I ētahi wā ka ngoikore haere ō tātou ngākau, kāore? Pērā i te mīhini motuka kua mahi pai mō ngā tau, ka heke te mahi a te mīhini i roto i te wā. Ina koa ka tae ki te wāhanga whakamutunga o te ngoikore o te ngākau, ka waiho hei wero nui mā te ngākau ki te pupuhi toto ki te tinana katoa. I ēnei wā, kei te kōrero tātou mō tētahi taputapu miihini motuhake ka taea te āwhina i te ngākau ngoikore.
He kupu ngāwari, he aha tēnei LVAD?
Ko te tikanga whānui o LVAD ko te Pūrere Āwhina i te Puku Mauī. I te reo Sinhala, ko tōna tikanga he 'pūrere e āwhina ana i te puku mauī'. He papu miihini tēnei. Ka whakatōkia tēnei ki roto i te tinana o te hunga e pāngia ana e te ngoikore nui o te ngākau.
Ko te pūwero maui te ruma papu matua o tō tātou ngākau. Koinei te mea e tuku ana i te toto ma, he nui te hāora ki te tinana katoa mā te aorta. Ina ngoikore te ngākau, kāore tēnei mahi e mahi tika. Ka āwhina te LVAD i taua pūwero maui. Arā, ka tangohia te toto mai i te pūwero maui, ka papuhia, ka tukuna ki te aorta. He mea tino nui tēnei, nā te mea kāore e taea e ia pūtau o tō tātou tinana te ora me te kore he hāora.
He pēhea te mahi a tēnei taputapu? He aha ōna wāhanga?
Ka tāpirihia te taputapu LVAD ki te pito o raro o te ngākau, ā, ka whakatōkia ki roto i te uma. Ina whiwhi toto, ka tukuna mā te ngongo ki roto i te aorta. He maha ngā wāhanga matua o tēnei pūnaha katoa.
| Wāhanga o te taputapu | Mahi |
|---|---|
| Papu | Koinei te wāhanga matua. Koinei te mea kua whakatōkia ki roto i te ngākau. Ko tēnei papu te mahi o te pupuhi toto. |
| Raina taraiwa | He taura tēnei e ahu mai ana i te papu. Ka puta atu i te tinana mā te kiri o te puku, ka hono atu ki te kaiwhakahaere i waho. |
| Kaiwhakahaere | He rite tēnei ki tētahi rorohiko iti. Māna e whakahaere te mahi a te papu. Mēnā he raruraru, ka taea e tātou te mōhio mā roto i ngā tohu (ngā whakaoho) me ngā karere e tukuna ana. |
| Pūtake Hiko | E whakamahia ana ngā pākahiko ka taea te whakahou. Ka taea rānei te mono ki tētahi putanga hiko. Ka taea e ngā pākahiko te whakarato i te hiko mō te 14 hāora. |
He aha te momo tāngata e whakamahi ana i te LVAD?
E whakamahia ana tēnei mō te hunga kei ngā wāhanga whakamutunga o te ngoikore o te ngākau. E rua hoki ngā take matua mō tēnā.
1. Hei piriti ki te whakawhitinga ngākau (Bridge to Transplant - BTT)
Whakaarohia me whai whakawhitinga ngākau te tangata. Engari me tatari rātou kia wātea mai he ngākau hototahi. I tēnei wā, ka kino haere pea te āhua o te tūroro. Ka taea hoki te pakaru i ētahi atu okana, pērā i ngā whatukuhu me te ate.
I roto i ēnei āhuatanga, ka āwhina te LVAD ki te tiaki i te oranga o te tūroro, me te pupuri i te kounga pai o te oranga tae noa ki te wā e wātea ai he whakawhitinga ngākau . He rite ki te piriti. Kia wātea he ngākau mō te whakawhitinga ngākau, ka tangohia te taputapu LVAD i te wā o te pokanga.
2. Hei maimoatanga mō te wā katoa (Destination Therapy - DT)
Kāore e taea e ētahi tāngata te whakawhiti ngākau nā te pakeketanga, nā ētahi atu āhuatanga hauora rānei. Mō ēnei tāngata, ka whakamahia tēnei LVAD hei tautoko i te ngākau puta noa i ō rātou oranga. Ka whakaarohia tēnei kōwhiringa e ngā tākuta ina kore e angitu ngā maimoatanga katoa, tae atu ki ngā rongoā me ngā huringa momo noho. E kore e taea e tēnei te whakaroa noa i te oranga o te tūroro, engari ka whakapai ake hoki i te kounga o te oranga.
Me pēhea te whakarite mō te pokanga LVAD?
He maha ngā whakamātautau ka mahia e ngā tākuta i mua i te whakatau mēnā he tika koe mō te LVAD.
- E.C.G. (Electrocardiogram - ECG)
- X-ray o te uma
- Ngā whakamātautau toto
- Te Echocardiogram
- Te whakaurunga o te catheter o te ngākau
Heoi, kāore e pai mō te hunga katoa e pāngia ana e te ngoikore o te ngākau. Tērā pea kāore e taea te whakauru i tētahi whakaurunga LVAD mēnā kei a koe tētahi o ēnei āhuatanga e whai ake nei:
- Ngā mate toto totoka
- Mate whatukuhu kāore e taea te rongoā
- Mate ate kino
- Te mate pūkahukahu kino
- Ngā mate pukupuku e kore e taea te whakaora e ngā paturopi
Me pēhea te mahi i te pokanga?
He pokanga ngākau tuwhera tēnei. Ko te tikanga kua tino whakamoea koe, ā, kua moe koe kia oti rā anō te pokanga.
Hoatu te hāora ki tō tinana i te wā e pokanga anaKa whakamahia he mīhini karo ngākau-pūkahukahu. Ka whakanohoia hoki koe ki runga i te mīhini manawa hei manawa māu. Ka tapahia e te taote pokanga he pokanga i waenganui o tō uma, ka whakatuwhera i te wheua uma, ka uru atu ki tō ngākau. Kātahi ka whakauruhia te LVAD, ā, ka kati anō te pokanga. E whā ki te ono hāora te roa o te tukanga katoa.
He aha ngā mea ka tupu i muri i te pokanga? Ngā mea hei aro atu ina hoki koe ki te kāinga
I mua i tō wehenga atu i te hōhipera, ka whakawhiwhia koe ki te whakangungu hōhonu mō te whakahaere i ēnei taputapu me te mahi i roto i te āhuatanga ohorere. Me whakaatu hoki e koe tō mōhiotanga ki tēnei i mua i tō hokinga ki te kāinga.
I muri i te hokinga ki te kāinga, he mea nui kia whai i te oranga hauora .
- Te whakamutu rawa i te momi hikareti.
- Te taunga ki tētahi kai hauora.
- Kati te inu waipiro.
- Te whakakorikori tinana e ai ki ngā tohutohu a te tākuta.
- Te tango i ngā rongoā kua tohua, tae atu ki ngā rongoā whakaiti toto (anticoagulants), i te wā tika.
He mea tino nui hoki te whai wāhi atu ki tētahi kaupapa whakaora ngākau i muri i te pokanga. Waihoki, tera pea he here mō ngā mahi pēnei i te kaukau, te hiki taumaha, me ngā hākinakina whakapā. Me kōrero koe ki tō tākuta mō ēnei mea katoa, me te tiki tohutohu.
He aha ngā painga o te whakamahi i te LVAD?
Ahakoa kāore tēnei e whakaora i te mate manawa, kua whakakitea mai ka roa ake te ora o ngā tūroro he LVAD tō rātou i te hunga e tango ana i te rongoā anake.
| Painga | Whakaahuatanga |
|---|---|
| Te mahi a ngā whekau | Ka pai ake te rere o te toto ki ngā whekau nui pēnei i ngā whatukuhu, te ate, me te roro, ā, ka pai ake te mahi a ēnei whekau. |
| Te whakaiti i ngā tohu | Ka tino whakaitihia ngā tohu pēnei i te ngenge, te poto o te manawa, me te pupuhi o te tinana. |
| Pūngao me te mahi | I te kaha haere o te tinana, ka taea e ia te mahi i ngā mea kāore i taea e ia i mua, pērā i te whakakori tinana. |
| Te tukunga mai i te hōhipera | Kāore koe e hiahia ki te noho ki te hōhipera. Ka whai wāhi koe ki te hoki ki te kāinga me te noho i te oranga noa. |
He aha ngā mōrearea me ngā raruraru o tēnei?
Pērā i ngā pokanga katoa, he tūponotanga kei reira. Mā tō rōpū hauora koe e whakamārama i ēnei tūponotanga me pēhea te whakaiti i aua tūponotanga.
Ko ngā mōrearea matua ko te mate pāwera, te toto totoka me te whiu, te toto nui, te ngoikore o te ngākau matau, me te kore mahi tika o te taputapu. I mua i te mataku, he mea nui kia kōrero noa ki tō tākuta, me te pātai i ō pātai katoa.
Āhea koe me toro atu ki te tākuta tonu?
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei, me whakamōhio tonu atu ki tō rōpū hauora.
| Ngā tohu ohorere hei tūpato | |
|---|---|
| Kirika | Te whero, te pupuhi rānei i te wāhi e puta ai te raina taraiwa o te taputapu i te kiri |
| Mamae o te uma, o te puku rānei | Te toto nui |
| Te pupuhi i ngā waewae, i te tuara o raro rānei | Te uaua ki te manawa |
| He raruraru ki tētahi wāhanga o te taputapu | Te mamae ohorere o te uma |
He rite tonu te LVAD me te pacemaker?
Kāo. He rerekē rawa ngā mea e rua. Ka āwhina te LVAD i te ventricle maui o te ngākau ki te pupuhi toto. Ka whakahaere te pacemaker i ngā pao o te ngakau i ngā wā kāore i te tika.
He whakatau whaiaro te whakatau mēnā ka whiwhi koe i te LVAD, nō reira me kōrero marie ki tō tākuta mō tēnei mea, kia mārama hoki koe ki ngā painga, ngā mōrearea, me ngā painga ka puta mai i tēnā.
Karere Tangohia ki te Kāinga
- He taputapu miihini te LVAD e āwhina ana ki te papu toto ki te ngākau o ngā tūroro e pāngia ana e te ngoikore nui o te ngākau.
- Ehara tēnei i te rongoā tino tika mō te mate, engari he āwhina nui ki te whakaroa i te oranga me te whakapai ake i te kounga o te oranga.
- Ka taea te whakamahi i tēnei taputapu hei piriti i mua i te whakawhitinga ngākau, hei maimoatanga rānei mō te wā katoa.
- I mua atu, ā, i muri i te pokanga LVAD, he mea nui kia hurihia te āhua noho pērā i te whakamutu i te momi hikareti, te kai i ngā kai hauora, me te whakakori tinana.
- I mua i te whakatau, he mea nui kia kōrero tuwhera koe ki tō tākuta mō ngā painga me ngā mōrearea, kia mārama ai hoki.
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