Ka turuturu te toto i te takirere ngākau horihori? (Tukunga Paravalvular) Me ako tātou mō te maimoatanga kore-pokanga mō tēnei!

Kua pokangahia koe, tētahi atu rānei e mōhio ana koe, ki te whakakapi i te takirere ngākau? I muri i tētahi wā, ka tīmata te turuturu o te kiko e karapoti ana i te takirere hou. Koinei te mea e kiia nei e mātou he 'Paravalvular Leak', he PVL rānei i roto i ngā kupu hauora. Ka taea e tēnei momo turuturu te whakaputa i ngā tohu pēnei i te poto o te manawa me te ngenge. Nō reira, i tēnei rā ka kōrero tātou mō tētahi maimoatanga māmā ka taea te hiri i tētahi turuturu pēnei me te kore e hiahiatia kia haere anō ki te pokanga nui.

He aha te Katinga o te turuturu Paravalvular?

He whakarāpopototanga noa iho tēnei, ehara i te maimoatanga pokanga. Whakaarohia kua whakauruhia he takirere hangai ki roto i tō ngākau, engari inaianei kua paku turuturu te takirere. I mua, hei whakatika i tētahi mea pēnei, me whakatuwhera anō tō uma, ā, me pokanga ngākau tuwhera. Engari kāore e taea e te katoa te utu mō te pokanga anō, he mōrearea.

Anei tētahi otinga mō tēnei, kua puta ake he maimoatanga e kiia nei ko te Paravalvular Leak (PVL) Closure . I roto i tēnei, ka whakamahia e te tākuta ngakau he ngongo angiangi rawa e kiia nei ko te catheter hei haere ki te turuturu i roto i te ngākau, ā, ka kati i te kōhao ki tētahi taputapu iti (taputapu kati). He rite ki te whakatakoto i tētahi 'hiri' ki tētahi kōhao iti i roto i te paipa wai.

Ko wai e hiahia ana ki tēnei maimoatanga?

Ehara i te mea ka pāngia te katoa e te turuturu o te wai e tēnei mate, ā, ehara i te mea ka hiahia tēnei maimoatanga ki te katoa e turuturu ana. He mea tūtohutia tēnei mō te hunga e turuturu nui ana, kāore e taea te whakahaere mā te rongoā. Mā tō tākuta e whakatau mēnā he tika tēnei maimoatanga māu.

Tērā pea he pai tēnei maimoatanga mō te tangata kei a ia ēnei āhuatanga e whai ake nei:

He aha tāu e mahi ai i mua i te maimoatanga?

I mua i te whakahaere i tēnei maimoatanga, ka tirotirohia tō hauora e tō tākuta. Ka whakahaerehia e ia ngā whakamātautau maha hei tirotiro i te mahi a tō ngākau.

• ECG (Electrocardiogram): Tirohia te mahi hiko o te ngākau.
• Echocardiogram: He matawai o te ngākau.
• Te Echocardiogram Transesophageal (TEE): He matawai motuhake tēnei. Ka tukuna he kāmera iti mā roto i te esophagus kia tino mārama ai te kite i ngā takirere o te ngākau. He mea tino nui tēnei hei kimi i te wāhi tika o te turuturu.
• Matawai CT o te ngākau, MRI rānei: Tikina he whakaahua taipitopito o te ngākau e toru-ahu ana (3D).
• Ngā whakamātautau toto: Tirohia mēnā he mate pāwera.

He mea tino nui kia kōrero koe ki tō tākuta mō ō mate pāwera me ngā rongoā katoa e tangohia ana e koe (ina koa ko ngā rongoā whakaiti toto).

He aha ngā mea ka tupu i te wā e rongoatia ana?

I te nuinga o te wā ka mahia tēnei maimoatanga i roto i te taiwhanga whakauru catheter o te ngākau o te hōhipera. Ka hoatu he rongoā me te rongoā whakamoe ki a koe hei ārai i te mamae.

I muri i tēnei, ka whai te tohunga i ngā mahi e whai ake nei:

1. Te whakaurunga o te catheter: Ka whakauruhia he ngongo tino angiangi, ngāwari (catheter) ki roto i tētahi oko toto nui (te uaua femoral) i roto i tō hope.

2. Te kimi i te turuturu: Mā te whakamahi i te hangarau matawai (pēnei i te TEE), ka tukuna he waea mā roto i te ngongo, ka arahina ki te wāhi tika o te turuturu i roto i te ngākau.

3. Te tāuta i te taputapu:Kia kitea te wāhi tuturu o te turuturu, ka tukuna he taputapu iti motuhake (taputapu kati) hei kati i te kōhao mā roto i te katitere, ka whakatakotoria ki tōna wāhi, kātahi ka kati.

4. Te tango i te catheter: Kia oti te mahi, ka ata tangohia te catheter me ngā waea.

E rua ki te toru hāora te roa o te tukanga katoa. I roto i te wā, ka tipu te kiko o tō ngākau huri noa i te taputapu hou kua whakaurua, ā, ka waiho hei wāhanga o tō ngākau.

I muri i te maimoatanga me ōna painga

I te nuinga o te wā, kotahi noa te pō e noho ai koe i te hōhipera i muri i tēnei maimoatanga. Ka taea e koe te hoki ki te kāinga i te aonga ake. Mā te tākuta koe e tohutohu mō te noho i muri i tō hokinga ki te kāinga, me ngā mea hei mahi me ngā mea kāore e tika ana kia mahia. I te nuinga o te wā, ka tirotirohia anō koe i roto i te toru marama kia kite ai mēnā kua kati pai te turuturu, me te mea kei te mahi tika te takirere.

Ko ētahi o ngā painga o tēnei tikanga ki te whakataurite ki te pokanga tuwhera ko:

• Te whakaoranga tere: Nā te mea kāore he motu nui, ka taea e koe te hoki wawe ki ō mahi o ia rā.
• He iti te mōrearea o te pangia: Nā te mea kāore he patunga nui, he tino iti te mōrearea o te pangia.
• He noho poto ki te hōhipera: Ka taea e koe te hoki ki te kāinga i te pō.
• Ngā koha iti: He kōhao iti noa iho i te hope, kāore he koha nui i te uma.

Āhea koe e hiahia ana ki te kite anō i te tākuta?

I muri i te maimoatanga, he mea nui kia tino whai i ngā tohutohu a tō tākuta, kia haere hoki ki ngā wāhi rongoā i ngā rā kua whakaritea.

Ki te pāngia koe e te kirika kāore e taea te whakamārama, te mamae, te pupuhi rānei i te rohe o te hope, tetahi atu tohu rerekē rānei, me whakamōhio tonu atu ki tō tākuta .

Mena kua whakakapia tō takirere ngākau, he mea tino nui kia tirotirohia tō hauora i ia wā. Nā te mea ka puta pea tēnei momo turuturu i ētahi wā. Engari ko te mea pai rawa atu, ka taea te rongoā i tēnei mea me te kore pokanga. Kōrero ki tō tākuta kia whakatau ai koe ko tēhea te maimoatanga e pai ana māu.