Kei te ahua hē te manawataki o tō manawa? Me kōrero tātou mō te Atrial Fibrillation (AFib)!

Kei te pēhia tō ngākau e te pahu i ētahi wā, kei te pēhia rānei e te porangi i te wā ohorere? Kei te pēhia rānei koe e te kare ā-roto rerekē, pērā i te pūrerehua e rere ana i roto i tō uma, i te ika rānei e tohe ana? Kāore pea ēnei e puta noa mai ki te hinengaro. He tohu pea anō hoki tēnei o te mate ngākau e kiia nei ko te 'Atrial Fibrillation' (AFib) . Nō reira, i tēnei rā ka kōrero tātou mō tēnei AFib i roto i tētahi huarahi māmā e mārama ai koe.

He aha te Atrial Fibrillation (AFib)? He māmā noa iho...

Ki te kī māmā noa, ko te Atrial Fibrillation (AFib) he pā o te ngakau kāore i te rite e puta ana i ngā rūma e rua o runga o tō ngākau, e kiia nei ko te atria . He pūnaha hiko tō ō tātou ngākau e tuku tohu ana ki te ngākau kia pā i runga i te tikanga auau, i te tikanga tika. Engari i roto i te ngākau o te tangata whai AFib, kāore tēnei pūnaha hiko e mahi tika. Engari ko te tuku tohu i runga i te tikanga tika, ka tukuna e ia he maha ngā tohu rerekē i te wā kotahi.

Whakaarohia tō ngākau he rite ki tētahi ōkestra. I te nuinga o te wā, kotahi te kaiārahi e tuku ana i ngā tohu, ā, e whakatangi ana i ngā pao i roto i te tikanga tika. Engari i roto i te AFib, kaua ko te kotahi te kaiārahi, he maha ngā tāngata e tuku ana i ngā tohu i ngā ahunga rerekē. Kātahi ka kore ngā mema o te ōkestra e mārama ko wai te tohu e whakatangihia ana e rātou. He tino pōhēhē te puoro, kāore? Koinei te āhua o te AFib e tīmata ai te pao tere me te pōrearea o ngā rūma o runga o te ngākau, te atria.

Nā te mea kāore e tika te whakawhāiti o ngā atria, kāore e taea e rātou te pupuhi toto ki ngā rūma kei raro i te ngākau, arā, ngā ventricles . Ka aro atu ngā ventricles ki ngā tohu mai i te atria, ā, ka tīmata te whakawhāiti koretake. Ko te ngakau e rongohia ana e koe nā te whakawhāiti o ēnei ventricles. Nō reira, i roto i te AFib, ka tere, ka koretake hoki tēnei pā.

Me pēhea koe e mōhio ai mēnā kei a koe te AFib? He aha ngā tohu?

Ehara i te mea he tohumate tō te katoa e pāngia ana e te AFib. Heoi anō, he tohumate noa iho ētahi. Mena kei te pāngia koe e tētahi o ēnei tohumate, he mea pai kia toro atu koe ki te tākuta.

• He rite ki te pūrerehua e rere ana i roto i tō uma, he rite ki te ika e tohe ana . He rite rānei ki te tere o te pao o tō ngākau, e patupatu ana i roto i tō uma. I roto i te rongoā, e kiia ana tēnei ko te "whakatere tere o te ngākau" .
• Ko te tino ngenge he "tino ngenge" . Ehara i te mea ko te ngenge noa iho, engari ko te tino ngenge, kāore e taea e koe te mahi i tetahi mea.
• Pōuriuri, māuiui rānei te upoko.
• I ētahi wā ka hemo pea koe (syncope).
• Te uaua ki te manawa (dyspnea) . Tērā pea ka rite koe ki te uaua ki te manawa ahakoa he iti noa te kaha.
• Te mamae o te uma, te kikī rānei (angina).

Mena kei a koe tētahi, ētahi rānei o ēnei tohu, kaua e warewarehia.

✨ Hearing health Verified Partner

Medical grade state-of-the-art hearing aids

Advanced hearing aids designed for clear hearing and noise control in the ear.

Check Availability →

He mate kino te AFib?

Ae, he mate kino te AFib. Ahakoa he tohu kei a koe, kāore rānei, ko te tikanga o te AFib he koretake te tere o tō manawa. Ina kore e tika te pao o tō manawa, he nui ake te tūponotanga ka puta he toto toto i roto i tō manawa. Mena ka pakaru mai ēnei toto toto i tō manawa ka haere ki tētahi okana nui pēnei i tō roro, ka taea e rātou te puta he mate kino e kiia nei ko te whiu . Waihoki, ki te roa tō AFib, ka ngoikore tō manawa , ka arahi ki tētahi mate e kiia nei ko te ngoikore o te manawa .

Nō reira, ki te puta mai ngā tohu o te AFib, he mea nui kia rapu tohutohu hauora tonu atu koe.

I tēnei āhuatanga, waea atu ki te 1990 tonu atu, haere rānei ki te hōhipera tata:

• Mena he mamae nui tōu uma .
• Mena he tino uaua ki a koe te manawa .
• Mena kei te ngaro tō hinengaro, kei te hiahia rānei koe ki te ngaro tō hinengaro .

He aha te take e puta ai te AFib? He aha ngā take?

Ko te tino take o te AFib ko ngā panonitanga i roto i te kiko me te pūnaha hiko o te ngākau. He maha ngā āhuatanga ka pā ki ēnei panonitanga:

• Ētahi atu mate pūnaha toto: Hei tauira, ko ngā āhuatanga pēnei i te mate uaua coronary, te mate takirere, me te ngoikore o te ngakau ka whai wāhi ki te AFib.
• Ētahi atu āhuatanga hauora: Te toto toto tiketike, te taumaha rawa me te momona, te hyperthyroidism, te mate tākihi mau tonu, me te apnea moe aukati.
• Ngā āhuatanga ira: Kua kitea e ngā rangahau tata nei he hononga ētahi rerekētanga ira ki te whanaketanga o te AFib. I ētahi wā, ko ēnei awe ira te take o te whanaketanga o te AFib i te wā taitamariki.
• Pokanga ngākau: Ka taea hoki te puta te AFib i muri i te pokanga ngākau mō ētahi atu take. Ka taea hoki te puta te AFib i te wā e ora ana mai i te pokanga ehara i te ngākau.

He aha atu ngā āhuatanga ka whakanui ake i te mōrearea o te whakawhanake i te AFib?

Haunga ngā āhuatanga kua whakahuatia i runga ake nei, he maha atu anō ngā āhuatanga ka whakanui ake i te mōrearea o te whakawhanake i te AFib:

• Te pakeketanga: Ka piki ake te mōrearea o te pāngia e te AFib i te pakeketanga, inā koa i muri i te 65 tau .
• Te nui rawa o te inu waipiro: Ko te inu nui atu i te nui o te waipiro e taunakitia ana, inā koa te inu nui, ka nui ake te mōrearea o te AFib.
• Ngā mate kino: Ka piki ake te mōrearea o te whakawhanake i te AFib ina he nui rawa ngā mate e hiahiatia ana kia whakaurua ki te hōhipera (hei tauira, te sepsis, te mate kino o te COVID-19).
• Te kore o te whakakori tinana:Ko te kore e nui te mahi ā-tinana o ia rā tētahi atu take o te AFib.
• Te whakangungu tino kaha: Ahakoa he pai te whakangungu mō te ngākau, kāore e pai te nui rawa o te mahi. Ko te hunga e whakangungu ana mō te neke atu i te toru hāora i te rā, mō ngā tau maha, ka nui ake te mōrearea ki te pāngia e te AFib.

Me pēhea te tātaritanga a ngā tākuta i te AFib?

Ko te whakamātautau tino nui hei whakatau tika mēnā kei a koe te AFib ko te ECG, te EKG rānei (Electrocardiogram) .

• Mā te tuhi i te ngohe hiko o tō ngākau ki runga i tētahi kauwhata ka taea tēnei. Mā te titiro ki taua kauwhata, ka taea e tō tākuta te whakatau mēnā kei a koe te AFib, ētahi atu mate manawataki o te ngākau rānei (arrhythmias).

Hei tāpiritanga, ka mahia e te tākuta ēnei mahi:

• Ka whakahaerehia e rātou he whakamātautau tinana , ā, ka pātai atu mō tō hītori hauora.
• Tērā pea ka tonoa he whakamātautau toto . Ka āwhina ēnei ki te whakatau mēnā he mate hauora kē atu, he mate rānei ka pā ki te mahere maimoatanga AFib.
• Ka tonoa he whakamātautau echocardiogram - echo) . Ka taea tēnei te whakamahi hei tirotiro tata i te hanganga me te mahi a te ngākau.
• Tērā pea ka hoatu he taputapu aroturuki iti (he taputapu aroturuki Holter, he taputapu aroturuki kaupapa ngakau rānei) ka taea e koe te mau mō ētahi rā, mō te wiki rānei. Ka taea e tēnei te hopu tonu i ngā mahi hiko o tō ngakau i a koe e mahi ana i ō mahi o ia rā, tae noa ki a koe e moe ana.

He rerekē ngā wāhanga o te AFib?

Ae, he mate "whakamua" te AFib. Arā, ka taea e ia te haere i roto i ngā wāhanga rerekē, ā, ka kino haere i roto i te wā. Ka whakaarohia e ngā tākuta ēnei wāhanga i te wā e tātaritanga ana, e rongoā ana hoki i te AFib:

• Wāhanga 1: Kei te mōrearea mō te AFib
• Wāhanga 2: Pre-AFib
• Wāhanga 3: AFib (AFib) (He maha ngā wāhanga iti o tēnei)
• Wāhanga 4: AFib Tuturu

Wāhanga 1: Kei te mōrearea mō te AFib

Ko te tikanga tēnei kei a koe ngā āhuatanga mōrearea ka piki ake pea tō mōrearea ki te whakawhanake i te AFib. Hei tauira:

• toto toto tiketike
• Momonatanga
• Mate huka
• Te ngongoro me te uaua ki te manawa (Sleep apnea)
• Te nui rawa o te whakamahi waipiro
• Ngā mate pūnaha manawa
• Neke atu i te 65 tau te pakeke

Mena kei a koe ēnei āhuatanga, tera pea ka tūpono koe ki te whakawhanake i te AFib.

Wāhanga 2: Pre-AFib

I tēnei wā, ka kite pea koe i ētahi huringa o te mahi hiko, o te hanganga rānei o tō ngākau. Ka piki ake te tūponotanga o te whakawhanake i te AFib. Ka rapu ngā tākuta i ngā tohu penei:

• Te tachycardia o te atrium
• Te wiri o te atrium
• Te whakanui ake i te atrium maui me/ranei matau
• Ngā manawa pāwera ectopic pinepine

Waihoki, ko te hunga whai mate e nui ake ai te mōrearea ki te AFib, pērā i te (Coronary artery disease), (Heart failure), (Heart valve disease), (Hyperthyroidism), (Hypertrophic cardiomyopathy), me (Neuromuscular disorders), ka taka pea ki tēnei wāhanga tuarua.

Wāhanga 3: AFib (he wāhanga anō hoki tēnei)

Ki te whakaūtia e te ECG kei a koe te AFib, kei roto koe i tēnei wāhanga. Engari ka rerekē pea tēnei wāhanga. Ka pā mai, ka ngaro atu ngā tohumate o ētahi tāngata, ko ētahi ia ka mau tonu te AFib ahakoa te maimoatanga. Koia te take e wehewehe ai ngā tākuta i tēnei wāhanga kia whā ngā wāhanga iti:

• Paroxysmal AFib: I roto i tēnei momo AFib, ka puta te AFib i ētahi wā, ā, ka memeha noa iho i roto i te wiki, me te kore maimoatanga. Heoi anō, tera pea ka pāngia tonu koe e te mamae i roto i tēnei wā poto. He nui ake hoki tō tūponotanga ki te pāngia e te whiu i te hunga kāore he AFib.
• AFib pumau: Koinei te wā e pumau ana te AFib , arā, neke atu i te wiki te roa. Me rongoā hei whakamutu.
• Te roa o te AFib pumau: I tēnei wā, ka roa te AFib mō te tau, neke atu rānei.
• I muri i te angitu o te maimoatanga tango i te ngongo: Kua mutu te AFib i muri i te pokanga, i te maimoatanga rānei e whakamahi ana i te catheter (ablation).

Kia kitea tō mate AFib, ka taea e koe te neke haere i waenga i ēnei wāhanga iti. Hei tauira, ahakoa kua angitu te tango i te uaua, ka hoki mai pea te AFib pumau i roto i te wā.

Wāhanga 4: AFib Tuturu

Ko te tikanga tēnei kua whakatau tahi kōrua ko tō tākuta kāore kōrua e rongoāhia kia taea ai te whakahaere i tō AFib, ā, ka noho tonu kōrua ki te AFib mō ake tonu atu. Ka whakatauhia tēnei whakatau i runga i tō ake āhuatanga.

He aha ngā maimoatanga mō te AFib?

Ka taea te rongoā i te AFib ki tētahi, ki ētahi rānei o ēnei e whai ake nei:

• Ngā huringa āhua noho
• Ngā rongoā
• Te rongoā whakaweti
• Ētahi atu maimoatanga

Ngā huringa āhua noho

Koinei ngā mea ka taea e koe te mahi i ia rā hei āwhina i te ārai i te kino haere o te AFib. He mea nui ēnei huringa āhua noho i mua i te tīmatanga o te pānga o ngā tohu. Ka taea e tō tākuta te āwhina i a koe ki ēnei mea:

• Hei āwhina i a koe kia mau tonu tō taumaha hauora .
• Te whakawhāiti i te inu waipiro.
• Kia tino karohia te whakamahi i ngā hua tupeka (pērā i ngā hikareti).
• Te whiwhi i te nui o te whakakori tinana kua tūtohutia ia rā.
• Te whakahaere pai i ngā āhuatanga e whakanui ake ai te mōrearea o te AFib, pērā i te toto toto tiketike, te momona, te apnea moe aukati, me te mate huka.

Ngā rongoā

Tērā pea ka tohua e tō tākuta he rongoā hei whakahaere i te tere o tō manawa me/ranei te auau o tō manawa. Ka āwhina ēnei rongoā ki te ārai i te kino o tō manawa me te whakaiti i te mamae me te manukanuka ka pā ki a koe. Tērā pea ka tohua hoki e tō tākuta he rongoā hei whakaiti i te mōrearea o te toto totoka me te whiu.

Ka rerekē pea ngā momo rongoā e hiahiatia ana hei whakahaere i te AFib i roto i te wā. I te nuinga o te wā, ki te mea kei te mōrearea koe ki te whiu, me tango e koe ngā rongoā whakaiti toto (anticoagulants) . Ko te nuinga o te wā ka tohua e ngā tākuta ngā rongoā whakaheke toto ā-waha (DOACs - Direct Oral Anticoagulants). Ngā tauira:

• Apixaban
• Rivaroxaban
• Dabigatran
• Edoxaban

I ētahi wā, ka tohua he rongoā e kiia nei ko te "Warfarin" hei utu mō ngā "DOAC".

Ngā rongoā hei whakahaere i te tere o te ngakau:

• Carvedilol
• Digoxin
• Diltiazem
• Metoprolol
• Verapamil

Ngā rongoā hei āwhina i tō ngākau kia pāorooro noa:

• Amiodarone
• Dofetilide
• Dronedarone
• Flecainide
• Propafenone

Te rongoā whakawete mō te AFib)

Ko te whakawātea i te uaua o te ngākau (AFib) he kupu whānui mō tētahi rōpū maimoatanga e hanga ana i ngā kiko mātā iti i ētahi wāhi o te ngākau. Ahakoa e whakaarohia ana e tātou he mea kino te kiko mātā, i tēnei wā, ka āwhina tēnei kiko mātā i te pūnaha hiko o te ngākau kia mahi tika. Ka āraihia e tēnei kiko mātā ngā tohu hiko rerekē kei puta i te ngākau. Ka āwhina tēnei i te manawataki o te ngākau kia hoki ki te āhua noa.

He maha ngā tikanga tango i te uaua o te ngākau ka tūtohu pea tō tākuta ngakau mō te AFib:

• Te tango i te catheter: He maimoatanga iti rawa te whakaekenga. Ka whakaurua e te taote pokanga he ngongo angiangi (catheter) mā roto i tētahi o ō oko toto ki roto i tō ngākau. Ko te wehenga o te uaua pūkahukahu (PVI ablation) te momo tango catheter tino noa mō te AFib.
• Tukanga maze: Ka kiia hoki tēnei ko te ablation pokanga. Ka hangaia e te taote pokanga he tauira "maze" o te kiko whara i roto i te ngākau hei aukati i ngā tohu koretake. He maha ngā wā ka mahia tēnei i te wā kotahi me ētahi atu pokanga ngākau (pērā i te coronary artery bypass grafting, te pokanga valve rānei).

Ētahi atu maimoatanga

Ko ētahi atu huarahi hei rongoā i te AFib:

• Te nekehanga o te ngākau:I tēnei mahi, ka whakamahia e te tākuta he taputapu hiko (defibrillator) ka hoatu rānei he rongoā ki a koe hei whakahoki i te manawataki o tō ngākau kia noho noa.
• Te katinga o te atrium maui (LAA): Ki te kore e taea e koe te aro ki ngā rongoā whakaiti toto, ka taea te whakauru i tētahi taputapu iti ki roto i tō ngākau hei whakaiti i te tūponotanga o te whiu. Mā te katinga o te atrium maui , he wāhanga iti rite ki te pēke o te ngākau ka ngāwari te hanga toto toto.

Ka hoki anō te ngākau ki te āhua noa i muri i te AFib?

Ae, i ētahi wā ka hoki tō ngākau ki tōna auau noa. Koinei te mea ka tupu i roto i te "Paroxysmal AFib". Mena he "pūmau" tōu, he "roa rānei te AFib", me rongoā koe hei whakamutu i te ngakau koretake.

Engari ko te mea nui , kāore e taea te rongoā i te AFib. He mate mō te wā katoa. Ka taea e tō tākuta te āwhina i a koe ki te whakahaere i tēnei. Ka taea e te maimoatanga te whakaiti i tō tupono ki te whiu me te whakaiti i te kino o ō tohu.

Kia pēhea te roa ka taea e koe te ora me te AFib?

I kitea i roto i tētahi rangahau i whakaputaina i te tau 2024, he poto ake te roa o te oranga o te hunga whai AFib i te hunga kāore he AFib. Ka rerekē tēnei i runga i te tau i te wā i kitea ai.

Engari kia maumahara, kotahi anake te taha o te kōrero e kōrerohia ana e ngā tatauranga. Ki te mahi tahi koe me tō tīma hauora ki te whakahaere tika i tō AFib me ētahi atu mate hauora, he nui te tūponotanga ka roa te ora, ka ora hauora hoki koe.

Me pēhea taku tiaki i ahau anō?

Ko ngā tikanga e whakaiti ana i tō mōrearea ki te AFib ka āwhina i a koe kia ora tonu ahakoa kei a koe te AFib.

• Te kai i ngā kai whai kiko .
• He tino pai te whakakorikori tinana mō te 30 meneti i te rā, kia rima rā i te wiki, mō te ngākau. Mēnā he uaua ki a koe te whakakorikori tinana tonu, ka taea hoki te wehewehe kia tekau meneti te roa.
• He āwhina nui anō hoki te whakarērea o ngā hua tupeka me te waipiro ki te ngākau.

Āhea ahau me kite i te tākuta?

Kāore he kaupapa kotahi e tika ana mō tēnei katoa. Kei runga i ō tohumate, i te mahere maimoatanga, me ngā mahi whai muri mēnā kua whai koe i ētahi tikanga. Nō reira, he mea nui kia kōrero koe ki tō tākuta, kia puta ai he mahere e pai ana mōu.

• Haere ki te tākuta i te wā tika, me te kore e ngaro i tetahi wā whakarite.
• Kia mau tonu he rārangi o ngā rongoā ka tangohia e koe, ā, me mau tonu ina haere koe ki te tākuta. He mea pai hoki kia mau tonu tēnei rārangi i roto i tō pēke mēnā ka puta he āhuatanga ohorere.
• I ia wā tirotiro, me kōrero ki tō tākuta mō ngā tohu hou e pā ana ki a koe me ngā pānga taha o ō rongoā.
• Me pātai atu ki tō tākuta i mua i te tango i ngā rongoā kore utu (OTC) (hei tauira, ngā rongoā mō te makariri me te mare) me ngā tāpiringa kai.I ētahi wā ka pā ēnei ki tō tere o te manawa, ka pāngia rānei e ētahi atu rongoā e tangohia ana e koe.

He aha ngā pātai me pātai atu koe ki te tākuta?

Ko ētahi pātai ka taea e koe te pātai atu ki tō tākuta:

• Me pēhea taku whakaiti i aku āhuatanga mōrearea?
• Ka taea e koe te hono atu i ahau ki tētahi tohunga kai?
• Ka taea e koe te tūtohu i ētahi kaupapa hauora me te whakapakari tinana e tata ana?

Ka taea e koe te tirotiro mō te AFib i te kāinga?

Ki te whakaaro koe kei a koe ngā tohu o te AFib, ko te mea nui ko te waea atu ki tō tākuta tonu atu, me te kōrero atu ki a rātou i ō kare ā-roto. Tērā pea ka kī atu rātou kia tirohia tō manawa. Mēnā he rerekē, he ngoikore rānei, he tohu pea tēnei nō te AFib.

Engari i ētahi wā, kāore pea koe e rongo i ngā huringa o tō manawa, ina koa mēnā kāore tō AFib i te tino kino. Engari, ka ngenge noa koe, ka poto rānei te manawa. Kāore pea koe e mōhio mēnā nā te AFib, nā tētahi atu mea rānei ō tohumate. Koia te mea nui kia kōrero koe ki tō tākuta. Kāore e taea e koe te whakatau māu ake mēnā he AFib tōu.

He pēhea te noa o te AFib?

Neke atu i te 33 miriona tāngata neke atu i te 55 tau te pakeke puta noa i te ao kua tātaritatia kei te pāngia e te AFib. I te Hononga o Amerika anake, e kiia ana ka pāngia e te AFib te 12 miriona tāngata i te tau 2030. Tata ki te haurua miriona ngā hōhipera e pāngia ana e te AFib i te Hononga o Amerika i ia tau, ā, kei te piki haere te maha o ngā mate mai i tēnei mate i ia tau.

He mea whakamataku, he mea whakararuraru, he mea whakapoauau hoki te mōhio kei a koe te AFib. Engari ehara i te mea ko koe anake. E miriona ngā tāngata huri noa i te ao kei te ako i ngā huarahi hou hei whakahaere i te mate me te noho harikoa ake. Ka taea e tō tākuta te kōrero atu ki a koe mō ngā kōwhiringa maimoatanga, ngā rauemi, me ngā hapori tautoko.

Nā, he aha ngā mea tino nui hei maumahara mā tātou i tēnei tuhinga?

Āe, anei ētahi mea hei maumahara māu i roto i ngā kōrero kua kōrerotia e tātou:

- He mate te AFib e kore e taurite te tere o te manawa, ā, ka kino pea, ahakoa kāore he tohu. He tūponotanga kei te pā mai ngā raruraru, inā koa ko te whiu.

- Kia tūpato ki ngā tohu pēnei i te kikī o te uma, te ngenge, te whanoke, me te uaua ki te manawa. Mēnā ka pāngia koe e tētahi o ēnei, me toro atu ki te tākuta.

- He mate ka taea te rongoā i te AFib. Ka taea te whakahaere pai mā te whakarerekē i te āhua noho, ngā rongoā, ā, i ētahi wā, ngā maimoatanga pēnei i te "ablation".

- He momo noho hauora (kai pai, whakakori tinana auau)He mea tino nui te pupuri i tētahi momo noho hauora (te whakakori tinana, te momi hikareti, me te waipiro) mō te whakahaere i te AFib me te hauora o te ngakau.

- Kāore koe i te mokemoke i tēnei haerenga. Kōrero ki tō tākuta kia whakawhanakehia he mahere maimoatanga me te rautaki whakahaere e pai ana mōu. Kaua e wehi ki te pātai me te whakapuaki i ō kare ā-roto.

Kia maumahara, ko te mōhiotanga te taahiraa tuatahi ki te oranga hauora!