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.
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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