Kei te tere te pao o tō uma i ētahi wā, kei te hē te tere o tō manawa, kei te rerekē rānei te pao o tō uma? I ētahi wā, he tino whakamataku tēnei wheako. I tēnei rā ka kōrero tātou mō tētahi tikanga maimoatanga motuhake e whakamahia ana e ngā tākuta mō tēnei momo mate manawa. Ko te Cardioversion tēnei. Kaua e manukanuka, ka kōrerohia e tātou ngā mea katoa me te tino māmā.
Ki te kī noa, he aha te Cardioversion?
Ko te Cardioversion, i roto i ngā kupu māmā noa, he maimoatanga e whakamahia ana e ngā tākuta hei whakahoki i te manawataki koretake o tō ngākau ki tōna manawataki hauora, noa iho. He rite ki te whakahoki i te oro o tētahi taonga puoro.
Whakaarohia pēnei: he rite tō tātou ngākau ki te papu e mahi ana i roto i tētahi manawataki. Ina tika te patu, ka pupuhihia te toto puta noa i te tinana. Ina pakaru tēnei manawataki, kāore e taea e te ngākau te mahi tika. Ka 'tautuhi anō' te cardioversion i tēnei pūnaha tohu hiko kua pakaru, ā, ka mahi anō i roto i tētahi manawataki tika.
I ētahi wā, ina tino pōrearea te manawataki o te ngākau (hei tauira, te Ventricular Arrhythmia), ka puta he āhuatanga ohorere pēnei i te whakaeke ngākau. I roto i ēnei āhuatanga, ka whakamahia tēnei maimoatanga cardioversion hei whakaora i te ora. Waihoki, i ētahi wā, ahakoa kāore he āhuatanga ohorere, tera ētahi wā ka whakaritea tēnei maimoatanga hei ārai i ngā raruraru a muri ake nei.
E rua ngā huarahi hei whakahaere i te maimoatanga cardioversion:
E rua ngā huarahi matua mō tēnei maimoatanga: mā te ru hiko me te rongoā. Me titiro takitahi tātou ki ia huarahi.
| Tikanga maimoatanga | Me pēhea te mahi? |
|---|---|
| Te nekehanga o te ngakau hiko | Ko te tikanga o tēnei ko te whakamahi i tētahi taputapu motuhake (defibrillator) hei tuku i te ru hiko whakahaeretia ki tō ngākau. Ka mahia tēnei mā roto i ngā rīpene motuhake e rua (ngā pāti hiko) e piri ana ki tō uma, ki tō tuara pea. Kāore koe e rongo i tetahi mea i tēnei wā, nā te mea ka tino whakamoea koe kia puta ai tēnei. Mō ētahi tāngata, mēnā he nui te tūponotanga o te pāngia e te ngakau pōturi, ka whakatau pea tō tākuta ki te whakauru i tētahi taputapu iti ki roto i tō tinana e kiia nei ko te Implantable Cardioverter-Defibrillator (ICD) . Ka tukuna aunoatia e tēnei taputapu he ru hiko iti ki tō ngākau i ia wā ka pāngia e te ngakau pōturi. |
| Te Huringa Matū o te Kātiora | I roto i tēnei tikanga, ka hoatu he momo rongoā motuhake ki a koe hei āwhina i te whakahaere i te manawataki o tō ngākau. Ka taea te hoatu i tēnei rongoā hei pire, hei werohanga IV rānei ki roto i tētahi uaua i tō ringa. Ka roa pea ngā pānga o tēnei rongoā mō ngā meneti, ngā hāora, ngā rā rānei. I te nuinga o te wā, ka hoatuhia tēnei rongoā i a koe e noho ana i te hōhipera nā te mea me aroturuki tonu ngā tākuta i te tere o tō manawa. Mena kei te tango koe i tēnei rongoā i te kāinga, he mea tino nui kia whakapā atu koe ki tō tākuta. |
He aha ngā mate matua e rongoatia ana e te cardioversion?
Ka taea e tēnei maimoatanga te whakatika i te whānuitanga o ngā manawataki o te ngakau tere, koretake rānei (arrhythmias). Ko ngā mea tino nui o ēnei ko:
- Te whakapūngao o te atria me te wiri o te atria: Koinei ngā āhuatanga e rua e whakamahia whānuitia ana mō te cardioversion. Ka tīmata ngā rūma o runga o te ngākau (atria) ki te patu tere me te kore e rite.
- Te tachycardia atrial: He tere te ngakau o te ngakau e tīmata ana i ngā ruma o runga o te ngakau.
- Te tachycardia ventricular: He tere, he morearea te manawataki o te ngakau e tīmata ana i ngā rūma o raro o te ngakau (ventricles).
- Te wiri o te puku: He āhuatanga tino kino tēnei, he āhuatanga morearea ki te ora. I tēnei āhuatanga, ka wiri ngā rūma o raro o te ngākau, kaua e patu. Nā tēnei ka mutu katoa te pupuhi toto.
He aha ahau me whai cardioversion?
Mena kei a koe ēnei tohu, ka tūtohu pea tō tākuta i tēnei maimoatanga nā te mea e tohu ana ēnei tohu kāore tō ngākau e pupuhi ana i te toto e ranea ana ki tō tinana.
Ki te kī ngāwari, ko te whāinga matua o te maimoatanga cardioversion he whakahoki i te tere me te manawataki o te ngakau ki te noho noa, me te āwhina i te ngakau kia mahi tika i tana mahi.
Anei ētahi tohu hei tirotiro māu:
- He kare e pā ana i roto i te uma, me te mea kei te tere te pā.
- Te uaua ki te manawa, te poto o te manawa.
- Te rongo i te kore whakamarie, i te mamae rānei i roto i te uma.
- Te whanoke (te pororaru) te tino ngenge rānei.
Kāore pea koe e kite i ēnei tohu. Engari ki te kore e rongoatia, tera pea ka pāngia koe e ngā mate kino pēnei i te mate manawa, te whiu rānei ā muri ake nei. Nō reira, ki te pāngia koe e ēnei tohu, me toro atu koe ki tō tākuta me te rapu tohutohu.
Me pēhea te whakarite mō te rā maimoatanga?
Mā tō tīma hauora koe e hoatu ngā tohutohu katoa e hiahiatia ana e koe i mua i tēnei maimoatanga, engari he iti noa ngā mea whānui me mōhio koe.
I mua i te taenga mai ki te maimoatanga
- Whakaritea he waka: Kāore e taea e koe te taraiwa mō ngā haora 24 i muri i te maimoatanga, nō reira he mea nui kia whai tangata hei taraiwa i a koe ki te kāinga.
- Pātai atu ki tō tākuta mō āu rongoā: Mena kei te tango koe i ngā rongoā whakaiti toto/whakaheke toto, rongoā mate huka, insulin rānei, pātai atu ki tō tākuta i mua i te wā me pēhea te tango i aua rongoā i te rā o tō maimoatanga. Tangohia ētahi atu rongoā noa pērā i te tikanga me te iti o te wai, ki te kore koe e tohutohu i tētahi atu mea e tō tākuta.
- Kai me te Inu: Me kai noa i te pō i mua i tō maimoatanga. Engari kaua e kai, e inu, e ngaungau rānei i tetahi mea i muri i te waenganui pō. Kaua rawa e ngaungau i te kapia, te miniti, te wai rānei. Kia tūpato hoki kei horomia te wai i a koe e parai ana i ō niho.
He aha taku kākahu? He aha taku e mau mai ai?
- Kākahu: Ina tae koe ki te hōhipera, kakahuria he kākahu whakamarie, he ngāwari ki te tango. I te wā e rongoatia ana, me kakahu koe i tētahi kākahu i whakaratohia e te hōhipera.
- Kaua e: Mauria he meiki. Kaua e pania he peita whao. Kaua e pania he deodorant, he paura, he kirīmi, he hinu rānei ki tō uma, ki tō tuara rānei. Tērā pea ka pāngia ngā papa piri e whakamahia ana mō te maimoatanga.
- Ngā Taonga Utu Nui: Waiho ō whakapaipai katoa (tae atu ki tō mowhiti marena), ngā wati, me ētahi atu taonga utu nui ki te kāinga.
- Ngā mea hei kawe mai: Mauria mai he rārangi katoa o ngā rongoā katoa e tangohia ana e koe me te nui o ia rongoā e hiahiatia ana e koe mō te rā kotahi.
He aha te mea e tupu ana i te hōhipera?
Kia tae atu koe ki te hōhipera, ka meinga koe kia takoto ki runga i te moenga, ā, ka whakaurua he aho IV ki roto i tētahi uaua i tō ringa. Koinei te wāhi ka hoatu ki a koe ngā rongoā me ngā wai e tika ana i te wā e rongoatia ana koe.
Kātahi ka tāpirihia he taura EKG me ngā rīpene piri motuhake mō te whakaora i te ngakau ki tō uma, ki tō tuara pea. Mēnā he huruhuru kei aua wāhi, ka heua atu.
I ētahi wā, i mua i te maimoatanga cardioversion, ka hiahia pea koe ki te Transesophageal Echocardiogram (TEE).Me mahi pea koe i tētahi whakamātautau e kīia nei ko te angiogram. Kaua e mataku. Ko te tikanga o tēnei ko te whakangāwari i tō korokoro, te whakauru i tētahi ngongo angiangi rawa ki roto, me te tango pikitia o tō ngākau. Ka tirohia tēnei mō ngā toto totoka i roto i te ngākau. Ka raru pea tēnei mēnā ka wetekina aua totoka i te wā e rongoatia ana.
Ka ara ake ahau i te wā e rongoatia ana?
Kāo. Mā te rongoā ka hoatu mā te werohanga IV koe e moe rawa . Nō reira, kāore koe e rongo i te mamae, i te kore whakamarie rānei.
He aha ngā mea ka tupu i te wā e rongoatia ana?
I a koe e moe ana, ka whakamahia e te tākuta he taputapu whakamāmā manawa (defibrillator) hei tuku i tētahi ru o tētahi nui o te kaha ki tō ngākau mā roto i ngā whitiki e piri ana. Ka mutu te mahi hiko koretake o tō ngākau i tēnei ru, ā, ka taea e ia te tīmata anō i tētahi manawataki noa. I ētahi wā, ka hiahiatia pea ētahi ru kia hoki anō te manawataki ki te noa. Engari nā te mea kei te moe koe, kāore koe e rongo i tetahi mea.
He torutoru meneti noa iho te roa o te tukanga katoa, engari me te whakarite me te wā whakaora i muri i te maimoatanga, ka noho koe ki te hōhipera mō te whā ki te ono hāora.
He aha te mea ka tupu i muri i te maimoatanga?
Kia mutu te maimoatanga, ka ara ake koe. Ka paku hiamoe koe nā te rongoā whakamoe. Tērā pea ka mamae, ka whero rānei tō uma mō ētahi rā. Ka tohua e te tākuta he kirīmi mō tēnei.
Kia ara rawa koe, ka kōrero tō tākuta ki a koe mō ngā hua o tō maimoatanga me ō mahere mō te heke mai. Pātai atu ki a rātou mēnā me haere tonu koe ki te tango i ō rongoā pērā i mua, mēnā rānei me huri koe i ētahi mea. I te nuinga o te wā, me haere tonu koe ki te tango i ō rongoā hei ārai i te kino haere o te manawa o tō ngakau.
I muri i tō nekehanga ki te wāhi whakaora, ka hoatu he kai me he inu māu, ā, ka taea e tō whānau te toro atu ki a koe. Ka aroturukitia tonutia tō toto toto me tō tere o te manawa i mua i tō hokinga ki te kāinga.
He aha ngā painga me ngā mōrearea o tēnei maimoatanga?
Ngā Painga
Ko te painga nui o tēnei maimoatanga ko te hokinga o te manawa o tō ngākau ki te āhua noa, ā, ka ngaro atu ngā tohu e pā ana (pēnei i te poto o te manawa me te whanoke). Hei tāpiri, tera pea ka pai ake te mahi a tō ngākau i muri i te cardioversion.
Ngā Tūponotanga, Ngā Āhuatanga rānei
He tino onge ngā raruraru o tēnei maimoatanga, engari he mea nui kia mōhio ki ēnei.
- He whero iti, he kino rangitahi rānei ki te kiri i pirihia ai te rīpene.
- Tērā pea he kikorangi te wāhi i whakaurua ai te cannula IV.
- He iti noa te mōrearea o te pakaru o te toto totoka i roto i te ngākau, ā, ka pā mai he whiu (ka mahia te TEE hei whakaiti i tēnei mōrearea).
- I ētahi wā ka kino haere te tere o te manawa.
- Ngā uruparenga mate pāwera ki te rongoā i whakamahia.
Āhea ahau me kite i te tākuta i muri i taku hokinga ki te kāinga?
Tērā pea ka taea e koe te hoki ki te kāinga i taua rā anō o tō maimoatanga, engari kia maumahara kāore e taea e koe te taraiwa mō ngā hāora 24 nā te hiamoe i puta mai i te rongoā whakamoe.
Ka taea e koe te hoki ki te kāinga ki te mahi i ō mahi o ia rā. Engari pātai atu ki tō tākuta āhea koe ka taea te hoki ki te mahi.
Ko te mea nui kia maumahara koe ki te haere ki ō wā tirotiro i ngā rā kua tohua e tō tākuta . He mea nui kia tirohia tō urupare ki te maimoatanga, me te mea he tika te horopeta rongoā kua tohua mōu. Ki te mea kei te hoki mai ō tohu tawhito, me kōrero tonu atu ki tō tākuta.
Ko te whakahekenga ngākau he wāhanga noa iho o tō mahere maimoatanga. He mea nui anō hoki kia tangohia ō rongoā e ai ki te tohutohu a tō tākuta, kia mau tonu ki te oranga hauora (kai pai, whakakori tinana), me te haere ki ō wā whakarite.
Karere Tangohia ki te Kāinga
- Ko te cardioversion he maimoatanga e 'tautuhi anō' ana i te manawataki o te ngakau rerekē, ka whakahoki anō ki te āhua noa.
- Ka taea tēnei mā te ru hiko, te ru matū rānei.
- Mā te cardioversion hiko koe e moe rawa, kia kore ai koe e mamae.
- Me whai i ngā tohutohu a te tākuta (kaua e kai, kaua e inu, kaua hoki e tango rongoā) i mua tonu i te tīmatanga o te maimoatanga.
- He mea nui kia whai tangata koe hei kawe i a koe ki te kāinga i muri i te maimoatanga, nā te mea e kore e taea e koe te taraiwa mō ngā haora 24.
- Tirohia tō tākuta i te wā tika. Kaua e wehi ki te kōrero ki a ia mō ngā pātai, ngā āwangawanga rānei kei a koe.

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