Ngā mea me mōhio koe mō te tere o te manawa o ngā wāhine!

Kua whakaarohia e koe te tere o te pao o tō manawa ina tū noa koe? I ētahi wā ka rite ki te tere o te pao, i ētahi wā ka tino puhoi. He mea nui rawa kia mōhio ngā wāhine ki te tere o te pao o ō rātou manawa, nā te mea he rerekē te tere o te pao o te manawa i tō te tāne.

He aha te tere o te manawa noa mō te wahine?

Ko te auau manawa o te wahine pakeke toharite kei waenganui i te 78 me te 82 ngā pao i te meneti. Engari ko tā mātou e whakaaro nei ko te "awhe noa" kei waenganui i te 60 me te 100 ngā pao i te meneti. Ka rerekē pea tēnei uara i ia tangata, i ia tangata. He maha ngā mea e pā ana ki tēnei, tae atu ki ō homoni, te whakakori tinana e mahia ana e koe, me tō āhua noho .

I te nuinga o te wā, he paku teitei ake te tere o te manawa o ngā wāhine i ngā tāne. Ko te tere o te manawa toharite mō te tāne pakeke kei waenga i te 70 me te 72 ngā pao i te meneti.

He aha i rerekē ai ngā tere o te manawa o ngā tāne me ngā wāhine?

He tino māmā noa iho te take. I te nuinga o te wā, i te wā o te pakeketanga , ka nui ake te ngākau o te tama i te ngākau o te kōtiro mā te 15% ki te 30%. Ka piki ake te rahi o te ngākau i te tipu haere o te tinana.

Whakaarohia, ina pā te manawa kotahi, ko taua whakawhāititanga te mea e pupuhi ana i te toto puta noa i tō tinana. He iti ake te manawa o ngā wāhine i te manawa o ngā tāne, nō reira, kia rite te nui o te toto e pupuhihia ana puta noa i tō tinana, me pā te manawa kia maha ake. Koia te take he teitei ake te tere o te manawa. Kei te kite koe?

He aha te tere o te ngakau he morearea mo te wahine?

Mena kei runga ake i te 100 ngā pao o tō manawa i te meneti i te wā okiokinga, ahakoa kāore koe e whakakorikori tinana ana, he mate kino pea tēnei. Me toro atu koe ki te tākuta tonu, ina koa mēnā kei te pāngia koe e ngā tohu pēnei i te whanoke me te māuiui .

Waihoki, ko te tere o te ngakau e heke iho ana i raro i te 60 ngā pao i te meneti ka waiho hei raruraru i ētahi wā. Ina koa mēnā ka pōuri koe, ka pōuri te mahunga, ka tino ngenge rānei. Heoi, he mea noa mō te hunga kaha, pērā i ngā kaitākaro, kia eke te tere o te ngakau ki te 40 me te 50 i te meneti. Kāore he mea hei manukanuka.

He pēhea te pānga o ngā homoni ki te tere o te ngakau?

Kua kitea e ngā rangahau i mua i te paheketanga , arā, i mua i te mutunga rawa o te paheketanga, he pai ake te mahi a te ngākau o ngā wāhine i ngā tāne o taua tau. Heoi, i muri i te paheketanga, kāore tēnei rerekētanga i te tino kitea. E whakapono ana ngā kairangahau he hononga pea tēnei ki te homoni estrogen me te hauora o te ngākau.

He aha ngā pānga o te wā perimenopause me te menopause ki a koe?

I mua i te haerenga ki te perimenopause me te menopause, he pai ake ngā putanga o ētahi mate ngakau mō ngā wāhine (ki te whakaritea ki ngā tāne o taua tau). Hei tauira:

• Te whakatōtōtanga o te uaua o te ngākau : He whaiti tēnei o te takirere o te uaua matua o te ngākau.
• Te ngoikore o te ngakau : Te ngoikore o te ngakau.
• Te toto toto tiketike (hypertension) .
• Te ngakau nui o te ngākau .

Heoi, he rite tonu ngā putanga o ēnei āhuatanga mō ngā wāhine kua mutu te pākia o te tāne me ngā tāne o te tau kotahi.

Ka whakapai ake te rongoā whakakapinga homoni (HRT) i te hauora o te ngākau?

Kāore anō kia kitea e ngā kairangahau he maimoatanga whai hua te rongoā whakakapinga homoni (HRT) hei whakapai ake i te mahi a te ngākau i roto i ngā wāhine kua mutu te pāheketanga. Te āhua nei kāore e whakaiti i te mōrearea o ngā āhuatanga ohorere o te ngākau. Heoi anō, ka āwhina pea te HRT ki te whakahaere i ngā tohu o te pāheketanga, pērā i te tere o te manawa, te werawera, te werawera pō rānei .

Ka pāngia tō tere o te manawa e tō huringa paheketanga ia marama?

Āe, tino tika. Ka rerekē ngā taumata o ō homoni puta noa i tō huringa paheketanga o ia marama. I te nuinga o te wā, ka piki ake te tere o tō ngakau i te wā o te whakaputanga hua me te wiki i muri mai (te wāhanga luteal). Ka heke iho te tere o tō ngakau i ngā rā e anga atu ana ki tō paheketanga me te wiki i muri mai (te wāhanga follicular). He mea noa tēnei.

He aha te mea ka pa ki te tere o te ngakau i te wa e hapu ana?

He teitei ake te tere o te ngakau o ngā wāhine hāpu i ērā kāore i te hāpu. Ina hāpu koe, me kaha ake te mahi a tō ngākau ki te pupuhi toto ki tō kōpū . Ka piki ake te nui o te toto e pupuhihia ana e tō ngākau mā te 30% ki te 50%. Nō reira, ka piki ake te tere o te ngakau ki te 90 ngā pao ia meneti i te wā e hāpu ana. Waihoki, ina whakakorikori tinana koe i te wā e hāpu ana, ka nui ake te piki o tō ngakau i te mea noa.

He mea noa te pāngia e ngā arrhythmias iti o te ngākau i te wā e hapu ana. Hei tauira, tata ki te kotahi i roto i te rua o ngā wāhine hapu ka pāngia e te mate e kiia nei ko ngā whakawhāititanga o te atrium i mua i te wā . Kāore i te maha ngā raruraru e pā mai ana i ēnei arrhythmias, ā, he maha ngā wā ka memeha me te kore rongoā. Heoi, ko ngā arrhythmias kino ake, pērā i ngā murmurs ngākau diastolic, me rongoā pea.

He aha ngā raruraru manawataki o te ngakau (arrhythmias) e tino pāngia ana e ngā wāhine?

Ko ētahi o ngā mate manawa o te ngākau (arrhythmias) me ngā āhuatanga e pā ana ki te tere o te manawa he mea noa ake i roto i ngā wāhine. Ko ētahi o ēnei:

• Te tachycardia atrial : He tere, he koretake te pā o te ngakau i ngā rūma o runga o te ngākau (atria).
• Te tachycardia anō o te pūnga atrioventricular (AVNRT) : Te putanga mai o te tere o te ngakau i ngā wā katoa.
• Te mate QT roa (LQTS) : He āhuatanga e roa ake ai te tukunga o tētahi tohu hiko i te mea noa mā roto i ngā rūma o raro (ventricles) o te ngākau, kātahi ka whakakīia anō.
• Te mate tachycardia orthostatic postural (POTS) : He āhuatanga e puta ai te whanoke me te tere o te ngakau ina tū ake koe i te takoto.
• Te aukati i te ngohe hiko kore-pūmanawa (PEA) : He momo whakaeke ngakau tēnei. Ko te mea e tupu ana i konei, ahakoa he tohu hiko noa mai i te ngakau, kāore te ngakau e patupatu ana, nō reira kāore he patupatu.
• Ngā arrhythmias ventricular (VAs) o te ara rere o te ngakau matau (RVOT) : He mate manawataki o te ngakau e pekepeke ai te pao o ngā ventricles o te ngakau, kaua e pupuhi tika.
• Te mate sinus mate : He mate manawataki o te ngākau e puta ana ina kore e mahi tika te pūngao sinoatrial (SA), e tuku ana i te tohu hiko hei tīmata i ia manawataki.

He aha ngā raruraru manawa o te ngakau kāore e tino pā ki ngā wāhine?

Waihoki, he iti ake te tūponotanga o ngā wāhine ki te pāngia e ētahi mate manawa me ngā āhuatanga e pā ana ki te tere o te manawa.

• Te fibrillation atrial (Afib) : He manawataki ngakau koretake e tīmata ana i ngā rūma o runga o te ngakau (atria). (He kōrero anō mō ​​tēnei i raro nei)
• Te tachycardia ventricular fascicular (FVT) : He āhuatanga e tere ai te pā o te manawa, e uru ana ngā paihere muka (fascicles) e kawe ana i ngā tohu hiko i roto i te manawa.
• Te matenga ohorere o te ngākau : He āhuatanga ohorere hauora i puta mai i te ngaronga ohorere o te mahi a te ngākau.
• Te fibrillation ventricular : He manawataki koretake o te ngakau e pā ana ki ngā rūma o raro (ventricles) o te ngakau.
• Te mate Wolff-Parkinson-White (WPW) : He āhuatanga e puta mai ana ina he ara rerekē, kāore i te tika i roto i te pūnaha tohu hiko o te ngākau. Ka taea e tēnei te meinga te ngākau kia tere rawa te pā.

He rerekē te pānga o te atrial fibrillation (Afib) ki ngā tāne me ngā wāhine?

Te whakapūngao o te atrium (Afib)He nui ake te kitea o tēnei mate ngakau koretake i roto i ngā tāne i ngā wāhine. Heoi, ina pāngia ngā wāhine e tēnei mate, ka rerekē pea ngā tohu e pā ana ki a rātou. Hei tauira:

• Te manukanuka auau
• Ngā tere o te ngakau

Hei tāpiritanga, he nui ake te tūponotanga ka pāngia ngā wāhine e ētahi atu mate me Afib. Kei roto i ēnei ko:

• Te ngoikore o te ngākau me te wāhanga ejection noa.
• Te toto toto tiketike (hypertension) .
• Te mate takirere .

Me pēhea te tātaritanga o ngā mate manawa o te ngākau (Arrhythmias)?

Ki te whakapae koe he mate manawataki manawa tōu, ka tukuna pea koe ki tētahi tohunga hiko , he tohunga ngakau e tohunga ana ki ngā mate manawataki manawa.

Tērā pea ka whakamahia e tō tākuta ētahi whakamātautau me ngā taputapu hei tautuhi i te mate manawa o te ngākau. Ko ētahi o ēnei ko:

• Aroturuki haereere : He taputapu ēnei e mau ana ki te tinana. Ka hopukina e rātou tō tere o te ngakau i roto i ngā rā, i ngā wiki rānei. Ka āwhina tēnei ki te kite i ngā manawataki ngakau koretake ohorere. Whakaarohia, i ētahi wā kei te pai koe i te tari o te tākuta, engari kei te rongo koe i tō ngakau e patupatu ana i te kāinga. He tino whai hua tēnei i ngā wā penei.
• Whakamātautau ahotea whakakori tinana : He whakamātautau e ine ana i te urupare a tō ngākau ina whakanuia e koe tō mahi. I te nuinga o te wā, ka tonoa koe kia hikoi i runga i te mīhini oma , kia eke rānei i te pahikara whakakori tinana me te hono atu ki tētahi mīhini e hopu ana i te mahi hiko o tō ngākau.
• Te Irahiko o te Ngākau (EKG/ECG) : Ka tono pea te tākuta i tētahi EKG hei tuhi i ngā mahi hiko o tō ngākau. I roto i tēnei, ka whakatakotoria ētahi wāhi iti, piri (ngā irahiko) ki tō uma. Ka whakaatuhia e te mīhini EKG ngā tohu hiko o tō ngākau hei kauwhata.
• Rangahau Hiko-tinana (EP) : Mena ka hiahia tō tākuta ki ētahi atu kōrero i muri i te EKG, i te whakamātautau ahotea rānei, me whai pea koe i tētahi rangahau EP. I roto i tēnei, ka whakauruhia ngā ngongo iti, tuwhera (ngā catheter) mā roto i tētahi oko toto i roto i tō hope. Mā te whakamahi i ēnei catheter, ka taea e ngā tākuta te tirotiro i te mahi a tō ngākau.
• Whakamātautau tēpu whakatītahaE whakaatu ana tēnei taputapu i te pānga o ngā tūranga rerekē o te tinana ki tō tere o te ngakau, te toto toto, me te manawataki o te ngakau. Kei runga koe i tētahi tēpu whakatītaha ā-mīhini, ā, kua honoa koe ki tētahi mīhini EKG. I te neke haere o te tēpu i ngā tūranga rerekē, ka tuhia e te EKG te mahi hiko o tō ngakau.

Me pēhea te rongoā i ngā mate manawataki o te ngākau?

Ko te tikanga, ko te maimoatanga mō te mate manawa o te ngakau ka uru pea ki:

• Ngā Rongoā : Tērā pea ka tohua e tō tākuta he rongoā hei whakahaere i te manawataki o tō ngākau, hei whakaiti rānei i te mōrearea o te toto totoka me te whiu . Nā te mea he roa ake te wā QT o ngā wāhine i ngā tāne, ko ētahi rongoā e whakaroa ana i te wā QT (hei tauira, sotalol, dofetilide, amiodarone ) kāore pea i te tika i ngā wā katoa.
• Ngā huringa āhua noho : Ka taea te whakaiti i ētahi mate mā te whakarerekē i te āhua noho, pērā i te whakaiti i te kawheine, te waipiro rānei . Ka taea hoki e te whakamutu i te momi hikareti te āwhina i te whakahaere i ngā mate.
• Te whakapūtanga o te manawa hiko : I a koe e moe ana, ka tukuna he ru hiko ki te pakitara o tō uma. Ka taea e tēnei te whakahoki mai i te manawa noa o te manawa. He mea whai hua tēnei mō ngā tūroro kāore e taea te whakatutuki i te manawa noa mā te rongoā anake. Ka whakamahia hoki hei tikanga whakaora ora mō ngā tūroro e pāngia ana e ngā arrhythmias ventricular ka arahi pea ki te aukati ohorere o te manawa.
• Te tango i te catheter : Ka whakauruhia e te tākuta he catheter ki roto i tō ngākau, ka tukuna he pūngao wera, he pūngao makariri rānei mā roto. Ka puta he koha iti i roto i te kiko o te ngākau e puta ai te koretake, ā, ka ārai i ngā hiko koretake.
• Ngā taputapu hiko : Tērā pea ka whai hua koe i tētahi taputapu iti kua whakatōkia ki raro i tō kiri. Ka taea e ēnei taputapu te kite, te rongoā rānei i ngā manawataki ngakau koretake. He taputapu whakatere kei ētahi tāngata. Ka tukuna e ēnei he hiko iti hei whakahaere i te tere o te ngakau. Ko ētahi ka whai hua mai i ngā taputapu whakamāmā-karu-whakauru (ICD) ka taea te whakatō. Ka kitea e ēnei he manawataki ngakau koretake, ka tukuna he pūngao ki te ngakau hei whakahoki mai i te manawataki ngakau kia noa.
• Pokanga : Mena kāore he maimoatanga kē atu e taea te whakahaere i tō tere ngakau, ka tūtohu pea tō tākuta i te pokanga. Ko te kōwhiringa tino noa ko te tikanga maze . I roto i tēnei tikanga, ka hangaia e te taote ngakau he maze o ngā tapahi i roto i te kiko o tō ngakau hei aukati i ngā tohu hiko koretake.

Nā, he aha te karere e hiahia ana tātou ki te kawe mai i tēnei pūrākau ki te kāinga?

Ki te mea ka tere ake te pao o tō ngākau i a koe e okioki ana i muri i te mahi, tera pea ka mataku koe, tika? Kua kite pea rānei koe he iti iho te pao o te ngākau o tētahi o ō hoa tāne i tōu i te wā okiokinga.

Kia maumahara, he mea noa te tere o te manawa o ngā wāhine i ngā tāne. Te āhua nei nā ngā homoni tēnei i awe.

Heoi, ki te mea kei runga ake i te 100 ngā pao o tō manawa i te meneti i te wā okiokinga , me toro atu koe ki te tākuta. Waihoki, ki te mea kei raro iho i te 60 ngā pao o tō manawa i te meneti, ina koa kāore koe i te tino kaha ki ngā hākinakina, ki te whakakorikori tinana rānei, me kōrero ki tō tākuta . He mea tino nui te tiaki i tō manawa!

` Te tere o te manawa, te hauora o ngā wāhine, te manawa, ngā homoni, te paheketanga, te haputanga, te arrhythmia