Kua whakanohoia he stent ki a koe mō te mate ngākau? Tērā pea kua tino marino koe i muri i te mahi pera. Kua ngaro ngā mea pēnei i te mamae o te uma me te poto o te manawa, ā, tērā pea kua rite koe ki te mea kua whiwhi koe i tētahi oranga hou. Engari, me pēhea mēnā, i muri i tētahi wā, i roto i ētahi marama, ka tīmata anō taua mate tawhito? Me pēhea mēnā ka tīmata anō te mamae o tō uma? Me pēhea mēnā he uaua ki a koe te manawa? He maha ngā tāngata e manukanuka ana i tēnei wā. E whakaaro ana rātou, "He aha tēnei e tupu ana ahakoa kua whakanohoia he stent?" Ko te whakautu ki taua pātai ko te mate e kōrerohia ana e tātou i tēnei rā, e kiia nei ko te 'In-Stent Restenosis'.
He aha te In-Stent Restenosis?
Hei mārama ki tēnei, me tīmata tātou mai i te tīmatanga.
Ki te kī ngāwari, ko te tikanga o te 'Stenosis' ko te aukati, te whaiti rānei o ngā oko toto. Ina aukatia ngā oko toto e tuku toto ana ki te ngākau nā te mea he ngako kei roto (e kiia ana tēnei ko te Atherosclerosis ) ka kiia e mātou ko te Mate Arteri Koronari (CAD) . Ko te Angioplasty he maimoatanga e whakamahia ana e ngā tākuta hei whakatuwhera anō i tēnei oko toto kua aukatia.
I roto i tēnei, ka whakauruhia he poihau iti ki roto i te wāhi kua āraia, ka pupuhihia hei whakawhanui i te uaua toto. Kātahi, hei ārai i te hinga me te kati anō o te wāhi kua whānuitia, ka whakanohoia he ngongo iti rite ki te mata-whatu (koinei te mea e kiia nei e mātou he stent ) ki roto i te uaua. Mā tēnei ka taea te rere anō o te toto.
Āe, kua mārama koe ināianei. Ko te kupu 'Restenosis' he kupu i hangaia mai i ngā kupu 're' (anō) me te 'stenosis' (ārai). Ko tōna tikanga, he ārai anō . Nō reira, ko te In-Stent Restenosis ko te ārai anō i te oko toto i whakanohoia ai te stent, i te wāhi tonu i noho ai te stent. Ahakoa he tino whakarihariha tēnei, he mea nui kia mōhio he aha i puta ai tēnei.
He aha i āraia ai anō te uaua i muri i te whakaurunga o te stent?
Ehara tēnei i te mea nā te raruraru o te stent. Koinei te urupare a tō tātou tinana. Whakaarohia mēnā he whara kei tō tinana, ka puta he koha i a ia e ora ana, tika? Koinei te mea e tupu ana i konei.
He mea e ahu mai ana i waho o tō tātou tinana te stent. Nō reira, ka rite te tinana ki te 'marutanga', ā, ka ngana ki te whakaora. I roto i tēnei tukanga, ka tupu he paparanga pūtau hou ki runga i te stent. He mea noa tēnei. Mā tēnei paparanga pūtau hou ka hanga te stent hei wāhanga o te pakitara o ngā oko toto, ka whakangawari i te rere o te toto.
Heoi, ka nui rawa te tauhohenga a te tinana o ētahi tāngata ki tēnei. Kātahi ka matotoru ake te paparanga pūtau e hanga ana i runga i te stent, e kiia nei ko te kiko kiri, i te mea e whakaarohia ana . Pērā i te pūkohu e tipu ana i roto i te paipa wai, e ārai ana i te kōhao o te paipa, ka whakawhāiti anō tēnei kiko matotoru i te ara toto. Koinei te mea e kiia nei e mātou ko te In-Stent Restenosis.
Ko te mea nui, ka puta tēnei āhuatanga i te 3 ki te 6 marama i muri i te whakatakotoranga o te stent.I taua wā tonu. I muri i te tau, e rua rānei, he tino iti te tūponotanga o tēnei mea.
Ko wai te mea tino mōrearea ki tēnei mate?
Ahakoa ka pā tēnei āhuatanga ki te hunga katoa he stent tō rātou, he nui ake te mōrearea o ētahi tāngata. Tirohia mēnā kei a koe ēnei āhuatanga.
| Tauwehenga mōrearea | Whakaahuatanga |
|---|---|
| Mate huka | Ko te hunga he mate huka kāore i te tino whakahaeretia te mate ka tino mōrearea. Ka taea e ngā taumata huka toto tiketike te whakatupu i te tipu kiko rerekē. |
| Mate whatukuhu | He nui ake anō hoki tēnei mōrearea mō te hunga e pāngia ana e te mate tākihi mau tonu. |
| Teitei o te Cholesterol | Mō te hunga e mau tonu ana te taumata cholesterol toto tiketike. |
| Te toto toto tiketike (hypertension) | He mōrearea anō hoki te toto toto tiketike kāore i te whakahaeretia. |
| Te momi hikareti | Ka whakanui ake te morearea i te kai paipa nā te mea ka pakaru ngā oko toto, ka whakararuraru hoki i te tukanga whakaora. |
He torutoru atu ngā mea...
Hei tāpiritanga, ka piki ake pea tēnei mōrearea mena he iti rawa te oko toto kua āraia , he roa rawa rānei te aukati . Waihoki, ki te whakawhanuitia te oko toto ki te poihau me te kore he stent (Balloon Angioplasty), ka nui ake te mōrearea o te aukati anō.
He aha ngā tohu o tēnei?
Ko tētahi o ngā wero nui i konei ko te nuinga o te hunga whai In-Stent Restenosis kāore e pāngia e tetahi tohu . Tērā pea kāore koe e rongo i tetahi mea tae noa ki te wā e tino whaiti ana te uaua. Koia te mea nui kia haere tonu koe ki te tirotiro i a koe anō i muri i te whakaurunga o te stent i runga i ngā tohutohu a tō tākuta.
Heoi, ka pāngia ētahi tāngata e ngā tohu e rite ana ki ngā tohu o te mate uaua ngakau (CAD) i pā ki a koe i mua i te whakaurunga o te stent.
- Te mamae o te uma, te koretake rānei (Angina): He kare ā-roto e kikī ana, e kōpiripiri ana rānei i roto i te uma. Tērā pea ka kino ake tēnei ina whakakorikori tinana koe, ina piki arawhata rānei.
- Te poto o te manawa: He uaua ki te manawa ahakoa he iti noa te kaha o te manawa.
- Te ngenge rawa: Te tino ngenge, kāore e taea e koe te mahi i ngā mea i ngāwari noa iho te mahi.
- Mamae pakihiwi, ringa rānei: Mamae uma e haere tahi ana me te mamae e horapa ana ki te pakihiwi maui, ki te ringa rānei.
- Tērā pea ka puta ngā tohu pēnei i te whanoke, te werawera, me te whakapairuaki .
Ko te mea nui: Ki te pā mai anō ēnei tohu ki a koe i muri i te whakaurunga o te stent, kaua e wareware he rerekē pea te take . Me whakamōhio tonu atu ki tō tākuta.
Me pēhea taku mōhio mēnā kei te wātea tēnei?
Ina kōrero mai koe i ō tohumate, ka tūtohu te tākuta i ētahi whakamātautau hei whakaū.
- Whakamātautau Taumahatanga Whakakorikori Tinana (Whakamātautau Treadmill): Ka meinga koe kia hikoi, kia oma rānei i runga i te mīhini oma, ā, ka whakamahia he ECG hei aroturuki i te mahi a tō ngākau ina taumaha koe.
- Te Tātaritanga o te Ngākau (Angiogram): Koinei te whakamātautau tino whai hua. Pērā i te whakatakotoranga o te stent, ka tukuna he ngongo iti mā roto i te uaua toto ki roto i te ngākau, ka werohia he tae motuhake, ā, ka tangohia he hihi-X hei tirotiro mēnā he aukati kei roto i te stent.
- Ētahi atu whakamātautau: I ētahi wā, ka taea te whakamahi i ngā tikanga matawai pēnei i te Intravascular Ultrasound (IVUS) hei tirotiro i roto i te uaua toto, hei ine tika hoki i te whānuitanga o te aukati.
Me pēhea te rongoā?
Mā te tākuta e whakatau te maimoatanga pai rawa atu i runga i te whānuitanga o te aukati me tō āhua.
| Tikanga maimoatanga | He aha te mea e mahia ana |
|---|---|
| Ngā rongoā | Me whakarerekē pea e koe te horopeta o ō rongoā o nāianei, me tāpiri rānei he rongoā hou. |
| Angioplasty Whakahoki | Koinei te maimoatanga tino noa. Ka tukuna tētahi atu poihau mā roto i te stent kua āraia hei whakawhānui ake, ā, i ētahi wā ka whakanohoia he stent anō ki roto. |
| Pokanga ngākau (CABG) | Mena he nui te aukati, he raruraru rānei kei roto i ētahi oko toto, ka tukuna pea koe ki te pokanga Coronary Artery Bypass Grafting (CABG). Ko te tikanga o tēnei ko te karo i te wāhi kua aukatia, ka hanga he oko toto hou mā te whakamahi i tētahi oko toto i tangohia mai i tētahi atu wāhi. |
| Te rongoā irahiko (Te rongoā irahiko Brachytherapy) | He maimoatanga tino onge tēnei. I konei, ka werohia he iti noa te irahiko ki roto i te stent hei aukati i te hanganga o te kiko whara. |
Kāore he ara hei ārai i tēnei?
Anei ngā kōrero pai rawa atu. Ae, ka taea te ārai i tēnei āhuatanga ināianei.
Ko te take mō tēnei he momo stent hou e kiia nei ko ngā Drug-Eluting Stents (DES) . Ehara ēnei i te mea he mata whakarewa noa iho. Kei roto i ēnei stent he rongoā motuhake e whakahaere ana i te hanganga o taua kiko whara i kōrerohia e tātou. I muri i te whakaurunga o te stent ki roto i te tinana, ka tukuna mārire tēnei rongoā, ka aukati i te tipu koretake o ngā pūtau.
Ki te whakaritea ki ngā stent tawhito he mea hanga ki te konganuku tahanga, he tino iti te mōrearea o te restenosis in-stent ina whakamahia ēnei stent eluting-drug . Ahakoa i Sri Lanka i ēnei rā, ko tēnei momo stent hou te mea e whakamahia whānuitia ana.
Heoi anō, kei reira ētahi mea me mahi e koe.
- Tangohia tāu rongoā kia rite ki te whakahaunga: Tangohia te rongoā i whakahaungahia e tō tākuta, inā koa ko ērā hei ārai i te toto totoka (hei tauira, Aspirin, Clopidogrel), kia rite ki te whakahaunga, kaua e mahue tetahi rā.
- Hurihia tō momo noho: Ki te kai paipa koe, kati tonu.Whakahaerehia tō cholesterol, tō mate huka, me tō toto toto tiketike. Kai i tētahi kai hauora he iti te hinu, te tote, me te huka, ā, kia nui hoki ngā hua me ngā huawhenua. Whakakorikori tinana kia rite ki ngā tohutohu a tō tākuta.
Karere Tangohia ki te Kāinga
- Ko te In-Stent Restenosis te whakawhāiti anō i te uaua toto i muri i te whakatakotoranga o te stent nā te tipu o te kiko whara. I te nuinga o te wā ka puta tēnei i roto i te 3-6 marama o te maimoatanga.
- Ki te pāngia koe e tētahi o ngā tohu o mua, pērā i te mamae o te uma, te poto rānei o te manawa , i muri i te whakaurunga o te stent, kaua e warewaretia. Tirohia tō tākuta tonu.
- I te nuinga o te wā, kāore pea tēnei mate e puta he tohu . Nō reira, he mea nui kia rapu awhina hauora i te wā tika, e ai ki ngā taunakitanga a tō tākuta.
- Kua tino whakaitihia te mōrearea o tēnei mate nā te whakamahinga o ngā Drug-Eluting Stents (DES) i tēnei wā.
- Ko te mea nui rawa atu ka taea e koe te mahi māu ko te tango i ō rongoā kia rite ki te whakahaunga, te karo i te momi hikareti, me te pupuri i tētahi momo noho hauora . Ka taea e ēnei mea te tiaki i tō ngākau mō te wā roa.
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