He aha te Whakatikatika i te Pūwāhi Mitral me te Whakakapi i te Pūwāhi Mitral? Te Whāinga, te Hātepe & ngā Hua

Ko te whakatikatika me te whakakapi i te pūwāhi mitral he pokanga ngākau e whakatika ana i ngā raruraru ki tō pūwāhi mitral, tētahi o ngā pūwāhi e whā e whakahaere ana i te rere o te toto i roto i tō ngākau. Whakaarohia tō pūwāhi mitral hei kuaha i waenga i ngā rūma e rua i tō ngākau - ka tuwhera kia rere te toto mai i tō atrium mauī ki tō ventricle mauī, katahi ka kati kia kore ai te toto e rere whakamuri.

Ki te kore tēnei pūwāhi e mahi tika ana, me kaha ake tō ngākau ki te papu toto. Mā ēnei hātepe pokanga e whakahoki mai te rere toto noa me te āwhina i tō ngākau kia pai ake te mahi, he maha ngā wā ka tino pai ake tō kounga o te ora.

He aha te whakatikatika i te pūwāhi mitral me te whakakapi i te pūwāhi mitral?

Ko te whakatikatika i te pūwāhi mitral ko te tikanga ka whakatika tō tākuta pokanga i tō pūwāhi o nāianei kia pai ake ai te mahi. Mā tēnei pea e whakakaha ngā tūwhera pūwāhi wewete, te tango i te kiko anō, te tāpiri rānei i ngā hanganga tautoko hei āwhina i te pūwāhi kia kati tika.

Ko te whakakapi i te pūwāhi mitral ko te tango katoa i tō pūwāhi kua pakaru me te whakauru i tētahi mea hou. Ka taea e te pūwāhi hou te miihini (i hangaia mai i ngā rauemi roa pēnei i te konganuku) te koiora rānei (i hangaia mai i te kiko kararehe, tangata rānei).

Ko te tikanga ka ngana tō tākuta pokanga ki te whakatika i te tuatahi ki te taea, nā te mea ko te pupuri i tō pūwāhi taketake ka pai ake ngā hua i te wā roa. Heoi, i ētahi wā he nui rawa te kino, ā, ka waiho te whakakapi hei kōwhiringa pai ake mō tō hauora.

He aha i mahia ai te whakatikatika me te whakakapi i te pūwāhi mitral?

E whakatika ana ēnei hātepe i te mate pūwāhi mitral, e puta ana i te wā e kore ai tō pūwāhi e tuwhera whānui ana, e kore rānei e kati katoa. Mā tēnei e kaha ake ai tō ngākau ki te mahi, ā, ka puta pea ngā raruraru nui i te wā.

Ka tohutohu pea tō tākuta i te pokanga mō te stenosis mitral, i te wā e whāiti rawa ana te tuwheratanga o te tūāwhiwhi, ā, e aukati ana i te rere o te toto. He maha ngā wā ka pōturi te whanaketanga o tēnei āhuatanga, ā, ka mōhiotia e koe te ngenge, te pōturi o te manawa, te mamae rānei o te uma i ngā mahi o ia rā.

Ko te regurgitation mitral tētahi atu take noa mō te pokanga, i te wā e kore e kati tika ana te tūāwhiwhi, ā, ka hoki whakamuri te toto. Ka pāpā tēnei i te ohorere i te mate urutā, i te wharanga rānei, ka whanake pōturi rānei i ngā tau i te kakahu me te haehae.

Ko ētahi tāngata e hiahia ana ki te pokanga mō ngā raruraru tūāwhiwhi mitral i whānau mai ai rātou. Ko ētahi atu ka whanake i ngā take tūāwhiwhi i muri i te kirika rūmātiki, te whakaeke ngākau, i ngā mate urutā rānei e whakangaro ana i te kiko tūāwhiwhi.

He aha te tikanga mō te whakatikatika me te whakakapi i te tūāwhiwhi mitral?

Ka pā tō pokanga i roto i te rūma whakahaere i raro i te rongoā whānui, nō reira ka moe katoa koe i te wā o te tikanga. Ko te nuinga o ngā pokanga e 2 ki te 4 haora te roa, i runga i te uaua o tō keehi motuhake.

Ka taea e tō tākuta te uru atu ki tō ngākau mā ngā huarahi rerekē. Ko te tikanga tuku iho ko te hanga i tētahi tapahi ki waenganui o tō uma me te whakatuwhera i tō wheua uma kia tae tika atu ki tō ngākau.

Ko ngā huarahi iti rawa te whakaeke e whakamahi ana i ngā tapahi iti ake, i waenga i ō rara i te taha matau o tō uma. Ko te tikanga o tēnei huarahi he iti ake te mamae me te whakaora tere, ahakoa kāore te katoa e tika ana mō tēnei tikanga.

I te wā o te pokanga, ka honoa koe ki tētahi mīhini āwhina ngākau-pūkahukahu e tango ana i te mahi papu o tō ngākau. Mā tēnei ka taea e tō tākuta te mahi i tō ngākau tonu me te tika me te haumaru.

Mō ngā tikanga whakatikatika, ka taea e tō tākuta te whakahāngai i ngā rau tūāwhiwhi, te tango i te kiko nui, te whakauru rānei i tētahi mowhiti huri noa i te tūāwhiwhi hei āwhina i te kati pai ake. Ko te whakakapi ko te tango āta i te tūāwhiwhi kua pakaru me te tuitui i tētahi mea hou ki tōna wāhi.

Me pēhea te whakarite mō tō pokanga tūāwhiwhi mitral?

Ka tīmata tō whakarite mā te whakamātautau whānui kia mōhio ai kua rite koe mō te pokanga. Ko te tikanga, kei roto i tēnei ngā whakamātautau toto, ngā hihi-X o te uma, me ngā whakaahua taipitopito o te ngākau hei āwhina i tō rōpū tākuta pokanga ki te whakamahere i te huarahi pai.

Ka tūtaki koe ki tō rōpū tākuta pokanga i mua i te pokanga ki te kōrero mō te tikanga, ki te pātai pātai, me te mārama ki ngā mea e tūmanakohia ana. Koinei hoki te wā ka ako koe mō te rongoā whakamoe me ētahi tohutohu motuhake mō tō keehi.

Ka arotake tō tākuta i ngā rongoā katoa e inu ana koe, nā te mea me whakamutu, me whakatika rānei ētahi i mua i te pokanga. Ko ngā rongoā whakaheke toto, inā rā, he maha ngā wā e hiahia ana kia āta whakatakotoria te wā hei taurite i te tūponotanga o te toto me te aukati i te pūwhā.

Ko te whakarite tinana te tikanga, me mutu te kai me te inu i muri i te pō waenga pō i mua i te pokanga. Ka kaukau hoki koe ki te hopi patu huakita motuhake hei whakaiti i te tūponotanga o te mate.

He mea nui te whakarite aronganui. He maha ngā tāngata e kite ana he āwhina ki te whakarite i te tautoko a te whānau, ki te whakarite i tō rātou kāinga mō te whakaora, me te kōrero mō ētahi āwangawanga ki tō rātou rōpū hauora.

Me pēhea te pānui i ngā hua o tō pokanga takirere mitral?

Ka inehia te angitu o tō pokanga mā te pai o te mahi a tō ngākau i muri i te tikanga me te nui o te whakapai ake o ō tohumate. Ka whakamahi tō tākuta i ētahi whakamātautau hei arotake i ēnei hua i roto i te wā.

Ka whakaatu ngā echocardiograms i te pai o te mahi a tō takirere hou, kua whakatikahia rānei, mā te ine i te rere o te toto me te tirotiro mō ngā turuturu. Ka puta ēnei whakamātautau i ngā wā katoa i muri i te pokanga hei aroturuki i tō ahunga whakamua.

Ka whakarato ō tohumate i ngā kōrero nui mō te angitu o te pokanga. He maha ngā tāngata e kite ana i te pai ake o ngā taumata pūngao, te ngāwari ake o te manawa, me te pai ake o te kaha ki te whakakorikori i roto i ngā wiki ki ngā marama i muri i te pokanga.

Ka āwhina ngā whakamātautau toto ki te aroturuki i tō hauora ngākau whānui, ā, ki te mea he takirere mīhini tō, me mōhio kei te pai te mahi a tō rongoā whakaheke toto. Ka āta aroturukihia e tō tākuta ēnei taumata hei aukati i ngā raruraru.

Ka taea te whakamatautau manawanui i nga marama i muri i te pokanga kia kite ai te pai o te ngakau ki te whakanui i te mahi. Ka awhina tenei ki te arahi i to hokinga ki nga mahi me nga mahi noa.

Me pehea te arotau i to whakaora i muri i te pokanga o te takirere mitral?

Ka puta to whakaora i roto i nga wahanga, ka timata mai i te tata tirotiro i roto i te waahi tiaki kaha mo te ra kotahi, e rua ranei i muri i te pokanga. I tenei wa, ka mataki to roopu rongoa i te mahi o to ngakau me te whakahaere i nga hiahia tonu i muri i te pokanga.

Ka taea e nga kaupapa whakahou ngakau te whakapai ake i to whakaora me nga hua mo te wa roa. Ko enei kaupapa e tirotirohia ana ka awhina i a koe ki te hanga kaha me te manawanui i te wa e ako ana i nga tikanga oranga ngakau.

Ko te whai i to waarangi rongoa kia rite ki te tohutohu he mea nui kia angitu. Mena he takirere miihini to, ka noho tonu nga mea angiangi toto hei mea e tika ana kia kore ai e puta nga toto toto kino.

Ko te ahunga whakamua o te mahi ka awhina i to tinana ki te whakaora tika i te wa e hanga ana i te kaha. Ka tukuna e to taakuta nga aratohu motuhake mo te aukati i te hiki, te taraiwa, me te hoki ki te mahi i runga i to whakaora takitahi.

Ko nga wa whakarite whai-ake i nga wa katoa ka taea e to roopu rongoa te aro turuki i to ahunga whakamua me te hopu i nga take ka puta wawe. Ko enei haerenga ka iti ake te auau i te wa e haere ana to whakaora.

He aha te hua pai mo te pokanga o te takirere mitral?

Ko te hua pai rawa atu e whakakotahi ana i te mahi takirere pai me te whakapai ake i to oranga. Ko te nuinga o nga tangata ka tino mamae mai i nga tohu penei i te poto o te manawa, te ngenge, me te mamae o te uma.

Ko te whakatikatika, te whakakapi ranei i te angitu me whakahoki mai te rere toto noa i roto i to ngakau, ka taea e ia te papu pai ake. Ko te tikanga tenei ka taea e koe te hoki ki nga mahi i mua i te pokanga.

Kei runga i ētahi āhuatanga te angitu wā-roa, tae atu ki tō hauora whānui, te momo tikanga i mahia e koe, me te pai o tō whai i te mahere tiaki i muri i te pokanga. He maha ngā wā ka roa te 15-20 tau, neke atu rānei, te roa o ngā tūāwhiwhi kua whakatikahia.

Ka taea e ngā tūāwhiwhi whakakapinga mīhini te roa mō ngā tau tekau, engari me whakamahi i ngā rongoā whakaheke toto mō te wā katoa. Ka hiahia pea ngā tūāwhiwhi koiora ki te whakakapi i muri i te 10-20 tau, engari kāore i te nuinga o te wā e hiahia ana ki ngā rongoā whakaheke toto wā-roa.

Ko ngā putanga pai rawa atu ka puta i te wā e mau ana te tangata i ngā momo noho hauora-ngākau, e tango ana i ngā rongoā i te mea kua whakaritea, me te whai tonu i ngā aroturuki rongoā auau puta noa i ō rātou oranga.

He aha ngā āhuatanga tūpono mō ngā raruraru pokanga tūāwhiwhi mitral?

He nui te pānga o te pakeke me te āhua o te hauora whānui ki te tūpono pokanga, me te hunga pakeke me te hunga whai i ngā āhuatanga hauora maha e tūpono ana ki ngā raruraru. Heoi, he tino taea tonu te pokanga angitu puta noa i ngā rōpū pakeke katoa.

Ka taea e ngā āhuatanga ngākau o mua, pēnei i te ngoikore ngākau nui, ngā whakaeke ngākau o mua, ētahi atu raruraru tūāwhiwhi rānei, te whakanui i te uaua o te pokanga. Ka āta arotakehia e tō rōpū pokanga ēnei āhuatanga i te wā e whakamahere ana i tō tikanga.

Ka taea e te mate pūkahukahu, ngā raruraru tākihi, te mate huka rānei te pā ki te whakaora me te whakaora. Ka whakapai ake tō rōpū rongoā i te whakahaere i ēnei āhuatanga i mua i te pokanga hei whakaiti i ngā tūpono.

Ko te pokanga ohorere te tikanga ka nui ake ngā tūpono i ngā tikanga kua whakamaherehia. Koinei te take e tohutohu ana ngā tākuta i te pokanga i mua i te kaha o ngā tohu, i te wā e pai ake ana tō āhua whānui.

Ko ētahi āhuatanga ā-tinana, pēnei i te pokanga pouaka o mua, te hanganga ngākau rānei kāore i te noa, ka uaua ake te tikanga. Ka āwhina te whakaahua matatau i ngā tākuta ki te whakamahere mō ēnei āhuatanga.

He pai ake te whakatika, te whakakapi rānei i te tūāwhiwhi mitral?

Ko te whakatika te tikanga e pai ana i te wā e taea ana, nā te mea e tiaki ana i tō tūāwhiwhi tūturu, ā, he maha ngā wā e pai ake ai ngā putanga wā-roa. Ko te tikanga ka roa ake te roa o ngā tūāwhiwhi kua whakatikahia, me te pupuri i te pai ake o te mahi ngākau i te roa o te wā.

Ka whakawhirinaki te whakatau a tō tākuta ki te whānuitanga o te kino o tō tōtā me te tūponotanga o te whakatikatika angitu. Ētahi āhuatanga, pērā i te calcification kaha, i te kino nui rānei o te kiko, ka pai ake te whakakapi.

He iti ake ngā tūponotanga o te pokanga i te wā tonu i ngā tikanga whakatikatika, ā, tērā pea ka iti ake te rongoā whakaheke toto i muri mai. Ko te tikanga tēnei he iti ake ngā raruraru e pā ana ki te rongoā i te wā roa.

Heoi anō, tērā pea ka tika te whakakapi mēnā kua tino kino tō tōtā, mēnā rānei kua rahua ngā ngana whakatikatika o mua. E whakarato ana ngā tōtā whakakapi hou i ngā hua pai rawa atu ina kore e taea te whakatikatika.

Ka kōrero tō tākuta i te kōwhiringa pai rawa atu mō tō āhuatanga motuhake i runga i te āhua o tō tōtā, te pakeke, te oranga, me te hauora whānui. Ko te whāinga tonu ko te kōwhiri i te huarahi e whai hua ai te hua pai rawa atu i te wā roa.

He aha ngā raruraru ka puta i te pokanga tōtā mitral?

Pērā i ngā pokanga nui katoa, he tūponotanga ētahi o ngā tikanga tōtā mitral, ahakoa he mea noa ngā raruraru nui ki ngā tīma pokanga mōhio. Mā te māramatanga ki ēnei tūponotanga ka āwhina i a koe ki te whakatau i ngā whakatau mōhio me te mōhio ki ngā tohu whakatūpato.

Ka puta te whakaheke toto i te wā, i muri rānei i te pokanga, i ētahi wā ka hiahiatia te whakawhitinga toto, i ētahi atu tikanga rānei hei whakahaere. E mātakitaki ana tō tīma pokanga i tēnei āhuatanga, ā, he tikanga ā rātou hei whakahaere i te whakaheke toto.

Ko te mate urutā tētahi atu raruraru ka puta, mai i ngā mate urutā iti o te patunga ki ngā āhuatanga nui ake e pā ana ki te ngākau, ki te rerenga toto rānei. Ko ngā paturopi ārai me ngā tikanga horoi ka whakaiti i tēnei tūponotanga.

Ka puta te whiu, ētahi atu raruraru neurological rānei i te pūtoi toto, i ngā huringa rānei i te rerenga toto i te wā o te pokanga. E whakamahi ana tō tīma hauora i ngā rautaki rerekē hei whakaiti i ēnei tūponotanga puta noa i te tikanga.

Ka puta pea ngā raruraru o te manawa i muri i te pokanga, ahakoa ka ngaro noa i te wā e ora ana tō manawa. Ko ētahi tāngata ka hiahia ki ngā pēihana manawa mō te wā poto, mō te wā roa rānei hei whakahaere i ngā take o te manawa.

Ko ngā raruraru onge engari he nui te kino ko te kino ki ngā hanganga o te manawa e tata ana, te turuturu o te pūwāhi, te hiahia rānei ki te pokanga anō. Ko te wheako o tō rōpū pokanga me te whakamahere tupato ka āwhina i te whakaiti i ēnei tūponotanga.

Āhea au e kite ai i te tākuta mō te whakaora i te pokanga pūwāhi mitral?

Whakapā atu ki tō tākuta tonu mēnā ka pā tō uma ki te mamae e rerekē ana i tō mamae i te pokanga e tūmanakohia ana, ina koa he kaha, he whai tahi rānei e te poto o te manawa. Ko ēnei tohumate ka tohu pea i ngā raruraru e hiahia ana kia aro tonu.

Ko ngā tohu o te mate i te taha o tō wāhi pokanga e hiahia ana kia arotakea tonu e te rongoā. Kia mātakitaki ki te whero nui ake, te mahana, te pūhi, te rere rānei mai i ngā tapahi, ina koa he whai tahi e te kirika.

Ko te poto o te manawa ohorere, ina koa ka takoto papatahi, te pūhi rānei i ō waewae me ō waewae ka tohu pea i ngā raruraru o te mahi manawa, te pupuri wai rānei. Ko ēnei tohumate e tika ana kia aro tonu e te rongoā.

Mēnā he pūwāhi mīhini tō, ko ngā toto rereke, ngā tohu rānei o ngā kōpuku toto e hiahia ana kia arotakea tonu. Kei roto i tēnei ko ngā mamae nui o te upoko, ngā huringa o te tirohanga, te pānga rānei.

Kaua e whakaroa ki te waea atu ki tō rōpū rongoā mō ō āwangawanga i te wā e ora ana. E tūmanako ana rātou ki ngā pātai, me te hiahia kia mōhio kei te pai te haere o tō whakaora.

Ngā pātai e pātai pinepine ana mō te pokanga pūwāhi mitral

Q.1 He pai te pokanga pūwāhi mitral mō te ngoikore o te manawa?

Āe, ka taea e te pokanga pūwāhi mitral te whakapai ake i ngā tohumate o te ngoikore o te manawa i te wā e whai wāhi ana te raruraru o te pūwāhi ki tō āhuatanga. Ko te whakatika i tētahi pūwāhi turuturu, whāiti rānei ka āhei i tō manawa ki te pōmpa i te pai ake, ā, ka taea te whakapai ake i tō kounga o te ora.

He mea nui te wā o te pokanga mō ngā tūroro ngoikore ngākau. Ko te wawaotanga wawe, i mua i te ngoikore rawa o te uaua o tō ngākau, te tikanga ka pai ake ngā hua, ā, ka tino ora te mahi o te ngākau.

Q.2 Ka pā te pokanga tātā mitral ki te pōrearea o te manawa?

Ka pōrearea te manawa o ētahi tāngata i muri i te pokanga tātā mitral, engari ka pai ake tēnei i te wā e ora ana tō ngākau. Ko te raruraru manawa e tino kitea ana ko te atrial fibrillation, e taea ana te whakahaere i ētahi wā mā ngā rongoā, mā ētahi atu tikanga rānei.

Ka mātakitaki tata tō rōpū pokanga i tō manawa i muri i te pokanga, ā, ka taea te rongoā i ngā raruraru manawa ka puta. He wā poto noa ngā raruraru manawa, ā, ka ngaro i roto i ngā wiki, i ngā marama rānei i muri i te pokanga.

Q.3 Kia pēhea te roa o te pokanga tātā mitral?

Ko te pokanga tonu e rua ki te whā hāora te roa, i runga i te uaua o tō keehi, me te mea kei te whakatika, kei te whakakapi rānei koe. Ka roa pea ngā tikanga iti-whakawhiwhi i te wā, nā te mea me tino tika te mahi.

Ka roa ake tō wā katoa i roto i te rūma pokanga, kei roto hoki i tēnei te wā whakarite, te anaehia, me te mātakitaki i muri i te tikanga i mua i te neke ki te whakaora.

Q.4 Ka taea e au te whakakori tinana i muri i te pokanga tātā mitral?

Ka taea e te nuinga o ngā tāngata te hoki ki te whakakori tinana i muri i te whakaora katoa i te pokanga tātā mitral, he maha ngā wā ka pai ake te manawanui ki te whakakori tinana i mua i te pokanga. Ka hoatu e tō tākuta ngā aratohu motuhake i runga i tō whakaora takitahi me te momo tikanga i mahia e koe.

Ka āwhina ngā hōtaka whakahou ngākau i a koe ki te hanga anō i tō kaha whakakori tinana, ā, ki te ako i ngā taumata mahi e tika ana. He maha ngā tāngata e kite ana ka taea e rātou te whakakori tinana kaha ake i tō rātou i mua i te pokanga.

Q.5 Me whakamahi au i ngā whakaiti toto i muri i te pokanga tātā mitral?

Ki te whiwhi koe i tētahi tūāwhiwhi miihini, ka hiahia koe i te rongoā whakaheke toto mō te roanga o te oranga hei ārai i ngā pūtau toto mōrearea. E hiahia ana ēnei rongoā ki te aroturuki auau kia mōhio ai te horopeta tika.

Ko te hunga e whiwhi ana i te tūāwhiwhi kiko, te tikanga, e hiahia ana ki ngā whakaheke toto mō te torutoru marama i muri i te pokanga, ki te kore ō tētahi atu āhuatanga pērā i te atrial fibrillation e hiahia ana ki te rongoā anticoagulation tonu. Mā tō tākuta e whakatau te roa tika i runga i tō āhuatanga motuhake.