Kua āraia ō uaua ngākau? Me ako tātou mō te Angioplasty i roto i ngā kupu māmā noa iho

Whakaarohia ngā uaua toto e kawe ana i te toto ki tō ngākau, ki tō roro, me ō ringaringa, he rite ki ngā rori. I roto i te wā, ka kapi ēnei rori i ngā putunga ngako pērā i te cholesterol , ka taea te whakawhāiti i ngā uaua toto mai i roto, pērā i te aukati i te rori. Ka kiia tēnei he atherosclerosis . Ina kapi ngā uaua toto pēnei, ka puta ngā āhuatanga kino pērā i te mamae o te uma , te mate ngakau , me te whiu . Nō reira, he maimoatanga tino nui te angioplasty hei whakatuwhera anō i tētahi uaua toto kua purua, hei whakaora anō hoki i te rere o te toto .

He aha tonu te Angioplasty?

I te whakarapopototanga, he tikanga te angioplasty e whakauru ana i tētahi ngongo iti ( catheter ) ki roto i tētahi uaua kua āraia, me te kore he pokanga nui, ā, ka tukuna te toto kia rere noa. Ko te tikanga, ka pupuhihia he poihau iti ki te pito o te ngongo i te wāhi i āraia ai. Ka panaia te paraka (ngā putunga ngako) i runga i te pakitara o te uaua, ka whakatuwherahia anō te uaua.

He tikanga iti rawa te whakaekenga o tēnei ki te whakatauritea ki ngā pokanga nui pērā i te pokanga whakawhiti. Nō reira, he iti ngā mōrearea, ā, he poto te wā whakaora. He mea nui te hauora o te ngākau me ngā oko toto mō te hauora o te tinana katoa. Nō reira, he mea tika tēnei maimoatanga hei ārai i ngā raruraru nui pērā i te mate ngākau me te whiu.

He aha ngā momo me ngā tikanga o te angioplasty?

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

• Angioplasty o te Arteri Koronari: He maimoatanga tēnei mō ngā oko toto matua e tuku toto ana ki te ngākau. Ka kiia ēnei e mātou ko ngā oko toto koroneri. Ko tētahi atu ingoa mō tēnei maimoatanga ko `(Percutaneous Coronary Intervention – PCI)`.
• Angioplasty o te Arteri Peripheral: E pā ana tēnei ki te maimoatanga o ngā uaua 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 tikanga hei whakahaere i tēnei maimoatanga:

• Te Angioplasty Poihau:Koinei te tikanga e whakamahia whānuitia ana. E ai ki te kōrero i mua ake nei, ka whakawhanuitia te uaua mā te pupuhi i tētahi poihau iti.
• Angioplasty me te Stenting: I muri i te whakawhanuitanga o te uaua toto ki te poihau, ka whakanohoia he ngongo mata iti (e kiia nei ko te stent ) ki roto i te uaua toto kia noho tuwhera tonu ai. Ka tino whakaitihia te tūponotanga o te whaiti anō o te uaua toto.
• Angioplasty Taiaho Excimer: Hei utu mō te poihau, ka whakamahia he hihi taiaho hei whakarewa me te tango i te paraka ngako i roto i te uaua. Heoi, he iti ake te whakamahinga o tēnei tikanga i te tikanga poihau.

Āhea te wā e hiahiatia ai te angioplasty?

Kei raro nei ētahi o ngā āhuatanga e hiahia ana koe ki te angioplasty. Mena kei a koe tētahi o ēnei āhuatanga, ka tūtohu pea tō tākuta i tēnei maimoatanga.

Me pēhea te whakarite i mua i te maimoatanga?

Mā tō tākuta koe e tohutohu mārama mō te whakarite mō tēnei. Ko te tikanga, me aro koe ki ēnei mea:

• Ka tonoa koe kia kaua e kai, e inu rānei (nohopuku) mō te 8 hāora i mua i te maimoatanga. He pai te inu wai.
• Me kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe, inā koa ngā rongoā ārai toto . Tērā pea ka tono ia kia mutu te tango i aua rongoā mō ētahi rā.
• Me kōrero ki tō tākuta mēnā kua pāngia koe e te mate pāwera ki te tae whakawehewehe, ki ngā rongoā whakamoe rānei i whakamahia i roto i ngā hihi-X o mua.
• Me whakamōhio atu hoki koe ki a rātou mēnā kei te hapu koe .
• Ko te mea nui rawa atu, kāore e taea e koe te taraiwa i te rā o te maimoatanga. Nō reira, ki te hoki koe ki te kāinga i taua rā anō, me whakarite koe kia haria koe e tetahi ki te kāinga . Me noho pea koe ki te hōhipera mō te pō.

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

Kāore he mea hei manukanuka. Koinei ngā mahi e mahia ana i te nuinga o te wā:

1. Ka hoatu he kākahu hōhipera hei kakahu māu, ā, ka meinga koe kia takoto ki runga i tētahi tēpu motuhake.

2. Ka hoatu he rongoā whakamoe ki a koe mā te raina IV hei whakamoe māmā i a koe, engari ka mōhio tonu koe ki te whai i ngā tohutohu.

3. I te roanga o te maimoatanga, ka aroturukihia e ngā mīhini ngā mea pēnei i te tere o tō manawa me ngā taumata hāora.

4. Ka whakangāwarihia te wāhi e werohia ana te catheter (te nuinga o te wā ko te hope, ko te ringa rānei) mā te rongoā whakamoe ā-rohe . Nō reira, kāore koe e mamae. Tērā pea ka paku pēhia koe.

5. Ka whakaurua e te tākuta tētahi oko toto ki roto i te ngira, ā, ka whakaurua he ngongo (pūkahu) mā roto.

6. Kātahi ka tukuna te waea me te catheter mā roto i tēnei ngongo ki te uaua toto e hiahiatia ana. I tēnei wā, ka huri te mīhini hihi-X (fluoroscopy) ki a koe, hei āwhina i te tākuta kia kite i te ara o te ngongo mai i ngā taha katoa.

7. Kia tae ki te aukati, ka werohia he tae motuhake (tae rerekē) mā roto i te ngongo. Mā te hihi-X ka mārama te whakaatu i te toto e rere ana i roto i te uaua. I tēnei wā, tera pea ka rongo koe i te mahana, ka hiahia rānei koe ki te mimi mō ētahi hēkona.Ka taea e koe te haere mai. He mea noa tēnā.

8. Kia kitea te wāhi tuturu o te aukati, ka tukuna he waea iti mā roto, ā, ka tukuna he catheter me te ngongo i runga.

9. Kātahi ka pupuhi te poihau mō ētahi hēkona . Me mahi pea tēnei i ētahi wā.

10. Ka tangohia anō he hihi-X kia kite ai me pēhea te pai ake o te rere o te toto.

11. He maha ngā wā, ka whakatakotoria he stent, e ai ki te kōrero i mua ake nei, ki taua wāhi . Ka āwhina tēnei stent ki te pupuri i te uaua kia tuwhera ahakoa kua tangohia te poihau.

Kia oti te maimoatanga, ka tangohia e te tākuta te catheter, ka tāpirihia he takai ki te wāhi i werohia ai, ka puritia mō tētahi wā hei whakamutu i te toto. Mena i werohia te catheter mā roto i te hope, me takoto koe ki te moenga mō ētahi haora.

He tūponotanga kei roto i tēnei maimoatanga?

Pērā i ngā tikanga hauora katoa, he mōrearea ētahi o te angioplasty. Heoi, he onge ngā raruraru nui. He mea whakaaro nui kia mahia tēnei tikanga i tētahi pokapū nui me ngā tākuta mātau e mahi pinepine ana i tēnei tikanga.

Ngā tūponotanga pea:

• Te toto, te mamae, te mate rānei i te wāhi i whakaurua ai te katitere.
• He mate pāwera ki te tae, ki te rongoā whakangote rānei i whakamahia.
• Te kino ki ngā oko toto, ki ngā whatukuhu rānei.
• Te hanganga o ngā toto totoka.
• Te pāorooro o te ngakau rerekē (arrhythmia).
• Ki te kore he stent e whakanohoia, ka āraia anō te uaua.
• He tino onge pea te pā mai o te mate manawa, te whiu rānei.

Ko te hunga neke atu i te 65 tau te pakeke, te hunga he mate tākihi, te hunga rānei he aukati i roto i ngā oko toto maha, tera pea ka paku teitei ake te tūponotanga ki te whakawhanake i ngā raruraru.

Te wā whakaora me te wā hei toro atu ki te tākuta

Me noho koe ki te hōhipera mō ētahi hāora, mō te pō rānei i muri i te maimoatanga. Tērā pea ka paku ngenge koe ina hoki koe ki te kāinga. Kia nui te okiokinga, me te inu i te nui o te wai . Ka tohutohu tō tākuta kia kaua e mahi i ngā mahi uaua mō ētahi rā. Tērā pea ka paku maru, ka ngawari hoki te patunga i whakaurua ai te catheter mō te wiki pea.

Tērā pea ka taea e koe te hoki ki te mahi me te taraiwa i roto i te wiki. Heoi, ka rerekē pea tēnei i runga i te āhua o te maimoatanga i whiwhi koe. Pātai atu ki tō tākuta mō tēnā.

Mena kei a koe ēnei tohu, waea atu ki tō tākuta tonu:

• Mena kei te toto te wāhi i werohia ai te katitere, kei te āhua pangia rānei (whero, pupuhi, kī tonu i te pupuhi).
• Ki te rerekē te tae o taua waewae .
• Mena ka pāngia koe e te mamae nui, e te wera rānei i taua wāhi.
• Ki te mamae tō uma, ki te uaua rānei te manawa, haere tonu ki te Tari Urupare (ETU) o te hōhipera.

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