Kua whakamahia e koe tētahi taputapu whakatere manawa, tētahi taputapu ICD (Implantable Cardioverter Defibrillator) rānei, he taputapu iti hei āwhina i te pupuri i te pao o tō ngākau kia tika? Mena koinā, e mōhio ana pea koe i muri i tētahi wā, me whakakapi ngā wāhanga pēnei i te pākahiko. He maha ngā tāngata ka mataku ina rongo rātou i tēnei. He mea noa te whakaaro pēnei i te, "Me pokanga anō ahau? He uaua rānei?" Engari ehara i te mea whakamataku pērā i tā tātou e whakaaro nei. I tēnei rā, me kōrero tātou mō te whakakapi i ēnei taputapu ngākau i roto i tētahi huarahi māmā.
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He aha te tikanga o te whakakapi i tētahi taputapu ngākau?
He mahi pokanga anō hoki tēnei. Engari me whakakapi te taputapu hiko (Cardiac Implantable Electronic Device - CIED) kua whakauruhia kētia hei whakahaere i te tere o tō ngākau ki tētahi mea hou. E rua ngā momo o ēnei taputapu. Ko tētahi he pacemaker . Ko tētahi he ICD (Implantable Cardioverter Defibrillator) .
I te nuinga o te wā, he pokanga iti tēnei, kāore e hiahiatia he noho ki te hōhipera, ā, ka taea e koe te hoki ki te kāinga i taua rā anō . Nō reira, kāore he take e manukanuka nui ai mō tēnei.
Ko wai ka hiahia ki te whakakapi i tētahi taputapu pēnei?
Ko te take matua mō te whakakapi i tētahi taputapu ngākau ko te wā e iti ana te pākahiko. He rite ki te pākahiko o tā tātou waea pūkoro e iti ana. Ko te tikanga ka taea te whakamahi i te pākahiko o tētahi taputapu pēnei mō te 6 ki te 10 tau . Nō reira, me whakakapi pea i ētahi wā i roto i te oranga o te tangata.
Kaua e manukanuka ki tēnei. Ka tirohia e tō tākuta te taumata pākahiko o tēnei taputapu i ia wā ina haere koe ki te whare hauora. Nō reira, ka whakamōhio atu rātou i mua i te wā e tata pau ana te pākahiko.
Haunga te paunga o te pākahiko, he maha atu anō ngā take me whakakapi ēnei taputapu. Me titiro tātou ki ērā.
| Take | Whakaahuatanga |
|---|---|
| Pau te pākahiko | Koinei te take tino noa, ā, ko te take matua hoki. Mēnā he ngoikore te pākahiko, me whakakapi te taputapu. |
| Whakahoutanga pūrere | Tērā pea ka tūtohu tō tākuta i tētahi taputapu hou ake, he kaha ake i tō mea kei a koe i nāianei. |
| Ngā hapa taputapu | Mena ka puta he hapa hangarau ki te taputapu kua whakauruhia, ka mutu rānei te mahi, me whakakapi. |
| Ngā āhuatanga pangia | He tino onge te kitea o tēnei mate mēnā ka puta he mate ki te taha o te taputapu. |
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Ka hoatu e tō tākuta he tohutohu motuhake ki a koe mō te whakarite mō tēnei pokanga. Kei roto pea i ēnei tohutohu:
- Te whakamutu i ētahi rongoā: Tērā pea ka tonoa koe kia mutu te tango i ngā rongoā whakangawari toto (hei tauira, te aspirin ) me ētahi rongoā whakamamae mamae mō ētahi rā.
- Ngā whakamātautau ngākau: Tērā pea ka mahia he ECG (Electrocardiogram) he matawai Echocardiogram rānei hei tirotiro i te mahi a te ngākau.
- Ngā whakamātautau toto: Ka mahia ētahi whakamātautau toto hei tirotiro mēnā kei te pai tō hauora mō te pokanga.
He aha ngā mea ka tupu i te wā o te pokanga?
Ko te mea pai rawa atu, i te nuinga o te wā, ka whakakapia noa e tēnei pokanga te wāhanga o tō tinana e kiia nei ko te whakaputa hiko kei roto te pākahiko, kei raro i tō kiri. Ko te tikanga o tēnei, kāore e tangohia ngā taura e hono ana ki tō ngākau. Nā tēnei ka iti noa te pokanga, kaua ko te pokanga nui.
Heoi, i ētahi wā, me whakakapi pea te taputapu katoa, tae atu ki ngā waea. He tukanga uaua ake tēnā.
Ngā mea ka tupu ina whakakapia he mīhini whakaputa hiko noa:
1. Tuatahi, ka hoatu he rongoā whakamoe ngawari ki a koe mā roto i tētahi uaua i roto i tō ringa. Kāore koe e rongo i tētahi mamae.
2. Kātahi ka tapahia he wahi iti ki te kiri ka whakatōkia te taputapu.
3. Ka tangohia te hiko tawhito mā te momotu i ngā waea.
4. Ka monohia te pūkaha hiko hou ki te wāhi kotahi, ā, ka honoa ki ngā waea rite tonu ki te mea tawhito.
5. Hei whakamutunga, ka katihia te tapahi ki ngā tuitui, ki tētahi momo kāpia motuhake rānei .
He aha ngā painga me ngā mōrearea o tēnei?
Pērā i ngā maimoatanga hauora katoa, he painga kei reira, engari he iti noa iho ngā mōrearea.
| Ngā Painga | Ngā Tūponotanga |
|---|---|
| Ka mahi te taputapu me te tino whai hua. | Mate pāwera ki ngā rongoā whakangāwari. |
| Te ārai i ngā manawataki o te ngākau rerekē, mōrearea hoki. | Te toto nui rawa, te toto totoka rānei. |
| Te pupuri i te hauora o te ngākau me te tiaki i te ora. | Te mate pāwera huri noa i te tapahi, i te waea rānei (mēnā kua whakawhitia te waea). |
Ko te mea nui ko tēnei he pokanga haumaru, he iti hoki te mōrearea . He tino onge ngā raruraru.
Āhea ahau me kōrero ki te tākuta i te wā e ora ana?
Me noho koe ki te hōhipera mō ētahi haora i muri i te pokanga. Ka tirotirohia koe e ngā kaimahi, ā, ki te pai ngā mea katoa, ka tukuna koe ki te kāinga i taua rā anō. I muri i tō hokinga ki te kāinga , me karo koe i te mahi i tētahi mea taumaha, pērā i te whakakori tinana, mō ētahi rā. He mea noa te pupuhi me te mamae o te motu. Ka hoatu e te tākuta he rongoā whakamamae mamae ki a koe mō tēnā.
Hei tāpiritanga, ka hoatu e tō tākuta he tohutohu ki a koe mō te pupuri i te ma o te tapahi, me pēhea te tiaki i te taputapu hou, me te wā ka taea e koe te hoki anō ki ngā mahi o ia rā.
Heoi, ki te pāngia koe e ngā tohu e whai ake nei, me whakapā atu koe ki tō tākuta tonu atu.
| Rapua he tohutohu hauora tonu. | |
|---|---|
| Mena kei a koe ēnei tohu: | |
| Mamae o te uma | Te kirika, te mamae tinana rānei |
| Te uaua ki te manawa (Dyspnea) | Ngā tohu o te mate, pērā i te pupuhi, te haunga, te whero rānei mai i te tapahi |
| Ki te whakaaro koe kāore te taputapu e mahi tika ana (mēnā kei a koe ēnei tohu): | |
| Pōuriuri | Te ngaronga o te māramatanga (te hemo o te ngākau) |
| Te ahua kei te tere, kei te puhoi rānei te pao o tō ngākau | Ngā hīkoi tonu |
He mea tino nui: Ki te pāngia koe e te mamae nui o te uma, te uaua ki te manawa, te hemo rānei , haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera tata.
Karere Tangohia ki te Kāinga
- He tikanga whakarite noa te whakakapi i tō taputapu whakatere manawa, i tō taputapu ICD rānei. Ko te take matua he mate te pākahiko.
- He pokanga iti tēnei, he iti te mōrearea, ā, he maha ngā wā ka taea e koe te hoki ki te kāinga i taua rā anō me te kore e noho ki te hōhipera.
- Ka tirohia e tō tākuta te taumata pākahiko o te taputapu i ia wā, ā, ka whakamōhio atu ki a koe te wā e tika ana kia whakakapia.
- He mea tino nui kia whai i ngā tohutohu katoa a te tākuta i mua atu, ā, i muri mai hoki i te pokanga.
- Kia tūpato ki ngā tohu whakatūpato. Mena he āwangawanga āu, kaua e mangere ki te waea atu ki tō tākuta, ki te haere rānei ki te ETU i roto i tētahi āhuatanga ohorere.
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