Te pokanga paahitanga ngakau - te tuku

Ma te pokanga pokai ngakau e hanga he ara hou, e kiia ana ko te paahitanga, kia huri te toto me te oxygen ki te aukati kia tae atu ki to ngakau. Whakamahia ai te pokanga hei whakaora i nga mate ngakau tuuturu. Kei tenei tuhinga e korerohia ana nga mea hei mahi maau ina ka wehe atu koe i te hohipera.

I mauria e to taakuta tetahi uaua ki roto ranei i tetahi atu waahanga o to tinana kia hangaia he huanui, ma te hipa ranei, huri noa i te uaua i aukatia kaore e nui te toto i tae ki to ngakau.

I mahia to pokanga ma te weronga (tapahia) i roto i to uma. Mena i uru te kaitoro ki roto i to umauma, ka whakapaia e te taote taura me te waea me te pereti maitai, ka katia to kiri ki nga tuitui. I werohia ano e koe i roto i to waewae, i to ringaringa ranei, i tangohia ai te uaua hei whakamahi mo te hipa.

Whai muri i te pokanga, 4 ki te 6 wiki te roa kia ora ake ka tiimata te ahua. He mea noa ki:

• He mamae kei roto i to uma o te pouaka, huri noa i to iringa
• Kia pai te hiahia mo te 2 ki te 4 wiki
• Kia rere ke te ahua me te pouri
• Kia pupuhi te waewae i tangohia mai te werawera
• Ka mangu, ka koretake, ka peariki ranei i nga waahanga o to pouaka me to waewae mo te 6 marama neke atu ranei
• Kia raru ki te moe i te po
• Ka mate koe i nga rongoa mamae
• Kia raru ki te whakamaumaharatanga mo te wa poto, ki te whakama ranei ("maamaa te upoko")
• Kia ngenge, kia kaua e nui te kaha
• Kia poto to manawa. Ka kino ake pea tenei mena ka raru koe. Akene ka whakamahia e etahi taangata te oxygen ina hoki ana ki te kaainga.
• Kia ngoikore o ringaringa mo te marama tuatahi

Me waiho e koe kia noho tetahi i to kaainga mo te wa tuatahi 1 ki te 2 wiki i muri o te pokanga.

Akohia me pehea te tirotiro i to puoro, me te tirotiro i nga ra katoa.

Mahia nga mahi manawa i akohia e koe i te hohipera mo te 4 ki te 6 wiki.

Kaukau ia ra, ka horoi ata i te waahanga ki te hopi me te wai. KAUA E kaukau, ka rewa ki te kohua wera, kaukau ranei kia ora ra ano to kiri. Whai i te kai hauora-ngakau.

Mena he pouri koe, korero ki to whanau me o hoa. Patai ki to kaiwhakarato hauora mo te tiki awhina mai i tetahi kaitohutohu.

Me mau tonu ki te rongoa o rongoa ma te ngakau, mate huka, toto toto toto ranei, tetahi atu momo mate ranei kei a koe.

• Kaua e mutu te kai rongoa me te kore korero ki te kaiwhakarato.
• Ka taunakitia pea e to kaiwhakarato te rongoa antiplatelet (whakaheke toto) penei i te ahipirini, clopidogrel (Plavix), prasugrel (Effient), te ticagrelor (Brilinta) ranei hei awhina i te tuwhera o to kopiki toto.
• Mena kei te tango koe i te whakaheke toto, penei i te warfarin (Coumadin), akene he whakamatautau toto ano kei a koe kia mohio koe kei te tika to rongoa.

Kia mohio ki te urupare ki nga tohu angina.

Kia kaha tonu i te wa e ora ana koe, engari kia ata haere.

• Kaua e tu, kaua hoki e noho ki te waahi kotahi mo te wa roa. Me neke haere iti.
• Ko te hikoi te whakangungu pai mo nga manawa me te manawa i muri o te pokanga. Kaua e awangawanga mo te tere o to hikoi. Kia puhoi
• He pai te piki piki, engari kia tupato. Akene he raru te pauna. Me okioki i te haurua o te pikitanga mena ka hiahia koe.
• Ko nga mahi maamaa a te whare, penei i te whakatakoto teepu, te whakakopa i nga kakahu, te hikoi, me te piki i nga arawhata, kia pai.
• Kia ata whakarahi ake i te nui me te kaha o o mahi i roto i nga marama 3 tuatahi.
• Kaua e whakakori i waho ka makariri rawa, ka wera ranei.
• Kati mena kei te hemo koe i te manawa, ka whanoke, ka mamae ranei to uma. Kaua e mahi i tetahi mahi whakakori tinana ranei kia kumea, kia mamae ranei puta noa i to uma, penei i te miihini hoe hoe hoinga taumaha ranei.
• Tiakina o waahi haakinakina kia tiakina mai i te ra kia kore ai te werawera.

Kaua e taraiwa mo te 4 ki te 6 wiki i muri o to pokanga. Ko te hurihuri e huri ana ki te huri i te wira urungi ka uru mai ano to kukuti. Patai ki to kaiwhakarato ka hoki ana koe ki te mahi, me te tumanako ka wehe atu koe i te mahi mo te 6 ki te 8 wiki.

Kaua e haerere mo te 2 ki te 4 wiki. Patai ki to kaiwhakarato ka pai ana te haerenga. Ano hoki, paatai ​​atu ki to kaiwhakarato i mua i te tiimata ano i nga mahi taatai. Te nuinga o nga waa he pai i muri i nga wiki e 4.

Ka tukuna pea koe ki tetahi kaupapa whakaora i te mate manawa. Ka whiwhi koe i nga korero me nga tohutohu mo te ngohe, kai, me te korikori whakahaere.

Mo nga wiki e 6 tuatahi i muri o to pokanga, me tupato koe ki te whakamahi i o ringaringa me to tinana o runga ina neke koe.

• Kaua e hoki whakamuri.
• Kaua e tukua tetahi ki te toro mai i o ringaringa mo tetahi take - hei tauira, mena kei te awhina koe i a koe ki te neke haere, ki te wehe atu ranei i to moenga.
• Kaua e hapai i tetahi mea taumaha atu i te 5 ki te 7 pauna (2 ki te 3 kilo).
• Kaua e mahi i nga mahi maamaa mo te whare mo te 2 ki te 3 wiki pea.
• Tirohia ki to kaiwhakarato i mua i te whakamahinga o ou ringa me o pokohiwi.

He pai te parai i o niho, engari kaua e mahi i etahi atu mahi hei pupuri i o ringaringa ki runga ake i o pokohiwi mo tetahi wa roa. Kia piri o ringa ki o taha ka whakamahia e koe ki te wehe atu i to moenga me to tuuru. Ka piko pea koe ki te here i o hu. Me tu tonu mena ka kite koe i te kukume o to umauma.

Ma to kaiwhakarato e korero ki a koe me pehea te tiaki i to whara o te uma. Ka tonoa pea koe ki te horoi i to tapahanga tapahi i nga ra katoa ki te hopi me te wai, ka whakamaroketia kia maroke. Kaua e whakamahia he kiri, he hinu hinu, he paura, he hinu ranei ki te kore e kii mai to kaiwhakarato he pai.

Mena i tapahia e koe to kiri ranei:

• Kia piki ake o waewae i te wa e noho ana koe.
• Kakahu i te ngongo TED rapa mo te 2 ki te 3 wiki kia mate ra ano te pupuhi ka kaha ai to mahi.

Karangahia to kaiwhakarato mena:

• He mamae to uma, he manawa poto ranei e kore e haere ina okioki ana koe.
• He koretake to pini - he tino puhoi (iti iho i te 60 nga pauna i te meneti) he tino tere ranei (neke atu i te 100 ki te 120 nga pauna i te meneti)
• He memenge koe, hemo, he tino ngenge ranei koe.
• He mamae tino mamae koe e kore e haere atu.
• He mare koe kaore e ngaro
• Kei te mare koe i te toto, i te huu kowhai, i te puku ranei.
• He raru kei a koe ki te tango i o rongoa ngakau.
• Ko to taumaha ka piki ake i te 2 pauna (1 kirokaramu) i te ra mo nga ra 2 i te rarangi.
• Ka rereke to whara. He whero, he pupuhi ranei, kua whakatuwheratia, he maha atu ranei nga waikeri e ahu mai ana.
• He raru koe, he kirika ranei neke atu i te 101 ° F (38.3 ° C).

Paahi-aukati i te taha o te wheua koronihana - ka tukuna; OPCAB - tuku; Te patu i te pokanga ngakau - puta; Takahanga Taonga - ngakau - rere; CABG - tukuna; Haurongo arawhiti coronary arawhata - tuku; Te pokanga poka kokiri kopu - ka tukuna; Te pokanga karo coronary - tukuna; CAD - whakakore i te tuku; Te mate o te mate koroto - mate poka

• Me pehea te tango i to pini o to ringa
• Ka mau ki to raahi motuka motuka

Fihn SD, Blankenship JC, Alexander KP, et al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS arotahi whakahoutanga o te aratohu mo te taatari me te whakahaere i nga turoro e mau ana te mate ngakau ischemic pumau: he purongo mo te American College of Cardiology / American Heart Association Force Force mo nga Aratohu Mahi, me te American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography me nga mahi wawaotanga, me te Society of Thoracic Surgeons. Porohita. 2014; 130 (19): 1749-1767. PMID: 25070666 pubmed.ncbi.nlm.nih.gov/25070666/.

Fihn SD, Gardin JM, Abrams J, et al. 2012 ACCF / AHA / ACP / AATS / PCNA / SCAI / STS aratohu mo te taatai ​​me te whakahaere i nga tuuroro e mau ana te mate ngakau ischemic pumau: he purongo mo te American College of Cardiology Foundation / American Heart Association te roopu mahi mo nga aratohu mahi me te American College o Nga Taakuta, American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography and Intervensions, me te Society of Thoracic Surgeons. Porohita. 2012; 126 (25): 3097-3137. PMID: 23166210 pubmed.ncbi.nlm.nih.gov/23166210/.

Fleg JL, Forman DE, Berra K, et al. Te aukati tuarua i te mate mate pukupuku atherosclerotic i roto i nga pakeke: he korero putaiao mai i te American Heart Association. Porohita. 2013; 128 (22): 2422-2446. PMID: 24166575 pubmed.ncbi.nlm.nih.gov/24166575/.

Kulik A, Ruel M, Jneid H, et al. Te aukati tuarua i muri i te poka o te kopu o te kopae: he korero putaiao mai i te American Heart Association. Porohita. 2015; 131 (10): 927-964. PMID: 25679302 pubmed.ncbi.nlm.nih.gov/25679302/.

Apopo DA, de Lemos JA. Te mate ngakau ischemic maau. I roto i: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. He Mate Ngakau a Braunwald: He Pukapuka Kupu mo te Mate Cardiovascular. 11th ed. Philadelphia, PA: Elsevier; 2019: chap 61.

Omer S, Cornwell LD, Bakaeen FG. Te mate ngakau kua riro: te koretake o te coronary. I roto i: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Pukapuka Tuhinga Sabiston o te Taatai. Ed 20 Philadelphia, PA: Elsevier; 2017: chap 59.

• Angina
• Nga mate ngakau korona
• Taatai ​​pokohiwi
• Ngakau ngakau
• Nga taumata toto toto teitei
• He awhina mo te whakamutu i te momi hikareti

• Angina - tuku
• Angina - he aha te paatai ​​ki to taakuta
• Angina - ka mamae koe i te uma
• Nga rongoa antiplatelet - kaitautoko P2Y12
• Ahipirini me te mate ngakau
• Ko te kaha i muri i to mate ngakau
• Te kaha ki te mate koe i te ngakau
• Te pata, te margarine, me nga hinu tunu
• Cholesterol me te noho oranga
• Te whakahaere i to toto toto toto
• Kua whakamaramahia nga momona kai
• Tohu awhina kai nohopuku
• Te mate ngakau - te tuku
• Te mate ngakau - he aha te paatai ​​ki to taakuta
• Te pokanga ma te ngakau - he iti rawa te urutomo - te tuku
• Nga mate ngakau - nga morearea morearea
• Me pehea te panui i nga tapanga kai
• Te kai Mediterranean
• Tiaki patunga whara - tuwhera
• Nga huringa kakahu ma-ma-maroke

• Te Huringa Haurangi Arter Bypass