Kua pāngia koe e te uaua ki te manawa, te pupuhi o ō waewae, te raruraru rānei o te ngākau, ā, kua kōrerotia e tō tākuta ki a koe mō tētahi pokanga e kiia nei ko te "Pericardiectomy"? Tērā pea ka mataku koe ina rongo koe i taua ingoa, ā, he mea noa tēnā. Engari kaua e manukanuka. Ko te huarahi pai ki te whakatau i tētahi mea ko te mōhio katoa ki tēnei mea. Nō reira, i tēnei rā, ka kōrero tātou mō tēnei pokanga, te take i mahia ai, me pēhea te mahi, me ngā mea ka tupu i muri i te pokanga i roto i tētahi huarahi tino māmā ka taea e koe te mārama.
Tuatahi, he aha tēnei 'pericardium'?
He whakarāpopototanga noa iho, ko te pericardium te pēke tiaki e karapoti ana i tō ngākau. Hei whakamārama, he pēke e rua ōna pakitara. He iti noa te wai kei waenganui i ēnei pakitara e rua. Mā tēnei wai ka pai te patu o te ngākau, me te kore he uauatanga, me te kore he waku. Arā, he rite ki te hinu whakahinuhinu mō te mahi a te ngākau.
Engari ka taea e koe te ora me te kore tēnei taupoki?
Āe, e tino taea ana. Kāore tēnei 'Pericardium' e hiahiatia ana mō te mahi noa o te ngākau. Mena kei te pai ō pūkahukahu me te uaua nui i raro iho i a rātou e kiia nei ko te diaphragm, kāore he raruraru mā te tango i tēnei hipoki. Inaa, mena he mate tōu pēnei i te 'Pericarditis' (mumura o te pericardium), kua ngaro kē ngā āhuatanga whakahinuhinu o tō 'Pericardium'. Nō reira, mā te tango atu, kāore e kino ake te mate.
Nā, he aha ngā take mō te mahi i tēnei pokanga (Pericardiectomy)?
Ko te take matua me te take tino noa mō tēnei pokanga he āhuatanga e kiia nei ko te Constrictive Pericarditis .
Whakaarohia, he aha te mea ka tupu mēnā ka maroke, ka matotoru, ka rite ki te anga kokonati mārō tēnei pēke ngāwari e karapoti ana i tō ngākau? Ka whakawhāitihia te wāhi mō tō ngākau kia pāorooro noa, kia kī tonu hoki i te toto, kāore? Koinei te mea e kiia nei ko te 'Constrictive Pericarditis'.
Ina matotoru, ina mārō te arai o te ngākau penei:
- Kāore ngā rūma o te ngākau e kī ana i te nui o te toto.
- Ko te toto e tika ana kia papua e te ngākau ka tīmata anō te hoki ki roto i ngā pukahukahu.
- Kāore e taea e te ngākau te pupuhi toto i te āhua noa.
- Ka tīmata te pupuhi o ngā waewae me te puku.
- He rite ēnei tohu ki te ngoikore o te ngākau.
Mēnā he kino te 'Constrictive Pericarditis', ko te otinga pai ko te tango i tēnei hipoki matotoru mā te pokanga.
Kei te ripanga i raro nei ētahi āhuatanga ka pā mai ai te 'Constrictive Pericarditis'.
| Take | Whakaahuatanga |
|---|---|
| Ngā take kāore i te mōhiotia (Idiopathic) | He maha ngā wā, kāore e taea te kimi i tētahi tino take mō tēnei āhuatanga. |
| Ngā pokanga ngakau o mua | Ka puta pea tēnei hei pānga taha o te pokanga ngakau o mua. |
| Maimoatanga irahiko ki te uma | Mena kua whiwhi koe i te maimoatanga irahiko ki te uma mō ngā mate pēnei i te mate pukupuku. |
| Ētahi atu mate | Ngā mate pēnei i te mate kohi me te Mesothelioma. |
| Ngā mate huaketo, ngā mate kitakita rānei | Ngā mate urutā kino e pā ana ki te ngākau. |
Haunga tēnei take matua, ka mahia te pokanga Pericardiectomy i roto i ētahi atu take:
- I ngā wā o te pericarditis e hokihoki mai ana.
- Nā ngā raruraru mai i ētahi rongoā.
- He tino onge te puta o te āhuatanga e kiia nei ko te 'Cardiac Tamponade' ina kohia te wai huri noa i te ngākau, ka pēhi i te ngākau.
Te āhua o te pokanga me te wā whakaora
He pokanga ngākau tuwhera te pericardiectomy. Ko te tīma pokanga:
1. Ka tapahia te wheua uma (`sternum`) i waenganui o tō uma hei uru atu ki te ngākau. Ka kiia tēnei tikanga he Median Sternotomy .
2. He maha ngā wā ka honoa koe ki tētahi mīhini e mahi ana i ngā mahi a tō ngākau me ō pukahukahu mō te wā poto (cardiopulmonary bypass). Mā tēnei ka taea e ngā tākuta te tango haumaru i te arai i te tuara me ngā taha o tō ngākau.
3. Ka tangohia marietia te hipoki matotoru, pakari e karapoti ana i te ngākau ('pericardium').
4. Whai muri i te pokanga, ka honoa anō te sternum ki ngā waea, ā, ka katihia te tapahi ki ngā tuitui.
E rua, e toru rānei ngā hāora te roa o tēnei pokanga. Whai muri i te pokanga, ka tirotirohia koe i roto i te wāhanga tiaki nui mō ētahi rā, ā, i te nuinga o te wā kaMe noho koe ki te hōhipera mō te 5 ki te 7 rā .
E ono ki te waru wiki te roa hei whakaora katoa. Kaua e hiki i ngā mea taumaha i tēnei wā, engari ka taea e koe te hoki mārire ki ngā mahi o te whare.
He aha ngā painga me ngā mōrearea o te pokanga?
Pērā i ngā pokanga nui katoa, he painga, he mōrearea hoki tō tēnei pokanga. Ka taea te whakaiti i ngā mōrearea mā te mahi pokanga e te taote ngakau mātau.
| Ngā Painga | Ngā Tūponotanga |
|---|---|
| Te ngaro tata katoa o ngā tohu. | Ngā raruraru toto. |
| He nui ake te tūponotanga ka ora katoa i te whakamahi i te rongoā. | Me whai whakawhiti toto. |
| Te ārai i ngā kino atu ki te uaua o te ngākau. | Ngā rerekētanga o te pā o te manawa (Atrial Fibrillation). |
| Te kounga o te oranga kua piki ake. | Te pakaru o te whatukuhu. |
| He tino onge te pakaru o te io e āwhina ana i te manawa (io phrenic). | |
| He tino iti, 1% - 2% te mōrearea o te mate. |
Āhea ahau me kite i te tākuta i muri i te pokanga?
I muri i tō hokinga atu ki te kāinga i te hōhipera, me whakamōhio tonu koe ki tō tākuta mēnā ka puta mai ētahi tohu whakatūpato.
- Mena ka pāngia koe e te mamae nui o te uma .
- Ki te mea he kirika tōu .
- Mena he nui ake te wai e maringi mai ana i te patunga pokanga i te tikanga .
I te nuinga o te wā, ka kite koe i tō tākuta ngakau i roto i te wiki, i ngā wiki e rua rānei i muri i tō putanga mai i te hōhipera. Waihoki, ka mahia he echocardiogram i te ono wiki i muri mai hei tirotiro i te mahi a tō ngakau.
Karere Tangohia ki te Kāinga
- He pokanga nui te pericardiectomy e tango ai i te uhi matotoru, pakari o waho o te ngākau.
- He maha ngā wā ka mahia tēnei hei rongoā mō te mate e kiia nei ko te 'Constrictive Pericarditis'.
- Ahakoa he pokanga ngākau tuwhera tēnei, ka taea te whakatutuki i ngā hua angitu ina mahia i raro i te tirotiro a tētahi tīma hauora mātau.
- Ahakoa e 6-8 wiki te roa hei whakaora katoa i muri i te pokanga, he tino pai ngā hua mō te nuinga o te iwi mō te wā roa.
- Mena he wehi, he pātai rānei āu mō te pokanga, kōrerotia whānuitia ki tō tākuta. Mā rātou koe e whakarato ki ngā mōhiotanga me ngā tautoko katoa e hiahiatia ana e koe.
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