ʻO ke koko mānoanoa (Hypercoagulability)

Anter

• He aha nā hōʻailona o ke koko mānoanoa?
• He aha nā kumu o ke koko mānoanoa?
• Pehea e ʻike ʻia ai ke koko mānoanoa?
• He aha nā ʻano lāʻau no ke koko mānoanoa?
• ʻO Polcythemia vera
• Lapaʻau no nā kūlana e hoʻopili i ke kāpili ʻana o ke koko
• He aha nā pilikia no ke koko mānoanoa?
• He aha ke kuanaʻike no kēia ʻano?

He aha ke koko mānoanoa?

ʻOiai ke nānā aku ke koko o ke kanaka i ka mea like, hana ʻia i ka hui pū ʻana o nā keena ʻokoʻa, nā protein, a me nā mea hoʻopili, a i ʻole nā ​​mea kōkua i ke kāpili ʻana.

E like me nā mea he nui i ke kino, hilinaʻi ke koko i ke kaulike e mālama i kahi kūlike maʻamau. Inā hiki ʻole ke kaulike ʻole i nā protein a me nā hunaola ke kuleana no ka hoʻopili ʻana o ke koko a me ke koko, hiki i kou koko ke mānoanoa. ʻIke ʻia kēia ʻo hypercoagulability.

Hiki i kekahi mau kumu ke kumu i ke koko mānoanoa, e like me:

• keu ke koko i ka holo
• nā maʻi e hoʻopili i ke kāpili ʻana o ke koko
• ʻoi aku ka nui o nā protein i loko o ke koko

Ma muli o ka nui o nā kumu kūpono o ke koko mānoanoa, ʻaʻole i loaʻa i nā kauka ka wehewehe maʻamau o ke koko mānoanoa. Hoʻomaopopo lākou iā ia ma o kēlā me kēia ʻano e hopena i ke koko mānoanoa.

Kākaʻikahi ka maʻi kāpili koko ʻana i kumu ke koko mānoanoa. ʻO kekahi o nā mea maʻamau e komo pū me ka helu V Leiden, kahi i koho ʻia he 3 a 7 pakeneka o ka heluna lehulehu. ʻAʻole pili kēia ʻano i ka mānoanoa o ke koko o ke kanaka, akā ua makemake mua ʻia lākou e loaʻa ke koko mānoanoa.

ʻO nā kānaka āpau i loaʻa i ke koko i loko o ko lākou mau uaua, ma lalo o 15 pākēneka ma muli o kahi kūlana i kumu i ke koko mānoanoa.

He aha nā hōʻailona o ke koko mānoanoa?

ʻAʻole i loaʻa i nā mea he nui nā ʻōuli o ke koko mānoanoa a hiki i ko lākou ʻike ʻana i ke koko koko. Hana ʻia ka paʻū koko i loko o ka aa o ke kanaka, hiki ke hōʻeha i ka ʻeha a pili i ka holo ʻana i loko a ma kahi o kahi e kū ai ka ʻōpala.

Hoʻomaopopo kekahi kekahi he moʻolelo ʻohana ko lākou no ka maʻi kāpili koko. Hoʻoikaika paha kēia iā lākou e hoʻāʻo no nā pilikia pili ʻana o ke koko ma mua o ka kū ʻana o kekahi.

ʻO ka loaʻa ʻana o nā huna koko he nui i hiki ke alakaʻi i nā ʻōuli like ʻole. ʻO nā laʻana o kēia mau mea:

• ʻike hihi ʻole
• ʻūpā
• paopao maʻalahi
• kahe nui loa o ke koko
• gout
• ʻeha poʻo
• kahe koko kiʻekiʻe
• ʻili ʻili
• nele i ka ikaika
• pokole o ka hanu

Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, pono ʻoe e ʻike i kāu kauka e hoʻāʻo no ke koko mānoanoa:

• he loaʻa koko o ka ʻike kumu ʻole
• ke hana hou nei i nā kahe koko no ke kumu ʻole
• ke ʻike nei i ka nalo ʻana o ka hāpai hāpai hou ʻana (ka nalo ʻana o ka ʻoi aku o ʻekolu mau hāpai hānai mua)

Kauoha paha kāu kauka i nā ʻano hōʻike loiloi koko inā loaʻa iā ʻoe kēia mau ʻōuli ma ka hoʻohui o ka moʻolelo ʻohana o ke koko mānoanoa.

He aha nā kumu o ke koko mānoanoa?

ʻO nā kūlana i hopena i ke koko mānoanoa e hiki ke hoʻoilina ʻia a loaʻa mai paha i kekahi manawa hope, e like me ka maʻa mau me nā maʻi ʻaʻai. ʻO ka mea aʻe ka mea liʻiliʻi o nā ʻano he nui i hiki ke kumu i ke koko mānoanoa.

• maʻi ʻaʻai
• lupus, ka mea e hoʻohua i kou kino e hana i nā mea ʻāpala antiphospholipid keu, kahi e hiki ai ke hoʻopili ʻia
• nā hoʻololi i ka helu V
• polycythemia vera, ka mea e hana i kou kino e hana i nā keena ʻulaʻula he nui, e hopena i ke koko mānoanoa
• protein C hemahema
• protein S hemahema
• prothrombin 20210 hoʻololi
• puhipaka, hiki ke kumu i ka hōʻino ʻana o ka ʻaʻa a hoʻoliʻiliʻi hoʻi i ka hana ʻana i nā mea e hōʻemi ai i ke koko

He mea nui e hoʻomaopopo i nā ʻano kumu e kumu ai ke koko mānoanoa, a i kekahi manawa ke kāpili ʻana o ke koko, ʻaʻole wale nā ​​kumu o ke kahe o ke koko.

ʻO kahi laʻana, hiki i ke kanaka ke loaʻa i kahi puʻuwai puʻuwai no ka mea ua pili ka pili o ko lākou koko me ka plake i loko o kā lākou mau aʻa, kahi e hoʻokumu ai i kahi ʻōpala. ʻO ka poʻe me ka maikaʻi ʻole o ke kahe e ʻoi aku ka maʻalahi o ke kahe o ke koko no ka mea ʻaʻole e neʻe ke koko i loko o kā lākou kino. ʻAʻole kēia ma muli o ka mānoanoa o ke koko. Akā, ua ʻino nā aʻa a me nā uaua o kēia poʻe, no laila ʻaʻole hiki ke neʻe ke koko e like me ka maʻamau.

Pehea e ʻike ʻia ai ke koko mānoanoa?

E hoʻomaka kāu kauka i ke kaʻina hana diagnostic ma o ka lawe ʻana i kāu mōʻaukala. E nīnau lākou i nā nīnau e pili ana i nā ʻōuli āu e ʻike nei a me ka mōʻaukala olakino.

E kauoha paha kāu kauka i ka hoʻāʻo ʻana i ke koko, akā maʻa mau i nā pae. ʻO ke kumu o kēia ka nui o nā hoʻokolohua no ke koko mānoanoa a he kikoʻī loa. No laila e hoʻomaka lākou me nā hoʻokolohua maʻamau, a laila e kauoha i nā mea kikoʻī inā pono.

ʻO kahi laʻana o kekahi o nā hoʻokolohua koko i hoʻohana ʻia inā manaʻo kāu kauka he koko mānoanoa kāu:

• Helu piha koko: Mālama kēia hōʻike i ke alo o nā hunaola ʻulaʻula a me nā platelet i loko o ke koko. Hiki i nā pae hemoglobin kiʻekiʻe a me nā hematocrit ke hōʻike i ke kū ʻana o kahi ʻano e like me polycythemia vera.
• Hoʻoikaika protein C: ʻO kēia mau ho'āʻo no ke alo o ka mea V Leiden.
• Prothrombin G20210A hōʻike hoʻoliʻiliʻi: Hoʻoholo kēia i ke alo o antithrombin, protein C, a i ʻole protein S pono ʻole.
• Antithrombin, protein C, a i ʻole protein S mau pae hana: Hiki i kēia ke hōʻoia i ke alo o nā lupus anticoagulants.

Paipai ka Cleveland Clinic i ka hoʻāʻo ʻana no ke koko mānoanoa ma kahi o ʻehā a ʻeono pule ma hope o kou loaʻa ʻana o ke koko. ʻO ka hoʻāʻo ʻana ma mua e hiki ke alakaʻi i kahi hopena maikaʻi maikaʻi ʻole ma muli o ke kū ʻana o nā mea hoʻāla i ke koko mai ka pūpū.

He aha nā ʻano lāʻau no ke koko mānoanoa?

ʻO nā mālama ʻana no ke koko mānoanoa kaukaʻi ʻia i ke kumu kumu.

ʻO Polcythemia vera

ʻOiai ʻaʻole hiki i nā kauka ke hōʻola i ka polycythemia vera, hiki iā lākou ke hōʻoia i nā mālama e hoʻomaikaʻi i ke kahe o ke koko. Hiki i ke hoʻoikaika kino ke kōkua i ka hoʻoikaika i ke kahe o ke koko ma o kou kino. Nā ʻanuʻu ʻē aʻe e komo pū:

• ke kīloi pinepine nei, ʻoi aku i kou mau wāwae a me kou mau wāwae e hāpai i ke kahe o ke koko
• kau i nā lole pale, keu hoʻi no kou mau lima a me kou mau wāwae, i ka hoʻoilo
• e hōʻalo nei i ka wela loa
• noho hydrated a me ka inu nui o nā wai
• e lawe ana i nā ʻauʻau starch ma ka hoʻohui ʻana i kahi pahu hapalua o ka starch i ka wai ʻauʻau mehana, i hiki ke hoʻoluʻolu i ka ʻili pinepine-ʻili pili me ka polycythemia vera

Hiki i kāu kauka ke koi aku i kahi hana lapaʻau i kapa ʻia ʻo phlebotomy, kahi e hoʻokomo ai lākou i kahi laina intravenous (IV) i loko o kahi aa e lawe i kahi nui o ke koko.

Kōkua kekahi mau lapaʻau ʻana e hemo i kekahi o ka hao o kou kino, hiki ke hōʻemi i ka hana koko.

I nā hanana kakaikahi, ke kumu ke kumu o nā kūpilikiʻi koʻikoʻi, e like me ka pohō o ke kino, e paipai paha kāu kauka i nā lāʻau chemotherapy. ʻO nā laʻana o kēia mau mea ʻo ia ʻo hydroxyurea (Droxia) a me interferon-alpha. Kōkua kēia mau mea e hōʻoki i kou iwi iwi mai ka hana ʻana i nā hunaola keu. A ʻo kahi hopena, emi ka mānoanoa o kou koko.

Lapaʻau no nā kūlana e hoʻopili i ke kāpili ʻana o ke koko

Inā loaʻa ʻoe i kahi maʻi e hoʻolalelale ai i ke koko (e like me ka hoʻololi V), hiki i kāu kauka ke koi aku i kekahi o nā ʻano aʻe:

• Antiplatelet therapy: Hoʻopili pū kēia i ka lawe ʻana i nā lāʻau e pale aku ai i nā hunaola koko e pili ana i ka hoʻopili ʻana, i kapa ʻia nā platelet, mai ka pili pū ʻana e lilo i ʻōpala. Hiki i nā laʻana o kēia ke hoʻopili i ka aspirin (Bufferin).
• Hoʻoponopono Anticoagulation: Hoʻopili kēia i ka lawe ʻana i nā lāʻau i hoʻohana ʻia e pale ai i nā kahe koko, e like me warfarin (Coumadin).

Eia nō naʻe, he nui ka poʻe i loaʻa nā kūlana i hiki ke hoʻonui i ko lākou koko ʻaʻole loa e ʻike i kahi hoʻopili ʻana o ke koko. No kēia kumu, hiki i kāu kauka ke hōʻoia i ke koko mānoanoa, akā ʻaʻole naʻe e kuhikuhi i kahi lāʻau no ʻoe e lawe mau ai ke ʻole lākou e manaʻoʻiʻo he makaʻu maoli ʻoe no kahi ʻōpala.

Inā maʻalahi ʻoe i nā kahe koko, pono ʻoe e komo i nā ʻano nohona i ʻike ʻia e hōʻemi i kā lākou likelike. Pākuʻi ʻia kēia mau mea:

• ka pale ʻana i ka puhipaka
• hana i ka hana hoʻoikaika kino maʻamau
• ke lawe nei i nā manawa kūpono e hoʻolōʻihi a hele wāwae ke hele lōʻihi i kahi mokulele a i ʻole kaʻa
• noho hydrated

He aha nā pilikia no ke koko mānoanoa?

Inā loaʻa iā ʻoe ke koko mānoanoa, ʻoi aku kou makaʻala i nā kahe o ke koko, i loko o kou mau aa a me nā aʻa. Hoʻopili ke koko i kāu mau uaua i ke kahe o ke koko i nā kī nui o kou kino. Me ka lawa ʻole o ke kahe o ke koko, ʻaʻole hiki i nā kinona ke ola. Inā manaʻo ʻoe he loaʻa koko kou, e ʻimi koke i ka lāʻau.

ʻO kekahi o nā hopena make loa o ke koko mānoanoa ka emboli pulmonary, ʻo ia nā kahe koko e ālai i hoʻokahi a ʻoi paha o nā aʻa pulmonary i nā akemāmā. ʻO ka hopena, ʻaʻole hiki i ka māmā ke loaʻa i ke koko oxygenated. ʻO nā ʻōuli o kēia ʻano ka loaʻa o ka hanu, ka ʻeha o ka umauma, a me ke kahe e loaʻa ke koko i kēia manawa. Pono ʻoe e ʻimi i ka lāʻau lapaʻau maʻi inā manaʻo ʻoe he emboli pulmonary ʻoe.

He aha ke kuanaʻike no kēia ʻano?

Wahi a ka Cleveland Clinic, ʻaʻohe ʻikepili i kēia manawa e hōʻike i ke koko mānoanoa e pili ana i ke ola. Eia nō naʻe, inā he moʻolelo ko kāu ʻohana o kēia ʻano, makemake paha ʻoe e nīnau i kāu kauka e pili ana i nā mea hiki ke pilikia.