Me whakakapi te takirere mitral i roto i tō ngākau? (Whakakapinga Takirere Mitral) - Me kōrero noa tātou mō tēnei

He mīhini whakamiharo tō tātou ngākau, kāore? He rite te mahi a ngā takirere e whā ki ngā tatau e tuwhera ana i te taha kotahi anake. Ko tētahi o ēnei tatau nui ko te Takirere Mitral. Mā tēnei takirere e taea ai te rere o te toto ma, whai rawa i te hāora mai i tētahi rūma o te ngākau ki tētahi atu. Engari whakaarohia te mea ka puta mēnā ka hē tēnei takirere? Arā, mēnā kāore te toto e kati tika, ā, ka turuturu whakamuri, mēnā rānei kāore e tuwhera tika, ā, ka āraia, ka tino pāngia te ngākau. Koinā te wā ka whakatau ngā tākuta ki te tango i tēnei takirere me te whakakapi, mēnā kāore e taea te whakatika.

He aha te whakakapinga o te takirere mitral?

He pokanga ngākau tuwhera te whakakapinga o te takirere mitral. Ko te tikanga he tango i tō takirere mitral mate, he ngoikore te mahi, ka whakakapia ki tētahi takirere hou. E rua ngā momo o tēnei takirere hou.

• Ngā takirere mīhini: He takirere horihori ēnei i hangaia ki ngā konganuku pēnei i te waro me te maitai.
• Ngā takirere koiora/koiora-whakapaipai: He takirere ēnei i hangaia mai i te kiko ngākau o te poaka, o te kau, ā, i ētahi wā (he tino onge) o te kiko tangata.

Ahakoa he tikanga nui tēnei pokanga, ki te tūtohutia e tō tākuta, ko te tikanga kei te kino haere tō takirere, ā, ka pā mai pea he raruraru nui mēnā kāore koe e pokanga. Ko te tikanga anō hoki kāore e taea te whakatika.

He aha koe i hiahia ai ki tēnei pokanga?

Ka tomo te toto whai hāora mai i ō tātou pūkahukahu ki te atrium maui o te ngākau, ā, mai i reira ka haere mā te takirere mitral ki te ventricle maui. Ko tēnei ventricle maui te kawenga mō te pupuhi toto puta noa i te tinana. Ināianei, ki te mea he mate takirere mitral tōu, kāore tēnei takirere e tuwhera, e kati tika rānei. Ka puta pea ēnei raruraru nui e rua.

1. Te Regurgitation o te Takirere Mitral: Ka turuturu te toto ki muri nā te mea kāore te takirere e kati tika.

2. Te ngoikore o te takirere Mitral: Kāore te takirere e tuwhera tika, ka aukati i te rere o te toto.

Ka nui te taumahatanga o te taha maui o te ngākau i roto i ēnei āhuatanga e rua. I roto i te wā, ka kino pea te ngākau me ngā pukahukahu.

Tērā pea he maha ngā take e kore ai e taea te whakatika:

• Te mate ngakau rūmātiki, te mate endocarditis rānei) i tino kino te takirere.
• He nui ngā putunga konupūmā , he koha rānei kei runga i te takirere.
• He kino nui ki ngā uaua papillary, ki ngā chordae rānei e tautoko ana i te takirere.

Nō reira, he mea tino nui kia kōrero koe ki tō tākuta mō tō āhuatanga, kia mōhio ai hoki koe ki ngā kōwhiringa e wātea ana ki a koe.

He aha te momo takirere ka whiriwhiria e tātou?

Ka whai wāhi tō tau, tō momo noho, me ētahi atu āhuatanga hauora ki te whiriwhiri i te momo takirere e tika ana kia whakatōkia. Me titiro tātou ki ngā rerekētanga i waenga i ngā momo e rua.

Mena kei waenganui i te 50 me te 65 tau te pakeke o tō tinana, ka tūtohu tō tākuta i tētahi o ēnei momo e rua, i runga i tō āhua. Ko te mea nui ko te kōrero pai mō tēnei mea, me te whiriwhiri i te mea e pai ana ki a koe.

Me pēhea tā tātou whakarite i mua i te pokanga?

Mā tō tīma hauora koe e hoatu he tohutohu mārama mō te whakarite mō te pokanga. I te nuinga o te wā, me rite koe mō ēnei mea.

• Me mutu pea te tango i ētahi rongoā (ina koa ko ngā rongoā whakaiti toto) e tohua ana e tō tākuta i ētahi wiki i mua i te pokanga.
• Me mutu rawa te momi hikareti me te whakamahi tupeka .
• I te pō i mua i te pokanga, ka tohutohuhia koe kia horoi i tō tinana ki te hopi paturopi .
• I te pō i mua i te pokanga, me mutu rawa te kai me te inu, i muri i te 12 i te waenganui pō te tikanga .
• Me tango noa ngā rongoā kua tohua mō te ata o te pokanga.

He mea nui anō hoki kia whakaritea tō taiao kāinga kia pai ai tō noho ina hoki koe ki te kāinga i muri i te pokanga. Hei tauira, he mea pai kia whakamaheretia i mua, pērā i te pupuri i ngā mea e hiahiatia ana e koe kia tata ki te taea atu, me te whakarite kia haria koe e tetahi ki te kāinga mai i te hōhipera.

He aha ngā mea ka tupu i te wā o te pokanga?

He mahi uaua tēnei pokanga, e rua ki te whā hāora te roa. Engari kāore he mea hei manukanuka māu. Mā tētahi tīma hauora mātau koe e tiaki pai. Anei tētahi aratohu taahiraa-i-te-taahiraa mō ngā mahi e mahia ana i te wā o te pokanga.

1. Whakamoe: Tuatahi, ka tukua koe kia moe rawa. Nō reira, kāore koe e rongo i tetahi mea mō te pokanga, ā, kāore koe e mahara ki taua mea ina ara ake koe.

2. Hononga: Ka honoa koe ki ngā taputapu aroturuki hei aroturuki i tō tere o te manawa me tō manawa. Ka hoatu he rongoā paturopi ki a koe mā roto i tētahi uaua hei ārai i te mate.

3. Mīhini Ārai i te Manawa me te Pūkahukahu: Muri iho, ka honoa koe ki tētahi mīhini motuhake. Ka tangohia e tēnei mīhini te mahi a tō ngākau me ō pūkahukahu mō tētahi wā poto i te wā o te pokanga. Kāore tō ngākau e pao i tēnei wā.

4. Tapahi: Ka tapahia tō uma e te taote pokanga hei uru atu ki te ngākau. He maha ngā wā ka mahia tēnei mā te sternotomy (ka tapahia i waenganui o te uma).

5. Whakakapinga takirere: Ka tapahia te atrium maui o te ngākau kia tae atu ki te takirere mitral. Kātahi ka tangohia marietia ngā wāhanga pakaru o te takirere, ā, ka whakanohoia te takirere hou ki tōna wāhi, ka tuia kia piri.

6. Whakamātautau: Tirohia mēnā kei te mahi tika te takirere hou, me te mea kei te tuwhera, kei te kati tika hoki ōna tatau.

7. Te mutunga o te pokanga: Kia pai ngā mea katoa, ka katihia te tapahi i tō ngākau, ā, ka tangohia mārire koe i te mīhini ngākau-pūkahukahu.

He aha ngā painga me ngā mōrearea o tēnei pokanga?

Pērā i ngā pokanga katoa, he painga me he mōrearea anō hoki, ā, he mea nui kia mōhio ki ēnei.

Kaua e wehi i ēnei mōrearea. He tino whakangungua tō tīma hauora ki te whakaiti i te tūponotanga o ēnei āhuatanga, me te whakahaere i aua āhuatanga mēnā ka puta.

He aha ngā mea ka tupu i muri i te pokanga? Kia pēhea te roa o te wā e ora ai?

I muri i te pokanga, me noho koe ki te hōhipera mō te wiki pea.

• Mō te rā tuatahi, e rua rānei, ka puritia koe ki te wāhanga tiaki nui (ICU) ā, ka tino aroturukitia tō āhua.
• Kātahi ka whakawhitia koe ki tētahi wāhanga noa.
• He mea noa te pāhekeheke o te ngakau i muri i te pokanga, ā, me hiahia pea koe ki te rongoā, ki te whakamahi rānei i tētahi taputapu whakatere manawa rangitahi mō tēnei.
• Ka tīmata te whakamahi i ngā rongoā whakangawari toto hei whakaiti i te mōrearea o te toto totoka.
• Ka whakamōhiotia koe mō tētahi kaupapa whakaora ngākau hei āwhina i a koe kia ora wawe.

E 4 ki te 8 wiki te roa hei whakaora katoa. Heoi, he rerekē tēnei wā i ia tangata, i ia tangata. Ka pāngia tēnei e ngā āhuatanga pēnei i tō hauora i mua i te pokanga me te kaha o tō āhua.

Mā tō tākuta koe e kī atu āhea koe ka taea ai te tīmata anō i ngā mahi pēnei i te taraiwa me te hiki taumaha. He mea nui anō hoki kia kai i ngā kai hauora mō te ngākau, kia karo i te momi hikareti me te waipiro, kia mau tonu te taumaha hauora, me te haere tonu ki te whakakorikori tinana hei wāhanga o tō momo noho.

He aha ngā tohu e hiahia ana kia arohia tonutia?

He mea tino nui te tiaki i tō tinana i a koe e ora ana. Mēnā ka pāngia koe e tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu atu , haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera tata ki a koe.

Kaua e warewaretia, me te whakaaro, "He mea iti noa iho pea tēnei." Ahakoa he tohu iti noa iho, he tohu pea tēnei mō tētahi mea nui. Nō reira, ki te mea he ruarua āu, kaua e mangere ki te kōrero ki tō tākuta.