He pārekareka te manawa? Me kōrero tātou mō te maimoatanga CRT (Cardiac Resynchronization Therapy)

Whakaarohia tō ngākau he rōpū waiata. Ina mahi tahi te katoa, i te wā kotahi, ka hangaia he waiata ataahua. Engari i ētahi wā, inā koa i roto i ngā āhuatanga pēnei i te ngoikore o te ngākau, ka tīmata ngā rūma o raro e rua o te ngākau, arā, ngā ventricles, ki te mahi tahi, kāore i te ōrite. Ina patu tetahi, kāore tetahi e patu, ā, ina patu tetahi, kāore. Ina wehea ngā rūma e rua o te ngākau, kāore e taea e te ngākau te pupuhi tika i te toto. Koinā te wā ka puta mai ai he maimoatanga motuhake e kiia nei ko te Cardiac Resynchronization Therapy, arā, ko te CRT, hei āwhina i a tātou.

He whakarāpopototanga, he aha tēnei CRT?

He maimoatanga te CRT e whakahoki ana i te manawataki o te ngākau ki te āhua noa. Ka kiia hoki ko te Biventricular Pacing. Ko te tikanga o "Biventricular" ko "ngā rūma e rua." Ko te tikanga o tēnei maimoatanga ka pā ngā rūma o raro e rua (ngā ventricle) o te ngākau i te wā kotahi. Hei mahi i tēnei, ka whakatōngia e tō tākuta he taputapu iti ki raro i te kiri o tō uma.

He rerekē tēnei i tētahi mīhini whakatere manawa noa. Kotahi, e rua rānei ngā waea o tētahi mīhini whakatere manawa noa. Engari e toru ngā waea o tēnei taputapu CRT . E honoa ana ēnei waea e toru ki ngā wāhi motuhake e toru o te ngākau.

• Ka haere tetahi waea ki te rūma o runga o te ngākau (te atrium matau)
• Ka haere te waea tuarua ki te rūma matau o raro o te ngākau (te ventricle matau).
• Ka haere te waea tuatoru ki te rūma maui o raro o te ngākau (te ventricle maui).

Ka tukuna e ēnei waea e toru ngā tohu hiko tino mārō, ka mahi tahi ngā rūma o te ngākau, me te kotahitanga. He rite ki tētahi kaiārahi e noho ana i mua i tētahi ōkestra, e tuku ana i te tohu ki te katoa kia takaro tahi. Ka tino whakanui ake tēnei i te pai o te pupuhi o te ngākau.

Ko wai rā te hunga e hiahia ana ki tēnei maimoatanga CRT?

Ehara tēnei maimoatanga i te mea mā te katoa. Ka tirohia e tō tākuta ētahi āhuatanga i mua i te tūtohutanga.

• Tūnga o te Raru o te Manawa: Ka tirotiro mēnā he ngoikore ngakau ngawari, he ngoikore ngakau kino rānei tōu.
• Te rongoā: Ahakoa kua whakamahia ngā rongoā pai rawa atu mō te ngoikore o te ngākau, ka kitea tonu ngā tohu (te poto o te manawa, te ngenge).
• Ngā raruraru manawataki o te ngākau: Mā te whakamātautau ECG ka kitea he whakaroa i te tukunga o ngā tohu hiko i roto i tō ngākau. He mea tino taunaki tēnei, inā koa mō te hunga whai mate pēnei i te Mauī Bundle Branch Block .
• Te mana pupuhi o te ngākau:Mā te echocardiogram (matawai ngākau) e tirotiro mēnā he iti te kaha pupuhi toto o tō ngākau (te wāhanga ejection).

Ki te kī māmā noa, ka whakaarohia tēnei maimoatanga e ngā tākuta mō te hunga he uaua ki te whakahaere mā te rongoā me ngā huringa momo noho.

Me pēhea te whakarite i mua i te maimoatanga?

I te mea he pokanga iti tēnei, me whakarite koe mōna i mua. Mā tō tākuta koe e kī atu ki te mahi i ēnei e whai ake nei:

• Ngā Whakamātautau: I mua i te pokanga, ka tonoa koe kia whai i tētahi echocardiogram , he matawai MRI pea o te ngākau , me ētahi whakamātautau toto hei whakatau i te āhua tuturu o tō ngākau.
• Nohopuku: Ka tohutohuhia koe kia kaua e kai, e inu rānei i tetahi mea mō te iti rawa i te 6 hāora i mua i te pokanga.
• Rongoā: I te wā o te pokanga, ka hoatu he rongoā ki a koe hei whakangāwari i tō mamae, hei mea hoki kia moe māmā ai koe, kia kore ai koe e rongo i tetahi mea.

Me pēhea te mahi i te pokanga?

E hia ngā hāora te roa o tēnei tukanga. Anei ngā mea ka tupu:

1. Te whakauru i ngā waea: Tuatahi, ka whakaurua e te tākuta ētahi waea angiangi e toru mā roto i tētahi uaua i tō pakihiwi, i tō huha rānei. Ka tino āta mahia tēnei i a koe e mātakitaki ana i tētahi mīhini hihi-X.

2. Te tuku i ngā waea ki te ngākau: Kātahi ka tukuna ēnei waea mā roto i ngā uaua, ka whakanohoia ki ngā wāhi e toru kua tohua o te ngākau i kōrerotia i mua ake nei (te atrium matau, te ventricle matau, me te ventricle maui).

3. Te hanga wāhi mō te taputapu: Muri iho, ka tapahia he kiri i raro i tō wheua kaki, ka hangaia he wāhi iti (pōkete) i raro i te kiri. Koinei te wāhi ka whakatakotoria ai te taputapu CRT.

4. Hononga me te whakamātautau: Ka honoa ngā pito kē atu o ngā waea e toru e tukuna ana ki te ngākau ki tēnei taputapu CRT. Kātahi ka tirohia mēnā kei te mahi tika, ā, mēnā kei te tika te haere o ngā tohu.

5. Te whakaurunga o te taputapu: Ki te pai ngā mea katoa, ka whakanohoia te taputapu CRT ki roto i te pute kua hangaia, ka kati te tapahi, ā, ka whakatakotoria ngā tuitui kia ma.

He aha ngā painga me ngā mōrearea o tēnei maimoatanga?

Pērā i ngā maimoatanga hauora katoa, he painga, he mōrearea hoki tō te CRT. He mea nui kia matapakihia ēnei me tō tākuta.

He aha te mea ka tupu i muri i te maimoatanga?

Me noho koe ki te hōhipera mō te tata ki te rā i muri i te pokanga.

• I te ara ki te kāinga: Nā te mea kua hoatu he pire moe ki a koe, kāore e taea e koe te taraiwa waka . Nō reira, he mea nui kia mauria mai he tangata hei kawe i a koe ki te kāinga.
• Te nekehanga o te ringa: Me noho puku te ringa i te taha i whakatōkia ai te taputapu (ko te ringa maui te tikanga), kaua hoki e hikitia mō te 12 hāora pea . Mā tēnei ka taea e ngā waea kua whakaurua te noho tika ki roto i te ngākau.
• Kāri Motuhake: Ka hoatu he kāri motuhake ki a koe, kei roto ngā taipitopito katoa o tēnei taputapu. He mea tino nui kia mau tonu tēnei kāri i roto i tō pēke moni.
• Whakaora: Ka taea e koe te hoki anō ki ngā mahi o ia rā i roto i ētahi rā, engari kāore i te tūtohutia kia taraiwa, kia hiki rānei i ngā taonga taumaha mō te wiki pea.
• Tirohia anō: I mua i tō tukunga ki te kāinga, ka mahia pea he hihi-X, he ECG rānei hei tirotiro kei te tika ngā waea.

He aha te rerekētanga i waenga i te CRT me te ICD?

He mea tēnei e pōhēhē ana i te tini o te tangata. He momo taputapu e rua te CRT me te ICD.

• CRT (Whakaora Tukutahitanga o te Ngākau): E ai ki tā tātou i kōrero ai, ka whakamahia tēnei hei tukutahi i te manawa o te ngākau. Arā, ka mahi tahi ngā rūma o te ngākau, i roto i te kotahi manawataki. He putanga matatau tēnei o te taputapu whakatere manawa.
• ICD (Implantable Cardioverter-Defibrillator): He rerekē te mahi a tēnei. Mena kei te tere rawa te pā o te manawa, ka mōhiotia e ia, ā, ka tukuna he ru hiko iti hei whakahoki i te manawa kia rite ki te āhua noa . He taputapu whakaora ora tēnei.

Engari he maha ngā wā, ka pāngia te hunga whai mate manawa e ēnei raruraru e rua. Koia te take ka whakatōngia ai e ngā tākuta tētahi taputapu kotahi kei a ia ngā āheinga e rua, arā, he CRT-D (CRT me te Defibrillator) .

Āhea te wā hei kōrero ki te tākuta

I muri i te whakaurunga o tētahi taputapu CRT, me tūpato koe ki ētahi mea.

Hei tāpiritanga, me haere koe ki ngā rā o te whare hauora kua whakaritea.

• Ka tū te whakamātautau tuatahi i te marama i muri i te pokanga.
• Ā muri iho, ka tono rātou kia kite i a koe kotahi, e rua rānei i te tau.

I ēnei wāhi hauora, ka tirohia e te tākuta te āhua o te taputapu, tōna pākahiko, me ngā waea. Ka tirohia hoki e ia te nui o te whakapainga o te mahi a tō ngākau nā tēnei taputapu.