He mamae iti tō uma i ētahi wā, he whakapairuaki rānei ? He uaua rānei ki te manawa i a koe e piki ana i ngā arawhata? He tohu iti pea ēnei e whakaatu ana kua āraihia ngā oko toto (ngā uaua) o roto i tō tātou ngākau. Ahakoa he maha ngā tāngata e mataku ana ki te "whakaekenga ngākau", nā te whanaketanga o te rongoā i ēnei rā, he huarahi hei tango i aua ārai me te kore e hiahiatia he pokanga nui. Koia mātou e kōrero nei mō tētahi tikanga maimoatanga hou, tino hira i ēnei rā.
He aha te PCI? He māmā noa iho...
Ko te PCI, arā, ko te Percutaneous Coronary Intervention , he tikanga hauora māmā noa iho e whakamahia ana hei tango i ngā aukati i roto i ngā uaua coronary e tuku toto ana ki te ngākau. Kua rongo pea koe i tēnei momo "angioplasty." He ingoa tawhito tēnā mōna.
Whakaarohia mēnā ka purua he paipa wai i roto i tō tātou whare i te paru, ā, ka puhoi rawa te rere o te wai, tika? Koinei te āhua o te whakatakoto i ngā mea pēnei i te ngako me te cholesterol ki roto i ngā uaua o tō tātou ngākau, ka aukati i te rere o te toto. I roto i te maimoatanga PCI, ka whakauruhia he taputapu iti rawa te āhua o te poihau ki roto i te uaua kua purua, ka pupuhihia, ā, ka whakatuwheratia anō te uaua.
He maha ngā wā, ka whakanohoia he ngongo mata iti, e kiia nei ko te stent, ki roto i te uaua kia kore ai e aukatia anō. He maha ngā stent e whakamahia ana i ēnei rā he momo motuhake e tuku mārire ana i te rongoā hei whakaiti i te tūponotanga o te aukati anō i te uaua. Ka kiia ēnei he stent e tango ana i te rongoā .
Ko wai rā te tangata e hiahia ana ki tēnei maimoatanga?
Ki te puta he paparanga matotoru o te ngako me te hinu ki roto i ngā oko toto o tō ngākau, ka kiia e mātou i roto i te rongoā he atherosclerosis . Ka kiia e mātou tēnei paparanga ngako he plaque . Ka whakawhāitihia e tēnei āhuatanga te rere o te toto ki tō ngākau. Koinei te wā ka pāngia pea koe e ngā tohu pēnei i:
- Te mamae o te uma, te kikī rānei (angina)
- Te uaua ki te manawa
Ko te mea nui, ka mahia teretia te PCI hei maimoatanga whakaora ora mō te tangata kua pāngia e te mate ngakau, nā te mea ka taea e ia te whakatuwhera wawe i te uaua kua āraia, me te whakaiti i te kino o te ngakau.
Me pēhea te whakahaere i te maimoatanga PCI? Kia tirohia te taahiraa i te taahiraa
Ka whakahaerehia tēnei maimoatanga e te tākuta ngakau. Ka hoatu he rongoā ki a koe hei whakamoe i a koe, hei whakamarie hoki i a koe i tēnei wā. Nō reira, kāore koe e mamae, engari ka mōhio koe. Me whakamārama e mātou te mahi a tēnei tukanga.
| Ngā Hipanga | He aha te mea e tupu ana? |
|---|---|
| 1. Te urunga atu | Ka hangaia e te tākuta he kōhao iti rawa ki tō ringaringa, ki tō huha rānei o runga, ka whakaurua he ngongo iti (he hipoki) mā roto ki roto i te uaua toto. |
| 2. Te tuku i te catheter | Mā roto i taua ngongo, ka tukuna he ngongo angiangi ake, e kiia nei ko te catheter, ki te uaua kua āraia i roto i te ngākau. |
| 3. Te kimi aukati | Ka werohia he momo tae motuhake (tae rerekē), ā, ka whakamahia te hangarau hihi-X hei tiro i ngā whakaahua ora i roto i ngā uaua. Pērā i te kiriata. Kātahi ka taea e koe te kite tika i te wāhi kei reira te poraka. |
| 4. Te whakatuwhera i te uaua | Mā te pupuhi i te poihau iti kei te pito o te catheter, ka pēhia te paparanga ngako kua mau ki te pakitara o te uaua, ka huakina he ara mō te rere o te toto. |
| 5. Te whakatakotoranga o te stent | Hei ārai i te whaiti anō o te uaua toto, mēnā e tika ana, ka whakanohoia he stent ki taua wāhi. |
| 6. Te whakaoti | Ka tangohia te catheter, ā, ka katihia te wāhi whakauru ki te takai pēhi, ki ngā tuitui iti rānei. |
Ko te tikanga, ka roa pea tēnei tukanga katoa i waenga i te 30 meneti ki te rua hāora, i runga i te nui o te aukati i roto i ō uaua.
Ka taea e te katoa te whiwhi i tēnei maimoatanga?
Kāo. Me whakatau tahi kōrua ko tō tākuta ko tēhea te maimoatanga pai mōu. Mēnā me PCI koe, me rongoā anake, me pokanga nui rānei (Coronary Artery Bypass Graft - CABG) ka whakawhirinaki ki ētahi āhuatanga. Hei tauira, te maha o ngā uaua kua āraia, te pai o te mahi a tō ngākau, me te mea he mate hauora kē atu āu.
Ngā painga, ngā mōrearea, me te wā whakaora
Pērā i ngā maimoatanga hauora katoa, he painga, he iti noa hoki ngā mōrearea o tēnei.
Ko ngā painga matua ko:
- Te whakahokinga mai o te rere o te toto ki te ngākau.
- Ka ngaro ngā tohu pēnei i te mamae o te uma me te poto o te manawa.
- He māmā ake te mahi i te pokanga taha taha, ā, he poto ake te wā whakaora.
Ngā tūponotanga pea:
- Te toto, te mate rānei i te wāhi i whakaurua ai te katitere.
- Ka puta he toto totoka i roto i te stent (ka hoatu he rongoā whakangawari toto hei ārai i tēnei).
- Ka āraia anō te uaua kotahi (engari he iti iho i te 5% tēnei mōrearea nā te stent e tango ana i te rongoā).
- He tino onge te pānga o te whiu.
I te nuinga o te wā ka taea e koe te hoki anō ki ngā mahi o ia rā i roto i te wiki i muri i te PCI. Heoi, me mutu pea te mahi i ngā mea pēnei i te hiki taumaha mō tētahi wā. Ko te mea nui ko te tango i ngā rongoā whakaiti toto (hei tauira, clopidogrel, ticagrelor) e tohua ana e tō tākuta mō te roanga katoa o te rongoā, me te kore e ngaro i tētahi rā.
Kia tūpato ki ēnei tohu! Me toro atu ki te tākuta tonu!
Mena ka pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te maimoatanga PCI, waea atu ki tō tākuta tonu atu , haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera tata rawa atu.
- He toto, he wai rite ki te pupuhi, he pupuhi rānei mai i te wāhi i whakaurua ai te katitere.
- Ka puta anō te mamae o te uma (angina) .
- Te kirika, te makariri rānei.
- Te ngenge, te tino makariri rānei o te ringa, o te waewae rānei i te wāhi i whakaurua ai te catheter.
- Te whanoke, te ngoikore rānei (syncope) .
- Te uaua nui ki te manawa.
Karere Tangohia ki te Kāinga
- He tikanga maimoatanga hou, haumaru, ā, tino whai hua te PCI e whakamahia ana hei whakatuwhera i ngā oko toto kua āraia i roto i te ngākau.
- He āwhina nui tēnei mō te whakaora i ngā oranga mēnā ka pā mai he mate manawa ohorere.
- Ahakoa he tere te ora i muri i te maimoatanga, he mea nui kia tangohia ngā rongoā kua tohua e te tākuta, inā koa ngā rongoā whakaiti toto, mō te roanga katoa.
- Hei ārai i te aukati anō o ngā uaua toto, he mea tino nui te whai i ngā tikanga noho pai pēnei i te whakamutu i te momi hikareti, te kai i ngā kai hauora, me te whakakori tinana.
- Mena he pātai āu mō te hauora o tō ngākau, kōrero noa ki tō tākuta ngākau, ā, me whakatau tika.
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