He aha ka ʻokoʻa ma waena o Thrombosis a me Embolism?

Anter

• Nā ʻōuli
• Trombosis Venous
• Embolism pulmonary
• Trombosis ʻaʻa
• He aha nā mea e pale ai i nā kīʻaha koko?
• Kānāwai
• Lapaʻau
• Nā pilikia
• Outlook

Hōʻike Overview

Māhele ka Thrombosis a me ka embolism i nā like like he nui, akā he mau kūlana kūʻokoʻa lākou. Hana ʻia ka thrombosis ke ulu ka thrombus, a i ʻole ke kōkō ʻana o ke koko i loko o kahi kīʻaha koko a hoʻoliʻiliʻi i ke kahe o ke koko ma o ka ipu. Hana ʻia ʻo Embolism ke hoʻopaʻa ʻia kahi ʻāpana o ke koko, mea haole, a i ʻole kekahi mea ʻē aʻe i loko o kahi kīʻaha koko a keʻakeʻa nui i ke kahe o ke koko.

ʻO kahi ʻano like, thromboembolism, pili i ka hōʻemi ʻana i ke kahe o ke koko e pili pono ʻia e kahi embolism mai kahi kīʻaha koko.

Hoʻonui nā kānaka he nui i nā kahe o ke koko, a he nui a me nā kumu o ka thrombosis a me ka embolism. ʻO kahi poloka i ke kahe o ke koko i loko o kahi aa hohonu, nā aʻa nui, a i ʻole ka pulmonary (lung) ke kīʻaha koko e lawe i ka makaʻu olakino nui loa. ʻO ka poʻe i make i kēlā me kēia makahiki mai ka thrombosis hohonu (DVT) a i ʻole embolism pulmonary.

E heluhelu e aʻo hou e pili ana i kēia mau kūlana.

Nā ʻōuli

ʻO nā ʻōuli o ka thrombosis a me ka embolism kaukaʻi ʻia i ka:

• ʻano kīʻaha koko i pili
• wahi
• ka hopena i ke kahe o ke koko

ʻO ka thrombi liʻiliʻi a me ka emboli e kū ʻole nui i nā kīʻaha koko i kumu ʻole nā ​​hōʻailona. o ka poʻe me DVT ʻaʻohe o lākou hōʻailona o ke ʻano. Eia nō naʻe, hiki i nā ālai nui ke pōloli i nā mea olakino olakino o ke koko a me ka oxygen, e hoʻoulu ana i ka mumū a i ka hopena e make ka iwi.

Trombosis Venous

ʻO nā veins nā kīʻaha koko e kuleana no ka hoʻihoʻi ʻana i ke koko i ka puʻuwai no ka hana hou ʻana. Ke kāwili ʻia kahi ʻōpala a embolus paha i kahi aa nui a hohonu paha, loko o ke koko ma hope o ka ālai ʻana, e hoʻoulu ai. ʻOiai hiki iā lākou ke hana ma nā wahi āpau, ulu ka hapanui o nā hihia o ka thrombosis venous i nā aa hohonu o nā wāwae lalo. ʻO nā ālai i kū i nā aʻa liʻiliʻi a papa ʻole paha e hana i nā pilikia nui.

ʻO nā ʻōuli maʻamau o ka thrombosis venous me:

• ʻeha a palupalu
• ʻulaʻula a i ʻole discoloration
• ʻōhū, a puni ka kuʻekuʻe wāwae, kuli a i ʻole ka wāwae

E mahana hoʻi ka wahi i pā ʻia.

Embolism pulmonary

Hana ʻia ka pulmonary embolism (PE) ke wāwahi kahi ʻāpana o ke koko a hele i loko o ke kahe o ke koko i nā akemāmā. A laila lilo ia i loko o kahi kīʻaha koko. Pili pinepine ia me DVT.

Hiki ke weliweli loa ka embolism pulmonary a hoʻomohala wikiwiki loa. Ma nā hihia embolism pulmonary, ʻo ka make koke ka hōʻailona mua. E ʻimi koke i ka lāʻau lapaʻau inā manaʻo ʻoe iā PE.

ʻO nā hōʻailona maʻamau o PE me:

• pilikia hanu
• hanu wikiwiki
• ʻino a me ke poʻo māmā
• kōmi puʻuwai wikiwiki
• ʻeha o ka umauma i ʻoi aku ka maikaʻi ke hanu ʻia
• e kahe ana ke koko
• hala ʻana i waho

Trombosis ʻaʻa

Hoʻopili pinepine ʻia ka thrombosis Arterial me ka atherosclerosis. ʻO Atherosclerosis ka hoʻomohala ʻana i nā pā, a i ʻole ka paʻakikī paʻakikī, ma ka paia o loko o kahi aʻa. Hoʻololi nā pā i ke aʻa. Hoʻonui kēia i ka nui o ke kaomi i loko o ke kīʻaha koko. Inā lawa ka ikaika o kēia kaomi, hiki i ka pāpaʻi ke lilo i paʻa ʻole a haki.

I kekahi manawa ke haki kahi pākaukau ka overreact o ka ʻōnaehana pale. Hiki i kēia ke alakaʻi i ka hoʻomohala ʻana i kahi ʻahu nui a me kahi kūlana hoʻoweliweli ola, e like me ka puʻuwai puʻuwai a i ʻole ka hahau.

E ʻimi koke i ka lāʻau inā loaʻa nā ʻōuli o ka thrombosis arterial me:

• ʻehaʻeha o ka umauma e hele pinepine mai ana, e like me ka wā e hoʻomaha ai, a ʻaʻole e pane i ka lāʻau
• pōkole a i ʻole lilo o ka hanu
• ka houʻu ʻana
• nausea
• kahi lālā a ʻāpana o ka ʻili i lilo i anuanu, ʻoi aku ka māmā o ke kala ma mua o ka maʻamau, a ʻeha loa
• ka nalowale ʻole o ka ikaika o nā mākala
• hāʻule ka hapa haʻahaʻa o ka maka i kekahi ʻaoʻao

He aha nā mea e pale ai i nā kīʻaha koko?

Ke hōʻeha ʻia kahi pā o ke kīʻaha koko, nā huna koko, i kapa ʻia nā platelet a me nā protein, e hana i kahi nuipaʻa ma luna o ka ʻeha. Kapa ʻia kēia nuipa a thrombus, a i ʻole ke kōkuʻu koko. Kōkua ka lole i ka sila ʻana i ka pūnaewele ʻeha e palena i ke kahe ʻana a pale iā ia i ka wā e hoʻōla ai. Ua like kēia me ka scab ma kahi ʻeha o waho.

Ke ola ka ʻeha, hoʻoheheʻe ke koko i kā lākou iho. I kekahi manawa naʻe, kūlike ʻole ke kōkō ʻana o ke koko, ʻaʻole e hemo, a nui loa paha. Hiki i kēia ke alakaʻi i nā pilikia olakino koʻikoʻi e ka hōʻemi ʻana i ke kahe o ke koko a hōʻino ʻia a make paha i nā mea i pili e hoʻolako ʻia.

Hiki pū kekahi i nā Embolism ke paʻa nā mea ʻē aʻe i loko o nā kīʻaha koko, e like me nā huʻa ea, nā molekoki momona, a i ʻole nā ​​ʻāpana o ka pā.

Kānāwai

ʻAʻohe hōʻike kikoʻī e hoʻohana ai e kuhikuhi i ka thrombosis a me ka embolism, ʻoiai ʻo ultrasound duplex, a i ʻole ka hoʻohana ʻana i nā nalu kani e hana i nā kiʻi o ke kahe o ke koko, hoʻohana mau ʻia.

Nā hoʻokolohua ʻē aʻe i hiki ke hoʻohana ʻia e kōkua i ke kuhi ʻike a loiloi paha i nā clots koko ʻole a i ʻole nā ​​ālai ʻia e komo pū me:

• imaging resonance imaging (MRI), a i ʻole computers tomography (CT) scans
• hoʻāʻo koko
• venography, ke manaʻo ʻia ka ʻaʻa koko i loko o kahi aa
• arteriogram, ke manaʻo ʻia ka blockage i loko o kahi artery
• nā hoʻokolohua o ka puʻuwai a me ka hanu e lawelawe ana, e like me nā kīʻaha koko arterial a i ʻole nā ​​ventilation perfusion lung scans

Lapaʻau

I ka hapanui o nā hihia, pili ka lāʻau lapaʻau i ke ʻano, ka nui, a me kahi o ke kōkuʻu koko a i ʻole ke ālai.

Hoʻohana ʻia nā lāʻau lapaʻau maʻamau e mālama i ka thrombosis a me ka embolism:

• nā lāʻau thrombolytic e kōkua e hoʻonā i nā clots
• nā lāʻau anticoagulant e hana i mea paʻakikī no nā clots e hana
• thrombolysis-kuhikuhi ʻia i ka catheter, ʻo ia kahi ʻokiʻoki kahi o kahi paipu lōʻihi, i kapa ʻia he catheter, hāʻawi i nā lāʻau thrombolytic pololei i ka pūpū
• thrombectomy, a i ʻole ke ʻoki kino e hemo ai ka ʻōpala
• nā kānana vena cava haʻahaʻa, a i ʻole nā ​​ʻāpana liʻiliʻi o ka hei i hoʻokau ʻia ma luna o ka hāpoe e hopu i nā emboli a pale iā lākou mai ka palahalaha ʻana i ka puʻuwai a laila nā mumū

Hiki i nā loli nohona a pale paha i nā lāʻau lapaʻau ke kōkua i ka mālama ʻana i nā clots a hōʻemi paha i kou makaʻu e hoʻomohala iā lākou.

Kōkua paha ka mea aʻe i ka pale ʻana i ke kahe o ke koko a i ʻole nā ​​mea keakea:

• mālama i ke kaupaona olakino a me ka papaʻai
• haʻalele i ka puhipaka a me ka inu lama
• hoʻoikaika kino
• noho hydrated
• pale i nā wā hoʻolōʻihi o ka noho a hana ʻole paha
• mālama i nā kūlana hoʻoweliweli mau
• mālama i nā kō kō kōpaʻa maikaʻi ʻole
• e lawe i ke koko a me nā lāʻau kolesterol e like me ka mea i kauoha ʻia e kāu kauka
• e kamaʻilio me kāu kauka e pili ana i ka hoʻōki ʻana i ka hoʻohana ʻana o nā lāʻau i hoʻokumu ʻia me ka estrogen
• hoʻohana i nā pono mīkini e like me nā kākena compression a i ʻole nā ​​mīkini hana pneumatic intermittent
• e mālama i kou mau wāwae i ka wā e noho ana
• e ʻike pono i kāu kauka e pili ana i ka mōʻaukala a i ʻole ka moʻolelo ʻohana o nā clots a i ʻole nā ​​kūlana clotting
• e kīloi i kou mau wāwae wāwae a me kou wāwae i kēlā me kēia lā
• komo lole ʻaʻano lahilahi

Nā pilikia

Hoʻololi nā pilikia e pili ana i nā thrombosis a me nā embolism ma muli o:

• ka nui o ka ālai ʻana
• ka wahi o ka haʻalulu
• pehea i paʻa ai
• nā kūlana olakino kumu

Manaʻo pinepine ʻia ʻo Embolism ʻoi aku ka weliweli ma mua o ke akahai a hiki i ka thrombosis kaulike no ka mea ʻo ka embolism ka mea e keʻakeʻa i ke kīʻaha koko holoʻokoʻa.

ʻO nā pilikia o ke kaulike a koʻikoʻi i nā hihia o thrombosis a me embolism pū me:

• pehu
• ʻeha
• ʻili maloʻo, hoʻāhu
• ʻiliʻiliʻili
• hoʻonui ʻia a hoʻonui ʻia paha nā uaua, e like me ka punawelewele-spider a i ʻole nā ​​veins varicose
• hōʻino kino
• hōʻeha puʻuwai a i ʻole hahau
• maikaʻi ʻole o ke kino
• nalowale lala
• poino ka lolo a i ʻole ka puʻuwai
• ulcer

Outlook

No nā hihia maʻalahi o ka thrombosis a me embolism, hiki i nā ʻōuli ke hoʻonā i loko o kekahi mau lā i mau pule o ka lola a me nā loli nohona. ʻO ka nānā no nā hihia ʻoi aku ka nui i ka ʻano, ka nui, a me ka wahi o ka hāpau a me ka ālai.

ʻO nā poʻe me ka DVT he mau pilikia lōʻihi, pili pinepine i ka hoʻoliʻiliʻi o ke kahe o ke koko. Ma kahi o ka poʻe me kahi hui o DVT a me PE e hoʻomohala i nā clots hou i loko o 10 mau makahiki.