nā pelvis, akā hiki pū kekahi i kou mau lima, nā akemāmā, ka lolo, nā puʻupaʻa, ka puʻuwai, a me ka ʻōpū. Kuhi ʻia ke kōkō koko i loko o ka ʻōpū ma ke ʻano he clots koko ʻōpū.
E heluhelu e aʻo hou ai e pili ana i nā kahe o ke koko i loko o ka ʻōpū.
He aha nā ʻōuli o ke kōkō o ke kōpū ʻōpū?
Hōʻokoʻa nā ʻōuli o ke koko i kēlā me kēia kanaka. ʻAʻole loa ʻoe e loaʻa i nā ʻōuli me ka hū koko. Kū hoʻokahi lākou i ka ʻāpana o ke kino e hoʻopili ʻia e ka ʻōpala. Pili nā ʻōuli i ka wikiwiki o ka hana ʻana o ka ʻūlū a me kona nui.
Hiki i nā ʻōuli maʻamau o kahi ʻōpū o ke kōpū ke hoʻopili pū:
- ʻeha nui i ka ʻōpū
- ʻehaʻeha / ʻeha o ka ʻōpū
- nausea
- ka luaʻi
- noho noho koko
- pāhoehoe
- ʻōhūhū
- hōʻuluʻulu wai ʻōpū, ʻike ʻia ʻo ascites
ʻO ka ʻōpū ʻōpū kahi hōʻailona o ka maʻi ʻaʻai?
Hiki paha i nā ʻōpū o ke kōpū ka hōʻailona mua o ka maʻi ʻaʻai ʻole i hōʻike ʻia. Ma a ma Denmark, ua loaʻa nā mea noiʻi i ka poʻe me ke koko i loko o ka ʻōpū o ka ʻōpū (venous thrombosis) e loaʻa paha kahi hōʻailona maʻi ʻaʻai i loko o ʻekolu mau mahina o ka hōʻoia ʻana o ke koko e hoʻohālikelike ʻia i ka poʻe o ka lehulehu. ʻO nā maʻi ʻoi loa ʻo ka ate, pancreatic, a me ke kanulau maʻi koko.
ʻO ka maʻi ʻaʻai, ma ka laulā, hoʻonui i ka hoʻokumu ʻana o nā huʻa koko. ʻO ka hōʻino i nā veins, me ke kahe o ke kahe o ke koko, manaʻo ʻia e hoʻonui pū i ka manawa o nā kahe koko ʻole i ka maʻi ʻaʻai.
Pono e noiʻi hou aʻe e hoʻomaopopo i nā pilina hou aʻe ma waena o nā ʻōpū o ke kōpū a me ka maʻi ʻaʻai.
ʻO wai ka mea e makaʻu i nā ʻōpū o ke kōpū?
ʻO ka maʻamau no ke kōpē ʻana o ke koko i ka pane ʻana i kahi ʻoki a hōʻeha paha. ʻO ke ala o ke kino e pale ai iā ʻoe mai ke kahe ʻana i ka make. Akā i kekahi manawa hiki iā ʻoe ke hoʻomohala i kahi kōkuʻu koko me ka ʻole o kahi ʻeha. Weliweli kēia mau ʻano o ke koko hoka no ka mea keakea lākou i ke kahe o ke koko o kahi meaola. Hiki i nā kahe koko ke hana i nā ʻāpana o ke kino, e like me ka ʻōpū.
Hiki i kekahi mau mea ke hoʻonui i kou makaʻu no ka hoʻomohala ʻana i nā clots koko. Pākuʻi ʻia kēia mau mea:
- immobility, e like me ka lawe ʻana i kahi holo mokulele lōʻihi a i ʻole ke hoʻomaha ʻana i kahi moe lōʻihi
- ʻoki kino
- moʻolelo ʻohana o nā huʻa koko
- polycythemia vera (kahi helu kiʻekiʻe ʻole o nā ʻulaʻula koko)
- nā homone, e like me ka estrogen a me ka progesterone i loaʻa i nā kaohi kaohi hānau a me ka hormone therapy i hoʻohana ʻia e hōʻoluʻolu i nā ʻōuli o ka menopause
- hāpai keiki
- puhipaka
- cirrhosis
- appendicitis, a me nā ʻōpū o ka ʻōpū, ka mea hiki ʻole ke alakaʻi i ke kōpū o ke kōpū i nā uaua ma ke ʻano he hopena o ka bacteria a me ka mumū
- ʻeha o ka ʻōpū a i ʻole ʻeha
E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe nā ʻōuli o ke kōpū o ke kōpū a i ʻole ka nui o ka makaʻu no kēia ʻano.
Pehea kahi maʻi koko i loko o ka ʻōpū i ʻike ʻia?
Inā kuhi kāu kauka he puʻuwai kou i loko o kou ʻōpū e pili ana i kāu mau ʻōuli, hoʻokolohua kino, a me ka mōʻaukala olakino, e kauoha paha lākou i kahi CT scan o kou ʻōpū a me kou pelvic wahi e kōkua ai i ka ʻike ʻana i kāu ʻōpū. Paipai paha lākou i kahi ultrasound a me MRI e ʻike i ke kahe o ke koko ma o kou mau uaua.
Pehea e mālama ai i nā kahe koko i loko o ka ʻōpū?
Hoʻomaʻamaʻa pinepine ʻia nā clots koko me nā anticoagulants. ʻO nā anticoagulants nā lāʻau lapaʻau e lahilahi i ke koko a pale i ke kūpina mai ka ulu nui ʻana, hana hou ʻana, a i ʻole ke hoʻomohala ʻana i nā clots hou aʻe. ʻAʻole hoʻopau kēia mau lāʻau i ka ʻōpala.
Hoʻohana ʻia nā lahilahi koko maʻamau i:
- heparin, i hāʻawi ʻia me ka huhū ma o ke kui kele i kou lima
- warfarin, lawe ʻia i loko o ka pill pill
- enoxaparin (Lovenox), kahi ʻano injectable o heparin i hiki ke hāʻawi ʻia ma lalo o ka ʻili
ʻO ka hopena, hoʻopili hou ʻia ke koloka e ke kino, ʻoiai i kekahi mau helu ʻaʻole i nalo loa.
ʻO ke ʻoki kino a i ʻole ka noi ʻana i nā lāʻau hoʻowalewale pololei i ka pākeke e pono ai i nā hihia o nā ʻōpala koko nui a weliweli paha i ke ola. ʻO ka mālama ʻana i ke kumu o ke koko e koi ʻia pū kekahi.
Outlook
Kūleʻa ka ʻōpū o ke kōpū ʻōpū. Akā koʻikoʻi nā kīʻaha koko, me nā ʻōpala i kou wahi o ka ʻōpū, keu hoʻi inā haʻihaʻi ke ʻōpala a moe i loko o nā akemāmā, ke kumu o ka mea i ʻike ʻia he embolism pulmonary.
I mea e hōʻemi ai i kāu makaʻu i ka hana ʻana i nā clots koko ʻole, kaohi i nā kumu i hiki iā ʻoe:
- Lilo kaupaona inā ʻoi nui ʻoe.
- E haʻalele i ka puhi pua ʻana.
- E kamaʻilio me kāu kauka e pili ana i kāu koho āpau no ka kaohi hānau.
- Hele wāwae a puni kēlā me kēia hola a ʻoi paha i ka lā, keu hoʻi ma nā holo mokulele a i ʻole nā huakaʻi kaʻa lōʻihi.
- Ka palena i kāu inu ʻona.
Inā loaʻa iā ʻoe kahi mōʻaukala o ke kahe o ke koko a i ʻole he mau kumu pilikia paha, e kamaʻilio me kāu kauka e pili ana i ka lāʻau i ʻoi aku ka maikaʻi iā ʻoe. Hoʻopili pinepine kēia i ka lawe ʻana i nā mea lahilahi i ke koko i kēlā me kēia lā.
Me ka lāʻau lapaʻau, hoʻōla ka hapanui o nā kānaka mai nā huehue koko me ka ʻole a i ʻole nā palena palena ʻole nā hopena a i ʻole nā pilikia. ʻO ka manawa hoʻōla e pili ana i ke kumu, ka wahi, a me nā meaola i hoʻopili ʻia e ka ʻōpala. E mālama pono i nā ʻōlelo aʻoaʻo a kāu kauka i kēia manawa e hoʻomaikaʻi ai i kāu hopena a hoʻoliʻiliʻi i kāu pilikia o nā pilikia.