Kei te whakaaro anō hoki koe mō te pokanga takirere ngākau? (Pokanga Takirere Ngākau) Me kōrero māmā noa iho tēnei.

He papu whakamiharo tō ngākau. Kei roto i tēnei papu e whā ngā wāhanga e mahi ana pērā i ngā tatau. Ka karangatia ēnei e mātou ko ngā "takirere". I ia wā e pā ana tō ngākau, ka tuwhera, ka kati ēnei tatau, ka pupuri i te rere o te toto i te ahunga kotahi. Engari i ētahi wā ka pāngia ēnei takirere e te mate, ka kore rānei e mahi tika, ka āraia te rere o te toto. I ētahi wā ka rere whakamuri te toto, ka āraia rānei te takirere, ā, kāore e taea e te toto te rere whakamua. Koinei te wā e kōrero ai ngā tākuta mō te "pokanga takirere ngākau." He mea noa te mataku ina rongo koe i ēnei kupu, engari hei āwhina i tō ngākau kia mahi tika anō. Ina pai te mahi a tō ngākau, ka pai hoki tō ngākau.

He aha ngā takirere i roto i te ngākau?

E whā ngā rūma matua o tō tātou ngākau. E whā ngā momo takirere matua e whakahaere ana i te rere o te toto i waenganui i ēnei rūma. Me titiro tātou ki ēnei.

He aha ngā momo pokanga kei reira?

Ka whakawhirinaki te momo pokanga e hiahiatia ana e koe ki ētahi āhuatanga. Ka whakaarohia e tō tākuta ngā mea e whai ake nei:

• Te hanganga o tō ngākau.
• tō tau.
• Ētahi atu mate kei a koe.
• Tō āhua noho.

I muri i ngā whakamātautau, ka whakatauhia e te tākuta te raruraru o tō takirere me tōna kaha. Kātahi ka whiriwhiria e ia te pokanga e pai ana mōu. I ētahi wā, ka taea te mahi tahi me ētahi atu pokanga ngākau tēnei pokanga takirere. Hei tauira, ka taea te mahi tahi me te pokanga bypass , te pokanga rānei mō te atrial fibrillation .

E rua ngā momo pokanga matua.

1. Pokanga whakatikatika takirere ngākau

Ko te tikanga tēnei ko te whakatika i te hapa, me te tiaki tonu i tō ake takirere i ngā wā katoa e taea ana. He rite ki te whakatika i tētahi mea kua pakaru. Ko tēnei tikanga te mea e whakamahia ana mō ngā raruraru o te takirere mitral. Engari ka taea hoki te mahi mō ētahi atu takirere.

2. Pokanga whakakapinga takirere ngākau

I tēnei tikanga, ka tangohia katoatia tō takirere mate, ā, ka whakaurua he takirere hou ki tōna wāhi. Ka taea tēnei takirere hou te hanga mai i te mea koiora (i hangaia mai i te poaka, i te kau, i te kiko tangata rānei) te hanga mai rānei i te mea miihini ( i hangaia mai i te konganuku, i te waro rānei). Ahakoa te momo e whakaurua ana, e kore tō tinana e whakakorekore.

Āhea te wā e hiahiatia ai te pokanga?

Ina kore e mahi ngā rongoā e hoatu ana mō te mate takirere, arā, kei te mau tonu ēnei tohu i a koe, me whakaaro pea koe ki te pokanga.

• Mamae o te uma.
• Te uaua ki te manawa.
• Hei whakatakoto i tētahi hiri.

Kāore koe e tatari kia tino kino rawa ō tohumate. I ētahi wā ka whakatau ngā tākuta he pai ake te mahi pokanga i mua i te tīmatanga o ngā tohumate. He whakatau tēnei māu, mā tō tākuta ngakau, me tō taote pokanga e mahi tahi.

Me pēhea te whakarite i mua i te pokanga?

Me whai koe i ētahi whakamātautau i te rā i mua i te pokanga.

• X-ray o te uma.
• Te whakamātautau manawa o te ngākau.
• Te hiko o te manawa (EKG).
• Matawai CT.
• Te whakaurunga o te kāteretere o te ngākau.
• Ngā whakamātautau toto.

Kaua e kai, kaua e inu i tetahi mea i muri i te waenganui pō i te pō i mua i te pokanga. Kōrero ki tō tākuta mō ngā rongoā e tangohia ana e koe, kia mōhio ai koe ki ngā rongoā ka taea e koe te tango, me ngā mea me mutu i mua i te pokanga.

I te rā o te pokanga, kakahuria he kākahu korekore, he kākahu whakamarie. Waiho ō taonga utu nui ki te tangata e haere tahi ana me koe. I mua i te pokanga, ka horoia e ngā kaimahi o te hōhipera te wāhi pokanga, ā, ka tangohia ngā huruhuru mēnā e tika ana.

He aha ngā mea ka tupu i te wā o te pokanga?

Kāore koe e rongo i tetahi mea i te wā o te pokanga nā te mea ka hoatu he rongoā whakamoe ki a koe mā roto i tētahi uaua.

Ka ngana te taote pokanga ki te mahi i te pokanga mā te tapahi iti rawa e taea ana. I te wā o te pokanga, ka whakawhitia te mahi a tō ngākau me ō pukahukahu ki tētahi mīhini horihori (mīhini ngākau-pukahukahu). Kātahi ka whakatikahia, ka whakakapia rānei te takirere. Kia oti te mahi, ka tīmata anō tō ngākau, ā, ka kati tō uma.

He maha ngā huarahi hei mahi i te pokanga:

• Pokanga ngākau tuwhera tuku iho: Ka tapahia he tapahi 6-8 inihi te roa ki waenganui o te uma.
• Pokanga iti rawa te whakaekenga: Ka mahia tēnei mā te tapahi 3-4 inihi, iti iho rānei. Ka taea tēnei te mahi mā te endoscopic, mā te āwhina rānei a te karetao.
• Transcatheter: Kāore tēnei tikanga e hiahia ana ki te tapahi i te uma. Ka whakaurua he catheter mā roto i tētahi oko toto nui i roto i te hope, ā, ka uru ki roto i te ngākau hei whakakapi i te takirere. Ko tētahi tauira o tēnei ko tētahi tikanga e kīia nei ko te TAVR .

I te nuinga o te wā ka roa tēnei pokanga i waenga i te rua ki te rima hāora.

Ngā mea ka tupu i muri i te pokanga me te wā whakaora

I muri i te pokanga, ka whakaurua koe ki te Wāhanga Tiaki Kaha (ICU). I reira, ka tirotirohia tō āhua. I muri i ētahi rā, ka whakawhitia koe ki tētahi wāhanga noa. Ka noho koe ki te hōhipera mō te 5 ki te 7 rā.

Tērā pea ka whakauruhia he ngongo ki roto i tō uma hei tango i te wai nui i roto i tō tinana. Tērā pea ka honoa koe ki ngā mīhini hei aroturuki i tō toto toto me te tere o te manawa.

Ka akiakihia koe e ngā tākuta kia tīmata te hikoi i te wā e taea ai. Ka taea e koe te tīmata mā te hikoi huri noa i te rūma, kātahi ka whakanui haere i te tawhiti. Tērā pea ka tukuna koe ki te whakaora ngakau , he kaupapa whakakori tinana e tirotirohia ana.

E 4 ki te 8 wiki te roa hei whakaora katoa. Heoi, mēnā he iti noa te pokanga i mahia ki a koe, tera pea ka poto ake tō wā whakaora.

Me pēhea koe e tiaki ai i a koe anō i muri i tō taenga ki te kāinga?

• Kia tika te whai i ngā tohutohu a tō tākuta. Haere ki ngā wāhi rongoā i ngā rā kua whakaritea.
• Okioki. Ka tere tō ngenge i ngā wiki tuatahi e toru. Kaua e haere ki te mahi kāore e taea e koe te mahi.
• Kaua e taraiwa mō ētahi wiki.
• Kaua e hiki ake i te 5-7 kg te taumaha mō ngā wiki tuatahi e 6-8.
• Pātai atu ki tō tākuta āhea koe ka taea te hoki ki te mahi.

He aha ngā mōrearea me ngā painga o te pokanga?

Pērā i ngā pokanga katoa, he tūponotanga kei reira, engari he nui ake ngā painga o te pokanga i ngā tūponotanga o te korenga.

Ka rerekē ēnei mōrearea i runga i tō tau, i ētahi atu āhuatanga hauora, me te uaua o te pokanga. Mā tō tākuta tēnei e whakamārama taipitopito atu ki a koe.

Āhea koe me toro atu ki te tākuta?

Ki te pāngia koe e tētahi o ēnei tohu i muri i te hokinga mai i te pokanga, waea atu ki tō tākuta tonu atu.

• Mena ka pāngia koe e te mamae i roto i te uma, i te taha rānei o te tapahi .
• Ki te pāngia koe e te manukanuka nui, te pouri rānei ( tērā pea ka pā tēnei i muri i te pokanga).
• Mena kei te pāngia koe e te kirika (he tohu pea tēnei nō te mate urutā).
• Ki te piki ake tō taumaha tinana mā te 2-3 kirokaramu i te wā kotahi (ko te tikanga tēnei kei te kohikohi te wai i roto i te tinana).

Ētahi pātai e pātai pinepinetia ana

Kia pēhea te roa o te ora o tētahi takirere hou?

Kei tō tau, te momo pokanga i mahia ki a koe, me te momo takirere i mahia ki a koe. He roa te ora o ngā takirere ā-ringa, engari me whakakapi pea ngā takirere koiora i ia 10-20 tau, inā koa mēnā ka whakaurua ki roto i te taiohi.

Me haere tonu taku tango i ngā rongoā ārai toto i muri i te pokanga?

• Mena ka tukuna he takirere ā-ringa ki a koe, āe, me tango e koe ngā rongoā whakaiti toto mō te toenga o tō oranga.
• Mena i whakatikatikaina tō takirere, i te takirere koiora rānei, he torutoru wiki noa iho pea ka hiahiatia e koe tēnei rongoā, kāore rānei koe e hiahia ana ki te rongoā.

Ka taea e au te noho i te oranga noa i muri i te pokanga?

Āe! Ka taea e te nuinga o te tangata te hoki ki te mahi i ngā mea i mahia e rātou i mua i te pokanga. Ka whakawhirinaki hoki tō whakaoranga ki tō hauora whānui. He mea noa te mataku ina rongo koe mō te pokanga takirere ngākau. Engari kia maumahara, he mea tēnei e mahia ana e koe hei whakarerekē i tō ao kia pai ake. Kōrero ki tō whānau me ō hoa mō tēnei mea. He pūnaha tautoko pai te whai i tētahi hei tautoko i a koe i a koe e whakaora ana.