Ngā mea katoa mō te Pokanga o te Mate Pukupuku Endocarditis

Whakaarohia kua pāngia koe e te kirika mō ētahi rā, kua tino ngenge koe, ā, kua kore ora... E whakaaro ana tātou he kirika huaketo pea tēnei. Engari i ētahi wā, kei muri i ēnei tohu, tera pea he kōrero nui atu te huna. Arā, he mate kino e pā ana ki te ngākau tonu. I tēnei rā, ka kōrero tātou mō tētahi mate kino, mōrearea hoki pērā i te 'Infective Endocarditis' me te wā e hiahiatia ana he pokanga. Ahakoa he kaupapa uaua tēnei, ka whakamāramahia e au ki a koe i roto i tētahi huarahi tino māmā, kia mārama ai koe.

He aha te Infective Endocarditis?

He ahua whakamataku te ahua o tēnei ingoa, kāore? Engari kia māmā noa iho. Ka rere ō tātou toto puta noa i ō tātou tinana mā roto i ō tātou uaua. I ētahi wā ka uru mai ngā iroriki pēnei i te huakita, te harore rānei ki roto i tēnei pūnaha toto. I te nuinga o te wā, ka whawhai te pūnaha ārai mate o tō tātou tinana ki a rātou, ka whakangaro hoki i a rātou.

Engari i ētahi wā, ka haere ēnei iroriki i roto i te toto, ka tae ki ngā takirere o te ngākau, ka piri, ka pakiaka, ka puta he mate nui. Koinei te mea e kiia nei e tātou ko te "Infective Endocarditis".

Whakaarohia ngā takirere o roto i ō tātou ngākau he kuaha. Me whakatuwhera, me kati tika kia rere ai te toto i te taha kotahi anake. He tino maeneene te takirere ngākau hauora, nō reira kāore e taea e ngā iroriki te piri ngāwari ki reira. Engari ki te ngoikore te takirere ngākau o te tangata mai i te whānautanga mai, ki te pakaru rānei i tētahi atu mate, he taratara tōna mata. Pērā i te pakitara tawhito. He nui ake te tūponotanga o aua wāhi taratara ki te hopu i ngā iroriki ki roto i te toto.

Ka taea e ngā iroriki te uru ki roto i ō tātou tinana i ngā wā o ngā mahi niho o ia rā, pērā i te tango niho, ngā mahi niho, me te endoscopy. Ahakoa ehara tēnei i te raruraru nui mō te tangata hauora, he mea morearea pea mō te tangata he raruraru ki te takirere ngākau.

He aha te pānga o tēnei āhuatanga ki tō hauora?

Kia mau te iroriki ki roto i te takirere o te ngākau, kāore e noho noa ki reira. Ka wehea, ka whakanuia, ka hanga koroni nui ngā iroriki. I roto i te rongoā, ka kiia ēnei puranga iroriki he otaota .

He tino morearea te mahi a ēnei '(ngā otaota)'.

1. Te kino ki ngā takirere: Ka tukuna e ēnei huakita ngā matū, he rite ki ngā whākōkī e whakamahia ana hei nakunaku i te kai. He tino kaha ēnei. Ka memeha haere, ka kai i te kiko ngawari o te takirere o te ngākau. Kātahi ka kore te takirere e kati tika, ko te tikanga ka tīmata te turuturu. Ka kiia tēnei ko te regurgitation takirere.

2. Te ngoikore o te ngākau: Ina turuturu te takirere, me kaha ake te mahi a te ngākau i te tikanga ki te pupuhi toto ki te tinana. He rite ki te pupuhi wai mai i te peere turuturu. Ina mahi koe i raro i tēnei kawenga tāpiri i roto i te wā, ka ngoikore te ngākau, ā, ka pāngia e te ngoikore o te ngākau.

3.Ka pakaru ngā toto toto, ka ārai: I ētahi wā, ka pakaru ngā wahi iti o ngā iroriki e kiia nei ko ngā tipu, ka haere puta noa i te tinana me te toto. Ka kiia tēnei wahi pakaru he embolus. He rite tēnei ki tētahi wahi pūkohu e pakaru ana i te awa, e mānu ana i roto i te wai. Ki te pakaru tēnei toto toto, ka piri ki roto i tētahi oko toto i roto i te roro, ka pāngia pea e te whiu. Ki te piri ki roto i tētahi uaua i roto i ngā pukahukahu, ka pāngia pea e tētahi āhuatanga morearea e kiia nei ko te pulmonary embolism. Waihoki, ka taea te ārai i tētahi oko toto e anga atu ana ki tētahi okana i roto i te puku, i te ringa, i te waewae rānei, ka kore ai e toto taua wāhanga (ischemia).

Me pēhea te rongoā? Me mahi pokanga?

Ko te maimoatanga e whakawhirinaki ana ki te momo iroriki e puta ai te mate me te kaha o te mate.

• Paturopi: Mena ka kitea wawe te mate, tera pea ka taea te whakaora katoa i te mate mā te werohanga noa i ngā paturopi kaha mā roto i te uaua mō ētahi wiki.
• Pokanga: Heoi, ki te mea he tipu kei runga i tō takirere ngākau, ki te mea kua tino pakaru te takirere, ki te mea rānei he takirere hangai tōu i whakatōkia i mua, kāore pea e ranea ngā paturopi anake. I roto i ēnei āhuatanga, me pokanga pea.

Kia pēhea te roa e tika ana kia oti te pokanga?

Ko te wā o te pokanga ka whakawhirinaki ki te kaha o tō mate. Tērā pea me pokanga ētahi tūroro i roto i ētahi rā i muri i te tātaritanga. He pokanga ohorere tēnei. Me titiro tātou ki te ripanga i raro nei kia kite ai āhea te pokanga ohorere e hiahiatia ana.

He wā anō kei te whakaroahia te pokanga?

Ae, i ētahi wā ka whakatau ngā tākuta ki te whakaroa i te pokanga mō tētahi wā poto. E rua ngā take matua mō tēnā.

1. Ngā raruraru e pā ana ki te roro: Mena kua whati tetahi wahi o te iroriki, ā, kua ārai i te oko toto i roto i te roro, ka puta he "whiu ischemic" he toto rānei ki roto i te roro, he "toto toto intracranial", he morearea te mahi pokanga nui o te ngakau i taua wā tonu. Nā te mea ka taea e ngā rongoā whakaiti toto e hoatu ana i te wā pokanga te whakanui ake i te toto i roto i te roro. Nō reira, ka mahia te pokanga i muri i te pumau o te roro.

2. Kāore te āhua i te tino kino: Ki te kore te mate e tino kino, ā, he iti te tūponotanga o ngā raruraru, ka hoatu tuatahitia e te tākuta he rongoā paturopi katoa ki a koe. Kātahi ka ngaro katoa te mate, ā, ka taea e koe te haere ki te pokanga me te tinana ma. Ka hoatu hoki he wā pai ki a koe ki te whakamahere i te pokanga.

Me pēhea te whakatau a ngā tākuta mēnā me pokanga ahau?

Ehara tēnei i te whakatau nā te tākuta kotahi anake. Ka huihui ngā tākuta ngakau me ngā taote ngakau, ā, ka whakatau i tēnei i runga i ngā aratohu o te ao. He maha ā rātou whakamātautau mō tēnā.

• Ngā whakamātautau toto: Kia kitea ai ko tēhea huakita, ko tēhea harore rānei te take o te mate.
• Te whakamātautau manawa o te ngākau:He matawai tēnei o te ngākau. Ka tirohia ngā takirere ngākau, ā, ka taea te kī tika mēnā he tipu kei roto, te rahi o aua takirere, me te nui o te kino kua pā ki ngā takirere. Ko te mea e mahia ana i runga i te uma ka kiia ko te transthoracic echocardiogram (TTE). I ētahi wā, kia pai ake ai te titiro, ka mahia he transesophageal echocardiogram (TEE) mā te waha.
• Matawai CT: Mā tēnei whakamātautau ka kitea mēnā kua pā mai ngā raruraru ki ētahi atu wāhanga o te tinana i te mate.

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

Ko te momo pokanga e mahia ana ka whakawhirinaki ki te āhua o te pakaru o tō takirere ngākau. Tērā pea ka mahia e te taote pokanga tētahi, ētahi rānei o ēnei e whai ake nei:

• Te tango i ngā matū kino: Ko te taahiraa tuatahi ko te horoi pai me te tango i ngā kiko pangia me ngā kiko mate katoa.
• Te whakatikatika i te takirere: Mena kāore i te tino kino te kino, ka ngana ki te whakatika i te takirere o nāianei.
• Te hanga anō i te takirere: I ētahi wā, ka tangohia tetahi wāhanga o te takirere, ka tangohia tetahi wahi o te kiriuhi e karapoti ana i te ngākau (pericardium) ka whakatōkia ki tōna wāhi hei hanga anō i te takirere.
• Whakakapinga takirere: Mena he kino rawa te pakaru o te takirere, ā, kāore e taea te whakatika, ka tangohia katoatia te takirere, ā, ka whakatōkia he takirere horihori ki tōna wāhi.

He aha ngā mea ka tupu i muri i te pokanga? He aha ngā tūponotanga?

Pērā i ngā pokanga nui katoa, he mōrearea kei tēnei pokanga. He mōrearea anō hoki pērā i te toto, te ngakau koretake (arrhythmia), te toto totoka, te pararutiki, me te pangia anō o te takirere hou kua whakatōkia. Engari, ki te mea kua whakatau te tākuta me pokanga koe, ko te tikanga he nui ake ngā painga o te pokanga i te korenga.

I muri i te pokanga, me noho koe ki te wāhanga tiaki nui (ICU) mō ētahi rā. Kātahi ka whakawhitia koe ki tētahi wāhanga noa. Me tango koe i ngā paturopi mā te uaua, mā te pire rānei mō ētahi wiki hei whakakore katoa i ngā iroriki e toe ana i roto i tō tinana. Me nui hoki tō okiokinga i muri i tō hokinga ki te kāinga. He mea noa te ngenge me te mamae. E hia pea ngā marama ka ora katoa.

Kia pēhea te wā me kite ahau i te tākuta i muri i te pokanga?

Me tino tiaki koe i tō tinana i muri i tō hokinga ki te kāinga. He mea nui kia mōhio wawe koe ki ngā raruraru katoa. Mena ka pāngia koe e tētahi o ngā tohu i raro nei, me whakapā atu koe ki tō tākuta tonu .