Ina kī mai te tākuta ki a koe, ki tētahi rānei e mōhio ana koe me pokanga ngākau tuwhera koe, he mea noa te māharahara. Kua rongo pea koe i ngā kōrero pēnei i te "ka mahia te pokanga i muri i te mutu o te ngākau." Me pēhea te mahi i tēnā? Me pēhea te rere o te toto ki te tinana ina mutu te ngākau? Me pēhea te whiwhi hāora? Ko te whakautu ki aua pātai ko te mīhini ngākau-pūkahukahu ka kōrerohia e tātou, arā, ko te Cardiopulmonary Bypass i roto i ngā kupu hauora. Me kōrero tātou mō tēnei mea kia tino māmā, kia mārama ai koe.
He aha te Cardiopulmonary Bypass?
Ahakoa te āhua roa o tēnei ingoa, he tino māmā noa iho te tikanga. Me wehewehe kia rua, kia toru ngā kupu.
- Ko te cardio he mea mō tō ngākau .
- Ko te kupu "pūkahukahu" e pā ana ki ō pūkahukahu .
- Ko te tikanga o te karo ko te karo i tētahi mea.
He māmā noa iho, ko te Cardiopulmonary Bypass he tikanga e karohia ai te rere o te toto i roto i te tinana e te ngākau me ngā pukahukahu i te wā e pokanga ana te ngākau, ā, ka tukuna mā roto i tētahi mīhini motuhake i waho o te tinana. Ka kiia hoki tēnei mīhini he mīhini ngākau-pukahukahu .
Whakaarohia he whakatikatika rori nui. I taua wā, ka hurihia ngā waka ki tētahi atu huarahi kia oti rā anō te mahi? Koinā hoki te mea e tupu ana i konei. He māmā ake mā te taote pokanga te mahi i te ngākau ina kore te ngākau e patupatu ana, ā, kāore hoki e kī ana i te toto. Nō reira, ka tangohia e tēnei mīhini te mahi a te ngākau me ngā pukahukahu mō tētahi wā poto. Ko te tikanga:
- Ka kohia e ia te toto kua pau te hāora i roto i te tinana.
- Ka tāpirihia he hāora hou ki taua toto.
- Ka tangohia te hauhā waro i te toto.
- Kātahi ka pamuhia anō tēnei toto kua horoia, kua whai hāora ki roto i te tinana .
Mā tēnei, ka tukuna tonutia te toto whai hāora ki ngā okana katoa o te tinana puta noa i te pokanga katoa. Ka kiia tēnei tukanga ko te "noho i runga i te papu." I te nuinga o te wā, ka hoatu he rongoā motuhake e kiia nei ko te "cardioplegia" hei whakamutu i te manawa.
He rerekē te Cardiopulmonary Bypass me te CABG?
He mea tēnei e pōhēhē ai te tini o te tangata. Kāore ēnei e rua i te rite, engari he maha ngā wā ka puta tahi rāua.
- Ko te CABG (Coronary Artery Bypass Grafting) te ingoa o te pokanga . He pokanga tēnei e hanga ana i tētahi ara hou (bypass) kia rere ai te toto i roto i ngā uaua coronary e tuku toto ana ki te ngākau ina āraia e ngā putunga ngako.
- Ko te Cardiopulmonary Bypass he tikanga e whakamahia ana i te wā o te pokanga CABG (me ētahi atu pokanga ngākau). He tikanga e whakamahia ana hei karo i te ngākau me ngā pukahukahu hei āwhina i te taote pokanga ki te mahi i te pokanga CABG kia māmā ake, kia haumaru ake hoki.
Ki te whakarapopototanga, he rite te CABG ki te hanga miihini waka. Ko te Cardiopulmonary Bypass he rite ki te hono i tētahi pākahiko motuhake ki waho o te waka hei whakakaha i ngā mea pēnei i ngā rama me te AC i te wā e hanga ana i te miihini.
He aha ngā momo pokanga e hiahia ana ki tēnei tikanga?
Ko te tikanga, ka hiahiatia te Cardiopulmonary Bypass mō ngā pokanga e whai ake nei:
- Te Tāruatanga o te Arorangi Koronari (CABG)
- Te pokanga mō ngā aneurysms
- Te pokanga whakawhitinga ngākau
- Te pokanga takirere ngākau (te whakatikatika, te whakakapi rānei i te takirere ngākau)
- Te pokanga whakawhitinga pūkahukahu
Me pēhea te mahi a tēnei mīhini ngākau me te pukahukahu?
He rite tēnei mīhini ki te ngākau rangitahi me ngā pukahukahu e rua i waho o te tinana. Me titiro tātou ki ngā mahi matua e mahia ana e ia.
| Mahi mīhini | Hei whakarāpopototanga... |
|---|---|
| Te tango i te toto mai i te ngākau | Ka kumea te toto o te tinana kua pau te hāora ki roto i te mīhini. |
| Te tāpiri i te hāora me te tango i te CO2 | Koinei tonu te mahi a ō tātou pukahukahu. Ka tāpirihia te hāora ki te toto, ka tangohia hoki te hauhā waro. |
| Te whakahaere i te pāmahana toto me ngā taumata electrolyte | Ka āwhina ki te whakaiti i te pāmahana o te tinana, ki te pupuri rānei i te taumata e hiahiatia ana i te wā e pokanga ana. |
| Te pupuhi i te toto whai hāora | Koinei tonu te mahi a tō tātou ngākau. Ka tohatoha i te toto whai rawa i te hāora puta noa i te tinana. |
| Te hoatu i ngā rongoā aukati ngākau | Hei whakamāmā ake i te mahi a te taote pokanga, ka hoatu e te tākuta te rongoā e tika ana (cardioplegia) hei whakamutu i te mahi o te manawa mō tētahi wā. |
He aha ngā wāhanga matua o te mīhini?
He huinga tēnei mīhini o ētahi wāhanga.
- Ngā Cannulas: He ngongo motuhake ēnei e hono ana ki ngā uaua toto o tō tinana, ā, e whakamahia ana hei kohi toto mai i te mīhini ka whakahoki atu ki tō tinana.
- Puna wai: He puna e kohi ana i te toto kua pau te hāora mai i te tinana.
- Pūwero Hāora: Koinei te wāhanga e mahi ana pērā i te pukahukahu horihori. Koinei te wāhi e tāpirihia ai te hāora ki te toto.
- Papu: Koinei te ngākau horihori. Ka panaia te toto whai hāora ki te tinana i te pēhanga tika.
Ngā mahi o tēnei tukanga i te wā o te pokanga
He tikanga tino whakamaheretia tēnei e whakahaerehia ana e tētahi rōpū tohunga. Kei roto i tēnei rōpū he taote pokanga, he tohunga whakamoe, me tētahi tohunga whakaheke toto kua whiwhi whakangungu motuhake ki te whakahaere i tēnei mīhini.
| Ngā Hipanga | He aha te mea e tupu ana? |
|---|---|
| 1. Te whakarite i te mīhini | Kaua he mirumiru hau i roto i ngā ngongo o te mīhini. Mēnā ka pērā, ka uru pea ki te tinana, ka puta he āhuatanga morearea (he pupuhi hau). Nō reira, ka whakakīia te mīhini ki tētahi wai motuhake, ā, ka tangohia katoatia te hau. |
| 2. Te hoatu i ngā rongoā whakangawari toto | He pūtau tūturu kei roto i ō tātou uaua toto e ārai ana i te toto kia kaua e totoka. Engari i roto i ngā ngongo kirihou o te mīhini, ka ngāwari te toto kia totoka. Hei ārai i tēnei, ka hoatu he rongoā angiangi toto pēnei i te heparin . |
| 3. Te hono atu ki te mīhini | Mā te tīma hauora koe e hono ki te mīhini ngākau-pūkahukahu. I tēnei wā, kei te mahi tonu tō ngākau me ō pūkahukahu. Mā rātou e whakarite kei te pai te mahi a ngā mea katoa. |
| 4. Te aukati o te ngākau me te pukahukahu | Kia pai te mahi a ngā mea katoa, ka tukuna he cardioplegia hei aukati i te manawa mō te wā poto. Ka whakawetohia hoki te mīhini manawa e hono ana koe. Ka tangohia te mahi e te mīhini manawa-pūkahukahu. |
| 5. Te aroturuki i te wā e pokanga ana | I a te taote pokanga e mahi ana i te pokanga, ka aroturuki tonu te kaiwhakaora toto i te mīhini me te āhua o tō tinana (te pāmahana, te pēhanga, me ētahi atu). |
| 6. Te tango mai i te mīhini | Kia oti te pokanga, ka tīmata anō tō ngākau e te tīma hauora, ā, ka tukuna ō pūkahukahu kia mahi anō. Kātahi ka tangohia mārire koe i te mīhini. |
He haumaru tēnei tikanga? He aha ngā mōrearea?
Pērā i ngā pokanga katoa, he tūponotanga kei roto i tēnei tikanga. Engari he tikanga tino angitu tēnei e mahia ana i ia rā puta noa i te ao. He tino whakangungua tō tīma hauora ki te whakahaere i ēnei tūponotanga. Ko ngā tūponotanga ka whakawhirinaki ki tō hauora i mua i te pokanga me te roa o te wā e hono ana koe ki te mīhini. I te nuinga o te wā, he iti ngā tūponotanga mēnā kei runga koe i te mīhini mō te iti iho i te toru hāora.
Ko ētahi raruraru pea ko:
- Te toto
- Te toto totoka
- Whiu
- Te kino ki te roro, ki ngā pukahukahu, ki ngā whatukuhu rānei
- Te mumura i roto i te tinana
- Te ngoikore o ngā okana maha - he tino onge tēnei.
Mena he āwangawanga āu mō ēnei mōrearea, kōrerohia marietia ki tō tākuta i mua i te pokanga kia mārama ai koe.
Te wā whakaora me te wā hei toro atu ki te tākuta
He rerekē te roa o te wā whakaora i muri i te pokanga i ia tangata, i ia tangata. Kei runga i te momo pokanga i mahia ki a koe, tō tau, me tō hauora whānui. He mea tino nui kia whai tika koe i ngā tohutohu a tō tākuta, kia tae atu hoki ki ō wā whakarite i te wā tika.
Āhua ohorere!
Ki te puta tētahi o ngā tohu o te whiu e whai ake nei, haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera tata rawa atu, waea atu rānei ki te ratonga waka tūroro i te 1990.
- Te uaua ki te hikoi, te ngaro o te taurite
- Te wiri, te ngoikore rānei i tetahi taha o te tinana
- He iti noa te hē i te wā e kōrero ana
- Te pōhēhē ohorere
- He uaua ki te kite mārama
- He uaua ki te mārama ki ngā kōrero a ētahi atu
He hangarau whakamiharo te Cardiopulmonary Bypass e āwhina ana ki te whakaora i ngā oranga i ia rā, i ia rā. He mea noa te mataku kei tangohia tō ngākau me ō pukahukahu e tētahi mīhini pēnei. Engari kōrero ki tō tākuta mō ngā pātai, ngā āwangawanga rānei e pā ana ki tēnei tikanga. Ka taea e koe te ako atu mō te tikanga i konei: ne_BODY:
Ina kī mai te tākuta ki a koe, ki tētahi rānei e mōhio ana koe me pokanga ngākau tuwhera koe, he mea noa te māharahara. Kua rongo pea koe i ngā kōrero pēnei i te "ka mahia te pokanga i muri i te mutu o te ngākau." Me pēhea te mahi i tēnā? Me pēhea te rere o te toto ki te tinana ina mutu te ngākau? Me pēhea te whiwhi hāora? Ko te whakautu ki aua pātai ko te mīhini ngākau-pūkahukahu ka kōrerohia e tātou, arā, ko te Cardiopulmonary Bypass i roto i ngā kupu hauora. Me kōrero tātou mō tēnei mea kia tino māmā, kia mārama ai koe.
He aha te Cardiopulmonary Bypass?
Ahakoa te āhua roa o tēnei ingoa, he tino māmā noa iho te tikanga. Me wehewehe kia rua, kia toru ngā kupu.
- Ko te cardio he mea mō tō ngākau .
- Ko te kupu "pūkahukahu" e pā ana ki ō pūkahukahu .
- Ko te tikanga o te karo ko te karo i tētahi mea.
He māmā noa iho, ko te Cardiopulmonary Bypass he tikanga e karohia ai te rere o te toto i roto i te tinana e te ngākau me ngā pukahukahu i te wā e pokanga ana te ngākau, ā, ka tukuna mā roto i tētahi mīhini motuhake i waho o te tinana. Ka kiia hoki tēnei mīhini he mīhini ngākau-pukahukahu .
Whakaarohia he whakatikatika rori nui. I taua wā, ka hurihia ngā waka ki tētahi atu huarahi kia oti rā anō te mahi? Koinā hoki te mea e tupu ana i konei. He māmā ake mā te taote pokanga te mahi i te ngākau ina kore te ngākau e patupatu ana, ā, kāore hoki e kī ana i te toto. Nō reira, ka tangohia e tēnei mīhini te mahi a te ngākau me ngā pukahukahu mō tētahi wā poto. Ko te tikanga:
- Ka kohia e ia te toto kua pau te hāora i roto i te tinana.
- Ka tāpirihia he hāora hou ki taua toto.
- Ka tangohia te hauhā waro i te toto.
- Kātahi ka whakahokia tēnei toto kua purea, kua whai hāora kiTe pupuhi ki roto i te tinana.
Mā tēnei, ka tukuna tonutia te toto whai hāora ki ngā okana katoa o te tinana puta noa i te pokanga katoa. Ka kiia tēnei tukanga ko te "noho i runga i te papu." I te nuinga o te wā, ka hoatu he rongoā motuhake e kiia nei ko te "cardioplegia" hei whakamutu i te manawa.
He rerekē te Cardiopulmonary Bypass me te CABG?
He mea tēnei e pōhēhē ai te tini o te tangata. Kāore ēnei e rua i te rite, engari he maha ngā wā ka puta tahi rāua.
- Ko te CABG (Coronary Artery Bypass Grafting) te ingoa o te pokanga . He pokanga tēnei e hanga ana i tētahi ara hou (bypass) kia rere ai te toto i roto i ngā uaua coronary e tuku toto ana ki te ngākau ina āraia e ngā putunga ngako.
- Ko te Cardiopulmonary Bypass he tikanga e whakamahia ana i te wā o te pokanga CABG (me ētahi atu pokanga ngākau). He tikanga e whakamahia ana hei karo i te ngākau me ngā pukahukahu hei āwhina i te taote pokanga ki te mahi i te pokanga CABG kia māmā ake, kia haumaru ake hoki.
Ki te whakarapopototanga, he rite te CABG ki te hanga miihini waka. Ko te Cardiopulmonary Bypass he rite ki te hono i tētahi pākahiko motuhake ki waho o te waka hei whakakaha i ngā mea pēnei i ngā rama me te AC i te wā e hanga ana i te miihini.
He aha ngā momo pokanga e hiahia ana ki tēnei tikanga?
Ko te tikanga, ka hiahiatia te Cardiopulmonary Bypass mō ngā pokanga e whai ake nei:
- Te Tāruatanga o te Arorangi Koronari (CABG)
- Te pokanga mō ngā aneurysms
- Te pokanga whakawhitinga ngākau
- Te pokanga takirere ngākau (te whakatikatika, te whakakapi rānei i te takirere ngākau)
- Te pokanga whakawhitinga pūkahukahu
Me pēhea te mahi a tēnei mīhini ngākau me te pukahukahu?
He rite tēnei mīhini ki te ngākau rangitahi me ngā pukahukahu e rua i waho o te tinana. Me titiro tātou ki ngā mahi matua e mahia ana e ia.
| Mahi mīhini | Hei whakarāpopototanga... |
|---|---|
| Te tango i te toto mai i te ngākau | Ka kumea te toto o te tinana kua pau te hāora ki roto i te mīhini. |
| Te tāpiri i te hāora me te tango i te CO2 | Koinei tonu te mahi a ō tātou pukahukahu. Ka tāpirihia te hāora ki te toto, ka tangohia hoki te hauhā waro. |
| Te whakahaere i te pāmahana toto me ngā taumata electrolyte | Ka āwhina ki te whakaiti i te pāmahana o te tinana, ki te pupuri rānei i te taumata e hiahiatia ana i te wā e pokanga ana. |
| Te pupuhi i te toto whai hāora | Koinei tonu te mahi a tō tātou ngākau. Ka tohatoha i te toto whai rawa i te hāora puta noa i te tinana. |
| Te hoatu i ngā rongoā aukati ngākau | Hei whakamāmā ake i te mahi a te taote pokanga, ka hoatu e te tākuta te rongoā e tika ana (cardioplegia) hei whakamutu i te mahi o te manawa mō tētahi wā. |
He aha ngā wāhanga matua o te mīhini?
He huinga tēnei mīhini o ētahi wāhanga.
- Ngā Cannulas: He ngongo motuhake ēnei e hono ana ki ngā uaua toto o tō tinana, ā, e whakamahia ana hei kohi toto mai i te mīhini ka whakahoki atu ki tō tinana.
- Puna wai: He puna e kohi ana i te toto kua pau te hāora mai i te tinana.
- Pūwero Hāora: Koinei te wāhanga e mahi ana pērā i te pukahukahu horihori. Koinei te wāhi e tāpirihia ai te hāora ki te toto.
- Papu: Koinei te ngākau horihori. Ka panaia te toto whai hāora ki te tinana i te pēhanga tika.
Ngā mahi o tēnei tukanga i te wā o te pokanga
He tikanga tino whakamaheretia tēnei e whakahaerehia ana e tētahi rōpū tohunga. Kei roto i tēnei rōpū he taote pokanga, he tohunga whakamoe, me tētahi tohunga whakaheke toto kua whiwhi whakangungu motuhake ki te whakahaere i tēnei mīhini.
| Ngā Hipanga | He aha te mea e tupu ana? |
|---|---|
| 1. Te whakarite i te mīhini | Kaua he mirumiru hau i roto i ngā ngongo o te mīhini. Mēnā ka puta, ka taea e rātou te uru ki te tinana, ka puta he āhuatanga morearea (he pupuhi hau). Nō reira, ka whakakīia te mīhini ki tētahi wai motuhake, ā, ka tangohia katoatia te hau. |
| 2. Te hoatu i ngā rongoā whakangawari toto | He pūtau tūturu kei roto i ō tātou uaua toto e ārai ana i te toto kia totoka. Engari i roto i ngā ngongo kirihou o te mīhini, ka ngāwari te totoka. Hei ārai i tēnei, ka hoatu he rongoā whakangawari toto pēnei i te heparin . |
| 3. Te hono atu ki te mīhini | Mā te tīma hauora koe e hono ki te mīhini ngākau-pūkahukahu. I tēnei wā, kei te mahi tonu tō ngākau me ō pūkahukahu. Mā rātou e whakarite kei te pai te mahi a ngā mea katoa. |
| 4. Te aukati o te ngākau me te pukahukahu | Kia pai te mahi a ngā mea katoa, ka tukuna he cardioplegia hei aukati i te manawa mō te wā poto. Ka whakawetohia hoki te mīhini manawa e hono ana koe. Ka tangohia te mahi e te mīhini manawa-pūkahukahu. |
| 5. Te aroturuki i te wā e pokanga ana | I a te taote pokanga e mahi ana i te pokanga, ka aroturuki tonu te kaiwhakaora toto i te mīhini me te āhua o tō tinana (te pāmahana, te pēhanga, me ētahi atu). |
| 6. Te tango mai i te mīhini | Kia oti te pokanga, ka tīmata anō tō ngākau e te tīma hauora, ā, ka tukuna ō pūkahukahu kia mahi anō. Kātahi ka tangohia mārire koe i te mīhini. |
He haumaru tēnei tikanga? He aha ngā mōrearea?
Pērā i ngā pokanga katoa, he tūponotanga kei roto i tēnei tikanga. Engari he tikanga tino angitu tēnei e mahia ana i ia rā puta noa i te ao. He tino whakangungua tō tīma hauora ki te whakahaere i ēnei tūponotanga. Ko ngā tūponotanga ka whakawhirinaki ki tō hauora i mua i te pokanga me te roa o te wā e hono ana koe ki te mīhini. I te nuinga o te wā, he iti ngā tūponotanga mēnā kei runga koe i te mīhini mō te iti iho i te toru hāora.
Ko ētahi raruraru pea ko:
- Te toto
- Te toto totoka
- Whiu
- Te kino ki te roro, ki ngā pukahukahu, ki ngā whatukuhu rānei
- Te mumura i roto i te tinana
- Te ngoikore o ngā okana maha - he tino onge tēnei.
Mena he āwangawanga āu mō ēnei mōrearea, kōrerohia marietia ki tō tākuta i mua i te pokanga kia mārama ai koe.
Te wā whakaora me te wā hei toro atu ki te tākuta
He rerekē te roa o te wā whakaora i muri i te pokanga i ia tangata, i ia tangata. Kei runga i te momo pokanga i mahia ki a koe, tō tau, me tō hauora whānui. He mea tino nui kia whai tika koe i ngā tohutohu a tō tākuta, kia tae atu hoki ki ō wā whakarite i te wā tika.
Āhua ohorere!
Ki te puta tētahi o ngā tohu o te whiu e whai ake nei, haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera tata rawa atu, waea atu rānei ki te ratonga waka tūroro i te 1990.
- Te uaua ki te hikoi, te ngaro o te taurite
- Te wiri, te ngoikore rānei i tetahi taha o te tinana
- He iti noa te hē i te wā e kōrero ana
- Te pōhēhē ohorere
- He uaua ki te kite mārama
- He uaua ki te mārama ki ngā kōrero a ētahi atu
He hangarau whakamiharo te Cardiopulmonary Bypass e āwhina ana ki te whakaora i ngā oranga i ia rā, i ia rā. He mea noa te mataku kei tangohia tō ngākau me ō pukahukahu e tētahi mīhini pēnei. Engari kōrero ki tō tākuta mō ngā pātai, ngā āwangawanga rānei e pā ana ki tēnei tikanga. Ka taea e koe te ako atu mō ne_BODY:
Ina kī mai te tākuta ki a koe, ki tētahi rānei e mōhio ana koe me pokanga ngākau tuwhera koe, he mea noa te māharahara. Kua rongo pea koe i ngā kōrero pēnei i te "ka mahia te pokanga i muri i te mutu o te ngākau." Me pēhea te mahi i tēnā? Me pēhea te rere o te toto ki te tinana ina mutu te ngākau? Me pēhea te whiwhi hāora? Ko te whakautu ki aua pātai ko te mīhini ngākau-pūkahukahu ka kōrerohia e tātou, arā, ko te Cardiopulmonary Bypass i roto i ngā kupu hauora. Me kōrero tātou mō tēnei mea kia tino māmā, kia mārama ai koe.
He aha te Cardiopulmonary Bypass?
Ahakoa te āhua roa o tēnei ingoa, he tino māmā noa iho te tikanga. Me wehewehe kia rua, kia toru ngā kupu.
- Ko te manawa te mea nui ki a koeKi te ngākau .
- Ko te kupu "pūkahukahu" e pā ana ki ō pūkahukahu .
- Ko te tikanga o te karo ko te karo i tētahi mea.
He māmā noa iho, ko te Cardiopulmonary Bypass he tikanga e karohia ai te rere o te toto i roto i te tinana e te ngākau me ngā pukahukahu i te wā e pokanga ana te ngākau, ā, ka tukuna mā roto i tētahi mīhini motuhake i waho o te tinana. Ka kiia hoki tēnei mīhini he mīhini ngākau-pukahukahu .
Whakaarohia he whakatikatika rori nui. I taua wā, ka hurihia ngā waka ki tētahi atu huarahi kia oti rā anō te mahi? Koinā hoki te mea e tupu ana i konei. He māmā ake mā te taote pokanga te mahi i te ngākau ina kore te ngākau e patupatu ana, ā, kāore hoki e kī ana i te toto. Nō reira, ka tangohia e tēnei mīhini te mahi a te ngākau me ngā pukahukahu mō tētahi wā poto. Ko te tikanga:
- Ka kohia e ia te toto kua pau te hāora i roto i te tinana.
- Ka tāpirihia he hāora hou ki taua toto.
- Ka tangohia te hauhā waro i te toto.
- Kātahi ka pamuhia anō tēnei toto kua horoia, kua whai hāora ki roto i te tinana .
Mā tēnei, ka tukuna tonutia te toto whai hāora ki ngā okana katoa o te tinana puta noa i te pokanga katoa. Ka kiia tēnei tukanga ko te "noho i runga i te papu." I te nuinga o te wā, ka hoatu he rongoā motuhake e kiia nei ko te "cardioplegia" hei whakamutu i te manawa.
He rerekē te Cardiopulmonary Bypass me te CABG?
He mea tēnei e pōhēhē ai te tini o te tangata. Kāore ēnei e rua i te rite, engari he maha ngā wā ka puta tahi rāua.
- Ko te CABG (Coronary Artery Bypass Grafting) te ingoa o te pokanga . He pokanga tēnei e hanga ana i tētahi ara hou (bypass) kia rere ai te toto i roto i ngā uaua coronary e tuku toto ana ki te ngākau ina āraia e ngā putunga ngako.
- Ko te Cardiopulmonary Bypass he tikanga e whakamahia ana i te wā o te pokanga CABG (me ētahi atu pokanga ngākau). He tikanga e whakamahia ana hei karo i te ngākau me ngā pukahukahu hei āwhina i te taote pokanga ki te mahi i te pokanga CABG kia māmā ake, kia haumaru ake hoki.
Ki te whakarapopototanga, he rite te CABG ki te hanga miihini waka. Ko te Cardiopulmonary Bypass he rite ki te hono i tētahi pākahiko motuhake ki waho o te waka hei whakakaha i ngā mea pēnei i ngā rama me te AC i te wā e hanga ana i te miihini.
He aha ngā momo pokanga e hiahia ana ki tēnei tikanga?
Ko te tikanga, ka hiahiatia te Cardiopulmonary Bypass mō ngā pokanga e whai ake nei:
- Te Tāruatanga o te Arorangi Koronari (CABG)
- Te pokanga mō ngā aneurysms
- Te pokanga whakawhitinga ngākau
- Te pokanga takirere ngākau (te whakatikatika, te whakakapi rānei i te takirere ngākau)
- Te pokanga whakawhitinga pūkahukahu
Me pēhea te mahi a tēnei mīhini ngākau me te pukahukahu?
He rite tēnei mīhini ki te ngākau rangitahi me ngā pukahukahu e rua i waho o te tinana. Me titiro tātou ki ngā mahi matua e mahia ana e ia.
| Mahi mīhini | Hei whakarāpopototanga... |
|---|---|
| Te tango i te toto mai i te ngākau | Ka kumea te toto o te tinana kua pau te hāora ki roto i te mīhini. |
| Te tāpiri i te hāora me te tango i te CO2 | Koinei tonu te mahi a ō tātou pukahukahu. Ka tāpirihia te hāora ki te toto, ka tangohia hoki te hauhā waro. |
| Te whakahaere i te pāmahana toto me ngā taumata electrolyte | Ka āwhina ki te whakaiti i te pāmahana o te tinana, ki te pupuri rānei i te taumata e hiahiatia ana i te wā e pokanga ana. |
| Te pupuhi i te toto whai hāora | Koinei tonu te mahi a tō tātou ngākau. Ka tohatoha i te toto whai rawa i te hāora puta noa i te tinana. |
| Te hoatu i ngā rongoā aukati ngākau | Hei whakamāmā ake i te mahi a te taote pokanga, ka hoatu e te tākuta te rongoā e tika ana (cardioplegia) hei whakamutu i te mahi o te manawa mō tētahi wā. |
He aha ngā wāhanga matua o te mīhini?
He huinga tēnei mīhini o ētahi wāhanga.
- Ngā Cannulas: He ngongo motuhake ēnei e hono ana ki ngā uaua toto o tō tinana, ā, e whakamahia ana hei kohi toto mai i te mīhini ka whakahoki atu ki tō tinana.
- Puna wai: He puna e kohi ana i te toto kua pau te hāora mai i te tinana.
- Pūwero Hāora: Koinei te wāhanga e mahi ana pērā i te pukahukahu horihori. Koinei te wāhi e tāpirihia ai te hāora ki te toto.
- Papu: Koinei te ngākau horihori. Ka panaia te toto whai hāora ki te tinana i te pēhanga tika.
Ngā mahi o tēnei tukanga i te wā o te pokanga
He tikanga tino whakamaheretia tēnei e whakahaerehia ana e tētahi rōpū tohunga. Kei roto i tēnei rōpū he taote pokanga, he tohunga whakamoe, me tētahi tohunga whakaheke toto kua whiwhi whakangungu motuhake ki te whakahaere i tēnei mīhini.
| Ngā Hipanga | He aha te mea e tupu ana? |
|---|---|
| 1. Te whakarite i te mīhini | Kaua he mirumiru hau i roto i ngā ngongo o te mīhini. Mēnā ka pērā, ka uru pea ki te tinana, ka puta he āhuatanga morearea (he pupuhi hau). Nō reira, ka whakakīia te mīhini ki tētahi wai motuhake, ā, ka tangohia katoatia te hau. |
| 2. Te hoatu i ngā rongoā whakangawari toto | He pūtau tūturu kei roto i ō tātou uaua toto e ārai ana i te toto kia kaua e totoka. Engari i roto i ngā ngongo kirihou o te mīhini, ka ngāwari te toto kia totoka. Hei ārai i tēnei, ka hoatu he rongoā angiangi toto pēnei i te heparin . |
| 3. Te hono atu ki te mīhini | Mā te tīma hauora koe e hono ki te mīhini ngākau-pūkahukahu. I tēnei wā, kei te mahi tonu tō ngākau me ō pūkahukahu. Mā rātou e whakarite kei te pai te mahi a ngā mea katoa. |
| 4. Te aukati o te ngākau me te pukahukahu | Kia pai te mahi a ngā mea katoa, ka tukuna he cardioplegia hei aukati i te manawa mō te wā poto. Ka whakawetohia hoki te mīhini manawa e hono ana koe. Ka tangohia te mahi e te mīhini manawa-pūkahukahu. |
| 5. Te aroturuki i te wā e pokanga ana | I a te taote pokanga e mahi ana i te pokanga, ka aroturuki tonu te kaiwhakaora toto i te mīhini me te āhua o tō tinana (te pāmahana, te pēhanga, me ētahi atu). |
| 6. Te tango mai i te mīhini | Kia oti te pokanga, ka tīmata anō tō ngākau e te tīma hauora, ā, ka tukuna ō pūkahukahu kia mahi anō. Kātahi ka tangohia mārire koe i te mīhini. |
He haumaru tēnei tikanga? He aha ngā mōrearea?
Pērā i ngā pokanga katoa, he tūponotanga kei roto i tēnei tikanga. Engari he tikanga tino angitu tēnei e mahia ana i ia rā puta noa i te ao. He tino whakangungua tō tīma hauora ki te whakahaere i ēnei tūponotanga. Ko ngā tūponotanga ka whakawhirinaki ki tō hauora i mua i te pokanga me te roa o te wā e hono ana koe ki te mīhini. I te nuinga o te wā, he iti ngā tūponotanga mēnā kei runga koe i te mīhini mō te iti iho i te toru hāora.
Ko ētahi raruraru pea ko:
- Te toto
- Te toto totoka
- Whiu
- Te kino ki te roro, ki ngā pukahukahu, ki ngā whatukuhu rānei
- Te mumura i roto i te tinana
- Te ngoikore o ngā okana maha - he tino onge tēnei.
Mena he āwangawanga āu mō ēnei mōrearea, kōrerohia marietia ki tō tākuta i mua i te pokanga kia mārama ai koe.
Te wā whakaora me te wā hei toro atu ki te tākuta
He rerekē te roa o te wā whakaora i muri i te pokanga i ia tangata, i ia tangata. Kei runga i te momo pokanga i mahia ki a koe, tō tau, me tō hauora whānui. He mea tino nui kia whai tika koe i ngā tohutohu a tō tākuta, kia tae atu hoki ki ō wā whakarite i te wā tika.
Āhua ohorere!
Ki te puta tētahi o ngā tohu o te whiu e whai ake nei, haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera tata rawa atu, waea atu rānei ki te ratonga waka tūroro i te 1990.
- Te uaua ki te hikoi, te ngaro o te taurite
- Te wiri, te ngoikore rānei i tetahi taha o te tinana
- He iti noa te hē i te wā e kōrero ana
- Te pōhēhē ohorere
- He uaua ki te kite mārama
- He uaua ki te mārama ki ngā kōrero a ētahi atu
He hangarau whakamiharo te Cardiopulmonary Bypass e āwhina ana ki te whakaora i ngā oranga i ia rā, i ia rā. He mea noa te mataku kei tangohia tō ngākau me ō pukahukahu e tētahi mīhini pēnei. Engari kōrero ki tō tākuta mō ngā pātai, ngā āwangawanga rānei e pā ana ki tēnei tikanga. Ka taea e koe te ako atu mō te tikanga i konei: ne_BODY:
Ina kī mai te tākuta ki a koe, ki tētahi rānei e mōhio ana koe me pokanga ngākau tuwhera koe, he mea noa te māharahara. Kua rongo pea koe i ngā kōrero pēnei i te "ka mahia te pokanga i muri i te mutu o te ngākau." Me pēhea te mahi i tēnā? Me pēhea te rere o te toto ki te tinana ina mutu te ngākau? Me pēhea te whiwhi hāora? Ko te whakautu ki aua pātai ko te mīhini ngākau-pūkahukahu ka kōrerohia e tātou, arā, ko te Cardiopulmonary Bypass i roto i ngā kupu hauora. Me kōrero tātou mō tēnei mea kia tino māmā, kia mārama ai koe.
He aha te Cardiopulmonary Bypass?
Ahakoa te āhua roa o tēnei ingoa, he tino māmā noa iho te tikanga. Me wehewehe kia rua, kia toru ngā kupu.
- Ko te cardio he mea mō tō ngākau .
- Ko te kupu "pūkahukahu" e pā ana ki ō pūkahukahu .
- Ko te tikanga o te karo ko te karo i tētahi mea.
He māmā noa iho, ko te Cardiopulmonary Bypass he tikanga e karohia ai te rere o te toto i roto i te tinana e te ngākau me ngā pukahukahu i te wā e pokanga ana te ngākau, ā, ka tukuna mā roto i tētahi mīhini motuhake i waho o te tinana. Ka kiia hoki tēnei mīhini he mīhini ngākau-pukahukahu .
Whakaarohia he whakatikatika rori nui. I taua wā, ka hurihia ngā waka ki tētahi atu huarahi kia oti rā anō te mahi? Koinā hoki te mea e tupu ana i konei. He māmā ake mā te taote pokanga te mahi i te ngākau ina kore te ngākau e patupatu ana, ā, kāore hoki e kī ana i te toto. Nō reira, ka tangohia e tēnei mīhini te mahi a te ngākau me ngā pukahukahu mō tētahi wā poto. Ko te tikanga:
- Ka kohia e ia te toto kua pau te hāora i roto i te tinana.
- Ka tāpirihia he hāora hou ki taua toto.
- Ka tangohia te hauhā waro i te toto.
- Kātahi ka pamuhia anō tēnei toto kua horoia, kua whai hāora ki roto i te tinana .
Mā tēnei, ka tukuna tonutia te toto whai hāora ki ngā okana katoa o te tinana puta noa i te pokanga katoa. Ka kiia tēnei tukanga ko te "noho i runga i te papu." I te nuinga o te wā, ka hoatu he rongoā motuhake e kiia nei ko te "cardioplegia" hei whakamutu i te manawa.
He rerekē te Cardiopulmonary Bypass me te CABG?
He mea tēnei e pōhēhē ai te tini o te tangata. Kāore ēnei e rua i te rite, engari he maha ngā wā ka puta tahi rāua.
- Ko te CABG (Coronary Artery Bypass Grafting) te ingoa o te pokanga.He pokanga tēnei e hanga ana i tētahi ara hou (ara ārai) kia rere ai te toto i roto i ngā uaua o te ngākau e tuku toto ana ki te ngākau ina āraia e ngā putunga ngako.
- Ko te Cardiopulmonary Bypass he tikanga e whakamahia ana i te wā o te pokanga CABG (me ētahi atu pokanga ngākau). He tikanga e whakamahia ana hei karo i te ngākau me ngā pukahukahu hei āwhina i te taote pokanga ki te mahi i te pokanga CABG kia māmā ake, kia haumaru ake hoki.
Ki te whakarapopototanga, he rite te CABG ki te hanga miihini waka. Ko te Cardiopulmonary Bypass he rite ki te hono i tētahi pākahiko motuhake ki waho o te waka hei whakakaha i ngā mea pēnei i ngā rama me te AC i te wā e hanga ana i te miihini.
He aha ngā momo pokanga e hiahia ana ki tēnei tikanga?
Ko te tikanga, ka hiahiatia te Cardiopulmonary Bypass mō ngā pokanga e whai ake nei:
- Te Tāruatanga o te Arorangi Koronari (CABG)
- Te pokanga mō ngā aneurysms
- Te pokanga whakawhitinga ngākau
- Te pokanga takirere ngākau (te whakatikatika, te whakakapi rānei i te takirere ngākau)
- Te pokanga whakawhitinga pūkahukahu
Me pēhea te mahi a tēnei mīhini ngākau me te pukahukahu?
He rite tēnei mīhini ki te ngākau rangitahi me ngā pukahukahu e rua i waho o te tinana. Me titiro tātou ki ngā mahi matua e mahia ana e ia.
| Mahi mīhini | Hei whakarāpopototanga... |
|---|---|
| Te tango i te toto mai i te ngākau | Ka kumea te toto o te tinana kua pau te hāora ki roto i te mīhini. |
| Te tāpiri i te hāora me te tango i te CO2 | Koinei tonu te mahi a ō tātou pukahukahu. Ka tāpirihia te hāora ki te toto, ka tangohia hoki te hauhā waro. |
| Te whakahaere i te pāmahana toto me ngā taumata electrolyte | Ka āwhina ki te whakaiti i te pāmahana o te tinana, ki te pupuri rānei i te taumata e hiahiatia ana i te wā e pokanga ana. |
| Te pupuhi i te toto whai hāora | Koinei tonu te mahi a tō tātou ngākau. Ka tohatoha i te toto whai rawa i te hāora puta noa i te tinana. |
| Te hoatu i ngā rongoā aukati ngākau | Hei whakamāmā ake i te mahi a te taote pokanga, ka hoatu e te tākuta te rongoā e tika ana (cardioplegia) hei whakamutu i te mahi o te manawa mō tētahi wā. |
He aha ngā wāhanga matua o te mīhini?
He huinga tēnei mīhini o ētahi wāhanga.
- Ngā Cannulas: He ngongo motuhake ēnei e hono ana ki ngā uaua toto o tō tinana, ā, e whakamahia ana hei kohi toto mai i te mīhini ka whakahoki atu ki tō tinana.
- Puna wai: He puna e kohi ana i te toto kua pau te hāora mai i te tinana.
- Pūwero Hāora: Koinei te wāhanga e mahi ana pērā i te pukahukahu horihori. Koinei te wāhi e tāpirihia ai te hāora ki te toto.
- Papu: Koinei te ngākau horihori. Ka panaia te toto whai hāora ki te tinana i te pēhanga tika.
Ngā mahi o tēnei tukanga i te wā o te pokanga
He tikanga tino whakamaheretia tēnei e whakahaerehia ana e tētahi rōpū tohunga. Kei roto i tēnei rōpū he taote pokanga, he tohunga whakamoe, me tētahi tohunga whakaheke toto kua whiwhi whakangungu motuhake ki te whakahaere i tēnei mīhini.
| Ngā Hipanga | He aha te mea e tupu ana? |
|---|---|
| 1. Te whakarite i te mīhini | Kaua he mirumiru hau i roto i ngā ngongo o te mīhini. Mēnā ka pērā, ka uru pea ki te tinana, ka puta he āhuatanga morearea (he pupuhi hau). Nō reira, ka whakakīia te mīhini ki tētahi wai motuhake, ā, ka tangohia katoatia te hau. |
| 2. Te hoatu i ngā rongoā whakangawari toto | He pūtau tūturu kei roto i ō tātou uaua toto e ārai ana i te toto kia totoka. Engari i roto i ngā ngongo kirihou o te mīhini, ka ngāwari te toto ki te totoka. Hei ārai i tēnei, ka hoatu he rongoā angiangi toto pēnei i te heparin . |
| 3. Te hono atu ki te mīhini | Mā te tīma hauora koe e hono ki te mīhini ngākau-pūkahukahu. I tēnei wā, kei te mahi tonu tō ngākau me ō pūkahukahu. Mā rātou e whakarite kei te pai te mahi a ngā mea katoa. |
| 4. Te aukati o te ngākau me te pukahukahu | Kia pai te mahi a ngā mea katoa, ka tukuna he cardioplegia hei aukati i te manawa mō te wā poto. Ka whakawetohia hoki te mīhini manawa e hono ana koe. Ka tangohia te mahi e te mīhini manawa-pūkahukahu. |
| 5. Te aroturuki i te wā e pokanga ana | I a te taote pokanga e mahi ana i te pokanga, ka aroturuki tonu te kaiwhakaora toto i te mīhini me te āhua o tō tinana (te pāmahana, te pēhanga, me ētahi atu). |
| 6. Te tango mai i te mīhini | Kia oti te pokanga, ka tīmata anō tō ngākau e te tīma hauora, ā, ka tukuna ō pūkahukahu kia mahi anō. Kātahi ka tangohia mārire koe i te mīhini. |
He haumaru tēnei tikanga? He aha ngā mōrearea?
Pērā i ngā pokanga katoa, he tūponotanga kei roto i tēnei tikanga. Engari he tikanga tino angitu tēnei e mahia ana i ia rā puta noa i te ao. He tino whakangungua tō tīma hauora ki te whakahaere i ēnei tūponotanga. Ko ngā tūponotanga ka whakawhirinaki ki tō hauora i mua i te pokanga me te roa o te wā e hono ana koe ki te mīhini. I te nuinga o te wā, he iti ngā tūponotanga mēnā kei runga koe i te mīhini mō te iti iho i te toru hāora.
Ko ētahi raruraru pea ko:
- Te toto
- Te toto totoka
- Whiu
- Te kino ki te roro, ki ngā pukahukahu, ki ngā whatukuhu rānei
- Te mumura i roto i te tinana
- Te ngoikore o ngā okana maha - he tino onge tēnei.
Mena he āwangawanga āu mō ēnei mōrearea, kōrerohia marietia ki tō tākuta i mua i te pokanga kia mārama ai koe.
Te wā whakaora me te wā hei toro atu ki te tākuta
He rerekē te roa o te wā whakaora i muri i te pokanga i ia tangata, i ia tangata. Kei runga i te momo pokanga i mahia ki a koe, tō tau, me tō hauora whānui. He mea tino nui kia whai tika koe i ngā tohutohu a tō tākuta, kia tae atu hoki ki ō wā whakarite i te wā tika.
Āhua ohorere!
Ki te puta tētahi o ngā tohu o te whiu e whai ake nei, haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera tata rawa atu, waea atu rānei ki te ratonga waka tūroro i te 1990.
- Te uaua ki te hikoi, te ngaro o te taurite
- Te wiri, te ngoikore rānei i tetahi taha o te tinana
- He iti noa te hē i te wā e kōrero ana
- Te pōhēhē ohorere
- He uaua ki te kite mārama
- He uaua ki te mārama ki ngā kōrero a ētahi atu
He hangarau whakamiharo te Cardiopulmonary Bypass e āwhina ana ki te whakaora i ngā oranga i ia rā, i ia rā. He mea noa te mataku kei tangohia tō ngākau me ō pukahukahu e tētahi mīhini pēnei. Engari kōrero ki tō tākuta mō ngā pātai, ngā āwangawanga rānei e pā ana ki tēnei tikanga. Ka taea e koe te ako atu mō te tikanga i konei: ne_BODY:
Ina kī mai te tākuta ki a koe, ki tētahi rānei e mōhio ana koe me pokanga ngākau tuwhera koe, he mea noa te māharahara. Kua rongo pea koe i ngā kōrero pēnei i te "ka mahia te pokanga i muri i te mutu o te ngākau." Me pēhea te mahi i tēnā? Me pēhea te rere o te toto ki te tinana ina mutu te ngākau? Me pēhea te whiwhi hāora? Ko te whakautu ki aua pātai ko te mīhini ngākau-pūkahukahu ka kōrerohia e tātou, arā, ko te Cardiopulmonary Bypass i roto i ngā kupu hauora. Me kōrero tātou mō tēnei mea kia tino māmā, kia mārama ai koe.
He aha te Cardiopulmonary Bypass?
Ahakoa te āhua roa o tēnei ingoa, he tino māmā noa iho te tikanga. Me wehewehe kia rua, kia toru ngā kupu.
- Ko te cardio he mea mō tō ngākau .
- Ko te kupu "pūkahukahu" e pā ana ki ō pūkahukahu .
- Ko te tikanga o te karo ko te karo i tētahi mea.
He māmā noa iho, ko te Cardiopulmonary Bypass he tikanga e karohia ai te rere o te toto i roto i te tinana e te ngākau me ngā pukahukahu i te wā e pokanga ana te ngākau, ā, ka tukuna mā roto i tētahi mīhini motuhake i waho o te tinana. Ka kiia hoki tēnei mīhini he mīhini ngākau-pukahukahu .
Whakaarohia he whakatikatika rori nui. I taua wā, ka hurihia ngā waka ki tētahi atu huarahi kia oti rā anō te mahi? Koinā hoki te mea e tupu ana i konei. He māmā ake mā te taote pokanga te mahi i te ngākau ina kore te ngākau e patupatu ana, ā, kāore hoki e kī ana i te toto. Nō reira, ka tangohia e tēnei mīhini te mahi a te ngākau me ngā pukahukahu mō tētahi wā poto. Ko te tikanga:
- Ka kohia e ia te toto kua pau te hāora i roto i te tinana.
- Ka tāpirihia he hāora hou ki taua toto.
- Ka tangohia te hauhā waro i te toto.
- Kātahi ka pamuhia anō tēnei toto kua horoia, kua whai hāora ki roto i te tinana .
Mā tēnei, ka tukuna tonutia te toto whai hāora ki ngā okana katoa o te tinana puta noa i te pokanga katoa. Ka kiia tēnei tukanga ko te "noho i runga i te papu." I te nuinga o te wā, ka hoatu he rongoā motuhake e kiia nei ko te "cardioplegia" hei whakamutu i te manawa.
He rerekē te Cardiopulmonary Bypass me te CABG?
He mea tēnei e pōhēhē ai te tini o te tangata. Kāore ēnei e rua i te rite, engari he maha ngā wā ka puta tahi rāua.
- Ko te CABG (Coronary Artery Bypass Grafting) te ingoa o te pokanga . He pokanga tēnei e hanga ana i tētahi ara hou (bypass) kia rere ai te toto i roto i ngā uaua coronary e tuku toto ana ki te ngākau ina āraia e ngā putunga ngako.
- Ko te Cardiopulmonary Bypass he tikanga e whakamahia ana i te wā o te pokanga CABG (me ētahi atu pokanga ngākau). He tikanga e whakamahia ana hei karo i te ngākau me ngā pukahukahu hei āwhina i te taote pokanga ki te mahi i te pokanga CABG kia māmā ake, kia haumaru ake hoki.
Ki te whakarapopototanga, he rite te CABG ki te hanga miihini waka. Ko te Cardiopulmonary Bypass he rite ki te hono i tētahi pākahiko motuhake ki waho o te waka hei whakakaha i ngā mea pēnei i ngā rama me te AC i te wā e hanga ana i te miihini.
He aha ngā momo pokanga e hiahia ana ki tēnei tikanga?
Ko te tikanga, ka hiahiatia te Cardiopulmonary Bypass mō ngā pokanga e whai ake nei:
- Te Tāruatanga o te Arorangi Koronari (CABG)
- Te pokanga mō ngā aneurysms
- Te pokanga whakawhitinga ngākau
- Te pokanga takirere ngākau (te whakatikatika, te whakakapi rānei i te takirere ngākau)
- Te pokanga whakawhitinga pūkahukahu
Me pēhea te mahi a tēnei mīhini ngākau me te pukahukahu?
He rite tēnei mīhini ki te ngākau rangitahi me ngā pukahukahu e rua i waho o te tinana. Me titiro tātou ki ngā mahi matua e mahia ana e ia.
| Mahi mīhini | Hei whakarāpopototanga... |
|---|---|
| Te tango i te toto mai i te ngākau | Ka kumea te toto o te tinana kua pau te hāora ki roto i te mīhini. |
| Te tāpiri i te hāora me te tango i te CO2 | Koinei tonu te mahi a ō tātou pukahukahu. Ka tāpirihia te hāora ki te toto, ka tangohia hoki te hauhā waro. |
| Te whakahaere i te pāmahana toto me ngā taumata electrolyte | Ka āwhina ki te whakaiti i te pāmahana o te tinana, ki te pupuri rānei i te taumata e hiahiatia ana i te wā e pokanga ana. |
| Te pupuhi i te toto whai hāora | Koinei tonu te mahi a tō tātou ngākau. Ka tohatoha i te toto whai rawa i te hāora puta noa i te tinana. |
| Te hoatu i ngā rongoā aukati ngākau | Hei whakamāmā ake i te mahi a te taote pokanga, ka hoatu e te tākuta te rongoā e tika ana (cardioplegia) hei whakamutu i te mahi o te manawa mō tētahi wā. |
He aha ngā wāhanga matua o te mīhini?
He huinga tēnei mīhini o ētahi wāhanga.
- Ngā Cannulas: He ngongo motuhake ēnei e hono ana ki ngā uaua toto o tō tinana, ā, e whakamahia ana hei kohi toto mai i te mīhini ka whakahoki atu ki tō tinana.
- Puna wai: He puna e kohi ana i te toto kua pau te hāora mai i te tinana.
- Pūwero Hāora: Koinei te wāhanga e mahi ana pērā i te pukahukahu horihori. Koinei te wāhi e tāpirihia ai te hāora ki te toto.
- Papu: Koinei te ngākau horihori. Ka panaia te toto whai hāora ki te tinana i te pēhanga tika.
Ngā mahi o tēnei tukanga i te wā o te pokanga
He tikanga tino whakamaheretia tēnei, e mahia ana e tētahi rōpū tohunga. Ko te taote pokanga, ko te tohunga whakamoe, me te tohunga whakaheke toto kua whiwhi whakangungu motuhake ki te whakahaere i tēnei mīhini.Kei roto tētahi i tēnei rōpū.
| Ngā Hipanga | He aha te mea e tupu ana? |
|---|---|
| 1. Te whakarite i te mīhini | Kaua he mirumiru hau i roto i ngā ngongo o te mīhini. Mēnā ka pērā, ka uru pea ki te tinana, ka puta he āhuatanga morearea (he pupuhi hau). Nō reira, ka whakakīia te mīhini ki tētahi wai motuhake, ā, ka tangohia katoatia te hau. |
| 2. Te hoatu i ngā rongoā whakangawari toto | He pūtau tūturu kei roto i ō tātou uaua toto e ārai ana i te toto kia kaua e totoka. Engari i roto i ngā ngongo kirihou o te mīhini, ka ngāwari te toto kia totoka. Hei ārai i tēnei, ka hoatu he rongoā angiangi toto pēnei i te heparin . |
| 3. Te hono atu ki te mīhini | Mā te tīma hauora koe e hono ki te mīhini ngākau-pūkahukahu. I tēnei wā, kei te mahi tonu tō ngākau me ō pūkahukahu. Mā rātou e whakarite kei te pai te mahi a ngā mea katoa. |
| 4. Te aukati o te ngākau me te pukahukahu | Kia pai te mahi a ngā mea katoa, ka tukuna he cardioplegia hei aukati i te manawa mō te wā poto. Ka whakawetohia hoki te mīhini manawa e hono ana koe. Ka tangohia te mahi e te mīhini manawa-pūkahukahu. |
| 5. Te aroturuki i te wā e pokanga ana | I a te taote pokanga e mahi ana i te pokanga, ka aroturuki tonu te kaiwhakaora toto i te mīhini me te āhua o tō tinana (te pāmahana, te pēhanga, me ētahi atu). |
| 6. Te tango mai i te mīhini | Kia oti te pokanga, ka tīmata anō tō ngākau e te tīma hauora, ā, ka tukuna ō pūkahukahu kia mahi anō. Kātahi ka tangohia mārire koe i te mīhini. |
He haumaru tēnei tikanga? He aha ngā mōrearea?
Pērā i ngā pokanga katoa, he tūponotanga kei roto i tēnei tikanga. Engari he tikanga tino angitu tēnei e mahia ana i ia rā puta noa i te ao. He tino whakangungua tō tīma hauora ki te whakahaere i ēnei tūponotanga. Ko ngā tūponotanga ka whakawhirinaki ki tō hauora i mua i te pokanga me te roa o te wā e hono ana koe ki te mīhini. I te nuinga o te wā, he iti ngā tūponotanga mēnā kei runga koe i te mīhini mō te iti iho i te toru hāora.
Ko ētahi raruraru pea ko:
- Te toto
- Te toto totoka
- Whiu
- Te kino ki te roro, ki ngā pukahukahu, ki ngā whatukuhu rānei
- Te mumura i roto i te tinana
- Te ngoikore o ngā okana maha - he tino onge tēnei.
Mena he āwangawanga āu mō ēnei mōrearea, kōrerohia marietia ki tō tākuta i mua i te pokanga kia mārama ai koe.
Te wā whakaora me te wā hei toro atu ki te tākuta
He rerekē te roa o te wā whakaora i muri i te pokanga i ia tangata, i ia tangata. Kei runga i te momo pokanga i mahia ki a koe, tō tau, me tō hauora whānui. He mea tino nui kia whai tika koe i ngā tohutohu a tō tākuta, kia tae atu hoki ki ō wā whakarite i te wā tika.
Āhua ohorere!
Ki te puta tētahi o ngā tohu o te whiu e whai ake nei, haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera tata rawa atu, waea atu rānei ki te ratonga waka tūroro i te 1990.
- Te uaua ki te hikoi, te ngaro o te taurite
- Te wiri, te ngoikore rānei i tetahi taha o te tinana
- He iti noa te hē i te wā e kōrero ana
- Te pōhēhē ohorere
- He uaua ki te kite mārama
- He uaua ki te mārama ki ngā kōrero a ētahi atu
He hangarau whakamiharo te Cardiopulmonary bypass e āwhina ana ki te whakaora i ngā oranga i ia rā, i ia rā. He mea noa te māharahara mō te tangohanga o tō ngākau me ō pukahukahu e tētahi mīhini pēnei. Engari kōrero ki tō tākuta mō ngā pātai, ngā āwangawanga rānei kei a koe. Mā te nui ake o tō ako mō tēnei tikanga, ka iti ake tō māharahara i te rā o tō pokanga.
Karere Tangohia ki te Kāinga
- Ko te Cardiopulmonary Bypass he tikanga e whakamahi ana i tētahi mīhini hei tango i te mahi a te ngākau me ngā pukahukahu mō tētahi wā poto i te wā o te pokanga ngākau nui.
- Mā tēnei ka taea e te taote pokanga te mahi haumaru me te ngāwari i tētahi pokanga ngākau kāore e pupuhi ana, kāore hoki he toto.
- Ka tukuna tonutia e tēnei mīhini te toto whai kiko i te hāora ki te tinana i te wā e pokanga ana.
- Mō tēnei, ka mahi tahi tētahi tīma tākuta motuhake (takuta pokanga, tohunga whakamoe, tohunga hinu).
- Pērā i ngā pokanga katoa, he tūponotanga kei reira, engari kua whakangungua te tīma hauora ki te whakahaere i aua tūponotanga.
- He mea tino nui kia kōrero koe ki tō tākuta mō ngā pātai, ngā wehi rānei ka pā mai ki a koe i mua i te pokanga.
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