Ka mataku pea te tangata ina rongo i te kupu pokanga ngākau, tika? Ina koa mēnā he pokanga e whakakapi ana i tētahi wāhanga o te ngākau e rite ana ki te takirere. Kaua e mataku. He pokanga tēnei kua angitu te mahi a te mano tini o te tangata. I tēnei rā, me kōrero tātou mō tēnei mea e kiia nei ko te Pokanga Takirere Aorta, tana mahi tūturu, me te take he mea nui ki a koe.
He aha te tikanga o tēnei takirere aorta?
Whakaarohia tō ngākau hei whare iti, engari he tino kaha, e whā ngā rūma. Ko te kuaha matua e pupuhi ana i te toto ma, whai hāora mai i tēnei whare ki te tinana katoa ko te Aortic Valve . Hei whakamārama, kei waenganui i te rūma pupuhi matua o te ngākau (te Ventricle Mauī) me te uaua toto matua (te Aorta) e kawe ana i te toto ki te tinana katoa tēnei 'kūaha'. Nō reira, kua mārama pea koe ki te hiranga o te mahi tika a tēnei kūaha mō te tinana katoa.
He aha i hiahiatia ai te pokanga mō tēnei takirere?
I roto i te wā, ā, mai anō i te whānautanga, ka kore e mahi tika tēnei takirere. E rua ngā raruraru matua ka puta.
| Āhuatanga hauora | Hei whakarāpopototanga... |
|---|---|
| Te whakawhāititanga o te takirere o roto (te stenosis o te takirere o roto) | Ko te mea ka tupu i tēnei kēhi, ka matotoru haere ngā taupoki o te takirere, ā, kāore e tuwhera tika. Ka nui te pēhanga o tēnei ki te ngākau, ka rite ki te mea kua mau, ā, me pana te toto ki waho. |
| Te Regurgitation o te Takirere Aorta (takirere turuturu) | Ko te mea e tupu ana i konei, kāore ngā taupoki takirere e kati tika. Nā reira, ka turuturu ētahi o te toto i pupuhihia ki waho ki roto i te ngākau. |
Ka nui ake te taumahatanga o te ngākau i ēnei raruraru e rua. I roto i te wā, ka kino haere tēnei āhua, ā, ka pāngia te ngākau e te ngoikore , ka pāngia rānei te ngākau e te mate ohorere. Koia te take he mea nui kia whakatikatikaina tēnei takirere mā te pokanga.
He aha ngā momo pokanga kei reira?
E rua ngā momo pokanga matua.
- Te Whakatikatika i te Takirere Aorta: I ngā wā katoa e taea ai, ka ngana ngā tākuta ki te whakatika i te hapa o tō ake takirere tūturu, me te tiaki anō hoki. Kei roto i tēnei ko te tiaki i te nuinga o ō ake kiko e taea ana.
- Te Whakakapinga Takirere Aorta Pokanga (SAVR): I ētahi wā, mēnā kua tino pakaru te takirere, kāore e taea te whakatika, ka tangohia katoatia, ā, ka whakatōkia he takirere horihori hou.
He aha te āhua o te takirere hou?
Mena kei te whakakapia tō takirere, ka kōrero tō tākuta ki a koe mō ētahi kōwhiringa. Ko ētahi he mea hanga mai i te kiko kararehe (hei tauira, poaka, kau), ko ētahi he mea hanga mai i te kiko tangata. Hei tāpiri, he momo takirere e kiia nei ko te takirere miihini , he mea hanga katoa mai i te konganuku pakari. He painga me he ngoikoretanga o ia momo. Hei tauira, ki te mea he takirere miihini tōu, me tango e koe he rongoā whakaiti toto mō te toenga o tō oranga. He mea nui kia kōrerohia tēnei ki tō tākuta, kia whiriwhiria ai te mea pai mōu.
Me ako anō hoki tātou mō TAVR/TAVI: Nā te hangarau matatau o ēnei rā, kei reira tētahi tikanga e tukuna ai he ngongo mā roto i tētahi oko toto i roto i te hope, i te ringa rānei ki te ngākau, ā, ka whakakapia te takirere me te kore e whakatuwhera katoa i te uma. Ka kiia tēnei ko te Whakakapinga Takirere Aorta Whakawhiti (TAVR/TAVI) . Engari kāore e taea tēnei te mahi mā te katoa. Mā tō tākuta e whakatau ko tēhea tikanga te mea pai mō tō āhuatanga.
Me pēhea te whakarite i mua i te pokanga?
I mua i te pokanga, ka tirotirohia koe e tō tākuta, ā, ka whakaritea he maha o ngā whakamātautau e tika ana.
- He matawai ngākau (Echocardiogram - Echo)
- Whakamātautau X-ray o te uma
- Whakamātautau EKG (Electrocardiogram)
- Matawai CT
- Te Tātaritanga o te Ngākau (he whakamātautau e tukuna ai he kāmera mā roto i ngā oko toto)
- Ngā whakamātautau toto me te mimi
I muri i ēnei mea katoa, ka hoatu e te tākuta he tohutohu ki a koe mō ngā mea hei mahi i te rā i mua i te pokanga. Hei tauira, kaua e kai, kaua hoki e inu i tetahi mea i muri i te waenganui pō i te pō i mua i te pokanga, me mutu rānei te tango i ngā rongoā, me te wā me haere mai koe ki te hōhipera. He mea tino nui kia whai tika i ēnei tohutohu.
Me pēhea te mahi i te pokanga me ngā tikanga
I te wā o te pokanga, ka whakamoea katoatia koe kia kore ai koe e mamae. E rua ngā tikanga matua ka taea e te taote pokanga te whakamahi hei toro atu ki te ngākau.
| Tikanga pokanga | Whakaahuatanga |
|---|---|
| Pokanga Ngākau Tuwhera Tuku Iho | I konei, ka tapahia he tapahi 6-8 inihi te roa i waenganui o te uma hei whakatuwhera i te sternum me te uru atu ki te ngākau. |
| Pokanga Manawa Whakaiti i te Urunga | Ka mahia tēnei mā te tapahi i tētahi, i ētahi rānei, he iti noa iho, 2-4 inihi te whānui, me te kore e whakatuwhera katoa i te uma. Ka iti ake te toto, ka poto ake te noho hōhipera, ā, ka tere ake te ora. |
I te wā o te pokanga, ka honoa koe ki tētahi mīhini motuhake (Mīhini Manawa-Pūkahukahu) hei mahi i ngā mahi a tō manawa me ō pūkahukahu mō tētahi wā poto. Kātahi ka whakamutua tō manawa e te taote pokanga, ā, ka ata whakatika, ka whakakapi rānei i te takirere. Kia oti te mahi, ka tīmata anō te manawa, ka momotu mai i te mīhini, ā, ka katihia ngā tapahi. E rua hāora te roa o te pokanga katoa.
I muri i te pokanga... te wā whakaora
I muri i te pokanga, ka whakaurua koe ki te wāhanga tiaki nui (ICU) kātahi ka whakawhitia ki te wāhanga noa. Me noho koe ki te hōhipera mō te 5 ki te 7 rā. I muri i tō hokinga ki te kāinga, he mea noa te ngenge rawa mō ētahi wiki. Nō reira, whakarongo ki tō tinana, ā, kia nui te okiokinga.
Tērā pea ka tūtohu tō tākuta i tētahi kaupapa whakaora ngākau . Kei roto i tēnei ko te whakapakari haere i tō kaha mā te whakakori tinana i raro i te tirotiro a tētahi tohunga. Mā tō tākuta koe e kī atu āhea koe ka taea te tīmata anō i ngā mahi pēnei i te hiki taumaha me te taraiwa. E 4 ki te 8 wiki te roa hei whakaora katoa.
Tērā pea ka pāngia ētahi tāngata e te pouri ngawari, te pōuri, te kore tumanako rānei i muri i te pokanga ngākau. He mea noa tēnei, ā, ka taea te rongoā. Ki te pāngia koe e tēnei, kōrero ki tō tākuta mō tēnei mea.
Ngā tohu e hiahia ana kia aro wawe tonu ki te hauora
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 , haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
- Mamae te uma, te piri rānei
- Te kirika, te mātao rānei
- He pūhā, he pupuhi, he whero rānei i te tapahi i mahia.
- Ngā tere o te ngakau
- Te pupuhi o te waewae (Edema)
- Te pikinga taumaha neke atu i te 1.5 kg (3 pauna) i roto i te wiki
Karere Tangohia ki te Kāinga
- Ahakoa he tikanga nui te pokanga mō te takirere aorta, he maimoatanga tēnei ka taea te whakaora i tō ora, ā, ka whai hua ngā hua.
- He rerekē ngā tikanga, pērā i te whakatika takirere, te whakakapinga, te pokanga tuwhera, te pokanga iti rawa te whakaekenga. Mā tō tākuta e whakatau ko tēhea tikanga te mea pai māu.
- He mea noa te ngenge i muri i te pokanga. Hoatu he wā ki tō tinana kia ora ai. Me whai i ngā tohutohu a tō tākuta.
- Kōrerohia marietia ki tō tākuta ōu wehi, ō āwangawanga rānei mō te pokanga, mō te wā whakaora rānei.
- He kaha nui te tautoko a tō whānau me ō hoa ki a koe i tēnei haerenga, nō reira me whakamōhio atu hoki ki a rātou.
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