Kei te tino ngenge koe, kei te poto hoki te manawa ahakoa he poto noa te tawhiti e hikoi ana koe? He mea noa te puta o ēnei tohu ina ngoikore rawa te mahi a te ngākau, arā, i roto i te ngoikore nui o te ngākau. Ka ngaro te kaha o te ngākau e hiahiatia ana hei pupuhi i te toto puta noa i te tinana. Nō reira, i ngā wā pēnei, me ngā whanaketanga whakamiharo o te pūtaiao hauora, kei reira tētahi taputapu motuhake hei āwhina i tō ngākau. Ka kōrerohia e tātou i tēnei rā. Ko tētahi taputapu e kiia nei ko te LVAD (Left Ventricular Assist Device).
He kupu ngāwari, he aha tēnei LVAD?
He papu miihini te LVAD ka whakauruhia mā te pokanga ki roto i te tinana o ngā tūroro e pāngia ana e te ngoikore o te ngākau i te wāhanga whakamutunga. Arā, he rite ki te 'āwhina' e āwhina ana i tō ngākau.
E whā ngā rūma matua o tō tātou ngākau. Ko te mea kei raro i te taha maui ko te Ventricle Mauī . Koinei te mea e mahi ana i te mahi matua o te pupuhi toto whai hāora ki te tinana katoa. Nō reira, i roto i te mate ngākau, ka ngoikore tēnei ventricle maui. Ko tā te LVAD he āwhina i taua ventricle maui ngoikore. Koia i huaina ai ko te Pūrere Āwhina Ventricular Mauī.
Ka tāpirihia tēnei papu ki te wāhanga o raro o te ngākau, ka tangohia te toto mai i reira, ka tukuna mā roto i tētahi ngongo ki te aorta . Ko te aorta te oko toto nui rawa atu o tō tātou tinana. Mai i reira, ka tohatohahia te toto whai hāora puta noa i te tinana. Nō reira, ka āwhina te LVAD ki te mahi i tēnei mahi nui.
Ko te mea nui, ehara te LVAD i te ngākau hangai. Ehara i te mea ka tangohia, ka whakatōkia mai i tō ngākau. Engari, he taputapu e mahi tahi ana me tō ngākau ake, e tautoko ana i a ia.
He aha ngā wāhanga matua o te LVAD?
He maha ngā wāhanga matua o te pūnaha LVAD. Ka mahi tahi ēnei wāhanga katoa kia pai ai te mahi a tēnei taputapu whakamiharo. Me titiro tātou ki aua wāhanga.
| Wāhanga o te taputapu | He whakamārama māmā |
|---|---|
| Papu | Koinei te wāhanga matua. Ka whakatōngia tēnei papu ki roto i te uma mā te pokanga, ā, koinei te mea e tango ana i te toto mai i te ventricle maui o te ngākau ka panaia ki roto i te aorta. |
| Raina taraiwa | He taura motuhake tēnei. Ka puta mai i te papu i roto i te tinana, ka puta mā te kiri i te puku, ka hono atu ki te kaiwhakahaere i waho. He mea tino nui kia tiakina pai, kia ma hoki. |
| Kaiwhakahaere | He rite tēnei ki tētahi rorohiko iti. He taputapu kei waho o te tinana. Ka whakahaere i te mahi a te papu, ka whakarerekē i tōna tere, ā, ka tuku whakaoho mēnā he raruraru. |
| Pūtake Hiko | Me whakamahi te hiko i te LVAD hei whakahaere. Ka whakamahia he pākahiko ka taea te whakahou. Ka taea e ēnei pākahiko te whakarato hiko mō te 14 hāora pea. Ina iti te utu o te pākahiko, me whakakapi ki tētahi pākahiko hou. Ka taea hoki te mono tika ki tētahi putanga hiko i te kāinga. |
Ko wai e hiahia ana ki tēnei LVAD?
E rua ngā āhuatanga matua e whakamahia ana te LVAD. Ka āta tirohia tō āhua e tō tākuta, ā, ka whakatau ko tēhea te tikanga pai mōu.
1. Hei piriti ki te whakawhitinga ngākau (Bridge to Transplant - BTT)
Me whakawhiti ngākau ētahi tūroro. Engari me tatari rātou mō tētahi wā kia wātea mai he kaituku ngākau e rite ana. I tēnei wā, ka kino pea te āhua o te tūroro. Tērā pea ka pakaru hoki ētahi atu okana, pērā i ngā whatukuhu me te ate.
I ēnei āhuatanga, ka mahi te LVAD hei "piriti" hei pupuri i te hauora me te kaha o te tūroro kia tae rā anō ki te wā e wātea ana he ngākau . Ka whakapai ake tēnei i te kounga o te oranga o te tūroro, ka whakaiti i ngā tohu, ā, ka hoatu he kaha ki a rātou kia angitu ai te pokanga whakawhitinga ngākau. Ka tangohia te taputapu LVAD i te wā o te whakawhitinga ngākau.
2. Hei huarahi whakamutunga (Whakaora Haerenga - DT)
Kāore ētahi tūroro e āhei ki te whakawhiti ngākau nā te pakeketanga, nā ētahi atu raruraru hauora rānei. Mena ka mau tonu te kaha o te mahi a ō rātou ngākau ahakoa ngā maimoatanga katoa, tae atu ki ngā rongoā me ngā huringa āhua noho, me tautoko pea rātou mō te wā katoa.Kei te whakatōngia he LVAD.
Ko te Whakaora Wāhi tēnei e kiia nei ko te Whakaora Wāhi. I konei, ka tautoko te LVAD i te ngākau mō te toenga o te oranga o te tūroro, ka taea ai e rātou te ora i tētahi oranga pai ake, kaha ake hoki.
Me pēhea te whakarite i mua i te pokanga LVAD?
Kāore te whakatau ki te whakauru i tētahi LVAD e mahia i roto i te pō kotahi. Ka tirotirohia koe e tētahi rōpū tākuta. Mō tēnei, ka whakahaerehia ētahi whakamātautau, tae atu ki:
- ECG (Electrocardiogram): Hei tirotiro i te ngohe hiko o te ngākau.
- X-ray o te uma: Hei tiro i te āhua o te ngākau me ngā pukahukahu.
- Ngā whakamātautau toto: Hei ine i te hauora whānui o te tinana, te mahi a ngā whatukuhu me te ate.
- Echocardiogram: He matawai hei tirotiro i te mahi a ngā rūma me ngā takirere o te ngākau, me te pēhea hoki e pupuhi ai te toto.
- Whakamātautau ahotea pākia o te tinana: Hei tirotiro i te urupare a te ngākau ki te whakakori tinana.
- Te whakaurunga o te catheter ki te ngākau: Hei tirotiro mō ngā aukati me te pēhanga i roto i ngā oko toto o te ngākau.
Waihoki, kei reira ētahi āhuatanga hauora e kore ai e tika te whakauru i te LVAD. Hei tauira:
- Ngā mate toto totoka
- Te ngoikore o te whatukuhu i te wāhanga whakamutunga
- Mate ate kino
- Te mate pūkahukahu kino
- Ngā mate kāore e taea te whakahaere ki ngā paturopi
Te āhua o te pokanga me te wā i muri mai
He pokanga ngākau tuwhera te whakaurunga LVAD. E 4 ki te 6 hāora te roa. Kei raro koe i te rongoā whakamoe, arā, kei te moe katoa koe, puta noa i te pokanga.
I muri i te pokanga, me noho koe ki te hōhipera mō te 2 ki te 3 wiki pea. I tēnei wā, ka akohia koe e ngā tākuta, ngā nēhi, me ngā tīma tohunga ki te noho me te taputapu LVAD.
- Te mahi a te taputapu
- Me pēhea te whakawhiti i te pākahiko
- Me pēhea te pupuri i te patunga kia ma i te wāhi e puta mai ai te raina taraiwa
- Me aha i roto i tētahi āhuatanga ohorere
Kia whakaūtia rā anō e koe tō kaha ki te mahi i ēnei mea katoa, kātahi anō koe ka whakaaetia kia hoki ki te kāinga.
Te ora me te LVAD
Ka rerekē te āhua o tō ao i muri i tō hokinga ki te kāinga, engari ka taea e koe te noho angitu me aua huringa.
- Kaukau: Kāore e taea e koe te kaukau, te kauhoe, te tuku rānei i te taputapu ki roto i te wai me te LVAD. Heoi, kei te wātea ngā taputapu motuhake hei āwhina i a koe ki te kaukau.
- Ngā Rongoā: Me tango e koe ngā rongoā ārai toto mō te toenga o tō oranga. He mea tino nui tēnei.
- Kai: He mea tino nui te whai i tētahi kai hauora.
- Whakangungu:Ka taea e koe te whai wāhi atu ki ngā kaupapa whakaora ngākau me te whai wāhi atu ki ngā mahi whakakori tinana e tika ana, e ai ki ngā tohutohu a tō tākuta.
- Te āhua noho hauora: Me mutu rawa te kai hikareti me te inu waipiro.
He aha ngā painga me ngā mōrearea o te LVAD?
Pērā i ngā pokanga katoa, he pai ngā painga o te whakaurunga LVAD, engari he mōrearea anō hoki.
Ngā painga matua
- He tino hekenga o ngā tohu pēnei i te poto o te manawa me te ngenge.
- Ka whakapai ake i te rere o te toto ki ētahi atu okana pēnei i ngā whatukuhu, te ate, me te roro.
- Te taea te puta i te hōhipera, te hoki ki te kāinga, me te noho tahi me te whānau.
- Te kaha ake ki te whakakorikori tinana me te whai wāhi atu ki ngā mahi o ia rā.
- I te nuinga o te wā, kua tino pai ake te paerewa o te oranga .
- Ka roa ake te roa o te oranga o te hunga e noho ana me te taputapu LVAD ki te whakaritea ki te hunga e whiwhi ana i te maimoatanga rongoā anake.
Ngā tūponotanga pea
He mōrearea kei ia pokanga. Ka kōrero tō tākuta ki a koe mō te whakaiti i ēnei mōrearea me ōna pānga ki a koe.
| Āhuatanga mōrearea | Whakaahuatanga |
|---|---|
| Mate pāwera | Ka pā mai pea ngā mate urutā, inā koa ko ngā wāhi e puta ai te raina taraiwa i te kiri. Nō reira, he mea nui kia tino ma taua wāhi. |
| Ngā Pukupuku Toto me te Whiu | Tērā pea ka puta he toto totoka i roto i te taputapu. Mēnā ka haere ēnei ki te roro, ka pā he whiu. Ka hoatu he rongoā ārai totoka hei ārai i tēnei. |
| Te toto | Nā te mea kei te tango koe i ngā rongoā whakaiti toto, ahakoa he whara iti noa iho, ka taea e koe te whakaheke toto nui. |
| Te ngoikore o te ngākau matau | Ina āwhina te LVAD i te taha maui o te ngākau, i ētahi wā kāore e taea e te taha matau te tu atu i te pēhanga. |
| Hapa Pūrere | Nā te mea he taputapu ā-ringa ēnei, he tino onge te puta o ngā hapa. Heoi, ka whakamōhio wawe te kaiwhakahaere i a koe mō ēnei mea. |
Āhea koe me toro atu ki te tākuta?
Kia pāngia koe e te LVAD, he mea nui kia piri tō hononga ki tō tīma hauora. Me tirotirohia koe ia wiki i te tuatahi, ā, i ia marama. Ki te pāngia koe e tētahi o ngā tohu e whai ake nei, me whakamōhio tonu atu ki tō tākuta, ki tō hōhipera rānei .
- Te kirika.
- Te whero, te pupuhi, te pupuhi rānei e turuturu ana i te wāhi e puta mai ai te raina puku i te kiri.
- Mamae o te uma, o te puku rānei.
- Te toto rerekē.
- Te pupuhi o ngā waewae me te tuara.
- Te uaua ki te manawa.
- Kua puta he raruraru ki tētahi wāhanga o te taputapu LVAD, he tohu rerekē rānei (whakaoho).
He whakatau whaiaro, he whakatau nui hoki te whakatau mēnā ka whiwhi koe i te LVAD. Kōrerohia ki tō tākuta me tō whānau mō tēnei mea. Pātaihia ō pātai katoa, ā, whakamāramahia ō feaa. Nā tēnei hangarau, e ora pai ake ana, e harikoa ake ana ngā mano tini o te hunga he mate ngākau kino nei.
Karere Tangohia ki te Kāinga
- Ehara te LVAD i te ngākau hangai. He papu āwhina ā-ringa e āwhina ana i tō ngākau ki te pupuhi toto i ngā wā e pāngia ana e te ngoikore nui o te ngākau.
- Ko te nuinga o te wā ka whakamahia tēnei hei "piriti" mō te hunga e tatari ana ki te whakawhitinga ngākau, hei "maimoatanga mō te wā katoa" rānei mō te hunga kāore e taea te whakawhitinga ngākau.
- Ahakoa kua tino pai ake te kounga o te oranga i muri i te pokanga LVAD, he mea nui kia tika te whakahaere i te taputapu, kia tangohia ngā rongoā, kia whai hoki i te oranga hauora.
- Mena ka pāngia koe e tētahi raruraru ki te taputapu, ki tō āhua hauora rānei, he mea tino nui kia whakamōhio wawe atu koe ki tō tīma hauora.
- He whakatau nui tēnei. Kōrerohia ki tō tākuta mō ngā painga me ngā mōrearea katoa, ā, me whakatau ko wai te mea pai mōu.
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