Puku ngākau? Ka taea te tango mā te pokanga? (Pokanga Tango Puku Ngākau) Kia tūpato tātou

Ka paku mataku te hunga e rongo ana i te kupu "pukupuku ngākau", tika? He mea noa te mataku me te manukanuka ina rongo koe i aua kupu. Engari kaua e manukanuka. Ko te mea nui ko te nuinga o ēnei pukupuku e tupu ana i roto i te ngākau ehara i te matepukupuku. I tēnei rā, i roto i tēnei tuhinga, ka kōrero tātou mō ngā pukupuku ngākau, ngā pokanga e tango ana i aua pukupuku, ā, ka ngana ki te kimi whakautu ki te maha o ngā pātai kei a koe.

He aha te pokanga tango i te pukupuku o te ngākau?

He ngāwari noa iho tēnei tikanga hauora. Me tango pokanga te pukupuku i roto i tō ngākau. He mea nui rawa tēnei pokanga mēnā he tūponotanga o ngā raruraru nā te pukupuku kore-matepukupuku (pai).

I ētahi wā, i runga i te momo pukupuku kei a koe, me mahi pea koe i tētahi pokanga hanga anō hei whakatika i ngā pakaru o tō ngākau, o tētahi rānei o ōna takirere. Mā tō tākuta tēnei e whakamārama ki a koe.

He aha tonu te pukupuku o te ngākau?

He tupu te pukupuku ngākau i roto i tō ngākau. Tērā pea ēnei he pukupuku ngākau tuatahi. Ko te tikanga tēnei i ahu mai ēnei pukupuku i roto i te ngākau tonu, ā, kāore i horapa mai i tētahi atu wāhi o te tinana.

Ko ngā momo pukupuku ngākau tuatahi e rua e tino kitea ana ko te myxoma me te papillary fibroelastoma . Ahakoa ehara ēnei i te pukupuku matepukupuku, ka pā pea ki te mahi a ngā takirere ngākau. Hei tāpiri, ka whakanui ake i te tūponotanga o te hanganga toto totoka me te haere i roto i te oko toto, ka puta he embolism, he whiu rānei. Nō reira, ka tūtohu pea tō tākuta kia tangohia te pukupuku i roto i te pokanga.

He tino onge ngā pukupuku matepukupuku o te ngākau, e kiia nei ko ngā sarcomas , ā, kāore i te whakamahia te pokanga hei rongoā.

Ka taea te tango i tētahi pukupuku i te ngākau?

Ae, i te nuinga o te wā, ka taea e ngā taote pokanga te tango katoa i te pukupuku mai i te ngākau. He tino angitu te pokanga hei tango i ngā pukupuku kore-matepukupuku, pērā i te myxoma me te papillary fibroelastoma.

Heoi, he uaua pea te tango i ētahi pukupuku uaua kāore i te matepukupuku me ngā pukupuku matepukupuku. I roto i ēnei āhuatanga, ka tangohia e ngā taote pokanga te nuinga o te pukupuku e taea ana (tangohanga wāhanga). Ka taea e tēnei te āwhina i te whakamamae i ō tohu me te whakapai ake i tō kounga o te oranga. I ētahi atu āhuatanga, kāore pea e taea te pokanga. I roto i taua āhuatanga, ka tūtohu pea tō tākuta i ētahi atu maimoatanga, i te tiaki mamae rānei.

Ko wai e hiahia ana ki tēnei pokanga?

Tērā pea me pokanga koe mēnā e whakaaro ana tō tākuta he nui ake ngā painga o te pokanga i ngā mōrearea. He nui ake te tūponotanga ka tūtohu tō tākuta i te pokanga mēnā:

• Mena ka puta mai ngā tohu i te pukupuku.
• Mena ka whakararuraru i te mahi noa o te ngākau.
• Mena ka piki ake tō tūponotanga ki ngā raruraru pēnei i te toto totoka, te whiu rānei.
• Mena kei te tere te tipu o te pukupuku.

Me pēhea te tango a ngā taote pokanga i te pukupuku mai i te ngākau?

Ko te tikanga tuku iho mō te tango i ngā pukupuku o te ngākau ko te pokanga ngākau tuwhera. Heoi, nā te whanaketanga o te pūtaiao hauora, kua wātea mai ngā tikanga iti rawa te whakaekenga e hiahia ana kia poto ake te wā whakaora.

He tino onge ngā pukupuku o te ngākau. Nō reira, kāore i te tino noa ngā pokanga tango i a rātou pērā i ētahi atu pokanga ngākau. Koia te mea nui kia rapu maimoatanga koe i tētahi hōhipera nui he wheako ki ēnei momo pokanga. Ka tirohia tō āhua e tētahi rōpū taote pokanga, ā, ka whakatauhia te momo pokanga e pai ana mōu.

Te pokanga ngākau tuwhera tuku iho

Mā tēnei tikanga ka taea e te taote pokanga te kite tika i tō ngākau me ngā whekau e karapoti ana i a ia e mahi ana i te pokanga. Ko te tikanga o tēnei ko te tapahi i waenganui o tō uma ki te hope roa. Ka kiia tēnei ko te median sternotomy i roto i ngā kupu hauora.

Ka moe hohonu koe i raro i te rongoā whakamoe kia kore ai koe e rongo i tetahi mea i te wā e pokangahia ana. Ka honoa hoki koe ki tētahi mīhini karo manawa . Ka tangohia e tēnei mīhini te mahi a tō ngākau me ō pukahukahu mō tētahi wā poto i te wā e pokangahia ana. Mā tēnei ka taea e te taote pokanga te pokanga i tētahi ngākau kāore e patupatu ana, e tū tonu ana.

Ka tangohia e te taote pokanga te pukupuku, ā, ki te tika, ka hangaia anō ngā wāhanga kua pakaru o te ngākau. I runga i te nui o te pānga o te pukupuku ki te ngākau, ka uru pea ki tēnei hanganga anō te whakatikatika i te takirere, te whakakapi rānei i te takirere.

Pokanga ngākau iti rawa te whakaekenga

He tino iti ngā tapahi ka mahia, kaua i te tapahi roa ki waenganui o te uma pērā i te pokanga ngākau tuwhera.Ko tēnei tikanga he whakamahi i ētahi tapahi hei toro atu ki te ngākau me te tango i te pukupuku. Heoi anō, me whakamahi anō hoki i te rongoā whakamoe me te mīhini ngākau-pūkahukahu mō tēnei tikanga.

Te pokanga ngakau āwhina-rorohiko

He momo pokanga iti rawa te whakaekenga tēnei. Ka whakamahia e ngā taote pokanga te hangarau endoscopic hei whakahaere i tēnei pokanga, ā, kāore e whakatuwhera i te uma.

Mō tēnei tikanga, ka tapahia e te taote pokanga ētahi tapahi iti ki ō rara. Mā roto i ēnei tapahi ka whakauruhia ngā taputapu e piri ana ki ngā ringa karetao. Ko ngā nekehanga o ēnei ringa karetao ka whakahaeretia e ngā ringaringa o te taote pokanga. Mā te hangarau kāmera motuhake ka taea e te taote pokanga te kite mārama i te roto o te ngākau puta noa i te mahi.

He aha ngā mea ka tupu i mua i te pokanga?

Mā tō tīma hauora koe e tohutohu mō te whakarite mō te pokanga, ā, he mea tino nui kia whai tika koe i aua tohutohu.

• Ahakoa me huri koe i ngā rongoā e tangohia ana e koe.
• Me nohopuku koe (kāore he kai, he inu rānei) mai i te pō i mua i te pokanga.
• Mena he kaipaipa koe, me mutu te kaipaipa i ētahi wiki i mua i te pokanga. He mea nui tēnei hei whakaiti i te tūponotanga o ngā raruraru.

Waihoki, ka whakahaerehia e te tīma hauora tētahi, neke atu rānei, ngā whakamātautau hei mārama ake i te āhua o te pukupuku me tō ngākau. Ko ngā momo whakamātautau e hiahiatia ana e koe ko:

• Matawai CT (Tomography rorohiko - Matawai CT)
• Angiogram koronari
• Te Echocardiogram
• Matawai MRI (Whakaahua aukume - matawai MRI)

He aha ngā mea ka tupu i muri i te pokanga?

I muri i te pokanga, ka puritia koe ki te wāhanga tiaki nui (ICU) mō te rā kotahi, neke atu rānei, ā, ka tirotirohia koe ki reira. Whai muri i tēnā, ka whakawhitia koe ki tētahi wāhanga noa. Ko te maha o ngā rā e noho ai koe i te hōhipera ka whakawhirinaki ki te momo pokanga i mahia ki a koe me te tere o tō whakaoranga. Ka rerekē i ia tangata, i ia tangata. Ma te tīma hauora koe e whakamōhio atu mō tō āhua, ā, ka kī atu hoki āhea koe ka taea te hoki ki te kāinga.

He aha ngā painga me ngā mōrearea o tēnei pokanga?

Pērā i ngā pokanga katoa, he painga, he mōrearea hoki. He mea nui kia kōrerohia whānuitia ēnei ki tō tākuta.

He pēhea te wā whakaora?

Ko te roa o tō whakaoranga ka whakawhirinaki ki ngā āhuatanga pēnei i te momo pokanga i mahia ki a koe me tō hauora whānui. Ka hoatu e tō taote pokanga he tohutohu motuhake ki a koe, ā, ka kī atu ki a koe he aha ngā mea hei tumanako atu. I te nuinga o te wā, ka tere ake tō whakaoranga i muri i te pokanga karetao i muri i te pokanga ngākau tuwhera. Ka taea e te nuinga o te tangata te hoki ki ngā mahi noa me te mahi ina kaha ake rātou.

I muri i tētahi pokanga, he mea nui kia tino whai i ngā tohutohu a tō tākuta mō ngā mea hei mahi me ngā mea kāore e tika ana kia mahia i te wā whakaora.

Āhea ahau me kite anō i te tākuta?

Mā tō taote pokanga koe e kōrero ki ngā tohu hei tirotiro māu i a koe e ora ana. Ahakoa he mea noa te pāngia e te mamae, he mea nui kia mōhio koe ki ngā tohu e tohu ana i tētahi raruraru, pērā i te mate pāwera.

Mena kei te pokanga koe hei tango i te pukupuku o te ngākau, tera pea he maha ngā pātai kei roto i tō hinengaro. Tērā pea ka whakaaro koe he aha ngā mea ka puta i muri i te pokanga, he aha ngā tūponotanga ka ora ai koe mō te wā roa, me ētahi atu. Kia maumahara, he rerekē te haerenga hauora o te katoa. Kotahi anake te taha o te kōrero e kōrerohia ana e ngā tatauranga. Kaua e mangere ki te kōrero ki tō taote pokanga, ki tētahi atu rānei o tō tīma hauora mō ngā pātai, ngā āwangawanga rānei kei a koe.