Me ako tātou mō te Whakatikatika i te Takirere Aorta.

Whakaarohia tō ngākau he whare e whā ngā rūma. He tatau kei waenganui i ēnei rūma e taea ai e te toto te rere whakamuri, whakamuri. Ko tētahi 'tatau' nui o te ngākau ko te Aortic Valve. Koinei te kuaha e whakahaere ana i te rere o te toto mai i te ngākau ki te uaua matua (Aorta) e kawe ana i te toto ki te tinana katoa. Ka tuwhera, ka kati tēnei kuaha i ia pao o te ngakau. Nā, whakaarohia, he aha te mea ka tupu mēnā ka pakaru tetahi mea i roto i tēnei kuaha? Koinā te wā ka tīmata ai ngā raruraru.

He aha te Whakatikatika i te Takirere Aorta?

Ko te whakatikatika i te takirere aorta he momo pokanga ngākau e uru ana ki te whakatika i tētahi hapa i te kuaha matua o te ngākau, te takirere aorta, i kōrerotia i runga ake nei, me te whakahoki anō i taua hapa ki te mahi tika.

Whakaarohia mēnā kāore e taea e koe te kati tika i te tatau o tō whare. Waihoki, kāore te takirere aorta o ētahi tāngata e kati tika, ā, ka tīmata te turuturu o te toto (aortic regurgitation) . I roto i te pūtaiao hauora, ka kiia tēnei ko te aortic regurgitation . Ina tupu tēnei, ka turuturu ētahi o te toto e tika ana kia haere mai i te ngākau ki te tinana ki roto i te ngākau. Kātahi ka kaha ake te mahi a te ngākau ki te pupuhi i te nui o te toto e hiahiatia ana e te tinana katoa. Ina tupu tēnei i roto i te wā, ka pakaru pea te ngākau. Koia te take me pokanga te hunga e pāngia ana e te aortic regurgitation kino me te hunga e pāngia ana e ngā tohu hei whakatika, hei whakakapi rānei i tēnei takirere.

I te nuinga o te wā, ka whakakapia tēnei takirere e ngā tākuta ki tētahi mea hou rawa. Heoi, ka taea e ētahi tūroro te whakatika me te whakamahi i ā rātou ake takirere. Kāore e taea tēnei e te katoa. He maha ngā āhuatanga e whakaarohia ana e ngā taote pokanga ina whiriwhiria ana tētahi tangata mō tēnei pokanga. Ka whakatau te tākuta mēnā he pai ake māu te whakatika i te takirere, te whakauru rānei i tētahi mea hou, i runga i ngā āhuatanga maha, pērā i te āhua o tō takirere me te nui o te kino.

Me aha koe i mua i te pokanga?

I te wā e whakarite ana mō te pokanga, ko te mea nui ko te whakahaere i ngā whakamātautau i mua i te pokanga. Me tino mōhio te taote pokanga mēnā ka taea te whakatika i tō takirere aorta. Mena kua tino pakaru ngā wāhanga takirere, he pai ake pea te tāuta i tētahi takirere hou kaua e whakatika.

Ko te whakamātautau matua mō tēnei ko te Transesophageal Echocardiogram (TEE) . Ko te whakauru i tētahi ngongo iti kei roto he kāmera ki raro i tō korokoro hei tango pikitia mārama, tata hoki o tō ngākau. Mā tēnei ka taea e tō tākuta te tirotiro pai i te āhua o te takirere me ētahi atu wāhanga o tō ngākau.

Haunga tēnei whakamātautau TEE, me mahi anō hoki koe i ētahi atu whakamātautau.

Ka hoatu e tō tākuta he tohutohu mārama ki a koe mō te whakarite mō te pokanga. He mea tino nui kia whai tika koe i aua tohutohu. Mena he mea kāore koe e mārama, pātai atu ki tō tākuta, ki tō nēhi rānei. Kei roto pea i aua tohutohu ngā mea penei:

• Te wā ki te mutu kai me te inu i mua i te pokanga.
• Me mutu rānei te tango i tētahi o ngā rongoā e tangohia ana e koe mō tētahi wā.
• Kua tae ki te wā ki te haere mai ki te hōhipera mō te pokanga.
• He aha ngā mea hei kawe mai ki te hōhipera, me ngā mea hei waiho ki te kāinga.

Me pēhea te mahi i te pokanga?

Ko te pokanga whakatika takirere aorta he mahi pokanga ngākau tuwhera . Arā, ka mahia te pokanga mā te tapahi nui kotahi i waenganui o te uma. Heoi, i ētahi wā, ka mahia te pokanga mā roto i ngā tapahi iti ake (pokanga iti rawa te whakaekenga).Ka taea hoki tēnei te mahi i tētahi atu huarahi. Ka mahia te pokanga mā te hanga i ētahi tapahi iti ki te uma. Mā te taote pokanga koe e kī ko tēhea te tikanga pai mōu.

Koinei ngā mahi e mahia ai te pokanga i te nuinga o te wā:

1. Whakamoe: Tuatahi, ka hoatu he rongoā ki a koe hei whakamoe i a koe kia moe rawa. Nō reira, kāore koe e rongo i tetahi mea, i tetahi mamae rānei i te wā o te pokanga.

2. Te tapahi: Muri iho, ka tapahia e te taote pokanga tētahi, neke atu rānei, ngā tapahi ki te uma kia tae atu ai ki te ngākau. I roto i te pokanga tuwhera, ka tapahia he tapahi e 6 inihi te roa i waenganui o te wheua uma ( sternum ).

3. Hononga ki tētahi mīhini ngākau-pūkahukahu: I te wā o te pokanga, ka honoa koe ki tētahi mīhini ngākau-pūkahukahu hei mahi i ngā mahi a tō ngākau me ō pūkahukahu. Ka rere te toto i roto i tō tinana mā tēnei mīhini, ā, ka tāpirihia te hāora ki te toto.

4. Te whakatikatika i te takirere: Kātahi ka whakatikahia e te taote tō takirere aorta. Ka rerekē te huarahi e mahia ai tēnei i ia tangata, i ia tangata. Ka whakawhirinaki ki te āhua o tō takirere me te kino o taua mea. Hei tauira, ko te annuloplasty he tikanga e whakapakari ana i te turanga (mowhiti) o te takirere, ā, ka taea ai e te takirere te kati tika. Ka whakamahia hoki ngā tikanga maha, pērā i te whakarerekē i te āhua o ngā rau o te takirere me te tāpiri i ngā wahi kiko ki ngā kōhao, ki ngā haehae rānei i roto.

5. Te whakatika i ētahi atu raruraru: Mena he raruraru anō kei te ngākau, kei te aorta rānei i tēnei wā, hei tauira, he aneurysm , ka whakatikahia hoki i te wā o tēnei pokanga.

6. Te whakaoti i te pokanga: Kia oti ngā whakatikatika katoa e tika ana, ka kati te taote pokanga i ngā tapahi ka tuitui. Kātahi ka haria koe e te tīma hauora ki te rūma whakaora.

He aha ngā mea ka tupu i muri i te pokanga?

I muri i te pokanga, ka noho koe ki te hōhipera mō te toru ki te whitu rā. I tēnei wā, ka tirotirohia koe e ngā tīma hauora me ngā tīma nēhi. Ka tirohia e rātou mēnā kei te pai tō whakaoranga. Ka āwhina rātou i a koe ki te hikoi me te neke haere.

I mua i tō hokinga ki te kāinga, ka kōrerotia atu ki a koe ngā kaupapa whakaora ngākau . Ka tino āwhina ēnei i tō tukanga whakaora.

He aha ngā painga o tēnei pokanga?

Ko te painga matua o te pokanga whakatika takirere aorta ko te pupuri i tō ake takirere tūturu. Mā tēnei ka āwhina i a koe ki te karo i ētahi o ngā mōrearea e pā ana ki te whai takirere hou. Ina koa, ka āwhina i a koe ki te karo i te hiahia ki te tango i ngā rongoā ārai toto mō te toenga o tō oranga. Ka kōrero atu tō tākuta ki a koe mō ngā painga o tēnei pokanga, i runga i tō āhuatanga.

He aha ngā mōrearea o te pokanga?

Ko te raruraru matua ka puta ko te hiahia kia pokanga anō . He maha ngā take e puta ai tēnei:

• Te turuturu o te toto mai i te takirere ahakoa i muri i te pokanga ( te regurgitation aortic e hoki mai ana ).
• Te mate o te takirere ( endocarditis ).
• Kāore ngā wāhanga o te takirere kua whakatikatikaina e mahi ana pērā i te mea e tumanakohia ana.

Haunga ēnei, he maha ngā tūponotanga noa ka puta i te wā e pokanga ana i te takirere aorta:

• Te manawataki o te ngakau rerekē ( arrhythmia )
• Mate pāwera ki ngā rongoā whakangote
• Te toto nui rawa
• Te whakaekenga o te ngakau
• Te ngoikore o te ngākau
• Whiu

He rerekē te taumata mōrearea o ia tangata. Ka kōrero tō taote pokanga ki a koe mō ō mōrearea i mua i te pokanga. He mea nui kia mārama koe ki ngā raruraru katoa ka pā ki a koe, me pēhea hoki e pā ai ki a koe. Me pātai atu mēnā he mea kāore koe e mārama. Ko te hunga he nui ngā raruraru hauora i mua i te pokanga (hei tauira, te ngoikore o te ngākau), tera pea he nui ake ngā mōrearea.

Kia pēhea te roa o te wā e ora ai?

E whā ki te waru wiki pea te roa o tō whakaoranga katoa i te pokanga. Mēnā he iti noa te pokanga i mahia ki a koe, tera pea ka poto ake tō wā whakaora.

He mea noa te ngenge mō ētahi wiki i muri i te pokanga. He mea nui kia okioki . Kaua e mahi nui rawa i te wā kotahi. Mā tō tākuta koe e kī atu āhea te wā haumaru mōu ki te hoki anō ki ngā mahi noa (pēnei i te taraiwa, te haere rānei ki te mahi). Mā te whai wāhi atu ki ngā kaupapa whakaora ngākau ka āwhina i a koe kia taunga ki te oranga hauora me te hoki ora anō me te haumaru.

Ki te pā mai ēnei tohu ki a koe, waea atu ki tō tākuta tonu!

He mea tino nui kia whakamōhio tonu atu koe ki tō tākuta mēnā ka puta he tohu o ngā raruraru i muri i tō hokinga ki te kāinga i te pokanga. Kia tūpato ki ngā tohu e whai ake nei:

He iti noa atu ngā mea nui hei mōhio

He iti ake te auau o te pokanga whakatika takirere aorta i te pokanga whakakapi takirere aorta. Inaa, he iti iho i te 5% o ngā pokanga takirere aorta he pokanga whakatika. Ko te take matua mō tēnei he pokanga tino motuhake, he pokanga uaua hoki. Nō reira, kāore tēnei pokanga e mahia i roto i ngā hōhipera katoa, i ngā taote pokanga katoa rānei.

Ka rongoatia e tēnei pokanga tētahi āhuatanga e kiia nei ko te aortic regurgitation (he takirere turuturu) . I ētahi wā, ka taea te whakakapi i te pakiaka aortic e tiaki ana i te takirere.Ka mahia hoki tēnei whakatikatika takirere hei wāhanga o tētahi pokanga e kiia nei ko te whakatikatika aneurysm aortic. Kei roto i tēnei ko te whakatika me te tiaki i tō ake takirere me te rongoā i te pupuhi (aneurysm) i te wāhanga matua o te aorta e hono ana ki tō ngākau.

He mea noa te mataku me te manukanuka nā te mea he pokanga nui tēnei. Engari kia maumahara, ina mahia tēnei pokanga e te taote pokanga mātau, ka whiwhi tō ngākau i te tiaki e hiahiatia ana kia pai ake ai te mahi me te kaha ake i te wā roa. I a koe e whakarite ana mō te pokanga, kōrerohia ō pātai me ō āwangawanga ki tō tīma hauora. Mā rātou e whakamārama ngā mea katoa ki a koe.