He aha ke ʻano o ka loaʻa ʻana iā ʻoe he kapa koko?

Anter

• Koko koko i ka wāwae
• Koko koko i ka umauma
• Koko koko i loko o ka ʻōpū
• Koko koko i ka lolo
• I ka wā hea e kāhea ai i kāu kauka

Hōʻike Overview

He pilikia koʻikoʻi nā kīʻaha koko, no ka mea hiki ke hoʻoweliweli i ke ola. Wahi a nā Centers for Disease Control and Prevention (CDC), ua manaʻo ʻia ma ʻAmelika Hui Pū ʻIa e kēia ʻano i kēlā me kēia makahiki. Kuhi hou ka CDC he 60,000 a 100,000 mau kānaka e make ana i kēia ʻano makahiki.

Ke hiki mai ke koko i kekahi o kou mau aa, ua kapa ʻia ia he thromboembolism venous (VTE). Inā hopohopo iki paha ʻoe he hoʻokahi kāu, e kāhea koke aku i kāu kauka. Hiki ke loli nā ʻōuli o ke kōkō koko. Hiki nō hoʻi ke loaʻa i kahi kīʻaha koko me nā ʻōuli ʻole.

E heluhelu e aʻo e pili ana i kekahi o nā ʻōuli e hōʻike paha i ke kōkō ʻana o ke koko.

Koko koko i ka wāwae

ʻO ke kīʻaha koko e hōʻike i kekahi o nā veins nui i kou kino i kapa ʻia ʻo deep vein thrombosis (DVT). Kūleʻa lākou i nā wāwae a i ʻole ka pae o ka pūhaka. ʻOiai ke ola wale ʻana o kahi ʻōpala i kou mau wāwae ʻaʻole ʻoe e hōʻino iā ʻoe, hiki i ka ʻaukā ke haki a moe i kou mau māmā. Ke alakaʻi nei kēia i kahi kūlana koʻikoʻi a make paha i ʻike ʻia ʻo embolism pulmonary (PE).

ʻO nā hōʻailona o ke koko i kou wāwae ka:

• pehu
• ʻulaʻula
• ʻeha
• palupalu

Kuhi kēia mau ʻōuli i ke kūpē ʻana o ke koko ke kū lākou i hoʻokahi wāwae wale nō. ʻO ia no ka mea he ʻoi aku paha kou ʻākeke i hoʻokahi wāwae i kū ʻole i nā wāwae ʻelua. Aia kekahi mau ʻano ʻē aʻe a hiki ke wehewehe i kēia mau ʻōuli, eia nō naʻe.

I mea e kōkua ai i ka hoʻokaʻawale ʻana i ke koko kūpono mai nā kumu ʻē aʻe, ʻo Thomas Maldonado, MD, ke kauka lāʻau a me ke alakaʻi lapaʻau o ka Venous Thromboembolic Center ma NYU Langone Medical Center, ua hāʻawi aku i kekahi mau manaʻo kikoʻī e pili ana i ka manaʻo o kekahi inā loaʻa iā lākou ke koko.

No hoʻokahi, hoʻomanaʻo paha ka ʻeha iā ʻoe i kahi kuʻikuʻi paʻakikī a i ʻole lio lio. Inā pehu kou wāwae, hoʻokiʻekiʻe a i ʻole ka hoʻoulu ʻana i ka wāwae ʻaʻole ia e hōʻemi i ka pehu inā he koko koko. Inā ke kuʻi a i ʻole ke kau ʻana i kou mau wāwae i luna e hoʻohaʻahaʻa i ka pehu, loaʻa paha iā ʻoe kahi ʻeha ʻeha.

Me kahi pūpū koko, e mahana paha kou wāwae i ka ulu ʻana o ka ʻōpē. Hiki paha iā ʻoe ke ʻike i kahi ʻulaʻula a ʻulaʻula paha i kou ʻili.

ʻAʻole pono ʻoe e hopohopo e pili ana i kahi ʻōpala inā hōʻeha ka ʻeha o ka wāwae me ka hoʻoikaika kino akā hoʻomaha ʻia e ka hoʻomaha. ʻO ia paha kahi hopena o ke kahe o ke koko ma waena o nā aʻa ma mua o ka DVT, i ʻōlelo ʻo Maldonado.

Koko koko i ka umauma

ʻOi aku ka maʻamau o nā kahe koko i nā wāwae lalo, akā hiki ke hana ʻia i nā wahi ʻē aʻe o kou kino. Ma hea e hana ai nā clots a kahi e hopena ai lākou i nā hōʻailona i loaʻa iā ʻoe a me nā hopena.

ʻO kahi laʻana, ke hana a kahi koko koko i loko o nā aʻa o ka puʻuwai a ālai i ke kahe o ke koko, hiki iā ia ke hoʻouka i ka puʻuwai puʻuwai. A i ʻole hiki i kahi ʻōpū koko ke hele i kou mau māmā a hana i kahi PE. Hiki i nā mea ʻelua ke hoʻoweliweli i ke ola a loaʻa i nā ʻōuli like.

ʻO ka ʻeha o ka umauma kahi hōʻailona no kekahi mea i hewa, akā no ka noʻonoʻo inā he puʻuwai puʻuwai ia, kahi PE, a i ʻole indigestion hiki ke paʻakikī.

Wahi a Maldonado, ʻo ka ʻeha o ka umauma e hiki mai me kahi PE ke manaʻo ʻia e like me nā ʻeha ʻoi loa e ʻoi aku ka maikaʻi me kēlā me kēia hanu. Hele pū paha kēia ʻeha me:

• hā pōkole o ka hanu
• kōmi puʻuwai wikiwiki
• he puʻe paha

ʻO kahi ʻeha i loko o kou umauma e like me ka elepani e noho ana ma luna ou he hōʻailona paha ia o kahi hanana puʻuwai puʻuwai, e like me ka puʻuwai puʻuwai a angina paha. ʻO ke ʻeha e hele pū ana me ka puʻuwai puʻuwai hiki ke kau ma kou umauma. E hoʻomālamalama paha ia i ka ʻaoʻao hema o kou ā, a i ʻole kou poʻohiwi hema a me kou lima.

Inā sweaty ʻoe a i ʻole loaʻa kahi mea e like ai me ka huhū me ka ʻeha o ka umauma, ʻo ia ke kumu hou aʻe o ka hopohopo no ka puʻuwai puʻuwai, i ʻōlelo ʻia ʻo Patrick Vaccaro, MD, MBA, ka luna o ka Division of Vascular Diseases and Surgery ma ke Kulanui Lapaʻau Wexner o Ohio State University. .

Kūpilikiʻi nā kūlana ʻelua, a pono ʻelua i ka lāʻau lapaʻau koke.

Ke ʻeha nei kou umauma mai ka pīhoihoi a i ʻole ke kani ʻana? Kūlike kēlā me kahi maʻi a hānō paha, i ʻōlelo ʻia ʻo Maldonado.

Koko koko i loko o ka ʻōpū

Ke hana ʻia kahi ʻōpala o ke koko i loko o kekahi o nā veins nui e hoʻokahe i ke koko mai kou ʻōpū, kapa ʻia ia he threntosis venous mesenteric. Hiki i ke kīʻaha koko ma aneʻi ke hoʻopaʻa i ke kahe o ke kō o ka ʻōpū a hana i nā hōʻino kūloko i kēlā wahi. ʻO ke kiʻi ʻana i kahi ʻōpala i loko o ka ʻōpū i ke kakahiaka nui hiki ke alakaʻi i kahi nānā ʻoi aku ka maikaʻi.

ʻOi aku ka makaʻu o kekahi poʻe no kēia ʻano ʻōpili ma mua o nā mea ʻē aʻe, i ʻōlelo ʻo Caroline Sullivan, kahu hānai a me ka polofesa kōkua ma ke Kula Kaiapuni Kula ʻo Columbia. Hoʻopili kēia me nā mea me ke ʻano e kumu i ka pehu o nā aʻa e pili ana i nā uaua, e like me:

• pākuʻi
• maʻi ʻaʻai
• diverticulitis
• pancreatitis, a i ʻole ka huʻi koʻikoʻi o ka pancreas

ʻO ka lawe ʻana i nā lāʻau hoʻomalu hānau a me nā lāʻau lapaʻau estrogen e hoʻonui ai i kou manawa kūpono e loaʻa i kēia ʻano koloka.

Hiki i nā ʻōuli o kahi ʻōpala i loko o ka ʻōpū ke hoʻopili i ka ʻeha o ka ʻōpū, ka momona, a me ka luaʻi. Inā hele a ʻeha ka ʻōpū o ka ʻōpū ma hope o ka ʻai ʻana a ʻoi aku paha ka hewa ma mua o ka manawa, ʻoi aku ka pili o ka hoʻopili ʻana me kahi ʻōpala, wahi a Sullivan.

Kūleʻa paha kēia ʻeha a me he mea lā e hele mai ana mai kahi ʻole. ʻAʻole ia he mea āu e ʻike ai ma mua, wahi a Vaccaro, nāna i hoʻohālikelike iā ia me "kekahi ʻeha ʻino loa e hiki i ke kanaka ke ʻike."

Koko koko i ka lolo

Hiki i nā kahe koko ke hana i nā keʻena o kou puʻuwai a i ʻole i loko o nā aʻa carotid i kou ʻāʻī ke hiki ke hele i kou lolo. Hiki i kēlā ke kumu i kahi hahau, i wehewehe ai ʻo Sullivan.

ʻO nā hōʻailona o ka hahau ʻana:

• nāwaliwali a mū paha ma kekahi ʻaoʻao o kou kino
• haunaele hihiʻo
• paʻakikī e ʻōlelo maopopo
• paʻakikī i ka hele wāwae
• hiki ʻole ke noʻonoʻo pono

ʻAʻole like me ka hapanui o nā ʻōuli ʻē aʻe o ka huʻa koko, ua ʻōlelo ʻo Vaccaro ʻaʻole paha ʻoe e ʻeha me ka hahau. "Akā he ʻeha poʻo paha," i ʻōlelo ʻo ia.

No nā kikoʻī hou aku e pili ana i ke ʻano o ke kahe koko, e heluhelu i kekahi mau moʻolelo maoli o ka poʻe i ʻike i hoʻokahi ma ka National Blood Clot Alliance (NBCA).

I ka wā hea e kāhea ai i kāu kauka

E ʻike i kāu kauka inā manaʻo ʻoe aia a hiki i kahi manawa liʻiliʻi hiki iā ʻoe ke loaʻa i kahi pūpū koko.

"ʻO ka hiki wawe o ka ʻike ʻia ʻana o ke kōkō o ke koko, hiki ke hoʻomaka i ka mālama ʻana a hiki ke hoʻemi ʻia ka manawa o ka pōʻino mau loa," wahi a Vaccaro.