Ina kī atu tētahi tākuta ki a koe, ki tētahi rānei e mōhio ana koe me pokanga ngākau tuwhera koe, ko tētahi o ngā mataku nui e puta ake ana ki te hinengaro ko, "Ka tuwherahia taku uma?" He aha te mea e tupu ana i roto i tēnei? Ko te kupu hauora mō tēnei "whakatuwheratanga o te uma" ko "Sternotomy." Kaua e mataku ina rongo koe i tēnei ingoa, ehara i te mea whakamataku pērā i tō whakaaro. Me kōrero tātou mō ngā mea katoa me te tino māmā, mai i A ki Z.
He aha te Sternotomy?
Ko te sternotomy he tikanga e wehea ai te wheua papatahi i waenganui o tō uma, arā, te sternum (uma), mō te pokanga. Whakaarohia pēnei: kei reira te sternum me ngā rara hei tiaki i ngā whekau nui pērā i te ngākau me ngā pukahukahu i roto i tō tātou uma. He rite ki tētahi pouaka haumaru e pupuri ana i ngā taonga utu nui.
Nō reira, ina hiahiatia he pokanga hei whakatika i tētahi raruraru o te ngākau (pērā i te oko toto kua āraia e anga atu ana ki te ngākau), me whai urunga pai te taote pokanga ki te ngākau. I taua wā, ka tapahia marietia tēnei wheua uma tiaki i waenganui, kātahi ka wehea kia rua hei hanga i tētahi ara ki te ngākau. Ka kiia tēnei he 'Sternotomy'.
Pērā i te anga o te tatau e tangohia ana mō te wā poto, kātahi ka tāpirihia anō kia taea ai e tētahi mea nui te tomo ki roto i te whare, ka wehea tēnei wheua uma kia rua mō te wā poto, kātahi ka tāpirihia anō i muri i te pokanga kia ngāwari ai te toro atu a ngā taote pokanga ki tō ngākau.
I ētahi wā, hei utu mō te tapahi katoa i te sternum, ka mahia he tapahi iti ake (tata ki te 2-3 inihi). Ka kiia tēnei he 'mini-sternotomy'.
He pokanga nui te sternotomy?
Ae, e kiia ana tēnei he pokanga nui. Ko te take matua he 8 wiki pea, e rua marama rānei, kia ora katoa ai te sternum. Waihoki, ko te sternotomy te tikanga he pokanga ngākau tuwhera, ko te tikanga he whakarite i te ara mō tētahi pokanga nui pērā i te pokanga ngākau tuwhera, nō reira, ina tangohia ngātahitia ēnei pokanga e rua, ka huri hei pokanga nui. Engari kia mahara, he pokanga tino noa, he pokanga angitu hoki tēnei e mahia ana e ngā taote ngākau puta noa i te ao.
Me pēhea te mahi i te pokanga? Hipanga i ia taahiraa
He mea noa te mataku ina whakaarohia he pokanga pēnei. Engari ka tino heke taua mataku ina mōhio koe ki te mea ka tupu. Anei te mahi o te pokanga i ia taahiraa.
| Ngā Hipanga | He aha te mea e tupu ana? |
|---|---|
| 1. Te Whakarite | Ka whakamoea katoatia koe, kia kore ai koe e mamae. Kātahi ka horoia rawatia te kiri o tō uma, ā, ka tangohia ngā huruhuru mēnā e tika ana. |
| 2. Tapahi kiri | Ka tapahia e te taote pokanga he kiri o tō uma, e 6 inihi te roa, mai i waenganui i ō wheua kaki ki raro. |
| 3. Tapahi i te sternum | Mā te whakamahi i tētahi kani hauora motuhake ('kani sternal'), ka wehea te wheua uma kia rua i waenganui, kia tino tupato hoki. |
| 4. Te hanga wāhi mō te ngākau | Ka whakauruhia he taputapu motuhake (he "whakahoki"), ā, ka nekehia ngā kongakonga wheua e rua kua wehea ki ngā taha, ka hangaia he wāhi kia kitea mārama ai te ngākau. |
| 5. Te mahi pokanga nui | Koinei te wā e mahia ai te pokanga ki te ngākau, ki te okana rānei e pā ana (hei tauira, te pokanga bypass, te whakakapinga takirere). |
| 6. Te tāpiri anō o te sternum | Kia oti te pokanga, ka honoa anō te sternum kua wehea, ā, ka herea ki ngā waea maitai kore waikura e 8 ki te 12 (ngā waea sternotomy). |
| 7. Te tuitui i te patunga | Hei whakamutunga, ka tuia ngā kiko me te kiri o roto, ka katia te patunga, ā, ka pania he hinu hei ārai i te mate. |
He aha ngā mea hei tumanakohia i muri i te pokanga?
I muri i te pokanga, me noho koe ki te wāhanga tiaki nui (ICU) o te hōhipera mō ētahi rā. Kātahi ka whakawhitia koe ki te wāhanga noa.
Te wā whakaora me ngā mea hei mōhio
- Te wā whakaora:E rua marama pea te roa ka ora katoa te sternum. Me tino tupato koe i tēnei wā.
- Mamae: He mea noa te mamae i muri i te pokanga. Heoi, ka taea e te nuinga o te tangata te whakahaere i te mamae mā te whakamahi i ngā rongoā whakamamae ngawari pēnei i te 'Paracetamol'. Ki te mamae tonu koe, kōrero ki tō tākuta, ki tō nēhi rānei.
- Te hiki taumaha: He mea tino nui tēnei. I ngā marama tuatahi e rua, kaua e hiki i te neke atu i te 4-5 kg . He māmā noa iho, kāore e pai te hiki i te neke atu i te 4-5 rita miraka.
- Me pēhea te whakamahi i ō ringaringa: Ina hiki i tētahi mea, whakamahia ngā ringaringa e rua. Me hiki hoki ki te taha o tō tinana me ngā ringaringa e rua. Kaua e hiki i ngā taumaha ki te ringa kotahi, kaua hoki e pana i ngā tatau.
- Te maremare me te tihe: Ina maremare, ina tihe, ina kata rānei, whakatakotoria he urunga, he ringa kua piko rānei ki tō uma. Mā tēnei ka whakaiti i te pēhanga ki tō sternum, ka whakaiti hoki i te mamae.
- Te Taraiwa: I te nuinga o te wā ka taea e koe te taraiwa anō i roto i te kotahi, e rua rānei marama, engari he pai ake te tirotiro me tō tākuta kia tino mōhio ai koe.
Ngā tohu whakatūpato me toro atu koe ki te tākuta
I muri i tō hokinga ki te kāinga, he mea tino nui kia aro nui koe ki tō patunga me tō tinana. Mēnā kei a koe tētahi o ēnei tohu e whai ake nei, waea atu ki tō tākuta tonu atu , haere rānei ki te hōhipera i whiwhi ai koe i te maimoatanga.
- Ngā Huringa o te Uma: Ki te mea kei te neke tō uma, ki te rongo rānei koe i te oro 'pāwhiri', 'pāwhiri' rānei.
- Te mamae e piki haere ana: Me heke haere te mamae i te wā e ora ana te patunga. Engari ki te piki haere ohorere te mamae.
- Te rerenga wai o te patunga: Mena kei te turuturu mai te patunga i te wai kōwhai, kakariki, he wai haunga kino rānei, he rite ki te pupuhi.
- Te pupuhi me te whero: Mena he tino whero te rohe e karapoti ana i te patunga, he pupuhi, ā, he wera ki te pā atu.
- Kirika: Mena he kirika kei roto i te tinana.
Tērā pea ka tohu ēnei tohu kua pangia te patunga, kāore rānei te wheua e ora tika ana. Nō reira kaua e warewaretia.
Karere Tangohia ki te Kāinga
- He tikanga tino noa, he tikanga haumaru hoki te sternotomy hei hanga wāhi mō te pokanga ngākau. Kaua e wehi.
- E rua marama pea te roa ka ora ai te sternum kua motu. I tēnei wā, kaua e hiki i ngā mea taumaha, kaua hoki e whakauaua i tō tinana.
- Kia ata whai i ngā tohutohu a tō tākuta, inā koa mō te hiki i ngā taumaha me te tiaki i tō uma.
- Ki te mamae te patunga, ka puta he haruru rerekē, ka puta rānei ngā tohu pēnei i te pupuhi e rere ana i waho, rapua tonutia he tohutohu hauora.
- Mena he pātai āu mō tēnei pokanga, kaua e wehi ki te pātai atu ki tō taote pokanga. Nāu te tika.
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