Pokanga mō te ngoikore o te ngākau: Kia mōhio tātou ki tēnei!

He papu whakamiharo tō ngākau i roto i tō tātou tinana. Ka tukuna e tēnei papu te toto e hiahiatia ana ki ngā kiko me ngā okana katoa o te tinana. Engari i ētahi wā, ka ngoikore tēnei ngākau. Kātahi ka kore e taea e te ngākau te pupuhi i te nui o te toto e hiahiatia ana e te tinana. I roto i ngā kupu hauora, ka kiia tēnei āhuatanga ko te Ngāwari o te Ngākau (Heart Failure) ko te (Congestive Heart Failure - CHF rānei). Kaua e mataku ina rongo koe i tēnei, ehara tēnei i te kī kua mutu te mahi a te ngākau, engari kua ngoikore te mahi a te ngākau.

I te nuinga o te wā, ka taea te whakahaere i tēnei āhuatanga mā te whakarerekē i te momo noho me te rongoā. Engari mō ētahi tāngata, kāore e ranea ēnei maimoatanga anake. Koinei te wā e whakaarohia ai e ngā tākuta 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.

Āhea te wā e hiahiatia ai te pokanga?

Inaianei kei te whakaaro pea koe, 'Ka pokaina te katoa?' Kāore, ehara i te mea pēnā. He maha ngā take matua ka tūtohu tō tākuta kia pokaina.

• Whakaorahia te mate pūtake i puta ai te ngoikore o te ngākau: I ētahi wā ka ngoikore te ngākau nā te mate ngākau, nā te raru rānei o te takirere. Ka taea e te pokanga te rongoā i taua mate pūtake.
• Whakapai ake i te mahi a te ngākau: Mā te pokanga ka māmā ake te pupuhi toto a te ngākau.
• Hei whakaora i te ora: Ina kua tino kino rawa te mate, kāore e taea te whakahaere mā te whakarerekē i te momo noho me te rongoā, me mahi pokanga pea hei whakaora i te ora.

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

He rerekē ngā momo pokanga mō tēnei. Ko ētahi he pokanga iti noa te whakaekenga. Ko ētahi e tae atu ana ki te pokanga ngākau tuwhera me te whakawhitinga ngākau. Ka kōrerohia e tātou ia momo.

Te Whakakorenga o te Catheter

He tikanga tēnei e whakamahia ana hei rongoā i tētahi manawataki manawa rerekē, e kiia nei ko te arrhythmia. Ka puta tēnei arrhythmia i ngā tohu hiko hapa e puta mai ana i tētahi wāhanga o te ngākau. I roto i tēnei tikanga, ka whakaurua e te tākuta he ngongo tino angiangi (catheter) ki roto i te ngākau mā roto i tētahi oko toto i roto i tō hope, i tō ringa rānei. Kātahi, mā te whakamahi i te wera, i te makariri rawa rānei mā roto i te ngongo, ka whakangaromia te kiko e tuku ana i ngā tohu hapa.

Ngā Pūrere Whakatō hei Whakahaere i te Auau o te Manawa

Mena he nui te arrhythmia o tō ngakau, ka whakatau pea tō tākuta ki te whakauru i tētahi taputapu iti ki raro i tō kiri. Ka whakauruhia ngā waea e hono ana ki ēnei taputapu ki roto i tō ngākau. Ka aroturukihia e rātou tō pao o te ngakau, ka tukuna ngā tohu hiko ina hiahiatia hei whakaora i te tere o tō ngakau.

• Pūrere Whakaiti i te Fibrillator Cardioverter Whakatō (ICD):Ka kitea e tēnei he pāorooro o te ngakau rerekē, he mea morearea pea ki te ora, ā, ka tukuna he ru hiko iti ki te ngakau hei whakahoki i tōna āhua ki te āhua noa. He rite ki te 'tautuhi anō' iti ki te ngakau.
• Pūwhakateretere Tuturu: Mā tēnei ka pupuri i te manawa kia pakū tonu mā te tuku tonu i ngā pāoro hiko iti ki te manawa.

Pokanga arai uaua koronari (Pokanga arai)

Ka āraia ngā uaua o te ngakau, e tuku toto ana ki te ngākau, e te ngako me te cholesterol. Ka taea e tēnei paraka te ārai i ngā oko toto. Ka whakaitihia te nui o te toto me te hāora e hiahiatia ana e te ngākau. I roto i te wā, ka ngoikore te uaua o te ngākau. I roto i te pokanga bypass, ka whakamahia e te taote pokanga he oko toto hauora mai i tētahi atu wāhanga o tō tinana (ko tō waewae te tikanga) hei waihanga i tētahi ara hou mō te toto ki te karo i te aukati.

Angioplasty me te Stent

He pokanga iti anō hoki tēnei hei whakatuwhera i tētahi uaua ngakau kua āraia. I roto i tēnei, ka tukuna he poihau iti i te pito o te catheter ki roto i te uaua toto kua āraia, ka pupuhihia. Ka pakaru te paraka kua āraia, ka whānui ake te uaua toto. Kātahi ka whakanohoia he ngongo iti rite ki te mata, e kiia nei ko te stent, ki te pūaha kia kore ai e āraia anō.

Pokanga Takirere Manawa

Ko ngā takirere o tō ngākau te kaiwhakahaere i te rere o te toto i te taha kotahi. Tērā pea kāore e kati tika ēnei takirere, ka turuturu whakamuri te toto (regurgitation), ka matotoru rānei ngā pakitara takirere, ā, kāore e tuwhera tika (stenosis). I ngā āhuatanga e rua, me kaha ake te mahi a te ngākau ki te pupuhi toto. Tērā pea ka pāngia te ngākau e te ngoikore. Kei roto i tēnei pokanga te whakatika i te takirere e hē ana te mahi, te whakakapi rānei ki tētahi mea hou.

LVAD (Pūrere Āwhina mō te Puku Mauī)

Mō ētahi tāngata, ka tino kino te ngoikore o te ngākau, ā, kāore e taea e te ngākau te pupuhi toto ki te tinana. He papu iti te LVAD e whakauruhia ana ki roto i te ventricle maui o te ngākau. Ka mau te pūmana i waho o te tinana. Mō ētahi tāngata, ka whakamahia hei maimoatanga mō te wā roa, mō ētahi atu ia, ka whakamahia hei 'piriti' rangitahi kia wātea rā anō te whakawhitinga ngākau.

Te Whakatō Manawa

Koinei te kōwhiringa whakamutunga mō te tangata e pāngia ana e te ngoikore o te ngākau i te wāhanga whakamutunga. Ka tangohia tō ngākau ngoikore, ā, ka whakatōkia he ngākau hauora mai i tētahi kaituku kua mate. Heoi, nā te korenga o ngā ngākau kaituku, me tutuki e koe ngā paearu tino pakari kia tika ai mō te whakatōnga ngākau.

He aha ngā mea ka tupu i mua atu, ā, i muri mai i te pokanga?

Ka hoatu e tō tākuta ngā tohutohu katoa e tika ana i mua i te pokanga. Hei tauira:

• Ngā mea hei kai, hei inu, me ngā mea kāore e tika kia mahia
• Ngā rongoā hei tango me te whakamutu
• He aha ngā kākahu hei kakahu, me ngā mea hei kawe mai ina tae mai ki te hōhipera

I muri i te pokanga, ka whakawhitia koe ki te wāhanga tiaki nui (ICU) ki te wāhanga whānui rānei. Ko te roa o te wā e noho ana koe i te hōhipera ka whakawhirinaki ki te momo pokanga i mahia ki a koe me tō hauora. Tērā pea ka taea e koe te hoki ki te kāinga i roto i te rā kotahi, me noho pea koe mō ētahi wiki. Tērā pea me noho ētahi tāngata ki te pokapū whakaora mō tētahi wā kia hoki mai ai ō rātou kaha.

He aha ngā āhuatanga mōrearea?

Pērā i ngā pokanga katoa, he tūponotanga kei reira. He iti noa te tūponotanga o te toto, te mate pāwera, te whiu, tae noa ki te mate. Kaua e manukanuka. Mā tō taote pokanga koe e whakamārama mārama ki te pānga o ēnei tūponotanga ki tō tau me ētahi atu āhuatanga hauora. Pātai atu mō ngā pātai, ngā āwangawanga rānei kei a koe i taua wā.

Āhea ahau me kite i te tākuta?

He mate roa te ngoikore o te ngākau, nō reira he mea nui kia whakapā atu koe ki tō tākuta. Mēnā ka kino ake, ka puta rānei tētahi o ngā tohu e whai ake nei, me kōrero tonu atu ki tō tākuta.

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