Me kōrero noa tāua mō te pokanga mō te ngoikore o te ngākau?

He mīhini whakamiharo tō tātou ngākau e pupuhi ana i te toto e whakarato ana i te hāora me ngā matūkai ki ia pūtau me ngā okana o tō tinana. He rite ki te mōtini e tuku ana i te wai ki te whare. Engari i ētahi wā ka ngoikore te mōtini e kiia nei ko te ngākau. Kātahi ka kore e taea e ia te pupuhi i te toto e tika ana ki te tinana. I roto i te rongoā, ka kiia tēnei āhuatanga ko te Ngāwari o te Manawa , e kiia ana rānei e ētahi ko te Ngāwari o te Manawa (CHF) . He ahua whakamataku te rongo i tēnei ingoa, engari ehara i te mea whakamataku pērā i tō whakaaro. Nā te mea he tino pai ngā maimoatanga mō tēnei.

He aha tonu te ngoikore o te ngākau?

He kupu ngāwari noa iho, he papu kaha te ngākau i hangaia mai i te kiko uaua. Ina ngoikore tēnei papu, kāore e taea e ia te pupuhi toto kia tere, kia kaha rānei hei whakatutuki i ngā hiahia o te tinana. Whakaarohia kua tawhito, kua ngoikore hoki tō papu wai. Ka roa ake te pupuhi wai ki roto i te tāke, ā, kāore pea e taea te whakakī katoa. Ko te mea anō hoki tēnei e pā ana ki te ngākau.

Ko te tikanga, ka rongoāhia tēnei mate e ngā tākuta mā te whakarerekē i te āhua noho (pērā i te whakaiti i te tote me te whakakori tinana) me ngā rongoā. He tokomaha ka ora ake i ēnei maimoatanga. Engari mō ētahi, kāore ēnei anake e ranea. Koinei te wā ka whakaarohia ai te pokanga. Ka taea e te pokanga te whakapai ake i te mahi a tō ngākau, te whakaiti i ngā tohu, me te āwhina i a koe kia roa ake te ora.

I roto i ēhea āhuatanga e hiahiatia ai te pokanga?

He maha ngā take ka tūtohu ai tō tākuta i te pokanga mō te ngoikore o te ngakau.

• Whakaorahia te pūtake o te ngoikore o tō ngākau: Tērā pea nā te raruraru o te takirere ngākau, nā te oko toto rānei i aukati te take o tō ngoikore o te ngākau. Ina tangohia te pūtake mā te pokanga, ka tīmata te ora o tō ngākau.
• Whakapai ake i te kaha pupuhi o te ngākau: Tērā ētahi pokanga e āwhina tika ana i te ngākau. Hei tauira, te tāuta i tētahi taputapu pērā i te papu hei āwhina i te ngākau.
• Whakaora i te ora: Ina ngoikore rawa te ngākau, kāore e taea te whakahaere mā te rongoā me ētahi atu maimoatanga, ko te pokanga pea te huarahi whakamutunga hei whakaora i te ora.

He aha ngā momo pokanga e mahia ana mō te ngoikore o te ngākau?

He rerekē ngā momo pokanga mō tēnei mate. Ko ētahi he tino māmā, he tapahi iti noa iho. Ko ētahi ka tae ki te pokanga ngākau tuwhera me te whakawhitinga ngākau. Me kōrero tātou mō ia momo.

Ngā Maimoatanga mō te Arrhythmia

Te āwhatiwhatiKo tōna tikanga he pāorooro te manawa nā te mea he raruraru iti kei roto i te pūnaha hiko o te manawa. Tērā pea he take tēnei o te ngoikore o te manawa, he tohu anō hoki.

• Te Whakakore i te Catheter: He tikanga tino iti tēnei. Ka whakaurua e tō tākuta he ngongo tino angiangi (catheter) mā roto i tētahi uaua i roto i tō waewae, i tō ringa rānei ki roto i tō ngākau. Kātahi ka kimihia e rātou te wāhi tika i roto i tō ngākau e puta ai ngā tohu hiko koretake, ā, ka whakawetohia mā te pania he wera iti, he makariri rawa rānei ki taua wāhi. Whai muri i tēnei, ka tīmata anō tō ngākau ki te patu i te āhua noa.
• Ngā Pūrere Whakatō: E rua ngā momo mīhini iti kua whakatōkia ki roto i te tinana hei whakahaere i te manawataki o te ngākau. He rite ēnei ki ngā kaitiaki ora e aroturuki ana i te manawataki o te ngākau.

Ngā pokanga i ngā uaua e tuku toto ana ki te ngākau

• Pokanga Tārua o te Arorangi o te Manawa (CABG): I roto i te wā, ka puta ngā putunga ngako (pēka) i roto i ngā uaua iti e tuku toto ana ki te uaua o te ngākau, ka āraia. Ka ngoikore pea te ngākau, ā, kāore e taea te whiwhi i te hāora e hiahiatia ana. He rite te pokanga tārua ki te hanga i tētahi ara hou (he tārua) huri noa i tētahi uaua kua āraia. Ka whakamahia e te taote pokanga tētahi wāhanga uaua i tangohia mai i tētahi atu wāhanga o tō tinana (pēnei i tō waewae, i tō uma rānei) hei hanga i tētahi ara hou mō te rere o te toto huri noa i te uaua kua āraia.
• Angioplasty Coronary me te Stent: He maimoatanga anō hoki tēnei hei whakatuwhera i te uaua kua āraia, engari he māmā ake i te pokanga bypass. I konei, ka taea e koe:

1. Ka whakaurua he catheter iti ki roto i tētahi uaua toto i roto i tō ringaringa, i tō hope rānei.

2. Ka tukuna te katitere tata ki te uaua kua āraia i roto i te ngākau.

3. Ina pupuhihia he poihau iti i te pito o te catheter, ka panaia te hinu kua mau ki ngā taha, ā, ka puare te uaua.

4. Kātahi ka whakanohoia he ngongo iti rite ki te mata (stent) ki roto i taua uaua kia kore ai e aukatia anō.

Pokanga Takirere Manawa

Ko ngā takirere ngākau he wāhanga rite ki te tatau i waenganui i ngā rūma o te ngākau e tuku ana i te toto kia rere i te taha kotahi anake, ā, kia kore ai e hoki whakamuri. E rua ngā momo mate o ēnei takirere. Ko tētahi ko te kore e kati tika te takirere, ā, ka turuturu whakamuri te toto (regurgitation). Ko tētahi ko te matotoru o te takirere, ā, kāore e tuwhera tika (stenosis). I ngā āhuatanga e rua, me kaha ake te mahi a te ngākau i te tikanga ki te pupuhi toto. I roto i te wā, ka ngoikore te ngākau.

Ka taea te whakatika i ēnei takirere mā te pokanga, ki te kore e taea, ka taea te whakauru i tētahi takirere hou (whakakapinga) .

Te maimoatanga mō ngā ngākau tino ngoikore

• Pūrere Āwhina Puku Mauī (LVAD): Ka ngoikore rawa te ngākau o ētahi tāngata, ā, kāore e taea e rātou te pupuhi toto huri noa i te tinana. He papu iti te LVAD e whakatōkia ana ki te puka mauī (te wāhanga matua o te ngākau e pupuhi toto ana) hei āwhina i a rātou. Ka taea te whakamahi hei maimoatanga mō te wā roa, ka taea rānei te whakamahi mō te wā poto kia wātea rā anō te whakawhitinga ngākau.
• Te Whakatō Manawa: Koinei te kōwhiringa whakamutunga mō te tūroro e pāngia ana e te ngoikore o te manawa. I roto i tēnei, ka tangohia te manawa ngoikore o te tūroro, ā, ka whakatōngia he manawa ora mai i tētahi kaituku kua mate. Heoi, nā te korenga o ngā manawa kaituku, me tutuki ngā paearu tino pakari kia tika ai mō tēnei pokanga.

He aha ngā mea ka tupu i mua, i te wā, me muri i te pokanga?

He mea nui te whakarite mō te pokanga. Mā tō tākuta koe e whakamārama i ngā mea katoa.

• I mua i te pokanga: Ka hoatu he tohutohu ki a koe mō te wā me mutu te kai me te inu, he aha ngā rongoā hei tango tonu me ngā mea hei whakamutu, me ngā mea hei kawe mai ki te hōhipera. Ina tae koe ki te hōhipera, ka whakauruhia e te nēhi he cannula ki tō ringa hei hoatu i te tote ki a koe. Ka heua te wāhi e mahia ai te pokanga, ā, ka horoia. I te nuinga o te wā ka whakamoea katoatia koe mō te pokanga.
• I te wā o te pokanga: Ka rerekē ngā mahi i runga i te momo pokanga e mahia ana. Ko te pokanga ngākau tuwhera he tapahi nui i waenganui o te uma. Heoi, ko ngā pokanga iti, pērā i te catheterization, he tapahi iti noa iho i te ringa, i te waewae rānei. Ka taea te whakaoti i ngā pokanga iti i roto i te haora, i te rua rānei.
• I muri i te pokanga:I muri i te pokanga, ka whakawhitia koe ki te wāhanga tiaki nui (ICU) ki tētahi wāhanga rānei. Ka rerekē te roa o te wā e noho ana koe i te hōhipera i runga i te momo pokanga me tō hauora. Ka taea e ētahi te hoki ki te kāinga i roto i te rā kotahi, ko ētahi ia me noho mō ngā wiki. I mua i tō hokinga ki te kāinga, ka hoatu e tō tākuta me ngā nēhi he mahere mārama ki a koe mō te tiaki i a koe anō i te kāinga, me pēhea te tango i ō rongoā, me te wā me hoki mai koe.

He aha ngā mōrearea o te pokanga?

Pērā i ngā pokanga katoa, he tūponotanga kei roto i te pokanga ngākau. Ko ngā tūponotanga matua ko te mate, te whiu, te toto nui, me te mate pāwera. Ka rerekē pea ēnei tūponotanga i runga i tō tau me ētahi atu āhuatanga hauora.

Ka pēhea te āhua o te oranga i muri i te pokanga?

Ko te ngoikore o te ngākau he āhuatanga e kino haere ana ngā tohu i te roanga o te wā. Ka uaua pea te mahi i ngā mahi o ia rā. Heoi, i muri i te pokanga, ka tino heke ngā tohu o te tini o te tangata, ā, ka piki ake te kounga o ō rātou oranga me te roanga o te ora.

Ko te āhua o tō hua ka whakawhirinaki ki ētahi āhuatanga:

• Te mahi a tō ngākau me ngā tohu i mua i te pokanga.
• Te angitu o te pokanga.
• Te pai o tō tiaki i a koe anō i muri i te pokanga, me te whai i ngā tohutohu a te tākuta.

Āhea koe me toro atu ki tō tākuta?

He mate roa te ngoikore o te ngākau, nō reira he mea nui kia whakapā atu koe ki tō tākuta. Mēnā ka kino haere ō tohumate, ka puta rānei he tohumate hou, me kōrero tonu atu ki tō tākuta.

I muri i te pokanga, me whai i ngā tohutohu a te tākuta. Haere ki ngā wāhi hauora i ngā rā kua whakaritea. Mena he raruraru, he mamae rānei tōu i te wā whakaora, kaua e wehi ki te kōrero ki te tākuta mō tēnā.