Kei te mataku koe mō te Pokanga Tāwhito Toru? Me kōrero māmā noa iho.

Ahakoa ka rongo koe mō te pokanga ngākau, arā, te pokanga arai, ka paku mataku koe, ka āwangawanga hoki, kāore? Ina koa ka kī mai te tākuta me mahi koe i te "arai takitoru". Engari ina mārama koe he aha tonu tēnei, he aha me mahi ai, me te āhua o te ao i muri i tēnei, ka ngaro te wehi i roto i tō ngākau. I tēnei rā, ka kōrerohia e tātou tēnei mea me te tino māmā, i roto i te huarahi e mārama ai koe, me te mea kei te kōrero koe ki tētahi hoa.

He aha te tikanga o te pokanga bypass takitoru?

Whakaarohia kua purua te paipa wai matua o tō whare i te paru i ngā wāhi e toru, ā, kua tino purua te puna wai. Me aha tātou? Ki te kore e taea te tango i aua wāhi kua purua, ka taea e tātou te hanga i tētahi ara hou mā te whakauru i ngā wahi paipa hou hei karo i aua wāhi, tika? Koinei te mahi a tēnei pokanga.

Ka āraia ngā oko toto e tuku toto ana ki tō tātou ngākau (e kiia ana ēnei he uaua coronary) e te ngako me te cholesterol. I roto i te rongoā, e kiia ana tēnei he papa. Ka āraia e tēnei papa te rere o te toto. I roto i te "triple bypass," ka āraia ngā oko toto i ngā wāhi nui e toru .

Nō reira, ko tā te taote pokanga he tango i tētahi oko toto hauora mai i tētahi atu wāhi o tō tinana (mai i tō waewae, ringa, i roto rānei i tō uma) ka waihanga i tētahi "ara hou" huri noa i te wāhi kua āraia. He rite ki te pokanga whakawhiti. Mā tēnei ka taea e te uaua o te ngakau te whiwhi anō i te toto e hiahiatia ana. Ka kiia hoki tēnei pokanga he Coronary Artery Bypass Graft, CABG rānei.

Ko wai e hiahia ana kia mahia tēnei pokanga?

Kāore tēnei pokanga e mahia mō te katoa. E taunaki ana te tākuta mō ētahi take. Ko te mea nui, he mea tika mō te hunga e pāngia ana e te mate uaua o te ngakau.

• Mena he nui ake i te 50% te aukati i roto i te uaua matua maui e tuku toto ana ki tō ngākau.
• Mena he nui ake i te 70% te aukati i roto i ngā uaua peka kē atu.
• Mena he kino rawa te aukati i roto i te uaua toto, ā, kāore e taea te mahi i tētahi tikanga iti rawa te whakaekenga pēnei i te angioplasty (koinei te mea e kiia nei e tātou ko te "whakanoho stent").
• Mena he maha ngā mamae o te uma (angina), he uaua ki te manawa , he nui rānei te tūponotanga o te pāngia e te mate ngakau nā ēnei aukati.

I ngā āhuatanga pēnei, ko te kōwhiringa pai rawa atu hei ārai i ngā kino atu ki te ngākau ko te pokanga bypass.

He aha ngā mea ka tupu i mua i te pokanga?

I muri i te whakatau i te rā mō te pokanga, ka whakahaerehia e te tākuta ētahi whakamātautau hei aromatawai tika i tō āhua. Kaua e manukanuka ki ēnei, ka mahia ēnei hei whakarite kia haumaru, kia angitu hoki te pokanga.

Ka tohutohu tō tākuta kia mutu te tango i ētahi rongoā (ina koa ko ngā rongoā whakaiti toto) i ētahi rā i mua i te pokanga. Ka kī atu hoki ia kia mutu te kai me te inu mai i waenganui pō o te rā i mua i te pokanga.

He aha ngā mea ka tupu i te wā o te pokanga?

Ka tīmata te pokanga i muri i te hoatutanga o te rongoā whakamoe whānui (`(Whakamoe Whānui)`) ki a koe, ā, ka moe koe. Nō reira, kāore koe e mamae. Ka roa pea te pokanga i waenga i te 3 ki te 6 hāora.

Ko te tikanga ka mahia tēnei hei pokanga ngākau tuwhera.

1. Te tapahi: Ka tapahia poutū e te taote pokanga te 6 inihi ki raro i waenganui o tō uma.

2. Te tae atu ki te ngākau: Kātahi ka āta wehea te wheua uma (uma) i waenganui o te uma kia rua kia tae atu ki te ngākau. Whai muri i te pokanga, ka honoa anō tēnei wheua ki ngā waea motuhake, ā, i muri i tētahi wā ka ora pai anō.

3. Te tango i te uaua toto hou: Muri iho, ka tangohia te uaua toto e hiahiatia ana hei hanga i te ara hou mai i tō waewae, ringa, i roto rānei i tō uma.

4. Te waihanga i tētahi ara hou: Hei whakamutunga, ka honoa tētahi pito o te uaua toto ki te uaua matua e kawe ana i te toto i waho o te ngākau, arā, te aorta, ā, ka honoa tētahi pito ki te wāhi kua āraia i raro. I roto i te "triple bypass," ka hangaia ētahi ara hou e toru.

I ētahi wā, ka taea e ngā tūroro tino whiriwhiri te pokanga mā te whakamahi i ngā tapahi iti. Heoi, kāore e pai mō te katoa, ā, mā tō tākuta e whakatau ko tēhea te tikanga pai mōu.

He pēhea te roa o te wā whakaora i muri i te pokanga?

I muri i te pokanga, ka whakawhitia koe ki te wāhanga tiaki nui (ICU). I te nuinga o te wā ka noho koe ki reira mō te pō. I tēnei wā, ka whai ngongo koe i roto i tō waha hei āwhina i a koe ki te manawa, engari ka tangohia tēnei i muri i ētahi haora. Ka aroturukitia tonutia tō tere o te manawa me te toto toto e ngā mīhini.

• Noho hōhipera: Whai muri i te wāhanga tiaki nui, ka whakawhitia koe ki te wāhanga whānui. Ka noho koe ki te hōhipera mō ētahi atu rā e 3 ki te 5.
• I muri i te hokinga ki te kāinga: E ono wiki pea te roa kia tino ora ai. Tērā pea ka roa ake, ka iti iho rānei te wā mō ētahi tāngata.
• Te hikoi: I a koe i te hōhipera, ka tonoa koe kia ara ake i te moenga ka hikoi haere mō tētahi wā poto i muri i te rā kotahi, e rua rānei. Mā tēnei ka tere ake tō ora.
• Te taraiwa: Kaua e taraiwa mō ngā wiki e ono, nā te mea ka roa te wā e ora ai te sternum.
• Te hiki taumaha: Kāore hoki i te tūtohutia kia hikihia he mea taumaha ake i te 4-5 kirokaramu (hei tauira, he pounamu wai nui, he puoto hau iti) i tēnei wā.
• Whakaora i te Manawa: I muri i tō hokinga ki te kāinga, tera pea ka tūtohu tō tākuta i tētahi kaupapa whakakori tinana me te tohutohu motuhake hei āwhina i te whakapakari i tō manawa. He mea tino nui kia whai wāhi atu koe ki tēnei.

He aha ngā painga me ngā mōrearea o tēnei pokanga?

Pērā i ngā pokanga nui katoa, he pai ngā painga o tēnei pokanga, engari he iti anō hoki ngā mōrearea.

Ngā Painga

• Ka ārai i te kino o te ngākau mā te whakahoki mai i te rere o te toto ki te uaua o te ngākau.
• Ka tino heke ngā tohu pēnei i te mamae pinepine o te uma me te poto o te manawa.
• Ka tino pai ake te kounga o tō oranga.Ka taea e koe te mahi me te hikoi me te kore e ngenge.
• Mō ngā tūroro he nui te aukati i te arai o te ihu, ka nui ake te tūponotanga kia roa ake te ora i ērā atu maimoatanga.

Ngā Tūponotanga

Tuatahi, neke atu i te 95% o te hunga e pokanga ana ki te taha o te puku kāore e pāngia e ngā raruraru nui. He tikanga tēnei kua oti pai te whakahaere puta noa i te ao mō ngā tekau tau. Heoi, tera pea ētahi tūroro (ina koa ko te hunga he mate hauora kē atu, ko te hunga rānei e pokangahia ana mō te wā ohorere) he mōrearea pea.

• Te ngoikore o te mahi whatukuhu
• Whiu
• Ngā toto totoka
• Te ārai anō i te oko toto kua whakamahia
• Ngā mate urutā i te wāhi i tapahia
• Ngā rerekētanga o te pā o te ngakau (Atrial Fibrillation)

Ko te tikanga, ko te mōrearea o te mate mai i te pokanga toru-tapahi kua whakaritea he iti iho i te 1%. Ka whakapau kaha tō rōpū hauora ki te whakaiti i ēnei mōrearea.

Āhea koe me toro atu ki te tākuta i muri i tō hokinga ki te kāinga?

Me tino tiaki koe i tō tinana i a koe e ora ana i muri i tō hokinga ki te kāinga. He mea nui kia tūpato mēnā ka puta he tohu o te mate.

Me whakarite hoki kia haere koe ki ngā wā tirotiro katoa e kīia ana e tō tākuta kia haere atu koe i muri i te pokanga. He mea tino nui kia tirohia mēnā kei te ora pai koe, ā, mēnā kei te mahi tika te rongoā.

Te oranga i muri i te pokanga...

Ko tētahi pātai e pātaihia ana e te tini tāngata, "Kia pēhea te roa o te ora i muri i te pokanga arai?" He whakautu pai tēnei. Ahakoa te 10 tau i muri i te pokanga arai, neke atu i te 75% o ngā tūroro kei te ora tonu, kei te ora pai.

• Te whakamutu katoa i te kai paipa me te whakamahi tupeka.
• Te kai i ngā kai hauora, he iti te hinu me te huka i roto, ā, he nui ngā huawhenua me ngā hua.
• Whakakorikori tinana i ia wā, i ia wā, kia rite ki ngā tohutohu a te tākuta.
• Te tango i ngā rongoā kua tohua (te cholesterol, te toto toto tiketike, ngā rongoā whakaheke toto) i te wā tika.
• Te whakahaere i te ahotea.

Ki te tika āu mahi i ēnei mea, ka taea e koe te ora hauora, oraora tonu i muri i te pokanga.