Ina kī te tākuta, 'Me mahi pokanga ngākau tuwhera ahau,' ka mataku te katoa, tika? He mea noa te mataku ina kī mai tetahi me whakatuwhera tō uma. Engari he aha rawa tēnei? He aha koe me mahi ai i tēnei pokanga? Kaua e mataku, ka kōrerohia tēnei i roto i tētahi huarahi e mārama ai koe, he tino māmā noa iho.
He aha te pokanga ngākau tuwhera?
He māmā noa iho, ko te pokanga ngākau tuwhera he momo pokanga e whakatuwherahia ai tō uma kia ngāwari ai te uru atu a te taote pokanga ki tō ngākau. Mā tēnei ka taea e ngā tākuta te uru tika atu ki tō ngākau me te rongoā i tō mate ngākau.
Whakaarohia, he okana te ngākau e huna haumaru ana i roto i tō tātou uma. Nō reira, hei whakatutuki i tēnei, ka tapahia e ngā taote pokanga te waenganui o tō uma, e kiia nei ko te sternum, ko te uma rānei , ka wehea tō uma hei wāhi mō te ngākau. Ka kiia tēnei e ētahi he "flap chest." Mena he pai tō hauora ki te tu atu ki tēnei momo pokanga, ka tūtohu pea tō tākuta i tēnei tikanga.
Engari kāore e hiahiatia ana tēnei momo pokanga nui e te katoa. I ētahi wā, ka taea te mahi pokanga ngākau mā te whakamahi i ngā tapahi iti ake me ngā tikanga iti ake te whakaekenga. Engari kei tō tākuta te whakatau, i muri i te tirotiro i tō āhua me tō hauora.
He aha ngā momo pokanga e mahia ana mā te whakatuwhera i te uma pēnei?
Ka whakamahia tēnei tikanga ina hiahia ngā taote pokanga ki te uru tika ki te ngākau me ngā oko toto e karapoti ana hei rongoā i ētahi mate ngākau.
| Momo pokanga | He whakamārama māmā |
|---|---|
| Te Tāruatanga o te Arorangi Koronari (CABG) | Ina aukatia te uaua e tuku toto ana ki te ngākau, ka whakatōkia he uaua hou hei whakakapi. Koinei te pokanga tino noa. |
| Te whakatikatika, te whakakapi rānei i te takirere ngākau | Mena kāore ngā takirere o te ngākau e mahi tika ana, ka taea te whakatika, te whakauru rānei i tētahi takirere hou. |
| Te whakatikatika i te mate ngakau whānau | Te whakatikatika i ngā āhuatanga pēnei i ngā hapa o te septal atrium e kitea ana i te whānautanga. |
| Te whakatikatika i te aneurysm | Mena kua ngoikore te pakitara o te ngākau, o te oko toto nui rānei, ā, kua pupuhi pērā i te poihau, e whakatika ana i taua wāhanga. |
| Te Whakatō Manawa | Te whakawhitinga i tētahi ngākau hauora mai i tētahi atu tangata ki tētahi tangata kua tata kore e mahi pai tōna ngākau (te ngoikore o te ngākau). |
| Te whakaurunga o ngā taputapu motuhake | Te whakaurunga o ngā taputapu pēnei i te LVAD (Left Ventricular Assist Device) me ngā pacemaker hei āwhina i te mahi a te ngākau. |
Me pēhea taku whakarite i mua i te pokanga?
He pokanga nui tēnei, he mea nui rawa kia pai te whakarite mōna. Me whai tika koe i ngā tohutohu a tō tākuta.
Kia tupato ki tāu rongoā.
E rua wiki i mua i te pokanga, ka tono pea tō tākuta kia mutu te tango i ētahi rongoā ka whakanui ake i te mōrearea o te toto. Hei tauira, ko ngā rongoā whakaiti toto pēnei i te aspirin me te warfarin, me ngā rongoā whakamamae e kiia nei ko ngā NSAID . Kia mahara ki te kōrero ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe.
Mō te kai me te inu
Ka tohutohuhia koe kia nohopuku (kaua e kai, kaua e inu i tetahi mea) mō ētahi hāora i mua i te pokanga. Ko te mea tino haumaru ko te noho puku kau i te wā e rongoātia ana.
Te momi hikareti me te waipiro
Mena he kaipaipa koe, me mutu te kaipaipa i mua i te pokanga. He mea pai hoki te mutu te inu waipiro. Ka taea e ēnei mea te whakaroa i te whakaora o te patunga, me te whakanui ake i te tūponotanga o ngā raruraru i muri i te pokanga.
Me noho tawhiti atu i te hunga mate.
Mō ngā wiki e rua i mua i te pokanga, me noho tawhiti atu i te hunga e pāngia ana e te makariri, e te rewharewha rānei. Kāore koe e hiahia kia pāngia koe e tetahi momo mate i te rā o te pokanga.
Me pēhea te mahi i te pokanga?
E rua ngā momo pokanga ngākau.
1. Pokanga i runga i te papu: Ko te hononga i tētahi mīhini karo ngākau-pūkahukahu ki tō ngākau. Ka tangohia e tēnei mīhini te mahi a tō ngākau me ō pūkahukahu mō tētahi wā poto. Ko te tikanga o tēnei kei te pupuhi te ngākau i te toto ki te tinana, i te wā e mutu ana te toto. Kātahi ka taea e te taote pokanga te mahi pokanga i te ngākau kua mutu, kua kore he toto . Kia oti te pokanga, ka tangohia te mīhini, ā, ka tīmata anō te ngākau ki te mahi.
2. Pokanga Kore-Papu: Ka kiia hoki tēnei ko te "pokanga ngakau e patupatu ana." I konei, kāore te ngakau e mutu. Ka mahia te pokanga i te wā e patupatu ana te ngakau. Heoi, ka taea anake te whakamahi i tēnei tikanga mō ngā pokanga pokanga coronary artery bypass graft (CABG) .
I te wā e pokangahia ana, ka meinga koe e te tohunga whakamoe kia moe rawa, ā, ka aroturuki tonu i tō āhua, kia kore ai koe e mamae.
I muri i te pokanga, ka honoa anō te wheua uma mā te whakamahi i ngā waea motuhake, i ngā tuitui rānei. Ka noho tonu ēnei ki roto i te tinana mō te oranga katoa. Kātahi ka katihia te tapahi kiri ki ngā tuitui.
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, ka puritia koe ki te wāhanga tiaki nui (ICU) mō te rā kotahi, neke atu rānei, hei tiaki motuhake. Kia pumau tō āhua, ka whakawhitia koe ki te wāhanga noa.
Me noho koe ki te hōhipera mō ētahi rā. I tēnei wā, ka tirotirohia tō ngākau, ā, ka tuaruatia ngā whakamātautau i mahia e koe i mua i te pokanga (pēnei i te ECG). Ka akiakihia koe kia ara ake i te moenga, kia hikoi haere mārire. Mā tēnei ka tere ake te ora o te patunga.
I muri i te pokanga, ka pā pea ēnei ki a koe:
- Te kōroke i te puku nā te tango i ngā rongoā whakamamae.
- Ngā raruraru mahara , ngā huringa wairua rānei .
- Te kore moe .
- Kāore he reka o te kai.
- Mamae, marō, me te pupuhi iti i te wāhi i tapahia.
- Te mamae me te pakari o ngā uaua o te uma.
- E ngenge ana pērā i ngā wā katoa.
Ka memeha haere te nuinga o ēnei mea i roto i ētahi rā, i ētahi wiki rānei.
He aha ngā mōrearea me ngā painga?
Pērā i ngā pokanga nui katoa, he mōrearea anō hoki tō tēnei pokanga.
- Te toto.
- Te mate urutā.
- Te toto totoka.
- Te pāorooro o te manawa (Arrhythmias).
- He iti te mōrearea o te whiu.
- Mate pāwera ki te rongoā whakamoe.
Ko te hunga mate huka, momona, mate pūkahukahu (pērā i te COPD) me te mate tākihi, me te hunga kaipaipa he paku nui ake te mōrearea ki ngā raruraru.
Engari ko te painga nui o tēnei pokanga ko te taea e ia te whakaora i ngā oranga.Mō ētahi, i muri i tēnei pokanga, ka ngaro katoa ngā tohu, ka taea e rātou te mahi i ngā mahi o ia rā me te ngāwari, ā, ka taea e rātou te ora i te kounga pai o te oranga .
Kia pēhea te roa o te wā e ora ai?
E ono ki te tekau mā rua wiki pea te roa, neke atu rānei, hei whakaora katoa i a koe, i runga i te momo pokanga i mahia ki a koe me tō hauora whānui.
Kāore koe e whakaaetia kia taraiwa, kia hiki rānei i ngā mea taumaha mō ngā wiki tuatahi e ono. Mā tō tākuta koe e kī atu āhea koe ka taea te hoki ki te mahi. Tērā pea ka tukuna koe ki tētahi kaupapa whakaora ngākau . Mā tēnei ka āwhina i a koe ki te whakahoki mai i tō kaha.
| Ki te pā mai ēnei tohu ki a koe, waea atu ki tō tākuta tonu! | |
|---|---|
| - Te mamae nui o te uma, he rerekē i te mamae e pā ana ki te wā o te whiu. | |
| - Te kirika. | |
| - He wai rite ki te pūhā e maringi mai ana i te wāhi i tapahia, he whero, he pupuhi nui rānei (he tohu mate). | |
| - Te whakapairuaki me te ruaki tonu. | |
| - Te uaua ki te manawa. | |
| - Ngā tohu o te whiu pērā i te uaua ki te kōrero me te piko o tetahi taha o te mata. | |
Karere Tangohia ki te Kāinga
- Ehara te pokanga ngākau tuwhera i te mea e wehi ai, he pokanga nui tēnei e mahia angitu ana i ēnei rā, ā, ka taea hoki te whakaora i ngā oranga.
- He mea tino nui kia angitu te whai i ngā tohutohu a te tākuta (te rongoā, te kai, me te whakamutu momi hikareti) i mua tonu i te pokanga.
- He roa te wā e ora ai. Nō reira kia manawanui. Hoatu te wā e hiahiatia ana e tō tinana kia ora ai.
- He mea noa te manukanuka, te ahotea rānei i muri i te pokanga. Kōrerohia tēnei ki tō whānau me te tākuta me te kore e whakaroa.
- Mena he pātai āu mō te pokanga, kaua e wehi ki te pātai ki te tākuta. Mā te mōhio mārama ki ngā mea katoa ka kaha ake tō hinengaro.
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