He pārekareka anō hoki ōu ngakau? Me ako atu tātou mō te Maze Procedure mō te Atrial Fibrillation!

Kua rongo koe i te tere o te pao o tō ngākau, ā, he rerekē te āhua? Ko tēnei āhua, e rite ana ki te mea e rere ana i roto i tō uma, e mōhiotia ana i roto i te rongoā ko te Atrial Fibrillation. Mēnā kāore e taea te whakahaere i tēnei mā te rongoā, kei te kōrero tātou mō tētahi tikanga maimoatanga uaua engari he tino whai hua e whakamahia ana hei otinga. Ko te Maze Procedure tēnā.

He aha tēnei Tukanga Maze?

He rite ki tētahi ara pōrearea. Tērā pea i takaro koe ki ngā ara pōrearea i a koe e tamariki ana, arā, ka tomo koe mā te tatau kotahi, ā, kotahi noa te ara tika hei puta atu. He rite tonu tēnei pokanga.

Ko ngā tohu hiko te mea e whakahaere ana i ō tātou pao o te ngākau. I roto i te atrial fibrillation, ka huri ngā tohu hiko i roto i ngā rūma e rua o runga o te ngākau, e kiia nei ko te atria, ka tīmata ki te tuku tohu hē. Kātahi ka tīmata te ngākau ki te pao pōturi.

I roto i te Tukanga Maze, ka hangaia e te taote pokanga he kiko whara i roto i tētahi tauira tino ātaahua, kua whakaritea i roto i te atria o te ngākau. Ka mahi tēnei kiko whara hei ārai, e aukati ana i ngā tohu hiko hē kei haere puta noa i te ngākau. Heoi, ka waiho he ara mō ngā tohu tika anake e hiahiatia ana kia tika ai te patu a te ngākau. Pērā i te kotahi anake te ara tika i roto i taua maze. Mā tēnei ka taea e te ngākau te patu anō i te tikanga noa.

E rua ngā tikanga e whakamahia ana hei hanga i tēnei kiko whara:

• Te whakaweto i te kiko mā te whakamahi i te makariri rawa (hukapapa).
• Te Whakawete i te Auautanga Reo Irirangi: Te whakamahana i te kiko mā te whakamahi i te wera nui (ngā ngaru reo irirangi).

Ka taea tēnei pokanga te mahi hei pokanga motuhake, ka taea rānei te mahi i te wā kotahi me te pokanga bypass, te pokanga takirere ngākau rānei.

He aha i mahia ai tēnei Tukanga Maze?

Kāore tēnei pokanga i te tūtohutia mō te katoa. He maha ngā āhuatanga ka tūtohu pea tō tākuta i tēnei maimoatanga:

• Mena kāore ngā rongoā kua tohua mō te atrial fibrillation e mahi ana māu , ki te mea rānei he pānga taha kei a koe e aukati ana i a koe ki te tango i aua rongoā.
• Mena kua puta he toto totoka i roto i tō tinana nā tēnei āhuatanga, ā, kua puta he āhuatanga kino pēnei i te whiu .
• Mena kei te whakahaerehia ētahi atu pokanga ngakau ki a koe (hei tauira, te pokanga bypass, te whakakapinga takirere) ā, he atrial fibrillation anō hoki tōu.
• Mena kāore i angitu ngā maimoatanga o mua pēnei i te (Catheter Ablation).

Ehara te Atrial Fibrillation i te mea ngāwari. Ka whakanui ake i te mōrearea o te whiu mā te rima ngā wā. Ka taea hoki e ia te whakararu i te ngākau. Nō reira, he mea tino nui kia whiwhi maimoatanga tika mō tēnei.

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He aha ngā mea ka tupu i mua atu, ā, i te wā o te pokanga?

I te mea he pokanga nui tēnei, ka tirotirohia koe me te āta i mua i te tīmatanga.

Ngā tikanga pokanga e rua

E rua ngā tikanga matua o te pokanga. Mā tō tīma hauora e whakatau ko tēhea te tikanga pai rawa atu māu.

1. Pokanga Tuwhera (Tikanga Sternotomy): I tēnei tikanga, ka mahia te pokanga mā te tapahi i waenganui o te wheua o te uma, he 6-8 inihi te roa.

2. Pokanga iti rawa te whakaekenga (Tikanga Thoracoscopic): I tēnei tikanga, hei utu mō te tapahi nui i te uma, ka mahia ētahi tapahi iti i waenganui i ngā rara, ā, ka whakauruhia he kāmera me ngā taputapu ngawari. He poto ake te wā whakaora i tēnei tikanga.

Te Tango i te Tāpiringa o te Atrium Mauī

Ko tētahi atu wāhanga tino nui o tēnei pokanga ko te katinga, te tango rānei i tētahi wāhanga iti e kiia nei ko te Āpitihanga Atrial Mauī . He putea iti tēnei, he āhua taringa, e piri ana ki te atrium maui o te ngākau.

90% o ngā toto totoka e puta ai ngā whiu i roto i ngā tūroro e pāngia ana e te atrial fibrillation ka puta i roto i tēnei pēke iti.Kua kitea. Nā te mea kāore te ngākau e patu tika, ka kohia te toto ki tēnei wāhi ka totohu. Mēnā ka pakaru tēnei toto toto ka haere ki te roro, ka puta he whiu. Nō reira, i te wā o te tikanga Maze, ka katihia tēnei wāhi ki ngā tuitui, ki ngā tāpa, ki tētahi taputapu motuhake rānei. Ka taea e tēnei te whakaiti i te mōrearea o te whiu.

He aha ngā mea ka tupu i muri i te pokanga?

I muri i te pokanga, ka puritia koe ki te wāhanga tiaki nui (ICU) hei tirotiro mā te rā kotahi, e rua rānei, kātahi ka whakawhitia ki te wāhanga noa. Mēnā i pokangahia koe i roto i te iti rawa o te pokanga (thoracoscopic), ka taea e koe te hoki ki te kāinga i roto i te 4 rā pea. Mēnā i pokangahia koe i roto i te pokanga tuwhera, ka noho koe ki te hōhipera mō te wiki pea.

Me tango tonu e koe ētahi momo rongoā mō ētahi marama i muri i tō hokinga ki te kāinga.

• Ngā rongoā whakaiti toto (Ngā rongoā ārai toto): Me tango e koe ngā rongoā pēnei i te 'Warfarin' me te 'Apixaban' mō te iti rawa i te 3 marama hei ārai i te toto e pupuhi ana. Whai muri i tēnā, ka whakatau tō tākuta mēnā me haere tonu te tango i aua rongoā.
• Rongoā whakahaere i te tere o te manawa: Hei whakahaere i ngā pāorooro ohorere ka puta pea i ngā wāhanga tōmua o te whakaoranga o te manawa.
• Ngā rongoā whakaheke toto: Whakaiti i te kohi wai koretake i roto i te tinana.

He aha ngā painga me ngā mōrearea o tēnei pokanga?

Kia pēhea te roa o te wā e ora ai, ā, āhea ahau me kite anō i te tākuta?

Hoki atu ki ō mahi o ia rā.E toru ki te ono wiki pea te roa. Mēnā i whakamahia he tikanga iti rawa te whakaekenga o te pokanga, he poto ake te wā whakaora.

I muri i te pokanga, me toro atu koe ki te tākuta i runga i tētahi wā kua whakaritea.

• Kotahi wiki i muri i te putanga mai i te hōhipera.
• Kotahi marama i muri i te wehenga atu i te hōhipera (kaimātai ngākau).
• Ngā whakamātautau ECG i te 3, 6, me te 12 marama.
• He whakamātautau 'Holter Monitor' (he taputapu e aroturuki ana i te manawa o te pēpi mō ngā hāora 24) i te 6 me te 12 marama.

He mea nui kia pai ai tō hauora me tō hauora te haere ki ēnei whakamātautau me ēnei wā whakarite katoa.