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.
He aha tonu te pokanga mō te takirere ngākau?
Ki te kī māmā noa, ko te pokanga takirere ngākau he pokanga hei whakatika (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.











💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero