Kua āraia ō uaua ngākau? Me ako tātou mō te Angioplasty

"Te aukati i te ngākau", "te aukati i te uaua", "me angioplasty"... He mea noa ki te tangata te mataku i te rongonga i ngā kupu pēnei. Tērā pea kua kōrerotia tēnei maimoatanga ki a koe, ki tētahi rānei o tō whānau e te tākuta. Nō reira, he maha pea ngā pātai kei roto i tō hinengaro, pērā i te aha tēnei, he pokanga nui rānei, ka mamae, ā, he aha te mea ka tupu i muri mai? Kaua e mataku. I tēnei rā, ka kōrero tātou mō te angioplasty, he tino māmā, ā, i roto i te huarahi e mārama ai koe.

He aha te angioplasty?

Kāore te angioplasty i rite ki te pokanga ngākau tuwhera. He tikanga iti noa te whakaekenga e mahia ana mā te tapahi iti. Hei whakamārama, ka whakamahia hei tango i te aukati me te tuku i te rere o te toto kia rere noa anō mēnā kua aukatia, kua whaitihia rānei ngā uaua o roto i tō tātou tinana, inā koa ngā uaua e tuku toto ana ki te ngākau, e te cholesterol me ngā putunga ngako (he mate hauora e mōhiotia ana ko te atherosclerosis) .

Whakaarohia kei te aukatia te paipa wai i roto i tō whare. He rite tonu ki te horoi me te whakahoki i te wai kia rere. Hei mahi i tēnei, ka whakamahia e ngā tākuta he taputapu iti rite ki te poihau. Mā te poihau, ka pēhia e rātou te paparanga ngako kua aukatia (te paraka) ki te pakitara o te uaua, ka hangaia he wāhi i roto i te uaua.

He maimoatanga tino haumaru tēnei i te nuinga o te wā. Ki te whakaritea ki ngā pokanga nui pēnei i te pokanga whakawhiti, he iti rawa ngā mōrearea me te wā whakaora. He mea nui te hauora o te ngākau mō te hauora o te tinana katoa. Nō reira, he mea tika tēnei maimoatanga angioplasty hei ārai i ngā āhuatanga kino pēnei i te mate ngākau me te whiu ka puta mai i ēnei aukati.

He aha ngā momo me ngā tikanga o te angioplasty?

He rerekē ngā ingoa e whakamahia ana e ngā tākuta mō tēnei, i runga i te uaua toto e rongoatia ana. E rua ngā momo matua.

• Te Angioplasty o te Arteri Koronari: He angioplasty tēnei e mahia ana i runga i ngā oko toto matua (ngā uaua koronari) e tuku toto ana ki te ngākau. Ko tētahi atu ingoa mō tēnei ko te Percutaneous Coronary Intervention (PCI) . Koinei te momo tino rongonui i roto i a tātou.
• Angioplasty o te Arteri Peripheral: E pā ana tēnei ki te maimoatanga o ngā uaua peripheral e kawe ana i te toto mai i te ngākau ki ngā wāhanga tawhiti o te tinana, pērā i ngā ringa me ngā waewae.

He maha ngā momo tikanga e whakamahia ana hei whakahaere i tēnei maimoatanga. Kia tirohia tata atu tātou.

Āhea te wā e hiahiatia ai te angioplasty?

He maha ngā āhuatanga ka tūtohu pea tō tākuta i tēnei maimoatanga.

• Te Whakaekenga Manawa: Ka tukuna tēnei maimoatanga hei maimoatanga ohorere i te wā o te whakaekenga manawa, i muri tata rānei i te wā e pāngia ai te manawa. Ka āwhina i te whakaiti i te kino o te manawa. I roto i ēnei āhuatanga, ka taea te whakauru atu ki te Wāhanga Maimoatanga Ohotata (ETU) tonu mō tēnei maimoatanga.
• Te Mate Puku o te Ngākau (CAD): Ka mahia tēnei hei whakaiti i te mōrearea o te pāngia e te mate ngakau ā muri ake nei mēnā ka pāngia koe e ngā tohu pēnei i te mamae o te uma (angina) i puta mai i te whaiti o ngā uaua e tuku toto ana ki te ngākau.
• Mate Puku Ā-Taiao (PAD): He āhuatanga e whaiti ai ngā oko toto matua i roto i ngā ringa, ngā waewae, me te hope, ka mamae ai ngā waewae i te wā e hikoi ana, ā, ka puhoi te whakaora o ngā patunga. Ka whakamahia hoki te angioplasty hei rongoā i tēnei āhuatanga.
• Te Mate o te Arota Carotid: Ka whakamahia tēnei maimoatanga hei whakaiti i te mōrearea o te whiu, ka puta mai i te aukati o ngā uaua carotid i te kaki e tuku toto ana ki te roro.
• Te Mate Tākihi Mau tonu: I ētahi wā, ka ngoikore te mahi a te tākihi nā te aukati i ngā oko toto e tuku ana ki ngā tākihi. Ka taea hoki e tēnei maimoatanga te āwhina i roto i ēnei āhuatanga.

Me pēhea tāu whakarite mō tēnei?

Kaua e manukanuka, mā tō tākuta me ngā kaimahi o te hōhipera koe e hoatu he tohutohu mārama mō te whakarite mō tēnei. I te nuinga o te wā ka whiwhi koe i ētahi tohutohu pēnei:

• Ka tonoa koe kia kaua e kai, e inu rānei i tetahi mea mō te 8 hāora i mua i te maimoatanga (kāore he aha te inu wai).
• Mena kei te tango koe i ētahi rongoā, pērā i ngā rongoā ārai toto, ka tonoa pea koe kia mutu te tango i aua rongoā mō ētahi rā, kia whakarerekē rānei i te horopeta. Kia mahara ki te kōrero ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe.
• Ka pātai atu rātou mēnā kua pāngia koe e te mate pāwera ki tētahi mea i mua (ina koa ki te tae rerekē i whakamahia i roto i ngā whakamātautau), mēnā rānei kua pāngia koe e tētahi raruraru ki te rongoā whakamoe.
• Mena kei te hapu koe, me tino whakamōhio atu koe ki a rātou.
• Ko te mea nui: Kāore koe e whakaaetia kia taraiwa ki te kāinga i te rā o tō maimoatanga. Nō reira, whakaritea kia taraiwahia koe e tetahi i mua i te wā. Me noho pea koe ki te hōhipera mō te rā kotahi.

He aha ngā mea ka tupu i te wā o te angioplasty? Me ako tātou i ia taahiraa

Ehara te rūma e mahia ai tēnei (Cath Lab) i te rite ki te whare pokanga noa, engari he wāhi kei reira ngā mīhini X-ray me ngā mata tirotiro. Me titiro tātou ki ngā mahi e puta ana i te wā e rongoatia ana.

1. Te Whakarite: Ka hoatu he kākahu hōhipera motuhake ki a koe, ā, ka kīia kia takoto koe ki runga i te moenga. Ka hoatu he rongoā whakamoe mā te IV (pēnei i te tote ) hei āwhina i a koe kia marino, kia hiamoe hoki. Engari kāore koe e tino moe, ā, ka ara ake koe kia taea ai e koe te whakarongo ki ngā kōrero a te tākuta. Ka honoa koe ki ngā aroturuki hei ine i ngā mea pēnei i tō tere ngakau me ngā taumata hāora.

2. Te urunga atu: Muri iho, ka whiriwhiria e te tākuta te wāhi hei urunga atu ki tētahi oko toto nui, mā tō ringaringa, mā tō hope rānei. Ka werohia he werohanga iti (whakamamae ā-rohe) hei whakangāwari i te wāhi. Nō reira, kāore koe e rongo i te mamae, engari tera pea ka rongo koe i te ngau kino.

3. Te whakaurunga o te catheter: Ināianei, ka whakauruhia he ngira iti mā te wāhi ngenge, ā, ka whakauruhia he ngongo angiangi, ngāwari (puranga) ki roto i te uaua toto mā roto. Kātahi ka tukuna ngā waea me ngā ngongo angiangi ake e kiia nei ko ngā catheter mā roto i tēnei ngongo tae noa ki te uaua kua āraia i roto i te ngākau.

4.Arataki hihi-X: Ka huri haere tētahi mīhini hihi-X nui (e kiia nei ko te fluoroscopy ) i a koe, hei āwhina i te tākuta kia kite i te ara o te catheter i runga i te mata. He rite ki te mātakitaki i tētahi GPS.

5. Te kimi i te mea e ārai ana: Kia tū te katitere, ka werohia he wai motuhake (tae rerekē) ki roto i te uaua mā roto. Mā tēnei wai ka kitea mārama ngā uaua toto i runga i te hihi-X. I tēnei wā, ka rongo pea koe i te mahana iti i roto i tō tinana, ka hiahia rānei koe ki te mimi. Ka ngaro atu tēnei i roto i ētahi hēkona. Mai i ēnei whakaahua ka kitea e te tākuta te wāhi tika o te mea e ārai ana i roto i te uaua.

6. Te whakatuwhera i te uaua: Inaianei, ka tukuna he catheter me te poihau iti mā roto i te wāhi kua āraia. Kia tae ki te wāhi tika, ka pupuhihia te poihau mō ētahi hēkona. Kātahi ka pēhi te paparanga ngako kua āraia ki te pakitara o te uaua, ka hanga he ara mō te rere o te toto. Me mahi pea tēnei i ētahi wā.

7. Te whakatakotoranga o te stent: Whai muri i te whakarite kia tuwhera te uaua, ka whakaurua e te tākuta he stent ki roto i te whakatuwheratanga. He ngongo mata iti tēnei. Ka āwhina i te pupuri i te uaua kua tuwhera kia tuwhera tonu, kia kore ai e whaiti anō.

Kia oti katoa ēnei mea, ka tangohia e te tākuta te catheter, ka tāpirihia he pāreti ki te wāhi i werohia ai te ngira, ā, ka puritia mō tētahi wā hei whakamutu i te toto. Mena i mahia tēnei mā te hope, me takoto papatahi koe ki runga i te moenga mō ētahi haora. Ko te tikanga ka roa te tukanga katoa i waenganui i te 30 meneti ki te 2 haora.

He aha ngā mōrearea o tēnei?

Pērā i ngā tikanga hauora katoa, he iti noa ngā mōrearea. Engari kia maumahara, he tino onge ngā raruraru nui ina mahia tonutia tēnei tikanga, i raro i te tirotiro a te tākuta mātau, ā, i roto hoki i te hōhipera pai.

Kia pēhea te roa o te wā e ora ai i muri i te maimoatanga?

I muri i te maimoatanga, me noho koe ki te hōhipera mō ētahi hāora, mō te pō rānei. I muri i tō hokinga ki te kāinga, tera pea ka paku ngenge koe. Kia nui te okiokinga me te inu i te nui o ngā wai. Ka kī atu tō tākuta kia kaua e mahi i ngā mahi uaua mō ngā rā tuatahi e rua, e toru rānei. Tērā pea ka paku maru, ka ngawari hoki te wāhi i werohia ai te ngira mō te wiki pea.

I te nuinga o te wā ka taea e koe te taraiwa anō me te hoki anō ki ō mahi o ia rā i roto i te wiki. Heoi, ka rerekē pea tēnei i runga i tō āhua, nō reira me kōrero tonu ki tō tākuta me te whai i ana tohutohu.

I muri i tō hokinga ki te kāinga, he aha te wā me waea atu koe ki te tākuta?

Ka whakaritea koe mō tētahi atu tirotiro hauora, nō reira kia mahara ki te haere ki reira. Engari i mua i tērā, ki te pāngia koe e tētahi o ngā tohu i raro nei, waea atu ki tō tākuta tonu.

• Mena kei te toto te wāhi wero, kei te āhua pangia rānei (pupuhi, whero, pupuhi wai).
• Mena ka huri te tae o taua ringa, o taua waewae rānei.
• Mena ka pā te mahana, te mamae nui rānei ki taua wāhi.
• Mena kei te mamae tō uma, kei te uaua rānei te manawa .

He maimoatanga angitu tēnei? He mamae?

He maimoatanga tino angitu te angioplasty, engari ko tōna angitu e whakawhirinaki ana ki ētahi āhuatanga, tae atu ki te kaha o te aukati o ō oko toto, tō hauora whānui, me tō tau. Ma tō tākuta koe e whakamārama taipitopito he aha ngā hua ka puta mai i runga i tō āhua motuhake.

Mō te mamae, kāore koe e tino mamae i te wā e rongoatia ana. Tērā pea ka pāngia koe e ētahi mamae iti:

• He mamae te werohanga o te IV ina whakaurua.
• Te mamae iti e pā ana ki a koe ina werohia te rongoā whakangoikore.
• Tērā pea ka rongo koe i te pēhanga iti, i te mamae rānei i roto i tō uma i te pupuhitanga o te poihau i roto i tō uaua.

E kore rawa koe e rongo i te catheter e haere ana i roto i tō uaua. Ki te pāngia koe e te mamae e kore e taea te whakamutu i te wā e rongoatia ana, me kōrero tonu atu ki tō tākuta.

He mea noa te mataku ina kīia atu me angioplasty koe. Engari he tikanga tino noa, haumaru, angitu hoki tēnei e mahia ana puta noa i te ao. Kaua e wehi ki te pātai ki tō tākuta mō ngā mea kāore koe e mārama, e kore rānei koe e tino mōhio. Kei reira ia hei āwhina i a koe.