Kei te uaua koe ki te manawa, ki te mamae o te uma, ki te tino ngenge rānei ahakoa kei te mahi noa koe? Tērā pea kua kī atu tō tākuta ki a koe he raruraru tēnei ki te takirere o te ngākau. Tērā pea kua kī atu anō ia me pokanga koe hei whakakapi i taua takirere (Pokanga Whakakapinga Takirere o te Ngākau). He mea noa te mataku me te manukanuka ina rongo koe i tētahi mea pēnei. Koia mātou i whakaaro ai me kōrero mō tēnei i roto i tētahi huarahi māmā e mārama ai koe.
He aha i hiahiatia ai he takirere mō te ngākau? He aha te tikanga o tēnei?
Ki te kī ngāwari, he rite tō tātou ngākau ki tētahi papu, e whā ōna rūma. Kei waenganui i ēnei rūma e whā ngā tatau e āwhina ana kia rere tonu te toto ki te taha kotahi. Ko aua tatau ko ngā takirere ngākau .
Nā te mea ka tuwhera, ka kati tika ēnei takirere, ka rere te toto i runga i te tikanga tika.
- Mai i tētahi wāhanga o te ngākau ki tētahi atu.
- Ka whiwhi ngā pukahukahu i te hāora.
- Ka tukuna e te uaua toto matua (Aorta) te toto whai kiko i te hāora ki te tinana katoa.
Whakaarohia kāore te wai i roto i tō tātou totohu e mimiti tika ana. Ka mau te wai, ka rere tonu rānei. Koinei te mea ka tupu ina he takirere mate. Ka āraia te rere o te toto, ka turuturu rānei te toto ki muri (regurgitation). Mā tēnei ka kaha ake te mahi a te ngākau.
I tēnei āhuatanga, ka ngana tuatahi te tākuta ki te whakahaere i tēnei mā te rongoā. Engari ki te kore e mahi, me whakatika pea te takirere, me whakakapi katoa rānei.
He aha ngā momo takirere e whakamahia ana mō te whakawhiti?
E rua ngā momo matua o ngā takirere. Mā tō taote pokanga e whakatau ko tēhea te momo e pai ana mōu, me te whai whakaaro ki ngā āhuatanga pēnei i tō tau, tō hauora, me tō momo noho.
1. Ngā Takirere Koiora
He takirere ēnei i hangaia ki te kiko. Ka kiia hoki ko ngā takirere kiko , ko ngā takirere hanga-koiora rānei.
- Kiko kau: Mai i te kiriuhi e hipoki ana i te ngākau o te kau.
- Kiko poaka: Nō te takirere ngākau o te poaka.
- Homograft: He takirere ngākau tangata i tangohia mai i tētahi kaituku kua mate. He maha ngā wā ka whakamahia ēnei ki te hunga rangatahi, ki te hunga rānei kua pakaru ō rātou takirere i te mate.
2. Ngā Takirere Ā-ringa
He mea hanga ēnei takirere ki ngā rauemi pakari pērā i te waro me te titanium. He mea hanga kia rite ki ō ake takirere. He tino pakari, ā, ka roa te ora.
Ina tāuta koe i ētahi takirere miihini, tera pea ka rangona he tangi "pāwhiri" iti i a ia e tuwhera ana, e kati ana hoki. He mea noa tēnei, ā, kāore he mea hei manukanuka.
Koiora, ā-ringa rānei? Me pēhea te whiriwhiri?
He mea tino nui tēnei whakatau. Nō reira, me kōrero marie ki tō tākuta mō tēnei mea. Mā te ripanga i raro nei koe e mōhio ai ki te rerekētanga i waenganui i ngā mea e rua.
| Āhuatanga | Takirere Koiora | Takirere Mīhini |
|---|---|---|
| Te pakari | E 15-20 tau te roa o te mahi. Tērā pea me mahi anō te pokanga. | Tino pakari. I hangaia kia mau tonu mō te wa katoa. |
| Ngā rongoā whakaheke toto | Kāore te nuinga o te tangata e hiahia ki te tango i ēnei rongoā (hei tauira, Warfarin) mō te toenga o ō rātou oranga. | He mea whakahau kia tangohia e koe ngā rongoā whakaiti toto (pēnei i te Warfarin) mō te toenga o tō oranga . |
| Mā wai e tika ai? | He mea tino pai mō te hunga neke atu i te 60-65 tau te pakeke, te hunga kāore e hiahia ki te tango i ngā rongoā whakaiti toto , me ngā wāhine e whakamahere ana kia hapu. | He tino pai mō te hunga rangatahi, te hunga hihiko (hei tauira, kei raro iho i te 50 tau te pakeke mō te takirere Aorta, kei raro iho i te 65 tau te pakeke mō te takirere Mitral). |
| Ngā ngoikoretanga | I roto i te wā, ka tawhito pea, ā, me whakakapi. | Me whai rongoā mō te wā katoa, me whai whakamātautau toto auau hoki. Tērā te tūponotanga o te toto. |
He aha ngā tikanga hei whakahaere i te pokanga?
He maha ngā tikanga inaianei hei mahi i te pokanga whakakapinga takirere.
1. Pokanga Ngākau Tuwhera: Koinei te tikanga tuku iho. Ka mahia tēnei pokanga mā roto i tētahi tapahi nui i waenganui o te wheua o te uma.
2. Pokanga Whakaiti i te Urunga: Ko te tikanga he tapahi iti i te uma. Ka poto ake te wā whakaora, ka iti ake te toto e ngaro ana, ā, ka iti ake te tūponotanga o te mate.
3. Te Whakakapinga o te Takirere Aorta Whakawhiti-Catheter (TAVR): He tikanga hou ake tēnei, he tikanga matatau ake. Kāore te uma e whakatuwheratia. Ka tukuna he catheter (ngongo angiangi) mā roto i tētahi oko toto ki roto i te ngākau mā roto i tētahi tapahi iti i te hope, i te uma rānei, ā, ka whakaurua te takirere hou ki roto i te takirere tawhito, ka whakapūmau. He tino pai tēnei tikanga mō te hunga kāore e taea te tu atu ki ngā mōrearea o te pokanga tuwhera.
He aha ngā mea ka tupu i muri i te pokanga? Kia pēhea te roa o te wā e ora ai?
I muri i te pokanga, ka puritia koe ki te wāhanga tiaki nui (ICU) hei tirotiro mā te tangata mō te kotahi, e rua rānei ngā rā. Kātahi ka whakawhitia koe ki te wāhanga whānui. E 5-7 pea ngā rā e noho hōhipera katoa ana.
Wā Whakaora:
- E rua, kotahi marama rānei pea te roa o te ora katoa. Mēnā i mahia he pokanga iti noa te whakaekenga, he poto ake te wā whakaora.
- Ka tere tō ngenge i ngā wiki tuatahi. He mea noa tēnā. Ka āta hoki mai tō kaha.
- Kaua e hiki i ngā mea neke atu i te 10 pauna (4.5 kg) mō ngā wiki 6-8.
- Kaua e taraiwa mō ētahi wiki. Pātai atu ki tō tākuta mō ētahi tohutohu mō tēnei.
I muri i tō hokinga atu i te hōhipera, ka tukuna pea koe ki tētahi kaupapa whakaora ngākau, ka tino āwhina i a koe ki te ora wawe.
Āhea te wā e tika ai kia kite tonu i tō tākuta
Mena kei a koe tētahi, ētahi rānei o ngā tohu e whai ake nei, me toro atu ki tō tākuta, me haere rānei ki te hōhipera i runga i te wā tonu:
- Te kirika.
- He pupuhi te patunga pokanga, he whero, he pupuhi rānei e turuturu ana.
- Te mamae nui o te uma.
- Te pikinga o te taumaha mā te 2-3 kg i roto i ētahi rā (tērā pea he tohu kei te pupuri wai te tinana).
- Te uaua nui ki te manawa.
- Te ahotea hinengaro nui, te pouri rānei.
Karere Tangohia ki te Kāinga
- He tino angitu te pokanga whakakapinga takirere ngākau, he maimoatanga whakaora ora hoki ināianei, nō reira kaua e mataku noa i tēnei.
- Ko te momo takirere (koiora, ā-ringa rānei) me te momo pokanga e tika ana māu ka whakatauhia e tō tākuta, me te whai whakaaro ki ngā āhuatanga pēnei i tō tau me tō āhua hauora.
- Mena ka whakauruhia he takirere ā-ringa, me tango e koe ngā rongoā whakaheke toto, me te whai i ngā whakamātautau hauora auau mō te toenga o tō oranga.
- He roa te wā e ora ai i muri i te pokanga. He mea tino nui kia whai tika koe i ngā tohutohu a tō tākuta.
- Mena he pātai āu mō te pokanga, mō ngā raruraru rānei ka puta ake i muri i te pokanga, kaua e mangere ki te pātai ki tō tākuta.
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