Kei te mataku koe mō te pokanga whakawhiti uaua ngakau? Me kōrero māmā noa iho.

Kei te mamae, kei te kikī rānei tō uma i ētahi wā? He uaua ki a koe te manawa ina whakapau kaha koe? Tērā pea kua kōrero tō tākuta ki a koe mō te pokanga bypass. He mea noa te mataku, te manukanuka rānei ina rongo koe i te kupu "bypass." Kaua e manukanuka. I tēnei rā, ka kōrero tātou mō te pokanga bypass ngākau, te mea rānei e kiia nei i roto i te rongoā ko te Coronary Artery Bypass Grafting (CABG), i roto i tētahi huarahi tino māmā ka taea e koe te mārama.

He aha te tikanga o te pokanga bypass (CABG)?

Whakaarohia he nui ngā waka e haere ana ki te mahi i ia rā, i ia rā rānei, kua kati rānei te rori. He aha tāu mahi? Ka tangohia e koe tētahi ara rerekē, arā, he rori taha, he rori kē atu rānei, tika? Koinei te mea ka tupu me tēnei pokanga.

Kei a tātou ngā uaua toto matua (ngā uaua toto) e tuku toto ana ki tō tātou ngākau. Ka karangatia ēnei e tātou ko ngā uaua toto o te ngākau. I roto i te wā, ka puta ake ngā mea pēnei i te cholesterol mai i te kai e kainga ana e tātou i roto i ēnei uaua toto, pērā i te waikura e puta ake ana i roto i te paipa, e whakawhāiti ana i te ara. Ka karangatia tēnei mea e tātou ko te '(Plaque)' me te '(Atheroma)' rānei. Ina whakawhāitihia ngā uaua toto pēnei, kāore e whiwhi te uaua o te ngākau i te nui o te toto e hiahiatia ana. Koinei te wā ka puta te mamae o te uma '(Angina)'. Mena ka nui rawa tēnei aukati, ā, ka puta he toto totoka ka ārai katoa i te ara kua whakawhāitihia, ka puta he '(Heart Attack)'.

Nō reira, ko te pokanga whakawhiti he hanga i tētahi ara hou, i tētahi uaua hou, kia rere ai te toto ki te ngākau, kia karohia taua uaua toto kua āraia, kua whaiti. He rite ki te hanga i tētahi huarahi hou hei karo i taua waka. Hei hanga i tēnei ara hou, ka tangohia he uaua toto mai i tō tinana ake. I te nuinga o te wā, ka whakamahia he uaua mai i te waewae, i te ringa, i roto rānei i te uma mō tēnei.

I ētahi wā, ehara i te mea kotahi anake ngā oko toto ka āraia. Ka taea hoki te ārai i ngā oko toto e rua, e toru, e whā rānei. Ina tupu tēnā, me hanga he ara hou mō ia oko toto. Ka kiia tēnā he pokanga "takirua (2), "takitoru (3), "takiwhā (4) rānei".

Me pēhea te whakarite i mua i te pokanga?

I te mea he pokanga nui tēnei, ka whai whakamātautau koe kia tirohia ai tō hauora tinana i mua i te pokanga. I muri i ēnei whakamātautau ka taea e koe te whakahaere i te pokanga me te whakatau mēnā e hiahiatia ana e koe.

Haunga ēnei whakamātautau, ka pātai atu tō tākuta mō ngā rongoā katoa e tangohia ana e koe i tēnei wā. Me mutu te tango i ētahi rongoā (ina koa ko ngā rongoā whakaiti toto) i ētahi rā i mua i te pokanga. Me mutu pea te kai me te inu (te nohopuku) i ētahi hāora i mua i te pokanga.

Me pēhea te mahi i te pokanga?

Ahakoa he āhua whakamataku tēnei, ka mahia ēnei mea i te wā e moe ana koe, arā, kei roto koe i te moe hohonu, ā, kāore koe e rongo i tetahi mea.

1. Whakamoemiti: Tuatahi, ka whakamoemititia koe, ā, ka moe hōhonu. Kāore koe e rongo i tetahi mea kia oti rā anō te pokanga.

2. Te pokanga ngākau: I te nuinga o te wā, i te wā o te pokanga, ka whakawhitia te mahi a te ngākau me ngā pukahukahu ki tētahi mīhini motuhake e kiia nei ko te "Mīhini Ngākau-Pūkahukahu". Ka mahia tēnei hei whakarato tonu i te hāora me te toto ki te tinana. I ētahi wā, ka mahia tēnei pokanga i te wā e patupatu tonu ana te ngākau. Ka kiia tēnei ko te "Off-pump CABG".

3. Tapahi mō te pokanga: Ka tapahia e te taote pokanga te waenganui o te uma, ki raro i te sternum.

4. Te whakatuwhera i te uma: Kātahi ka tapahia marietia te wheua uma i waenganui, kātahi ka wehea kia rua kia tae atu ki te ngākau. Kaua e manukanuka, ka honoa anō tēnei i muri i te pokanga, ā, ka ora.

5. Te hanga i te ara whakawhiti: Muri iho, e ai ki te kōrero i mua ake nei, ka tangohia he wahi o te uaua toto hauora mai i tō waewae, ringa, uma rānei, ka honoa tetahi pito ki te uaua matua o te ngākau, te aorta, ā, ka honoa tetahi pito ki raro i te arai. Koinei te huarahi e hangaia ai te ara hou.

6. Te mutunga o te pokanga: Kia oti te pokanga taha, ka tīmata anō te manawa, ka momotuhia mai i te mīhini. Kātahi ka honoa anō te sternum ki tētahi waea motuhake, ā, ka katihia te tapahi o te uma ki ngā tuitui.

Ko te tikanga katoa ka roa pea i waenga i te toru ki te ono hāora , i runga i te maha o ngā pokanga arai e hiahiatia ana e koe me tō āhua hauora.

He rerekē ngā tikanga hei whakahaere i te pokanga?

Āe, nā te whanaketanga o te hangarau, he maha ngā huarahi hei mahi i tēnei pokanga.

• CABG kore-pamu: Kāore tēnei e whakamahi i te mīhini ngākau-pūkahukahu. Ka mahia te pokanga e te taote pokanga i te wā e patupatu tonu ana te ngākau.
• CABG Whakaiti i te Urunga: I tēnei mahi, kāore he tapahi nui e mahia ana i waenganui o te uma. Engari, he maha ngā tapahi iti ka mahia i waenganui i ngā rara, ā, mā roto i aua rara ka mahia te pokanga.
• CABG āwhina-rorohiko: I tēnei tikanga, ka whakahaerehia te pokanga e te taote pokanga mā te whakamahi i tētahi rorohiko. He tino iti hoki ngā tapahi.

Mā tō taote pokanga me tō tīma hauora e whakatau ko tēhea tikanga te mea pai māu.

He aha ngā painga me ngā mōrearea o tēnei pokanga?

Pērā i ngā pokanga nui katoa, he painga, he mōrearea anō hoki, ā, he mea nui kia mōhio ki aua mea.

He aha ngā mea ka tupu i muri i te pokanga? Ko te wā whakaora...

I muri i te pokanga, ka whakaurua koe ki te wāhanga tiaki nui (ICU) o te hōhipera. I reira, ka aro turukihia ngā mea katoa mai i te mahi a tō ngākau ki tō toto toto. Kia pumau tō āhua, i roto i te rā kotahi, e rua rānei, ka whakawhitia koe ki te wāhanga noa.

I te nuinga o te wā me noho koe ki te hōhipera mō te rima ki te whitu ngā rā , ā, muri iho ka taea e koe te hoki ki te kāinga.

I muri i te hokinga ki te kāinga...

E ono wiki pea te roa hei whakaora katoa. I tēnei wā, me āta tupato koe.

• Kaua e hiki i ngā mea taumaha: Nā te mea he roa te wā e ora ai te wheua uma, kaua e hiki, e pana rānei i ngā mea taumaha.
• Te taraiwa: Ko te tikanga ka tohutohu ngā tākuta kia kaua e taraiwa mō ngā wiki e 4-6.
• Okiokinga: Kia nui te okiokinga. Kaua e noho noa i te moenga i te rā katoa. Tīmata ki te hikoi haere me te mahi i ngā mahi iti.
• Te tiaki i te patunga: Me pupuri kia ma tonu ngā patunga i tō uma me te wāhi i tangohia ai ō uaua. Ma te hōhipera koe e tohutohu mō te tiaki i aua patunga.

Kei te hiahia koe ki te whakarerekē i tō oranga i muri i te pokanga?

Ae rawa!Koinei te wāhanga tino nui. Ko te pokanga taha he whakatikatika noa iho i ō uaua kua āraia. Engari ko te mate taketake i puta ai te ārai, arā, ko te kohikohinga cholesterol, kei roto tonu i tō tinana. Ka puta anō pea te raruraru i roto i ngā uaua hou, i roto rānei i ētahi atu uaua.

Nō reira, he mea nui kia whai i te oranga hauora i muri i te pokanga.

• Te whakahaere i te kai: Whakaitihia ngā kai he nui te hinu, te tote, me te huka. Kai atu i ngā huawhenua, ngā hua rākau, ngā kākano matomato, me ngā kai he nui te muka.
• Whakakorikori Tinana: Tīmata mārire te whakakorikori tinana, kia rite ki ngā taunakitanga a tō tākuta. He whakaaro pai te hikoi i ia rā.
• Kati te kai hikareti: Ki te mea he kai hikareti koe, kati i tēnei rā tonu. He tino kino te kai hikareti ki te ngākau.
• Te tango tika i te rongoā: Tangohia te rongoā i tohua e tō tākuta (e whakaiti ana i te cholesterol, e whakahaere ana i te toto toto, e ārai ana hoki i te totoka) i te wā tika, kaua e mahue tetahi rā.
• Whakaora i te Manawa: I muri i tō putanga mai i te hōhipera, he mea pai kia haere koe ki tētahi kaupapa pēnei. Ka hoatu he aratohu ki a koe mō te whakakori tinana me te whakahaere i tō kai i raro i te tirotiro a te rata.

Āhea te rapu tohutohu hauora tonu

I muri i te hokinga ki te kāinga, ki te puta mai tētahi o ngā tohu e whai ake nei i a koe, haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera .

• Mamae nui o te uma
• Te uaua ki te manawa
• Pōuriuri , ngoikore rānei
• Ngaronga o te māramatanga
• Te ahua nei kei te tere te patu o tō ngākau
• Te kirika, te makariri rānei
• Te uaua ki te kōrero, te piko o te taha kotahi o te mata, te ngaronga o te rongo i te taha kotahi o te tinana (he tohu pea ēnei o te whiu)