He tino mīharo te okana o tō tātou ngākau. Ehara i te mea ka patu noa iho, engari he pūnaha hiko anō tōna hei whakahaere i te manawa o te ngākau. Whakaarohia he rite ki te pūnaha waea i roto i tō tātou whare. Ko ngā tohu hiko iti e puta mai ana i tēnei pūnaha e kī ana ki ngā rūma o te ngākau kia kuiti i te wā tika. Engari i ētahi wā, mō ngā take maha, ka pōrearea tēnei pūnaha hiko. Ko te wā tēnā e tae mai ai tēnei taputapu iti, engari he mea nui, e kiia nei ko te "pacemaker" ki te āwhina i a tātou.
Nā, he aha tēnei taputapu whakatere?
He whakarāpopototanga noa iho, he taputapu hiko iti te taputapu whakatere e whakatōkia ana ki roto i tō tinana mā te pokanga hei tautoko i te pūnaha hiko o tō ngākau. He rite ki tētahi "kaiārahi" iti e āwhina ana ki te whakahaere i te manawataki o tō ngākau ina kore e taurite.
Whakaarohia kei te ngoikore te pūnaha hiko o tō ngākau. Kātahi ka kore ngā rūma o te ngākau e kōpiri i te wā tika. Tērā pea he tere rawa te pā, he puhoi rawa rānei, he tino pōrearea rānei te manawataki. Nō reira, kāore e taea e te ngākau te pupuhi toto ki te tinana katoa.
Ka aroturukihia e te mīhini whakatere te mahi a te pūnaha hiko tūturu o te ngākau. Mēnā ka kitea he rerekētanga, ka tukuna e te mīhini whakatere ngā tohu hiko tino ngawari e kī ana ki te ngākau, "Āe, kua tae ki te wā ki te whakawhāiti." Mā tēnei ka āwhina i te pupuri i te tere pumau o te pao o te ngākau.
He aha ngā tohu e hiahia ana koe ki tētahi taputapu whakatere?
Mā tō tākuta e whakatau mēnā me whakamahi he taputapu whakatere manawa. Heoi, ki te pā mai ēnei tohu ki a koe, he mea nui kia kite koe i tētahi tākuta me te kōrero mō ēnei tohu.
Kia maumahara, ehara i te mea ko te hunga katoa e pāngia ana e ēnei tohu ka hiahia ki tētahi taputapu whakatere manawa, engari he mea nui kia mōhio ki ēnei me te rapu tohutohu hauora.
| Tohu | He whakamārama māmā |
|---|---|
| Mamae o te uma (Angina) | Te kikī o te uma, te mamae rānei nā te kore e ranea te toto e tae atu ana ki te ngākau. |
| Te tere o te manawa (Tachycardia) | Ka tere ake te pāoro o te manawa i te 100 ngā wā ia meneti, kāore he take. |
| Te puhoi o te manawa (Bradycardia) | Ka tino pōturi te pā o te manawa, kāore e neke ake i te 60 ngā pā i te meneti. |
| Te pā o te manawa kāore i te tika (Arrhythmia) | He rerekē te āhua o te manawa o te tangata, i ētahi wā ka pekepeke te pao, ka nui ake rānei te pao. |
| Ngā tere o te manawa | He kare ā-roto e kikī ana te uma, me te mea nei kei te "whawhai" te ngākau, kei te "hurihuri rānei i ngā kōhatu". |
| Te uaua ki te manawa | Te ngenge me te poto o te manawa, ina koa i te mahi i ngā mahi nohinohi, i te hikoi rānei. |
| Pōuriuri, māuiui, ngaro te māramatanga | Te māuiui, te whakapairuaki, te hemo rānei, kāore he take. |
| Te pupuhi o ngā pona, ngā waewae, me te puku | Te pupuhi i ngā wāhi pēnei i ngā waewae me ngā pona waewae nā te nui o te wai i roto i te tinana. |
Mena kei a koe ēnei tohu, tera pea nā te raruraru o te manawa o te ngakau. Hei tauira, ko te hunga kua pāngia e te aukati o te ngakau, e te whakaeke ngakau rānei, me whakamahi pea i te taputapu whakatere.
E hia ngā momo taputapu whakaterenga manawa kei reira?
Āe, i runga i te āhua o tō ngākau, mā tō tākuta e whiriwhiri te momo taputapu whakatere e pai ana mōu. Tērā pea kotahi, e rua, e toru rānei ngā taura o ēnei.
| Momo taputapu whakatere | Whakaahuatanga |
|---|---|
| Pūmanawa Pacemaker Kore Arataki | He tino iti tēnei, he rite te rahi ki tētahi kāpū huaora nui. Kāore he waea. Ka whakaurua ki roto i te ngākau mā te catheter, ā, ka piri ki te pakitara o roto o te ngākau. |
| Pūrere Whakaoho Rūma Kotahi | Kotahi anake te waea o tēnei. Ka hono atu ki tētahi rūma o te ngākau. |
| Pūrere Whakaoho Rua-Rūma | E rua ngā waea o tēnei e hono ana ki ngā rūma e rua o te ngākau. |
| Kaiwhakateretere Pūnaha-rua | E toru ōna waea. E rua e hono ana ki ngā rūma o raro o te ngākau (ngā ventricle) me tētahi ki te rūma matau o runga (te atrium matau). Ka whakamahia mō te Whakaora Anō i te Ngākau (CRT). |
He aha te rerekētanga i waenga i te pacemaker me te ICD?
Tērā pea ka kōrero atu tō tākuta ki a koe mō te ICD (Implantable Cardioverter Defibrillator), he rite ki te pacemaker, engari he rerekē.
- Ka tukuna noa e te taputapu whakatere ngā tohu hiko hei whakahaere i te manawataki o te ngākau. Kāore e taea te tuku ru hiko ki te ngākau.
- Ka taea hoki e te ICD te mahi pērā i te taputapu whakatere. Hei tāpiri, ki te tere haere te tere o te manawa (hei tauira, te ventricular tachycardia), ka taea e ia te kite me te tuku i te ru hiko kaha ki te manawa hei whakahoki mai i te manawataki.
He pokanga nui tēnei? Me pēhea te tāuta i tētahi taputapu whakatere?
Ehara tēnei i te pokanga nui, he pokanga ngākau tuwhera. Nā te hangarau e wātea ana i ēnei rā, he tino matatau ēnei pokanga. He iti ake te mamae, ā, ka taea e koe te ora wawe me te hoki ki tō oranga noa. E toru ngā tikanga matua.
1.Huarahi e hangai ana ki te katita: Ka whakamahia tēnei mō ngā taputapu whakateretere kore-arataki. Ka whakauruhia he ngongo iti (katita) ki roto i te uaua mā te hope, ā, ka arahina te taputapu whakateretere mā roto, ka whakatōkia ki roto i te ngākau. He iti iho i te haora te roa o tēnei.
2. Huarahi whakawhiti-uaua: Koinei te tikanga e whakamahia whānuitia ana. Ka tapahia he wahi iti i raro i te wheua kaki, i te kiri rānei o te kaki, ā, ka whakaurua ngā waea whakaterenga (ngā taura) ki roto i te ngākau mā te uaua. Ka mahia tēnei i raro i te arataki a te hihi-X (fluoroscopy). I muri i te whakatakotoranga o ngā waea ki ngā wāhi tika o te ngākau, ka whakatakotoria te taputapu whakaterenga ki roto i tētahi "pōkete" iti i hangaia i raro i te kiri i te uma o runga.
3. Te huarahi epicardial: Ka mahia tēnei i roto i ngā tamariki, i ngā wā rānei e pokanga ana i te ngākau. Ka tapahia he iti ki te uma, ka whakaurua ngā waea ki waho o te ngākau. Ka whakatakotoria te taputapu pacemaker ki raro i te kiri o te puku.
E rua ki te rima hāora te roa o ēnei pokanga. Mā tō tākuta e whakamārama ko tēhea te tikanga pai rawa atu māu.
Pērā i ngā mea katoa, he tūponotanga kei reira? (Ngā raruraru)
Pērā i ngā tikanga hauora katoa, he iti noa ngā tūponotanga. Heoi, he tino onge ēnei. Mā tō tākuta koe e whakamōhio atu.
- Ngā mate pāwera: Tērā pea ka pāngia te rongoā e whakamahia ana, e te mea whakarewa rānei i hangaia ai te pacemaker.
- Ngā toto totoka: Hei whakaiti i tēnei mōrearea, ka tohua pea e tō tākuta he rongoā hei ārai i ngā toto totoka.
- Ngā hapa o te taputapu, o te waea rānei: I ētahi wā ka neke te waea mai i te wāhi i whakaurua ai. Koia te take e taunakihia ana kia kaua e taumaha rawa te peka mō tētahi wā i muri i te pokanga.
- Te pokanoa mai i ngā taputapu o waho: Me tūpato koe ina whakatata atu koe ki ētahi taputapu he kaha ngā papa hiko, ngā papa aukume rānei (hei tauira, ngā mīhini MRI). Heoi, kua hangaia ngā taputapu whakatere hou kia ātete ake ki tēnei. Ma tō tākuta koe e tohutohu mō tēnei.
Ngā mea hei mōhio māu mō te noho me te taputapu whakatere
I muri i te whakamahinga o te pacemaker, ka taea e koe te noho i tētahi oranga noa, oraora hoki. Heoi anō, he iti noa ngā mea hei maumahara māu.
Kia pēhea te roa o te ora o te pākahiko o te taputapu whakatere?
Kei te momo o te taputapu whakatere me te pai o tana mahi tēnei. I te toharite, ka roa te pākahiko mō te 10-15 tau . Ka tono tō tākuta kia haere mai koe ki te whare hauora i ngā wā katoa. Kātahi ka tirohia te taputapu whakatere me te pākahiko. Ina tae ki te wā hei whakakapi i te pākahiko, ka taea te mahi mā te pokanga iti, māmā ake i te tāuta i te taputapu whakatere i te tuatahi.
Ngā mea ka taea e koe te mahi hei noho hauora
Ko te roanga o te ora o te tangata whai pacemaker e whakawhirinaki ana ki tōna hauora whānui. Ki te ora hauora koe, ka taea e koe te tumanako ka ora noa koe, ka tata noa rānei.
- Tangohia ō rongoā kia rite ki te mea i tohua: Mena kua tohua e tō tākuta ētahi atu rongoā hei tāpiri atu ki tō taputapu whakatere, tangohia i te wā tika me te roa kua tohua. Kaua e wehi ki te pātai mēnā he pātai āu.
- Haere ki te whare hauora i te wā tika: He mea tino nui tēnei. Ka tirohia e te tākuta tō hauora me te mahi a te taputapu whakatere i tēnei wā.
- Whakarongo ki tō tinana: Mena kei waho tonu tō tere o te pā o te manawa i te awhe noa i hoatu e tō tākuta ki a koe (he iti rawa, he teitei rawa rānei), waea atu ki tō tākuta tonu.
Mena kei a koe ēnei tohu, me kōrero tonu atu ki tō tākuta:
* Mēnā he uaua ki te manawa.
* Ki te piki haere tō taumaha, ki te pupuhi rānei ō waewae, ō pona rānei.
* Mēnā ka pāngia koe e te whanoke, te ngoikore, te pōhēhē rānei.
* Ki te puta anō ngā tohu i pā ki a koe i mua i te whakaurunga o te pacemaker.
He mea noa te mataku me te manukanuka ina kīia atu ki a koe me whakamahi he pacemaker nā te mea he raruraru ngākau. Engari kia mahara, he mea tēnei e mahia ana hei whakapai ake i tō kounga o te oranga me te tiaki i a koe. Kōrero ki tō tākuta mō ō āwangawanga katoa. Pērā ai, ka pai ake tō māramatanga me tō rangimarie o te hinengaro.
Karere Tangohia ki te Kāinga
- He taputapu hiko iti te pacemaker e āwhina ana ki te whakatika i ngā pāorooro o te ngakau.
- He mea nui kia rapu tohutohu hauora mēnā ka pāngia koe e ngā tohu pēnei i te whanoke, te poto o te manawa, te tere, te puhoi rānei o te ngakau.
- Ehara tēnei i te pokanga nui, tuwhera-ngākau, ā, ka taea te mahi haumaru mā te whakamahi i ngā hangarau o nāianei.
- Mā te taputapu whakatere ka taea e koe te ora anō i te oranga noa, i te oranga kaha.
- He mea tino nui kia whai i ngā tohutohu a te tākuta i muri tonu i te pokanga, kia haere hoki ki ngā wāhi mahi hauora i te wā tika.
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