He okana whakamiharo tō tātou ngākau. Mai i te rā i whānau ai tātou tae noa ki te rā i mate ai tātou, ka mahi tonu mō te hēkona kotahi. Pērā i te papu atamai, ka pupuhi toto puta noa i te tinana. He maha ngā wāhanga iti hei āwhina i tana mahi tika. Kua whakaaro koe me pēhea te rere o te toto i te taha kotahi i roto i te ngākau, me te kore e rere whakamuri? Koinei te āwhina a ngā "takirere" i roto i te ngākau. I tēnei rā kei te kōrero tātou mō tētahi takirere motuhake, ko te takirere pūkahukahu.
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He aha te takirere pūkahukahu?
Whakaarohia e whā ngā rūma o tō ngākau. E rua kei runga, e rua kei raro. He rite tēnei takirere pūkahukahu ki tētahi kēti kotahi te ara i waenganui i te rūma o raro i te taha matau o te ngākau (te ventricle matau) me te uaua toto matua e kawe ana i te toto ki ngā pūkahukahu (te uaua pūkahukahu) .
Ko tāna mahi matua he whakahaere i te rere o te toto "paru", kua pau i roto i tō tātou tinana, ā, he iti nei te hāora, mai i te ngākau ki ngā pukahukahu hei purenga. Kia puta te toto, ka kati tēnei kuaha kia kore ai e hoki ki te ngākau.
Ko tēnei takirere pūkahukahu, me te takirere aorta i tērā taha o te ngākau, e kiia ana ko ngā "takirere haurua-wāhanga." Nā te mea he rite te āhua o ngā rau/ngā papa o ēnei takirere ki te haurua-marama. I ētahi wā ka karangatia tēnei e ngā tākuta ko te "takirere pūkahukahu," he rite tonu.
He pēhea te mahi a tēnei takirere? He mīharo!
He mīharo te mahi a tēnei tatau iti. Me te mea kei te kanikani, kei te whakatuwhera, kei te kati hoki i te manawataki tino tika me te pao o te manawa.
- Wāhanga systolic: Ina kuiti te ventricle matau, ka tukuna te toto i roto. I taua wā, ka tuwhera te takirere pūkahukahu. Kātahi ka tomo te toto rawakore-hāora ki te uaua pūkahukahu, ka haere ki ngā pūkahukahu.
- Wāhanga Diastolic: Ina okioki te ngākau i muri i te mutunga o te whakawhāiti, ina okioki rānei, ka kati pūmau te takirere pūkahukahu. Ki te kore e kati, ka rere pea te toto e tukuna ana ki ngā pūkahukahu ki roto i te ngākau. Ka ārai tēnei takirere i tēnā. I te wā e kati ana tēnei takirere ka whakakīia te ventricle matau ki te toto hei papu i te huringa e whai ake nei.
He rite ki te pirihimana waka i runga i te rori. Kotahi anake te huarahi e tukuna ana e ia kia rere te toto, ā, ka mutu rawa te rere o te toto ki muri.
Whakamahinga Motuhake: Tukanga Ross
Haunga te mahi noa o tēnei takirere, ka whakamahia anō hoki mō tētahi atu kaupapa miharo: ina mate te takirere aorta nui ake i roto i te ngākau, ka whakatōngia tēnei takirere pūkahukahu.
Ko te tikanga Ross tēnei. He tikanga uaua ake. I roto i tēnei tikanga, ka tangohia e te taote tō takirere aorta mate, ka whakakapia ki tō ake takirere pūkahukahu hauora. Kātahi ka whakatōkia he takirere pūkahukahu kaituku ki te wāhi i noho ai te takirere pūkahukahu i mua. Nā te mea ko tō ake kiko, ka uru pai, ā, ka roa te wā e mau ana.
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Check Availability →He aha ngā mate e pā ana ki tēnei takirere?
I te nuinga o te wā, ko ngā raruraru o te takirere pūkahukahu e pā ana ki ngā mate ngākau whānau . Ko te tikanga ka pāngia te pēpi e ēnei raruraru i te whānautanga. He tino onge, ka puta ake ngā raruraru o tēnei takirere i muri mai i te oranga nā ētahi atu mate hauora (hei tauira, te toto toto tiketike pūkahukahu).
Me mārama noa tātou ki ēnei mate hauora matua mai i te ripanga i raro nei.
| Āhua | I te kī ngāwari, koinei te mea ka tupu... |
|---|---|
| Te ngoikore o te pūkahukahu | He mate whānau tēnei. Ko te mea e tupu ana i konei, kāore te takirere pūkahukahu e whanake tika. He rite ki te pakitara kua hangaia ki te wāhi e tika ana kia whai tatau. Kāore e taea e te toto te tae ki ngā pūkahukahu. Ka taea e tēnei te huri kikorangi o te pēpi (cyanosis) i te whānautanga. |
| Tetralogy o Fallot | He mate manawa whānau uaua anō hoki tēnei. I konei, e whā ngā hapa manawa ka puta ngātahi. Ko tētahi o aua hapa ko te whaiti o te takirere pūkahukahu me te aorta. Nā te mea he mate kino tēnei, me pokanga te pēpi hei whakatika. |
| Te whakatōtōtanga o te takirere pūkahukahu | Ko te mea e tupu ana i konei, ka whaiti te whakatuwheratanga o te takirere. Kātahi ka kaha te mahi a te ngākau ki te pupuhi toto ki waho. I te nuinga o te wā, he mea anō tēnei e kitea ana i te whānautanga mai. Ko ētahi tāngata ka rongoatia hei whakawhanui i te takirere, ko ētahi me whakakapi te takirere. |
| Kāore he takirere pūkahukahu | He tino onge tēnei mate, he mate whānau mai. I roto i tēnei mate, tera pea ka ngaro ngā rau o te takirere, kāore rānei e whanake tika. Ka whaiti te takirere, ka kore e kati tika, ka turuturu te toto ki muri (regurgitation). |
| Te ruakitanga o te takirere pūkahukahu | Ko te mea e tupu ana i konei, kāore te takirere e kati tika. Nō reira, ina whakangā te ngākau, ka hoki mai ētahi o te toto e pupuhihia ana ki ngā pukahukahu ki te ventricle matau. He ngawari tēnei mō te nuinga o te tangata. Engari i ngā wā tino kino, ka nui haere te ventricle matau, ka ngoikore, ā, ka kī te tinana i te wai ka pupuhi (edema). |
Ka taea te ora me te kore he takirere pūkahukahu?
Ko te whakautu tika ki tēnei pātai ko "kāo." He wāhanga nui te takirere pūkahukahu o te haerenga toto o te tinana ki ngā pūkahukahu ki te tiki hāora. Ki te kore he takirere e mahi tika ana, e kore e taea e tātou te ora.
Engari ko te mea nui rawa atu me mārama tātou ki konei , mā ngā maimoatanga hauora matatau o ēnei rā, ka taea te rongoā angitu i ēnei mate . Ki te kore e rongoātia, ka poto ake te roa o te oranga o ngā pēpi me ngā pakeke e mate kino ana te takirere pūkahukahu. Nō reira, ki te pāngia koe, tāu tamaiti rānei e tēnei mate, he mea tino nui kia kōrero noa koe ki tō tākuta mō ngā kōwhiringa maimoatanga me te heke mai o tō oranga.
Me pēhea te pupuri i te hauora o tēnei takirere?
Kāore e taea e tātou te ārai i te mate manawa whānau. Engari he maha ngā mea ka taea e tātou te mahi hei tiaki i a tātou anō i ngā raruraru ā muri ake nei, hei pupuri hoki i te hauora o ō tātou manawa whānui. Ngāna ki te whakauru i ēnei ki roto i tō koiora.
- Kaua e tino kai hikareti: He kino rawa ngā momo tupeka katoa mō te ngākau, ehara i te hikareti me te vape anake. Mena kei te raru koe ki te whakamutu, pātai atu ki tō tākuta mō te āwhina.
- Kati, whakawhāiti rānei i te inu waipiro: Kāore te waipiro i te pai mō te hauora o te ngākau.
- Kai i ngā kai hauora mō te ngākau: Whakaitihia ngā kai he nui te hinu, te tote, me te huka. Tāpirihia he nui ake ngā huawhenua, ngā hua rākau, ngā pīni, me ngā witi katoa ki roto i tō kai.
- Whakakorikori tinana i ngā wā katoa: E ai ki tā tō tākuta i tūtohu ai, me whakakorikori tinana ngāwari, pērā i te hikoi, mō te iti rawa 150 meneti i te wiki.
- Te whakahaere i ngā mate pēnei i te toto toto tiketike me te cholesterol:Mena kei a koe ēnei momo mate, whakamahia te rongoā kia rite ki te whakahaunga a tō tākuta.
- Tirohia tō hauora ā-tau: Ahakoa kāore he mate kei a koe, me toro atu ki te tākuta i te iti rawa kotahi i te tau hei tirotiro i tō hauora.
- Ina koa mō ngā whaea e hapu ana: Mena kei te hapu koe, haere ki ngā wāhi hauora e tika ana, ā, tikina ngā tohutohu me ngā maimoatanga e tika ana. Ka taea e tēnei te whakaiti i te tūponotanga o te whakawhanake i ngā āhuatanga pēnei i te mate manawa whānau.
He uaua pea te ako mō te hanganga o te ngākau me te mahi a ōna wāhanga i ētahi wā. Ina koa ka kitea e koe he mate ngākau tōu, tō tamaiti rānei. He uaua pea te tango i ngā mōhiohio maha i te wā kotahi. Engari kia mahara, kei reira tonu tō tākuta hei āwhina i a koe me te whakautu i ō pātai. Kaua e wehi ki te pātai i tetahi mea kei roto i tō hinengaro, ahakoa te iti.
Karere Tangohia ki te Kāinga
- He takirere nui te takirere pūkahukahu, he takirere kotahi te ara e āhei ai te toto rawakore hāora ki te haere ki ngā pūkahukahu hei purenga.
- He maha ngā mate e pā ana ki tēnei takirere ka whānau mai. Kia tino tupato ki ngā tohu pēnei i te kikorangi i roto i te pēpi whānau hou.
- Ki te puta mai ētahi tohu o te mate manawa, ki te whakapae rānei koe kei te pāngia koe e te mate manawa, me toro atu ki te tākuta tonu.
- Nā ngā tikanga pokanga me te maimoatanga matatau o ēnei rā, he tokomaha te hunga ka taea te rongoā angitu i ēnei mate me te noho hauora.
- Mā te āhua noho hauora mō te ngākau (te kai pai, te whakakori tinana, me te karo i te kai hikareti) ka tiakina te hauora o te ngākau mō te wā roa.
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