He mīhini iti hei whakaora i ngā oranga mai i te hopukanga ohorere o te ngakau: Ngā mea katoa mō te S-ICD i roto i ngā kupu māmā noa iho

Kua rongo katoa tātou i te mate manawa ohorere, tika? Ahakoa mō te tangata e whakaaro ana he hauora ia, ka mutu te mahi a tōna ngākau, ā, ka noho hei mea mōrearea ki te ora. He mea tēnei e tino whakamataku ana i te tini o te tangata. Engari nā te whanaketanga o te pūtaiao hauora, kei reira ngā taputapu whakamiharo o ēnei rā ka taea te ārai i ēnei mate ohorere. I tēnei rā, ka kōrero tātou mō tētahi taputapu iti, whakaora ora. Ko te S-ICD te ingoa.

He aha te tikanga o tēnei S-ICD?

Ko te tikanga katoa o te S-ICD ko te Subcutaneous Implantable Cardioverter Defibrillator . Ahakoa he ahua uaua te ingoa, he tino māmā te mahi. He taputapu hiko iti tēnei ka whakatōkia ki raro i tō kiri mā te pokanga. He rite te rahi ki te pouaka mati iti.

Ko te mahi matua o tēnei taputapu he aroturuki tonu i te tere o tō manawa. Mēnā ka tino tere te tere o tō manawa, arā, ki te puta he manawa rerekē (arrhythmia) e morearea ana ki te ora, ka mōhio tonu te taputapu S-ICD ki a ia. Whai muri i te mōhio, ka tukuna he ru hiko iti ki tō uma. Mā tēnei ru ka whakahokia te manawa rerekē ki te noa, arā, he manawa noa. Ka kiia tēnei tukanga ko te defibrillation .

He aha te rerekētanga i waenga i te ICD noa me te S-ICD?

Kua rongo pea koe mō ngā taputapu ICD noa. He momo ICD anō hoki te S-ICD. Engari he rerekētanga nui, he mea nui i waenganui i ngā mea e rua.

I roto i ngā taputapu ICD tuku iho (e kiia ana ko ngā ICD Transvenous, ko ngā TV-ICD rānei), ka tukuna tētahi, neke atu rānei o ngā waea (e kiia ana ko ngā taura) e hono ana ki te taputapu mā roto i ō uaua toto (uaua) ka whakaurua ki roto i tō ngākau. He tukanga uaua tēnei.

Engari kāore tēnei e tupu ki te S-ICD. Ko te mea motuhake mō tēnei, kāore ngā waea e tukuna ki te ngākau, ki roto rānei i ngā oko toto . Ko te taputapu S-ICD me ngā waea e hono ana ki a ia kua whakatakotoria katoatia ki raro i tō kiri. Nā tēnei ka tino haumaru. He tino iti ngā mōrearea o ngā mate me ngā toto totoka ka puta mai i te wā e tukuna ana ngā waea mā roto i ngā oko toto me te S-ICD. Waihoki, ki te hiahia koe ki te whakakapi i tēnei taputapu, he tino māmā noa iho.

Ko wai e hiahia ana ki tēnei S-ICD?

Ko ngā taputapu ICD e tūtohutia ana mō te hunga whai mate manawa. Hei tauira:

• Tachycardia Ventricular: He āhuatanga e tere rawa ai te pā o ngā rūma o raro (ventricles) o te manawa.
• Te Whakapūpū o te Puku o te Ngākau: He āhuatanga tino morearea e wiri ai ngā rūma o raro o te ngākau, ā, kāore e taea te whakahaere. Ka taea e tēnei te arahi ki te mate ohorere.
• Te hunga kua pāngia e te hopukanga manawa ohorere i mua: Hei ārai i te tūponotanga o te puta anō o taua āhuatanga.

Engari i roto i ēnei tāngata, he tino pai te S-ICD mō ēnei tāngata e whai ake nei:

• Ngā tāngata e tino mōrearea ana ki te pangia: Hei tauira, ko te hunga kua pāngia e ngā mate ICD o mua, ko te hunga rānei kua ngoikore te pūnaha ārai mate.
• Ngā tāngata he uaua ki te uru atu ki ngā uaua toto: Tērā pea ka uaua ki ētahi tāngata te tuku waea mā roto i ngā uaua toto, i runga i te tūranga o ō rātou tinana.
• Ngā tāngata he tino pukumahi ō rātou momo noho: He pai ki ngā tāngata ngā kaitākaro. Nā te mea kāore ngā waea o te S-ICD i roto i te ngākau, he iti ake te tūponotanga o te pakaru o ngā waea i te wā e mahi ana i te tinana.
• Rangatahi: Nā te mea ka roa te wā e whakamahia ai tēnei taputapu e te rangatahi, he pai ake te S-ICD mā rātou nā te mea he iti ake ngā raruraru mō te wā roa.

Ka taea e te S-ICD te whakahaere i te tere o te manawa?

He pātai tino nui tēnei. Ka taea e ētahi momo ICD te āwhina i te pupuri i te tere o te manawa kia rite ki te tere o te manawa mena he puhoi rawa. Ka kiia tēnei ko te mahi a te pacemaker .

Engari kāore i ngā taputapu S-ICD o nāianei tēnei āheinga whakatere . Ara, kāore e taea e te S-ICD te whakatika i te tere o te manawa ina puhoi rawa. Ko tana mahi anake he kite i te tere rawa o te manawa, ā, ka tukuna he ru hei whakaora. Mena me whakatere anō hoki koe, kāore pea te S-ICD e tika mōu. Ko te whakatau pai ko te kōrero ki tō tākuta mō tēnei.

Me aha ahau i mua i tēnei pokanga?

Ki te whakatau tō tākuta ki te whakauru i tētahi S-ICD māu, ka tukuna atu ētahi tohutohu ki a koe i mua i te pokanga. He mea tino nui kia tino whai i ēnei tohutohu.

• Tērā pea ka tonoa koe kia mutu te tango i ētahi rongoā, pērā i ngā rongoā whakaiti toto, i ētahi rā i mua i te pokanga.
• I te rā o te pokanga, ka tohutohuhia koe kia kaua e kai, e inu rānei mō ētahi haora i mua.
• I te mea ka taea e koe te hoki ki te kāinga i taua rā anō i muri i te pokanga, me whakarite wawe koe kia haria koe e tetahi ki te kāinga .

I te hōhipera, ka mahia e ngā kaimahi hauora ēnei mahi i mua i te pokanga:

• Ka tāia he tohu ki te kiri e whakatakotoria ai te taputapu (te nuinga o te wā ki te taha maui o te uma, ki raro rānei i te kēkē).
• Ka tangohia te huruhuru o taua wāhi, ā, ka horoia rawatia.
• Ka werohia he cannula (raina IV) ki roto i tētahi uaua i roto i tō ringa hei hoatu rongoā me ngā wai ki a koe.
• Ka hoatu ngā rongoā paturopi hei ārai i te mate.
• Ka hoatu he rongoā whakamoe ki a koe hei ārai i te mamae i te wā e pokangahia ana. I te nuinga o te wā, he momo rongoā whakamoe tēnei hei āwhina i a koe kia moe mārire.
• Ka taea hoki te here i ō ringaringa ki te takai ngohengohe hei ārai i te pā ki te wāhi pokanga.

He aha ngā mea ka tupu i te wā o te pokanga?

Ko te pokanga hei whakauru i tētahi S-ICD e tata ana ki te kotahi ki te rua hāora te roa. E rua ngā wāhanga matua e whakaurua ana: te whakaputa hiko (koinei te wāhanga matua kei roto te pākahiko me ngā ara iahiko) me te taura defibrillation (koinei te waea).

Ka mahia e te taote pokanga kia rua, kia toru rānei ngā tapahi iti i te kiri i te taha maui o tō uma, i raro rānei i tō kēkē. Kātahi ka hangaia he 'pōkete' iti i raro i te kiri me te paparanga ngako, i raro tonu i tō rara, ā, ka whakaurua te pūhiko ki roto. Muri iho, ka whakaurua te waea ki raro i te kiri, i waenganui tonu o tō uma, e tata ana ki te wheua uma, kātahi ka piki ake ki te taha o tō kaki.

Kia oti ngā mea katoa te tāuta, ka whakamātauhia e mātou tēnei taputapu kia kite mēnā kei te tika te mahi.Ahakoa he ahua rerekē tēnei, koinei te mea e tupu ana: Ka hangaia e ngā tākuta te ngakau morearea, te ngakau hē i roto i tō ngākau. Kātahi ka kitea e te S-ICD ka tukuna he ohorere hei tirotiro mēnā ka taea e ia te whakahoki i tō ngākau ki te āhua noa. I tēnei wā, kei raro koe i te rongoā whakamoe, nō reira kāore koe e rongo i te mamae , nō reira kāore he mea hei manukanuka.

Kia whakaūtia kei te tika te mahi a te taputapu, ka tuia ngā tapahi i mahia ki te kiri ki ngā tuitui.

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

I muri i te pokanga, ka haria koe ki te rūma whakaora. Ka mātakihia koe e ngā kaimahi hauora kia ngaro ra ano ngā pānga o te rongoā whakamoe. Tērā pea ka tangohia he hihi-X hei tirotiro kei te tika te taputapu me ngā waea.

Ka taea e te nuinga o te tangata te hoki ki te kāinga i taua rā anō i muri i te pokanga. Heoi, nā te mea kei raro koe i te mate whakamoe, kāore e taea e koe te taraiwa, nō reira he mea nui kia whai tangata hei taraiwa i a koe ki te kāinga.

He aha ngā painga o te S-ICD?

Ko te painga matua o te S-ICD he ārai i te mate ohorere o te ngākau. Hei tāpiri, ki te whakatauritea ki ngā ICD tuku iho (TV-ICD), e whakatōkia ana mā te waea mā roto i te uaua toto, kua tino whakaitihia e te S-ICD ngā mōrearea o:

• Te poka o te ngākau: Te pakaru (te poka) o te kiko o te ngākau.
• Ngā mate urutā: Ngā mate urutā kino, inā koa ko ērā e pā ana ki te arai o roto o te ngākau, pērā i te endocarditis .
• Te whati o te waea: Ka whati, ka wetekina rānei ngā waea e rere ana i roto i ngā uaua toto i roto i te wā. Mēnā koinei te āhua, me tango atu, me whakakapi. He iti ake tēnei mōrearea me te S-ICD.
• Te toto totoka: He toto totoka i roto i te uaua toto.

He aha ngā mōrearea me ngā raruraru o tēnei?

Pērā i ngā tikanga pokanga katoa, he iti noa ngā tūponotanga e pā ana ki te whakatō i tētahi S-ICD. Heoi, he tino onge ēnei.

Me pēhea taku tiaki i a au anō i a au e noho tahi ana me te S-ICD?

He rite te S-ICD ki tētahi hoa hou i roto i tō ao. Nō reira, he mea nui kia ako koe ki te noho tahi me taua mate. Mā tō tākuta koe e hoatu ki a koe ngā tohutohu taipitopito mō tēnei.

• Haere ki te whare hauora i te wā tika: Ka hoatu e te tākuta he rā hei tirotiro mēnā kei te pai te mahi a te taputapu, kei te pēhea te pai o te pākahiko, me te hauora o tō ngākau. Kia mahara ki te haere ki aua rā.
• Mauria he kāri tuakiri: Me mau tonu he kāri e kī ana kei a koe he S-ICD. He mea tino nui tēnei ki ngā kaimahi hauora mēnā ka puta he āhuatanga ohorere.
• Whakamōhio atu ki ētahi atu tākuta: Ina haere koe ki te tiki rongoā mō tētahi atu mate, me kī atu ki te tākuta kei a koe he S-ICD.
• Kia tūpato i te wā e haere ana: Me kōrero ki tō tākuta, inā koa ka haere koe mā roto i ngā taputapu kimi whakarewa i ngā wāhi pēnei i ngā taunga rererangi.

Kia pēhea te roa o te ora o te pākahiko i roto i te S-ICD?

Kāore e taea te whakakī anō i te pākahiko o te S-ICD. Kua whakauruhia ki roto i te taputapu. Ina pau te pākahiko, me mahi anō tētahi atu mahi iti hei whakakapi i te pūkaha hiko katoa ki tētahi mea hou.

E rima tau te roa o te pākahiko S-ICD. Heoi, ko te roa o tēnei mahi ka whakawhirinaki ki te auau o te whakaoho (te wiri) o te taputapu me ōna tautuhinga. Ka tirohia e tō tākuta te taumata o te pākahiko i ia wā ka toro atu koe ki te whare hauora.

Āhea koe me rapu tohutohu hauora?

Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te whakaurunga o te S-ICD, me toro atu ki tō tākuta tonu atu, me haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.

• Mamae o te uma
• Pōuriuri
• Te turuturu o te wai, te pūkahukahu rānei mai i ngā tapahi pokanga
• Te whero, te pupuhi, te mamae nui rānei e tata ana ki ngā wāhi i tapahia
• Te uaua ki te manawa
• Te hokinga mai o ngā tohu o te ngākau i mua i te whakaurunga o te S-ICD

He hangarau tino whai hua, he haumaru hoki te S-ICD, ka taea te ārai i te mate ohorere o te ngākau. Mena kua tūtohutia e tō tākuta kia whai ICD koe, kōrero ki a ia mēnā he tika te S-ICD māu.