Kei te mamae anō hoki ō waewae, inā koa ka hikoi koe mō te wā poto? Ka memeha te mamae ina mutu koe mō tētahi wā, kātahi ka hikoi anō? Ka ara ake rānei koe i te pō me te mamae o ō waewae? Kāore pea ēnei i te mamae waewae noa iho. Ko te take pea o tēnei he aukati i roto i te uaua toto matua e tuku toto ana ki ō waewae. I tēnei rā, ka kōrero tātou mō te Peripheral Artery Bypass, he pokanga nui e mahia ana mō tēnei.
He aha te tikanga o te Peripheral Artery Bypass?
He pokanga tēnei. Ko te tikanga o tēnei pokanga ko te waihanga i tētahi ara hou mō te rere o te toto hei karo i tētahi uaua kua āraia, kua whaiti rānei i roto i tō waewae (i ētahi wā i tō ringa).
Whakaarohia tēnei. He nui te arai waka kei te huarahi e whakamahia ana e koe, ā, kua āraia rawatia te huarahi. Inaianei kāore e taea e koe te haere atu. He aha te mahi a ngā kaihanga rori? Ka hangaia e rātou he huarahi whakawhiti hou hei karo i te waka. Koinei te āhua o tēnei pokanga.
Ka kohikohi te cholesterol me ētahi atu ngako i roto i ngā oko toto o tō tātou tinana, ka hanga he "paparanga ngako." I roto i te rongoā, ka kiia tēnei he plaque . I roto i te wā, ka tipu tēnei paparanga ngako ka aukati i ngā oko toto. Ka kiia tēnei āhuatanga ko te Peripheral Artery Disease (PAD) . Ina aukatia tēnei rere toto, kāore ngā kiko o ō waewae e whiwhi i te hāora me ngā matūkai e hiahiatia ana e rātou. Ko te wā tēnā ka hangaia e te tākuta he ara rere toto hou (he grafting) mā te hono i ngā oko toto i runga ake me raro i te mea aukati.
Ko wai te tangata e hiahia ana ki te pokanga bypass?
Ehara tēnei pokanga i te mea mā te katoa. Ka ngana tuatahi tō tākuta ki te whakahaere i tō āhua mā te whakamahi i ngā rongoā me ngā huringa āhua noho (pērā i te whakamutu i te momi hikareti me te whakakori tinana). Heoi, ka whakaarohia anake te pokanga mēnā kāore tētahi o ēnei e whai hua ana, ā, mēnā he nui te aukati o tō uaua toto.
Mena kei a koe ēnei tohu e whai ake nei, ka tūtohu pea tō tākuta kia mahia tēnei pokanga.
| Tohu | He whakamārama māmā |
|---|---|
| Te mamae o te waewae i te wā e hikoi ana, i te pō rānei | Ina hikoi au mō te wā poto, ka rongo au i te mamae me te mea kei te kumea ōku makawe. Ka memeha haere ina tū au. Ina moe au i te pō, ka mamae ōku waewae, ā, ka haukotia taku moe. |
| Ngā patunga waewae kāore e ora | Ahakoa he patunga iti noa iho i te waewae, inā koa i ngā mātiti waewae, i ngā rekereke rānei, ka roa te wā e ora ai. Nā te ngoikore o te rere o te toto ka puta tēnei. |
| Te mate o te kiko (Gangrene) | Ina mutu rawa te rere o te toto, ka tīmata te mate o te kiri me ngā kiko o taua wāhi. Ka mangu te kiri, ā, ka ngaro te rongo. He mate tino morearea tēnei. |
Ko te mea nui ko tēnei pokanga he mea mahi mā te hunga he mate uaua rawa te Peripheral Artery Disease (PAD) . Ko te tikanga, ki te mea kei te pokanga koe, kei te tino kino tō āhua. Kaua e manukanuka, koinei te otinga tino whai hua mōna.
He aha ngā mea ka tupu i mua i te pokanga?
Ka whakaritea e tō taote pokanga toto kia maha ngā whakamātautau hei whakatau i tō āhua tuturu i mua i te pokanga.
- ECG (Electrocardiogram): Tirohia te mahi a te ngākau.
- Matawai Ultrasound: Kia kitea ai te rere o te toto i roto i ngā uaua toto me ngā wāhi kua āraihia.
- Ngā Whakamātautau Toto: Tirohia mō ngā mea pēnei i te mate huka me ngā taumata cholesterol.
- Whakamātautau Taumahatanga: Tirohia te urupare a tō ngākau ina whakakorikori tinana koe.
Haunga ēnei whakamātautau, kotahi te mea nui me mahi e koe. Ki te kaipaipa koe, kati tonu te kaipaipa. Mā tēnei ka āwhina nui koe ki te whakaiti i te tūponotanga o ngā raruraru i muri i te pokanga.
I te rā i mua i te pokanga, ka hoatu e tō tākuta ēnei tohutohu ki a koe:
- Me whakamutua pea te tango i ētahi rongoā (ina koa ko ērā e ārai ana i te toto kia totoka).
- E kīia ana kia kaua e kai, e inu rānei i tetahi mea i muri i te waenganui pō o te pō i mua i te pokanga.
He aha ngā mea ka tupu i te wā o te pokanga?
Nā te mea he pokanga nui tēnei, ka meinga koe e te tohunga whakamoe kia moe rawa kia kore ai koe e mamae. Kātahi ka whai te taote pokanga i ēnei mahi:
1. Tapahi: E rua ngā tapahi, tata ki te 4-8 inihi te roa, ka mahia ki runga ake, ki raro hoki i te uaua toto kua purua.
2. Te tango i tētahi uaua mō te pokanga taha (Graft):Me whakamahi he uaua hou hei pokanga whakawhiti. He uaua hauora tēnei nō tōu ake waewae. Mēnā rānei ka whakamahia he hononga kirihou, he hononga kakahu rānei. Mēnā ka whakamahia e koe tōu ake uaua, me tapahi anō koe i tētahi atu tapahi iti hei tiki.
3. Te waihanga i tētahi ara hou: Ka tuia te hononga ki te uaua toto matua, ko tētahi taha kei runga ake i te ārai, ko tētahi taha kei raro iho i te ārai. Ka taea e te toto te karo i te ārai, ka rere iho i tēnei ara hou.
4. Te kati i ngā tapahi: Hei whakamutunga, ka katihia ngā tapahi ki ngā tuitui, ki ngā tāpare rānei.
Ka roa pea te tukanga katoa mai i te rua ki te ono hāora, i runga i te roa o te uaua kua āraia me te uauatanga o te pokanga.
He aha ngā mea hei tumanakohia i muri i te pokanga?
I muri i te pokanga, ka whakawhitia koe ki te wāhanga, ā, ka aroturukihia tonutia koe e ngā kaimahi hauora mō:
- Ka tirohia tonutia tō manawa, tō toto totoka, tō pāmahana, me tō manawa.
- Ka tirohia tonutia e rātou mēnā he pai te rere o te toto i te waewae i pokaina.
- Ka hoatu ngā rongoā mamae hei whakahaere i te mamae.
Ina hoki koe ki te kāinga i te hōhipera, ka tohua e te tākuta ētahi rongoā hei tango tonu māu.
- Ngā Statin: Whakahaere i te cholesterol.
- Āpipirini, Clopidogrel rānei: Ārai i te toto totoka.
Ngā painga me ngā mōrearea o te pokanga
Pērā i ngā pokanga katoa, he painga, he mōrearea anō hoki tō tēnei pokanga.
| Ngā Painga | Ngā Tūponotanga/Ngā Raruraru |
|---|---|
| Ka ngaro haere ngā mamae o te waewae me ngā tohu kāore anō kia pai ake i ētahi atu maimoatanga. | Ngā toto totoka. |
| Ka tīmata wawe te ora o ngā patunga o te waewae. | Te pangia o ngā patunga tuitui. |
| Ka whakakorea te mōrearea o te tapahi i te waewae nā tētahi mate kino pēnei i te gangrene. | Te toto nui rawa. |
| He roa te wā e puta ai ngā hua. Kei te pai tonu te mahi a te pokanga bypass i roto i te 60%-85% o ngā take i roto i ngā tau e 5 i muri i te pokanga. | Te pakaru o ngā io i te wā e pokangahia ana. |
| Kei te tino pai haere te kounga o te oranga. | Te whakaeke ngakau (i roto i te ōrau iti). |
Kia maumahara, ko te nuinga o te tangata kāore e pāngia e ngā raruraru nui, engari ko te hunga neke atu i te 70 tau te pakeke me te hunga whai mate hauora kē atu (pērā i te mate huka, i te mate tākihi rānei) he paku nui ake te mōrearea.
Ngā mea hei whakaaroaro i te wā whakaora me muri i te hokinga ki te kāinga
E ono ki te waru wiki pea te roa hei whakaora katoa. Heoi, i roto i ētahi wiki torutoru ka taea e koe te hoki mārire ki ō mahi o ia rā. I te nuinga o te wā ka tukuna koe i te hōhipera i roto i ngā rā e 2-5.
Ka taea ēnei mea te tupu i muri i tō taenga ki te kāinga, kaua e wehi:
- Te hekenga o te hiahia kai.
- Te mamae, te ngau rānei i te taha o ngā wahi i motuhia.
- Kua pupuhi paku te waewae.
- Te mamae o ngā uaua i te wā e hikoi ana.
Āhea te wā tika ki te waea atu ki te tākuta!
Ki te puta mai tētahi o ngā tohu e whai ake nei i muri i tō hokinga ki te kāinga, me whakamōhio tonu atu ki tō tākuta , me haere rānei ki te Tari Ohotata (ETU) o te hōhipera.
- Mena he nui tō kirika, he wiri rānei koe i te makariri.
- Mena he wai rite ki te pulu e puta mai ana i ngā tuitui, he whero, he pupuhi, ā, he tino mamae.
- Ki te huri te tae o te waewae (ka koma, ka kikorangi rānei), ki te tino makariri te waewae, ki te kaha ake rānei te ngau.
I muri i te pokanga, ka hoatu e te tākuta he rā hei hoki mai mō tētahi atu tirotiro. Kia mahara ki te haere ki ēnei wāhi mahi. I reira, ka whakahaerehia e te tākuta he matawai ultrasound hei tirotiro mēnā kei te pai te mahi a tō pokanga bypass.
Karere Tangohia ki te Kāinga
- He tino angitu te pokanga taha uaua o te uaua o te ngākau mō te hunga he tino ārai ngā oko toto i roto i ō rātou waewae.
- He maha ngā wā ka tūtohutia tēnei pokanga mō te hunga kāore anō kia ea ō rātou tohumate ki te rongoā me ngā huringa momo noho.
- Mena he kaipaipa koe, i mua atu, i muri mai hoki i te pokangaHe mea tino nui te whakamutu rawa i te kai paipa. Ka tino āwhina i tō tukanga whakaora.
- I muri i te pokanga, me tango te rongoā i tohua e tō tākuta i te wā tika, i te wā tika hoki. Kia ma tonu ngā tuitui.
- Kia mahara ki te haere ki te whare hauora i ngā rā e kīia ana e te tākuta kia hoki mai koe. Pērā ai, ka taea te aroturuki tonu i tō āhua.
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