Ko te Pericardiectomy he tikanga pokanga e tango ana i te pericardium, te pēke muka e karapoti ana i te ngākau. Ko te tikanga o tēnei tikanga he whakamama i ngā tohu i puta mai i ngā āhuatanga maha e pā ana ki te pericardium, pērā i te pericarditis constrictive, te pericardial effusion, te pericarditis recurrent rānei. He mahi nui tā te pericardium ki te tiaki i te ngākau me te pupuri i tōna tūranga i roto i te kōhao o te uma. Heoi, ina mumura, ina matotoru, ina kī tonu rānei i te wai nui, ka arahi pea ki ngā raruraru nui ka whakararu i te mahi a te ngākau.
Ko te kaupapa matua o te pericardiectomy he whakaiti i te pēhanga ki te ngākau, kia pai ake ai te mahi. Mā te tango i te pericardium, ko te whāinga a ngā taote pokanga he whakahoki mai i te nekehanga noa o te ngākau me te whakapai ake i te rere o te toto. Ka taea e tēnei tikanga te whakaora i te ora o ngā tūroro e pāngia ana e ngā tohu kino e pā ana ki te mate pericardial, ā, he maha ngā wā ka whakaarohia ina kore e angitu ētahi atu whiringa maimoatanga, pērā i te rongoā, i ngā tikanga iti ake te whakaekenga.
He aha i mahia ai te Pericardiectomy?
Ko te pericardiectomy te tikanga e taunakitia ana mō ngā tūroro e pāngia ana e ngā tohu e pā ana ki ngā āhuatanga e pā ana ki te pericardium. Ko tētahi o ngā take tino noa mō tēnei tikanga ko te pericarditis constrictive, he āhuatanga e matotoru ai te pericardium, e kikokore ana, e whakawhāiti ana i te kaha o te ngākau ki te whānui me te whakakī i te toto. Tērā pea ka pāngia ngā tūroro e te pericarditis constrictive e ngā tohu pēnei i:
- He poto te manawa, ina koa i te wa e korikori tinana ana
- Te uaua me te ngoikore
- Te pupuhi i ngā waewae, i te puku, i ētahi atu wāhi rānei (edema)
- Te mamae o te makawe, o te mamae ranei
- Te papoipoi, te paheketanga o te ngakau
I ētahi wā, ko te pericardial effusion, arā, ko te kohikohinga o te wai nui rawa atu i roto i te wāhi pericardial, ka arahi pea ki te hiahiatanga o te pericardiectomy. Mena he nui, he hokihoki mai rānei te effusion, ā, he nui ngā tohu, me pokanga pea hei tango i te pericardium me te ārai i te kohikohinga wai anō.
Tērā pea ka tohua te pericardiectomy mō ngā tūroro e pāngia ana e te pericarditis e hokihoki ana, he āhuatanga e tohuhia ana e ngā wā maha o te mumura o te pericardium. Ina kore e taea e ngā maimoatanga matatika, pērā i ngā rongoā ārai-mumura, te whakaora, ka whakaarohia pea te pokanga hei tango i te pūtake o te mumura.
Hei whakarāpopototanga, ka mahia te pericardiectomy hei rongoā i ngā tohu kino i puta mai i ngā āhuatanga e pā ana ki te pericardium, inā koa kāore i whai hua ētahi atu maimoatanga. Ko te whakatau kia haere tonu me tēnei pokanga ka mahia i muri i te aromatawai tupato a te taote ngakau, te taote ngakau rānei.
Ngā tohu mō te Pericardiectomy
He maha ngā āhuatanga haumanu me ngā kitenga tātaritanga e tohu ana i te hiahia mō te pericardiectomy. Anei ētahi o ngā tohu matua mō tēnei tikanga:
- Pericarditis whakatiki: Koinei te tohu tino noa mō te pericardiectomy. Ko ngā tūroro kua tāpaetia he pericarditis constrictive ka puta mai me ngā tohu o te ngoikore o te ngakau, tae atu ki te poto o te manawa, te ngenge, me te pupuhi. Mā te whakaahua tātaritanga, pērā i te echocardiography, te MRI rānei, ka kitea pea te matotoru o te pericardium me te ngoikore o te whakakī diastolic o te ngakau.
- Te Pericarditis Auau: Ko ngā tūroro e pāngia ana e te pericarditis maha, ā, kāore e pai ki te rongoā, ka taea te tango i te pericarditis. He pono rawa tēnei mō te hunga he tohu pumau e pā nui ana ki te kounga o ō rātou oranga.
- Pupuhi nui o te ngakau: Ina he nui te kohi wai i roto i te wāhi pericardial o te tūroro e puta ai ngā tohu pēnei i te mamae o te uma, te uaua rānei ki te manawa, ā, ina kore e whai hua ētahi atu maimoatanga (pēnei i te pericardiocentesis) ka hoki mai anō te rerenga wai, tera pea e tika ana kia tangohia te manawa.
- Ngā Āhuatanga Mate Pāwera, Ngā Āhuatanga Pūkahukahu rānei: I ētahi wā, ko ngā mate pukupuku, ko ngā pukupuku rānei e pā ana ki te pericardium, me pokanga pea. Mena he whēwhe pericardial tō te tūroro, he pukupuku rānei e uru ana ki te pericardium, ka taea te mahi pericardiectomy hei tango i te kiko e pāngia ana.
- Ngā raruraru i muri i te pokanga ngākau: Ko ngā tūroro e pāngia ana e te pericarditis constrictive hei raruraru o ngā pokanga ngākau o mua, ka taea hoki te tono pericardiectomy. Ka puta pea tēnei nā te mea he kiripaka me te mumura i muri i ngā tikanga pēnei i te pokanga takirere ngākau, te tāmitanga arai coronary artery rānei.
- Te koretake o te tātaritanga: I ētahi wā, ki te kore e mārama te tautuhi mate, ā, ka puta mai ngā tohu nui ki te tūroro, ka taea te tango i te kiko hei tango i te kiko hei tirotiro i te kiko o te ngākau, hei whakamama hoki i ngā tohu.
Hei whakamutunga, ko ngā tohu mō te tango i te pericardiectomy e ahu mai ana i te aroaro o ngā tohu nui e pā ana ki te mate pericardial, te korenga o ngā maimoatanga matawhānui, me ngā kitenga tātaritanga motuhake. He mea nui te aromatawai hōhonu e te tohunga hauora hei whakatau i te tika o tēnei pokanga mō ia tūroro.
Ngā momo o te Pericardiectomy
Ahakoa kāore he momo momo pericardiectomy e mōhiotia whānuitia ana, ka taea te mahi i te tikanga mā te whakamahi i ngā momo huarahi pokanga rerekē i runga i te āhua o te tūroro me te hiahia o te taote pokanga. Ko ngā tikanga matua e rua ko:
- Te whakatuwheratanga o te pericardiectomy: Ko tēnei tikanga tuku iho ko te tapahi i tētahi tapahi nui ki te uma hei uru atu ki te ngākau me te pericardium. Ka tangohia marietia e te taote pokanga te pericardium me te whakaiti i te kino ki ngā hanganga e karapoti ana. He maha ngā wā ka mahia te pericardiectomy tuwhera ina hiahiatia te tango nui o te pericardium.
- Te Pericardiectomy iti rawa te whakaekenga: I ētahi wā, ka whiriwhiri pea ngā taote pokanga i tētahi huarahi iti rawa te whakaekenga, arā, ko ngā tapahi iti me te whakamahi i ngā taputapu motuhake. Ka taea e tēnei tikanga te whakaiti i te wā whakaora me te whakaiti i te mamae i muri i te pokanga. Heoi, kāore pea e pai mō ngā tūroro katoa, inā koa ko te hunga he nui te mate o te ngākau.
Ko te whiriwhiri i te tikanga e whakawhirinaki ana ki ngā āhuatanga maha, tae atu ki te whānuitanga o te mate, te hauora whānui o te tūroro, me te tohungatanga o te taote pokanga. Ahakoa te huarahi, he rite tonu te whāinga: te whakamamae i ngā tohu me te whakapai ake i te mahi a te ngākau mā te tango i te pericardium.
Hei whakarāpopototanga, he tikanga pokanga nui te pericardiectomy mō ngā tūroro e pāngia ana e ngā āhuatanga e pā ana ki te pericardium. Mā te mārama ki ngā take mō te tikanga, ngā tohu mō te pokanga, me ngā momo huarahi e wātea ana ka āwhina i ngā tūroro ki te whakatau whai whakaaro mō ā rātou kōwhiringa maimoatanga. Pērā i ngā pokanga katoa, he mea nui te matapaki i ngā mōrearea me ngā painga pea me te kaiwhakarato hauora kia tutuki ai ngā putanga pai rawa atu.
Ngā ārai mō te Pericardiectomy
Ahakoa he tikanga whakaora ora te pericardiectomy mō te tini o ngā tūroro e pāngia ana e te pericarditis constrictive, e ētahi atu mate rānei e pā ana, tera pea ētahi ārai motuhake e kore ai e tika mō tēnei pokanga. He mea nui te mārama ki ēnei āhuatanga mō ngā tūroro me ngā kaiwhakarato hauora.
- Nga mate kino: Ko ngā tūroro he nui ngā raruraru hauora kei roto, pērā i te ngoikore o te ngākau, te mate pūkahukahu kino, te mate huka kāore i te taea te whakahaere, kāore pea i te pai mō te tango i te manawa. Tērā pea ka kino ake ēnei āhuatanga i te taumahatanga o te pokanga.
- Mate Hohe: Mena he mate pāwera kei te tūroro, inā koa kei te uma, kei te ngākau rānei, ka whakaroa, ka ārai rānei i te pokanga. Me rongoā, me whakatau hoki ngā mate i mua i te whakaaro ki te tango i te ngākau.
- Ngā Mate Pukupuku Kore-Mana: Tērā pea ka nui ake ngā mōrearea ka pā ki ngā tūroro he mate toto tō rātou, he hunga rānei e rongoā ana ki te rongoā ārai toto kāore e taea te whakahaere haumaru i te wā e pokanga ana, ā, i muri hoki i te pokanga. He mea nui te whakahaere tika i ēnei āhuatanga i mua i te haere tonu.
- Ngā Piringa Kino: Mēnā he nui ngā piri o ngā pokanga o mua, ngā mate pāwera rānei, ka nui ake pea ngā mōrearea e pā ana ki te pokanga i ngā painga. Ka aromatawaihia e ngā taote pokanga te whaihua o te tikanga i runga i te āhua o te tinana o te tūroro.
- Manakohanga Tūroro: Tērā pea ētahi tūroro e whiriwhiri kia kaua e pokanga i muri i te kōrero mō ngā mōrearea me ngā painga ki tā rātou kaiwhakarato hauora. He wāhanga nui o te tukanga whakatau te whakaaetanga whai whakaaro.
- Tau me te Tūnga Mahi: Kāore pea ngā tūroro kaumātua, ngā tūroro ngoikore rānei e aro pai ki te pokanga. Me arotake pai te hauora whānui o te tūroro me tōna kaha ki te ora.
- Te Mahi Kāore i te Rawaka o te Ngākau: Tērā pea kāore e whai hua te tikanga i ngā tūroro he nui te ngoikore o te ngākau, nā te mea kāore pea e taea te whakatutuki i ngā whakapainga e tumanakohia ana mō ngā tohu.
Mā te arotake i ēnei ārai, ka taea e ngā kaiwhakarato hauora te whakarite kia mahia te pericardiectomy ki ngā tūroro e tino whai hua ana mai i te tikanga, me te whakaiti i ngā mōrearea me te arotau i ngā putanga.
Me pēhea te whakarite mō te pericardiectomy
He taahiraa nui te whakarite mō te pericardiectomy hei whakarite i te angitu o te putanga. Me whai ngā tūroro i ngā tohutohu motuhake i mua i te tikanga, me whai i ngā whakamātautau e tika ana, me te mahi i ngā mahi ārai kia pai ai te mahi pokanga.
- Whakawhitiwhitinga Mahi-mua: Ka whai kōrero taipitopito ngā tūroro ki tā rātou tākuta ngakau me te taote pokanga. Ka kapi i tēnei kōrero te tikanga, ngā putanga e tumanakohia ana, me ngā āwangawanga katoa a te tūroro.
- Te arotake i nga hitori o te rongoa: He mea nui te arotake whānui i te hītori hauora o te tūroro, tae atu ki ngā rongoā katoa, ngā mate pāwera, me ngā pokanga o mua. Mā ēnei mōhiohio ka āwhina te tīma hauora ki te whakarite i te huarahi e tika ana mō ia tūroro.
- Whakamātautau Tātaritanga: I mua i te pokanga, ka whai whakamātautau ngā tūroro hei aromatawai i te mahi a ō rātou ngākau me te hauora whānui. Ko ngā whakamātautau noa ko:
- Echocardiogram: Hei tiro i te ahua o te ngākau me te pericardium.
- Te hiko-cardiogram (ECG): Hei tirotiro mō ngā manawataki o te ngakau kāore i te ōrite.
- X-ray o te uma: Hei aromatawai i te rahi me te āhua o te ngākau me ngā pukahukahu.
- Ngā Whakamātautau Toto: Hei aromatawai i te mahi a te whatukuhu, te mahi a te ate, me ngā tatauranga toto.
- Whakahaere rongoa: Me whakarerekē pea ngā rongoā a ngā tūroro i mua i te pokanga. Kei roto i tēnei ko te whakamutu i ngā rongoā whakaiti toto, i ētahi atu rongoā rānei ka nui ake te mōrearea o te toto. He mea nui kia whai i ngā tohutohu a te kaiwhakarato hauora mō ngā whakarerekētanga rongoā.
- Nga tohutohu nohopuku: Ko te tikanga ka tohutohuhia ngā tūroro kia nohopuku mō tētahi wā i mua i te pokanga, ka tīmata i te pō i mua. Ko te tikanga tēnei kia kaua e kai, e inu rānei, tae atu ki te wai, hei whakaiti i te tūponotanga o ngā raruraru i te wā e rongoātia ana.
- Te Whakaritenga Waka: I te mea ka mahia te pericardiectomy i raro i te mate whakamoe whānui, me whai tangata hei kawe i a rātou ki te kāinga i muri i te tikanga. He mea nui kia whakaritea he pakeke whai kawenga hei āwhina.
- Whakamahere Tiaki Whaimuri-Operative: Me whakarite ngā tūroro mō tō rātou whakaoranga mā te whakarite āwhina i te kāinga, inā koa i ngā rā tuatahi i muri i te pokanga. Kei roto pea i tēnei ko te āwhina i ngā mahi o ia rā, te whakarite kai, me te kawe waka ki ngā wā whakarite whai muri.
- Whakaritenga Kare-a-roto: Ka taea e te pokanga te whakararuraru. Me whai wā ngā tūroro ki te kōrero i ō rātou kare ā-roto me ō rātou āwangawanga ki te whānau, ki ngā hoa, ki tētahi tohunga hauora hinengaro rānei. Mā te mārama ki te tukanga me te whai pūnaha tautoko ka taea te whakamama i te manukanuka.
Mā te whai i ēnei mahi whakarite, ka taea e ngā tūroro te whakarite kua rite rātou mō te pericardiectomy, ā, ka pai ake te mahi pokanga me te whakaora.
Pericardiectomy: Tukanga taahiraa-i-te-taahiraa
Mā te mārama ki te tikanga pericardiectomy ka āwhina i te whakaiti i te manukanuka me te whakarite i ngā tūroro mō ngā mea ka tūpono mai. Anei tētahi tirohanga whānui o te tukanga, mai i ngā whakaritenga i mua i te pokanga ki te tiaki i muri i te pokanga.
- Whakaritenga i mua i te mahi: I te rā o te pokanga, ka tae atu ngā tūroro ki te hōhipera ka takiuru. Ka haria rātou ki te wāhi i mua i te pokanga, ka whakawhitia ki te kākahu hōhipera. Ka whakatakotoria he aho werohanga (IV) hei hoatu rongoā me ngā wai.
- Whakahaere Whakamaoritanga: Kia tae ki te rūma pokanga, ka tukuna e te tohunga whakamoe te rongoā whakamoe whānui, kia mōhio ai te tūroro kāore he mamae, ā, kāore he māramatanga i te wā e mahia ana.
- Werohanga: Ka tapahia e te taote pokanga te uma, mā te sternum (uma) i waenganui rānei i ngā rara, hei uru atu ki te ngākau me te pericardium. Ko te whiriwhiri i te tapahi ka whakawhirinaki ki te āhua o te mate me te hiahia o te taote pokanga.
- Te urunga atu ki te Pericardium: I muri i te tapahi, ka wehea marietia e te taote pokanga ngā paparanga kiko kia tae atu ki te pericardium, te pēke muka e karapoti ana i te ngākau.
- Te tango i te Pericardium: Kātahi ka tangohia e te taote pokanga te pericardium matotoru, pūngāwerewere rānei. He mea nui tēnei mahi hei whakamama i te pēhanga ki te ngākau me te whakapai ake i tana mahi. Ko te nui o te pericardium ka tangohia ka whakawhirinaki ki te kaha o te mate.
- Ko te kopiri: Kia tangohia te pericardium, ka tirohia e te taote pokanga mēnā he toto kei roto, ā, ka whakarite kia tika te mahi a te ngākau. Kātahi ka katihia te tapahi mā te whakamahi i ngā tuitui, i ngā staples rānei, ā, ka tāpirihia he takai parakore.
- Whakaora i muri i te mahi: I muri i te tikanga, ka nekehia ngā tūroro ki te rūma whakaora, ka tirotirohia rātou i te oho ake i muri i te rongoā whakamoe. Ka tirotirohia ngā tohu ora, tae atu ki te tere o te manawa me te toto toto.
- Noho hōhipera: Ka noho te nuinga o ngā tūroro ki te hōhipera mō ētahi rā i muri i te pokanga. I tēnei wā, ka whakahaerea e ngā kaiwhakarato hauora te mamae, ka aroturukihia ngā raruraru, ka aromatawaihia hoki te ahunga whakamua o te whakaora o te tūroro.
- Nga Tohutohu Tukunga: I mua i te wehenga atu i te hōhipera, ka whiwhi ngā tūroro i ngā tohutohu taipitopito mō te tiaki i tō rātou tapahi, te whakahaere i te mamae, me te kite i ngā tohu o ngā raruraru. Ka whakaritea he wā tirotiro hei aroturuki i te whakaoranga.
- Whakaora Kainga: I te kāinga, me okioki ngā tūroro, ā, me whakapiki haere i ā rātou mahi kia rite ki ngā tohutohu a te kaiwhakarato hauora. He mea nui kia whai i ngā tohutohu tiaki katoa i muri i te pokanga kia pai ai te ora.
Mā te mārama ki te tukanga taahiraa-i-te-taahiraa o te pericardiectomy, ka taea e ngā tūroro te noho rite ake, me te mōhio ake mō tā rātou haerenga pokanga.
Ngā Tūponotanga me ngā Āhuatanga o te Pericardiectomy
Pērā i ngā tikanga pokanga katoa, he tūponotanga me ngā raruraru pea kei te tango i te pericardiectomy. Ahakoa he maha ngā tūroro e kite ana i ngā whakapainga nui i roto i ō rātou tohu, he mea nui kia mōhio ki ngā tūponotanga noa me ngā tūponotanga onge e pā ana ki te pokanga.
- Mōrearea noa:
- Mate urutā: Pērā i ngā pokanga katoa, tera pea ka pāngia te wāhi i tapahia ai, i roto rānei i te uma. Mā te tiaki tika i te patunga me te aroturuki ka āwhina i te whakaiti i tēnei mōrearea.
- Te toto: E matapaetia ana ka puta he toto i te wā o te pokanga, engari me wawao atu pea mēnā he toto nui rawa. Ka mahi ngā taote pokanga i ngā mahi ārai hei whakaiti i tēnei mōrearea.
- Mamae: He mea noa te mamae i muri i te pokanga, ā, ka taea te whakahaere mā te rongoā. Me kōrero ngā tūroro ki tā rātou tīma hauora mō te nui o te mamae.
- Te whara: Ka waiho he whara i te tapahi, ka memeha pea i roto i te wā engari ka nui ake te kitea i roto i ētahi tāngata.
- Morearea Iti Ake:
- Ngā raruraru o te ngākau: Tērā te tūponotanga o te pāngia e te arrhythmias (te pā o te ngākau kāore i te tika) me ētahi atu raruraru o te ngākau i muri i te pokanga. Mā te aroturuki tonu ka āwhina i te kite me te whakahaere wawe i ēnei raruraru.
- Ngā raruraru manawa: Tērā pea ka pāngia ngā tūroro e ngā raruraru manawa, pērā i te niumōnia, te atelectasis rānei (te hinganga o tētahi wāhanga o te pukahukahu), inā koa mēnā kua pāngia kētia rātou e ngā mate pukahukahu.
- Whara o te io: He iti noa te mōrearea o te pakaru o te io i te wā o te pokanga, ka arahi pea tēnei ki te ngoikore, ki te kore rānei e kaha te ngenge o ngā ringa, o te uma rānei.
- Morearea onge:
- Te Tāponade o te Ngākau: He āhuatanga onge engari he kino tēnei, ka kohia te wai i te taha o te ngākau, ā, ka heke pea te mahi a te ngākau. Tērā pea me wawao atu anō.
- Matenga: Ahakoa he tino onge, he mōrearea mate kei roto i tētahi pokanga nui. He iti te mōrearea whānui, inā koa ka mahia e ngā taote pokanga mātau i roto i ngā wāhi tika.
- Whakaaro mo te wa roa: I muri i te tango i te manawa, ka pāngia pea ētahi tūroro e ngā huringa o te mahi a te ngākau, e ngā tohumate hou rānei. He mea nui ngā wā tirotiro auau hei aroturuki i te hauora o te ngākau me te aro atu ki ngā āwangawanga katoa.
Mā te whakamōhiotanga ki ngā mōrearea me ngā raruraru o te pericardiectomy, ka taea e ngā tūroro te whai wāhi atu ki ngā kōrero ki ā rātou kaiwhakarato hauora, me te whakarite kia whakatau whai whakaaro pai rātou mō ngā kōwhiringa maimoatanga e wātea ana ki a rātou.
Te Whakaora i muri i te Pericardiectomy
He wāhanga nui te whakaoranga mai i te tango i te ate, he wāhanga e hiahia ana kia aro nui, kia āta tiakina hoki. Ka rerekē pea te roa o te wā whakaora e tumanakohia ana i ia tūroro, i ia tūroro, engari i te nuinga o te wā, ko te roa o te wā whakaora tuatahi he 1 ki te 2 wiki i te hōhipera, ā, muri iho ka maha ngā wiki o te whakaora i te kāinga.
I ngā rā tuatahi i muri i te pokanga, ka tirotirohia ngā tūroro mō ngā raruraru. He mea nui te whakahaere mamae, ā, ka tohua he rongoā hei āwhina i te whakahaere i te kore whakamarie. Tērā pea ka pāngia ngā tūroro e te ngenge, te pupuhi, me te uaua ki te manawa, he mea noa ēnei i muri i tētahi pokanga nui pēnei.
I muri i te putanga mai i te hōhipera, he mea nui kia whai i ngā tohutohu tiaki i muri mai kia pai ai te whakaoranga. Anei ētahi tūtohutanga matua:
- Te okioki me te ngohe: I te tīmatanga, he mea nui te okioki. Whakanuia haeretia ngā taumata mahi kia rite ki ngā tohutohu a tō kaiwhakarato hauora. Ka taea e te hikoi māmā te whakapai ake i te tohanga toto engari karohia ngā mahi taumaha mō te iti rawa 4 ki te 6 wiki.
- Tiaki Taonga: Kia ma, kia maroke hoki te wāhi i pokangahia. Whāia ngā tohutohu a tō tākuta mō te whakawhiti i ngā takai, ā, kia mataara hoki mō ngā tohu o te mate, pērā i te whero haere, te pupuhi, te rere rānei o te kiri.
- Kaikai: Mā te kai taurite e nui ana ngā hua, ngā huawhenua, ngā pūmua kikokore, me ngā witi katoa ka āwhina i te whakaora. Kia mau ki te wai, kia iti hoki te tote e kainga ana hei whakaiti i te pupuhi.
- Whakaritenga Whaiwhai: Haere ki nga huihuinga whai muri i whakaritea hei aroturuki i to whakaoranga me te whakatika i nga awangawanga.
- Ko nga tohu hei tirotiro: Kia tūpato ki ngā tohu pēnei i te mamae o te uma, te poto o te manawa, te kirika rānei, ā, whakapā atu ki tō kaiwhakarato hauora tonu mēnā ka puta.
Ka taea e te nuinga o ngā tūroro te hoki anō ki ngā mahi o ia rā, tae atu ki te mahi, i roto i ngā wiki e 4 ki te 8, i runga i tō rātou hauora whānui me te āhua o tā rātou mahi. Heoi, me karohia ngā hākinakina taumaha, ngā mahi hiki taumaha rānei, mō te iti rawa i te 3 marama.
Ngā Hua o te Pericardiectomy
He nui ngā painga o te tango i te pericarditis, inā koa mō ngā tūroro e pāngia ana e te pericarditis constrictive, e ētahi atu mate rānei e pā ana. Anei ētahi whakapainga hauora matua me ngā putanga kounga o te oranga e pā ana ki tēnei tikanga:
- Whakaoranga Tohu: Ko tētahi o ngā painga matua ko te whakaiti i ngā tohu pēnei i te mamae o te uma, te poto o te manawa, me te ngenge. He maha ngā tūroro e kī ana kua tino pai ake te whakamarie me te mahi o ia rā.
- Kua Pai ake te Mahi Manawa: Mā te tango i te pericardium e whakawhāiti ana, ka taea e te ngākau te whānui me te whakakī pai ake, ka pai ake te putanga o te ngākau me te mahi whānui o te ngākau.
- Te Kounga o te Ora: He maha ngā wā ka kite ngā tūroro i te pikinga nui o te kounga o ō rātou oranga i muri i te pokanga. Ko ngā mahi i uaua, i kore rānei e taea i mua nā ngā tohu, ka taea te whakahaere, ā, ka taea te noho ora ake, kia whai hua ake hoki.
- Kua Whakaitihia te Morearea o nga Poauauautanga: Mō ngā tūroro e pāngia ana e te pericarditis constrictive kino, ka taea e te pericardiectomy te whakaiti i te mōrearea o ngā raruraru pēnei i te ngoikore o te ngakau, te arrhythmias, me ētahi atu raruraru cardiovascular kino.
- Nga Putanga Waa-roa: E whakaatu ana ngā rangahau he maha ngā tūroro e whiwhi ana i ngā painga roa mai i te pokanga, he pai te matapae, ā, he iti te auau hokinga mai o ngā tohu.
Te tango i te manawa me te tango i te manawa
Ahakoa he pokanga te pericardiectomy hei tango i te pericardium, he iti ake te kaha o te pericardiocentesis, arā, ko te tango i te wai mai i te wāhi pericardial. Anei te whakataurite i ngā mea e rua:
| Āhuahira | Pericardiectomy | pericardiocentesis |
|---|---|---|
| Te urutomo | Pokanga nui e hiahiatia ana he mate whakamoe whānui | He iti noa te whakaekenga, he maha ngā wā ka mahia i raro i te mate whakamoe ā-rohe |
| Tuhinga | Pericarditis constrictive mau tonu | Te rerenga toto o te ngākau nui |
| Te wa whakaora | Te roa o te whakaoranga (wiki ki ngā marama) | Te whakaora poto ake (ngā rā) |
| Rongoa-Wa-roa | Otinga tuturu mō te whakawhāiti | He whakaora wā poto, me mahi anō pea ngā tikanga |
| tūponotanga | He nui ake te tupono o nga raruraru | He iti ake te mōrearea, engari he pea anō kia hoki mai anō |
Te utu o te Pericardiectomy i Inia
Ko te utu mō te tango i te uaua o te ngākau i Inia kei waenga i te ₹1,50,000 ki te ₹3,00,000. Mō te whakatau tata tika, whakapā mai ki a mātou i tēnei rā.
Ngā Pātai Auau mō te Pericardiectomy
He aha taku kai i muri i te pericardiectomy?
I muri i tō pokanga, arotahi ki tētahi kai hauora mō te ngākau. Me kai i te nui o ngā hua rākau, huawhenua, witi katoa, me ngā pūmua kikokore. Āta karohia ngā kai nui te konutai hei whakaiti i te pupuhi, me te aroturuki i te rahi o ō kai. He mea nui hoki te noho wai mō te whakaora.
Kia pēhea te roa o taku noho ki te hōhipera i muri i te pokanga?
Ko te nuinga o ngā tūroro ka noho ki te hōhipera mō te 1 ki te 2 wiki i muri i te pokanga. Mā tēnei ka taea te aroturuki me te whakahaere i ngā raruraru. Ma tō rōpū hauora e whakarato he aratohu i runga i tō ahunga whakamua whakaora.
Ka taea e au te taraiwa i muri i te tango i te pericarditis?
Ko te tikanga, me karo te taraiwa mō te iti rawa 4 ki te 6 wiki i muri i te pokanga. Mā tēnei ka ora tō tinana, ā, ka kore koe e tango i ngā rongoā mamae ka pā kino ki tō kaha ki te taraiwa haumaru.
He aha ngā mahi ka taea e au te mahi i te wā whakaora?
E akiakihia ana ngā mahi māmā pēnei i te hikoi hei whakatairanga i te rere o te toto. Heoi, karohia te hiki taumaha, te whakakori tinana taumaha, me ngā mahi katoa ka whakararu i tō uma mō te iti rawa o te 6 wiki.
Ka hiahia ahau ki te rongoa tinana i muri i te pokanga?
Tērā pea ka whai hua ētahi tūroro i te whakaora tinana hei āwhina i a rātou ki te whakahoki mai i te kaha me te manawanui. Ka arotakehia e tō tākuta ō hiahia, ā, ka tukuna pea koe ki tētahi kaiwhakaora hinengaro mō tētahi kaupapa whakaora kua whakaritea.
Me pehea taku whakahaere i te mamae i muri i te pokanga?
He mea nui te whakahaere mamae i muri i te pericardiectomy. Ka tohua e tō tākuta he rongoā hei āwhina i te whakahaere i te mamae. Hei tāpiri, mā te whakamahi i ngā putea hukapapa ki te wāhi pokanga me te mahi i ngā mahi manawa hohonu ka āwhina i te whakaiti i te mamae.
He aha nga tohu o nga raruraru me titiro ahau?
Kia tūpato ki ngā tohu pēnei i te mamae nui o te uma, te poto o te manawa, te kirika, te pupuhi rerekē rānei. Mēnā ka pāngia koe e tētahi o ēnei, whakapā atu ki tō kaiwhakarato hauora tonu atu.
Ka taea e au te tango i aku rongoa i muri i te pokanga?
Me kōrero koe ki tō tākuta mō ō rongoā o nāianei i mua i te pokanga. Tērā pea me whakarerekē ētahi rongoā, me whakamutu rānei mō te wā poto. Me whai tonu i ngā tohutohu a tō tākuta mō te whakahaere rongoā i muri i te pokanga.
He haumaru te mahi i tēnei tikanga mō ngā tūroro kaumātua?
Ae, ka taea e ngā tūroro kaumātua te tango i te ngākau, engari tera pea he nui ake te tūponotanga o ngā raruraru. He mea nui te aromatawai hōhonu e te kaiwhakarato hauora hei whakatau i te huarahi mahi pai rawa atu i runga i te āhua hauora o te tangata.
Me aha ahau mēnā he tamariki āku, ā, me mahi tēnei pokanga?
Mena he tamariki āu, whakaritea he tautoko i a koe e ora ana. Me whakarite kei reira tetahi hei tiaki i a rātou i a koe e aro ana ki te whakaora. Kōrerohia tō āhuatanga ki tō kaiwhakarato hauora mō ētahi atu rauemi me te tautoko.
Kia pēhea te roa me whakatā ahau i te mahi?
He rerekē te roa o te wā whakaora, engari ka taea e te nuinga o ngā tūroro te hoki ki te mahi i roto i ngā wiki e 4 ki te 8, i runga i te āhua o tā rātou mahi me te hauora whānui. Whakawhitiwhiti kōrero ki tō tākuta mō ngā tohutohu whaiaro.
Me huri rānei taku āhua noho i muri i te pokanga?
Ae, he mea nui te whai i tētahi momo noho hauora mō te ngākau mō te hauora mō te wā roa. Kei roto i tēnei ko te kai taurite, te whakakori tinana auau, me te karo i te momi hikareti me te inu waipiro nui.
Ka taea e au te haere i muri i taku pokanga?
He pai ake te karo i te haereere mō te iti rawa o te 6 wiki i muri i te pokanga. Kōrerohia ō mahere haereere ki tō tākuta, māna e tuku tohutohu i runga i te ahunga whakamua o tō whakaoranga.
He aha te ōrau angitu o te pericardiectomy?
He teitei te angitu o te pericardiectomy, ā, he maha ngā tūroro e kite ana i te whakaoranga nui o ngā tohu me te whakapai ake i te kounga o te oranga. Heoi, ka rerekē pea ngā putanga takitahi i runga i ngā āhuatanga hauora me te kaha o te mate.
Me pēhea te whakahaere i taku tiaki ā-muri?
Ko te tiaki whai muri ko te tirotiro auau me tō kaiwhakarato hauora hei aroturuki i tō whakaoranga me te whakahaere i ngā tohumate e haere tonu ana. Ka whakaritea e tō tākuta ēnei wā tirotiro i runga i ō hiahia takitahi.
A, mehemea he hītori o ngā raruraru ngākau tōku?
Mena he hītori raruraru ngākau tōu, he mea nui kia whakamōhio atu koe ki tō tīma hauora. Ka whakaarohia tēnei e rātou i te wā e whakamahere ana koe i tō pokanga me tō whakaoranga, kia mōhio ai koe ka whiwhi koe i te tiaki pai rawa atu.
Ka taea e au te whānau tamariki i muri i tēnei pokanga?
He maha ngā tūroro ka whānau tamariki i muri i te tango i te pericardiectomy, engari he mea nui kia kōrerohia te whakamahere whānau me tō kaiwhakarato hauora. Ka taea e rātou te tuku tohutohu whaiaro i runga i tō āhua hauora.
He aha te mahi a ngā rōpū tautoko i muri i te pokanga?
He pai ngā rōpū tautoko mō te tautoko kare ā-roto me te whakawhitiwhiti wheako ki ētahi atu kua pāngia e ngā tikanga rite. Ka taea e rātou te whakarato rauemi me te whakatenatena i a koe e ora ana.
Me pēhea taku whakarite mō taku pokanga?
Ko te whakarite mō te pokanga ko te whai i ngā tohutohu a tō tākuta i mua i te pokanga, tae atu ki ngā here kai, ngā whakarerekētanga rongoā, me te whakarite tautoko i te kāinga i muri i te pokanga.
Me aha ahau mena ka awangawanga ahau mo te pokanga?
He mea noa te manukanuka i mua i te pokanga. Kōrerohia ō āwangawanga ki tō kaiwhakarato hauora, mā rātou e tuku whakamarie me ngā rautaki hei āwhina i te whakahaere i te manukanuka, pērā i ngā tikanga whakangā, i te tohutohu rānei.
Opaniraa
He tikanga pokanga nui te pericardiectomy ka taea te whakapai ake i te kounga o te oranga mō ngā tūroro e pāngia ana e te constrictive pericarditis me ngā āhuatanga e pā ana. He mea nui te mārama ki te tukanga whakaora, ngā painga, me ngā mōrearea pea hei whakatau whai whakaaro mō tō hauora. Mena kei te whakaaro koe, kei te whakaaro rānei tētahi o tō whanaunga ki tēnei tikanga, he mea nui kia kōrero koe ki tētahi tohunga hauora ka taea te whakarato i ngā aratohu me te tautoko whaiaro. He mea nui tō hauora me tō oranga tinana, ā, mā te whai wā ki te mārama ki ō kōwhiringa ka taea te arahi ki tētahi heke mai kanapa, hauora hoki.
Te Hōhipera Pai rawa atu e tata ana ki ahau i Chennai