Kei te hoki mai te toto i te kūaha o tō ngākau? Me kōrero tātou mō te Aortic Regurgitation!

Kua whakaarohia e koe he kuaha iti kei roto i ō tātou ngākau e tuku ana i te toto kia rere ki te taha kotahi anake? Ae, he pono tēnā. Heoi, i ētahi wā ka paku turuturu ēnei kuaha. Koinei te āhua ka kōrerohia e tātou i tēnei rā, e kiia nei ko te `(Aortic Regurgitation). Ki te kī ngāwari, kāore te kuaha e pupuhi ana i te toto ki roto i te oko toto matua o te ngākau e kati tika, ā, ka turuturu ētahi toto ki roto i te ngākau. Kaua e manukanuka, ka kōrerohia e tātou tēnei i roto i ngā taipitopito.

He aha te `(Aortic Regurgitation)`? Kia mārama tātou!

Whakaarohia kei roto i tō ngākau tētahi kuaha matua, e kiia nei ko te `(Aortic Valve)`. Kei waenganui tonu i tō ngākau me te `(Aorta)` tēnei, te oko toto nui rawa atu o te tinana. I ia wā e pā ana tō ngākau, ka haere te toto ma, whai rawa i te hāora mā roto i tēnei `(Aorta)` ki te tinana katoa.

Nō reira, ina whakawhāiti te rūma papu matua o te ngākau, te ventricle maui, ka huaki tēnei takirere aorta hei tuku i te toto ki waho. Kātahi, ina whakangā te ventricle maui, me kati pūmau tēnei takirere. Koinā te wā e rere tika tonu ai te toto ki mua, me te kore e hoki ki te ngākau.

Heoi, mō te tangata e pāngia ana e te Aortic Regurgitation, kāore te Aortic Valve e kati tika. Ko te tikanga o tēnei, i ia wā ka whakangā te ventricle maui, ka turuturu mai ētahi toto ki roto i taua rūma. Ahakoa he āwangawanga tūturu tēnei, waimarie, he huarahi kei ngā tākuta hei rongoā.

Ko te Aortic Regurgitation tētahi o ngā momo mate takirere ngākau e tino kitea ana. Ka rerekē te kaha mai i te ngawari ki te kino . I ētahi wā ka kiia e ngā tākuta ko te Aortic Insufficiency.

He aha ngā momo matua o te `(Aortic Regurgitation)`?

E wehewehe ana ngā tākuta i te Aortic Regurgitation kia rua ngā momo matua:

1. Momo whakapeka: He āhua ohorere, ohorere tēnei.

2. Momo mau tonu: He mate tēnei e whanake haere ana i roto i te wā. Ko tēnei momo mau tonu ka kitea nuitia i ngā whenua pēnei i te Hononga o Amerika.

Hei tāpiritanga, ka taea e ngā tākuta te whakarōpū anō i tēnei āhuatanga, i runga i te āhua o te raruraru. Ka wehea hoki e rātou te mate ki ngā wāhanga A, B, C, me D, i runga i te kaha . Ko te Wāhanga D te wāhanga tino kino.

He aha ngā tohu o te `(Aortic Regurgitation)`?

Tirohia mēnā kei a koe ētahi o ēnei tohu:

• Te mamae, te kikī rānei o te uma .
• He maremare tōku.
• Te ngenge tonu.
• Ko te tere o te manawa ko te wā e pāorooro ana te manawa, he rite ki te wiri.
• I ētahi wā ka ngaro pea tō māramatanga (syncope).
• Tērā pea ka pāngia koe e te poto o te manawa (dyspnea) i te wā e whakakorikori ana koe. Ā muri ake nei, tērā pea ka pāngia koe e te poto o te manawa i a koe e takoto ana, e ngana ana rānei ki te moe.
• Ka pupuhi ngā pona me ngā waewae (edema).

Engari kia mahara,Mena he iti noa te ruaki o te aorta, he roa rānei, kāore pea he tohu e puta mō te wā roa. Ka puta mārire noa ngā tohu i te kino haere o te āhua.

He aha ngā take o te `(Aortic Regurgitation)`?

He maha ngā take e pā ai tēnei āhuatanga. Me titiro tātou ki ēnei:

• Te ngoikore o te takirere i te pakeketanga: Koinei te tino take i Amerika me ngā whenua o Ūropi ki te Hauāuru.
• Mate Manawa Rūmātiki: Koinei te tino take i roto i te maha o ngā whenua whakawhanake. Ka puta mai i te kirika rūmātiki, ka puta i muri i te mate korokoro kāore i rongoatia.
• Te toto toto tiketike.
• Endocarditis: Ko te tikanga ka puta mai tēnei i te mate e uru ana ki te toto.
• Te whara ki te uma: Hei tauira, he rite ki te aituā motuka.
• Te Aneurysm Aorta o te Uma.
• Te Wetewete i te Aorta.
• Ētahi āhuatanga whānautanga o te Aorta Valve: Hei tauira, he āhuatanga e kiia nei ko te Aorta Valve Bicuspid. Ko te tikanga o tēnei ko te takirere, e toru ngā cusps i te nuinga o te wā, engari e rua noa iho ngā cusps.

Ko wai te mea tino mōrearea ki tēnei mate?

Ka taea e ētahi panonitanga o tō takirere aorta me ētahi atu āhuatanga hauora te whakanui ake i tō tupono ki te whakawhanake i tēnei mate takirere turuturu. Tērā pea kei roto koe i te mōrearea mēnā:

• Mena he `(Bicuspid Aortic Valve)` tōu, he hapa rānei nō te takirere whānau mai: Ko te hunga whai `(Bicuspid Aortic Valve)` ka tīmata pea te turuturu o tēnei takirere i waenga i te 20 me te 40 tau te pakeke.
• Te whakapūpūtanga o ngā pepa takirere aorta: Ko te hunga e pāngia ana e tēnei raruraru he neke atu i te 60 tau te pakeke, ā, tera pea he maha atu i te kotahi ngā raruraru takirere o rātou.
• He mate kei roto i te aorta e anga atu ana ki te ngākau (Aortopathy).
• Mena kua pāngia koe e te kirika rūmātiki i mua, kua kitea rānei kei te pāngia koe e te mate manawa rūmātiki.
• Mena kua whakakapia tō takirere aorta i mua: I ētahi wā ka ngoikore haere te takirere bioprosthetic i roto i te wā.

He aha ngā raruraru ka puta mai i te Aortic Regurgitation?

Whakaarohia, ina turuturu te `(Aortic Valve)`, ka rere anō te toto tāpiri ki roto i te `(Left Ventricle)` o te ngākau. Kātahi ka kī tonu te rūma papu i te toto. Nō reira, me kaha ake te mahi a te `(Left Ventricle)` ki te whakahaere i tēnei toto tāpiri me te papu i te nui o te toto e hiahiatia ana ki roto i te `(Aorta)`.

I roto i te wā, ka taea e tēnei te whakamātotoru me te whakanui ake i ngā pakitara uaua o te ventricle maui. Ka kiia tēnei ko te Left Ventricular Hypertrophy. Ka whakaitihia te whai huatanga o te ngākau.

Ka taea e tēnei te arahi atu ki ētahi atu raruraru pērā i te ngoikore o te ngakau me te arrhythmia.

Ka taea e te ruaki koi o te aorta te arahi ki ngā āhuatanga kino pērā i te edema pūkahukahu me te heke o te putanga o te ngakau.

Me pēhea te tautuhi i tēnei mate?

Ka tātaritatia e ngā tākuta te regurgitation o te takirere aortic mā te whakamātautau tinana me ngā whakamātautau maha.

I te wā o te whakamātautau tinana, ka tirohia e tō tākuta ēnei āhuatanga:

• Kōrerohia tō hītori hauora.
• Ka tirohia ngā tohu ora, pēnei i tō toto totoka.
• Ka whakarongo tō tākuta ki tō ngākau mā te whakamahi i tētahi stethoscope, ā, ka tirohia mēnā he tangi motuhake e kiia nei ko te aortic regurgitation murmur. Ka puta tēnei tangi i te rere o te toto ki roto i te ventricle maui.

I te ine i te toto toto, ki te mea he nui te āputa (neke atu i te 40 mmHg) i waenganui i ngā uara o runga me o raro, he tohu anō tēnā kei te turuturu pea te takirere aorta.

He aha ngā whakamātautau e mahia ana hei tautuhi i te `(Aortic Regurgitation)`?

Ko te whakamātautau matua e whakamahia ana hei tātaritanga i tēnei mate, ā, e kiia ana ko te "paerewa koura" ko te whakamātautau "Echocardiogram". Ka whakamahia e tēnei he ngaru oro auau-teitei "Ultrasound" hei tango pikitia o te ngākau. Ka taea e te tākuta te whakamahi i ngā tikanga maha, pērā i te "Doppler Ultrasound", hei tirotiro i te mahi a ō takirere. Ka whakaatuhia e te "Doppler Ultrasound" te tere me te ahunga o te rere o te toto i roto i te ngākau.

Ko ētahi atu whakamātautau e hiahiatia ana hei tautuhi i tēnei mate, hei whakamahere rānei i te maimoatanga:

• X-ray o te uma
• Te hiko o te manawa (ECG/EKG)
• Whakamātautau MRI o te ngākau
• Angiogram Coronary
• Matawai CT o te ngākau
• Whakamātautau ahotea whakakori tinana

Me pēhea te rongoā i te Aortic Regurgitation?

Ka taea te rongoā i te ruaki o te puku mā te rongoā, te pokanga rānei . Mena he mate whakapeka tōu, me tere tonu te rongoā.

I runga i te kaha o tō āhua, me mahi pokanga pea koe hei whakatika, hei whakakapi rānei i tō takirere aorta. Ka tirohia koe e tō tākuta, ā, ka whakatau mēnā he mea tika te pokanga. Ka whakamāramahia hoki e rātou ngā painga me ngā mōrearea o te pokanga ki a koe. Ko ngā mea pēnei i te kai tupeka me ētahi atu āhuatanga hauora kāore e taea te whakahaere ka whakanui ake i ngā mōrearea o te pokanga, ka uaua ake hoki te tukanga whakaora.

Ko te mea nui ko te kōrero ki tō tākuta mō te tika o te pokanga mōu, me ngā mōrearea hoki.

Mena kāore he kōwhiringa mōu te pokanga takirere, ka tohua pea e tō tākuta he rongoā hei āwhina i te whakahaere i tō ngoikore o te ngākau me te whakapai ake i tō kounga o te oranga. Ka taea e ētahi atu rongoā te whakaiti i tō tupono ki te toto totoka me te whiu. Engari kia maumahara, ahakoa ka taea e ngā rongoā te whakahaere i ngā tohu, kāore e taea te aukati, te whakaora rānei i te regurgitation aortic kino.

He aha ngā raruraru, ngā pānga taha rānei o te maimoatanga?

Ko te hunga kua whakatikatikaina, kua whakakapia rānei te takirere aorta, me mahi anō pea he pokanga ā muri ake nei. Tērā anō ētahi mōrearea pēnei i:

• Whiu
• Te whakaekenga o te ngākau
• Te toto
• Mate pāwera
• Ngā hapa o te ngakau `(Arrhythmia)`

I muri i te whakakapinga o te takirere aorta, me tango e koe ngā rongoā whakangawari toto (anticoagulants) hei ārai i te toto totoka. Tērā pea ka tangohia ēnei mō ētahi marama (mō ngā takirere bioprosthetic i hangaia mai i te poaka, te kau, te kiko tangata rānei) mō te ora tonu rānei (mō ngā takirere mīhini). I ētahi wā, ka neke, ka turuturu rānei te takirere kua whakakapia.

Mena he takirere hou tōu, ka tohutohu pea tō tākuta kia tango koe i ngā paturopi i mua i te haerenga ki te tākuta niho. Ka āwhina tēnei ki te ārai i te whanaketanga o te mate i roto i te ngākau (endocarditis).

Ka taea te ārai i te Aortic Regurgitation?

Kāore e taea te ārai i te mate takirere ngākau i ngā wā katoa. Heoi, ka taea e koe te mahi i ēnei mea hei whakaiti i tō mōrearea:

• Kaua e whakamahi i ngā hua tupeka.
• Āta karohia te whakamahi i ngā raau taero.
• Whakakorikori tinana kia rite ki ngā taunakitanga a tō tākuta.
• Ki te pāngia koe e te mate, ki te pāngia rānei koe e te mate urutā, me toro atu ki te tākuta tonu.
• Tangohia ō rongoā katoa i te huarahi tika, tae atu ki ngā rongoā mō te toto toto tiketike.
• Mena kua whānui tō aorta, whakaitihia te hiki i ngā mea taumaha.

He aha te momo āpōpō ka taea e te tangata e pāngia ana e te `(Aortic Regurgitation)` te tumanako?

Ka pāngia pea koe e te ruakitanga o te aorta mau tonu mō ngā tau, kāore he tohu. Heoi, ka kino haere i roto i te wā. Tērā pea ka kite koe i tēnei āhuatanga mēnā ka tīmata koe ki te uaua ki te manawa, ki te mamae rānei o te uma.

He maha ngā āhuatanga e whakawhirinaki ana ki tō tirohanga, ko ētahi o ēnei:

• Te wā i tīmata ai koe ki te pā mai o ngā tohu.
• Te tawhiti kua horapa te mate.
• Ahakoa he ngoikore tō ngākau.
• Te wā i whiwhi koe i te maimoatanga.
• Tō hauora whānui.

Kua whakaatuhia e ngā rangahau he pai te tirohanga whakamua mō te hunga e pokangahia ana te whakakapinga takirere i mua i te whanaketanga o te ngoikore o te ngākau, ahakoa he kino rawa te āhua o tō rātou mate. Mō te hunga e pāngia ana e te ngoikore o te ngākau, tera pea he paku iti ake te tirohanga whakamua.

Ka pai te oranga o te hunga e pāngia ana e te ruaki aorta ngawari ki te āhua ngoikore i muri i te maimoatanga. Ko te ōrau oranga mō ngā tau 10 kei waenga i te 80% me te 95%.

Ko te mea nui ko te kōrero ki tō tākuta mō ō tūmanakohanga ā muri ake nei. Ko tō tākuta te mea e mōhio ana ki a koe me tō hītori hauora, kia taea ai e rātou te whakamahi i aua mōhiotanga hei hoatu whakaaro ki a koe mō ngā mea hei tumanako atu.

Me pēhea taku tiaki i ahau anō?

Whāia ngā tohutohu tiaki-ā-koe a tō tākuta, tae atu ki ngā rongoā me ngā huringa āhua noho. I te nuinga o te wā, he mea nui kia tangohia ō rongoā katoa e ai ki te whakahaunga me te wā kotahi i ia rā . Tērā pea ka tūtohu tō tākuta i ētahi huringa āhua noho, tae atu ki:

• Te kai i ngā kai hauora mō te ngākau: Hei tauira, te Kai Mediterranean. Tērā pea ka kī atu tō tākuta kia whakaitihia te nui o te tote e kainga ana e koe.
• Kia kaha te korikori tinana i ngā wā katoa: Pātai atu ki tō tākuta mō te nui o te korikori tinana ka taea e koe te mahi, me ngā momo korikori tinana e haumaru ana.
• Kaua e momi hikareti, e whakamahi rānei i ētahi atu hua tupeka: Tonoa he āwhina hei whakamutu.
• Āta karohia te whakamahi i ngā rongoā: Ina koa ko ngā rongoā werohanga ā-uaua (ngā rongoā IV), nā te mea ka piki ake te mōrearea o te endocarditis.
• Kia tiakina ō niho me ō kapia hei ārai i ngā mate urutā o te takirere ngākau (endocarditis): Kei roto i tēnei ko te toro atu ki te tākuta niho i ia ono marama.

Āhea ahau me toro atu ki taku tākuta?

Mena he Aortic Regurgitation tōu, he mea nui kia mau tonu ō wā whakarite kia taea ai e tō tākuta te aroturuki i tō āhua. Mā tō tākuta koe e kī atu ki a koe te auau o tō haerenga mai.

Hei tirotiro i te mahi a ō takirere me tō ngākau, me whai "Echocardiogram" koe i ngā wā katoa (ia ono marama ki ia rima tau). He mea nui ngā haerenga hauora auau hei kite i ngā tohu o te "Aortic Regurgitation" e kino haere ana. Mā tēnei, ka taea e koe te whiwhi maimoatanga i te wā tika, ā, ka ārai i te kino tuturu o tō ngākau.

Mena kua pokangahia te takirere ngākau, me ata whai i te kaupapa tirotiro a tō tākuta. Ka tirotirohia koe e tō tākuta kia tika ai te mahi a tō ngākau, kia kore ai koe e pāngia e te ngoikore o te ngākau, e ētahi atu raruraru rānei.

Ki te puta he tohu hou ki a koe, ki te kino haere ngā tohu o nāianei, ki te mea rānei he pātai āu mō tō āhua, waea atu ki tō tākuta i ngā wā katoa.

Āhea ahau me haere ki te Tari Whawhati Tata (ETU) ?

Mena kei a koe ngā tohu o te mate manawa, te whiu rānei, waea atu ki te 911, ki tō nama urupare ā-rohe rānei. He āhuatanga ohorere ēnei, ā, me rapu awhina hauora tonu.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ka taea e te noho me te mate takirere ngākau te whakararuraru. He maha pea āu pātai mō tō āhua, engari kāore pea koe e mōhio ki hea ka tīmata ai. Anei ētahi pātai ka taea e koe te pātai atu ki tō tākuta kia nui ake ai ō mōhiotanga:

• He pēhea te kino o taku mate `(Aortic Regurgitation)`?
• He raruraru anō ōku mō te takirere o te ngākau?
• Me rongoā ahau? Mēnā koinā, āhea?
• He aha ngā mea kei roto i te maimoatanga?
• Kia pēhea te auau o taku haerenga atu mō ngā wā whakarite whai muri?
• He aha ngā huringa āhua noho me mahi e au hei tautoko i te hauora o tōku ngākau?

Ka kino haere tonu rānei te āhua o tētahi mate iti e kiia nei ko te `(Aortic Regurgitation)`?

Neke atu i te 25% o te hunga e pāngia ana e te ngoikore o te ventricle maui ka puta ngā tohu i roto i te tau kotahi. Heoi, i roto i tētahi rangahau o te hunga e pāngia ana e te ruaki aorta ngawari ki te āhua, ko te nuinga o te hunga kāore i pāngia e te kino haere o tō rātou āhua. I whai te rangahau i a rātou mō te rima tau pea. Nō reira, ehara i te mea ka kino haere te katoa, engari he mea nui kia tirotirohia i ia wā, i ia wā.

He mōrearea te ora i te ruakitanga o te puku?

Mena he kino rawa te āhua, ā, ka puta ohorere mai, ka mate pea koe. Ka taea e ia te arahi ki te ngoikore o te ngākau, te ischemia myocardial, te mate ohorere rānei. Mena kei a koe ngā tohu e pā ana ki te ruaki ohorere kino, me mahi pokanga tonu koe.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He mea whakamataku te mōhio kei a koe he takirere aorta e turuturu ana, ā, tera pea koe e whakaaro he aha ngā mea kei te heke mai. Heoi, ko te rongo pai, nā te whanaketanga o te pūtaiao hauora, he maha ngā tāngata e pāngia ana e te ruaki aorta ka taea te āwhina.

Ko te mea nui kia kaua e mataku, e manukanuka rānei, engari me kōrero ki tō tākuta mō ō whiringa maimoatanga, me te matapaki ko tēhea te mea pai mōu. Mā te whiwhi maimoatanga i te wā tika, me te whai i ngā tohutohu a tō tākuta, ka taea e koe te noho ora. Tiakina tō ngākau!

` te ruaki o te aorta, te mate takirere ngākau, te mate ngākau, te poto o te manawa, te mamae o te uma, te echocardiogram, te pokanga ngākau