Kei te ngenge anō hoki koe ina ngenge koe? Kei te puhoi haere te tere o tō manawa? Me ako tātou mō te Chronotropic Incompetence!

I ētahi wā, ka rongo koe kua tino ngenge koe, kāore e taea te mahi i tetahi mea iti rawa, ā, kua poto te manawa? Kāore e taea e koe te oma, te peke rānei pērā i mua, ā, ka pōuri koe ahakoa ka piki koe i ngā arawhata? Tērā pea kāore tō ngākau e patupatu ana i te tere tika ina ngenge koe. I tēnei rā ka kōrero tātou mō tēnei āhuatanga. Ko te ingoa o tēnei ko te (Chronotropic Incompetence) i roto i te pūtaiao hauora. Ahakoa he uaua te ingoa, me mārama noa iho.

He aha tēnei (Chronotropic Incompetence)? Ki te kī māmā noa iho…

Ki te whakarapopoto, ko te Chronotropic Incompetence he āhuatanga e kore ai e taea e koe te whakanui ake i te tere o te manawa kia rite ki te mea e hiahiatia ana e koe i roto i ngā mahi ā-tinana, pērā i te whakakori tinana, i te mahi uaua rānei. Inaianei, tirohia, i a tātou e whakakori tinana ana, e hikoi ana rānei, he nui ake te hāora e hiahiatia ana e tō tātou tinana i tō tātou noho noa iho. Ka haria tēnei hāora puta noa i te tinana e te toto. Nō reira, ko te manawa te mea e pupuhi ana i tēnei toto.

(Te Koretake o te Hāora) Kāore e taea e te ngākau o te tangata e hiahia ana ki te hāora te aro tika ki te hiahia o te tinana ki te hāora. Arā, kāore e taea e te ngākau te patu tere me te pupuhi i te nui o te toto (toto whai hāora) e hiahiatia ana e te tinana. Whakaarohia he rite ki te miihini o te motuka. Pērā i te whakanui ake i te tere o te miihini ina hiahia tātou kia tere ake te haere, me tere ake hoki te patu o tō tātou ngākau ina ngenge tātou. Ki te kore, ka puta he raruraru.

Ka taea e tēnei te whakaiti i tō manawanui ki te whakakorikori tinana . Ko te tikanga, kāore pea koe e kaha ki te mahi i ngā mahi ā-tinana pērā i ētahi atu o tō tau. Tērā pea he uaua ki a koe te hikoi i ngā tawhiti i taea e koe te hikoi i mua, me te kore e hemo te manawa, e ngenge rānei.

He aha ngā tohu o tēnei āhuatanga (Chronotropic Incompetence)?

He maha ngā tohu matua ka pā ki a koe i tēnei āhuatanga:

• Ngenge : Ka tino ngenge koe ahakoa kua oti i a koe te mahi i tetahi mea iti. Hei tauira, ka tino ngenge pea koe i muri i te mahi i ētahi mahi o te whare, te kawe i tētahi putea, te hikoi poto rānei.
• Te poto o te manawa i te wā e mahi ana koe i te tinana: Te uaua ki te manawa i te wā e mahi ana koe i te tinana, te wheezing . Tērā pea ka pōturi rawa tō manawa, ā, kāore e taea e koe te kōrero.

He rerekē ēnei tohu i te ngenge noa. Mēnā kei te tino ngenge koe, kei te tino ngenge rānei, ā, kāore e taea e koe te mahi i ō mahi o ia rā, me āwangawanga koe.

He aha ngā take o te Chronotropic Incompetence?

Kāore he take kotahi mō tēnei āhuatanga, engari he maha ngā āhuatanga ka whai wāhi ki tēnei. Kia titiro tātou he aha ēnei:

• Ko ētahi momo rongoā:Ka taea e ētahi rongoā, inā koa ko ērā mō te toto toto tiketike me te mate ngakau (beta-blockers), te whakaroa i te tere o te ngakau .
• Te ngoikore o te pūnga sinus: Ko te pūnga sinus te wāhi e tīmata ai te pā o te ngākau. He rite ki te taputapu whakateretere tūturu o te ngākau. Mena he raruraru kei tēnei pūnga, kāore e taea te whakahaere tika i te tere o te ngākau.
• Ngā raruraru kawe hiko: Kia tika ai te pao o te ngākau, me haere tika ngā tohu hiko puta noa i te ngākau. Mena he aukati, he raruraru rānei kei roto i ngā ara e haere ana ēnei tohu , ka kore e rite, ka puhoi rānei te tere o te ngākau .
• Te ngoikore o te pūkahukahu maui: E whā ngā rūma matua o te ngākau. Ko te pūkahukahu maui tētahi o ēnei. Ka pupuhi toto puta noa i te tinana. Ki te kore e pai te mahi a te pūkahukahu maui, kāore e taea e ia te pupuhi toto e ranea ana ki te tinana.
• Mate ngakau ischemic : Ka taea hoki tēnei te take o tēnei āhuatanga, nā te mea kua aukatia ngā oko toto e tuku ana ki te ngakau, ka kore ai e whiwhi te uaua o te ngakau i te hāora me ngā matūkai e hiahiatia ana.
• Te ngoikore o te ngakau : Ka puta ngā āhuatanga pēnei i te kohikohi wai ina kore e taea e te ngakau te pupuhi toto hei whakatutuki i ngā hiahia o te tinana.
• Mate ngākau whānau: Ka whānau mai ētahi tāngata me ētahi hapa ngākau. Ka taea hoki e ēnei āhuatanga te whai wāhi ki te whanaketanga o te Chronotropic Incompetence i muri mai i te ao.

He aha ngā āhuatanga ka whakanui ake i te mōrearea o tēnei mate?

He nui ake te tūponotanga o ētahi tāngata ki te pāngia e tēnei mate. Anei ētahi āhuatanga ka whai wāhi ki tēnei:

• Mō te hunga e pāngia ana e te ngoikore o te ngakau .
• Mō te hunga momona .
• (Te Mate Huka) Mō te hunga mate huka rānei.
• Mō te hunga e pāngia ana e ngā mate pūkahukahu mau tonu pērā i te COPD (Mate pūkahukahu aukati mau tonu) .
• Mō te hunga he toto toto tiketike .
• Mō te hunga kua pangia e te mate HIV .
• Ngā tāngata kua pangia e te huaketo Epstein-Barr (he huaketo tēnei e puta ai te kirika me te mamae o te korokoro).
• Mō te hunga whai mate (COVID Roa) , arā, ko te hunga e mau ana ngā tohu mō te wā roa i muri i te pangia e te COVID-19.

Mena kei a koe ēnei āhuatanga mōrearea, he pai ake kia mataara.

Me pēhea te tātaritanga a ngā tākuta i tēnei mate (Chronotropic Incompetence)?

Mā te tākuta tēnei āhuatanga e tātaritanga mēnā kāore e taea e tō tere ngakau te eke ki tētahi taumata. I te nuinga o te wā, ka whakapae ngā tākuta i tēnei āhuatanga mēnā kāore tō tere ngakau e piki ki waenga i te 70% me te 85% o tō tau - te tere ngakau mōrahi matapae (APMHR) i te wā e tino kaha ana te mahi tinana.

Ko tētahi tātai e whakamahia whānuitia ana hei kimi i tō tere manawa mōrahi e tika ana mō tō tau (APMHR) ko: 220 tangohia tō tau . Heoi, ehara i te mea koinei anake te tikanga, ka whakamahia anō hoki e ngā tākuta ētahi atu tikanga me ngā tātai. Hei tauira, ki te kore e taea e tō tere manawa te eke ki te 80% o tō rāhui tere manawa , ka whakamahia hei tātaritanga i a koe me te Chronotropic Incompetence .

Kāore anō kia kotahi te paerewa e whakaaetia whānuitia ana mō tēnei. Nō reira, ka whakatau te tākuta i runga i tō āhuatanga.

He aha ngā whakamātautau e mahia ana mō tēnei?

Mena kei te whakapae tō tākuta mō tēnei mate, ka tono pea rātou i ētahi whakamātautau:

• Aroturuki manawataki tonu: He taputapu iti tēnei ka taea e koe te mau. Ka taea e ia te aroturuki i te panonitanga o tō manawataki puta noa i te rā i a koe e mahi ana i ō mahi o ia rā.
• Whakamātautau Whakakorikori Tinana (EKG – Electrocardiogram): I tēnei whakamātautau, ka aroturukitia tō tere o te manawa (EKG) i a koe e hikoi ana i runga i te mīhini oma, e eke pahikara tū rānei. Ka tirohia e tō tākuta mēnā ka piki ake tō tere o te manawa ki te taumata e tumanakohia ana e tō tākuta.
• Whakamātautau ahotea whakakori tinana (CVST): He whakamātautau anō hoki tēnei e mahia ana i runga i te mīhini oma, i te pahikara rānei. Heoi anō, ka ine anō hoki i te nui o te hāora e whakamahia ana e tō tinana i a koe e whakakori tinana ana. Ka taea e tēnei te hoatu he whakaaro pai mō tō ngākau me ō pukahukahu hoki.

He aha ngā maimoatanga mō te Chronotropic Incompetence?

He maha ngā huarahi e whaihia ana e ngā tākuta hei rongoā i tēnei mate. Ko ngā huarahi matua ko:

• Te whakakori tinana: Kaua e miharo! Ahakoa he uaua pea te whakakori tinana, ko tētahi maimoatanga mō tēnei ko te whakakori tinana mārire e ai ki ngā tohutohu a te tākuta. Ka taea e tēnei te whakapai ake i tō kaha ki te whakakori tinana.
• He taputapu whakateretere manawa: Me whakauru he taputapu hiko iti e kiia nei ko te taputapu whakateretere manawa ki raro i te kiri e tata ana ki te ngākau ki ētahi tāngata. Mā tēnei ka tere ake te pao o te ngākau ina pāngia koe e te ahotea.
• Te mīhini whakatere rua-pūnaha, te Whakaora Tukutahitanga o te Ngākau rānei (CRT):He momo taputapu whakatere manawa motuhake anō hoki tēnei. Mā te mahi ka pā ngā pūtau e rua o raro o te ngākau kia kotahi te manawataki. He pai pea mō te hunga whai mate ngākau.

Mā tō tākuta e whakatau ko tēhea maimoatanga te mea tika māu. Ka whakawhirinaki tēnei ki ngā āhuatanga maha, tae atu ki tō āhua, ngā tohumate, me ētahi atu āhuatanga hauora.

He aha tāu e tumanako ai ina noho tahi koe me tēnei mate?

Tērā pea ka nui ake te ngenge me te poto o te manawa o ngā pakeke e pāngia ana e te mate koretake o te wā i a rātou e mahi ana i ngā mahi o ia rā, e whakakori tinana ana rānei. Hei tauira, tērā pea ka ngenge rātou i muri i te horoi kakahu, kātahi ka uaua ki te piki ki runga.

I ētahi wā onge, ka hemo pea te ngākau mēnā kāore e ranea te tere o te manawa hei whakarato toto ki te roro.

Kua whakaatuhia e ngā rangahau he nui ake te mōrearea o te mate manawa , te ngoikore rānei o te ngākau i roto i ngā pakeke momona me te koretake o te manawa i te wā e pāngia ana e te mate manawa. E kī ana tētahi atu rangahau he nui ake te mōrearea o te hunga whai mate nei ki te mate manawa i te fibrillation atrial (Afib) . Kua whakaatuhia hoki ko te koretake o te manawa i tua atu i te ngoikore o te ngākau, ehara i te mea pai mō te oranga whānui. Kua whakaatuhia hoki e ētahi rangahau he hononga kei waenganui i tēnei mate me te poto o te roanga o te ora.

Ehara tēnei i te mea hei whakamataku i a koe, engari hei whakatenatena i a koe kia mōhio ki tēnei āhuatanga, kia mahi hoki i ngā mahi e tika ana.

Ka taea te ārai i te Chronotropic Incactivities?

Ko ētahi o ngā āhuatanga e hua ai tēnei mate, pērā i te mate manawa whānau, kāore e taea e tātou te whakahaere. Heoi anō, kei reira ētahi mea ka taea e tātou te mahi hei whakaiti i tō tātou mōrearea:

• Mena he mate manawa, he mate pūkahukahu rānei tōu, he mea nui kia whiwhi koe i te maimoatanga tika mōna .
• He mea tino nui kia mau tonu te taumaha o tō tinana ki te taumata hauora . He maha ngā mate ka pā mai i te momonatanga.
• Mena kei a koe ngā mate pēnei i te mate huka me te toto toto tiketike, he mea nui kia pai te whakahaere i aua mate .

Mā te tiaki i ēnei mea ka āwhina i a koe ki te tiaki i a koe anō mai i te Chronotropic Incompetence , tae atu ki te maha atu o ngā mate.

Me pēhea taku tiaki i ahau anō?

Ko te noho me te Chronotropic Incacety ko te tikanga ka whakatakoto tō tinana i ētahi here ki ngā mea ka taea e koe te mahi. He mea tino nui te manawanui i tēnei wā. Kaua e mataku, ngana ki te urutau ki tēnei āhuatanga mā te mā te mā.

• Kōrero ki tō tākuta mēnā me whakarerekē ētahi o ngā rongoā e tangohia ana e koe, mēnā rānei me whakamahi koe i tētahi taputapu whakatere manawa .
• Mena kua whakauruhia e te tākuta tētahi taputapu ki roto i tō uma (hei tauira, he taputapu whakatere),Me mārama pai koe ki tana mahi.
• Kia mahara ki te whai i ngā wā tirotiro me tō tākuta kia mōhio ai kei te mahi tika tō taputapu.
• Mena kua hoatu e tō tākuta he mahere ki a koe hei whakanui haere i tō korikori tinana, me whai tika i aua tohutohu . Kaua e whakapau kaha.

He mea noa te pōuri me te pouri ina kore e taea e koe te mahi i ngā mea i taea e koe i mua. He tino pōuri te ngenge ahakoa he iti noa iho ō kākahu e hiki ana. Engari kāore koe e hiahia ki te aro atu ki tēnei āhuatanga ko koe anake. Kei te rite tonu tō tīma hauora ki te āwhina i a koe.

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

Ina toro atu koe ki tō tākuta, ka taea e koe te pātai i ēnei pātai:

• Ka taea e koe te kōrero mai ki ahau he aha te take o tēnei āhuatanga (Chronotropic Incompetence) mōku?
• Me aha ahau kia ora pai ai ahau me tōku āhua nei?
• He aha taku e tumanako atu ai mai i te taputapu whakatere i whakatōkia e koe ki roto i ahau? (Mēnā kua whakatōkia he taputapu whakatere)
• He kaupapa, he tikanga rānei hei āwhina i ahau kia nui ake te korikori tinana?

Haunga ēnei pātai, pātai atu ki tō tākuta mō ngā mea katoa kei roto i tō hinengaro, mō ngā feaa rānei kei a koe.

Hei whakamutunga, kia mahara!

Ko te (Chronotropic Incompetence) he mate e hiahia ana kia tiakina. Heoi, mā te tohutohu hauora tika, te maimoatanga, me tō whakapau kaha , ka taea e koe te ora pai ahakoa tēnei mate. Kaua e mataku. Whakarongo ki ngā kōrero a tō tākuta, ā, mahi i runga i tēnā. Kia tere tō ora!