Kua rongo koe i te kupu 'aneurysm'? Tērā pea kua whakahuatia e tō tākuta, tērā pea kei roto i tō whānau tēnei mate. Ahakoa he ahua whakamataku te ahua, he mea nui kia mōhio koe ki tēnei. I tēnei rā, ka kōrero tātou mō te pokanga tuwhera tuku iho mō te aneurysm, arā, 'pokanga tuwhera tuku iho'.
He aha te pokanga aneurysm?
Ki te kī māmā noa, ko te pokanga aneurysm he maimoatanga mō te aneurysm i roto i te aorta, te uaua toto matua o tō tātou tinana. He rite te aorta ki te paipa wai matua o tō tātou tinana. Ina ngoikore tetahi o ōna pakitara, ā, ka pupuhi pērā i te poihau, ka kiia e tātou he "Aortic Aneurysm". He tino morearea tēnei, nā te mea ka taea e te pupuhi te pahū (te pakaru) te haehae rānei (te wehe). Ki te tupu tēnā, ka taea te whakararu i te ora.
Nō reira, i roto i tēnei mahi, ka tangohia e te taote pokanga te wāhanga pakaru, pupuhi o te aorta, ka whakakapia ki tētahi hanganga rite ki te ngongo i hangaia ki te kiko horihori. Ka kiia tēnei he tāmi. Ka mahi tēnei tāmi pērā i tētahi oko toto hou, e tuku ana i te toto kia rere haumaru, kia kore hoki e āraia.
He pokanga nui tēnei. Me tapahi nui te taote pokanga i tō uma, i tō puku rānei kia uru atu ai ki te aneurysm. Mena kei roto i tō uma, ka kiia he `(thoracic aortic aneurysm)`, ā, ki te mea kei raro iho i tō puku, ka kiia he `(abdominal aortic aneurysm)`.
He whakaora ora tēnei pokanga. Ahakoa he mōrearea kei roto, he nui ake ngā painga. Ka matapakihia e tō tākuta te maimoatanga pai rawa atu māu.
Ko wai rā te tangata e hiahia ana ki tēnei pokanga?
E rua ngā wāhanga matua o tēnei pokanga. Ko tētahi he mea ohorere, ā, ko tētahi he mea whakamahere, he mea mahi i mua i te puta o tētahi mōrearea.
1. Hei āhuatanga ohorere (mēnā ka pakū, ka pakaru rānei te aneurysm)
Koinei te āhuatanga tino mōrearea. Mēnā ka pakaru te aneurysm, he āhuatanga ora, he mate rānei. Mēnā ka pāngia koe e ngā tohu e whai ake nei, me haere tonu koe ki te Tari Ohotata (ETU) o te hōhipera .
| Ngā tohu ka puta pea i roto i tētahi āhuatanga ohorere | |
|---|---|
| Te mamae ohorere, te mamae e haehae ana i te uma, i te tuara rānei, kāore e taea te whakamanawanui. | Te mamae ohorere, te mamae nui i roto i te puku, i te tuara, i ngā waewae rānei. |
| Kiri piri, kiri werawera. | Pōuriuri me te hemo o te tinana. |
| Te tere rawa o te manawa o te ngakau. | Whakapairuaki me te ruaki. |
| Te uaua ki te manawa. | |
2. I mua i te putanga mai o tētahi mōrearea (hei pokanga kua whakaritea)
Mena kua kitea e tō tākuta he aneurysm tōu, ka tirotirohia e ia i ia wā. Mena ka puta tētahi o ngā mea e whai ake nei, ka nui ake te tūponotanga o te pahūtanga o te aneurysm. I roto i ēnei āhuatanga, ka whakatau pea tō tākuta ki te mahi pokanga.
- Mena ka mamae koe i roto i tō puku, tuara, uma, hope, huha rānei o roto.
- Ki te mea he mamae te puku.
- Mena he maremare tōu, he pāorooro te reo, he uaua rānei ki te manawa.
- Mena he nui ake te aneurysm i te 5 henimita .
- Mena kei te tere te tipu o te aneurysm (neke atu i te 1 henimita ia tau).
Ka whakaarohia e tō tākuta ngā āhuatanga maha, tae atu ki tō hauora whānui, te rahi o te aneurysm, me tōna wāhi, kia taea ai e ia te whakatau pai. Hei tauira, ki te mea he mate tōu pēnei i te Marfan syndrome, ahakoa he aneurysm iti, ka taea te mōrearea. Nō reira, me tere pea te pokanga.
He aha ngā mea ka tupu i mua i te pokanga?
Mena he pokanga kua whakaritea, ka tīmata ngā whakaritenga i ngā wiki i mua.
- Ngā whakamātautau hauora: Ka tirohia koe e te tākuta, ā, ka whakahaerehia he maha o ngā whakamātautau hei tirotiro mēnā kua rite tō tinana mō te pokanga.
- Te kōrero mō ngā rongoā: Me kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe (he rongoā kore utu, he otaota, he huaora). Tērā pea ka hiahiatia kia mutu te tango i ētahi rongoā i mua i te pokanga.
- Te whakahaere i ētahi atu mate: Mena kei a koe ngā mate pēnei i te toto toto tiketike, me whakahaere pai i mua i te pokanga.
- Te whakamutu i te kai paipa: He mea tino nui kia mutu rawa te kai paipa i te iti rawa i te kotahi marama i mua i te pokanga.
- Ngā mate: Ki te pāngia koe e tētahi mate, pērā i te makariri, te kirika rānei, me kōrero ki tō tākuta .
Ka hoatu e te tākuta ētahi tohutohu motuhake ki a koe, pērā i te kore e inu wai i muri i te waenganui pō i te pō i mua i te pokanga.
He aha ngā mea ka tupu i te wā o te pokanga?
Kāore koe e rongo i tetahi mea i te wā e pokangahia ana. Ka whakamoea koe i raro i te mate whakamoe whānui. Ko te tikanga ka roa te pokanga mō te 3-4 hāora. Anei ngā mahi matua.
1. Tapahi: Ka tapahia e te taote pokanga he tapahi roa ki te uma, ki te puku rānei kia tae atu ai ki te aneurysm.
2. Te here: Ka kati ngā taputapu motuhake i ngā oko toto i runga ake me raro i te aneurysm mō te wā poto. I tēnei wā, ka taea te whakamahi i te mīhini ngākau me te pukahukahu hei papu toto ki ētahi atu wāhanga o te tinana.
3. Whakaurunga pokanga: Ka tangohia te wāhanga pupuhi, pakaru, ka whakakapia ki tētahi ngongo horihori, e kiia nei ko te "pokanga", ka tuia, ka whakapiritia.
4. Katinga: Hei whakamutunga, ka katia te tapahi ki ngā tuitui, ki ngā tāpare rānei.
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, ka whakawhitia koe ki te wāhanga tiaki nui (ICU). Ka tirotirohia koe i reira mō ētahi rā. Ko te roanga katoa o tō noho ki te hōhipera ka taea te noho i waenga i te 3 me te 10 rā. I te hōhipera, ka:
- Ka whakauruhia he katitere mimi.
- Ka whakaurua he ngongo mā roto i te ihu.
- Ka hoatu ngā rongoā ārai toto hei ārai i te toto totoka.
- Ka tūtohu pea rātou kia mau i ngā tōkena motuhake hei ārai i te toto e pupuhi ana i ngā waewae.
- Ka hoatu ngā rongoā mamae.
Me tīmata āta haere koe, kia kaha ake ai. Engari kia mahara, he pokanga nui tēnei. Nō reira, me hoatu he wā ki tō tinana kia ora ai. Whakaritea kia haria koe e tētahi ki te kāinga. Kāore e taea e koe te taraiwa kia whakaaetia rā anō koe e tō tākuta.
Te wā whakaora me ngā mea hei mōhio
E 4-6 wiki te roa hei whakaora tino pai, engari ko ētahi ka roa pea e 2-3 marama.
Ngā here hei tirotiro i te wā whakaora
- Kaua e taraiwa kia tohutohu rā anō tō tākuta.
- Kaua e kaukau i roto i te ipu wai kia ora rā anō te motu. Ka taea e koe te kaukau.
- Kaua e hiki i ngā taumaha neke atu i te 4.5 kg (10 lbs).
- Kaua e tino kaha te whakakori tinana kia hemo ai tō manawa.
Te tiaki i te patunga i tapahia
Ina maremare koe, ina tihe rānei, whakatakotoria he urunga ki runga i te motu ka pēhi ki raro. Mā tēnei ka whakaiti i te mamae, ka tiaki hoki i te patunga. Kia ma te patunga e ai ki tā tō tākuta.
Āhea te wā e tika ai kia kite tonu i tō tākuta
Kia tino aro ki tō tinana i a koe e ora ana. Ki te pāngia koe e tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu.
| Ngā raruraru patunga tapahi | |
|---|---|
| Te whero, te mamae, te pupuhi, te mahana rānei e karapoti ana i te patunga. | He toto, he wai mārama rānei e turuturu ana mai i te patunga. |
| He rerenga waikura kōwhai, kākāriki rānei. | Kei te neke haere ngā taha o te patunga. |
| Ētahi atu raruraru nui | |
| Te mamae nui, te mamae tonu rānei o te tuara, o te puku rānei. | Te pupuhi o ngā waewae, te kore rānei e taea te neke i ngā waewae. |
| Te mamae o te uma, te poto rānei o te manawa ahakoa e okioki ana. | Pōuriuri, ngoikore, ngenge nui rānei. |
| He rerenga toto me te hūpē, he hūpē kōwhai/kākāriki rānei. | Te mātao, te kirika rānei. |
Karere Tangohia ki te Kāinga
- He tino nui te pokanga aneurysm, he pokanga whakaora ora. He mea nui kia mārama tika ki tēnei, me te kore e wehi.
- Kaua e warewarehia ngā tohu pēnei i te mamae ohorere o te uma/tuara, te hemonga, me ētahi atu. Haere tonu ki te Tari Urupare (ETU) o te hōhipera.
- Mēnā he pokanga kua whakaritea, me whai i ngā tohutohu a te tākuta i mua atu, i muri mai hoki i te pokanga. He mea tino nui kia kaua e kai paipa.
- He roa te wā e ora ai. I taua wā, kia manawanui, kia okioki, me te rapu tautoko mai i te whānau me ngā hoa.
- He mea nui te pupuri i tētahi momo noho hauora i muri i te pokanga, tae atu ki te kai pai, te whakakori tinana, me te whakahaere i ētahi atu mate, kia roa ai te ora.
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