Kia ako tātou mō te taputapu iti nei e aroturuki puku ana i te tere o tō manawa! (Loop Recorder) | Nirogi Lanka

Kua pāngia koe e te ahua o te ngākau e te tere o te pao, e te āhua rerekē rānei o te mahi? Kua pāngia koe e te ngoikore ohorere, te ngaro rānei o te māramatanga? Mō te tini, ka puta ēnei tohu ahakoa kāore he mamae o te uma, ā, he tino uaua te tautuhi i te take. He maha ngā wā, ina toro atu koe ki tō tākuta, kāore ēnei tohu e mahi ana, ka uaua ai te tautuhi i te mate. Koinei tonu te wāhi e puta mai ai tētahi taputapu iti, matatau e kiia nei ko te Implantable Loop Recorder (ILR) hei āwhina i a mātou ki te kimi i ngā whakautu e hiahiatia ana e koe. I Nirogi Lanka, me titiro tata atu tātou ki te mahi a tēnei hangarau māu.

He aha te Pūkete Rekoata Porowhita?

He māmā noa iho, he taputapu iti te taputapu hopu oro e whakanohoia ana ki raro i te kiri o tō uma. Ko tāna mahi he aroturuki tonu i te tere me te manawataki o tō manawa . Whakaarohia he kaitirotiro whaiaro e aroturuki ana i te mahi hiko o tō manawa 24/7 mō te toru tau. He rerekē tēnei taputapu ki ngā taputapu aroturuki manawa paerewa e whakarato ana i tētahi tirohanga poto o te mahi a tō manawa mō te wā poto noa iho, ka tukuna e tēnei taputapu he tirohanga roa.

Ka hopu aunoa te pūtuhituhi porowhita i ngā raraungaā, ka tukuna atu ki tō tākuta ngakau. Mā te aroturuki i tō ngākau mō te wā roa, he tino whai hua ki te tautuhi i ngā manawataki ngākau koretake, e mōhiotia ana ko te Arrhythmias , pērā i te Atrial Fibrillation . Nā te mea ka taea e ētahi arrhythmias te kino, ā, ka arahi atu ki ngā raruraru pērā i te whiu , te hopukanga ngākau ohorere rānei, he mea nui te kite wawe me te whakahaere.

Tērā pea ka rongo koe i te pūorooro koropiko e whakahuatia ana e ēnei ingoa:

• Pūrere Whakatakoto Porowhita Whakatō (ILR)
• Aroturuki Manawa Whakauru (ICM)

Ka whakanohoia tēnei taputapu iti ki raro noa i te kiri, ki te taha maui o runga o tō uma.

He aha tōna āhua?

He taputapu iti rawa te taputapu hopu oro, he tapawhā rite te rahi me te āhua ki tētahi puku komipiuta iti—tata ki te 1 ki te 2 inihi te roa. He mea hanga ki te konganuku, kei roto hoki ngā ara iahiko hiko matatau me te pākahiko roa te ora.

Ka whakatakotoria te taputapu ki raro i te kiri (i raro noa i te kiri). Ahakoa ka kitea pea he āhua iti o te taputapu i raro i tō kiri, kaua e mamae, e kore hoki e whakararuraru i a koe.

I te taha o te taputapu i roto i tō uma, ka whakaratohia e tō tākuta he taputapu whakahohe iti ki a koe. Ka tukutahi tēnei taputapu ki tō pūrere hopu oro. Mena ka pāngia koe e ngā tohu pēnei i te tere o te ngakau , pēhia noa he pātene i runga i te pūrere whakahohe kia tuhia ai e te pūrere hopu oro te mahi a tō ngakau i taua wā tonu.

He pēhea rawa te mahi?

Ka aroturukihia e te taputapu hopu oro te tere o tō manawa me tō manawataki. Mēnā ka kitea he mahi hiko rerekē, ka hopukina aunoatia aua raraunga, ka tiakina ki roto i tōna mahara. Kātahi ka tukuna atu ēnei mōhiohio ki tō tākuta manawa i ngā wā maha i te rā.

Hei tāpiritanga, ki te rongo koe i tētahi tohu, ka taea e koe te whakamahi i tō pūrere whakahohe ringaringa hei tohutohu i te taputapu kia tiakina taua wā motuhake. Ka taea hoki e te taputapu te titiro whakamuri i ētahi meneti ki mua hei hopu i ngā mahi a tō ngākau i mua i te taenga mai o ō tohu.

I roto i te poto, ka hopukina e te taputapu ngā raraunga ina pāngia koe e ngā tohumate, me ngā wā kāore koe e pāngia e tetahi mea engari ko te ngākau anake e whanonga rerekē ana. Mā ēnei māramatanga ka taea e tō tākuta te tautuhi tika i te mea e pā ana ki tō ngākau me tōna hononga ki ō kare ā-roto.

Āhea pea ahau e hiahia ai ki tētahi?

Mena ka pāngia koe e te tere o te manawa , e te ngoikore rānei (syncope) ā, kāore i kitea he Arrhythmia i roto i ngā whakamātautau o mua, ko te taputapu hopu oro pea te wāhanga ngaro o te panga. Ka āwhina i tō tākuta ki te tautuhi i ngā raruraru manawa, ki te whakahaere i te maimoatanga, me te ārai i ngā raruraru kino. Ka āwhina hoki ki te whakaū mena *kāore* tō ngoikore, tō tohumate rānei e pā ana ki tō manawa.

Ko te tikanga, ka whakamahia e ngā tākuta ngakau he taputapu tuhi porowhita hei:

• Tāutuhia te pūtake o ngā wā hemo kore whakamārama.
• Aromātaihia ngā tere o te ngakau e haere tonu ana, kāore i te māramatia.
• Aroturukihia te ngohe o te ngākau o ngā tūroro e pāngia ana e te Atrial Fibrillation ( Atrial Fibrillation ) hei āwhina i te whakahaere i te maimoatanga.
• Kitea ai ngā raruraru o te tere o te ngakau me te manawataki o ngā pakeke e mate ana i te mate ngakau whānau.
• Tāutuhia ngā manawataki o te ngākau rerekē i muri i te whiu .
• Arotakehia te bradycardia (te tere o te ngakau) i mua i te whakatau mēnā e hiahiatia ana he taputapu whakaterenga manawa tūturu.
• Aroturuki i ngā mahi hiko o te ngākau i muri i te whakaeke ngakau .

Ko wai ka mahi i te tikanga?

Ka whakatōngia tō taputapu hopu oro e tētahi Kaimātai Hikohiko ( Electrophysiologist ) . He tohunga ngakau tēnei kua whai whakangungu motuhake hei matatau i te pūnaha hiko o te ngākau. Whakaarohia rātou he tohunga hiko mō tō ngākau.

He aha ngā mea ka tupu i mua i te tikanga?

Ka arotakehia tuatahitia e tō tākuta ngakau mēnā ko te taputapu hopu oro te otinga tika māu. Ka arotakehia e rātou tō hītori hauora katoa, ā, ka whakahaerehia he whakamātautau tinana. Tērā pea ka tonoa koe kia whai i ētahi whakamātautau tātaritanga, pēnei i:

• Te hiko o te manawa ( ECG /EKG)
• Te Echocardiogram
• Whakamātautau ahotea whakakori tinana
• Whakamātautau Ripanga Honga

Ahakoa kāore ēnei whakamātautau e whakaatu i tētahi raruraru nui o te ngākau, me whakamahi pea he taputapu hopu oro mēnā ka pā tonu ngā tohu pēnei i te hemo o te ngākau.

Me pēhea taku whakarite mō te tukanga?

Ka hoatu e tō tākuta he tohutohu motuhake, engari me maumahara ki ēnei kōrero:

• Ka kōrero tō tākuta mō ngā rongoā e whakamahia ana e koe, ā, ka tohutohu pea ia i ngā whakarerekētanga iti i mua i te tikanga. Kaua e mutu, kaua hoki e whakarerekē i tētahi rongoā ki te kore e tohua e tō tākuta.
• Me whai tangata koe hei kawe i a koe ki te kāinga i muri i te tikanga. Nā te mea ka hoatu he rongoā whakamoe ngawari ki a koe, kaua e taraiwa, e whakahaere mīhini rānei mō ngā haora 24 i muri mai.

Me pēhea te whakauru i te taputapu hopu oro?

Ehara tēnei i te pokanga nui ; he tikanga noa iho tēnei mō te wā o waho, arā, ka taea e koe te hoki ki te kāinga i taua rā anō. Kāore koe e hiahia kiWhakamoemiti Whānui . Ka noho mataara tonu koe, ahakoa ka hoatu he rongoā ki a koe hei āwhina i a koe kia marino.

Hei whakauru i te taputapu, ka whai tō tohunga hiko i ēnei mahi:

1. Ka hoatu e rātou he rongoā whakamoe ngawari hei āwhina i a koe kia marino, ka whakamahia hoki he rongoā whakamoe ā-rohe hei whakangāwari i te wāhi, kia kore ai koe e mamae.

2. Ka tapahia he tapahi iti rawa (tata ki te hauwhā inihi) ki te kiri o te taha maui o tō uma.

3. Ka hangaia he pōke iti i raro i te kiri mō te taputapu.

4. Kātahi ka whakaurua te taputapu hopu oro ki roto i tēnei pute.

5. Ka katihia te tapahi ki ngā tuitui, ki te kāpia pokanga motuhake rānei.

6. Hei whakamutunga, ka whakahohehia e rātou te taputapu mā te whakatakoto i tētahi taputapu rite ki te aukume ki runga i tō uma.

E 10 ki te 15 meneti noa iho te roa o tēnei tukanga poto.

He aha te mea ka tupu i muri mai?

Ka hoki tonu te nuinga o ngā tūroro ki te kāinga i muri i te tikanga, ā, ka taea e rātou te tīmata anō i ā rātou mahi o ia rā. Ka hoatu e tō tākuta he tohutohu mō te tiaki i te wāhi i tapahia, me te pupuri hoki i tōna ma.

He mea noa te mamae, te mārō rānei i te wāhi, ā, ka memeha haere i roto i ētahi rā. I mua i tō haerenga, ka whakaaturia e tō tākuta ngā taputapu ka whakamahia e koe, tae atu ki:

• He whakahohenga, ka mauria e koe hei tuhi i ngā tohu ina puta.
• He tuku hiko mō tō taha moenga, e tuku aunoa ana i ngā raraunga ki tō tīma tiaki i Nirogi Lanka .

He aha ngā mōrearea?

He tikanga iti te mōrearea o tēnei. Heoi, pērā i ngā wawaotanga hauora katoa, ka puta pea ngā raruraru onge, pēnei i:

• Mate urutā : Mena ka pangia te wāhi i pangia, ka hiahiatia pea he rongoā paturopi , i ētahi wā rānei, me nekehia te taputapu.
• Tauhohenga mate pāwera : Tērā pea ka pāngia koe e te mate pāwera ki ngā rauemi o roto i te taputapu, ā, me whakamahi koe i tētahi atu pūnaha aroturuki.
• Tohu ngoikore : I ētahi wā, ka uaua pea te hopu i ngā tohu hiko mārama, ā, me whakarerekē pea e te tākuta te tūranga o te taputapu.

Ka taea e tēnei te kino i tōku ngākau?

Kāo, he taputapu tino haumaru te taputapu hopu oro, kāore he mōrearea ki tō ngākau. Kāore e whakahaere i tō manawa, e tuku ru, e whakararuraru rānei i te mahi a tō ngākau. He mea hanga noa iho hei aroturuki i ngā mahi hiko o tō ngākau, hei hopu hoki i ngā āhuatanga rerekē.

Me pēhea taku whiwhi i ngā hua?

Ka tukuna aunoatia e tō pūrere hopu kōrero ngā raraunga ki tō tākuta i Nirogi Lanka. Mā tō tākuta koe e whakamōhio atu āhea koe e whakarite ai i ngā wā tirotiro hei matapaki i ngā kitenga.

Kia pēhea te roa e hiahiatia ai e au te taputapu?

Ka mau koe i te taputapu kia tae rā anō ki te wā e ranea ai ngā raraunga a tō tākuta hei whakatau tika i te mate. Ka rerekē tēnei roa mō ia tūroro. Mena e whakaatu ana ngā hua he hiahia mō tētahi taputapu whakatere manawa, he taputapu whakamāmā ngakau rānei (ICD), ka tangohia e tō tākuta te taputapu hopu oro i te wā o taua mahi.

E toru tau te roa o te pākahiko hopu oro o te pūhiko hopu oro, e whakarato ana i te wā nui ki te hopu i ngā raruraru manawataki o te ngakau e ngaro pea i ngā aroturuki wā poto.

Āhea koe me whakapā atu ki tō tākuta?

Tena koa whakapā atu ki tō tākuta tonu atu mēnā ka kite koe i tētahi o ēnei tohu i te wāhi i whakatōkia ai tō pūrere (wāhi i tapahia):

• Whero
• Pupuhi
• Te toto
• Te tukunga o te pūkahukahu, tetahi atu wai rānei

He tohu pea ēnei mō ngā raruraru e hiahia ana kia tere te aro hauora.

He aha ngā painga me ngā ngoikoretanga o te Pūreretā Rekoata Hurihuri?

He maha ngā painga nui o te taputapu hopu oro:

• Aroturuki mō te wā roa: Ka taea e tēnei taputapu te aro turuki me te tuhi i ngā mahi hiko o tō ngākau mō te toru tau. Kāore e taea e ētahi atu aroturuki te rite ki tēnei roanga. Hei tauira, ka aro turukihia e te aroturuki Holter ngā mahi mō ngā haora 24 anake. Ahakoa e rua wiki pea te roa o ētahi aroturuki, kāore pea taua wā roa e ranea hei hopu i tētahi manawataki koretake e puta kotahi noa i te marama. E whakaatu ana ngā rangahau he tino whai hua tēnei huarahi mō te wā roa.
• Te tuhi aunoa: Ahakoa ka wareware koe ki te pēhi i te pātene ina rongo koe i ngā tohu, ka tuhi aunoa te taputapu i ngā mahi rerekē o te ngākau. Ka taea e ia te kite i ngā hapa ahakoa kāore he tohu, he mea tino whai hua tēnei mēnā ka hemo koe, ā, kāore koe e mahara ki te kaupapa. Kua whakaatuhia e ētahi rangahau ka taea e tēnei taputapu te kite i te fibrillation atrial kāore he tohu.
• Ngāwari: Mā te whakamahi i te taputapu hopu oro, ka taea e koe te kaukau, te kauhoe, me te mahi tonu i ō mahi o ia rā. Nā te mea ka noho puku i raro i tō kiri, ka hunaia mai i te tirohanga, ā, kāore e taumaha pērā i ētahi atu taputapu aroturuki o waho. Mena he momo noho pukumahi tōu, he mahi uaua rānei, he kōwhiringa tino watea tēnei.

Heoi anō, he iti noa ngā ngoikoretanga hei whakaaroaro:

• Me whai pokanga iti: Nā te mea me whakatō te taputapu ki raro i te kiri, me whai pokanga iti. Ahakoa he pokanga iti noa iho, he tūponotanga kei roto i tētahi pokanga.
• Ngā tohu teka: I ētahi wā, ka tohu pea te taputapu i ngā tohu o ngā āhuatanga pēnei i te atrial fibrillation, engari kāore i te tupu. Ka whakaū tonu tō tākuta i te mate mā te whakamātautau atu.

He aha te rerekētanga i waenga i te Pūreretā Rekoata Hurihuri me te Pūreretā Pacemaker?

Tērā pea koe e whakaaro ana mēnā he ōrite te taputapu hopu oro me te taputapu whakatere manawa. He rerekē rawa atu rāua.

Kāore te taputapu hopu oro e whakarerekē i te mahi hiko o tō ngākau. He rite tonu ki te kaitirotiro puku, e mātakitaki ana, e tuhi ana rānei mēnā he rerekētanga kei roto i te tere o tō ngākau, i te manawataki rānei.

Heoi, he taputapu hohe te taputapu whakatere . Mēnā ka rerekē te tere o tō manawa—ina koa ka puhoi rawa te pā (bradycardia)—ka wawao mai te taputapu whakatere mā te tuku tohu hiko iti ki tō manawa hei āwhina i te whakahaere i tōna tere.

Mā ngā raraunga ka kohia mai i tētahi taputapu hopu oro ka āwhina pea i tō tākuta ki te whakatau mēnā me whai taputapu maimoatanga roa koe pērā i te taputapu whakatere.

Ka taea e tēnei te tautuhi i te mate ngakau?

Kāore te taputapu hopu oro i hangaia hei tātaritanga i te mate manawa. Heoi, ka taea e ia te āwhina ki te kite i ngā rerekētanga o te manawa (arrhythmias) ka puta pea hei raruraru o te mate manawa.

He āhuatanga ohorere hauora te whakaeke ngakau. Ki te pāngia koe e te mamae o te uma, e ētahi atu tohu rānei o te whakaeke ngakau, kaua e whakaroa. Waea atu ki te 911, ki tō ratonga ohorere ā-rohe rānei, haere rānei ki te hōhipera tata.

Ka taea e au te inu waipiro me te Loop Recorder?

Me whai i ngā tohutohu a tō tākuta mō te inu waipiro me ētahi atu āhuatanga o te noho. E whakaatu ana ētahi rangahau ka taea e te waipiro te whakararu i te manawa o te ngakau, ahakoa he nui, he iti rānei te inu (kotahi, e rua rānei ngā inu i te rā).

Kei te haere tonu ngā rangahau mō tēnei kaupapa. Nō reira, he mea nui kia kōrero koe ki tō tākuta mō te pānga o te waipiro ki tō mōrearea o ngā raruraru manawa.

Ngā mea whakamutunga hei maumahara

E kite ana koe, he taputapu tino whai hua te Implantable Loop Recorder e āhei ai koe me tō tākuta o Nirogi Lanka ki te aroturuki i ngā mahi o tō ngākau i ia rā. Mā ngā raraunga e whakaratohia ana e ia ka āwhina i te kimi i ngā arrhythmias i mua i te puta mai o ngā raruraru kino, ka whakatakoto i te ara mō te maimoatanga matatau.

He mea maori te āwangawanga mō tētahi pokanga iti, engari kia mahara he iti noa te mōrearea o tēnei mahi. Kōrero ki tō tākuta mō ō pātai, ō mataku rānei; kei reira rātou hei whakamarie i tō hinengaro, hei whakamārama hoki i te tukanga. Kia kaha koe ki te āwhina i a koe ki te pupuri i te hauora o tō ngākau mā te hangarau pēnei!

Ngā Tohuwāhi o Nirogi Lanka: Te Auau o te Manawa, Te Rekoata Porowhita, Te Mate Manawa, Te Aroturukitanga o te Manawa, Te Hauora, Ngā Pūrere Hauora