Tērā pea ka rongo koe i ētahi wā kāore tō ngākau e pāorooro ana, i ētahi wā ka tere rawa te pāorooro o tō ngākau, me te mea kei te pekepeke, ka pekehia rānei ētahi pāorooro. Ehara tēnei momo pāorooro rerekē i te mea e māmā noa ana. E kiia ana tēnei ko te Atrial Fibrillation (Afib) i roto i te pūtaiao hauora. I tēnei rā ka kōrero tātou mō tētahi tikanga motuhake e whakamahia ana hei rongoā mō tēnei mate.
He aha te tikanga o te Pulmonary Vein Isolation (PVI)?
Ko te Wehewehenga Uaua Pūkahukahu he tikanga motuhake e whakamahia ana hei rongoā i te ngakau koretake e kiia nei ko te Atrial Fibrillation (Afib). I roto i ngā kupu māmā, ka "wehewehe" i ngā wāhi e puta ai ngā tohu hiko e whakahaere ana i te manawataki o te ngakau.
Whakaarohia pēnei. He okana whakamiharo tō tātou ngākau. Ko tōna pao e whakahaeretia ana e tētahi pūnaha tino ngawari o ngā tohu hiko. Engari i roto i te tangata he mate pēnei e kiia nei ko Afib, ka tīmata ngā rūma e rua o runga o te ngākau (e kiia nei e mātou ko te atria) ki te whiwhi tohu hiko hē, koretake. Mā ēnei tohu hē ka tere te pao o te taha o runga o te ngākau, me te mea kei te wiri. Ki te haere tonu tēnei, ka tino teitei te mōrearea o ngā mate kino pēnei i te whiu .
Nō reira, e mōhio ana koe ki te wāhi e tīmata ai ēnei tohu hiko hapa? E whā ngā uaua e kawe ana i te toto ma, whai hāora mai i ō tātou pukahukahu ki te atrium maui o te ngākau. Koinei ngā mea e kiia nei e tātou ko ngā uaua pūkahukahu . Kei te taha o aua uaua e whā ka tīmata ai ngā tohu hapa e puta ai te Afib.
Ko te maimoatanga o te Wehenga Uaua Pūkahukahu (PVI) ko te tautuhi i te wāhi e tīmata ai ngā tohu rerekē, me te waihanga i tētahi ārai iti hei ārai i a rātou kei tae atu ki ētahi atu wāhanga o te ngākau. Ka hangaia tēnei ārai mā te whakamahi i te wera ngawari, i te makariri rawa rānei, hei waihanga i tētahi kiko whara iti i aua wāhi. Ka āraihia e tēnei kiko whara ngā tohu hiko rerekē kei haere ki tua atu i taua wāhi. He rite ki te kati i tētahi ara hē. Kātahi ka tīmata anō te ngākau ki te patu i te āhua noa. Ka kiia tēnei tikanga ko te Heart Ablation .
Ko wai rā te tangata e hiahia ana ki tēnei maimoatanga?
Ehara tēnei maimoatanga i te mea mā te katoa. Ka whakaarohia e tō tākuta ētahi āhuatanga i mua i te whakatau mēnā he tika mōu. Ko te tikanga he pai rawa atu tēnei maimoatanga mō ēnei tāngata e whai ake nei:
- Mō te hunga kei te mau tonu ngā tohu (te piki haere o te tere o te ngakau, te ngenge, te poto o te manawa) ahakoa kua tangohia e rātou ngā rongoā ārai mate pāwera hei whakahaere i tō rātou mate Afib.
- Mena ka pā mai ngā pānga taha o ēnei rongoā , kāore rānei e taea e te tinana te aro atu ki te rongoā.
Kia maumahara, ka whakaarohia noa e ngā tākuta tēnei mahi e whai ake nei ina kore e taea e te rongoā te whakahaere i te āhua.
Ka taea te whakahaere i tēnei maimoatanga me te kore e whakamahi rongoā?
He raruraru tēnei e pā ana ki te tini tāngata. Kei te rangahau tonu ngā kairangahau mēnā he pai ake te PVI hei rongoā tuatahi mō ētahi tūroro i te rongoā. Kua whakaatuhia e ētahi rangahau he pai ake te PVI i te rongoā. Engari kāore anō kia waiho hei rongoā paerewa. Nō reira, ko te huarahi o nāianei ko te whakamātau i te rongoā i te tuatahi, kātahi ka whakaarohia te PVI mēnā kāore e pai.
Me pēhea koe e mōhio ai mēnā he tika tēnei maimoatanga māu?
Kāore e taea te kī tonu mēnā he pai koe mō tēnei. Me whai koe i tētahi whakamātautau hauora katoa. Ka pātai tuatahi te tākuta mō tō hītori hauora, ā, ka whakahaere i tētahi whakamātautau tinana. Kātahi ka whakahau ia i ētahi whakamātautau e pā ana ki te ngākau. Ko ētahi o ēnei:
- Echocardiogram: Ka taea e tēnei te whakarato i tētahi pikitia mārama o te mahi me te hanganga o te ngākau.
- Electrocardiogram (EKG): He whakamātautau e hopu ana i te ngohe hiko o te ngākau.
- Aroturuki Holter: He mīhini EKG iti tēnei e piri ana ki tō tinana mō ngā haora 24, 48 rānei. Ka taea e ia te aroturuki i te panonitanga o te manawa o tō ngakau puta noa i te rā.
Mā te tākuta te whakatau whakamutunga mō te tika o te maimoatanga PVI māu, i runga i ngā hua o ēnei whakamātautau.
Me pēhea te rongoā i te PVI? He aha ngā tikanga matua?
Ko te Wehenga o ngā Uaua Pūkahukahu he momo maimoatanga e kiia nei ko te Whakakorenga o ngā Catheter . Ko te tikanga, kāore e mahia mā te tapahi nui i te uma pērā i te pokanga. Engari, ka mahia mā te whakauru i tētahi ngongo roa, angiangi rawa (catheter) mā roto i tētahi oko toto nui i te hope, i te kaki rānei, ā, ki roto i te ngākau.
E rua ngā huarahi matua hei whakatika i te kiko koha i kōrerotia i mua ake nei.
| Tikanga maimoatanga | Whakaahuatanga |
|---|---|
| Te Whakakorenga Auautanga Reo Irirangi (mā te whakamahi i te wera) | Koinei te tikanga e whakamahia whānuitia ana. I konei, ka whakamahia ngā ngaru reo irirangi ki te pito o te catheter hei whakaputa wera, ka whakangaro i te kiko e whiwhi ana i ngā tohu hē, ā, ka puta he koha. |
| Cryoablation (te whakamahi i te makariri nui) | Ka whakamahia e tēnei tikanga te tino makariri hei whakatio mō te wā poto, hei whakangaro hoki i te kiko e pā ana mō ake tonu atu. |
Ko tēhea o ēnei tikanga e rua te mea pai rawa atu?
Kāore rawa he huarahi e taea ai te kī he pai ake tētahi tikanga i tētahi atu. He painga, he ngoikoretanga hoki ō rāua. Kua whakaatuhia e ngā rangahau kāore he rerekētanga nui i roto i ngā hua me te haumaru o ēnei tikanga e rua. Ma tō tākuta koe e whakamārama i mua i te maimoatanga ko tēhea tikanga te mea pai mōu.
He aha ngā mea ka puta i te wā e rongoatia ana? Ka mamae ahau?
I te nuinga o te wā, i te wā o tēnei maimoatanga, ka whakamoea katoatia koe (Whakamoea Whānui) . Ko te tikanga ka moe rawa koe. Nō reira, kāore koe e rongo i te mamae, i te kore whakamarie rānei i te wā o te maimoatanga. Ina ara ake koe, kua mutu ngā mea katoa. I ētahi wā motuhake, ka taea tēnei mā te whakamoe noa i te wāhi e tika ana (whakamoea ā-rohe). Mā te tākuta koe e whakamōhio atu i mua i tēnei.
He aha te mea ka tupu i te taahiraa
1. Te Whakarite: Tuatahi, ka whakamoea koe. Kātahi ka horoia te wāhi i roto i tō hope, i tō kaki rānei e whakaurua ai te catheter, ā, ka whakangāwaritia.
2. Te whakaurunga o te katita: Ka whakauruhia e te tākuta ētahi katita angiangi e rua (ngā ngongo) mai i te wāhi ngenge mā roto i tētahi uaua toto ki roto i te atrium maui o te ngākau.
3. Te kimi tohu: Ka maherehia e te catheter te wāhi e puta mai ai ngā tohu hiko hapa.
4. Te Whakakorenga: Ka tukuna e te katitere tetahi atu te wera (Radiofrequency) te makariri rānei (Cryoablation) i kōrerotia e tātou, ka whakangaro i te kiko e tika ana, ka hanga te koha.
5. Te Whakaotinga: Kia oti pai te maimoatanga, ka tangohia marietia e te tākuta ngā katitere e rua, ka whakatakotoria he takai iti ki runga i ngā wāhi i whakaurua ai.
Me pēhea te aroturuki i tōku ngākau i te wā e rongoatia ana?
Ka aroturuki tonu te tīma hauora i tō ngākau me tō tinana puta noa i te wā e rongoātia ana koe, mā te whakamahi i ētahi taputapu.
| Pūrere | Mahi |
|---|---|
| Cardioverter | Ka taea e tēnei te aroturuki i tō tere manawa mēnā he iti rawa, he teitei rawa rānei. E hono ana ki ngā tapanga e rua ka whakapirihia ki tō uma me tō tuara. |
| Te hiko o te manawa (EKG) | Ka taea e koe te aroturuki tonu i ngā mahi hiko o tō ngākau mā te whakamahi i tētahi aroturuki e whakamahi ana i ētahi tapanga ka whakapirihia ki tō uma. |
| Aroturuki Pēhanga Toto | Ka inehia tonutia tō toto toto mā te whakamahi i tētahi poroporo e piri ana ki tō ringa. |
| Aroturuki Oximeter | Ka tirohia te taumata hāora i roto i te toto mā te whakamahi i tētahi topenga iti e piri ana ki te matihao. |
| Te tirotiro i te pūoro | He rite tēnei ki tētahi mīhini hihi-X nui. Mā tēnei ka taea e te tākuta te mātakitaki i te neke o te catheter i roto i te ngākau i runga i te mata. I ētahi wā ka werohia he wai motuhake (tae rerekē) kia mārama ake ai te kitea o ngā oko toto. |
| Te Echocardiography o roto i te ngākau | He taputapu orooro iti e whakaurua ana ki roto i te ngākau mā te catheter. Mā tēnei ka taea te tiro mārama ki ngā hanganga o roto i te ngākau me te wāhi e pā ai te catheter ki te pakitara o te ngākau. |
E whā ki te ono hāora pea te roa o te tukanga katoa, nō reira he mea pai kia whakamōhio atu koe ki tō whānau i mua i te wā. Tērā pea me noho koe ki te hōhipera i te pō i muri i te maimoatanga.
He aha te mea ka tupu i muri i te maimoatanga?
Kia mutu te maimoatanga, ka kōrero te tākuta ki a koe me tō whānau mō ngā hua. Me okioki koe i runga i te moenga mō te whā ki te waru hāora. Ka aroturukihia e ngā nēhi tō tere o te manawa me tō auau i te pō katoa. I te nuinga o te wā, ka taea e koe te hoki ki te kāinga i te ata e whai ake nei. I mua i tō hokinga ki te kāinga, ka tirohia e ngā nēhi ngā wāhi o te catheter, ka tangohia ngā takai, ka horoia.
He aha ngā tūponotanga ka pā mai?
He maimoatanga tino haumaru te PVI i te nuinga o te wā. Heoi, pērā i ngā tikanga hauora katoa, he iti noa te mōrearea. He tino onge te puta o ēnei momo mea.
- He mate pāwera ki te tae rerekē e whakamahia ana mō ngā hihi-X.
- Te mate i te wāhi i whakaurua ai te catheter.
- Te pakaru ki te pakitara o te ngākau (tata ki te 1% te mōrearea).
- Te pakaru o te uaua pūkahukahu (tata ki te 1% te mōrearea).
- Te whiu (mōrearea tata ki te 0.5%).
Kaua e wehi i ēnei mōrearea. Ka whakapau kaha tō tīma hauora ki te ārai i tēnei mea kei tupu. Mā tō tākuta ēnei mea katoa e whakamārama ki a koe i mua i te maimoatanga.
Te wā whakaora me te tiaki whai muri
I ngā rā tuatahi e rua (48 hāora) i muri i te maimoatanga, tera pea ka paku mamae koe, ka ngenge, ka pāngia rānei koe e te mamae o te uma. He mea noa tēnei. Whai muri i tēnā, ka taea e koe te hoki mārire ki ō mahi o ia rā. Heoi , tera pea ka roa ētahi wiki i mua i te taea e koe te hoki anō ki ngā mahi uaua, pērā i te whakakori tinana.
Ko te mea nui, he maha ngā wiki e pau ana kia ora katoa te koha o te ablation, kia puta ai ngā hua. Nō reira, kāore tō tere o te manawa e hoki tonu ki te āhua noa i muri i te maimoatanga. Tērā pea ka mau tonu ngā tohu o te Afib i roto i ngā wiki 10 tuatahi. He onge pea, ka kino haere tō āhua i mua i te pai haere. Nō reira kaua e mataku.
I muri i te maimoatanga, ka tohua he rongoā mōu mō ētahi marama:
- Ngā rongoā ārai arrhythmic: Whakahaerehia te manawataki o te ngakau kia puta rā anō ngā hua o te ablation.
- Ngā rongoā ārai toto (ngā rongoā whakaiti toto): Whakaitihia te mōrearea o te whiu. Me haere tonu pea te tango i ēnei rongoā.
Ka tū tō wā tirotiro tuatahi mō te toru ki te whā marama i muri i te maimoatanga, ā, ko te wā tirotiro e whai ake nei i te tau i muri mai. I roto i ēnei wā tirotiro, ka taea e tō tākuta te whakahoki anō i ngā whakamātautau pēnei i te matawai CT, te echocardiogram, te EKG rānei hei tirotiro i te āhua o tō ngākau.
Karere Tangohia ki te Kāinga
- He maimoatanga angitu te Pulmonary Vein Isolation (PVI) mō te āhua o te ngakau koretake e kiia nei ko te Atrial Fibrillation (Afib).
- Ka mahia tēnei mā te hunga kāore e taea te whakahaere i ō rātou tohumate ki te rongoā.
- Ehara tēnei i te pokanga nui. He maimoatanga tēnei e tukuna ana he catheter (he ngongo angiangi) mā roto i te uaua toto ki roto i te ngākau.
- Tērā pea ka roa pea ētahi wiki, ētahi marama rānei kia tino ora ai, kia kitea ai ngā hua i muri i te maimoatanga. Kaua e manukanuka.
- Ahakoa i muri i te maimoatanga, he mea nui tonu kia tangohia ngā rongoā i tohua e te tākuta (ina koa ko ngā rongoā whakaiti toto) e ai ki te whakahaunga, me te haere ki ngā wāhi rongoā i ngā rā kua whakaritea.
- Ki te pāngia koe e ngā tohu pēnei i te mamae o te uma, te poto o te manawa, te whanoke rānei, me whakamōhio tonu atu ki tō tākuta.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero