He aha te Pakaru o te Pare Atrial? Tohutohu, Take, me te Maimoatanga

Ko te pakaru o te pare atrial (ASD) he rua kei te pakitara e wehe ana i nga ruma e rua o runga o tou ngakau. Ko tenei pakitara, e kiia nei ko te septum, i te tikanga ka pupuri i te toto e nui ana te oksikena kei te taha maui kia wehe ke atu i te toto iti te oksikena kei te taha matau.

Ina pangia koe e te ASD, ka rere etahi toto mai i te atrium maui ki te atrium matau i roto i tenei tuwhera. Ko te tikanga tenei me mahi kaha ake tou ngakau ki te pupuhi toto ki ou ngakau me tou tinana. Ko te rongo pai ko te nuinga o te hunga e pangia ana e nga ASD iti e ora ana i te ora noa, a ko nga mea nui ake ka taea te whakaora pai.

He aha te pakaru o te pare atrial?

Ko te pakaru o te pare atrial he 'whakawhitiwhiti korero' i waenganui i nga ruma e rua o runga o te ngakau e kore e tika kia noho. Whakaarohia he matapihi i kore e kati tika i te wa e whanau mai ana te ngakau i mua i te whanautanga.

E wha nga ruma o tou ngakau - e rua nga ruma o runga e kiia nei ko nga atria me nga ruma e rua o raro e kiia nei ko nga ventricles. Ko te septum te mahi rite ki te pakitara pakari i waenganui i nga taha maui me te matau. Ina he ASD, kei tenei pakitara he tuwhera e tuku ana i te toto kia ranea i waenganui i nga ruma.

Kei te noho tenei ahuatanga mai i te whanautanga, na reira ka kiia e nga taote he ngoikoretanga o te ngakau whanau. Ko tetahi o nga momo ngoikoretanga o te ngakau tino noa, e pa ana ki te 1 o ia 1,500 pepeha e whanau ana.

He aha nga momo pakaru o te pare atrial?

He maha nga momo ASD, a ka whakarōpūhia ki te wahi o te rua kei roto i te septum. He mea nui te waahi na te mea ka pa ki te pehea e pa ai te ngoikoretanga ki tou ngakau me nga whiringa maimoatanga pai rawa atu.

Koinei nga momo matua me mohio koe:

• Te ASD o te Arā: Ko te momo tino noa tenei, kei waenganui o te pakitara. E 70% pea te nui o ngā ASD katoa, ā, he pai tonu ngā hua.
• Te ASD o mua: Kei raro o te pakitara, he iti ake te noa o tēnei momo, engari ka hono pea ki ngā raruraru i ngā waewae o te ngakau.
• Te ASD o te ngākau: Kei runga o te pakitara, he momo onge tenei, ka hono pea ki ngā hononga kē o ngā uaua e whakahoki ana i te toto ki te ngakau.
• Te ASD o te uaua koroni: Ko te momo tino onge, kei te wāhi e tutaki ana te uaua koroni (he uaua e whakaheke ana i te uaua o te ngakau) ki te atria matau.

Ka rere kē te aro turuki, te rongoā rānei mō ia momo. Mā tō tākuta e whakamahi ngā whakamātautau whakaahua hei whakatau i te momo kei a koe, ā, hei hanga i te mahere tiaki tino pai.

He aha ngā tohu o te ngoikoretanga o te pakitara atria?

He tokomaha ngā tāngata he ASD iti kei a rātou kāhore he tohu, ā, kāhore pea rātou e mōhio kei a rātou te mate tae noa ki te kitea i te whakamātautau noa. Heoi, ko ngā ngoikoretanga nui ake, ko ngā mea e puta ana ngā raruraru i te wā, ka puta ai ngā tohu e kitea ana.

Ka rere kē ngā tohu ka pā ki a koe, kei te rahi o te ngoikoretanga, me te nui o te mahi tahi a tō ngakau. Ko ēnei ngā mea hei titiro:

• Te poto o te manawa: Ātaahua i ngā mahi tinana, i te wā e whakangungu ana rānei, i te mea ka ngākau nui tō ngākau ki te whakatutuki i ngā hiahia o to tinana ki te hāora
• Te ngenge, te wīwī rānei: Ka tino wīwī atu koe i te mea noa, ahakoa ngā mahi o ia rā
• Ngā mate manawa maha: Pēnei i te mate huango, te bronchitis rānei, nā te nui o te toto e rere ana ki ngā pūkahukahu ka kaha ake ai te mate
• Te pupuhi o te ngākau: Te āhua kei te oma, kei te rere, kei te whiti rānei tō ngākau
• Te pupū: Ātaahua ki ō waewae, ō rekereke, ō waewae rānei, ka puta mai i te kore e kaha te ngākau ki te pupuhi toto
• Te kore o te tipu i ngā tamariki: Ka kore pea e piki te taumaha o ngā tamariki me ngā ASD nui ake, kāore rānei e tipu penei i te mea e tumanakohia ana

He mea nui kia mōhio ko ngā tohu e kore e puta rawa kia tae rawa ki te pakeketanga, ahakoa he iti te rahi o ngā hapa. Ka kite tuatahi etahi i ngā tohu i ō rātou tau 30, 40, i muri mai rānei, ina tīmata te ngākau ki te whakaatu i ngā tohu o te mahi nui ake i mau ai mō ngā tau.

He aha te take o te ngoikoretanga o te septal atrial?

Ka whanake ngā ngoikoretanga o te septal atrial i ngā wā tino tīmata o te haputanga ina hangaia ana te ngākau o tō pēpi. Kāore i te marama tonu te take tika, engari ka puta mai i te kore o te tukanga noa o te whanaketanga o te ngākau e haere tonu penei i te mea e tumanakohia ana.

I roto i ngā wiki tuatahi e 8 o te haputanga, ka tīmata te ngākau hei pūpoi ngāwari ka whakawhanakehia kia waiho hei okana whā-ruuma. Ka hanga te septum i te tipu o te kiko hei wehe i ngā taha maui me te matau. I etahi wā, kāore tēnei kiko e tupu katoa, kāore rānei i te tauira tika, ka waiho he tuwhera.

He maha ngā take ka pā ki tēnei tukanga, ahakoa te whai i ēnei take morearea kāore e whakamana ka whiwhi tō pēpi i te ASD:

• Ngā take irahiko: Ka taea e ngā ASD te rere i roto i ngā whānau, e whakaatu ana i tētahi waahanga irahiko
• Ngā āhuatanga o te whaea: Ngā mate pukupuku i te wā hapu, te mate huka, te mate rānei o te whaea
• Rongoā: Ngā rongoā tākuto e inu ana i te wā hapu o te tīmatanga, inā te nuinga o ngā rongoā hopu
• Te inu waipiro, te whakamahinga rongoā rānei: Ka pā te whakamahinga o ngā matū i te wā hapu ki te whanaketanga o te ngakau
• Ngā rerekētanga karōmio: Ngā āhuatanga penei i te mate Down e hono ana ki ngā reiti teitei o ngā hapa o te ngakau

Heoi, i te nuinga o ngā take, ka puta ngā ASDs kia kore ai he take e taea te tautuhi. Kāore i te mea i mahi koe, i kore rānei i mahi i te wā hapu – heoi noa iho te whanaketanga o te ngakau i aua wiki tīmatanga nui.

Nōhea te toro atu ki te taote mō te ngoikoretanga o te pakitara o te atria?

Me whakapiri atu koe ki tō taote mēnā ka pāngia koe e ētahi tohu e āhei ana te whakaatu i tētahi raruraru ngakau, inā te nuinga mēnā he hou, he kino ake rānei. Ka āhei te aromatawai wawe ki te whakatau mēnā kei a koe he ASD, he āhuatanga ke atu rānei e hiahia ana ki te aro.

Rapua te tiaki hauora mēnā ka kite koe i te poto o te manawa kāore i te noa mōu, inā te nuinga mēnā ka puta i ngā mahi noa i whakahaere ngāwari koe i mua. Ko te ngenge tonu kāore e pai ake ki te okioki tētahi tohu nui atu hei kōrero ki tō kaiwhakarato hauora.

Ko ēnei ngā āhuatanga motuhake e tika ai te whakarite i te hui:

• Te poto o te manawa kaore i te marama: Āta whakarongo mena ka kaha ake te kino, ka iti ake rānei te mahi i mua i te puta mai
• Te mamae o te uma, te kore ranei e pai: Me aromatawai te mamae o te uma, ina koa ki te hono atu ki te mahi
• Te ngākau tere: Ki te rongo koe i te tere o tō ngākau, te tukinga ranei, te wiri ranei i ia wā
• Te pupū: Te pupū hou i ō waewae, i ō turi, i ō waewae, i tō kopu rānei
• Te maha o ngā mate manawa: Ki te maha atu te mate huhu, te bronchitis rānei i te mea noa
• Te whānau: Ki te whai koe i te whānau o ngā hapa o te ngākau whānau, ā, kāore ano koe i whakamātau

Mena ka pāngia koe e te mamae nui o te uma, te poto o te manawa, te ngaro rānei o te ngakau, rapuhia te tiaki hauora ohorere tonu. He tohu pea enei o ngā raruraru nui e hiahia ana ki te tiaki wawe.

He aha ngā take morearea mō te ngoikoretanga o te pakitara o te atria?

Mai i ngā ahuatanga whānau o ngā ASD e whānau mai ana i mua i te whānautanga, ko ngā take morearea e pā ana ki ngā mea ka pā ki te whanaketanga o te ngākau i te wā hapu. Ka āwhina te mārama ki ēnei take ki te whakamārama he aha ētahi pēpi i whānau mai ai me ngā ASD, ahakoa he maha ngā take kaore he take morearea e taea te kitea.

Ka taka ngā take morearea ki ētahi wāhanga, ā, ko te whai i tetahi, i te maha rānei, ehara i te tikanga ka whai to tamaiti i te ASD. Koinei ngā mea kua kitea e te rangahau:

• Hītori whānau: Ko te whai mātua, rāua rānei teina, e pangia ana e te ngoikoretanga o te ngākau whānau, ka piki ake te tūponotanga
• Ngā āhuatanga ira: Ka hono te mate Down me ētahi atu rerekētanga o te karōmeihana ki ngā reiti teitei o ngā ngoikoretanga o te ngākau
• Te pakeketanga o te whaea: He iti te piki ake o te tūponotanga o ngā wāhine neke atu i te 40 tau ki te whānau tamariki e pangia ana e ngā ngoikoretanga o te ngākau
• Ngā āhuatanga hauora o te whaea: Te mate huka, te mate lupus, te phenylketonuria rānei (PKU) i te whaea
• Ngā mate i te wā hapu: Ka pā te rubella (te mate mimi Pakeha) i te tīmatanga o te toru marama tuatahi ki te whanaketanga o te ngākau
• Te whakamahinga rongoā: Ngā rongoā anti-seizure, ētahi rongoā acne, me te lithium i te wā hapu
• Te whakamahinga matū: Te inu waipiro, te whakamahinga rongoā ture kore rānei i te wā hapu

He mea tika te kōrero ko ngā ASD he maha ake i roto i ngā wāhine i ngā tāne, ahakoa kāhore ngā tākua e tino mōhio he aha. E teitei ana te āhua o te āhuatanga ki ētahi wāhanga ira, i te mea ka rere i roto i ngā whānau, engari kāhore te tauira tuku i te mārama.

He aha ngā raruraru pea o te ngoikoretanga o te septal atrial?

Kāore ngā ASD iti e tino whakaputa i ngā raruraru, ā, pea kāore rawa e hiahiatia te rongoā. Heoi, ko ngā ngoikoretanga nui ake, ko ngā mea kaore i te rongoātia mo ngā tau maha, ka āhei te arahi ki ngā raruraru i te mea ka mahi kaha ake tō ngākau me ō ngā manawa i te wā.

Ka whanake haere ngā raruraru, i te nuinga i roto i ngā tekau tau, koia te take kāore etahi tangata e wheako i ngā raruraru tae noa ki te pakeke. Ko te mārama ki ēnei take pea ka āhei te awhina i a koe ki te mahi tahi me tō tākua hei aukati, hei whakahaere rānei i a rātou.

Ko ēnei ngā raruraru matua hei matapaki:

• Te whākōkī o te ngākau matau: Ko te rere o te toto nui ake e whakapau kaha ai te taha matau o tō ngākau, ā, e tō te whākōkī anō
• Te toto teitei o ngā pūkahukahu: Ka piki ake te pehanga o ngā oko toto o ngā pūkahukahu i te nui haere o te rere o te toto ki ngā pūkahukahu
• Ngā āhuatanga o te ngākau kore-tūturu: Ka noho hei mea noa ake ngā āhuatanga o te ngākau kore-tūturu,inā te wiri o te atria, i te wā e koroheke haere ana koe
• Te korenga o te ngākau: I te roa o te wā, ka ngoikore te kaha o tō ngākau ki te pupuhi tika i te wā e nui haere ana te mahi
• Te tūponotanga o te pēhanga: Ka taea e ngā kōe toto te haere atu i te ASD, ā, te haere ki te roro
• Te mate a Eisenmenger: He āhuatanga onge engari he kino, kei reira te pehanga o ngā pūkahukahu teitei e tahuri ai te rere o te toto i roto i te hapa

Ko te rongo pai, ko te nuinga o ēnei raruraru ka taea te ārai i te whai tikanga tika me te rongoā. Ko te whai tonu i tō tākuta ngākau e āwhina ana ki te hopu i ngā huringa i te tīmatanga, i te wā e taea ai te rongoā.

Me pēhea te ārai i te ngoikoretanga o te pakitara o te atria?

I te mea he ngoikoretanga ngākau whānau ngā ASD e whānau mai ana i te wā hapu, kāhore he huarahi kī hei ārai i a rātou. Heoi, he maha ngā mahi ka taea e koe i mua i te wā hapu, me te wā hapu hoki, hei whakaiti i te tūponotanga o ngā ngoikoretanga ngākau whānau.

Ko te arotahi ki te pupuri i te hauora pai i te wā hapu, me te karo i ngā take morearea e mohiotia ana, ki te taea. Ko ēnei mahi e tautoko ana i te whanaketanga hauora o te pēpi, tae atu ki te hanganga tika o te ngākau i aua wiki tīmatanga nui.

Ko ēnei ngā mahi ārai e taea ai te āwhina:

• Tango te waikawa fōrikū: Tīmata te tango i te 400 o ngā maikuku i te rā, te iti rawa i te marama kotahi i mua i te ngana ki te whānau, ā, kia haere tonu i te wā hapu
• Whakahaere i ngā āhuatanga mate pūmau: Kia pai te whakahaere i te mate huka, te toto teitei, me ētahi atu āhuatanga hauora i mua i te wā hapu, ā, i te wā hapu hoki
• Kaua e whakamahi i ngā mea kino: Kaua e kai hikareti, inu waipiro, kāore rānei e whakamahi i ngā rongoā kūpapa i te wā hapu
• Arotake i ngā rongoā: Kōrerohia ngā rongoā me ngā taapiri katoa ki tō tākuta i mua i te hapu
• Tango i ngā werohinga: Kia mau tonu ki ngā werohinga, ina koa mō te rubella, i mua i te hapu
• Kia tau te taumaha hauora: Ko te noho i te taumaha hauora i mua i te hapu ka whakaiti i ngā tūponotanga maha
• Tohutohu ira: Whakaarohia te tohutohu mena kei a koe te hītori whānau o ngā hapa o te ngākau

Mēnā kei a koe kē te ASD, ka āta whakaarohia te aukati i ngā raruraru mā te tiaki hauora noa, te noho mahi i te mea i tūtohuhia e tō tākuta, me te whakaora wawe i ngā āhuatanga e hono ana.

Pehea te whakamārama i te ngoikoretanga o te pakitara o te atria?

Ko te whakamārama i te ASD ka tīmata pinei i te wa e rongo ai tō tākuta i te tangi koretake e kiia nei he ngākau ngākau i te whakamātautau tinana noa. Ko tēnei ngākau ngākau te take o te rere toto pōrearea puta noa i te ngoikoretanga, ahakoa ehara ngā ASD katoa i te take o ngā ngākau ngākau e taea te whakarongo.

I etahi wā ka kitea ngā ASD i te wa e aromatawaihia ana koe mō ngā tohu penei i te poto o te manawa, te ngenge rānei. I ētahi atu wā, ka kitea ngāwari i ngā whakamātautau i mahia mō ētahi take, penei i te X-ray uma, te echocardiogram rānei i mahia mō tētahi atu āhuatanga.

Ka whakamahi tō tākuta i ngā whakamātautau maha hei whakau i te whakamārama me te mārama ki ngā kōrero mō tō āhuatanga:

• Te whakaahua-ā-roto o te ngakau (Echocardiogram): Ko te whakaahua-ā-roto o tō ngakau, he whakamātautau matua tēnei hei whakamārama i ngā ASD. Ka whakaatuhia te rahi me te wāhi o te hapa, me te nui o te toto e rere ana i roto i te hapa.
• Te X-ray o te uma: Ka taea te whakaatu mena kei te nui tō ngakau, kei te rerekē rānei ō ngā pūkahukahu i te nui o te toto e rere ana.
• Te whakaahua hiko o te ngakau (Electrocardiogram, ECG): Ka tuhi i te mahi hiko o tō ngakau hei tirotiro i ngā raruraru o te auau, i ngā tohu rānei o te nui o te ngakau.
• Te whakato o te ngakau (Cardiac catheterization): Kaore e hiahiatia te nuinga o te wā mō te whakamārama, engari ka whakamahia etahi wā hei ine i ngā pēhanga i roto i tō ngakau me ō ngā pūkahukahu.
• Te tā CT, te tā MRI rānei: Ka taea te whakamahi hei whiwhi i ngā whakaahua taipitopito o te hanganga o tō ngakau, ina koa ki te whakaarohia te pokanga.
• Te whakaahua-ā-roto o te ngakau (Transesophageal echocardiogram): Ka tukuna he rōpū whakaahua-ā-roto motuhake i raro i tō korokoro hei whiwhi i ngā whakaahua mārama ake o tō ngakau.

Ko te tukanga whakamārama he ngāwari tonu, he kore mamae. Mā tō kaitātari ngakau e whakamahi i ēnei whakamātautau hei whakatau, ehara i te mea kei a koe he ASD, engari te rahi, te momo, me te mea kei te puta mai he raruraru e hiahia ana ki te rongoā.

He aha te rongoā mō te hapa o te pakitara o te atria?

Ko te rongoā mō ngā ASD e whakahaeretia ana e te maha o ngā take, tae atu ki te rahi o te hapa, te mea kei a koe ngā tohu, me te āhua o te whakautu o tō ngakau ki te mahi tāpiri. Ko ngā ASD iti kaore e puta he raruraru, kaore e hiahia ki tetahi rongoā atu i te tirotiro noa.

Mā tō kaitātari ngakau e mahi tahi me koe hei whakatau i te huarahi pai e rite ana ki tō āhuatanga motuhake. Ko te whāinga ko te aukati i ngā raruraru me te pupuri i tō kounga ora, a he tokomaha ngā tāngata he ASD e ora ana i ngā oranga noa katoa me te whakahaere tika.

Ko ēnei ngā kōwhiringa rongoā matua e wātea ana:

• Te tatari atawhai: Te aro turuki tonu me ngā echocardiograms mena he iti te ASD, kāore hoki e pāngia e ngā tohu
• Rongoā: Ngā rongoā hei whakahaere i ngā tohu pēnei i ngā whiu ngākau kē, i te kore o te ngākau, ahakoa kāore e kati te hapa
• Te kati mā te catheter: He tukanga iti te whakawhāiti i te whakauruhia ai he taputapu kati mā te oko toto hei hiri i te hapa
• Te whakatikatika pokanga: Te pokanga ngākau tuwhera hei kati i te hapa mā te papatahi, mā te tuitui rānei tika
• Ngā tukanga hybrid: Ngā huarahi whakakotahitanga e whakamahi ana i ngā hangarau catheter me ngā hangarau pokanga

He mea nui te wā o te maimoatanga. Kua katitia inaianei te nuinga o ngā ASD ahakoa i mua i te puta mai o ngā tohu mena he nui te rahi, he mea nui hoki, nā te mea ka taea te aukati i ngā raruraru a muri ake nei. Ka whakaarohia e tō tākuta ngā take pēnei i tō tau, tō hauora whānui, me ngā āhuatanga motuhake o tō hapa ina tūtohutia te maimoatanga.

Me pēhea te whakahaere i te ngoikoretanga o te septal atrial i te kāinga?

Ko te whakahaere i te ASD i te kāinga e arotahi ana ki te pupuri i te hauora whānui pai me te whai i ngā tūtohu a tō tākuta. Ki te tini o te hunga he iti ngā ASD, koinei pea te tikanga o te noho i te oranga noa, mahi, me ngā tirotiro auau.

Ko te mea nui ko te mahi tahi me tō rōpū hauora hei mārama ki ngā mahi e haumaru ana mōu, me ngā tohu hei titiro atu. Ka taea e te nuinga o te hunga he ASD te whakauru ki ngā mahi whakakori tinana me ngā mahi auau, ahakoa pea he tūtohu motuhake tō tākuta e pā ana ki tō āhuatanga.

Koinei te huarahi e taea ai e koe te tiaki i a koe i te kāinga:

• Kia kaha te mahi: Ko te whakakori tinana ā-rangi, e whakaaetia ana e tō tākuta, hei āwhina i te oranga o tō ngākau me ō ngā manawa
• Kai kai hauora ngākau: Aro atu ki ngā hua, ngā huawhenua, ngā witi katoa, me ngā pūmua ngawari, ā, whakaitihia te tote me ngā ngako makariri
• Tangohia ngā rongoā rite tonu ki te whakahau: Ki te whakamahi koe i ētahi rongoā ngākau, tangohia aua rongoā rite tonu ki te whakahau
• Aroturukihia ō tohu: Kia mau ki te tuhi i ngā huringa o tō kaha, o tō manawa, me ētahi atu tohu
• Ārai i ngā mate: Whakamahia te horoi pai me te pupuri i te whakahou o ngā inopere, inā koa mō ngā mate manawa
• Whakahaerehia te ahotea: Whakamahia ngā tikanga whakahaumaru, te moe pai, me ngā rautaki whakahaere ahotea
• Kaua e kai hikareti: Kaua e kai hikareti, ā, kaua e tū tata ki te paowa hikareti, nā te mea ka kaha ake te kino o ngā raruraru ngākau me ngā manawa

Ko ētahi o te hunga e whai ASD ana, me inu rongoā mate huaketo i mua i ētahi mahi niho, rānei mahi hauora, hei ārai i ngā mate. Mā tō tākuta e whakamārama ki a koe mehemea e pā ana tēnei ki a koe, ā, ka hoatu ētahi tohutohu motuhake.

Me pēhea te whakarite mō tō whakatau ki te tākuta?

Ko te whakarite mō tō whakatau hei whakarite kia whiwhi koe i te hua nui rawa atu i tō wā me tō kaitātari ngākau. Maua mai tētahi rārangi o ō tohu o nāianei, o ngā rongoā, me ētahi pātai kei a koe mō tō āhuatanga, rānei ngā huarahi whakaora.

He whai hua te whakaaro ki ō tohu i mua, ā, kia rite ki te whakaahua mārama. Ka hiahia tō tākuta ki te mohio ki te wā i tīmata ai rātou, he aha te mea e pai ake ai, he aha te mea e kino ake ai, me pēhea te pānga ki tō oranga o ia rā.

Koinei ngā mea hei whakarite i mua i tō haerenga:

• Te pukapuka tohu: Tuhia ngā tohu katoa kua pā ki a koe, te wā i puta ai rātou, me ngā mahi i mahi koe i taua wā
• Rārangi rongoā: Kawe mai ngā rongoā katoa kei te whakamahi koe, tae atu ki ngā rongoā kore-tūtohu me ngā taapiri
• Hītori whānau: Ngā kōrero mō ngā raruraru ngākau, ngā mate hauora rānei i roto i tō whānau
• Ngā hua whakamātautau o mua: Ngā whakamātautau ngākau, ngā X-ray, ngā rekoata hauora tika atu rānei
• Ngā kōrero inihua: Ngā kāri inihua me ngā pepa tohutoro
• Rārangi pātai: Tuhia ngā pātai mō tō mate, ngā huarahi whakaora, ngā tohutohu noho rānei

Whakaarohia te kawe mai i tētahi mema o te whānau, hoa rānei hei āwhina i a koe ki te maumahara ki ngā kōrero nui i kōrerohia i te wā whakarite. Kaua e whakaroa ki te ui ki tō tākua kia whakamārama i tetahi mea kaore koe e mōhio ana – e hiahia ana rātou kia tino mōhio koe ki tō mate me tō mahere tiaki.

He aha te mea nui e pā ana ki te ngoikoretanga o te pakitara o te atria?

Ko te mea nui rawa atu hei mārama ki ngā ASD, he āhuatanga tino whakaorahia, a he tokomaha ngā tāngata e ora ana i te ora noa, hauora. Ahakoa ko te whakaaro he rua i roto i tō ngākau ka rongo i te wehi, he huarahi pai te rongoā hou ki te tirotiro me te whakaora i ēnei ngoikoretanga ina tika.

Ko ngā ASD iti kaore e hiahia ki tetahi rongoā, ā, kaore pea e puta he tohu i roto i tō oranga. Ka taea te whakatika i ngā mea nui ake me ngā tukanga iti-whakauru, te pokanga rānei, kia taea ai e koe te hoki ki ngā mahi katoa i muri mai.

Ko te ki hei whakahaere i te ASD pai, ko te mahi tata ki tō rōpū hauora me te whai i ō rātou tūtohu mō te tirotiro me te whakaora. Ka āwhina ngā tirotiro auau kia kite wawe i ngā huringa, a ka taea te aukati i te nuinga o ngā raruraru me te tiaki tika.

Kia mahara, ehara te ASD i te whakatau i tō oranga, kāo te whakatau i tō kaha. Mā te tiaki hauora tika, ka taea e koe te whai i ō whāinga, te noho mahi, me te koa ki te hauora pai mō ngā tau maha e haere mai nei.

Pātai maha e ui ana mō te ngoikoretanga o te pakitara o te atria

Ka taea te ora i te oranga noa ki te ngoikoretanga o te pakitara o te atria?

Ae, ko te nuinga o te hunga he ASD kei a rātou e ora ana i ngā oranga noa katoa. Ko ngā ngoikoretanga iti e kore nei e tino pāngia e tetahi tohu, te whakatau rānei, ā, tae atu ki ngā mea nui ka taea te whakaora pai. He tokomaha te hunga e whakauru ana ki te whakakori tinana, he mahi, me te whānau me te kore he whakatau i te hono atu ki tō rātou ASD.

Ko te matua ko te mahi tahi me tō kaitātari ngākau ki te mārama ki tō ahuatanga motuhake me te whai i ō rātou tūtohu mō te tirotiro, te whakaora rānei. Mā te tiaki hauora tika, ehara te ASD i te pānga ki tō kounga o te ora, te roa o te ora rānei.

Ka kati ake rānei tōku ASD?

Ka taea e ētahi ASD iti te kati i te āhua noa i te wā tamariki, inā koa ngā mea iti iho i te 3-4 millimita. Heoi, ko ngā ASD kei te noho tonu i muri i te tau 2-3 tau e kore e tino kati i te āhua noa, ā, pea ka noho tonu te rahi, te nui ake rānei i te wā.

Ka tirotirohia e tō tākuta tō ASD me ngā echocardiogram auau kia kite mena kei te huri te rahi. Ahakoa kaore e kati i te āhua noa, he tokomaha ngā ASD iti e kore e hiahia ki te whakaora atu i te tirotiro.

He haumaru te whakakori mena he ngoikoretanga o te pakitara o te atria kei ahau?

Ko te nuinga o te hunga he ASD kei a rātou ka taea te whakakori i te āhua haumaru, ā, ka whakatenatena kia noho mahi tinana. Ko te whakakori tinana auau he pai mō tō hauora ngākau me tō oranga katoa. Heoi, ko ngā mahi motuhake e haumaru ana mōu e whakawhirinaki ana ki te rahi o tō ASD me te mea kei te pāngia e tetahi tohu.

Ka tūtohutia pea e tō kaitātari ngākau te whakamātautau ahotea whakakori hei aromatawai i te āhua o te whakautu a tō ngākau ki ngā mahi tinana. I runga i ngā hua, ka taea e rātou te whakarato i ngā aratohu whaiaro mō ngā mahi e ora ana, me te mea kei te hiahia koe ki ētahi whakatau.

Me hiahia au ki ngā rongoā mate huaketo i mua i ngā mahi niho?

Ko te nuinga o te hunga e whai ana i ngā ASD kaore e hiahia ki ngā rongoā mate huaketo i mua i ngā mahi niho. Ko ngā aratohu o nāianei anake te tūtohu i te prophylaxis rongoā mate huaketo mō te hunga kei te tino tūpono ki ngā mate kino, ko te tikanga ko te hunga e whai ana i ētahi momo taputapu ngākau whakakapi rānei, i ngā mate ngākau o mua rānei.

Heoi, ka taea te whakarereke i ngā tūtohu, ā, ka rerekē pea tō āhuatanga motuhake. Tirohia tonu ki tō kaitātari ngākau mō te mea kei te hiahia koe ki ngā rongoā mate huaketo i mua i te mahi niho, i ētahi atu mahi hauora rānei.

Ka taea e ngā wāhine e whai ana i ngā ASD te whānau tamariki i te ora?

He tokomaha ngā wāhine e whai ana i ngā ASD ka taea te whānau tamariki me ngā whānautanga ora. Heoi, ka whakapiki ake te haputanga i ngā tono ki tō ngākau, no reira he mea nui kia kōrero koe ki tō kaitātari ngākau me tō tohunga whānau i mua i te haputanga.

Ka tūtohutia pea e ō tākuta te kati i te ASD nui ake i mua i te haputanga ki te mea kei te pēnei te mate, te nui haere rānei o te ngākau. Ka hiahia hoki rātou ki te tirotiro i a koe i te wa o te haputanga kia mau tonu te hauora o koe me tō pēpi i te katoa o te tukanga.