Kua pāngia koe e tēnei āhuatanga? Ina tū ake koe i tētahi tūru, i tētahi moenga, i tētahi tūru rānei, ka pōuri koe, ka pōuri tō tirohanga, ā, ka ngoikore koe. He wheako tino noa tēnei mō te tini o te tangata. I te nuinga o te wā, ka tatari noa tātou mō ētahi hēkona, kātahi ka hoki ki te mahi. Engari kua whakaaro koe he aha te mea e tupu ana i roto i tō tinana i taua wā? He pūnaha tino tere, aunoa tō tinana e mahi ana hei tiaki i a koe. I tēnei rā, ka kōrero tātou mō tēnei pūnaha whakamiharo.
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He aha tēnei Whakaata Baroreceptor?
Hei whakarāpopototanga, koinei te pūnaha whakahaere toto aunoa a tō tinana. Whakaarohia mēnā ka huri whakarere tō tūranga, ina koa ka tū ake koe i te tūnga noho, i te takoto rānei, ka heke whakarere tō toto. I ēnei wā, ko te raupapa tere o ngā mahi a te tinana hei pupuri i tō toto kia noho noa, ka kiia ko te 'Baroreceptor Reflex'.
He tino tere tēnei. Ka puta tēnei tukanga katoa i te wā e pā ana tō ngākau kotahi, e rua rānei ngā wā. Koinei te huarahi tino nui hei whakahaere i te toto toto i roto i te wā poto.
He pēhea te mahi a tēnei? He tikanga tino mīharo!
Hei mārama ki tēnei, me whakamahi tātou i tētahi tauira māmā. Whakaarohia he rite ō uaua toto ki ngā ngongo rapa. I te piki haere o te toto e rere ana i roto i ēnei ngongo, ka totoro ngā pakitara o ngā ngongo. I te hekenga o te toto, ka heke haere tēnei totoro.
He momo io motuhake kei roto i tō tinana e kiia nei ko ngā baroreceptors . He rite ēnei ki ngā pūoko iti. Kei roto i ngā uaua toto nui o tō kaki te nuinga o ēnei, arā, te uaua toto matua e rere ana mai i tō ngākau. Ka taea e ēnei pūoko te "rongo" i te nui o te pēhanga e pā ana ki aua pakitara o ngā uaua toto.
He aha ngā mea hei mātaki inaianei:
1. Mena he noa, he teitei rānei te toto toto: Kua totoro pai ngā pakitara o ngā oko toto. Ka tukuna e ēnei pūoko taua karere ki te roro, "Āe, he pai te toto toto i konei, kāore he raruraru." Kātahi ka koa te roro ki tēnā.
2. Ki te heke tō toto toto (he aha te mea ka tupu ina tū ohorere koe): Ina tū ohorere koe, ka meinga e te kaha ā-papa te neke o te toto ki ō waewae. Kātahi ka iti haere te nui o te toto e haere ana ki tō mahunga, me tō toto toto hoki. Inaianei ka heke ohorere te taumahatanga o ngā pakitara o ngā uaua toto. Ina rongohia tēnei e ō tātou pūoko, ka mataku rātou ka tuku karere ohorere ki te roro, e mea ana, "Tūpono! Kāore i te rawaka te pēhanga i konei! Kāore ngā pakitara e totoro ana!"
3. Te urupare tonu a te roro: Ka whakahohehia te roro ina tae mai tēnei karere. He rite ki te whakautu ki tētahi waea ohorere. Ka tukuna tonutia e te roro ngā whakahau mā roto i tō pūnaha io:
- Ki ngā uaua toto: "Kia tere te whakakī!" Ina paku whakawhāitihia ngā uaua toto, ka piki aunoa te pēhanga i roto i a rātou.
- Ki te ngākau:"Patua kia tere ake, kia kaha ake!" Ka whakanui ake tēnei i te tere o te manawa me te kaha e kōpiri ai te uaua o te manawa, ka nui ake te toto e pupuhihia ana ki roto i te tinana.
Ka puta katoa ēnei mea i roto i ngā hēkona ruarua. Koia te take ahakoa ka pōuri koe, ka tere tonu te memeha. Mā tēnei pūnaha whakamiharo koe e ārai kei ngaro tō māramatanga.
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Check Availability →Āhea ka puta tēnei whakaohooho?
Ka taea te whakahohe i tēnei 'Baroreceptor Reflex' i ngā wā katoa ka rerekē te toto toto o tō tinana. Hei tauira:
- Ina huri tūnga: Ina koa ina tū ohorere mai i te noho.
- Ina mataku ohorere koe: Whakaarohia kei te hikoi koe i te huarahi, ā, ka peke ohorere mai tētahi kurī ki mua i a koe. I taua wā, ka huri anō hoki tō toto toto, ā, mā tēnei pūnaha e whakahaere.
- Ina huri ana koe i tō mahinga whakakori tinana: Ki te huri koe mai i te hikoi ki te oma, me nui ake te toto e hiahiatia ana e tō tinana. Ka uru atu hoki tēnei pūnaha ki te whakatikatika i tō toto me te tere o te manawa ina hiahiatia.
He kupu ngāwari noa iho, ko te 'Baroreceptor Reflex' he kaitiaki puku e mahi ana i te rā roa hei pupuri i tō toto toto kia pumau, me te kore koe e mōhio.
He aha ngā wāhanga o tēnei pūnaha? Kei hea rātou e tū ana?
Ehara tēnei i te mea kotahi noa iho. He whatunga tēnei o ētahi wāhanga e horapa ana puta noa i te tinana. Kei roto i tō ngākau, i roto i ngā uaua toto i tō kaki, me roto hoki i ō pukahukahu ēnei kaiwhakawhiwhi. Ka haere ngā kōrero mai i reira ki te roro, ā, ka tukatukahia puta noa i te pūnaha io katoa.
Tirohia te ripanga i raro nei mō ngā wāhanga matua o tēnei pūnaha.
| Wāhanga o te pūnaha | Hei whakarāpopototanga... |
|---|---|
| Ngā Baroreceptors | Koinei ngā pūoko e ine ana i te toto toto. Kei roto i ngā uaua carotid i te kaki me te āwhata aorta o te ngākau. |
| Ngā pūoko i roto i ngā rūma ngākau me ngā pukahukahu | He pūoko pēnei kei roto i te ngākau me ngā oko toto o ngā pukahukahu. |
| Ngā io angaanga | Ka haria e ēnei io ngā karere mai i ngā pūoko ki te roro. |
| Pūnaha Io Motuhake | E rua ngā wāhanga o tēnei pūnaha (te pūnaha ngākau aroha me te pūnaha ngākau parataha) . Ka whakahaerehia e tēnei pūnaha ngā whakahau mai i te roro. Ka whakahaere i te tere o te manawa me te whakawhāiti i ngā oko toto. |
| Ngā uaua | Koinei ngā oko toto iti rawa o te tinana. He mea nui te whakawhāiti me te whānui o ēnei oko toto hei whakahaere i te toto toto. |
He aha ngā mate e pā ana ki te mahi a tēnei pūkahukahu?
Ka taea e ētahi āhuatanga hauora te whakararu i te mahi a tēnei 'Baroreceptor Reflex'. Ka hua ake tēnei i te kore e taea te whakahaere tika i te toto toto. Ko ētahi o ēnei āhuatanga ko:
- Te mate a Parkinson
- Te mate ngakau whati (te mate ngakau maru)
- Te whara o te taurakira
- Mate huka momo 1, momo 2 rānei
- Te mate tachycardia orthostatic postural (POTS)
- Te mate wareware tinana o Lewy
Hei tāpiritanga, ka taea ēnei pūoko te pakaru e ngā pukupuku i te kaki, e ngā pokanga rānei e mahia ana ki te kaki.
He aha ngā tohu ina kore e mahi tika tēnei pūkahukahu?
Ina ngoikore tēnei pūnaha, kāore e taea e te tinana te whakahaere tere i te toto toto, ā, ka puta pea ēnei tohu.
| Tohu | Te tikanga |
|---|---|
| Te toto toto kore pumau | Kei te piki haere tonu te toto toto, kāore he take. |
| Te hekenga o te rere toto ki ngā whekau | Kāore e nui te toto e whiwhi ana i ngā whekau nui pēnei i te roro me ngā whatukuhu, ka pā mai pea te whanoke me te pōhēhē. |
| Te Tachycardia | Te pikinga nui rawa o te tere o te ngakau. |
| Kāore e piki ake te tere o te ngakau ina hiahiatia | Ko te kore e taea e te tinana te whakanui ake i te tere o te manawa ina hiahiatia i te wā e whakakorikori ana, pērā i te wā e whakakorikori ana. |
He aha ngā whakamātautau e mahia ana hei tirotiro mēnā he raruraru tēnei?
Mena kei te whakapae tō tākuta i tēnei, ka tūtohu pea ia i ētahi whakamātautau, pēnei i:
- Te aro turuki i te toto toto: Tērā pea ka tonoa koe kia mau i tētahi taputapu motuhake hei ine i tō toto toto mō ngā hāora 24 (te aro turuki haereere mō ngā hāora 24).
- Te ine i te tere o te manawa: Ngā whakamātautau pēnei i te ECG.
- Te nekehanga Valsalva: Kei roto i tēnei ko te tono i a koe kia pupuri i tō manawa me te mahi i te pana-ake, me te mātakitaki anō i te panoni o tō tere o te ngakau me tō toto toto.
- Ngā whakamātautau toto: Tirohia mēnā he mate hauora kē atu, pērā i te mate huka.
He aha ngā maimoatanga mō tēnei, ā, he aha tā tātou e taea ai te mahi?
Ko te rongoā mō tēnei ngoikore o te "Baroreceptor Reflex" ka whakawhirinaki ki te take. I ētahi wā, ka tohua pea e tō tākuta ngā rongoā pēnei hei āwhina i te whakahaere i tō toto toto:
- Midodrine
- Droxidopa
- Fludrocortisone
He mea tino nui: Kaua rawa e whakamahia ēnei rongoā me te kore he tohutohu a te tākuta . Me whakamahi noa i roto i te horopeta kua tohua me te wā kua tohua.
Haunga te rongoā, he mea tino nui anō hoki te pupuri i tētahi momo noho hauora.
Ngā mea ka taea e tātou te mahi hei pupuri i te hauora
Hei pupuri i te pumau o tō toto toto, ka taea e koe te kōrero ki tō tākuta me te whai whakaaro ki ēnei mea:
- Kai hauora: Kai i te kai taurite, kia iti te tote, kia nui hoki ngā hua me ngā huawhenua.
- Te whakarerekē i ētahi atu rongoā: Mena kei te tango koe i ētahi atu rongoā e pā ana ki tō toto toto, kōrero ki tō tākuta mō te whakarerekē i tā rātou horopeta.
- Here puku: He whitiki tēnei e mau ana ki te puku. Ka āwhina tēnei i ētahi tāngata ki te whakapiki i ō rātou toto toto. Pātai atu ki tō tākuta mō tēnei.
- Te karo i ngā mea e whakaoho ana i tō toto: Ki te pāngia koe e tēnei mate, tautuhia ngā mea e whakapiki ana, e whakaheke ana rānei i tō toto toto, ā, ngana ki te karo i aua mea.
Ina tū koe, ka tīmata te oma, tērā pea kāore koe e kite i ēnei huringa whakamiharo o tō tinana. Engari ka mahi puku tō 'Baroreceptor Reflex', ā, ka pupuri i tō toto toto ki te taumata tika. Engari ki te mea he maha ngā wā ka pōuri koe, ka ngoikore rānei, kaua e wareware noa. Kia kite i tō tākuta kia kitea ai te take.
Karere Tangohia ki te Kāinga
- Ko te 'Baroreceptor Reflex' te pūnaha whakahaere toto tere tonu, aunoa a tō tinana.
- Ko te pōuriuri noa iho ina tū ake koe i te tūnga noho he tohu pea kei te mahi tēnei pūnaha.
- Ka taea e ētahi āhuatanga hauora, pērā i te mate huka me te mate a Parkinson, te whakararu i te mahi a tēnei pūnaha.
- Ki te mea he maha ngā wā ka pōuri koe, ka ngoikore, ka piki, ka heke rānei tō toto i ngā wā rerekē, kaua e warewaretia, engari me toro atu ki tō tākuta tonu.
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