Kua rongo katoa tātou i te "mate ngakau." I ētahi wā ka rongo tātou, "Āe, i te pai taku noho, kātahi ka pāngia ahau e te mate ngakau, ā, ka mate." Ina rongo tātou i ngā kōrero pēnei, ka mataku tātou. Engari ehara tēnei "mate ngakau" i te mate kotahi. He kohinga mate e pā ana ki tō tātou ngakau me te pūnaha toto e kawe ana i te toto puta noa i te tinana. I roto i te rongoā, ka karangahia ēnei mate katoa ko te mate ngakau . Nō reira, i tēnei rā ka kōrerohia e tātou tēnei, nā te mea he mea nui kia mōhio ki tēnei.
He kupu ngāwari noa iho, he aha te mate pūnaha toto?
Whakaarohia tō tinana hei tāone nui. Ko te ngākau te papu wai matua o te tāone nui. He rite ngā uaua toto ki ngā paipa e kawe ana i te wai mai i te papu wai ki ngā whare katoa o te tāone nui. Nō reira, ki te he te papu nei, ki ngā paipa wai rānei, ka ngaro te wai o te tāone nui katoa, tika? Koinā te āhua.
Ko te mate manawa ko tētahi āhuatanga e pā ana ki te manawa (te papu) me ngā oko toto rānei (te pūnaha toto). He maha ngā mea matua ka pā:
- Te whaiti o ngā oko toto i roto i te ngākau, i ētahi atu okana rānei o te tinana: he rite ki te paru e ārai ana i te paipa wai.
- Ngā raruraru o te ngākau me ngā oko toto whānau: I ētahi wā, tera pea ētahi ngoikoretanga o tēnei pūnaha i te whānautanga.
- Kāore e Mahi Tika ana ngā Takirere Manawa: He wāhanga rite ki te tatau kei roto i te manawa e āwhina ana i te rere o te toto ki te taha kotahi anake. Ki te kore e kati, e tuwhera tika rānei, ka puta pea ngā raruraru.
- Te tere o te manawa: Ngā huringa katoa o te manawataki o te manawa, pērā i te tere rawa o te patu, te tere rawa, te kore rānei o te manawataki.
Ka puta ngā tohumate i ētahi tāngata ina pāngia rātou e ēnei mate. Engari ka taea e ētahi tāngata te pāngia e tēnei mate i roto i a rātou anō, engari kāore he tohumate. Koia te mea nui kia mōhio tātou katoa ki tēnei.
He pēhea te noa o ēnei mate?
Ki te pono, he mea noa ake tēnei i tō whakaaro. Ko ngā mate manawa te tino take o te mate i Sri Lanka me te ao whānui.
Ko te mea nui, he hē te whakaaro he mate tēnei e pā ana ki te hunga kaumātua anake. Ka taea e te tangata o ngā tau katoa, ahakoa te ira tangata, te pāngia e ēnei āhuatanga. He nui ake te tūponotanga o te mate o ngā wāhine i te mate manawa.
Me pēhea taku mōhio mēnā kei a au tēnei mate? He aha ngā tohu?
He raruraru tēnei e pā ana ki te tini tāngata. Ka rerekē te āhua o te puta o ngā tohu i runga i te momo mate. I ētahi wā, he ahua pōuriuri ngā tohu e puta ana i roto i te hunga kaumātua me ngā wāhine. Engari ehara i te mea pai kia warewarehia ēnei tohu.
Kia tirohia ngā tohu matua kei te ripanga i raro nei.
| Ngā tohu e pā ana ki te ngākau | Ngā tohu o te aukati i ētahi atu oko toto i roto i te tinana |
|---|---|
| Te mamae, te kore whakamarie rānei o te uma (Angina): He kare ā-roto e kikī ana, e taumaha ana, e piri ana rānei te uma. | Ngā mamae o ngā waewae, ina koa i te wā e hikoi ana. |
| Te poto o te manawa: Te poto o te manawa , te ngenge, ahakoa te hikoi poto, te piki arawhata rānei. | Ngā patunga kore-ora i runga i ngā waewae. |
| Pōuriuri , ngoikore rānei: Te ngaro ohorere o te māramatanga. | He kiri makariri, he whero rānei o ngā waewae. |
| Te tino ngenge: Te tino ngenge ahakoa kāore he mahi. | Te pupuhi o ngā waewae. |
| Te ngenge o te mata, o te ringa/waewae rānei (he maha ngā wā ka pā ki te taha kotahi o te tinana). | |
| Te uaua ki te kōrero, ki te titiro, ki te hikoi rānei (he tohu pea ēnei o te whiu). |
He aha atu ngā mate matua o te rōpū mate pūnaha toto?
E ai ki tā mātou i kōrero ai i mua, he kohinga mate tēnei. He maha ngā momo mate matua e kōrerohia ana e tātou.
- Arrhythmia: He tere koretake tēnei o te manawa, he manawataki rānei, nā te hapa o te pūnaha hiko o te manawa.
- Mate Takirere: Kāore ngā takirere o te ngākau e tuwhera tika, e kati tika rānei, ka turuturu whakamuri te toto.
- Te Mate Puku o te Ngākau: Ka kohia te cholesterol me ētahi atu matū ki roto i ngā uaua toto (ngā uaua pūkahu) e tuku toto ana ki te ngākau, ka ārai i a rātou. Koinei te tino take o ngā whakaekenga ngākau, e mōhiotia ana e tātou katoa.
- Te ngoikore o te ngākau: Ehara tēnei i te kī kua mutu te mahi a te ngākau. He āhuatanga tēnei e kore ai e taea e te ngākau te pupuhi toto ki te tinana. Ka taea e tēnei te whakaemi wai i roto i ngā pukahukahu me ngā waewae.
- Mate o te uaua taha: Te whaiti, te aukati rānei i ngā uaua e tuku toto ana ki ngā whekau i roto i ngā ringa, ngā waewae, te puku rānei.
- Mate Aorta: Ngā raruraru o te aorta, te uaua toto matua e kawe ana i te toto mai i te ngākau ki te roro me ētahi atu wāhanga o te tinana. Hei tauira, he aneurysm.
- Mate Manawa Whānui: Ka kitea ngā mate manawa mai i te whānautanga.
- Mate Pericardial: Ngā raruraru o te kiriuhi angiangi e karapoti ana i te ngākau. Hei tauira, ka mumura (pericarditis).
- Mate Puku Roro: Ngā aukati i roto i ngā oko toto e tuku toto ana ki te roro. He tino take o te whiu.
- Te toto totoka i roto i ngā uaua hohonu o te tinana (ina koa i ngā waewae).
He aha tātou ka pāngia ai e ēnei mate? He aha ngā āhuatanga mōrearea?
Kāore he take kotahi mō te mate manawa. Ka rerekē ngā take i runga i te momo mate. Hei tauira, ko te take matua o te 'Matenga Arteri Koronari' me te 'Matenga Arteri Peripheral' ko te whakatakotoranga o ngā ngako pērā i te cholesterol ki roto i ngā pakitara o te uaua (Atherosclerosis).
Heoi, kua mārama te tautuhi i ngā āhuatanga mōrearea e whakapiki ake ana i te tūponotanga o te whakawhanaketanga o ēnei mate. Ko ētahi o ēnei he mea ka taea e tātou te whakahaere. Ko ētahi kāore e taea e tātou te whakahaere.
| Tauwehenga Mōrearea | Ko te tikanga tēnei... |
|---|---|
| Te toto toto tiketike (hypertension) | E kōrero ana tātou katoa mō te pikinga o te 'pēhanga'. Ki te kore tēnei e whakahaeretia, ka kino te ngākau me ngā uaua toto. |
| Te cholesterol teitei (Hyperlipidemia) | Te pikinga ake o te cholesterol 'kino' i roto i te toto. Koinei ngā mea e hangai ana i roto i ngā uaua toto. |
| Te whakamahinga tupeka | Kei roto i tēnei ko te momi hikareti, te vape, me te ngaungau tupeka. Ka kino tika tēnei i ngā uaua toto. |
| Mate Huka (Mati Huka Momo 2) | Ka pakaru ngā oko toto i ngā taumata huka toto tiketike i roto i te wā. |
| Hītori whānau | Mena kua pāngia tētahi o ō whanaunga tata (ngā mātua, ngā tuākana, teina rānei) e te mate manawa i te wā taitamariki, he nui ake anō hoki tō tūponotanga ki te pāngia. |
| Te kore o te korikori tinana | Te noho ki te wāhi kotahi, me te kore e whakakorikori tinana. |
| Taumaha rawa, momona rānei | Te taumaha tinana nui rawa atu mō te teitei. |
| Kai hauora kore | Te kai i ngā kai he nui te tote, te huka, me te hinu (ina koa te ngako kukū). |
| Te nui rawa o te whakamahi waipiro | Te inu nui rawa i te waipiro. |
Me pēhea te tātaritanga tika a te tākuta i tēnei mate?
Mena kei a koe ētahi tohu, ētahi āhuatanga mōrearea rānei, ka pātai tuatahi tō tākuta ki a koe. Ka pātai ia mō ō tohu, tō hītori whānau, me tō āhua noho. Kātahi ka whakahaerehia he whakamātautau tinana.
Hei tāpiritanga, ka taea te whakahaere i ngā whakamātautau maha hei whakaū tika i te mate.
- Ngā whakamātautau toto: Ka taea e ngā whakamātautau toto te ine i te cholesterol, ngā taumata huka, me ngā pūmua motuhake e tohu ana i te hauora o te ngākau.
- Taupū Pūngāwerewere o te Ponapo (ABI): He whakamātautau māmā e whakataurite ana i te pēhanga toto i roto i ngā waewae me ngā ringa hei tirotiro mō ngā aukati i roto i ngā uaua o ngā waewae.
- Irahiko o te manawa (EKG/ECG): Ka hopu i ngā mahi hiko o te ngākau, kia taea ai e koe te kite i ngā mea pēnei i te manawataki o tō papātanga o te manawa me ngā tohu o te mate manawa.
- Echocardiogram (Echo): Ka whakamahia ngā ngaru oro hei hanga i tētahi whakaahua ataata o te ngākau. Mā tēnei ka taea e koe te kite mārama i ngā rūma o te ngākau, ngā takirere, me te āhua o tana pupuhi toto.
- Matawai Ultrasound: Ka taea te whakamahi i ngā ngaru oro hei tiro i te rere o te toto i roto i ngā uaua o ngā waewae me te kaki.
- Matawai CT me te MRI o te Manawa: Ka taea e ēnei te whakaputa i ngā whakaahua tino mārama o te manawa me ngā oko toto.
- Whakamātautau Taumahatanga (EKG Whakakorikori Tinana): Ka tangohia he EKG i a koe e hikoi ana, e oma ana rānei i runga i te mīhini oma. Mā tēnei ka kitea mēnā ka heke te rere o te toto ki tō ngākau i te wā e whakakorikori tinana ana.
- Te Tātaritanga o te Ngākau (Angiogram): Ka tukuna he ngongo tino angiangi mā roto i tētahi uaua i te ringa, i te waewae rānei ki ngā uaua o te ngākau, ka werohia he wai motuhake, ā, ka taea te whakamahi i ngā hihi-X hei tiro tika i te wāhi e āraihia ana ngā uaua.
He aha tāu e mahi nei hei maimoatanga?
Ko te tikanga maimoatanga e whakawhirinaki ana ki tō āhua me tōna kaha. Heoi, ka taea te wehewehe i te maimoatanga ki ētahi wāhanga matua.
1. Ngā Huringa Āhua Noho
Koinei te tūāpapa o te maimoatanga.
- He kai hauora: Kia iti ake te tote, te huka, me te hinu, engari me nui ake ngā huawhenua, ngā hua rākau, ngā otaota, me ngā kai whai kiko i te muka.
- Whakakorikori tinana auau: Whakakorikori tinana mō te 30 meneti pea i te rā, i te nuinga o ngā rā o te wiki.
- Te karo rawa i te momi hikareti: He mea nui kia karohia ngā hua tupeka katoa, tae atu ki te vaping.
2. Ngā rongoā
Ka tohua e tō tākuta ngā momo rongoā hei whakahaere i tō toto toto, te cholesterol, te mate huka, hei ārai i te toto totoka, me te whakapai ake i te mahi a tō ngākau. He mea tino nui kia tangohia ēnei rongoā kia rite ki tā tō tākuta i tohutohu ai.
3. Ngā Tukanga, Ngā Pokanga rānei
Tērā pea ka hiahiatia ēnei i ngā wā kāore e taea e te rongoā anake te whakahaere i te āhua.
- Te tākai i te uaua toto: Te whakanoho i tētahi ngongo iti rite ki te mata ki roto i tētahi uaua kua āraia hei whakatuwhera anō.
- Pokanga Ārai:Te karo i te uaua kua āraia, te waihanga i tētahi ara hou mā te whakamahi i tētahi wahi uaua i tangohia mai i tētahi atu wāhanga o te tinana.
- Te tango i te uaua: Te 'rewa' me te whakangaro i ngā wāhi o te ngākau e tuku ana i ngā tohu hiko hapa e hua ai te pā o te ngakau i ngā wā kāore i te tika.
4. Whakaora i te Ngākau
He kaupapa whakakori tinana me te tohutohu tēnei e tirotirohia ana e te rata, hei āwhina i te whakapakari i te ngākau.
Āhea koe me toro atu ki te tākuta i te wā e hiahiatia ana, me haere rānei ki te ETU?
Tērā ētahi tohu kāore e tika kia warewarehia . He tohu pea ēnei mō te mate manawa, te whiu rānei. Ki te pāngia koe e tētahi o ēnei tohu, haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera.
- Te mamae ohorere o te uma, te kikī, te taumaha, te kore whakamarie rānei (ina koa ka ngenge koe)
- Te hemo ohorere (syncope) te ngaronga rānei o te māramatanga.
- Te poto o te manawa (ina koa he mea hou, he mea kino haere rānei)
- Te mamae, te ngoikore rānei o ngā ringa/waewae.
- He mamae nui i te tuara, me te mea kei te haehae.
Kaua e warewarehia ēnei tohu. Mā te maimoatanga i te wā tika ka taea te whakaora i te ora.
Karere Tangohia ki te Kāinga
- Ehara te mate manawa i te mate kotahi, engari he kohinga mate e pā ana ki te manawa me ngā oko toto.
- Kia tūpato tonu ki ngā tohu pēnei i te mamae o te uma, te uaua ki te manawa, me te hemonga.
- He mea nui kia mau tonu tō toto totoka, tō cholesterol, me tō mate huka. Hei whakatutuki i tēnei, me tirotirohia tō hauora i ia wā.
- Kati rawa te kai hikareti me te inu waipiro koretake. He āwhina nui tēnei mō tō ngākau.
- Me waiho te kai hauora me te whakakori tinana o ia rā hei wāhanga o tō oranga.
- Whakamahia te rongoā kia rite ki te mea i tohua e te tākuta, i te wā tonu e kī ana ia.
- Ki te pāngia koe e ētahi tohu kino, kaua e mangere ki te rapu tohutohu hauora tonu atu, ki te haere rānei ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
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