Āwhina mō tō ngākau: He aha te mahi cardiology wawao?

Kua rongo koe i te kupu "Interventional Cardiology"? Tērā pea kua whakahuatia e tō tākuta, kei te tirotirohia rānei e koe nā te mea he mate manawa tōu. Ahakoa rā, he mara rongoā tino nui tēnei. Me kōrero poto tātou mō tēnei, āe?

He aha te Interventional Cardiology? He tino māmā noa iho!

I te whakarapopototanga, he tikanga motuhake te mahi hinengaro wawao e whakamahi ana i tētahi ngongo iti , ngāwari hoki e kiia nei ko te "catheter" hei tātaritanga me te rongoā i ngā mate o te ngākau me ngā uaua toto . Whakaarohia he rite ki tētahi cannula iti e whakamahia ana e tātou ina tāpirihia he tote ki roto i tō tātou ringa, engari he ngongo angiangi ake tēnei "catheter". Ka whakaurua tēnei mā roto i tētahi o ō uaua toto. Nō reira, kāore he take ki te tapahi nui i te kiri, ki te mahi pokanga rānei. Koinei te painga nui o tēnei tikanga.

Ko ngā tākuta o tēnei mara (e kiia ana rātou he tākuta ngakau wawao) e āwhina ana i te hunga e pāngia ana e te mate manawa toto me te mate manawa coronary. Ka rongoā hoki rātou i ngā pēpi, ngā tamariki nohinohi, me ngā pakeke e pāngia ana e ngā hapa manawa, pērā i ngā hapa takirere manawa, i ngā mate manawa whānau rānei, pērā i ngā hapa septal.

He aha te rerekētanga i waenga i te Pokanga Cardiology Wawao me te Pokanga Cardiothoracic?

Ahakoa e pā ana ēnei e rua ki te ngākau, he iti noa te rerekētanga.

Ka whakahaerehia e te tākuta ngakau wawao te maimoatanga "Minimally Invasive", i kōrerotia e au i mua ake nei, mā te whakamahi i te "(Catheter)", me te kore he tapahi nui, mā roto i tētahi kōhao iti. Arā, kāore rātou e mahi i te " pokanga ngākau tuwhera" , arā, ko te hanga i tētahi tapahi nui i waenganui o te uma ("Sternotomy"").

Heoi, ko te taote pokanga manawa-tinana he tangata e mahi pokanga ana i ngā whekau o te uma, pērā i te manawa, ngā pukahukahu, me te korokoro. Ka mahi pokanga manawa-tuwhera rātou. I ētahi wā ka whakamahia hoki e rātou he maha ngā tapahi iti hei utu mō te tapahi nui kotahi.

Ko te mea nui, i te nuinga o te wā, ka mahi tahi ēnei tohunga e rua ki te whakatau ko tēhea tikanga maimoatanga te mea tino tika mōu.

He aha te mahi a te taote ngakau wawao?

He tohunga ēnei tākuta ki te whakamahi i taua "(kātene)" hei tātaritanga me te rongoā i ngā mate o te ngākau me ngā oko toto. Ko ētahi tikanga e whakamahia ana hei rapu i te tino take o te mate, ko ētahi hei rongoā i te mate.

He aha ngā whakamātautau ka tohua e te tākuta ngakau wawao?

I tēnei mara te nuingaKa tirohia mēnā kei te tika te mahi a te rere o te toto i roto i tō tinana. Ka rapua ngā raruraru e whakararuraru ana i te rere o te toto, ā, ka ngana ki te whakatau i aua raruraru. Hei tauira, ka tirohia te rere o te toto me te pēhanga i roto i ngā uaua toto e tuku toto ana ki tō ngākau (ngā "Aratau Matepukupuku") me roto hoki i ngā rūma o te ngākau.

Ko ētahi o ngā whakamātautau i mahia mō tēnei ko:

• He matawai CT o ngā oko toto o te ngākau (tomography rorohiko (CT) o ngā uaua koronari).
• He echocardiogram (he whakamātautau echo e mahia ana i roto i te ngākau).
• MRI o te ngākau.
• He hihi-X o te uma .

He aha te Tukanga Wawaotanga o te Ngākau?

He tikanga tēnei mō te rongoā i te ngākau mā te whakamahi i te `(Catheter)` anake, me te kore e tapahia te kiri , e mahia rānei he pokanga. Hei tauira, mēnā ka whakamahia te `(Catheter)` hei whakakapi i te takirere ngākau, hei whakatika rānei i te takirere ngākau, he maimoatanga ngākau wawao tēnei.

He aha ngā maimoatanga e mahia ana e te tākuta ngakau wawao?

He maha ngā maimoatanga e mahia ana e ēnei tākuta. Tērā pea kua rongo koe i ētahi o aua maimoatanga.

• Te whakaurunga o te catheter ki te ngākau: He tirotiro i te ngākau mā te whakauru i tētahi catheter ki roto.
• Angiogram (`Angiogram` - `Peripheral` `Coronary` rānei): Ka werohia he wai motuhake ki roto i ngā uaua toto, ā, ka tangohia he hihi-X hei kimi i ngā wāhi e aukati ana.
• Angioplasty: He tikanga e whakatuwhera ana i tētahi oko toto kua āraia mā te pupuhi me tētahi taputapu iti rite ki te poihau.
• Te tango i te toto i roto i te uaua o te ngakau: Te tango i ngā putunga ngako (pēka) i roto i ngā oko toto .
• Te ine i te Rahui Rere Hauwhā (FFR): He ine i te nui o te rere o te toto e aukatihia ana nā te aukati i roto i te uaua toto.
• Te Ultrasound Intravascular (IVUS): He tikanga e whakaurua ai he taputapu ultrasound iti ki roto i te uaua toto.
• Tomography Whārite Ātaahua (OCT): He tikanga e whakamahi ana i te māramatanga hei tiro mārama i roto i ngā uaua toto.
• Te Whakanohonga Stent: He ngongo mata iti e whakanohoia ana ki roto i tētahi oko toto kua āraia, kua whakatuwheratia mā te angioplasty kia kore ai e āraia anō. He mea hanga tēnei ki te konganuku i te nuinga o te wā.
• Te Whakakapinga me te Whakatika i te Takirere Manawa: Ka taea hoki tēnei te mahi mā te whakamahi i tētahi catheter.
• Te Katinga o te Tāpiringa Atrial Mauī.
• Te katinga o te kōhao i te pakitara i waenganui i te atria ('Atrial Septal Defect Closure').
• Te Whakakorenga o te Septal Waipiro.
• Te Katinga o te Ovale Foramen Patent.
• Te Whakaiti i te Pūnaha Whatukuhu: He maimoatanga e aro ana ki ngā io ki ngā whatukuhu hei whakaiti i te toto toto tiketike.
• Te whakaheke toto: Te whakarewa i ngā toto totoka.

Ko tēhea te maimoatanga e tino whakamahia ana e ngā tākuta ngakau wawao?

Ko te tikanga tino noa e mahia ana e ēnei tākuta ko te angioplasty me te whakatakotoranga stent ki roto i ngā oko toto o te ngākau. Ko te whakamahi i tētahi catheter hei kimi i tētahi ārai i roto i tētahi oko toto i roto i te ngākau. Kātahi, mā te whakamahi i tētahi taputapu iti pērā i te poihau, ka pēhia te ārai (arā, te paraka i hangaia e ngā putunga cholesterol) ki te pakitara o te oko toto, ka hangaia he ara mō te rere o te toto. Kātahi, ki te tika, ka whakatakotoria he ngongo mata e kiia nei ko te stent ki reira hei ārai i te ara kei kati anō. He maimoatanga whakaora ora tēnei mō te tangata kua pāngia e te mate ngākau.

He aha ngā mate me ngā āhuatanga e rongoatia ana e te cardiology interventional?

Ka taea e tēnei tikanga te rongoā i ētahi mate e pā ana ki te ngākau me ngā uaua toto. Anei ētahi tauira:

• Mate Takirere Manawa
• Te atherosclerosis
• Te whakaekenga o te ngākau
• Te mate o te uaua carotid (he oko toto nui tēnei i roto i te kaki)
• Te mate o te uaua koronari
• Te mātotoru o te uaua o te ngākau (hypertrophic Cardiomyopathy)
• Te Fistula o te Arteri Koronari (He hononga rerekē i waenga i te uaua toto i roto i te ngākau me tētahi atu uaua toto, tetahi wāhanga rānei o te ngākau)
• Te mate o te uaua toto o ngā peka (te aukati i ngā oko toto i roto i ngā peka)
• Mate Pūngāwerewere Mau tonu
• Te Stenosis o te Takirere Aorta
• Ngā mate toto totoka ('Mate Thromboembolic')
• Aneurysm
• Ngā kōhao i te pakitara i waenganui i te atria ('Atrial Septal Defect')
• Ngā kōhao i te pakitara i waenganui i ngā ventricles ('Ventricular Septal Defect')

Me whai tohutoro ahau kia kite i tētahi tākuta ngakau wawao?

Ae, he maha ngā wā ka hiahiatia he tuku mai i tētahi atu tākuta kia kite i tētahi tohunga ngakau wawao. Nā te mea kua whakangungua ēnei tohunga ki te mahi i te whakamātautau, i te maimoatanga rānei e hiahiatia ana e koe.

Kei hea te mahi a ēnei tākuta ngakau wawao?

Ka mahi ngā tākuta ngakau wawao i ngā hōhipera, i ngā pokapū hauora tūmataiti, me ngā kura hauora. Ka uru atu hoki ētahi ki te rangahau me te whakaako i ngā ākonga hauora me te whakarato maimoatanga anō hoki.

He maha ngā wā, ka noho rite ēnei tākuta ki te rongoā i tētahi āhuatanga ohorere, hei tauira, i te tangata kua pāngia e te mate manawa.

He aha ngā whakangungu e hiahiatia ana mō te mahi cardiology wawaotanga?

Ko te mahi i tēnei mara he maha ngā tau e hiahiatia ana hei whakangungu. I muri i te kura hauora (4 tau), ka oti i te hunga e whai ana i tēnei tohungatanga iti te toru tau o te whakangungu noho i roto i te Rongoā ā-roto, ā, ka whai ake ko ētahi atu e toru tau o te whakangungu motuhake i roto i te Cardiology Whānui.

Whai muri i tēnā, ka whiwhi koe i tētahi atu tau whakangungu motuhake mō te wawaotanga o te ngākau (`Fellowship`) mō ngā tikanga e whakamahia ana hei whakamahi i te ``Catheter``. Kātahi anō ka whiwhi koe i tētahi ``Tiwhikete`` mai i tētahi poari hauora.

Ko ētahi o ngā tākuta ngakau wawao he mema nō ngā whakahaere pēnei i te Society for Cardiovascular Angiography and Interventions (SCAI) he mema motuhake rānei (he "Hoa"). Ko te "Hoa" he tangata kua mahi i te neke atu i te 1,000 ngā tikanga. Ko te tikanga tēnei kei te rongoatia koe e tetahi kua whiwhi whakangungu matatau.

He aha ngā mea ka taea e koe te tumanako i te wā o tētahi wā tirotiro a te tākuta ngakau?

Ki te kore he āhuatanga ohorere, ka kōrero te tākuta ngakau ki a koe mō ō raruraru ngākau, ngā raruraru toto rānei. Ka pātai atu rātou ki a koe mō ō tohumate me te roa o te wā e pāngia ana koe e ēnei tohumate. He mea nui kia mauria mai he rārangi o ngā rongoā katoa e tangohia ana e koe (ngā rongoā kua tohua, ngā rongoā kore utu, ngā huaora, tae atu ki ngā tāpiringa).

Ka whakarongo te tākuta ki tō ngākau. Ka pātai atu hoki ia mēnā kei te whakamahi koe i ngā hua tupeka, kei te inu waipiro rānei. Ka pātai atu anō hoki ia mēnā kua pāngia tētahi o tō whānau e te mate ngākau, e ngā raruraru rānei o ngā oko toto. Tērā pea ka whakahaerehia e ia he whakamātautau māmā ki reira, pērā i te tirotiro i tō toto toto.

Mena e hiahia ana koe ki ngā whakamātautau tātaritanga me/ranei ngā maimoatanga, me whakarite e koe tētahi wā motuhake mō taua rā. Mā tō tākuta e whakamārama te maimoatanga wawao e whakaarohia ana e rātou he tika māu, me ngā painga me ngā mōrearea. Mā rātou anō hoki e kōrero ki a koe me pēhea te whakarite mō te maimoatanga. Hei tauira, ka tonoa pea koe kia kaua e kai, e inu rānei mō ngā haora e waru i mua i te whakamātautau, i te maimoatanga rānei.

He mea noa te māharahara me te manukanuka ina kīia atu ka pokangahia tō ngākau. Engari kia maumahara, ina whiwhi koe i te tākuta ngākau wawao, kei te tiakina koe e te tohunga tino whakangungua. Ka taea e rātou te kohikohi i ngā mōhiohio e hiahiatia ana hei tātaritanga i te mate, kātahi ka rongoā, me te kore e hiahiatia te pokanga ngākau tuwhera.

Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)

Nō reira, he mara rongoā tino matatau, he ngāwari hoki ki te tūroro te mahi cardiology wawaotanga.

• Kāore he tapahi nui: Ko te painga matua ko te maha o ngā raruraru o te ngākau me ngā oko toto ka taea te rongoā mā te whakamahi i tētahi katitere iti anake, me te kore e tapahia nui.
• Te whakaoranga tere: Nā te mea kāore he pokanga nui e mahia ana, he poto noa te noho hōhipera, ā, ka taea e koe te whakaora wawe me te hoki ki tō oranga noa.
• Tohungatanga: Mā ngā tākuta kua whiwhi whakangungu motuhake mō tēnei kaupapa e whakahaere tēnei maimoatanga.
• Kaua e wehi: Ki te mea kua tohua he rongoā pēnei ki a koe, kōrerohia ki tō tākuta mō tēnei mea, kia mōhio ai koe ki ngā taipitopito. Mā te mōhio ki ngā mōhiohio tika ka āwhina i a koe ki te karo i ngā wehi koretake.

Ki te mea he raruraru ngākau tōu, kaua e wareware ki te toro atu ki te tākuta mō ētahi tohutohu. Ko te ngākau hauora he tikanga mō te oranga hauora!

Mate manawa , mahi hinengaro wawao, catheter, angioplasty, stent, pokanga manawa, hauora manawa