He uaua ki a koe te manawa i ētahi wā ina ngenge koe, ina piki rānei koe i te arawhata? Kei te pēhia tō uma e te taumaha, pērā i te mea e hemo ana te manawa? Ahakoa he maha ngā take mō ēnei tohu, tera pea he take kāore koe e whakaaro ana. Ko te matotoru koretake o tētahi wāhanga o te uaua o te ngākau. I tēnei rā kei te kōrero tātou mō te Alcohol Septal Ablation, he maimoatanga tino whai hua ehara i te pokanga tuwhera nui, ā, e whakamahia ana hei rongoā i tēnei mate.
He aha te Whakakorenga o te Septal Waipiro?
He kupu ngāwari noa iho tēnei, he tikanga iti rawa te whakaekenga e whakamahia ana hei rongoā i tētahi mate ngākau e kiia nei ko te Hypertrophic Cardiomyopathy (HCM) . Whakaarohia, he pakitara kei roto i tō tātou ngākau e wehe ana i ngā rūma e rua. Ka kiia tēnei e tātou ko te septum. Mō te tangata whai HCM, ka matotoru rawa, ka pakari hoki tēnei pakitara.
Ina matotoru te pakitara pēnei, ka āraia te ara e pupuhihia ai te toto mai i te ngākau ki te tinana. Pērā i te waka nui e mau ana i te huarahi whaiti ka puta he waka. Ka ārai tēnei i te ngākau ki te pupuhi tika i te toto. Koinā te wā ka puta ai ngā tohu pēnei i te poto o te manawa me te ngenge.
Ko te Whakakorenga i te Septal o te Waipiro (ASA) he whakaurunga i tētahi ngongo angiangi, ngāwari, e kiia nei ko te catheter , ki roto i te oko toto iti e tuku toto ana ki te uaua matotoru. Kātahi ka werohia he iti noa te waipiro mā roto. Ka whakangaromia e te waipiro ngā pūtau kua matotoru koretake, ā, ka whakawhāiti te rohe. Kātahi ka whakatuwheratia anō te rere o te toto kua āraia, ā, ka whakahokia te rere o te toto.
He aha i mahia ai tēnei maimoatanga, ā, mā wai te mea pai rawa atu?
Ko te nuinga o tēnei maimoatanga e whakamahia ana mō te āhuatanga i kōrerohia i mua ake nei , arā, ko te hypertrophic cardiomyopathy (HCM) . He āhuatanga ira tēnei e tukuna iho ana i tētahi whakatipuranga ki tētahi whakatipuranga.
E taunaki ana ngā tākuta ngakau i tēnei maimoatanga mō te hunga he tohu pēnei i te poto o te manawa me te ngenge kāore e taea te whakahaere ki te rongoā.
Ko tētahi atu maimoatanga matua mō te HCM ko te pokanga ngākau tuwhera e kiia nei ko te septal myectomy . I roto i tēnei, ka whakatuwheratia te uma, ka tapahia te uaua matotoru, ka tangohia. Heoi, kāore e taea e te katoa te mahi pokanga nui. He tino teitei ngā mōrearea o te pokanga tuwhera mō te hunga kaumātua, mō te hunga rānei he mate hauora kē atu.
Mō te hunga kāore e taea te aro atu ki tēnei momo pokanga ngākau tuwhera, he huarahi pai, he huarahi haumaru hoki te Alcohol Septal Ablation (ASA).
| Āhuatanga | Te Whakakorenga o te Waipiro (ASA) | Te pokanga tuwhera (te tango i te septal myectomy) |
|---|---|---|
| Tikanga maimoatanga | He iti noa te whakaekenga (mā te catheter) | Te pokanga ngākau tuwhera (te whakatuwhera i te uma) |
| Te wā whakaora | Wā poto (tata ki te wiki) | Mō te wā roa (he maha ngā wiki, he maha ngā marama rānei) |
| Ko wai te mea tino pai mōna? | Mō te hunga kāore e taea te aro ki te pokanga tuwhera, kua kaumātuatia, kua pāngia rānei e ētahi atu mate | Mō ngā taiohi hauora whānui, e āhei ana ki te manawanui ki te pokanga |
Me aha ahau i mua i te maimoatanga?
Mā tō tākuta koe e hoatu ki a koe ngā tohutohu katoa e hiahiatia ana e koe i mua i tēnei maimoatanga.
- Tērā pea ka tonoa koe kia mutu te tango i ētahi rongoā i ētahi rā i mua i te maimoatanga.
- Me nohopuku koe (kaua e kai, kaua e inu) mō ētahi hāora i mua i te maimoatanga.
- Ka taea hoki e koe te whakahaere i ētahi whakamātautau hei tirotiro i tō hauora:
- Echocardiogram: He matawai e tirotiro ana i te mahi me te hanganga o te ngākau.
- Electrocardiogram (EKG): He whakamātautau e tirotiro ana i te ngohe hiko o te ngākau.
- Tatau Toto Katoa (CBC): He tatau toto katoa.
- X-ray o te uma: He whakamātautau x-ray o te uma.
He aha ngā mea ka tupu i te wā e rongoatia ana?
He tikanga tēnei e mahia ana i te hōhipera, ā, e rua pea te roa. Ka mōhio tonu koe, engari ka hoatu e te tīma hauora he rongoā hei pupuri i a koe kia marino, kia wātea hoki.
1. Te ngoikore: Tuatahi, ka ngoikore te wāhi e whakaurua ai te catheter (te ringa o runga, te ringaringa rānei).
2. Te whakauru i te catheter:Kātahi ka whakaurua te ngongo angiangi (te catheter) ki roto i te oko toto, ā, ka arahina ki te wāhi tika o te ngākau mā te whakamahi i ngā whakaahua hihi-X.
3. Werohanga waipiro: Kia kitea te uaua toto e tika ana, ka werohia he iti noa te waipiro tino parakore (`waipiro isopropyl`) mā roto. Tērā pea ka pāngia koe e te mamae iti i roto i tō uma i tēnei wā.
4. Pūrere Whakateretere Wāpoto: I tēnei tikanga, ka whakauruhia he waea pūrere whakateretere wāpoto ki roto i tō ngākau mā roto i tētahi uaua i tō kaki. Ka mahia tēnei hei aroturuki i te tere o tō ngākau mō ngā rā e 2-3 i muri i te maimoatanga.
5. Whakaotinga: Kia oti te mahi, ka tangohia te catheter, ā, ka whakatakotoria he takai ki runga i te wāhi i whakaurua ai.
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. I tēnei wā, ka aroturuki tonu te tīma hauora i tō hauora me tō tere o te manawa. Mena kei te mamae koe, ka hoatu he rongoā whakamamae mamae ki a koe.
He mea nui kia aroturuki tonu i te tere o tō manawa i a koe e noho ana ki te hōhipera i muri i te maimoatanga, nā te mea he tokoiti noa iho ngā tāngata ka pāngia e te tere o te manawa kāore i te ōrite hei pānga taha o tēnei maimoatanga, ā, me whakauru pea he taputapu whakatere manawa tūturu.
Mena i mahia te maimoatanga mā roto i te uaua, ka tonoa koe kia takoto ki te moenga me ō waewae e wherahia ana mō ētahi haora hei ārai i te toto. Mena i mahia mā roto i te whitiki ringaringa, kāore koe e hiahia ki te takoto pēnā i runga i te moenga.
He aha ngā mōrearea o tēnei maimoatanga?
Pērā i ngā tikanga hauora katoa, he iti noa ngā mōrearea, engari he tino onge ngā raruraru.
- Te toto, te mate rānei i te wāhi i whakaurua ai te katitere.
- Te hanganga o ngā toto totoka i roto i ngā oko toto.
- He kino iti ki ngā pakitara o te ngākau (me whakatika pea mā te pokanga).
- Te Ārai Manawa: He whakararuraru i ngā tohu hiko o te manawa. Ka taea e tēnei te whakaroa rawa, te tere rawa rānei te pā o te manawa. Mēnā ka tupu tēnei, me whakamahi pea he taputapu whakaterenga manawa tuturu.
- Te Putanga o te Wai i roto i te Puku o te Ngākau: Te putunga o te wai i roto i te pēke e karapoti ana i te ngākau.
Kaua e manukanuka ki tēnei. Mā tō tākuta ēnei mōrearea e whakamārama atu ki a koe.
| Ki te puta ēnei tohu i muri i te maimoatanga, me toro atu ki te tākuta tonu! | |
|---|---|
| * Mamae o te uma | * Te uaua ki te manawa, te poto rānei o te manawa (dyspnea) |
| * Pōuriuri, ngoikore rānei | * Te pā o te manawa, te kikī rānei o te uma |
| * Te ngenge nui rawa | * Te whero, te pupuhi, te toto, te kirika rānei i te wāhi i whakaurua ai te catheter |
| * Whakapairuaki me te ruaki | |
Ka taea e te nuinga o te tangata te hoki ki ā rātou mahi o ia rā i roto i te wiki kotahi i muri i te maimoatanga, ā, ka tere te pai haere o ngā tohu.
Karere Tangohia ki te Kāinga
- He tino angitu te Alcohol Septal Ablation (ASA) mō te HCM, he āhuatanga e matotoru ai te uaua o te ngākau, kāore he pokanga.
- He kōwhiringa pai tēnei, inā koa mō te hunga kaumātua, mō te hunga rānei he mate kē atu tō rātou, ā, he uaua ki a rātou te aro atu ki te pokanga ngākau tuwhera.
- Ahakoa ka tere ake te ora mai i tēnei maimoatanga, he iti noa ngā tūponotanga, pērā i te aukati o te ngakau, e hiahiatia ai he taputapu whakaterenga manawa tuturu.
- Kōrerohia ngā āhuatanga katoa me tō tākuta ngakau i mua atu, ā, i muri mai hoki i te maimoatanga, kia mārama hoki ki a koe.
- Mena ka puta he tohu rerekē i muri i te maimoatanga, rapua tonutia he tohutohu hauora.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He mate pūkahukahu noa iho te wheezing/te mate huango? Ka taea te wheezing me te ngākau nui?
He tokomaha te hunga e whakaaro ana ko te wheezing anake ka puta i te 'Hunga Mate'. Engari he hē rawa tēnā! 'Cardiomyopathy / Heart Breakdown' Ina ngoikore te ngākau, ka kī ngā pukahukahu i te wai (toto), ka uaua ai te manawa o te tūroro, ā, ka puta pea te 'wheezing'. Ko te 'Cardiac Asthma' tēnei i roto i te pūtaiao hauora. I tēnei wā, kāore te uma e tuwhera ahakoa te whakamahi i ngā inhaler!
💬 Me pēhea taku mōhio mēnā he mate huango noa taku wheezing, he ngoikore rānei te ngākau?
Ka puta te whakaekenga huango noa ina he paru/pūngāwerewere, ina he makariri rānei. Engari ina tae ki ngā 'raruraru ngākau', 1) Ina takoto/papatahi koe i te moenga i te pō, ka ngana koe ki te moe, ka pāngia koe e te poto o te manawa, ka ara ake me te hamama (Orthopnea). 2) I tua atu i tēnā, ka pupuhi ō waewae/pōtae waewae i te āhua rerekē (Edema). 3) Ki te mea he kikī ake tō uma i te mea noa ina piki koe i ngā arawhata, he mate ngākau tonu!
💬 Ina pāngia koe e te whiu, me waea atu tonu ki te waka tūroro, kaua e noho ki te kāinga, me te whakamahi i te inhaler. He aha ngā āhuatanga mate/ohorere?
Ko te mōrearea nui rawa atu ko te hopukanga katoa o te ngakau! Mēnā, me te whakaeke ngakau, 1) ka pāngia te mamae nui i waenganui o te uma, me te mea he kōhatu (mamae o te uma / whakaeke ngakau), 2) mēnā ka horapa te mamae ki raro i te ringa maui ki raro i te kauae, 3) mēnā ka werawera te tūroro me te mea kei te kaukau ia, ka mangu/kikorangi tōna mata, ā, ka pōuri ia, ka ngaro te mārama, ka mate pea te tūroro i roto i ngā hēkona! Me haere tonu koe ki te tari urupare o te hōhipera!
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero