Kua rongo koe i te tere o te pao o tō ngākau, i te tere rānei o te pao i tōu uma? Kua rongo koe i te mea kei te hurihuri tetahi mea i roto i tō uma, ā, he uaua ki te manawa? I tēnei rā ka kōrero tātou mō tētahi maimoatanga motuhake e whakamahia ana e ngā tākuta hei whakahoki mai i ngā manawataki o te ngākau (arrhythmias) i roto i ēnei take. Ka kiia tēnei ko te cardioversion.
Ki te kī noa, he aha te Cardioversion?
Ko te Cardioversion he tikanga hauora e mahia ana e ngā tākuta hei whakaora i te manawataki koretake o tō ngākau, te manawataki rānei. Whakaarohia he rite ki te whakahou i tētahi taonga puoro kua ngaro tōna manawataki. E rua ngā huarahi e taea ai tēnei. Ko tētahi mā te whakamahi i tētahi taputapu hiko. Ko tētahi mā te hoatu rongoā ki a koe. I ētahi āhuatanga ohorere, pērā i te mate e kiia nei ko te ventricular arrhythmia, ka taea e tēnei maimoatanga te whakaora i tō ora. I ētahi atu wā, ka mahia hei ārai i ngā raruraru ā muri ake nei.
He aha ngā momo maimoatanga matua mō te cardioversion?
E ai ki tā mātou i kōrero ai i mua, e rua ngā huarahi matua mō tēnei. Kia mārama tātou.
| Momo maimoatanga | Te āhua o tana mahi |
|---|---|
| Te Huringa Kapu Hiko | Ko tēnei ko te tuku i tētahi nui o te pūngao hiko kua whakahaeretia (te ru) ki tō uma mā te whakamahi i tētahi taputapu motuhake e kiia nei ko te defibrillator . Ka mahia tēnei mā roto i ngā papa motuhake e rua (ngā pāti hiko) ka whakatakotoria ki tō uma me tō tuara. Ka mahia tēnei i muri i tō moe, kia kore ai koe e mamae. Mō te hunga e tino mōrearea ana ki ngā raruraru manawataki o te ngakau, ka taea hoki te whakamahi i tētahi taputapu iti e kiia nei ko te Implantable Cardioverter-Defibrillator (ICD) . |
| Mā te rongoā (Te Whakarerenga Matū o te Kātioro) | Ko te tikanga o tēnei ko te hoatu rongoā ki a koe hei pire ka horomia e koe, mā te werohanga IV rānei ka tukuna ki roto i te uaua i tō ringa. Ka roa pea te mahi a te rongoā i ngā meneti, i ngā hāora, i ngā rā rānei. He maha ngā wā ka mahia tēnei maimoatanga i roto i te hōhipera nā te mea me aroturuki te mahi a tō ngākau. Mēnā kei te tango koe i tō rongoā i te kāinga, he mea nui kia noho tata tonu koe ki tō tākuta. |
He aha ngā āhuatanga e whakamahia ai te cardioversion?
Ka whakamahia tēnei maimoatanga hei whakatika i ētahi manawataki ngakau tere, koretake rānei. Ko ētahi o ēnei ko:
- Te Whakapūngao Atrial me te Atrial Flutter: Koinei ngā mate e rua e rongoatia ana mā te cardioversion.
- Te Tachycardia Atrial
- Te Tachycardia Ventricular
- Te Whakapūpū o te Puku o te Uaua: He mate tino tere tēnei, ā, he mate morearea hoki.
He aha ahau i hiahia ai ki te maimoatanga cardioversion?
Kia tika ai te rere o te toto ki tō tinana, me tika te pao me te manawataki o te manawa. Ina pā te pao o tō ngakau i te koretake, ka pāngia pea koe e ngā tohu pēnei i:
- Kātahi ka pā te kaha o te tukinga o tōku uma, me te mea kei te whiua ahau e te whiu.
- Te uaua ki te manawa.
- Te mamae, te kore whakamarie rānei o te uma.
- Te pōuriuri, te ngenge rawa rānei.
Ko te tikanga o ēnei tohu kāore tō ngākau e pupuhi ana i te toto e ranea ana ki tō tinana. Ahakoa kāore koe e kite i ēnei tohu, ki te kore e rongoatia, ka nui ake tō tūponotanga ki te pāngia e ngā mate kino pēnei i te mate ngākau, te whiu rānei ā muri ake nei.
Me pēhea te whakarite mō te rā maimoatanga?
Mā tō tīma hauora koe e hoatu ngā tohutohu taipitopito mō tēnei, engari he mea whānui anō hei maumahara māu.
Te rā i mua atu me te ata o te maimoatanga
- Te Taraiwa: Kāore e taea e koe te taraiwa mō ngā haora 24 i muri i te maimoatanga. Nō reira, he mea nui kia whai tangata koe hei taraiwa i a koe ki te kāinga.
- Kai me te Inu: Me kai noa i te pō i mua i tō maimoatanga. Heoi, kaua e kai, e inu, e ngaungau rānei i tetahi mea i muri i te waenganui pō o taua pō. Kei roto i tēnei ko te wai, te kapia ngaungau, te miniti rānei. Kia tūpato hoki kei horomia te wai i a koe e parai ana i ō niho.
- Ngā Rongoā: Mena kei te tango koe i ngā rongoā whakaheke toto (ngā rongoā whakaiti toto) me ngā rongoā mate huka rānei, me pātai atu ki tō tākuta me pēhea te tango i aua rongoā i te rā o tō maimoatanga. Tangohia ētahi atu rongoā noa pērā i te tikanga me te wai iti, ki te kore e kīia e tō tākuta kia kaua e tangohia.
Me aha koe ina tae koe ki te hōhipera?
- Ngā kākahu:Haere mai me ō kākahu whakamarie e ngāwari ana te mau me te tango. Me mau koe i te kākahu hōhipera i a koe e rongoatia ana.
- Te Ma: Kaua e whakamahi i te meikitanga, i te peita whao rānei. Kaua hoki e pania he deodorant, he paura, he kirīmi 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 ngā whakapaipai katoa, ngā wati, me ngā taonga utu nui ki te kāinga, tae atu ki ngā mowhiti marena.
He aha ngā mea ka tupu i te wā e rongoatia ana, ā, i muri hoki i te rongoā?
Te whakarite i mua i te maimoatanga
Ka whakatakotoria koe ki runga i te moenga, ā, ka whakaurua he aho IV (aho ā-uaua) ki roto i te uaua i roto i tō ringa. Koinei te wāhi ka whiwhi koe i ngā rongoā me ngā wai e tika ana i te wā e rongoatia ana. Kātahi ka whakatakotoria he papa EKG me ngā papa Cardioversion ki tō uma me tō tuara. Mena he huruhuru kei aua wāhi, ka tangohia.
Me whai whakamātautau anō pea koe e kīia nei ko te Transesophageal Echocardiogram (TEE) i mua i te cardioversion. Ko te tikanga o tēnei ko te whakangāwari i tō korokoro me te tuku i tētahi ngongo angiangi ki raro i tō korokoro hei tango pikitia o tō ngākau hei tirotiro i ngā toto totoka, he mea morearea pea mēnā ka pakaru mai i te wā e rongoatia ana.
Kua ara ake ahau?
Kāo. Ka hoatu he rongoā ki a koe mā te werohanga IV, ā, ka meinga koe kia moe. Nō reira, kāore koe e rongo i tetahi mea, kāore he mamae.
I te wā o te maimoatanga
I a koe e moe ana, ka whakamahia e tō tākuta he mīhini cardioverter hei tuku i te nui o te pūngao hiko kua whakahaeretia (te ru) ki tō ngākau mā roto i ngā papa. Ka mutu te manawataki hiko koretake o tēnei pūngao, ā, ka taea ai e ia te hoki ki tōna manawataki noa. Me mahi pea tēnei i ētahi wā kia maha hei whakahoki mai i te manawataki.
| Ngā mea me ngā taputapu hei aroturuki i te wā e rongoatia ana | |
|---|---|
| Pūrere | Tūmahi |
| Pūwhakaiti i te ngākau / Pūwhakaiti i te fibrillation | Te whakarato i te hiko ki te ngākau. |
| Te hiko o te manawa (ECG/EKG) | Te aro turuki tonu i ngā mahi hiko o te ngākau. |
| Aroturuki Pēhanga Toto | Inehia tō toto toto. |
| Okimita | Te ine i ngā taumata hāora i roto i te toto mā te whakamahi i tētahi topenga iti e piri ana ki te matihao. |
I muri i te maimoatanga
I muri i te maimoatanga, ka ara ake koe. Ka hiamoe koe nā te rongoā i hoatu ki a koe. Tērā pea ka mamae, ka ngenge hoki tō uma mō ētahi rā. Ki te whakaaetia e tō tākuta, ka taea e koe te whakamahi i tētahi mea pēnei i te kirīmi 'Hydrocortisone' mō tēnei. Ina ara ake koe, ka kōrero tō tākuta ki a koe mō ngā hua me tō mahere maimoatanga ā muri ake nei.
He aha ngā painga me ngā mōrearea o te maimoatanga?
Pērā i ngā tikanga hauora katoa, he painga anō kei reira, engari he iti noa iho ngā mōrearea.
- Ngā Painga: Ko ngā painga matua ko te whakatikatika i te manawataki o te ngakau, te whakaiti i ngā tohu, me te pai ake o te pupuhi o te ngakau.
- Ngā Mōrearea: He onge ngā raruraru, engari ka uru pea ki roto ko te whero i ngā wāhi e piri ana ngā papa ki te kiri, te maru i te wāhi i werohia ai te IV, te toto totoka i roto i te ngākau ka pakaru ka puta he whiu (koinei te tikanga o te whakamātautau TEE hei ārai), te kino haere o te manawataki o te ngākau, te mate pāwera rānei ki te rongoā.
I te nuinga o te wā ka taea e koe te hoki ki te kāinga i taua rā anō. Engari kaua e taraiwa mō ngā hāora 24. Ka taea e koe te kai me te inu i muri i te maimoatanga. Kōrero ki tō tākuta kia mōhio ai koe āhea koe ka taea te hoki ki te mahi.
Karere Tangohia ki te Kāinga
- He maimoatanga tino whai hua, he haumaru hoki te Cardioversion hei whakatika i ngā pākia o te ngakau.
- Ka mahia tēnei mā te whakamoe i a koe kia tino moe, te hoatu i te hiko e whakahaeretia ana, te whakamahi rānei i te rongoā. Kāore koe e rongo i te mamae.
- Me āta whai i ngā tohutohu a tō tākuta i mua i te maimoatanga, inā koa mō te kai, te inu, me ngā rongoā whakaiti toto.
- I te mea kāore e taea e koe te taraiwa mō ngā haora 24 i muri i te maimoatanga, he mea nui kia whai tangata hei kawe i a koe ki te kāinga.
- Ki te pā mai ngā tohu pēnei i te kikī o te uma, te uaua ki te manawa, te whanoke rānei, kaua e warewarehia. Tirohia tonutia tō tākuta.
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