Kia ora! Kei te pēhea koe? I tēnei rā ka kōrero tātou mō tētahi pūnaha whakamiharo, tino hira hoki o roto i tō tātou tinana. Ko tā tātou pūnaha tohanga toto tēnā, ko te "Pūnaha Tohanga Toto" rānei e kīia ana e ētahi. I ētahi wā, kua rongo pea koe i te ingoa o te "Pūnaha Manawa". He ingoa ēnei e rua mō te pūnaha kotahi. Nō reira, kia tirohia tātou he aha tēnei, me pēhea tana mahi, me pēhea hoki te pupuri i tōna hauora.
He aha te pūnaha tohanga toto? He māmā noa iho...
Ki te kī ngāwari, ko te pūnaha tohanga toto o tō tinana he mea hanga mai i te ngākau me ngā uaua toto . Ka whakamahia ngātahitia e ēnei mea e rua te toto hei kawe i ngā matūkai ki ia pūtau o tō tātou tinana, hei tango hoki i ngā para mai i aua pūtau.
Whakaarohia tō ngākau he papu wai. Ka pupuhihia e tēnei papu te toto mā roto i tētahi whatunga uaua o ngā uaua toto puta noa i tō tinana. Ka kiia ēnei uaua toto ko ngā uaua toto me ngā uaua toto . Ka haria e tēnei toto te hāora – te hau e homai ana i te ora e manawahia ana e tātou – me ngā matūkai ki ō uaua, ki ō kiko, me ō whekau. Koia anō hoki te pūnaha e kohikohi ana i ngā para, ka haria ki ngā whekau ka taea te tango atu.
He aha ngā mahi matua o tēnei pūnaha?
E toru ngā mahi matua a tō tātou pūnaha tohanga toto:
1. Te kawe i te toto puta noa i te tinana.
2. Te kawe i te hāora me ngā matūkai ki ō tātou whekau, uaua, me ngā kiko.
3. Ko te hauhā waro – he hau kāore e whai hua ana i roto i ō tātou tinana, ā, ka tukuna ina pupuhi tātou – ko te tango i ngā para me ngā para matū mai i ō tātou whekau.
I te ao, i te pō, ahakoa kei te moe koe, kei te pupuhi tonu tō ngākau i te toto puta noa i tō tinana, me te mea kei te porowhita haere. Ki te whai tātou i tēnei ara toto, ka tīmata i roto i te ngākau ka haere mā roto i ngā uaua toto nui e kiia nei ko ngā "Arteria" hei tohatoha i te toto ki ō tātou whekau me ngā kiko.
I roto i ō tātou kiko, i roto i tētahi whatunga o ngā oko toto tino angiangi e kiia nei ko ngā capillaries , ka tukuna te hāora i roto i te toto, ā, ka whakahokia ngā para ki roto i te toto. I muri i te wehenga atu i ēnei kiko me ngā whekau, ka hoki tēnei toto ki te ngākau mā roto i ngā oko toto e kiia nei ko ngā uaua. Kātahi ka haere tēnei toto mā roto i te ngākau ki ngā pukahukahu, ka whiwhi anō i te hāora, ā, ka tīmata te haerenga. Ka tupu tēnei i ngā mano tini o ngā wā i te rā, i ia hēkona e pā ana tō ngākau.
Ka taea e koe te whakaaro, e pupuhi ana tō ngākau i te 2,000 karani (neke atu i te 7,500 rita) o te toto puta noa i tō tinana i ia rā! I ēnei wā, ina whakakori tinana koe, ka pupuhihia e tō ngākau te toto nui ake. Ko te tikanga tēnei ka urutau tō tātou pūnaha tohanga toto ki te nui o te toto me te hāora e hiahiatia ana e tō tātou tinana.
Ko tētahi o ngā mahi matua o tō tātou pūnaha tohanga toto ko te tuku toto tonu ki te roro me te ngākau.Nā te mea, ki te kore te roro e whiwhi i te nui o te toto e hiahiatia ana, ka ngaro pea tōna māramatanga i roto i ētahi hēkona ruarua. Ki te mutu te rere o te toto mō ngā meneti e whā, ka pakaru pea te roro. Waihoki, ki te kore te ngākau e whiwhi i te nui o te toto, ka tere te ngoikore o tana mahi pupuhi.
Nā, me pēhea te rere o tēnei toto puta noa i te tinana?
Ka mahi tahi tā tātou pūnaha tohanga toto, arā, te "Pūnaha Matū o te Manawa", me te āwhina o ngā oko toto. Ko ētahi oko toto ("uaua") ka whakahoki i te toto ki te ngākau, ko ētahi atu oko toto ("Arteries") ka tango i te toto mai i te ngākau.
Ka pupuhi tonu ō uaua toto, me tō ngākau me ō pukahukahu, i te toto puta noa i tō tinana. Anei te mahi:
1. Ka pupuhihia te toto kore-hāora mai i te ventricle matau o te ngākau ki ngā pukahukahu. Ka haere tēnei toto mā roto i te pūtake pūkahukahu (te uaua pūkahukahu matua).
2. Ka tāpirihia te hāora ki tēnei toto i roto i ōu pukahukahu.
3. Ka haria e ngā uaua pūkahukahu tēnei toto whai hāora mai i ngā pūkahukahu ki te atrium maui o te ngākau.
4. Mai i te atrium maui, ka tukuna tēnei toto whai hāora ki te ventricle maui. Mā tēnei wāhanga uaua o te ngākau ka pupuhi te toto ki te toenga o te tinana mā roto i ngā uaua.
5. I te rere o te toto puta noa i te tinana, mā roto hoki i ngā whekau, ka tukuna ngā matūkai, ka tohatoha i ngā homoni, ā, ka kohia ngā para.
6. Kātahi ka whakahokia te toto rawakore hāora, nui hoki i te hauhā waro ki te ngākau e ngā uaua. Mai i te ngākau, ka tukuna te toto ki ngā pukahukahu.
7. I roto i ngā pukahukahu, ka tukuna te hau waro hauhā, ā, ka tāpirihia te hāora ki te toto hei utu. Kātahi, ina whakapūha koe, ka tukuna taua hau waro hauhā.
Ko te tukanga o te toto e kohi ana i te hāora mai i ngā pukahukahu, ka hoki atu ki te ngākau, ka kiia ko te tohanga toto o te pūkahukahu . Ko te tukanga o te tuku toto whai hāora ki te tinana katoa ka kiia ko te tohanga toto pūnaha .
Kei hea tēnei pūnaha e tū ana?
Kei waenganui o tō uma tō ngākau. E hono ana ki ngā uaua toto e kawe ana i te toto puta noa i tō tinana.
He aha ngā wāhanga o te pūnaha tohanga toto?
Ko tō ngākau me ō uaua toto te pūnaha tohanga toto. He mahi motuhake tā ia wāhanga hei āwhina i te neke toto puta noa i tō tinana. Koinei te huarahi e whiwhi ai ō tātou pūtau i te hāora me ngā matūkai, me te huarahi hoki e tangohia ai ngā para.
He aha ngā wāhanga matua e whā o te pūnaha tohanga toto?
Ko ngā wāhanga matua o te pūnaha tohanga toto:
- Ngākau: He okana tēnei i hangaia ki te uaua. Ka pupuhi toto puta noa i te tinana. Ko te ngākau anake te okana i roto i te pūnaha tohanga toto. Nō te pūnaha manawa ōu pūkahukahu.
- Ngā uaua: He ngongo angiangi, he uaua ēnei e kawe ana i te toto whai hāora mai i te ngākau ki ngā wāhanga katoa o te tinana. Ko te uaua nui rawa atu o tō tātou tinana ko teTe aorta. Ka peka atu ngā uaua coronary mai i te aorta, ā, i a rātou e wehe atu ana i te ngākau, ka peka atu ki ngā uaua iti ake (arterioles).
- Ngā uaua: Ka haria e ēnei uaua toto te toto kore-hāora ki te ngākau. Ka tīmata ngā uaua he iti (ngā venule) kātahi ka nui haere i a rātou e whakatata atu ana ki te ngākau. E rua ngā uaua matua (te vena cava o runga me te vena cava o raro) e haria ana te toto ki te ngākau. He takirere kei ngā uaua i roto i ō waewae hei aukati i te rere whakamuri o te toto.
- Ngā Kapireira: Ka hono ēnei oko toto i ngā uaua iti rawa (arterioles) me ngā uaua (venules). He tino angiangi ngā pakitara o ngā kapireira, e āhei ai te hāora, te hauhā waro, ngā matūkai, me ngā hua para kia rere mai i te toto ki ngā pūtau, ā, mai i ngā pūtau ki te toto.
He aha te āhua o te pūnaha tohanga toto? He aha tōna rahi?
Ka taea e koe te whakaaro ko te ngākau te pokapū pupuhi toto o te tinana. E hono ana ki tētahi whatunga o ngā uaua toto e toro atu ana puta noa i te tinana.
Ki te mea kua kite koe i ngā paipa wai, i ngā paipa paru rānei i raro i te rori, e mōhio ana koe he nunui rawa. Ka peka atu ēnei paipa ki ngā paipa iti ake hei kawe i te wai ki ngā kāinga, hei kawe atu hoki i te paru. Waihoki, ko ngā oko toto e kawe ana i te toto ki te ngākau, mai i te ngākau, he rite ki ngā paipa nunui i raro i te rori. Koinei ngā oko toto nui rawa atu o te tinana. I a koe e neke atu ana i te ngākau, ka peka atu ēnei ki ngā oko toto iti ake hei āwhina i te tohatoha i te hāora puta noa i te tinana, me te tango i ngā para.
He mea hanga ngā oko toto i ngā paparanga o te kiko honohono, te uaua, me ngā muka rapa. Ko ngā uaua o roto i ō oko toto te kaiwhakahaere i te whānui o aua mea. Ka pā anō hoki tēnei ki tō toto toto . Ina whānui ngā oko toto, ka kiia tēnei ko te "Vasodilation," ā, ka heke te toto toto. Ina whaiti ngā oko toto, ka kiia tēnei ko te "Vasoconstriction," ā, ka piki te toto toto.
He mea hanga tō ngākau i te uaua me ētahi atu kiko. E rere ana te toto i roto i ngā rūma e whā.
He rite te rahi o tō ngākau ki tō ringa. Engari ki te mea he mate ngākau tōu, ka nui ake pea. Ka rere ō uaua toto puta noa i tō tinana, mai i runga ki raro. Nō reira, he rite te rahi o tēnei whatunga ki tō roa me tō whānui. Inaa, neke atu i te 60,000 maero o ngā uaua toto i roto i ō tātou tinana!
Ko te taumaha toharite o te ngākau i waenga i te 8 me te 12 hekere, engari ka rerekē pea tēnei i runga i te ira tangata, te taumaha tinana katoa, me te mate.
He aha ngā mate me ngā āhuatanga e pāngia ai te pūnaha tohanga toto?
He maha ngā raruraru e pā ana ki ngā wāhanga o te pūnaha tohanga toto e puta mai ana i te puhoi, te aukati rānei o te rere o te toto i roto i ngā oko toto. Nā te mea ko ō tātou oko toto te kaiwhakarato hāora ki te tinana katoa, ki te aukatia tētahi o ngā oko toto, ka uaua te tuku i taua hāora.
Anei ētahi raruraru noa e pā ana ki te pūnaha tohanga toto:
- toto toto tiketike
- Te cholesterol teitei
- Arrhythmia (he oro o te ngakau rerekē)
- Te whakaekenga o te ngakau
- Te ngoikore o te takirere o te ngakau
- Te ngoikore o te ngākau ('Te ngoikore o te ngākau' - te ngoikore o te uaua o te ngākau)
- Ko te nuinga o te wā ka puta he aneurysm i roto i te aorta, i te roro rānei.
- Whiu
- Atherosclerosis - te kohikohinga o te paraka i roto i ō uaua
- Mate ngakau
- Ngā mate toto ( hei tauira, te thrombosis uaua hohonu me te embolism pūkahukahu)
Ngā huringa āhua noho māmā me ngā tohutohu hei pupuri i te hauora o tō pūnaha tohanga toto
He maha ngā mea ka taea e koe te mahi hei pupuri i te hauora o tō ngākau me ō uaua toto. Anei ētahi o aua mea:
- Whakakorikori tinana i ia wā, i ia wā. Kia 150 meneti pea te iti rawa i te wiki.
- Te whiwhi i te moe e hiahiatia ana e koe i ia pō.
- Te whakahaere i te toto toto tiketike.
- Te whakahaere i ngā taumata cholesterol tiketike.
- Te karo i ngā hua tupeka.
- Te kai i ngā kai hauora mō te ngākau. Hei tauira, he kai nui te muka, he iti te ngako kukū.
- Te pupuri i tō taumaha hauora.
- Te pupuri i ngā taumata huka toto noa.
- Kimihia ngā huarahi hauora hei whakaiti i te ahotea.
He pono te kōrero mō te toto whero me te toto kikorangi? He toto whai hāora tonu kei roto i ngā uaua toto?
Ki tā ētahi he toto kikorangi te rere i roto i ngā uaua i ētahi wāhanga o ō tātou tinana. Engari ko te mea pono, he whero ia pata o ō tātou toto. Ko te tae whero o te toto ka puta mai i tētahi pūmua whai kiko rino e kiia nei ko te hemoglobin . Kei roto i ngā pūtau toto whero tēnei. E kīia ana e ētahi he "toto whero" te toto whai kiko hāora.
He iti te hāora o te toto kei roto i ō uaua. I ētahi wā ka kiia tēnei ko te "toto kikorangi" nā te mea ka āhua kikorangi ō uaua i raro i tō kiri. Engari he whero te toto. He kikorangi pouri ngā uaua nā te iti o te hāora.
Ko te nuinga o ngā uaua he toto whai hāora. Heoi, e rua ngā tūponotanga: ko te uaua pūkahukahu me te uaua pūkahukahu. Ko te uaua pūkahukahu he toto kore hāora e haria ana ki ngā pukahukahu. Ko te uaua pūkahukahu he toto whai hāora e haria ana ki te ngākau.
Hei whakamutunga, ngā mea hei maumahara! (Karere hei kawe ki te kāinga)
He pūnaha whakamiharo tō pūnaha tohanga toto e mahi ana i tētahi mahi nui hei pupuri i a koe kia ora, hei whakarato i te hāora me ngā matūkai tonu. Kei a koe te mana ki te pupuri i te kaha o tō ngākau me ō uaua toto.He pai katoa te whakamutu i te momi hikareti, te kai i ngā kai hauora, te whakakorikori tinana, me te whakahaere i tō toto toto me te taumata cholesterol mō tō pūnaha tohanga toto. Pātai atu ki tō tākuta mō ngā mea ka taea e koe te mahi hei tiaki me te whakapakari i tō ngākau me ō oko toto. Kia ora tonu!
pūnaha manawa , pūnaha tohanga toto, ngā uaua toto, ngā uaua toto, ngā uaua iti, te hauora o te manawa











💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero