He aha te Stenosis Waahanga Pūha? Tohutohu, Take, me te Maimoatanga

Ko te stenosis waahanga pūha he āhuatanga ngakau kei te whakaitihia te waahanga pūha, ka uaua ai te rere o te toto i tō ngakau ki ō ngā manawa. Whakaarohia he kuwaha kua āraihia tetahi wāhanga, ka uaua ai te haere māori o te tangata.

Ka whakapau kaha atu tō ngakau ki te pupuhi toto i roto i te waahanga kua āraihia. Ahakoa ka rongohia he āwangawanga, he tokomaha ngā tāngata e ora ana i te ora noa me te stenosis waahanga pūha ngawari, ā, ka taea te whakaora pai ngā take nui atu me ngā whakahaere hauora o nāianei.

He aha te Stenosis Waahanga Pūha?

Ka puta te stenosis waahanga pūha ina kore te waahanga i waenganui i te ruma matau o tō ngakau me te āti pūha e tuwhera tika ana. Ko te waahanga pūha te mahi noa he kuwaha kotahi te huarahi, ka tukua ai te toto kia rere i tō ngakau ki ō ngā manawa hei tango i te hāora.

Ina he stenosis (whakaitihia) tēnei waahanga, me pupuhi kaha ake te ruma matau o tō ngakau ki te pehi toto i roto i te waahanga pīpī. I te roa o te wā, ka taea e tēnei mahi tāpiri te whakakī i te uaua ngakau, ā, ka ngoikore pea.

Ko te tikanga kei te noho tēnei āhuatanga mai i te whānau, ahakoa ka kore pea e puta ngā tohu tae noa ki muri i te ora. Ka rereke te kaha mai i ngā take ngawari kaore rānei e pā ki te ora o ia rā ki ngā āhuatanga nui ake e hiahia ana ki te whakauru hauora.

He aha ngā Tohutohu o te Stenosis Waahanga Pūha?

He tokomaha ngā tāngata e kore e kite i ngā tohu o te stenosis waahanga pūha ngawari, ā, ka kore pea e mōhio kei a rātou te āhuatanga. Heoi, i te nui haere o te stenosis, ka tīmata tō tinana ki te tuku tohu kei te mahi kaha atu tō ngakau i tōna tika.

Ko ngā tohu tino noa ka kite koe:

• Te poto o te manawa, ina koa i te wā e mahi ana koe, e whakakori ana rānei
• Te ngenge e kore e rite ki tō taumata mahi
• Te mamae uma, ina koa i te wā e whakakori ana
• Te pupuhi o te ngakau, te rere rānei o tō ngakau
• Te māuiui, te mārama rānei o te upoko, ina koa ka tu tere koe

I ngā take nui ake, ka kite pea koe i ngā wā e ngaro ai te ngākau i te wā e whakakori ana. Ka kite etahi i te pupuhi o ō waewae, o ō turi, o ō waewae i te wā e ngākau ana tō ngakau ki te pupuhi toto puta noa i tō tinana.

He mea nui kia mōhio ka taea te whanake haere o ngā tohu i roto i ngā tau, no reira ka kore pea e hono tonu koe ki te āhuatanga ngakau. Ki te kite koe i tetahi whakakotahitanga o ēnei tohu, ina koa i te wā e whakakori ana, he mea nui kia kōrero ki tō kaiwhakarato hauora.

He aha ngā momo Stenosis Waahanga Pūha?

Ka whakarōpūhia te stenosis waahanga pūha i runga i te wāhi e puta ai te whakaiti, me te kaha o te ārai. Ko te mārama ki ēnei momo rerekē ka āwhina i tō tākuta ki te whakatau i te huarahi maimoatanga pai mō tō āhuatanga motuhake.

I runga i te wāhi, e toru ngā momo matua:

• Stenosis waahanga: Ko te momo tino noa, kei reira ngā rau pepa o te waahanga e mātotorotoru ana, e hono ana, e kino ana rānei
• Stenosis subvalvular: Kei raro i te waahanga te whakaiti, na te uaua atu o te uaua, te aho muka rānei
• Stenosis supravalvular: Kei runga i te waahanga te whakaiti i roto i te āti pūha anō

Ka whakarōpūhia hoki e ngā tākuta te āhuatanga i runga i te kaha. Ko te stenosis ngawari kaore e tino puta ngā tohu, ā, kaore pea e hiahia ki te maimoatanga. Ka puta pea ngā tohu o te stenosis tūturu i te wā e whakakori ana, i te wā e pā kino ana te stenosis nui ki tō ora o ia rā, ā, e hiahia ana ki te whakauru hauora.

Ko te rongo pai, ahakoa te momo, kei reira ngā maimoatanga whai hua hei awhina i te whakahaere i tō āhuatanga me te whakapai ake i tō kounga ora.

He aha ngā Take o te Stenosis Waahanga Pūha?

Ko te nuinga o ngā take o te stenosis waahanga pūha he whānau, arā, i whānau koe me te āhuatanga. Ka puta tēnei ina kore te waahanga pūha e whānau tika i roto i ngā wiki waru tuatahi o te hapu, ahakoa kaore tatou e tino mōhio he aha te take.

He maha ngā take ka āwhina ki te stenosis waahanga pūha whānau:

• Ngā take ira, ahakoa kaore i te tino kitea ngā ira motuhake i te nuinga o ngā take
• Ngā syndrome ira penei i te syndrome Noonan, te syndrome Williams rānei
• Ngā mate o te whaea i te wā o te hapu, penei i te rubella
• Te whakamahinga e te whaea o ētahi rongoā i te wā o te hapu
• Te inu waipiro e te whaea i te wā o te hapu

I ngā take onge, ka taea te whanake o te stenosis waahanga pūha i muri i te ora. Ka puta pea tēnei momo whiwhi mai i te mate ngakau rheumatic, ētahi mate ka pā ki te ngakau, te āhuatanga rānei o ētahi atu āhuatanga ngakau.

He mea nui kia mōhio mena kei a koe tēnei āhuatanga, ehara i te mea he he nāu, nā ō mātua rānei. Ka puta ngā hapa ngakau whānau i te wā o te whanaketanga noa, ā, i te nuinga o ngā take, kaore he huarahi hei ārai i a rātou.

Nōhea te Tiro ki te Tākuta mō te Stenosis Waahanga Pūha?

Me titiro koe ki te tākuta mena kei te kite koe i ngā tohu e āhei ana te mahi kaha atu o tō ngakau i te noa. Kaua e tatari kia nui ngā tohu, i te mea ka taea e te kitenga wawe me te aroturuki te whakapai ake i tō hauora roa.

Rapua te tiaki hauora mena ka kite koe i te poto o te manawa i ngā mahi i ngāwari ki a koe, te ngenge kaore i te whakamārama, te mamae uma rānei i te wā e whakakori ana. Ka taea te whanake haere o ēnei tohu, no reira kia aro ki ngā huringa i tō manawanui whakakori, tō taumata kaha rānei.

He mea nui ake te tiaki hauora tere mena ka kite koe i ngā wā e ngaro ai te ngākau, te mamae nui o te uma, te kino tere rānei o te poto o te manawa. Ka taea e ēnei te tohu kua haere tonu tō āhuatanga, ā, e hiahia ana ki te aromatawai tere.

Mena he hītori whānau o ngā hapa ngakau whānau, he mea tika kia kōrero ki tō tākuta ahakoa kaore koe e kite i ngā tohu. I etahi wā, ka taea e te whakamātautau ngāwari te kite i ngā āhuatanga penei i te stenosis waahanga pūha i mua i te puta o ngā tohu.

He aha ngā Take Pānga mō te Stenosis Waahanga Pūha?

I te mea ko te nuinga o ngā take o te stenosis waahanga pūha kei te noho mai i te whānau, ko ngā take pānga e pā ana ki ngā take i te wā o te hapu me te whanaketanga wawe. Ko te mārama ki ēnei ka āwhina i ngā whānau ki te whakatau whakamārama, ahakoa he mea nui kia mahara ko te nuinga o ngā take ka puta kaore he take pānga e taea te kitea.

Ko ngā take pānga matua:

• Te hītori whānau o ngā hapa ngakau whānau, ahakoa kaore i te marama te hononga ira
• Ngā syndrome ira e pā ana ki te whanaketanga ngakau
• Ngā mate o te whaea i te tīmatanga o te hapu
• Te mate huka o te whaea kaore i te pai te whakahaere i te wā o te hapu
• Te whakamahinga o ētahi rongoā i te wā o te hapu, tae atu ki ētahi rongoā hopu
• Te inu waipiro, te whakamahinga rānei o te raau taero e te whaea i te wā o te hapu

He iti ngā āhuatanga ira penei i te syndrome Noonan, te syndrome LEOPARD, te syndrome Williams rānei e kaha ake te pānga o te stenosis waahanga pūha. Mena kei a koe tētahi o ēnei āhuatanga, ko te aroturuki ngakau noa te tikanga.

Mō te stenosis waahanga pūha whiwhi, ko ngā take pānga ko te hītori o te kirika rheumatic, ētahi āhuatanga autoimmune, ngā mate ngakau o mua rānei. Heoi, he iti rawa ēnei take i te momo whānau.

He aha ngā Āhuatanga Ka Taea o te Stenosis Waahanga Pūha?

Ahakoa kaore te stenosis waahanga pūha ngawari e tino puta ngā āhuatanga, ka taea e ngā take nui ake te arahi ki ngā raruraru mena kaore i te maimoatia. Ko te rongo pai, me te aroturuki me te maimoatanga tika, ka taea te ārai, te whakahaere rānei i te nuinga o ngā āhuatanga.

Ko ngā āhuatanga tino noa ka whānau ina mahi kaha rawa atu tō ngakau mō te roa rawa:

• Te nui haere o te ngakau matau me te whakakī i te wā e ngākau ana ki te pupuhi toto i roto i te waahanga pīpī
• Ngā hapa i te tere o te ngakau, ina koa i ngā ruma o runga o te ngakau
• Te kore o te ngakau, kei reira te ngakau kaore e taea te pupuhi toto puta noa i tō tinana
• Te whakaiti i te kaha whakakori me te kounga ora
• Te nui haere o te tūpono o ngā mate i roto i ngā waahanga ngakau (endocarditis)

I ngā take onge, nui, ka taea te mate ngakau ohorere, ina koa i te wā e whakakori ana. Koia te take he mea nui kia whai whakamātautau noa ki tō kaitiaki ngakau mena he stenosis tūturu ki te nui tōu.

I te wā o te hapu, ka taea e te stenosis waahanga pūha nui te whakaputa i ngā tūpono ki te whaea me te pēpi. Heoi, me te aroturuki me te tiaki tika, he tokomaha ngā wāhine e whai hapu ana i tēnei āhuatanga.

Ko te ki hei ārai i ngā āhuatanga ko te mahi tata ki tō rōpū hauora hei aroturuki i tō āhuatanga me te whakauru mena e hiahiatia ana. Ka taea e te nuinga o ngā tāngata e whai ana i te stenosis waahanga pūha te ora i te ora tino, mahi me te tiaki tika.

Me pēhea te Whakataurite i te Stenosis Waahanga Pūha?

Ko te whakataurite i te stenosis waahanga pūha e tīmata ana me tō tākuta e whakarongo ana ki tō ngakau me te stethoscope. Ko te waahanga pīpī e tino puta ana he oro pupuhi e kiia nei he murmur ngakau e taea te kite e ngā taringa whakangungua.

Mena ka whakaaro tō tākuta he stenosis waahanga pūha, ka tono pea rātou i te echocardiogram tuatahi. Ko tēnei whakamātautau kore mamae e whakamahi ana i ngā ngaru oro hei hanga i ngā pikitia taipitopito o tō ngakau, e whakaatu ana i te pai o te tuwhera me te kati o ō waahanga, me te pai o te pupuhi toto o tō ngakau.

Ka taea e ngā whakamātautau atu:

• Electrocardiogram (ECG) hei tirotiro i te mahi hiko me te tere o tō ngakau
• Te X-ray uma hei kite i te rahi me te āhua o tō ngakau me ō ngā manawa
• Te whakamātautau ahotea whakakori hei kite i te āhua o te whakautu o tō ngakau ki te mahi tinana
• Te catheterization ngakau mō ngā ine taipitopito o ngā pehanga i roto i tō ngakau
• Ngā tātaritanga CT, MRI rānei mō ngā pikitia taipitopito o te hanganga o tō ngakau

Ko te tukanga whakataurite he ngāwari, he kore mamae. Ka whakamahi tō tākuta i ēnei whakamātautau hei whakatau kaua ko te mea kei a koe te stenosis waahanga pūha, engari te kaha hoki, me te hiahiatia rānei te maimoatanga.

I etahi wā ka kitea te āhuatanga i roto i ngā whakamātautau hauora noa, ngā whakamātautau rānei mō ētahi atu āhuatanga. He rongo pai tēnei, i te mea ka taea e te kitenga wawe te aroturuki me te whakauru mena e hiahiatia ana.

He aha te Maimoatanga mō te Stenosis Waahanga Pūha?

Ko te maimoatanga mō te stenosis waahanga pūha e tino whakawhirinaki ana ki te kaha o tō āhuatanga, me te kite rānei koe i ngā tohu. Ko te nuinga o ngā tāngata e whai ana i te stenosis ngawari e hiahia ana ki te aroturuki noa, i te wā e taea ai e ētahi atu te whai hua mai i ngā tukanga hei tuwhera i te waahanga pīpī.

Mō ngā take ngawari kaore he tohu, ka tūtohutia e tō tākuta te tirotiro noa hei aroturuki i te āhuatanga. Ko tēnei huarahi, e kiia nei he tatari mataara, ka taea e koe te ora noa i te wā e whakarite ana i ngā huringa e kitea wawe ana.

Ina hiahiatia te maimoatanga, ko ngā kōwhiringa matua:

• Balloon valvuloplasty: He tukanga iti te whakauru kei reira te pūpoi iti e pupuhi ana i roto i te waahanga hei whakato i te tuwhera
• Te whakatikatika waahanga pokanga: Te pokanga ngakau tuwhera hei hanga hou, hei hanga hou rānei i te waahanga
• Te whakakapi waahanga: Te whakakapi i te waahanga kino ki tetahi whakakapi mīhini, te ora rānei
• Rongoā: Hei whakahaere i ngā tohu penei i ngā raruraru o te tere o te ngakau, te pupuhi wai rānei

Ko te balloon valvuloplasty te kōwhiringa tuatahi mō te tokomaha o ngā turoro, i te mea he iti ake te whakauru i te pokanga.

Ka mahi tahi tō kaitiaki ngakau ki a koe hei whakatau i te huarahi maimoatanga pai i runga i tō āhuatanga motuhake, te tau, te hauora whānui, me ō hiahia whaiaro. Ko te whāinga tonu ko te awhina i a koe ki te pupuri i te kounga ora pai rawa atu.

Me pēhea te Tango Maimoatanga Kāinga i te wā o te Stenosis Waahanga Pūha?

Ko te whakahaere i te stenosis waahanga pūha i te kāinga e arotahi ana ki te tautoko i tō hauora ngakau whānui me te mohio ki te wā e hiahia ana koe ki te tiaki hauora. Ko te tiaki motuhake e hiahia ana koe e whakawhirinaki ana ki te kaha o tō āhuatanga me ngā tūtohu a tō tākuta.

Mō ngā take ngawari, ka taea e koe te pupuri i ō mahi noa me ētahi whakamaramatanga whāinga. Kia noho mahi i roto i tō taumata ngāwari, engari kia aro ki te āhua o tō wā e whakakori ana. Mena ka kite koe i te poto o te manawa, te mamae uma, te māuiui rānei, kua tae ki te wā ki te whakaheke iho me te okioki.

Ko ngā rautaki tiaki kāinga nui:

• Te tango i ngā rongoā kua tohua e rite ana ki ngā tohutohu a tō tākuta
• Te aroturuki i ō tohu me te pupuri i te rārangi o ngā huringa
• Te pupuri i te hauora niho pai hei ārai i ngā mate ka pā pea ki tō ngakau
• Te whai i te kai hauora ngakau me te iti o te tote mena ka tūtohu
• Te whiwhi i te okioki tika me te whakahaere i ngā taumata ahotea
• Te karo i te tapeka me te whakaiti i te inu waipiro

Mena he stenosis tūturu ki te nui tōu, ka tūtohu pea tō tākuta kia karo i ētahi mahi kaha, hākinakina whakataetae rānei. Kāore tēnei e kī kaore e taea e koe te mahi, engari kia whiriwhiri koe i ngā mahi kaore e tino whakapau kaha i tō ngakau.

Whakamōhio tonu ki ētahi atu kaiwhakarato hauora, tae atu ki ngā niho me ngā tākuta pokanga, mō tō āhuatanga ngakau. Ka hiahia pea rātou ki te tango i ngā whakamaramatanga motuhake, penei i te hoatu i ngā antibiotics i mua i ētahi tukanga hei ārai i ngā mate ngakau.

Me pēhea te Whakamahere mō tō Hui Tākuta?

Ko te whakamahere pai mō tō hui kaitiaki ngakau ka āwhina i te whakarite kia whiwhi koe i te hua pai rawa atu i tō haerenga, ā, kei a tō tākuta ngā mōhiohio katoa e hiahiatia ana hei whakarato i te tiaki pai. Ka taea e te whakamahere iti te whakapai ake i te kounga o tō whakamārama.

I mua i tō hui, tuhia katoa ō tohu, ahakoa he iti rawa. Kia mōhio ki te wā e puta ai, he aha ngā take, me te roa o te wā. Ka āwhina ēnei mōhiohio i tō tākuta ki te mārama ki te āhua o te pānga o tō āhuatanga ki tō ora o ia rā.

Kawe mai ēnei ki tō hui:

• Te rārangi katoa o ngā rongoā, ngā tāpiri, me ngā huaora katoa e tangohia ana e koe
• Ō kāri inihua me ngā puka tohutoro e hiahiatia ana
• Ngā hua whakamātautau o mua, ina koa ngā whakamātautau e pā ana ki te ngakau penei i ngā ECG, ngā echocardiograms rānei
• Te rārangi o ngā pūtaiao e hiahia ana koe ki te ui ki tō tākuta
• Ngā mōhiohio mō te hītori hauora ngakau o tō whānau

Whakamaherehia ngā pūtaiao motuhake mō tō āhuatanga, ngā kōwhiringa maimoatanga, me te mea e tatari ana koe. Kaua e whakaroa ki te ui mō ngā ārai mahi, te wā hei rapu i te tiaki ohorere, te maha rānei o ngā haerenga whai muri e hiahia ana koe.

Whakaarohia te kawe mai i tētahi hoa whakawhirinaki, mema whānau rānei hei awhina i a koe ki te mahara ki ngā mōhiohio nui i kōrerotia i te wā o te hui. Ka taea hoki e rātou te whakarato i te tautoko ngākau me te awhina i te tautoko i tō tiaki mena e hiahiatia ana.

He aha te Tango Matua mō te Stenosis Waahanga Pūha?

Ko te mea tino nui kia mōhio mō te stenosis waahanga pūha ko te āhuatanga whakahaeretia me ngā kōwhiringa maimoatanga pai kei reira i nāianei. Ahakoa ka rongohia he wehi te ako kei a koe te raruraru waahanga ngakau, he tokomaha ngā tāngata e ora ana i tēnei āhuatanga i te ora noa, mahi.

Ko te ki o te angitu ko te mahi tata ki tō rōpū hauora mō te aroturuki noa me te whai i ō rātou tūtohu. Ahakoa kaore koe e kite i ngā tohu inaianei, ko te hono atu ki tō kaitiaki ngakau ka whakarite i ngā huringa i tō āhuatanga e kitea wawe ana i te wā e tino whai hua ana te maimoatanga.

Ka whakarato te rongoā hou i ngā otinga whakamiharo mō te stenosis waahanga pūha, mai i ngā tukanga iti te whakauru ki ngā hangarau pokanga whakahirahira. Ko te nuinga o ngā tāngata e hiahia ana ki te maimoatanga e kite ana i te whakapainga nui i ō rātou tohu me te kounga ora.

Kia mahara kei te whakataurite tēnei āhuatanga i a koe, te ārai rānei i te mea ka taea e koe te whakatutuki i te ora. Me te tiaki tika me te aro, ka taea e koe te whai i ō whāinga, te pupuri i ngā hononga, me te pai ki ngā mahi e nui ana ki a koe. Ko tō āhuatanga ngakau he wāhanga kotahi noa o tō hauora ka taea te whakahaere pai.

Ngā Pūtaiao Nui e ui ana mō te Stenosis Waahanga Pūha

Ka taea e au te whakakori mena kei a au te stenosis waahanga pūha?

Ko te nuinga o ngā tāngata e whai ana i te stenosis waahanga pūha ngawari ka taea te whakakori noa, me noho mahi tinana mō tō hauora ngakau whānui. Heoi, mena he stenosis tūturu ki te nui tōu, ka tūtohu pea tō tākuta kia karo i ngā mahi tino kaha, whakataetae rānei e nui haere ana tō tere ngakau me tō pehanga toto.

Ko te ki ko te whakarongo ki tō tinana me te mahi tahi ki tō kaitiaki ngakau hei whakatau i te mea haumaru mōu. He tokomaha ngā tāngata e kite ana he pai te mahi o ngā mahi penei i te hikoi, te kauhoe, te hikoi paihikara rānei i te tere noa, i te wā e hiahia ana ētahi atu ki te karo i ngā hākinakina kaha.

Ka hiahia au ki te pokanga mō te stenosis waahanga pūha?

Kaore e hiahiatia te pokanga mō te katoa e whai ana i te stenosis waahanga pūha. Ko te nuinga o ngā tāngata e whai ana i ngā take ngawari kaore rawa e hiahia ki tetahi whakauru atu i te aroturuki noa. Mō te hunga e hiahia ana ki te maimoatanga, ko te balloon valvuloplasty te tikanga e whakamātautauhia ana tuatahi i te mea he iti ake te whakauru i te pokanga ngakau tuwhera.

Ka tūtohu tō tākuta i te pokanga mena he nui ake ngā painga i ngā tūpono mō tō āhuatanga motuhake. Ko ngā take penei i tō tau, tō hauora whānui, te kaha o ngā tohu, me te pai o te mahi o tō ngakau katoa e whai wāhi ana ki tēnei whakatau.

Ka taea te kino ake o te stenosis waahanga pūha i te roa o te wā?

Ka taea te kino ake o te stenosis waahanga pūha i te roa o te wā, ina koa i ngā take kei te haere tonu te waahanga ki te whakakī, ki te toka rānei. Heoi, he tokomaha ngā tāngata e whai ana i te stenosis ngawari, pumau kaore e tino haere tonu i o rātou oranga.

Koia te take he mea nui te whai whakamātautau noa ki tō kaitiaki ngakau. Ma ngā echocardiograms noa me ngā tirotiro, ka taea e tō tākuta te aroturuki i ngā huringa me te whakauru mena ka haere tonu te āhuatanga ki tetahi wāhi e pai ana te maimoatanga.

He ira te stenosis waahanga pūha?

Ahakoa ka taea te rere o te stenosis waahanga pūha i roto i ngā whānau, kaore i te whakawhiwhia i roto i te tauira ngāwari, whakataurite penei i ētahi āhuatanga ira. Mena kei a koe te āhuatanga, he iti te tūpono o ō tamariki i te taupori whānui, engari ko te nuinga o ngā tamariki o ngā mātua e pā ana e whānau ana me ngā ngakau noa.

Mena kei te whakaaro koe ki te whānau tamariki, kōrerohia tēnei ki tō kaitiaki ngakau me tō kaiwhakarato hapu. Ka tūtohu pea rātou i te aroturuki atu i te wā o te hapu hei tirotiro i te whanaketanga ngakau o tō pēpi, ahakoa he mea whakarite noa tēnei.

He aha te mea ka puta mena kaore i te maimoatia te stenosis waahanga pūha?

Ko te hua o te stenosis waahanga pūha kaore i te maimoatia e tino whakawhirinaki ana ki tōna kaha. Ko ngā take ngawari e noho pumau ana i te ora katoa, kāore hoki e puta ngā raruraru. Heoi, ka taea e ngā take tūturu ki te nui kaore i te maimoatia te arahi ki te nui haere o te ngakau, ngā raruraru tere, me te kore o te ngakau.

Ko te rongo pai, me te tiaki hauora noa me te whakamātautau i nāianei, ko te stenosis waahanga pūha nui kaore i te maimoatia e haere haere ana. Ko te nuinga o ngā take e kitea ana, e aroturuki tika ana, me te maimoatanga e hoatu ana ina hiahiatia hei ārai i ngā āhuatanga.