Kei te mamae tō uma i ētahi wā, kei te uaua rānei te manawa ina ngenge koe? Kua kī atu rānei tō tākuta he raruraru tō te takirere i roto i tō ngākau, ā, me whakakapi mā te pokanga? He mea noa te mataku me te manukanuka ina rongo koe i tētahi mea pēnei. Kaua e manukanuka. I tēnei rā kei te kōrero tātou mō tēnei pokanga, e kiia nei ko te 'Surgical Aortic Valve Replacement' (SAVR). Me kōrero tātou mō tēnei mea mā te ngāwari, mā te huarahi e mārama ai koe.
He aha tonu te tikanga o te whakakapinga o te takirere aorta?
Whakaarohia tō tātou ngākau he papu wai. Ko te oko toto matua e pupuhi ana i te toto mai i tēnei ngākau ki te tinana katoa e kiia ana ko te 'Aorta'. Nō reira, ko te 'kūaha' i waenganui i te ngākau me tēnei oko toto matua e kiia ana ko te takirere Aortic . I ia wā e pā ana te ngākau, ka tuwhera tēnei kūaha, ka rere te toto ki waho, kātahi ka kati anō.
I ētahi wā, nā te koroheketanga, nā ētahi atu mate hauora rānei, ka mutu te mahi tika o tēnei tatau.
- Kāore te tatau e tuwhera tika ana: Ko te Aortic Stenosis tēnei. He rite ki te tatau kāore e tuwhera katoa, nō reira kāore he wāhi e ranea ai te toto ki te rere i waho o te ngākau.
- Kāore te tatau e kati tika: Ka kiia tēnei ko te Aortic Regurgitation . Pērā i te tatau tawhito, ki te kore e kati tika, ka turuturu te toto kua puta mai ki muri.
I ngā āhuatanga e rua, me kaha ake te mahi a te ngākau i tō te tikanga. He rite ki te ngana ki te whakatuwhera i tētahi tatau kua mau. I roto i te wā, ka taea e tēnei mahi nui te kino i te ngākau. Ka taea hoki e ia te whakaputa i ngā tohu pēnei i te mamae o te uma me te poto o te manawa. Ki te kore e rongoatia, ka taea e tēnei mate te whakararu i te ora.
Nō reira, ka tapaina tēnei pokanga ko te SAVR, ka tangohia tēnei takirere pakaru ka whakakapia ki tētahi mea hou. Mā tēnei ka whakaitihia ō tohumate, ka tiakina tō ngākau, ā, ka hoatu he whai wāhitanga ki a koe kia ora hauora ake mō te wā roa.
He aha ngā mea ka tupu i mua i te pokanga?
Nā te mea he pokanga nui tēnei, ka tirotirohia koe i mua i te tīmatanga. Mā ēnei whakamātautau mātou e āwhina ki te whiriwhiri i te maimoatanga e pai ana mō tō hauora.
Ngā whakamātautau auau i mua i te pokanga
I te nuinga o te wā me mahi e koe ētahi whakamātautau pēnei.
| Ingoa Whakamātautau | Me mahi noa i tēnei... |
|---|---|
| Te Echocardiogram (Echo) | He matawai hei tirotiro i te mahi a te ngākau me ōna takirere. |
| Te hiko o te manawa (ECG/EKG) | Te whakamātautau i te mahi hiko o te ngākau. |
| X-ray o te uma | He hihi-X o te uma hei tirotiro i te āhua o te ngākau me ngā pukahukahu. |
| Te Tātaritanga o te Ngākau | Ka tukuna he ngongo iti mā roto i tētahi oko toto ki roto i te ngākau hei tirotiro i te pēhanga i roto i te ngākau me ngā oko toto. |
| Ngā whakamātautau toto me te mimi | Te tirotiro i te hauora whānui o te tinana, pērā i te mahi a te whatukuhu. |
Hei tāpiritanga, ka tohutohu te tīma hauora i a koe me pēhea te whakarite mō te pokanga.
- Kia pēhea te roa e hiahia ana koe ki te nohopuku (me te kore kai, me te kore inu) i mua i te pokanga?
- Me mutu rānei te tango i ngā rongoā e tangohia ana e koe i tēnei wā mō tētahi wā.
- Kua tae ki te wā hei haere mai ki te hōhipera.
- Ngā mea hei kawe mai ki te hōhipera, me ngā mea kāore e tika kia mauria mai.
Ko te mea nui: Kaua e wehi ki te pātai ki tō tākuta mō ngā mea kāore koe e mārama ana, mō ngā pātai rānei kei a koe. Mena he kaipaipa koe, mā te whakamutu i te kaipaipa i mua i te pokanga ka tino whakaiti i te tūponotanga o ngā raruraru.
Me whiriwhiri tātou i tētahi momo makawe hou e pai ana ki a koe.
Ko te whakatau tino nui ka mahia e koe i mua i te pokanga ko te momo takirere hou ka whakawhiwhia ki a koe. E rua ngā momo matua.
| Momo Takirere | Whakaahuatanga me ngā painga/ngā ngoikoretanga |
|---|---|
| Takirere Koiora / Koiora-whakapaipai | He mea hanga ēnei i te poaka, i te kau, i te kiko tangata rānei (he onge noa iho). Painga: Kāore koe e hiahia ki te tango i ngā rongoā ārai toto mō te toenga o tō oranga. Huakore: Kāore ēnei e tuturu. I te nuinga o te wā me whakakapi i muri i ngā tau 10-20. |
| Takirere Mīhini | He mea hanga ēnei mai i ngā rauemi pakari pērā i te waro me te maitai. Painga: Ka roa te ora o ēnei mō te wa katoa. Kāore e hiahiatia kia whakakapia anō. Huakore: Me tango e koe he rongoā whakaheke toto pēnei i te Warfarin mō te toenga o tō oranga hei ārai i te tūponotanga o te toto totoka. |
Ka matapakihia e tō taote pokanga ko tēhea takirere pai rawa atu māu i runga i tō tau, tō hauora, me tō momo noho. I te nuinga o te wā, ka tūtohutia ngā takirere ā-ringa mō te hunga kei raro iho i te 50 tau te pakeke, ā, ko ngā takirere koiora mō te hunga neke atu i te 65 tau te pakeke.
Me pēhea te mahi i te pokanga i te taahiraa i te taahiraa
E rua ki te whā hāora te roa o tēnei pokanga, ā, i taua wā ka moe hōhonu koe, ā, kāore koe e rongo i tetahi mea.
1. Tuatahi, kāore koe e mōhio ana ('Anesthesia') .
2. Muri iho, ka honoa koe ki tētahi mīhini ngākau-pūkahukahu . Mā tēnei mīhini e tango te mahi a tō ngākau me ō pūkahukahu i te wā o te pokanga mō te wā poto. Ka whakamahia hoki hei whakamutu i tō ngākau mō te wā poto (cardioplegia). Mā tēnei ka taea e te taote pokanga te mahi haumaru i te pokanga me te kore e pao tō ngākau.
3. Ka tapahia e te taote pokanga he tapahi e ono inihi te roa i waenganui o tō uma hei whakatuwhera i te wheua uma (`Sternum`) me te uru atu ki te ngākau. Ka kiia tēnei he `Sternotomy`.
4. Ka tangohia te takirere aorta tawhito, kua pakaru, ka whakakapia ki tētahi takirere hou kua tuia ki tōna tūranga.
5. Kātahi ka honoa anō te sternum kua whakatuwheratia mā te whakamahi i ngā waea. Ko te tikanga ka waiho ēnei waea ki roto i te tinana mō te wā katoa.
6. Hei whakamutunga, ka tuia te tapahi kiri kia katia.
Te wā whakaora i muri i te pokanga
I muri i te pokanga, me noho koe ki te hōhipera mō te 5 rā pea. I tēnei wā, ka aroturuki tonu te tīma hauora i tō āhua. Ka āwhina rātou i a koe ki te hikoi mārire me te mahi i ngā mahi o ia rā.
E whā ki te waru wiki te roa hei whakaora katoa.E roa ana ki te tau. He mea noa te ngenge i tēnei wā. Nā te mea kei te ora tō tinana. I muri i tō hokinga ki te kāinga, ka tūtohu pea tō tākuta kia haere koe ki tētahi kaupapa whakaora ngākau. Mā tēnei koe e āwhina ki te ako i ngā mea maha, pērā i te taunga ki te whakakori tinana me te tango i tētahi kai hauora mō te ngākau.
He aha ngā painga me ngā mōrearea o tēnei pokanga?
Ko te painga nui o tēnei pokanga ko te whakaora i ngā oranga . Ka mate pea te tangata i te mate takirere aorta mēnā kāore e rongoatia. He tino teitei te ōrau angitu. Mō te nuinga o te tangata, he tino iti te mōrearea o te mate, o ngā raruraru nui rānei pērā i te whiu, tata ki te 1% - 2%.
Engari, pērā i ngā pokanga katoa, he tūponotanga anō kei reira.
- Ngā rerekētanga o te pā o te ngakau ('Arrhythmia')
- Te hiahia mō tētahi taputapu whakatere pumau
- Te toto
- Ngā mate urutā
- Whiu
- Mate
Kāore tēnei mōrearea e rite mō te katoa. Ka rerekē i runga i ngā mea pēnei i tō tau me ētahi atu āhuatanga hauora. Mā tō taote pokanga e whakamārama tō taumata mōrearea whaiaro ki a koe.
| Ki te puta mai ēnei tohu i a koe e ora ana, waea atu ki tō tākuta tonu! |
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He huarahi kē atu hei whakakapi i te pokanga SAVR?
Ae, mō ētahi tūroro, inā koa ko te hunga kua pakeke ake, he nui ake rānei te mōrearea mō te pokanga nui nā ētahi atu āhuatanga, he pai ake pea te tikanga e kiia nei ko te Transcatheter Aortic Valve Replacement (TAVR) . Ko te tikanga o tēnei ko te whakauru i tētahi takirere hou ki roto i te takirere tawhito mā roto i tētahi tapahi iti i te uma, me te kore e whakatuwhera. He tikanga māmā ake tēnei, ā, he iti ake te wā whakaora. Mā tō rōpū hauora e whakatau mēnā ko te SAVR, ko te TAVR rānei te mea pai mōu.
Karere Tangohia ki te Kāinga
- He tino angitu te Pokanga Whakakapinga Takirere Aorta (SAVR) ā, he mahi noa iho tēnei mō te takirere aorta kua pakaru.
- Mā tō tākuta koe e āwhina ki te whiriwhiri i tētahi takirere koiora, ā-ringa rānei, i runga i tō tau me tō āhua hauora.
- E 4-8 wiki te roa hei whakaora tino pai, ā, he mea tino nui te whai i ngā tohutohu a te tākuta i tēnei wā.
- Ki te kite koe i ētahi tohu whakatūpato i a koe e ora ana, pērā i te kirika, te mamae o te uma, ngā huringa rānei o te patunga i tāu pokanga, me whakamōhio tonu atu ki tō tākuta.
- Kōrerohia mā te mahorahora ki tō tākuta mō ō pātai, ō wehi rānei mō tēnei mea.
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