I ētahi wā, ka kī atu pea tō tākuta he turuturu iti tōu i roto i tētahi o ō takirere ngākau. He mea noa te mataku me te manukanuka ina rongo koe i tētahi mea pēnei. Kaua e manukanuka, i tēnei rā ka kōrero tātou mō tēnei āhuatanga me te pokanga motuhake e mahia ana mōna, arā, ko te Whakatikatika Takirere Aortic. He aha rawa tēnei? Me pēhea te mahi? He aha ngā painga me ngā huakore? Ka kōrerohia e tātou ēnei mea katoa i roto i te huarahi māmā noa iho, i roto i te huarahi e mārama ai koe.
He aha te Whakatikatika i te Takirere Aorta?
He kupu ngāwari tēnei, he momo pokanga ngākau. Ka mahia tēnei pokanga hei whakapūmau i te "tatau" i waenganui i te uaua toto matua (aorta) e kawe ana i te toto mai i te ngākau ki te toenga o te tinana, kia tika ai te mahi a te ngākau. Ka karangatia tēnei tatau ko te takirere aorta. Hei whakamārama, he takirere tēnei. Ka huaki, ka kati tēnei takirere i ia wā e pā ana te ngākau, hei whakahaere i te rere o te toto.
Whakaarohia te mea ka tupu mēnā kāore e taea te kati tika i te tatau o tō whare? Waihoki, ina pakaru tēnei takirere, kāore e tuwhera, e kati tika rānei. Mō ētahi tāngata, ka tīmata te turuturu o tēnei takirere. I roto i te rongoā, ka kiia tēnei ko te ruakitanga o te aorta . Ko te mea ka tupu i tēnei take, nā te mea kāore te takirere e kati katoa, ka turuturu anō ētahi o te toto e tika ana kia haere ki te tinana ki roto i te ngākau. Ka aha te mea ka tupu? Me kaha ake te mahi a te ngākau ki te pupuhi i te nui o te toto e hiahiatia ana e te tinana. Ina tupu tēnei i roto i te wā, ka pakaru pea te ngākau.
Ina tino turuturu te takirere, ā, ka puta ngā tohu, kātahi ka tūtohu ngā tākuta kia pokangahia hei whakatika, hei whakakapi rānei i te takirere.
I te nuinga o te wā, ka whakakapia te takirere ki tētahi mea hou. Heoi, tera pea ētahi tūroro e whai hua nui ana mā te whakatikatika i tā rātou takirere. Ka whakatauhia tēnei e ngā taote pokanga i runga i ia take, i ia take. Ka whakaarohia e tō tākuta he maha ngā āhuatanga, tae atu ki te āhua o tō takirere me te nui o te kino, hei whakatau mēnā he whakatikatika, he whakakapinga rānei te takirere e pai ana māu.
He aha ngā mea ka tupu i mua i te pokanga?
Ko te mea nui rawa atu i te wā e whakarite ana mō te pokanga ko ngā whakamātautau i mahia i mua. E hiahia ana te taote pokanga kia tino mohio kei roto tō takirere i te āhua e taea ai te whakatika. Mena kua tino pakaru ētahi wāhanga, he pai ake pea te whakakapi i te takirere ki tētahi mea hou, kaua e whakatika. He maha ngā whakamātautau matua me mahi e koe hei āwhina i a koe ki tēnei.
| Whakamātautau | Hei whakarāpopototanga... |
|---|---|
| Te Echocardiogram Transesophageal (TEE) | Te tuku i tētahi kāmera iti mā roto i te korokoro hei tiki i ngā whakaahua tino mārama, tata hoki o te manawa me ngā takirere. |
| Te Tātaritanga o te Ngākau | He whakamātautau hei tirotiro mō ngā aukati i roto i ngā oko toto e anga atu ana ki te ngākau. |
| X-ray o te uma | Te tirotiro i te āhua whānui o te ngākau me ngā pukahukahu. |
| Matawai CT | Te tiki whakaahua 3D taipitopito o te ngākau me ngā uaua toto nui. |
| E.C.G. (EKG/ECG) | Te tuhi i ngā mahi hiko o te ngākau. |
| Ngā whakamātautau toto me te mimi | Te tirotiro i te hauora whānui o te tinana me te mahi a ngā whekau pēnei i ngā whatukuhu. |
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 anō. Kei roto pea i ēnei tohutohu ngā mea penei:
- Te wā ki te mutu kai me te inu i mua i te pokanga.
- He aha ngā rongoā e hiahiatia ana e koe hei whakamutu i te tango mō te wā poto?
- Kua tae ki te wā ki te haere mai ki te hōhipera mō te pokanga.
- Ngā mea hei kawe ki te hōhipera, me ngā mea hei waiho ki te kāinga.
Me pēhea te mahi i te pokanga?
Ko te tikanga o tēnei pokanga he pokanga ngākau tuwhera , arā, he tapahi roa kotahi ka mahia ki waenganui o te uma. Heoi, i ētahi wā, ka taea hoki te mahi hei pokanga iti rawa te whakaekenga , arā, he torutoru noa ngā tapahi iti i roto i te uma. Mā tō taote pokanga koe e whakamārama ko tēhea te tikanga pai mōu.
Anei ngā mahi e mahia ai te pokanga i te nuinga o te wā:
1. Tuatahi, ka hoatu he rongoā whakamoe ki a koe kia moe hohonu ai koe kia kore ai koe e mamae i te wā e pokangahia ana.
2. Muri iho, ka tapahia e te taote pokanga tētahi, ētahi tapahi rānei i roto i te uma kia tae atu ai ki te ngākau. Tērā pea he tapahi e ono inihi te roa (sternotomi) mā waenganui o te wheua uma (sternum). Tērā pea he tapahi e rua ki te whā inihi te roa, kāore e whakatuwhera katoatia te uma.
3. Kātahi ka honoa koe ki tētahi mīhini ngākau-pūkahukahu ("mīhini ngākau-pūkahukahu)") . Mā tēnei mīhini e mahi ngā mahi a tō ngākau me ō pūkahukahu i te wā o te pokanga.
4. Inaianei ko te wāhanga nui. Ka whakatikahia e te taote pokanga te takirere kia rite ki ō hiahia. Ka taea tēnei mā te whakamahi i ngā tikanga maha. Hei tauira, ka taea e rātou te mahi i te annuloplasty, e whakapakari ana i te mowhiti huri noa i te takirere, ā, ka kati pai. Ka taea rānei e rātou te whakarerekē i te āhua o ngā rau takirere, te kiko honohono rānei hei whakakapi i ngā wāhi kua pakaru, i ngā kōhao rānei.
5. I te wā e whakatikatikaina ana te takirere, mēnā he raruraru anō kei reira, pērā i te aneurysms (te pupuhi o ngā pakitara o te uaua toto matua), ka whakatikatikaina hoki i te wā o tēnei pokanga.
6. Kia oti ngā whakatikatika katoa e tika ana, ka kati te taote pokanga i ngā tapahi. Kātahi ka whakawhitia koe ki tētahi wāhanga motuhake hei whakaora.
He aha ngā painga me ngā mōrearea o tēnei pokanga?
Pērā i ngā pokanga katoa, he painga, he mōrearea anō hoki. He mea nui kia kōrerotia whānuitia ēnei ki tō tākuta.
| Ngā Painga | Ngā Tūponotanga |
|---|---|
| Te āheinga ki te tiaki i tō ake takirere: Koinei te painga nui rawa atu. Mā tēnei ka karohia ngā mōrearea e pā ana ki te whakauru i tētahi takirere horihori. | Me mahi anō te pokanga: Tērā pea me mahi anō te pokanga, me whakakapi rānei te takirere mēnā ka turuturu anō te takirere kua whakatikatikaina, ka pangia rānei (endocarditis), kāore rānei e mahi pērā i te mea e tumanakohia ana. |
| Kāore he take mō ngā rongoā whakaiti toto: I te nuinga o te wā, kāore koe e hiahia ki te tango i ngā rongoā whakaiti toto (anticoagulants) mō te toenga o tō oranga. | Te manawa pākiki: te manawa pākiki (arrhythmia). |
| Te whakaora i te mahi a te ngakau. | Ko ngā mōrearea noa i roto i ngā pokanga ko te toto, te mate pāwera ki te rongoā whakamoe, te mate ngakau, te whiu, me te ngoikore o te ngakau. |
Kāore e rite te mōrearea o te katoa. Ko te hunga he mate hauora kē atu, pērā i te mate ngākau kino, tera pea he nui ake te mōrearea i mua i te pokanga. Nō reira, kōrero ki tō tākuta mō ō mōrearea, kia mārama hoki ki aua mōrearea.
Kia pēhea te roa o te wā e ora ai?
Me noho koe ki te hōhipera mō te 3 ki te 7 ngā rā i muri i te pokanga. Tērā pea ka roa te 4 ki te 8 wiki kia tino ora ai koe, kia hoki ai ki ngā mahi o ia rā. Mēnā i pokangahia koe i te iti rawa o te whakaekenga, tera pea ka poto ake tō wā whakaora.
He mea noa te ngenge mō ētahi wiki. Nō reira, kia ata haere, whakarongo ki tō tinana. Kaua e ngana ki te mahi i ngā mea maha i te wā kotahi. Mā tō tākuta koe e kī atu āhea koe e taea ai te taraiwa, te haere rānei ki te mahi. Mā te whai wāhi atu ki tētahi kaupapa whakaora ngākau (`(HeartRehab)`) koe e āwhina ki te whakaora haumaru me te taunga ki tētahi momo noho hauora.
Āhea te wā tika kia kite tonu i te tākuta
I muri i tō hokinga ki te kāinga i muri i te pokanga, me rapu tohutohu hauora tonu koe mēnā ka puta he tohu o tētahi raruraru. Kia tūpato ki ēnei tohu:
- Te mamae o te uma, te kikī rānei.
- He pupuhi, he wai rānei e maringi ana i te wāhi i tapahia ai te pokanga, he pupuhi, he whero rānei.
- Te kirika, te mātao rānei.
- Te ahua nei kei te tere te pao o tō ngākau (`(Heart palpitations)`).
- Te pupuhi o ngā waewae, o ngā waewae rānei (edema).
- Te pikinga taumaha neke atu i te 1.5 kg i roto i te wiki.
Ki te pā mai tētahi o ēnei tohu ki a koe, waea atu ki tō tākuta tonu. Ki te tika, haere ki te Tari Ohotata (ETU) o te hōhipera tata.
Ehara i te mea he pokanga noa te whakatikatika i te takirere aorta, pērā i te whakakapinga o te takirere aorta. Nā te mea he pokanga tino motuhake tēnei, he pai ake te whiriwhiri i tētahi hōhipera kei a ia ngā taote pokanga mātau e mahi pinepine ana i tēnei momo pokanga.
Karere Tangohia ki te Kāinga
- Ko te whakatikatika i te takirere aorta he pokanga motuhake e whakatika ana i te takirere ngākau e turuturu ana.
- Ko te painga nui o tēnei ko te tiaki i tō takirere tūturu, kia kore ai e hiahiatia te tango i ngā rongoā whakaiti toto mō te toenga o tō oranga.
- He roa te wā e ora ai. He mea tino nui kia tino whai i ngā tohutohu a te tākuta, kia whai wāhi atu hoki ki ngā kaupapa whakaora ngākau.
- Kōrerohia marietia ki tō tākuta mō ō pātai, ō wehi rānei mō te pokanga.
- Kia tūpato ki ngā tohu whakatūpato ka puta i muri i te pokanga. Mēnā ka puta mai ēnei tohu, rapua tonutia he tohutohu hauora.
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