He aha me aro atu ai ngā wāhine hapu me ngā wāhine whai muri i te whānautanga ki ngā huringa toto toto? Wāhanga Tuarua


Kaituhi: Succeeder   

1. Te whakakorenga o te toto toto toto (DIC)
Kua piki ake ngā wāhine e hapu ana i te roanga o ngā wiki haputanga, inā koa ko ngā take toto toto II, IV, V, VII, IX, X, me ētahi atu i te mutunga o te haputanga, ā, he nui te waikura o te toto o ngā wāhine hapu. He pūtake rauemi tēnei, engari he ngāwari hoki te arahi ki te puta o ngā DIC whānau. Ko te hunga e ngāwari ana ki te pāngia e te mate pukupuku tētahi o ngā tino take o te matenga o ngā whaea. E whakaatu ana tētahi rangahau i Hapani ko te maha o ngā DIC whānau me te wahine he 0.29%, ā, ko te reiti mate he 38.9%. I roto i ngā tatauranga DIC 2471 i tōku whenua, ko ngā aukati mate he tata ki te 24.81%, tuarua ki te DIC pangia, ko te tuarua.
Ka puta pea te DIC obstetric i roto i te wā poto, i te wā poto rānei i te mutunga o te hapūtanga, te whānautanga, i muri rānei i te whānautanga. Ka taea hoki te DIC te toto tere i te wā e hapu ana (te ngoikore o te kōpū, te haehae o te tara o te kaki, te pakaru o te kōpū), te whakatahe purulent me te mate i roto i te kōpū, te ate momona nui i te wā e hapū ana, me ētahi atu whakatahe mate pāwera.

2. Ngāwari te whakairo
Ko te mahi kino te tuarua o ngā take mōrearea nui rawa atu mō te VTE i te wā e hapu ana, ā, ko tētahi o ngā take mō te whakatahe anō me te kore tamariki. I roto i ngā tūroro e pāngia ana e te VTE i te wā e hapu ana me muri i te whānautanga, 20%-50% he mate whakapae, ā, ko te mōrearea o te whiwhi i te ngoikore ira tangata me te ira i whakanui ake i te mōrearea o te VTE i te wā e hapu ana. Mō te iwi Han, 50% o te ngāwari o ngā tikanga matatika nā te kore o te pūmua anticoagulant. Kei roto i te anticoagulain te PC, PS, me te AT. Ko te AT te anticoagulant plasma tino nui, e 70-80% o ngā pānga anticoagulant tinana o te pūnaha intravagged. Mā te whakakorenga ka ārai i te putanga mai o te thrombosis venous me te kimi i ngā take o te whakatahe anō me te kore tamariki.