Kua whakauruhia he taputapu whakatere manawa, he taputapu whakapūmau manawa rānei (ICD) ki a koe, ki tētahi atu rānei e mōhio ana koe? Mēnā koinā, kua rongo pea koe mō ngā waea, e mōhiotia ana ko ngā 'leads'. I ētahi wā, ki te mea he raruraru kei tēnei leads, me tango ma te pokanga. Koinei te ingoa e kīia ana e ngā tākuta ko te 'tangohanga lead'. He mea whakamataku pea te rongo i tēnei ingoa. Engari kaua e manukanuka, ka kōrerohia e tātou i tēnei rā, he māmā noa iho, he mārama hoki.
Kia titiro tuatahi tātou, he aha te 'Lead'?
He whakarāpopototanga noa iho, he waea motuhake, he mea whakamahana te taura e kawe ana i ngā tohu hiko mai i tō taputapu whakatere, i tō taputapu ICD (Implantable Cardioverter-Defibrillator) rānei ki tō ngākau. He rite ki te waea e kawe ana i te iahiko ki te rama i roto i tō mātou whare.
Ina koretake te rere o te manawa o tō ngākau (Arrhythmia), ko tēnei taura te mea e mōhio ana ki a ia, ā, ka tukuna te tohu hiko tika ki te ngākau hei āwhina i te whakahoki mai i te manawa. I te nuinga o te wā, ka taea te kotahi, te rua, te toru rānei o aua taura, i runga i te taputapu kua tāutahia ki roto i te uma o te tangata. Ka honoa ēnei ki te taha matau o te ngākau mā te taha o te uaua toto (uaua).
He aha te take e tika ai kia tangohia tēnei arai?
He maha ngā take mō te tango i te taura. Engari ko te nuinga o te wā ko te mate te take matua. Whakaarohia, ki te uru he iroriki ki roto i te toto (Bacteremia), ka taea e taua mate te haere i roto i tēnei taura, ā, ka pangia hoki ngā takirere o te ngākau (Infective Endocarditis). I roto i tēnei āhuatanga, me tango te taputapu me te taura.
Ko te mea nui, he tino morearea te waiho noa i tētahi mate pēnei kia kore e rongoatia. Nō reira, ki te tohutohu te tākuta, he mea nui kia tangohia atu ēnei.
Haunga ngā mate urutā, me tango pea te mata mō ētahi atu take.
| Take | He whakamārama māmā |
|---|---|
| Pakaru, hapa rānei o te arai | Ngā mea pēnei i te whati, te pakaru, te whakahokinga mai rānei e te kaihanga, i roto, i waho rānei i te taura. |
| Ngā aukati i puta mai i te kiko whara | I roto i te wā, ka nui te kiko whara e hangai ana ki te pito o te taura. Kātahi ka kore te tohu hiko mai i te taputapu e haere tika ki te ngākau. Ka kiia tēnei he aukati putanga . |
| Te aukati i ngā oko toto | Tērā pea ka puta he toto totoka, he kiko koha rānei huri noa i te mata, ka aukati i te rere o te toto i roto. |
| Te arrhythmia i puta mai i te arai tonu | I ētahi wā onge, ka taea e te mata arahi te whakararuraru i te manawataki o te ngākau, ā, ka puta he pakūnga o te ngākau kāore i te tika. |
Me pēhea te whakahaere i tēnei tikanga?
He mahi uaua tēnei, ā, me mahi e te tākuta tino mātau. Nā te mea i muri i tētahi wā, ka piri pūmau te mata ki te uaua toto nā te kiko whara e hanga ana i tōna taha. Nō reira, me tango mā te whakamahi i ngā taputapu motuhake kia kore ai e pakaru te uaua toto.
Ka mahia tēnei pokanga i raro i te mate whakamoe whānui , arā, kāore koe e rongo i tetahi mea, ka moe tonu koe.
1. Ka tapahia e te tākuta tētahi tapahi iti i raro i te wheua kara (clavicle) i te rohe o te hope rānei (e tata ana ki te uaua femoral) ka tomo ki roto i te uaua toto.
2. Kātahi ka tukuna he ngongo motuhake (hipoki) mā roto i tēnei uaua toto ki te wāhi kei reira te mata.
3. Ka ārahi tika te tākuta i tēnei ngongo i te taha o te taura, me te titiro atu ki tētahi mata motuhake (fluoroscopy) pērā i te hihi-X.
4. Mā te whakamahi i ngā taputapu kei te pito o tēnei ngongo, ka pakaru haere te kiko whara e karapoti ana i te mata, ka wetekina te mata.
5. I ētahi wā ka whakamahia te hangarau taiaho hei whakarewa i tēnei kiko koha.
6. Kia wetekina rawatia te mata, ka ata tangohia, ka katia te tapahi, kātahi ka tāpirihia he takai.
Āhea ka tukuna he arahi hou?
Kei te take i tangohia ai te taura. Mena i tangohia nā te mate, me tatari koe kia ora rawa te mate. Kātahi ka tāutahia he taura hou me tētahi taputapu. Mō ētahi atu take, ka tāutahia pea he taura hou i te wā o te pokanga hei tango i te taura. Mā tō tākuta tēnei e whakamārama ki a koe.
He aha ngā painga me ngā mōrearea o tēnei pokanga?
Pērā i ngā pokanga katoa, he painga, he mōrearea anō hoki tō tēnei pokanga.
| ✅ Ngā Painga | ⚠️ Ngā Tūponotanga |
|---|---|
| Te kaha ki te whakaora i tētahi mate mēnā kei te pā mai. | Ngā raruraru nā te rongoā whakamārie. |
| Mā te whakakapi i tētahi taura pakaru, hē rānei ki tētahi taura hou ka pai ai te mahi a te pūrere. | Ka whati te mata ina tangohia. |
| Ka tangohia ngā ārai o ngā oko toto, ā, ka whakahokia mai te rere o te toto. | Te kino ki te oko toto, ki te ngākau rānei. |
| Te whakaora i ngā arrhythmias i puta mai i te mata. | Te toto nui rawa atu, me te hiahia kia whakawhiti toto. |
Kia pēhea te wā e tika ana kia kōrero koe ki te tākuta?
Ina hoki koe ki te kāinga i muri i te pokanga, he iti noa ngā mea me mōhio koe. Mena kei a koe ētahi o ngā tohu e whai ake nei, kaua e moumou taima, waea atu ki tō tākuta tonu atu.
- Mena he uaua ki a koe te manawa .
- Mena he kirika tōu neke atu i te 101 nekehanga Fahrenheit (101°F) .
- Te pupuhi i te wāhi i pokanga ai, me te putanga mai o te wai rerekē pērā i te toto, te pupuhi rānei.
- Te pupuhi o ngā maihao, o ngā matimati rānei.
Kia maumahara, ki te pā mai he āhuatanga ohorere, pērā i te uaua ki te manawa, te mamae nui rānei o te uma, haere tonu ki te Tari Ohorere tata (ETU) .
Karere Tangohia ki te Kāinga
- Ko te Tango Mata he tikanga pokanga e tango ana i ngā waea (ngā taura) o tētahi taputapu whakatere manawa, o tētahi taputapu ICD rānei.
- Ko te nuinga o te wā ka puta mai tēnei i ngā mate urutā, engari ka taea hoki te puta mai i te pakaru o te mata, i te hē rānei o te mahi a te pūhiko.
- He pokanga uaua tēnei, me mahi e te tākuta tino mātau, nō reira he mea nui kia rapu maimoatanga mai i te tākuta mātau kia puta ai ngā hua pai rawa atu.
- Whāia tonutia ngā tohutohu a te tākuta i muri i te pokanga.
- Mena he raruraru, he āwangawanga rānei āu, kaua e wehi ki te kōrero ki tō tākuta mō tēnei mea.
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