Kua rongo koe i te tere o te pao o tō ngākau, kāore he take, me te mea he raru kei tō uma? Tērā pea he take kē atu. Engari i ētahi wā he tohu pea nō te mate ngākau e kiia nei ko te atrial flutter. Kaua e manukanuka, i tēnei rā ka kōrero tātou mō tēnei mate me tōna maimoatanga tino whai hua, e kiia nei ko te ablation.
He aha te Atrial Flutter?
He kupu ngāwari tēnei, he raruraru tēnei ki te manawataki o te ngākau. E rua ngā rūma o tō tātou ngākau, ko ngā rūma o runga (atria) me ngā rūma o raro (ventricles). I roto i te ngākau hauora, ka pā te oro o ēnei rūma e rua i roto i te āhua tino tika, i roto i te manawataki kotahi.
Whakaarohia he rite ki tētahi tira puoro kua tino whakangungua e waiata tahi ana i tētahi waiata. Engari i roto i te Atrial Flutter, ka tīmata te pao tere me te koretake o ngā rūma o runga o te ngākau, te atria rānei. He rite ki ētahi mema o tētahi tira puoro e patu ana i ngā pahu i te tere e hiahiatia ana e rātou. Ka whakararuraru tēnei i te mahi whānui o te ngākau. Ki te roa tonu tēnei, kāore e pai mō te ngākau.
Nā, he aha tēnei maimoatanga Ablation?
Ko te Atrial Flutter Ablation he tikanga e whakangaro ana i ngā pūtau hapa e tere ai, e kore e tika ai te pā o te ngākau.
Whakaarohia he rama i roto i te whare e mate ana, e kā ana nā te mea he hē te waea. Ko te whakakorenga he tukanga kimi i te waea he, whakakorea, ā, whakaotihia tonutia te raruraru.
I tēnei, ka whakamahia e ngā tākuta tētahi tikanga e kīia nei ko te radiofrequency ablation hei whakakore i ngā pūtau e tuku ana i ngā tohu hē. I ētahi wā, ka mahia tēnei mā te whakamahi i te makariri rawa (cryoablation). Ahakoa pēhea, ko te whāinga he whakamutu i ngā tohu hē me te whakahoki mai i te manawataki o te ngākau.
Ko te mea nui, ehara tēnei i te pokanga ngākau tuwhera.
He aha koe me whai ablation?
I te nuinga o te wā ka whakamahia tēnei maimoatanga e te tākuta mēnā kāore e taea te whakahaere i te āhua mā te rongoā, mā te tikanga rānei e kīia nei ko te cardioversion hei whakaora i te manawataki o te manawa. Mā tō tākuta e whakatau mēnā he tika tēnei maimoatanga māu.
Ngā mea hei mōhio māu i mua me muri i te maimoatanga
He maha ngā mea me mōhio koe i mua atu, ā, i muri mai i tēnei maimoatanga.
Te whakarite i mua i te maimoatanga
- Ka kī atu tō tākuta kia kaua e kai, e inu rānei koe mō ngā hāora 6-8 i mua i te maimoatanga.
- Tērā pea ka tonoa koe kia mutu te tango i ētahi rongoā e tangohia ana e koe mō ētahi rā i mua i te tīmatanga o te maimoatanga.
- Engari he mea tino nui tēnei: Ki te mea kei te tango koe i ngā rongoā ārai toto, kaua e mutu te tango mō tetahi take ki te kore koe e kīia e tō tākuta ngakau. Kaua e peke i tētahi horopeta kotahi.
Te āhua o te maimoatanga
I te nuinga o te wā ka puta tēnei i roto i te taiwhanga whakauru i te catheter o te ngākau. Ka hoatu he rongoā ki a koe hei whakamoe i a koe (te whakamoe i te ata pō), te rongoā whakamoe whānui rānei. Kātahi:
1. Ka werohia he ngira iti mā roto i te kiri i te rohe o te hope.
2. Mā roto i taua mea, ka whakaurua ētahi ngongo angiangi e kiia nei ko ngā 'catheters' ki roto i te uaua toto.
3. Ka tukuna he katitere hiko mā roto i tēnei ngongo ki roto i tō ngākau.
4. Mā te whakamahi i tēnei katitere, ka taea e tātou te tautuhi i ngā pūtau o te ngākau e puta ai te raruraru.
5. Kātahi ka whakamahia te pūngao auau irirangi hei whakakore i ngā pūtau hapa.
E rua ki te whā hāora pea te roa o tēnei tukanga katoa.
I muri i te maimoatanga
Kia oti te maimoatanga, ka tangohia ngā ngongo katoa i whakaurua, ā, ka whakakīkītia te wāhi i werohia ai. Whai muri i tēnā, ka tonoa koe kia noho tika tonu tō waewae mō te 6-8 hāora. Ahakoa kua hoki koe ki te kāinga, me haere tonu te tango i ō rongoā ārai toto kia kīia rā anō e tō tākuta.
Te angitu o te maimoatanga, ngā mōrearea, me ngā mea hei tūpato
Pērā i ngā maimoatanga hauora katoa, he iti noa ngā mea me mōhio koe. Kia tirohia ake tātou.
| Momo mōhiohio | Ngā mea hei mōhio |
|---|---|
| Te Reiti Angitu | Neke atu i te 90% te angitu o tēnei maimoatanga. Ka hoki anō te nuinga o te tangata ki te manawataki o te ngākau. Heoi, he iti noa te ōrau, tata ki te 4%-6%, ka pāngia pea e te hokinga mai. |
| Ngā Tūponotanga | He iti iho i te 1% te mōrearea o ngā raruraru.Heoi, ko ngā raruraru tino onge ko: te aukati i te ngākau, te whiu, te pakaru o te ngākau, te mate urutā, me te toto nui rawa. |
| Āhea te wā tika ki te haere ki te ETU (Emergency Treatment Unit) tonu atu? | Mena ka pupuhi ohorere te patunga i werohia ai te ngira, kāore rānei e taea te whakahaere i te toto o te patunga. |
| Āhea te waea atu ki te tākuta tonu | Mena ka nui rawa te toto e rere ana i roto i a koe, ka ngoikore koe, ka pōhēhē koe, ka uaua ki te kōrero, ka ngoikore rānei koe, me te mea kei hinga koe. |
| Ētahi atu āhuatanga hei aro atu | Kōrero ki tō tākuta mēnā ka uaua koe ki te manawa, ki te whanoke, ki te mamae o te uma, ki te ngoikore o te waewae kua whara, ki te pupuhi, ki te maru rānei i te taha o te patunga, ki te pā o te ngakau rerekē, ki te mamae rānei o te puku. |
Kia pēhea te roa o te wā e ora ai?
Ko te mea pai rawa atu mō tēnei, kāore e roa te wā e ora ai.
Ka taea e koe te hoki ki te kāinga ka tīmata anō i ō mahi o ia rā i te aonga ake. Heoi, he mea whakaaro nui kia karohia ngā mahi taumaha pēnei i te whakakori tinana me te hiki taumaha mō te toru rā pea.
I runga i tō āhua, me tango pea koe i ngā rongoā whakaiti toto, mō te wā poto me te wā roa, e ai ki ngā tohutohu a tō tākuta ngakau.
He mea noa kia mataku te tangata ina rongo rātou mō te raruraru manawa. Engari he mate ka taea te rongoā i te Atrial Flutter. He huarahi tino whai hua, he huarahi haumaru hoki te ablation hei rongoā. Nō reira, kōrerotia mā te marea ki tō tākuta mō tēnei, ā, whiriwhiria te maimoatanga pai rawa atu māu.
Karere Tangohia ki te Kāinga
- Ko te wiri o te atrium he mate ka taea te rongoā, e hua mai ana i te tere me te kore e tika te patu o ngā ruma o runga o te manawa.
- Ko te tango i te pokanga te maimoatanga tino angitu (neke atu i te 90%) me te tino haumaru hoki mō tēnei. Ehara i te pokanga ngākau tuwhera.
- He mea tino nui kia ata whai i ngā tohutohu hauora i mua atu, i muri hoki i te maimoatanga, inā koa ko ērā e pā ana ki te tango i ngā rongoā ārai toto.
- Kia mataara ki ngā tohu whakatūpato i muri i te maimoatanga, pērā i te toto nui, te hemo o te ngākau, me te uaua ki te kōrero. Mēnā he raruraru āu, haere tonu ki tō tākuta, ki te Tari Ohotata (ETU) rānei o te hōhipera tata.
- Kaua e wehi i tēnei maimoatanga, kōrerotia whānuitia ki tō tākuta ngakau, kātahi ka whakatau.
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