He poto te manawa, he mamae te uma, he ngāwari rānei te ngenge? Tērā pea kua kōrero mai tō tākuta ki a koe he ngoikore iti tō tetahi o ngā takirere o tō ngākau. He tokomaha te hunga e mataku ana ki te pokanga ngākau. Engari i tēnei rā ka kōrero tātou mō tētahi pokanga hou e whakatika ana i te takirere ngākau mā roto i tētahi tapahi iti rawa , me te kore e hanga i tētahi tapahi nui i waenganui o te uma.
Tuatahi, kia kite tātou, he aha te Mitral Valve?
Āe, whakaarohia pēnei: he rite tō tātou ngākau ki tētahi whare iti me ngā rūma e whā. Kei waenganui i ēnei rūma e whā ngā kēti e āwhina ana i te rere o te toto ki te taha kotahi anake. Koinei ngā mea e kiia nei e tātou he takirere ngākau.
Ko te takirere mitral tētahi o ngā kēti motuhake. Kei waenganui i te rūma o runga (atrium maui) me te rūma o raro (ventricle maui) i te taha maui o tō ngākau. Ko tana mahi matua he tuku i te toto kia rere mai i te rūma o runga ki te rūma o raro, me te ārai i tōna rere ki runga. He rite ki te kūaha e tuwhera ana i te ara kotahi.
Nā, he aha ngā mate matua ka pā ki tēnei takirere?
E rua ngā huarahi matua e kore ai e pai te mahi a te takirere mitral. Mā te mārama ki ēnei ka pai ake tō mārama ki tēnei pokanga.
| Āhua | Hei whakarāpopototanga, he aha te mea ka tupu? |
|---|---|
| Te Regurgitation o te Takirere Mitral | Ko te mea ka tupu i tēnei, ina pā te manawa, kāore ngā taupoki e rua o te takirere e kati tika. He rite ki tētahi tatau kāore e kati tika. Kātahi ka turuturu te toto ki roto i te ruma o runga. Nā tēnei ka kaha ake te mahi a te manawa. |
| Te Stenosis o te Takirere Mitral | Ko te mea e tupu ana i konei, ka matotoru, ka pakari , ā, kāore e tuwhera tika ngā taupoki o te takirere. Ka whakawhāitihia te ara e rere ai te toto. Ka uaua ai te pupuhi o te manawa ki te toto ki te tinana. |
He aha te rerekētanga i waenga i te 'Whakatika' me te 'Whakakapinga'?
He take tino nui anō hoki tēnei.
- Whakatika: Kei roto i tēnei ko te pupuri i tō ake takirere me te whakatika i te hapa. He rite ki te whakatika i tētahi tūru pakaru. Ka ngana ngā tākuta ki te whakamahi i tēnei tikanga i ngā wā katoa e taea ai.
- Whakakapinga: I tēnei tikanga, ka tangohia katoatia tō takirere ngoikore, ka whakakapia ki tētahi takirere hou (he takirere hangai, he takirere rānei i hangaia mai i te kiko kararehe).
He mea pai mā te tinana te whakatika me te whakamahi i tō ake takirere tūturu i ngā wā katoa e taea ai, koia te take e tino rongonui ai ēnei pokanga 'whakatika' i ēnei rā.
He aha te Pokanga Whakaiti i te Urunga?
Ko te pokanga ngākau tuwhera tuku iho ko te tapahi i tētahi tapahi nui i waenganui o te uma, he maha inihi te roa, ka tapahia mā roto i te wheua uma kia tae atu ai ki te ngākau. He pokanga tino nui tēnei.
Engari i roto i tēnei tikanga hou e kiia nei ko te pokanga iti rawa te whakaekenga, kāore he tapahi nui pēnei e mahia. Engari, ka mahia he tapahi iti ki te taha matau o tō uma, i waenganui i ngā rara, tata ki te 4-6 henimita . Kātahi ka whakauruhia he ngongo angiangi me te kāmera e piri ana (`(endoscope)`) me ngā taputapu pokanga tino pai mā roto i taua tapahi, ā, i raro i te tirotiro a te kaiarotiro, ka whakatikatikahia te takirere me te tino ātaahua. I ētahi wā ka whakamahia hoki te hangarau karetao mō tēnei.
He aha ngā whakatikatika e mahia ana i te wā o tēnei pokanga?
He rerekē ngā mahi ka taea e te tākuta te mahi, i runga i te raruraru o tō takirere.
- Ka whakatakotoria he hanganga porowhita huri noa i te takirere hei aukati i te turuturu o te toto (Annuloplasty).
- Mena kua honoa ngā taupoki takirere, kua wehea.
- Mena he kōhao kei roto i te takirere, kua kati.
- Ka tangohia te kiko kāore e hiahiatia ana e aukati ana i te kati tika o te takirere.
He aha ngā painga me ngā mōrearea o tēnei pokanga?
Pērā i ngā mahi pokanga katoa, he painga, he mōrearea hoki ōna, ā, he mea nui kia mōhio koe ki aua mea.
| 👍 Ngā Painga | 👎 Ngā Tūponotanga |
|---|---|
| He poto te wā whakaora. | Te toto me te toto totoka. |
| He iti iho te mamae. | Te mate urutā. |
| He poto noa ngā rā e noho ana koe i te hōhipera (tata ki te 5 rā). | Te pā o te manawa kāore i te tika (`(Arrhythmias)`). |
| He iti rawa te koha. | He iti te tūponotanga o te whiu. |
| He iti te mōrearea o te pangia me te toto. |
He aha ngā mea ka tupu i muri i te pokanga?
E rua ki te whā hāora te roa o te pokanga. Whai muri i tēnā, ka tirotirohia koe i roto i te wāhanga tiaki nui (ICU) mō te rā kotahi, e rua rānei. Whai muri i tēnā, ka whakawhitia koe ki tētahi wāhanga noa.
- Ngā rā tōmua: Mā ngā tākuta me ngā nēhi koe e āwhina ki te whakatika me te hikoi. Mena he hūpē kei roto i ō pukahukahu, ka kī atu rātou kia mahi koe i ngā mahi manawa motuhake hei whakakore i tēnā.
- I muri i tō hokinga ki te kāinga: Ka paku ngenge koe mō ētahi wiki. Kaua e hiki i ngā mea taumaha. Whakakorikoria kia rite ki tā tō tākuta e tohutohu ana.
- Whakaora i te Ngākau: I te nuinga o te wā, ka tukuna koe ki tētahi kaupapa whakaora i te ngākau. Mā tēnei ka āwhina i a koe kia hoki mārire ki te kaha me te urutau ki tētahi momo noho hauora.
Āhea te wā tika kia kite tonu i te tākuta!
Ki te puta mai tētahi o ēnei tohu i muri i tō hokinga ki te kāinga, waea atu ki tō tākuta tonu atu , haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
- Mena kei te maringi mai he wai rite ki te pulu i te wāhi i tapahia ai te pokanga.
- Mena he nui rawa te pupuhi me te whero huri noa i te wahi i tapahia.
- Mena he kirika tōu, he makariri hoki.
- Ki te mea kei te tere te pao o tō ngākau (ngā tere o te pao o te ngākau).
- Mena ka pupuhi rawa ngā waewae (`(Edema)`).
- Mena ka nui ake tō taumaha i te 1.5 kg (3 pauna) i roto i te wiki.
Kia maumahara, kāore e taea e te katoa te mahi i tēnei pokanga. Mā tō taote ngakau koe e whakatau mēnā he pai koe mō tēnei pokanga i runga i tō āhua ngākau, ētahi atu āhuatanga hauora, tau, me te momo noho (pēnei i te momi hikareti).
Karere Tangohia ki te Kāinga
- Ko te Minimally Invasive Mitral Valve Repair he pokanga ngakau hou e mahia ana mā roto i tētahi tapahi iti, me te kore e whakatuwhera katoa i te uma.
- Ko ngā painga matua o tēnei ko te whakaiti i te mamae, te tere ake o te ora, me te whakaiti i te wā e noho ana i te hōhipera.
- Ka taea e tēnei te āwhina ki te whakatika me te tiaki i tō ake takirere tūturu.
- Kāore tēnei pokanga e pai mō te katoa. Ko tō taote ngakau te tangata pai rawa atu hei whakatau mō tēnei.
- Mena ka puta mai ētahi tohu mōrearea i muri i te pokanga, he mea nui kia rapu tohutohu hauora tonu.
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