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Emperor pulmonary
He aha ka pulmonary embolism?
ʻO ka pulmonary embolism ka keakea ʻana o hoʻokahi aʻoi aʻe paha aʻa e hāʻawi ana i nā māmā. ʻO kēia paʻa pinepine ʻia e ke koko koko (phlebitis a i ʻole venous thrombosis) e hele ana i ka māmā mai kahi ʻāpana o ke kino, pinepine mai nā wāwae.
Hiki ke loaʻa ka pulmonary embolism i nā kānaka olakino.
Hiki i ka pulmonary embolism ke pilikia loa i kou olakino. ʻO ka mālama koke ʻana me nā lāʻau anti-coagulant hiki ke hōʻemi nui i ka hopena o ka make.
Nā kumu o ka pulmonary embolism
ʻO kahi ʻāʻī koko i hana ʻia i loko o kahi vein hohonu i loko o ka wāwae, pelvis, a i ʻole ka lima i kapa ʻia ʻo deep vein thrombosis. Ke hele kēia ʻāʻī a i ʻole kekahi hapa o kēia clot ma ke kahe koko a hiki i ka māmā, hiki iā ia ke ālai i ke kahe o ka pulmonary, kapa ʻia kēia he pulmonary embolism.
I kekahi manawa, hiki ke hoʻoulu ʻia ka pulmonary embolism ma muli o ka momona mai ka iwi iwi o ka iwi haʻihaʻi, nā ʻōpū ea, a i ʻole nā pūnaewele mai kahi maʻi koko.
Pehea e kuhikuhi ai iā ia?
I ka poʻe me ka maʻi ʻāmāmā a i ʻole ka maʻi cardiovascular, paʻakikī paha ka ʻike ʻana i ka hele ʻana o ka pulmonary embolism. Hiki ke kōkua i ka ʻike ʻana i ke kumu o nā hōʻailona ma ke ʻano o nā hoʻāʻo, me ka hoʻāʻo ʻana i ke koko, ka pahu x-ray, ka māmā māmā, a i ʻole ka CT scan o nā māmā.
Nā hōʻailona o ka pulmonary embolism
- ʻO ka ʻeha nui o ka umauma, e like paha me nā hōʻailona o ka hōʻeha puʻuwai a hoʻomau ʻia me ka hoʻomaha.
- ʻO ka pōkole o ka hanu, ka pilikia o ka hanu ʻana, a i ʻole ka ʻūhū ʻana, hiki ke kū i ka wā hoʻomaha a i ka wā hoʻoikaika.
- ʻO ka maʻi, i kekahi manawa me ka sputum i hoʻopaʻa ʻia i ke koko.
- Ka wela nui (diaphoresis).
- ʻO ka pehu maʻamau i ka wāwae hoʻokahi.
- ʻO kahi puʻupuʻu nāwaliwali, ʻano ʻole a wikiwiki loa (tachycardia).
- He kala uliuli a puni ka waha.
- ʻO ka noʻonoʻo a i ʻole ka maule ʻana (ka nalo ʻana o ka ʻike).
Hiki ke pilikia
Ke nui ke koko, hiki iā ia ke ālai i ke kahe o ke koko i ka māmā. Hiki i ka pulmonary embolism ke alakaʻi i:
- Ka make.
- Poino mau i ka akemāmā.
- Haʻahaʻa koko oxygen pae.
- Poino i nā kino ʻē aʻe ma muli o ka nele o ka oxygenation.
ʻO ka poʻe i pilikia i ka pulmonary embolism
ʻOi aku ka pilikia o ka poʻe ʻelemakule i ka hoʻomohala ʻana i ke koko ma muli o:
- ka hoʻohaʻahaʻa ʻana o nā kīwaha i loko o nā veins o nā lālā haʻahaʻa, e hōʻoiaʻiʻo i ka holo ʻana o ke koko i loko o kēia mau veins.
- ka wai maloʻo e hiki ke hoʻopololei i ke koko a hoʻoulu i nā clots.
- nā pilikia olakino ʻē aʻe, e like me ka maʻi maʻi cardiovascular, ka maʻi kanesa, ka ʻoki ʻana a i ʻole ka hoʻololi ʻana i kahi hui (hoʻololi i kahi hui). ʻO nā wahine a me nā kāne i loaʻa i nā ʻāpana koko a i ʻole ka thrombosis vein hohonu (phlebitis).
ʻO ka poʻe me kahi lālā o ka ʻohana i hoʻomohala i nā ʻōpū koko. Hiki i ka ma'i ho'oilina ke kumu o kekahi ma'i ho'opa'a koko.
Kāohi i ka embolism
No ke aha e pale aku ai? |
Hoʻōla ka hapa nui o nā kānaka mai kahi pulmonary embolism. Eia naʻe, hiki i ka pulmonary embolism ke pilikia loa a hiki ke alakaʻi i ka make inā ʻaʻole mālama koke ʻia. |
Hiki iā mākou ke pale aku? |
ʻO ka pale ʻana i ka hoʻokumu ʻana o nā clots koko, ʻo ka hapa nui o nā wāwae, ʻo ia kekahi o nā mea nui e pale ai i ka pulmonary embolism. |
Nā hana pale maʻamau |
ʻO ka lōʻihi o ka hana ʻole hiki ke hoʻokumu i ke koko i loko o nā wāwae.
Hoʻokomo ʻia ka poʻe i ka haukapila no ka hōʻeha ʻana i ka naʻau, ka hahau ʻana, ka pilikia mai ka maʻi kanesa, a i ʻole ke kuni ʻana paha i ka pilikia no nā ʻōpū koko. Hiki ke hāʻawi ʻia ka lāʻau anticoagulant, e like me ke ʻano o ka heparin. |
Nā ana e pale ai i ka hoʻi hou |
I kekahi poʻe e pilikia ana no ka pilikia a i ʻole ka hoʻi hou ʻana o ka pulmonary embolism, hiki ke hoʻokomo ʻia kahi kānana ma ka vena cava inferior. Kōkua kēia kānana i ka pale ʻana i ka piʻi ʻana o nā clots i hana ʻia i loko o nā veins o nā lālā haʻahaʻa i ka puʻuwai a me nā māmā. |