He mea noa te mataku me te manukanuka ina kī mai tō tākuta ki a koe, ki tētahi rānei o tō whānau, me mahi pokanga pokanga taha. Nā te mea he pokanga nui tēnei, tera pea he maha āu pātai. "He aha tēnei?", "He aha ahau i hiahia ai ki tēnei?", "He morearea tēnei?" Tērā pea ka puta ake ngā mea pēnei ki te hinengaro. Nō reira, i tēnei rā, me kōrero tātou mō tēnei pokanga taha, te Coronary Artery Bypass Grafting (CABG) rānei e mōhiotia whānuitia ana i roto i te rongoā, ā, e karangatia ana e ētahi he "kāpeti," ā, me kōrero tātou mō tēnei i roto i ngā kupu māmā noa iho.
He aha koe i hiahia ai ki tēnei pokanga arai?
Whakaarohia tō tātou ngākau he motuka e pupuhi ana i te toto puta noa i tō tātou tinana. Me toto hoki tēnei motuka kia pai ai te mahi, tika? Ae, he whatunga motuhake o ngā uaua toto e tuku toto ana ki te ngākau tonu. Ka kiia ēnei e tātou ko ngā uaua coronary.
I ētahi wā, ka hangaia ngā mea pēnei i te hinu me te cholesterol i roto i ēnei uaua, pērā i te kōka i roto i te paipa wai, ā, ka puta ngā putunga e kiia nei ko te 'plaque' . Kātahi ka whaiti ēnei uaua toto, ā, i ētahi wā ka āraia rawatia. Ina tupu tēnei, kāore ētahi wāhanga o te ngākau e whiwhi i te toto e hiahiatia ana e rātou. Ka kiia tēnei āhuatanga ko te 'ischemia' .
Ki te kī māmā noa, ko te ischemia he korenga o te rere o te toto ki te uaua o te ngākau. Mēnā ka kino rawa atu tēnei, ka tīmata te mate o ngā pūtau uaua o te ngākau. Ka kiia tēnei he whakaeke ngākau .
Nō reira, ko te mahi a te pokanga taha he waihanga i tētahi ara hou mō te toto ki te taha i tēnei oko toto kua āraia, he ara 'taha' . Mā tēnei ka taea te rere tika anō o te toto ki te wāhanga o te ngākau e pāngia ana.
He aha ngā mea ka tupu i mua i te pokanga?
Nā te mea he pokanga nui tēnei, kāore e taea te mahi katoa i te wā kotahi. I mua i tēnā, ka mahia ētahi whakamātautau kia pai ake ai te mārama ki tō hauora tinana. Mā ēnei hoki koe e whakarite i te hinengaro me te tinana mō te pokanga.
Ngā whakamātautau i mua i te pokanga
He maha ngā whakamātautau ka taea te mahi hei whakaū mēnā he pai tēnei pokanga māu, ā, mēnā he haumaru hoki.
| Ingoa o te whakamātautau | Hei whakarāpopototanga... |
|---|---|
| Te hiko o te manawa (ECG/EKG) | Te whakamātautau i te mahi hiko o te ngākau. |
| Te Echocardiogram | He matawai e titiro ana ki te mahi me te hanganga o te ngākau. |
| Whakamātautau ahotea whakakori tinana | Te kite i te urupare a te ngākau ki te whakakori tinana. |
| Te Tātaritanga o te Ngākau/Angiogram | He whakamātautau e ine tika ana i te aukati o ngā oko toto i roto i te ngākau. |
| Ngā whakamātautau toto me te mimi | Te tirotiro i ngā mea pēnei i te cholesterol, ngā taumata huka, me te mahi a ngā whatukuhu. |
Te whakamōhio atu ki a koe
Ka kōrero tō tākuta me ngā kaimahi o te hōhipera ki a koe, ā, ka whakamārama atu i ngā mea e whai ake nei:
- Ngā rongoā e tangohia ana e koe: Ka kīia atu ki a koe ko ēhea ngā rongoā me haere tonu te tango me ēhea hoki ngā rongoā me mutu te tango i mua i te pokanga.
- Te whakarite mō te pokanga: He maha ngā mea ka kōrerotia ki a koe, pērā i te hopi motuhake hei whakamahi i mua i te pokanga, mēnā kei te wātea tetahi hei āwhina i te kāinga, me ngā mea hei kai me te inu.
- I muri i te pokanga: Ka whakamōhiotia koe i mua i te wā whakaora, ō kare ā-roto, me ngā tohu hei tūpato māu.
He aha ngā mea ka tupu i te wā o te pokanga?
He pokanga uaua tēnei e maha ngā hāora te roa. Koinei ngā mahi e whaia ana i te nuinga o te wā.
1. Te rongoā whakamoe me te tautoko ora: Tuatahi, ka tukua koe kia moe rawa. Nō reira, kāore koe e mamae. Kātahi ka honoa tō manawa ki tētahi mīhini manawa . Ka whakaurua hoki ngā aho IV hei hoatu rongoā me ngā wai ki a koe.
2. Mīhini karo ngākau-pūkahukahu: He maha ngā wā, ka tangohia e tēnei mīhini te mahi a te ngākau me ngā pūkahukahu i te wā e pokanga ana. Mā tēnei ka taea e ngā tākuta te whakamutu i te ngākau me te mahi i te pokanga me te maeneene me te kore e nekehia.
3. Te taha taha: Hei waihanga i te ara hou, ka tangohia tētahi wāhanga o te uaua toto hauora mai i tētahi atu wāhi o tō tinana. Ko te tikanga, mai i tō waewae, ringa, i roto rānei i tō uma.Ka taea e koe. I runga i te maha o ngā uaua kua āraia (hei tauira, 2, 3, 4), me mahi pea e koe ētahi arai pēnei. Ka kiia ēnei he arai takirua, takitoru, whā.
4. Pokanga: Ka tapahia e te taote pokanga he kōhao i waenganui o te uma hei uru atu ki te ngākau. Kātahi ka honoa te wāhanga o te uaua toto i tangohia ki te uaua matua e kawe ana i te toto i waho o te ngākau (te aorta) ki tētahi atu uaua toto i raro i te mea i āraia. He rite ki te hanga i tētahi rori hou puta noa i te rori kua āraia.
5. Te otinga o te pokanga: Kia oti te pokanga bypass, ka tīmata anō te mahi o te ngākau, ka honoa anō te wheua o te uma ki ngā waea, ā, ka tuia te tapahi.
Ngā tikanga rerekē o te pokanga
Kāore e rite te momo pokanga mō te katoa. He rerekē ngā tikanga ka taea te whakamahi, kei tō āhua.
| Ingoa tikanga | Whakaahuatanga |
|---|---|
| CABG kore-papu | Te mahi pokanga i te wā e patupatu tonu ana te ngākau, me te kore e whakamahi i te mīhini ngākau-pūkahukahu. He uaua tēnei. |
| CABG iti rawa te whakaekenga | Engari i te tapahi nui, ka mahia te pokanga mā roto i ngā tapahi iti i waenganui i ngā rara. |
| CABG āwhina-rorohiko | Ka mahia te pokanga mā roto i ngā tapahi iti mā te whakamahi i tētahi karetao e whakahaerehia ana e te tākuta. |
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, ka whakaurua koe ki te Wāhanga Tiaki Kaha (ICU) . Mā ngā kaimahi whakangungu motuhake koe e tiaki pai. Kia pumau tō āhua, ka whakawhitia koe ki tētahi wāhanga noa. I te nuinga o te wā ka noho koe ki te hōhipera mō te 8-12 rā pea.
I muri i tō hokinga ki te kāinga, he tokomaha te hunga e tonoa ana kia whai wāhi atu ki tētahi kaupapa whakaora ngākau . He mea tino nui tēnei. I konei, ka mahi tahi ngā tākuta, ngā nēhi, ngā kaiako whakakori tinana, me ngā tohunga kai hei āwhina i a koe kia hoki mai ki te kaha me te hauora.
He aha ngā painga me ngā mōrearea o tēnei pokanga?
Ngā Painga:
- Angitu mō te wā roa:He pokanga tēnei kua oti pai te mahi mō ngā tekau tau.
- Otinga Pai rawa atu: Koinei te otinga pai rawa atu mō te hunga he maha ngā oko toto kua āraia.
- He iti ake te hiahia mō te tango anō i te pokanga: Ina mahia te pokanga bypass, he iti ake te mōrearea o te hokinga mai o te raruraru i ērā atu maimoatanga (hei tauira, te whakatakotoranga stent).
Ngā Tūponotanga:
He pokanga nui tēnei, nō reira he tūponotanga kei reira. Engari ko te nuinga o ēnei ka taea te ārai me te rongoā.
- Ngā rerekētanga o te manawa o te ngakau (Arrhythmias): Ka puta pea i muri i te pokanga, ā, he maha ngā wā he rangitahi noa iho.
- Te toto: He mōrearea pea o tētahi pokanga.
- Ngā mate urutā: He tino onge ēnei i ēnei rā, engari me tūpato koe ki ngā tohu pēnei i te kirika me te makariri.
- Ngā pānga ki ngā whatukuhu: Tērā pea ka puta.
- Pōhēhētanga: Ka puta pea tēnei i roto i ētahi rā i muri i te pokanga, inā koa i roto i te hunga kaumātua.
Me aha i roto i tētahi āhuatanga ohorere?
Ki te pāngia koe e tētahi o ēnei tohu i a koe e noho ana i te kāinga, me haere tonu koe ki te Tari Whawhati Tata (ETU) o te hōhipera .
- Mamae o te uma
- Te uaua ki te manawa
- Pōuriuri (vertigo) te ngoikore rānei
- Ngaronga o te māramatanga
- Ngā palpitations (te ahua kei te tere te patu o tō ngākau)
- E piko ana tetahi taha o te mata, e ngaro ana te kaha o tetahi taha o te tinana
- Te uaua ki te kōrero
- Te kirika, te makariri rānei
Karere Tangohia ki te Kāinga
- He tino angitu te pokanga whakawhiti uaua koronari (CABG) e karo ana i ngā oko toto kua āraia i roto i te ngākau, ā, ka whakaora anō i te rere o te toto.
- He mea noa te mataku, te manukanuka rānei mō tēnei pokanga. Pātai atu ki tō tākuta mēnā he pātai āu.
- E hia wiki pea te roa kia tino ora ai koe i te pokanga. He mea nui kia whai i ngā tohutohu a tō tākuta i tēnei wā.
- He mea tino nui mō tō whakaoranga mō te wā roa te tango i ngā rongoā a tō tākuta , te whai wāhi atu ki ngā kaupapa whakaora ngākau , me te whai i tētahi momo noho hauora (kai pai, whakakori tinana) .
- Ki te pāngia koe e tētahi mamae hinengaro (pōuri, manukanuka) i muri i te pokanga, kaua e mangere ki te kōrero ki tō tākuta mō tēnei mea.
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