He aha te whakatikatika me te whakakapinga o te tūwhera tricuspid? Te Whāinga, te Hātepe me ngā Hua

Ko te whakatikatika me te whakakapinga o te tūwhera tricuspid he pokanga ngākau e whakatika ana i ngā raruraru o tō tūwhera tricuspid, tētahi o ngā tūwhera e whā o tō ngākau. Kei waenga i te atrium matau me te ventricle matau o tō ngākau te tūwhera tricuspid, e mahi ana hei tatau kotahi-ara e pupuri ana i te toto e rere ana i te huarahi tika.

Inā kore e pai te mahi o tēnei tūwhera, ka pā ana ki te hoki whakamuri, ka whāiti rānei, ka kaha ake te mahi o tō ngākau i te mea e tika ana. Ka āwhina ēnei hātepe ki te whakahoki i te rere o te toto noa, ā, ka tino pai ake te kounga o tō oranga.

He aha te whakatikatika me te whakakapinga o te tūwhera tricuspid?

Ko te whakatikatika i te tūwhera tricuspid ko te tikanga ka whakatika tō tākuta pokanga i tō tūwhera o nāianei kia pai ake ai te mahi. Ka uru pea tēnei ki te whakakaha i ngā rāpa tūwhera wewete, te tango i te kiko nui, te tāpiri rānei i te mowhiti hei āwhina i te tūwhera kia kati tika.

Ko te whakakapinga i te tūwhera tricuspid ko te tikanga ka tango tō tākuta pokanga i tō tūwhera kua pakaru, ka whakauru i tētahi tūwhera hou. Ka taea te hanga i te tūwhera hou mai i te kiko kararehe (tūwhera koiora) rānei i ngā rauemi waihanga (tūwhera mīhini).

Ko te nuinga o ngā tākuta pokanga ngākau e pai ana ki te whakatikatika i te whakakapinga i te wā e taea ana, nā te mea ko tō tūwhera ake, i te wā i whakatikahia, ka roa te roa, ā, ka mahi i te āhua noa atu i te tūwhera horihori.

He aha te take i mahia ai te pokanga tūwhera tricuspid?

Ka tūtohu pea tō tākuta i te pokanga tūwhera tricuspid i te wā e tino pakaru ana tō tūwhera, ā, ka tīmata ana ki te pā ki te kaha o tō ngākau ki te papu toto. Ko te tikanga ka pā ana tēnei i te wā e nui rawa ana te toto e hoki ana (regurgitation) rānei, ka whāiti rawa rānei (stenosis).

Ko te take tino noa mō ngā raruraru tūwhera tricuspid ko te pakaru mai i ētahi atu āhuatanga ngākau, pērā i ngā raruraru o ō tūwhera ngākau taha mauī, i te pēhanga toto tiketike rānei i ō pūkahukahu. I ētahi wā ka taea e ngā mate, ngā hē ngākau whānau, ētahi rongoā rānei te pakaru i tēnei tūwhera.

Me hiahia pea koe ki te pokanga mena kei te pā koe i ngā tohumate pērā i te pōkae nui, te tino ngenge, te pūhi i ō waewae me te puku, ki te whakaatu rānei ngā whakamātautau kei te tino heke te mahi o tō ngākau.

He aha te tikanga mō te pokanga tākawa tōrohi?

Ko te pokanga tākawa tōrohi te tikanga e 3 ki te 6 hāora te roa, ā, ka mahia i raro i te rongoā whānui, nō reira ka moe katoa koe i te wā o te tikanga. Ka tū te tākuta pokanga i tētahi tapahi i tō uma kia uru atu ki tō ngākau.

I te wā o te pokanga, ka whakamutua tō ngākau mō tētahi wā i te wā e whakahaere ana te mīhini ngākau-pūkahukahu i te mahi o te pūhi toto me te tāpiri hāora ki te toto. Mā tēnei e whai wāhi ana tō tākuta pokanga ki te kite i te tākawa tōrohi kia mahia te whakatikatika, te whakakapi rānei.

Mō ngā whakatikatika, ka āhei te tākuta pokanga ki te whakahāngai anō i ngā pūwhero tākawa, te tango i te kiko nui, te whakatakoto rānei i tētahi mowhiti huri noa i te tākawa hei āwhina i te kati kaha. Mō ngā whakakapinga, ka tāngohia e rātou tō tākawa kua pakaru, ka tuituia tētahi tākawa hou ki tōna wāhi.

I muri i te otinga o te whakatikatika, te whakakapinga rānei, ka tīmata anō te tākuta pokanga i tō ngākau, ka tango i te mīhini ngākau-pūkahukahu, ka kati i tō uma ki ngā waea me ngā tuitui.

Me pēhea te whakarite mō tō pokanga tākawa tōrohi?

Ko tō whakarite te tikanga ka tīmata i ngā wiki i mua i te pokanga me ngā whakamātautau whānui kia mōhio ai kei te rite koe mō te tikanga. Ko te tikanga ko ngā whakamātautau toto, ngā hihi-X uma, te electrocardiogram, me ngā whakaahua ngākau taipitopito.

Ka arotake tō rōpū hauora i ō rongoā o nāianei katoa, ā, ka tono pea ki a koe kia whakamutu i ētahi, ina koa ngā whakaheke toto, tata ki te wiki i mua i te pokanga. He mea nui kia whai i ēnei tohutohu kia tika, i te mea kei runga i te whakarite tika tō ora.

Me whakamutu koe i te kai me te inu i muri i te pō i mua i tō pokanga. Whakarite kia tae wawe ki te hōhipera i tō rā pokanga, me te whakarite kia noho ngā mema o te whānau ki te taha tata, i te mea ka noho koe i te hōhipera mō te wiki.

Me whakarite kia rite tō kāinga mō tō whakaora mā te tango i ngā mea e tūkinotia ai, te whakatakoto i ngā kai ngawari ki te whakarite, me te whakarite i te āwhina mō ngā mahi o ia rā mō ngā wiki tuatahi i muri i tō hokinga ki te kāinga.

Me pēhea te pānui i ngā hua o tō pokanga tūtoru?

Ka arotakehia e tō tākuta pokanga te angitu o tō pokanga tūtoru mā te maha o ngā mehua, ka tīmata mā te pai o te whakahaere o tō tātā hou, i whakatikahia rānei i te rere o te toto. I muri tonu i te pokanga, ka whakamahia e rātou ngā echocardiograms ki te kite i te pai o te mahi a tō tātā.

Ko te whakatikatika, te whakakapi rānei i te tātā kia angitu me whakaatu he iti rawa te rere o te toto ki muri (te regurgitation) me te rere whakamua noa, kāore he aukati. Ka aroturukihia hoki e tō tākuta pokanga te pai o te whakaora o tō ventricle matau i te pokanga.

I roto i ngā wiki me ngā marama e whai ake nei, ka aroturukihia e tō rōpū hauora ō tohu, te kaha ki te whakakorikori tinana, me te mahi o te ngākau. Ko te nuinga o te tangata ka kite i te whakapai ake i te manawa me te taumata pūngao i roto i ngā marama i muri i te pokanga angitu.

Ko ngā whakaritenga whai-ake i ngā wā katoa me ngā echocardiograms ka āwhina i tō tākuta ki te aroturuki i te mahi o tō tātā i te wā roa me te hopu i ngā take ka puta wawe.

Me pēhea te whakanui i tō whakaora i muri i te pokanga tūtoru?

Ko te angitu o tō whakaora ka whakawhirinaki nui ki te whai i ngā tohutohu a tō rōpū hauora mā te āta, me te manawanui ki te tukanga whakaora o tō tinana. Ko te nuinga o te tangata ka noho i te hōhipera mō te 5 ki te 7 rā i muri i te pokanga, ko ngā rā tuatahi i roto i te tiaki kaha.

I te wā o tō noho i te hōhipera, ka piki haere tō taumata mahi, ka tīmata mā ngā mahi manawa me ngā hikoi poto. Ka aroturukihia e tō rōpū hauora tō manawataki, te taurite wai, me te whakaora patunga.

Kia hoki koe ki te kāinga, me karo koe i te hiki taumaha (nui atu i te 10 pauna) me ngā mahi kaha mō te 6 ki te 8 wiki i te wā e ora ana tō wheua uma. Mā te hīkoi marie me ngā whakakōkī i whakaritea e kaha ai tō ngākau, e pai ake ai tō whakaora.

He mea nui te tango i ō rongoā i te tika tonu i whakaritea hei aukati i ngā raruraru me te whakarite kia tika tonu te mahi a tō pūwāhi. He maha ngā tāngata e hoki ana ki ngā mahi noa i roto i te 3 ki te 4 marama i muri i te pokanga.

He aha ngā āhuatanga tūpono mō ngā raruraru pūwāhi tricuspid?

He maha ngā āhuatanga ka whakanui i tō tūponotanga ki te whakawhanake i ngā raruraru pūwāhi tricuspid, ko te mate pūwāhi ngākau i te taha mauī te take tino nui. Ki te kore e tika te mahi a ō pūwāhi mitral, aortic rānei, ka piki te pēhanga ka pā ki tō pūwāhi tricuspid.

Ma te māramatanga ki ēnei āhuatanga tūpono ka āwhina i a koe me tō tākuta ki te aroturuki i tō hauora ngākau:

• Te mate pūwāhi ngākau o mua, te ngoikore rānei o te ngākau
• Te toto tiketike i roto i ō pūkahukahu (te pēhanga toto pulmonary)
• Ngā hē ngākau i whānau mai
• Hītori o te kirika rūmātiki, ngā mate ngākau rānei
• Ētahi rongoā, ina koa ētahi pire kai, ngā whakaohooho rānei
• Te whakamahi tarukino i roto i te uaua, ka pā ki te mate pūwāhi
• Te rongoā iraruke ki te wāhi uma
• Te mate carcinoid, he āhuatanga onge e pā ana ki te hanga homoni

Ahakoa e kore e taea e koe te whakahaere i ēnei āhuatanga tūpono katoa, mā te pupuri i te hauora ngākau pai mā te tirotiro i ngā wā katoa ka āwhina i te hopu i ngā raruraru i te wā wawe ka taea te rongoā.

He pai ake te whakatika, te whakakapi rānei i te pūwāhi tricuspid?

Ko te whakatika i te pūwāhi tricuspid te mea e pai ana i te whakakapi i te nuinga o te wā ina taea te whakatika pai i tō pūwāhi, nā te mea ka roa te ora o ngā pūwāhi i whakatikahia, ā, ka mahi i te āhua tūturu atu i ngā pūwāhi hanga. Ko tō pūwāhi ake, ina whakatikahia, kāore e hiahiatia ngā rongoā whakaheke toto i te nuinga o ngā wā.

Heoi anō, ka hiahia te whakakapinga ina kua pakaru rawa tō tūāwhiorere, kāore e taea te whakatika. Mā tō tākuta e whakatau tēnei whakatau i runga i te āhua motuhake o tō tūāwhiorere me tō hauora whānui.

Kāore ngā tūāwhiorere whakakapi koiora (i hangaia mai i ngā kiko kararehe) e hiahia ana ki ngā rongoā whakaheke toto mō te wā roa, engari me whakakapi pea i muri i te 10 ki te 15 tau. Ka roa te ora o ngā tūāwhiorere mīhini, engari e hiahia ana ki ngā rongoā whakaheke toto mō te ora katoa hei ārai i ngā pūhui toto.

Mā tō tau, tō oranga, me ētahi atu āhuatanga hauora e āwhina i tō tākuta ki te whakatau ko tēhea kōwhiringa ka whai hua pai mō te wā roa.

He aha ngā raruraru ka puta i te pokanga tūāwhiorere tricuspid?

Ahakoa te nuinga o te wā he haumaru, he whai hua te pokanga tūāwhiorere tricuspid, pērā i ētahi atu pokanga nui o te ngākau, he raruraru anō kei reira me mōhio koe i mua i te haere tonu. He pai te hua o te nuinga o ngā tāngata, engari mā te mōhio ki ngā raruraru ka āwhina koe ki te mōhio wawe ki ngā tohu whakatūpato.

Ngā raruraru noa ka puta:

• Te toto ka hiahia pokanga anō
• Ngā manawataki ngākau kōaro (arrhythmias)
• Te mate i te wāhi pokanga, huri noa rānei i te ngākau
• Ngā pūhui toto ka haere ki ō pūkahukahu, roro rānei
• Te raruraru rangitahi, ngā take mahara rānei
• Ngā raruraru tākihi mai i te taumahatanga o te pokanga
• Te hiahia roa ki te tautoko manawa mīhini

Ngā raruraru onge engari nui ko te whiu, te whakaeke ngākau, te hiahia rānei ki te pokanga ngākau anō. Ka mahi tō rōpū pokanga i te āta tūpato ki te whakaiti i ēnei raruraru mā te whakarite tika me te aroturuki.

Ko te nuinga o ngā raruraru, ina puta, ka taea te whakahaere mā te āwhina hauora wawe. Ka mātakitaki tō rōpū hauora i a koe mō ngā tohu o ngā raruraru i te wā o tō whakaoranga.

Āhea au e kite ai i te tākuta mō ngā āwangawanga tūāwhiorere tricuspid?

Me whakapā atu koe ki tō tākuta mēnā ka pā mai ngā tohumate e tohu ana i ngā raruraru o te tūwāhi tricuspid, ina koa kei te kino haere i te wā. Mā te kimi wawe me te rongoā ka ārai i ngā raruraru nui ake.

Rapua te āwhina hauora mēnā ka kite koe i ēnei tohu whakatūpato:

• Te piki haere o te poto o te manawa, ina koa i ngā mahi noa
• Te ngenge nui kāore e pai ake ana i te okiokinga
• Te pūhi i ō waewae, ngā rekereke, te puku rānei
• Te mamae o te uma, te pēhanga rānei
• Te ngākau pōrearea, te tere rānei
• Te whanoke, te ngaro rānei
• Te iti haere o te kaha ki te whakakori tinana, ki te mahi rānei i ngā mahi o ia rā

Mēnā kua whai pokanga tūwāhi tricuspid koe, whakapā atu ki tō tākuta tonu mō te kirika, te piki haere o te mamae o te uma, te poto o te manawa kāore i te noa, ngā tohu rānei o te mate i te taha o tō wāhi tapahi.

He mea nui ngā whakaritenga whai-whai tonu ahakoa kei te pai koe, nā te mea ka taea e ētahi raruraru tūwāhi te whakawhanake haere me te kore e kitea ngā tohumate.

Ngā pātai e pātai pinepine ana mō te pokanga tūwāhi tricuspid

Q.1 He pai te pokanga tūwāhi tricuspid mō te ngoikore o te ngākau?

Āe, ka taea e te pokanga tūwāhi tricuspid te whakapai ake i ngā tohumate o te ngoikore o te ngākau i te wā e whai wāhi ana tō tūwāhi ngoikore ki te raruraru. He maha ngā tāngata e ngoikore ana te ngākau i te mate tūwāhi tricuspid e pai ake ana te manawa, te kaha ake, me te pai ake o te kounga o te oranga i muri i te pokanga angitu.

Heoi anō, he mea nui te wā o te pokanga. Ka āta arotake tō tākuta mēnā nā te raruraru tūwāhi te ngoikore o tō ngākau, ētahi atu rānei ngā āhuatanga o te ngākau kāore pea e pai ake i te pokanga tūwāhi anake.

Q.2 Ka pā te poto o te manawa i te regurgitation tūwāhi tricuspid?

Āe, he maha ngā wā ka pā te pōkaikaha o te tūāwhiwhi o te tūāwhiwhi tricuspid, inā te wā e mahi ana i ngā mahi tinana, i te wā rānei e takoto ana. Ka pā tēnei nā te mea ko te toto e rere ana ki muri i te tūāwhiwhi e turuturu ana, ka whakaiti i te nui o te toto whai hāora e tae ana ki tō tinana.

Ko te pōkaikaha o te manawa ka tipu haere i te nuinga o te wā, ā, ka haere tahi pea me te ngenge, te pūpū i ō waewae, te ngākau rānei ki te puku i te mea e whawhai ana tō ngākau ki te pūhi pai.

Q.3 E hia te roa o te pokanga tūāwhiwhi tricuspid?

Ko te pokanga tūāwhiwhi tricuspid te nuinga o te wā e 3 ki te 6 haora, i runga i te mea kei te whakatika koe, kei te whakakapi rānei, mehemea e hiahia ana koe ki ētahi atu mahi ngākau i te wā kotahi. Ka roa pea ngā take uaua, ngā mahi rānei i te wā kotahi.

Ka hoatu e tō tākuta he whakatau tata wā motuhake i runga i tō āhuatanga takitahi. Kāore te wā pokanga e uru ana ki te wā whakarite me te wā whakaora i roto i te ruma whakahaere, nō reira ka ngaro koe i tō whānau mō ētahi haora roa atu i te roa o te pokanga.

Q.4 Ka taea e koe te noho noa i muri i te pokanga tūāwhiwhi tricuspid?

Āe, ka taea e te nuinga o te tangata te hoki ki te ora noa, te ora kaha i muri i te pokanga tūāwhiwhi tricuspid angitu. He maha ngā tāngata e kī ana i te pai ake i ngā tau i muri i te whakaora katoa i te mahi.

Ka whakawhirinaki tō taumata mahi me tō oranga ki tō hauora whānui, te angitu o tō pokanga, me te pai o tō whai i tō mahere whakaora. Ka taea e te nuinga o te tangata te hoki ki te mahi, te whakakori tinana, me te haere i roto i ētahi marama i muri i te pokanga.

Q.5 He aha te reiti angitu o te whakatikatika tūāwhiwhi tricuspid?

He reiti angitu nui te whakatikatika tūāwhiwhi tricuspid, me te nuinga o ngā rangahau e whakaatu ana i ngā putanga pai i roto i te 85-95% o ngā tāngata i te wā e mahia ana e ngā tākuta mātanga. Ka whakawhirinaki te reiti angitu ki te raru motuhake ki tō tūāwhiwhi me tō āhua hauora whānui.

He roa ake te mau o ngā whakatikatika i ngā whakakapinga, ā, he maha ngā tāngata e pai ana ki ngā tekau tau o te mahi pai o te tākawa i muri i te angitu o te pokanga whakatikatika. Ka taea e tō tākuta te hoatu ki a koe ētahi kōrero mō te angitu i runga i tō āhuatanga motuhake.