E mamae ana te uma, e piri ana rānei ina whakapau kaha koe, ina piki arawhata, ina hikoi poto rānei? Kua tangohia pea e koe te rongoā i whakaritea e tō tākuta, engari kāore tēnei mate e memeha rawa. Mēnā kei te mataku koe kei pokaina te ngākau, mēnā rānei kei te kī ō tākuta he uaua te pokanga i runga i tō āhua hauora, he mea nui tēnei tuhinga māu. I tēnei rā kei te kōrero tātou mō tētahi tikanga maimoatanga motuhake ehara i te pokanga, engari he tino whakamarie ki te ngākau.
Nā, he aha te EECP?
Ki te kī ngāwari, ko te EECP (Enhanced External Counterpulsation) he maimoatanga mō te angina pumau mau tonu , he mate kua roa nei e noho ana. He maimoatanga haumaru kua whakaaetia e ngā tari pēnei i te US Food and Drug Administration (FDA).
I te nuinga o te wā, ina āraia ngā oko toto o te ngākau, kāore te ngākau e whiwhi i te toto whai hāora e hiahiatia ana. Ka kiia tēnei ko te mate ngakau . Koinei te take o te angina, arā, te mamae o te uma. Mena ka puta tēnei mamae i te wā e ngenge ana koe, e ahotea ana rānei, ā, ka memeha i muri i te okiokinga poto, ka kiia tēnā ko te angina pumau mau tonu.
He mea nui rawa te maimoatanga EECP mō te hunga kāore e pai ki ngā rongoā tuku iho, ā, kāore hoki e taea te mahi pokanga pērā i te pokanga bypass , te angioplasty rānei.
He pēhea te mahi a te maimoatanga EECP?
He tikanga tino whakamiharo tēnei. Whakaarohia, kei te kaha ake te mahi a tō ngākau, ā, kua ngenge. Ka āwhina te maimoatanga EECP i te ngākau mai i waho.
I te wā e rongoatia ana, ka whakatakotoria he here motuhake ki ō waewae me ō papa. He rite ēnei ki ngā here toto toto. E ai ki te manawataki o tō ngākau (e aroturukitia ana e te EKG), ka whakakīia ngā here ki te hau, ā, ka whakakīkī i te wā e okioki ana tō ngākau. Mā tēnei ka panaia te toto i roto i ō waewae ki tō ngākau. Mā tēnei ka nui ake te toto whai hāora e tae atu ana ki tō ngākau.
Kātahi, ina tīmata anō te manawa ki te pupuhi (pump) anō, ka tukuna tonutia te hau i roto i te poroporo. Kātahi ka ngāwari ake te pupuhi toto e te manawa.
I te haere tonu o tēnei tukanga, ka tīmata te puta mai o ngā arai ā-taiao hou , ka taea ai e te toto te arai i ngā oko toto kua āraia i roto i te ngākau. Koinei te painga nui o tēnei maimoatanga.
Mā wai tēnei maimoatanga e tika?
Kāore te maimoatanga EECP e pai mō te katoa. Mā tō tākuta e whakatau mēnā he tika mōu. He kōwhiringa pai pea tēnei mō te tangata kei a ia ēnei āhuatanga:
| Te Whai Mana | Whakaahuatanga |
|---|---|
| Te mamae o te uma mō te wā roa | Ko te angina he mate e puta ana, ā, ka memeha haere i te wā e whakakorikori tinana ana, e ahotea ana rānei. |
| Te korenga o te whakaoranga mai i te rongoā | Mena kāore e taea te whakahaere i ngā tohu ahakoa te tango i te rongoā kua tohua. |
| Kāore e tika ana mō te pokanga | Mō te hunga kāore e tika ana kia pokangahia pērā i te bypass, te angioplasty rānei nā ētahi atu raruraru hauora. |
| Ka hoki mai ngā tohu i muri i te pokanga | Mena ka hoki mai ngā tohu i muri i te pokanga bypass, te angioplasty, te stenting rānei. |
Kāore e tūtohutia ana te EECP mā wai?
Kāore te maimoatanga EECP e pai mō te hunga whai mate hauora. Hei tauira, kāore i te tūtohutia mō ngā wāhine hāpu. Waihoki, ki te whai koe i tētahi o ēnei mate e whai ake nei, ka whakaarohia pea e tō tākuta tētahi atu kōwhiringa maimoatanga:
- Te mate kino o te takirere ngakau
- Te toto toto tiketike kāore i te whakahaeretia (te toto toto tiketike kāore i te whakahaeretia)
- Te tūponotanga o ngā toto totoka
- Te tere o te manawa me te koretake o te manawa, hei tauira, te Atrial Fibrillation (Afib)
- Te mate kino o ngā oko toto ā-taha
- Te toto toto tiketike o te pūkahukahu
Ko te mea nui ko te kōrero ki tō tākuta ngakau, kaua e whakatau i tēnei mea i a koe anō.
He aha ngā mahi i mua atu, ā, i te wā e rongoatia ana?
Nā te mea ehara tēnei i te mahi pokanga, kāore he mea e wehi ai. Ko te roa o te maimoatanga he tata ki te haora i te rā.
I mua i te maimoatanga
I mua i te tīmatanga o te maimoatanga, ka tirotirohia koe e te tākuta, ā, tera peaTērā pea ka whakahaerehia he whakamātautau ahotea whakakori tinana. I mua tata tonu i te tīmatanga o te maimoatanga, ka mahi te nēhi, te tohunga hangarau rānei i ēnei mahi:
1. Ka hoatu he tarau motuhake māu hei kakahu.
2. Ka tāpirihia kia toru ngā whitiki EKG ki tō uma.
3. Ka herea aua here motuhake ki ngā waewae me ngā papa.
4. Ka whakanohoia he pūoko iti (pūoko matihao) ki runga i te matihao hei tirotiro i te taumata hāora.
I te wā o te maimoatanga
Ko tāu noa he takoto noa i runga i te moenga whakamarie. Ka taea e koe te pānui pukapuka, te whakarongo waiata, te moe rānei. Ka whakau, ka wetekina te poroporo e ai ki te EKG. Tērā pea he ahua rerekē tēnei i te tīmatanga, engari ka taunga koe ki roto i ētahi meneti. Kāore koe e rongo i te mamae.
Ko te tikanga, e whitu wiki te roa o tēnei maimoatanga, e rima ngā rā o te wiki, kotahi hāora ia rā, ā, e 35 hāora te tapeke.
He aha ngā painga me ngā mōrearea o te maimoatanga EECP?
Pērā i ngā maimoatanga katoa, tera pea he painga, engari he iti noa ngā pānga taha o tēnei.
| Ngā Painga | Ngā Tūponotanga/Ngā Pānga Taha |
|---|---|
| Te whakaiti i te mamae o te uma me ngā tohu. | Te mamae iti o ngā uaua, te ngenge rānei. |
| Ka nui ake te kaha me te kaha o te tinana. | He whero paku, he maru rānei o te kiri nā te pūmau o te ringaringa. |
| Te āhei ki te whakakorikori tinana me te noho ora me te kore mamae. | He āhuatanga pērā i te ngoikore o te kiri. |
| Ka taea te whakaiti i te nui o ngā rongoā e tangohia ana mō te angina. | He tino onge pea te uaua ki te manawa, ā, me kawe pea ki te hōhipera. |
Āhua ohorere!Kāore tēnei maimoatanga e tika ana mō ngā mate pūmau, engari mō te mamae ohorere, te mamae nui o te uma (angina kore pumau). Ki te pāngia koe e te mamae ohorere, te mamae nui, he tohu pea tēnei nō te mate manawa. Waea atu ki tētahi atu i taua wā tonu, ka haere ki te tari ohorere o te hōhipera tata (ETU) .
He tokomaha te hunga e pai ana mō ngā tau maha i muri i te mutunga o te maimoatanga, engari ko ētahi tāngata, inā koa ko te hunga kāore anō kia oti i a rātou ngā haora 35 e hiahiatia ana, me mahi anō i te maimoatanga.
Karere Tangohia ki te Kāinga
- He maimoatanga kore-pokanga te EECP mō te mamae o te uma mau tonu (angina).
- Mā te pēhanga mai i waho o te ngākau ka mahi tēnei, ka piki ake te rere o te toto ki te ngākau. Ka pai ake te mahi a te ngākau.
- He kōwhiringa tino pai tēnei mō te hunga kāore e taea te whakahaere mā te rongoā, ā, kāore hoki e taea te mahi pokanga.
- Kāore te maimoatanga e mamae. Me takoto noa koe i runga i te moenga.
- Ko tō tākuta anake te mea hei whakatau mēnā he tika tēnei maimoatanga māu, nō reira me kōrero ki a ia mō tēnei.











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