He aha ō whakaaro mēnā kei te ora ake koe i te mate manawa, ā, ka pā mai anō he mamae āhua kē ki tō uma? He mea noa te mataku me te whakaaro, "Āe, ko te mea tawhito anō tēnei?" Kaua e manukanuka. Ehara i te mea ko ngā mamae uma katoa he mate manawa anō. I ētahi wā, he mate anō ka puta i muri i te mate manawa. Ko tētahi o aua mate onge, engari he mea nui kia mōhio koe.
He aha te mate a Dressler?
Whakaarohia tō tātou ngākau he mea utu nui kei roto i tētahi pēke angiangi tiaki. Ko te ingoa hauora o tēnei pēke tiaki e karapoti ana i te ngākau ko te pericardium . Ko te Syndrome a Dressler he āhua e mumura ai, e pupuhi ai hoki te pūnaha ārai mate o tō tinana i roto i ētahi wiki i muri i te whakaekenga ngākau. Ko te ingoa o tēnei mumura ko te pericarditis .
Ki te kī māmā noa, ko te Syndrome a Dressler he momo pericarditis e puta ana i muri i te whakaeke ngakau. I mua, i puta tēnei āhuatanga i roto i te 3-5 o ia 100 tāngata i pāngia e te whakaeke ngakau . Engari i nāianei, nā ngā maimoatanga matatau , he onge te puta i roto i te kotahi o ia 100 tāngata i pāngia e te whakaeke ngakau. Ehara i te mea he rongo pai tēnā?
Ka puta ohorere tēnei āhuatanga, kāore he tohu mō ngā rā, ngā wiki rānei i muri i te whakaekenga o te ngakau . Mā tēnei pupuhi ka tukinga te ngakau me te pēke e karapoti ana i a ia, te pēke pericardial, ka puta te mamae o te uma i kōrerotia e mātou. I ētahi wā ka kī te pēke nei i te wai. Ka kiia tēnei he pericardial effusion . Ki te nui haere tēnei wai, ka taea te pēhi i te ngakau.
He aha tēnei e tupu nei? Kei te tahuri mai rānei tō tātou tinana ki a tātou?
Kāore anō kia tino mōhiotia te tino take o tēnei, engari ko te whakaaro matua he iti noa te hē o te mārama ki tō tātou pūnaha ārai mate e kī ai he rerekē tana kōrero.
Whakaarohia pēnei. Ko te mate manawa he kino ki te uaua manawa. Ina puta tēnei kino, ka whakaekea e tō tātou pūnaha ārai mate, e rite ana ki te "hōia" i roto i tō tātou tinana, taua whara.Ka tae mai ki te whakaora i tōna wāhi i mua. Engari i ētahi wā, i roto i tēnei tukanga, ka pōhēhē te pūnaha ārai mate, ka pohehe te uaua ngākau kua pakaru hei hoariri. Kātahi ka tīmata te whawhai ki a ia. Hei pānga taha o tēnei whawhai, ka pupuhi te pericardium harakore e karapoti ana i te ngākau.
Nā te mea he urupare ārai mate tēnei e puta ana i muri i te pakaru o te ngākau, ka tapaina pea e tō tākuta ko te Post-Cardiac Injury Syndrome (PCIS) . He ingoa whānui tēnei e whakamahia ana mō ētahi āhuatanga pēnei.
He aha ngā tohu o tēnei mate? Me pēhea te mōhio ki tēnei?
Ko ngā tohumate ka puta i roto i ngā wiki e rua ki te whā i muri i te whakaekenga o te ngākau. He rerekē paku ēnei i ngā tohumate o te whakaekenga ngākau. Me titiro tata atu tātou ki ngā tohumate matua.
| Tohu | Te āhua o tōna āhua |
|---|---|
| Mamae o te uma | Koinei te tohu matua. He mamae koi, pērā i te wero a te maripi . Ka piki ake tēnei mamae ina manawa hōhonu koe, ina horomia, ina maremare, ina takoto. He mea whakamiharo, ka heke te mamae ina piko whakamua koe, ina noho . He tohu tino motuhake tēnei. |
| Te uaua ki te manawa | Tērā pea ka uaua ki a koe te manawa, inā koa ka piko koe, ka takoto rānei. |
| Ngenge | Te ngenge me te ngenge rawa, kāore he take. |
| Kirika | He kare o te wera, engari ehara i te kirika nui. |
| Te mamae whānui | Te māuiui me te kore whakamarie. |
Ko te mea nui, kaua e warewarehia tetahi momo mamae o te uma i muri i te whakaeke ngakau. He mea whakaaro nui kia kōrero tonu atu koe ki tō tākuta.
Ka taea e tēnei te whakaputa i ngā raruraru kino?
He mate ka taea te rongoā i te mate a Dressler mēnā ka tere te rongoā. Heoi, i ētahi wā onge, ka puta he raruraru nui mēnā kāore e rongoātia. Koia te mea nui kia toro atu koe ki te tākuta ina pāngia koe e ngā tohu.
- Tamponade o te Ngākau: Koinei te raruraru tino morearea. Ka kī tonu te pēke huri noa i te ngākau (pericardium) i te wai, kāore e taea te papu tika. He āhuatanga ohorere hauora tēnei. Ko ngā tohu ko te tere o te ngakau me te toto toto iti.
- Te Pericarditis Whakapūmau: He āhuatanga tēnei e pupuhi ai, e matotoru ai, e pakari ai te pericardium i roto i te wā. Ka whakawhāitihia e tēnei te kaha o te ngākau ki te patu noa. Ka arahi pea tēnei ki ngā āhuatanga kino pēnei i te ngoikore o te ngākau.
He mea whakamataku pea ēnei mea ki te whakarongo. Engari kia maumahara, he tino onge , ā, ka taea te ārai katoa mā te rongoā wawe .
Me pēhea te mārama o ngā tākuta ki tēnei?
Tērā pea ka whakapae tō tākuta kei te pāngia koe e te mate manawa i muri i te rongonga i ō tohumate, inā koa mēnā kua pāngia koe e te mate manawa i ēnei wā tata nei. Tērā pea ka whakahaerehia e rātou ētahi whakamātautau hei whakaū i ō whakapae.
Ko te mea tuatahi ka mahia e te tākuta
Ko te mea tuatahi ka mahia e koe ko te whakanoho i te stethoscope ki tō uma, ka whakarongo pai. Kātahi ka rongo koe i ngā oro e rua tino motuhake.
1. Te Mirimiri Waku o te Ngākau: He oro e puta mai ana ina mirimiri te pericardium pupuhi ki te ngākau. He rite ki ngā wahi hiako maroke e rua e mirimiri ana tetahi ki tetahi.
2. Te Mirimiri i te Pleural: I ētahi wā ka pā anō hoki tēnei pupuhi ki te arai e karapoti ana i ngā pukahukahu (pleura). Ka puta he tangi ōrite i te wā e manawa ana.
Ngā whakamātautau e whai ake nei
Ka taea e ēnei whakamātautau te whakaū anō i te mate.
| Whakamātautau | He aha tāu e rapu ana i roto? |
|---|---|
| Ngā Whakamātautau Toto | Ka rapua e rātou te mumura i roto i te tinana, ina koa ka tirohia mēnā he nui ake te pūmua C-reactive (CRP) me te maha o ngā pūtau toto ma. |
| ECG (Electrocardiogram) | Mā tēnei whakamātautau, e titiro ana ki te ngohe hiko o te ngākau, ka taea te tautuhi i ngā huringa motuhake e pā ana ki te pupuhi o te pericardium. |
| X-ray o te uma | Mena he wai kei te taha o te ngākau, tera pea ka kitea te ngākau kua rahi i te hihi-X. |
| Te Echocardiogram (Echo) | He matawai tēnei o te ngākau. Ka taea e ia te tirotiro tika mēnā he wai kei te taha o te ngākau, te nui o te wai, me te mea kei te pā ki te ngākau. |
| MRI o te ngākau | Ki te kore e mārama te pikitia o ētahi atu whakamātautau, ka taea e tēnei matawai MRI te whakaatu mārama i te pupuhi o te ngākau me te pericardium. |
He aha te rongoā? Ka taea te whakaora i tēnei?
Āe, tino tika! He tino māmā, he tino whai hua hoki te rongoā mō te Mate a Dressler. I te nuinga o te wā, ka taea e te rongoā te whakahaere i te pupuhi me te whakakore i ngā tohu.
Ka tohua pea e tō tākuta he horopeta nui o te aspirin , engari ka taea hoki e te rongoā e kīia nei ko te colchicine te āwhina ki te whakaiti i te pupuhi me te ārai i te hokinga mai o te mate.
He mea tino nui te tango i ēnei rongoā e ai ki te tohutohu a tō tākuta mō ētahi wiki, mō ētahi marama pea . Kaua e mutu te tango i te rongoā i waenganui o te rongoā nā te mea kua memeha te mamae. Mā te mahi pēnei ka nui ake te tūponotanga ka hoki anō te mate.
Nā, me aha ahau?
Ina ora ake koe i tētahi mate nui pēnei i te mate manawa, he mea noa te mataku me te pouri ina puta anō tētahi mea pēnei. Engari ko te mea nui ko te mārama he āhuatanga ka taea te whakahaere i tēnei.
- Kia tika te whai i tā te tākuta e kī ai: Tangohia tō rongoā i te wā tika, kia rite ki te roanga katoa kua tohua.
- Kaua e mahue ngā wā tirotiro whai muri: Ahakoa kua pai ake tō āhua, kia mahara ki te hoki mai i te rā e kīia ana e tō tākuta. He mea tino nui tēnei kia kite ai koe i te pai o te mahi a te maimoatanga.
- Kia tūpato ki ngā tohumate: Ki te hoki mai anō ngā tohumate, ki te kino rānei, me whakamōhio tonu atu ki tō tākuta.
- Pātai atu: Mena he pātai āu mō tēnei mate, mō te rongoā rānei, pātai atu ki tō tākuta mō ētahi whakamārama.
He mate te mate a Dressler ka hoki anō mai ahakoa kua rongoatia, koia te mea nui kia haere tonu te tirotiro a te tākuta.
Karere Tangohia ki te Kāinga
- Ko te mate a Dressler he mate ka puta i muri i ētahi wiki i te whakaeke ngakau, engari he tino onge inaianei.
- Ko te take o tēnei he urupare mai i te pūnaha ārai mate o te tinana ake, ehara i te mate manawa anō.
- Ko te tohu matua ko te mamae nui o te uma e memeha haere ana ina piko whakamua koe.
- Ka taea te whakahaere angitu i tēnei āhuatanga, ā, ka taea hoki te whakaora katoa mā te rongoā.
- Ko te mea nui ko te whakamōhio tonu atu ki tō tākuta mō ngā mamae o te uma e pā ana i muri i te whakaeke ngakau. Mā te kore e mataku, me te kore e mahi tika, ka taea e koe te ārai i ngā raruraru.
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