Kua rongo koe i te pakū me te tere o tō ngākau i te wā e ngaro ana koe i te mōhio? He mea noa te mataku me te manukanuka i ngā wā penei. Ko tētahi o ngā take mō tēnei tere o te ngākau ko te SVT, arā, ko te Supraventricular Tachycardia. Nō reira, i tēnei rā ka kōrero tātou mō tētahi maimoatanga tino angitu mō tēnei. Ko te SVT Ablation tēnā.
He aha te SVT me te Ablation?
Kia titiro tuatahi tātou he aha te SVT. He okana whakamiharo tō tātou ngākau. He pūnaha tohu hiko tōna hei whakahaere i tana mahi. He rite tonu ki te pūnaha waea i roto i te whare. Ina haere tika, ina haere tika hoki ēnei tohu hiko, ka pā te manawa i roto i te manawa tika.
Engari i roto i ētahi tāngata, ka puta he "pōturitanga poto" iti i roto i te pūnaha tohu hiko i ngā rūma o runga o te ngākau. Whakaarohia he rite ki te koropiko waea. Kātahi ka pōhēhē ngā tohu hiko e tika ana kia haere tonu nā tēnei pōturitanga poto, ā, ka tīmata te ngākau ki te patu tere rawa. Koinei te mea e kiia nei e tātou ko te SVT (Supraventricular Tachycardia) .
Nā, me titiro tātou ki te tikanga o te Ablation . He maimoatanga tēnei e "whakakore" ana i ngā pūtau hapa e hanga ana i taua ara iahiko poto. Ka whakamahia e ngā tākuta he catheter motuhake, he ngongo angiangi rawa, hei kuhu hohonu ki roto i te ngākau, kia kitea ai te wāhi e puta mai ai ngā tohu hiko hapa. Kātahi ka pakaruhia he iti noa iho taua wāhi.
- Pūngao auau irirangi: I tēnei tikanga, ka whakamahanahia ngā pūtau, ā, ka hangaia he koha iti.
- Te Whakaweto i ngā Pūtau: I tēnei tikanga, ka whakamahia te makariri rawa (te hauota hauota) hei whakatio i ngā pūtau, ka puta he koha.
Ina hangaia he koha pēnei, kāore e taea e te tohu hiko hapa te haere. Ko te tikanga kua pakaru te ara iahiko poto. Kātahi ka tīmata anō te manawa ki te patu i te manawa i tōna auau noa.
I te nuinga o te wā ka whakamahia tēnei maimoatanga e ngā tākuta mēnā kāore e taea te whakahaere i te mate mā te rongoā, mēnā rānei ka pā mai ngā pānga taha o te rongoā. Heoi, i ētahi wā ka tūtohutia hei kōwhiringa tuatahi.
He aha ngā mahi i mua atu, ā, i te wā e rongoatia ana?
I muri i te whakatau i te rā hei whakahaere i tēnei maimoatanga, ka hoatu e te tākuta ētahi tohutohu motuhake ki a koe.
- Ka tonoa koe kia kaua e kai, kia kaua e inu i tetahi mea mō ngā haora 6 ki te 8 i mua i te maimoatanga (nohopuku) .
- Tērā pea ka tonoa koe kia mutu te tango i ētahi o ngā rongoā e tangohia ana e koe mō tētahi wā poto. Me kōrero koe ki tō tākuta mō ēnei mea katoa kia tino mōhio ai koe.
Ka mahia te maimoatanga i roto i tētahi taiwhanga hikohiko motuhake kua rite rawa ki ngā taputapu. Me titiro tātou i ia taahiraa ki ia taahiraa ki ngā mea e mahia ana i reira:
1. Tuatahi, ka hoatu he rongoā ki a koe mā roto i tētahi uaua (IV) hei āwhina i a koe kia marino, kia kore ai e mamae. I te nuinga o te wā, ka hoatu he rongoā e kiia nei ko te whakamoe hinengaro . Ko te tikanga tēnei kāore koe e moe rawa, engari ka marino koe, ā, ka paku hiamoe.
2. Kātahi ka whakangāwaritia te kiri i tō rohe hope (he rongoā whakangāwari ā-rohe), ā, ka whakaurua he catheter angiangi ki roto i te uaua toto. Kāore koe e tino mamae nā te whakangāwari.
3. Ka arahina tēnei katitere i roto i te uaua toto tae noa ki te ngākau.
4. Kātahi ka tukuna ngā tohu hiko mā roto i tēnei katitere hei kimi i te wāhi tika o ngā pūtau e puta ai te raruraru.
5. Kia tika te tūnga, ka whakamahia te pūngao auau irirangi i kōrerotia e tātou i mua ake nei hei whakakore i aua pūtau. Kāore koe e mamae i tēnei wā.
He aha ngā mea ka tupu i muri i te maimoatanga? Ā, he aha tāu mahi ina hoki koe ki te kāinga?
Kia mutu te maimoatanga, ka herea te wāhi o te katitere mō tētahi wā hei whakamutu i te toto. I ētahi wā ka whakamahia he taputapu motuhake (he taputapu kati toto). Whai muri i tēnā, ka tohutohuhia koe kia totoro tonu tō waewae mō te 6 ki te 8 hāora.
Kia hoki koe ki te kāinga, ka taea e koe te tīmata ki te mahi i ngā mahi o ia rā i te aonga ake . Heoi, he mea tino nui kia karohia ngā mahi uaua pēnei i te oma, te pekepeke, te hiki taumaha rānei mō te toru rā pea.
He aha ngā painga me ngā mōrearea o tēnei maimoatanga?
Ko te painga nui o tēnei ko te tino teitei o te reiti angitu . Mō te nuinga o ngā momo SVT, e 90% - 95% te angitu o tēnei maimoatanga. Ko te tikanga, ki te mahia tēnei ki te tekau tāngata, e iwa ka ora katoa. Heoi, he iti noa iho (2% - 11%) ka hoki anō pea te mate.
Pērā i ngā maimoatanga hauora katoa, he iti noa iho ngā mōrearea. Kia mōhio tātou he aha ēnei mōrearea.
| Ngā mōrearea/ngā pānga taha | He whakamārama māmā |
|---|---|
| Te toto, te mate pāwera rānei | He āhuatanga ka puta pea i te wāhi e whakaurua ai te katitere. He tino onge tēnei. |
| Hematoma | Te kohi toto i raro i te kiri i te wāhi i whakaurua ai te catheter. |
| Ngā toto totoka | He iti noa te mōrearea o te hanganga o ngā toto totoka i roto i ngā uaua toto. |
| Tamponade o te ngākau | He āputa kei te taha o te ngākau e kī ana i te toto, i te wai rānei. He tino onge tēnei āhuatanga ohorere. |
| Te hiahia mō te taputapu whakatere | He tino onge, mēnā ka pakaru te pūnaha hiko noa o te ngākau, me whakauru pea he taputapu whakateretere hei whakahaere i te mahi a te ngākau. |
Ko te mea tino nui: Me mahara koe he tino onge te nuinga o ēnei mōrearea, ā, ka tino tupato ngā tākuta e rongoa ana i a koe ki tēnei.
Āhea koe me rapu tohutohu hauora tonu?
Me mōhio hoki tātou ki te aha me mahi mēnā ka puta he raruraru i muri i tō tātou taenga ki te kāinga.
| Āwhati! Haere tonu ki te Wāhanga Maimoatanga Āwhati (ETU) o te hōhipera. | |
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| Mena kei a koe ēnei tohu, kōrero ki tō tākuta. | |
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He āhua whakamataku pea te mōhio kei a koe he raruraru manawa. Engari ka tino marino koe ina mōhio koe he tino whai hua ngā maimoatanga mōna. Ko te SVT Ablation tētahi o ngā maimoatanga tino whai hua. Mena he pātai anō āu mō tēnei, kaua e mangere ki te kōrero ki tō tākuta kia whakamāramahia katoatia ngā mea katoa.
Karere Tangohia ki te Kāinga
- Ko te SVT (Supraventricular Tachycardia) he āhuatanga e tere ai te pā o te manawa nā te mea he hapa rite ki te "poto ara iahiko" i roto i te pūnaha hiko o te manawa.
- He tikanga maimoatanga tino angitu te SVT Ablation e whakamahi ana i ngā catheter motuhake hei whakauru ki te ngākau me te whakakore i ngā pūtau hapa mā te whakamahana, te whakatio rānei i a rātou, hei whakaora i te manawataki o te ngākau.
- Ko te angitu o tēnei maimoatanga e eke ana ki te 90% - 95% .
- He tere te ora i muri i te maimoatanga, ā, ka taea e koe te hoki ki te oranga noa i roto i ngā rā torutoru.
- Ki te pupuhi rawa te patunga, ki te toto tonu rānei, me haere tonu koe ki te Tari Ohotata (ETU) o te hōhipera. Ki te pāngia koe e ētahi atu tohu rerekē, whakamōhio atu ki tō tākuta.
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