Ko te Atherosclerosis he mate e whaiti haere ana ngā uaua e kawe ana i te toto ki tō ngākau, ā, ka āraia e ngā putunga ngako. Ina kino rawa atu tēnei mate, ka mamae te uma, ka uaua hoki te manawa. I te nuinga o te wā, ko te rongoā te rongoā tuatahi mō tēnei mate. Engari i ētahi wā, kāore e taea e te rongoā anake te whakahaere i te mate. I ēnei wā, ka whakatau ngā tākuta ki te mahi i tētahi atu mea, arā, he maimoatanga uaua ake. I tēnei rā ka kōrero tātou mō ēnei maimoatanga matua e rua.
Tikanga tuatahi: Angioplasty me te Stenting
Koinei te tikanga e whakamahia whānuitia ana. Ki te kī māmā noa, me whakatuwhera te oko toto kua āraia mai i roto. He tino whakamere te huarahi e mahia ai.
Tuatahi, ka whakahaerehia e te tākuta tētahi whakamātautau hihi-X motuhake e kiia nei ko te "Angiogram Coronary." Mā tēnei ka kitea te wāhi me te nui o ngā oko toto o te ngākau kua āraia. Kātahi ka tukuna he ngongo tino angiangi (catheter) mā roto i tētahi oko toto nui i te ringa, i te waewae rānei ki te uaua kua āraia i te ngākau. Ka mahia tēnei me te tino ātaahua.
Muri iho, ka werohia he wai motuhake (tae) mā roto i tēnei ngongo. Ka kitea mārama tēnei wai i runga i te mata hihi-X, kia kitea ai te wāhi tuturu o te aukati. Inaianei ka tīmata te mahi tuturu.
Ka pupuhihia he poihau iti ki te pito o te ngongo ki te wāhi i aukatia ai. Mā tēnei ka huaki te uaua kua whaiti, kua whaiti, ā, ka taea te rere o te toto kia hoki ki te āhua noa. I te nuinga o te wā, i muri i te pupuhitanga o te poihau me te whakatuwheratanga o te uaua, ka whakauruhia he ngongo mata iti hei pupuri i te whakatuwheratanga kei kati anō. Koinei te mea e kiia nei e mātou he "stent." He rite tēnei stent ki te puna e whakanohoia ana ki roto i te paipa, hei āwhina i te pupuri i te uaua kia tuwhera.
Ka whakamahia tēnei tikanga hei whakaora i te mamae o te uma (`Angina`) me te whakatuwhera wawe i te uaua kua purua i te wā o te whakaeke ngakau. He iti te mōrearea o ngā raruraru, ā, ka taea e koe te ora wawe me te hoki ki te kāinga i roto i te kotahi rā noa iho.
Tikanga tuarua: Pokanga Ārai Matepukupuku
He mahi nui tēnei. Ko te tikanga o te kupu "Bypass" ko "he rori e haereere ana". He rite tonu te āhua o tēnei mahi. Whakaarohia he nui te ara e noho ana i runga i te rori, ā, kāore he waka e neke ana. Kātahi ka hangaia he rori hou, he rori taha, hei karo i taua ara. Koinei tonu te mea e tupu ana i roto i te mahi bypass.
Ka tangohia e te taote pokanga tētahi wāhanga o te uaua toto hauora mai i tō waewae, ringa, pakitara uma rānei.Ka tangohia e rātou. Kātahi ka whakamahia taua wahi ngongo hei karo i te uaua kua āraia i roto i te ngākau, ā, ka rere te toto i tētahi ara hou. Arā, ka honoa tēnei ngongo hou ki runga ake, ki raro iho hoki i te mea kua āraia. Kātahi ka rere te toto i tēnei "ara karo" hou, kaua e haere mā te wāhi kua āraia.
Ka karangatia tēnei e ngā tākuta ko te "Coronary Artery Bypass Grafting" ko te "CABG" rānei. Ka karangatia hoki tēnei e ō tātou iwi ko te "pokanga kāpeti" i roto i tā rātou reo kīwaha.
He nui te whakaora i te mamae o te uma mā te pokanga taha. Ka taea hoki e ia te whakaroa i te oranga o te hunga mate huka, o te hunga rānei he tino āraihia ō rātou uaua toto.
Engari kia maumahara, he pokanga nui tēnei. Nō reira, ka roa pea ngā wiki, tae noa ki ngā marama, hei whakaora. Heoi, kei te rangahauhia ngā pokanga arai hou ka taea te mahi me ngā tapahi iti ake.
Te stent? Te bypass? Ko tēhea te mea pai mōu?
Tērā pea kei te whakaaro koe, "He pai ake te pokanga stenting, te pokanga bypass rānei mōku?" Kāore he whakautu ngāwari. He maha ngā āhuatanga e whakawhirinaki ana ki tēnā whakatau, tae atu ki tō āhua, te maha o ngā uaua kua āraia, me tō rātou āhua. Ko tō tākuta te tangata pai rawa atu hei whakatau i tēnā. Me whakataurite tātou i ngā painga me ngā huakore o ēnei kōwhiringa e rua.
| Whakaaroaro | Te werohanga o te uaua | Pokanga taha (CABG) |
|---|---|---|
| Te roanga o te ora ina aukatihia ngā awaawa maha | Kāore i te nui ngā taunakitanga mārama e whakaatu ana ka roa ake te ora o te tangata. He pai ake te whakamahi hei whakahaere i ngā tohumate. | Tino pai. Kua whakamātauhia ka roa ake te ora o te hunga he tino ārai ngā uaua. |
| Whakaora i te mamae o te uma (Angina) | He tino pai te whakahaere i te mamae, engari ka taea e te mamae te hoki mai anō i roto i te wā. | He tino pai te whakahaere i te mamae, ā, ka roa ake te whakaora i te mamae i ngā stent. |
| Mēnā he āhuatanga ohorere (whakaekenga ngākau) | He mea tino pai. Ka taea te mahi i roto i ētahi meneti, kia kore ai e pāngia e ngā mōrearea me te wā whakaora o ngā pokanga nui. | Kāore i te whakamahia i ngā wā ohorere. He nui ake te wā me te whakarite e hiahiatia ana. |
| Te wā whakaora | He wā poto noa iho. Tērā pea ka taea e koe te hoki ki te kāinga i roto i te rā, i ngā rā e rua rānei. | He roa te wā. Tērā pea ka roa te wā mai i ētahi wiki ki ētahi marama hei whakaora katoa. |
Ētahi atu tikanga o te atherectomy
He tino onge te kitea o ētahi atu tikanga hei tāpiri atu ki ngā stent, ki ngā bypasses rānei. Ko ētahi o ēnei ko te tango i te paparanga ngako (pēka) i roto i te uaua toto.
- Te tango i te ngako kua whakapikohia: Ka hurihia he taputapu he pito taimana ki te tere tere, ka pakaru te paparanga ngako kua mārō.
- Te Atherectomy Aronga: Ka tapahia te paparanga ngako e te mata hurihuri, ka haria ngā wahi ki roto i te catheter, ka tangohia mai i te tinana.
Ahakoa te pai o te tangi o ēnei tikanga, kāore i te rite te whai huatanga ki ngā stent, ki ngā bypasses rānei. He maha ngā wā ka whakamahia hei whakawātea i te uaua i mua i te whakatakotoranga o te stent.
He aha ngā mea ka tupu i muri i te maimoatanga? Me tīmata tika anō tātou!
Koinei te mea tino nui. Kia maumahara, ahakoa he stent, he bypass rānei tōu, kāore e aukati i te tukanga o te atherosclerosis. Ka tangohia noa te aukati nui rawa atu kei reira. Ka taea hoki tēnei te tupu i roto i ētahi atu uaua.
Nō reira, i muri i te maimoatanga pēnei, me tino tupato koe i tō mua. He mea nui kia whakarerekētia tō momo noho me te whakamahi i te rongoā kia rite ki te whakahaunga a te tākuta.
Rongoā me whai
I muri i tēnei momo maimoatanga, he maha ngā wā ka tohua e te tākuta he maha ngā rongoā hei tango māu i ia rā.
- Ngā rongoā momo statin: Ka whakaiti i te taumata o te cholesterol kino i roto i te toto.
- Āpipirini: Ka ārai i te toto totoka.
- Ngā rongoā pēnei i a Clopidogrel, Prasugrel, Ticagrelor: He rongoā anō hoki ēnei hei ārai i te toto totoka. Ina koa mō te tangata kua whakauruhia he stent, me tango pea ēnei rongoā mō te wā kotahi marama ki te tau.
- Ngā rongoā toto toto tiketike: inā koa ngā rongoā pēnei i te `(Beta-blockers)` me te `(ACE inhibitors)`.
Ngā tikanga me whai
- Whakakorikori tinana: Whakakorikori tinana kia 30 meneti te iti rawa i te rā, kia rima ngā rā o te wiki. He pai anō hoki te hikoi.
- Kai pai: Kainga kia rima ngā tūnga o ngā hua me ngā huawhenua i te rā. Whakaitihia te hinu, te tote, me te huka.
- Kaua rawa e kai paipa: Koinei te mea nui rawa. Ki te kai paipa koe, e kore tetahi o ēnei maimoatanga e mahi tika.
I muri i ēnei maimoatanga, ka rite koe ki tētahi oranga hou. Mā ēnei tikanga koe e āwhina ki te ora hauora me te harikoa.
Karere Tangohia ki te Kāinga
- He mate roa te atherosclerosis. Mā ngā maimoatanga stent, bypass rānei ka tangohia noa te aukati nui kua puta kē, engari kāore e tino rongoatia te mate.
- Mā tō tākuta e whakatau mēnā he stent, he bypass rānei te mea pai mōu, i runga i ngā āhuatanga pēnei i tō hauora, te maha o ngā aukati, me te tere o te urunga.
- I muri i tētahi maimoatanga, he mea nui kia huri koe i tō momo noho, kia tangohia hoki ō rongoā kua tohua kia rite ki te mea kua tohua hei ārai i ngā raruraru a muri ake nei.
- Mena he āwangawanga, he ruarua rānei āu, kōrerohia ēnei ki tō tākuta , kaua e whakatau i a koe anō. Kaua rawa e mutu, e whakarerekē rānei i ngā rongoā me te kore he tohutohu hauora.
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