Kei te ahua ohorere te pikinga o tō manawa i ētahi wā, kāore he take e kitea ana? Me te mea kua oma nui koe? He tohu pea tēnei nō tētahi mate kua rongo pea koe i te ingoa ko te 'Supraventricular Tachycardia', ko te '(SVT)' rānei. Ahakoa he wheako whakamataku tēnei, kaua e manukanuka. He tino whai hua ngā maimoatanga mō tēnei. I tēnei rā kei te kōrero tātou mō tētahi maimoatanga tino whai hua, ko te 'SVT Ablation'.
He aha te SVT Ablation?
Ko te `SVT Ablation` he tikanga e pakaru ana, e whakakore ana hoki i ētahi pūtau i roto i ngā rūma o runga o tō ngākau e whakararuraru ana i ngā tohu hiko e pā ana ki te manawa o te ngākau. Whakaarohia te pūnaha hiko o tō tātou ngākau he rite ki te pūnaha waea i roto i te whare. I te nuinga o te wā, ka tika te pā o te ngākau ina haere tika ngā tohu hiko mā roto i ēnei "waea".
Engari i roto i ētahi tāngata, ka puta he porowhita iti, he mea rite ki te porowhita rānei, i roto i tēnei pūnaha "waea". Kātahi ka rite ki te "porowhita poto" , ka pakaru te manawataki noa o te ngākau, ā, ka tere ake te patu o te ngākau. I roto i te maimoatanga 'Ablation', ka whakamahia he ngongo tino angiangi e kiia nei ko te 'catheter' motuhake hei tomo ki roto i te ngākau, kimihia te "porowhita poto" e tuku ana i ngā tohu hē, ka whakakorea.
E rua ngā huarahi hei mahi i tēnei:
- Pūngao auau irirangi: Ka tukuna e ētahi katitere te wera hei whakangaro i ngā pūtau me te hanga i tētahi koha iti.
- Te Hukapapa: Ka whakamahia e ētahi katitere te tino makariri hei whakakore i aua pūtau.
Ka āraihia e ēnei tikanga e rua te ara e tuku ana i ngā tohu hiko hē, ka taea ai te manawa te patu anō i te āhua noa.
Ko te tikanga, ka tūtohu ngā tākuta i tēnei maimoatanga mēnā kāore e taea te whakahaere i te SVT mā te rongoā, mēnā rānei ka puta he pānga taha i te rongoā. Heoi, i ētahi wā, i runga i te āhua o te tūroro, ka tūtohutia pea te ablation hei maimoatanga tuatahi.
He pēhea te noa o tēnei maimoatanga?
I te toharite, tata ki te rua i roto i te 1,000 tāngata o te ao ka pāngia e te SVT. Heoi, he tokomaha te hunga, i waenga i te 60% me te 80%, e whiwhi ana i te whakaoranga pai mā te rongoā. Nō reira, he otinga tino pai tēnei maimoatanga 'Ablation' mō te hunga e uaua ana ki te whakahaere mā te rongoā.
He aha ngā mea me mahi i mua i te whakaweto i te SVT?
Ehara tēnei i te pokanga nui, engari me iti te whakarite.
- Ko te tikanga o te maimoatanga ko te kore kai me te inu mō ngā haora 6 ki te 8 (nohopuku).
- Tērā pea kei tō tākuta ētahi o ngā rongoā e tangohia ana e koe i tēnei wā.(Ina koa ko ngā rongoā whakaiti toto) me mutu te tango i ēnei mō ētahi rā. Mā tō tākuta koe e hoatu he tohutohu mārama mō tēnei.
He aha ngā mea ka tupu i te wā e rongoatia ana?
Ka mahia tēnei maimoatanga i tētahi wāhi motuhake e kiia nei ko te `taiwhanga hikohiko`. Me titiro tātou ki ngā mahi e tupu ana i roto i tēnei.
| Ngā Hipanga | He aha te mea e tupu ana? |
|---|---|
| 1. Te hoatu i ngā rongoā whakamamae | Ka whakaurua he aho IV (aho tote) ki roto i tētahi uaua i roto i tō ringa, ā, ka tukuna he rongoā mā roto hei āwhina i a koe kia marino, kia kore ai koe e mamae. |
| 2. Te whakaurunga o te kāteter | Kua whakangāwaritia te kiri i tō hope, ā, ka whakaurua he ngongo tino angiangi (catheter) mā roto i tētahi uaua toto nui i reira. |
| 3. Haerenga ki te ngākau | Ka tukuna he catheter me ngā irahiko motuhake mā roto i tēnei ngongo ki tō ngākau. |
| 4. Te kimi i te raruraru | Ka tukuna e te tākuta ngā tohu hiko iti mā roto i tēnei catheter hei kimi i te wāhi tika o te "ara iahiko poto" e tere ai te pao o te manawa. |
| 5. Te Whakakorenga | Kia kitea te wāhi tuturu o te raruraru, ka whakamahia te wera (te pūngao auau irirangi) te makariri rānei hei whakangaro i aua pūtau. |
Kua ngaro rawa koe?
I te nuinga o te wā, kāore koe e tino ara. Ka hoatu he rongoā ki a koe hei whakamama i a koe, hei whakapouri i a koe. Ka kiia tēnei he 'whakamoemiti mohio'.I tēnei wā, kāore koe i te tino mōhio ki ngā mea e tupu ana i tō taha, ā, kāore koe e rongo i te mamae. Heoi, he tino onge, i ētahi wā motuhake, me hoatu he rongoā whakamoe whānui ki a koe. Ka whakatauhia tēnei e te tākuta i runga i tō āhua.
He mamae tēnei?
Ina hoki, kāore koe e rongo i te mamae ina whakamahana koe i aua pūtau hē. Ka whakangoioi te tākuta i te wāhi e whakaurua ana te catheter. Nō reira, ko te mamae anake ka pā ki a koe he iti, he kōkō ina whiwhi koe i te werohanga whakangoioi (lidocaine).
He aha te mea ka tupu i muri i te maimoatanga?
Kia oti te maimoatanga, kia tangohia hoki ngā katitere katoa, ka herea te wāhi o te katitere hei whakamutu i te toto. I ētahi wā ka whakamahia he taputapu iti e kiia nei ko te taputapu kati toto hei kati i te patunga. Whai muri i tēnā, me takoto koe ki te moenga me ō waewae e toro ana mō te 6 ki te 8 hāora . Tērā pea he mea whakamā tēnei, engari he mea nui kia āraihia ngā raruraru pēnei i te toto.
He aha ngā painga me ngā mōrearea o tēnei maimoatanga?
Pērā i ngā maimoatanga hauora katoa, he painga kei reira, engari he iti noa iho ngā mōrearea.
| Momo | Whakaahuatanga |
|---|---|
| Ngā Painga | He tino teitei te angitu o tēnei maimoatanga, arā, i waenga i te 90% me te 95% . Ko te tikanga, e 95 i roto i te 100 tāngata ka ora katoa. He tino iti te tūponotanga ka hoki anō tēnei mate (tata ki te 2% - 11%). |
| Ngā Tūponotanga | He mea tino onge ēnei.
|
Kia pēhea te roa o te wā e ora ai?
Ko tētahi atu painga o tēnei ko te tere o tō whakaoranga. Ka taea e koe te hoki ki te kāinga ka tīmata i ō mahi noa (pēnei i te mahi tari, i te mahi whare) i te aonga ake . Heoi, ki te hiahia koe ki te mahi i tētahi mea e hiahia ana ki te whakapau kaha, pērā i te hiki taumaha, te whakakori tinana rānei, he pai ake te tatari kia toru ngā rā pea .
Āhea koe me toro atu ki te tākuta?
He mea tino nui te tiaki i tō tinana i muri i te maimoatanga. Kia tūpato ki ngā tohu e whai ake nei.
| Whai wāhitanga | Ngā Āhuatanga |
|---|---|
| Haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera. | |
| Āhua ohorere |
|
| Kōrero ki tō tākuta. | |
| Ngā āhuatanga hei tirotiro māu |
|
He mea whakamataku te pāngia e te ngakau pōturi. Kaua e manukanuka, he maha ngā maimoatanga whai hua mōna. Ko te SVT ablation tētahi o ngā maimoatanga tino whai hua, iti te mōrearea. Mena kei a koe ēnei tohu, kōrero ki tō tākuta kia whakatau ai mēnā he tika tēnei maimoatanga māu.
Karere Tangohia ki te Kāinga
- Ko te SVT he āhuatanga e tere rawa ai te pā o te manawa nā te ngoikore o ngā tohu hiko mai i ngā rūma o runga o te manawa.
- He maimoatanga tino whai hua te SVT Ablation e whakakore ana i te "ara iahiko poto" e tuku ana i ēnei tohu hē.
- Ka whakamahia tēnei i ngā wā kāore e taea e te rongoā te whakahaere i te āhua, i ētahi wā rānei hei maimoatanga tuatahi.
- Neke atu i te 90% te angitu o tēnei maimoatanga, ā, he tino iti ngā mōrearea.
- He torutoru noa ngā rā e ora ai koe, ā, ka taea e koe te hoki wawe ki tō oranga noa.
- Mena ka puta he tohu rerekē i muri i te maimoatanga, me whakamōhio tonu atu ki tō tākuta.
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