He rerekē te pā o tō manawa? Me kōrero tātou mō ngā rerekētanga o te manawa (Arrhythmia)!

Kaua e manukanuka, kua pāngia koe e te pikinga ohorere o te tere o tō manawa, te tere rānei o te pā, i ētahi wā me te mea he rerekē te pā? He mea tēnei e pā ana ki te tini o te tangata. I tēnei rā ka kōrero tātou mō tēnei pā o te koretake o te manawa, e kiia nei ko te arrhythmia . I ētahi wā ka kiia tēnei ko te dysrhythmia .

He aha te arrhythmia?

Ko te arrhythmia he panoni i te manawataki, i te tauira rānei, o tō ngākau. Whakaarohia pēnei: ​​he rite tō tātou ngākau ki tētahi kaiwaiata mohio, me patu i roto i tētahi manawataki auau, auau. Engari i ētahi wā ka hē te manawataki o tēnei manawataki. Koinā te wā e kiia ai he arrhythmia. Ka tīmata pea i ngā wāhanga rerekē o te ngākau. I ētahi wā ka tino tere te patu o te ngākau, i ētahi wā ka tino pōturi, ka kore rānei e auau.

I te nuinga o te wā, he tino whakarite, he tino taunga hoki te mahi a tō tātou ngākau. Nā te mea, ko tēnei ngākau te mea e whāngai ana i te toto ki tō tātou tinana katoa, e whakarato ana i te kai me te hāora. Nō reira, ki te mea he raruraru kei ngā wāhanga rerekē o te ngākau, kei roto rānei i te toto e pupuhihia ana e te ngākau, ka taea te whakararuraru i tēnei auau noa. Koia te mea he mea nui te whai i tētahi auau noa o te ngakau .

He pēhea te kino o tēnei mate manawataki o te ngakau (arrhythmia)?

Ina hoki, ehara i te mea he morearea ngā arrhythmia katoa. Tērā ētahi momo kāore e pā kino, ā, kāore e hiahiatia he maimoatanga. Heoi anō, tērā ētahi ka pā he mate manawa, he mate hopuhopu rānei . Ko te nuinga o ngā arrhythmia kei waenganui i ēnei pito e rua. Ko te tākuta anake ka taea te kī atu ki a koe he aha te momo arrhythmia kei a koe, me te mea hoki me maimoatanga. Nō reira, ki te mea he ruarua āu, he pai ake te rapu tohutohu hauora.

He aha ngā momo matua o te arrhythmia?

Ka whakarōpūhia e ngā tākuta ngā arrhythmias i runga i te wāhi i tīmata ai i roto i te ngākau.

• Ngā Arrhythmias Supraventricular: Ka tīmata ēnei i ngā rūma o runga o tō ngākau, e kiia nei ko te atria . Ko te tikanga o "Supraventricular" kei runga ake i ngā rūma o raro o te ngākau, e kiia nei ko ngā ventricles .
• Ngā Arrhythmias Ventricular: Ka tīmata ēnei i ngā rūma o raro o te ngākau, arā, te atria.
• Ngā bradyarrhythmias me ngā hunuhunu honohono: Ka puta pea ēnei nā ngā raruraru o te pūnaha kawe tohu hiko o te ngākau, pērā i te pūngao sinoatrial (SA) , te pūngao atrioventricular (AV) , te whatunga His-Purkinje rānei.

Ki te whakarapopoto, e rua ngā momo hapa o te ngākau: ko ērā e tīmata ana i ngā wāhanga o runga o te ngākau, me ērā e tīmata ana i ngā wāhanga o raro. Hei tāpiri, kei reira anō hoki ngā hapa e pā ana ki te puhoi rawa o te pao o te ngākau.

He pēhea te noa o tēnei āhuatanga?

E ai ki te whakatau tata, puta noa i te ao, kei waenganui i te 1.5% me te 5% o ngā tāngata he arrhythmia. Heoi, he uaua ki te kī tika e hia ngā tāngata e pāngia ana e tēnei mate, nā te mea kāore ētahi tāngata e whakaatu i ngā tohu. I ngā whenua pēnei i te Hononga o Amerika, ko te momo arrhythmia e kiia nei ko te atrial fibrillation te mea tino noa.

He aha ngā tohu e pā ana ki a tātou?

Ka pāngia pea te tangata e pāngia ana e te arrhythmia e ngā tohu pēnei i:

• Te Pakaru o te Manawa: Tērā pea ka rite ki te patu o te pahu i roto i te uma, ka mutu ohorere rānei te manawa, ka rite rānei ki te tere rawa te patu.
• Pōuriuri, māuiui rānei te upoko.
• Ngā Wāhanga Hinga.
• Te Poto o te Manawa: Te āhua nei he uaua ki te manawa ahakoa he iti noa te kaha o te manawa.
• Te mamae, te kore whakamarie rānei o te uma.
• Te ngoikore, te ngenge rānei.

I ētahi wā, ka "wātea" te mate manawa o te ngākau, arā, kāore he tohu e puta mai ana. Koia te hiranga o ngā tirotiro hauora auau .

He aha tēnei ka puta ai? He aha ngā take o te arrhythmia?

He maha ngā take o te arrhythmia. Ko ētahi o aua take ko:

• Te mate o te uaua koronari: Ko te tikanga o tēnei ko te aukati i ngā uaua e tuku toto ana ki te ngākau.
• Te kiko pukuriri i roto i tō ngākau: Tērā pea nā ngā take ira, nā ngā āhuatanga rānei e puta ake ana i muri mai i te ao.
• Te toto toto tiketike.
• Ngā huringa o te uaua o te ngākau (Cardiomyopathy).
• Ngā mate o te takirere ngākau.
• Ngā kore taurite o ngā irahiko i roto i tō toto: Ko ngā huringa ēnei o te nui o ngā tote pēnei i te konutai me te pāhare pāporo.
• Te whara i puta mai i te whakaekenga o te ngākau.
• Te tukanga whakaora i muri i te pokanga ngakau.
• Ētahi atu āhuatanga hauora.

I te nuinga o te wā, ka puta ngā arrhythmias i te raruraru o ngā uaua, ngā takirere, ngā uaua rānei o te ngakau.

He aha ngā āhuatanga mōrearea mō te arrhythmia?

Ka taea e ēnei mea te whakanui ake i te mōrearea o te arrhythmia:

• Te whakamahi i ngā hua tupeka.
• Te inu waipiro.
• Te kai i ngā inu me ngā kai kei roto te kawheine: Ngā mea pēnei i te tī, te kawhe, me ētahi inu ngohengohe.
• Te tango i ngā mea whakaohooho: Ngā mea pēnei i ētahi rongoā makariri me ngā tāpiringa otaota.
• He toto toto tiketike.
• Te Taupū Papatipu Tinana (BMI) neke atu i te 30.
• He nui te huka toto: Pērā i te mate huka.
• Te mate moe.

He aha ngā raruraru ka puta mai mēnā kāore e rongoatia?

Mena kāore i te tika te rongoā mō ngā arrhythmias, ka puta ngā raruraru pēnei i:

• Te ngoikore o te uaua o te ngākau (Cardiomyopathy).
• Te hopukanga o te ngākau.
• Te whiu: Te aukati i te rere o te toto ki te roro.

Me pēhea te tautuhi i tēnei arrhythmia?

Ka taea e te tākuta te tirotiro i tō pūkahukahu me te whakarongo ki tō ngākau kia kitea ai he pākarukaru ngakau kāore i te tika.

I muri i te whakarongo ki ō tohu me te whakahaere i tētahi whakamātautau tinana, ka tonoa pea e tō tākuta ētahi atu whakamātautau hei whakaū i te aroaro o te arrhythmia me te kimi i te pūtake. I ētahi wā ka tukuna pea koe ki tētahi tohunga hiko , he tohunga ngakau he tohunga motuhake ki ngā mate manawataki o te ngakau.

He aha ngā momo whakamātautau e mahia ana?

Ka taea te whakahaere i ngā whakamātautau e whai ake nei hei tautuhi i te pākia o te ngakau me ngā āhuatanga e pā ana:

• Irahiko o te manawa (ECG, EKG rānei): Ka hopukina e tēnei te mahi hiko o te ngākau.
• Ngā whakamātautau toto: Tirohia ō taumata electrolyte, tirohia rānei mēnā he raruraru ira.
• Ngā Aroturuki Ā-Haereere: He taputapu iti ēnei ka mau koe mō ētahi rā. Ka hopukina e rātou te tere o tō manawa i a koe e mahi ana i ō mahi o ia rā. Hei tauira, ko te Aroturuki Holter .
• Whakamātautau Taumahatanga: Ka whakamātautau tēnei i te mahi a te ngākau i te wā e whakakorikori ana.
• Echocardiogram: He whakamātautau ngaru oro o te ngākau. Ka taea te tirotiro i te āhua, te rahi, me te mahi a te ngākau.
• Te Tātaritanga o te Ngākau: He whakamātautau hei rapu i ngā ārai i roto i ngā uaua o te ngākau.
• Rangahau Hikohiko-tinana (EPS): He whakamātautau e tirotiro hohonu ana i te pūnaha hiko o te ngākau.
• Whakamātautau Tēpu Honga: He whakamātautau e mahia ana ki te hunga e pāngia ana e te whanoke i a rātou e tū ana.
• Matawai CT (Tomography Rorohiko - matawai CT).
• MRI o te Manawa (MRI o te Manawa - Whakaahua Āhua Aukume).

Me pēhea te rongoā mō te arrhythmia?

Ko te maimoatanga e whakawhirinaki ana ki te momo arrhythmia kei a koe me tōna kaha. I ētahi wā, kāore he maimoatanga e hiahiatia ana. Ko ngā kōwhiringa maimoatanga mō ngā mate manawataki o te ngakau ko:

• Ngā rongoā.
• Ngā huringa o te āhua noho.
• Ngā rongoā.
• Ngā taputapu.
• Pokanga.

1. Ngā rongoā

He maha ngā momo rongoā hei rongoā i ngā arrhythmias. Nā te mea kāore i te rite te katoa, me whakamātau pea koe i ētahi momo me ngā horopeta rongoā kia kitea ai te rongoā me te horopeta tika māu. Ko ētahi o ēnei ko:

• Ngā rongoā ārai-arrhythmic: Ka āwhina ēnei ki te whakahoki i te arrhythmia ki te auau noa (Sinus Rhythm) me te ārai rānei i te putanga mai o te arrhythmia.
• Ngā rongoā e whakahaere ana i te tere o tō ngakau.
• Ngā rongoā ārai toto totoka, rongoā ārai toto rānei: Hei tauira , ko Warfarin , ko Aspirin rānei. Ka whakaitihia e ēnei te mōrearea o te toto totoka.
• Ngā rongoā e rongoā ana i ngā āhuatanga e pā ana ka puta ai ngā manawataki ngakau rerekē.

He mea tino nui kia mōhio ki ēnei mea:

• Ngā ingoa o ngā rongoā e tangohia ana e koe.
• He aha koe i tango ai i taua rongoā?
• Kia pēhea te auau me te wā tika hei tango i te rongoā.
• He aha ngā pānga taha o tō rongoā?

2. Ngā Huringa Āhua Noho

Mā ngā panonitanga ngāwari ki tō momo noho ka āwhina i te arrhythmias. Ko ētahi o ēnei ko:

• Te whakahaere i te toto toto me ngā taumata huka.
• Te karo i te whakamahi i ngā hua tupeka.
• Te whakawhāiti i te inu waipiro.
• Te karo i te kawheine me ngā mea whakaohooho.
• Te pupuri i te taumaha hauora.

3. Ngā Whakaora

Haunga ngā rongoā, tera pea ētahi tāngata e hiahia ana ki ētahi atu maimoatanga hei rongoā, hei aukati rānei i ngā manawataki ngakau koretake. Mā tō tākuta e whakatau ko tēhea maimoatanga te mea pai mōu, ā, māna anō e kōrero ki a koe ngā painga me ngā huakore o ēnei maimoatanga.

• Te Whakarerenga Kātio: Ka tukuna he ru hiko hei tukutahi i te mahi o te ngākau me te whakahoki mai i te manawataki noa.
• Te Whakakore i te Catheter: Ka whakamahia he catheter hei tuku i te pūngao hiko auau-teitei ki tētahi wāhi iti o te kiko i roto i te ngākau, hei "momotu" i te ara auau rerekē. Ka taea e tēnei tikanga te rongoā i ngā momo SVT (Supraventricular Tachycardia) , Atrial Flutter , Atrial Fibrillation, me ētahi atu.Ka taea te rongoā i ngā tachycardia atrial me ventricular.
• Te Wehenga o ngā Uaua Pūkahukahu: He momo tangohanga anō hoki tēnei. Ka hangaia ngā mowhiti kiko kiri hei wehe i ngā wāhi e puta ai te fibrillation atrial . He āwhina tēnei mō te hunga e pāngia ana e te fibrillation atrial auau, paroxysmal, pumau rānei.

4. Ngā Pūrere

I roto i tētahi tikanga e whakahaerehia ana e te tohunga ngakau i roto i tētahi taiwhanga hikohiko, ka taea te whakauru i ētahi taputapu. Ko ngā taputapu e whakamahia ana hei rongoā i te mate manawataki o te ngakau ko:

• Pūrere Whakaoho Pūmau: Ka tukuna e tēnei taputapu ngā nekehanga hiko iti ki te uaua o te ngākau, hei āwhina i te pupuri i te tere o te ngākau kia noa, hei ārai hoki i te puhoi rawa o te pā o te ngākau.
• Pūrere Whakamātautau Cardioverter Whakauru (ICD): Ka aroturuki tonu tēnei taputapu i te tere o tō manawa. Ina kitea he tere rawa, he rerekē te manawa o te manawa, ka tukuna he ru ki te uaua o te manawa hei āwhina i te whakahoki mai ki tōna auau noa. Ka rongoāhia e tēnei taputapu ngā manawa e rua e morearea ana ki te ora, arā, ko te Ventricular Tachycardia me te Ventricular Fibrillation .
• Ngā Pacemaker me ngā Defibrillator Biventricular (BV): E kiia ana hoki ko te Cardiac Resynchronization Therapy (CRT) , ka āwhina ēnei taputapu ki te tukutahi i ngā kōpeketanga o tō ventricle maui. Haunga ngā taura (waea iti) e haere ana ki te taha matau o te ngākau, kei reira anō hoki he taura e haere ana ki te ventricle maui. Tērā pea ka hiahiatia tēnei mō te hunga e pāngia ana e te ngoikore o te ngākau me ngā kōpeketanga kore taunga o te ventricle maui.

5. Pokanga

Ko te hunga e pāngia ana e te arrhythmia, me pokanga pea ō rātou ngākau mō ēnei take:

• Whakaorahia he mate manawa e puta ai te arrhythmia. Hei tauira, he pokanga takirere, he pokanga bypass uaua ngakau rānei.
• Tukanga Maze: Ka taea te whakamahi i tēnei hei rongoā i te fibrillation atrial e kore e taea te whakahaere mā te rongoā, mā te kore-pokanga rānei.
• I ētahi wā, ka whakauruhia pea e te tākuta ngā taura pacemaker biventricular (ngā waea iti) ki roto i tō ngākau mā te whakamahi i ngā tikanga iti rawa te whakaekenga, ngā tikanga pokanga rānei.

He pānga taha, he raruraru rānei kei te puta mai i te maimoatanga?

Ka rerekē ngā pānga taha me ngā raruraru i runga i te maimoatanga. Ko ētahi o ēnei ko:

• Ngā rongoā mō te arrhythmia:
• Ngā uruparenga mate pāwera
• Pōuriuri
• Ngā mamae o te upoko
• Te toto
• Puku mamae
• Te nekehanga o te ngākau:
• Te whakapūpū i ngā toto totoka
• Ngā marō kiri
• Ponana kiri
• Te Whakakorenga o te Katitere:
• Te toto
• Ngā toto totoka
• Whiu
• Mate pāwera
• Te whara ki te uaua, ki te kiko o te ngākau rānei
• Te Wehenga o te Uaua Pūkahukahu:
• Mate pāwera ki tētahi tae (mēnā ka whakamahia)
• Mate pāwera
• Te whara o tō ngākau, o tō korokoro, o tō uaua rānei
• Whiu
• Ngā Pūrere:
• He hapa o te pūrere
• Mate pāwera
• Te toto
• Pūkahukahu kua hinga
• Pokanga:
• Te toto
• Mate pāwera
• Whiu
• Te whakaekenga o te ngakau
• Te hiahia mō te taputapu whakatere

Kia pēhea te roa ka pai ake te āhua i muri i te maimoatanga?

Tērā pea ka roa te wā ki te kimi i te rongoā me te horopeta tika mō tō arrhythmia. I runga i te tikanga, i te pokanga rānei, ka roa pea te whakaoranga i ngā wiki, i ngā marama rānei. Mena he tikanga tāu pēnei i te Catheter Ablation , i te Pulmonary Vein Isolation rānei, tera pea ka mau tonu ō arrhythmias mō ētahi wiki i a koe e ora ana. Ma tō tākuta koe e kī atu ki ngā mea hei tumanako atu i runga i tō āhuatanga motuhake.

Me pēhea te whakaiti i te mōrearea o te arrhythmia?

Hei whakaiti i te tūponotanga o te arrhythmia, ka taea e koe te mahi i ēnei mea:

• Kati te whakamahi i ngā hua tupeka.
• Whakawhāitihia te inu waipiro.
• Whakawhāitihia, kati rānei te kai kawheine. He pāwera ētahi tāngata ki te kawheine. Tērā pea ka nui ake ngā tohu ka pā ki a rātou ina kai rātou i ngā hua kei roto te kawheine (tī, kawhe, kōra, ētahi rongoā ka hokona noa).
• Kaua e tango i ngā rongoā whakaohooho. Kia tūpato ki ngā rongoā whakaohooho kei roto i ngā rongoā maremare me te makariri, me ngā tāpiringa otaota, ngā tāpiringa kai rānei. Tērā pea kei roto i ētahi o ēnei rongoā ngā kai ka puta ai he manawataki koretake o te ngākau. Pānuihia te tapanga, ka pātai atu ki tō tākuta ko tēhea rongoā te mea pai mōu.
• Whakahaerehia te toto toto tiketike.
• Ngāna kia mau tonu te taumaha hauora.
• Whakahaerehia ō taumata huka toto.
• Tikina he maimoatanga mō te apnea moe.
• Āta karohia ngā mahi e puta ai te arrhythmia.

He aha taku e tumanako atu ai mēnā he arrhythmia tōku?

I runga i te momo mate manawa o te ngakau kei a koe, tera pea he tohu ngawari, he tohu kino rānei, kāore rānei he tohu. Kāore pea koe e hiahia ki te maimoatanga, engari ko ētahi tāngata me rongoā, me mahi rānei i tētahi tikanga. Mā te maimoatanga mō ngā mate manawa o te ngakau, ka taea e te nuinga o te tangata te ora i tētahi oranga tino pai. Ko ētahi tāngata he nui ake ngā arrhythmias kino ka pāngia e te mate manawa , ā, tera pea ka ora, kāore rānei.

He mea nui anō hoki te roa o te arrhythmia. Ka haere mai, ka haere atu ngā arrhythmia kore kino i runga i te pūtake. Heoi, ko te hunga whai momo arrhythmia kē atu – inā koa ko te hunga e mōrearea ana ki te hopukanga o te ngakau – me rongoā mō te wā katoa.

Me pēhea taku tiaki i ahau anō?

Mena he mate manawataki o te ngākau tōu, he mea āwhina pea te mōhio me pēhea te ine i tō manawataki . Ko tō manawataki ko tō tere ngākau, arā, te maha o ngā wā e pā ana tō ngākau ia meneti. He rerekē ngā tere manawataki i ia tangata, i ia tangata. He puhoi tō tere ngākau ina okioki koe, ā, ka piki ake ina whakakori tinana koe. Ko te tere ngākau noa (ina okioki koe) kei waenganui i te 60 me te 100 ngā pātaki ia meneti. Mena he taputapu aroturuki hauora , he mataarataki atamai rānei tāu, ka taea e koe te whakamahi hei aroturuki i tō tere ngākau.

He mea nui anō hoki kia mōhio tō whānau me ō hoa ki te mōhio ki ngā tohu o tō arrhythmia. Ka pai ake tō wairua mēnā ka ako rātou ki te mahi CPR (Cardiopulmonary Resuscitation) .

He aha ngā mea kāore e taea e koe te kai, te inu rānei me tēnei mate?

Mena he arrhythmia tōu, me whakawhāiti e koe te inu waipiro me te kawheine, ka taea e ēnei te whakaoho i te arrhythmia.

Āhea ahau me toro atu ki taku tākuta?

Māna koe e kī atu ki te auau o te wā me toro atu koe ki tō tākuta. Mēnā kei te kino haere ō tohumate, kei te kino haere rānei i waenga i ngā wā whakarite, kōrero ki tō tākuta .

Me toro atu koe ki te tākuta i ngā wā katoa mō ēnei āhuatanga:

• Tirohia mēnā kei te whai hua tō maimoatanga mō te arrhythmia.
• Whakaritea tō rongoā kia tika.
• Tirohia te pai o te mahi a ngā taputapu kua whakatōkia.
• Kia tino ora koe, ā, kia kore he raruraru hauora kē atu āu.

Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Rapua tonutia te awhina hauora mēnā kei a koe tētahi o ēnei:

• He uaua ki te manawa.
• Mamae o te uma.
• Pōuriuri.
• Ngā wā hemo.

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

Ko ētahi pātai ka hiahia pea koe ki te pātai atu ki tō tākuta:

• He aha te momo arrhythmia kei a au?
• Me whai maimoatanga ahau?
• He aha te maimoatanga pai rawa atu mōku?
• Me aha ahau hei tiaki i taku taputapu?

He maha ngā huarahi e pā ai te pā o tō ngākau ki te koretake. Ko ētahi o ēnei pā o te ngākau ki te koretake, e kiia nei ko te arrhythmias, kāore e puta he tohu. He mea nui kia kite i tō tākuta mēnā kei a koe ngā tohu pēnei i te ngenge nui, te mamae rānei o te uma. Ka taea e tō tākuta te āwhina i a koe ki te whakatau i ngā kōwhiringa maimoatanga pai rawa atu māu, engari ka taea hoki e koe te āwhina i a koe anō mā te hanga i ngā huringa oranga e tika ana.

Hei whakamutunga, ngā mea hei maumahara

Ahakoa te koretake o te manawa, te koretake rānei o te manawa, kāore pea i te kino mō ētahi tāngata, engari ka taea e ia te whakararu i te ora mō ētahi atu. Nō reira, ki te mea he pēhanga tō uma, he uaua ki te manawa, he maha rānei ngā wā ka pōuri koe, me rapu tohutohu hauora. Ki te kitea wawetia, ā, ki te rongoatia tika, ka taea e te nuinga o te tāngata te noho noa. Kaua e mataku, ko te mea nui ko te tūpato.

` Te Manawa, Te Āwhatiwhati, Te Mate Manawa, Te Mamae o te Uma, Te ECG, Te Maimoatanga o te Manawa, Ngā Āhuatanga Kāore i te Tika te Manawa