Kia ako tātou mō te Whakakapinga Takirere Manawa i roto i ngā kupu māmā noa iho.

Kua kōrerotia atu rānei e te tākuta he raruraru tō te takirere o te ngākau, ā, me whakakapi? He mea noa te mataku me te manukanuka ina rongo koe i tētahi mea pēnei. Kāore i te miharo te whakaaro, "Āe, me pokanga taku ngākau?" Engari ko te mea pono, he pokanga tēnei e tino angitu ana i te ao me tō tātou whenua i nāianei, ā, e āwhina ana ki te whakaora i te tini o ngā oranga. Nō reira, kia kitea ngā whakautu ki ngā pātai katoa mō tēnei i tēnei rā. Me kōrero tātou mō tēnei pokanga kia tino māmā, kia mārama ai koe, āe?

He aha me whakakapi ai te takirere o te ngākau?

He kupu ngāwari noa iho, he mīti whakamiharo tō tātou ngākau. He rite ki tētahi papu iti e pupuhi ana i te toto puta noa i ō tātou tinana. Hei mahi i tēnei mahi, e whā ngā wāhanga o roto i te ngākau e mahi ana pērā i ngā tatau e whā. Ka kiia ēnei takirere ngākau he mea whakatuwhera, he mea kati hoki i te taha kotahi, nō reira ka rere tonu te toto i te taha kotahi.

Whakaarohia te wai i roto i tō whare he pūwero. Ki te kore te pūwero e kati tika, ka turuturu te wai. Ki te kore e tuwhera tika, ka aukatia te rere o te wai. Koinei te āhua ina pāngia ēnei pūwero e te mate.

• Te ngoikore o te manawa: I ētahi wā, kāore te takirere e tuwhera tika, ā, ka whaiti, ka nui ake te mahi a te ngākau ki te pupuhi toto.
• Te turuturu o te takirere (Regurgitation): I ētahi wā, kāore te takirere e kati tika, ā, ka turuturu whakamuri te toto. Ka rua te kaha o te mahi a te ngākau i tēnei.

Ina kino rawa atu tēnei āhuatanga, ka pāngia pea koe e ngā tohu pēnei i te mamae o te uma, te poto o te manawa, me te hemo o te ngākau . Koinei te wā ka whakatau ngā tākuta ki te tango i te takirere mate, ngoikore, ka whakakapi ki tētahi mea hou e mahi ana. Ka kiia tēnei he whakakapinga takirere ngākau .

He aha ngā momo takirere hou e wātea ana?

E rua ngā momo matua o ngā takirere whakakapinga, arā, ngā takirere hangai. He painga, he ngoikoretanga hoki ō ia mea. Mā tō tākuta koe e āwhina ki te whiriwhiri i te momo e pai ana mōu.

Tērā pea kei te whakaaro koe, "Ko tēhea te mea me whiriwhiri e au?" Kaua e manukanuka. Ka whakaarohia e tō tākuta ngā āhuatanga maha, tae atu ki tō tau, tō hauora, ngā mōrearea o te tango i ngā rongoā whakaiti toto, me tō kaha ki te mahi pokanga anō ā muri ake nei , ā, ka kōrero tahi rāua ko koe ko tēhea te takirere pai rawa atu māu. He whakatau tēnei mā kōrua ko tō tākuta e whakatau ngātahi.

Me pēhea te mahi i te pokanga? He aha ngā tikanga?

E rua ngā tikanga matua mō te whakakapi i te takirere ngākau. Ko ēnei ko te tikanga pokanga tuwhera tuku iho me te tikanga catheter hou. Mā tō tākuta e whiriwhiri te tikanga pai rawa atu i runga i tō āhua hauora.

Pokanga Ngākau Tuwhera

Koinei te tikanga tuku iho kua roa e whakamahia ana. I roto i tēnei pokanga, ka tapahia te waenganui o te uma, ka mutu te ngākau, ā, ka whakawhitia te mahi a te ngākau me ngā pukahukahu ki tētahi mīhini ngākau-pukahukahu mō tētahi wā poto. Ko ētahi tauira o ngā pokanga e mahia ana mā te whakamahi i tēnei tikanga ko te SAVR (Portgaging Aortic Valve Replacement) .

Ngā Tukanga e Hangai ana ki te Catheter

Koinei te tikanga hou e whakamahia whānuitia ana, kāore e tino uaua ki te tinana. I konei, me te kore e whakatuwhera i te uma, ka tapahia he wahi iti rawa ki tētahi wāhi pēnei i te hope, ka whakauruhia he ngongo angiangi (catheter) mā roto, ā, ka tukuna te takirere hou mā taua ngongo ki te ngākau ka whakatōkia.

Ko ngā tauira o ngā pokanga e whakamahia ana i tēnei tikanga ko:TAVR (Whakakapinga Takirere Aorta Whakawhiti-Catheter) me te TMVR (Whakakapinga Takirere Mitral Whakawhiti-Catheter) .

Mā tō tākuta koe e whakamārama i ngā tikanga e rua, ā, māna anō hoki e whakatau ko tēhea te tikanga tino haumaru, tino whai hua hoki mō tō āhuatanga.

Me pēhea te whakarite i mua i te pokanga?

Ka hoatu e te hōhipera ētahi tohutohu ki a koe i te rā, i ngā rā e rua rānei i mua i te pokanga.

• Mā rātou koe e kī atu āhea te wā tika hei whakamutu i te kai me te inu i mua i te pokanga.
• Mā rātou koe e tohutohu mēnā me mutu, kāore rānei, te tango i ngā rongoā e tangohia ana e koe (ina koa ko ērā mō te mate huka me te toto toto tiketike).
• Tērā pea he maha ngā whakamātautau me mahi i mua i te pokanga.
• Ina tae mai koe ki te hōhipera, mauria he kākahu whakamarie, he ngāwari ki te mau.
• He mea nui anō hoki kia whakaritea i mua i te wā kia haria koe e tetahi ki te hōhipera, kia hoki mai hoki.

He aha tonu te mea e tupu ana i te wā o te pokanga?

Ko te roa o te pokanga he kotahi ki te whā hāora te roa. Anei ngā mahi e mahia ana i tēnei wā, kia rite ki te raupapa:

1. Whakamoe: Tuatahi, ka whakamoea rawatia koe. Nō reira, kāore koe e mamae. Kāore koe e mahara ki tetahi mea.

2. Tapahi: I runga i te momo pokanga e mahia ana, ka tapahia te uma, te uma rānei i te wāhi e tika ana.

3. Mīhini Manawa-Pūkahukahu: I roto i te pokanga tuwhera, ka whakawhitia te mahi a te manawa ki tēnei mīhini mō te wā poto. Kāore tēnei e hiahiatia ana mō te tikanga catheter.

4. Te Whakakapinga i te Takirere: Ka āta tangohia e te tākuta te takirere mate, ka whakakapia ki tētahi takirere koiora, takirere ā-ringa rānei hou. I ētahi tikanga hou, ka whakanohoia te takirere hou ki roto i te takirere tawhito.

5. Te Katia o te Tapahi: Kia tino mohio kei te mahi tika te takirere hou, ka tuia te tapahi kia katia. Kātahi ka haria koe ki te Wāhanga Tiaki Kaha (ICU).

He pēhea te roa o te wā whakaora i muri i te pokanga?

I muri i te pokanga, ka whakanohoia koe ki te Wāhanga Tiaki Kaha (ICU). I reira, ka tirotirohia tō āhua e ngā tākuta me ngā nēhi. Kia ora ake koe, ka whakawhitia koe ki te wāhanga noa.

He rerekē te roa o te wā whakaora i ia tangata, engari i te nuinga o te wā ka roa te kotahi ki te toru marama kia tino ora ai. Mena i mahia te pokanga mā te whakamahi i te catheter, tera pea ka poto ake te wā whakaora.

• Tērā pea ka tere te ngenge i roto i ngā wiki tuatahi. He mea noa tēnā.
• E kī ana te tākuta kia kaua koe e taraiwa mō ētahi wiki.
• Me karo koe i ngā mahi taumaha pēnei i te hiki taumaha mō tētahi wā.
• Me okioki pea koe mō ētahi wiki, mō ētahi marama rānei i mua i te hokinga atu ki te mahi.
• Tērā pea ka tukuna koe ki tētahi kaupapa whakaora ngākau , hei āwhina i a koe ki te whakahoki mai i tō kaha.

Āhea ahau me waea atu ki te tākuta?

Kia hoki koe ki te kāinga, kia tino aro ki tō tinana. Mēnā ka pāngia koe e tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu atu.

• Ki te pāngia koe e te kirika, e te makariri rānei
• Ki te mea he āhua rerekē tō pā o te manawa
• Mena he pupuhi te patunga pokanga, he whero, he mamae, he pupuhi rānei
• Te mamae, te whero, te pupuhi rānei i te waewae o raro (he tohu pea tēnei o te toto totoka)
• Ki te piki ohorere tō taumaha , ki te pupuhi rānei ō waewae, ō pona rānei.

I a koe e tīmata ana i tō oranga hou me tētahi takirere hou, ka pāngia pea koe e ngā momo kare ā-roto. He mea noa te wheako i te ranunga o te wehi, te harikoa, me te whakamarie. Engari kia maumahara, ehara i te mea ko koe anake. He tino angitu ēnei pokanga ināianei. Nā te whanaketanga o te hangarau, kei te haumaru haere i ia rā. Ma tō rōpū hauora koe e whakarato ki ngā aratohu katoa e hiahiatia ana e koe mō tēnei haerenga.