Kei te wehi anō hoki koe i te pokanga ngākau? (Pokanga Ngākau) Me kōrero ngāwari tātou mō ngā mea katoa!

He mea noa te mataku me te manukanuka ina kī atu te tākuta ki a koe, ki tētahi rānei e arohaina ana e koe kia "pokanga ngākau". He tokomaha o tātou ka mataku ina rongo tātou i ngā kupu "pokanga" me te "tātaritanga." Kaua e manukanuka. I tēnei rā, ka kōrerohia tēnei mea i roto i tētahi huarahi tino māmā, pērā i tā tātou kōrero ki tētahi hoa. Kia mutu tāu pānui i tēnei tuhinga, ka mārama ake koe ki tēnei.

He aha tonu te pokanga ngākau?

Ki te kī māmā noa, ko te pokanga ngākau he pokanga e mahia ana ki tō ngākau, ki ngā uaua toto nui rānei e hono ana ki reira. He uaua rawa tēnei. Koia te take he taote ngākau e tohunga ana ki tēnei.

Whakaarohia, ko te ngākau te miihini o tō tātou tinana. Mēnā ka hē te miihini nei, he ratonga pai tēnei pokanga hei whakatika, hei whakahoki anō i te mahi tika. Ka taea e tēnei te whakapai ake i te mahi a tō ngākau, te rere o te toto i roto i te tinana, ā, ka hoatu he oranga hou ki a koe, he oranga hou. E kiia ana tēnei e ētahi he pokanga ngākau.

Āhea te wā e hiahiatia ai te pokanga ngākau?

He maha ngā take e tika ai te pokanga ngākau. I ētahi wā, he raruraru whānau mai ēnei (mate ngākau whānau). I ētahi wā anō, nā ngā mate ka pā mai i muri mai i te oranga.

Kāore te tākuta e whakatau tonu me pokanga koe. Ka mahia tēnei whakatau i muri i te tirotiro a tō tākuta ngakau i a koe, te whakahaere i ngā whakamātautau katoa e tika ana, me te whakatau ko te pokanga te otinga pai rawa atu, te otinga anake rānei mō tō raruraru ngakau.

Heoi, i ētahi wā me mahi anō hoki tēnei hei maimoatanga ohorere . Hei tauira, ki te pāngia koe e te mate manawa, ki te kitea rānei e koe kua tino āraihia tō uaua toto, me mahi pokanga tonu pea koe hei whakaora i tō ora.

Ngā mate matua e rongoatia ana e te pokanga ngakau

Me titiro tātou ki ētahi o ngā mate e rongoatia ana e te pokanga ngākau i raro nei. Kaua e wehi ki te kite i ēnei ingoa, kia mārama noa tātou.

He aha ngā momo pokanga ngākau matua?

He rerekē ngā momo pokanga i runga i te mate e rongoatia ana. Me titiro tātou ki ētahi o ngā momo pokanga e tino mahia ana.

Te pokanga taha (Te Tāruatanga o te Arorangi Koronari - CABG)

Koinei te mahi "takahi" kua rongohia e te tini tāngata. Ina aukatia he uaua toto e tuku toto ana ki te ngākau, ka hangaia he ara hou hei karo i te aukati. He rite ki te tango i tētahi ara taha hei karo i tētahi ara pukumahi. Ka whakamahia he uaua hauora mai i tō waewae ake, mai i roto rānei i tō uma hei hanga i tēnei ara hou. I runga i te maha o ngā uaua toto kua aukatia, ka kiia hoki tēnei he "takahi takirua" "takitoru" rānei.

Te whakatikatika, te whakakapi rānei i te takirere ngākau (Pokanga Takirere Ngākau)

Ki te kore e mahi tika te takirere (pērā i te tatau) i roto i te ngākau, ka whakatikahia, ka tangohia rānei, ā, ka whakaurua he takirere horihori. Mā tēnei ka taea te rere tika anō o te toto.

Te Whakatikatika i te Aneurysm

Ko te tikanga o tēnei ko te tango i te wāhanga ngoikore o te uaua toto kua rite ki te poihau, ka whakakapia ki tētahi ngongo horihori (tārua). Mā tēnei ka ārai i te pahūtanga o te uaua.

Te Whakaurunga o te Pūrere Manawa

Kua whakauruhia ngā taputapu hiko ki roto i te ngākau hei āwhina i te hunga e pāngia ana e te ngakau hē, e te hunga rānei e ngoikore ana te ngākau.

• Pacemaker: Ka āwhina i te hunga he pākarukaru ngakau koretake kia mau tonu te auau o ō rātou ngakau.
• ICD (Implantable Cardioverter Defibrillator): Mēnā ka tino tere te tere o te manawa, ka kitea, ka tukuna he ru hiko iti hei whakahoki i te manawa kia rite ki te āhua noa.
• LVAD (Pūrere Āwhina Puku Mauī): He papu iti e āwhina ana i te manawa ki te pupuhi toto mō te hunga e pāngia ana e te ngoikore nui o te manawa.
• Ngākau Horihori Katoa (TAH): He mīhini e whakamahia ana mō te wā poto mō te tangata kua ngoikore rawa tōna ngākau kia wātea rā anō te whakawhitinga ngākau.

Te Whakatō Manawa

Koinei te huarahi whakamutunga. Mēnā he tino ngoikore te ngākau o te tangata, ā, kāore e taea te whakaora mā tētahi atu maimoatanga, ka whakatōkia he ngākau hauora mai i tētahi kaituku kua mate. He pokanga tino uaua tēnei, ā, he onge te mahi.

He aha ngā mea ka tū i mua i te pokanga? Me pēhea te whakarite?

Kia whakatau koe ki te pokanga, ka roa pea he wiki, he marama rānei hei whakarite mōna. I tēnei wā, ka tirotirohia koe e ō tākuta.

• Ngā whakamātautau hauora: Ka kōrero rātou mō tō hītori hauora, tō hītori hauora whānau, me ngā whakamātautau toto hei tirotiro i ngā mea pēnei i te cholesterol i roto i ō toto.
• Ngā whakamātautau motuhake: He maha ngā whakamātautau e mahia ana hei aroturuki tika i te āhua o te ngākau:
• ECG (Electrocardiogram)
• Whakamātautau Echo (Echocardiogram)
• X-ray o te uma
• Whakamātautau ahotea
• Angiogram Coronary
• Matawai CT, MRI rānei o te ngākau

I muri i ēnei mea katoa, ka whakamārama mārama te tākuta ki a koe ko tēhea pokanga e tika ana kia mahia, me pēhea hoki te whakarite mōna.

He aha ngā mea ka tupu i te wā o te pokanga?

He maha ngā tikanga pokanga. Mā te tīma hauora e whakatau ko tēhea tikanga te mea tika māu.

1. Pokanga Ngākau Tuwhera: Koinei te tikanga tuku iho. Ka tapahia he tapahi 6-8 inihi te roa ki waenganui o te uma, ā, ka tapahia te sternum i ngā taha e rua kia tae atu ai ki te ngākau. I tēnei wā, ka honoa koe ki tētahi mīhini karo ngākau-pūkahukahu. Mā tēnei mīhini e mahi wā poto te mahi a tō ngākau me ō pūkahukahu (e pupuhi ana i te toto me te whakarato hāora). Mā tēnei ka taea e te taote pokanga te pokanga i tētahi ngākau kāore e patupatu ana, e tū tonu ana.

2. Pokanga Āpiti-kore-papu: He rite tēnei ki te pokanga tuwhera, engari kāore te ngākau e hono ana ki te mīhini ngākau-pūkahukahu. Ka mahia te pokanga i te wā e patupatu ana te ngākau. He tikanga tēnei mō ngā pokanga āpiti-kore.

3. Pokanga Whakaiti i te Urunga: Ka kiia hoki tēnei ko te "pokanga kōhao kī". Engari i te tapahi nui, ka mahia te pokanga mā roto i ētahi kōhao iti i roto i te uma, mā te whakamahi i tētahi kāmera me ngā taputapu motuhake. I ētahi wā ka whakamahia hoki te pokanga karetao mō tēnei. Ko te painga o tēnei tikanga he tere ake te ora, ā, he iti ake te kiri e toe ana.

E 3-6 hāora te roa o te pokanga whakawhiti ira. Ka whakamoea koe (ka kore e rongo, ka kore hoki e mahara ki tetahi mea).

He aha tāu e tumanako ai i muri i te pokanga?

I muri i te pokanga, ka haria koe ki te wāhanga tiaki nui (ICU) . Me noho koe ki te ICU mō te iti rawa i te rā kotahi. I reira, ka aroturuki tonu ngā tākuta me ngā nēhi i tō āhua. Whai muri i tēnā, ka whakawhitia koe ki tētahi wāhanga noa.

Ko te roa o tō noho ki te hōhipera e whakawhirinaki ana ki te pokanga i mahia ki a koe me te tere o tō whakaoranga. E ono ki te tekau mā rua wiki te roa hei whakaora katoa i te pokanga ngākau tuwhera.

He mea noa te rongo i ēnei āhuatanga i te wā e ora ana:

• He marō, he pupuhi, he mamae hoki te wāhi i tapahia.
• He tangi "pāwhiri" mai i roto i te uma (ka memeha atu i roto i te wiki, i ngā wiki e rua rānei).
• Te ngaronga o te hiahia kai, te whakapairuaki.
• Te mate kōroke.
• Te mamae i ngā pakihiwi me te tuara o runga.
• Kāore i te moe.
• Te pouri, te hurihanga o te wairua.

Ahakoa he mea noa ēnei mea, ki te kore e taea te manawanui te mamae, ki te pāngia rānei koe e tētahi atu mamae, kaua e wehi ki te kōrero ki te tīma hauora.

He aha ngā mōrearea o te pokanga ngākau?

Pērā i ngā pokanga katoa, he mōrearea anō hoki ngā pokanga ngākau. Heoi, nā te hangarau o ēnei rā, he tino angitu ēnei pokanga. Ko ētahi o ngā raruraru ka pā mai ko:

• Mate pāwera ki te rongoā whakamoe.
• Te toto nui rawa.
• Te mate i te wāhi i tapahia, i roto rānei i te uma.
• Te pāorooro o te manawa (Arrhythmias).
• Te whiu.
• Ngā pānga ki ngā whatukuhu.

Mena kei a koe ētahi atu mate hauora pēnei i te mate huka, te mate pūkahukahu aukati mau tonu (COPD), te mate tākihi, he kaipaipa koe , he momona rānei, tera pea ka paku teitei ake tō mōrearea. Koia te mea nui kia whakahaerea ēnei mea katoa i mua i te pokanga.

Āhea koe me kōrero ki te tākuta?

I muri i tō hokinga ki te kāinga, he mea tino nui kia waea atu koe ki tō tākuta tonu atu mēnā ka puta mai ētahi tohu mōrearea i a koe e ora ana.

Rapua tonutia he tohutohu hauora mēnā kei a koe ngā tohu e whai ake nei:

• Te mamae nui o te uma, kāore e memeha haere i roto i te wā.
• Kirika .
• Te uaua ki te manawa .
• Mena he whero te wāhi i tapahia, he pupuhi, he turuturu hoki te wai rite ki te pūhā (he tohu tēnei o te mate).
• Te whakapairuaki me te ruaki tonu.
• Ngā tohu o te whiu, pērā i te uaua ki te kōrero me te piko o tetahi taha o te mata.