He uaua ki a koe te manawa, te mamae o te uma, te ngenge tonu rānei? Tērā pea kua kōrero mai tō tākuta ki a koe he raruraru iti kei roto i te takirere o tō ngākau. He mea noa te mataku me te manukanuka ina rongo koe i taua kōrero. Engari kaua e manukanuka, i tēnei rā ka kōrero tātou mō tēnei, inā koa mō te pokanga mō te Takirere Aorta. Ka kōrero tātou mō tēnei i roto i te huarahi e mārama ana koe, me te mea kei te kōrero koe ki tētahi hoa.
He aha te mahi pokanga mō te takirere aorta?
Whakaarohia ko tō tātou ngākau te motuka matua e pupuhi ana i te toto puta noa i te tinana. Ko te kuaha matua e tuku ana i te toto i waho o tēnei motuka ko te Aorta . Mā roto i tēnei kuaha ka haere te toto ma, he nui te hāora, ki te tinana katoa mā roto i te uaua toto nui rawa atu o te tinana (Aorta). Nō reira, kua mārama pea koe ki te hiranga o te mahi tika a tēnei kuaha.
I ētahi wā ka mutu te mahi tika o tēnei takirere. Ka kiia tēnei ko te mate takirere aorta. E rua ngā huarahi matua ka puta ai tēnei:
1. Te Mate Pūngāwerewere o te Takirere Aorta: Ko te tikanga tēnei kāore te takirere e tuwhera tika, ā, kua āraia. Kātahi ka mahi kaha te ngākau ki te pupuhi toto ki waho. He rite ki te whakatuwhera i tētahi tatau waikura me te uaua.
2. Te Regurgitation o te Takirere Aorta: Koinei te wā kāore te takirere e kati tika, ka turuturu te toto ki muri. Mā tēnei ka taea te rere o ētahi o te toto kua papua ki roto i te ngākau.
Ina puta tēnei momo raruraru, ka kiia te maimoatanga he pokanga takirere aortic. I roto i tēnei, ka whakatikahia e ngā tākuta te takirere kua pakaru, ka tangohia katoatia rānei, ka tāutahia he takirere hou .
Ahakoa te ahua nui o tēnei pokanga ina rongo koe mōna, ka ea i a koe te raruraru o tō ngākau, ā, ka hoatu he whai wāhitanga nui ki a koe kia ora anō i te oranga hauora. Ka āwhina hoki i a koe ki te tiaki i a koe mai i ngā mōrearea nui o te mate ngākau me te ngoikore o te ngākau ka puta pea ā muri ake nei nā tēnei mate.
He pēhea te kino o tēnei pokanga?
Ki te pono, he pokanga nui te pokanga Aortic Valve. Nā te mea he maha ngā wiki e pau ana kia tino ora ai i muri i tēnei. Waihoki, e ai ki tā tātou i kōrero ai i mua ake nei, he wāhanga nui tēnei Aortic Valve o tō tātou tinana hei oranga mō tātou. Nō reira, ka mahia tēnei pokanga me te tino tupato, ā, e te rōpū tākuta tohunga. Engari kia mahara, i ēnei rā, he mano tini ngā tāngata o te ao kua angitu i tēnei pokanga, ā, kei te ora hauora rātou.
He aha ngā momo pokanga kei reira?
E rua ngā momo pokanga matua. Mā tō tākuta e whakatau ko tēhea te mea pai mōu.
| Momo pokanga | Hei whakarāpopototanga... |
|---|---|
| Te Whakatikatika i te Takirere Aorta | Ko te tikanga o tēnei ko te whakatika i te kino o tō ake takirere me te kore e tangohia. Ko te whāinga i konei ko te tiaki i te nui o ō ake kiko e taea ana. |
| Te Whakakapinga o te Takirere Aorta (SAVR) | I tēnei tikanga, ka tangohia katoatia te takirere pakaru, ā, ka whakatōkia he takirere hou ki tōna wāhi. Koinei te pokanga tino noa. |
Mō ētahi tāngata, ka whakamahia he tikanga hou e kiia nei ko te "Transcatheter Aortic Valve Replacement - TAVR/TAVI", arā, ka tukuna he ngongo mā roto i te uaua toto i roto i te waewae, me te kore e whakatuwhera i te uma. Engari kāore e taea e te katoa. Mā tō tākuta koe e whakamārama ki te tikanga e tika ana māu.
Mena kei te whakakapi koe i tētahi takirere, he aha te momo takirere e whakamahia ana e koe?
E rua ngā momo matua o ngā takirere hou. He painga, he ngoikoretanga hoki ō ia takirua.
1. Ngā Takirere Kiko: He mea hanga ēnei mai i te kiko ngākau kararehe (kau, poaka rānei). Ko te painga o ēnei, ina whakauruhia, kāore koe e hiahia ki te tango i ngā rongoā ārai toto mō te toenga o tō oranga. Ko te ngoikoretanga, ka taea e rātou te pakaru i muri i te 10-15 tau pea, ā, me mahi anō pea koe i tētahi atu pokanga.
2. Ngā Takirere Ā-ringa: He mea hanga ēnei ki ngā rauemi pakari pērā i te waro. Ka roa te ora. Kāore he take mō te pokanga anō. Engari ko te ngoikoretanga matua ko te tūponotanga o te toto totoka i roto i tēnei takirere, nō reira me tango e koe he rongoā ārai toto (pēnei i te Warfarin) i ia rā mō te toenga o tō oranga . Me whai whakamātautau toto auau koe i a koe e tango ana i tēnei rongoā.
Ka matapakihia e tō tākuta ko tēhea momo takirere pai rawa atu mōu i runga i tō tau, tō momo noho, me tō āhua hauora.
Me pēhea tā tātou whakarite i mua i te pokanga?
I mua i te pokanga, ka whakahaerehia e te tākuta ētahi whakamātautau hei tirotiro i te rite o tō tinana mō taua mahi.
- Echocardiogram (Echo): Mā tēnei ka taea e koe te kite mārama i te mahi a te ngākau me ngā takirere.
- Te hiko o te manawa (EKG):Ka tirohia te mahi hiko o te ngākau.
- X-ray o te uma: He whakamātautau x-ray o te uma.
- Te Tātaritanga o te Ngākau: I roto i tēnei mahi, ka tukuna he ngongo iti mā roto i tētahi oko toto ki roto i te ngākau hei tirotiro mō ngā aukati i roto i ngā uaua o te ngākau.
- Ngā whakamātautau toto me te mimi: Tirohia ngā mea pēnei i te mahi a te whatukuhu.
I muri i ēnei whakamātautau, ka hoatu e te tākuta he huinga tohutohu ki a koe. He mea tino nui kia tino whai i ēnei tohutohu .
- Ka tonoa koe kia kaua e kai, e inu rānei i muri i te waenganui pō o te pō i mua i te pokanga.
- Tērā pea ka tonoa koe kia mutu te tango i ētahi o ngā rongoā e tangohia ana e koe i tēnei wā, kia whakarerekē rānei i te horopeta.
- Māna koe e kī atu āhea koe e haere mai ai ki te hōhipera.
Mena he mea kāore i te mārama mō ēnei mea, pātai atu anō ki te tākuta kia tino mōhio ai koe.
He aha ngā mea ka tupu i te wā o te pokanga?
He mea noa te mataku ina whakaaro koe ki tēnei tukanga, engari ka puta katoa ēnei mea kāore koe e mōhio, i a koe e moe hohonu ana.
1. Tuatahi, ka hoatu he rongoā whakamoe ki a koe , kātahi ka meinga koe kia moe .
2. Kātahi ka tapahia e te taote pokanga te uma, ka tae atu ki te ngākau.
3. Ka honoa koe ki tētahi mīhini ngākau-pūkahukahu . Ka tangohia e tēnei mīhini te mahi a tō ngākau me ō pūkahukahu i te wā o te pokanga. Ko te tikanga o tēnei, mā tēnei mīhini ka tukuna te hāora me te toto ki tō tinana.
4. Kātahi ka whakamutua te manawa mō tētahi wā poto kia taea ai e te taote pokanga te mahi i te manawa e marino ana.
5. Muri iho, ka whakatikahia, ka whakakapia rānei te takirere aorta.
6. Kia oti te mahi a te takirere, ka tīmata anō te ngākau.
7. Ka momotuhia tō hononga mai i te mīhini ngākau me te pukahukahu.
8. Ka tuia te tapahi kia katia, kātahi ka whakawhitia koe ki te wāhanga whakaora (ICU).
E rua hāora, neke atu rānei te roa o te pokanga.
He aha te tikanga pokanga?
| Tikanga | Whakaahuatanga |
|---|---|
| Pokanga Ngākau Tuwhera Tuku Iho | I roto i tēnei, ka tapahia he tapahi 6-8 inihi te roa i waenganui o te uma, ā, ka whakatuwheratia te sternum hei uru atu ki te ngākau. |
| Pokanga Whakaiti i te Urunga | I tēnei tikanga, ka mahia te pokanga mā te tapahi iti kotahi, neke atu rānei, 2-4 inihi te whānui, kaua e whakatuwhera i te uma katoa. Ka iti ake te toto i tēnei tikanga, ka poto ake te noho hōhipera, ā, ka tere ake te ora. |
Mā tō tākuta e whiriwhiri te tikanga tino tika māu i runga i te kaha o tō mate, o ētahi atu mate hauora, me te momo tinana.
He pēhea te roa o te wā whakaora i muri i te pokanga?
I muri i te pokanga, ka whakaurua koe ki te Wāhanga Tiaki Kaha (ICU) . I reira, ka aro turukihia tō tere o te manawa me tō toto toto. I muri i te rā kotahi, e rua rānei, ka whakawhitia koe ki te wāhanga whānui. Ka roa pea te noho hōhipera katoa i waenga i te 5 ki te 7 rā.
E 4 ki te 8 wiki pea te roa hei whakaora katoa i muri i te hokinga ki te kāinga. Mēnā he iti noa ngā tapahi i mahia i te pokanga, tera pea ka tere ake tō whakaoranga.
Ka tino ngenge koe i ngā wiki tuatahi. He mea noa tēnā. Whakangāwaritia tō tinana. I taua wā anō, he mea nui hoki kia tīmata te hikoi me te mahi i ngā mahi whakakori tinana iti e ai ki tā tō tākuta. He maha ngā hōhipera he kaupapa whakaora ngākau . Mā te whai wāhi atu ki tēnei ka tino āwhina i tō tukanga whakaora.
Ka kī atu te tākuta kia haere koe ki te kite i a ia i te wiki i muri i te pokanga, ā, kia haere anō koe i roto i te ono wiki pea. Kia mahara ki te haere i taua wā.
Tērā pea ka pāngia ētahi tāngata e te ngoikore o te hinengaro, te pouri, te pouri rānei i muri i tētahi pokanga nui pēnei. He āhuatanga noa anō hoki tēnei mō te tini o te tangata. Ki te pēnei tō whakaaro, kōrero ki tō tākuta, ki tētahi mema o te whānau, ki tētahi hoa pono rānei mō tēnei.
He aha ngā painga me ngā mōrearea o tēnei pokanga?
Ko te painga nui o tēnei pokanga he pokanga whakaora ora . Ka tino whakaora i te mate ngakau ka mate pea mēnā kāore e rongoatia. Ehara i te mea ka roa ake te ora o te tangata i tēnei pokanga, engari ka whakakorea hoki ngā tohu o ia rā pērā i te poto o te manawa me te ngenge, ka māmā ake te oranga.
Pērā i ngā pokanga katoa, he mōrearea anō hoki kei tēnei pokanga.
- Mate pāwera ki ngā rongoā whakangote
- Te toto
- Ngā mate urutā o te tapahi, te ngākau, ngā pukahukahu rānei
- Ngā toto totoka me te whiu
- Ngā hapa o te manawa o te ngākau `(Arrhythmia)` (he wā poto noa iho)
- Te hekenga wā poto o te mahi whatukuhu
Ka rerekē pea ēnei mōrearea i runga i tō tau me ētahi atu āhuatanga hauora. Engari kia maumahara, ka mahi tō tīma hauora i ngā mahi katoa hei whakaiti i ēnei mōrearea.
Ko ēhea ngā wā me kōrero koe ki te tākuta?
Ki te pā mai tētahi o ngā tohu e whai ake nei ki a koe i muri i te hokinga ki te kāinga, me waea atu koe ki tō tākuta tonu atu .
| Ngā tohu whakatūpato hei tirotiro māu | |
|---|---|
| - Mamae, kikī rānei te uma | - Te pupuhi, te whero, te pupuhi rānei e puta mai ana i te tapahi |
| - Te māuiui, te makariri rānei | - Te ahua kei te tere te pao o tō ngākau (Palpitasi) |
| - 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 |
He mea noa te mataku i te whakaaro o te pokanga ngākau. Engari kōrero ki tō tākuta mō tēnei mea. Pātaihia ō pātai katoa. Kōrero ki tō whānau me ō hoa mō tēnei mea, kia whiwhi ai koe i tā rātou tautoko. Ehara tēnei i te mea me mahi ko koe anake. Mā te tiaki hauora tika me te tautoko a ō whanaunga, ka taea e koe te ora wawe me te ora anō i te oranga hauora.
Karere Tangohia ki te Kāinga
- He maimoatanga nui te pokanga takirere aorta, engari he mea whakaora i te ora , he mea whakapai ake hoki i te kounga o te ora.
- Kia ata whai i ngā tohutohu a te tākuta i mua i te pokanga. Pātai atu, ā, whakautua ō pātai katoa.
- He roa te wā e ora ai. Hoatu te okiokinga e hiahiatia ana e tō tinana . I taua wā anō, kia kaha ake te mahi kia rite ki ngā tohutohu a tō tākuta.
- Kia tūpato ki ngā tohu whakatūpato pēnei i te mamae o te uma, te kirika, me te pupuhi o te patunga i muri i te pokanga. Mēnā ka pāngia koe e tētahi o ēnei, me kōrero tonu atu ki tō tākuta.
- He mea noa te pōuri me te manukanuka i muri i te pokanga. Kaua e wehi ki te kōrero mō tēnei mea, me te tono āwhina .
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