Kei te matotoru haere te uaua o te ngākau? Me kōrero tātou mō te maimoatanga Alcohol Septal Ablation (ASA)!

Ka pōturi te manawa i ētahi wā, ka pēhia tō uma, ka ngenge noa rānei i a koe e ngenge ana? He maha ngā take mō ēnei tohu. Engari i ētahi wā ko te take he raruraru ki te ngākau. I tēnei rā ka kōrero tātou mō tētahi maimoatanga motuhake mō ēnei mate ngākau kāore e hiahiatia he pokanga nui.

He aha te tikanga o te Alcohol Septal Ablation (ASA)?

Ahakoa te ahua uaua o tēnei ingoa, me ngāwari noa iho. Ko te Alcohol Septal Ablation (ASA) he maimoatanga iti rawa te whakaekenga e mahia ana e ngā tākuta ngakau.

Ko tēnei maimoatanga he mea mā te hunga whai mate ngakau e kiia nei ko te Hypertrophic Cardiomyopathy (HCM) . He ahua pōhēhē te ingoa, kāore? Ki te kī ngāwari, ka nui rawa te matotoru o te uaua o te ngakau i tēnei mate. Ina koa, ka matotoru haere te pakitara e wehe ana i ngā rūma e rua o te ngakau, e kiia nei ko te septum .

Whakaarohia tō ngākau he papu wai. Ko tēnei papu te mea e tuku toto ana ki te tinana katoa. Nā, ki te matotoru rawa te pakitara o tēnei papu, ka whaiti te wāhi e rere ai te toto ki waho, tika? Koinei te mea e tupu ana i roto i te HCM. Ina matotoru te pakitara o te ngākau, kāore te toto e pupuhi tika ki waho. Koinei te take e puta ai ngā tohu i kōrerotia i mua ake nei, pērā i te poto o te manawa me te ngenge.

Nō reira, i roto i tēnei maimoatanga ASA, ka whakamahia he ngongo tino angiangi, ngāwari (catheter) hei kimi i te oko toto e tuku toto ana ki taua wāhanga uaua matotoru o te ngākau. Kātahi ka werohia he waipiro motuhake mā roto i taua ngongo ki roto i taua wāhanga uaua matotoru. Mā tēnei waipiro ka mate ngā pūtau kua tipu koretake, ā, ka mimiti haere taua wāhanga. Kātahi ka whānui ake anō te ara mō te rere o te toto i waho o te ngākau, ā, ka whakahokia mai te rere o te toto.

Mā wai tēnei maimoatanga e tino pai?

Ko tēnei maimoatanga he mea mā te hunga e pāngia ana e te mate i kōrerotia i mua ake nei, arā, ko te Hypertrophic Cardiomyopathy (HCM). He mate tuku iho tēnei. Ko te tikanga, ki te pāngia tētahi o tō whānau e tēnei mate, ka tūpono pea koe ki te pāngia anō hoki e tēnei mate.

I te nuinga o te wā, ka hoatu tuatahitia he rongoā ki te hunga whai HCM. Heoi, mō ētahi tāngata, ahakoa he rongoā, kāore e taea te whakahaere i ngā tohu (pēnei i te poto o te manawa me te ngenge). Koia te take e whakaarohia ai e ngā tākuta te maimoatanga ASA mō ēnei tāngata.

Tērā tētahi atu kōwhiringa mō tēnei. Ko te pokanga ngākau tuwhera ko te Septal Myectomy . I tēnei, ka whakatuwheratia te uma, ka tapahia te uaua matotoru, ka tangohia. Heoi, nā te mea he pokanga nui, ka roa ake te ora, ā, he nui ake ngā mōrearea.

He ngāwari noa iho, he maimoatanga rerekē tēnei e whai hua ana mō te hunga kāore e taea te mahi pokanga nui.

Me pēhea te whakarite i mua i te maimoatanga?

Kia whakatauhia e tō tākuta he tika tēnei maimoatanga māu, me mahi e koe ētahi mea i mua i te wā. Ka hoatu e tō tākuta he tohutohu mārama ki a koe mō tēnei.

He aha ngā mea ka tupu i te wā e rongoatia ana?

Ka mahia tēnei maimoatanga i roto i tētahi rūma motuhake (Cath Lab) i te wāhanga mate ngakau o te hōhipera. E rua, e toru rānei ngā haora te roa o te nuinga o te wā.

• Kei a koe te hinengaro:I tēnei, kāore koe i te tino whakamoea. Ko te tikanga kei te mōhio koe. Engari ka hoatu he rongoā whakamoe ki a koe hei pupuri i a koe kia marino, kia kore hoki e mataku.
• Te rongoā ngira: Ka whakamahia he ngira hei whakangāwari i te wāhi e whakaurua ana te catheter, pērā i te taha o tō ringaringa, o tō hope rānei.
• Te whakauru i te catheter: Kātahi ka tukuna e te tākuta te ngongo angiangi mā roto i tētahi oko toto mai i te wāhi ngenge ki te ngākau.
• Te aroturuki i te hihi-X: Ka whakamahia e ngā tākuta ngā whakaahua hihi-X hei tirotiro i te ara o te ngongo me te tirotiro mēnā kei te haere ki te wāhi tika i roto i te ngākau.
• Werohanga waipiro: Kia kitea te uaua toto tika, ka werohia he waipiro motuhake e kiia nei ko te waipiro isopropyl mā te ngongo ki roto i te uaua matotoru. Tērā pea ka pāngia koe e te mamae, e te koretake rānei o tō uma i tēnei wā. He mea noa tēnei.
• He taputapu whakatere manawa rangitahi: I te wā e rongoatia ana, ka whakauruhia he waea mai i te taputapu whakatere manawa rangitahi ki roto i tētahi uaua i roto i tō kaki. Ka waiho tēnei ki tōna tūranga mō ngā rā e rua, e toru rānei i muri i te rongoatanga hei aroturuki i te tere o tō manawa.
• Mutunga: Kia oti te mahi, ka tangohia te ngongo, ā, ka kapi te wāhi ki ngā tuitui, ki tētahi takai pēhi piripono rānei.

He aha te mea ka tupu i muri i te maimoatanga?

I muri i te maimoatanga, me noho koe ki te hōhipera mō ngā rā e rua, e toru rānei (48-72 hāora). He mea tino nui tēnei wā.

• Te aro turuki i te tere o te manawa: I ēnei rā, ka aro turuki tonu te tīma hauora i te tere o tō manawa. Nā te mea, hei pānga iti noa iho o tēnei maimoatanga, ka pāngia pea ētahi tāngata e te pānga ki ngā tohu hiko i roto i ō rātou manawa. Ka kiia tēnei ko te Ārai Manawa . Ki te tupu tēnei, ka puhoi rawa pea tō tere o te manawa. Koia te take ka aro turukihia koe.
• Okiokinga moenga: Mena i whakaurua te ngongo mā roto i tō hope, ka tonoa koe kia noho ki te moenga me ō waewae tika mō ētahi haora hei ārai i te toto. Mena i whakaurua mā roto i tō ringaringa, kāore koe e hiahia ki te noho pēnā.
• Ngā rongoā whakamamae: Ka hoatu he rongoā whakamamae mēnā e tika ana.
• Whakamātautau Anō: I mua i te wehenga atu i te hōhipera, tera pea ka whakahaerehia he whakamātautau anō, pērā i te echocardiogram , hei tirotiro i te angitu o te maimoatanga.

He aha ngā painga me ngā mōrearea o tēnei maimoatanga?

Pērā i ngā maimoatanga hauora katoa, he painga anō kei reira, engari he iti noa ngā mōrearea.

He aha ngā painga?

Ko te painga matua ko te kore e hiahiatia he pokanga ngākau tuwhera. Nō reira:

• He poto rawa te wā whakaora.
• He iti noa iho ngā raruraru e pā ana ki te pokanga.
• Kāore e waiho he koha nui.
• Koinei te kōwhiringa pai rawa atu mō te hunga kāore e taea te utu mō ngā pokanga nui.

He aha ngā mōrearea?

He onge ngā raruraru, engari he mea nui kia mōhio koe ki ēnei. Mā tō tākuta koe e kōrero atu mō tēnei.

Kia pēhea te roa o te wā e ora ai?

He rerekē tēnei i ia tangata, i ia tangata. Ka whakawhirinaki te roa o tō whakaoranga ki tō hauora whānui. Ka taea e te nuinga o te tangata te hoki ki ngā mahi o ia rā i roto i te wiki, neke atu rānei . Heoi, me toro atu koe ki tō tākuta i mua i te tīmatanga o tētahi mea pēnei i te whakakori tinana kaha.

He tokomaha te hunga ka tīmata ki te rongo i te whakaoranga nui mai i ō rātou tohumate i muri tonu i te maimoatanga.

Ki te pā mai ēnei tohu ki a koe, me toro atu ki te tākuta tonu!

Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te hokinga mai i te maimoatanga ki te kāinga, waea atu ki tō tākuta tonu atu, haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.

• He pāmamae o te ngakau , he āhua rānei e pā ana te uma (palpitations).
• Mamae o te uma.
• Te uaua ki te manawa, te tere o te manawa (dyspnea) .
• Pōuriuri, kanohi kikorangi rānei.
• Tino ngenge.
• Te whero, te pupuhi, te toto, te kirika rānei i te wāhi i werohia ai te ngongo (he tohu ēnei o te mate pāwera).
• Whakapairuaki me te ruaki.

He tino whai hua te Alcohol Septal Ablation mō te Hypertrophic Cardiomyopathy. Ka taea e ia te whakahaere i ngā tohu me te iti ake o te mōrearea me te tere ake o te whakaoranga i te pokanga. Mena he pātai āu mō tēnei, kaua e mangere ki te kōrero ki tō tākuta ngakau mō ētahi atu kōrero.