Kua rongo koe i tētahi "kōhao i roto i te ngākau"? Tērā pea kua kōrerotia e tō tākuta ake tēnei ki a koe. Inaa, he kōhao iti pēnei kei roto i ō tātou ngākau i a tātou e noho ana i roto i te kōpū. He mea nui tēnei i taua wā. Engari i muri i te whānautanga, ka kati noa iho tēnei kōhao. Engari i roto i ētahi tāngata, ka noho tonu tēnei kōhao me te kore e kati rawa. E kiia ana tēnei e te rata he Patent Foramen Ovale, he `(PFO)` rānei. He āhuatanga noa tēnei e pā ana ki te kotahi i roto i te whā tāngata. Mō te nuinga o te tāngata, kāore tēnei e puta he raruraru. Heoi, mō ētahi tāngata, ka puta he raruraru. Koinei te wā e kōrero ai tātou mō te maimoatanga `(PFO Closure)`.
He aha te PFO Closure?
He pokanga iti te PFO Closing hei kati tuturu i te kōhao iti (PFO) i waenganui i ngā rūma e rua o runga (atria) o tō ngākau. Heoi, kāore e hiahiatia he tapahi nui. Ka whakaurua e te tākuta he ngongo angiangi, ngāwari hoki, e kiia nei ko te "catheter", ki roto i tō ngākau mā roto i tētahi oko toto nui i ētahi atu wāhi o tō tinana.
Mā roto i tēnei ngongo, ka whakaurua he taputapu iti, he mea hanga motuhake ki roto i te kōhao i te ngākau, ā, ka kati. Whakaarohia tēnei taputapu he yo-yo iti, he pātene iti rānei me ngā porowhita e rua i ia taha. Ka taupokina e tētahi porowhita tetahi taha o te kōhao, ā, ka taupokina e tētahi atu porowhita tetahi taha.
I roto i ngā rā torutoru o te whakaurunga o te taputapu, ka tīmata te tipu o te kiko o tō tinana ki te taha. I muri i te toru ki te ono marama, ka kapi katoa te taputapu i te kiko o te ngākau, ka noho hei wāhanga o te pakitara o te ngākau.
Heoi, ki te mea he nui ake tō PFO i te 25 mirimita. Mēnā koinei te āhua, ka whakatau pea tō tākuta ki te mahi pokanga tuwhera hei utu mō tēnei tikanga `(Catheter)`. Heoi, he tino onge ēnei āhuatanga.
I roto i ngā āhuatanga hea e hiahiatia ai tēnei maimoatanga?
Ko te nuinga o te hunga whai PFO kāore e hiahiatia he maimoatanga. Heoi, i ētahi wā, inā koa ka taea e te toto totoka te haere mā roto i te kōhao ki te roro, ā, ka puta he raruraru, ka tūtohu pea te tākuta i tēnei maimoatanga.
| Āhea ka tūtohutia te maimoatanga kati PFO | |
|---|---|
| Whiu Cryptogenic | Ina koa mēnā kua maha ngā whiunga o tētahi taiohi pēnei. |
| Te Whakaekenga Ischemic Poto (TIA) | He rite tēnei ki te whiu poto. Mēnā ka puta anō tēnei, ka puta anō. |
| Te hekenga o ngā taumata hāora i roto i te toto | I ētahi wā, ka iti te taumata hāora i roto i te toto nā te PFO. |
| Ngā migraines | He taunakitanga kei te hono te PFO ki ētahi mate migraine kino. |
| Ka haere te toto totoka | Mena kua haere te toto totoka mā roto i te PFO ka haere ki tētahi atu wāhanga o te tinana. |
Me pēhea te whakarite i mua i te maimoatanga?
Me whai koe i ētahi whakamātautau i mua i tēnei maimoatanga.
- X-ray o te uma
- He matawai ngākau (Echocardiogram)
- Whakamātautau ECG (Electrocardiogram)
- He maha ngā whakamātautau toto
Hei tāpiritanga, ka kīia atu ki a koe kia tīmata te tango i ngā rongoā pēnei i te aspirin me te clopidogrel hei ārai i te toto totoka. Mā tō tākuta koe e kī atu te rā tika me tīmata koe ki te tango i ēnei rongoā. I te wā e rongoatia ana, ka hoatu hoki ki a koe ētahi atu rongoā hei ārai i te toto totoka.
Me pēhea te mahi a te maimoatanga i te taahiraa i te taahiraa
E rua, e toru rānei ngā haora e pau ana mō tēnei maimoatanga. Anei ngā mea ka puta ina oti:
1. Te ngoikore: Tuatahi, ka hoatu he rongoā whakamoe ā-rohe hei whakamoe i te wāhi i roto i te hope ka whakaurua te catheter. I ētahi wā, ka whakamahia pea te rongoā whakamoe whānui mēnā e tika ana.
2. Tapahi iti: Ka mahia he tapahi iti rawa ki te rohe o te hope.
3. Te whakauru i te catheter: Ka whakaurua te catheter ki roto i tētahi uaua toto nui mā te tapahi.
4. Te neke ki te ngākau: Kātahi ka nekehia te catheter ki te ngākau me te tino āta.
5. Whakaahua: Ka werohia he tae motuhake ki roto i te ngākau hei tirotiro tata atu, ā, ka tangohia he whakaahua hihi-X (Angiography). Waihoki, ka whakamahia he matawai o roto o te ngākau (Ultrasound) hei ine i te rahi tuturu o te PFO.
6. Inehia te kōhao:Ka whakauruhia he katitere me tētahi poihau motuhake, ka pupuhihia, ā, ka inehia te rahi tika o te kōhao.
7. Te whakaurunga o te taputapu: Ka tukuna te taputapu kati PFO mā te catheter ki roto i te ngākau, ka whakauhia ki ngā taha hei kati i te kōhao.
8. Te whakaū i te tauwāhi: Ka mahia tētahi atu matawai (Transthoracic Echocardiogram) hei tirotiro mēnā kei te tika te taputapu.
9. Oti: Ki te pai ngā mea katoa, ka tangohia marietia te catheter.
He aha te mea ka tupu i muri i te maimoatanga?
I muri i te maimoatanga, me okioki koe i runga i te moenga mō te ono hāora pea. Tērā pea ka taea e koe te hoki ki te kāinga i taua ahiahi anō, i te ata rānei e whai ake nei. Anei ētahi mea hei maumahara māu i muri i tō hokinga ki te kāinga:
- Ka taea e koe te hikoi, engari kaua e tere te hikoi.
- Kaua e taraiwa mō ngā rā e rua.
- Kaua e hiki i ngā mea neke atu i te 10 pauna (tata ki te 4.5 kg) mō te wiki.
- Kaua e mahi i tētahi mahi whakakori tinana uaua mō te marama kotahi.
- I roto i te wiki kotahi ka taea e koe te hoki ki ō mahi o ia rā. Heoi anō , he mea nui kia kōrerohia ēnei mea katoa ki tō tākuta, me te whai i ana tohutohu.
Ka tohua he rongoā māu hei whakamahi i te kāinga. Me tango e koe te aspirin, ētahi atu rongoā whakaheke toto rānei i ia rā mō ngā marama e ono, neke atu rānei. Ka kīia atu ki a koe kia tango koe i ngā paturopi i mua i ētahi tikanga hauora, pērā i te horoinga niho. Mā tō tākuta ēnei mea katoa e whakamārama ki a koe.
He aha ngā painga me ngā mōrearea o tēnei?
Ngā Painga
- Ka taea e ia te ārai i ngā whiu a muri ake nei, kāore nei e kitea he take.
- Kāore koe e rongo i tēnei taputapu i runga i tō tinana.
- Kāore e waiho he koha nui.
- Kua roa te whakamātautanga o te haumaru o ngā rauemi i hangaia ai tēnei taputapu.
Ngā Tūponotanga
He tino haumaru tēnei maimoatanga ina mahia e te tākuta mātau, engari, pērā i ngā tikanga hauora katoa, tera ētahi mōrearea.
- Te pā o te manawa rerekē (Atrial Fibrillation).
- Ngā toto totoka.
- Te toto, te mate rānei i te wāhi e tāuruhia ai te katitere.
- Ka neke te taputapu mai i tōna wāhi tāutanga (he tino onge tēnei mahi).
- Ko te hunga neke atu i te 60 tau te pakeke he nui ake te tūponotanga ka pāngia e ngā raruraru.
Mena ka pāngia koe e ētahi tohu rerekē, pērā i te pupuhi, te mamae nui, te toto, te kirika rānei i te wāhi e tāngia ai te catheter, me whakamōhio tonu atu koe ki tō tākuta .
Karere Tangohia ki te Kāinga
- He kōhao iti te PFO i roto i te ngākau o te nuinga o te tangata, ā, kāore he kino.
- Ko tēnei maimoatanga PFO Closure ka mahia hei ārai i ngā āhuatanga mōrearea motuhake pēnei i te whiu.
- He tikanga maimoatanga haumaru tēnei e kore e hiahiatia he tapahi nui, ā, i te nuinga o te wā ka mahia mā roto i tētahi catheter.
- I muri i te maimoatanga, he mea tino nui kia tangohia te rongoā i tohua e te tākuta i te wā tika, i runga i te tikanga kua tohua, me te whai i ana tohutohu.
- I mua i te whakatau mēnā he tika tēnei maimoatanga māu, kōrero marie ki tō tākuta, kia mārama ki ngā painga me ngā huakore, ā, me whakatau kia whakaaetia e kōrua.
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