I ētahi wā ka tere rawa te pao o tō tātou ngākau, ka tere rawa rānei, tika? Ko tēnei momo pao o te ngākau kāore i te rite (arrhythmia) he tohu pea mō tētahi āhuatanga morearea. Nō reira, i tēnei rā kei te kōrero tātou mō tētahi taputapu hauora iti, engari he tino kaha, ka taea te āwhina i te whakaora i ngā oranga i roto i ēnei āhuatanga. Ka kiia tēnei he ICD, arā, ko te Implantable Cardioverter Defibrillator.
He aha rawa te ICD?
He whakarāpopototanga noa iho, he taputapu hauora te ICD e whakatōkia ana ki raro i te kiri o tō uma, mā te pokanga iti. E rua ngā wāhanga matua. Ko tētahi he pākahiko iti, pērā i te wati mutu. Ko tētahi he waea angiangi e haere ana mai i tēnei pākahiko ki ngā rūma o tō ngākau. Ka kiia hoki ēnei waea he "ara".
Ka aroturuki tonu tēnei taputapu pākahiko i tō tere me tō manawataki . Whakaarohia, ki te huri whakarere tō tere o te ngakau kia tino hē, ka taea e tēnei taputapu iti te tuku i te ru hiko e hiahiatia ana hei whakatika. Ka haria taua ru hiko ki te ngākau mā roto i ngā waea e kiia nei ko "ngā taura".
Ko te ICD te mea e whakamahia nuitia ana mō:
- Whakatikatika i te ngakau pākiki (arrhythmias). Hei tauira, ngā āhuatanga e tere rawa ai te ngakau (tachycardia) e puhoi rawa rānei (bradycardia).
- Ārai i te hopukanga ohorere o te ngakau.
- Kohia ngā raraunga mō te mahi a tō ngākau, ā, āwhina i tō tākuta ki te whakatau i ngā whakatau maimoatanga.
He aha te rerekētanga i waenga i te ICD me te Pacemaker?
He tokomaha te hunga e whakapoauau ana i ēnei taputapu e rua. He rerekētanga mārama kei waenganui i ngā mea e rua.
Mā te taputapu whakatere e pupuri te manawa kia tere tonu, kia auau hoki. Ko te tikanga kei te mahi tonu.
He taputapu te ICD e aroturuki ana i te manawataki o te ngākau, ā, ka wawao noa ina tika . Arā, ka tukuna he ohorere mena ka huri kino te manawataki o te ngākau.
Heoi, he mea nui kia maumahara ka taea hoki e ētahi ICD hou te mahi hei taputapu whakatere i te manawa. Mā tō tākuta e whakatau ko tēhea momo e tika ana māu.
Ko wai e hiahia ana ki tētahi taputapu ICD?
Tērā pea ka hiahiatia he taputapu ICD mō te hunga he uaua ki te whakahaere i ētahi āhuatanga manawataki o te ngakau mā te whakamahi i ētahi atu maimoatanga. Kei te ripanga i raro nei ētahi o ēnei āhuatanga.
| Āhuatanga Hauora | He whakamārama māmā |
|---|---|
| Te mate Brugada | He āhuatanga ira onge e hua ai he pāorooro ohorere, he mōrearea hoki. |
| Ko ētahi mate ngakau whānau | Ngā huringa o te manawataki i puta mai i ngā raruraru o te hanganga o te ngākau mai i te whānautanga mai anō. |
| Te ngakau nui rawa | Te matotoru rerekē o te uaua o te ngākau, ka uaua ai te pupuhi toto. |
| Te mate QT roa | He tere, he koretake te pā o te ngakau i puta mai i tētahi raruraru o te pūnaha hiko o te manawa. |
| Ko te hunga kua pāngia e te mate ngakau, te mate hopuhopu rānei i mua | Hei whakaiti i te mōrearea o te tūponotanga anō o taua āhuatanga. |
| Te arrhythmia ventricular / Te fibrillation ventricular | Ngā pāorooro o te ngakau kāore i te ōrite e tīmata ana i ngā rūma o raro o te ngākau, ā, ka mōrearea pea te ora. |
Me pēhea te mahi pokanga hei whakauru i tētahi taputapu ICD?
I te nuinga o te wā ka mahia tēnei pokanga i roto i te hōhipera. He maha ngā hāora e pau ana. Ka mahia e te taote ngakau, e te tohunga hiko rānei.
Te whakarite i mua i te pokanga
Ka hoatu e tō tākuta ēnei tohutohu ki a koe i mua i te pokanga:
- He torutoru hāora i mua i te pokangaTere (kaua e kai, kaua e inu i tetahi mea engari ko te wai anake).
- Ka whakahaerehia he whakamātautau toto, mimi, me te ECG hei tirotiro mēnā kei te pai tō āhua mō te pokanga.
- Mena he mate toto tōu, kei te tango rānei koe i ngā rongoā whakaiti toto, me kōrero ki tō tākuta .
- Me whakamōhio atu hoki mēnā he mate pāwera koe ki ngā mea pēnei i te tae rerekē, te iodine, ngā rongoā rānei.
- Mena kei a koe ētahi atu mate pēnei i te mate huango, te mate huka, te mate tākihi rānei, me whakamōhio atu hoki ki te tīma hauora.
I te wā o te pokanga
He tikanga tēnei e kiia nei ko te "transvenous approach". Ko te tikanga o tēnei ka tapahia he iti i te taha o te wheua kaki, ā, ka whakaurua ngā waea e kiia nei ko ngā "leads" mā roto i te uaua ki roto i te ngākau. I ētahi wā, me mahi pea he pokanga ngākau tuwhera.
Koinei ngā mahi e mahia ai te pokanga i te nuinga o te wā:
1. Ka hoatu he rongoā mā te "IV" hei whakamarie i a koe, hei whakamoe rānei i a koe kia moe ai.
2. Ka korekore te wāhi i tapahia.
3. Ka tapahia he wahi iti tata ki te wheua kaki, te uma, te puku rānei.
4. Ka whakaurua ngā waea ki roto i ngā rūma o te ngākau mā roto i tētahi uaua nui.
5. Ka whakatakotoria te pākahiko ICD ki roto i tētahi wāhi iti i hangaia i raro i te kiri.
6. Kua honoa ngā waea ki te ngākau me te ICD.
7. Tirohia mēnā kei te hono tika te taputapu me ngā waea, ā, kei te mahi tika hoki.
8. Ka tuia te tapahi kia katia.
9. Ka tirohia anō te pūnaha i mua i tō tukuna ki te wāhanga hōhipera.
I muri i te pokanga me te noho me te ICD
I muri i te pokanga, tera pea ka pāngia koe e te ngenge me te mamae i te wāhi i tapahia. Ka taea te whakahaere i tēnei mā te whakamahi i ngā rongoā whakamamae. Ka taea e te nuinga o te tangata te hoki ki te kāinga i te rā i muri i te pokanga.
He aha te āhua o te ohorere mai i te ICD?
He raruraru tēnei e pā ana ki te tini tāngata. Ka taea e te ICD te tuku i ngā ru iti-pūngao me ngā ru nui-pūngao.
- He rite te ahua o te wiri, te patopato rānei i te uma ki te ru iti-pūngao .
- Ka tukuna he ru kaha-nui i ngā wā tino kino. Tērā pea ka mamae paku mō tētahi wā poto. Tērā pea ka rite ki te whiunga o te uma.
I te nuinga o te wā, ka whakahokia mai te manawataki o te ngākau mā te ru kotahi. Heoi, ka pāngia pea ētahi tāngata e ētahi ru i roto i ngā haora 24. Mena ka pāngia koe e ētahi ru i roto i te wā poto (hei tauira, e toru, neke atu rānei), tera pea he āhuatanga ohorere e kiia nei ko te 'āwhā hiko'. Mena ka puta tēnei, me haere tonu koe ki te tari ohorere o te hōhipera tata (ETU). Tērā pea he tohu tēnei mō tētahi raruraru ngākau nui, he hapa rānei o te ICD.
Ngā mea hei whakaaroaro māu i te wā e noho tahi ana me te ICD
Mena kei a koe tētahi kāri tuakiri ICD, me mau tonu he kāri tuakiri kei roto i tō pēke e kīia ana.He āwhina nui tēnei ki ngā kaimahi hauora mēnā kāore e taea e koe te kōrero i roto i tētahi āhuatanga ohorere.
Me kōrero anō hoki e koe ki ngā kaimahi hauora katoa, tae atu ki ō tākuta, ō taote niho, me ngā tohunga hangarau e mahi ana i ngā whakamātautau pēnei i te MRI, he ICD tōu, nā te mea ka taea e ētahi taputapu te whakararuraru i te ICD.
Ngā mea ka taea te whakararuraru i te ICD
Tērā pea ka whakararuraru ētahi taputapu hangarau i te mahi a te ICD. Pātai atu ki tō tākuta mēnā me tūpato koe i te whakamahi i aua mea.
- Ngā pūnaha ārai tahae i roto i ngā toa
- Ētahi momo reo irirangi (reo irirangi CB, reo irirangi ham)
- Ngā taiapa hiko
- Ngā taringaoro
- Ngā rihi pākahiko waka, ngā taura taupua
- Ngā mīhini kei roto ngā aukume kaha
- Ngā taputapu kimi whakarewa i ngā wāhi pēnei i ngā taunga rererangi
- Ko ētahi whakamātautau hauora, pērā i te MRI
Āhea me waea atu ki tō tākuta tonu
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te pokanga, he tohu pea tēnei nō te mate urutā. Ki te puta tēnei, whakamōhio atu ki tō tākuta tonu.
| Ngā āhuatanga hei tirotiro māu | |
|---|---|
| Ngā tohu o te mate |
|
| Ētahi atu āhuatanga ohorere | |
Karere Tangohia ki te Kāinga
- He taputapu hauora tino nui te ICD e taea ai te whakaora i te oranga o te hunga e pāngia ana e ngā mate manawataki o te ngakau.
- He rerekē tēnei i te taputapu whakatere manawa. Ka whakahohe noa te ICD ina hiahiatia.
- Mena kei a koe tētahi ICD, me pupuri tonu tō kāri tuakiri.
- Me whakamōhio atu ki ngā kaimahi hauora katoa, tae atu ki tō tākuta me tō taote niho, mō tēnei.
- Kia tūpato ki ngā taputapu ka whakararuraru pea i te ICD, pērā i ngā aukume me ngā taputapu kite whakarewa.
- Ki te pāngia koe e ngā ohorere maha i roto i te wā poto, whakaarohia he āhuatanga ohorere tēnei, ā, haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
- Mena he āwangawanga, he ruarua rānei āu, kaua e wehi ki te kōrero ki tō tākuta mō tēnei mea.
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