Kua whakauruhia he stent ki roto i tō ngākau nā te mea kua aukatia te uaua? He maha ngā tāngata ka ora ake i muri i te whakaurunga o tētahi. Engari i ētahi wā, ka tīmata anō te whaiti o te uaua ki te wāhi tonu i whakanohoia ai te stent. Me te mea kei te hoki mai anō te mate tawhito. I tēnei rā, ka kōrero tātou mō tētahi tikanga maimoatanga rerekē, motuhake e whakamahia ana i roto i ēnei momo take.
Check the risk of developing a heart disease within the next 10 years with the Framingham Score
He aha te rongoā ārai mate pukupuku?
Ahakoa he ingoa uaua tēnei, he tino māmā noa iho te kōrero. Ko te brachytherapy coronary he maimoatanga irahiko motuhake e hoatu ana ki ngā uaua coronary o te ngākau.
Whakaarohia ngā uaua toto e tuku toto ana ki te ngākau he rite ki te ngongo. Ina hanga te paraka i roto i ēnei ngongo, ā, ka whaiti, ka kiia tēnei he mate uaua coronary (CAD). Hei rongoā mō tēnei, ka whakauruhia e ngā tākuta he stent, he ngongo mata iti, ki roto i te uaua toto hei whakawhanui anō.
Engari i roto i ētahi tāngata, ka tīmata te hanga kiko whara i te taha o te stent. Pērā i te hanga o te whara ina whara tātou. Mā tēnei kiko whara ka āta whaiti haere te uaua kua whānui, ka āraia anō. I roto i ngā kupu hauora, ka kiia tēnei ko te in-stent restenosis (ISR) .
Waihoki, ka whakamahia te brachytherapy coronary hei ārai i te hanganga o te kiko whara i te taha o te stent, ā, ka whaiti anō te uaua. Ko te tikanga o tēnei ko te tuku i tētahi horopeta iti rawa o te irahiko, i roto i tētahi tikanga tino whakahaeretia, ki te wāhi whaiti, me te whakangaro i ngā pūtau e hanga ana i te kiko whara.
Ko wai rā te tangata e hiahia ana ki tēnei maimoatanga?
Ehara tēnei i te maimoatanga mō te katoa. E taunaki ana ngā tākuta i roto i ētahi wā motuhake. Mēnā kua whakauruhia he stent ki roto i tō puku, ā, ka āraia anō (ISR), tera pea he tika tēnei maimoatanga māu.
Tirohia te ripanga i raro nei kia kite ai ko wai te mea tino pai mōna.
| Ngā tāngata e tika ana mō te brachytherapy | |
|---|---|
| Te aukatinga o te stent auau (ISR auau) | Mena ka whaiti haere te wāhi i whakanohoia ai he stent. |
| He maha ngā stent, he stent roa rānei | Mena he maha āu stent i roto i ō uaua coronary, he roa rawa rānei tō stent. |
| Ētahi atu mate pēnei i te mate huka | Mō te hunga e nui ake ana te mōrearea ki ngā raruraru i te wā e rongoatia ana (hei tauira, te pokanga bypass) nā ētahi atu mate hauora pēnei i te mate huka. |
| Ngā oko toto iti | Mō te hunga he iti rawa ō rātou uaua ngakau mō ētahi atu maimoatanga. |
He tāngata anō kei reira kāore e tika kia whiwhi i tēnei maimoatanga?
Āe, kāore tēnei e pai mō te katoa. Hei tauira, mēnā kua whiwhi koe i te rongoā irahiko mō te mate pukupuku o te ū, i tētahi atu mate pukupuku rānei i te rohe o te uma, kāore tēnei maimoatanga e mahia i te nuinga o te wā. Waihoki, mēnā kua āraia te stent ehara i te mea nā te kiko whara, engari nā te raruraru o te poihau i whakamahia hei whakanoho i te stent, kāore tēnei maimoatanga e hiahiatia. Mā tō tākuta ngakau te whakatau pai rawa atu mō tēnei.
Me pēhea te mahi a te maimoatanga - taahiraa i te taahiraa
Ehara tēnei i te pokanga nui. Ka kiia e mātou he tikanga iti rawa te whakaekenga. Kāore koe e tino mamae. E 10 meneti te roa o te tikanga katoa, engari me noho koe ki te hōhipera mō ētahi haora.
| Ngā Hipanga | He aha te mea e tupu ana? |
|---|---|
| 1. Te Whakarite | I mua i te maimoatanga, ka whakahaerehia e te tākuta he matawai, pērā i te ultrasound intravascular, kia kitea ai te wāhi e whaiti ana te uaua. |
| 2. Whakamamae | Kāore koe e tino mōhio. Ka hoatu he rongoā ki a koe hei whakamoe i a koe, hei whakangāwari hoki i tō hinengaro. Ka mōhio koe, engari kāore koe e rongo i tetahi mea. |
| 3. Te whakauru i te catheter | Ka whakaurua he ngongo tino angiangi (catheter) mā roto i tētahi uaua nui i te ringa, i te waewae rānei, ā, mā te āwhina o ngā hihi-X, ka arahina ki te uaua whaiti o te ngākau. |
| 4. Te whakawhanui i te poihau | Ka pupuhihia he poihau iti ki roto i te uaua, ka hangaia he wāhi mō te tuku i te rongoā irahiko ki te wāhi whaiti. Ka kiia tēnei ko te angioplasty poihau. |
| 5. Te tuku i te irahiko | Muri iho, mā roto i taua katitere, ka tukuna he horopeta irahiko kua whakahaeretia pai ki te wāhi whaiti mō ētahi meneti. Ka whakangaromia e tēnei irahiko ngā pūtau e hanga ana i te kiko whara. Kāore e pā ki ētahi atu wāhi. |
| 6. Te whakaoti | Ka tangohia marietia te taputapu irahiko me te katitere. |
He aha ngā painga me ngā mōrearea o tēnei maimoatanga?
Pērā i ngā maimoatanga hauora katoa, he painga, he iti anō hoki ngā mōrearea.
Ngā painga matua
- Ka taea te ārai i te aukati anō o te stent (ISR).
- Ka whakaiti i te tūponotanga o te pāngia e te mate ngakau ā muri ake nei.
- Ka taea te whakakore i ngā tohu pēnei i te mamae o te uma (angina), te poto o te manawa (dyspnea), me te whanoke.
- Ka taea te whiwhi i tētahi otinga me te kore e hiahiatia he pokanga nui mō te pokanga bypass.
Ngā tūponotanga pea
He tino iti ēnei mōrearea. He mōrearea noa ēnei e pā ana ki tētahi tikanga whakauru catheter o te ngākau.
- Ngā rerekētanga o te pā o te ngakau (Arrhythmia)
- Ngā toto totoka
- Te mamae, te mate rānei i te wāhi i whakaurua ai te catheter
- He kino iti ki te oko toto
Ko te mea nui, he tino haumaru te irahiko e whakamahia ana i roto i tēnei maimoatanga.Ka tukuna i raro i te mana whakahaere rawa, ki te wāhi tika anake, kia kore ai e whara tetahi atu wāhanga o te tinana.
He aha ngā mea ka tupu i muri i te maimoatanga? Ā, āhea ahau me toro atu ki te tākuta?
Ka taea e te nuinga o te tangata te hoki ki te kāinga i te rā kotahi i mahia ai te mahi. Me noho pea koe ki te hōhipera mō te pō. He mea nui kia karohia ngā mahi uaua mō ētahi rā i muri i tō hokinga ki te kāinga. Ka tohua e tō tākuta he rongoā hei ārai i te toto e pupuhi ana.
Ko tō kawenga te pupuri i te hauora o tō ngākau i muri i te maimoatanga.
- Kai i ngā kai hauora, iti te ngako.
- Kati rawa te momi hikareti.
- Whakakorikori tinana i ia wā, i ia wā.
- Whakahaerehia tō inu waipiro.
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei, me waea atu koe ki tō tākuta tonu atu, me haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata ki a koe.
- 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, mena he haunga kino, he pupuhi rānei, he whero rānei.
Ahakoa kāore tēnei maimoatanga e whakamahia whānuitia ana i ēnei rā (nā te mea kua tino whakaitihia e ngā momo stent hou - arā, ngā stent e tango ana i te rongoā - te mōrearea o te aukati anō), he otinga tino whai hua, he otinga whai hua hoki mō ngā tūroro he uaua ngā āhuatanga e pāngia ana e ngā aukati stent maha.
Karere Tangohia ki te Kāinga
- Ko te brachytherapy coronary he maimoatanga irahiko e whakamahia ana hei ārai i te hanganga o te kiko koha huri noa i te stent, ā, ka whaiti anō te oko toto (in-stent restenosis).
- Ehara tēnei i te rongoā mō te katoa, engari he tino pai mō te hunga e mau tonu ana te aukati o te stent, ētahi atu mate pēnei i te mate huka, ngā mate uaua rānei o te ngākau.
- Ehara tēnei i te pokanga nui, engari he ngongo iti (he catheter) e tomo ana ki roto i te ngākau, ka tukuna he horopeta irahiko kua whakaritea.
- He iti noa iho, he haumaru hoki te nui o te irahiko e whakamahia ana, ā, kāore e pā ki ētahi atu wāhanga o te tinana.
- He mea tino nui te whai i tētahi momo noho hauora mō te ngākau i muri i te maimoatanga. Rapua tonutia te awhina hauora mēnā ka pāngia koe e ngā tohu whakatūpato pēnei i te mamae o te uma, te poto rānei o te manawa.
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