He mīhini nekehanga iti, kāore he waea? Me ako tātou i ngā mea katoa mōna!

Kua kōrerotia atu rānei e tō tākuta ki a koe kei te puhoi rawa te pao o tō ngākau? Ina tupu tēnā, ka ngoikore pea koe, ka ngenge hoki. Nō reira, hei āwhina i ēnei momo pao puhoi o te ngākau, ka whakamahia e mātou he taputapu e kiia nei ko te pacemaker. Engari i tēnei rā, ehara i te mea he pacemaker noa tā mātou e kōrero nei, engari he "pacemaker kore-ara" iti ake, kāore he waea, he mea hou rawa atu.

He aha te taputapu whakateretere kore-arataki?

He kupu ngāwari noa iho, he taputapu iti rawa tēnei, he kotahi te waeine. Ka whakaurua e te tākuta ki roto i tō ngākau hei aukati i te puhoi o tō ngākau. Ko te mea motuhake mō tēnei, ko ngā wāhanga katoa kei roto i te taputapu kotahi. Ko te tikanga , kāore he pākahiko motuhake, kāore he waea (ara) hei hono atu ki tō ngākau . Nā te mea kei roto i te ventricle matau o tō ngākau tēnei taputapu katoa.

Whakaarohia, he iti ake tēnei i te pākahiko AAA e whakamahia ana e tātou. He rite tōna āhua ki tētahi rango whakarewa iti, tata ki te 1 inihi te roa, 1 inihi te whānui.

Me pēhea te mahi a tēnei taputapu iti nei?

He taputapu tino atamai tēnei. Ka whakaritea e te tākuta kia rite ki tō hiahia. Kātahi ka aroturukihia e tēnei mīhini whakatere ngā tohu hiko tūturu o tō ngākau. Mēnā ka tere rawa te pao o te ngākau, ka tukuna e tēnei taputapu he hiko iti rawa ki te uaua o te ngākau. Ka mahi hei pana iti ki te ngākau. Ka āwhina tēnei ki te whakahoki mai i te manawataki o te ngākau.

Mā wai tēnei taputapu whakatere e tika ai?

Ko ngā taputapu whakateretere he mea whakamahi hei āwhina i te hunga whai mate e puhoi rawa ai te pao o te ngākau, e kiia nei ko te bradyarrhythmias . He tino pai tēnei taputapu whakateretere kore-waea mō te hunga whai mate 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.
• Ko te fibrillation atrial (Afib) he āhuatanga e puhoi ai, e mutu ai rānei te tere o te manawa i ētahi wā.
• Te fibrillation atrial, te manawataki sinus rānei me te aukati AV .
• Ko te mate Bradycardia-tachycardia , e puhoi ana, e tere ana hoki te tere o te manawa.
• Te puhoi o te manawa (bradycardia) me ngā tohu.

Mā tō tākuta e whakatau mēnā he tika tēnei māu. Ka arotakehia e ia tō hītori hauora, tō manawataki o te ngākau, me te echocardiogram.Ka tirohia e au ngā pūrongo whakamātautau.

Me pēhea tāu whakarite i mua i tēnei pokanga?

Ehara tēnei i te pokanga nui, engari me iti te whakarite.

• Whakaritea i mua i te wā kia haria koe e tetahi ki te kāinga i muri i te pokanga.
• Mā tō tākuta koe e tohutohu mō te wā e mutu ai te kai me te inu i mua i te pokanga, me te whakaaro anō hoki mēnā me mutu te tango i tētahi rongoā.
• Ko te mea nui, kaua e mutu te tango i tētahi rongoā e tangohia ana e koe me te kore he tohutohu a tō tākuta.

Te tukanga mō te whakauru i tēnei taputapu whakatere

Kaua e mataku, he tino māmā noa iho tēnei mahi. E 30 meneti pea te roa.

1. Tuatahi, ka ngoikore tō hope. Kāore koe e rongo i tetahi mea.

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 uaua nui i roto i tō waewae ( uaua femoral ).

4. I a koe e mātaki ana i tētahi mīhini hihi-X, ka āta ārahi te tākuta i te catheter ki roto i te ngākau.

5. Ka whakanohoia te taputapu whakaterenga manawa ki te ventricle matau o te ngākau, ā, ka honoa ki te uaua o te ngākau.

6. Kātahi ka tirohia te taputapu whakaterenga manawa kia tino tika ai te mahi, kia tika ai hoki te piri.

7. Hei whakamutunga, ka tangohia te catheter, ā, ka mutu te toto mā te pēhi i te wāhi i tapahia.

He aha ngā painga me ngā ngoikoretanga o tēnei?

Pērā i ngā kōwhiringa katoa, he pai, he huakore hoki. Ka kōrerohia ēnei e tō tākuta ki a koe, ā, ka āwhina i a koe ki te whakatau ko tēhea te mea pai mōu.

Kia pēhea te angitu o tēnei? Kia pēhea te roa?

Kua whakaatuhia e ngā rangahau ko te angitu o te whakaurunga o tēnei taputapu he 95% ki te 99% , ā, ko te uauatanga he iti iho i te 2%.

Ko te pākahiko e roa ana i waenga i te 5 me te 15 tau . Ina pau te pākahiko, ka taea e te tākuta te tango i te taputapu nekehanga tawhito ka whakauru i tētahi mea hou. Nā te mea he wāhi kei roto i te ngākau, ka taea te whakauru i te mea hou i te mea kei te noho tonu te mea tawhito.

Me kite anō ahau i te tākuta? Kia pēhea te roa ka ora ai ahau?

Āe, tino tika. Me kite te tākuta i a koe i muri i te pokanga kia tirohia ai tō oranga me te mahi a te taputapu.

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

I te nuinga o te wā ka taea e koe te hoki ki ō mahi o ia rā i te rua wiki i muri i te pokanga.

Ki te puta he mea pēnei, waea atu ki te tākuta tonu!

• Mena he mate urutā, he toto rānei te wāhi i tapahia ai te hope.
• Mena ka pupuhi tō pona, tō waewae rānei .
• Mena kei mua i te whakaurunga o te pacemaker ngā tohu pēnei i te whanoke me te ngenge, whakahokia mai .
• Ki te mea kei te pōuri koe, kei te ngoikore rānei .
• Mena he uaua ki a koe te manawa .

Hei whakamutunga, he mea noa te māharahara mō te whai taputapu i roto i tō tinana. Engari he hangarau tino whai hua, he haumaru hoki tēnei. Heoi, ehara i te mea koinei te otinga pai mō te katoa. Mō ētahi tāngata, ko te taputapu whakatere manawa tuku iho te mea pai rawa atu. Nō reira, kia tuwhera ki tō tākuta mō ngā pātai, ngā āwangawanga rānei e pā ana ki a koe. Ka taea e ia te āwhina i a koe ki te whiriwhiri i te mea pai mōu.