He rerekē te tere o tō manawa? Tērā pea ka āhei koe ki te whiwhi maimoatanga mō te AV Node Ablation (AV Node Ablation).

Kua rongo koe i te tere o te pao o tō ngākau, kāore e taea te whakahaere? He rite ki te pahu e pao tere ana engari kāore he manawataki. I roto i te rongoā, ka kiia tēnei āhuatanga ko te Atrial Fibrillation . I te nuinga o te wā, ka taea te whakahaere i tēnei mā te rongoā. Heoi, ki te kore e taea te whakahaere mā te rongoā, i tēnei rā ka kōrero tātou mō tētahi tikanga maimoatanga motuhake e whakamahia ana e ngā tākuta.

He aha te tikanga o te AV Node Ablation?

Āe, he ahua uaua te ingoa, engari he tino māmā te tukanga. Ki te kī māmā, ko te AV Node Ablation he tikanga iti rawa te whakaekenga e uru ana ki te whara i tētahi wāhi iti o te kiko o tō ngākau e kiia nei ko te AV node (Atrioventricular node) ki te wera, ki te makariri rawa rānei, kia kore ai e mahi.

Inaianei kei te whakaaro pea koe, "Āe, i te tikanga o tāu kōrero he mono i tētahi wāhanga o te ngākau?" Kaua e manukanuka, kia mārama tātou ki tēnā.

Whakaarohia tēnei pūnga AV hei hononga nui i roto i te pūnaha hiko o te ngākau. Ka tukuna ngā tohu hiko mai i ngā rūma o runga (atria) o te ngākau ki ngā rūma o raro (ventricles) mā roto i tēnei hononga. I roto i te atrial fibrillation, he tino pōrearea, he tere hoki ngā tohu hiko e puta mai ana i ngā rūma o runga. Nō reira, hei aukati i ēnei tohu pōrearea kei haere ki ngā rūma o raro, ka kati mātou i tēnei hononga (te pūnga AV).

Ko wai rā te tangata e hiahia ana ki tēnei maimoatanga?

He mate te Atrial Fibrillation me rongoā. Heoi, kāore e pai te AV Node Ablation mō te katoa. Tērā pea ka tūtohu tō tākuta i tēnei maimoatanga mēnā kei roto koe i tētahi o ēnei kāwai:

• Mena kāore ngā rongoā e mahi ana: Mena kāore e taea e ngā rongoā e hoatu ana hei whakahaere i te atrial fibrillation te whakahaere i tō ngakau.
• Ki te kore e taea e koe te aro atu ki te rongoā: He uaua ki ētahi tāngata te whakamahi tonu i te rongoā nā ngā pānga taha.
• Mena kua rahua ētahi atu maimoatanga: Mena kua rahua e ētahi atu maimoatanga, pēnei i te wehe i te uaua pūkahukahu, te whakahaere i te tere o te manawa.
• Mena kei a koe he taputapu whakateretere manawa: I ētahi wā ka taea hoki te tūtohu i tēnei maimoatanga ki te hunga kua whakamahi kē i te taputapu whakateretere manawa mō ētahi atu take.

Ehara i te mea ko te Atrial Fibrillation anake te rongoā mā te AV Node Ablation, engari ko ētahi atu pāorooro o te ngakau e puta ana i ngā rūma o runga o te ngākau. Hei tauira:

• Te Rerenga o te Atrium
• Ngā Arrhythmias Supraventricular

Me pēhea te mahi a te maimoatanga, taahiraa i te taahiraa

Ahakoa ehara tēnei i te pokanga nui, he mahi e mahia ana me te tino tupato.

He aha ngā mea ka tupu i mua i te maimoatanga?

Mena kāore anō kia whai taputapu whakatere manawa koe, ka whakauruhia he taputapu whakatere manawa tuturu i mua i tēnei maimoatanga, i ētahi wā rānei i te rā o te maimoatanga. Hei tāpiri, ka whakahaerehia e tō tākuta he rangahau hiko o tō ngākau kia kitea ai te wāhi tika o te pūngao AV.

I te tīmatanga o te maimoatanga:

1. Ka whakanohoia he cannula iti (IV) ki roto i tētahi uaua i tō ringa, ā, ka hoatu he rongoā ki a koe hei whakamoe mārire i a koe (he rongoā whakamoe).

2. Te wiri o te kiri i ngā wāhi pēnei i te hope, te kaki, te ringa rānei.

3. Mā roto i tēnā, ka whakaurua ngā ngongo tino angiangi, roa (ngā catheter) ki roto i tō ngākau mā roto i tētahi o ō uaua.

He aha ngā mea ka tupu i te wā e rongoatia ana?

I muri i te whakaurunga o te catheter, ka mahi te tīma hauora i ēnei mahi:

• Ka aro turukihia tonutia ō tohu ora me te manawataki o te ngākau.
• Mā te whakamahi i te hangarau hihi-X, ka arahina te catheter ki te pūnga AV.
• Mā te whakamahi i te pito o tētahi catheter motuhake, ka whakakorea te pūnga AV e te wera (radiofrequency ablation) e te makariri rawa rānei (cryoablation) .

I muri i te maimoatanga?

Kia oti te mahi, ka tangohia e te tākuta ngā katitere ka puritia mō te 15 meneti pea. Kātahi ka tonoa koe kia takoto ki te moenga mō ētahi haora. I te nuinga o te wā ka noho koe ki te hōhipera mō te pō, ā, ka hoki ki te kāinga i te aonga ake.

Te rereketanga i waenga i te AV Node Ablation me te PVI

Ko ētahi e whiriwhiri ana i te maimoatanga e kiia nei ko te Pulmonary Vein Isolation (PVI) kaua ki te AV Node Ablation. Ahakoa ko te whāinga o ēnei e rua he whakahaere i te Atrial Fibrillation, he iti noa ngā rerekētanga o te tikanga me ngā hua. Me titiro tātou ki tēnei ara.

He aha ngā painga me ngā mōrearea?

Ngā painga o tēnei

• Te tere o te manawa: Ka taea te whakahaere i te tere o te manawa me te kore rongoā (heoi, me haere tonu pea te tango i ngā rongoā whakaiti toto).
• Te kounga pai o te oranga: Ka iti haere ngā tohumate, ka pai ake te noho.
• Ka taea e te whakakori tinana te: Ka piki ake te kaha o te tinana ki te mahi kaha ake.
• Te whakaiti i ngā whakaurunga hōhipera: Kua whakaitihia te maha o ngā whakaurunga hōhipera ohorere, ngā haerenga rānei ki te Wāhanga Maimoatanga Ohotata (ETU).

He tūponotanga kei reira?

Pērā i ngā maimoatanga hauora katoa, he iti noa iho ngā mōrearea, engari he tino onge te puta mai o ēnei.

• Ngā raruraru ki te taputapu whakatere kua whakauruhia.
• Ngā arrhythmias ventricular (ngā pāwera o te ngakau i roto i ngā ruma o raro o te ngākau).
• Te ngoikore o te mahi a te ventricle maui o te ngākau (ka taea hoki te whakatika mā te whakauru i tētahi atu arai pacemaker (Biventricular pacing).

Āhea koe me toro atu ki te tākuta?

I muri i te whakamahinga o te pacemaker, me toro atu koe ki tō tākuta i ia wā, i ia marama. I muri i te marama tuatahi, ā, kotahi, e rua rānei i te tau. Heoi, ki te pāngia koe e tētahi o ngā tohu e whai ake nei, toro atu ki tō tākuta tonu.

Ehara i te mea ngāwari te whakatau kia whakapōreareahia ngā pūnga AV. Nā te mea kāore e taea te whakakore, ā, me noho koe me te taputapu whakatere mō te toenga o tō oranga. Heoi, he tino teitei te ōrau angitu. Nō reira, kōrerohia ō pātai me ō wehi katoa ki tō tākuta. Ko te mea nui ko te mōhio ki ngā mea katoa, me te whakatau i te whakatau e tika ana māu.