Kei te pōturi hoki tō manawa, kei te whewhe rānei koe ina ngenge koe, ina piki arawhata rānei koe? Kei te pupuhi rānei ō waewae? Tērā pea ka whakaaro koe he mea noa tēnei, he mea ka puta i a koe e pakeke haere ana. Engari kāore i te pērā tonu. I ētahi wā, i muri i ēnei tohu, tera pea he raruraru kei tētahi wāhanga iti engari he mea nui o tō tātou ngākau. I tēnei rā kei te kōrero tātou mō tētahi wāhanga nui, arā, ko te takirere tricuspid o te ngākau. He mea noa te mataku ina kī mai te tākuta he raruraru kei tētahi takirere i roto i tō ngākau. Engari kaua e mataku, nā te pūtaiao hauora matatau o ēnei rā, kei reira ngā maimoatanga whai hua mō tēnei. Kia mārama tātou ki ngā mea katoa mō tēnei mea.
Tuatahi, kia kite tātou, he aha te takirere tricuspid?
He kupu ngāwari, he mīhini whakamiharo tō tātou ngākau, e whā ōna rūma. E rua ngā rūma kei runga, e rua hoki kei raro. Ko te toto ngoikore-hāora o te tinana ka tomo tuatahi ki te rūma o runga i te taha matau o te ngākau (Atrium Matau). Mai i reira, me haere taua toto ki te rūma o raro (Ventricle Matau). Nā, ko te tatau i waenganui i taua rūma o runga me te rūma o raro ko te mea e kiia nei e tātou ko te takirere tricuspid .
He rite tēnei ki tētahi tatau e tuwhera ana i te taha kotahi anake. Ina rere te toto mai i runga ki raro, ka tuwhera tēnei tatau, ā, ina kī te rūma o raro i te toto, ka kati anō. Kātahi ka kore te toto e rere anō ki te rūma o runga. Hei whakamārama, e toru ngā rau o tēnei takirere. Koia i huaina ai ko 'tri'. He mea nui te mahi tika o tēnei takirere kia tika ai te rere o te toto puta noa i tō tātou tinana.
Nā, he aha ngā raruraru ka puta ake me tēnei takirere?
I roto i te wā, ka kore e mahi tika tēnei takirere mō ngā take maha. E rua ngā āhuatanga matua e kitea ana. Me titiro tātou he aha ēnei āhuatanga.
| Āhua | Hei whakarāpopototanga, he aha te mea ka tupu? |
|---|---|
| Te ruaki o te tricuspid | Ko te mea ka tupu i roto i tēnei, kāore ngā taupoki takirere e kati tika. Kātahi, i te wā e whakawhāiti ana te rūma o raro, e pupuhi ana i te toto ki roto i ngā pukahukahu, ka turuturu ētahi o te toto ki roto i te rūma o runga. He rite ki te tatau kāore e kati tika. |
| Te whakatōtōtanga o te tricuspid | Ko te mea ka tupu i tēnei wā, ka matotoru, ka pakari ngā rau takirere, ā, kāore e tuwhera tika. Ko te tikanga o tēnei ka piri ngā taupoki ki a rātou anō, pērā i te waikura. Kātahi ka aukati i te rere o te toto mai i te ruma o runga ki te ruma o raro. |
Ahakoa te āhua, ka pērā tonu te āhua. Me kaha ake te mahi a tō tātou ngākau ki te pupuhi i te nui o te toto e hiahiatia ana e tō tātou tinana. I roto i te wā, ka ngoikore pea te ngākau, ka hua ake ai ngā āhuatanga pēnei i te ngoikore o te ngākau.
He pai ake te whakatika i te takirere, te tāuta rānei i tētahi mea hou?
He raruraru tēnei e pā ana ki te tini tāngata. I te nuinga o te wā, ka ngana tonu ngā tākuta ki te whakatika i tō ake takirere. Nā te mea kāore he mea pai atu i tētahi wāhanga o tō tātou ake tinana.
Heoi, i ētahi wā, ki te tino kino te pakaru o te takirere, ā, kāore e taea te whakatika, me tango pea, me whakatō (whakakapinga) he takirere hou. E rua ngā momo o ēnei takirere hou.
Kia maumahara, mā tō tākuta ngakau e whakatau ko tēhea te maimoatanga pai mōu. Māna e whakatau i muri i te tirotiro tika i tō āhua.
| Momo Takirere | Whakaahuatanga me ngā āhuatanga motuhake |
|---|---|
| takirere koiora | He mea hanga ēnei mai i te kiko kararehe (hei tauira, mai i te poaka, i te kau rānei) i te kiko rānei mai i tētahi kaituku tangata kua mate. Ko te painga o tēnei , kāore koe e hiahia ki te tango i ngā rongoā ārai toto mō te wā roa i muri i te pokanga. Heoi, ko te tikanga ka roa noa ēnei mō te 10-20 tau. Whai muri i tēnā, me mahi anō pea koe i tētahi atu pokanga. |
| Takirere mīhini | He mea hanga ēnei ki ngā rauemi hangai pakari pērā i te waro. Ka roa te ora. Engari nā te mea he tūponotanga kei roto i ēnei takirere he toto totoka, me tango e koe he rongoā whakangawari toto mō te toenga o tō oranga. He mea tino nui kia tangohia taua rongoā kia rite ki te whakahaunga. |
Me pēhea te whakarite i mua i te pokanga?
Āe, me kī tātou kua whakatau te tākuta me pokanga koe. I mua i tērā, kua tino rite koe.
- Mōhiotanga: Mā te tīma hauora koe e whakamārama taipitopito he aha ngā mea ka mahia i mua, i te wā, me muri i te pokanga.
- Te Pātai: Kōrero ki tō tākuta mō ō pātai, ō āwangawanga rānei. Kaua e huna tetahi mea ki a koe anō.
- Te kōrero mō ngā mōrearea: Pērā i ngā pokanga katoa, he iti noa ngā mōrearea. Ka whakamōhiotia koe mō ēnā mea anō hoki.
- Te hainatanga i ngā puka whakaaetanga: Me haina e koe ngā tuhinga hei whakaae i te pokanga.
- Ngā Whakamātautau: Ka whai whakamātautau koe kia kitea ai mēnā he tika koe mō te pokanga.
- Ngā whakamātautau toto
- He ECG (Electrocardiogram)
- Whakamātautau X-ray o te uma
- He echocardiogram (he rite tēnei ki te matawai i te ngākau. Ka taea te tirotiro tata ki te mahi a ngā takirere)
- Te whakarite i te kāinga: Me whai āwhina koe ina tae koe ki te kāinga i muri i te pokanga. Me whakamahere koe i ēnei mea i mua i te wā.
Me pēhea te mahi i te pokanga?
He maha ngā tikanga matua mō te mahi pokanga mō te takirere tricuspid.
Pokanga Ngākau Tuwhera Tuku Iho
Koinei te tikanga tino noa. I roto i tēnei, ka uru atu ki te ngākau mā te tapahi i waenganui o te uma. I te wā o te pokanga,
1. Ka whakamoea rawatia koe (ka whakamoea rawatia).
2. Ka mutu te mahi a te ngākau mō tētahi wā poto.
3. I taua wā, ka honoa koe ki tētahi mīhini motuhake e mahi ana i ngā mahi a tō ngākau me ō pūkahukahu (mīhini whakawhiti ngākau-pūkahukahu).
4. Ka whakatika, ka whakakapi rānei te taote pokanga i te takirere.
5. Kātahi ka tīmata anō te ngākau, ka tangohia mai i te mīhini, ā, ka kati te tapahi.
Ngā Kōwhiringa Whakaiti i te Whakaurunga
Nā te mea kua matatau te hangarau, kāore e hiahiatia kia tapahia he wahi nui i ngā wā katoa. He huarahi hei mahi i tēnei pokanga me ngā wahi iti.
- Te pokanga o te uma matau: Ko te tikanga tēnei he tapahi iti i waenganui i ngā rara e rua i te taha matau.
- Pokanga āwhina-rorohiko: I roto i tēnei mahi, ka whakahaerehia e te taote pokanga ngā ringa o te mīhini karetao, ā, ka mahia te pokanga mā roto i ētahi tapahi iti i roto i te uma.
- Tikanga whakawhiti-kātere:Koinei te tikanga hou, ā, he iti rawa te whakaekenga. I roto i tēnei tikanga, ka tukuna he ngongo angiangi (catheter) mā roto i tētahi uaua nui i te waewae, i te ringa rānei ki te ngākau, ā, mā roto ka whakatikahia, ka whakakapia rānei te takirere. He poto ake te wā whakaora i muri i tēnei tikanga.
He aha ngā mea ka tupu i muri i te pokanga? Kia pēhea te roa o te wā e ora ai?
I muri i te pokanga, ka noho koe ki te wāhanga tiaki nui o te hōhipera mō ētahi rā. Kātahi ka whakawhitia koe ki te wāhanga whānui. Ka rerekē te roa o te noho hōhipera i runga i tō āhua me te momo pokanga e mahia ana.
Koinā te āhua o te wā whakaora.
- E hia pea ngā marama ka ora katoa ai i muri i te pokanga ngākau tuwhera .
- I muri i tētahi tikanga pēnei i te transcatheter , ka taea e koe te hoki anō ki ngā mahi o ia rā i roto i ētahi wiki.
I muri i tō hokinga ki te kāinga, he mea tino nui kia tangohia e koe te rongoā i tohua e tō tākuta i te wā tika, kia okioki, kātahi ka tīmata mārire te whakakorikori tinana.
He aha ngā tohu e hiahia ana kia toro atu ki te tākuta?
Kia tae koe ki te kāinga, me tino aro koe ki tō tinana. Ki te mea he mea rerekē, kaua e warewaretia.
| Tohu | Whakaahuatanga |
|---|---|
| Ki te pā mai ēnei tohu ki a koe, waea atu ki tō tākuta tonu atu. | |
| Pōuriuri / hemo | Ki te pōuri koe ina tū ake koe, i ngā wā noa rānei. |
| Ngenge rawa | Ki te mea kua ngenge rawa koe ki te mahi i tetahi mea. |
| Te pikinga taumaha ohorere | Ki te piki ohorere tō taumaha i ia rua rā. |
| Te pupuhi o ngā waewae, o ngā pona rānei | Mena ka piki ake te pupuhi o ngā waewae. |
| Ngā tohu o te mate e pā ana ki te patunga pokanga - kōrero tonu atu ki te tākuta | |
| Kirika/makariri | Mena ka piki te pāmahana o te tinana. |
| Te pupuhi e rere ana mai i te patunga | Mena he wai e turuturu ana i te wāhi i tapahia. |
| Whero te taha o te patunga, mamae nui haere | Mena he whero te patunga, ā, kei te piki haere te mamae i ia rā, i ia rā. |
| Ki te pā mai ēnei tohu, haere tonu ki te Tari Whawhati Tata (ETU)! | |
| Mamae o te uma | Me te mea kei te pēhia tōku uma, me te mea kei te pēhia. |
| Te uaua ohorere, te uaua nui ki te manawa | Ki te kore e taea e koe te manawa. |
| Te hemo | Ki te ngaro whakarere tō māramatanga, ā, ka hinga koe. |
He uaua te noho me te raruraru o te takirere ngākau. Engari ka taea e ēnei pokanga te whakaora i ō tohumate, ā, ka taea e koe te noho anō i te oranga noa, me te mahi i ngā mea e arohaina ana e koe. Nō reira kaua e mataku, kōrero ki tō tākuta, ā, whiriwhiria te maimoatanga e tika ana māu.
Karere Tangohia ki te Kāinga
- He mate ka taea te rongoā i te mate takirere tricuspid. Mēnā kāore koe e aro ki tēnei mate, ka pāngia pea te ngākau.
- Ahakoa ko te whakatika i te takirere te kōwhiringa tuatahi i te nuinga o te wā, me whakakapi pea ki tētahi mea hou mēnā he nui te pakaru.
- Kei te wātea inaianei ngā tikanga pokanga iti rawa te whakaekenga, pērā i te pokanga ngākau tuwhera. Kōrero ki tō tākuta mō te tikanga e pai ana mōu.
- Ki te puta he tohu rerekē i muri i te pokanga (ina koa te mamae o te uma, te poto o te manawa, te ngaro o te māramatanga) me rapu tohutohu hauora tonu. Haere ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
- Kaua e manukanuka. Ka taea e ēnei pokanga te whakapai ake i te kounga o tō oranga me te roanga o te ora.
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