Kua rongo koe i tētahi e pāngia ana te uma e te pōro tere e neke ana i a ia e tākaro kirikiti ana, i tētahi atu hākinakina rānei? He tino whakamataku tēnei, kāore? I te nuinga o te wā ka whakaaro tātou he marutanga iti noa iho. Heoi, i ētahi wā onge, ka waiho hei mate tino kino ka mōrearea te ora . I tēnei rā, ka kōrero tātou mō tētahi mate ngakau tino onge, ohorere, ā, motuhake. Ka kiia tēnei ko 'Commotio Cordis' i roto i ngā kupu hauora. Ko te tikanga o tēnei ko 'he raruraru o te ngakau' i roto i te reo Latina.

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He aha te Commotio Cordis? Me korero noa...

Ki te kī ngāwari, ko te 'Commotio Cordis' he pānga ki te ngākau, i tētahi wāhi motuhake, i tētahi wā motuhake, mai i tētahi mea iti, mārō (he maha ngā wā he pōro pēhiporo, he pōro hoki rānei), ka huri whakarere i te manawataki noa o te ngākau, ka puta he ngakau rerekē ('ventricular fibrillation') ka mutu whakarere te patu a te ngākau ('cardiac arrest'). Whakaarohia, he tino uaua, he tino tika hoki tō tātou ngākau. Ka patu ia i runga i tētahi pūnaha tohu hiko motuhake. I roto i tēnei 'Commotio Cordis', ka whakararuraruhia te mahi hiko o te ngākau i tētahi wā tino nui nā te pānga o taua patu o waho. He rite tēnei ki tētahi mīhini e mahi pai ana, e whiwhi ohorere ana i tētahi patu mai i te wāhi hē, ka whakararuraru i tana mahi.

He aha te ahua o tenei ahuatanga e kiia nei ko 'Commotio Cordis'?

Ina hoki, he tino onge tēnei mate. Kaua e mataku. Ahakoa tirohia te ao katoa, he iti iho i te 30 ngā mate o te 'Commotio Cordis' e pūrongohia ana i ia tau. Nō reira, ehara tēnei i te mate e pāngia ana e te katoa. Heoi, ahakoa he onge, he kino te kino ka pā mai, nō reira he mea tino nui kia mōhio koe ki tēnei.

Ka ora te tangata i tetahi ahuatanga e kiia nei ko 'Commotio Cordis'?

Ae, ka taea! Engari me tere tonu te rapu awhina hauora . Mēnā ka pāngia te uma pēnei, ka hinga, he mea nui kia mahi tonu i te CPR (Cardiopulmonary Resuscitation) me te defibrillate i te ngākau mā te whakamahi i te AED (Automated External Defibrillator).

Waimarie, i te mea kua mōhio haere te iwi ki tēnei mate i roto i te wā, kua tino piki ake te tūponotanga o te oranga nā te nui haere o te whakamahinga o ngā mīhini CPR me te AED .

He aha ngā tohu o tēnei mate?

Ko nga tohu matua o Commotio Cordis ko:

Te tōia, te hinga tonu ina pāngia koe ki te uma. Koinei te mea nui.
He manawataki o te ngākau rerekē ('Ventricular Fibrillation'). Ko te tikanga o tēnei ka wiri noa ngā rūma o raro o te ngākau, kaua e pupuhi tika te toto.
Te hopukanga ohorere o te ngakau (Te hopukanga o te ngakau).
Te ngaronga o te māramatanga.

Ka puta ohorere mai ēnei tohu. Kāore pea he tohu i te tīmatanga.

He aha te take Commotio Cordis?

Kia puta ai tēnei āhuatanga, me hono tahi ngā āhuatanga maha. Ko te tino take he whiu ki te taha maui o te uma, ki te wāhi tonu o te ngākau, mai i tētahi mea iti, kaha, pērā i te pōro pēhipōro, te pōro lacrosse, te pōro hoki rānei, i te koki 90-tohu, i te tere o te 40-50 maero ia hāora. Whakaarohia he pōro hiako tere e neke ana i te wā e tākaro ana i te kirikiti, i tētahi atu taputapu hākinakina rānei, ka mamae mēnā ka pā ki te tinana. Engari kāore tēnei e tupu i ia whiunga. Ko te mea nui ko te wā e puta ai tēnei whiunga. He wā tino motuhake, he wā poto rawa i roto i te 'huringa ngākau' o tō tātou ngākau, he wā e kōpiri ai ngā rūma o raro ('ventricles') o te ngākau, e pupuhi ai te toto, kātahi ka okioki anō. Koinei tonu te wā e tika ana kia puta ai tēnei whiunga. Kātahi, nā te pānga o taua whiunga, ka taea e te uaua ngākau, e tika ana kia okioki, te whakaohooho ohorere, ka arahi ki te āhuatanga 'ventricular fibrillation' kua whakahuatia i mua.

Ka puta he Commotio Cordis ma te whiu?

Ae, i roto i te ariā ka taea. Engari mō tēnā, me tutuki ngā whakaritenga katoa kua whakahuatia ake nei. Arā, me pā te whiu ki te taha maui o te uma, i te koki 90-tohu, i te tere o te 40 maero ia hāora, neke atu rānei, ā, i taua wā tonu i roto i te ngākau. He tino iti te tūponotanga ka puta tēnei me te whiu i tukuna i roto i te pakanga noa.

Ko wai ka nui ake te morearea o Commotio Cordis?

Ahakoa ka pā tēnei āhuatanga ki te tangata katoa, he nui ake te mōrearea o ētahi tāngata:

Mō te hunga e tākaro ana i ngā hākinakina: Ina koa mō te hunga e tākaro ana i ngā hākinakina e whakamahi ana i ngā pōro mārō, i ngā taputapu rānei, pērā i te pēhipōro, te lacrosse, te softball, te hoki. I tō tātou whenua, he mea pai kia tūpato ki tēnei i roto i te kirikiti.
Mō ngā taiohi kei raro iho i te 20 tau te pakeke: Ko te tikanga ka pā tēnei mate ki te hunga kei te 15 tau te pakeke. Tērā pea nā te mea kāore anō kia tino pakari te pūnaha wheua uma o te hunga taiohi, ā, he nui ake te tūponotanga ka tukuna te ru o te patunga ki te ngākau.
Mō ngā tāne: He nui ake te kitea o tēnei i waenga i ngā tama i ngā kōtiro. Tērā pea nā te mea he maha ake ngā hākinakina pā atu a ngā tama ki a rātou.

He aha nga raruraru o Commotio Cordis?

Ko te raruraru matua me te tino morearea o tēnei ko te mate ohorere i te mate manawa.E ai ki te National Cardiovascular Registry, neke atu i te 220 ngā tāngata kua mate i tēnei mate mai i te tau 1996. Nō reira, ehara tēnei i te mea hei whakaaro māmā noa iho.

Me pehea te mohio ki te Commotio Cordis?

Ki te pāngia tetahi, inā koa he taiohi, i te taha maui o te uma i a ia e takaro ana i ngā hākinakina, ā, ka hinga ohorere, ka whakapae pea te tākuta he 'Commotio Cordis'. Heoi, he 'tātaritanga o te whakakorenga' tēnei. Ko te tikanga o tēnei, me tirotiro tuatahi ngā tākuta mēnā he take noa atu, pērā i te mate manawa. Ki te kore he take pēnei, ka whakaaro rātou ko 'Commotio Cordis' pea te take. Whai muri i te whakarato tonu i te 'CPR' me te 'defibrillation', ka taea te mahi i ēnei whakamātautau i roto i te hōhipera:

Te hiko o te manawa (EKG): Ka tirohia te mahi hiko o te ngākau.
Ngā whakamātautau toto : Hei tirotiro mō te kino o te ngākau, mō ētahi atu raruraru rānei.
Echocardiogram: He matawai hei tirotiro i te hanganga me te mahi a te ngākau .
MRI o te ngākau, CT rānei: Tikina he whakaahua mārama ake o te ngākau.
Te whakaurunga o te catheter ki te ngākau: He whakamātautau hei tirotiro i ngā mea pēnei i te aukati i roto i ngā oko toto o te ngākau.

He pehea te maimoatanga o te 'Commotio Cordis'?

He mea nui te awhina hauora tonu mō te tangata e pāngia ana e te Commotio Cordis. Mēnā ka kite koe i tētahi āhuatanga pēnei, waea atu ki te 119/1990 ka tīmata i te CPR māu anō. Mēnā ka taea, kimihia he mīhini AED ka whakamahia. Whai muri i te whakarato i te maimoatanga ohorere, ka whakaurua te tūroro ki te hōhipera, ā, ka tirotirohia katoatia hei tirotiro mō ētahi atu mate ngakau kāore anō kia tautuhia. I te hōhipera, ka aroturukitia te mahi a te ngakau.

Ngā maimoatanga motuhake

Mena kei te ngaro te mōhio o te tūroro pakeke e pāngia ana e te Commotio Cordis, ā, kāore e taea te whai i ngā whakahau, ka whakamahia pea e ngā tākuta he maimoatanga e kiia nei ko te therapeutic hypothermia. Ko te tikanga o tēnei ko te whakamoe i te tūroro, te whakauru i tētahi ngongo manawa, me te whakaheke i te pāmahana o te tinana ki te 32-34 nekehanga Celsius (89.6-93.2 Fahrenheit) mō te 12-24 hāora. Ka mahia tēnei mā te whakamahi i ngā mīhini whakamatao motuhake, ngā kete hukapapa, ngā wai IV tio, me ngā paraikete whakamatao. Ka āwhina tēnei ki te whakaiti i te tere o te whakamahinga o te hāora e te roro, ā, ka ārai i te pupuhi. Kātahi ka whakamahanatia anō te tinana mō ētahi hāora.

Ngā pānga taha o ngā maimoatanga

Ka pā mai pea ngā pānga taha i ētahi wā i ngā maimoatanga pēnei i te 'haurangi werawera whakaora'. Hei tauira:

Pēniuma
Sepsis (paitini toto)
Te manawa pāwera rerekē
Coagulopathy (te hekenga o te kaha o te toto ki te totoka)

Me pehea te whakaiti i te tupono o te Commotio Cordis?

Ahakoa kāore e taea te ārai katoa i tēnei, kei reira ētahi mea ka taea e koe te mahi hei whakaiti i te mōrearea:

Te mau i ngā taputapu tiaki: Ka taea e te mau i ngā tiaki uma te whakarato i ētahi tiaki. Heoi, kua pāngia e te 'Commotio Cordis' ahakoa i mauhia ēnei.
Ngā taputapu hākinakina haumaru: Te whakamahi i ngā mea pēnei i te "pōro pēihipora ngohengohe", i hangaia mō ngā kaitākaro taitamariki.
Te mōhiotanga me te whakarite (koinei te mea tino nui!):
He mea nui kia whakangungua ngā kaiako, ngā kaiako me ngā kaimahi hākinakina ki te mōhio ki te tikanga o te 'Commotio Cordis' me te mahi i te 'CPR'.
Me whakarite tātou kei ngā wāhi hākinakina ngā mīhini AED e ngāwari ana te uru atu, e mahi pai ana hoki.
He mea nui te whai i tētahi Mahere Mahi Āwhati (EAP) kua whakamaheretia pai, kua whakatinanahia hoki, kia tere ai te maimoatanga.

Whakaarohia te nui o te whakamarie mehemea he 'AED' kei reira te wāhi e takaro ai tāu tamaiti, e takaro ai rānei koe, me tetahi tangata e mōhio ana ki te whakamahi.

He aha ngā mea hei tumanakohia mēnā ka pāngia koe e te Commotio Cordis?

Ki te tirotirohia koe e ngā tākuta, ā, ka whakaūtia kāore he raruraru kē atu o tō ngākau, kāore koe e hiahia ki tētahi atu maimoatanga i muri i te whakaoranga mai i te 'Commotio Cordis'. Heoi, ki te kitea e rātou he mate ngākau kāore i te mōhiotia i mua, he mate whānau, he mate ira rānei tōu, me whiwhi koe i te maimoatanga mō tēnā.

Ka taea e au te tīmata anō ki te tākaro?

Kia oti te tirotiro i tō ngākau, tae atu ki te EKG, te Echocardiogram, te MRI, te CT scan rānei o te ngākau, me te whakamātautau ahotea, ka taea pea e koe te hoki ki te tākaro hākinakina. Heoi, ki te kite tō tākuta i ētahi raruraru o tō ngākau, ki te mea rānei he iti, he nui rānei te tūponotanga o te hokinga mai o te Commotio Cordis, me karo pea koe i ngā hākinakina e pā kino ana ki tō uma.

He aha te tirohanga ā muri ake nei mō te āhuatanga o 'Commotio Cordis'?

Ko te 'Commotio Cordis' te tuarua o ngā tino take o te mate ohorere o te ngākau i waenga i ngā kaitākaro taitamariki. Ko te tuatahi ko te 'hypertrophic cardiomyopathy' (hypertrophic cardiomyopathy). Ki te rongoatia wawetia, tata ki te 59% te ōrau ora. Ko te tikanga, neke atu i te kotahi i roto i te rua ngā tāngata ka taea te whakaora. Heoi, ko te hunga kāore e whiwhi wawe i te 'CPR', ko te hunga rānei he mate ngākau whānau, he iti ake te tūponotanga kia ora.

Me pēhea taku tiaki i ahau anō?

Ki te mea mai tō tākuta ngakau kāore he he o tō ngākau, kāore pea koe e hiahia ki te tiaki i muri mai. Heoi, ki te kitea e rātou he mate ngākau kāore koe i te mōhio, me rongoā koe. Ahakoa kāore he raruraru ngākau, he mea pai kia tirohia koe i te iti rawa kotahi i te tau.

Āhea ahau me haere ki te rūma ohorere (ER)?

Mena kua tautuhia tō mate manawa, me whakaora anō pea koe. Mena ka pāngia koe e tētahi o ēnei tohu, me kī atu ki tētahi e tata ana kia waea atu ki te 119/1990 tonu:

Mamae o te uma
Te ahua kei te tere te pao o tō ngākau ('heart palpitations')
Te poto o te manawa
Mārama te upoko
Te hemo haere

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

Ka taea e koe te pātai atu ki te tākuta i ngā pātai pēnei:

He mate manawa tōku e hiahia ana kia rongoatia?
Ka taea e au te tākaro anō i ngā hākinakina whakataetae?
Me aha ahau hei ārai i te kino atu ki tōku uma?

He wheako mamae te pāngia o te uma. Heoi, he nui ake te tūponotanga o te ora i muri i te Commotio Cordis i ēnei rā i tō mua. Mā te awhina hauora tere, ka taea e te nuinga o te tangata te ora. Mēnā ka tautuhia koe e tō tākuta he mate ngākau, me whai i āna tohutohu. Mā te whakangungu CPR me te wātea o ngā mīhini AED ka nui te rangimarie o te hinengaro ki te hunga e whai wāhi ana ki ngā hākinakina e mōrearea ana ki te Commotio Cordis.

Karere Tangohia ki te Kāinga

Āe, ko tāku tumanako kei te mārama pai koe ki te 'Commotio Cordis' i kōrerohia e tātou i tēnei rā. Kia maumahara, he tino onge tēnei āhuatanga, engari he tino morearea mēnā ka tupu.

Ko te mea nui, ki te hinga ohorere tetahi i te uma i a ia e takaro ana i ngā hākinakina, kaua e whakahawea. Me whakarato tonu i te āwhina hauora ohorere (CPR, te whakamahi i te AED, te noho hōhipera).

Hei kaiako, hei mātua, hei kaitākaro hoki, mā te noho mōhio ki tēnei, te whiwhi whakangungu CPR mēnā e tika ana, me te tirotiro mō ngā AED i ngā wāhi hākinakina ka āwhina i te whakaora i ngā oranga. Kia haumaru tā tātou tākaro, kia ora tonu!

commotio cordis, whakaeke ngakau, mamae uma, whara hākinakina, hopukanga ohorere o te ngakau, fibrillation ventricular, CPR, AED, hopukanga ngakau, whakaora manawa