He aha te hononga i waenganui i te ngākau me ngā whatukuhu? Me ako tātou mō te Mate Cardiorenal!

Ko te ngākau me ngā whatukuhu he okana e rua o roto i tō tātou tinana e mahi tahi ana pērā i te hoa pai. Mēnā he raruraru kei tētahi, ka pāngia hoki tētahi atu. I ētahi wā ka tere te puta mai o ēnei raruraru, ā, i ētahi wā ka piki haere i roto i te wā. Koinei te raruraru i waenganui i te ngākau me ngā whatukuhu e kōrerohia nei i tēnei rā , ko te "Cardiorenal Syndrome" .

He aha te Mate Pukupuku o te Ngākau? He aha tēnei ka puta ai?

Ki te kī ngāwari, ko te `(Cardiorenal Syndrome)` he āhuatanga e pāngia ai te mahi a ētahi atu okana e te ngoikore o te ngākau, o ngā whatukuhu rānei. Whakaarohia, ko tō tātou ngākau te mea e pupuhi ana i te toto puta noa i te tinana. Ka horoia e ngā whatukuhu taua toto, ka tangohia hoki ngā para kore e hiahiatia hei mimi. Ehara i te mea koinā anake, engari ko te whakahaere i te nui o te tote me te wai i roto i te tinana he mahi nui anō hoki nā ngā whatukuhu. Koinei te mea e whakahaere ana i te toto toto, e whakatau ana hoki i te nui o te wai e puritia ana e te tinana.

Nā, he aha te mea ka tupu mēnā ka ngoikore te ngākau? Kāore e pai te pana i te toto ki te tinana. Kātahi ka heke te nui o te toto e whiwhihia ana e ngā whatukuhu. Ki te kore e mahi tika ngā whatukuhu, ka kohia ngā para ki roto i te tinana, ā, ka noho te wai tote ki roto i te tinana, kaua e puta ki waho. Ka pāngia anō te ngākau e tēnei mahi. He tukanga uaua tēnei e hono tahi ana. I ētahi wā, ka pāngia tēnei e ngā mea pēnei i te "He iti te rere o te toto ki ngā whatukuhu", te pikinga o te pēhanga i roto i ngā uaua nui e kawe ana i te toto ki te ngākau (vena cava), me te hekenga o te kaha pana o te ngākau (he iti te "putanga o te ngākau" me te "(ngoikore o te ngākau)" ).

He pēhea te noa o tēnei āhuatanga?

Ina hoki, he mea noa ake i tō whakaaro te pāngia e ngā raruraru o te ngākau me ngā whatukuhu i te wā kotahi. Tata ki te 64 miriona tāngata o te ao e pāngia ana e te mate e kiia nei ko te "ngoikore o te ngākau" . Kua kitea e ngā tākuta kei waenganui i te 45% me te 63% o ēnei tāngata e pāngia ana e te ngoikore o te ngākau mau tonu he mate whatukuhu anō hoki. I ētahi wā he uaua ki te whakatau tika mēnā ko te ngākau, ko ngā whatukuhu rānei te take tuatahi o te raruraru.

He aha ngā tohu o te Mate Cardiorenal?

I tēnei āhuatanga, tera pea ka pāngia koe e ēnei tohu. Engari kia maumahara, ki te pāngia koe e ēnei tohu, ehara i te mea kei a koe tēnei mate. Engari he mea nui kia mōhio koe ki ēnei tohu.

• Te ngenge tonu (`Te ngenge`): He āhua ngenge, me te mea kāore he kaha ki te mahi i tetahi mea.
• Te poto o te manawa : Te poto o te manawa ahakoa te hikoi pakupaku, te piki rānei i ētahi arawhata.
• Te iti o te mimi e puta ana: Ki te mea kei te iti haere tō mimi i te awatea.
• Pouri : He pōuri noa iho, me te mea kei te pōuri koe.
• Te pupuhi o ngā waewae me te puku : Ka pupuhi ngā waewae, ngā pona waewae, me te puku i ētahi wā. Me te mea kua kī tonu i te wai.
• Te pōhēhē ('Pōhēhē'): He āhua uaua ki te arotahi, me te mea kei te pōhēhē haere ngā mea katoa.
• Te rongo i te huringa o te manawa o te ngākau: Te rongo kei te tere haere te pao o tō ngākau, kei te peke rānei te pao.

He aha ngā take o te Mate Cardiorenal?

He maha ngā take mō tēnei. Ko ētahi he raruraru e pā ana ki te ngākau, ko ētahi he raruraru e pā ana ki te whatukuhu, ā, ko ētahi he āhuatanga e pā ana ki te tinana katoa.

• Te ohorere o te ngākau : He ohorere ohorere ki te ngākau.
• `(Te ngoikore o te ngākau)` : Te ngoikore o te mahi a te ngākau.
• `(Acute coronary syndrome)` : He āhuatanga ohorere i puta mai i te aukati i ngā oko toto e tuku toto ana ki te ngākau.
• Ngā raruraru o te pokanga ngākau.
• Te mate takirere ngākau.
• Vasculitis : He mate mumura e puta ana i roto i ngā oko toto.
• Atherosclerosis : Te angiangi me te whakapakeke o ngā uaua toto.
• Te toto totoka e ārai ana i te uaua toto i roto i ngā pukahukahu (PE) : He toto totoka e ārai ana i te uaua toto i roto i ngā pukahukahu.
• Te mate whatukuhu, te whara rānei.
• Sepsis : He mate kino e horapa puta noa i te tinana.
• Lupus : He mate e puta mai ana i te raruraru o te pūnaha ārai mate.
• Sarcoidosis : He mate e puta ai ngā granulomas iti i ngā wāhanga rerekē o te tinana.
• Mate huka .
• Ngā mate pāwera o te irahiko hiko ( ngā mate pāwera irahiko hiko) .

Ko wai te mea tino mōrearea mō tēnei?

He nui ake te tūponotanga o ētahi tāngata ki te pāngia e tēnei mate (Cardiorenal Syndrome) . Ko te tikanga me āta tupato ake te hunga whai i ēnei āhuatanga mōrearea.

• Mō te hunga he mate huka .
• Mō te hunga he toto toto tiketike .
• Mō te hunga he nui ake i te 30 te taupū papatipu tinana (BMI) (arā, he momona).
• Mō te hunga e pāngia ana e ngā mate pūnaha toto.
• Mō te hunga kua pāngia e te mate whatukuhu .
• Mō te hunga kua pāngia e te ngoikore o te ngākau .

He aha ngā raruraru ka pā mai i te Cardiorenal Syndrome?

Ki te kore tēnei āhuatanga e rongoatia tika, ka ara ake pea ētahi atu raruraru. Arā, ka kino haere te āhua.

• Tērā pea ka puta te ohorere o te ngākau .
• Ka kino haere te mate tākihi (‘Te mate tākihi e kino haere ana’).
• Tērā pea ka piki ake te Atherosclerosis (te whaiti o ngā uaua).
• Ka taea te puta o te mumura i roto i te tinana.

Me pēhea te tautuhi i tēnei mate (Cardiorenal Syndrome)?

Kotahi anake te "paerewa koura" hei tautuhi i tēnei mate.Kāore he whakamātautau. Ka tirohia koe e te tākuta, ka aromatawaihia te nui o te wai i roto i tō ngākau, i ō pukahukahu, i tō puku, i ō waewae, me ō uaua toto. Hei tāpiri, ka tonoa pea ētahi whakamātautau.

Ko ngā whakamātautau ka taea te mahi mō tēnei ko:

• Ngā whakamātautau toto : Tirohia te mahi a te whatukuhu me te kino o te ngākau.
• Te tātaritanga mimi : Te tirotiro i te pūmua me te toto i roto i te mimi.
• Echocardiogram (Echo): He matawai hei tirotiro i te mahi, te rahi, me te āhua o ngā takirere o te ngākau.
• Matawai i te ultrasound o ō whatukuhu me/ranei te uma : Tirohia te āhua o ēnei whekau.
• `(Te whakaurunga o te catheter ki te ngākau matau)` : He whakamātautau e ine ana i te pēhanga i te taha matau o te ngākau.
• X-ray o te uma : Hei tirotiro mēnā he wai kei roto i ngā pukahukahu, mēnā rānei kua rahi te ngākau.

He momo mate Cardiorenal kei reira?

Āe, ka whakarōpūhia tēnei mate e ngā tākuta. Kei te okana i tīmata ai te raruraru, me te roa o te wā. Kia mārama koe ki tēnei, ka māmā ake te rongoā.

E rima ngā momo matua:

• Momo 1: Ka mutu ohorere te mahi a te ngākau. Ka pakaru ngā whatukuhu, ā, ka ngoikore hoki tā rātou mahi. He mate "whakamataku" tēnei.
• Momo 2: Ka kino haere ngā whatukuhu i ngā mate manawa mau tonu i roto i te wā.
• Momo 3: Ka puta te ngoikore o te ngakau whakapeka (AKI) i te whara whatukuhu whakapeka.
• Momo 4: Ka puta ngā raruraru o te ngākau i te mate tākihi mau tonu i roto i te wā. Hei tauira, ngā mate manawataki o te ngākau, te ngoikore o te ngākau , te mate pūkahukahu rānei (CAD) .
• Momo 5: He mate e pā ana ki te tinana katoa, ka ngoikore ai te ngākau me ngā whatukuhu.

Me pēhea te rongoā mō tēnei?

Ko te whāinga matua o te rongoā i te Mate Cardiorenal ko te pupuri i te taumata toto me te wai i roto i tō tinana kia noa. Nā te mea ina ngoikore tō ngākau (he ngoikore o te ngākau), ka nui te wai ka kohia i roto i tō tinana. Ko ngā whatukuhu te kawenga mō te tango i tēnei wai nui. Nō reira, ina pāngia tō ngākau me ō whatukuhu i te wā kotahi, he uaua ki te pupuri i tēnei taurite.

He maha ngā kōwhiringa maimoatanga, mai i ngā rongoā ki ngā taputapu me ngā whakawhitinga okana:

• Ngā rongoā diuretic : Ngā rongoā hei āwhina i te tinana ki te tango i te wai nui hei mimi.
• Ngā aukati-beta : Whakahaere i te tere o te ngakau me te whakaiti i te kawenga ki te ngakau.
• Ngā aukati ACE : Āwhina ki te whakahaere i te toto toto tiketike.
• Ngā ARB : He momo rongoā anō hoki tēnei e whakahaere ana i te toto toto tiketike.
• ARNI (ngā aukati i te kaiwhakawhiwhi angiotensin/neprilysin): He momo rongoā hou hei whakapai ake i te mahi a te ngākau.
• Ngā aukati pūnaha renin angiotensin : Ka ārai i tēnei pūnaha, ka whakaiti i te toto totoka me te kino o te whatukuhu.
• Ngā kaitukino kaiwhakawhiwhi mineralocorticoid : āwhina ki te pupuri i te toenga tote me te wai i roto i te tinana.
• Ngā Inotropes : Ngā rongoā hei whakanui ake i te kaha o te whakakorikori o te ngākau. Ka hoatu ēnei i te nuinga o te wā i te wā e noho ana ki te hōhipera.
• Te tātaritanga-ā-ira, te dialysis rānei : He tikanga hei pure i te toto mā te whakamahi i tētahi mīhini ina kore e mahi tika ngā whatukuhu.
• Pūwhakaiti irahiko o te ngakau tāpui (ICD ): He taputapu iti e whakatakotoria ana ki raro i te kiri o te uma hei aukati i ngā hapa o te manawa o te ngakau.
• Pūrere āwhina mō te uaua maui (LVAD): He papu miihini e āwhina ana i te hunga he ngoikore rawa te kaha o te pupuhi o te ngākau.
• Te whakaora tukutahitanga o te ngākau (CRT) : He rite ki te taputapu whakatere e āwhina ana i ngā rūma o te ngākau kia pao ngātahi.
• Te whakawhitinga ngākau .
• Te whakawhitinga whatukuhu .

He pānga taha kei te rongoā?

Ae, pērā i ngā maimoatanga katoa, ka puta pea ētahi pānga taha i roto i ēnei maimoatanga mō te "Cardiorenal Syndrome." Heoi, kāore ēnei katoa e pā ki te katoa.

• Te mamae o te upoko.
• Pōuriuri.
• Te ngenge.
• Te mimi pinepine (ina koa ka tango i ngā rongoā diuretic ).
• Te puhoi o te manawa.
• Te nui o te pāhare pāporo i roto i te toto.
• Te whara o te whatukuhu (nā te tango i ētahi rongoā).
• He hapa te pūrere.
• Te mate urutā, te toto rānei i muri i te whakaurunga o tētahi taputapu, i muri rānei i tētahi whakawhitinga okana.
• Mate whatukuhu.
• Te whakakorenga okana.

He pai ake te kōrero ki tō tākuta i mua i te manukanuka mō ēnei pānga taha. Pērā ai, ka mārama koe ki ngā mea ka taea, me te aha hoki hei mahi mō ēnei.

He aha ngā mea ka taea e te tangata e pāngia ana e te Mate Cardiorenal te tumanako atu?

He mea tino nui kia mōhio wawe koe ki tēnei mate. Kātahi ka taea e koe te pupuri i te kounga o tō oranga ki tētahi taumata, ina whiwhi koe i te maimoatanga tika i te wā tika. Engari, ki te pono, ko te `(Cardiorenal Syndrome)`I tēnei āhua, kāore i te tino pai te `matapae`, te `tirohanga` rānei a te tūroro. Ko te tikanga pea he tino kino te mate. I ēnei āhuatanga, he tino āwhina te tikanga maimoatanga e kiia nei ko te ` tiaki mamae`. Ka mahia tēnei mā te whakahaere i ngā tohu, te whakamarie i te tūroro, me te whakaiti i te maha o ngā whakaurunga hōhipera.

Me pēhea taku whakaiti i tēnei mōrearea?

Mā te whakahaere i ētahi mea, ka taea e koe te whakaiti i tō tupono ki te whakawhanake i te Mate Cardiorenal .

• Ki te mea he mate huka tōu , kia pai te whakahaere.
• Mena kei a koe te mate uaua o te ngakau , me rongoa tika.
• Ki te mea he toto toto tiketike tōu, me whakahaere.
• Mena kei runga ake i te 30 tō taupū papatipu tinana (BMI) , ngana ki te whakaiti i tō taumaha.

He mea tino nui te tango i te rongoā tika mō ēnei āhuatanga, me te horopeta tika. Nā te mea ka pā pea ētahi rongoā ki te mahi a te whatukuhu mēnā ka tangohia he.

He mate manawa tōku, me pēhea taku tiaki i a au anō?

Mena kei a koe tēnei āhuatanga, he mea nui kia tiakina koe i ēnei mea:

• Kia tika te whai i te mahere maimoatanga a tō tākuta. Tangohia ō rongoā i te wā tika, ā, kia rite ki ngā tohutohu.
• Ki te puta he tohu hou ki a koe, ki te kino haere rānei tētahi o ngā tohu o nāianei, me kōrero tonu atu ki tō tākuta.
• Kia mahara ki te haere ki te tākuta i ngā wā kua whakaritea.

Āhea ahau me haere tonu ki te hōhipera (ETU) ?

Ki te pā mai ēnei tohu ki a koe, he mea nui kia rapu tohutohu hauora tonu atu. Haere ki te hōhipera i te wā e taea ai.

• Ki te kore koe e whakaputa mimi .
• Ki te kore e taea e koe te hopu i tō manawa.

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

Ina kite koe i tō tākuta, kaua e wehi ki te pātai i ō pātai. Ka taea e koe te pātai i ngā mea pēnei i:

• Ko tēhea tikanga maimoatanga te mea pai mōku?
• Ka taea e au te rongoā i tēnei mā te rongoā anake?
• He rōpū tautoko kei reira mō te hunga e pāngia ana e te Mate Cardiorenal ?
• He pēhea te kino o tōku āhua?

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

`(Te Mate Pukupuku Manawa)`He āhuatanga uaua rawa tēnei. Nā te mea, ko te mea e tupu ana i konei, e toru o ō tātou whekau tino nui – te ngākau me ngā whatukuhu e rua – kāore e mahi tika ana. Nō reira, ki te pāngia koe e tēnei mate, ko te whai i ngā tohutohu a tō tākuta te huarahi pai ki te whiwhi i ngā hua pai rawa atu. Mā te whakamōhio atu ki ō whanaunga mō ō hiahia ka nui te rangimārie o tō hinengaro. Ki te kino haere tō mate, mā te tuhituhi i tētahi 'whakatau ora' i a koe e ora tonu ana ka āwhina i tō whānau ki te whakatau i te momo tiaki e hiahiatia ana e koe.

` Te Mate Ngākau, Te Mate Ngākau, Te Mate Ngākau, Te Mate Tākihi, Te Poto o te Manawa, Te Pupuhi, Ngā Tohutohu Hauora