Kua kōrerotia mai e tō tākuta he mate manawa tōu? Kei te āwangawanga koe kei mutu ohorere te patu a tō manawa, ko te tikanga ka pāngia koe e te mate manawa ohorere (SCA) ? He taputapu whakaora ora tēnei, ā, he mea nui pea ki a koe. Koinei te mea e kiia nei e mātou ko te LifeVest.
He kupu ngāwari noa iho, he aha tēnei LifeVest?
He taputapu whakaiti i te ira o te manawa a LifeVest ka taea e koe te mau pērā i te koti. He taputapu te taputapu whakaiti i te ira e taea ai te wiri i tō ngākau ina tata mutu te patu. Ka aroturukihia e te LifeVest tō tere o te manawa mō ngā hāora 24 i te rā . Mēnā ka puta he arrhythmia e morearea ana ki te ora, ka kitea e te LifeVest, ā, ka tukuna aunoa he wiri hei whakaora i te tere o tō ngākau.
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 ngā irahiko e ine ana i te ngohe hiko o te ngākau.
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 (pēnei i te putea tautoko) ka taea rānei te amo i runga i tō pakihiwi.
Me mau tonu tēnei i ngā wā katoa engari kaua i te wā e kaukau ana.
Me pēhea te mahi a tēnei LifeVest?
He tino rerekē te āhua o tēnei mahi. Whakaarohia kei te mau koe i tēnei, ā, ko koe anō kei te utu.
Ka pānui tonu te aroturuki LifeVest i te ECG (electrocardiogram) o tō ngākau. Ko tēnei taputapu te tuatahi ki te kite mēnā kei te pāngia tō ngākau e ētahi āhuatanga morearea, pērā i te ventricular tachycardia , arā, he tere te pao o te ngakau i ngā rūma o raro o te ngākau, te ventricular fibrillation rānei, arā, he pao o te ngakau kāore i te whakahaerehia, he koretake.
Muri iho, ka whakatangihia he whakatūpato rite ki te siren hei whakarite kei te ara koe.
- Ki te mea kei te mōhio koe: Kei a koe i raro i te 60 hēkona, pēhia kia rua ngā pātene i runga i te taputapu hei whakamutu i tēnei ohorere. Arā, me kī atu ki te taputapu kei te pai koe.
- Ki te kore koe e mōhio: Nā te mea kāore koe e aro ki te whakatūpato, ka whakaaro te LifeVest kei te kore koe e mōhio, ā, me āwhina koe. Kātahi ka tangihia he whakatūpato ki te hunga e karapoti ana i a koe, kei te tata te pānga mai o te ohorere.
Ko te mea nui, kaua tetahi e pupuri i te tūroro ina tukuna he ru pēnei. Mēnā ka tupu tēnā, ka pāngia pea taua tangata e te hiko. Koia te take i whakatūpato ai a LifeVest mō tēnā.
Hei whakamutunga, ki te mau tonu te manawataki o te ngākau morearea, ā, kāore koe e aro atu, ka tukuna he ru hiko mā roto i ngā irahiko i runga i te kākahu. Kāore koe e rongo i te ru nā te mea kua kore koe e mōhio.
Ki te hoki anō te tere o te manawa ki te āhua noa i muri i te tukunga o te ru, ka mutu ngā whakaoho, ā, ka hoki anō te LifeVest ki te aroturukitanga o te manawa. Heoi, ki te kore te tere o te manawa e hoki anō ki te āhua noa, ka tuaruatia te tukanga. Ka taea e te taputapu te tuku i te rima ngā ru i tēnei ara.
He aha te rerekētanga i waenga i te LifeVest me ētahi atu taputapu?
He mea tino nui tēnei kia mārama. Me titiro tātou ki te rerekētanga o te LifeVest i ngā momo defibrillator e rua.
| Momo taputapu | Whakamārama |
|---|---|
| LifeVest (ka taea te mau) | He taputapu tēnei e mau ana i raro i ō kākahu. Kāore e hiahiatia he āwhina a tetahi. Ka whakahohe aunoa, ka whakaora i ngā oranga ahakoa kei te moe koe, kei te noho mokemoke rānei. Ka aroturuki tonu i te manawataki o te ngakau. |
| AED (Mīhini Whakaiti Ira Aunoa o Waho) | He pouaka ēnei e kitea ana i ngā wāhi tūmatanui pērā i ngā taunga rererangi me ngā toa hokohoko. Mēnā ka hinga ohorere tetahi, me hiki ake e tetahi atu te taputapu, ā, me whai i ngā tohutohu hei hoatu i te ohorere ki te tūroro. Kāore he hua o tēnei mēnā kāore he tangata i te taha. |
| ICD (Whakaiti i te Ngakau o te Tāpui) | He taputapu tēnei e whakatōkia ana ki raro i te kiri o te uma mā te pokanga, ā, ka whakahohea aunoatia, pērā i te LifeVest. Heoi, kāore e mauhia ki waho, engari e mau ana ki roto i te tinana. |
He whakarāpopototanga noa iho, he whakangungu whakaora ora rangitahi te LifeVest, ka taea te mau kia tae rā anō ki te wā e whakatōkia ai he ICD tūturu, kia pai ake rānei te āhua o te ngākau.
Ko wai e hiahia ana ki tēnei LifeVest?
I te nuinga o te wā ka tūtohu te tākuta i tēnei taputapu i roto i ētahi wā motuhake. Hei tauira:
- Mō te hunga e tatari ana mō te whakaurunga ICD tuturu.
- Mō te hunga e tatari ana mō te whakawhitinga ngākau.
- Ko te hunga kua pāngia e te mate ngakau, ā, ko te pai o te pupuhi toto o te ngakau (ejection fraction) he 35%, iti iho rānei (ko te uara noa kei waenga i te 55%-70%).
- Mō te hunga he nui te mōrearea o te mate ngakau, i mua atu, i muri rānei i te pokanga bypass, i te whakatakotoranga stent rānei.
- Mō te hunga e pāngia ana e te cardiomyopathy , he āhuatanga e ngoikore ai te uaua o te manawa.
- Mō te hunga e pāngia ana e te ngoikore o te ngakau.
- Mō te hunga kua tangohia tā rātou ICD tawhito, ā, e tatari ana kia whakaurua he mea hou nā te mate urutā, nā tētahi atu take rānei.
He aha ngā painga me ngā ngoikoretanga o te LifeVest?
Pērā i ngā taputapu hauora katoa, he painga anō tō tēnei, me ētahi mea anō hoki me aro atu tātou.
| Ngā Painga | Ngā mea hei whakaaroaro (Ngā Tūponotanga/Ngā Huakore) |
|---|---|
| I a koe e takoto ana i te moenga, ka tiakina koe mai i te hopukanga ohorere o te ngakau. | Me i kore koe e mau i tēnei, kāore he parenga. |
| Kāore he āwhina e hiahiatia ana mai i tētahi atu i te taha. | Me noho rite koe ki te whakautu ki ngā oro whakatūpato i ngā wā katoa. |
| He otinga rangitahi kia wātea rā anō he ICD tūturu. | Kāore e taea te mau i tēnei i te wā e kaukau ana, e kaukau ana rānei. |
| Ka whai wāhi koe ki te tuhi i ngā raraunga ECG o tō ngākau, ka whakaatu atu ki te tākuta. | Me whakakapi te pākahiko, ā, me utu anō hoki i ia rā. |
| Kāore he take mō te pokanga. | Tērā pea ka whara ētahi atu mēnā ka pā atu rātou ki a koe i a rātou e whakakorikori ana i a koe. |
Kua whakaatuhia e ngā rangahau he 99% te whai huatanga o te LifeVest ki te whakatika i ngā arrhythmias morearea o te ngakau, ā, he maha ngā wā ka whakahokia te ngakau ki te noho noa mā te kotahi ohorere noa iho.
Kia pēhea te wā me toro atu ahau ki te tākuta?
Mena kei te whakamahi koe i te LifeVest, me whakamōhio atu ki tō tākuta i ngā wā e whai ake nei:
- Ki te hoki anō tō māramatanga i muri i te pānga ohorere mai i te LifeVest. (Mēnā koinei te āhua, me haere pea koe ki te ETU, arā, ko te Wāhanga Maimoatanga Ohotata . Pātai atu ki tō tākuta mō ētahi tohutohu mō tēnei).
- Mena he raruraru, he pātai rānei āu mō tēnei taputapu.
- Mena te āhua nei kāore te LifeVest e mahi tika ana, kāore rānei e tau tika ana.
Kaua e wehi i tēnei taputapu. He mea hanga hei tiaki i tōu ora. Nō reira, he mea tino nui kia mōhio koe me tō whānau ki tana mahi me pēhea te tiaki.
Karere Tangohia ki te Kāinga
- He mīhini whakaiti i te fibrillation aunoa a LifeVest ka taea te mau ki waho mō te hunga e mōrearea ana ki te hopukanga ohorere o te ngakau.
- Mā tēnei ka āwhina i te whakaora oranga mā te aroturuki tonu i te manawataki o tō ngakau, me te tuku aunoa i te ru ohorere mēnā ka puta he tūponotanga.
- Kāore koe e hiahia ki te āwhina a tētahi atu mō tēnei. Ka mahi tonu tēnei ahakoa ko koe anake.
- Ka whakamahia tēnei hei ārai rangitahi kia whakauruhia rā anō he taputapu ICD tūturu, kia pai ake rānei te āhua o te ngākau.
- Mena he pātai āu mō te taputapu, kaua e mangere ki te pātai atu ki tō tākuta.
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