Kua ngoikore rawa tō ngākau, ā, kāore e taea te whakahaere mā te rongoā, mā ētahi atu maimoatanga rānei? I ētahi wā, ko te huarahi whakamutunga anake hei whakaora i tō ora ko te whiwhi i tētahi ngākau hou, hauora. Ka kiia tēnei he whakawhitinga ngākau. Nā te mea he pokanga uaua rawa tēnei, he pokanga nui, tera pea he pātai, he mataku, he hiahia hoki tō te tini o te tangata mō tēnei. Nō reira, i tēnei rā ka kōrerohia e tātou ngā mea katoa mai i te tīmatanga ki te mutunga, i roto i tētahi huarahi māmā e mārama ai koe.
He aha te whakawhitinga ngākau? Ko wai e hiahia ana ki tēnei?
He whakarāpopototanga noa iho, he mahi pokanga te whakawhitinga ngākau e tangohia ai tō ngākau mate, ngoikore, ka whakakapia ki tētahi ngākau hauora mai i tētahi kaituku kua mate. He rongoā whakamutunga tēnei hei whakaora i tō ora. Arā, e taunakihia ana mō te hunga e pāngia ana e te ngoikore o te ngākau i te wāhanga whakamutunga, kāore e taea te whakaora e tētahi atu maimoatanga.
He maha ngā take e ngoikore ai te ngākau, ā, ka tae ki tēnei taumata. Ko ngā āhuatanga matua e hiahiatia ana he whakawhitinga ngākau ko:
- Cardiomyopathie: E pā ana tēnei ki tētahi āhuatanga e kino ai te uaua o te ngākau. Ka taea te hua mai i ngā momo āhuatanga maha, tae atu ki ngā mate pāwera me ngā ira. I ētahi wā, ahakoa te nui o ngā whakamātautau, kāore pea e kitea te pūtake.
- Mate Puku o te Ngākau: He āhuatanga e puta mai ana i te aukati i ngā uaua e tuku toto ana ki te ngākau (ngā uaua o te ngākau). Ka taea e tēnei te arahi ki ngā whakaekenga ngākau me te kino kino o te ngākau.
- Mate Manawa Whānau: E pā ana tēnei ki ngā hapa o te hanganga o te manawa e kitea ana i te whānautanga. Ko ētahi momo mate manawa whānau kino ka hiahiatia he whakawhitinga manawa i te mutunga.
- Mate Manawa Takirua: Ngā mate e puta mai ana i te kino o ngā takirere o te manawa.
Ka taea te mahi i tēnei pokanga i ngā tamariki me ngā tāngata tae atu ki te 70 tau te pakeke, ā, i ētahi wā motuhake, tae atu ki te 75 tau te pakeke.
He pēhea te noa o ēnei pokanga? He aha i onge ai?
Ko te whakawhitinga ngākau tētahi o ngā pokanga tino onge o te ao. E rua ngā take matua mō tēnā.
1. Te korenga o ngā ngākau kaituku: Kia taea ai te whakatō ngākau, me tuku e tetahi. He iti noa iho ngā kaituku pēnei. Me ōrite hoki te momo toto i waenganui i te kaituku me te kaiwhiwhi. Ko te tikanga me ōrite ngā momo toto e rua, ā, me tata rite te rahi o te tinana. Ki te kore tēnei momo e tino ōrite, ka nui ake te tūponotanga ka whakakahoretia e te pūnaha ārai mate o te kaiwhiwhi te ngākau hou.
2. Te Uauatanga o te pokanga:He pokanga tino uaua tēnei e hiahia ana ki te hangarau me te tohungatanga teitei. Nō reira, ko ngā hōhipera anake he whare motuhake, he whare taputapu katoa ka taea te mahi i tēnei pokanga.
He aha ngā mahi i mua i te pokanga? Kia mōhio tātou ki ēnei mahi
Kia whakatau koe ki te whakawhiti ngākau, kāore koe e hiahia ki te mahi i te pokanga tonu. He maha ngā mahi me whakaoti i mua.
1. Te tuku ki tētahi kaupapa whakawhitinga ngākau: Mā te tākuta e rongoā ana i a koe koe e tuku ki tētahi hōhipera motuhake he kaupapa whakawhitinga ngākau tā rātou.
2. Te tirotiro mēnā he pai koe mō te pokanga: Muri iho, ka aromatawaihia e mātou te kaha o tō tinana ki te tu atu ki tētahi pokanga nui pēnei, me te mea ka taea e koe te whakatutuki i tētahi hua pai i muri i te pokanga.
3. Rārangi tatari: Mena ka whakatauhia he pai koe mō te pokanga, ka tāpirihia tō ingoa ki te rārangi tatari.
4. Maimoatanga kia wātea rā anō he whakawhitinga ngākau: Kia wātea rā anō he ngākau e tika ana māu, ka whakaratohia ngā maimoatanga maha hei pupuri i tō āhua kia pumau.
Kia tirohia tēnei taahiraa me ētahi atu taipitopito.
Te tirotiro mēnā he pai koe mō te pokanga (Aromatawai i te whakawhitinga toto)
He taahiraa tino nui tēnei. Nā te mea he iti noa ngā ngākau e tukuna ana, ka whakawhitia taua okana utu nui ki tētahi tangata e whai tūponotanga nui ana ki te whai hua mai i te pokanga, arā, kia roa te ora, kia pai hoki te oranga. Kei roto i tēnei ko te tirotiro i ngā āhuatanga katoa o tō oranga tinana, hinengaro, me te oranga pāpori.
| Momo whakamātautau | He aha tāu e titiro atu nei? |
|---|---|
| Ngā whakamātautau toto me te mimi | Ka tirohia e rātou ō tatauranga toto, tae atu ki ngā toto whero me ngā pereti toto, te mahi a tō pūnaha ārai mate, te mahi a ō whatukuhu, me te mea kei te whakamahi koe i te waipiro, i te hikareti, i ētahi atu raau taero rānei. Me karo katoa i ēnei i mua i te pokanga. |
| Ngā Whakamātautau Whakaahua | Mā ngā whakamātautau pēnei i te hihi-X, te matawai CT, te matawai MRI, me te Echocardiogram ka tirohia te roto o te tinana me te hanganga o te ngākau. |
| Ngā whakamātautau mahi o te ngākau | Mā ngā whakamātautau pēnei i te ECG, te Whakamātautau Taumahatanga Whakakorikori Tinana, me te Tātaritanga o te Ngākau ka tirohia te mahi a te ngākau, te pūnaha manawa, me te pūnaha tohanga toto. |
| Ngā whakamātautau mō ngā mate motuhake | Ka whakamātauria koe mō ngā mate pipiri pērā i te mate kohi, te HIV, te Hepatitis B, me te Hepatitis C. Me whiwhi koe i ngā werohanga katoa e hiahiatia ana i mua i te pokanga. |
| Aromatawai hinengaro me te aromatawai pāpori | He uaua pea te aro atu ki te oranga i muri i tēnei pokanga. Nō reira, ka kōrero anō te tīma hauora mō tō hauora hinengaro me te pūnaha tautoko kei a koe. |
Te Whakauru ki te Rārangi Tatari
Kia whakaūtia e ēnei whakamātautau katoa kei te tika koe mō te pokanga, ka whakanohoia koe ki te rārangi tatari. Ka whiwhi ngā tāngata kei runga i tēnei rārangi i ngā ngākau i runga i te raupapa matua. Ko te tikanga o tēnei, ko te roa o te wā ka whiwhi koe i te ngākau ka whakawhirinaki ki te tere o te hiahia mō te ngākau .
Te Maimoatanga Piriti
Me tatari pea koe mō ngā marama, tae atu ki ngā tau, kia kitea ai he ngākau e tika ana. I tēnei wā, ka whiwhi koe i ngā maimoatanga maha hei tautoko i tō ngākau ngoikore me te whakahaere i ō tohumate.
- Ngā rongoā: Ka hoatu he maha ngā rongoā hei tere ake i te pakū o te manawa, hei āwhina hoki i te pupuhi o te manawa.
- Ngā taputapu mīhini: I ētahi wā me tāpiri atu ki te tinana ngā taputapu motuhake hei āwhina i te papu o te ngākau. Hei tauira, he "papu poihau ā-roto-aortic".
- Pūrere Āwhina Puku Mauī (LVAD): Mena he ngoikore rawa te ngākau, ā, kāore e taea e ia te pupuhi toto ki te tinana, ka whakauruhia tēnei taputapu ki roto i te ngākau mā te pokanga. Mā tēnei ka āwhina i te ngākau ki te pupuhi toto.
Me pēhea te mahi i te pokanga i te taahiraa i te taahiraa
Ina rongo tonu koe kua whiwhi koe i tētahi ngākau e ōrite ana, ka rite tonu koe mō te pokanga. He pokanga tino uaua tēnei e roa ana ngā hāora.
1. Whakamoe: Tuatahi, ka hoatu he whakamoe whānui ki a koe kia moe rawa koe.
2. Hononga ki te mīhini manawa: I muri i tō moe, ka whakatakotoria he ngongo ki raro i tō korokoro, ka honoa ki te mīhini manawa. Mā tēnei mīhini koe e manawa puta noa i te pokanga.
3. Te hono atu ki te mīhini ngākau-pūkahukahu: Ko tāu e whai ake neiKa honoa koe ki tētahi mīhini karo manawa. He māmā noa iho, ka tangohia e tēnei mīhini te mahi a tō ngākau me ō pukahukahu i te wā e pokanga ana. Ka tāpirihia e ia te hāora ki ō toto, ka tangohia te hauhā waro, ka pupuhi toto puta noa i tō tinana.
4. Te tango i te ngākau mate: Ka whakatuwherahia tō uma e ngā taote pokanga, ka kati i ngā oko toto e anga atu ana ki te ngākau, ā, ka tangohia marietia tō ngākau mate.
5. Te whakawhitinga ngākau hauora: Kātahi ka haria te ngākau hauora i kohaina ki te wāhi i whakatakotoria ai, ka honoa ki ngā uaua toto matua. Kātahi ka meinga te ngākau hou kia patupatu anō. I ētahi wā, me hoatu hoki he whakaoho hiko iti.
He aha ngā mea hei tumanakohia i muri i te pokanga?
Kia oti pai te pokanga, ka tīmata tētahi upoko hou o tōu ao.
- Te whakaoranga i te hōhipera: Me noho koe ki te hōhipera mō te kotahi ki te toru wiki. Ka noho koe i te wāhanga tiaki nui (ICU) mō ngā rā tuatahi, ka tirotirohia koe mō ngā haora 24 o te rā, inā koa mō ngā tohu e whakahē ana tō tinana i te ngākau hou.
- Mahere tiaki kāinga: I mua i tō wehenga atu i te hōhipera, ka hoatu e tō tākuta he mahere tiaki kāinga ki a koe, tae atu ki ngā rongoā ki te kai, ngā korikori tinana me te tūpato ki ngā tohu o te mate, o te whakakorenga rānei.
- Whakaora Ngākau: Ka tukuna koe ki tētahi kaupapa whakakori tinana motuhake e tirotirohia ana hei whakapai ake i tō kaha, tō manawanui, me te mahi a te ngākau.
Te Pehi i te Pūnaha Ārai Mate
Koinei te mea tino nui i muri i te pokanga, ā, he mea hoki me mahi e koe mō te toenga o tō oranga .
Whakaarohia pēnei: he rite te pūnaha parepare o tō tinana (pūnaha ārai mate) ki tētahi ope taua e tiaki ana i tētahi whenua. Ko te ngākau hou kua whakatōkia, e kitea ana e tēnei ope taua he 'hoariri' kua uru mai ki te whenua. Nō reira, ka tīmata tonu te ope taua ki te whakaeke i tēnei 'hoariri'. Ka kiia tēnei ko te whakakorenga .
Kati tēnei whakakorenga, me tango e koe ngā rongoā motuhake (ngā immunosuppressants) hei whakahaere, hei pehi rānei i te mahi a tō pūnaha ārai mate i ia rā, mō te toenga o tō oranga .
He aha ngā painga me ngā ngoikoretanga o tēnei pokanga?
Ngā Painga
Ko te painga nui ko te taea e tēnei pokanga te whakaora i tō ora ina kore he kōwhiringa kē atu. Koinei anake te otinga ina kore ētahi atu maimoatanga e whai hua, kāore pea e āwhina, he tino mōrearea rānei. Waihoki, he maha ngā tāngata e whai wāhi ana ki te ora i te kounga pai ake o te oranga i muri i te pokanga.
Ngā ngoikoretanga
- Nā te korenga o ngā ngākau kaituku, kāore e taea e te hunga katoa e hiahia ana ki tētahi ngākau te whiwhi i tētahi.
- Nā te mea he pokanga tino uaua tēnei, tērā pea kāore e taea e te tinana o ētahi tūroro te tu atu ki te pokanga.
- He tūponotanga me ngā raruraru pea e pā ana ki te pokanga.
Ngā tūponotanga me ngā raruraru e pā ana ki te pokanga
Pērā i ngā pokanga nui katoa, he mōrearea kei roto i te whakawhitinga ngākau. Anei ngā mōrearea matua.
| Te Mōrearea/Te Uauatanga | He whakamārama māmā |
|---|---|
| Te Whakakorenga o te Okana | Ko te pūnaha ārai mate o te tinana e whakaeke ana i te ngākau hou. Koinei te mōrearea nui rawa atu. |
| Ngā mate urutā | Mā te tango i ngā rongoā ārai mate ka whakaiti i te kaha o te tinana ki te whawhai ki ngā mate, ā, ka māmā ake te pāngia e ngā momo mate urutā. |
| Te Rahunga o te Tāruarua | Kāore i rahua te hononga i waenga i te ngākau i whakatōkia ki te tinana mō tētahi take. |
| Te Vasculopathy o te Cardiac Allograft (CAV) | Te matotoru me te aukati i ngā oko toto i roto i te ngākau i whakatōkia. |
| Ētahi atu raruraru | Tērā pea ka pā mai ngā āhuatanga pēnei i te mate tākihi, te toto toto tiketike, te angiangi o ngā wheua (osteoporosis), me te pikinga ake o te mōrearea ki te mate pukupuku (nā ngā rongoā ārai mate). |
Kia pēhea te roa o te wā e ora ai? He aha ngā āhuatanga o te heke mai?
E hia ngā marama ka roa hei whakaora katoa. Me noho koe ki te hōhipera mō te toru wiki pea. Engari nā te whanaketanga o te rongoā hou, he tino kanapa te heke mai mō te hunga kua whakawhitia ō rātou ngākau.
- Ko te ōrau oranga i te tau tuatahi i muri i te pokanga he neke atu i te 90%.
- Tata ki te haurua o te tangata e ora ana mo te neke atu i te 10 tau .
- I te whanaketanga o te pūtaiao hauora, kei reira ngā tāngata e ora hauora ana mō te 20-30 tau, neke atu rānei .
Arā, ka whiwhi koe i tētahi whai wāhitanga hou ki te hanga i ngā maharatanga hou me ō hoa aroha.
Ngā pātai mō te oranga o ia rā i muri i te pokanga
Āhea ka taea te tīmata anō i ngā mahi o ia rā?
Ka taea e tō tākuta te tuku tohutohu pai rawa atu mō tēnei. I te nuinga o te wā, kāore i te tūtohutia kia taraiwa, kia hiki rānei i tētahi mea taumaha atu i te 5 kg mō ngā wiki 6-8. He mea tino nui kia whai tika koe i ngā tohutohu a tō tākuta.
Ka taea e au te inu waipiro?
Ko te mea pai ko te whakamutu rawa i te inu waipiro, te whakawhāiti rānei i te nui o te waipiro. Ka whakanuia e te waipiro te nui o te ngako i roto i te toto (triglycerides). Kāore tēnā e pai mō tō ngākau hou. Kua whai wāhi tuarua koe ki te hauora, nō reira ko tō kawenga te tiaki pai i taua ngākau.
Ka taea e au te tiki kano ārai mate?
Ae, he maha ngā momo kano kano ka taea e koe te whiwhi. Heoi, kāore e taea te hoatu i ētahi kano kano ora nā te mea kei te tango koe i ngā rongoā e pehi ana i tō pūnaha ārai mate. Nō reira, he mea nui kia kōrero koe ki tō tākuta me te tiki i tana whakaaetanga i mua i te whiwhi i tētahi kano kano.
Ina hiahia koe ki te kite i te tākuta, ki te haere rānei ki te hōhipera tonu
I a koe e noho ana i te kāinga i muri i te pokanga, me tino tupato koe ki ētahi tohu. He tohu pea ēnei o te mate urutā, o tētahi atu raruraru nui rānei.
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei, haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera tata , whakapā atu rānei ki tō tīma hauora.
- Te kirika.
- He pūhā, he wai rānei e turuturu ana mai i te patunga pokanga.
- Te whero, te māhana rānei e karapoti ana i te patunga.
- He kare ā-roto me te mea kei te neke haere te wheua waenga o te uma (sternum) ki mua, ki muri rānei.
- Te rongo, te rongo rānei i te haruru 'pāwhiri' i roto i te wheua o tō uma ina neke koe.
Kaua e warewarehia ēnei tohu. Mā te whiwhi maimoatanga wawe ka ārai i ngā raruraru nui.
Karere Tangohia ki te Kāinga
- Ko te whakawhitinga ngākau te huarahi whakamutunga hei rongoā whakaora ora mō ngā tūroro ngākau e tino mate ana, e kore nei e taea te whakaora e ētahi atu maimoatanga.
- He pokanga tino uaua tēnei, nō reira ka tirotirohia tō tinana me tō hinengaro i mua i te pokanga.
- I muri i te pokanga, me tango e koe ngā rongoā ārai mate mō te toenga o tō oranga hei ārai i te whakakorenga a tō tinana i te ngākau hou.
- He mea tino nui te tautoko kaha a te whānau me te waiaro pai ki te tukanga whakaora.
- Ko te whai i ngā tohutohu a tō tākuta, te tango i ō rongoā e ai ki te whakahaunga, me te haere ki ngā wāhi rongoā i te wā tika, he mea nui ēnei mō te oranga roa, mō te hauora hoki.
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