He aha ō whakaaro mēnā ka kī atu tō tākuta he rerekētanga morearea tō manawa, ā, ka mutu ohorere tō manawa i tētahi wā? He kōrero whakamataku tēnei. Heoi, nā te whanaketanga o te pūtaiao hauora, kei reira ngā taputapu whakamiharo o ēnei rā hei tiaki i te hunga e pāngia ana e tēnei momo mōrearea. I tēnei rā ka kōrero tātou mō tētahi taputapu motuhake ka taea te mau ki tō tinana, ā, ka taea hoki te whakaora i a koe. Ko te LifeVest tēnā.
He kupu ngāwari noa iho, he aha tēnei LifeVest?
He taputapu whakaiti i te ira o te manawa a LifeVest, ā, he rite tonu ki tō kaitiaki whaiaro. He māmā noa iho, ko te Ohorere o te Ngākau (SCA) te wā e mutu ohorere ai te patu o te ngākau. Kua hangaia tēnei LifeVest hei tiaki i ngā tamariki me ngā pakeke e mōrearea ana ki te SCA.
E rua ngā wāhanga o tēnei:
1. Kākahu: He kākahu rite ki te wēti tēnei, he mea hanga ki te papanga tino māmā. Ka taea te mau i raro i ō kākahu noa. Kei roto i tēnei kākahu he hiko hei aroturuki i te tere o tō manawa.
2. Aroturuki: He taputapu tēnei e rite ana te rahi ki tētahi pukapuka iti. Ka taea e koe te mau ki tō hope me te whitiki, te kawe rānei i runga i tō pakihiwi. He rite ki tētahi putea iti. Ko ngā raraunga e puta mai ana i ngā irahiko i runga i te kākahu, arā, tō EKG (Electrocardiogram) , ka aroturukitia tonutia e tēnei aroturuki.
Me mau tonu tēnei LifeVest, engari kaua i te wā e kaukau ana. Koinei te huarahi e tiakina ai tō ngākau mō ngā haora 24 o te rā.
He pēhea te mahi a te LifeVest? He tikanga whakamiharo!
He mīharo te āhua o tēnei mahi. Whakaarohia, kei te mahi tonu koe i tāu mahi o ia rā. Kei te mātaki puku te aroturuki LifeVest i te EKG o tō ngākau.
Me kī tātou ka pāngia koe e te arrhythmia e morearea ana ki te ora. Hei tauira, ki te mea kei a koe tētahi āhuatanga pēnei i te Ventricular Tachycardia , arā, ko te tere rawa o te patu o ngā rūma o raro o te ngākau, ko te Ventricular Fibrillation rānei, arā, ko te wiri o ngā rūma o raro o te ngākau me te kore e taea te whakahaere, ka kitea tonutia e te LifeVest.
Kātahi ka puta ēnei mea:
1. Whakaoho: Tuatahi, ka tīmata te pūrere ki te tangi i te whakaoho, hei whakamōhio atu kei te raru koe.
2. He wā tōu ki te whakautu: Mena kei te mōhio koe i tēnei wā, arā, ka rongo koe i tēnei whakaoho, he iti iho i te meneti te roa hei pēhi i ngā pātene e rua i runga i te taputapu hei whakamutu i te maimoatanga. Arā, hei whakamōhio atu ki te taputapu kei te mōhio koe, ā, kei te pai koe.
3. He whakatūpato ki te hunga e karapoti ana i a koe:Ki te kore koe e pēhi i aua pātene e rua, ka whakatau te taputapu kua kore koe e mōhio. Muri iho, ka whakatūpato i te hunga e karapoti ana i a koe kei te tata koe ki te ohorere. Ka kīia he kupu pēnei "E te hunga tūmatanui, kaua e pā ki te tūroro." He mea tino nui tēnei, nā te mea ki te pupuri tetahi i a koe i te wā e tukuna ana te ohorere, tera pea ka tūpono taua tangata ki te mōrearea.
4. Te ru hiko whakaora ora: Ki te haere tonu te pāorooro o tō ngākau, ā, kāore koe e aro mai, ka tukuna he ru hiko ki tō uma mā roto i ngā irahiko i runga i tō kākahu. Ko te tikanga o tēnei he "tautuhi anō" i te ngohe hiko pōturi o tō ngākau, me te ngana ki te whakahoki i tōna manawataki ki tōna auau noa. Kāore koe e rongo i te ru nā te mea kāore koe i te mōhio.
5. Aroturuki Anō: Whai muri i te tukunga o te ru, ki te hoki anō tō tere o te ngakau ki te āhua noa, ka mutu te tangi o te whakaoho, ā, ka hoki anō te LifeVest ki te aroturuki noa. Heoi, ki te mea kei te rerekē tonu tō tere o te ngakau, ka taea te mahi anō i tēnei huringa maimoatanga. Ka taea e te taputapu te tuku i te rima o aua ru.
He whakarāpopototanga, he kaitiaki ora tēnei LifeVest hei whakaora i tō ora, ahakoa kei te kāinga koe anake, kei te moe rānei.
He aha te rerekētanga o te LifeVest i ngā AED me ngā ICD?
E rua atu ngā momo taputapu e whakamahia ana hei rongoā i te manawataki o te ngākau ko te AED me te ICD. Kia kite tātou i te rerekētanga o te LifeVest i ēnei.
| Pūrere | Te rerekētanga me te mahi |
|---|---|
| AED (Mīhini Whakaiti Ira Aunoa o Waho) | Kua kite pea koe i ēnei i ngā wāhi tūmatanui (ngā taunga rererangi, ngā toa hokohoko, me ētahi atu). Mēnā ka pāngia tetahi e te mate manawa, me haere mai tētahi atu ki te tiki i tēnei taputapu, me whai i ngā tohutohu, me te hoatu i tētahi ohorere ki te tangata. Ko te tikanga he mea nui te āwhina a te hunga tū tata. Ka heke te tūponotanga o te ora mā te 10% mō ia meneti e pahemo ana i muri i te mutu o te manawa. Koia te mea nui kia tere te mahi. |
| LifeVest | Kāore te LifeVest e hiahia ana ki te āwhina a tētahi atu tangata. Ka aroturuki tonu i tō ngākau, ā, ka rongoā aunoa i te wā tonu ka puta he raruraru, i roto i te meneti kotahi. Ka tiaki i a koe ahakoa kei a koe anake, ahakoa kei te moe koe. Kāore e taea e te AED te mahi i tēnā. |
| ICD (Whakaiti i te Ngakau o te Tāpui) | He taputapu anō hoki te ICD e whakarato ana i te tiakitanga pumau. Engari ehara i te mea ka mau koe pērā i te LifeVest. He taputapu e whakatōkia ana mā te pokanga ki raro i te kiri o tō uma, ā, ki roto i te uaua . He otinga pumau. Ko te LifeVest he mea ka mau koe ki waho, pērā i te kākahu. |
Ko wai e hiahia ana ki tēnei LifeVest?
Ko te tikanga, ka tūtohu ngā tākuta i tēnei LifeVest hei parenga rangitahi i ētahi āhuatanga. Arā, hei tiaki i te tūroro i taua wā tae noa ki te wā e kitea ai he otinga tuturu.
Anei ētahi o aua take:
- Mō te hunga e tatari ana kia whakatōkia he taputapu ICD tūturu.
- Mō te hunga e tatari ana mō te whakawhitinga ngākau.
- Mō te hunga kei raro i te tirotiro haere kia tae rā anō ki te wā e whakatauhia ai mēnā e hiahiatia ana he ICD nā te mea he mate hauora tō rātou.
- Mō te wā waenga tae noa ki te tangohia o tētahi ICD i whakatōkia i mua nā te mate, te hapa rānei, ā, ka whakatōkia he mea hou.
He kōwhiringa pai anō hoki a LifeVest mō te hunga whai mate e whai ake nei:
- Mō te hunga kāore e tika ana mō te pokanga ICD mō tētahi take.
- Mō te hunga kua pāngia e te mate manawa, ā, kua ngoikore te wāhanga ejection o te ventricular maui.
- Mō te hunga e tata ana ki te pokanga bypass, ki te whakatakotoranga stent rānei, kei roto rānei i te wā mōrearea i muri i te pokanga.
- Mō te hunga whai mate e ngoikore ai te uaua o te ngakau, pērā i te cardiomyopathy.
- Mō te hunga e pāngia ana e te ngoikore o te ngakau.
Mō te hunga he iti iho i te 35% te haurua pana?
Āe, kua rongo pea koe i tēnei kupu mai i tō tākuta. Ko te Ejection Fraction (EF) he ine i te nui o te toto e pupuhihia ana i waho o te ventricle maui o te ngākau ki roto i te tinana i roto i te kotahi pao o te ngakau, i muri i te kī tonu i te toto. He māmā noa iho, he ine i te kaha pupuhi o tō ngākau.
- Ko te uara EF noa kei waenga i te 55% me te 70%.
- Taumata mōrearea: Mena he 35%, he iti iho rānei tō EF, he nui ake tō mōrearea ki te mate manawa ohorere (SCA). Tērā pea ka tūtohu tō tākuta i tētahi LifeVest i roto i ēnei āhuatanga.
He pēhea te whai huatanga o te LifeVest? Ā, he aha ngā painga me ngā ngoikoretanga?
Kua whakaatuhia e ngā rangahau he 99% te angitu o te LifeVest ki te rongoā i ngā mate manawa o te ngākau kino pēnei i te ventricular tachycardia/ventricular fibrillation. I roto i te maha o ngā wā, kua taea e ia te whakahoki mai i te manawa o te ngākau mā te kotahi noa iho o te pāwera.
Pērā i ngā mea katoa, he pai, he ngoikoretanga hoki tō te LifeVest.
| Ngā Painga | Ngā Huakore, Ngā Mōrearea rānei |
|---|---|
| I a koe e mau ana i tēnei, ka tiakina koe mai i te hopukanga ohorere o te ngakau (SCA). | Ki te kore koe e mau i tēnei, kāore he mea e pai. Nō reira me mau tonu koe i tēnei. |
| Ka mahi aunoa, me te kore he awhina a tetahi atu. | Me noho rite koe ki te whakautu ki ngā oro whakatūpato i ngā wā katoa. |
| He pai te tiakitanga rangitahi ka whakaratohia kia kitea rā anō he otinga tuturu, pērā i te ICD. | Me tango atu tēnei i a koe e kaukau ana. |
| Nā te mea ka tuhia ngā raraunga EKG mai i tō ngākau, he māmā ake mā te tākuta te tirotiro. | Me whakawhiti/whakautu te pākahiko o te aroturuki i ia rā. |
| Kāore he pokanga e hiahiatia ana. | Ki te mea kei te pupuri tetahi i a koe i te wā e pāngia ana koe e te ru, tera pea kei roto taua tangata i te mōrearea. |
Āhea koe me toro atu ki tō tākuta?
He mea tino nui kia whakapā atu koe ki tō tākuta i te wā e whakamahi ana koe i te LifeVest. Ina koa i roto i ēnei āhuatanga, me whakamōhio tonu atu koe ki tō tākuta.
- Ki te hoki anō tō māramatanga i muri i te pānga ohorere mai i te LifeVest: Ina hoki anō tō māramatanga, me waea atu koe ki tō tākuta tonu. Tērā pea ka tonoa koe kia haere ki te Tari Whawhati Tata (ETU) o te hōhipera.
- Mena he pātai āu mō te LifeVest: me pēhea tana mahi, me aha mēnā ka tangi te whakaoho, me ētahi atu mea rānei, kaua e mangere ki te pātai mai.
- Ki te kore te taputapu e pai te āhua, kāore rānei e tau tika ana: He mea nui kia tika te hononga o te taputapu ki te tinana. Ki te kore e tau tika, ki te kite rānei koe kei te hē tetahi mea, me kōrero tonu atu ki tō tākuta.
He taumaha te noho tahi me te mōrearea o te SCA. Engari mā te whakamahi i tētahi taputapu defibrillator e taea te mau, pērā i te LifeVest, ka nui te rangimarie o te hinengaro ki a koe me tō whānau. Ko te mea nui ko te whakarite kia mōhio pai koe me tō whānau ki te mahi a tēnei taputapu.
Karere Tangohia ki te Kāinga
- He taputapu motuhake te LifeVest hei mau, hei tiaki i a koe mai i te mōrearea o te hopukanga ohorere o te ngakau.
- Ka mahi aunoa tēnei, kia tiakina ai koe ahakoa kei te moe koe, kei te noho mokemoke rānei.
- He tikanga haumaru rangitahi tēnei e whakamahia ana kia kitea rā anō he otinga tuturu, pērā i te ICD.
- Kia tino whai hua ai te taputapu, he mea nui kia mau tika i ngā wā katoa, engari kaua i te wā e kaukau ana, ā, kia tiakina hoki te pākahiko.
- Ki te pāngia koe e te ru mai i te taputapu, ki te mea rānei he pātai, he āwangawanga rānei āu mō taua mea, kaua e mangere ki te pātai ki tō tākuta.
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