Kei te ahua uaua koe ki te manawa i ētahi wā, kei te ahua pēpeke tō uma, kei te ngoikore rānei koe ina piki koe i ngā arawhata, ina mahi rānei i tētahi mea uaua? He maha ngā take mō ēnei tohu. Ko tētahi o ngā take matua ko te matotoru o te uaua o te ngākau. I roto i ngā kupu hauora, ka kiia tēnei ko te 'Hypertrophic Cardiomyopathy'. Nō reira, ina uaua te whakahaere i tēnei āhuatanga ki te rongoā, he pokanga motuhake e taunakihia ana e ngā tākuta. I tēnei rā kei te kōrero tātou mō tētahi pokanga e kiia nei ko te 'Septal Myectomy'.
He aha te tikanga o tēnei matotoru o te pakitara o te ngākau?
He tino mīharo te ngākau. He rite ki tētahi whare iti me ngā rūma e whā. E rua ngā rūma o runga (atria) me ngā rūma o raro (rūma). Ko ngā rūma matua e rua i raro iho i ēnei, arā, ko ngā rūma matau me ngā rūma maui, e wehea ana e tētahi pakitara matotoru i waenganui. Ko tēnei pakitara i hangaia ki ngā uaua, koia te mea e kiia nei e tātou ko te 'septum' .
I roto i tētahi āhuatanga e kiia nei ko te 'Hypertrophic Cardiomyopathy', ka matotoru rawa te uaua o tēnei septum. Whakaarohia te mea ka tupu mēnā ka pupuhi ohorere te pakitara e wehe ana i ngā rūma e rua i roto i tō whare, ka panaia tētahi rūma ki roto. Koinei te mea e tupu ana i konei. Ka panaia e tēnei pakitara matotoru ki roto, inā koa ki roto i te ventricle maui, te rūma matua e pupuhi ana i te toto ki te tinana.
Kātahi ka āraia te ara e puta ai te toto i te ngākau. Nā tēnei, me kaha ake te mahi a te ngākau i te tikanga, i raro i te pēhanga nui, ki te pupuhi toto ki te toenga o te tinana. Koinei te take i tīmata ai te puta o ngā tohu i kōrerohia e tātou i mua ake nei, pērā i te poto o te manawa me te mamae o te uma. Tērā pea he whānautanga tēnei mate ki ētahi tāngata, ka taea rānei te whanake i muri mai i te ao.
Ko wai e hiahia ana ki te pokanga Septal Myectomy?
Kāore e hiahiatia he pokanga mō te katoa e pāngia ana e tēnei mate. Ka ngana tuatahi tō tākuta ki te whakahaere i ngā tohu mā te rongoā. Heoi, i ētahi wā, ko te pokanga te otinga pai rawa atu.
- Mō te hunga kāore e taea te whakahaere i ngā tohumate ki te rongoā: Mena kāore e taea te whakahaere i ngā tohumate pēnei i te mamae o te uma, te uaua ki te manawa, me te whanoke ki te rongoā, ka whakaarohia pea e tō tākuta tēnei pokanga.
- Mō te hunga he matotoru rawa te pakitara o te ngākau (septum): Ahakoa he iti ake ngā tohu o ētahi tāngata, e taunakihia ana tēnei pokanga mēnā he matotoru rawa te septum, ā, he nui te aukati i te rere o te toto.
- Mō ngā wāhine e tumanako ana kia hapu:Mena kei te tumanako te wahine e pāngia ana e tēnei mate kia hapu, ahakoa kāore i te tino kino ngā tohu, he pai tonu te mahi i tēnei pokanga. Nā te mea ka piki ake te pēhanga ki te ngākau i te wā e hapu ana, he pai ake te tango wawe i tēnei aukati.
Me aha koe i mua i te pokanga?
I mua i te pokanga, ka whakahaerehia e te tākuta ētahi whakamātautau hei tirotiro mārire i tō āhua ngākau. Kāore he mea hei manukanuka. Ka mahia ēnei hei tiki i ngā mōhiohio katoa e hiahiatia ana hei whakahaere i te pokanga kia haumaru, kia angitu hoki.
| Whakamātautau | I te whakarapopototanga, he aha i pērā ai? |
|---|---|
| Ngā Whakamātautau Toto | Tirohia te hauora whānui o te tinana, me te tirotiro mēnā he raruraru kē atu. |
| ECG (Electrocardiogram) | Tirohia te ngohe hiko o te ngākau, kia mōhio ai ki te manawataki o te pao o te ngakau. |
| Te Echocardiogram (Echo) | Tangohia he ataata o te ngākau, ka ine tika i te matotoru o ngā rūma, ngā takirere me ngā pakitara o te ngākau. |
| MRI o te ngākau | Tangohia he whakaahua mārama, taipitopito hoki o te ngākau, ka tautuhia te wāhanga uaua matotoru. |
| Te Tātaritanga o te Ngākau | Ka tukuna he ngongo iti mā roto i tētahi oko toto ki roto i te ngākau hei tirotiro i te pēhanga i roto i te ngākau, me te tirotiro mēnā he ārai kei roto i ngā oko toto. |
Hei tāpiri, ki te mea kei te tango koe i ētahi rongoā, pērā i ngā rongoā whakaiti toto , ka kī atu tō tākuta kia mutu te tango i aua rongoā i ētahi rā i mua i te pokanga.Mena he kaipaipa koe, mā te whakamutu i mua i te pokanga ka tino āwhina i tō oranga.
Me pēhea te mahi i te pokanga?
He pokanga ngākau tuwhera tēnei. Engari nā te hangarau o ēnei rā, kua tino angitu, kua tino haumaru hoki te mahi i ēnei.
1. Whakamoemiti: Tuatahi, ka whakamoemititia katoatia koe. Ko te tikanga tēnei kāore koe e mamae i te wā e pokangahia ana, ā, ka moe hōhonu koe.
2. Pokanga: Ka tapahia e te taote pokanga te waenganui o te uma, mā roto i te wheua uma (sternum) i ia taha, kia tae atu ai ki te ngākau.
3. Mīhini Manawa-Pūkahukahu: Muri iho, ka honoa koe ki tētahi 'mīhini manawa-pūkahukahu'. Mā tēnei mīhini e mahi te mahi a tō manawa me ō pūkahukahu i te wā o te pokanga.
4. Te tango uaua: Muri iho, ka ata tapahia e te taote pokanga te wāhanga uaua o te septum kua matotoru rawa. Mā tēnei ka huaki anō te rere o te toto kua āraia.
5. Te mutunga: Kātahi ka momotuhia koe mai i te mīhini ngākau-pūkahukahu, ka nekehia tō sternum, ā, ka katihia te tapahi o te uma ki ngā tuitui ka taea te rewa.
E toru ki te whā hāora te roa o tēnei pokanga katoa.
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, ka whakaurua tika koe ki te Wāhanga Tiaki Kaha (ICU). I reira, ka tirotirohia tō āhua e ngā tākuta me ngā nēhi. Tērā pea he catheter mimi, he paipa wai rānei kei roto i tō uma mō te rā kotahi, e rua rānei, engari kaua e manukanuka ki aua mea.
I roto i ngā rā e rua pea, me te āwhina a te kaiwhakaora tinana, me taea e koe te ara ake i te moenga me te tīmata hikoi haere. Ko te nuinga o te tangata ka noho ki te hōhipera mō te iti iho i te rima ngā rā . He mea noa te ngenge mō tētahi wā i muri i tō hokinga ki te kāinga. Ka hoki mai tō kaha noa i roto i ētahi wiki.
He aha ngā painga me ngā mōrearea o tēnei pokanga?
Pērā i ngā pokanga katoa, he pai ngā painga o tēnei pokanga, engari he iti noa ngā mōrearea.
| Ngā painga matua | Ngā Mōrearea Pea |
|---|---|
| Ka tata ngaro katoa ngā tohu pēnei i te mamae o te uma (Angina) me te poto o te manawa (Dyspnea). | Te kohikohinga wai i te taha o te ngākau, o ngā pukahukahu rānei. |
| Te kaha ki te mahi me te kore e hoha te ngākau. | Te fibrillation atrial (te mate manawataki o te ngakau). |
| Te kaha ki te noho pērā i te tangata hauora, noa i te roanga o tōna oranga. | Te whakararuraru i ngā tohu hiko o te ngākau (te aukati i te ngākau). |
Kāore ēnei mōrearea e pā ki te katoa. Ina koa, tera pea ka paku piki ake te mōrearea i roto i te hunga he mate manawa kē atu tō rātou, he hunga kaipaipa, me te hunga neke atu i te 65 tau te pakeke. Engari i te nuinga, he pokanga angitu te Septal Myectomy (neke atu i te 94%).
Āhea ahau me kite i te tākuta i muri i te pokanga?
I muri i tō hokinga ki te kāinga, he mea tino nui kia waea atu koe ki tō tākuta tonu atu mēnā ka puta he tohu o ngā raruraru.
- Ngā raruraru e pā ana ki te patunga: Mena he whero rawa te wāhi e karapoti ana i te patunga pokanga, he pupuhi, he mahana rānei.
- Kirika: Mena he nui ake tō kirikā i te 38 Celsius (100.4 Fahrenheit) i runga i te inemahana.
- Te pikinga o te taumaha: Ki te piki ohorere tō taumaha neke atu i te 2.5 kg (5 lbs) i roto i te wiki (he tohu pea tēnei kei te pupuri wai koe).
Ki te pāngia koe e tētahi mea pēnei, kaua e mataku, engari me whakamōhio tonu atu ki tō tākuta.
Karere Tangohia ki te Kāinga
- Ko te 'Septal Myectomy' he pokanga ngākau tuwhera e mahia ana mō te 'Hypertrophic Cardiomyopathy', he mate e matotoru ai te uaua o te ngākau.
- Ko te tikanga, ka mahia tēnei pokanga ki te hunga kāore e taea te whakahaere i ō rātou tohumate ki te rongoā.
- Ko te mahi pokanga he tango i te kiko uaua matotoru e aukati ana i te rere o te toto i roto i te ngākau.
- He pokanga tino angitu tēnei, ā, he nui te whakaora i ngā tohumate i muri i te pokanga.
- Ahakoa he pokanga nui tēnei, he tino pai ngā hua. Ko te mea nui ko te whai i ngā tohutohu a tō tākuta i mua atu, ā, i muri mai hoki i te pokanga.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero