Kua whakanohoia he stent ki tētahi o tō whānau, ki tētahi rānei e mōhiotia ana e koe, mō te mate manawa? Kua whakanohoia rānei he stent hei rongoā mō te mamae o te uma? Kua tino noa tēnei i ēnei rā. I muri i te whakaurunga o te stent, ka pai ake te ahua o te nuinga o te tangata. Heoi, i ētahi wā, ka tīmata anō te whaiti o te uaua i whakanohoia ai te stent. I tēnei rā, ka kōrero tātou mō tētahi tikanga rongoā motuhake e whakamahia ana i roto i ēnei āhuatanga.
He aha te rongoā ārai mate pukupuku?
Tērā pea he ahua uaua te ahua o tēnei ingoa. Engari kia māmā noa iho. Ko te Coronary Brachytherapy he maimoatanga motuhake mō ngā oko toto e tuku toto ana ki te ngākau (Coronary Arteries). Ka whakamahia e tēnei he irahiko hei ārai i te whaiti anō o ngā oko toto o te ngākau.
Whakaarohia kua āraia tētahi oko toto i roto i tō ngākau e ngā putunga cholesterol. Ka whakauruhia e ngā tākuta he stent. He ngongo iti te stent, he rite ki te mata. Ka whakauruhia ki roto i te oko toto kua whaiti, ka whānui ake anō, kia rere noa ai te toto.
Heoi, i roto i ētahi tāngata, ka tīmata te whanake o te kiko koha i te taha o te stent. Pērā i te koha e puta mai ana ina whara tātou. Mā tēnei kiko koha ka whānui ake te wāhi i whakanohoia ai te stent kia whaiti anō. I roto i te rongoā, ka kiia tēnei āhuatanga ko te in-stent restenosis (ISR) . Koinei te wā e whakaarohia ai e ngā tākuta te Coronary Brachytherapy.
I roto i tēnei maimoatanga, ka tukuna he horopeta iti rawa o te irahiko ki te wāhi e hangaia ana te kiko whara mō ētahi meneti. Ka whakangaromia e te irahiko ngā pūtau e hanga ana i te kiko whara. Nō reira, kāore te wāhi e mimiti anō. He rite ki te paninga rongoā hei ārai i te tipu anō o ngā taru kino.
Ko te mea nui, he tino haumaru tēnei rongoā irahiko. Ka tukuna noa ki te wāhi e pāngia ana. Kāore e whara i tētahi atu wāhanga o te tinana.
Ko wai e hiahia ana ki tēnei maimoatanga?
Ehara te Brachytherapy Coronary i te rongoā mō te katoa. Ko te tikanga, ka tūtohutia anake mō ngā tūroro motuhake kua whakauruhia he stent ki mua, ā, kua puta he hokinga mai (ISR) ki roto, ā, kāore pea ētahi atu maimoatanga e whai hua mō rātou.
Tirohia ngā kōrero kei raro nei. Ka mārama ake koe ki tēnei.
| Āhea te wā e tika ai te Brachytherapy Coronary | |
|---|---|
| Ngā aukati auau | Mena ka āraia te stent neke atu i te kotahi (ISR auau) i muri i te whakatakotoranga. |
| He maha ngā stent | Mena ka whakanohoia he maha ngā stent ki roto i te oko toto kotahi, ki te whakanohoia rānei he stent tino roa. |
| Ētahi atu raruraru hauora | Mō te hunga whai mate hauora e whakanui ake ai te mōrearea o ngā raruraru mai i ētahi atu maimoatanga, pērā i te mate huka. |
| Ngā oko toto iti | Mō te hunga he iti rawa, he angiangi hoki ō rātou uaua toto i roto i te ngākau. |
Ko wai kāore e tika kia whiwhi i tēnei maimoatanga?
I tua atu, tera ētahi wā kāore e tika ana tēnei maimoatanga.
- Mena kua āraia te stent mō te wā tuatahi .
- Mena kua whiwhi koe i te maimoatanga irahiko ki te uma i mua (hei tauira, mō te mate pukupuku o te ū).
- Ehara i te kiko koha te take o te aukati, engari nā te raruraru o te poihau i whakamahia i te wā o te angioplasty.
Koinei anake te maimoatanga mēnā ka whaiti anō te stent?
Kāo. He maimoatanga tēnei kāore i te tino whakamahia. Ina āraia anō te stent, e kiia nei ko te in-stent restenosis (ISR), ka whakamātau tuatahi ngā tākuta i ētahi atu maimoatanga.
- Te whakanoho i tētahi atu stent: Ka whakanohoia tētahi atu stent ki roto i te stent kua āraia.
- Angioplasty Pōro: Ka whakamahia he pōro hei whakawhānui i te wāhi whaiti. I ētahi wā ka whakamahia he pōro motuhake (pōro tapahi) hei tapahi i te kiko taikaha.
- Pokanga Ārai i te Arorangi o te Koronari: Mena he nui rawa te aukati, ka tukuna pea koe ki te pokanga ārai.
- Ngā rongoā: Ka tohua ngā rongoā pēnei i te aspirin hei ārai i te toto totoka me ngā statin hei whakaheke i te cholesterol.
Kei te puta mai ngā momo hou o ngā stent i ēnei rā.Ka kiia ēnei he stent e tango ana i te rongoā. Ka tukuna mārire e ēnei he rongoā, hei ārai i te hanganga o te kiko whara. Nō reira, he iti ake te tūponotanga o te nuinga o ngā stent o te tangata kia āraia anō. Koia te take kāore e whakamahia whānuitia ana te Coronary Brachytherapy.
Me pēhea te mahi a te maimoatanga - taahiraa i te taahiraa
Ehara tēnei i te pokanga nui. Mā tētahi tīma o te Tākuta Ngākau me te Tākuta Matepukupuku irahiko tēnei maimoatanga e whakahaere. E 10 meneti te roa o te tukanga katoa. Heoi, me noho koe ki te hōhipera mō ētahi haora.
I mua i te maimoatanga
Tērā pea ka whakahaerehia e tō tākuta he matawai ultrasound ā-roto kia mārama ai te tirohanga ki roto i ngā oko toto o tō ngākau. Mā tēnei ka āwhina i a koe ki te whakatau i te wāhi me te roa o te maimoatanga e hiahiatia ana.
I te wā o te maimoatanga
He tino māmā noa iho tēnei tikanga. Kāore koe e tino mamae.
| Ngā Hipanga | He aha te mea e tupu ana? |
|---|---|
| 1. Whakamarie | Kāore koe e moe rawa. Ka hoatu he rongoā ki a koe hei āwhina i a koe kia marino, kia kore ai e mamae. Tērā pea ka hoatu he rongoā whakamoe whānui ki ētahi tāngata. |
| 2. Te whakaurunga o te catheter (Te tapahi) | Ka tukuna he ngongo tino angiangi (catheter) mā roto i tētahi oko toto i te ringa, i te waewae rānei ki te uaua toto kua āraia i roto i te ngākau i raro i te arataki a te hihi-X. |
| 3. Te Angioplasty Poihau | Ka whakauruhia he poihau iti ki roto i te wāhi whaiti, ka pupuhihia hei whakawhānui ake i te wāhi mō te tuku irahiko. |
| 4. Te irahiko | Nā, mā roto i taua ngongo angiangi, ka tukuna he pūtake irahiko kua tino whakahaeretia ki te wāhi kei reira te kiko whara. He torutoru meneti noa iho te roa o te noho ki reira. I tēnei wā, ka whakangaromia ngā pūtau e hanga ana i te whara. |
| 5. Katinga | Ka tangohia te pūtake irahiko me te katitere, ā, ka whakatakotoria he pāreti iti ki runga i te wāhi i werohia ai hei kati. |
I muri i te maimoatanga
Ka taea e te nuinga o te tangata te hoki ki te kāinga i taua rā anō. Tērā pea ka tonoa koe kia noho ki te hōhipera mō te pō. I muri i tō hokinga ki te kāinga, me okioki koe, kaua hoki e whakauaua mō ētahi rā. Me tango hoki e koe te rongoā i hoatu e tō tākuta hei ārai i te toto totoka.
He aha ngā painga me ngā mōrearea o tēnei maimoatanga?
Pērā i ngā maimoatanga hauora katoa, he painga, he iti anō hoki ngā mōrearea.
Ko te painga matua he otinga pai mō te hunga kua maha ngā stent kua whakamahia, ā, he aukati tonu ō rātou arai, kāore rānei e taea te mahi pokanga nui nā ētahi atu āhuatanga. Ka whakaitihia e tēnei maimoatanga te mōrearea o te mate ngakau me te ngoikore o te ngakau. Ka āraihia hoki te hokinga mai o ngā tohu pēnei i te mamae o te uma (angina), te poto o te manawa (dyspnea), me te whanoke.
Ina kōrerohia ngā mōrearea , koinei ngā mōrearea noa ka puta mai i tētahi whakaurunga catheter o te ngākau.
- Ngā rerekētanga o te pā o te ngakau (Arrhythmia)
- Ngā toto totoka
- Te kino ki ngā oko toto
- Ngā mate urutā
- Te mamae, te toto rānei i te wāhi whakauru catheter
He tino onge ēnei mōrearea. Mā tō tākuta koe e whakamōhio atu mō ēnei mea katoa.
Āhea te wā e kite ai i te tākuta
Mena ka pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te hokinga ki te kāinga i muri i te maimoatanga, me waea atu koe ki tō tākuta tonu atu .
- Ki te pāngia koe e te kirika nui.
- Mena he mamae nui tōu uma, tō kauae, ō ringaringa, ō pakihiwi rānei.
- Mena he uaua ki te manawa.
- Mena he pūhā e puta mai ana i te wāhi i whakaurua ai te katitere, he haunga kino, he whero me te pupuhi rānei (he tohu mate).
I muri i te maimoatanga, ka taea e koe te hoki ki ō mahi o ia rā i roto i ētahi rā. Heoi, ehara i te mea pai te whakaaro kua mutu katoa ngā mea nā te mea kua whiwhi koe i tēnei maimoatanga. Hei pupuri i te hauora o tō ngākau, he mea nui kia whai i tētahi momo noho pai .
- Kai i tētahi kai iti te hinu, te tote, me te huka.
- Kati rawa te momi hikareti.
- Whakawhāitihia te inu waipiro.
- Whakakorikori tinana i ngā wā katoa e ai ki ngā tohutohu a tō tākuta.
Karere Tangohia ki te Kāinga
- Ko te Brachytherapy Coronary he maimoatanga irahiko motuhake mō ētahi tūroro e pāngia ana e te restenosis in-stent i muri i te whakatakotoranga o te stent.
- Ko te tikanga o tēnei ko te whakamahi i tētahi horopeta iti rawa o te irahiko, he mea whakahaere hei aukati i te tipu o ngā pūtau whara e ārai ana i te hihi.
- Ahakoa kāore i te whakamahia whānuitia tēnei i ēnei rā, he tino whai hua mō te hunga he aukati tonu ō rātou oko toto, he maha ngā stent, he mate hauora rānei.
- Ehara tēnei i te pokanga nui, ā, he iti noa iho ngā mōrearea. Ka taea e koe te ora wawe i muri i te maimoatanga.
- Ahakoa i muri i te maimoatanga, he mea tino nui kia whai i te oranga hauora hei pupuri i te hauora o te ngakau.
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