Kia mōhio tātou ki te mahi hiko o tō ngākau? (Rangahau Hiko-tinana - Rangahau EP)

Kei te rongo koe i tētahi mea rerekē i roto i tō ngākau, pērā i te wiri? I ētahi wā ka mea ngā tākuta me mahi he whakamātautau hei tirotiro tata atu i te ngohe hiko o tō ngākau. Koinei te wā e kōrero ai tātou mō tēnei "Rangahau Hikohiko", e kīia pototia ana rānei, ko te "Rangahau EP". Kaua e mataku, me kōrero noa iho tātou mō tēnei.

He aha te rangahau EP?

He whakarāpopototanga noa iho, he whakamātautau te rangahau EP e tātari tika ana i te ngohe hiko i roto i tō ngākau. Whakaarohia, me whai tohu hiko iti tō tātou ngākau kia pā. Ina mahi tika ēnei tohu, ka pā te ngākau i runga i te tikanga tika. I ētahi wā he hapa kei roto i ēnei tohu hiko, arā, he pā te ngakau koretake ( arrhythmia ) . Koinei te wā e whakamahia ai te rangahau EP hei rapu i te raruraru me te wāhi e takoto ana te raruraru.

Ka whakamahia e ngā tākuta ngā katitere ngākau (ngā ngongo iti, angiangi rawa) me ngā rorohiko hei mahi i tēnei. Ka whakaurua ēnei ngongo ki roto i tō ngākau, ā, ka ine i te mahi hiko o tō ngākau mai i reira. He rite ki te EKG , engari ka taea e ēnei pūoko, e whakanohoia ana ki roto i tō ngākau, te whakarato i ngā mōhiohio taipitopito me te tika ake i ngā pūoko e whakanohoia ana ki waho o tō uma.

Whakaarohia he rite ki te pahi e haere ana i tōna ara noa, i te wā tika, me te tikanga tika. Engari ko te ngakau pākiki (arrhythmia) he rite ki te pahi kāore e haere ana i tōna ara noa, tērā pea ka tīmata i te wāhi hē, ka peke i te tūnga, kāore rānei i te haere i te ara katoa. Tērā pea ka tere rawa te haere, ka puhoi rawa rānei. Koinei ngā momo tohu pōturi me rapu e ngā tākuta. Ko reira anake ka taea ai e rātou te whakatau mēnā he morearea tēnei āhuatanga, me pēhea te rongoā.

Me pēhea e kitea ai tēnei mahi hiko o te ngākau?

He rite te taiwhanga e mahia ana tēnei `(Rangahau EP)` ki te tari tirotiro. Ko te tākuta tohunga e mahi ana i tēnei he `( Tohunga Hiko )` e mōhio ana ki ngā tauira manawataki o te ngākau. Ka taea e ia te kī me pēhea te mahi a ngā wāhanga rerekē o te ngākau mai i ngā tauira ngaru rerekē i runga i te rīpene `(EKG)`.

Kua akohia e ēnei tākuta ngā ngaru EKG, me pēhea te āhua o te ngaru, me te tikanga mēnā he rerekē te āhua o te ngaru. Ka aro nui rātou ki te wāhi ka tīmata, ka mutu hoki te ngakau pākiki i runga i te EKG.

Kātahi ka whakaaro rātou, "Āe, koinei pea te āhua." Kātahi ka whakamātauria e rātou i roto i te EP Lab. Ko ētahiKa hoatu e rātou he rongoā (pēnei i te Adenosine, te Isoproterenol) hei tere ake, hei whakaroa hoki i te ngohe o te ngākau , kātahi ka tirohia te panoni o te ngohe hiko o te ngākau i taua wā. Ka mahia tēnei i runga i tētahi mahere motuhake, ehara i te mea he whakaaro noa iho. I runga i ngā mōhiotanga kua kohia, ka whakaarohia e rātou ētahi take pea, kātahi ka whakahaerehia he whakamātautau kia kitea rā anō te take .

He aha koe i mahi ai i tēnei rangahau EP?

Ka taea e tētahi rangahau EP te kōrero ki tō tākuta mō tō ngakau pākiki koretake . Hei tauira:

• He aha te momo mate manawataki o te ngākau (arrhythmia) kei a koe?
• He aha te take o tēnei mahi hē?
• Kei hea tonu i roto i te ngākau ka tīmata ai tēnei raruraru?
• He aha te take e pōuri ai koe, e uaua ai hoki te moemoeā ?
• Whakatauhia te maimoatanga pai rawa atu mō tēnei.
• Tirohia mēnā kei te tika te mahi a te rongoā e tangohia ana e koe i tēnei wā .
• Kimihia mēnā kei te mōrearea koe ki te mate ohorere o te ngākau .

Ka whakatau te tākuta ki te whakahaere i tētahi Rangahau EP ina kore e taea e rātou te tiki i ngā mōhiohio e ranea ana mai i ngā whakamātautau pēnei i te ECG, te aroturuki Holter (he taputapu e aroturuki ana i te manawataki o te ngakau i a koe e takoto ana i te moenga mō te rā kotahi, e rua rānei), he tuhi kaupapa , he whakamātautau ahotea (e aroturuki ana i te ngakau i te wā e whakakorikori ana), he echocardiogram (he matawai ultrasound o te ngakau), he angiogram rānei (e aroturuki ana i ngā uaua o te ngakau).

I ētahi wā, i runga i tō āhua me ngā mōhiohio i riro mai i te Rangahau EP, ka taea te mahi i tētahi maimoatanga e kiia nei ko te Catheter Ablation i te wā kotahi . Ko te tikanga o tēnei, ka whakakorehia ngā wāhi iti o te ngākau e puta ai ngā tohu hiko koretake mā roto i tētahi catheter (ngongo) e whakaurua ana ki roto i te ngākau.

Me pēhea te whakarite mō te ako EP?

He iti noa ngā whakaritenga hei mahi māu i mua i tēnei whakamātautau. Kaua e manukanuka, he mea noa ēnei.

• Whakaritea kia haere tahi koe me tetahi hei hoa mōu ki te hōhipera, me te hoki mai i te hōhipera. Kāore e taea e koe te taraiwa mō ngā haora 24 i muri i te whakamātautau.
• Mena he pātai, he āwangawanga rānei āu mō tēnei whakamātautau, kōrerohia ki te tākuta.
• Kōrero mai mēnā he mate pāwera koe ki te rapa, kua pāngia rānei koe e ngā raruraru o mua ki te rongoā whakamoe .
• Ngā kākahu whakamarieHaere mai kakahuria.
• Tangohia katoatia ngā mea whakapai kanohi me ngā peita whao i mua i te taenga mai ki te hōhipera.
• Waiho ngā whakapaipai utu nui katoa pērā i ngā mowhiti, ngā hei, me ngā wati ki te kāinga. Mauria mai ō mōhiti me ō taputapu whakarongo, mēnā kei a koe.

Me titiro anō hoki tātou ki ngā rongoā me ngā kai:

• Kōrerotia ki tō tākuta ngā rongoā katoa e tangohia ana e koe (ngā rongoā kua tohua, ngā rongoā kāore e hiahiatia ana, ngā otaota, ngā huaora) .
• Kawea mai ō rongoā e ranea ana mō te rā kotahi. Engari kaua e tangohia kia kōrero rā anō koe ki tō tākuta.
• Pātai atu ki tō tākuta he aha ngā rongoā me tango e koe i mua i te whakamātautau, he aha ngā rongoā me mutu, āhea me mutu, ā, āhea me tīmata anō . Kaua e mutu tetahi rongoā me te kore he tohutohu a tō tākuta.
• Mena he mate huka tōu, pātai atu me pēhea te whakarerekē i tō rongoā mate huka .
• Kai noa i te pō i mua i te whakamātautau.
• Kaua e kai, e inu, e ngaungau rānei i tetahi mea i muri i waenganui pō i te pō i mua i te whakamātautau. Kaua rawa e ngaungau i te kapia, te miniti, te wai rānei. He mea tino nui tēnei mō tō haumaru.
• Ki te mea me kai koe i te rongoā, me kai noa me te inu wai kotahi, e rua rānei.
• Kaua e horomia te wai i a koe e parai ana i ō niho.

He aha ngā mea hei tumanakohia i te rā o te rangahau EP?

Ka whakahaerehia tō whakamātautau i roto i tētahi rūma motuhake e kiia nei ko te Electrophysiology Lab (EP Lab) ko te Catheterization Lab rānei.

I muri i tō takotoranga ki runga i te moenga, ka mahia e te tākuta me te tīma i reira ngā mahi e whai ake nei:

• Ka whakatakotoria he aho werohanga (IV) (he rite ki te aho tote) ki tō ringaringa, ki tō ringaringa rānei. Koinei te wāhi ka hoatu ai he rongoā me he wai ki a koe i te wā o te whakamātautau.
• Ki te tika, ka heua ō kēkē, ō ringaringa, ō kaki rānei, ā, ka horoia ki te wai patu huakita.
• Ka hipokina koe mai i te kaki ki te waewae ki te kakahu parakore.
• Hei ārai i ō ringaringa kei pā ki ngā wāhi kua pangia e te huaketo, ka whitikihia tō hope, ā, ka ara ake ō ringa.

He aha ngā mea ka tupu i te wā o te rangahau EP?

Koinei te wā tino nui. Anei ngā mahi a te tākuta:

• Ka whakangāwarihia tō hope, tō kaki, tō ringaringa rānei (te wāhi e whakaurua ana te catheter) ki tētahi rongoā motuhake.
• Kātahi ka whakaurua ētahi o ēnei catheter (ngā ngongo angiangi) ki roto i tētahi uaua nui i roto i tō hope, i tō kaki, i tō ringaringa rānei.
• Mā te whakamahi i te `Fluoroscopy` (he rite tēnei ki te ataata `X-ray`) me te mīhini `Ultrasound`, ka arahina tikatia ēnei catheter ki roto i tō ngākau, ki roto i ōna rūma. Ka whakamahia ēnei catheter hei kimi me te tuhi i ngā mahi hiko o te ngākau. Mā tēnei ka taea e koe te mārama ake ki te `Pūnaha Whakahaere`, te pūnaha e haere ai ngā tohu hiko i roto i tō ngākau.
• Mā te catheter kotahi,Ka tukuna e te taputapu e kiia nei ko te pacemaker ngā tohu hiko iti hei tere ake i te tere o tō manawa. I tēnei wā, tera pea ka rongo koe i te tere me te kaha o te pao o tō manawa.
• I runga anō i tō āhua, mēnā he hononga hapa e puta ai ngā tohu hiko kāore i te ōrite, ka taea te whakakore mā te whakamahi i tētahi tikanga e kiia nei ko te 'Whakakorenga Catheter' .

Ko te mea nui, ki te pāngia koe e tetahi mea kāore i te whakamarie, i tetahi mea rerekē rānei i te wā o te Rangahau EP, me kōrero ki te tākuta , ki te nēhi rānei i reira.

Mena he rerekē te āhua o tō ngakau, ka hoatu e tō tākuta he rongoā mā roto i tō IV hei tirotiro i te pai o tā rātou whakahaere i taua mea. Mena e tika ana, ka hoatu pea e rātou he hiko iti mā roto i tētahi pātaki ki tō uma hei āwhina i te whakahoki mai i te manawataki o tō ngakau.

I roto i tēnei whakamātautau, ka whakamahia e tō tīma hauora ngā taputapu maha:

• Pūorooro: He mīhini hihi-X nui kei runga ake i a koe. Mā tēnei ka taea e te tākuta te kite tonu i te catheter i roto i tō ngākau i runga i te mata hihi-X.
• `Defibrillator / Pacemaker / Cardioverter`: He mea hono tēnei ki tētahi pāti i tō tuara me tētahi pāti i tō uma. Ka taea e ia te tuku pātī hiko hei tere ake i te puhoi o te ngakau, hei whakamutu rānei i tētahi manawataki morearea.
• Electrocardiogram (EKG): Ka honoa tēnei ki ētahi wāhi piri i runga i tō uma, tae atu ki ngā catheter i roto i tō ngākau. Ka puta he pikitia o ngā tohu hiko e haere ana i roto i tō ngākau.
• Intracardiac Echocardiogram: He ultrasound iti tēnei. Ka āwhina ki te ārahi tika i te catheter i te wā o te whakamātautau.
• Aroturuki Pēhanga Toto: Ka tāpirihia tēnei ki tētahi poroporo i tō ringa, ā, ka aroturuki i tō pēhanga toto puta noa i te whakamātautau.
• Aroturuki Ārai: He topenga iti tēnei ka whakapirihia ki tō maihao. Ka ine i te taumata o te hāora i roto i tō toto.

He aha te mea hei tumanako atu i muri i te whakamātautau?

Kia oti te Rangahau EP, ka tangohia e te tākuta te catheter mai i tō hope, i tō ringa, i tō kaki rānei, ka pēhi i te rohe mō tētahi wā hei whakamutu i te toto. Kātahi ka:

• Me noho koe ki te moenga mō te kotahi ki te whā hāora . Mena i whakaurua te catheter mā roto i te hope, me pupuri tō waewae kia tika tonu, kaua e nekehia.
• I runga anō i ngā hua tuatahi o tō whakamātautau, me noho pea koe ki te hōhipera mēnā e tika ana .
• Ka whakatakotoria he takai iti (he takai) ki runga i te catheter. Ka taea te tango i te rā e whai ake nei. I te nuinga o te wā, kāore e hiahiatia he tuitui.
• Me pupuri te wāhi i whara kia ma, kia maroke hoki .
• I muri i te whakamātautau, ka taea e koe te kai me te tango i te rongoā.
• Ka taea e koe te tīmata anō i ō mahi o ia rā i te rā i muri i te whakamātautau.Engari me whakawhāiti e koe ngā mea pēnei i te hiki taumaha mō te wiki pea.

He tūponotanga kei roto i tēnei?

He whakamātautau tino haumaru te rangahau EP. Heoi, pērā i ngā tikanga hauora katoa, kei reira ētahi mōrearea. Ko ētahi o ēnei ko:

• Te mate urutā, te toto rānei i te wāhi i whakaurua ai te katitere.
• Te pāorooro o te manawa (Arrhythmia) .
• Ka puta he toto totoka ki runga i te catheter, ka mau ki roto i te uaua toto.
• Te whara ki te oko toto, ki te takirere ngākau, ki te rūma ngākau rānei.
• He mate manawa.
• Te whiu.

Kaua e manukanuka, kei te whakahaerehia tēnei Rangahau EP e ō tākuta i roto i tētahi taiao e whakahaeretia pai ana. Ā, kei te mahi rātou i ngā mahi motuhake hei whakaiti i ngā mōrearea ki a koe. Mena he pātai āu mō ngā mōrearea me ngā painga o tēnei whakamātautau, kōrero ki tō tākuta.

He aha ngā painga o tētahi rangahau EP?

Ka taea e koe te whiwhi i ēnei painga mai i tētahi `(Rangahau EP)`:

• Ka whiwhi koe i ngā whakautu ki ō pātai mō te hē o te manawataki o tō manawa.
• Mehemea ka taea te whakatau i te raruraru mā te "Whakakorenga o te Catheter", tera pea ka kore e hiahiatia kia haere tonu tā tātou tango i ētahi rongoā.
• Ka pai ake te kounga o tō oranga.
• Mō ētahi mate manawataki o te ngākau, he iti ake te utu o te rongoā "Catheter Ablation" i te pokanga "Arrhythmia".

He haumaru te rangahau EP i te nuinga o te wā. He tino iti te mōrearea o te mate mai i tēnei, tata ki te 1 i roto i te 5,000.

Me pēhea taku whiwhi i ngā hua? Me aha ahau i muri mai?

I muri i te whakamātautau, ka kōrerotia e te tākuta ngā hua tuatahi ki a koe. I runga i aua hua, ka whakatau rātou mēnā ka taea e koe te hoki ki te kāinga, me noho rānei koe ki te hōhipera. Tērā pea ka tono te tākuta kia hoki mai koe i tētahi atu rā ki te matapaki i ngā hua o te Rangahau EP me tō maimoatanga.

Mena ka puta he rerekē i ngā hua, ka taea pea e tō tākuta te rongoā tonu mā te "Cateter Ablation". Ki te kore, me whakamahere pea rātou i ētahi atu maimoatanga, me tohu rongoā rānei māu. Tērā pea ka hiahia ētahi tāngata ki ētahi atu maimoatanga, pērā i te "Pacemaker" , ahakoa i muri i te "Cateter Ablation".

Kia pēhea te wā e hiahia ana koe ki te toro atu ki te tākuta?

Ina hoki koe ki te kāinga i muri i te whakamātautau, me waea atu koe ki tō tākuta mēnā ka pāngia koe e ēnei tohu:

• Mena he whero te wāhi o te katitere, he pupuhi, he wai rānei e puta mai ana i reira.
• Mena ka pāngia koe e te māuiui, e tētahi atu kare ā-roto rānei i te ringa, i te waewae rānei i whakaurua ai te catheter.
• I roto i te ringa, i te waewae rānei i whakaurua ai te catheterKi te mātao ō matihao, ka ngaro te rongo, ka huri rānei te tae.
• Ki te mea ka ruaki koe.
• Mena kei te mamae tō uma .

Waea atu ki te 1990 mō te maimoatanga ohorere, haere rānei ki te hōhipera tata, mēnā ka pāngia koe e tētahi o ēnei e whai ake nei:

• Ki te kore te toto e mutu ahakoa te pēhi me te pupuri i te wāhi e werohia ai te katitere.
• Mena ka piki whakarere te pupuhi i te taha o te patunga.

He torutoru atu ngā pātai māu.

Kei te ara ake tātou i a tātou e mahi ana i te rangahau EP?

Āe. Kei te hoatu he rongoā ki a koe mā te werohanga IV hei whakamarie i a koe, hei mea hoki kia hiamoe koe. Engari kāore koe i te tino moe.

Kia pēhea te roa o te rangahau EP?

Ko te tikanga ka roa te kotahi ki te whā hāora .

He mamae te rangahau EP?

Ka hoatu he rongoā whakamoe ki a koe, kia kore ai koe e mamae. Heoi anō, tera pea ka paku pēhia te kiri i te wāhi i whakaurua ai te catheter.

Ngā mea tino nui hei maumahara māu

Ina tonoa koe kia whakahaerehia he rangahau EP, tera pea he mea nui rawa atu i tētahi atu whakamātautau ngākau kua mahia e koe i mua. Engari he take kei te whakahau tō tākuta i tēnei. Kei te mahi ia i tēnei hei rapu i te āhua o te mahi i roto i tō ngākau, hei āwhina hoki i a koe . Ko te rangahau EP he whakauru i ngā taputapu ki roto i tō ngākau, engari he whakamātautau haumaru. Ka hoatu ki tō tākuta ngā mōhiotanga e hiahiatia ana e ia hei rongoā i tō ngakau pākiki.

Kia maumahara, ka whakapau kaha te tīma hauora ki te whakamarie i a koe i te wā o te whakamātautau. Kōrero ki a rātou mō ngā pātai, ngā āwangawanga rānei kei a koe. Mā tēnei ka āwhina i a koe kia marino ake.

` Te tere o te manawa, te rangahau EP, te mate manawa, te catheter, te ngohe hiko o te manawa, te arrhythmia, ngā whakamātautau manawa