Angioplasty me ngā stent o te ngākau

Ko te angioplasty koroni (AN-jee-o-plas-tee) he tukanga hei whakatuwhera i ngā oko toto kī kī o te ngakau. Ka whakaora te angioplasty koroni i ngā oko, e kiia ana ko ngā ātiretā koroni, e kawe ana i te toto ki ngā uaua o te ngakau. Ka whakamahia he poroporo iti kei runga i te tūpū angiangi, e kiia ana ko te catheter, hei whānui ake i te ātiretā kī kī me te whakapai ake i te rere o te toto.

Ko te whakamahinga o te angioplasty me te whakanoho stent hei whakaora i te kohinga o ngā ngako, te cholesterol, me ētahi atu mea kei roto, kei runga hoki i ngā pakitara o te ātiretā, he mate e kiia nei ko te atherosclerosis. He tino take te atherosclerosis mō te aukati i ngā ātiretā o te ngakau. Ko te aukati, te whakaiti rānei o ēnei oko toto e kiia ana ko te mate ātiretā koroni. Ka whakapai ake te angioplasty i te rere o te toto ki te ngakau. Ka taea e tō rōpū hauora te tūtohutia tēnei rongoā ki te: Kāore i pai ake te hauora o te ngakau mā ngā rongoā, mā ngā huringa noho rānei. Kei te kino haere te mamae o te uma, e kiia ana ko te angina, i puta mai i te aukati o ngā ātiretā. Me whakatika wawe te rere o te toto hei whakaora i te mate ngakau. Kāore te angioplasty mō te katoa. I etahi wā, ka tūtohuhia te pokanga ngakau tuwhera e kiia ana ko te whakawhiti ātiretā koroni, hei utu. Ko tētahi atu ingoa mō tēnei pokanga ko te CABG – e karangahia ana ko te “kāpeti”. Ka hangaia e ia he huarahi hou mō te rere o te toto ki te taha o te ātiretā kua aukati, kua whakaitihia rānei i roto i te ngakau. Ka whakaaro te taote ngakau, e kiia ana ko te kaitātari ngakau, me ētahi atu mema o tō rōpū tiaki ki te kino o tō mate ngakau me tō hauora whānui ina whakatau i te whiringa rongoā pai rawa atu.

Ko ngā tūponotanga o te angioplasty koroni me te whakanoho stent pea ko: Te whakaiti anō o te ātiretī. Ko te whakaiti anō o te ātiretī, e kiia ana hoki ko te re-stenosis, ka tino pūmau ake te puta mai ki te kore e whakamahia he stent. Ki te whakakakahuhia te stent ki te rongoā, ka iti ake te tūponotanga o te whakaiti. Ngā toto kōtiti. Ka taea e ngā toto kōtiti te hanga i roto i ngā stent. Ka taea e ēnei kōtiti te kati i te ātiretī, ka puta he mate ngākau. Ka taea e ngā rongoā te awhina i te whakaiti i te tūponotanga o ngā toto kōtiti. Te toto rere, te mate pukupuku rānei. I te wā o te tukanga, ka whakauruhia he catheter ki roto i te oko toto, te nuinga o te wā i te ringa, i te waewae rānei. Ka puta pea te toto rere, te whākū, te mate pukupuku rānei i te wāhi i whakauruhia ai te catheter. Ko ētahi atu tūponotanga onge o te angioplasty ko: Te mate ngākau. He onge ngā mate ngākau e pāngia ana e te kino nui o te kōeke, te mate rānei. Te kino o te ātiretī koroni. Ka taea te pakaru, te motu rānei i te ātiretī koroni i te wā o te angioplasty koroni me te whakakakahu stent. Me āwhina pea ēnei raruraru ki te pokanga ngākau tuwhera āwangawanga. Te whara whatukuhu. Ka nui ake te tūponotanga ina pāngia e ētahi atu āhuatanga te mahi pai o ngā whatukuhu. Te pēhanga. I te wā o te angioplasty, ka taea e te wahi o te papa ngako te motu, te haere ki te roro, te aukati i te rere o te toto. He tino onge te pēhanga hei raruraru o te angioplasty koroni. Ka whakamahia ngā kaiwhakawai toto i te wā o te tukanga hei whakaiti i te tūponotanga. Ngā whiti ngākau koretake. I te wā o te tukanga, ka tere rawa pea te whiti o te ngākau, te ngāwari rānei. Me āwhina pea ēnei raruraru o te whiti ngākau ki te rongoā, ki te pacemaker wā poto rānei.

Ka taea pea te kore e wā ki te whakarite. I etahi wā, ko te angioplasty koroni me te whakanoho stent he rongoā mate ngāwari mō te mate ngākau. Ki te whakaritea he mahinga kore-mate ngāwari, he maha ngā kaupae hei whakarite. Ka tirotirohia koe e te taote kua whakangungua ki ngā mate ngākau, e kiia nei ko te kaitātari ngākau, ka arotake i tō hītori hauora. Ka mahia ngā whakamātautau hei tirotiro i tō hauora ngākau me ētahi atu āhuatanga ka piki pea te tūpono o ngā raruraru. Ka hoatu e tō rōpū hauora ngā tohutohu hei āwhina i a koe ki te whakarite. Ka tono pea rātou kia mahi koe i ēnei mea: Tuhia ngā rongoā katoa, ngā taapiri kai me ngā maimoatanga tipu e inu ana koe. Tāpirihia ngā horopeta. Whakarerekē, kāore rānei e inu i ētahi rongoā i mua i te angioplasty, pēnei i te aspirin, ngā rongoā anti-mumura kore-steroidal (NSAIDs) kāore rānei he whakaheke toto. Pātai atu ki tō rōpū hauora ko ēhea ngā rongoā e hiahia ana koe ki te mutu i te inu me ēhea ngā rongoā e hiahiatia ana kia haere tonu. Kaua e kai kāore rānei e inu i te maha o ngā haora i mua i tō mahinga. Inuhia ngā rongoā kua whakaaetia me ngā inu iti o te wai i te ata o tō mahinga. Whakaritea he haerenga ki te kāinga.