Kei a koe, kei tētahi rānei o tō whānau he taputapu whakatere manawa, he taputapu rānei mō te ngākau? Mena koinā, kua rongo pea koe i tētahi waea iti e rere ana mai i te taputapu ki te ngākau. Ko te tikanga ka whakatōkia ēnei mō te wā katoa. Heoi, i ētahi wā motuhake, me āta tangohia, me momotu rānei ēnei waea mai i te ngākau. Koinei te mea e kiia nei e mātou he 'tangohanga mata' i roto i te rongoā. He aha i mahia ai tēnei? He mea morearea? Ka kōrerohia e mātou tēnei i tēnei rā, i roto i tētahi huarahi e mārama ai koe.
Tuatahi, kia tirohia te tikanga o tēnei mea e kīia nei ko te 'arataki'.
Ina whakaarohia he 'ara', kaua e whakaarohia he ara pene! He rerekē rawa tēnei. He waea angiangi rawa tēnei kua takaihia ki te whakamarumaru motuhake. Ka rere mai i tō taputapu whakatere, i tō taputapu ICD (implantable cardioverter-defibrillator) rānei ki roto i tō ngākau.
Kei te mōhio koe, ka whakamahia ēnei taputapu hei rongoā i ngā hapa o te manawa o te ngakau, arā, ko te tere rawa o te manawa, te puhoi rawa, te koretake rawa rānei (arrhythmias). Nō reira, ina hē te manawa o te ngakau, ka haere tētahi tohu hiko iti mai i te taputapu i tēnei ara ki te ngakau. Ko taua tohu te mea ka hoki anō te manawa ki te pai. He rite ki te tahuri i te pouaka whakaata me te mana mamao.
Nā, he aha te 'Tangohanga Mata'?
I te whakarapopototanga, e pā ana tēnei ki te pokanga hei tango i tētahi, i ētahi rānei o ēnei waea 'ārahi' i roto i te ngākau.
Engari ehara tēnei i te mea ngāwari pērā i te āhua. Ko te take, i muri i te whakaurunga o tēnei waea ki roto i te ngākau, ka roa te wā, ka hangaia he kiko kiri angiangi e tō tātou tinana ki te taha. Mā tēnei kiko kiri ka piri pūmau te waea ki ngā oko toto me te pakitara o te ngākau. Nā tēnei ka kore e taea te tango noa. Mā te mahi pēnā ka kino pea ngā oko toto.
Nō reira, he mea nui ngā taputapu motuhake me te pūkenga o tētahi tohunga ngakau tino mātau ki te wawahi āta i tēnei kiko whara me te tuku i tēnei waea me te kore e kino ngā uaua toto.
Āe, he aha koe i hiahia ai kia tangohia ohoreretia ēnei waea?
He maha ngā take mō tēnei. Ko ētahi he āhuatanga ohorere, ko ētahi kua whakaritea i mua. Me titiro tātou ki ngā take matua.
| Take mō te tango | He whakamārama māmā |
|---|---|
| He mate i roto i te taputapu, i te waea rānei | Koinei te tino take, ā, ko te tino take nui tēnei. Ka horapa pea te mate i roto i te toto (bacteremia) ki te taputapu me te waea. I ētahi wā ka pangia hoki ngā takirere o te ngākau (infective endocarditis). I roto i ēnei āhuatanga, me tango te pūnaha katoa (te taputapu me te waea) hei whakahaere i te mate. |
| Te whati, te hapa rānei o te waea | I roto i te wā, ka pakaru pea te waea i roto, i waho rānei. Kātahi ka kore te tohu i tukuna mai i te taputapu e tae tika ki te ngākau. Nō reira, me tango te waea whati, kāore nei he painga. |
| Te nui rawa o te hanganga o te kiko whara (Poraka Putanga) | Ina matotoru rawa te pito o te waea, te wāhi e hono ana ki te ngākau, i te kiko whara, kāore e taea e te tohu hiko te haere mā roto i taua ārai ki te ngākau. Ka kiia tēnei he 'aukati putanga'. Mā tēnei ka kore e mahi tika te taputapu. |
| Ētahi atu raruraru | I ētahi wā, ka puta he manawataki koretake o te ngākau i te waea tonu. Waihoki, ka puta he toto totoka huri noa i te waea, ka aukati i te rere o te toto. |
| Whakahokia mai e te kaihanga | He tino onge te wā ka whakahokia mai e te kaihanga tētahi momo waea nā te mea he hapa. Ahakoa tērā, me tango tonu. |
Me pēhea te mahi tika i tēnei pokanga?
E rua ngā huarahi matua hei mahi i tēnei pokanga. Ko te tikanga tino noa ko te whakamahi i te uaua subclavian, kei raro i te wheua kara (clavicle). Ki te kore e taea, ka taea hoki te mahi mā te uaua i te hope (uaua femoral).
Anei tētahi whakamārama ngāwari, taahiraa-i-te-taahiraa, mō ngā mea ka tupu i te wā o te pokanga:
1. Whakamoemiti: Tuatahi, ka tukuna koe ki raro i te whakamoemiti whānui. Ko te tikanga o tēnei, kāore koe e rongo i tetahi mea tae noa ki te mutunga o te pokanga, ā, ka moe koe.
2. Te whakaurunga o tētahi ngongo motuhake:Kātahi ka whakaurua e te tākuta tētahi ngongo motuhake e kiia nei ko te 'sheath' mā roto i tētahi o ō uaua toto, ka ārahi i taua ngongo ki te 'leather' i roto i tō ngākau.
3. Te hipoki i te waea: Muri iho, ka hipokina katoatia te waea tawhito ki tēnei 'hipoki', he rite tonu ki te hipoki i te taupoki o te pene ki te taupoki.
4. Te whakamahi i ngā hihi-X ora: Ka mahia katoatia ēnei mea mā te whakamahi i ngā whakaahua hihi-X ora (fluoroscopy). Kia mārama ai te kite a te tākuta i ngā mea e tupu ana i roto i te tinana.
5. Te whakangaromanga o ngā kiko whara: Mā te whakamahi i ngā taputapu motuhake i te pito o te 'pūkahukahu', ka pakaru haere te kiko whara e karapoti ana i te waea, ka wetekina te waea. I ētahi wā, ka whakamahia ngā hihi laser mō tēnei. Ka mimiti te kaha laser i te kiko whara, ka tangohia.
6. Te tango i te waea: Kia kore rawa he kiko whara i te waea, ka ata tangohia mai i te tinana me te 'hipoki'.
7. Te katinga o te patunga: Hei whakamutunga, ka katinga te tapahi ki ngā tuitui, ā, ka hipokina ki te takai.
Ka whakahokia mai e koe ētahi waea hou?
Kei te take i tangohia ai te waea te āhua o tēnei. Me kī he mate te take. Mēnā koinā, me tino ora te mate i te tuatahi . Tērā pea ka hiahiatia he rongoā paturopi mō ētahi rā, wiki rānei. Kia ora rā anō te mate, ka tāutahia he taputapu hou me he waea. Heoi, ki te mea he waea whati te take, ka taea te tāuta i tētahi mea hou i te wā kotahi e pokangahia ana hei tango i te mea tawhito.
He aha ngā painga me ngā mōrearea pea o tēnei pokanga?
Pērā i ngā tikanga hauora katoa, he painga, he mōrearea hoki. Ka taea te whakaiti i ngā mōrearea ina whakahaerehia tēnei pokanga e tētahi tīma hauora mātau.
| Ngā painga matua | |
|---|---|
| ✅ | Mena he mate pāwera, ka taea te whakaora rawa. |
| ✅ | Te whakaora i te whai huatanga o tētahi taputapu mā te whakakapi i tētahi waea whati, kore mahi rānei, ki tētahi waea hou e mahi pai ana. |
| ✅ | Te whakatau i ngā raruraru pēnei i te koretake o te manawa o te ngakau me ngā toto totoka i puta mai i te waea. |
Ko te mea nui ko te whiriwhiri i tētahi tohunga ngakau me te hōhipera kua whakangungua pai, kua mātau hoki, he mahi pokanga uaua tēnei.
| Ngā tūponotanga pea (tino onge) | |
|---|---|
| ⚠️ | Te pakaru o te oko toto, o te pakitara rānei o te ngākau, me te toto nui rawa. |
| ⚠️ | Ina tangohia, ka whati te waea, ā, ka toe mai tētahi wahi iti ki roto i te tinana. |
| ⚠️ | Te toto e kopikopiko ana huri noa i te ngākau. |
| ⚠️ | Ngā raruraru e pā ana ki te anesthesia. |
Me noho tonu ahau ki te hōhipera i muri i te pokanga?
Āe, me noho koe ki te hōhipera mō te rā kotahi, e rua rānei. Tērā pea ka roa ake. I roto i taua wā:
- Okiokinga: Me takoto koe ki te moenga me te okioki mō ētahi haora, ina koa mēnā i mahia te pokanga mā te hope.
- Te whakahaere i ngā paturopi: Mena i mahia te pokanga nā te mate urutā, ka haere tonu te hoatutanga o ngā paturopi ki roto i te uaua.
- Ngā hihi-X: Ka mahia he hihi-X o te uma i te ata i muri mai hei tirotiro mēnā kei te tūranga tika ngā waea hou.
I muri i te hokinga ki te kāinga, he aha ngā wā e hiahia ana koe ki te kōrero ki te tākuta?
He mea tino nui kia aroturukihia ngā huringa o tō tinana ahakoa kua hoki koe ki te kāinga. Mēnā ka pāngia koe e tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu , haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera.
- Mena he uaua ki te manawa.
- Ki te pāngia koe e te kirika (neke atu i te 101°F) .
- Mena he pupuhi, he toto nui rawa, he wai rite ki te pulu rānei e maringi ana i te wāhi i pokanga ai.
- Mena ka kite koe i te pupuhi rerekē i roto i ō maihao, i ō matimati rānei.
Kaua e warewarehia ēnei tohu. Mā te maimoatanga wawe ka ārai i ngā raruraru nui.
Karere Tangohia ki te Kāinga
- Ko te tango mata he pokanga motuhake e tango ana i ngā waea o ngā taputapu whakatere, o ngā taputapu ICD rānei mai i te ngākau.
- Ko te tino take o tēnei ko te pangia o te taputapu, o te waea rānei. Hei tāpiri, ka whati pea te waea, ka hē rānei te mahi.
- He pokanga uaua tēnei me tino tupato te mahi a te tākuta mātau, nā te mea ka puta he kiko koha huri noa i te waea i roto i te wā.
- He mea tino nui kia mōhio ki ngā tohu whakatūpato (te kirika, te uaua ki te manawa, te pupuhi) ka puta i muri i te pokanga, ā, me rapu tohutohu hauora tonu mēnā ka puta tēnei āhuatanga.
- Mena he āwangawanga, he wehi rānei āu mō tēnei mea, kōrerotia whānuitia ki tō tākuta ngakau. Mā rātou e whakamārama ngā mea katoa ki a koe.
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