Kei te pāngia hoki koe e te kikī o te uma me te uaua ki te manawa? He mate huango ngakau pea?

Kei te ahua uaua koe ki te manawa i ētahi wā? Kei te rongo anō hoki koe i te tangi wheezing e puta mai ana i tō uma, pērā i te tangi ngunguru? I te nuinga o te wā, ina puta mai tētahi mea pēnei, ka whakaaro tātou, "Āe... he mate huango tēnei." Engari i mōhio koe kei reira tētahi atu mate e whakaatu ana i ēnei tohu, engari ehara i te mate huango? Koinei te mea e kiia nei e tātou ko te 'He mate huango ngākau.' Ahakoa ko te ingoa he mate huango, he mate ngākau tēnei. Me kōrero taipitopito tātou mō tēnei i tēnei rā, nā te mea he mea nui anō hoki tēnei me mōhio tātou.

He aha rawa te 'Hua mate ngakau'?

Ki te kī ngāwari, ko te 'Hua Mate Pūkahukahu' he āhuatanga e kī ana ō pūkahukahu i te wai nā te ngoikore o tō ngākau. Ka karangahia hoki tēnei e ngā tākuta ko te 'Pulmonary Edema' . Whakaarohia pēnei: ​​he rite ō pūkahukahu ki te hautai. Ina kī ana i te wai, he uaua ki te manawa, tika? Koinā hoki te mea e tupu ana i konei.

Ko te 'Pulmonary Hypertension' te take o tēnei āhuatanga. He pikinga ake tēnei o te pēhanga i roto i ngā oko toto i roto i ō pukahukahu. He maha ngā wā ka puta tēnei ina kore te taha maui o te ngākau e mahi tika, e kiia nei ko te 'Left-sided Heart Failure' .

He mea nui: Ina rongo te tangata i te kupu 'ngoikore o te ngākau', ka mataku rātou kei kore te ngākau e mahi tika. Kāore tēnei i te pono. Ko tōna tikanga, kāore e taea e te ngākau te pupuhi toto kia ea ai ngā hiahia o te tinana.

Nā, he aha te rerekētanga i waenga i te huango pūkahukahu me te huango ngākau?

Ahakoa he tohu kei a rāua e rua pēnei i te uaua ki te manawa me te tangi wheezing e puta mai ana i te uma, he rerekē rawa ngā pūtake.

• Te Huakita Pūkahukahu: He mate roa tēnei e pā ana ki ngā pukahukahu. Ka pupuhi, ka whaiti ngā ara manawa, ka uaua ai te manawa, ka maremare, ka kikī hoki te uma. Ka taea te whakanui ake i ēnei tohu mā te pānga ki ngā mea pēnei i te puehu, te parahanga o te hau, me te hae.

• Te mate huango o te ngākau: I tēnei wā, kei te ngākau te raruraru. Ina ngoikore te mahi a te ngākau, ka kī ngā pukahukahu i te wai, ā, koinei te take o te uaua ki te manawa.

E mārama ana koe ki te rerekētanga? Ko tētahi he raruraru pūkahukahu, ko tētahi he raruraru ngākau e pā ana ki ngā pūkahukahu.

Ko wai kei te mōrearea nui ake ki te pāngia e te 'Hua mate ngakau'?

Ko te nuinga o tēnei mate ka pā ki te hunga whai mate ngakau e kiia nei ko te 'Congestive Heart Failure' . Koinei te wā ka kino haere te ngoikore o te ngakau i te mea ka piki haere te rere o te toto i roto i ngā uaua toto. I te mea ka kino haere te ngoikore o te ngakau, ahakoa he mahi iti noa iho ka uaua te manawa.

He maha ngā āhuatanga mōrearea mō te mate huango ngākau:

• toto toto tiketike
• Mate Huka (Diabetes Mellitus)
• Ngā takirere ngākau mate
• Angina (mamae uma)
• Kua pāngia e te mate ngakau o mua

Ko te tangata e pāngia ana e ēnei āhuatanga ka nui ake te tūponotanga ka pāngia e te 'huango ngākau'.

He aha te pānga o te 'Hua mate ngakau' ki te tinana?

Ina kī tonu ō pūkahukahu i te wai, ka tino uaua ki te manawa. He pono rawa tēnei ina takoto koe, ina moe rānei. Ina ara ake koe, ina noho ake, ina tū rānei koe, tera pea ka māmā ake te manawa. Hei tauira, ki te ara ake koe i te pō i muri i te moe pai, ā, ka pāngia koe e te poto o te manawa, tera pea he tohu tēnei o tēnei mate.

He aha ngā tohu o tēnei?

Tērā pea ka puta mai ngā tohu pēnei i te mate huango ngakau i te tangata e whai mate ana i te ngākau:

• He tohu nui te oho ake me te uaua ki te manawa i muri i ētahi haora moe i te pō mō te tini o te tangata.
• Te whewhe.
• Maremare. He maremare maroke pea tēnei, he maremare huware rānei. I ētahi wā ka konatunatua te huware ki te iti o te toto.

Mena kei a koe tētahi, ētahi rānei o ēnei tohu, he pai ake te rapu tohutohu hauora.

He aha te take o te 'Hua mate ngakau'?

E ai ki tā tātou i kōrero ai i mua, ko te tino take ko te 'Heart failure' . Ka puta te 'Pulmonary Hypertension' , arā, ko te pikinga o te toto toto i roto i ngā pukahukahu. Ka puta te 'Pulmonary Edema' , arā, te kohikohinga wai i roto i ngā pukahukahu. Ko te kohikohinga wai i roto i ngā pukahukahu te mea e uaua ai te manawa, ā, koinei te take o te 'Cardiac Asthma'.

Me pēhea te tātaritanga a ngā tākuta i te 'Hua mate ngakau'?

Ina kite koe i tētahi tākuta, ka pātai atu ia ki a koe mō ō tohumate, ka tangohia e ia tō hītori hauora, ā, ka whakahaere i tētahi whakamātautau tinana . Haunga ēnei, ka whakahaerehia pea e ia ētahi whakamātautau hei whakaū i te āhua.

He aha ngā whakamātautau e mahia ana mō tēnei?

Ka whakamahia pea e te tākuta ngā whakamātautau e whai ake nei hei tautuhi i te mate huango o te ngākau:

• Ngā whakamātautau toto
• Ngā whakamātautau mimi
• He whakamātautau hiko-cardiogram (EKG) - Ka ine tēnei i te ngohe hiko o te ngākau.
• Echocardiogram - He rite tēnei ki te matawai ultrasound o te ngākau. Ka taea te tirotiro i te rahi, te āhua, me te mahi pupuhi o te ngākau.
• X-ray o te uma - hei tirotiro mō te wai i roto i ngā pukahukahu me te ngākau kua rahi.
• Whakamātautau ahotea manawa- Ka aro turukihia te mahi a te ngākau me ngā pukahukahu i te wā e whakakorikori ana.
• Te whakaurunga o te catheter ki te ngākau - He whakamātautau hei rapu i ngā ārai i roto i ngā uaua o te ngākau.
• Matawai CT (Tomography Rorohiko) o te Ngākau
• Whakaahua Āhua Aukume (MRI)

Kāore ēnei whakamātautau katoa e mahia ana mō te katoa. Mā tō tākuta e whakatau ko ēhea ngā whakamātautau e tika ana i runga i tō āhua.

He aha ngā rongoā mō te 'Hua mate ngakau'?

He rerekē te maimoatanga mō te 'Huakino Ngākau' i te maimoatanga mō te huakino noa (Huakino Pūkahukahu). Nā te mea he rerekē te pūtake. Ka taea te whakamahi i ngā mea e whai ake nei hei maimoatanga mō te 'Huakino Ngākau':

• Whakakorikori Tinana: Te mahi i ngā mahi whakakorikori tinana e tika ana kia rite ki ngā tohutohu a te tākuta.
• Ngā Rongoā: Ka taea te tohu i ngā momo rongoā rerekē.
• Whakaora manawa: He kaupapa whakakori tinana me te whakarerekētanga momo noho tēnei e tirotirohia ana e te rata.
• Pūrere Whakaiti i te Ngākau o te Tāngata (ICD): He taputapu hei whakatika i te pākia o te manawa o te tangata e kore e tika ana.
• Pūrere tere manawa rua-pūnaha: He taputapu e āwhina ana i ngā rūma e rua o te manawa kia pao ngātahi.
• Pūrere Āwhina Puku Mauī (LVAD): He taputapu miihini e āwhina ana i te manawa ki te pupuhi toto.
• Te whakawhitinga ngākau: Hei huarahi whakamutunga, me whai whakawhitinga ngākau pea ētahi tāngata.

He aha ngā momo rongoā e whakamahia ana mō tēnei?

Ko ngā rongoā e whai ake nei e whakamahia ana hei rongoā i te ngoikore o te ngākau, te tino pūtake o te mate huango ngākau:

• Ngā aukati ACE
• Ngā aukati-beta
• Ngā rongoā whakaheke toto: Ka kiia hoki ēnei ko ngā "pire wai." Ka āwhina rātou ki te tango i te wai nui mai i te tinana mā te mimi.
• Ngā SNRI (Ngā Ārai Whakahoki Anō o te Serotonin-Norepinephrine)
• Ngā aukati aldosterone
• Ngā aukati SGLT2

Ko te mahi a ēnei rongoā mā te whakaiti i te taumahatanga ki te ngākau, te whakahaere i te toto toto tiketike, me te tango i te wai nui mai i te tinana.

He pānga taha kei te rongoā?

Pērā i ngā rongoā katoa, ka pā mai ētahi pānga taha ki ēnei rongoā. Ka rerekē pea ngā pānga taha i runga i te rongoā. Anei ētahi tauira:

• Ngā aukati ACE: Maremare maroke, whanoke, ngenge, ānini.
• Ngā aukati-beta: Whakapairuaki, hiamoe, whanoke, me te pouri pea.

Ki te puta he tohu hou ki a koe, ki te rongo rānei koe i tētahi mea rerekē i muri i te tīmatanga o te rongoā, me whakamōhio tonu atu koe ki tō tākuta.

Me pēhea te whakaiti i te mōrearea o te whakawhanake i te 'Hua mate ngākau'?

Ko te 'mate huango ngākau' ka puta mai i te ngoikore o te ngākau. Nō reira, ki te whakaitihia e koe te mōrearea o te ngoikore o te ngākau, ka whakaitihia hoki te mōrearea o te 'mate huango ngākau'.

Ka taea e koe te mahi i ēnei mea hei whakaiti i te mōrearea o ēnei e rua:

• Mena kei a koe ētahi atu mate hauora pēnei i te toto toto tiketike, te mate huka rānei , me mātua rongoā tika, me whakahaere hoki.
• Kia mau tonu te taumaha hauora.
• Whakahaerehia te ahotea.
• Whakakorikori tinana i ia wā, i ia wā.
• Kai atu i ngā kai hauora mō te ngākau (pērā i ngā hua rākau me ngā huawhenua).
• Āta karohia te whakamahi i ngā hua tupeka (pērā i ngā hikareti me ngā pī).
• Whakaitihia te inu waipiro, kati rawatia rānei.
• Kaua e whakamahi i ngā raau taero turekore.

Mā te whai i ēnei mea ka nui te āwhina ki te pupuri i te hauora o tō ngākau.

He aha ngā mea e tika ana kia tumanakohia e te tangata e pāngia ana e te 'Hua mate ngakau'?

Ko te ngoikore o te ngākau, e mōhiotia ana ko te 'huka ngākau', he āhuatanga ka kino haere i roto i te wā. Ka taea hoki e ngā tohu te piki haere ohorere. Ka taea e ngā huringa āhua noho me ngā rongoā te āwhina i te whakahaere i te āhuatanga mō tētahi wā.

Heoi, i ētahi wā ka tae koe ki tētahi wāhi e uaua ai te manawa ahakoa kāore he mahi nui. Ka kiia tēnei ko te 'Rahunga Manawa Matatau' .

I mua i tō taenga ki tētahi wāhi pēnei, he mea nui kia kōrero koe ki tō whānau me te tākuta mō te momo maimoatanga e hiahia ana koe. Hei tauira, ki te mea he uaua rawa tō manawa, ka pai koe kia whakatakotoria he ngongo manawa ki roto i tō korokoro? He mea pai kia whakatauhia ēnei mea i mua.

Kia pēhea te roa o te 'Hua mate ngakau'?

Ka mau tonu te mate huango ngākau i te roanga o te wā e mau tonu ana te mate hauora e puta ai. Ko te tikanga, ko te ngoikore o te ngākau te mate. Kāore anō kia kitea he rongoā mōna i tēnei wā. Nō reira, he mea nui kia whiwhi koe i te maimoatanga pai rawa atu ka taea e koe te whiwhi.

Me pēhea taku tiaki i ahau anō?

Hei whakaiti i ō tohu me te whakapai ake i te kounga o tō oranga, me whai koe i ngā tohutohu a tō tākuta:

• Me whiwhi maimoatanga tika mō ētahi atu mate hauora (hei tauira, te mate huka, te toto toto tiketike) ka kino ake ai te ngoikore o te ngakau.
• Hurihia te āhua o te noho. Hei tauira, whakaitihia te nui o te tote e tāpirihia ana e koe ki tāu kai.
• Tangohia te rongoā i tohua e tō tākuta i runga i te auau me te tika. Kaua e mahue tetahi rā.

Āhea ahau me toro atu ki te tākuta?

Ki te puta he tohu hou ki a koe, ki te kino haere rānei ō tohu, me toro atu ki te tākuta tonu.

Kōrero ki tō tākuta, inā koa mēnā kei a koe tētahi o ēnei e whai ake nei:

• Mena ka piki ake te uaua o te manawa.
• Mena kua pupuhi ngā pona waewae (Pona waewae pupuhi).
• Ki te piki ohorere tō taumaha.
• Te uaua ki te moe.
• Mena ka ngaro te hiahia kai.

Kaua e warewarehia ēnei tohu.

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

Mena he mate pāwera tōu ki tētahi rongoā e tangohia ana e koe – hei tauira, te pupuhi o tō arero, o ō ngutu rānei – waea atu ki te 911 tonu, haere rānei ki te rūma ohorere i te hōhipera tata ki a koe. Waihoki, ki te tino uaua tō manawa, ā, kāore e pai ake ahakoa te aha e mahia ana e koe, me haere tonu koe ki te rūma ohorere.

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

Ina haere koe ki te tākuta, ka taea e koe te pātai i ēnei pātai:

• "He aha te momo maimoatanga e taunaki ana koe mō tōku mate?"
• "He aha te momo whakakori tinana ka taea e au te mahi?"
• "Kia pēhea te roa me hoki mai ahau mō ngā wā whakarite whai muri?"

Pātai atu ki tō tākuta mō ngā pātai, ngā āwangawanga rānei kei a koe.

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

Ko te mate huango ngākau he tohu o tētahi mate nui ake, arā, te ngoikore o te ngākau . Ahakoa kāore he rongoā mō te ngoikore o te ngākau, he rongoā me ngā momo maimoatanga hei āwhina i te whakahaere. Ka taea e tō tākuta te āwhina i a koe ki te whiriwhiri i te maimoatanga e pai ana mōu. I te mea ka kino haere te ngoikore o te ngākau i roto i te wā, he mea nui kia whakamōhiotia tō tākuta mō ō tohu. He mea whakaaro nui hoki kia mōhio wawe koe ki tō tākuta he aha ngā maimoatanga e hiahiatia ana e koe mēnā ka kino haere tō mate ngākau. Tiakina tō ngākau, kia ora tonu hoki!

` Hua mate manawa, hua mate manawa, poto o te manawa, pupuhi pūkahukahu, mate manawa, mate manawa, raruraru manawa