Kia ako tātou mō te Pokanga Tāwhio Toru i roto i tētahi huarahi māmā noa iho.

He mea noa te mataku me te manukanuka ina kī atu tō tākuta me pokanga te taha o te whānau, o te hoa rānei. Ina koa ka rongo koe i te kupu "taha toru", ka nui ake pea taua mataku. "He mōrearea nui te taha toru?" "Ka taea e au te noho noa i muri i tēnei?" He maha pea āu pātai kei roto i tō hinengaro. Nō reira, me kōrero tātou mō tēnei i roto i tētahi huarahi māmā, mārama hoki, hei whakamārama i ō āwangawanga katoa mō tēnei mea.

He aha rawa te tikanga o te pokanga 'takitoru taha'?

Ko te huarahi pai ki te mārama ki tēnei ko te whakaaro ki te pūnga waka i runga i te rori. Whakaarohia e toru ngā rori matua e mau ana ngā waka katoa, ka puta he pūnga waka nui. Nō reira, kāore e taea e koe te tae wawe ki te wāhi e hiahia ana koe ki te haere. Me aha tātou i tēnei wā? Ka whakamahia e tātou ngā rori taha hei karo i aua pūnga waka, tika?

He rite tonu tēnei pokanga. Ko ngā oko toto matua e tuku toto ana ki te ngākau (ngā uaua coronary) ka āraia e ngā putunga ngako me te cholesterol (e kiia ana tēnei e mātou he 'plaque'). I roto i te pokanga 'triple bypass', e toru ngā ara hou ka hangaia mō te rere o te toto, ka karo i ēnei wāhi e toru kua āraia.

Hei mahi i tēnei, ka tangohia e ngā taote pokanga he oko toto hauora mai i tētahi atu wāhanga o tō tinana (mai i tō waewae, ringa, uma rānei o roto) ka whakatōkia, pērā i te 'takahi' hou, huri noa i te wāhi kua āraia i roto i tō ngākau. Mā tēnei ka taea e te uaua o te ngākau te whiwhi toto me te kore he aukati. Ko te ingoa hauora o tēnei mahi ko te 'Coronary Artery Bypass Graft', ko te 'CABG' rānei.

Ko wai te hunga e tūtohutia ana kia mahia tēnei pokanga?

Ko te tikanga, e hiahiatia ana tēnei pokanga mō te hunga e pāngia ana e te mate uaua o te ngākau . Ehara i te katoa, engari mō te hunga whai mate motuhake.

• Mena he nui te aukati i roto i ngā uaua toto matua e tuku toto ana ki te ngākau. Hei tauira, mena neke atu i te 50% o te uaua matua maui, neke atu rānei i te 70% o ngā uaua peka kē atu kua aukatia.
• Mena ka puta mai ngā tohumate auau pēnei i te mamae o te uma (angina) me te uaua ki te manawa i ēnei aukati.
• Mena he nui te mōrearea o te mate manawa.
• Mena he uaua rawa, he whānui rawa rānei te aukati, kāore e taea te rongoā mā te maimoatanga iti ake te whakaekenga pēnei i te angioplasty (he tikanga e whakamahia ai he poihau hei whakawhanui i te uaua toto, ā, ka whakanohoia he stent),

He aha ngā mea ka tupu i mua atu, ā, i te wā o te pokanga?

I muri i te whakatau i te rā mō te pokanga, ka whakaritea e tō tākuta ētahi whakamātautau hei aromatawai pai ake i tō āhua.

Ka tohutohuhia koe kia kaua e kai, e inu rānei i tetahi mea mai i waenganui pō o te pō i mua i tō pokanga. Me mutu pea te tango i ētahi rongoā, pērā i ngā rongoā whakaiti toto, mō ētahi rā.

I te wā o te pokanga

He maha ngā wā ka mahia tēnei hei 'pokanga ngākau tuwhera' . Ka whakamoea katoatia koe (ka whakamoea) ā, ka tīmata te pokanga. Ka tapahia poutū e te taote pokanga te waenganui o tō uma, tata ki te 6 inihi te roa, ka wehea marietia te wheua waenga o tō uma (sternum) kia rua, ā, ka tae ki te ngākau. Kātahi, e ai ki te kōrero i mua ake nei, ka whakamahia he oko toto hauora mai i tō waewae, i tētahi atu wāhanga rānei o tō tinana hei hanga i tētahi ara hou huri noa i te mea kua āraia. Ko te tikanga katoa ka roa pea i waenga i te 3 me te 6 hāora .

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 puritia koe ki te wāhanga tiaki nui (ICU) mō te rā kotahi, ā, ka tirotirohia koe. I tēnei wā, ka whai ngongo kei roto i tō waha hei āwhina i a koe ki te manawa, he ngongo hei tango i ngā wai mai i tō tinana, me ngā mīhini hei aroturuki i ngā mea pēnei i tō tere o te ngakau me te toto toto. Kaua e mataku ki ēnei mea, he mea noa ēnei e mahia ana mō tō oranga.

Ka taea e koe te hoki ki te wāhanga whānui i roto i te rā kotahi, e rua rānei. Tērā pea ka taea e koe te tīmata haere mārire. I muri i tō hokinga ki te kāinga, tera pea e ono wiki , neke atu rānei, ka tino ora ai koe. He mea tino nui kia whai i ngā tohutohu a tō tākuta i tēnei wā.

• Te taraiwa: Kaua e taraiwa kia ora rā anō tō sternum (mō te ono wiki pea).
• Te hiki taumaha: Kaua e hiki i tētahi mea taumaha atu i te 4-5 kg ​​​​(hei tauira, he pounamu wai 5-rita).
• Ngā Rongoā: Ko ngā rongoā pēnei i te 'Aspirin', e hoatu ana hei ārai i te toto totoka, me tango pea mō te wā katoa. Me tango ētahi atu rongoā i runga i ngā tohutohu a te tākuta.
• Whakaora i te Manawa: Ka tohutohuhia hoki koe kia whai i tētahi kaupapa whakangungu whakakori tinana me te oranga motuhake i raro i te tirotiro a ngā tākuta hei whakapakari i tō manawa i muri i te pokanga. He mea nui tēnei.

He tūponotanga kei roto i tēnei pokanga?

Pērā i ngā pokanga nui katoa, he tūponotanga anō kei reira. Heoi, neke atu i te 95% o te hunga e pokanga ana ki te taha o te oko toto kāore e pāngia e ngā raruraru nui. Ko te tūponotanga o te mate he iti iho i te 1%, inā koa me te pokanga kua whakaritea. Ko ngā raruraru pea ko:

• Te ngoikore o te mahi whatukuhu
• Whiu
• Ngā toto totoka
• Te ngoikore o ngā oko toto kua whakatōkia
• Te pangia o te patunga i tapahia
• Te manawa pākiki koretake ('Atrial Fibrillation')

Tērā pea kei roto ngā mea pēnei. Engari he iti rawa te tūponotanga ka puta ēnei mea.

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

Ki te puta mai tētahi o ngā tohu e whai ake nei i muri i te hokinga ki te kāinga, me whakamōhio tonu atu koe ki tō tākuta.

• Te toto, te pūkahukahu rānei mai i te motu
• Kirika
• Kei te piki haere te mamae o te patunga.
• Te pikinga o te tere o te ngakau

Me whakarite hoki kia haere koe ki ngā wāhi rongoā, kia kite i te tākuta i ngā rā kua whakaritea i muri i te pokanga.