Kua rongo pea koe i tētahi tākuta e kī ana ki tētahi mema o te whānau, ki tētahi hoa, ki tētahi hoa rānei, "Me mahi he pokanga manawa, ā, ka tangohia e rātou tētahi uaua i tō ringa, i tō waewae rānei." I tētahi wā pēnei, he mea noa te mataku me te hiahia ki te mōhio. "Āe, he aha te mea ka pā ki taua okana ina tangohia he uaua i tō ringa, i tō waewae rānei? Kāore e toto? Ka puta he raruraru ā muri ake nei?" Tērā pea kei te whakaaro koe ki ngā mea pēnei, tika? Āe, i tēnei rā ka whakautua e au aua pātai katoa i roto i tētahi huarahi māmā ka taea e koe te mārama.
He kupu ngāwari noa iho, he aha te tikanga o te tango i te uaua?
Hei mārama ki tēnei, me mārama tātou ki te tikanga o te pokanga arai ngākau, e mōhiotia whānuitia ana rānei i te taha hauora ko te pokanga arai ngākau .
Whakaarohia kei te āraihia te paipa wai matua e kawe mai ana i te wai ki tō whare i tētahi wāhi. Inaianei ka tino puhoi te haere mai o te wai, kāore rānei. He aha tāu e mahi ai? Engari i te tapahi i te wāhanga kua āraihia, ka honoa e koe he paipa hou ki te taha me te tuara o te wāhanga kua āraihia, ka hangaia he ara hou. Kātahi ka rere pai anō te wai.
He rite tonu te pokanga arai manawa ki tēnei. Ina puea ake ngā mea pēnei i te cholesterol i roto i ngā uaua coronary e tuku toto ana ki te ngākau, ā, ka aukatia, kāore te ngākau e whiwhi i te nui o te toto e hiahiatia ana. Koinei te wā ka puta ai ngā mea pēnei i te angina. Ko tā ngā tākuta he whakamahi i tētahi uaua toto hauora (uaua) i tangohia mai i tētahi atu wāhanga o tō tinana hei hanga i tētahi ara hou huri noa i te wāhi kua aukatia. Ka kiia tēnei ara hou he graft .
Nō reira, ko te 'tango i te uaua', ko te 'hauhake' rānei e kīia ana e ngā tākuta, e pā ana ki te tukanga tango i te uaua toto hauora e hiahiatia ana hei hanga i taua ara hou mai i tētahi atu wāhi o tōu ake tinana.
Nō hea te nuinga o te wā i ahu mai ai ēnei uaua?
E rua ngā momo uaua toto e whakamahia whānuitia ana mō tēnei pokanga bypass.
1. Te uaua o te roro
Kei tō ringaringa tēnei, mai i tō tuke ki tō ringaringa. Kei te mahara koe ki hea te tākuta e rongo ai i tō pā o te manawa ina rongohia? Koinei te pūtake o te uaua radial. E rua ō tātou uaua matua i roto i ō tātou ringaringa. Ko tētahi tēnei o aua uaua.
2. Uaua Saphenous
Koinei te uaua roa rawa atu o tō tātou tinana. Ka tīmata i te taha o roto o te waewae, kātahi ka piki ake mā te hope ka hono atu ki te uaua hohonu i te huha. Ko te mahi a ngā uaua he kawe i te toto kua kore te hāora ki te ngākau. Nā te mea kei raro noa iho i te kiri o te waewae tēnei uaua saphenous, he tino ngāwari te tango mā te pokanga.
Me pēhea te whakatau a te tākuta ko tēhea uaua hei whakamahi?
Ehara tēnei i te whakatau ka mahia i roto i te pō kotahi. Ka whakatauhia tēnei e tō tīma hauora i muri i te tirotiro tika i tō āhua me te whai whakaaro ki ētahi āhuatanga. Ka tono rātou kia whakamātauria koe i mua i te pokanga.
- Tatau Toto Katoa
- X-ray o te uma
- Ngā whakamātautau whakaahua pēnei i te CT Scan, MRI rānei
- Whakamātautau angiogram - Ka whakamahia tēnei hei tirotiro i te āhua o te aukati o ngā uaua o te ngākau.
Ka mahia te whakatau whakamutunga i muri i te whakaaro ki ngā hua o ēnei whakamātautau, me ngā āhuatanga hoki kei te ripanga i raro nei.
| Whakaaroaro | Whakaahuatanga |
|---|---|
| Te rahi me te wāhi o te aukati | Ko te uaua e whakamahia ana, ka whakawhirinaki ki te wāhi kei reira te uaua ngākau me te nui o tōna aukati. |
| Te rahi o ngā uaua | Kōwhiria he uaua he rite te rahi ki ngā uaua o tō ngākau. |
| Ahakoa he uaua hauora | He mea nui kia tino ora te uaua e whakamahia ana mō te whakawhitinga. Mena he raruraru anō hoki ō uaua i roto i ō waewae (pērā i ngā uaua varicose), tērā pea kāore e taea te tango i taua uaua. |
| Tō āhua hauora whānui | Ka pāngia hoki tēnei whakatau e ngā āhuatanga pēnei i ētahi atu mate hauora kei a koe (pēnei i te mate huka) me tō tau. |
Ko te tikanga, ka ngana ngā tākuta ki te tango i te uaua mai i tō taha kāore i te matua . Arā, ki te mea he ringa matau koe, ka ngana rātou ki te tango i te uaua radial mai i tō ringa maui.
He aha tonu te mea e tupu ana i te wā o te pokanga?
Ka tū tēnei tikanga tango uaua i mua tonu i tō pokanga bypass. Ka whakamoea katoatia koe (whakamoea whānui) ā, kua oti katoa tēnei. Nō reira, kāore koe e rongo i te mamae.
E rua ngā tikanga matua mō te tango i te uaua.
1. Pokanga Endoscopic:Koinei te tikanga tino whakamahia , he iti noa te whakaekenga . I roto i tēnei tikanga, ka whakauruhia he ngongo angiangi e kiia nei ko te endoscope mā roto i tētahi, i ētahi rānei tapahi iti rawa i te kiri o te ringa, o te waewae rānei. Kei te pito o tēnei ngongo he kāmera, he rama, me ngā taputapu ngawari e hiahiatia ana mō te mahi pokanga. Ka mātakitaki te taote pokanga i runga i te aroturuki, ka āta wehea te uaua mai i te kiko e karapoti ana, kātahi ka tangohia.
2. Pokanga Tuwhera: I tēnei tikanga, ka tapahia te kiri kia roa ki te wāhi e tū ana te uaua, kātahi ka tangohia te uaua kia kitea tika. I whakamahia tēnei tikanga i mua, engari kua iti ake te whakamahinga i nāianei nā te tikanga endoscopic.
Kia tangohia te uaua, ka tīmata te wāhanga matua o te pokanga bypass. Ka honoa e te taote tetahi pito o te graft ki tō aorta, ā, ko tetahi pito ki te uaua kua āraia. Inaianei kua whai ara hou, hauora hoki koe mō te rere o te toto ki tō ngākau.
Ko te pātai matua pea ka pātaihia e koe, "E kore ianei tōku ringa, tōku waewae rānei e pāngia mēnā kāore he uaua ōku?" Kāore rawa. He tino pai te hoahoa o ō tātou tinana.
* Mēnā ka tangohia te uaua Radial o te ringa: Ko tētahi atu uaua matua e tuku toto ana ki te ringa , ko te uaua Ulnar , ka tango i te mahi a te uaua Radial, e tuku toto ana ki te ringa me te ringaringa, me te kore he hapa.
* Mēnā ka tangohia te uaua saphenous i te waewae: Ko te pūnaha uaua hohonu , kei roto rawa i te waewae, ka tango i te mahi a te uaua saphenous, ā, ka kawe i te toto mai i te waewae ki te ngākau, kāore he raruraru.
He aha ngā painga me ngā mōrearea o tēnei tikanga?
Pērā i ngā tikanga hauora katoa, he painga, he mōrearea anō hoki. He maha ngā painga o te tikanga endoscopic.
| Ngā Painga me ngā Mōrearea | |
|---|---|
| Ngā Painga (ina koa i roto i te tikanga endoscopic) | |
| Whakaora tere | He iti ake te mamae i te pokanga tuwhera, nō reira he poto ake te noho hōhipera. Ka tere ake te ora. |
| He iti ake te toto | He iti rawa te tapahi, nō reira he iti noa te toto me te marō. |
| He iti noa te whara | Engari he koha nui, he torutoru noa iho ngā koha iti e toe ana, nō reira ka whakaitihia hoki te tūponotanga o te pangia e te mate. |
| Ngā Tūponotanga | |
| Ngā mate urutā | Pērā i ngā mahi pokanga katoa, he iti noa te mōrearea o te pangia o ngā wahi kua tapahia. |
| Te toto me te maru | Tērā pea ka puta he marō me te toto i ētahi taumata i muri i te pokanga. |
| Ngā toto totoka | He tino onge, tera pea ka tūpono te totoka. |
| Te pakaru o te io | He iti noa te tūponotanga ka pakaru ngā io iti e tata ana ki te uaua, ka pāngia ai te rohe e te ngoikore. |
Ngā mea hei whakaaroaro māu i te wā e ora ana koe i muri i te hokinga ki te kāinga
Ko tō arotahi matua ko te whakaora i muri i te pokanga bypass. I muri i tō putanga mai i te hōhipera, he mea tino nui kia whai i ngā tohutohu a tō tākuta me ngā nēhi .
- Te tango i ngā rongoā tika: Tangohia ngā rongoā e hoatu ana ki a koe hei ārai i ngā toto totoka (ngā rongoā ārai toto) me ngā rongoā whakamamae i te wā tika me te horopeta tika.
- Te pupuri i ngā patunga kia ma: Ka akona koe i te hōhipera ki te horoi me te takai i ō patunga. Whāia ēnei tohutohu.
- Kaua e hiki i ngā taumaha: Kaua e hiki i ngā taumaha kia tohutohu rā anō tō tākuta.
- Te mau i ngā tōkena motuhake:Mena kua tangohia tō uaua saphenous i tō waewae, ka tonoa koe kia mau i ngā tōkena pēhi motuhake hei whakaiti i te pupuhi. Ka tohutohuhia hoki kia piki ake tō waewae.
Āhea koe me rapu tohutohu hauora tonu?
Ki te pāngia koe e ngā tohu o te mate manawa (pēnei i te mamae nui o te uma, te uaua ki te manawa, te werawera nui), waea atu tonu ki tētahi ratonga waka tūroro ohorere pēnei i te 1990 ka haere ki te hōhipera tata rawa atu, te Emergency Treatment Unit (ETU).
Hei tāpiritanga, ki te puta mai tētahi, ētahi atu rānei o ngā tohu e whai ake nei, me whakamōhio wawe atu ki tō tākuta.
- Te mamae o te uma, te kikī rānei (Angina)
- Te werawera nui ohorere
- Te uaua ki te manawa (Dyspnea)
- Ngā tohu o te mate, pērā i te rere kōwhai mai i ngā wāhi pokanga me te kirika
He tino nui te pokanga taha-ārai, he pokanga whakaora ora. He wāhanga nui o te pokanga te tango i tētahi uaua i tō tinana. Nā te whanaketanga o te hangarau, ka taea te mahi i tēnei tikanga me te haumaru, me te iti o te mamae, me te tere o te ora. Nō reira kaua e mataku noa. Mena he raruraru, he ruarua rānei āu, kōrero noa ki tō tākuta mō tēnei mea.
Karere Tangohia ki te Kāinga
- Mō te pokanga karo ngākau, he tikanga noa, he mea nui hoki te tiki i tētahi uaua toto hauora (uaua) mai i tōu ake ringa, i tōu ake waewae rānei.
- Ina tangohia te uaua i tēnei ara, kāore he raruraru ki te rere o te toto ki taua okana. Ka tangohia taua mahi e ētahi atu uaua toto o te tinana.
- Mā te tikanga endoscopic, e whakamahia whānuitia ana i ēnei rā, ka whakaitihia te mamae, te koha, me te wā whakaora.
- He mea nui te whai i ngā tohutohu hauora i muri i te pokanga kia tere ai te ora me te angitu.
- Mena ka pāngia koe e te mamae o te uma, te uaua ki te manawa, ngā tohu rānei o te mate pāwera i te patunga, whakapā atu ki tō tākuta tonu atu.
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