He maha ngā wā ka ngenge koe, ka poto hoki te manawa? Tērā pea ka rongo koe i te kikī, i te kōpiripiri rānei i roto i tō uma ina hikoi poto koe, ina piki arawhata rānei? Tērā pea nā te raruraru o tētahi pūaha iti i roto i tō ngākau, e kiia nei ko te takirere. He mea whakapouri te mōhio kei te raru tō ngākau. Engari ko te rongo pai, mā te whakatikatika, te whakakapi rānei i ngā takirere ka māmā ake tō oranga, ka hoatu hoki te kaha ki a koe ki te mahi i ngā mea e arohaina ana e koe.
He aha te takirere Tricuspid?
Ki te kī ngāwari, he rite tō tātou ngākau ki tētahi whare e whā ōna rūma. He tatau kei waenganui i ēnei rūma hei rere mō te toto ki mua, ki muri. Ko ēnei tatau te mea e kiia nei e tātou he takirere i roto i te rongoā. Ko te takirere tricuspid te tatau i waenganui i te rūma o runga (atrium matau) me te rūma o raro (ventricle matau) i te taha matau o te ngākau. E toru ōna papa (ngā rau). Ko tana mahi matua he tuku i te toto kia rere i te kotahi te huarahi, arā, mai i runga ki raro, me te aukati katoa i tōna rere ki runga.
He aha ngā momo āhuatanga e hiahiatia ana tēnei pokanga?
E rua ngā āhuatanga hauora matua e tika ana kia whakatikatikaina, kia whakakapia rānei te takirere tricuspid.
| Āhuatanga hauora | Hei whakarāpopototanga... |
|---|---|
| Te Regurgitation Tricuspid | Kāore te takirere e kati tika, nō reira ka turuturu te toto ki te ruma o runga. |
| Te Stenosis Tricuspid | Kua matotoru, kua piri hoki ngā taupoki o te takirere, ā, ka uaua te neke whakamua o te toto, arā, ki te ruma o raro. |
Ina tupu tēnei, me kaha ake te mahi a tō ngākau i te tikanga ki te pupuhi i te nui o te toto e hiahiatia ana e tō tinana. Koinei te tino take e pāngia ai koe e ngā tohu pēnei i te ngenge tonu, te poto o te manawa, me te pupuhi o ngā waewae. Ki te haere tonu tēnei āhuatanga, ka taea e ia te arahi ki te ngoikore o te ngākau.
He pai ake te whakatika i te takirere, te whakakapi rānei?
He maha ngā wā, ko te kōwhiringa tuatahi a ngā tākuta ko te whakatika i tō ake takirere me te tiaki i ō ake kiko. Heoi, ki te kino te kino o te takirere me ngā kiko e karapoti ana, me whakakapi pea he takirere hou.
Mā tō taote pokanga me tō tākuta ngakau e whakatau te mea pai mōu i muri i te tirotiro tika i tō āhua.
E rua ngā momo matua o ngā takirere hou.
| Momo takirere | He aha te mea i hangaia ai? | Ngā tohu motuhake |
|---|---|---|
| Takirere Koiora | Mai i ngā kiko kararehe (hei tauira, mai i te poaka, i te kau), mai rānei i tētahi kaituku tangata kua mate. | Ko te tikanga ka roa mō te 10-20 tau. I te nuinga o te wā, kāore koe e hiahia ki te tango i ngā rongoā whakaiti toto mō te toenga o tō oranga. |
| Takirere Mīhini | Mai i ngā rauemi hangai (pērā i te konganuku, te waro). | Ka roa te mau. Heoi, nā te tūponotanga o te toto totoka , me tango e koe ngā rongoā ārai toto mō te toenga o tō oranga. |
Me pēhea te whakarite i mua i te pokanga?
I mua i tētahi pokanga pēnei, ka tino whakarite pai tō tīma hauora i a koe.
- Kōrerohia ki tō tākuta mō te pokanga me ōna mōrearea, ā, pātai atu ki a koe mēnā he pātai āu.
- Me mahi ngā whakamātautau e tika ana kia kitea ai mēnā he pai koe mō te pokanga. Kei roto pea i tēnei ko ngā whakamātautau toto , he ECG (electrocardiogram) , he echocardiogram (he matawai i te ngākau), me te hihi-X o te uma .
- Waitohuhia te puka whakaae mō te pokanga.
- He mea tino nui kia whakamaheretia i mua i te wā kia tiakina koe e tetahi me ngā rongoā e tika ana ina hoki koe ki te kāinga i muri i te pokanga.
Me pēhea te mahi i te pokanga? (Pokanga Ngākau Tuwhera)
I te nuinga o te wā, ka mahia tēnei pokanga hei pokanga ngākau tuwhera.
1. Tuatahi, ka whakamoea rawatia koe (ka whakamoea rawatia).
2. Kātahi ka tapahia e te taote pokanga te waenganui, te taha rānei o te uma kia tae atu ai ki te ngākau.
3. Ka hoatu he rongoā hei aukati i te mahi a te ngākau mō te wā poto. Kaua e manukanuka, kei te tukuna te toto ki tō tinana e tētahi mīhini motuhake (mīhini whakawhiti ngākau-pūkahukahu) i tēnei wā.
4. Kātahi ka whakatika, ka whakakapi rānei te taote pokanga i te takirere.
Ka taea te mahi i tēnei pokanga me te kore e tapahia te uma?
Ae, nā te hangarau matatau o ēnei rā, i ētahi wā ka taea te mahi i tēnei pokanga me te kore he tapahi nui, engari mā roto i ngā tapahi iti. Ka kiia tēnei he tikanga 'Minimally Invasive'.
- Te Tātaritanga o te Uma Matau: Ka tapahia he tapa iti ki te taha matau o te uma, i waenganui i ngā rara e rua.
- Pokanga āwhina-rorohiko: He pokanga e mahia ana e te taote pokanga tonu mā roto i ētahi tapahi iti mā te whakamahi i te hangarau karetao.
- Tikanga whakawhiti-kātere: I tēnei tikanga, ka whakauruhia he ngongo (kātere) ki roto i te ngākau mā roto i tētahi oko toto i roto i te hope, he maha ngā wā kāore he tapahi, hei whakatika i te takirere, hei whakakapi rānei ki tētahi mea hou. He poto rawa te wā whakaora i muri i tēnei tikanga.
He aha ngā painga me ngā mōrearea pea o te pokanga?
Pērā i ngā pokanga katoa, he painga, he mōrearea anō hoki tō tēnei pokanga.
| Ngā Painga | Ngā Tūponotanga |
|---|---|
| Ka ngaro ngā tohu (te ngenge, te poto o te manawa, te pupuhi o te waewae). | Te toto |
| Te āhei ki te noho ora me te hauora i a koe e mahi ana i ngā mahi o ia rā. | Ngā toto totoka |
| Te roa o te ora. | Ngā rerekētanga o te pā o te ngakau (Arrhythmia) |
| Te ārai i te ngoikore haere o te ngākau. | Mate pāwera |
| Te whiu, te ngoikore o te whatukuhu. |
Ahakoa kei reira ēnei mōrearea, ka whakapau kaha ngā tīma hauora ki te whakaiti i aua mōrearea. Ina paunatia ki ngā painga o te pokanga, he pai tonu te tango i ēnei mōrearea.
Ahea te wā me waea atu ahau ki te tākuta?
Ina tae koe ki te kāinga i muri i te pokanga, me tino tiaki koe i tō tinana. He mea nui kia mōhio wawe tonu mēnā he raruraru kei te pā mai.
| Ngā tohu hei tūpato | |
|---|---|
| Kōrero ki tō tākuta mēnā kei a koe ēnei tohu i muri i te pokanga. | |
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| He tohu pea ēnei o te mate urutā: | |
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| He āhuatanga ohorere ēnei! Haere tonu ki te Wāhanga Ohotata (ETU) o te hōhipera! | |
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Karere Tangohia ki te Kāinga
- Ka nui ake te taumahatanga o te ngākau i te mate takirere tricuspid, ā, ka taea e te pokanga te whakatika i tēnei, me te whakamāmā ake i te oranga.
- I te nuinga o te wā, ko te whakatika i tāu ake takirere te mea pai rawa atu. Ki te kore e taea, ko te whakakapi i te takirere te mea pai rawa atu.
- Mena ka whakauruhia he takirere ā-ringa, me tango e koe ngā rongoā ārai toto mō te toenga o tō oranga hei ārai i te toto e pupuhi ana.
- Ināianei, ka taea te mahi i ēnei pokanga me te kore e tapahia te uma, mā roto i ngā tapahi iti, me te kore rānei e whakamahi i te catheter. Pātai atu ki tō tākuta mō tēnā.
- Kia mōhio koe ki te whakamōhio atu ki tō tākuta mō ngā tohu rerekē ka puta i muri i te pokanga. Mēnā he āhuatanga ohorere, haere ki te Tari Ohorere (ETU) o te hōhipera tata.
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