Te Kohikohi i te Arteri Radial me te Uaua Saphenous (RA&SV)

Kua kōrerotia atu rānei e te tākuta ki a koe, ki tētahi rānei e mōhio ana koe, kua āraia te uaua o te ngākau, ā, me mahi pokanga taha? Kua rongo katoa tātou i te kupu 'taha'. Whakaarohia he nui ngā waka i runga i te rori, ā, he rite tēnei ki te hanga i tētahi ara kē atu mō ngā waka kia haere. Ina āraia he uaua toto e tuku toto ana ki te ngākau, ka honoa he ara hou, arā, he uaua toto hou, ki te ngākau, e kiia nei ko te pokanga taha. Engari kua whakaaro kē koe ki hea te wāhi e haria ai he uaua toto hei hanga i tēnei ara hou? I te nuinga o te wā, ka whakamahia he uaua toto hauora mai i tō tinana ake mō tēnei. Koinei te tukanga ka kōrerohia e tātou i tēnei rā, arā, ka tangohia taua uaua toto mai i tētahi wāhanga o te tinana ka whakatōkia ki te ngākau.

He aha te tikanga o te 'hauhake' i tētahi uaua toto?

He rite tonu tēnei ki te hauhake i tētahi oko toto. Hei whakamārama, ko te tikanga he tango pokanga i tētahi oko toto hauora mai i tētahi wāhanga o tō tinana (he ringa, he waewae rānei) ka whakamahia hei whakakapi mō tētahi uaua kua āraia i roto i tō ngākau. Ko te oko toto e tangohia ana i tēnei ara ka kiia he "tāpiri".

Ka honoa tetahi pito o tēnei tānga ki te uaua matua me te uaua nui rawa o te tinana, arā, te aorta, ā, ka honoa tetahi pito ki te uaua kua āraia i roto i te ngākau i raro i te mea kua āraia. Kātahi ka rere te toto mā roto i te uaua hou kua honoa ki te ngākau, me te kore he ārai, ka karo i te wāhanga kua āraia. Ko te ingoa o tēnei pokanga ko te Tānga Puku Coronary Artery Bypass (CABG) i roto i te rongoā.

Nō hea ēnei uaua toto?

E rua ngā momo uaua toto e whakamahia whānuitia ana mō te pokanga bypass.

1. Te uaua radial i te ringa

He uaua toto nui tēnei e rere ana mai i roto i tō ringa mai i tō tuke ki tō ringaringa . Koinei te uaua toto ka taea e koe te rongo ina pā te manawa. Kei te taha mata o te kiri.

2. Te uaua Saphenous i te Waewae

Koinei te uaua roa rawa atu o tō tātou tinana. He uaua e kawe ana i te toto paru ki te ngākau. Ka rere mai i te raro o te tinana tae noa ki te huha. Kāore he raruraru mēnā ka tangohia. Nā te mea he pūnaha uaua hohonu ake kei roto i te waewae. I muri i te tangohanga o te uaua saphenous, ka riro i te pūnaha uaua hohonu te mahi i mahia e ia.

He aha tāu e mahi ai i mua i te pokanga?

I mua i te whakatau ki te mahi i tēnei pokanga, ka whakahaerehia e te tākuta ētahi whakamātautau hei whakatau i te rahi me te wāhi tika o te aukati i roto i tō ngākau. I runga i ngā hua, ka whakatauhia e ia mēnā ko tō ringa, ko tō waewae rānei te uaua tino pai mō te pokanga.

Hei tāpiritanga, he mea tino nui kia whai i ngā tohutohu a tō tākuta i mua i te pokanga.

• Te nohopuku (te kore kai me te kore inu) mō ētahi haora i mua i te pokanga.
• Ki te kai paipa koe, kati rawatia.
• Tērā pea ka tonoa koe kia mutu te tango i ētahi rongoā mō tētahi wā (tae atu ki ngā huaora me ngā rongoā otaota).

Me pēhea te mahi i te pokanga?

He rite te pokanga tango i te uaua toto ki te pokanga taha. Ka tukuna koe ki raro i te mate whakamoe whānui. E rua ngā tikanga matua mō te tango i te uaua toto.

1. Pokanga Endoscopic: Ko te tikanga o tēnei he tapahi iti kotahi, e rua rānei i te kiri o te ringa, o te waewae rānei.Ko te tikanga he whakauru i tētahi ngongo tino angiangi (endoscope) kei roto he kāmera me ngā taputapu pokanga. Ka āta tangohia e te tākuta te uaua toto i a ia e mātakitaki ana i te aroturuki. He tino iti te koha i puta mai i tēnei.

2. Pokanga Tuwhera: I tēnei mahi, ka tangohia te uaua toto mā te tapahi i tētahi tapahi roa, nui ki te wāhi kei reira te uaua toto, ā, ka huaki te kiri.

I te wā o te pokanga whakawhiti, ka taea te whakawhiti i tō ngākau me ō pūkahukahu mō te wā poto ki tētahi "Mīhini Whakawhiti Ngākau-Pūkahukahu." Kātahi ka tangohia e te taote pokanga te "tāpiri" o ngā oko toto hauora kua tangohia i mua, ka whakatōkia ki roto i te ngākau me te karo i te aukati.

He aha ngā painga me ngā mōrearea o tēnei tikanga?

Ko tēnei tikanga o te hono i tētahi uaua mai i te tinana te tino take o te angitu o te pokanga bypass. He maha ngā painga o tēnei mahi, inā koa te tikanga endoscopic.

Ngā Painga:

• He tere ake te ora, he iti ake te mamae.
• Kua whakaitihia te wā e noho ana i te hōhipera.
• Kāore he koha nui, ā, kua iti ake te mōrearea o te mate .
• Ka whakaiti i te mōrearea o te toto me te toto totoka (Hematomas).

Ngā Tūponotanga:

Pērā i ngā pokanga katoa, he tūponotanga kei reira, engari kāore ēnei e pā ki te katoa.

• He toto, he maru rānei i te wāhi i tapahia.
• Ngā Pukupuku Toto.
• Te ngoikore , te ngaro rānei o te rongo i te wāhi nā te kino o ngā io e karapoti ana i te tapahi.
• Te pupuhi (Edema).
• Ngā āhuatanga pangia.

Ina hiahia koe ki te toro atu ki te tākuta i te wā tere

Ina hoki koe ki te kāinga i muri i te pokanga, kaua e warewarehia tetahi mamae. Mena ka pāngia koe e tetahi o ngā tohu e whai ake nei, rapua tonutia he tohutohu hauora , haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.

• Te mamae o te uma , te kare rānei e mākū ana te uma (Angina).
• Te werawera makariri ohorere.
• Te uaua ki te manawa (Dyspnea).
• Ngā tohu o te mate urutā, pērā i te wai kōwhai e maringi ana mai i ngā patunga pokanga me te kirika .

Hei whakamutunga, kua whakaatuhia e ngā rangahau he pai ake te angitu o te pokanga bypass mā te whakamahi i te uaua radial, te uaua mammary ā-roto rānei i te whakamahi i te uaua saphenous. Nā te mea he kaha ake ngā pakitara uaua i ngā uaua, nō reira he iti ake te tūponotanga ka aukatia anō. Heoi, ka arotakehia e tō tākuta ō tuhinga hauora katoa kia mōhio ai ko tēhea uaua te mea pai mōu me te huarahi pai ki te uru atu ki roto.