Tērā pea ka mataku koe ina kī mai tō tākuta he raruraru tō te takirere o tō ngākau, ā, me whakakapi. Tērā pea kei te whakaaro koe, "Āe, he pokanga nui tēnei ka whakatuwhera i tō uma?" He pono he tino kino ngā pokanga pēnei, ā, he roa te wā e ora ai. Engari i tēnei rā ka kōrero tātou mō tētahi hangarau hou e āhei ai koe ki te whakakapi i te takirere ngākau me te kore he pokanga nui pēnei, engari mā te tapahi iti noa iho. Ko te TAVR te ingoa o tēnei.
He aha te TAVR? Kia mārama tātou ki tēnei mea.
Ko te tikanga whānui o TAVR ko te Whakakapinga Takirere Aorta Whakawhiti . I ētahi wā ka kiia hoki ko TAVI (Whakaurunga Takirere Aorta Whakawhiti). He rite tonu ēnei.
He whakarāpopototanga noa iho, ko te whakakapi i te takirere matua o tō ngākau, te takirere aorta, me te kore e whakatuwhera i tō uma.
Whakaarohia tō ngākau hei papu wai i roto i te whare. Pērā i te papu e tuku wai ana ki te whare katoa, ka panaia e te ngākau te toto ma, whai rawa i te hāora ki te tinana katoa. Ko te kuaha matua e puta atu ai tēnei toto i te ngākau ko te takirere aorta . He rite tēnei ki te tatau e tuwhera ana i te ara kotahi. Ka tuwhera ina puta te toto, ā, ka kati ina ngana ki te hoki mai. He mahi tino nui tēnei.
He aha te momo mate e hiahia ana ki te pokanga TAVR?
Ko te take matua mō te mahi TAVR he mate e kiia nei ko te Aortic Stenosis . Ko te tikanga o tēnei , kua āraia, kua whaiti rānei te takirere Aortic i kōrerotia e tātou. He rite ki te kore e tuwhera tika ngā tatau e rua, engari he iti noa te tuwhera.
He maha ngā take matua e mau ai te takirere pēnei:
- Te koroheketanga: I a koe e pakeke haere ana, neke atu i te 70 tau te pakeke, ka matotoru te takirere, ā, ka ngoikore te whai huatanga nā ngā putunga konupūmā. Koinei te tino take.
- Ētahi atu āhuatanga hauora: Mō ētahi tāngata, ka tere te ngoikore o tēnei takirere nā ngā āhuatanga pēnei i te mate manawa whānau (hei tauira, Bicuspid Aortic Valve) te mate manawa rūmātiki rānei e puta mai ana i te tamarikitanga.
He aha te mea ka tupu ina aukatia te takirere pēnei? Me kaha te mahi a te ngākau ki te pupuhi toto puta noa i te tinana. He rite ki te whakatakoto kawenga tāpiri ki runga i te motuka hei pupuhi wai mā roto i te paipa kua aukatia. Ina tupu tēnei mō te wā roa, ka ngoikore te uaua o te ngākau, ā, ka mutu ka ngoikore te ngākau.
He aha ngā mea me mahi i mua i te TAVR?
Ki te whakatau koe ki te whai TAVR, ka whakahaerehia e tō tākuta ētahi whakamātautau i mua i te mahi hei aromatawai tika i te āhua o tō ngākau, me te mōhio ki ngā raruraru pea ka puta i te wā o te pokanga.
I runga i ngā hua o ēnei whakamātautau, ka whakatau te tākuta mēnā ko te TAVR, ko te pokanga uma tuwhera rānei te mea pai mōu.
| Ingoa o te whakamātautau | Hei whakarāpopototanga, he aha tāu e mahi ai ki taua mea? |
|---|---|
| Ngā Whakamātautau Toto | Kei te tirohia ngā mea pēnei i te hauora whānui o te tinana me te mahi a te whatukuhu. |
| Matawai Echocardiogram (Echo Scan) | He matawai tēnei o te ngākau. Ka tirohia te mahi a ngā takirere me te piri o aua takirere. |
| Te hiko o te manawa (EKG) | Ka tirohia te ngohe hiko (te manawataki) o te ngākau. |
| Matawai CT, Matawai MRI rānei | Ka tangohia ngā whakaahua toru-ahu (3D) o te ngākau me ngā oko toto hei ine tika i te rahi o ngā takirere me te tūranga o ngā oko toto. |
| Te Tātaritanga o te Ngākau | Ka tirohia e rātou ētahi atu ārai i roto i ngā uaua ngakau e tuku toto ana ki te ngākau. |
I muri i ēnei whakamātautau, ka kōrero te tākuta ki a koe mō te pokanga, te rongoā whakamoe, ā, ka whakautu i ō pātai katoa. Ka tonoa koe kia mutu te kai me te inu i roto i ngā haora 4-6 i mua i te pokanga.
Me pēhea te mahi i te pokanga TAVR?
Nā te mea ehara tēnei i te pokanga whakanui ū, kāore koe e hiahia kia kore rawa e mōhio. I te nuinga o te wā, ka hoatu he rongoā hei whakamoe i a koe (he rongoā whakamoe). Nō reira, kāore koe e rongo i te mamae.
Ka whakahaerehia te pokanga taahiraa-i-te-taahiraa penei:
1. Ka tapahia e te tākuta ngakau he tapahi iti rawa ki tō huha o runga (tērā pea ki tētahi atu wāhi o tō kaki, o tō uma rānei).
2. Ka tukuna he ngongo tino angiangi, ngāwari hoki e kiia nei ko te catheter mā roto i te tapahi, mā te uaua toto nui, ki roto i te ngākau.
3. Mai i roto i tēnei ngongo ka whakapikohia te takirere hou kia iti, ka whakanohoia ki te ngākau, kei reira te takirere tawhito kua purua.
4. Kia tū te takirere hou, ka whakawhanuitia. Kātahi ka mau ki tōna tūranga. Kāore te takirere tawhito e tangohia , engari ka panaia ki tahaki e te takirere hou.
5. Tirohia mēnā kei te mahi tika te takirere hou, me mēnā he turuturu toto.
6. Hei whakamutunga, ka tangohia te catheter, ka katihia te motu iti ki te kotahi, ki te rua rānei ngā tuitui, kātahi ka tāpirihia he takai.
Kotahi, e rua rānei hāora te roa o te tukanga katoa.
He aha ngā painga me ngā mōrearea o te pokanga TAVR?
He maha ngā painga o te TAVR i ngā pokanga ngākau tuwhera tuku iho.
Ngā painga matua
- Kāore he tapahi nui: Kāore he take ki te tapahi i te uma, ki te tango rānei i ngā rara. He tapahi iti noa iho.
- Te whakaora tere: Nā te mea kāore he whara nui, he iti ake te mamae, he iti ake te taumahatanga o te tinana, ā, he tere ake te whakaora.
- Noho poto i te hōhipera: I te nuinga o te wā , ka taea e koe te hoki ki te kāinga i taua rā anō i muri i te pokanga. Me noho pea koe mō ngā rā e rua, e toru rānei.
- He pai mō ngā tūroro mōrearea nui: He kōwhiringa tino pai tēnei tikanga mō te hunga kua tino kaumātua, he maha atu ngā mate kei a rātou, ā, kāore e taea te aro atu ki ngā pokanga nui.
Ngā āhuatanga mōrearea
Pērā i ngā tikanga hauora katoa, he iti noa ngā mōrearea o te TAVR. Heoi, nā te hangarau matatau o ēnei rā, he tino iti te tūponotanga ka puta ēnei.
- Kua pāngia te pūnaha hiko o te ngākau, ā, me tāuta pea he taputapu whakatere .
- He iti nei te toto e turuturu ana mai i ngā taha o te takirere hou.
- He iti te mōrearea o te whiu.
- Te toto, te mate rānei i te wāhi i tapahia.
- Te kino ki ngā whatukuhu, ki ngā oko toto rānei.
Ma tō tākuta koe e kōrero mō ēnei mea katoa, me te whakamārama i tōna whai huatanga mō tō āhuatanga me ngā mōrearea.
Te whakaoranga i muri i te pokanga me ngā mahi ārai
I muri i te pokanga, ka waiho koe ki te moenga mō ētahi haora hei okioki. Ka herea ngā uaua toto i tapahia ai te toto kia mutu ai te toto. Ka hoatu he rongoā ki a koe hei ārai i te mate me te aukati i te toto e totohu ana.
I muri i tō hokinga ki te kāinga, kaua e hiki i ō ringaringa, kaua hoki e mahi i ngā mahi uaua mō te wiki, e rua rānei. Ka taea e koe te hoki ki ō mahi o ia rā i roto i te rua wiki pea. Tērā pea e ono ki te tekau wiki te roa hei whakaora katoa.
Hei tāpiritanga, ka tukuna koe ki tētahi kaupapa whakaora ngākau , he rite ki tētahi kaupapa whakakori tinana motuhake kua tohua e te tākuta hei whakapakari i tō ngākau.
Ki te pā mai ēnei tohu ki a koe, waea atu ki tō tākuta tonu!
Ki te puta mai tētahi o ngā tohu e whai ake nei i muri i tō hokinga ki te kāinga, me whakamōhio atu ki tō tākuta.
| Tohu | Whakaahuatanga |
|---|---|
| Kirika | He tohu pea tēnei nō te mate pāwera kei roto i te tinana. |
| Ngā huringa o te wāhi i tapahia | Te nui haere o te mamae, te toto, te maru, te whero, te pupuhi rānei. |
| Mamae o te uma | He mamae o te uma hou, he mamae rerekē rānei. |
| Te uaua ki te manawa | Te poto o te manawa ahakoa he iti noa te kaha o te mahi. |
| Pōuriuri | Te pōuri , te ngoikore rānei. |
Karere Tangohia ki te Kāinga
- He tikanga hauora matatau te TAVR e whakakapi ana i te takirere aorta o te ngākau mā te tapahi iti, me te kore e whakatuwhera i te uma.
- Ko te hua o tēnei ka iti ake te mamae, ka tere ake te ora, ā, ka iti ake te wā e noho ana i te hōhipera.
- He otinga pai tēnei, inā koa mō te hunga kua kaumātua, kua pāngia e ētahi atu mate hauora, ā, kāore e taea te tu atu i ngā mōrearea o te pokanga tuwhera.
- Kāore pea te TAVR e tika mō te katoa. He mea nui kia kōrero koe ki tō tākuta ngakau kia mōhio ai koe ko tēhea te maimoatanga e pai ana mōu.
- He mea nui te whai i ngā tohutohu a te tākuta i muri i te pokanga, me te haere ki ngā wā whakarite i ngā rā kua whakaritea, kia tere ai te ora.
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