Kei te tere ake te pao o tō ngākau i ētahi wā, kei te pekepeke rānei tō pao, kei te rerekē rānei te pao? I ētahi wā ka puta mai tēnei me te kikī o te uma me te whanoke. I roto i ngā kupu hauora, ko tēnei momo raruraru manawa o te ngākau e kiia ana ko te 'Arrhythmia'. Ahakoa he rongoā, he uaua ki te whakahaere i tēnei āhuatanga i ētahi wā. Engari kaua e manukanuka, he maimoatanga tino whai hua, kāore e pokanoa ki tēnei. Ko taua maimoatanga, arā, ko te Cardiac Ablation, te mea ka kōrerohia e tātou i tēnei rā.
He aha te tikanga o te cardiac ablation?
Whakaarohia he waea iti 'poto', he 'waea' hapa rānei kei roto i te pūnaha hiko o tō whare. Kātahi ka kore te rama e mau tonu engari ka 'kiro', ka mate ohorere rānei, tika? Koinei te mea e tupu ana i roto i tō tātou ngākau. Ka pā te ngākau me tētahi pūnaha tohu hiko ngāwari. Ki te tīmata ēnei tohu hiko i te wāhi hē, ki te haere rānei i te huarahi hē, ka pōturi te manawa o te ngākau.
Ko te Whakakore i te Ngākau (e kiia ana ko te Whakakore i te Catheter) he maimoatanga e kimi ana i tētahi wāhi iti rawa o te kiko o te ngākau e puta ai ngā tohu hiko rerekē , ā, ka whakawetohia. Ehara tēnei i te mahi nui. Ka whakauruhia e te tākuta ngākau tētahi ngongo angiangi, ngāwari (koinei te mea e kiia nei e mātou he catheter ) ki roto i tō ngākau mā roto i tētahi oko toto nui i tō hope, i tō ringa, i tō kaki rānei.
Kātahi ka rongoatia te wāhi o te kiko o te ngākau e pāngia ana e te raruraru mā te whakamahi i ngā taputapu kei te pito o tēnei catheter. He maha ngā huarahi hei mahi i tēnei:
- Te Whakawete i te Auautanga Reo Irirangi: Ka whakamahia ngā ngaru auautanga reo irirangi (wera) hei whakamahana i te kiko, ka puta he koha iti.
- Cryoablation: Mā te whakamahi i te tino makariri, ka tio te kiko, ka puta he koha.
- Te Whakakore i te Papa Pūhiko: Ka whakamahia e tēnei te ngaru hiko poto rawa hei whakangaro i te kiko.
Nā te iti o te koha i hangaia i tēnei ara, kāore e taea e te tohu hiko hapa te haere ki tua atu i taua wāhi. He rite ki te whakatakoto i te rīpene whakamarumaru ki runga i te ara iahiko poto i roto i tō whare. Kātahi ka hoki tō tere o te manawa ki te noa. Kāore koe e mamae i te wā e rongoatia ana. Tērā pea ka hoatu he rongoā whakamoe, he rongoā whakamoe whānui rānei ki a koe.
He aha ngā momo mate ngakau e rongoatia ana e tēnei maimoatanga?
Ko te whakamahinga matua o te whakawātea ngakau ko te rongoā i ngā arrhythmias tere o te ngakau. Koinei te otinga pai rawa atu ina kore e taea te whakahaere mā te rongoā, ina rānei he mea morearea ki te ora.
Tirohia te ripanga i raro nei kia kite ai koe i ngā āhuatanga matua e whakamahia ai tēnei maimoatanga.
| Tūnga o te Mate (Momo Arrhythmia) | Hei whakarāpopototanga, he aha te mea e tupu ana? |
|---|---|
| Te Whakapūngao Atrial (AFib) me te Atrial Flutter (AF) | I roto i tēnei, ka tere rawa te pā o ngā rūma e rua o runga o te ngākau (atria) me te kore e rite te āhua. Me te mea nei kei te wiri. Ka noho te toto ki te wāhi kotahi, kaua ki te pupuhi tika, ka hua ake ai he toto totoka. Ki te haere ēnei totoka ki te roro, ka pā mai he mate kino pēnei i te whiu. |
| Te Tachycardia o te Supraventricular (SVT) | He ohorere tēnei, he tino tere te pao o te ngakau (tae atu ki te 300 pao i te meneti). Ahakoa ka memeha haere i muri i tētahi wā, ki te mau tonu, ki te puta pinepine rānei, ka pā he kino ki te ngakau. |
| Te Tachycardia Ventricular (VT) | He āhuatanga morearea tēnei. Ka tīmata te tere rawa o te patu o ngā rūma o raro e rua o te ngākau (ngā ventricle). Ka ārai tēnei i te ngākau ki te pupuhi tika i te toto. Ka piki ake te mōrearea o te mate manawa ohorere. |
Hei tāpiritanga, ka tūtohutia pea tēnei maimoatanga mō te hunga e tino mōrearea ana ki te hopukanga ohorere o te ngakau. I ētahi wā, hei kimi i te pūtake o te raruraru, ka whakahaerehia e ngā tākuta he rangahau hiko-tinana (rangahau EP) i mua i tēnei tikanga tango i te ngākau. Ko te tikanga o tēnei ko te whakamahi i tētahi catheter hei ine i ngā tohu hiko i roto i te ngākau.
Me pēhea taku whakarite i mua i te maimoatanga?
Kia whakatau tō tākuta ki te whakahaere i tēnei maimoatanga, he iti noa ngā mea me mahi e koe. Mā tō tākuta ēnei mea katoa e whakamārama mārama ki a koe.
- Ngā rongoā whakaiti toto: Mena kei te tango koe i ngā rongoā whakaiti toto (hei tauira, apixaban, rivaroxaban, warfarin), ma tō tākuta koe e kī atu kia hia ngā rā me mutu te tango i ēnei rongoā i mua i te maimoatanga. Kaua rawa e mutu te tango i ēnei rongoā me te kore he tohutohu a tō tākuta.
- Kai me te inu:Ka tonoa koe kia kaua e kai, e inu rānei mō ētahi haora i mua i te maimoatanga (mai i te waenganui pō te nuinga o te wā).
- Hei taraiwa i a koe ki te kāinga: Whakaritea i mua i te wā kia taraiwa koe i a koe ki te kāinga i muri i te maimoatanga.
- Kākahu me ngā taonga: Kia pai te kakahu ina tae mai koe ki te hōhipera. He pai ake te waiho i ngā taonga utu nui pēnei i ngā whakapaipai me te moni ki te kāinga.
- Raina IV: I te hōhipera, ka whakauruhia he ngongo iti (raina IV) ki roto i te uaua i roto i tō ringa. Koinei te wāhi ka hoatu ki a koe ngā rongoā e tika ana, te tote, me ngā rongoā whakangote.
He aha ngā mea ka tupu i te wā e rongoatia ana?
Ehara tēnei i te mea whakamataku pērā i tō whakaaro. Ko te tukanga katoa e whai ake nei:
1. Te Whakarite: Ka heua te wāhi e whakaurua ai te catheter (te nuinga o te wā ko te hope), ka horoia, ka whakangāwaritia.
2. Te whakauru i te hipoki: Ka whakauruhia he ngongo iti (hipoki) mā roto i te kiri ki roto i te uaua toto hei hanga i tētahi ara.
3. Te whakaurunga o ngā katita: Ka whakauruhia ngā katita pai me ngā irahiko mā te ara kua whakaritea. Ka arahina marietia ēnei ki te ngākau, kāore he arataki hihi-X.
4. Te mahere i te raruraru: Kia tae ki roto i te ngākau, ka tirohia ngā tohu e puta mai ana i te catheter hei kimi i te wāhi tika o ngā tohu hiko hapa (mapping).
5. Maimoatanga (Whakakorenga): Kia kitea te wāhi tika, e ai ki te kōrero i mua ake nei, ka maimoatia te kiko, ā, ka whakakorengia mā te whakamahi i te wera, te makariri, te pūngao rānei.
6. Whakaotinga: Kia oti te maimoatanga, ka tangohia marietia te catheter me te hipoki, ā, ka whakatakotoria he mono, he tuitui rānei hei whakamutu i te toto.
Ko te roanga o te tukanga katoa i waenga i te 2 ki te 4 hāora, engari i ētahi wā ka roa ake.
He aha te mea ka tupu i muri i te maimoatanga?
I muri i te maimoatanga, ka haria koe ki te rūma whakaora mō ētahi haora. Ka haere tonu te nēhi ki te aroturuki i tō āhua. I runga i tō āhua, ka taea pea e koe te hoki ki te kāinga i taua rā anō, me noho rānei koe ki te hōhipera mō te pō.
Ina hoki koe ki te kāinga, ka hoatu he tohutohu ki a koe hei whai māu i te kāinga. Tērā pea ka tonoa koe kia tango i ngā rongoā whakaiti toto hei ārai i te toto e pupuhi ana. I runga i tō hītori hauora, me tango pea koe i ēnei rongoā mō ētahi marama, neke atu rānei.
Kia maumahara, i te wa e ora ana te kiko o te ngakau i roto i nga marama tuatahi e 3 i muri i te maimoatanga, ka hoki mai pea etahi o ou tohu tawhito. He mea noa tenei. Engari me korero ki to taakuta.
He aha ngā painga me ngā mōrearea o tēnei maimoatanga?
Pērā i tētahi atu maimoatanga, he painga, he iti hoki ngā mōrearea o tēnei.
Ngā Painga
- TeneiEhara i te pokanga nui. Kāore koe e hiahia ki te takai i tō uma. Kia tere ai tō ora.
- Ka whakarato i te whai wāhi ki te whakaora tuturu i ngā mate manawataki o te ngakau e kore e taea te whakahaere mā te rongoā.
- Ka taea e ētahi te whakaora i ngā oranga mai i ngā āhuatanga morearea.
- Ka taea e koe te whakakore i ngā pānga taha o ngā rongoā.
Ngā Tūponotanga
He tino iti ngā mōrearea o te tango i te ngākau. He onge ngā raruraru, inā koa i roto i tētahi hōhipera mātau e mahi pinepine ana i tēnei maimoatanga. Engari he mea pai kia mōhio.
- Ngā toto totoka
- Te pakaru o te oko toto i whakaurua ai te catheter
- Te kino ki te kiko o te ngākau, ki ngā takirere rānei
- Te mate urutā, te toto rānei
- Whiu
- Te hiahia mō tētahi taputapu whakaterenga manawa tūturu (he tino onge)
Āhea ahau me tīmata anō ki te mahi i te āhua noa?
Tērā pea he rerekē tō whakaoranga i ia tangata, i ia tangata.
- Te hoki ki te mahi: Ki te mahi koe i tētahi mahi ehara i te mahi ā-tinana, pērā i te hiki taumaha, ka taea e koe te hoki ki te mahi i roto i te wiki pea.
- Te hiki taumaha: Kaua e hiki i tetahi mea taumaha atu i te 10 pauna (tata ki te 4.5 kg) mō te iti rawa i te wiki.
- Te whakakori tinana me te taraiwa: Pātai atu ki tō tākuta mō te wā pai ki te tīmata anō i te whakakori tinana me te taraiwa.
He aha ngā tohu me toro atu ahau ki te tākuta?
Ki te pāngia koe e tētahi o ngā tohu i raro nei ina hoki koe ki te kāinga i muri i te maimoatanga, me waea atu koe ki tō tākuta tonu . Tērā pea ētahi take e hiahiatia ana te maimoatanga tonu ki te Tari Ohotata (ETU) o te hōhipera.
| Tohu | Me aha? |
|---|---|
| He toto, he pupuhi, he mamae, he kare rānei e pupuhi ana i te wāhi i whakaurua ai te catheter. | Kōrero ki tō tākuta. |
| Te mamae o te uma, te whanoke, te māuiui rānei o te mahunga. | Kōrero ki tō tākuta. |
| Whakapairuaki, ruaki rānei. | Kōrero ki tō tākuta. |
| Mena i mahia te maimoatanga ki te hope, ka pā te ngoikore, te mamae, te ngenge rānei o te waewae. | Kōrero ki tō tākuta. |
| Haere tonu ki te Tari Whawhati Tata (ETU)! (Ngā tohu o te whiu) | |
| Kotahi te taha o te mata e piko ana, he ringa mate. | He tohu pea ēnei o te whiu. Haere tonu ki te hōhipera. |
| Ka puta, ka roa rānei ngā tohu kino pēnei i te tere o te manawa, te whanoke, te poto o te manawa, te mamae o te uma rānei, mō ngā haora neke atu rānei e 3. | Haere tonu ki te hōhipera. |
Hei whakamutunga, he mea noa te māharahara, te manukanuka rānei mō te pokanga, te maimoatanga rānei mō tō ngākau. Heoi, he tikanga haumaru, he iti te mōrearea te Cardiac Ablation, kua whakamahia angitu hei rongoā i te tini o te hunga he raruraru manawataki ngākau. Mena he pātai āu mō tēnei, pātai atu ki tō tākuta. Kia mārama koe ki te tikanga, ka memeha haere ō mataku.
Karere Tangohia ki te Kāinga
- Ko te Cardiac Ablation he maimoatanga iti noa te whakaekenga e whakamahia ana hei whakatika i ngā arrhythmias (ngā pāwera o te ngakau).
- Ko te tikanga tēnei ko te kimi i tētahi wāhi iti o te kiko o te ngākau e whakaputa ana i ngā tohu hiko hapa, te rongoā, me te whakakore.
- He maimoatanga tino angitu, he haumaru hoki tēnei, ā, he iti rawa te mōrearea o ngā raruraru.
- E hia wiki pea ka ora katoa te ngākau i muri i te maimoatanga, ā, ka puta anō pea ētahi tohu i taua wā.
- Kia ata whai i ngā tohutohu a tō tākuta i muri i te maimoatanga, inā koa mō te rongoā me te okiokinga.
- Ki te pāngia koe e ētahi tohu rerekē (ina koa te mamae o te uma, te whanoke nui, ngā tohu o te whiu), rapua tonutia he tohutohu hauora.
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