E makaʻala i ka "pepehi hāmau" - pulmonary embolism（PE）

Me ka hoʻomohala ʻana i ka lāʻau lapaʻau a me ka nānā ʻana o nā kānaka i ke olakino, hiki ke mālama pono ʻia nā maʻi he nui a hoʻōla ʻia.Eia nō naʻe, aia kekahi mau hihia e make koke ai kekahi mau maʻi i ʻike ʻia i ke kūlana kūpaʻa a i ʻole ka loaʻa ʻole o ka hoʻoulu ʻana i ka maʻi.He aha ke kumu?

Ma waho aʻe o nā mea pilikia e like me ka myocardial infarction a me ka hahau ʻana, aia kekahi mea pilikia i kapa ʻia ʻo "pulmonary embolism", i kapa ʻia ʻo "silent killer" e ke kaiāulu olakino.

ʻO ka pulmonary embolism, me ka myocardial infarction a me ka hahau ʻana, ʻo ia kekahi o nā maʻi maʻi cardiovascular nui ʻekolu, me ka nui o ka make a me ke kīnā.Eia kekahi, hikiwawe a hūnā ʻia kona hanana, ʻaʻole maʻalahi ke loaʻa.ʻO nā hōʻailona maʻi a me nā hōʻailona he nele hoʻi i ka kikoʻī, kahi maʻalahi ke kuhi hewa a hala ʻole, a ʻaʻole ʻike ka poʻe maʻi iā lākou iho.No laila, ʻo ka pulmonary embolism e like me ka "pepehi haʻahaʻa", e hūnā mālie a puni mākou.

Ke ʻike wale mākou iā mākou iho a me ka ʻenemi hiki iā mākou ke lanakila ʻole.Pehea e pale aku ai a kipaku aku i keia "pepehi kanaka", e hoomaopopo mua kakou i ke ano o ka pulmonary embolism.

ʻO ka pulmonary embolism kahi ʻano o nā hoʻololi pathophysiological e alakaʻi ai i ka hanu a me ke kahe ʻana a hiki i ka make hikiwawe ma hope o ka thrombus i loko o ke aʻa hohonu e hāʻule a hiki i ke aʻa pulmonary me ke kahe koko a poloka i ke aʻa pulmonary.I waena o lākou, ʻo ka moe moe lōʻihi, ka maʻi koko, ka momona, ka maʻi puʻuwai a me ka māmā, ʻo ka haki, trauma, ʻokiʻoki a me nā mea maʻi ʻē aʻe he mau kumu koʻikoʻi no ka hiki ʻana mai o ka pulmonary embolism.No laila, ʻo nā mea maʻi me nā maʻi like ʻole a me nā kānaka olakino e pale i ka hiki ʻana o ka thrombosis venous.

ʻO kāna mau hōʻike nui:

ʻO ka hoʻomaka koke ʻana o ka ʻū, ka ʻeha o ka umauma, ka paʻa o ka umauma, dyspnea, hemoptysis, syncope, fever, a me nā mea ʻē aʻe, ʻo ia ka dyspnea ka mea maʻamau (80% - 90%), ka hapa nui o ka hoʻomaka koke ʻana a i ʻole ka hōʻeha koke;Hiki iā ia ke hoʻololi mai ka asymptomatic i ka emi ʻana o ke koko a i ʻole ka make koke;Aia kekahi mau maʻi me ka hemoptysis a me ka syncope e like me nā hōʻailona mua.