He aha ka manaʻo inā haʻahaʻa kāu aPTT?


Mea kākau: Hope   

ʻO ka APTT ke kū nei no ka manawa thromboplastin ʻāpana i hoʻāla ʻia, e pili ana i ka manawa e pono ai e hoʻohui i ka thromboplastin hapa i ka plasma i hoʻāʻo ʻia a nānā i ka manawa e pono ai no ka coagulation plasma.ʻO ka APTT kahi hoʻokolohua maʻamau a hoʻohana pinepine ʻia no ka hoʻoholo ʻana i ka ʻōnaehana coagulation endogenous.ʻO ka laulā maʻamau he 31-43 kekona, a he 10 kekona ʻoi aku ka nui o ka mana maʻamau.Ma muli o ka ʻokoʻa i waena o nā kānaka, inā he haʻahaʻa loa ke degere o ka pōkole APTT, he mea maʻamau paha ia, ʻaʻohe pono e hopohopo nui, a ua lawa ka nānā hou ʻana.Inā maikaʻi ʻole ʻoe, e ʻike i ke kauka i ka manawa.

ʻO ka pōkole APTT e hōʻike ana aia ke koko i kahi kūlana hypercoagulable, kahi maʻamau i nā maʻi cardiovascular a me cerebrovascular thrombotic, e like me ka cerebral thrombosis a me ka maʻi naʻau coronary.

1. ʻO ka ʻōpū o ka lolo

ʻO ka poʻe maʻi me ka APTT i hoʻopōkole nui ʻia e hoʻomohala i ka cerebral thrombosis, ka mea maʻamau i nā maʻi e pili ana i ka hypercoagulation koko i hoʻololi ʻia i nā ʻāpana koko, e like me ka hyperlipidemia.I kēia manawa, inā he haʻahaʻa ka degere o ka thrombosis cerebral, ʻike wale ʻia nā hōʻailona o ka lawa ʻole o ke koko i ka lolo, e like me ka noʻonoʻo, ke poʻo, ka nausea, a me ka luaʻi.Inā ʻoi aku ka paʻakikī o ke degere o ka thrombosis cerebral i mea e hōʻeha ai i ka cerebral parenchymal ischemia, e ʻike ʻia nā hōʻailona maʻi e like me ka neʻe ʻana o nā lālā kūpono ʻole, ka haʻi ʻōlelo, a me ka incontinence.No nā poʻe maʻi me ka thrombosis cerebral acute, hoʻohana pinepine ʻia ka inhalation oxygen a me ke kākoʻo ventila e hoʻonui i ka hāʻawi oxygen.Ke hoʻoweliweli ʻia nā hōʻailona o ka mea maʻi, pono e hana ʻia ka thrombolysis hoʻoikaika a i ʻole ke ʻoki interventional e wehe koke i nā kīʻaha koko.Ma hope o ka hoʻohaʻahaʻa ʻia ʻana o nā hōʻailona koʻikoʻi o ka cerebral thrombosis, pono ka mea maʻi e mālama i nā ʻano ola maikaʻi a lawe i nā lāʻau lapaʻau lōʻihi ma lalo o ke alakaʻi ʻana a nā kauka.Manaʻo ʻia e ʻai i ka meaʻai haʻahaʻa a me ka momona i ka wā o ka hoʻihoʻi ʻana, e ʻai i nā mea kanu a me nā huaʻai hou aku, e pale i ka ʻai ʻana i nā meaʻai kiʻekiʻe-sodium e like me ka puaʻa, pickles, meaʻai canned, etc., a pale i ka puhi ʻana a me ka waiʻona.E hoʻoikaika kino i ka wā e hiki ai i kou kūlana kino.

2. ʻO ka maʻi puʻuwai coronary

ʻO ka pōkole o ka APTT e hōʻike ana e loaʻa paha i ka mea maʻi i ka maʻi puʻuwai coronary, ka mea i hana pinepine ʻia e ka hypercoagulation koko coronary e alakaʻi ana i ka stenosis a i ʻole blockage o ka lumen moku, e hopena i ka ischemia myocardial, hypoxia, a me necrosis.Inā he kiʻekiʻe ke kiʻekiʻe o ka paʻa ʻana o ke aʻa coronary, ʻaʻohe hōʻailona maʻi i ʻike ʻia i ka mea maʻi i kahi kūlana hoʻomaha, a i ʻole e loaʻa wale i ka ʻeha e like me ka paʻa o ka umauma a me ka ʻeha o ka umauma ma hope o nā hana.Inā koʻikoʻi ka degere o ka paʻa ʻana o ka coronary artery, piʻi ka pilikia o ka myocardial infarction.Hiki i nā maʻi ke loaʻa ka ʻeha o ka umauma, ka paʻa o ka umauma, a me ka pōkole o ka hanu ke hoʻomaha a hauʻoli paha.Hiki ke ʻeha ka ʻeha i nā wahi ʻē aʻe o ke kino a hoʻomau me ka ʻole o ka hoʻomaha.No nā poʻe maʻi me ka hoʻomaka ʻana o ka maʻi naʻau coronary, ma hope o ka hoʻohana ʻana i ka nitroglycerin a i ʻole isosorbide dinitrate, e ʻike koke i ke kauka, a loiloi ke kauka inā pono koke ka hoʻokomo ʻana i ka coronary stent a i ʻole thrombolysis.Ma hope o ka hana acute, pono ka antiplatelet lōʻihi a me ka anticoagulant therapy.Ma hope o ka hoʻokuʻu ʻia ʻana mai ka haukapila, pono i ka mea maʻi ke ʻai i ka paʻakai liʻiliʻi a me ka momona momona, haʻalele i ka puhi ʻana a me ka inu ʻana, hoʻoikaika pono, a hoʻolohe i ka hoʻomaha.