Ko tō ngākau tētahi o ngā okana tino whakamiharo o tō tātou tinana. Engari i ētahi wā, ka taea e tētahi iroriki iti e uru ana ki roto i tō tātou tinana te haere ki ngā takirere ngākau, ka puta he raruraru nui atu i tō whakaaro. I tēnei rā ka kōrero tātou mō tētahi mate kino, mōrearea hoki e kiia nei ko te 'Infective Endocarditis' me te take e hiahiatia ai he pokanga. Ahakoa he kaupapa uaua tēnei, me ngana tātou ki te mārama ngāwari.
He aha te Infective Endocarditis?
Koinei te mea ka tupu: I te nuinga o te wā, ina tangohia he niho, ina tirotirohia he niho, ina pokangahia rānei, ka uru mai ngā iroriki pēnei i te huakita, te harore rānei ki roto i ō tātou toto. I te nuinga o te wā, kāore e taea e ēnei iroriki te whakararu nui i ngā takirere o te ngākau hauora. He kaha tō rātou ki te ātete i te mate.
Heoi, ki te mea he ngoikore, he mate, he raruraru whānau rānei kei roto i ō takirere ngākau, ka piri pea ngā iroriki e uru ana ki te toto ki aua takirere, pērā i ngā purapura e pihi ana i te oneone momona, ka whai pakiaka ki reira, ka tīmata te whakanui. Koinei te mea e kiia nei e tātou ko te 'Infective Endocarditis'.
He aha te pānga o tēnei āhuatanga ki tō hauora?
Ki te kore e rongoatia, ka whakanuia ēnei iroriki ki runga i ngā takirere o te ngākau, ka hanga he mea e rite ana ki ngā tupu iroriki. I roto i te rongoā, ka kiia ēnei he tipu . He tupu iti noa iho ēnei e tupu ana i runga i ngā takirere.
Ka whakaputahia e ēnei iroriki ngā whākōkī e tīmata ana ki te whakangaro i te kiko hauora o te takirere ngākau. Ka puta tēnei:
- Te ngoikore o te takirere: Kāore pea te takirere e kati tika, ā, ka tīmata pea te toto ki te turuturu whakamuri (takirere turuturu).
- Te ngoikore o te ngākau: Ina kore e mahi tika ngā takirere, kāore e taea e te ngākau te pupuhi toto kia rite ki tōna tikanga. Ehara tēnei i te mate ngākau, engari he ngoikore haere o te ngākau.
- Te Embolism: Ko te mea tino morearea ko te pakaru o tētahi wāhanga iti o aua tipu ka haere tahi me te toto ka aukati i tētahi oko toto ki ētahi atu wāhi o te tinana. Ka kiia tēnei wāhanga whati he embolus . Ki te mau ki roto i tētahi oko toto i te roro, ka pā he whiu , ā, ki te mau ki roto i ngā pukahukahu, ka pā he mate morearea e kiia nei ko te pulmonary embolism .
Ngā tikanga maimoatanga me te hiahia mō te pokanga
Ko te maimoatanga mō tēnei mate e whakawhirinaki ana ki te momo iroriki e puta ai te mate me te kaha o te mate. Mēnā ka kitea wawe, ka taea te whakaora i te mate mā te whakamahi i ngā paturopi kaha mō ētahi wiki.
Heoi, ki te mea kua puta he tipu ki runga i ngā takirere, ki te mea kua pakaru ngā takirere, ki te mea rānei kua pangia tētahi takirere horihori kei a koe, he maha ngā wā ka hiahiatia he pokanga.
Ngā mea hei tumanako atu mā te pokanga:
- Te whakakore katoa i te mate kāore i te whakahaeretia.
- Te whakatika i ngā pakaru o ngā takirere, te tango rānei i te takirere pakaru me te tāuta i tētahi mea hou.
- Te ārai i ngā raruraru kino pērā i te pararutiki.
Āhea te wā e tika ai kia mahia te pokanga?
Ko te wā e tika ana mō te pokanga ka whakawhirinaki ki te kaha o tō mate. I ētahi wā me tere ake te mahi i te pokanga, i ētahi wā ka roa ake pea. Me titiro tātou ki aua āhuatanga.
| Te Wā o te Pokanga | |
|---|---|
| Ngā āhuatanga e hiahiatia ai he pokanga ohorere | |
| Take | Whakaahuatanga |
| Te ngoikore o te ngākau | Mena kāore e taea e te ngākau te pupuhi tika i te toto nā te kino o ngā takirere. |
| Ngā Huawhenua Nui | He nui te mōrearea o te pakaru o ēnei wahi, ā, ka puta he embolism. |
| Te kore e aro ki ngā paturopi | Mena kāore e taea te whakahaere i te mate ahakoa kua hoatu he paturopi. |
| Mate pāwera o te takirere prosthetic | Mena ka pangia tetahi takirere prosthetic o nāianei. |
| Te whēkau o te ngākau | Mena kua puta mai ngā mea pēnei i te whewhe i roto i te uaua o te ngākau i te mate. |
| Ngā Take Pokanga Whakaroa | |
| Ngā raruraru o te pūnaha io | Mena kua pāngia te tūroro e tētahi āhuatanga pēnei i te whiu, ka taea te whakaroa i te pokanga kia tau ra ano te āhua o te roro. |
| Mena ka taea te whakahaere i te mate | Mena kāore i te kino te mate, ā, he iti te mōrearea o ngā raruraru, ka taea te mahi pokanga i muri i te hoatutanga katoa o ngā paturopi, ā, kua ora te mate. |
Me pēhea taku mōhio mēnā he tika te pokanga mōku?
Ehara tēnei i te whakatau māu anake. Mā tō tākuta me tētahi rōpū tohunga ngakau tēnei whakatau ngātahi. Ka whakahaerehia e rātou ētahi whakamātautau.
- Ngā whakamātautau toto: Tāutuhia te momo huakita, harore rānei e puta ai te mate.
- Echocardiogram (TEE/TTE): He rite tēnei ki te matawai i te ngākau. Ka taea te tirotiro mō ngā mea maha, pērā i te rahi o ngā tipu i runga i ngā takirere, te kino o ngā takirere, me te mea kei te turuturu te toto.
- Ngā Matawai CT: Hei tirotiro mō ngā raruraru i roto i te roro, i ētahi atu okana rānei.
He aha ngā mea ka tupu i muri i te pokanga? Ā, he aha ngā mōrearea?
Me noho koe ki te wāhanga tiaki nui (ICU) mō ngā rā tuatahi i muri i te pokanga. Ka aroturukitia te mahi a tō ngākau. Me tango koe i ngā paturopi mā roto i te uaua, i te ahua pire rānei mō ētahi wiki tae noa ki te ngaro katoa o te mate. Me nui tō okiokinga i muri i tō hokinga ki te kāinga. He mea noa te ngenge me te mamae.
Pērā i ngā pokanga nui katoa, he tūponotanga anō kei reira. Kei roto i ēnei ko te toto nui rawa, te ngakau pākiki (arrhythmia), te toto totoka, te pararutiki , me te mate o te takirere hou kua whakatōkia. Engari kia maumahara, he nui ake ngā tūponotanga o te kore pokanga. Mā tō tākuta ēnei tūponotanga e whakamārama ki a koe.
Āhea te wā e kite ai i te tākuta i muri i te pokanga
He mea tino nui kia rapu tohutohu hauora tonu atu mēnā ka pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te hokinga ki te kāinga.
- Te mamae o te uma, te kare rānei e mākū ana te uma.
- He pūhā, he toto rerekē rānei mai i te patunga pokanga.
- Te whero, te pupuhi, te mahana rānei huri noa i te patunga.
- Mena kei te pāngia koe e te kirika, e te makariri rānei.
- Mena ka pōrearea koe i te manawa, ka tere rānei te pao o tō ngākau (palpitations).
Ehara te mate pāwera o te puku i te mate e tika ana kia māmā noa iho. Heoi, mā te maimoatanga tika i te wā tika, me te pokanga mēnā e tika ana, ka taea te whakaora i te tini o ngā oranga.
Karere Tangohia ki te Kāinga
- He mate kino te endocarditis pangia e puta mai ana i ngā huakita e uru ana ki ngā takirere o te ngākau. Me tere tonu te rongoā.
- Ahakoa ka taea te rongoā i te tīmatanga mā te whakamahi i ngā paturopi, he maha ngā wā ka hiahiatia te pokanga ina pakaru ngā takirere, ina puta rānei he otaota nunui.
- Ka taea e te pokanga te whakahaere i te mate urutā, te tiaki i te mahi a te ngākau, me te ārai i ngā raruraru nui pērā i te pararutiki.
- Ko te wā o te pokanga ka whakatauhia e te tīma hauora i runga i tō āhua hauora.
- He roa te wā e ora ai i muri i te pokanga. Me whai i ngā tohutohu a tō tākuta, ā, kia tūpato tonu ki ngā tohu whakatūpato. Kōrero ki tō tākuta mēnā he āwangawanga āu.
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