I kī atu te tākuta ki a koe kua ngoikore te uaua toto matua e kawe ana i te toto mai i tō ngākau ki tō tinana katoa, ā, he pupuhi kei te pūtake? I kī atu rānei ia me pokanga koe? He mea noa te mataku ina rongo koe i tētahi mea pēnei. Engari he pokanga tino nui tēnei ka taea te whakaora i tō ora. I tēnei rā, ka kōrero tātou mō te tikanga o tēnei pokanga Whakakapinga Pūtake Aorta, me pēhea te mahi, me ngā mea katoa e hiahia ana koe ki te mōhio mōna.

He aha te whakakapinga pakiaka aorta?

Ko te oko toto nui rawa atu, ko te oko toto nui rawa atu hoki o te tinana, ko te aorta, e hono ana ki tō tātou ngākau. Ko te wāhanga tuatahi o tēnei aorta e hono ana ki te ngākau e kiia ana ko te pakiaka aorta. I ētahi wā ka ngoikore te pakitara o tēnei wāhanga, ka tīmata te pupuhi pērā i te poihau. Ka kiia tēnei he aneurysm.

Nō reira, ko te pokanga 'Whakakapinga Pūtake Aorta' ko te tango i te pūtake ngoikore me te pupuhi o te aorta, ka whakakapia ki tētahi awa horihori (graft). Mā tēnei ka ārai i ngā āhuatanga morearea i kōrerotia e au, ā, ka whakaora i tō oranga.

He aha ngā momo matua o tēnei pokanga?

E rua ngā tikanga matua mō tēnei pokanga. Mā tō tākuta e whiriwhiri te tikanga e pai ana mōu i runga i tō āhua.

Ngā wāhanga iti o te pokanga VSRR

E rua ngā tikanga o te pokanga VSRR: ko ngā tikanga a Yacoub me David.

• Te tikanga Yacoub: Ko te mahi tēnei ko te whakahou i te takirere aorta. He pai ake tēnei mō te hunga kaumātua kua pāngia e te aneurysm nā ngā take ehara i te ira.
• Te tikanga a Rawiri: Ko te whakaurunga anō o te takirere aorta tēnei. He uaua ake tēnei i te tikanga a Yacoub, engari he nui ake te whakamahinga. He tino pai mō ngā taiohi he mate ira pēnei i te `Marfan syndrome`.

Ko wai e hiahia ana ki tēnei pokanga, ā, āhea?

Ko te hunga he pūtake aorta pupuhi, ā, kei te mōrearea ki te pakaru, ki te haehae rānei, me mahi i tēnei pokanga. I ētahi wā ka puta tēnei āhuatanga nā ngā huringa e puta ana i te pakeketanga. Waihoki, ko ngā mate ira pēnei i te Marfan syndrome me te Loeys-Dietz syndrome ka taea te whakaputa i tēnei aneurysm morearea i te wā taitamariki.

Ko te tikanga ka tūtohutia te pokanga i runga i te rahi o te aneurysm me ētahi atu āhuatanga mōrearea.

• Mena kāore he mate ira kē atu, he āhuatanga mōrearea rānei, he nui ake te whānui o te aneurysm i te 5.5 henimita .
• Mena kei a koe te Marfan syndrome, he nui ake te whānui i te 5.0 henimita .
• Mena kei a koe te Marfan syndrome, he hītori whānau nō tēnei momo aneurysm, kei te whakamahere koe kia hapu, ki te tere ake rānei te tipu o te aneurysm i te 3 mirimita ia tau, ka tūtohutia pea te pokanga ahakoa he 4.5 henimita te whānui.
• Mena he takirere aorta bicuspid tōu (e rua noa iho ngā cusps) me ētahi atu āhuatanga mōrearea, pērā i te toto toto tiketike, ka tūtohutia pea kia pokangahia he whānui o te 5.0 henimita .

Me pēhea te whakarite i mua i te pokanga?

He pokanga nui tēnei, me tino whakarite. Ka tirotirohia koe e tō tākuta, ā, ka whakahaua e ia ētahi whakamātautau e tika ana.

• Ngā whakamātautau toto: Tirohia te mahi a te whatukuhu.
• Ngā matawai CT, MRI rānei o te ngākau: Tirohia ngā wāhanga katoa o te aorta.
• Angiography coronary: Tirohia te āhua o ngā uaua coronary e tuku toto ana ki te ngākau.
• Uira-orooro takirua: Tirohia te hauora o ngā uaua i te kaki (ngā uaua carotid).

Me kōrero anō hoki koe ki tō tākuta mō ēnei mea:

• Mō ngā rongoā katoa e tangohia ana e koe: Kei roto i tēnei ko ngā huaora me ngā hua otaota. Tērā pea ka hiahiatia kia mutu te tango i ētahi rongoā i mua i te pokanga.
• Mō ētahi atu mate kei a koe: Me whakahaere pai ngā āhuatanga pēnei i te toto toto tiketike i mua i te pokanga.
• Mena he kaipaipa koe: Me mutu rawa te kaipaipa i te iti rawa i te kotahi marama i mua i te pokanga. Pātai atu ki tō tākuta mō te āwhina mō tēnei.

He aha ngā mea ka tupu i te wā o te pokanga, ā, i muri hoki i te pokanga?

I te wā o te pokanga, ka tukuna koe ki raro i te rongoā whakamoe, ā, ka moe rawa koe. Kātahi ka honoa koe ki tētahi mīhini ngākau-pūkahukahu (cardiopulmonary bypass) . Mā tēnei mīhini e mahi te mahi a tō ngākau me ō pūkahukahu i te wā o te pokanga.

Ka tapahia e te taote pokanga he pokanga i waenganui o tō uma, ka uru atu ki tō ngākau, ka tangohia te wāhanga ngoikore o te uaua, ka whakakapia ki tētahi awa horihori hou (tāpiri). Kātahi ka honoa ngā uaua ngakau e tuku toto ana ki te ngākau ki te awa hou, ā, ka tuia te tapahi kia kati. Ko te tikanga ka roa tēnei pokanga i waenga i te 4 me te 6 hāora .

I muri i te pokanga, me noho koe ki te wāhanga tiaki nui (ICU) mō ētahi rā. Kātahi ka whakawhitia koe ki tētahi wāhanga noa. Tērā pea ka roa te noho hōhipera katoa mō te wiki. I roto i tēnei wā, ka hoatu ki a koe ngā rongoā whakamamae mamae, ngā rongoā whakaheke toto, me ētahi atu maimoatanga e tika ana.

Kia pēhea te roa o te wā e ora ai?

E ono ki te tekau mā rua wiki pea, e rua ki te toru marama pea, hei whakaora katoa i tēnei pokanga. He pokanga nui tēnei, nō reira me hoatu he wā ki tō tinana kia ora ai.

• Mō ngā wiki e 6: Kaua e taraiwa, kaua hoki e hiki i ngā taonga taumaha.
• Mō tētahi mahi tari: Ka taea e koe te hoki mai i roto i te 6-8 wiki pea.
• Mō tētahi mahi e uaua ana te tinana: Me roa ake tō tatari.

Mā te whai i ngā tohutohu a tō tākuta me te whai wāhi atu ki ngā kaupapa whakaora ngākau ka tino āwhina i te tere o te ora.

Āhea te wā tika kia kite tonu i te tākuta

I muri i te hokinga ki te kāinga, ki te puta mai tētahi o ngā tohu e whai ake nei i a koe , waea atu ki tō tākuta tonu atu.

Me pēhea te mōhio ki tētahi āhuatanga ohorere?

Mena he aneurysm tōu kāore anō kia rongoatia, ko ngā tohu e whai ake nei he tohu pea kua pakaru, kua pakaru rānei. Mēnā he pēnei , haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera tata, waea atu rānei ki te ratonga waka tūroro 1990.

• Te mamae ohorere, te mamae e kore e taea te whakamanawanui i te uma, i te tuara rānei o runga (te āhua e haehaetia ana tetahi mea i roto i te tinana).
• Te werawera me te mākūkū.
• Te uaua ki te manawa.
• Pōuriuri , ngoikore rānei.
• Te tere o te manawa o te ngakau.