He rerekē te tere o tō manawa? Me ako tātou mō te maimoatanga Atrial Flutter Ablation!

Ka tīmata ohorere te tere o te pao o tō ngākau? Ka rongo koe i tētahi wiri rerekē i roto i tō uma i ētahi wā, kāore rānei te tere o tō ngākau i te ōrite? Mena kua pāngia koe e tēnei, tera pea he mate kei a koe e kīia ana ko te 'Atrial Flutter'. Kaua e manukanuka, he tino whai hua ngā maimoatanga mō tēnei. Nō reira, i tēnei rā ka kōrero tātou mō tētahi maimoatanga tino whai hua, ā, e whakamahia whānuitia ana, ko te 'Atrial Flutter Ablation'.

He aha te tikanga o te Atrial Flutter Ablation?

I mua i tō tātou mārama ki tēnei, me titiro tuatahi tātou ki te tikanga o te 'Atrial Flutter'. Ko ngā rūma e rua o runga o tō tātou ngākau (atria) ngā mea e tuku ana i ngā tohu hiko e tīmata ai te pao o te ngakau. I te nuinga o te wā, ka tukuna ēnei tohu i roto i te āhua tino raupapa, tino manawataki. Engari i roto i te tangata e pāngia ana e te 'Atrial Flutter', ka tīmata ētahi o ngā pūtau o ēnei rūma o runga ki te tuku i ngā tohu hiko koretake, tere. He rite ki tētahi o ngā taonga puoro i roto i tētahi ōkestra e takaro tere ana, ā, kāore i te tika. Ka puta te pōrearea o te manawataki o te ngākau, ā, ka tīmata te pao tere o te ngākau.

Ko te Atrial Flutter Ablation he maimoatanga e tautuhi ana, e whakangaro ana, e whakakore ana rānei i ngā pūtau e puta ai ngā tohu hiko rerekē. Whai muri i tēnei, ka mutu ngā tohu rerekē, ā, ka pā te manawa ki te āhua noa anō.

E rua ngā tikanga matua e whakamahia ana mō tēnei mahi:

• Te Whakakorenga Auautanga Reo Irirangi: Ko te whakamahi i te wera hei whakangaro i ngā pūtau raruraru.
• Te Whakaweto i ngā pūtau: Ko te whakamahi i te makariri rawa (hukapapa) hei whakakore i ngā pūtau.

He rite tonu te mahi a ēnei tikanga e rua: ka aukati i ngā tohu mai i ngā pūtau e whakararuraru ana i te manawataki o te ngākau.

He aha koe i hiahia ai ki tēnei maimoatanga?

I te nuinga o te wā, ka ngana tuatahi te tākuta ki te whakahaere i te tere o te manawa mā te hoatu rongoā. Engari i ētahi wā, kāore e taea e ngā rongoā te whakahaere i te āhua. Kātahi ka mahia he maimoatanga e kiia nei ko te "Cardioversion". Ko te tikanga o tēnei, ka hoatu he ru hiko iti ki te manawa kia ngana ai kia patu anō.

Nō reira, ki te kore e taea e te rongoā me te cardioversion te whakahaere i tō tere o te ngakau , ka tūtohu pea tō tākuta i te atrial flutter ablation hei otinga pai me te tino whai hua e whai ake nei.

Me pēhea te whakarite i mua i te maimoatanga?

Ahakoa ehara tēnei i te pokanga nui, he iti noa te whakarite e hiahiatia ana.

• Ka kī atu te tākuta kia kaua koe e kai, e inu rānei i tetahi mea mō te ono ki te waru hāora i mua i te maimoatanga.
• Tērā pea ka tonoa koe kia mutu te tango i ētahi rongoā e tangohia ana e koe i ētahi rā i mua i tēnei maimoatanga. Mā tō tākuta koe e tohutohu mō tēnei.
• He mea tino nui: Ki te mea kei te tango koe i ngā rongoā ārai toto, kaua e mutu te tango i aua rongoā mō tetahi take ki te kore koe e tohutohuhia e tō tākuta. He mea tino nui tēnei.

Me pēhea te mahi a tēnei maimoatanga?

He tokomaha e whakaaro ana he 'pokanga ngākau tuwhera' tēnei. Engari ehara. Ka mahia tēnei i roto i tētahi wāhanga motuhake e aro ana ki ngā mate ngākau ('cardiac catheterization lab').

I roto i ngā kupu māmā, ko te mea e tupu ana i ia taahiraa ko te mea e whai ake nei:

1. Tuatahi, ka hoatu he rongoā ki a koe hei whakangāwari i tō mamae, hei whakamoe hoki i a koe (`whakamoe twilight`). I ētahi wā, ka hoatu pea he rongoā whakamoe whānui ki a koe.

2. Kātahi ka werohia e te tākuta he ngira angiangi mā roto i te kiri o tō hope.

3. Mā roto i taua mea, ka whakaurua ētahi ngongo tino angiangi, ngāwari ("(Ngā Catheter)`) ki roto i te uaua toto.

4. Mā roto i tēnei ngongo, ka tukuna tētahi atu ngongo angiangi me te hiko (he 'kātene hiko') ki te ngākau.

5. Mā te whakamahi i tēnei irahiko, ka hangaia he mahere hei whakatau i te pūtake o ngā tohu hiko raruraru i roto i te ngākau (`mapping`).

6. Kia kitea ngā pūtau raruraru, ka whakangaromia mā te tuku pūngao auau irirangi (wera).

E rua ki te whā hāora te roa o tēnei tukanga katoa.

He aha te mea ka tupu i muri i te maimoatanga?

Kia oti te maimoatanga, ka tangohia ngā ngongo katoa i whakaurua. Ka pēhia e te taote pokanga te wāhi i werohia ai te ngira hei whakamutu i te toto. Kātahi ka tohutohuhia koe kia totoro tonu tō waewae mō ngā haora e ono ki te waru .

Ahakoa kua hoki koe ki te kāinga, me haere tonu te tango i ō rongoā whakaheke toto (ngā rongoā whakaiti toto) e ai ki te whakahau a tō tākuta, kaua e ngaro tetahi horopeta. Mēnā ka pāngia koe e te toto nui, waea atu ki tō tākuta tonu.

He pēhea te whai huatanga o tēnei maimoatanga? Ā, he aha ngā mōrearea?

Koinei te raruraru nui rawa atu mō te tini o te tangata. Ko te rongo pai ko te "(Atrial Flutter Ablation)" he maimoatanga e neke atu ana i te 90% te angitu . Ka hoki te manawa o te nuinga o te tangata ki te noho noa i muri i tēnei. Heoi, he iti noa iho te tokomaha o te tangata (tata ki te 4%-6%) ka tūpono ka hoki anō tēnei mate.

Pērā i ngā tikanga hauora katoa, he iti noa te mōrearea, engari he iti iho i te 1% te tūponotanga o ngā raruraru.

Kia pēhea te roa o te wā e ora ai?

Ko tētahi atu painga o tēnei ko te poto rawa o te wā whakaora.

• Ka taea e koe te hoki anō ki ngā mahi o ia rā ina tae koe ki te kāinga.
• Heoi, he mea pai kia matara atu i ngā mahi uaua pēnei i te whakangungu tinana me te hiki taumaha mō te toru rā pea .

I runga anō i ngā tohutohu a tō tākuta ngakau, me haere tonu pea tō tango i ngā rongoā whakaiti toto, mō te wā poto, mō te wā roa rānei.

Āhea koe me toro atu ki te tākuta?

He mea tino nui kia mōhio koe ki tēnei. Kia tūpato ki ngā tohu i raro nei.

He wheako whakarihariha pea te pāngia e te ngakau koretake. Engari he maha ngā maimoatanga pai, whai hua hoki mō tēnei. Ko te Atrial Flutter Ablation tētahi o ngā maimoatanga tino whai hua. Ko tō tākuta te tangata pai hei mōhio mēnā he tika tēnei maimoatanga māu. Kōrerohia pai ki a ia, me te pātai atu i ō pātai katoa.