Kia ako tātou mō te taputapu whakaterenga manawa motuhake (Biventricular Pacemaker) kua whakatōkia ki te hunga ngākau ngoikore!

Kua kōrerotia atu rānei e tō tākuta he ngoikore te mahi a tō ngākau, arā, he ngoikore tō ngākau? Kei te tino ngenge koe, kei te poto hoki te manawa, ā, kāore e taea e koe te mahi i ō mahi o ia rā? Tērā pea kua kōrerotia atu anō hoki e tō tākuta ki a koe mō tētahi taputapu whakatere. I tēnei rā kei te kōrero tātou mō tētahi taputapu rite, engari he rerekē, ka tino āwhina i te hunga he ngoikore rawa te mahi a te ngākau. Ko te Biventricular Pacemaker tēnā.

He aha te tikanga o tēnei Biventricular Pacemaker?

He taputapu iti te mīhini whakaterenga-rua-pūnaha e whakauruhia ana ki roto i te tinana mā te pokanga, pērā i te mīhini whakaterenga-rua noa, hei āwhina i te whakahaere i ngā manawataki ngakau rerekē (arrhythmias). Heoi, ko te rerekētanga matua ko te maha o ngā waea e hono ana ki a ia.

Whakaarohia, kotahi, e rua rānei ngā waea o tētahi mīhini whakateretere noa. Engari e toru ngā waea o tēnei mīhini whakateretere rua-pūnaha. He mea tino nui tēnei. Nā ēnei waea e toru, ka honoa tētahi ki te rūma matau o runga o te ngākau (Atrium Matau), ā, ka honoa ngā waea e rua ki ngā rūma matua e rua (Ventricles) i raro i te ngākau.

Nā, tirohia, i roto i te mate manawa, i ētahi wā kāore e kōpiri ngā rūma o raro e rua (ngā ventricle) o tō manawa i te wā kotahi, i te auau kotahi. He rite ki te rua e hoe ana i tētahi poti, kaua ki te hoe i ngā taha rerekē, engari ina mutu te hoe a tētahi, ka riro i tētahi atu. Kātahi ka kore te poti e neke whakamua tika, tika? Koinā te āhua. Ina kore ngā rūma e rua o te manawa e mahi tahi, he tino uaua ki te manawa te pupuhi i te nui o te toto whai hāora e hiahiatia ana e te tinana.

Ko wai e hiahia ana ki tēnei taputapu?

I te nuinga o te wā, ka tūtohu te tākuta i tētahi taputapu pēnei mō ētahi take. Kia kite tātou he aha ēnei.

• Mena kāore e taea e koe te whakahaere i ō tohumate mā te whakamahi i ngā rongoā kua tohua hei whakahaere i tō mate ngakau.
• Mena kāore e taea e koe te mahi tika i ngā mahi o ia rā nā te nui rawa o te ngenge me te uaua ki te manawa (dyspnea).
• Mena kāore tō ngākau e pupuhi ana i te toto e ranea ana ki tō tinana.
• Mena ka whakaūtia e ngā whakamātautau pēnei i te ECG kāore ngā rūma o te ngākau e mahi tahi ana.
• Mena ka whakatauhia e te tākuta he mōrearea ki te ora nā te hopukanga ohorere o te ngakau.

Te rerekētanga i waenga i te CRT-P me te CRT-D

Anei tētahi atu mea me mōhio koe. Tērā pea ka hiahia ētahi tāngata ki tētahi defibrillator hei whakahaere i tētahi manawataki morearea o te ngākau, me tēnei Biventricular Pacemaker (CRT-P).Ka whakatōkia hoki he ICD. Ko te ingoa o te taputapu he CRT-D . Ka kitea e tēnei te tere o te pao o te ngākau, ā, ka tukuna he ru hiko iti hei whakahoki mai i te manawataki o te ngākau. Ka taea e tēnei te whakaora i te tangata i te mate ohorere. Mā tō tākuta e whakatau ko tēhea momo e hiahiatia ana e koe.

He aha ngā painga me ngā mōrearea pea o te tāutanga i tēnei taputapu?

Pērā i ngā maimoatanga hauora katoa, he painga, he mōrearea iti anō hoki. He mea nui kia mārama pai ki ēnei.

He wā anō kāore e taea te tāuta i tēnei taputapu?

Āe, kāore pea tēnei e pai mō ētahi tāngata. Hei tauira, mēnā he mate pāwera kei roto i te tinana, he mate toto, he mate kino rānei ka tūpono ki te ora i roto i te tau, kāore pea te tākuta e taunaki i tēnei pokanga.

He aha ngā mea hei tūpato māu i muri i te whakaurunga o tētahi pacemaker?

He rite ki tētahi wāhanga o tō tinana, nō reira me tiaki e koe.

Ngā tirotiro hauora (Ngā tirotiro whai muri)

Me toro atu koe ki tō tākuta i ētahi wā i te tau. I roto i ēnei haerenga, ka tirohia e ia tō hauora, ka whakarite kei te mahi tika tō pūrere, ka tirohia te pākahiko, ā, ka tirohia mēnā he whakahōunga pūmanawa . Tērā pea ka tonoa koe kia mahi i ngā tirotiro mamao ia marama mai i te kāinga.

Me pēhea koe e mōhio ai he raruraru?

Ki te hoki mai ō tohumate (te ngenge, te whanoke, te ngoikore, te poto o te manawa) ki tō mua, waea atu ki tō tākuta tonu. I ētahi wā ka tangi pea te taputapu. Ki te mea he CRT-D tāu, me pūrongo tonu atu koe mēnā ka pāngia koe e te ru hiko .

Ngā taputapu hei matara atu

He mea tino nui tēnei. Me noho tawhiti atu koe i ngā mea he kaha ngā papa aukume, nā te mea ka taea e rātou te whakararuraru i ngā tohu mai i tō mīhini whakatere.

• Waea pūkoro me ngā pane whakarongo: Ina kōrero ana i te waea, pupuri ki te taringa i te ritenga atu o te taputapu whakatere. He pai ake te whakamahi i te waea kōrero. Kaua rawa e mau i te waea, i ngā pane whakarongo rānei i roto i te pōke o te hāte.
• Ngā Pūoko Whakamātautau: Ka taea e ēnei te whakaoho i ngā whakaoho i ngā wāhi pēnei i ngā taunga rererangi. Nō reira, me mau tonu tō kāri ID taputapu whakatere me te whakaatu ki ngā kaimahi haumarutanga hei tono tirotiro motuhake.
• Ētahi atu taputapu hauora: Mena me mahi koe i tētahi atu pokanga, he matawai MRI, he maimoatanga mō ngā kōhatu tākihi, he rongoā TENS mō te mamae, he rongoā irahiko rānei mō te mate pukupuku, me whakamōhio wawe atu koe ki tō tākuta ngakau.

He mea noa te mataku me te manukanuka ina kīia atu ki a koe me whakamahi he taputapu whakatere manawa mō tētahi mate ngākau kāore e ranea mā te rongoā anake. Engari he maha ngā painga me ngā whakamarie ka puta mai i tēnei taputapu ki tō oranga. Nō reira, ki te mea he pātai, he āwangawanga rānei āu mō tēnei mea, kaua e mangere ki te kōrero ki tō tākuta.