He okana whakamiharo tō tātou ngākau e mahi ana. Kei roto i tēnei papu, he kuaha iti hei āwhina i te rere o te toto ki te taha kotahi anake. Ka karangatia ēnei takirere ngākau. Whakaarohia te mea ka puta mēnā kāore tētahi o ēnei kuaha e tuwhera tika, e āraia, e whaiti rānei? Kātahi ka mahi kaha te ngākau ki te papu toto. Ka karangatia tēnei āhuatanga ko te stenosis. Nō reira, i tēnei rā kei te kōrero tātou mō tētahi tikanga maimoatanga kāore i te tino uaua hei whakaora anō i te mahi tika o taua takirere ārai, arā, kia nui ake tōna whakatuwheratanga.
He aha te valvuloplasty, he aha te tikanga?
He tikanga noa te Valvuloplasty hei whakawhānui i te whakatuwheratanga o te takirere ngākau kua whaiti, kua āraia rānei. He tino māmā noa iho. Ka whakamahia e tō tākuta he ngongo iti, angiangi e kiia nei ko te catheter. He poihau iti kei te pito o tēnei ngongo e piri ana ki a ia.
Ka kiia hoki tēnei ko te Balloon Valvuloplasty . Nō reira, ka tukuna tēnei ngongo āhua-poihau mā roto i tētahi o ō uaua toto ki te takirere whaiti i roto i tō ngākau. Kātahi, ina pupuhihia te poihau, ka huakina te takirere whaiti ka nui ake. Kia oti te tikanga, ka pupuhihia te poihau, ā, ka tangohia te ngongo. He tino māmā noa iho, tika?
I ētahi wā ka kiia tēnei he "valvotomy." Heoi, ka whakamahia taua ingoa i ētahi wā mō tēnei tikanga poihau me te pokanga hei whakanui i te takirere mā te whakamahi i te pokanga ngākau tuwhera. Heoi, i roto i te "valvuloplasty" e kōrerohia ana e tātou i tēnei rā, kāore he tapahi nui e mahia.
He aha ngā āhuatanga e whakamahia ai tēnei maimoatanga?
Ko te nuinga o tēnei maimoatanga he whakawhanui i te takirere o te ngākau kua whaiti (stenosis). Ka taea tēnei te mahi i runga i tētahi o ngā takirere matua e whā o te ngākau. Heoi, ko tēnei maimoatanga te nuinga o te wā e whakamahia ana mō te whakawhāiti i te takirere mitral me te takirere aorta .
Whakaarohia pēnei. I ētahi wā, he otinga rangitahi tēnei. Arā, i muri i tēnei maimoatanga, tera pea ka ora koe mō tētahi wā, ā, i muri mai, me mahi pea koe i tētahi pokanga hei whakauru i tētahi takirere hou (whakakapinga takirere).
Ko te mea nui, ehara te valvuloplasty i te whakawhitinga takirere ngākau hou. Ka whakatika noa i te takirere o nāianei, ka whakanuia hoki tōna pūaha.
Me pēhea taku whakarite i mua i te maimoatanga?
Mā tō tākuta koe e tohutohu mārama mō te whakarite mō tēnei. Ko te tikanga, me mahi e koe ēnei e whai ake nei:
- Kaua e kai, kaua e inu i tetahi mea i te pō i mua i te maimoatanga (te nohopuku).
- Mena kei te tango koe i ngā rongoā whakaiti toto (anticoagulants), me mutu te tango i aua rongoā mō tētahi wā, e ai ki tā tō tākuta.
- Tangohia ngā whakapaipai me ngā wati whakarewa ka waiho ki te kāinga.
Ina haere koe ki te hōhipera, ka hoatu e te tīma hauora he rongoā whakamoe (anesthesia) hei āwhina i a koe kia marino. I te nuinga o te wā, ka ara ake koe i te wā e rongoatia ana, engari kāore koe e rongo i te mamae.
He aha ngā mea ka tupu i te wā e rongoatia ana?
Mā te tākuta ngakau tēnei tikanga pokanga poihau e mahi. E tata ana ki te haora, neke atu rānei te roa. Me titiro tātou ki ngā mea ka puta i tēnei tikanga.
| Ngā Hipanga | He whakamārama māmā mō ngā mea e tupu ana |
|---|---|
| 1. Te whakauru i te ngongo | Ka whakaurua e te tākuta he ngongo iti e kīia ana he pūhera ki roto i tētahi oko toto nui i roto i tō hope, ringa, pakihiwi rānei. |
| 2. Te tuku i te catheter | I roto i taua ngongo, ka tukuna marietia he katitere me te ngongo kei te pito i te uaua toto e anga atu ana ki te ngākau. |
| 3. Te tiaki i te rori | Hei kite mārama i te ara o tēnei ngongo mā roto i ngā oko toto, ka werohia he momo 'tae rerekē' motuhake. Mā tēnei tae ka kitea te roto o ngā oko toto ina tirohia ki te mīhini pērā i te hihi-X. |
| 4. Te pupuhi poihau | Ina tae te katitere ki te wāhi tika o te takirere kua āraia, ka pupuhihia te poihau, ka huaki, ka whānui hoki te takirere kua āraia. |
| 5. Te tango i te ngongo | Kia whakawhanuitia te takirere, ka whakaititia te pūangi, ā, ka tangohia marietia te katitere me te pūangi. |
| 6. Te kati i te patunga | Ka katia te wāhi i werohia ai te ngongo ki tētahi tuitui iti, ki tētahi momo kāpia pokanga motuhake rānei. |
I ētahi wā, mēnā he tūponotanga kei te toto, mēnā rānei me tatari koe kia memeha haere ngā rongoā whakangawari toto, ka waiho te ngongo tuatahi i whakaurua, e kiia nei ko te 'hipoki', kia ono hāora pea, kātahi ka tangohia.
He aha ngā painga me ngā mōrearea o tēnei maimoatanga?
Pērā i ngā maimoatanga hauora katoa, he painga, he mōrearea anō hoki. Mā tō tākuta ēnei e whakamārama taipitopito atu ki a koe i runga i tō āhua hauora.
| Ngā Painga | Ngā tūponotanga pea |
|---|---|
| Ka pai ake te rere o te toto, ā, ka iti ake te mahi a te ngākau ki te pupuhi toto. | Mate pāwera ki te tae. |
| Tērā pea ka taea te whakaroa, te karo rānei i te pokanga whakakapinga takirere. | Te putanga mai o ngā mate pāwera. |
| Ka tere ake tō ora ake i tō te pokanga ngākau tuwhera. | Te toto. |
| Kāore e waiho he koha nui ki te tinana. | Te kino ki te oko toto, ki te ngākau rānei. |
| He iti te mōrearea o ngā raruraru. | He turuturu mai i te takirere. |
| He tino ngawari te mamae. | Kātahi ka whaiti anō te takirere. |
| Ngā rerekētanga o te pā o te ngākau. | |
| Te whakaeke ngakau, te whiu rānei (he tino onge) |
He aha te mea ka tupu i muri i te maimoatanga?
Kia oti te maimoatanga, ka whakawhitia koe ki te wāhi whakaora. Ka whakatakotoria he takai ki te wāhi i whakaurua ai te catheter.
- Mena i whakaurua te catheter mā roto i te hope, me pupuri tō waewae kia tika mō ētahi haora. I te nuinga o te wā me noho koe ki te moenga mō ngā haora e rua ki te ono.
- Ka kīia atu ki a koe kia nui te wai e inumia ana . Mā tēnei ka āwhina i te tango i te tae i whakaurua ki roto i tō tinana mā roto i tō mimi.
- Ki te hiahia koe ki te mimi i a koe e takoto ana i runga i te moenga, me whakamahi koe i tētahi taputapu motuhake (mimi/bedpan) hei mahi i tēnā.
- I muri i ētahi haora ka taea e koe te ara ake me te hikoi.
- Ka taea e te nuinga o te tangata te hoki ki te kāinga i te aonga ake tonu atu .
Kia pēhea te roa o te wā e ora ai?
Kei runga i ētahi āhuatanga tēnei, pērā i tō hauora whānui me te āhua o te ngākau.
- Me karo koe i ngā mahi taumaha pēnei i te mahi me te kaukau mō te rima ki te whitu rā .
- Ka taea e te nuinga o te tangata te hoki ki te mahi i roto i te wiki pea . Heoi, ki te hiahia tō mahi ki te whakapau kaha tinana, ka tohutohu pea tō tākuta kia okioki koe mō tētahi wā roa ake.
- E waru wiki pea te roa hei hoki ki tō oranga noa.
- Ka tonoa koe kia hoki mai anō mō tētahi tirotiro hauora i roto i te 3-6 marama i muri i te maimoatanga. Whai muri i tēnā, me toro atu koe ki te tākuta i te nuinga o te wā kotahi i te tau.
Ahea te wā me waea atu ahau ki te tākuta?
Ina hoki koe ki te kāinga i muri i te maimoatanga, kia aro nui ki tō tinana. Mēnā ka pāngia koe e tētahi o ngā tohu e whai ake nei, kaua e whakaroa, me whakapā atu ki tō tākuta tonu.
| Ngā tohu ohorere hei tūpato | |
|---|---|
| - Mamae o te uma | - Te mātao me te kirika |
| - Te ngoikore / Te koretake o te manawa | - He wai, he toto rānei mai i te wāhi i werohia ai |
| - Whakapairuaki, ruaki rānei | - Te piki haere o te mamae, te pupuhi rānei |
| - Te pikinga taumaha neke atu i te 1.5 kg (3 lbs) i te rā kotahi (he tohu pea tēnei kei te pupuri wai) | |
Mō te pokanga ngākau, he mea noa te māharahara, ahakoa ehara i te pokanga tuwhera. He huarahi pai te Valvuloplasty hei whakaroa i te hiahia mō te takirere hou. Engari ehara i te maimoatanga kotahi mō te katoa. Mena he pātai āu mō te tikanga poihau, kaua e mangere ki te pātai ki tō tākuta.
Karere Tangohia ki te Kāinga
- He tikanga māmā noa te Valvuloplasty, kāore e pokanoa, e whānui ai te takirere ngākau kua whaiti mā te whakamahi i tētahi poihau.
- Ehara tēnei i te mea mō te tāuta i tētahi takirere hou, engari mō te whakatika i te takirere o nāianei.
- Ko ngā painga matua ko te tere o te ora, te iti o te mamae, me te iti o te koha i te pokanga ngākau tuwhera.
- Ki te pāngia koe e ngā tohu pēnei i te mamae o te uma, te kirika, te pupuhi nui rānei i muri i te maimoatanga, me whakamōhio tonu atu ki tō tākuta.
- Kōrero mārire ki tō tākuta ngakau mō te tika o tēnei maimoatanga māu, me ōna painga me ōna mōrearea.
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