Kua kī tonu ō pūkahukahu i te wai? Me ako tātou mō tēnei mate e pā ana ki te ngākau (Cardiogenic Pulmonary Edema) !

He wā poto te manawa e pā ana ki a koe? E ara ake ana rānei koe i te moe nā te mea he uaua ki te manawa i a koe e haere ana ki te moenga? Tērā pea kua pupuhi hoki ō waewae. Mēnā he tohu pēnei āu, ehara i te mea pai kia warewarehia. Nā te mea, he mate tēnei e pā ana ki te ngākau, e whakakī ana i ngā pukahukahu ki te wai, ā, ka mate pea . I tēnei rā, ka kōrero tātou mō tēnei mate e kiia nei ko te (Cardiogenic Pulmonary Edema).

He aha te ingoa o tēnei pupuhi e pā ana ki te ngākau i roto i ngā pukahukahu? (Cardiogenic Pulmonary Edema)

Ki te kī ngāwari, ko te (Cardiogenic Pulmonary Edema) he kohikohinga wai koretake i roto i ō pukahukahu . He tino morearea tēnei. Ko te take matua mō tēnei ko te pikinga o te pēhanga i te taha maui o te ngākau, ā, ka kohia te toto. I te nuinga o te wā, ka puta tēnei nā te ngoikore o te ngākau. Ina kī tonu ngā pukahukahu i te wai pēnei, me te uaua ki te manawa, ka pakaru hoki ētahi atu okana o te tinana nā te kore e whiwhi i te nui o te hāora . Whakaarohia, he rite ō tātou pukahukahu ki te hautai. Ina mimiti wai, kāore e taea te mahi tika. Pērā tonu.

He aha te rerekētanga i waenga i te edema ngākau me te edema pūkahukahu noa?

E pā ana ēnei ingoa e rua ki te wai e pupū ake ana i roto i ō pūkahukahu, e uaua ai te manawa. Heoi, ko te (Cardiogenic Pulmonary Edema) he momo (Pulmonary Edema) e puta mai ana i te raruraru o te ngākau . Arā, he wāhanga o te kāwai nui ake (Pulmonary Edema). I tētahi atu taha, ko te (Non-cardiogenic Pulmonary Edema) ka puta mai i te kino o ngā pūkahukahu tonu. Hei tauira, ka puta pea i tētahi mea pēnei i te mate kino, i te hongi rānei i ngā hau paitini.

Nā, he aha te pupuhi o te ngākau me te pupuhi o te whatukuhu?

Ko ēnei e rua e pā ana ki te kohikohinga o te wai i roto i ō tātou whekau. I roto i te (Cardiac Edema), kei roto i ngā pukahukahu te wai nui. Engari i roto i te (Renal Edema), kei roto i ngā whatukuhu te wai nui. I ētahi wā, ka puta ēnei āhuatanga e rua nā te ngoikore o te ngakau. Mena he raruraru ki ngā whatukuhu, kāore e taea e ngā whatukuhu te tātari tika i te wai mai i te toto me te whakaputa hei mimi. Kātahi ka kohikohi te wai ki roto i te tinana.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i te edema ngākau nā te mate ngākau?

He maha ngā wā ka pāngia te hunga e mate ana i te mate manawa e tēnei mate, inā koa ko te hunga ngoikore te mahi o te manawa (Heart Failure). Whakaarohia, he mea noa te mate manawa i tō tātou whenua. Nō reira, ki te mea he raruraru manawa anō tōu, he mea tino nui kia tiakina tēnei.

He aha ngā tohu o tēnei? Me pēhea tātou e mōhio ai?

Tirohia mēnā kei a koe tētahi, ētahi rānei o ēnei āhuatanga:

• He uaua ki a koe te manawa ina whakakorikori tinana koe, ina takoto rānei? He uaua ki ētahi tāngata te manawa ina takoto ana i runga i te moenga, nō reira me moe rātou me ngā urunga e rua, e toru rānei e ara ake ana.
• Ka oho ake koe i te pō, ā, ka pōturi te manawa? He mea tēnei e pāngia ana e te tini tāngata.
• Kei te pupuhi ō waewae me ō pona waewae? Tae noa ki te wāhi e uaua ana ki te mau i ō hu.
• Kei te ngenge tonu koe, kei te ngenge rawa? Me te mea kāore he kaha hei mahi i tetahi mea?
• Kei te piki haere tō taumaha i te kotahi kirokaramu (tata ki te rua pauna) i ia rā? Tērā pea nā te pupuri wai i tēnei.

Mena kei a koe ēnei tohu, he pai ake te rapu tohutohu hauora, kaua e moumou taima .

He aha tēnei e tupu nei? He aha ngā take mō tēnei?

Ko te tino take o te (Cardiogenic Pulmonary Edema) ko te (Congestive Heart Failure ). He āhuatanga tēnei e kore ai e taea e te ngākau te pupuhi toto ki te tinana. Hei tāpiri, he maha atu anō ngā take:

• Arrhythmia : Kāore te ngākau e patupatu i te manawataki tika.
• Cardiomyopathy : Te ngoikore, te matotoru rānei o te uaua o te ngākau.
• Ngā raruraru ki ngā takirere i te taha maui o te ngākau : Hei tauira, te whaiti o ngā takirere, te ruaki rānei.
• Te whakaekenga o te ngākau : He aukati ohorere o te uaua toto e tuku toto ana ki te ngākau.

Hei whakarāpopototanga, ina heke te pai o te pupuhi o te ngākau, ka tīmata te toto ki te kohikohi haere i roto i ngā pukahukahu, ka pēhanga. Ko te wā tēnā e kī ana ngā pukahukahu i te wai.

Me pēhea te tātaritanga a te tākuta i tēnei?

Ina haere koe ki te tākuta, ko tāna mahi tuatahi ko:

• He whakamātautau tinana tēnei. Ka whakarongo rātou ki tō uma mā te whakamahi i te stethoscope, ā, ka tirohia mēnā kei te pupuhi ō waewae.
• Te pātai mō tō hītori hauora . Ngā mea pēnei i ngā mate o mua i pā ki a koe, mēnā he mate manawa tō tētahi o tō whānau, me ētahi atu.
• Ko te whakamātautau he tukanga o te whakahaere i ētahi whakamātautau motuhake .

He aha ngā whakamātautau e mahia ana mō tēnei?

I muri i te tirotiro a te tākuta i a koe, ka whakahaerehia pea e rātou ngā whakamātautau e whai ake nei hei whakaū i te āhua tuturu:

• ECG (Electrocardiogram) : Ka taea e tēnei te aroturuki i te ngohe hiko o te ngākau, arā, te manawataki o te pāoro o te ngākau.
• X-ray o te uma : Ka tangohia he X-ray o te uma hei tirotiro mēnā he wai kei roto i ngā pukahukahu, he ngākau nui rānei.
• Echocardiogram : He rite tēnei ki te matawai ultrasound o te ngākau. Ka taea e ia te tirotiro i ngā mea maha mō te ngākau, pēnei i tōna rahi, tōna āhua, te mahi a ōna takirere, me te pehea e pupuhi ai.
• Ngā Whakamātautau Toto : Ka whakamātauria ētahi wāhanga o te toto, hei tauira, ngā whākōkī ka tukuna ina pakaru te ngākau, me te mahi a te whatukuhu.
• Te Katitere Arorangi Pūkahukahu : Ehara tēnei i te whakamātautau mā te katoa. He ahua uaua. He whakamātautau e whakauru ana i tētahi ngongo iti mā roto i te kaki, i te hope rānei hei ine i te pēhanga i roto i ngā uaua toto e anga atu ana ki ngā pūkahukahu.

Āe, he aha ngā maimoatanga mō tēnei?

Ko ngā tikanga maimoatanga e whakawhirinaki ana ki te pūtake me te kaha o te mate. He maha ngā tikanga maimoatanga matua:

Ngā pokanga me ngā maimoatanga motuhake:

I ētahi wā, ka hiahiatia pea tēnei maimoatanga:

• PCI (Percutaneous Coronary Intervention) : Mēnā he aukati kei roto i ngā oko toto o te ngākau, ka whakatuwheratia mā te pupuhi i aua oko ki te poihau, ā, mā te whakauru pea i tētahi 'Stent' (he taputapu iti rite ki te mata).
• Pūrere Āwhina Puku o te Ngākau (VAD) : He taputapu iti kua whakatōkia ki roto, ki waho rānei i te tinana hei āwhina i te manawa ki te pupuhi toto.
• Te Whakakapinga o te Takirere Manawa : Mena he raruraru nui kei ngā takirere manawa, he pokanga whakakapinga takirere tēnā.
• Te Tārai Puku o te Arorangi Koronari (CABG) : E mōhio ana tātou katoa ki te "pokanga pūku". Ko te tikanga he hanga i ngā uaua toto hou i roto i te ngākau hei karo i ngā uaua toto kua āraia.
• Papu Poihau I roto i te Aorta (IABP) : He poihau ka whakaurua mō te wā poto ki roto i te uaua toto hei āwhina i te papu toto ki te ngākau.
• Te Whakaoraora i te Membrane Extracorporeal (ECMO) : He tikanga tēnei e whakamahia ana i ngā wā tino kino. Ko te tikanga he tāpiri i te hāora ki te toto mā te whakamahi i tētahi mīhini i waho o te tinana, kātahi ka whakahokia ki te tinana.
• Te Whakatō Manawa : Te huarahi whakamutunga mēnā kāore e angitu ngā maimoatanga katoa.

Ngā momo rongoā:

Ka tohua pea e tō tākuta he rongoā māu pēnei i:

• Ngā rongoā whakawātea toto : Mā te whakawhanui i ngā oko toto ka māmā ake te pupuhi toto mā te ngākau.
• Ngā rongoā whakaheke toto : E kiia ana ēnei he "pire wai". Ka mahi rātou mā te tango i te wai nui mai i te tinana mā te mimi.

Ko te mea nui, ki te pāngia koe e te ngoikore o te ngākau, ka kī atu tō tākuta kia whakaitihia te tote e kainga ana e koe. Ehara i te mea ko te tote anake ka tāpirihia e koe ki roto i ō kai, engari ko te tote huna hoki i roto i ngā mea pēnei i te kai kēne, ngā hupa kua tākaihia, me ngā ranu. Nō reira, me tūpato koe ki tēnā.

Ngā huringa āhua noho me ngā mea ka taea e koe te mahi i te kāinga:

Ka āwhina anō hoki ēnei mea i a koe:

• Whakakorikori tinana i te iti rawa i ētahi rā i te wiki. He pai tonu te hikoi māmā. Heoi, pātai atu ki tō tākuta he aha ngā whakakorikori tinana e tika ana māu.
• Kia paku teitei ake ō waewae pupuhi i a koe e noho ana.
• Mena kei te pupuhi ō waewae, ka taea e koe te mau i ngā tōkena motuhake e kiia nei ko ngā "Tōkena Pōturi" e ai ki ngā tohutohu a tō tākuta.
• Mena he wai kei roto i ō pukahukahu, kia paku teitei ake te pane o te moenga i a koe e moe ana.

He aha tā tātou e taea ai te whakaiti i tēnei mōrearea?

Ka puta pinepine te Cardiogenic Pulmonary Edema (CPED) ina kua pāngia koe e te mate ngakau. Nō reira, ko te huarahi pai ki te whakaiti i tēnei mōrearea ko te pupuri i tō ngakau kia ora, kia kaha hoki .

Ka āwhina ēnei mea i tēnei:

• Kai i ngā kai he iti te ngako kukū me te ngako whakawhiti . Tāpirihia he nui ake ngā huawhenua, ngā hua rākau, me ngā pīni ki roto i tāu kai.
• Whakakorikori tinana i ngā wā katoa e taea ana. He mea pai tonu te hikoi mō te 30 meneti i te rā.
• Āta karohia te whakamahi i ngā hua tupeka (hikareti, pīti, me ētahi atu).
• Whakaitihia te inu waipiro. Ki te taea, he mea pai kia mutu rawa.

Ka aha mēnā ka tupu tēnei? Ka taea te rongoā?

Ina hoki, he mate morearea te (Pulmonary Edema). Heoi, ko te auau whakaora e whakawhirinaki ana ki te take o tōna āhua. Hei tauira, tata ki te 50% o te hunga e pāngia ana e te (Cardiac Edema) ka ora mō te tau kotahi i muri i te putanga mai i te hōhipera.

Ko te ngoikore o te ngākau tētahi o ngā tino take o tēnei. He mate pūmau tēnei, arā, he roa te wā e mau ana. Heoi, mā te maimoatanga tika, ka taea te whakahaere pai i tēnei āhuatanga .

Engari ko te pouri, "Āe, kei a au tēnei mate," ko te mea nui ko te whai i ngā tohutohu a te tākuta me te whakarerekē i tō momo noho.

Me pēhea taku tiaki i ahau anō?

Mā te pauna i a koe i te wā kotahi i ia rā ka āwhina i a koe ki te kite mēnā kei te kino haere tō āhua. He pai ake te pauna i a koe i te ata, i mua i te kai, me muri i te haere ki te wharepaku. Mēnā kei te piki haere tō taumaha neke atu i te kotahi kirokaramu (tata ki te rua pauna) i te rā, tera pea kei te pupuri wai koe. Mēnā ka tupu tēnei, me kōrero tonu ki tō tākuta.

Āhea ahau me toro atu ki te tākuta?

Mena ka pāngia koe e tētahi o ēnei tohu, me toro atu koe ki te tākuta:

• Mena he uaua ki te manawa , i te wā e ngenge ana koe, i te wā rānei e takoto ana koe.
• Ki te ara ake koe i te moe me te poto o te manawa .
• Mena kua pupuhi ō waewae .

Kaua e warewarehia ēnei tohu. Ko te wawe o te tīmatanga o te maimoatanga, ko te pai ake.

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

Mena kei te uaua koe ki te manawa , kei te mamae nui rānei tō uma , kaua e tatari. Waea atu ki te 911 (ki te 1990 Sudhana Ambulance Service rānei i Sri Lanka) tonu atu , haere rānei ki te hōhipera me tetahi atu.

He aha ngā pātai nui hei pātai atu ki te tākuta?

Ina haere koe ki te tākuta, kaua e wareware ki te pātai i ēnei pātai. Pērā ai, ka mārama ake koe ki tō āhua.

• "E te tākuta, he aha ahau i pāngia ai e tēnei mate '(Pupuhi o te Ngākau)'?"
• "Ka taea te whakaora i tēnei mā te rongoā i te pūtake?"
• "He aha ngā huringa me mahi e au ki tōku āhua noho?"

Ko te wawe o te tātaritanga a tō tākuta i tō mate, me te tīmatanga o te maimoatanga, ko te pai ake o te putanga. Koia te mea nui kia kite i tō tākuta whānau i ia wā mō ngā tirotiro hauora. Pērā ai, ka taea e koe te kite i ngā raruraru o te ngākau i mua i te kino haere. He mea nui anō hoki kia tangohia ō rongoā i te wā tika.

Hei whakamutunga, me kī atu ahau... (Karere hei tango ki te kāinga)

Nō reira, ko te (Cardiogenic Pulmonary Edema) he āhuatanga e kī ana ngā pukahukahu i te wai nā te raruraru o te ngākau, ā, he mea tēnei hei āwangawanga māu. Mena kei a koe ngā tohu pēnei i te uaua ki te manawa, te pupuhi o ngā waewae, te oho ake rānei me te haunga o te manawa , kia tūpato ki a ia.

Ko te kitenga wawe, te maimoatanga tika, me te noho hauora te huarahi pai hei tiaki i a koe anō mai i tēnei mate me te whakahaere. Tiakina tō ngākau, nā te mea koia te toto ora mōu!