Ina rongo tātou i te kupu mate manawa, te aukati manawa rānei, he maha o tātou ka mataku tonu. Ko te mea e whai ake nei ka whakaarohia e tātou ko tētahi pokanga nui pērā i te pokanga whakawhiti. Mā te whakaaro ki te noho i te hōhipera mō ngā rā, te wā whakaora, me te mamae ka wiri tātou, kāore? Engari i mōhio koe nā te pūtaiao hauora matatau o ēnei rā, he maha ngā mate manawa ka taea te rongoā me te kore e tapahia nui, mā te whakauru i tētahi ngongo angiangi (catheter) mā roto i tētahi kōhao iti i te ringaringa , i te hope rānei? Ko taua tikanga hauora whakamiharo, tino haumaru hoki ko tā tātou e kī nei ko te Interventional Cardiology . I tēnei rā, ka kōrerohia e tātou tēnei mea kia tino māmā, kia mārama ai koe.
He aha te Interventional Cardiology?
Whakaarohia he paipa wai i roto i tō whare kua purua e te paru. Inaianei kei te puhoi rawa te rere o te wai. E rua ngā huarahi hei whakatika i tēnei. Ko tētahi ko te pakaru i te pakitara, te tango i te paipa, me te tāuta i tētahi paipa hou. He nui te mahi, he puehu, he haruru, he roa te wā, he utu nui hoki. Ko tētahi atu huarahi, me te kore e pakaru te pakitara, ka whakauruhia he taputapu angiangi rite ki te waea ki tētahi pito o te paipa, ka tangohia te paru kua purua, ka whakawātea i te ara. He tino māmā tēnei? Koinei te mea e tupu ana i roto i te Interventional Cardiology.
Ko te pokanga ngākau tuwhera tuku iho he pokanga nui e uru ana ki te pakaru o te pakitara. Ko te Cardiology Interventional he tikanga pokanga e uru ana ki te horoi i te ngākau ki tētahi taputapu ngawari me te kore e pakaru te pakitara.
Ko tētahi atu peka matatau tēnei o te ao hauora e kiia nei ko te Cardiology. I konei, ka whakamahia e ngā tākuta, arā, ko ngā Interventional Cardiologists , ngā ngongo tino angiangi, ngāwari e kiia nei ko ngā catheters hei tātaritanga me te rongoā i ngā mate maha o te ngākau me ngā oko toto. Kāore e hiahiatia he tapahi nui. Ka whakauruhia tēnei catheter ki roto i te tinana mā te ngira iti ka whakauruhia ki roto i te oko toto i te ringa, i te hope rānei. Nō reira, ka kiia hoki tēnei ko te maimoatanga "Minimally Invasive" .
He aha ngā painga o tēnei tikanga i runga i ngā pokanga ngākau nui?
He maha ngā painga o tēnei tikanga i tō te pokanga whakanui ū. He mea tino nui kia mōhio koe ki tēnei.
| Painga | Ko tōna tikanga... (He aha tōna tikanga...) |
|---|---|
| Ngā tapahi tino iti (Ngā tapahi iti ake) | Engari he tapahi nui, he wero ngira anake. Ka ora katoa tēnā i roto i ētahi rā. Kāore he take mō ngā tuitui. |
| He iti ake te mōrearea o te toto (He iti iho te mōrearea o te ngaronga toto) | Nā te mea kāore he motu nui, kāore e nui te toto e ngaro ana i te tinana. Nō reira, he tino onge hoki te hiahia mō ngā whakawhiti toto ki waho. |
| Kia ora wawe koe (Te wā whakaora tere ake) | Ka roa pea ngā wiki, tae noa ki ngā marama, kia hoki anō ai koe ki te āhua noa i muri i te pokanga nui. Engari mā tēnei tikanga, ka taea e koe te hoki anō ki ngā mahi o ia rā i roto i ētahi rā. |
| He poto te wā e noho ana i te hōhipera. (He poto ake ngā noho hōhipera) | I te nuinga o te wā, kotahi, e rua rānei ngā rā e noho ai koe ki te hōhipera i muri i tēnei momo maimoatanga, ā, tera pea ka taea e koe te hoki ki te kāinga i taua rā anō. |
He aha tonu te mahi a te Tākuta Matepukupuku?
Ko te whāinga matua o ēnei tākuta he whakarite kia pai te mahi a ngā oko toto o tō tinana, inā koa ko ērā e hono ana ki tō ngākau. Pērā i ngā pirihimana waka i te rori, ka kitea e rātou ngā ārai i roto i ngā oko toto, ka kitea te take, kātahi ka tangohia hei whakahoki mai i te rere o te toto.
Ko te mea nui, kāore ēnei tākuta e mahi pokanga ngākau tuwhera pērā i ngā tākuta pokanga manawa-tinana. Mā te catheter e mahi ā rātou mahi katoa.
Ko te maimoatanga tino noa ko te angioplasty me te stenting.
Koinei te maimoatanga tino noa i tēnei mara. He maimoatanga ohorere tēnei e mahia ana hei whakaora i ngā oranga, inā koa ka pā mai he mate manawa. Kia kite tātou me pēhea tēnei e puta ai.
1. Te tautuhi i te aukati: Tuatahi, ka whakahaerehia he whakamātautau hihi-X e kiia nei ko te angiogram hei tirotiro mēnā he aukati kei roto i tētahi o ngā uaua coronary e tuku toto ana ki tō ngākau.
2. Te whakauru i te catheter:Kātahi ka tukuna he catheter angiangi mā roto i tētahi uaua i roto i tō ringa, i tō hope rānei, ka uru ki roto i tētahi uaua toto i roto i tō ngākau. E kore rawa koe e rongo.
3. Angioplasty: He poihau iti kei te pito o te catheter. Ina tae te tākuta ki te wāhi kua āraia, ka pupuhihia te poihau. Kātahi ka piri te paparanga cholesterol kua āraia ki te pakitara o te uaua, ka huaki te ara kia rere anō te toto.
4. Te tāpiri i te stent hei pupuri i te ara kia tuwhera: Nā te mea ka taea te kati anō i te ara kua tuwhera me te poihau, ka whakanohoia he ngongo mata iti e kiia nei ko te stent ki te wāhi hei ārai. He rite tēnei ki te tautoko i tētahi kauhanga e tata ana ki te hinga. Mā tēnei stent ka noho tuwhera tonu te uaua toto.
Ka taea te mahi tonu i tēnei tikanga ki te tangata e pāngia ana e te mate manawa, hei whakaiti i te kino ki te manawa, hei whakaora hoki i ngā oranga.
He aha atu ngā whakamātautau me ngā maimoatanga e mahia ana me tēnei tikanga?
Haunga te angioplasty me te whakatakotoranga stent, e whakamahia ana tēnei tikanga mō ētahi atu āhuatanga. Anei ētahi o aua āhuatanga.
| Ingoa o te maimoatanga/whakamātautau | He aha te mea ka tupu ki tēnei? |
|---|---|
| Te Tātaritanga o te Ngākau | Koinei te whakamātautau tino taketake. Ka whakauruhia he catheter ki roto i ngā rūma o te ngākau me ngā oko toto hei ine i ngā mea pēnei i te pēhanga, te rere o te toto, me ngā taumata hāora. |
| Te tango i te toto i roto i te toto | I ētahi wā, ki te matotoru rawa te paparanga cholesterol, he uaua ki te whakakī ki te poihau. I taua wā, ka waruhia te paparanga ki tētahi taputapu iti rite ki te mata ka tukuna mā te catheter. |
| Te Katinga o te Koha o te Hepa o te Atrium (ASD) | Kāore e hiahiatia he ngongo uma mō te kōhao i roto i te ngākau i te whānautanga mai (mate ngākau whānau). Ka taea te whakauru i tētahi taputapu iti rite ki te "maru" mā roto i tētahi catheter hei kati i te kōhao. |
| Te Whakakapinga me te Whakatikatika i te Takirere Manawa | Ka whakamahia tēnei tikanga hei whakatika, hei whakakapi rānei i ngā takirere ngākau ina whaiti, ina turuturu rānei. He rongoā rongonui a TAVI/TAVR mō tēnei mate. |
| Te whakaheke toto | Mena ka mau te toto totoka ki roto i te oko toto, ka taea te whakamahi i te catheter hei haere ki te wāhi i puta ai te toto totoka ka werohia he rongoā hei whakarewa. |
I raro i ngā āhuatanga hea koe ka tukuna ai ki tētahi Tākuta Matepukupuku?
Ki te whakapae tō tākuta whānau, tō tākuta ngakau whānui rānei kei a koe tētahi raruraru o tō ngākau, o ō oko toto rānei, ka tukuna pea koe e rātou ki tētahi tākuta ngakau wawao kia kitea ai he aha te raruraru, kia rongoā rānei.
Ko tā rātou āwhina e hiahiatia ana i roto i ngā āhuatanga hauora e whai ake nei:
- Te Atherosclerosis: E ai ki tā tātou i kōrero ai i mua ake nei, ko te tikanga o tēnei ka nui haere te cholesterol i roto i ngā oko toto, ka whakawhāiti i te ara.
- Mate Puku o te Arorangi: Te aukati i ngā uaua e tuku toto ana ki te ngākau. Ka puta te mamae o te uma (angina).
- Mate Takirere Manawa: Kāore ngā takirere manawa e mahi tika ana.
- Ngā Mate o te Manawa Whānau: Ngā mate o te manawa e kitea ana i te whānautanga (pērā i ngā kōhao i te manawa).
- Mate o te uaua taha: Te aukati i ngā uaua e kawe ana i te toto ki ngā ringa me ngā waewae.
- Aneurysms: He pupuhi rite ki te poihau i roto i te oko toto.
- Ngā toto totoka: Ngā toto totoka.
Engari kia maumahara, kāore tēnei tikanga e pai mō ngā tūroro katoa. I runga i tō āhuatanga, ko te pokanga nui pea te otinga pai. Mā te tākuta e tirotiro i a koe e whakatau.
Waihoki, ki te pāngia koe e te mate manawa ohorere, ka tukuna pea koe ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera, ā, ka rongoatia pea koe e te Tākuta Mate Ngākau.
He aha ngā mea me tumanako atu koe ina haere koe ki te tākuta?
He mea noa te mataku me te manukanuka ina haere koe ki te kite i tētahi tohunga pēnei. Engari kaua e wehi.
Tuatahi, ka pātai te tākuta ki a koe mō ō tohu. Nōnahea i tīmata ai te mamae o te uma, he aha te āhua, ā, kia pēhea te roa o te mamae? Kātahi, ka pātai atu rātou mēnā he mate manawa tō tētahi o tō whānau.
Ko te mea nui ko te kōrero ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe.Ko te tikanga ehara i te mea ko te tango noa i ngā rongoā kua tohua e te rata, engari ko ngā rongoā whakamamae mamae, ngā huaora, me ngā rongoā tuku iho (rongoā Sinhala) e whakamahia ana e koe i te whare rongoā, ā, me kōrero katoa e koe. Ko te mea pai ko te tuhi i ngā mea katoa.
Kātahi ka tirohia koe e te tākuta. Ka mahia e ia ngā whakamātautau māmā pēnei i te whakarongo ki tō ngākau me te stethoscope me te ine i tō toto toto.
Mena me whakauru he catheter, he maimoatanga rānei, ka mahia i tētahi atu rā (ki te kore he āhuatanga ohorere). I mua i tēnā, ka whakamāramahia e tō tākuta te tikanga ki a koe, tae atu ki ngā painga me ngā mōrearea iti pea, me pēhea te whakarite mōna.
Karere Tangohia ki te Kāinga
- He tikanga matatau te Interventional Cardiology mō te rongoā i ngā mate manawa. Engari ko te pokanga nui o te manawa tuwhera, ka whakamahia he ngongo tino angiangi (catheter) hei utu mō te rongoā.
- Ko ngā painga o tēnei tikanga he iti ake te mamae, he tere ake te ora, he poto ake te noho hōhipera, ā, kāore he koha nui.
- He maha ngā āhuatanga ka taea te rongoā angitu mā tēnei tikanga, pērā i ngā mate manawa, ngā oko toto ārai, ngā raruraru takirere manawa, me ngā mate manawa whānau.
- Mena he mate manawa tōu, kōrero ki tō tākuta mēnā he tika tēnei maimoatanga māu. Kaua e wehi ki te pātai i ō pātai.
- Engari ko te mataku ina rongo koe mō te mate manawa, mā te mōhio ki ngā maimoatanga matatau e wātea ana i ēnei rā ka nui ake tō kaha hinengaro.
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