Kua kīia atu rānei ki a koe, ki tētahi rānei o tō whānau e te tākuta me pokanga te takirere o te ngākau? He mea noa te mataku me te manukanuka ina rongo koe i aua kupu. Ko wai kāore e pai ki te kupu "pokanga ngākau," tika? Engari ina mōhio koe ki te tikanga o tēnei pokanga, ka memeha haere tō mataku. Nō reira, i tēnei rā ka kōrero tātou mō te pokanga takirere ngākau i roto i ngā kupu māmā, i te reo e mārama ai koe.
Know your body mass index (BMI) and weight classification
He aha tonu te pokanga mō te takirere ngākau?
Ki te kī māmā noa, ko te pokanga takirere ngākau he pokanga hei whakatika ) hei whakakapi rānei i tētahi, i ētahi rānei takirere i roto i tō ngākau.
Whakaarohia tō ngākau he whare e whā ngā rūma. Kei waenganui i ēnei rūma e whā ngā wāhanga e rite ana ki ngā tatau e tuku ana i te toto kia rere i te taha kotahi anake. Koinei te mea e kiia nei e tātou he takirere . I ia wā e pā ana te ngākau, ka tuwhera, ka kati ēnei takirere, kia rere tonu te toto i roto i te rere kotahi te ara.
Engari i ētahi wā ka pāngia ēnei takirere e te mate. Kāore e kati tika, ā, ka tīmata te toto ki te turuturu whakamuri . Ka matotoru rānei te takirere, ka whaiti, ka ārai i te ara mō te toto kia rere whakamua . Ahakoa te aha, kāore e taea e te ngākau te mahi tika. Ko te tikanga me kaha ake te mahi a te ngākau i tana mahi tika hei pupuhi toto. Koinei te wā e whakaaro ai ngā tākuta ki te pokanga.
E whā ngā momo matua o ngā takirere i roto i tō tātou ngākau.
| Ingoa Takirere | Tauwāhi |
|---|---|
| Takirua Tricuspid | I waenganui i ngā rūma o runga me raro i te taha matau o te ngākau |
| Takirere Pūkahukahu | I waenganui i te ventricle matau me te uaua pūkahukahu |
| Takirere Mitral | I waenganui i ngā rūma o runga me raro i te taha maui o te ngākau |
| Takirere Aorta | I waenganui i te ventricle maui me te uaua matua e kawe ana i te toto ki te tinana (Aorta) |
He aha ngā momo pokanga?
He maha ngā āhuatanga ka whakatau i te momo pokanga ka mahia ki a koe. Hei tauira, tō tau, te āhua o tō ngākau, me ētahi atu āhuatanga hauora kei a koe. Ka whakahaerehia e te tākuta he whakamātautau hei whakatau i te raru o tō takirere me tōna kaha. Ko reira anake ka whakatau ia i te pokanga e pai ana mōu.
E rua ngā momo pokanga matua.
Pokanga Whakatika Takirere
Ko te tikanga o tēnei ko te tiaki i tō ake takirere i ngā wā katoa e taea ana, me te whakatika noa i te hapa. Koinei te kōwhiringa tuatahi a ngā taote pokanga nā te mea he painga nui te pupuri i ō ake kiko.
Pokanga Whakakapinga Takirere
I ētahi wā, kua tino pakaru rawa te takirere, kāore e taea te whakatika. Mēnā ka tangohia katoatia te takirere hapa, ka whakatōkia he takirere hou ki tōna wāhi. Ka taea te hanga i tēnei takirere hou hei mea koiora (he mea hanga mai i te poaka, i te kau, i te kiko tangata rānei) he mea hanga rānei hei mea miihini (he mea hanga mai i te konganuku, i te waro rānei). He mea hanga ēnei kia uru ki te tinana, kia kore ai tō tinana e whakakore i a rātou.
Ka taea e te takirere ngākau te whakaora i a ia anō?
Kāo. E kore rawa. Koinei te mea nui rawa atu me mārama tātou katoa. Ko te mate takirere ngākau he mate e kino haere ana i te roanga o te wā. Ahakoa ka taea e te rongoā te whakahaere i ngā tohu mō tētahi wā, kāore e whakaora i te mate. Ko te rongoā tuturu anake ko te pokanga. Nō reira, ki te whakatau tō tākuta me pokanga, ehara i te mea pai kia whakaroahia.
Ko te tikanga, ka whakaarohia te pokanga ina tino kaha rawa ngā tohu pēnei i te mamae o te uma, te poto o te manawa, me te whanoke, ā, kāore e taea te whakahaere mā te rongoā. I ētahi wā, he haumaru ake te pokanga i mua i te puta mai o ngā tohu.
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
- Matawai ngākau (Echocardiogram)
- Whakamātautau ECG (Electrocardiogram)
- Matawai CT
- Ngā whakamātautau pēnei i te catheterization o te ngakau
- Ngā whakamātautau toto
Ka tohutohuhia koe kia kaua e kai, e inu rānei i tetahi mea i muri i te waenganui pō o te pō i mua i te pokanga. Me kōrero hoki ki tō tākuta mō ngā rongoā e tangohia ana e koe, kia mōhio ai koe ko ēhea ngā rongoā me mutu te tango i mua i te pokanga, me ēhea hoki me haere tonu te tango.
He aha ngā mea ka tupu i te wā o te pokanga?
Ka noho koe i raro i te rongoā whakamoe, ā, ka moe hōhonu hoki i te roanga o te pokanga, nō reira kāore koe e rongo i te mamae. Ka tapahia e te taote pokanga he wahi iti ki roto i tō uma hei uru atu ki tō ngākau. I te wā o te pokanga, ka whakamahia he mīhini motuhake (mīhini ngākau-pūkahukahu) hei mahi i te mahi a tō ngākau me ō pūkahukahu. Kātahi ka whakatika, ka whakakapi rānei te tīma hauora i te takirere. Kia oti te pokanga, ka tīmata anō te ngākau, ā, ka kati te wahi.
| Tikanga pokanga | Whakaahuatanga |
|---|---|
| Te pokanga ngākau tuwhera tuku iho | Ka tapahia te uma, tata ki te 6-8 inihi te whānui. |
| Pokanga iti rawa te whakaekenga | Ka whakamahia he tapahi 3-4 inihi, iti iho rānei. Tērā pea ka whakamahia hoki te hangarau āwhina-rorohiko. |
| Tikanga whakawhiti-kātere | Ka mahia te pokanga me te kore e whakatuwhera i te uma, mā te whakauru i tētahi ngongo iti (catheter) mā roto i tētahi oko toto i roto i te hope. He tikanga rongonui te TAVR o tēnei momo. |
Kia pēhea te roa o te wā e ora ai?
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.
I muri i te pokanga, ka puritia koe ki te wāhanga tiaki nui (ICU) mō te kotahi, e rua rānei ngā rā, kātahi ka whakawhitia ki te wāhanga noa. Ka noho koe ki te hōhipera mō te 5-7 ngā rā. He mea noa te ngenge i te tīmatanga, me te mamae hoki i te wāhi i tapahia.
Kia maumahara ki ēnei mea i a koe e ora ana:
- Kaua e wareware ki te haere ki ngā wā tirotiro whai muri i whakaritea e te tākuta.
- Kaua e hiki i ngā mea taumaha (neke atu i te 7 kg) mō ngā wiki tuatahi e 6-8.
- Kaua e taraiwa me te kore e kōrero ki tō tākuta.
- Tīmatahia te hikoi i te wā e taea ai. Tuatahi, i roto i te rūma, kātahi ka āta whakanuia te tawhiti.
- Tērā pea ka taea e koe te hoki ki te mahi i muri i ngā wiki 6-12. Kōrero ki tō tākuta mō tēnei.
Āhea koe me waea atu ki tō tākuta?
He mea tino nui kia whakamōhio tonu atu ki te tākuta mēnā ka puta he raruraru i te wā e ora ana.
| Āhuatanga hei aro atu | Me aha? |
|---|---|
| Mamae, whero, pupuhi, pupuhi rānei huri noa i te wāhi i tapahia. | Kōrero tonu atu ki tō tākuta. He tohu pea tēnei nō te mate urutā. |
| Te kirika. | He tohu anō tēnei o te mate. Rapua he tohutohu hauora tonu. |
| Te pikinga ohorere o te taumaha (hei tauira, neke atu i te 2 kg). | He tohu pea tēnei kei te pupuri wai te tinana. Kōrero atu ki tō tākuta. |
| Te mamae nui o te uma, te uaua rānei ki te manawa. | Haere tonu ki te Tari Ohotata (ETU) o te hōhipera tata. |
Ētahi atu pātai kei roto pea i tō hinengaro
Me tango e au ngā rongoā ārai toto mō te toenga o tōku oranga?
Kei te momo takirere kei a koe tēnei.
- Mena he takirere ā-ringa tōu , āe. Me tango e koe he rongoā whakangawari toto mō te toenga o tō oranga. Ka ārai i te hanganga o ngā toto totoka ki runga i te takirere.
- I whakatikatikahia tō takirere , tika? I whakaurua he takirere koiora .Mena koinā, he torutoru wiki noa iho pea ka hiahiatia tēnei rongoā i muri i te pokanga. Kāore pea koe e hiahia ki tēnei rongoā. Mā tō tākuta koe e tohutohu atu ki te mea tika hei mahi.
Ka taea e au te noho i te oranga noa i muri i te pokanga?
Ae, ka taea e te nuinga o te tangata. Ka taea e koe te tīmata anō i ō mahi i mua i te pokanga, i ō whakangungu tinana, me ērā atu mea. Engari kia maumahara, ehara i te mea he rite katoa te katoa. Tērā pea he rerekē tō whakaoranga i tō tētahi atu. Nō reira, me okioki koe, me whakarongo ki tō tinana.
Karere Tangohia ki te Kāinga
- Ehara te pokanga takirere ngākau i te mea hei wehi. He pokanga tino angitu, he whakaora ora, ā, he kounga ora anō hoki ināianei.
- Kāore e ora te takirere mate i a ia anō. Ka kino haere te āhua i roto i te wā, nō reira he mea tino nui kia whai i ngā tohutohu a tō tākuta.
- Ko te momo pokanga ka mahia e koe (te whakatikatika, te hanga anō, te pokanga tuwhera, te pokanga iti rawa te whakaekenga) ka whakawhirinaki ki tō āhua hauora.
- Kia manawanui i a koe e ora ana. Hoatu te wā e hiahiatia ana e tō tinana kia ora ai.
- Kōrerotia mārire ki tō tākuta mō ngā pātai, ngā wehi, ngā ruarua rānei kei a koe. Kei reira rātou hei āwhina i a koe.
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