Kei te pēhia, kei mamae rānei tō uma i ētahi wā? He uaua rānei ki te manawa ina ngenge koe? He tohu pea ēnei o te aukati haere o ngā oko toto i roto i tō tātou ngākau (ngā uaua coronary). He rite ki te paru e kohikohi ana i roto i te paipa wai i roto i tō tātou whare, ā, ka aukati haere. Ki te kore tēnei e rongoatia, ka arahi pea ki te mate ngakau. Engari kaua e manukanuka, he tino whai hua ngā maimoatanga a te rongoā hou mō tēnei. I tēnei rā ka kōrero tātou mō tētahi tikanga maimoatanga ka taea te whakaora i taua momo ngākau.
He aha tēnei Whakahoutanga o te Toto i roto i te Koronari?
He kupu roa, he kupu rerekē pea tēnei, engari he tino māmā noa iho tōna tikanga. Ko te "Coronary" e pā ana ki ngā oko toto e hono ana ki te ngākau. Ko te tikanga o te "Revascularization" ko te "whakahoki i te rere o te toto." Nō reira, i roto i ngā kupu māmā, ko te Coronary Revascularization he maimoatanga e whakahoki ana i te rere o te toto ki te ngākau ina kore te uaua o te ngākau e whiwhi i te toto e hiahiatia ana (he āhuatanga e kiia nei e tātou ko te ischemia i roto i te rongoā) . Mā te whakatuwhera anō i te oko toto kua āraia, mā te waihanga rānei i tētahi ara hou huri noa i te mea kua āraia.
Ka taea e ēnei maimoatanga te whakaiti i te kino o tō ngākau i muri i te whakaekenga ngākau, ā, ka taea hoki te ārai mēnā he nui te mōrearea o te pāngia e te whakaekenga ngākau.
E rua ngā tikanga maimoatanga matua e kōrerohia ana e mātou i raro i tēnei:
1. Te Wawaotanga Koronari Ā-Kiri (PCI): Koinei te mea e kiia nei e te tini ko te "whakanoho stent." Ko te tikanga o tēnei ko te tomo ki roto i te uaua toto, te tango i te aukati, me te waihanga i te ara e rere ai te toto, me te kore e pokanga.
2. Te Tāruatanga o te Arorangi Koronari (CABG): E mōhiotia ana hoki tēnei ko te "Pokanga Tāruatanga." Ko te tikanga o tēnei ko te waihanga i tētahi ara hou (tāruatanga) huri noa i te oko toto kua āraia mā te whakamahi i tētahi wahi oko toto i tangohia mai i tētahi atu wāhanga o te tinana.
| Tikanga maimoatanga | Hei whakarāpopototanga... |
|---|---|
| PCI (whakanohonga stent) | He rite ki te whakauru i tētahi waea ki roto i tētahi paipa kua purua, ka pupuhi, ka whakatika i te rori. Kāore he motu nui. |
| CABG (Pokanga Ārai) | Pērā i te hanga i tētahi ara whakawhiti hou hei karo i tētahi rori pukumahi, ka whakatōkia he uaua toto hou hei karo i tētahi uaua toto kua āraia. He pokanga tēnei. |
Ko wai e hiahia ana ki tēnei maimoatanga?
Ka taea e te hunga katoa he iti te rere o te toto ki te ngākau te whai hua mai i ēnei maimoatanga. Ko te tino take o tēnei ko te mate uaua o te ngākau . Ka piki ake te mōrearea o tēnei mate i te pakeketanga. Nō reira, ko te hunga neke atu i te 65 tau te pakeke te hunga e tino hiahia ana ki ēnei maimoatanga.
Whakaarohia, he matū matotoru i hangaia mai i te hinu me te cholesterol (e kiia ana e tātou ko te paraka) ka piki haere i roto i ō tātou oko toto. Ko te atherosclerosis te ingoa o tēnei tukanga. He rite ki te hinu e mau ana i roto i te paipa totohu o te kīhini, ā, ka purua. I roto i te wā, ka whakawhāitihia e tēnei putunga te oko toto. Ki te pakaru tēnei putunga i tētahi rā, ka puta he toto totoka ki taua wāhi ka aukati katoa i te oko toto. Koinā te wā ka mutu te rere o te toto ki tētahi wāhanga o te ngākau, ka puta he mate ngākau.
Nō reira, mō te hunga whai pānga ki tēnei momo aukati, ka whakamahia tēnei maimoatanga hei whakaora wawe i te rere o te toto i mua i te matenga o ngā pūtau ngākau.
He aha ngā āhuatanga e rongoatia ana e ēnei maimoatanga?
Ko te nuinga o ēnei maimoatanga e whakamahia ana mō ngā āhuatanga e taka ana ki raro i te wāhanga o te mate pūkahukahu ohorere. Arā:
- Te whakaekenga o te ngakau: Te pakaru o te uaua o te ngakau nā te aukati ohorere o te uaua toto.
- Angina Pūmau: He āhua e mamae ai te uma i te wā e whakapau kaha ana, pērā i te piki arawhata, ā, ka memeha haere ina okioki koe.
- Angina Pūmaukore: He āhua morearea e tohuhia ana e te mamae o te uma ka kino haere ahakoa i te okiokinga.
He aha ngā mea ka tupu i mua i te maimoatanga?
Kia whakatau koe ki te whai i tētahi o ēnei maimoatanga, ka whakahaerehia e ngā tākuta ētahi whakamātautau hei aromatawai tika i tō āhua, hei whakarite hoki i te huarahi maimoatanga pai rawa atu.
| Whakamātautau | He aha tāu e mahi noa ana? |
|---|---|
| Te hiko o te manawa (ECG, EKG rānei) | Ka tirohia te mahi hiko o te ngākau. |
| Te Echocardiogram | He rite ki te matawai, e tirotiro ana i te mahi me te rahi o te ngākau. |
| Te whakaurunga o te catheter o te ngākau / Angiogram | Ka werohia he wai motuhake ki roto i ngā uaua toto, ā, ka tangohia he hihi-X hei tirotiro i te wāhi me te nui o te aukati. |
| Angiography matawai CT | Mā te matawai CT ka kitea ngā ārai i roto i ngā oko toto. |
| Ngā whakamātautau toto | Ka tirohia ngā mea pēnei i ngā whākōkī me ngā taumata cholesterol hei tirotiro mēnā kua pakaru te ngākau. |
Ki te kore he āhuatanga ohorere, me nohopuku koe mō te 8 hāora i mua i te tikanga. I mua i te tīmatanga o te tikanga, ka whakanohoia he aho IV (he ngongo e hoatu ana he tote ki a koe) ki roto i tētahi uaua i tō ringa. Koinei te wāhi ka hoatu ai ngā rongoā me ngā wai e tika ana ki tō tinana. Mō te PCI, ka hoatu he rongoā whakamoe ki a koe. Mō te pokanga CABG bypass, ka tukuna koe ki raro i te mate whakamoe whānui.
He aha ngā mea ka tupu i te wā e rongoatia ana?
Ahakoa he rite te whāinga o ngā tikanga PCI me te CABG, he rerekē rawa te huarahi e whakahaerehia ai.
Tukanga PCI (whakanoho stent)
I konei, ka whakaurua e te tākuta he ngongo angiangi, ngāwari (catheter) ki roto i tētahi oko toto nui, mā tō ringaringa, mā tō hope rānei. Kātahi ka arahina te ngongo ki te oko toto kua āraia i roto i tō ngākau i raro i te arataki a te hihi-X.
Muri iho, ka pupuhihia he poihau iti i te pito o te ngongo ki te wāhi i aukatia ai. Mā tēnei ka whānui te uaua toto whaiti mai i roto. Ka kiia tēnei ko te angioplasty poihau .
Whakaarohia, he rite te mea e tupu ana i konei ki te maka i tētahi poihau ki roto i tētahi paipa kua purua, kātahi ka pupuhi, ka panaia te paru i roto i te paipa ki ngā taha e rua, ka hangaia he rori.
Kātahi, kia kore ai e whaiti anō te oko toto kua whānui, ka whakatakotoria he anga whakarewa iti kua hangaia kia rite ki te mata. Koinei te mea e kiia nei e mātou he stent . Kei roto i ētahi stent he rongoā hei ārai i te whaiti anō o te oko toto. Ka kiia ēnei he stent e tango ana i te rongoā . Kia oti te mahi, ka tangohia te ngongo, ka whakatakotoria he tuitui iti ki te wāhi i whakaurua ai, ā, ka oti te maimoatanga.
Tikanga CABG (Pokanga Ārai)
He tikanga pokanga tēnei. Ka tangohia tuatahitia e te taote pokanga tētahi wāhanga o te uaua toto hauora mai i tētahi atu wāhi o tō tinana (mai i tō waewae, ringa, i roto rānei i tō uma).
I muri i tēnā, e rua ngā huarahi ka tae atu ai ki te ngākau:
- Pokanga tuwhera: Ka tapahia he pokanga kia maha inihi te roa ki waenganui o te uma, kia huaki ai te wheua uma (sternum) hei uru atu ki te ngākau.
- Pokanga iti-whakaekenga: Ko te tikanga o tēnei he tapahi iti i te uma, me te whakamahi i tētahi kāmera me ngā taputapu motuhake hei toro atu ki te ngākau mā roto i ngā rara. I ētahi wā ka mahia tēnei mā te whakamahi i te pokanga karetao.
I te wā e pokanga ana, ka mutu pea te manawa mō te wā poto, ka honoa ki te mīhini karo manawa- pūkahukahu hei mahi i te mahi. Heoi, ka mahia ētahi pokanga i te wā e patupatu tonu ana te manawa (kore-papu).
Kātahi ka whakamahia e te taote pokanga te oko toto kua tangohia i mua hei hanga i tētahi ara hou mā te hono i te oko toto kua āraia ki runga, ki raro hoki. He rite ki te hanga i tētahi ara whakawhiti hou hei karo i tētahi rori pukumahi. Mā tēnei ka karo i te ara kua āraia, ā, ka taea te rere o te toto ki te uaua o te ngākau i te ara hou. Kia oti te ara whakawhiti, ka kati te uma, ka tuituihia, ā, ka oti te pokanga.
He aha te mea ka tupu i muri i te maimoatanga?
Ka hiahiatia he wā hei whakaora i a koe i muri i te pokanga. Ko te roa o tēnei wā ka whakawhirinaki ki te momo pokanga i mahia ki a koe (PCI, CABG rānei) me tō hauora whānui. I te nuinga o te wā ka taea e koe te whakaora i roto i ētahi rā i muri i te PCI. Heoi, ka roa pea he wiki, he marama rānei i muri i te pokanga CABG.
I a koe e ora ana, ka tukuna pea koe e tō tākuta ki tētahi kaupapa whakaora ngākau . I roto i ēnei kaupapa, ka mahi tahi ngā tākuta, ngā nēhi, ngā kaiako whakakori tinana, me ngā tohunga kai hei āwhina i a koe.
- He aha te mahi whakakori tinana e pai ana ki a koe?
- He aha ngā kai me kai e koe?
- Me pēhea te tango tika i te rongoā?
- Me pēhea te ora anō i te oranga hauora?
Māku e whakamōhio ki a koe ngā mea katoa e kōrerotia ana.
He mea nui anō hoki kia haere ki ngā wā tirotiro ā muri ake nei kua whakaritea e te tākuta. He mea tino nui te tango i tō rongoā i te wā tika, te whakahaere i tō kai, me te whai i ngā tohutohu a tō tākuta hei tere ake i tō whakaoranga me te ārai i te hokinga mai o tēnei mate.
He aha ngā painga me ngā mōrearea o ēnei maimoatanga?
Pērā i ngā maimoatanga hauora katoa, he painga, he mōrearea hoki ō ēnei tikanga.
He aha ngā painga?
- Te pūmanawa whakaora ora: He whakaora ora ēnei maimoatanga i roto i ngā take pēnei i te mate ngakau.
- Te ārai i te whakaeke ngakau: Ki te kitea wawetia e koe ngā aukati i roto i ō oko toto, ka taea e koe te ārai i te whakaeke ngakau mā te rongoā i mua i te puta mai.
- Te tiaki i te mahi a te ngākau: Ki te tere te rongoā, ka taea te ārai katoa, te whakaiti rānei i te kino o te uaua ngākau.
He aha ngā mōrearea me ngā raruraru?
Ko te mōrearea ka whakawhirinaki ki te maimoatanga, tō tau, me ētahi atu āhuatanga hauora kei a koe (pēnei i te mate huka me te toto toto tiketike).
| Tikanga maimoatanga | Ngā mōrearea noa |
|---|---|
| PCI (whakanohonga stent) | Te kino ki te ngākau, ki ngā oko toto rānei, te koretake o te manawa o te ngakau (arrhythmias) , te toto totoka, te whiu, te toto rānei. |
| CABG (Pokanga Ārai) | Ngā tūponotanga e pā ana ki te pokanga. Hei tauira, te mamae, te toto nui, te mate o te patunga. |
Kaua e wehi i ēnei mea. Ka whakamārama pai tō tākuta i ngā mea katoa ki a koe, ā, ka mahi i ngā mea katoa hei whakaiti i ō tūponotanga. Mena he pātai, he āwangawanga rānei āu, pātai atu ki tō tākuta tonu.
Kia pēhea te roa ka ora ake ahau? Āhea ahau me toro atu anō ki te tākuta?
Ahakoa ka taea e koe te hoki ki te oranga noa i roto i ētahi rā i muri i te PCI, tera pea ka roa pea ētahi marama kia tino ora ai koe i te pokanga CABG. Ma tō tākuta koe e kī atu kia pēhea te roa e hiahia ana koe ki te okioki, me ngā mea ka taea e koe te mahi, me ngā mea kāore e taea e koe te mahi.
I muri i te maimoatanga, ki te puta ngā tohu e whai ake nei, me toro atu koe ki te tākuta tonu atu .
- Mamae o te uma (Angina)
- Te uaua ki te manawa (Dyspnea)
- Pōuriuri, māuiui rānei te upoko
- Ngaronga o te māramatanga
He mea noa te mataku me te manukanuka ina rongo koe mō tētahi raruraru ngākau. Heoi, ka taea e tēnei maimoatanga e kiia nei ko te Coronary Revascularization te whakapai ake i ngā raruraru ngākau, me te ārai i te kino haere. Ko te mea nui ko te mārama tika ki tēnei maimoatanga, te tiki i te āwhina hauora e tika ana me te kore wehi, me te ngana anō ki te ora hauora, harikoa.
Karere Tangohia ki te Kāinga
- Ko te whakaora toto i te uaua o te ngākau e pā ana ki ngā maimoatanga e whakaora ana i te rere o te toto ki ngā oko toto kua āraia i roto i te ngākau.
- Ko te PCI (whakanoho stent) me te CABG (pokanga bypass) ngā tikanga matua e rua.
- Ka taea e ēnei maimoatanga te ārai i ngā whakaeke ngakau me te whakaora i ngā oranga.
- I muri i te maimoatanga, he mea tino nui kia whai i ngā tohutohu hauora, kia tangohia ngā rongoā, kia whakahaere i tāu kai, me te whakakori tinana.
- Kōrerohia mā te mahorahora ki tō tākuta mō te maimoatanga e pai ana mō tō āhua me ngā painga me ngā huakore o aua mea.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment