Ina rongo tātou i te kupu "pokanga ngākau," he mea noa ki te nuinga o tātou te mataku me te manukanuka. Nā te mea e mōhio ana tātou katoa he mea nui tēnei. Engari he mea tēnei e whakaora ana i te tumanako hou, ā, ka taea te whakapai ake i te mahi a te ngākau. Koia mātou i whakatau ai i tēnei rā ki te kōrero noa mō ēnei pokanga ngākau, pērā i te kōrero ki tētahi hoa, i roto i te huarahi e mārama ai koe.
He aha tonu te pokanga ngākau?
Ki te kī māmā noa, ko te pokanga ngākau he pokanga e pā ana ki tō ngākau, ki ngā oko toto rānei e hono ana ki reira. Nā te mea he tikanga uaua, ka mahia e ngā taote ngākau he tohunga ki tēnei momo pokanga. Ahakoa he kaupapa nui tēnei i roto i tō oranga, i muri i te pokanga, ka tino pai ake te mahi a tō ngākau me te rere o te toto, ā, tera pea ka rite koe ki tētahi oranga hou.
I ētahi wā ka mahia ēnei pokanga hei rongoā i ngā mate pēnei i te mate manawa whānau. Ka whakamahia hoki ēnei hei rongoā i ngā mate manawa ka puta ake i muri mai i te ao. Ka whakawhirinaki te momo pokanga ka mahia ki tō āhua. Ka karangatia tēnei e ētahi he "pokanga manawa" he "pokanga manawa toto" rānei.
I roto i ēhea āhuatanga e hiahiatia ai te pokanga ngākau?
Ko te tikanga, ka hiahiatia he pokanga ngakau i roto i enei take e whai ake nei:
- Mena kua āraia tētahi, ētahi rānei o ngā uaua e kawe ana i te toto ki tō ngākau.
- Mena kāore ngā takirere o te ngākau e mahi tika ana (kāore e tuwhera, e kati rānei).
- Mena he rerekētanga tō te manawataki o te ngakau (arrhythmias).
- I ngā āhuatanga pēnei i te ngoikore o te ngākau , arā, ina kore e taea e te ngākau te papu i te toto e ranea ana ki te tinana.
I te nuinga o te wā, whai muri i te tautuhi a tō tākuta (he tohunga ngakau te nuinga) he mate ngakau tōu, mēnā ko te pokanga te otinga pai rawa atu, ka whakaritea i mua i te wā.
Engari i ētahi wā, me mahi pokanga manawa koe hei āhuatanga ohorere i te wā kāore koe i te tino whakaaro. Hei tauira, ki te pāngia tetahi e te mate manawa, ki te kitea rānei e ngā whakamātautau kua tino āraia ngā takirere manawa o te tangata, me mahi pokanga tonu pea rātou.
Engari kia maumahara, kāore e hiahiatia he pokanga mō ngā mate ngakau katoa. Nā te hangarau matatau o ēnei rā, kei reira ngā maimoatanga kore-pokanga. Hei tauira, ka taea e ngā tikanga pēnei i te "Percutaneous Coronary Intervention (PCI)" te whakaiti i te noho hōhipera me te āwhina i a koe kia tere ake te ora.
He aha ngā momo pokanga ngākau matua?
He maha ngā momo pokanga ngākau. Ko te momo pokanga ka mahia ki a koe ka whakawhirinaki ki tō āhua hauora. Me titiro tātou ki ngā momo pokanga matua.
| Momo Pokanga | I roto i ngā kupu māmā noa iho... |
|---|---|
| Te Tāruatanga o te Arorangi Koronari (CABG) (Pokanga taha) | Te waihanga i tētahi ara hou mō te rere o te toto huri noa i tētahi uaua kua āraia i roto i te ngākau. Ko te whakamahi i tētahi uaua hauora i tangohia mai i tētahi atu wāhanga o te tinana. I runga anō i te maha o ngā uaua kua āraia, ka kiia hoki tēnei he ara "takirua" "takitoru" rānei. |
| Pokanga Takirere Manawa (Pokanga takirere ngākau) | Ki te kore e mahi tika tētahi takirere, pērā i te "kēti" e whakahaere ana i te rere o te toto i roto i te ngākau, me whakatika, me tāuta rānei tētahi mea hou. |
| Te Whakatikatika i te Aneurysm (Te whakatikatika i te whānui o ngā oko toto) | Ina ngoikore tetahi wāhanga o te pakitara o te uaua toto, ā, ka pupuhi pērā i te poihau (aneurysm), ka tangohia taua wāhanga, ā, ka whakatōkia he uaua horihori (graft) ki tōna tūranga. |
| Tukanga Maze | Ko tētahi maimoatanga mō te atrial fibrillation (AFib), he pākia o te ngakau kāore i te tika, ko te hanga i tētahi kiko koha angiangi hei aukati i ngā ara o ngā tohu hiko rerekē o te ngakau. |
| Pokanga hei Whakauru i tētahi Pūrere Manawa (Te whakatō i tētahi taputapu) | Ka whakauruhia ngā momo taputapu hei whakatika i te manawataki o te ngākau, hei āwhina rānei i te mahi a te ngākau. Hei tauira: (Pacemaker) , (ICD) , (LVAD) . |
| Te Whakatō Manawa (Whakawhitinga ngākau) | Koinei te huarahi whakamutunga. Ka whakatōkia he ngākau hauora mai i tētahi kaituku kua mate ki tētahi tangata e pangia ana e te ngoikore o te ngākau. He pokanga tino uaua tēnei, ā, he onge te mahi. |
He aha ngā mea ka tupu i mua i te pokanga?
Ka roa pea he wiki, he marama rānei hei whakarite mō te pokanga. Ka āta tirohia e ō tākuta tō āhua i mua i te whakatau ki te mahi pokanga ki a koe.
Ngā whakamātautau ka taea e koe te mahi
Ka mahia ētahi whakamātautau hei whakatau mēnā me pokanga koe, ā, mēnā koinā, he aha te momo:
- ECG (Electrocardiogram)
- Te Echocardiogram (Echo)
- Whakamātautau ahotea
- X-ray o te uma
- Angiography coronary
- Matawai CT o te ngākau
- MRI o te ngākau
Me pēhea te whakarite
Kia whakatauhia rā anō me pokanga koe, ka tohutohu atu te tīma hauora ki a koe me pēhea te whakarite.
- Āhea me mutu te tango rongoā: Ko ētahi rongoā e taunakitia ana kia mutu i mua i te pokanga.
- Nohopuku: Ka tonoa koe kia kaua e kai, e inu rānei i tetahi mea mai i te pō i mua o te pokanga.
- Te momi hikareti me te waipiro: Hei whakaiti i te mōrearea o te pokanga, he mea nui kia mutu te momi hikareti me te whakaiti i te inu waipiro.
Kaua e wehi ki te pātai atu ki tō tākuta i ngā pātai katoa e pā ana ki a koe, ahakoa te iti. He pai ake te whakarite me ngā mōhiotanga katoa e hiahiatia ana e koe.
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, ka haria koe ki te wāhanga tiaki nui (ICU). Ka noho koe ki reira mō te iti rawa i te rā kotahi. Kātahi ka whakawhitia koe ki te 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 te ora o tō tinana. I te nuinga o te wā, e 6 ki te 12 wiki te roa hei whakaora katoa i te pokanga ngākau tuwhera.
Tērā pea ka pāngia koe e ēnei mea i te wā e whakaora ana koe. He mea noa ēnei:
- Te rongo i te tangi "pāwhiri" i roto i te uma (ka memeha haere tēnei i roto i te wiki, i ngā wiki e rua rānei).
- He marō iti, he pupuhi rānei huri noa i te wāhi i tapahia.
- Te mate kōroke.
- Te uaua ki te moe.
- Kāore he reka o te kai.
- Te mamae i ngā pakihiwi me te tuara o runga.
- Te pouri, te manukanuka, te panoni rānei o te wairua.
He aha ngā mōrearea me ngā raruraru?
He tino angitu ngā hua o te pokanga ngākau i te nuinga o te wā. Heoi, pērā i ngā pokanga katoa, he tūponotanga kei reira.
| Ngā raruraru pea |
|---|
| Mate pāwera ki te rongoā whakamoe. |
| Ngā koretake o te pā o te ngakau (Arrhythmias). |
| Te toto nui rawa. |
| Te mate i te tapahi, i roto rānei i te uma. |
| 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 rānei koe, tera pea he paku teitei ake tō mōrearea. Koia te mea nui kia whakahaerea ēnei mate i mua i te pokanga.
Āhea koe me toro atu ki te tākuta?
Ki te pā mai ētahi tohu o ngā raruraru i a koe e ora ana , waea atu ki tō tākuta tonu. Ahakoa he mea noa te mamae, ehara ēnei i te mea noa.
- Te mamae o te uma e kore e memeha haere i roto i te wā.
- Kirika .
- Whakapairuaki me te ruaki .
- Te uaua ki te manawa .
- Ngā tohu o te mate, pērā i te pupuhi e turuturu ana i te patunga me te whero .
- Ngā tohu o te whiu pēnei i te uaua ki te kōrero .
Ki te kore koe e tino mōhio mēnā he wāhanga noa o te tukanga whakaora tētahi tohu, he tohu rānei nō tētahi raruraru, waea atu ki tō tākuta me te kore e whakaroa. He pai ake te noho haumaru i te pouri. Mēnā he āhuatanga ohorere, haere ki te Tari Ohorere (ETU) o te hōhipera tata.
Karere Tangohia ki te Kāinga
- He mahi whakaora ora, he mahi whakarerekē ora hoki te pokanga ngākau. Kaua e wehi.
- He mea tino nui kia pai te whakarite mō te pokanga. Me whai i ngā tohutohu a tō tākuta.
- He roa te wā e ora ai. Hoatu te wā e hiahiatia ana e tō tinana kia ora ai. Kia manawanui.
- Kōrero ki tō tākuta mō ō pātai, ō āwangawanga rānei.
- Kia tūpato ki ngā tohu whakatūpato ka puta i muri i te pokanga. Ki te kite koe i ēnei tohu, rapua tonutia he tohutohu hauora.
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