ʻO ka thrombus, i kapa ʻia ʻo "blood clot," e ālai ana i ke kahe ʻana o nā kīʻaha koko ma nā wahi like ʻole o ke kino e like me ka mea pani rapa. ʻAʻohe hōʻailona o ka hapa nui o nā thromboses ma hope a ma mua o ka hoʻomaka ʻana, akā hiki ke make koke. Loaʻa pinepine ia me ka pohihihi a hoʻoweliweli nui i ko mākou olakino kino a me ka noʻonoʻo.

ʻO nā maʻi e pili ana i ka thrombosis, e like me ka myocardial infarction, ka cerebral infarction, ka maʻi vascular o nā ʻaoʻao haʻahaʻa, a me nā mea ʻē aʻe, he mau pōʻino nui ia i hoʻokumu ʻia e ka thrombus i ke kino o ke kanaka.

Pehea e hiki ai iaʻu ke haʻi inā he pilikia koʻu no ke koko ʻana?

1. ʻEha i wehewehe ʻole ʻia ma nā lima a me nā wāwae

No nā ʻōkana peripheral o ke kino kanaka nā lima a me nā wāwae. Inā he mau ʻūpā koko i loko o ke kino, e pilikia ka lako koko i ke kino.

2. ʻUlaʻula mau a pehu nā lima a me nā wāwae

Ma waho aʻe o ke ʻano ʻūlū, ʻike ʻia nā lima a me nā wāwae he pehu. He ʻokoʻa ia mai nā hōʻailona o ka edema. Hiki ke komo maʻalahi ka pehu i hoʻokumu ʻia e ka makū nui i loko o ke kino ke kaomi ʻia, akā inā he ʻūlū koko ia, he paʻakikī loa ke kaomi ʻana, ʻo ke kumu nui o kēia ʻo ka nele o ke koko i loko o nā lālā, ka mea e hoʻonāwaliwali ai i ka vasoconstriction, aia nā ʻiʻo o ke kino holoʻokoʻa i loko o ke kūlana ʻūlū, a ʻulaʻula hoʻi nā wahi i paʻa.

3. Nā palapū ma nā lima a me nā wāwae

ʻO ka poʻe me ka thrombosis i loko o ke kino e loaʻa nā kaha hohonu ma nā lima a me nā wāwae, a ʻike maopopo ʻia nā aa koko a me nā kīʻaha koko. Ke hoʻopā ʻoe iā lākou me kou mau lima, e wela ʻoe.

Ma waho aʻe o nā lima a me nā wāwae maʻamau ʻole, ka ʻū maloʻo me ke kumu ʻole, a me ka pōkole o ka hanu. I ka wā e ʻū ai, e hopu mau ʻoe iā ʻoe iho, e piʻi aʻe kou puʻuwai, a e ʻulaʻula kou maka. Pili paha kēia i ka thrombosis pulmonary.

ʻOiaʻiʻo, i nā hihia he nui, hiki i nā thrombus ke lilo i asymptomatic: no ka laʻana, ʻo nā mea maʻi me ka atrial fibrillation e maʻalahi i ka thrombus o ka puʻuwai, akā ʻaʻohe o lākou mau hōʻailona. ʻO ka ultrasound transesophageal wale nō ke ʻike iā lākou. embolism, no laila pono pinepine nā mea maʻi me ka atrial fibrillation i ka lāʻau anticoagulation. Ma waho aʻe o nā hoʻokolohua kūikawā e like me ka ultrasound a me CTA, ʻo ka hoʻonui ʻia o ka D-dimer he mea nui ka diagnostic no ka thrombosis.