Ko wai te ingoa o te tākuta e mahi ana i te pokanga ngākau? (Taonga Ngākau) Me ako tātou mō tēnei!

Kua whakaaro kē koe ko wai tā tātou e tika ana kia toro atu ina hiahiatia he pokanga mō te raruraru o te ngākau? Ko wai rānei te tākuta e mahi pokanga ana hei whakaora i te ngākau i roto i te āhuatanga ohorere, ā, he aha tonu tāna mahi? Ko tētahi o aua tāngata tino nui ko te taote ngākau. I tēnei rā, me kōrero tātou mō te tangata o tēnei taote ngākau me āna mahi.

He aha te Pokanga Manawa?

Ki te kī ngāwari, ko ngā mahi katoa e mahia ana ki tō ngākau, ki ngā oko toto nui rānei e hono ana ki reira, ka kiia ko te pokanga ngākau. I ētahi wā, ka uru atu hoki ki te pokanga ki ngā kiko e tata ana ki te ngākau, ki ētahi atu mea rānei. Whakaarohia, he rite te ngākau ki tētahi motuka iti i roto i tō tātou tinana, he mea nui kia mau tonu tana mahi tika! Nō reira, me tino tupato me te tohunga te mahi i ēnei momo pokanga.

He rerekē ngā momo taote ngakau?

Ae, e rua ngā momo matua o ngā taote ngakau. Ahakoa he maha ngā āhuatanga ōrite o ā rātou mahi, ka whakarōpūtia rātou pēnei nā ētahi rerekētanga nui.

Taote Pokanga o te Manawa

I ētahi wā ka karangatia ēnei tākuta ko ngā Taote Pokanga Cardiothoracic , ko ngā Taote Pokanga Uma Whānui rānei . Ko te tikanga o te kupu Kariki 'Thoracic' ko 'uma'. Nō reira, e ai ki te ingoa, ka mahi ēnei tākuta i ngā pokanga maha o roto i te kōhao uma. Hei tauira, ka mahi rātou i ngā pokanga ki te manawa me ōna oko toto nui, arā, ngā pukahukahu, te esophagus , e kawe ana i te kai mai i tō waha ki tō puku, me te trachea .

Heoi, ko ētahi taote pokanga uma ka aro noa ki ngā mate e pā ana ki te ngākau, ki te pēke e karapoti ana i te ngākau (pericardium), me ngā oko toto nui o te ngākau. Ko ētahi ka aro noa ki ngā mate o te uma ehara i te ngākau me ngā oko toto nui.

Taote Ngākau Whānau/Tamariki

He tohunga ēnei tākuta ki te whakatika i ngā raruraru hanganga, i ngā hapa rānei o te ngākau e kitea ana i te whānautanga. Hei tauira, ka whānau mai ētahi pēpi me ngā raruraru takirere ngākau, ngā kōhao rānei i ngā pakitara i waenganui i ngā rūma o te ngākau (pērā i te Ventricular Septal Defect , i te Atrial Septal Defect rānei) . Koinei te hunga e whakatika ana i ngā mea pēnei.

Ka mahia ēnei pokanga e ētahi tākuta ki ngā pakeke – nā te mea i ētahi wā ka kitea noa te mate manawa whānau i te pakeketanga. Heoi, ko ētahi kua whakangungua motuhake ki te mahi i ēnei pokanga ki ngā tamariki nohinohi, ki ngā pēpi, me ngā pēpi hou. He tino motuhake ā rātou mahi, ā, he iti noa iho ngā tākuta manawa tamariki ki te whakataurite ki ērā e pokanga ana ki ngā pakeke anake. Nā te mea he mahi tino uaua tēnei, he nui te whakangungu me te wheako motuhake e hiahiatia ana.

E hia te nui o te wheako me te whakangungu e hiahiatia ana hei mahi taote ngakau?

Ina hoki, he nui rawa te mātauranga me te whakangungu e hiahiatia ana hei taote ngakau. E 15 tau te roa, neke atu rānei. Ko ētahi mahi pokanga ngakau ka roa ake i te 20 tau. Whakaarohia te whakapau kaha! He rite ki te oma marathon, engari he maha ngā tau.

Me whakaoti e ia taote ngakau ngā mahi e whai ake nei:

• Me whakaoti e koe te tohu Paetahi i roto i te toru ki te whā tau.
• Whai muri i tēnā, me ako koe mō ngā tau e whā i te kura hauora, ā, me whiwhi koe i te tohu hauora (tohu Tākuta Hauora, tohu Tākuta Rongoā Osteopathic rānei) .

Kātahi ka hiahia koe ki te whiriwhiri i tētahi o ēnei e rua:

• He tau noho mō te pokanga whānui e rima tau te roa, ā, muri iho ka rua, e toru rānei tau o te noho mō te pokanga ngakau, te uma rānei.
• He noho noho mō te ono tau ki te Pokanga Tinana me te Mate Puku (ICTSR) .

Hei Taote Manawa Whānau, me whakaoti hoki e koe tētahi tau whakangungu motuhake (Fellowship). Arā, ka taea e koe te whakaaro ki te nui o te wā e pau ana i a koe ki te ako, ki te whakangungu, me te whiwhi wheako. Ka mahia ēnei katoa kia noho ko koe te tangata pai rawa atu hei tiaki i tōu manawa.

He aha ngā momo mate e rongoatia ana e te taote ngakau?

Ka taea e te taote ngakau te rongoā i tētahi mate, āhua, whara rānei e hiahia ana kia pokangahia hei whakatika, hei whakatika rānei. Ka taea tēnei te ahu mai i tētahi whara mai i tētahi aituā – arā, he aituā motuka, he patunga wero, he patunga pū rānei – ki te whakatika i ngā kino o te ngakau mai i tētahi mate, i tētahi āhua whānau rānei. Ko ētahi o ngā āhuatanga matua e hiahia ana kia whakamahia he taote ngakau:

• Ngā mate takirere ngākau.
• Ngā Mate Urutā o te Manawa (Arrhythmias) .
• Te ngoikore o te ngākau nā te mate ngākau.
• Te Wetewete i te Aorta .
• Ngā mate o te ngākau whānau mai pērā i te pūhao i waenganui i ngā rūma o te ngākau - hei tauira , te Mate o te Hepa o te Puku o te Ventricular me te Mate o te Hepa o te Atrial .

He aha ngā pokanga me ngā tikanga e mahia ana e ngā taote ngakau?

He whānuitia ngā mahi pokanga me ngā mahi hauora e mahia ana e ngā taote ngakau. Ko ētahi o ngā mea tino noa ko:

• Tukanga Maze - Ka mahia tēnei mō ētahi hē o te manawa o te ngakau.
• Te Tāruatanga o te Arorangi o te Ngākau (CABG) - Ka karangatia hoki tēnei ko te 'tāruatanga'. Ko te tikanga o tēnei ko te waihanga i ngā ara hou ina aukatia ngā uaua e tuku toto ana ki te ngākau.
• Ngā pokanga mō te mate manawa whānau.
• Te pokanga whakatikatika me te whakakapi i te takirere ngākau.
• Te whakatō taputapu ki roto i te ngākau - hei tauiraNgā mea pēnei i te (Pacemakers) me te (Implantable Cardioverter Defibrillators - ICDs) . Engari i ētahi wā ka taea ēnei e te tākuta e tohunga ana ki te mahi hiko o te ngākau (Electrophysiology) .
• Pokanga mō te cardiomyopathy hypertrophic .
• Te whakawhitinga ngākau - He pokanga tino uaua tēnei.

He maha ngā huarahi e whakangungua ai ngā taote pokanga ki te mahi i te momo pokanga kotahi. Kei roto i ēnei ko:

• Pokanga Whakararu Iti: He rite ēnei ki ngā pokanga tuwhera noa, engari ka mahia mā roto i ngā tapahi iti rawa me ngā taputapu motuhake. Ka tere ake te whakaora o ngā tapahi iti, ka iti ake te mamae, ka iti ake te toto, ā, he iti ake ngā mōrearea.
• Pokanga āwhina-rōpoti: Ka taea e te taote pokanga motuhake te mahi pokanga mā te āwhina o te rōpoti. Whakaarohia kei te noho koe i te papa whakahaere e tata ana ki te tēpu pokanga, ka 'whakahaere' te tākuta i te rōpoti. Ka mahia te pokanga mā te whakamahi i ngā taputapu e piri ana ki ngā ringa o te rōpoti. Ka whakauruhia he kāmera motuhake i runga i te rōpoti ki roto i te tinana mā te tapahi kotahi, ka taea e te tākuta te kite i roto i te tinana. He maha ngā wā ka kitea tēnei i roto i ngā āhuatanga e toru (3-D) , pērā i tā tātou titiro ki te ao me ō tātou ake kanohi. Ehara i te mea koinā anake, ka māmā ake hoki te whakahaere a te rōpoti i ngā taputapu i roto i te tinana e te tākuta, ā, he nui ake te whānuitanga o te nekehanga o te ringa (ka taea e ētahi taputapu te huri i te 360 ​​​​tohu, he nui ake i te ringa o te tākuta). Nā tēnei hangarau ka taea te mahi pokanga me te tino tika.

He aha ngā kawenga o te taote ngakau i tua atu i te mahi pokanga?

Ehara i te mea ko te taote ngakau he tangata mahi pokanga anake. Kei roto hoki i ana mahi (ā, kāore i te herea ki) ēnei e whai ake nei:

• Te pupuri tuhinga: Me pupuri e koe ngā tuhinga me ngā tuhipoka taipitopito mō ngā pokanga e mahia ana e koe me ngā mahi e mahia ana e koe i taua wā. He mea tino nui tēnei mō ētahi atu tākuta me te heke mai.
• Te Whakaakoranga: He maha ngā taote ngakau e mahi ana i ngā hōhipera whakaako. Ko te tikanga o tēnei, i a rātou e kite ana i ngā tūroro, ka whakaakona e rātou ngā tākuta me ngā taote ngakau o muri mai mō te pokanga ngakau me ōna pānga ki ngā tūroro.
• Whakangungu: Ka mahi tahi ēnei tākuta me ētahi atu tākuta, ngā taote pokanga, me ngā kaimahi o te rūma pokanga, he rite tonu ki ngā kaiwhakaari e whakaharatau ana mō tētahi whakaari, kia taea ai e rātou te mahi i te pokanga tuturu me te maeneene me te haumaru.
• Te Mātauranga me te Whakangungu Tonu: Me ako tonu, me mahi hoki ngā tākuta katoa i ngā mea hou. I te whanaketanga o te pūtaiao hauora i ia rā, i ia rā, me whai mōhio tonu rātou ki ngā tikanga pokanga hou me ngā rongoā hou. I runga i ngā ture o tō rātou whenua, o tō rātou kawanatanga rānei, tera pea he whakaritenga me tutuki e rātou. Ki te kore e tutuki i a rātou ēnei whakaritenga, tera pea ka ngaro i a rātou tō rātou raihana ki te mahi rongoā. He mea tino nui tēnei.Kei roto i tēnei ko te mātauranga pakari mō te tiwhikete poari me ngā whakamātautau. Ko ētahi whakamātautau ka roa mō ngā hāora, tae noa ki ngā rā.

He aha koe me toro atu ai ki tētahi taote ngakau? He aha ngā mea hei tumanako atu?

He take tino nui te pokanga ngākau. He maha ngā wā ka mahia ina kāore he kōwhiringa pai ake – arā, ina kāore he huarahi haumaru ake, whai hua ake hoki hei āwhina i a koe.

I te nuinga o te wā, ka whai wā koe ki te ako mō te pokanga ngākau ka mahia ki a koe, ngā mea hei tumanako atu māu, me pēhea te whakarite. Mā te tākuta koe e whakamārama i ngā mea katoa.

Engari i roto i tētahi āhuatanga ohorere, me mahi pokanga manawa tonu koe. I roto i tēnei āhuatanga, ka kōrero te taote pokanga ki tō whānau, ki ō whanaunga, ki tētahi atu rānei hei kōrero māu, hei whakatau hoki i ngā whakatau hauora. Ka whakapau kaha te taote pokanga ki te āwhina i a koe kia mārama ki ngā mea e pā ana, he aha koe i hiahia ai ki te pokanga, me ngā mea hei tumanako atu.

Me whai tohutoro koe kia kite i tētahi taote pokanga ngākau?

Āe, tino tika. Hei kite i tētahi taote ngakau, me tuku he tohutoro . Ko taua tohutoro he mea tuku mai i tētahi taote ngakau , i tētahi atu tohunga rānei. Ko te tikanga o tēnei ko tētahi atu tohunga, tākuta rānei te tuatahi ki te kite i tētahi āhuatanga, i tētahi raruraru rānei e hiahia ana kia pokangahia. I roto i tētahi āhuatanga ohorere, ka taea e te tākuta, e te tohunga rānei e mahi ana te kōrero mō tō āhuatanga ki te taote ngakau e mahi ana, te tūtohu i ngā kōwhiringa, me te whakaaro i te huarahi maimoatanga pai rawa atu māu.

He wheako whakamataku, he wheako taumaha hoki te hiahia ki te pokanga ngākau. Waimarie, kāore koe e hiahia ki te mahi ko koe anake. Kei muri i ia tūroro e hiahia ana ki te pokanga ngākau he rōpū kaiwhakarato hauora me ngā tohunga ngaio, mai i ngā tohunga hangarau me ngā kaimahi tautoko ki ngā nēhi, ngā tohunga me ngā taote pokanga. He whakapau kaha nui te noho hei taote pokanga ngākau, he mahi tino uaua, ā, ko te hunga tino pai anake ka tae ki reira. Ko te tikanga he rōpū nui o ngā tohunga hauora pūkenga, whakangungua, mātauranga me te ngākau nui e mahi ana i ngā mea katoa ka taea e rātou hei āwhina i a koe ki te ora me te hoki ki tō oranga.

Nā, he aha ngā mea tino nui hei maumahara mā tātou i tēnei pūrākau?

Ko te taote ngakau he taote whai whakangungu tino motuhake e mahi ana i ngā pokanga o te ngakau me ngā uaua toto nui e pā ana ki reira.

• He rerekē ngā momo, ko ētahi e mahi pokanga ana i te nuinga o ngā wāhanga o te uma (Cardiothoracic Surgeon) , ko ētahi he tohunga ki ngā mate manawa whānau (Congenital/Pediatric Heart Surgeon) .
• Ko te mahi hei taote ngakau he roa te wā ako me te whakangungu e hiahiatia ana, 15-20 tau pea.Ae. He nui te whakapau kaha e hiahiatia ana.
• He maha ngā āhuatanga e rongoātia ana e rātou, tae atu ki te mate takirere ngākau, ngā raruraru manawataki ngākau (arrhythmias) , ngā āhuatanga ngākau, me ngā koha ngākau whānau.
• Ka whakahaerehia e rātou ngā pokanga whakawhiti (CABG) , te whakakapinga takirere, ā, i nāianei ka whakahaerehia hoki ngā pokanga iti rawa te whakaekenga me ngā pokanga āwhina-rorohiko .
• Haunga te mahi pokanga, ko ō rātou kawenga ko te pupuri i ngā tuhinga, te whakaako i ētahi atu, me te ako tonu i ngā mea hou.
• Ahakoa he take nui te pokanga ngākau, kia maumahara kei a koe tētahi rōpū tākuta pūkenga hei āwhina i a koe. I te nuinga o te wā ka tukuna atu he tohutoro ki a koe e te tākuta ngākau kia kite i tētahi taote ngākau.

Nō reira, ko tāku tumanako he whai hua ēnei kōrero ki a koe. Mēnā he pātai anō āu, kaua e mangere ki te pātai atu ki te tākuta! He mea tino nui te tiaki i tō ngākau.

` Taonga Manawa, Pokanga Manawa, Mate Manawa, Pokanga Āpiti, Pokanga Manawa, Taote Manawa Umanga, Pokanga Manawa Whānau, CABG, Kaiwhakatere Manawa