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!

` Te pupuhi o te pūkahukahu, te wai e whakakī ana i ngā pūkahukahu, te mate manawa, te uaua ki te manawa, te mate manawa, te pupuhi, te ngoikore o te ngakau