He aha te pokanga ārai i ngā uaua o te ngākau? Te Whāinga, te Hātepe & te Oranga

Ko te pokanga ārai i ngā uaua o te ngākau he hātepe e hanga ana i ngā ara hou mō te rere o te toto ki te taha o ngā uaua o te ngākau kua aukatia, kua whāiti rānei. Whakaarohia me te hanga i ngā ara huri i te wā e aukatia ana te huarahi nui ki te uaua o tō ngākau e te hanganga o te pāraka.

Ka āwhina tēnei pokanga ki te whakahoki i te rere tika o te toto ki tō uaua ngākau i te wā e kore ai e ranea ngā rongoā me ngā maimoatanga iti ake te hōkai. Ka tangohia e tō tākuta pokanga ngā oko toto hauora mai i ētahi atu wāhi o tō tinana, ā, ka whakamahia e rātou ki te hanga i ēnei ara hou, e hoatu ana ki tō ngākau te toto whai hāora e hiahiatia ana e ia kia pai te mahi.

He aha te pokanga ārai i ngā uaua o te ngākau?

Ko te pokanga ārai i ngā uaua o te ngākau, e mōhiotia ana ko CABG (ka pānuitia

Ka hiahia te pokanga ina he nui ngā aukati i roto i ngā uaua kōpiko maha, ina koa te uaua mauī matua e whāngai ana i te wāhi nui o tō ngākau. Ka hiahia pea koe i tēnei pokanga mēnā he nui te mamae o tō uma kāore e pai ake mā te rongoā, mēnā rānei kāore ngā tikanga iti ake te whakaeke pērā i te angioplasty e tika ana mō tō āhua.

I ētahi wā ka tūtohutia te pokanga ārai i muri i te whakaeke ngākau kia ārai i ngā tūponotanga ngākau ā muri ake nei. Ka āta arotake tō tākuta ngākau i tō āhuatanga motuhake, me te whakaaro ki ngā āhuatanga pērā i tō hauora whānui, te wāhi me te kaha o ngā aukati, me te pai o te mahi o tō ngākau i tēnei wā.

He aha te tikanga mō te pokanga ārai i ngā uaua kōpiko?

E whai ana te tikanga pokanga ārai i ētahi mahi i whakaritea kia tino ātaahua kia mōhio ai koe ki tō haumaru me te putanga pai rawa atu. Ka whakamārama tō rōpū pokanga i ia wāhanga i mua kia mōhio tika koe ki ngā mea e tatari ana.

Koinei ngā mea ka pā i te wā o tō pokanga, i te wāhanga i muri i te wāhanga:

1. Ka whiwhi koe i te rongoā whānui kia noho tino pai koe, kia kore e mōhio i te wā o te tikanga
2. Ka hanga e tō tākuta pokanga tētahi tapahi ki waenganui o tō uma, ka whakatuwhera ātaahua i tō wheua uma kia uru atu ki tō ngākau
3. Ka kohia ngā uaua toto hauora mai i tō pakitara uma, tō waewae, tō ringa rānei hei whakamahi i ngā whakawhitinga ārai
4. Ko te tikanga ka mutu tō ngākau mō tētahi wā i te wā e huri ana te mīhini ngākau-pūkahukahu i te toto i roto i tō tinana
5. Ka whakapiri te tākuta pokanga i ngā uaua hou ki te hanga ara huri noa i ngā uaua aukati
6. Ka tīmata anō tō ngākau, ā, ka whakarite te rōpū pokanga kei te pai te mahi o ngā ārai hou
7. Ka waeahia tō wheua uma kia tahi anō, ā, ka katia te tapahi ki ngā tuitui

E 3 ki te 6 haora te roa o te tikanga katoa, i runga i te maha o nga ara ākina e hiahia ana koe. Ka āta titiro tō rōpū tākuta ki a koe i te wā katoa, ā, ka ara koe i roto i te wāhanga tiaki kaha, kei reira ngā nēhi motuhake e āta mātakitaki ana i tō whakaora.

Me pēhea te whakarite mō tō pokanga ara ākina coronary?

Ko te whakarite mō te pokanga ara ākina ko te whakarite tinana me te hinengaro hei āwhina i te whakatutuki i te hua pai rawa atu. Ka hoatu e tō rōpū hauora ngā tohutohu motuhake ki a koe i runga i tō āhuatanga, engari ko te nuinga o ngā whakaritenga e arotahi ana ki te whakapai ake i tō hauora i mua i te pokanga.

Tērā pea ka uru tō whakarite ki ētahi mahi nui:

• Kati te kai paipa i te iti rawa 2 wiki i mua i te pokanga hei whakapai ake i te whakaora me te whakaiti i ngā raruraru
• Haere ki ngā hui whakarite i mua i te pokanga mō ngā whakamātautau toto, ngā hihi-X o te uma, me ngā arotake i te mahi o te ngākau
• Whaia ngā tohutohu rongoā mā te āta, tae atu ki ngā mea hei whakamutu me ngā mea hei haere tonu
• Whakaritea he āwhina i te kāinga i te wā o tō whakaora, me te mea ka hiahia koe ki te āwhina i ngā mahi o ia rā
• Whakaotia ngā mahi niho i mua, nā te mea ka taea e ngā mate te whakararu i te whakaora i te pokanga ngākau
• Kaukau ki te hopi patu huakita i te pō i mua me te ata o te pokanga
• Noho pōuri mai i waenganui pō i mua i tō rā pokanga, mā te whai i ngā tohutohu motuhake a tō rōpū mō te wā hei whakamutu i te kai me te inu

Ka kōrero hoki tō tākuta pokanga i te tikanga i roto i te taipitopito, ka whakautu i ō pātai, me te whakarite kia mārama koe ki ngā painga me ngā tūponotanga. He wā pai tēnei ki te tiri i ō āwangawanga me te whakarite kia whai māia koe ki te anga whakamua.

He aha te tūmanako i te wā o te whakaora i te pokanga ara ākina coronary?

Ko te whakaora i te pokanga ara ākina he tukanga haere haere e puta ana i ngā wāhanga, ka tīmata i te hōhipera me te haere tonu i te kāinga i roto i ētahi marama. Ko te nuinga o te tangata e noho ana i te 5 ki te 7 rā i te hōhipera, me te rā tuatahi, e rua rānei i roto i te wāhanga tiaki kaha mō te āta mātakitaki.

Ko te wāhanga whakaora i te hōhipera e whai ana i tēnei rārangi:

• Ngā haora tuatahi e 24-48 i roto i te tiaki kaha me te aroturuki tonu i te ngākau me te tautoko manawa
• Te tango haere o ngā ngongo me ngā aroturuki i te wā e pūmau ana tō tinana
• Te tīmatanga ki te noho tika, te hā hōhonu, me te haere i ngā tawhiti poto
• Te whakahaere mamae me ngā rongoā hei whakamarie i a koe
• Te rongoā tinana hei āwhina i te whakahoki mai i te kaha me te ārai i ngā raruraru
• Te mātauranga mō te tiaki i te kāinga, ngā rongoā, me ngā here mahi

Kia hoki koe ki te kāinga, ka haere tonu tō whakaora mō te 6 ki te 8 wiki i mua i te hoki ki ngā mahi noa. Ka piki haere tō taumata mahi, ka haere ki te whakahou i te ngākau ki te tūtohutia, me ngā hui whai muri i ngā wā katoa hei aroturuki i ō ahunga whakamua.

Ko te nuinga o te tangata ka pai ake i roto i ngā marama ruarua, ā, ka taea te hoki ki te mahi me ngā mahi noa. Ko ngā ara ōkawa hou e whakarato ana i te rere toto pai ki tō ngākau mō ngā tau maha, he maha ngā tekau tau.

He aha ngā painga o te pokanga ara ōkawa ngākau?

He nui ngā painga o te pokanga ara ōkawa mō te hunga e whai mate ara ōkawa ngākau nui, ina koa ki te whakapai ake i te kounga o te oranga me te hauora ngākau mō te wā roa. Ka taea e te tikanga te whakaiti, te whakakore rānei i te mamae o te uma i rāhuitia ai ō mahi o ia rā.

E whakarato ana te pokanga i ētahi painga nui:

• Te whakaiti nui, te whakawātea rānei i te mamae o te uma me te poto o te manawa
• Te whakapai ake i te kaha ki te whakakori tinana me te mahi i ngā mahi o ia rā me te kore e raru
• Ngā reiti oranga mō te wā roa pai ake i te rongoā rongoā anake mō te mate nui
• Te whakaiti i te tūponotanga o ngā whakaeke ngākau ā muri ake nei
• Te whakarei ake i te kounga o te oranga me ngā taumata pūngao
• Te kaha ki te hoki ki te mahi me te pārekareka ki ngā mahi i whakarerea e koe

He maha ngā tāngata e kite ana he oranga hou te pokanga ārai, e āhei ana rātou ki te kaha ake te mahi tahi me te whānau me ngā hoa. Ko te pai ake o te rere o te toto ki te uaua o tō ngākau ka āwhina hoki i te mahi pai ake, ka pai ake pea ngā tohumate pēnei i te ngenge me te poto o te manawa.

He aha ngā tūponotanga o te pokanga ārai i ngā uaua o te ngākau?

Pērā i ngā pokanga nui katoa, he tūponotanga ētahi o te pokanga ārai i ngā uaua o te ngākau, ahakoa he iti noa ngā raruraru nui ina mahia te tikanga e ngā rōpū tākuta whai wheako. Ka kōrero tō tākuta i ō tūponotanga takitahi i runga i tō tau, te hauora whānui, me te āhua motuhake o tō ngākau.

Ngā tūponotanga pea ko ngā raruraru noa me ngā raruraru onge:

• Te toto e hiahia ana kia whakawhitihia te toto
• Te mate i ngā wāhi tapahi
• Ngā manawataki ngākau koretake e pai ana ki te rongoā
• Te rangirua rangitahi, ngā raruraru mahara rānei, ina koa ki ngā pakeke
• Ngā pūhui toto e pā ana ki te rere o te toto
• Te whiu, ahakoa ka puta tēnei i roto i te iti iho i te 2% o ngā keehi
• Ngā raruraru tākihi, ina koa i mua i te pokanga

He maha ngā whakatūpato a tō rōpū tākuta hei whakaiti i ēnei tūponotanga, tae atu ki te arotake i mua i te pokanga, ngā tikanga horoi i te wā o te tikanga, me te aroturuki tata i muri mai. Ko te nuinga o ngā raruraru, ina puta, ka taea te whakahaere, ā, kāore e pā ki te angitu mo te wā roa o tō pokanga.

Kia pēhea te roa o ngā whakawhitinga ārai i ngā uaua o te ngākau?

Ko te tikanga ka pai te rere o te toto o ngā whakawhitinga ārai mō ngā tau maha, ahakoa te roa e whakawhirinaki ana ki ētahi mea tae atu ki te momo o te oko i whakamahia me te pai o tō tiaki i tō hauora ngākau i muri mai. Ko te nuinga o ngā whakawhitinga e pai ana mō te 10 ki te 15 tau, neke atu rānei.

Ko ngā whakawhitinga uaua, inā koa ko ērā mai i tō pakitara uma, ka roa ake te roa atu i ngā whakawhitinga uaua mai i tō waewae. Ko te whakawhitinga uaua mammary o roto ka noho tuwhera tonu, ka mahi mō te 20 tau neke atu rānei. Ko ngā whakawhitinga uaua ka pai te rere o te toto mō te 10 ki te 15 tau, ahakoa ka tīmata ētahi ki te whāiti anō i te wā.

Ko āu whiringa oranga i muri i te pokanga ka whai pānga nui ki te roa o te whai hua o ō whakawhitinga. Mā te whai i te kai hauora mō te ngākau, te whakakori tinana i ngā wā katoa, te tango rongoā kua whakaritea, me te kore e paowa, ka āwhina katoa ki te pupuri i te hauora o ō whakawhitinga hou me te ārai i ētahi atu aukati i ētahi atu uaua.

Āhea koe e whakapā atu ai ki tō tākuta i muri i te pokanga whakawhiti?

Ko te mōhio ki te wā ki te whakapā atu ki tō rōpū hauora i te wā o te whakaora ka āwhina ki te whakarite kia tere te whakatika i ngā take katoa. Ko te nuinga o ngā āwangawanga i muri i te pokanga whakawhiti he wāhanga noa o te whakaora, engari ko ētahi tohumate e hiahia ana kia tere te aro.

Whakapā atu ki tō tākuta tonu mēnā ka pā ki a koe ētahi o ēnei tohu whakatūpato:

• Te mamae o te uma e rerekē ana i tō āwangawanga i te wāhi tapahi
• Te poto o te manawa, te uaua rānei ki te hā
• Ngā tohu o te mate, pērā i te kirika i runga ake i te 101°F, te whero haere, te wai rānei mai i ngā wāhi tapahi
• Te tere, te ngāwari rānei o te ngākau e kore e tau
• Te pupuhi nui i ō waewae, pōkae waewae, waewae rānei
• Te whanoke, te ngaro rānei o te mahara
• Te ngoikore ohorere, te rerekētanga rānei o te mārama hinengaro

Mō ngā āwangawanga kāore i te tino nui, pērā i te mamae ngawari, ngā pātai whakaora noa, ngā take rongoā rānei, ka taea e koe te tatari i ngā haora pakihi noa ki te whakapā atu ki te tari o tō tākuta. E hiahia ana tō rōpū hauora ki te rongo mai i a koe mēnā kei te māharahara koe ki tētahi mea i te wā o tō whakaora.

Ngā pātai e pātai pinepine ana mō te pokanga whakawhiti uaua coronary

Q.1 He pai ake te pokanga whakawhiti uaua coronary i te angioplasty?

He painga ō ia tūāpāhi, te pokanga ā-waha me te angioplasty, i runga i tō āhuatanga motuhake. Ko te pokanga ā-waha te mea pai ake mō te hunga he maha ngā aukatinga nui, te mate huka, he aukatinga rānei i ētahi wāhi pērā i te uaua kōrona mauī matua.

He iti ake te hōkī o te angioplasty, he poto ake te wā whakaora, nō reira he pai ake mō ngā aukatinga kotahi, mō te hunga rānei kāore i te pai mō te pokanga nui. Ka whakaarohia e tō kaimātai ngākau ngā mea pērā i tō tau, te hauora whānui, te maha me te wāhi o ngā aukatinga, me te mahi o te ngākau i te wā e tūtohu ana i te maimoatanga pai mōu.

Q.2 Ka taea e koe te pokanga ā-waha neke atu i te kotahi?

Āe, me pokanga ā-waha anō ētahi tāngata, ahakoa he iti ake tēnei i te tikanga tuatahi. Ka hiahiatia pea te pokanga anō mēnā ka puta ngā aukatinga hou i ētahi atu uaua, mēnā rānei ka whāiti haere ngā whakawhitinga o mua i te roanga o te wā.

Ko ngā pokanga ā-waha tuarua he uaua ake te nuinga, he paku teitei ake ngā tūponotanga, engari ka taea tonu e rātou te whai hua nui i te wā e hiahiatia ana. Ka āta arotakehia e tō tākuta pokanga mēnā ko te pokanga anō te kōwhiringa pai, mēnā rānei he pai ake ētahi atu maimoatanga pērā i te angioplasty.

Q.3 Kia pēhea te wā ka taea e koe te taraiwa i muri i te pokanga ā-waha?

Ka taea e te nuinga o te tangata te hoki ki te taraiwa i te tata ki te 4 ki te 6 wiki i muri i te pokanga ā-waha, i te wā kua ora pai tō rātou wheua uma, ā, kāore anō rātou e tango rongoā mamae kaha. Me whai wāhi koe ki te urupare tere me te huri i te wīra urungi me te kore e raru.

Ka whakaaetia koe e tō tākuta pokanga ki te taraiwa i runga i tō ake ahunga whakamua whakaora. E ai ki ētahi tāngata kua rite wawe, i te wā e hiahiatia ana e ētahi atu he wā iti ake, ina koa kei te pā tonu rātou i te ngenge nui, i te raru rānei o te uma.

Q.4 Ka noho noa koe i muri i te pokanga ā-waha?

He nui te iwi e pai ake ana i muri i te pokanga haere, he pai ake pea i nga tau, engari he haere haere te tukanga whakaora. Tera pea ka ngenge koe i te timatanga, ka piki me te heke o te ngakau, he mea noa tenei i muri i te pokanga nui.

I roto i etahi marama, he maha nga tangata e kii ana he nui ake te kaha me te iti o te mamae o te uma i mua i te pokanga. Heoi, me mau tonu koe i nga tikanga hauora-ngakau me te tango rongoa i runga i te tohutohu hei tiaki i to ngakau mo te wa roa.

Q.5 He aha nga kai me kai e koe i muri i te pokanga haere?

Ko te kai hauora-ngakau i muri i te pokanga haere e arotahi ana ki nga kai e tautoko ana i te whakaora me te aukati i etahi atu aukati i roto i nga uaua. Kei roto i tenei te nui o nga hua, huawhenua, nga witi katoa, nga pūmua hiroki, me nga ngako hauora i te wa e whakaiti ana i te ngako kukū, te konutai, me nga huka taapiri.

Tera pea ka tohutohu to roopu hauora kia tutaki ki tetahi tohunga kai ka taea te hanga mahere kai whaiaro i runga i o hiahia me etahi atu ahuatanga hauora kei a koe. Ko te whainga he kimi i tetahi huarahi kai ka taea e koe te pupuri mo te wa roa hei tiaki i to hauora ngakau.