Ngā mea e hiahia ana koe kia mōhio mō te Pokanga Ngākau Whakaiti i te Urunga

Ina whakaaro koe ki te pokanga ngākau, ko te mea e puta ake ana ki te hinengaro he pokanga nui e tapahi ana i te uma ki waenganui ka whakatuwhera, tika? He tokomaha te hunga e wehi ana i tēnei. Engari i mōhio koe, nā te whanaketanga o te pūtaiao hauora, ka taea te mahi pokanga ngākau me te kore he tapahi nui, mā roto i tētahi, i ētahi atu rānei tapahi iti rawa? Koinei te mea e kiia nei e mātou ko te "Pokanga Ngākau Whakararu iti". Ka kiia hoki tēnei e ētahi he "pokanga kōhao kī" nā te mea he rite te mahi ki te titiro mā roto i tētahi kōhao kī. Nō reira, i tēnei rā, me kōrero tātou mō tēnei.

He aha te tikanga o tēnei pokanga ngākau he tapahi iti nei?

Ko te tikanga o tēnei, kāore te wheua nui i waenganui o tō uma, te sternum , i tapahia katoatia, pērā i te pokanga ngākau tuwhera tuku iho. Engari, ka mahia e te taote pokanga tētahi, ētahi rānei tapahi iti rawa ki te taha o tō uma, i waenganui i ngā rara.

Kātahi ka whakaurua ngā kāmera hangarau matatau, ngā taputapu pokanga roa, angiangi kua hangaia mō te pokanga, ngā ringa karetao rānei ki roto i te ngākau mā roto i ēnei tapahi iti. Ka whakamahia e te tākuta he aroturuki hei tiro i ngā whakaahua mārama, kua whakanuia mai i te kāmera, ā, ka mahia te pokanga me te tino tika. Ko te hua o tēnei tikanga he iti ake te mātā, he iti ake te mamae, ā, he poto ake te wā whakaora i te tikanga tawhito.

He aha ngā tikanga matua mō te mahi i ēnei pokanga?

E rua ngā tikanga matua. Kia tirohia tātou he aha ēnei.

He aha ngā momo mate ngakau e whakamahia ana tēnei tikanga?

Ahakoa kāore e taea te mahi i ngā pokanga ngākau katoa mā te whakamahi i tēnei tikanga, ka taea te whakamahi i roto i ngā wā maha. Hei tauira:

• Te katinga o te hapa o te atrium (ASD)
• Te whakatikatika, te whakakapi rānei i ngā takirere . He tino rongonui tēnei tikanga mō te whakatikatika i te takirere mitral.
• Te rongoā i te manawa pākiki koretake (Tukanga Maze mō te atrial fibrillation)
• Te tango i te pukupuku ngākau
• Ko ētahi pokanga whakawhiti (pokanga whakawhiti uaua koronari)
• Te whakatakotoranga o te taputapu āwhina ventricle

He aha ngā mea ka tupu i mua atu, ā, i te wā o te pokanga?

Ka hoatu e tō tākuta ngā tohutohu katoa e tika ana i mua i te pokanga. Tērā pea ka tonoa koe kia mutu te tango i ētahi rongoā (hei tauira, ngā rongoā whakaiti toto) i ētahi rā i mua i te pokanga.

Kāore koe e rongo i tetahi mea i te wā e pokangahia ana nā te mea ka noho koe i raro i te mate whakamoe whānui. Ka honoa koe ki tētahi mīhini ngākau me te pukahukahu hei pupuri i te rere o te toto i roto i tō tinana i te wā e pokangahia ana.

Ka tapahia e te taote pokanga ngā taha iti o te uma, ka whakaurua ngā taputapu mā roto, ka tae atu ki te ngākau mā roto i ngā rara hei mahi i te whakatikatika e tika ana, hei whakakapi i te takirere, hei maimoatanga rānei. E rua ki te ono hāora te roa o tēnei pokanga. Kia oti te mahi, ka tuia kia kati ngā tapahi.

He aha ngā painga me ngā mōrearea o tēnei pokanga?

E ai ki tā mātou i kōrero ai i mua, he maha ngā painga o tēnei tikanga.

Ngā Painga

• Te whakaoranga tere: I roto i ngā wiki e rua ki te whā ka taea e koe te hoki ki ngā mahi o ia rā.
• Te whakaiti i te mamae: He iti ake te mamae nā te mea kāore he tapahi nui, he tapahi wheua rānei.
• Te whakahekenga o te toto: He iti ake te toto nā te mea he iti ake ngā tapahi.
• Te whakaiti i te mōrearea o te pangia: Nā te mea he iti ake ngā patunga, ka whakaitihia hoki te mōrearea o te pangia.
• Ka iti haere ngā kōpura: Engari ko te kōpura nui i te uma katoa, he torutoru noa iho ngā kōpura iti, kāore e kitea nuitia e toe ana.
• Te whakaiti i te noho hōhipera:I te nuinga o te wā ka taea e koe te hoki ki te kāinga i roto i ētahi rā.

Ngā Tūponotanga

Pērā i ngā pokanga katoa, he iti noa iho ēnei mōrearea, engari he iti noa iho ēnei mōrearea ki te whakaritea ki te pokanga ngākau tuwhera.

• Te toto
• Mate pāwera
• Ngā pāorooro o te ngakau (Arrhythmias)
• Ngā āhuatanga rite ki te whiu

He aha ngā mea ka tupu i muri i te pokanga? Me pēhea te tere o te ora?

I muri i te pokanga, ka puritia koe ki te wāhanga tiaki nui (ICU) mō te rā kotahi, e rua rānei. Tērā pea ka whakatakotoria he ngongo wai hei tango i te wai kua kohia i roto i tō uma. Whai muri i tēnā, ka whakawhitia koe ki te wāhanga whānui, ā, ka noho koe ki te hōhipera mō ētahi atu rā.

Ka taea e koe te hikoi i roto i te rā kotahi, e rua rānei. Ka tohutohuhia hoki koe ki te mahi i ngā mahi manawa hei āwhina i te tango i te hūpē mai i ō pukahukahu. Me karo koe i te hiki taumaha mō ētahi wiki. Mā tō tākuta koe e kī atu āhea koe e taea ai te hoki ki te mahi, te taraiwa, me te whakakorikori tinana.

He maha ngā wā ka tukuna koe e ngā tākuta ki tētahi kaupapa whakaora ngākau , hei āwhina i a koe ki te whakapiki haere i te korikori tinana me te whakamōhio i a koe ki tētahi kai hauora mō te ngākau.

He aha ngā tohu e hiahia ana koe kia toro atu ki te tākuta tonu?

Mena ka pāngia koe e tētahi o ngā tohu e whai ake nei i muri i tō pokanga, waea atu ki tō tākuta, rapua rānei he maimoatanga tonu .

• Ka turuturu mai he wai rite ki te pulu i ngā motu.
• Te pupuhi nui, te whero rānei huri noa i te patunga.
• Te kirika, te makariri rānei.
• Te āhua nei kei te tere te pao o tō ngākau (te tere o te palpitations o te ngākau) .
• Te pupuhi rerekē o ngā waewae, o ngā tapuwae rānei (edema) .
• Te pikinga taumaha neke atu i te 1.5 kg (3 pauna) i roto i te wiki.