Kei te ahua rerekē te mahi a tō ngakau i ētahi wā? Tērā pea kei te tere ohorere, kei te puhoi rawa rānei te patu? Kei te pāngia koe e te pōuri ohorere, e te poto rānei o te manawa? He tohu pea ēnei kare ā-roto e kore e pai te tere o te manawa o tō ngakau. I tēnei rā, ka kōrero tātou mō tētahi taputapu iti engari he mea whakarerekē i te ora, hei āwhina i te pupuri i tō ngakau kia tino ōrite: te taputapu whakatere. Nau mai ki Nirogi Lanka.
He aha tonu te Pacemaker?
He kupu ngāwari noa iho, he taputapu hiko iti te taputapu whakatere e whakauruhia ana ki roto i tō tinana i te wā o tētahi pokanga iti. He tino iti, he iti ake i te pouaka māti. Ko tana mahi matua he tautoko i te pūnaha hiko tūturu o tō ngākau.
Whakaarohia tō ngākau he papu e pā ana ki tētahi manawataki tino motuhake. Ka whakahaerehia tēnei manawataki e tētahi tohu hiko ā-roto. Ina puta he hapa i tēnei pūnaha, ina ngoikore rānei, ka rerekē pea tō manawataki—ka tere rawa te pā, ka puhoi rawa, ka peke rānei ngā pā. Ka aroturuki tonu te mīhini whakatere i te mahi a tō ngākau, ā, mēnā e tika ana, ka tukuna he tohu hiko ngawari hei whakarite kia mau tonu te manawataki hauora, pumau hoki o tō ngākau.
Ko ēhea ngā āhuatanga hauora e hiahia ana ki tētahi Pacemaker?
He maha ngā mate o te ngākau ka taea te whakahaere pai mā te whakamahi i tētahi taputapu whakatere. Anei ētahi tauira noa:
- Ngā manawataki manawa rerekē (Arrhythmia): He otinga tino whai hua tēnei mō te whakahaere i ngā momo mate manawataki manawa motuhake.
- Ngā aukati o te ngākau: Ina he raruraru kei roto i ngā ara kawe hiko o tō ngākau.
- Te ngoikore o te ngākau: Ka whakamahia hei rongoā tautoko ina ngoikore te uaua o te ngākau, ā, kāore e taea e ia te pupuhi toto puta noa i te tinana.
- Hītori o tētahi whakaeke ngakau o mua: I ētahi wā, ka pāngia pea te pūnaha hiko o tō ngakau i muri i tētahi whakaeke ngakau, ā, me wawaotia.
Ngā tohu e hiahia ana koe ki tētahi taputapu whakatere
Mā tō tākuta ngakau e whakatau mēnā he mea tika te whakamahi i te taputapu whakatere i runga i tō aromatawai haumanu. Heoi, ki te pāngia koe e ngā tohu kua whakarārangihia i raro nei, me toro atu koe ki tētahi tohunga hauora. Kaua e warewarehia ēnei tohu whakatūpato.
| Tohu | Whakamārama Māmā |
|---|---|
| Mamae o te uma (Angina) | He kare ā-roto e kikī ana, e mamae ana rānei i te uma ina kore te ngākau e whiwhi i te rere toto e tika ana. |
| Te tere o te manawa (Tachycardia) | Ina tere ake te pātaki o te manawa i te 100 ngā wā ia meneti, kāore hoki he take e kitea ana. |
| Te puhoi o te manawa (Bradycardia) | Ina iti iho i te 60 ngā wā e pāorooro ana te ngākau i te meneti i a koe e okioki ana. |
| Te tere o te manawa koretake (Arrhythmia) | Ina he rerekē te manawataki o te ngākau, ka tohuhia mā te pekepeke o ngā pātaki, te tāpiri rānei o ngā pātaki. |
| Ngā tere o te ngakau | He kare ā-roto e kore e pai ana, e tere ana, e patupatu ana rānei te ngākau i roto i tō uma. |
| Te poto o te manawa | Te uaua ki te manawa, inā koa i te wā e mahi ana i te tinana. |
| Te whanoke, te ngoikore rānei, kāore i te whakamāramatia | Ngā wā ohorere o te māuiui, te tirohanga pōuri, te whakapairuaki, te ngaro rānei o te māramatanga. |
| Te pupuhi i roto i ngā pona, ngā waewae, te puku rānei | Te pupuhi i puta mai i te pupuri wai i roto i te tinana. |
Ngā momo taputapu whakatere e wātea ana
I runga i te āhua o tō ngākau, ka whiriwhiria e tō tākuta ngākau te momo taputapu whakatere manawa tino tika. Tērā pea he kotahi, he rua, he toru rānei ngā taura (waea) kei roto i ēnei.
- Pūrere Whakaoho Kore-Ara: He rite te rahi ki te kāpū huaora nui. Ka whakaurua mā te katitere tika ki roto i te ngākau, ka piri ki te pakitara o te ngākau, ka kore e hiahiatia he waea o waho.
- Pūwhakatere manawa rūma kotahi: Ka whakamahia he taura kotahi e hono ana ki tētahi rūma kotahi o te ngākau.
- Pūmanawa Whakaoho Rua-Rūma: E whakamahi ana i ngā taura e rua e hono ana ki ngā rūma rerekē e rua o te ngākau.
- Pacemaker Biventricular: E whakamahi ana i ngā arai e toru, e mōhiotia ana ko te Cardiac Resynchronization Therapy (CRT). Mā tēnei ka whakarite i ngā rūma ngakau katoa kia pao i roto i te manawataki tukutahi.
Tērā pea ka tūtohu tō tākuta i tētahi Implantable Cardioverter Defibrillator (ICD). Ahakoa he pacemaker e whakahaere ana i te manawataki o tō ngakau, he nui ake ngā mahi a te ICD: ka aroturukihia e ia ngā manawataki tere e morearea ana ki te ora, ā, ka tukuna he ru hiko iti hei whakahoki i tō ngakau ki tōna manawataki noa, hauora hoki.
He pokanga nui tēnei?
Kāo. Nā te whanaketanga o te hauora o ēnei rā, ehara tēnei tikanga i te pokanga ngākau tuwhera nui. He mea hanga kia iti noa te pokanga, kia iti ai te mamae, kia tere ai te ora, kia taea ai e koe te hoki wawe ki te kāinga.
Ko te tikanga, ka tapahia he wahi iti i raro i te wheua kaki, ā, ka arahina ngā taura mā roto i tētahi uaua ki te ngākau. Kātahi ka whakanohoia te pākahiko pacemaker ki roto i tētahi pōke iti i raro i te kiri e tata ana ki te wahi i tapahia ai. He torutoru noa ngā haora e pau ana mō te tukanga katoa. Mā tō tākuta ngākau e whakamārama te tikanga e tika ana māu i Nirogi Lanka.
He aha ngā painga o te taputapu whakatere?
Ko te whāinga matua o te taputapu whakatere he whakapai ake i te kounga o tō oranga whānui.
- Te whakaora i ngā tohu: He maha ngā āhuatanga pēnei i te mamae o te uma, te whanoke, te ngoikore, me te uaua o te manawa i puta mai i ngā raruraru o te manawa ngakau kua tino whakaitihia, kua whakakorea rānei.
- Te ārai i ngā āhuatanga ohorere: Ka ārai i ngā āhuatanga whakararuraru pēnei i te hemo ohorere, te hinga rānei.
- Whakaora ora: Ko te mea nui, ka taea e ia te tiaki i a koe mai i ngā āhuatanga morearea e mutu ai te patu tika o te manawa.
He tūponotanga kei reira?
Pērā i ngā tikanga hauora katoa, he iti noa ngā tūponotanga, ahakoa he tino onge. He onge ngā raruraru ka pā mai pērā i te mate pāwera, te toto totoka, te hē rānei o te taputapu, ā, ka mahi tō rōpū hauora i Nirogi Lanka i ngā mahi katoa hei whakaiti i ēnei tūponotanga. Whai muri i tō tikanga, he mea nui kia kaua e hiki taumaha mō te wā poto, ā, kia piri tonu ki ngā tohutohu a tō tākuta i muri i te pokanga.
Kia pēhea te roa o te ora o te pākahiko o te taputapu whakatere?
Ko te roa o te ora o tō pākahiko pacemaker ka whakawhirinaki ki te tauira taputapu me te auau o te wā e hiahiatia ana hei whakatere i tō ngākau. Ko te nuinga o ngā pākahiko pacemaker hou ka roa mō te 10 ki te 15 tau . He mahi māmā ake te whakakapi i te pākahiko i te whakaurunga tuatahi. Ka whakaritea e tō tākuta he haerenga tirotiro auau ki Nirogi Lanka hei aroturuki i ngā taumata o tō pākahiko.
Karere Tangohia ki te Kāinga
- He taputapu whakaora ora te taputapu whakatere manawa, he mea hanga hei pupuri i te tere o te manawa o tō ngakau; kāore he take e manukanuka ai koe mōna.
- Ki te pāngia koe e te pā o te ngakau koretake, te poto o te manawa, te whanoke rānei, kaua e warewarehia ēnei tohu - whakapā atu ki tō tākuta tonu, rapua rānei he ratonga whawhati tata.
- I muri i te whiwhinga o tō pacemaker, me whai pūmau i ngā tohutohu a tō tākuta mō ngā rongoā me ngā tirotiro hauora kua whakaritea ki tō mātou whare hauora.
- Whakarongo ki tō tinana. Ki te kite koe i te hokinga mai o ō tohu o mua, te uaua ki te manawa, te pupuhi tonu rānei o ō waewae, whakapā atu ki tō tākuta tonu.
- Kia maumahara, he tīmatanga hou tēnei mō tō hauora. Mā tēnei taputapu iti koe e whakamana kia ora noa, kia ora kaha, kia whai hua hoki.
Pacemaker, mate ngakau, tere ngakau, arrhythmia, manawataki ngakau, bradycardia, tachycardia, mate ngakau, mamae uma
