Kua āraia ngā oko toto e tuku toto ana ki tō ngākau? Akohia te mate o te uaua ngakau

He okana whakamiharo tō tātou ngākau e mahi ana i ngā hāora 24 o te rā, kāore he okiokinga. He rite ki te mīhini e oma tonu ana. Nō reira, kia pai ai te mahi a tēnei ngākau mahi uaua me ōna uaua, me whai toto ma, whai hāora tonu rātou. Engari whakaarohia, he aha ka tupu mēnā ka tīmata te aukati i ngā awa ngawari e kawe ana i te toto ki tēnei ngākau? Koinei te mea e kiia nei e tātou ko te Mate Arteri Koronari ( CAD ) .

He aha te mate pūkahukahu (CAD)?

I te whakarapopototanga, koinei te wā ka whaiti, ka ārai rānei ngā uaua o te ngakau, e tuku ana i te toto whai hāora ki tō tātou ngākau. I roto i te wā, ka hangaia he mea pēnei i te cholesterol ki runga i ngā pakitara o ēnei uaua, ka hanga he paparanga e kiia nei e tātou ko te 'plaque' .

He rite tēnei ki te waikura e hangai ana i roto i tētahi paipa wai tawhito. Ka whakaitihia e tēnei paraka te wāhi i roto i ngā uaua toto, ka whakawhāiti i te nui o te toto ka taea te rere ki te ngākau.

He maha ngā wā ka puta tēnei āhuatanga i roto i te tinana mō ngā tau, kāore he tohu. Koia te take e kiia ai e ētahi ko te "kaikōhuru puku". I ētahi wā, ka pakaru ohorere tētahi o ēnei putunga, ka hanga he toto totoka ka ārai katoa i te uaua. Koinā te wā ka pā mai te āhuatanga ohorere e kiia nei e tātou he whakaeke ngakau .

E rua ngā momo matua o tēnei mate.

E rua ngā wāhanga matua e kōrerohia ana e mātou mō tēnei mate.

1. Mate Manawa Ischemic Pūmau: Koinei te momo e āta whanake haere ana i roto i te wā. Ka āta whaiti haere ō uaua ngakau i roto i ngā tau maha. Tērā pea ka pāngia koe e ētahi tohu (pēnei i te mamae o te uma ), inā koa ka pāngia koe e te ahotea. Engari i te nuinga o te wā ka taea e koe te mahi i ō mahi o ia rā.

2. Te Mate Koronari Whakapeka:He āhuatanga morearea tēnei e puta ohorere ana, ā, me aro tonu ki te hauora. Ko te mea ka tupu, ka pakaru ohorere te papa i roto i te uaua toto, ka hanga he toto toto ki runga, ka aukati katoa i te rere o te toto. Koinei te take o te mate manawa. He āhuatanga ohorere hauora tēnei.

He aha ngā tohu o tēnei mate?

He maha ngā tāngata kāore e pāngia e ngā tohu mō te wā roa. Nā te mea ka roa ngā tau, tae atu ki ngā tekau tau, ki te hanga i ēnei putunga. Engari i te tīmatanga o te whaiti o ngā uaua toto, ka tīmata pea koe ki te kite i ngā tohu ngawari. He tohu ēnei kei te kaha ake te mahi a tō ngākau i te tikanga ki te tiki i te hāora e hiahiatia ana.

Ko ngā tohu matua ko:

• Angina Pūmau: Koinei te tohu tino kitea. Ka kitea i te kikī o te uma, te taumaha, te mamae, te kore whakamarie rānei. Ka puta i te nuinga o te wā ina whakakorikori tinana koe, ina hikoi tere, ina riri rānei. Ka memeha haere te mamae i muri i te okiokinga poto.
• Te poto o te manawa: Ka pāngia ētahi tāngata e te poto o te manawa, he maha ngā wā ka uaua ki te manawa, ahakoa ngā mahi māmā noa iho, pērā i te piki arawhata.

He aha tātou ka pāngia ai e tēnei mate? He aha ngā āhuatanga mōrearea?

Ko te tino take o te mate uaua o te ngākau ko te atherosclerosis . Arā, e ai ki tā tātou i kōrero ai i mua ake nei, ko te kohikohinga o te cholesterol me ētahi atu matū i roto i ngā pakitara o te uaua, ka hanga he papa. Ina pā tēnei āhuatanga ki ngā uaua o te ngākau, ka kiia e tātou ko te CAD.

He maha ngā āhuatanga mōrearea ka pā ki te whanaketanga o tēnei mate. Ko ētahi o ēnei kāore e taea e tātou te whakahaere, engari he maha o ēnei ka taea e tātou te whakahaere mā te whakarerekē i te āhua noho me te rongoā. Kia titiro tātou he aha ēnei.

Me pēhea te tautuhi a te tākuta i tēnei mate?

Ka pātai tuatahi tō tākuta ki a koe mō ō tohumate, tō momo noho, me ngā āhuatanga hauora katoa o tō whānau. Kātahi ka tirotirohia e ia tō toto, ka tirohia hoki tō toto toto. I runga i ēnei mōhiohio, ki te whakapae ia kei a koe te mate, ka tūtohu pea ia i ētahi atu whakamātautau hei whakaū i te mate.

Ko ētahi o rātou ko:

• Ngā Whakamātautau Toto: Tirohia ngā mea pēnei i te cholesterol me te taumata huka.
• ECG (Electrocardiogram): Tirohia te ngohe hiko o te ngākau.
• Whakamātautau Taumahatanga Whakakorikori Tinana (Whakamātautau Treadmill): Ka aroturukitia tō ngākau mā te whakamahi i te ECG i a koe e hikoi ana i runga i te treadmill.
• Echocardiogram: He matawai o te ngākau.
• Angiogram Koronari CT: He matawai CT motuhake e tango ana i ngā whakaahua toru-ahu o ngā oko toto o te ngākau.
• Angiogram Coronary (Te Whakatō Catheter o te Ngākau): I roto i tēnei mahi, ka tukuna he ngongo angiangi mā roto i tētahi uaua i te ringa, i te waewae rānei ki roto i te ngākau, ka werohia he tae, ā, ka tangohia he hihi-X hei tirotiro i te āhua o te aukati o te uaua.

He aha ngā kōwhiringa maimoatanga?

E rua ngā whāinga matua o te rongoā i te mate uaua o te ngākau. Ko tētahi he whakahaere i ngā tohu me te whakapai ake i te kounga o te oranga. Ko tētahi he whakaiti i te mōrearea o ngā raruraru nui, pērā i te mate manawa.

Ka taea te wehewehe i ngā tikanga maimoatanga ki ngā wāhanga matua e toru:

1. Ngā huringa āhua noho

Koinei te mea tino nui, te mea tino taketake hoki.

• Te whakamutu rawa i te momi hikareti.
• He kai hauora mō te ngākau: Kia iti ake te tote, te hinu, me te huka e kainga ana, engari me nui ake ngā huawhenua, ngā hua rākau, ngā otaota, me ngā kai he nui te muka.
• Whakakorikori tinana auau: Whakakorikoria tinana, pērā i te hikoi tere, mō te 30 meneti pea ia rā, mō te 5 rā ia wiki.
• Te whakahaere i te taumaha o te tinana.
• Te whakaiti i te ahotea.

2. Ngā rongoā (ngā rongoā)

Ka tohua e tō tākuta ngā momo rongoā hei whakahaere i ngā āhuatanga mōrearea me te whakaiti i ngā tohumate.

• Ngā rongoā whakaheke cholesterol (Statins).
• Rongoā whakahaere toto toto.
• Ngā rongoā hei ārai i te toto totoka (pērā i te Āpipirini).
• Ngā rongoā hei whakahaere i te mamae o te uma (Angina).

3. Te pokanga me ētahi atu tikanga

Mō ētahi tāngata, inā koa ko te hunga he tino pupū ngā ngongo, kāore e ranea te rongoā anake. I roto i ēnei āhuatanga, me whakamahi i tēnei momo maimoatanga.

• Te angioplasty me te stenting (Percutaneous Coronary Intervention - PCI): Ko te whakauru i tētahi ngongo angiangi me tētahi poihau ki roto i te uaua kua āraia, ka pupuhihia kia tuwhera anō te uaua, kātahi ka whakauru i tētahi ngongo mata iti e kīia nei ko te stent hei ārai i te whaiti anō o te uaua.
• Te pokanga taha (Te Tāruatanga o te Arorangi Koronari - CABG):He rite tēnei ki te hanga i tētahi ara hou huri noa i tētahi uaua kua āraia. Ka honoa tētahi uaua toto hauora mai i tētahi atu wāhanga o te tinana (te waewae, te uma rānei) ki te wāhi kua āraia me te tuara, ka hangaia he ara hou mō te rere o te toto.

Āhea ahau me haere wawe ki te tākuta/ki te ETU?

Ki te pāngia koe e ngā tohu o te mate manawa , haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera, waea atu rānei ki te waka tūroro. He mea nui te wā ki konei.

Ko ngā tohu matua o te whakaeke ngakau:

• He mamae nui, he pēhi, he kuru i waenganui o te uma.
• Ka horapa tēnei mamae ki te ringa maui, ki te kaki, ki te kauae, ki te tuara, ki te pakihiwi rānei.
• Te uaua ki te manawa.
• Nui te werawera, te whanoke, te ruaki.

Mena he mate pūkahukahu tōu, he mea nui kia noho tonu koe ki te toro atu ki tō tākuta. Mena ka puta he tohu hou, he pānga taha rānei nō ō rongoā, he pātai rānei mō tō āhua, waea atu ki tō tākuta tonu.