He taputapu whakaterenga iti, kāore he waea mō te ngākau? Me ako tātou i ngā mea katoa mō te taputapu whakaterenga kore arai!

Ina whakaaro koe ki tētahi "pacemaker," tera pea ka whakaarohia e koe tētahi taputapu e rite ana ki tētahi puku iti i raro i te kiri o tō uma, e hono ana ki tētahi paihere waea. Engari nā te whanaketanga o te pūtaiao hauora, kua puta he hangarau māmā ake, he iti ake, ā, kāore he waea. I tēnei rā, e kōrero ana tātou mō taua merekara iti: he 'Pacemaker Kore Arataki'.

He aha tēnei taputapu whakateretere kore-arataki?

He kupu ngāwari noa iho, he taputapu iti rawa, kotahi te waeine. Ka whakaurua tika atu e tō tākuta ki roto i tō ngākau. He aha tāna mahi? Ārai i te puhoi o te tere o tō ngākau.

He rerekē tēnei i te mīhini whakatere manawa noa, kāore he pākahiko, he taura motuhake rānei. Kei roto i tēnei rango iti ngā mea katoa. Kei roto te taputapu katoa i te ventricle matau o tō ngākau. Whakaarohia, he iti ake i te pākahiko AAA, tata ki te 1.5 inihi te roa, kia tika.

Me pēhea te mahi a tēnei taputapu iti nei?

He taputapu tino atamai tēnei. Ka hōtakahia e te tākuta, ka whakatōkia ki roto i tō ngākau. Kātahi ka "whakarongo" te taputapu whakatere i ngā tohu hiko tūturu o tō ngākau.

Ki te heke ohorere tō tere o te manawa i raro i te taumata e hiahiatia ana, ka rongohia e tēnei taputapu, ā, ka tukuna he hiko iti rawa ki te manawa. Mā tēnei ka tīmata anō te manawa ki te patu noa. Ko te tikanga, ka mahi anake ina hiahiatia.

Mā wai tēnei e tika?

Ko ngā taputapu whakaterenga manawa he mea e hiahiatia ana mō te hunga he puhoi te tere o te manawa. I roto i te rongoā, ka kiia tēnei he "Bradyarrhythmias." Arā, ko te puhoi o te pao o te manawa nā te mate o te pūnaha tohu hiko o te manawa.

Tērā pea he tino pai te mīhini pacemaker kore-ara mō te hunga whai āhuatanga e whai ake nei:

• Mō te hunga e hiahia ana ki te āwhina o te taputapu whakatere manawa mō ō rātou ngākau i ētahi wā anake.
• Mō te hunga e pāngia ana e te āhua e pōturi ai, e mutu ai rānei te tere o te manawa (Atrial Fibrillation - Afib).
• Mō te hunga whai mate e kīia nei ko te 'AV block'.
• Mō te hunga e pāngia ana e te "Bradycardia-tachycardia syndrome", e puhoi ai te tere o te ngakau i ētahi wā, e tere ai hoki i ētahi wā.
• Mō te hunga e pāngia ana e ngā tohu pēnei i te whanoke nā te puhoi o te tere o te ngakau (`(Bradycardia)` me ngā tohu).

Mā tō tākuta e whakatau mēnā he tika tēnei māu. Ka pātai atu ia ki a koe mō ōu:

• Hītori mate
• Tauira o te ngakau
• Ka tirohia ngā pūrongo matawai pēnei i te ``(Echocardiogram)``.

Me pēhea taku whakarite i mua i tēnei pokanga?

Ehara tēnei i te pokanga nui, engari me mātua tiaki e koe ēnei mea i mua i te tupu.

• Whakaritea kia haria koe e tetahi ki te kāinga i muri i te pokanga.
• Mā te tākuta koe e tohutohu mō te wā e mutu ai te kai me te inu i mua i te pokanga, me ngā rongoā hoki hei mutu te tango.
• Kaua rawa e mutu te tango i tō rongoā me te kore he tohutohu a tō tākuta.

Me pēhea te mahi i te pokanga taahiraa-i-te-taahiraa

Ka pēnei te tukanga. E 30 meneti pea te roa.

1. Tuatahi, ka wiriwiri tō hope.

2. Kātahi ka tapahia he wahi iti rawa ki taua wāhi.

3. Mā roto i taua tapahi, ka whakaurua he ngongo angiangi e kiia nei ko te ``Catheter'' ki roto i tētahi o ō uaua, te ``Femoral Vein''.

4. I a koe e tirotiro ana i te mīhini hihi-X, ka ārahi marie te tākuta i te ngongo ki tō ngākau.

5. Kua whakatōkia tēnei taputapu whakaterenga iti ki roto i te ventricle matau o te ngākau, ā, kua mau.

6. Kātahi, tirohia mēnā kei te mahi tika, ā, kua tāuta tika.

7. Ki te pai ngā mea katoa, ka tangohia te ngongo, ā, ka kati te tapahi.

I muri i te pokanga, ka noho koe i te hōhipera mō te pō. I te aonga ake, ka tirohia anō te taputapu whakatere manawa, ā, ka tangohia he hihi-X o te uma i mua i tō tukunga ki te kāinga.

He aha ngā painga me ngā huakore?

Pērā i ngā tikanga hauora katoa, he pai, he kino hoki. Ka kōrerohia ēnei e tō tākuta ki a koe, ā, ka āwhina i a koe ki te whiriwhiri i te mea pai mōu.

He iti noa atu ngā mea nui hei mōhio

Kia pēhea te roa o tēnei?

E rima ki te tekau mā rima tau te roa o te pākahiko. Ina pau te pākahiko, ka taea e te tākuta te whakaweto i te taputapu nekehanga tawhito ka tāpiri i tētahi mea hou ki tōna taha. Kāore he raruraru mēnā kei reira tonu te mea tawhito.

Kia pēhea te roa o te wā e ora ai?

Ka taea e koe te hoki anō ki ō mahi o ia rā i muri i te rua wiki pea.

Ka taea e au te haere ki te matawai MRI?

Āe. I te nuinga o te wā, he haumaru ēnei mō ngā matawai MRI. Engari he mea nui kia kōrero koe ki tō tākuta me te whakaū i mua i te haere.

Āhea ahau me kite anō i te tākuta? He aha ngā tohu me whakaatu tonu atu e au?

Me toro atu koe ki te tākuta i runga i tētahi wātaka kua whakaritea. Hei tirotiro mēnā kei te pai te mahi a te taputapu whakatere manawa, mēnā kei te pai te pākahiko, ā, mēnā kei te ora pai koe.

• I roto i ngā haora 24 o te pokanga
• I roto i te marama
• Kātahi i ia 3, 6, 12 rānei marama.

Ki te pā mai ēnei tohu ki a koe, waea atu ki tō tākuta tonu atu.

• Mena he mate pāwera (whero, pupuhi, pupuhi), he toto rānei kei te wāhi i tapahia.
• Mena ka pupuhi tō pona, tō waewae rānei.
• Mena ka pāngia koe e ngā tohu (pēnei i te whanoke) i mua i te whakaurunga anō o te pacemaker.
• Ki te pā whakarere mai te ngoikore, te ānini rānei.
• Mena he uaua ki te manawa.

He mea noa te mataku me te manukanuka ina whakaaro koe kei roto i tō tinana he taputapu hauora. Engari ehara i te mea ko koe anake, miriona tāngata huri noa i te ao e ora noa ana me te mīhini nekehanga manawa. Ehara te mīhini nekehanga manawa kore-ara i te otinga pai mō te katoa, ā, he pai ake pea te mīhini nekehanga manawa tuku iho mō ētahi tāngata. Nō reira, kōrero ki tō tākuta mō ngā pātai, ngā āwangawanga rānei kei a koe. Māna koe e āwhina ki te whiriwhiri i te kōwhiringa pai mōu.