E mōhio ana koe, he rite tō tātou ngākau ki te papu e mahi tino pai ana. I roto i tēnei papu, he tatau iti hei āwhina i te rere o te toto ki te taha kotahi anake. Ka karangatia ēnei takirere ngākau. I ētahi wā, kāore e taea e ēnei tatau te kati tika, ā, ka taea te whakatuwhera paku. Kātahi, hei utu mō te anga whakamua, ka tīmata te toto ki te turuturu whakamuri. Nā tēnei āhuatanga, ka tere te ngenge me te uaua ki te manawa. Nō reira, anei tētahi pokanga motuhake hei whakatika i tētahi takirere turuturu, e karangatia ana ko te Annuloplasty.
He aha te Annuloplasty?
He pokanga te annuloplasty hei whakatika, hei whakapakari rānei i tētahi takirere i roto i te ngākau. Whakaarohia he paku wetekina te tatau o tō whare, ā, kāore e taea te kati tika. Kātahi ka whakatakotoria he anga huri noa i te tatau, ka whakau. He rite tonu ki tēnei.
I te wā o te pokanga, ka whakatakotoria e ngā tākuta he mowhiti motuhake, he here rānei, huri noa i te porowhita o te takirere o te ngākau, ā, ka whakau. Mā tēnei ka kati anō te takirere, i wetekina, i turuturu hoki i mua. Mā tēnei ka aukati i te rere whakamuri o te toto, ā, ka hoki anō te mahi a te ngākau ki te āhua noa.
Ko te whāinga matua o tēnei pokanga he aukati i te rere o te toto ki muri (te ruaki o te takirere) me te āwhina i te manawa ki te pupuhi toto puta noa i te tinana me te kore he aukati.
He aha te āhua o tēnei mea e kiia nei ko te Mowhiti Annuloplasty?
He taputapu motuhake tēnei e whakanohoia ana ki te taha o te takirere. Ka taea te hanga ki te mata, ki te whakarewa, ki te kirihou rānei. Kua hangaia tēnei mowhiti kia rite ki te nekehanga ā-taiao me te ngāwari o te takirere ngākau. I muri i te pokanga, he mea e noho tonu ana i roto i te tinana mō te oranga katoa. I roto i te wā, ka tipu te kiko o tō tātou ngākau ki te taha o tēnei mowhiti, ā, ka noho hei wāhanga o te ngākau tonu. Mā tēnei ka nui te tautoko i te takirere kia tuwhera me te kati tika.
Ko wai e hiahia ana ki tēnei pokanga?
Ko tēnei maimoatanga e taunakitia ana mō te hunga whai mate e kiia nei ko te regurgitation valve. Ka taea te mahi i tēnei pokanga ki tētahi o ngā takirere matua e whā o te ngākau.
- Te whakatikatika i te takirere mitral: Te whakatikatika i te takirere mitral.
- Aortic valve annuloplasty: Whakatikatika i te aortic valve.
- Te pokanga pokanga o te takirere pūkahukahu: Te whakatikatika i te takirere pūkahukahu.
- Te whakatikatika i te takirere tricuspid: Te whakatikatika i te takirere tricuspid.
He aha te rerekētanga i waenga i te Annuloplasty me te Valvuloplasty?
Ahakoa he maimoatanga ēnei e rua mō ngā takirere ngākau, e rua ngā kaupapa o ēnei e rua. Tirohia tēnei ripanga, ka mārama ngāwari koe.
| Te maimoatanga | He aha te momo āhuatanga kei roto koe? |
|---|---|
| Whakakorenga o te tākihi | Whakakīia te takirere e turuturu ana , ka kati tika. |
| Te Valvuloplasty | Hei whakawhanui i te takirere whaiti/uaua , hei whakahaere hoki i te rere o te toto. |
Ehara i te mea ko te annuloplasty anake te maimoatanga mō te turuturu o te takirere. I ētahi wā, ka taea te whakamahi i tētahi topenga, pērā i te MitraClip®, e whakaurua ana mā roto i tētahi tapahi iti, hei hiri i te takirere. Mā tō tākuta ngakau e whakatau ko tēhea maimoatanga te mea pai mōu.
He aha ngā mea ka tupu i mua atu, ā, i te wā o te pokanga?
Mā tō tākuta koe e hoatu ki a koe ngā tohutohu katoa e hiahiatia ana e koe i mua i te pokanga. I te nuinga o te wā, kāore koe e whakaaetia kia kai, kia inu rānei i tetahi mea i te pō i mua i te pokanga (nohopuku). Mena kei te tango koe i ētahi rongoā motuhake, pērā i ngā rongoā ārai toto, me kōrero koe ki tō tākuta mō tēnā. I runga anō i ngā tohutohu a tō tākuta, me mutu pea te tango i ēnei rongoā mō tētahi wā poto i mua i te pokanga.
Mā ngā taote ngakau te pokanga e mahi. Ka hoatu he rongoā whakamoe whānui ki a koe, kia kore ai koe e rongo i tetahi mea i te wā e pokangahia ana. E rua ngā tikanga matua mō te mahi i te pokanga.
| Tikanga pokanga | He aha te mea e tupu ana? |
|---|---|
| Pokanga ngākau tuwhera | Ka tapahia he tapahi nui kotahi ki te uma, kia tika ai te uru atu ki te ngākau, kātahi ka whakaurua te mowhiti Annuloplasty. Kātahi ka tuituia te tapahi ki ngā tuitui. |
| Pokanga iti rawa te whakaekenga | He maha ngā tapahi iti ka mahia ki te uma. Ka whakauruhia he ngongo iti me te kāmera (endoscope) mā roto, ā, ka whakauruhia te mowhiti mā te whakamahi i ngā taputapu motuhake i a koe e titiro ana ki te aroturuki. |
Kia pēhea te roa o te wā e ora ai i muri i te pokanga?
I muri i te pokanga, ka puritia koe ki tētahi wāhi whakaora mō ētahi hāora i mua i te whakawhiti ki te wāhanga. Mena i pokangahia koe i roto i tētahi, e rua rānei ngā rā, ka taea e koe te hoki ki te kāinga. Heoi, ki te mea i pokangahia tō ngākau tuwhera, me noho pea koe ki te hōhipera mō ngā rā e 5-7.
Ko te wā whakaora i muri i te hokinga ki te kāinga e whakawhirinaki ana ki te momo pokanga i mahia ki a koe me tō hauora tinana.
- Me tino karo koe i ngā mahi uaua mō te iti rawa i te wiki .
- Ka taea e koe te hoki ki te mahi i roto i te wiki, i ngā wiki e rua rānei i muri i te pokanga. Heoi, ki te mea he mahi āu e hiahia ana ki te hiki taumaha, ki te whakapau kaha rānei, ka roa ake pea te wā.
- Ka hoatu e tō tākuta he tohutohu tika ki a koe mō te roa o te wā me okioki koe me te wā ka taea e koe te tīmata anō ki te mahi.
Āhea te wā tika kia kite tonu i te tākuta
Ina hoki koe ki te kāinga i muri i te pokanga, me tino tiaki koe i tō tinana. Kia tūpato ki ngā mea rerekē. Mena ka pāngia koe e tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu. Mena he kino rawa ō tohu, haere ki te Tari Ohotata (ETU) o te hōhipera tata.
| Ngā tohu whakatūpato hei tirotiro māu |
|---|
| - Te mamae o te uma, te kikī rānei (angina) |
| - Te whanoke, te ngaro rānei o te māramatanga (syncope) |
| - Kei te pāngia koe e te kirika, e te makariri rānei |
| - Whakapairuaki, ruaki rānei |
| - Te pupuhi, te mamae tonu rānei i te wāhi i pokangahia |
He tikanga haumaru, he tikanga angitu hoki te annuloplasty i te nuinga o ngā wā. Pērā i ngā pokanga katoa, he iti noa ngā tūponotanga (pērā i te mate me te toto). Kaua e manukanuka. Mā tō tākuta koe e whakamārama mārama i ngā tūponotanga i runga i tō āhuatanga.
Karere Tangohia ki te Kāinga
- Ko te annuloplasty he pokanga hei whakatika i te takirere ngākau e turuturu ana.
- I roto i tēnei, ka whakanohoia he mowhiti motuhake ki te taha o te takirere, hei whakatikatika kia tika ai te kati.
- Ka taea tēnei pokanga te mahi hei pokanga ngākau tuwhera, mā te whakamahi rānei i ngā tapahi iti.
- Ko te roa o te whakaoranga me te noho hōhipera e whakawhirinaki ana ki te momo pokanga i mahia ki a koe.
- Ka roa te mau o te mowhiti annuloplasty mō te wa katoa, ā, kāore e hiahiatia kia whakakapia.
- Mena ka pāngia koe e ētahi tohu rerekē i muri i te pokanga, kaua e mangere ki te whakamōhio tonu atu ki tō tākuta.
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