Kua tae te wā ki te whakakapi i te pākahiko o tō mīhini whakatere? (Whakakapinga Pūrere Hiko Tāutuhi Manawa)

He taputapu iti kei raro i tō kiri hei āwhina i te pupuri i te pao o tō ngākau kia tika? E kiia ana tēnei he taputapu whakatere, engari he momo kē atu anō. Nō reira, ka mahi anō ēnei taputapu i runga i te pākahiko. Pērā i te pākahiko o tā tātou waea, ka ngaro te mana o tēnei pākahiko i roto i te wā. Kātahi ka hiahiatia he whakakapinga. Ina rongo koe i tēnei, tera pea ka mataku koe, "Tētahi atu pokanga?" Engari ehara tēnei i te mea hei wehi. I tēnei rā ka kōrerohia e tātou ngā mea katoa i roto i te huarahi tino māmā, i roto i te huarahi ka taea e koe te mārama.

He aha te tikanga o te whakakapi i tētahi taputapu ngākau?

He whakarāpopototanga noa iho tēnei, he pokanga iti hei whakakapi i te taputapu hiko (Cardiac Implantable Electronic Device - CIED) e āwhina ana ki te whakahaere i te manawataki o tō ngākau ki tētahi mea hou. E rua ngā momo matua o ēnei taputapu:

1. Pacemaker: Āwhina ki te pupuri i te manawataki tika o te ngākau ina pāorooro ana.

2. ICD (Implantable Cardioverter Defibrillator): Ina tino tere te tere o te manawa, ka kitea, ka tukuna he ru hiko iti ki te manawa, hei āwhina i te whakahoki i te manawa ki te noho noa.

He maha ngā wā ka whakakapia te pākahiko o te taputapu ki tēnei pokanga. Nō reira, ehara i te mea he pokanga nui. Kāore koe e hiahia ki te noho ki te hōhipera. Ka taea te whakauru i a koe i te ata, ka taea te pokanga, ā, ka hoki ki te kāinga i te ahiahi.

Ko wai e hiahia ana ki tēnei pokanga?

Ko te take matua mō te whakakapi i tēnei taputapu he ngoikore te pākahiko. Engari tera pea ētahi atu take. Me titiro matatau tātou ki ēnei.

He aha ngā whakaritenga e hiahiatia ana i mua i te pokanga?

Ka hoatu e tō tākuta ngā tohutohu katoa e hiahiatia ana e koe i mua i te pokanga. Koinei te tikanga:

• Mōhiotanga ki ngā Rongoā: Tērā pea ka tonoa koe kia mutu te tango i ētahi rongoā, inā koa ngā rongoā whakaiti toto pēnei i te aspirin, i ētahi rā i mua i te pokanga. Kia mahara ki te kōrero ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe.
• Whakamātautau: Ka tukuna atu ētahi whakamātautau ki a koe hei tirotiro mēnā he tika koe mō te pokanga.
• EKG (Electrocardiogram): Tirohia te mahi hiko o te ngākau.
• Echocardiogram: He ataata e whakaatu ana i te mahi a te manawa me tōna kaha ki te pupuhi.
• Ngā whakamātautau toto: Tirohia te hauora whānui o tō tinana.

He tino māmā noa te pokanga.

E ai ki tā mātou i kōrero ai i mua ake nei, ko te nuinga o te wā, ko te whakakapinga anake o te wāhanga pākahiko (te whakaputa hiko). Ko ngā waea (ngā taura) e hono ana ki te ngākau kāore e pāngia. Nō reira, he tikanga iti noa iho tēnei, ehara i te pokanga nui.

Whakaarohia he rite ki te whakawhiti i ngā pākahiko o tā tātou rama. Engari ka mahia tēnei me te tino tupato, i roto i te rūma pokanga.

Anei ngā mahi o te tukanga:

1. Whakamarie: Tuatahi, ka hoatu he rongoā whakamarie mā roto i tētahi uaua (whakamarie IV). Nō reira, kāore koe e mamae, ā, ka marino koe, ka moe pea.

2. He tapahi iti:Ka tapahia he wahi iti ki te kiri e hiahiatia ana kia whakaurua te taputapu. He maha ngā wā ka tapahia tēnei wahi ki te wāhi i mahia ai te pokanga o mua.

3. Te tango i te mea tawhito: Kātahi ka āta momotu te tākuta i te pūkaha hiko tawhito mai i ngā waea e anga atu ana ki te ngākau, kātahi ka tangohia.

4. Te tāuta i te mea hou: Tangohia te mīhini whakaputa hiko hou rawa atu ka hono atu ki aua waea.

5. Te tuitui i te tapahi: Whai muri i te whakatakotoranga o te taputapu hou ki raro i te kiri, ka katihia te tapahi ki te tuitui wairewa, ki tētahi momo kāpia motuhake rānei.

Me ako anō hoki tātou mō te Pacemaker Kore Arataki.

Inaianei kua puta he momo taputapu whakatere hou, he tino iti, kāore he waea. Ka whakatōkia tika ki roto i te ngākau. Mena kei a koe tētahi pēnei, he rerekē te tukanga whakakapi. Tērā pea ka waiho te mea tawhito ki tōna tūranga, ka tāpirihia he mea hou, ka tāpirihia rānei he ngongo iti (catheter) ki roto i te uaua o tō waewae, ka tangohia te mea tawhito, ka tāpirihia he mea hou.

He aha ngā painga me ngā mōrearea o te pokanga?

Pērā i ngā tikanga hauora katoa, he pai ngā painga, engari he iti noa ngā mōrearea.

He pēhea te roa o te wā whakaora i muri i te pokanga?

Ka tere ake tō ora i tō whakaaro.

• Te rā tuatahi:Okioki i te rā o te pokanga.
• Wiki tuatahi: Āta karohia te hiki i ngā mea taumaha me ngā mahi e ngenge ai te ringa (hei tauira, te hiki i ngā mea me ō ringaringa ki te taha e tāutahia ana te taputapu) mō ētahi rā.
• Mamae me te pupuhi: Tērā pea ka pupuhi, ka mamae hoki te taha o te motu mō ētahi rā. He mea noa tēnei. Mā te tākuta koe e hoatu ki te rongoā e tika ana mō tēnei.

Mā tō tākuta koe e tohutohu mārama mō ēnei mea ina hoki koe ki te kāinga:

• Me pēhea te pupuri i te ma o te tapahi, me pēhea hoki te tiaki kia ora rā anō.
• Ngā mea hei whakaaroaro māu i te wā e hoko ana i tētahi taputapu hou.
• Āhea koe ka taea ai te tīmata anō i ō mahi o ia rā?

Kia tūpato ki ēnei tohu: Āhea me waea atu ki te tākuta

Mena ka pā mai ētahi raruraru i muri i te pokanga, he mea nui kia tere te kite i aua raruraru. Kia mataara ki ngā tohu e whai ake nei. Mena kei a koe tētahi o ēnei, waea atu ki tō tākuta tonu.