Kei te pēhia tō ngākau e te āhua nei? Tērā pea he Constrictive Pericarditis!

Kua whakaarohia e koe te utu nui o tō tātou ngākau, me tōna āhua ngāwari hoki? I ētahi wā, ehara i te mea ko te ngākau anake, engari ko te hipoki tiaki e karapoti ana i a ia, ka taea te whakararuraru i te mahi a te ngākau katoa. Koinei te āhua ka kōrerohia e tātou i tēnei rā, e kiia nei ko te `(Constrictive Pericarditis)`. Kaua e manukanuka, me kōrero noa iho tātou mō tēnei.

He aha tēnei (Constrictive Pericarditis)? Tākuta?

He kupu ngāwari, kei te karapotihia tō ngākau e tētahi kiriuhi angiangi, pērā i te urunga, hei tiaki i a ia. Ka kiia e mātou ko te pericardium. I tēnei wā, kaua e ngāwari noa, ka matotoru te pericardium, ka pakari. Whakaarohia he rite ki te papu, me kaha te ngākau ki te whakawhānui me te whakawhāiti hei pupuhi toto. Engari ina pakari tēnei pericardium, kāore he wāhi nui o te ngākau ki te whakawhānui me te whakakī i te toto. Koinā te tīmatanga o ngā raruraru. He mate kino tēnei ka arahi pea ki te ngoikore o te ngākau . Engari ko te rongo pai he maha ngā wā ka taea te rongoā me te whakaora, inā koa mēnā ka kitea wawe .

He aha te mea e tupu ana i tēnei āhuatanga?

I kōrero mātou mō te pericardium. E rua ōna paparanga, ā, he wai kei waenganui. Ko tēnei wai te mea e tautoko ana i te ngākau, mēnā ka pā mai he aituā. I te nuinga o te wā, he tino ngāwari, he ngāwari hoki tēnei pericardium. Nō reira, kāore he arai ki te whakakī i te ngākau ki te toto i te wā e patupatu ana te ngākau.

Engari mō te tangata e pāngia ana e te Constrictive Pericarditis, ka matotoru, ka pakari te pericardium. He rite ki te here rapa tawhito, ā, kāore e totoro. Kātahi ka kore te manawa e whai wāhi ki te whakakī i te toto e ranea ana.

Ina kore e taea e te ngākau te whakakī tika i te toto, ka uaua ki te pupuhi toto ki te tinana. Hei whakakapi, ka piki ake te pēhanga i roto i te ngākau. Ki te haere tonu tēnei, ka arahi pea ki te ngoikore o te ngākau . Ka karangatia hoki tēnei e ētahi tāngata ko '(Restrictive Pericarditis)', engari i nāianei kua nui ake te whakamahinga o te ingoa '(Constrictive Pericarditis)'. He rite tonu te mate e rua.

Ko wai te mea tino tūpono ka pāngia e tēnei mate?

Ahakoa ka taea e te tangata katoa te pāngia e tēnei mate (Constrictive Pericarditis), he nui ake te mōrearea o ētahi tāngata.

• Mō te hunga kua pokangahia te ngākau i mua.
• Mō te hunga kua whiwhi i te rongoā irahiko ki te rohe o te ngākau.
• Mō te hunga e mumura ana te pericardium, kāore nei e kitea te take (e kiia ana e mātou ko te "idiopathic pericarditis"), mō te hunga rānei kua mumura te pericardium nā te mate huaketo ("viral pericarditis").
• I ngā whenua whakawhanake, pērā i tō tātou whenua hei tauira, ko te mate kohi (TB) te tino take.

E rua, e toru rānei ngā wā ka nui ake te tūponotanga ka pā ki ngā tāne i ngā wāhine. He tino onge hoki te pānga ki ngā tamariki nohinohi.

He pēhea te noa o tēnei āhuatanga?

He tino onge te mate Pericarditis Constrictive. E 9% pea o te hunga e pāngia ana e te pericarditis acute ka pāngia. Ā, e 5% pea o te hunga e haere mai ana ki te rūma whawhati tata me te mamae o te uma ka pāngia e te pericarditis acute. Nō reira, ka taea e koe te whakaaro he aha te onge o tēnei mate.

He aha ngā tohu o tēnei mate?

Ka puta mārire ngā tohu o tēnei mate. I ētahi wā ka puta ohorere mai. Ko ngā tohu matua e kitea ana ko:

• Te uaua ki te manawa (dyspnea): Te pōturi o te manawa ina ngenge koe, ina tū noa rānei.
• Mamae o te uma : He mamae e pēhia ana, e kōpiripiri ana.
• Ngenge, ngenge : Te tino ngenge, kāore e taea e koe te mahi i tetahi mea.
• Whatiwhati : Te āhua nei kei te hurihuri tō mahunga, i ētahi wā me te mea kei te ngaro tō mohiotanga.
• Pupuhi : Ka kohia te wai, ka pupuhi, inā koa i ngā wāhi pēnei i te puku me ngā waewae (huri noa i ngā pona).
• Te ngoikore me te ngenge o ngā uaua : Kei te ngaro te papatipu uaua o te tinana.
• Te ngaro o te hiahia kai, me te mākona ahakoa kua kai iti : Kāore koe e hiahia ki te kai, engari ka mākona tonu koe ahakoa kua kai iti.

He rerekē ngā momo o tēnei mate?

Ae, he maha ngā momo momo o te `(Constrictive Pericarditis)`. Kia tirohia tātou he aha ēnei:

• Momo whakapeka : I tēnei momo, ka tere te puta o te whara o te pericardium, i roto i ngā rā torutoru.
• Momo pāwera iti : He rite tēnei ki te momo pāwera, engari kāore i te tino kino ngā tohu.
• Pericarditis effusive-constrictive : Ko tēnei momo pericarditis ka puta mai i te wai e kohia ana i roto i te pericardium (pericardial effusion). I te mea ka kohia tēnei wai, ka pēhia te ngākau. Ka kiia tēnei ko te cardiac tamponade. Whakaarohia he rite ki te poihau i roto i te poihau, ā, ki te whakakīia te poihau o waho ki te wai, ka pēhia te poihau o roto. Ā tōna wā, ka mutu pea te patu o te ngākau. Ki te tangohia te wai tāpiri engari ka noho tonu te pēhanga i roto i te ngākau ki te teitei, ka kiia tēnei ko te effusive constriction.
• Te pericarditis whakawhāiti wā poto : He momo pericarditis whakapeka tēnei, he āhuatanga e mumura ai, e whakawhāiti ai hoki te pericardium. Ka taea te rongoā mā te whakamahi i ngā rongoā ārai-mumura .
• Pericarditis huna : I roto i te rongoā, ko te tikanga o te kupu "occult" he "huna." I ahu mai tēnei ingoa i te mea he uaua ki te kite i tēnei momo. He maha ngā wā ka kitea noa i roto i ētahi atu whakamātautau.

He aha te take o tēnei?

Ko te Pericarditis Whakapūmau he āhuatanga e matotoru ai, e pakari ai te pericardium. Ko te nuinga o tēnei āhuatanga he kiko whara mai i ngā mate hauora o mua. He maha ngā take e pakari ai tēnei pericardium:

• Ngā Mate Pukupuku : I ngā whenua whakawhanake, ko te mate kohi te mate kitakita tino noa. Tata ki te 20% ki te 30% o ngā take o te pericarditis e pā ana ki te mate kohi ka taea te whanake ki tēnei mate. I ngā whenua whakawhanake, he nui ake te noa o ngā mate huaketo .
• Ngā mate manawa me ngā raruraru o te pūnaha tohanga toto : Ngā mate manawa, ngā mate rānei e pā ana ki ngā oko toto nui e tata ana ki te manawa.
• Whara : Ko te mumura i puta mai i ngā whara ki te uma (pēnei i te whiunga, te patunga wero, te patunga pū rānei) ka huri hei koha i muri mai.
• Ngā mate pūnaha ārai mate, ngā mate mumura rānei : Hei tauira, ngā mate pēnei i te `(Lupus)`, te `(Rheumatoid arthritis)`, te `(Sjögren's syndrome)` rānei.
• Ngā take hauora : Ka matotoru pea te pericardium me te whara i muri i te pokanga ngakau, te rongoā irahiko mō te mate pukupuku, te pānga taha rānei o ētahi rongoā.
• Matepukupuku : Ko te matepukupuku o te pericardium tonu, ko te matepukupuku rānei kua horapa mai i ētahi atu wāhanga o te tinana.
• Ētahi atu take : I ētahi wā, kāore e kitea he take mō te "Constrictive Pericarditis." He maha ngā tākuta e whakaaro ana he mate huaketo ēnei, ka whakarōpūhia rānei e rātou ngā take kāore i te mōhiotia me ngā take huaketo i roto i ngā tatauranga.

He mate hopuhopu tēnei?

Kāo. Ahakoa ka puta te mate pāwera i te Constrictive Pericarditis (ko ētahi he mate hopuhopu), ehara te mate i te mate hopuhopu .

Me pēhea te kite a ngā tākuta i tēnei?

Ka taea e te tākuta te tātaritanga i tēnei mate mā te tirotiro i ō tohumate, tō hītori hauora (pēnei i ngā mate o mua, ngā pokanga), he whakamātautau tinana, me ētahi whakamātautau motuhake. I ētahi wā ka uaua te tātaritanga, inā koa mēnā kāore ō tohumate i te kino, mēnā rānei he mate kē atu āu e rite ana ngā tohumate.

He aha ngā whakamātautau e mahia ana mō tēnei?

Mena kei te whakapae te tākuta he Constrictive Pericarditis tōu, ka mahia pea e rātou ngā whakamātautau e whai ake nei:

• Ngā whakamātautau mō te mate kohi .
• Ngā whakamātautau toto hei tirotiro i ngā mate o te pūnaha ārai mate .
• He echocardiogram (he rite ki te matawai ultrasound o te ngākau).
• Te hikohiko o te manawa (ECG) (he whakamātautau e tirotiro ana i te ngohe hiko o te ngākau).
• He hihi-X o te uma .
• Tomography rorohiko o te ngākau (matawai CT) .
• Matawai whakaahua aukume (MRI) o te ngākau .
• Te whakaurunga o te catheter ki te ngākau maui me te matau (he whakamātautau e ine ana i te pēhanga mā te tuku i tētahi ngongo angiangi ki roto i te ngākau).

Me pēhea te rongoā i tēnei?Ka taea te whakaora?

I te nuinga o te wā ka taea te rongoā i tēnei mate, ā, he maha ngā wā ka taea te whakaora.

I te nuinga o te wā, e rua ngā mātāpono matua hei rongoā i tēnei:

• Te whakaiti i te pēhanga ki te ngākau nā te kore e taea e te ngākau te kume.
• Te rongoā i ngā tino take, i ngā tohumate rānei e pā ana.

He aha ngā rongoā me ngā maimoatanga mō tēnei?

I te nuinga o te wā, ko ngā maimoatanga e whai ake nei mō tēnei mate:

• Pokanga : Ka tangohia te pericardium katoa e te pokanga e kiia nei ko te pericardiectomy. Koinei te huarahi tino whai hua hei rongoā i te mate. Kāore e hiahiatia te pericardiectomy kia ora ai koe . Ka ora te nuinga o te tangata i te pokanga, kāore he raruraru, he pānga roa rānei.
• Rongoā : I runga i te pūtake me ngā tohumate, ka taea te whakamahi i ngā rongoā maha hei rongoā tika i ngā tohumate o tēnei mate, hei ngana rānei ki te whakaora mā te whakamutu i te take. I ētahi wā, ka taea te rongoā mā te rongoā anake me te kore e hiahiatia he pokanga, mō te hunga kāore e taea te pokanga, ka taea e ngā rongoā te āwhina ki te whakahaere i ngā tohumate.

He aha ngā momo rongoā e whakamahia ana?

Ko ngā rongoā e whakamahia whānuitia ana hei rongoā i tēnei mate ko:

• Ngā rongoā diuretic : Ka āwhina ēnei rongoā i ō whatukuhu ki te tango i te wai nui atu i tō tinana.
• Ngā NSAID (Non-steroidal anti-inflammatory drugs) : Ka whakaitihia te mumura me te mamae. Hei tauira, ko te `(Ibuprofen)` me te `(Naproxen)` rānei.
• Ngā Steroids : Ka āwhina ngā āhuatanga ārai-mumura o ēnei rongoā ki te rongoā i tēnei mate.
• Ngā rongoā e pā ana ki te take : Hei tauira, ngā paturopi mō ngā mate kitakita pērā i te mate kohi.

He aha ngā raruraru, ngā pānga taha rānei o te maimoatanga?

Ka rerekē ngā raruraru pea i runga i te maimoatanga me te rongoā. Ka pāngia hoki tēnei e te take, te momo rānei o te Constrictive Pericarditis. Ko tō tākuta te tangata pai rawa atu hei kōrero ki a koe mō ngā pānga taha, ngā raruraru rānei, inā koa mō ngā rongoā. Nā te mea ka taea e ia te tuku kōrero ki a koe e hāngai ana ki tō āhua me tō āhuatanga. Māna anō hoki e kōrero ki a koe he aha ngā mea hei tumanako atu, me pēhea te whakahaere i ēnei raruraru, me ngā mea ka taea e koe te mahi hei ārai katoa i a rātou.

Ko ētahi o ngā raruraru ka puta mai i te pokanga ko:

• Te ngoikore o te ngākau .
• Ngā pāorooro o te ngakau kāore i te ōrite ('Arrhythmias') .
• Ngā mate urutā me te sepsis (te paihana toto).
• Te mate (he tino onge tēnei).

Me pēhea taku whakahaere i ngā tohu mēnā kāore au e tiaki i a au anō?

Ehara te Pericarditis Whakapūmau i te mea me rongoā, me whakahaere rānei e koe anake , nā te mea he mea nui ngā whakamātautau me ngā matawai hei tautuhi i tēnei mate. He mea tino nui tēnei nā te mea ka puta pea ētahi o ngā tohu o tēnei mate me ngā mate e morearea ana ki te ora pērā i te tamponade o te ngākau, te whakaekenga ngākau rānei. Nō reira, me kōrero tuatahi koe ki tētahi tākuta me te tiki tohutohu mō ngā mea ka taea e koe te mahi mō tēnei mate.

Kia pēhea te roa ka pai ake ai taku āhua i muri i te maimoatanga?

I runga i te pūtake o te mate me te maimoatanga e whiwhi ana koe, tera pea ka roa pea ētahi rā, ētahi wiki rānei kia pai ake ai tō āhua. Mena ka pokangahia koe, me tāpiri e koe te wā whakaora mai i te pokanga ki te wā e pai ake ai tō āhua. Ko te nuinga o te tangata ka pai ake i roto i ngā marama e toru , engari ko ētahi tāngata ka roa pea ētahi marama kia tino ora ai.

Ka taea e au te ārai i tēnei, te whakaiti rānei i te mōrearea?

Ko te Pericarditis Whakapūmau he mate e puta ohorere ana, nō reira kāore e taea te ārai. Ko te mea anake ka taea e koe te mahi hei whakaiti i tō tupono ki te whakawhanake i tēnei mate ko te karo i ngā āhuatanga ka arahi atu ki tēnei. Hei tauira, ki te pāngia koe e te mate huakita, rapua he maimoatanga i te wā e taea ai. Ko tētahi atu ko te whakawhāiti i te kino o tō pericardium e ngā kaimahi hauora mēnā kei te whiwhi koe i te rongoā irahiko.

He aha ngā mea ka taea e au te tumanako mēnā kei a au tēnei mate? Ka taea te whakaora i tēnei?

Ko tō tirohanga i tēnei wā, ka whakawhirinaki ki te take, te kaha o tō āhua, te maimoatanga, me ētahi atu āhuatanga hauora kei a koe. Ko tō tākuta te tangata pai rawa atu hei kōrero ki a koe he aha ngā mea hei tumanakohia mai i tēnei āhua, me tō tirohanga anō hoki.

Nā te mea he maha ngā wā ka puta mai tēnei āhuatanga me ngā mate kino, ngā mate morearea rānei, ka kino pea te tirohanga. He pono rawa tēnei mēnā i puta mai i te rongoā irahiko, mēnā rānei kei a koe:

• Te mate whatukuhu matatau, te ngoikore rānei o te whatukuhu .
• Te ngoikore o te ngākau .
• Mate ate .
• Te toto toto tiketike o te pūkahukahu .

Nā ēnei mōrearea, ka tutuki ngā hua pai rawa atu mā te tautuhi wawe me te maimoatanga . Ahakoa he wā poto noa iho, he nui ake te tūponotanga o ngā hua pai. Ahakoa i taua wā, tata ki te 5% - 10% o te hunga e pokangahia ana, kāore pea e ora (he pai ake ngā hua i ngā hōhipera e tohunga ana ki te mate manawa).

Heoi, he tokomaha ngā tāngata ka ora ake, ā, ka ora pai . Tata ki te 80% o te hunga kua pokangahia mō tēnei mate ka ora mō te iti rawa o te rima tau, ā, tata ki te 60% ka ora mō te iti rawa o te tekau tau.

Kia pēhea te roa o tēnei? Āhea ahau ka taea ai te tīmata anō i aku mahi o ia rā?

Ko te roa o tēnei mate e whakawhirinaki ana ki te momo, te take, me te maimoatanga e whiwhi ana koe. I ētahi wā, ka memeha noa iho tēnei mate, mā te rongoā rānei. He maha ngā wiki ki ētahi marama te roa. Ko te kaha ake o te mate, te take rānei, ko te roa ake o te wā e ora ai koe.

Me pēhea taku tiaki i ahau anō?

Mena kei a koe tēnei mate, he mea tino nui kia whai koe i ngā tohutohu a tō tākuta. Kei roto i tēnei ko:

• Inumia te rongoā e ai ki te whakahaunga : Me tango te rongoā kua whakaritea mō tēnei mate e ai ki te whakahaunga, ā, ehara i te mea pai kia mutu i waenganui noa iho nā te mea kua pai ake tō hauora.
• Whāia ngā tohutohu kai : Me whakawhāiti te kai tote a te tini tāngata. Ka taea e te konutai i roto i te tote te pupuri wai i roto i te tinana, ka kino ake ai tēnei āhuatanga.
• Whakawhāitihia te korikori tinana mēnā e tika ana : Ka āwhina tēnei ki te whakaiti i te taumahatanga ki tō ngākau, me te ārai me te whakawhāiti i te kino ki te uaua o te ngākau.

Āhea ahau me toro atu ki taku tākuta? Āhea ahau me rapu awhina hauora?

Me haere tonu te nuinga o te tangata ki te kite i tā rātou tākuta kia ora rā anō rātou i tēnei mate. I te pai haere o tō āhua, ka tūtohu tonu tō tākuta kia whakaitihia te maha o ō haerenga ki te tākuta.

Ki te rongo koe i te hokinga mai o ō tohumate, ki te rerekē rānei ō tohumate, ā, ka tīmata te pā ki ō mahi o ia rā, me waea atu koe ki tō tākuta, me whakarite rānei i tētahi wā hui.

Āhea ahau me haere ki te Tari Whawhati Tata (ETU) ?

Ka taea hoki te puta mai i ngā āhuatanga ohorere hauora e morearea ana te ora o te tangata i roto i te nuinga o ngā tohu o tēnei mate. Nō reira, me rapu tonu koe i te awhina hauora mēnā kei a koe ētahi o ēnei tohu e whai ake nei:

• Te uaua ki te manawa (Dyspnea) .
• Te mamae o te uma .
• Pōuriuri, māuiui rānei te upoko .
• Te hemo o te tinana, te ngaro rānei o te māramatanga .

Hei whakamutunga, ngā mea hei maumahara

He mate onge, kāore hoki e taea te matapae te Pericarditis Constrictive. He rite tonu ōna tohu ki ētahi atu mate, nō reira he uaua ki te tautuhi i ētahi wā. He waimarie, nā te whanaketanga o te pūtaiao me te hangarau hauora, kua māmā ake te tautuhi i tēnei mate mā te whakamahi i ētahi matawai. Kua tino pai ake hoki ngā maimoatanga mō tēnei mate. Ko te tikanga o tēnei , i roto i te nuinga o ngā wā, ka taea te rongoā i tēnei mate, ā, i ētahi wā ka ora katoa. Nō reira, ki te pāngia koe e ēnei tohu, he pai ake te toro atu ki te tākuta me te rapu tohutohu me te kore e mataku.

` Te Pericarditis Whakapūmau, te whakawhāititanga o te pericardium, te mate manawa, te mamae o te uma, te poto o te manawa, te pokanga manawa, te tango i te pericarditis