Ina kī mai tō tākuta he pukupuku ngākau tōu, tō tētahi rānei e mōhio ana koe, tera pea ka tino mataku koe, ka ohorere hoki. He mea noa te whakaaro he mano ngā pātai e rere ana i roto i tō hinengaro, pērā i te, 'Aue, he pukupuku ngākau? He mate pukupuku? Me aha ahau ināianei?' Kaua e manukanuka. Koinei tā tātou e kōrero nei i tēnei rā. Me titiro noa tātou ki te āhua o te pukupuku ngākau, te āhua o te pokanga, me ngā mea katoa e hiahia ana koe ki te mōhio mōna.
He aha tonu te pukupuku o te ngākau?
He kupu ngāwari noa iho, ko te pukupuku ngākau he tipu rerekē o ngā pūtau e puta mai ana i roto i te ngākau , i te pakitara rānei o te ngākau. Ka taea te wehewehe i ēnei ki ngā momo matua e rua. Ko tētahi he pukupuku e tīmata ana i roto i te ngākau tonu, e kiia nei ko ngā pukupuku tuatahi. Ko tētahi atu momo he pukupuku e puta mai ana i tētahi atu wāhi o te tinana (hei tauira, i roto i ngā pukahukahu ) ka horapa ki te ngākau.
Engari ko te rongo pai i konei, neke atu i te 90% o ngā pukupuku e tīmata ana i te ngākau ehara i te matepukupuku. I roto i ngā kupu hauora, ka kiia ēnei he 'pai'. Ko te tikanga o tēnei, kāore ēnei pukupuku e horapa ki ētahi atu wāhanga o te tinana (metastasis). Kia tangohia mā te pokanga, kāore he pānga ki te roanga o te oranga o te tūroro.
I te nuinga o te wā, ka kitea ngā pukupuku kore-matepukupuku pērā i te myxoma , te papillary fibroelastoma rānei. Ahakoa ehara ēnei i te matepukupuku , ka taea e rātou te whakararuraru.
- Ka taea e rātou te whakararuraru i te mahi a ngā takirere o te ngākau.
- Waihoki, ki te pakaru mai ngā wahi iti o ēnei pukupuku ka haere i roto i ngā oko toto , ka hanga he toto totoka, ka aukati i te oko toto i roto i te roro, ka pā mai he mate kino pēnei i te whiu .
Nā tēnei mōrearea, ka tūtohu ngā tākuta kia tangohia ēnei pukupuku i roto i te pokanga. He tino onge ngā sarcoma o te ngākau, ā, he onge te mahi pokanga mō rātou.
Ko wai e hiahia ana kia mahia tēnei pokanga?
Inaianei pea kei te whakaaro koe, "Me tino hiahia ahau ki tēnei pokanga?" Ka tūtohu noa tō tīma hauora i te pokanga mēnā e tino mōhio ana rātou he nui ake ngā painga o te pokanga i ngā mōrearea o te kore pokanga. I te nuinga o te wā ka whakaarohia te pokanga i ngā take e whai ake nei:
- Mena kei te pāngia koe e ngā tohu pēnei i te uaua ki te manawa me te mamae o te uma nā te pukupuku .
- Nā te pukupukuMena ka whakararuraruhia te mahi noa o te ngākau .
- E ai ki te kōrero i runga ake nei, he nui te mōrearea o ngā raruraru kino pērā i te toto totoka (embolism) me te whiu rānei .
- Mena kei te tere te tipu o te pukupuku , e kitea ana i roto i ngā whakamātautau hauora.
Me pēhea te tango i te pukupuku o te ngākau? He aha ngā tikanga pokanga?
Nā te mea he tino uaua ngā pokanga tango pukupuku o te ngākau, he maha ngā wā ka mahia ēnei i roto i ngā hōhipera nui, he pai ngā taputapu e ngā tīma taote pokanga he mātauranga me ngā wheako motuhake kei roto i tēnei mara. Ka tirohia e rātou tō āhua, ā, ka whakatauhia ko tēhea pokanga te mea pai mōu. E rua ngā pokanga matua.
| Tikanga pokanga | Me pēhea te mahi |
|---|---|
| Pokanga Ngākau Tuwhera | Koinei te tikanga tuku iho. Ka mahia tēnei pokanga mā te tapahi poutū roa i waenganui o te uma (Median Sternotomy) me te whakatuwhera i te kōhao o te uma. Mā tēnei ka taea e te taote pokanga te kite mārama i te ngākau me ngā kiko e karapoti ana. Ka whakamoea katoatia koe, ā, ka honoa ki tētahi mīhini ārai manawa e mahi ana mō te wā poto hei whakakapi i tō ngākau me ō pukahukahu. Mā tēnei ka taea e te tākuta te pokanga i tētahi ngākau kua mutu te patu, ā, kei te tū tonu. Ka tangohia te pukupuku, ā, ki te tika, ka whakatikahia ngā wāhanga kua pakaru. |
| Pokanga Whakaiti i te Urunga | He tikanga hou tēnei, he tikanga matatau. Engari ko te tapahi nui i waenganui o te uma, ka mahia tēnei mā roto i ētahi tapahi iti i waenganui i ngā rara. Ina whakamahia te pokanga āwhina-rorohiko , ka whakauruhia he kāmera me te ringa rorohiko mā roto i ēnei tapahi iti, ā, ka āta whakahaeretia e te taote pokanga i a ia e titiro ana ki te mata rorohiko. I roto i tēnei tikanga, ka mahia hoki te rongoā whakamoe me te hononga ki te mīhini ngākau-pūkahukahu. |
Ka iti ake te mamae, ka iti ake ngā koha, ka tere ake te ora, ā, ka tere ake te hoki ki te oranga noa, nā te pokanga iti rawa te whakaekenga.
He aha ngā mea ka tupu i mua atu, ā, i muri mai i te pokanga?
Te whakarite i mua i te pokanga
Mā tō tīma hauora koe e whakarite pai i mua i te pokanga. He mea tino nui kia tino whai koe i ā rātou tohutohu.
- Ngā Rongoā: Tērā pea ka tonoa koe kia mutu te tango i ētahi o ngā rongoā e tangohia ana e koe (ina koa ko ngā rongoā whakaiti toto) i ētahi rā i mua i te pokanga.
- Nohopuku: Ka tonoa koe kia mutu rawa te kai me te inu mai i waenganui pō o te pō i mua i te pokanga (nohopuku).
- Momi hikareti: Mena he kaipaipa koe, me mutu te kaipaipa i ētahi wiki i mua i te pokanga hei whakaiti i ngā raruraru.
Hei tāpiritanga, ka taea te whakahaere i ētahi whakamātautau pēnei i te matawai CT, te Echocardiogram (whakamātautau echo), me te matawai MRI hei mārama ake i te āhua o te pukupuku me te ngākau.
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, hei tirotiro tata. Kātahi ka whakawhitia koe ki tētahi wāhanga noa. Ka rerekē te maha o ngā rā e noho ai koe ki te hōhipera i runga i te tere o tō whakaoranga me te momo pokanga i mahia ki a koe.
He aha ngā painga me ngā mōrearea?
Pērā i ngā pokanga katoa, he painga, he mōrearea hoki tō tēnei pokanga.
| Ngā Painga | Ngā Tūponotanga |
|---|---|
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Ko te mea nui, mā ngā tikanga pokanga iti rawa te whakaekenga ka taea te whakaiti i te nuinga o ēnei mōrearea. Kōrero ki tō tākuta mō ngā mōrearea motuhake e pā ana ki tō pokanga.
Āhea te waea atu ki te tākuta tonu
He mea noa te pāngia e te mamae me te kore whakamarie ina hoki koe ki te kāinga i muri i te pokanga. Engari, ki te pāngia koe e tētahi o ēnei tohu, waea atu ki tō taote pokanga, ki te hōhipera rānei i taua wā tonu .
- Te mamae o te uma e kore e memeha haere i roto i te wā, engari ka kaha haere.
- Te kirika.
- Te whakapairuaki me te ruaki tonu.
- Te uaua ki te manawa.
- Mena he whero te tapanga, he pupuhi, he pupuhi rānei te wai (he tohu ēnei o te mate).
- Ki te whakaatu koe i ngā tohu o te whiu, pērā i te kōrero pōturi, te piko rānei o tetahi taha o tō mata, haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera tata .
Karere Tangohia ki te Kāinga
- Ko te nuinga o ngā pukupuku e tupu ana i roto i te ngākau ehara i te matepukupuku (pai). Ka taea te whakaora katoa mēnā ka tangohia mā te pokanga.
- E rua ngā momo pokanga: te pokanga ngākau tuwhera me te pokanga iti rawa te whakaekenga. Mā tō rōpū hauora e whakatau ko tēhea te tikanga pai mōu.
- He iti ake te mamae o ngā pokanga karetao me te iti o ngā tapahi, ā, ka tere ake te ora.
- Mena he āwangawanga, he pātai rānei āu mō te pokanga, kaua e huna ki a koe anake, engari me kōrero noa ki tō tākuta. Mā rātou e whakamārama ngā mea katoa ki a koe.
- He mea nui te whai i ngā tohutohu hauora i muri tonu i te pokanga kia tere ai te ora.
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