He aha te Whakapae Wāhine? Tohutohu, Take, me te Maimoatanga

He āhuatanga ngākau onge te whakapae wāhine, kei reira ngā oko toto e hanga ana i te porowhita katoa i tō pūhau me tō pūnaha kai. Ka puta mai tēnei ina kore ngā oko toto nui e tata ana ki tō ngākau e whanake i tō rātou tauira noa i te wā hapu.

Whakaarohia he karauna ngawari engari kaha te takai i ngā pūnaha nui e rua i roto i tō uma. Ahakoa he āwangawanga tēnei, he tokomaha ngā tāngata e ora ana i te ora noa, hauora me te tiaki tika me te maimoatanga ina hiahiatia.

He aha te Whakapae Wāhine?

Ka puta te whakapae wāhine ina hanga e te aorta me ona manga he hanganga rite ki te porowhita e karapotia ana tō trachea (pūhau) me tō esophagus (pūnaha kai). Ko te aorta te oko toto nui o tō tinana e kawe ana i te toto whai-hākari-o-oxygen i tō ngākau ki te toenga o tō tinana.

Ka whanake tēnei āhuatanga i roto i ngā wiki tuatahi o te haputanga ina hangaia ana te ngākau me ngā oko toto o tō pēpi. Ki te kore te koki U-āhua noa, ka hanga e ngā oko toto he porowhita katoa i ngā hanganga nui.

Ka taea te ngawari o te porowhita, kāore hoki e pāngia, ka taea rānei te pēhi ki tō manawa me ngā ara kai. Ko te taumata o te pehi te whakatau mena ka pāngia koe e ngā tohu me te nui o te kino.

He aha ngā Tohutohu o te Whakapae Wāhine?

Ko ngā tohu o te whakapae wāhine e whakawhirinaki ana ki te kaha o te pēhi a ngā oko toto ki tō pūhau me tō pūnaha kai. He tokomaha ngā tāngata e kore e whanake i ngā tohu ahakoa he porowhita ngawari.

Ko ngā tohu tino noa ka kitea e koe:

• Te manawa haruru, ina moe rānei, i te wā mahi tinana rānei
• He kōhū koi, kōhū, e kore e ngaro
• Te uaua ki te horomi, ina koa ngā kai matotoru
• Te ngākau mahaki rānei te kōhū i te wā kai
• Te poto o te manawa i te wā mahi tinana, i te wā koa rānei
• Ngā oro wheezing i te wā manawa

I roto i ngā pēpi me ngā tamariki, ka taea hoki e koe te kite i ngā uaua kai, te piki haere o te taumaha, te mate manawa maha rānei. Ka kitea ake ngā tohu i ngā wā mate ina pangia ngā ara manawa.

Kaore etahi tāngata e pāngia e ngā tohu tae noa ki te wā muri o te tamarikitanga, tae noa ki te pakeketanga, ina koa he porowhita ngawari. Ka taea te kino haere o ngā tohu i te wā e whakarereke ana te tipu i te hononga i waenganui i ngā oko me ngā hanganga e karapotia ana.

He aha ngā momo Whakapae Wāhine?

He maha ngā momo whakapae wāhine, kei reira ngā whakarite oko toto rerekē. Ko te momo tino noa ko te arā te arā rua aortic, kei reira e rua ngā arā aortic i tetahi.

Ka puta te arā rua aortic ina mau tonu ngā arā aortic matau me te maui i te wā whanaketanga. Ka hono ngā arā e rua ki muri i tō esophagus, ka hanga he porowhita katoa i tō pūhau me tō pūnaha kai.

Ko te arā aortic matau me te ligamentum arteriosum maui tētahi atu momo kei reira te aorta nui e koki ana ki te taha matau i te taha maui. Ka whakaoti te potae muka e kiia nei ko te ligamentum arteriosum i te taha maui.

Ko ngā momo iti ake te iti o te sling artery pulmonary, kei reira te artery pulmonary maui e puta mai ana i te artery pulmonary matau, ka porowhita i tō pūhau. Ka hanga tēnei i te pehi mai i te kokonga rerekē.

He aha ngā Take o te Whakapae Wāhine?

Ka whanake ngā whakapae wāhine i ngā wā tuatahi o te haputanga ina hangaia ana te ngākau me ngā oko toto o tō pēpi. Ka puta mai tēnei i waenganui i te toru me te waru wiki o te haputanga, i mua atu rānei i te mohiotanga kei te hapu koe.

I te wā whanaketanga noa, ka hangaia etahi hanganga oko toto takirua e kiia nei ko ngā arā aortic, ka hanga ano i a rātou anō. Ka ngaro te nuinga o ēnei arā i te wā e haere ana te whanaketanga, ka waiho i te tauira arā aortic noa.

I roto i ngā whakapae wāhine, kāore tēnei tukanga noa e puta penei i te tumanako. Ki te kore te ngaro me te hanga ano noa, ka mau tonu etahi o ēnei hanganga oko toto o mua ka hanga te hanganga porowhita.

Kāore i tino mōhiotia te take tino o te putanga mai o tēnei. Kāore i puta mai i tetahi mea i mahi koe, kāore rānei i mahi i te wā hapu. Kāore hoki e tuku i te whānau, ahakoa he onge rawa te rere i roto i ngā whānau.

Ko te nuinga o ngā take he rerekētanga whanaketanga noa e puta ana i te tukanga uaua o te hanga ngākau me ngā oko toto. Kāore i hono ngā take taiao ki te whanaketanga o te whakapae wāhine.

Nōhea te Tiro ki te Taakuta mō te Whakapae Wāhine?

Me whakapiri atu koe ki tō taakuta mena kei a koe, kei tō tamaiti rānei ngā uaua manawa roa, ngā raruraru horomi rānei. Ahakoa he maha ngā take o ēnei tohu, he mea nui kia arotake tika.

Rapua te awhina hauora inaianei mena ka kite koe i te manawa haruru e kore e pai ake, ina koa mena ka hono atu ki te kōhū roa, ki ngā uaua kai rānei i ngā pēpi. Ko ēnei tohu e hiahia ana ki te rangahau ahakoa he ngawari.

Waea atu ki tō taakuta inaianei mena ka pāngia koe e ngā uaua manawa nui, te tae kikorangi i te taha o ngā ngutu, ngā maihao rānei, mena ka mutu te manawa o te tamaiti mo te wa poto. Ka taea e ēnei te tohu i te pehi nui o ngā ara manawa.

Mō ngā pēpi, whakapiri atu ki tō tākuta pēpi mena ka uaua ake te kai, mena ka whakapae te pēpi ki te manawa i te wā kai, i muri i te kai rānei, mena he iti te piki o te taumaha. Ka taea e te arotake wawe te āwhina ki te aukati i ngā raruraru.

He aha ngā Take Pāngarau mō te Whakapae Wāhine?

Ko te nuinga o ngā whakapae wāhine ka puta noa mai me ngā take pāngarau mārama. Heoi, he torutoru ngā ahuatanga ka taea te nui ake o te tūponotanga.

Ko te whai i ētahi atu ngoikoretanga ngākau whānau ka taea te whakanui i te tūponotanga o te whai i te whakapae wāhine. Mo te 5-10% o ngā tāngata e whai ana i ngā whakapae wāhine, he rerekētanga ngākau atu.

He onge rawa, ka taea te rere o ngā whakapae wāhine i roto i ngā whānau, e tohu ana i te waahanga ira i etahi wā. Heoi, he onge rawa tēnei, a ko te nuinga o ngā take ka puta i ngā whānau kāore he hītori o mua.

Ko ētahi atu mate ira, penei i te mate DiGeorge, ka hono atu ki te tūponotanga nui ake o ngā whakapae wāhine. Ka pā ēnei mate ki ngā pūnaha tino maha, a ka whai ngā ngoikoretanga ngākau.

I kōrerotia, ko te nuinga o ngā whakapae wāhine ka puta i ngā tāngata kāore he take pāngarau e taea te tautuhi. Ka puta mai he rerekētanga whanaketanga noa e puta ana i te wā hapu wawe.

He aha ngā Raruraru Ka Taea o te Whakapae Wāhine?

Ko te nuinga o ngā tāngata e whai ana i ngā whakapae wāhine e ora ana i te ora noa me ngā raruraru nui, ina koa he porowhita ngawari, kāore hoki e pāngia te pehi nui. Heoi, ka taea te whanake i ētahi raruraru mena ka pēhi te porowhita ki tō manawa, ki tō pūnaha kai rānei.

Ko ngā raruraru manawa ka whai i ngā mate manawa maha, na te mea kāore ngā ara manawa e pehia ana e whakakore i ngā taonga penei i te wā e tika ana. Ka taea hoki e koe te pāngia e te kore e taea te mahi tinana, te uaua ki te manawa i te wā mahi tinana rānei.

Ko ngā uaua horomi ka arahi ki ngā raruraru kai, ina koa i ngā tamariki ka taea te karo i ētahi kai, te iti rānei o te kai. Ka taea tēnei te arahi ki te tipu iti ake, ki te piki haere o te taumaha rānei.

I roto i ngā take onge, ka taea e te pehi nui te arahi ki ngā raruraru manawa nui ake, ki te mate huhu aspiration rānei, kei reira te kai, te wai rānei e tomo ana ki ngā ngāwari. He onge ēnei raruraru, engari e hiahia ana ki te tiaki hauora inaianei.

Ka taea e te pehi roa te arahi ki ngā whakarerekētanga i te ahua o tō pūhau, he āhuatanga e kiia nei ko te tracheomalacia. Ka hanga tēnei i ngā pakitara pūhau kia ngawari ake, kia ngāwari ake te hinga i te wā manawa.

Me pēhea te Whakataurite i te Whakapae Wāhine?

Ko te whakataurite i te whakapae wāhine e timata ana me tō taakuta e whakarongo ana ki ō tohu, e tirotiro ana rānei i a koe, i tō tamaiti rānei. Ka aro nui rātou ki ngā oro manawa me ngā uaua horomi.

Ko te whakamātautau whakaahua tuatahi ko te X-ray uma, ka taea te whakaatu i te tuunga koretake o ngā oko toto, ngā tohu pehi ara manawa rānei. Heoi, kāore ngā X-rays e whakaatu tika i ngā whakapae wāhine.

Ka whakarato te CT scan, te MRI rānei i ngā pikitia mārama ake o ō oko toto me tō rātou hononga ki tō pūhau me tō esophagus. Ka taea e ēnei whakamātautau te whakaatu tika mena kei te puta mai te whakapae wāhine me te nui o te pehi.

Ka taea hoki e tō taakuta te tūtohutia he ako horomi barium, kei reira koe e inu ana i te wai whakapae e puta ana i ngā X-rays. Ka taea e tēnei whakamātautau te whakaatu i te pehi o tō esophagus me te awhina i te arotake i te mahi horomi.

Ka mahia te echocardiogram (ultrasound ngākau) ki te tirotiro i ētahi atu ngoikoretanga ngākau e puta ana i ngā whakapae wāhine. Ka whakamahi tēnei whakamātautau i ngā ngaru oro ki te hanga i ngā pikitia o te hanganga me te mahi o tō ngākau.

He aha te Maimoatanga mō te Whakapae Wāhine?

Ko te maimoatanga mō te whakapae wāhine e whakawhirinaki ana ki te whai koe i ngā tohu me te nui o te kino. Ko te nuinga o ngā tāngata e whai ana i ngā porowhita ngawari kāore e pāngia ngā raruraru e hiahia ana ki te aroturuki noa me te kore he maimoatanga motuhake.

Mena he tohu nui tō, ko te pokanga te maimoatanga e tūtohutia ana. Ko te huarahi pokanga e whai ana i te wehe i tetahi wāhanga o te whakapae wāhine hei whakakore i te pehi me te pupuri i te rere toto noa.

Ko te tukanga pokanga tino noa ko te wehe i te wāhanga iti ake, iti ake rānei o te porowhita. Mō te arā rua aortic, ko te nuinga o ngā taakuta pokanga e wehe ana i te arā iti ake, i te taha maui.

He tino angitu ngā hangarau pokanga hou, me te nuinga o ngā tāngata e kite ana i te pai ake o ō rātou tohu. Ko te pokanga e mahia ana i roto i te wahi iti i te taha o tō uma.

Ko te ora mai i te pokanga e torutoru wiki te roa, a ko te nuinga o ngā tāngata ka hoki ki ngā mahi noa i roto i ngā marama torutoru. Ko ngā hua roa he tino pai, me te nuinga o ngā tāngata e ora ana i te ora noa i muri i te maimoatanga.

Me pēhea te Whakahaere i ngā Tohutohu i te Kāinga?

I te wā e tatari ana koe mō te maimoatanga, mena he tohu ngawari tō rānei, he maha ngā mea ka taea e koe te mahi i te kāinga hei awhina i te whakahaere i tō āhuatanga. Ka taea e ēnei mahi te whakawhiwhi i te whakamarie me te aukati i ngā raruraru.

Mō ngā uaua manawa, ngana ki te karo i ngā mea e pangia ana te manawa penei i te paowa, ngā kakara kaha, te puehu rānei. Ko te pupuri i tō taiao kāinga kia ma, te whakamahi rānei i ngā kai horoi hau ka taea te whakaiti i te pangia o ngā ara manawa.

Mena he uaua te horomi, kai iti ake, maha ake ngā kai, me te ngau pai o te kai. Ko ngā kai ngawari me ngā wai he ngāwari ki te horomi i ngā kai matotoru, ngā kai matotoru rānei.

Noho tika mo te 30 meneti i muri i te kai hei awhina i te kai ki te neke atu i tō esophagus. Ka whakamahi tēnei tuunga i te kaha o te whenua hei awhina i te horomi me te whakaiti i te tūponotanga o te kai e mau ana.

Pupuri i a koe kia makuku pai, na te mea ko te inu wai nui e awhina ana i te whakaiti i ngā taonga me te ngāwari ake te whakakore i ō ara manawa. Heoi, karohia te inu nui o te wai i te wā kai mena he uaua te horomi.

Me pēhea te Whakarite mō tō Hui Taakuta?

I mua i tō hui, tuhia ō tohu katoa, tae atu ki te wā i tīmata ai rātou me te aha e pai ake ai rātou, te kino ake rānei. Ka awhina tēnei korero i tō taakuta ki te mohio pai ake ki tō āhuatanga.

Hanga he rārangi o ngā rongoā, ngā taapiri, me ngā huaora katoa e inu ana koe. Waiho hoki he hītori hauora whānau, ina koa te tohu i ngā āhuatanga ngākau, ngā ngoikoretanga whānau rānei i roto i ngā whānau.

Tuhia ngā pātai e hiahia ana koe ki te ui ki tō taakuta. Ko ngā pātai nui ka whai i te kino o tō āhuatanga, ngā whiringa maimoatanga, me te aha e tumanakohia ana i te wā kei te heke mai.

Mena mo tō tamaiti tēnei, kawea mai ō rātou tūtohu tipu me ngā rēkōta kai mena kei te wātea. Waiho hoki te hoa, te whānau rānei hei tautoko me te awhina ki te mahara i ngā korero.

Whakarite ki te kōrero me pēhea te pānga o ngā tohu ki tō oranga o ia rā, ki ngā mahi a tō tamaiti rānei. Ka awhina tēnei i tō taakuta ki te mohio ki te pānga o te āhuatanga me te aratohu i ngā whakatau maimoatanga.

He aha te Tango Matua mō te Whakapae Wāhine?

He āhuatanga ngākau onge, engari ka taea te whakahaere te whakapae wāhine kei reira ngā oko toto e hanga ana i te porowhita i tō pūhau me tō pūnaha kai. Ahakoa he āwangawanga tēnei, he tokomaha ngā tāngata e ora ana i te ora noa me tēnei āhuatanga.

Ko te mea nui hei mahara ko te maimoatanga he tino whai hua ina puta mai ngā tohu. Ka whakarato ngā hangarau pokanga hou i ngā hua pai me ngā tūponotanga iti me ngā hua roa pai.

Mena he tohu ngawari tō, kāore rānei he tohu, ko te aroturuki noa me tō taakuta te mea e hiahiatia ana. Ka awhina tō rōpū hauora ki te whakatau i te huarahi pai mō tō āhuatanga motuhake.

Me te tiaki hauora tika, ka taea e ngā tāngata e whai ana i ngā whakapae wāhine te tumanako ki te ora i te ora katoa, mahi. Kaua e whakaroa ki te kōrero i ngā awangawanga ki tō kaiwhakarato hauora, ka taea te whakarato i te aratohu whaiaro e pā ana ki ō āhuatanga motuhake.

Ngā Pātai Nui e Uihia ana mō te Whakapae Wāhine

Ka taea te aukati i te whakapae wāhine?

Kāore e taea te aukati i te whakapae wāhine na te mea ka whanake i te wā hapu wawe hei wāhanga o te hanga ngākau me ngā oko toto noa. Kāore i puta mai i tetahi mea i mahi, kāore rānei i mahi ngā mātua i te wā hapu. Ka puta mai te āhuatanga he rerekētanga whanaketanga noa e puta ana i te tukanga uaua o te whanaketanga cardiovascular.

Ka nui ake te tamaiti i te whakapae wāhine?

Kāore ngā tamariki e nui ake i ngā whakapae wāhine na te mea kāore te whakarite oko toto e whakarerekē i te wā. Heoi, ka taea te pai ake o ngā tohu i te wā e tipu ana tō tamaiti, ka nui ake ngā ara manawa. Ko ētahi tamariki e whai ana i te pehi ngawari ka iti ake ngā tohu i te wā e pakeke ana, ko ētahi atu ka hiahia ki te maimoatanga ahakoa te tau.

Te noa o ngā whakapae wāhine?

He onge rawa ngā whakapae wāhine, e puta ana i raro i te 1% o ngā ngoikoretanga ngākau whānau katoa. Ka pā ki te 1 i te 10,000 ki te 20,000 whānau. Ahakoa he onge, he āhuatanga pai te mōhio ki ngā huarahi maimoatanga i te wā e hiahiatia ana.

Ka taea e ngā pakeke te whanake i ngā tohu whakapae wāhine mō te wā tuatahi?

Ae, ka taea e ētahi pakeke te whanake i ngā tohu mō te wā tuatahi, ina koa mena he porowhita ngawari kei te nui ake i te wā. Ko ngā whakarerekētanga i te hanganga tinana, te piki o te taumaha, ētahi atu mea rānei ka taea te whakaoho i te whakapae wāhine kāore i te tohu i mua ki te timata i ngā raruraru i te pakeketanga.

He mea tika te pokanga mō te whakapae wāhine?

Kāore te pokanga i te mea tika tonu mō ngā whakapae wāhine. Ko te nuinga o ngā tāngata e whai ana i ngā porowhita ngawari kāore e pāngia ngā tohu e hiahia ana ki te aroturuki noa. Ko te pokanga e tūtohutia ana ina pāngia nui ngā tohu i te manawa, te horomi, te kounga o te ora rānei. Ka awhina tō taakuta ki te whakatau i te huarahi pai e pā ana ki tō āhuatanga motuhake.