Kua whakaaro kē koe he rite tō tātou ngākau ki tētahi mīhini iti e mahi ana i roto i tētahi manawataki? Engari i ētahi wā ka hē te manawataki o tēnei manawataki. Ko te tikanga he tere rawa te pā o te ngākau, ā, ka mate pea. I roto i ēnei āhuatanga, ka kōrero tātou i tēnei rā mō tētahi taputapu iti hei tiaki i tō ngākau.
He aha tēnei ICD?
He whakarāpopototanga noa iho, he taputapu iti te ICD (Implantable Cardioverter Defibrillator) e whakahaeretia ana e te pākahiko, e aroturuki ana i te manawataki o tō ngakau mō ngā hāora 24 o te rā. He rite ki tētahi kaitiaki ora e whakanohoia ana ki roto i tō ngakau. Ka kitea e ia te wā ka tino hē te manawataki o tō ngakau (he āhuatanga e kiia nei e tātou ko te arrhythmias) ā, ka tukuna he ru hiko iti hei whakaora i te manawataki o tō ngakau.
Ko te tikanga, ka whakatōngia tēnei ICD ki raro i te kiri o tō uma mā te pokanga. He rite te rahi ki tētahi wati iti. Kei roto he pākahiko me ngā ara iahiko e aroturuki ana i ngā mahi hiko o tō ngākau. Kotahi, neke atu rānei ngā waea angiangi (`(leads)`) e hono ana ki tēnei taputapu ka uru ki roto i ngā rūma o tō ngākau hei aroturuki, ā, ki te tika, hei tuku i te ru hiko.
He maha ngā ICD kei roto hoki he taputapu whakaterenga manawa, e whakahaere ana i te manawataki o te ngākau. Ko te tikanga o tēnei e rua ngā mahi.
Ko wai e hiahia ana ki tētahi ICD?
Ko te ICD te tikanga e taunakitia ana mō te hunga e tino mōrearea ana ki te mate i te hopukanga ohorere o te ngakau. He maha ngā āhuatanga hauora ka taea te whakanui ake i tēnei mōrearea.
| Āhuatanga hauora | He whakamārama māmā |
|---|---|
| Mena kua pāngia koe e te whakaeke ngakau, te hopukanga ngakau rānei o mua | He nui ake te mōrearea o te hunga whai pēnei i te hītori kei tupu anō. |
| Te Tachycardia Ventricular | He manawataki morearea e tere ai te pā o ngā rūma o raro o te ngākau (ngā ventricles). |
| Te Whakapūngao o te Ventricular | He āhuatanga whakamate pea, ka wiriwiri rawa ngā rūma o raro o te ngākau. |
| Te ngoikore o te ngākau me te whakaiti i te wāhanga ejection | Ka piki ake te mōrearea ina kore e taea e te ngākau te pupuhi i te toto e ranea ana ki te tinana. |
| Te Cardiomyopathy Hypertrophic | He mate e puta mai ana i te matotoru o te uaua o te ngākau. |
| Ētahi atu āhuatanga ira | Hei tauira, ko ngā āhuatanga pēnei i te mate a Brugada me te mate a Long QT. |
Me pēhea tāu whakarite i mua i tēnei pokanga?
I mua i te pokanga hei whakauru i tētahi ICD, ka tono atu tō tākuta kia mahia e koe ētahi mea. Ka mahia ēnei mea hei whakarite kei te pai tō āhua mō te pokanga.
- Ngā whakamātautau maha: Tērā pea ka tonoa koe ki te mahi i ngā mea pēnei i ngā whakamātautau toto me te mimi, he whakamātautau electrocardiogram (ECG) e titiro ana ki te mahi hiko o te ngākau, me te echocardiogram e titiro ana ki te mahi me te hanganga o te ngākau.
- Whakatūpato: Mena he raruraru toto totoka tōu, kei te tango rānei koe i ngā rongoā whakangawari toto, me kōrero koe ki tō tākuta mō ēnei mea. Me kōrero anō hoki koe ki a rātou mō ētahi atu mate hauora kei a koe (mate huka, mate huango, mate tākihi).
- Mate pāwera: Mena he mate pāwera koe ki ngā matū e whakamahia ana i roto i ētahi whakamātautau (tae rerekē, aiōtine rānei), tena koa whakamōhio mai ki a mātou.
- Nohopuku: Ka tonoa koe kia kaua e kai, e inu rānei (nohopuku) mō ētahi haora i mua i te pokanga.
He mea tino nui kia tino whai koe i ngā tohutohu a tō tākuta.
He aha ngā mea ka tupu i te wā o te pokanga?
He torutoru hāora te roa o tēnei pokanga. I te nuinga o te wā, ka tapahia he wahi iti i te taha o tō wheua kaki, ā, ka tukuna ngā taura ICD mā roto i tētahi oko toto ki roto i tō ngākau. Ka kiia tēnei he huarahi whakawhiti-uaua.
Anei tētahi whakamārama ngāwari, taahiraa-i-te-taahiraa, mō te whakahaerenga o te pokanga:
1. Tuatahi, ka whakamoea katoatia tō tinana ('whakamoea whānui') ki te kore, ko te wāhi anake e mahia ai te pokanga ka whakangāwaritia ('whakamoea ā-rohe').
2. Kātahi ka tapahia e te tākuta he kiri iti e tata ana ki te whitiki.
3. Mā roto i tēnā, ka tomohia he uaua toto nui, pērā i te uaua subclavian, ā, ka arahina marietia ngā waea ki ngā rūma tika o te ngākau.
4. Inaianei ka whakanohoia te taputapu ICD (te wāhanga iti rite ki te pouaka) ki tētahi wāhi iti i hangaia i raro i te tapahi kiri.
5. Kātahi ka honoa ngā waea e tukuna ana ki te ngākau ki te ICD.
6. Kia oti katoa ēnei mea, tirohia mēnā kei te mahi tika te taputapu me ngā waea.
7. Ki te pai ngā mea katoa, ka tuia te tapahi o te kiri kia katia.
He aha ngā painga me ngā mōrearea o tēnei?
Ko te painga matua
Ko te painga nui rawa atu, ko te painga anake hoki o tēnei, ko te kaha ki te whakaora oranga .
He whakarāpopototanga noa iho, ka taea e tēnei taputapu iti te ārai i te mate ohorere mai i te manawataki morearea o te ngakau. Ka taea hoki e ia te tuhi i ngā mōhiohio e pā ana ki te mahi a tō ngakau, ā, ka āwhina i tō tākuta ki te whakatau maimoatanga.
Ngā tūponotanga me ngā raruraru
Pērā i ngā pokanga katoa, kei reira ētahi mōrearea, engari he onge noa iho ēnei.
| Mōrearea/Uauatanga | Whakaahuatanga |
|---|---|
| Te toto, te maru rānei | Ka puta pea i te wāhi i pokangahia ai. |
| Ngā mate urutā | Te pangia o te tapahi, te pangia rānei o te taputapu. |
| Ngā raruraru pūkahukahu (Pneumothorax) | He iti noa te mōrearea o te pakaru o te pukahukahu i te wā e pokanga ana. |
| Te nekehanga o te taputapu, te waea rānei | Te āheinga o te nekehanga o te taputapu, te waea rānei kua tāutahia mai i tōna wāhi i whakaritea. |
| Ngā ru hiko kāore i te tika | Ka tukuna te ohorere hei urupare ki tētahi atu manawataki o te ngakau kāore e morearea ki te ora. |
Ngā mea hei whakaaroaro māu i te wā e noho tahi ana me te ICD
I muri i te whakaurunga o tētahi ICD, ka taea e koe te noho i tō oranga noa. Engari he iti noa ngā mea hei mōhio māu.
He aha te āhua o te ohorere mai i te ICD?
Ka rerekē te kaha o te ru hiko. Tērā pea ka rite te ru iti-pūngao ki te oho ngawari ki te uma. Tērā pea ka rite te ru nui-pūngao ki te whiunga poto ki te uma.
I te nuinga o te wā, mā te kotahi ru ka hoki mai te manawataki o te ngākau. Engari ki te pāngia koe e te ru, me kōrero koe ki tō tākuta.
Me noho tawhiti atu i ēnei mea.
Ka taea e ngā papa aukume kaha me ētahi taputapu hangarau te whakararuraru i te mahi a te ICD, nō reira kia tūpato ki ēnei mea.
| Ngā mea hei karo, hei tūpato rānei | Whakamārama |
|---|---|
| Ngā papa aukume kaha | Ngā mīhini MRI, ngā aukume nui hei hiki i ngā waka, ngā kaikorero reo irirangi kaha, me ētahi atu. Me tino kī atu ki a rātou kei a koe he ICD i mua i te matawai MRI. |
| Waea Pūkoro | Kia 6 inihi te tawhiti o tō waea mai i te wāhi i whakatōkia ai te ICD. Kaua e waiho ki roto i te pōke o tō hāte i tērā taha. |
| Ngā pūnaha haumarutanga | Kaua e roa rawa te noho ki te taha o ngā pūnaha ārai-tahae i roto i ngā toa, i ngā taputapu kite whakarewa rānei i ngā taunga rererangi. Kia tere te tirotiro i aua pūnaha. |
| Ētahi atu taputapu | Kaua e whakatata atu ki ngā taputapu whakarewa pewa, ki ngā taiapa hiko, me ngā taura peke pākahiko o te waka. |
Ko te mea nui: Me mau tonu he kāri i roto i tō pēke e kī ana kei a koe he ICD. He mea tino nui tēnei i roto i tētahi āhuatanga ohorere.
Āhea koe me kōrero ki te tākuta?
I ētahi wā, me rapu tohutohu hauora tonu koe.
- Ngā tohu o te mate pāwera: Mena he toto, he pūhā rānei e maringi ana i te wāhi i pokaina, mena he whero, he pupuhi te wāhi, mena he kirika, he makariri rānei koe, mena kei te kino haere te mamae, me whakamōhio atu ki tō tākuta.
- Ru: Ki te pāngia koe e ngā ru maha i roto i te wā poto, tera pea he āhuatanga ohorere. Haere tonu ki te Tari Urutā (ETU) o te hōhipera.
Kia pēhea te roa o te ora o te pākahiko ICD?
E whitu tau te roa o te pākahiko i roto i te ICD. Heoi, ka rerekē pea tēnei i runga i te maha o ngā ru e pā ana ki a koe. Ka tirohia e tō tākuta tō ICD i ia 3-6 marama hei tirotiro i te āhua o te pākahiko. Nō reira, he mea tino nui kia haere koe ki te whare hauora i te wā tika.
Karere Tangohia ki te Kāinga
- He taputapu iti te ICD, he taputapu whakaora ora e whakahaere ana i ngā manawataki ngakau morearea, e ārai ana hoki i te matenga ohorere.
- Ahakoa he haumaru te nuinga o tēnei pokanga, kia maumahara, pērā i ngā pokanga katoa, he tūponotanga anō kei reira.
- I te wā e noho tahi ana me te ICD, he mea tino nui kia matara atu i ngā papa aukume kaha me ētahi taputapu hiko.
- Me mau tonu he tuakiri e whakaatu ana kei a koe he ICD.
- Mena ka pāngia koe e te ohorere mai i te ICD, ki te puta rānei he tohu o te mate i te wāhi i pokangahia, me whakamōhio tonu atu ki tō tākuta.
- He mea whakahau kia haere ki ngā wāhi hauora i ngā wā kua whakaritea, kia tirohia hoki te ICD.
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