Me ako ngāwari tātou mō te Pericardiectomy (te pokanga hei tango i te kiriuhi e karapoti ana i te ngākau).

He rite tō tātou ngākau ki tētahi taonga utu nui, kāore? Nō reira, kua hangaia e te taiao tētahi mea whakamiharo hei tiaki i taua taonga. He kiriuhi angiangi e karapoti ana i te ngākau. Engari i ētahi wā, ka raru pea te ngākau i tēnei tiakitanga. I ēnei wā, me tango te kiriuhi mā te pokanga. Koinei te mea e kōrerohia ana i tēnei rā.

He aha tonu te pericardiectomy?

I te whakarapopototanga, ko te pericardiectomy he tango pokanga i te katoa, i te wāhanga rānei o te pericardium , te kiriuhi e karapoti ana i tō ngākau. I ētahi wā ka kiia tēnei ko te "pericardial stripping".

Whakaarohia, he rite tēnei pericardium ki tētahi pēke kiriuhi-rua e pupuri ana i te ngākau. He iti noa te wai kei waenganui i ēnei kiriuhi e rua. Koinei te wai e āwhina ana i te ngākau kia pā mārie, kia kore hoki e pā te waku.

Ka taea e tātou te ora me te kore tēnei pericardium?

Āe, e tino taea ana. Kāore te pericardium i te mea nui mō te mahi noa o te ngākau. Mena kei te pai te āhua o ō pukahukahu me te diaphragm, te uaua e wehe ana i tō uma me tō puku, kāore he raruraru ki te tango i te pericardium.

Ina hoki, ina pāngia te tangata e te pericarditis, ka ngaro te maeneene o te pericardium, arā, tōna kaha ki te whakaiti i te waku. Nō reira, mā te tango atu i tēnei mea, kāore e kino ake te āhua.

He aha ngā take e mahia ai te pericardiectomy?

Ko te take matua, ko te take tino noa mō tēnei pokanga, he mate e kiia nei ko te Constrictive Pericarditis . Koinei te wā ka matotoru, ka pakari te kiriuhi e karapoti ana i te ngākau, ā, i ētahi wā ka puta he putunga konupūmā ka whakapakeke, ka rite ki te kōhatu.

Whakaarohia te mea ka tupu ina whakawhāiti whakarere te pēke e karapoti ana i te ngākau.

• Ka kumea kahatia te ngākau, ā, kāore e taea te kume.
• Nō reira, kāore e nui te toto e whakakīia ana ngā rūma o te ngākau.
• Ka akiakihia te toto e haere ana ki te ngākau kia hoki ki ngā pukahukahu.
• Kāore e taea e te ngākau te pupuhi toto i te āhua noa.
• Ka pupuhi ngā waewae me te puku i tēnei, he rite ki ngā tohu o te ngoikore o te ngakau.

Ko tēnei pokanga te otinga pai rawa atu mō ngā take tino kino o te Constrictive Pericarditis.

Ngā Take o te Pericarditis Whakapūmau

• Kāore i te mōhiotia te take: I te nuinga o te wā, kāore e kitea he take motuhake.
• Pokanga ngākau o mua: Tērā pea nā te pokanga ngākau o mua i puta ai.
• Whakaora irahiko ki te uma: Whakaora irahiko ki te uma mō ngā āhuatanga pēnei i te mate pukupuku.
• Ngā mate pēnei i te mate kohi: Ka puta pea tēnei i ētahi āhuatanga hauora.
• Ngā mate huaketo, ngā mate kitakita rānei:Ka puta anō hoki tēnei nā ētahi mate pāwera.

Hei tāpiri, ka mahia tēnei mahi i roto i ētahi atu take:

• Pericarditis Auau: Mena ka puta tonu tēnei āhuatanga ahakoa te rongoā.
• Ngā pānga taha o ngā rongoā ārai-mumura: Mena ka puta he raruraru nā ngā rongoā pēnei i te steroids e hoatu ana hei whakahaere i te kikī o te pericardial.
• Te Whakapūmau i te Manawa: He tino onge te mahi i tēnei ina kohia te wai ki te taha o te manawa, ā, ka pēhia.

He aha ngā mea ka tupu i mua atu, ā, i te wā o te pokanga?

I mua i te pokanga

Mā tō tīma hauora e whakarite ngā taputapu katoa e tika ana hei whakahaere haumaru i te pokanga. He maha ngā wā, ka whakamahia e te taote pokanga he mīhini karo manawa , e mōhiotia ana ko te mīhini ngākau-pūkahukahu. Ka tangohia e tēnei mīhini te mahi a te ngākau me ngā pūkahukahu i te wā o te pokanga. Mā tēnei ka taea e te tākuta te tango haumaru i te pericardium mai i ngā taha e rua me muri o te ngākau.

I te wā o te pokanga

1. Te tapahi: Ka tapahia e te tākuta he tapahi i waenganui o tō uma, i te taha o te wheua uma (sternum), kia tae atu ai ki te ngākau. Ka kiia tēnei he Median Sternotomy .

2. Te tango i te pericardium: Ka tangohia marietia te kiriuhi pericardial mai i te ngākau.

3. Te whakatika i te sternum: Ka whakatikahia anō te sternum mā te whakamahi i ngā waea.

4. Te tuitui i te tapahi: Hei whakamutunga, ka katihia te tapahi ki ngā tuitui.

E rua ki te toru hāora te roa o tēnei pokanga, engari ka rerekē pea tēnei wā mēnā kei te whakahaerehia ētahi atu tikanga i te wā kotahi.

He aha ngā mea ka tupu i muri i te pokanga?

Ka pāngia koe e te mamae ina ara ake koe i muri i te pokanga. Ka whakanohoia hoki tētahi, ētahi rānei ngongo (waikeri) ki roto i tō uma hei tango i te wai nui. Ka taea e koe te inu wai i te rā i muri i te pokanga, kātahi ka kai mārire. Me haere tonu pea koe ki te tango i ngā rongoā whakaheke toto, ahakoa he iti iho te horopeta i tō mua i te pokanga.

He aha ngā painga me ngā mōrearea o tēnei pokanga?

Pērā i ngā pokanga nui katoa, he painga, he mōrearea anō hoki. Mā te whiriwhiri i tētahi taote pokanga ngākau mātau ka taea te whakaiti i ngā mōrearea.

Ko te hunga kua pokanga ngākau i mua, he mate hauora nui tō rātou, kua whiwhi rānei i te rongoā irahiko, he nui ake te mōrearea ki ngā raruraru.

Kia pēhea te roa o te wā e ora ai?

I te nuinga o te wā me noho koe ki te hōhipera mō te rima ki te whitu rā. I muri i tō hokinga ki te kāinga, ka taea e koe te karo i te hiki i ngā mea taumaha, ā, ka taea e koe te tīmata mārire i ētahi atu mahi o ia rā.

E ono ki te waru wiki te roa hei whakaora katoa. Ka rerekē pea tēnei wā i runga i te kino o tō āhua i mua i te pokanga. Tērā pea ka roa ake te wā mō te hunga kei roto i te āhua kino rawa atu. Heoi, ko te nuinga o te iwi ka kite wawe i te whakamarie i muri i te pokanga.

Āhea koe me toro atu anō ki tō tākuta?

Me toro atu koe ki tō tākuta ngakau i roto i te wiki, i ngā wiki e rua rānei i muri i te wehenga atu i te hōhipera. Me whai hoki koe i tētahi echocardiogram (matawai ultrasound o te ngakau) i ngā wiki e ono i muri i te pokanga.

Me kōrero tonu atu ki tō tākuta mēnā ka puta ēnei tohu e whai ake nei:

• Mamae o te uma
• Kirika
• Mena he nui ake te wai e rere ana mai i te patunga pokanga i te tikanga

Te Pericardiectomy, te Pericardiocentesis me te Pericardiotomy - He aha te rerekētanga?

He āhua ōrite ēnei ingoa e toru, nō reira ka pōhēhē pea. Kia kite tātou he aha te rerekētanga.