Tērā pea kua pāngia koe e te mamae me te mamae o te uma e puta mai ana i te korenga o te toto e tae atu ki tō ngākau. Tērā pea kua wehi koe i te mate ngākau. Ko te tino take o tēnei ko te aukati i ngā uaua o te ngākau e tuku toto ana ki te ngākau. He waimarie, i ēnei rā kei reira ngā maimoatanga matatau ka taea te whakatuwhera anō i ēnei oko toto kua aukatia, ā, ka taea te rere tika o te toto ki te ngākau. I tēnei rā, e kōrero ana tātou mō ēnei maimoatanga ka taea te whakaora i te ngākau.
He aha te 'Whakahoutanga o te Toto i te Mate Koronari'?
He whakarāpopototanga noa iho tēnei, he huinga maimoatanga hei whakaora i te rere o te toto ki te uaua o tō ngākau ina kore e whiwhi i te toto e hiahiatia ana. Ko te ingoa hauora o tēnei mate ko te "Ischemia". Ka taea e ēnei maimoatanga te āwhina ki te ārai i te whakaeke ngākau i muri i tōna putanga mai, tae atu ki te hunga e tino mōrearea ana ki te pāngia e tētahi.
E rua ngā tikanga maimoatanga matua e kōrerohia ana i raro nei:
- Te Wawaotanga Koronari Ā-Kiri (PCI): Ehara tēnei i te pokanga. He tikanga tēnei e whakaurua ai he ngongo angiangi ki roto i te oko toto, ā, ka whakamahia hei whakawhanui i te wāhi kua āraia mai i roto, hei whakaora i te rere o te toto. He tokomaha te hunga e mōhio ana ki tēnei ko te 'stent'.
- Te Tāruatanga o te Arorangi Koronari (CABG): He pokanga tēnei e hanga ana i tētahi 'tāruatanga' hou, ara taha rānei, kia rere ai te toto huri noa i tētahi uaua kua āraia i roto i te ngākau.
He aha i whakamahia ai ēnei maimoatanga?
Pērā i te pūngao o ngā paipa totohu o te kīhini i te hinu me te paru i roto i te wā, ka tīmata te hanga o tētahi matū ware pi pērā i te ngako ki roto i ngā oko toto o tō tātou ngākau. Ka kiia tēnei e tātou he paraka . Koinei te āhua e hanga ana te paraka i roto i ngā oko toto ka whakawhāiti i a rātou, e kiia nei ko te "Atherosclerosis." He tohu nui tēnei o te mate uaua o te ngakau.
I roto i te wā, ka tino whaiti ēnei putunga i roto i ngā oko toto. I ētahi wā, ki te pakaru tētahi o ēnei putunga, ka puta he toto totoka ka ārai katoa i te oko toto. Ka ngaro te rere o te toto i tētahi wāhanga o te ngākau, ā, ka tīmata te mate o ngā pūtau o taua wāhanga. Ka kiia tēnei he mate ngākau .
Ko te mea nui, ki te mate ngā pūtau uaua o te ngākau, ka pumau tonu te kino. Heoi, ki te tere te whakahokinga mai o te rere o te toto, ka taea te whakawhāiti, te ārai rānei i tēnei kino.
E hiahiatia ana ēnei maimoatanga mō ngā mate ngakau katoa e taka ana ki raro i te kāwai o te "Acute Coronary Syndrome". Hei tauira:
- Te whakaekenga o te ngakau
- Angina pumau - te mamae o te uma ka whakamamaetia i te okiokinga, ā, ka kino haere i te wā e whakakorikori tinana ana
- Angina kore pumau - Te mamae ohorere o te uma e puta ana ahakoa i te okiokinga
He aha ngā mea ka tupu i mua i te maimoatanga?
I mua i te tīmatanga o te maimoatanga pēnei, ka whakahaerehia e ngā tākuta ētahi whakamātautau hei aromatawai tika i tō āhua, hei whiriwhiri hoki i te maimoatanga e tika ana mōu. Ko ētahi o ēnei:
- ECG (Electrocardiogram): Te whakamātautau i te ngohe hiko o te ngākau.
- Echocardiogram: He matawai o te ngākau.
- Te Tātaritanga o te Ngākau (Angiogram): He tikanga e werohia ai he tae ki roto i ngā oko toto o te ngākau, ā, ka whakamahia he hihi-X hei tirotiro mō ngā aukati.
- Te Angiography X-ray, te Angiography CT rānei: Te tirotiro i ngā oko toto mā te whakamahi i te matawai tomography rorohiko.
- Ngā whakamātautau toto: Te tatau toto katoa, ngā whākōkī ngakau, me ētahi atu.
Mena ehara te tikanga i te mea ohorere, ka tohutohu tō tākuta kia nohopuku koe mō ētahi haora i mua i te tikanga. Waihoki, i mua i te tīmatanga o te tikanga, ka whakaurua he aho IV ki roto i te uaua i tō ringa. Mā tēnei ka taea e koe te tuku ngāwari i ngā rongoā me ngā wai e tika ana. I te wā o te PCI, ka hoatu he rongoā ki a koe hei whakamoe māmā i a koe, i te wā o te pokanga CABG, ka hoatu he rongoā whakamoe whānui ki a koe.
He aha ngā mea ka tupu i te wā e rongoatia ana?
Ahakoa he rite te kaupapa o ngā tikanga PCI me te CABG, he rerekē rawa te huarahi e whakahaerehia ai. Me titiro tātou me pēhea.
| Tikanga maimoatanga | He māmā noa iho te mea ka tupu. |
|---|---|
| PCI (whakanohonga stent) | Ka whakaurua e te tākuta he ngongo angiangi rawa (catheter) mā roto i tō ringaringa, i tō hope rānei ki roto i tētahi oko toto nui. Kātahi, mā te whakamahi i tētahi mata X-ray, ka arahina te ngongo ki te oko toto kua āraia i roto i tō ngākau. Muri iho, ka pupuhihia he poihau iti i te pito o te ngongo (Balloon Angioplasty) hei whakawhānui i te wāhi kua āraia. He maha ngā wā, ka whakanohoia he taputapu rite ki te mata (stent) ki roto i te wāhi kua whānuitia kia kore ai e whaiti anō. |
| CABG (Pokanga Ārai) | He tikanga pokanga tēnei. I roto i tēnei tikanga, ka tangohia tuatahitia e te taote pokanga tētahi wāhanga o te uaua toto hauora mai i tētahi atu wāhanga o tō tinana (mai i tō waewae, ringa, uma rānei). Kātahi, mā te pokanga tuwhera, mā te tapahi iti rānei (pokanga iti-whakaeke), ka whakamahia e te taote pokanga te wāhanga o te uaua toto hei hanga i tētahi ara hou (takahi taha) kia rere ai te toto huri noa i te uaua kua āraia i roto i tō ngākau. He rite ki te tango i tētahi ara taha hei karo i te waka. |
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. Ka whakawhirinaki tēnei wā ki te momo pokanga i mahia e koe, tō hauora whānui, me te mea he āhuatanga ohorere. I te nuinga o te wā, he torutoru noa ngā rā ka ora ai koe i te PCI. Heoi, ka roa pea he wiki, he marama rānei hei whakaora katoa i te pokanga CABG.
Tērā pea ka tūtohu tō tākuta kia uru atu koe 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 ki te whakaako i a koe ki te whakakori tinana tika, ki te whakahaere i tō kai, me te tango tika i ō rongoā.
He mea nui anō hoki kia toro atu anō ki te tākuta i te wā kua whakaritea (ngā haerenga whai muri) me te whai i ngā whakamātautau. Mā te whai i ngā tohutohu a te tākuta ka tere ake tō whakaoranga.
He aha ngā painga o ēnei maimoatanga?
- Te ārai i ngā whakaekenga ngākau: Mena ka tautuhia te mate uaua o te ngākau i mua i te putanga mai o te whakaekenga ngākau, ka taea e tēnei maimoatanga te ārai.
- Te whakaora ora: He āhuatanga ohorere te mate manawa. I roto i ēnei āhuatanga, ka taea e ēnei maimoatanga te whakaora ora.
- Te tiaki i te mahi a te ngākau: Mā te maimoatanga wawe ka ārai i te matenga o ngā pūtau ngākau nā te ischemia. Mā tēnei ka whakaiti i te kino tuturu ki te ngākau.
He tūponotanga kei roto i ēnei maimoatanga?
Pērā i ngā maimoatanga hauora katoa, kei reira ngā mōrearea, kei runga i tō āhua hauora me te maimoatanga e mahia ana.
- Mō te PCI: Tērā pea he iti noa te mōrearea o te pakaru o ngā uaua toto, te pā o te ngakau kāore i te tika (arrhythmias), te toto totoka, te whiu, te toto rānei.
- Mō te CABG: He mōrearea te mamae, te toto, me te mate urutā i te pokanga.
Kōrerohia ō pātai, ō āwangawanga rānei mō tēnei mea ki tō tākuta . Māna e whakamārama mārama ngā mōrearea ka puta mai i runga i tō āhuatanga.
Āhea koe me toro atu anō ki te tākuta?
I muri i te maimoatanga, ki te puta anō ngā tohu e whai ake nei , me toro atu ki tō tākuta tonu atu , me haere rānei ki te Tari Whawhati Tata (ETU) .
- Te mamae o te uma, te kikī rānei (Angina)
- Te uaua ki te manawa (Dyspnea)
- Te pōuri, te ngoikore rānei
- Te hemo
He mea noa te mataku me te manukanuka ina rongo koe i ngā kōrero mō te mate manawa. Engari mā te mārama ki ngā maimoatanga matatau pēnei i ēnei, ka taea e koe te wikitoria i taua wehi, te whiwhi i te maimoatanga e tika ana, me te ora anō i te oranga hauora.
Karere Tangohia ki te Kāinga
- Ko te whakaora i ngā oko toto o te ngākau e pā ana ki ngā maimoatanga e whakatuwhera ana i ngā oko toto kua āraia i roto i te ngākau, ā, e whakaora ana i te rere o te toto.
- Ko te whakatakotoranga stent (PCI) me te pokanga bypass (CABG) ngā tikanga maimoatanga matua e rua.
- Ka taea e ēnei maimoatanga te ārai i ngā whakaeke ngakau, me te whakaora i ngā oranga mēnā ka pāngia koe e te whakaeke ngakau.
- Ka whakatauhia e tō tākuta te maimoatanga tino tika māu i muri i te tirotiro i tō āhua.
- Hei whakatutuki i ngā hua pai rawa atu i muri i te maimoatanga, kia tino whai koe i ngā tohutohu a tō tākuta (rongoā, kai, whakakori tinana).
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