Kua whaiti ō takirere manawa? Me kōrero tātou mō te valvuloplasty!

He rite tō tātou ngākau ki ngā rūma e whā i roto i te whare. He tatau kei waenganui i ēnei rūma e taea ai e te toto te rere whakamuri, whakamuri. Ka karangatia ēnei e tātou ko ngā "Takarere o te Ngākau". I ētahi wā, kāore ēnei tatau e tuwhera tika, ā, ka whaiti. Kātahi ka mahi kaha te ngākau ki te pupuhi toto. I tēnei rā, e kōrero ana tātou mō tētahi tikanga maimoatanga e whakamahi ana i tētahi mea pērā i te poihau hei whakawhanui i tētahi takirere whaiti.

He aha tonu te valvuloplasty?

He whakarāpopototanga noa iho, ko te Valvuloplasty he tikanga e whānui ake ai, e whakanui ake rānei i te takirere ngākau kua whaiti. Ka mahia tēnei hei aukati i te aukati i te rere o te toto ina kore te takirere ngākau e mahi tika.

Ka kiia hoki tēnei ko te 'Balloon Valvuloplasty'. Ko te take mō tēnei, ina whakahaerehia tēnei maimoatanga e tō tākuta, ka whakamahia e ia he ngongo tino angiangi ('Catheter') me te poihau iti e piri ana ki te pito. Ka tukuna tēnei ngongo ki roto i te takirere whaiti i roto i tō ngākau, ā, ka pupuhihia te poihau. Kātahi ka whānui te takirere whaiti, ka taea ai te rere ngāwari anō o te toto.

Ka karangatia hoki tēnei e ētahi he 'Valvotomy'. Ka karangatia hoki tēnei maimoatanga poihau he 'Open-heart surgery' hei whakawhanui i te takirere. Engari i tēnei rā ka kōrero tātou mō te tikanga poihau kore-pokanga.

I roto i ngā āhuatanga hea e hiahiatia ai tēnei maimoatanga?

Ko te Valvuloplasty he tikanga e mahia ana hei whakawhanui i te takirere o te ngākau ina whaiti (stenosis). Ka taea tēnei tikanga te mahi i runga i tētahi o ngā takirere e whā o te ngākau. Heoi, ko te nuinga o te wā ka mahia i runga i ngā takirere e rua, arā, ko te Mitral me te Aortic.

Me pēhea te 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 (nohopuku).
• Mena kei te tango koe i ētahi rongoā, pērā i ngā rongoā anticoagulants, katihia kia rite ki ngā tohutohu a tō tākuta.
• Waiho ngā whakapaipai whakarewa me ngā niho rūpahu ka taea te tango ki te kāinga.

Ina haere koe ki te hōhipera, ka hoatu e te tīma hauora he rongoā (`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 ka mahia e rātou nga mea katoa kia kore ai koe e pāngia e te mamae.

Me pēhea te mahi a te maimoatanga i te taahiraa i te taahiraa

Ka whakahaerehia tēnei maimoatanga e te tākuta ngakau. E kotahi hāora, neke atu rānei te roa. Anei ētahi mea ka puta i te wā o te maimoatanga:

1. Ka whakaurua he ngongo tino angiangi (he hipoki) mā roto i tētahi uaua toto nui i roto i tō hope, i tō ringa, i tō pakihiwi rānei.

2. Kātahi ka tukuna he catheter me te poihau kāore anō kia pupuhi i te pito mā roto i te ngongo i whakaurua i mua ki roto i te ngākau.

3. Ka arahina tēnei katitere ki te wāhi tika, ā, ka werohia he wai motuhake (tae rerekē) i a ia e mātakihia ana mā te whakamahi i ngā hangarau whakaahua pēnei i ngā hihi-X.

4. Ina tae te katitere ki te takirere whaiti, ka pupuhihia te poihau ki te hau. Kātahi ka whānui te takirere whaiti.

5. Kātahi ka whakaitihia te hau i roto i te poihau, ā, ka tangohia te katitere me te poihau.

6. Hei whakamutunga, ka katihia te wāhi whakauru catheter ki tētahi tuitui iti, ki tētahi momo kāpia motuhake rānei.

I ētahi wā, mēnā he tūponotanga kei te toto, ka taea te waiho i te hipoki i whakaurua tuatahitia ki tōna wāhi mō te ono hāora.

He aha ngā painga me ngā mōrearea?

Pērā i ngā maimoatanga hauora katoa, he painga, he mōrearea anō hoki. He mea nui kia mārama pai ki ngā mea e rua.

Ko ngā āhuatanga mōrearea motuhake e pā ana ki a koe, e whakawhirinaki ana ki tō hauora whānui, nō reira kia tuwhera ki tō tākuta tēnei mea, me te pātai atu i ō pātai.

Te wā whakaora i muri i te maimoatanga

I muri i te maimoatanga, ka haria koe ki te wāhi whakaora. Ka whakatakotoria he takai ki runga i te wāhi i whakaurua ai te catheter.

Te wā i noho ai i te hōhipera

Mena i whakaurua te catheter mā roto i te hope, kāore koe e whakaaetia kia piko i tō waewae mō ētahi hāora. Me noho koe ki te moenga mō ngā hāora e rua ki te ono. Me inu koe i te nui o ngā wai hei āwhina i te tae i whakamahia kia tere te wehe atu i tō tinana. Mena me mimi koe i tēnei wā, me whakamahi koe i tētahi taputapu motuhake (mimi/bedpan). I muri i ētahi hāora, 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 rā e whai ake nei.

I muri i te hokinga ki te kāinga

Ko te roa o te whakaoranga ka whakawhirinaki ki ngā mea pēnei i tō hauora whānui.

• Me karo i ngā mahi uaua me te kaukau mō ngā rā e rima ki te whitu.
• Ka taea e te nuinga o te tangata te hoki ki te mahi i roto i te wiki pea, engari ki te hiahia tō mahi ki te whakakorikori tinana, me tatari pea koe mō tētahi wā roa ake.
• E waru wiki pea te roa hei hoki ki tō oranga noa.
• Ka whai ake te tirotiro i muri i te 3-6 marama i muri i te maimoatanga. Whai muri i tēnā, me toro atu koe ki te tākuta kotahi i te tau.

Āhea te waea atu ki te tākuta tonu

I muri i te hokinga ki te kāinga, ki te puta mai tētahi o ngā tohu e whai ake nei i a koe, me waea atu tonu koe ki tō tākuta . I ētahi wā, me haere pea koe ki te Tari Whawhati Tata (ETU) o te hōhipera tata.

• Mamae o te uma
• Te makariri, te kirika rānei
• Te whanoke, te ngoikore rānei (`Syncope`)
• He wai, he toto rānei mai i te wāhi i whakaurua ai te catheter
• Whakapairuaki, ruaki rānei
• Mena kei te kino haere te mamae, te pupuhi rānei
• Mena ka piki ake tō taumaha tinana neke atu i te 1.5 kg (3 lbs) i te rā

Mō te pokanga ngākau, he mea noa te māharahara, ahakoa ehara i te pokanga tuwhera. Ka taea e te Valvuloplasty te āwhina i a koe ki te whakaroa i te pokanga whakakapinga takirere ngākau. Engari ehara i te mea he maimoatanga kotahi mō te katoa. Ka arotakehia e tō tākuta tō āhua, ā, ka whakatau ko tēhea te mea pai mōu.