Kua kōrero tō tākuta ki a koe mō te 'whakawhitinga ngākau' nā te mea he raruraru ngākau? Kua rongo rānei koe mō tēnei engari kāore koe i te tino mōhio? He mea noa te mataku me te hiahia ki te mōhio mō tēnei mea nā te mea he pokanga tino nui, he uaua hoki. Nō reira, i tēnei rā, me kōrero tātou mō te tikanga o te whakawhitinga ngākau me pēhea te whakahaere i tēnei mea, he māmā noa iho, he mārama hoki.
He aha te whakawhitinga ngākau, i te whakarapopototanga?
Ki te kī māmā noa, ko te whakawhitinga ngākau he tango pokanga i tō ngākau mate, ngoikore, me te whakakapinga ki tētahi ngākau hauora mai i tētahi kaituku. Ehara tēnei i te pokanga noa. Koinei te huarahi whakamutunga mō te tangata e pāngia ana e te ngoikore ngākau mutunga kore e taea te whakaora ki tētahi atu rongoā, ki tētahi atu maimoatanga rānei . Heoi, nā te mea he iti noa ngā ngākau kaituku, me tutuki e koe ētahi paearu tino pakari kia tika ai mō tēnei pokanga.
Ko wai e hiahia ana ki te whakawhitinga ngākau?
E hiahiatia ana tēnei maimoatanga mō te hunga kua pakaru tūturu ō rātou ngākau, ā, kua ngoikore rawa ki te pupuhi i te toto kia ea ai ngā hiahia o te tinana. He maha ngā āhuatanga matua ka puta ai tēnei.
| Āhuatanga hauora | Hei whakarāpopototanga... |
|---|---|
| Ngā mate ngakau | Ngā mate katoa e kino ai te uaua o te ngākau. Tērā pea ka puta mai i ngā mate pāwera, ira, me ētahi atu. I ētahi wā, kāore e mōhiotia te take. |
| Te mate o te uaua koronari | Te aukati i ngā uaua toto e tuku toto ana ki te ngākau. Ka taea e ngā whakaekenga ngākau e puta mai ana i tēnei te whakararu i te ngākau. |
| Mate Manawa Whānau | Ngā hapa hanganga o te ngākau e kitea ana i te whānautanga. Ka mutu pea te mahi a te ngākau i ētahi o ēnei hapa, ā, ka hiahiatia he whakawhitinga wheua. |
| Mate Manawa Takirua | Ngā mate e puta mai ana i te kino o ngā takirere o te ngākau. |
He aha i tino onge ai tēnei pokanga?
He tino onge ngā whakawhitinga ngākau. E rua ngā take matua mō tēnei:
- Te korenga o te kaituku: Me whai tangata hei tuku i te ngākau hauora. Me whai momo toto ōrite hoki te kaituku me te kaiwhiwhi, ā, me tata rite te rahi. Ki te kore tēnei "taurite" e tino tika, ka nui ake te tūponotanga ka whakakahoretia e te tinana te ngākau hou.
- Te Uauatanga o te Pokanga: He pokanga tino uaua tēnei. He torutoru noa ngā hōhipera whai whare motuhake me ngā tohungatanga ka taea te mahi i tēnei pokanga.
He aha ngā mea ka tupu i mua i te pokanga? (Te Tukanga)
Ehara tēnei i te mea e puta katoa ana i te wā kotahi. He tukanga roa tēnei.
1. Te tukunga mai a tō tākuta: Tuatahi, me tuku koe e tō tākuta e rongoā ana ki tētahi hōhipera kei a ia he kaupapa whakawhitinga ngākau.
2. Aromatawai: Muri iho, ka tirotirohia koe kia kitea ai te pai o tō noho mō tēnei pokanga. Nā te mea me whakamahi pai koe i te iti o te rahi o te ngākau. Kei roto i tēnei aromatawai ētahi mea:
- Ngā whakamātautau hauora: Ka tirohia ngā whakamātautau toto, mimi, mahi whatukuhu, me ngā mate urutā (HIV, Hepatitis, Kohi). He maha hoki ngā whakamātautau ka mahia pērā i te X-ray, te (CT) scan, te (MRI), te (Echocardiogram), te (ECG). He mea nui kia kaua rawa e inu waipiro, e hikareti (tae atu ki te vaping), me ētahi atu raau taero.
- Ngā whakamātautau hinengaro me ngā whakamātautau io: Ka nui te huringa o tō oranga i tēnei pokanga. Ka aromatawaihia hoki tō kaha ki te aro atu ki tēnei āhuatanga hinengaro me te tautoko e riro mai ana i a koe mai i tō whānau.
- Ngā tirotiro niho: Kaua e miharo, he nui te pānga o te hauora niho ki te ngākau. Ka taea e ngā mate i roto i ngā niho te haere mā roto i te toto ki te ngākau, ā, ka pā kino.
3. Rārangi Tatari: Ki te puta koe i ēnei whakamātautau katoa, ka whakanohoia koe ki te rārangi tatari. Ka whakatauhia tō tūranga i runga i tēnei rārangi e te kaha o tō mate.
4. Maimoatanga Piriti: Koinei te ingoa i hoatu ki ngā maimoatanga e hoatu ana hei whakahaere i tō āhua kia wātea rā anō he ngākau. Tērā pea ka taea te whakahaere i tēnei mā te rongoā, mā te mīhini rānei e mahi ana hei āwhina i te ngākau (pēnei i te "Pūrere Āwhina Ventricular Mauī - LVAD") ka honoa ki te tinana mō te wā poto.
Te āhua o te mahi pokanga
Kia mōhiotia koe kua kitea he ngākau e ōrite ana, kua rite koe mō te pokanga. He tukanga uaua tēnei, ā, ka roa pea ētahi hāora.
- Tuatahi, ka tukuna koe ki raro i te rongoā whakamoe whānui. Ko te tikanga ka tukuna koe ki te moe hohonu, ā, kāore koe e rongo i tetahi mea.
- Muri iho, ka honoa koe ki tētahi mīhini e kiia nei ko te "ventilator" hei pupuri i tō manawa.
- I te wā o te pokanga, ka honoa koe ki tētahi mīhini motuhake e kiia nei ko te mīhini cardiopulmonary bypass hei mahi i ngā mahi a tō ngākau me ō pukahukahu. Mā tēnei mīhini e pupuri te rere o tō toto puta noa i tō tinana.
- Kātahi ka tangohia marietia tō ngākau mate e ngā taote pokanga.
- Hei whakamutunga, ka tangohia te ngākau hauora i kohaina, ka honoa ki ō uaua toto matua, kātahi ka whakahokia anō ki te mahi.
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, me noho koe ki te hōhipera mō te kotahi ki te toru wiki pea. Mō ngā rā tuatahi, ka noho koe ki te Wāhanga Tiaki Kaha (ICU), ka tirotirohia koe mō ngā haora 24 o te rā.
He mea tino nui kia whai i ngā tohutohu a tō tākuta i muri i tō hokinga ki te kāinga. Kia mōhio koe ki te tango i ō rongoā, te kai, te whakakori tinana, me te mōhio ki ngā āhuatanga mōrearea.
Tērā pea ka tonoa koe kia uru atu ki tētahi kaupapa whakaora ngākau, hei āwhina i a koe ki te whakapai haere i tō kaha me te mahi a tō ngākau.
Te Pehi i te Ārai Mate
Koinei te mea tino nui i muri i te pokanga. Whakaarohia tō tinana hei whenua. Ko te pūnaha ārai mate te ope taua o taua whenua. Ko ngā mea katoa e puta mai ana i waho (ngā huaketo, ngā huakita) ka kitea e tēnei ope hei hoariri, ā, ka whakaekea. Nā te mea he 'tauhou' te ngākau hou ki te tinana, ka ngana tēnei ope ki te whakaeke i a ia. Ka kiia tēnei ko te "whakakorenga okana" .
Hei ārai i tēnei, me tango e koe ngā rongoā ārai mate mō te toenga o tō oranga. Ka mahi ēnei rongoā mā te whakaiti i te kaha o taua ope taua, me te aukati i te pao o te ngākau hou.
He aha ngā mōrearea o tēnei pokanga?
Pērā i ngā pokanga nui katoa, he tūponotanga anō kei reira. Ko ngā tūponotanga matua ko:
- Te whakakorenga o ngā okana o te ngākau hou.
- Te pikinga ake o te mōrearea o te mate nā te tango i ngā rongoā e pehi ana i te ārai mate.
- Ngā raruraru o ngā oko toto i roto i te ngākau i whakatōkia (Cardiac allograft vasculopathy - CAV)
- Mate whatukuhu.
- Te toto toto tiketike (hypertension).
- Te pāorooro o te manawa (Arrhythmias).
- Te mōrearea o te mate pukupuku i roto i te wā (nā ngā rongoā ārai mate).
Ka kōrero taipitopito atu tō tākuta ki a koe mō ēnei mōrearea.
Ngā tohu e hiahia ana kia tere te haere ki te Wāhanga Maimoatanga Ohotata (ETU)
Ki te kite koe i tētahi mea pēnei i a koe i te kāinga, haere tonu ki te Tari Ohotata (ETU) tata atu , waea atu rānei ki te 1990.
- Te kirika.
- Te turuturu o te wai, te pūkahukahu rānei mai i te patunga pokanga.
- Te whero, te mahana rānei huri noa i te patunga.
- He kare ā-roto e neke ana tō wheua uma (sternum), e puta ana he tangi "pāwhiri" ina neke koe.
Karere Tangohia ki te Kāinga
- Ko te whakawhitinga ngākau te huarahi whakamutunga mō ngā mate ngākau kino e kore e taea te whakaora e tētahi atu maimoatanga.
- He tukanga roa, he uaua hoki tēnei. He maha ngā mea hei mahi i mua atu, i muri mai hoki 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 kia tino whai i ngā tohutohu hauora, kia haere ki te wāhi rongoā i te wā tika, me te pupuri i te oranga hauora.
- He whai wāhitanga whakaora ora tēnei pokanga. Nā te whanaketanga o te rongoā hou, ka taea te noho hauora mō ngā tau, tae atu ki ngā tekau tau, i muri i te whakawhitinga wheua.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero