He tino mīharo tō tātou ngākau, he papu e kore e mutu, kāore? Mai i te rā i whānau ai tātou tae noa ki te rā e mate ai tātou, ka pupuhi toto tēnei okana iti puta noa i tō tātou tinana, kāore he hapa. Engari i mōhio koe kia pai ai te mahi a tēnei papu, he pūnaha hiko tōna ake? Ae, pērā i te pūnaha 'waea' i roto i ō tātou kāinga. Ko ngā tohu iti e puta mai ana i tēnei pūnaha hiko ko ngā mea e kī ana ki te ngākau kia "pāpā inaianei." Ka puta katoa ēnei i roto i te manawataki tino tika, ā, he auau. Heoi, i ētahi wā, ka puta he hapa iti i roto i tēnei pūnaha hiko. Koinei te wā ka tīmata te pekepeke o te ngākau i konei, i reira, ka tere ake, ka pōturi rānei. I ngā wā pēnei, me āwhina tātou e tētahi he tohunga mātauranga motuhake ki tēnei pūnaha hiko, kaua ki tētahi tākuta noa. Koinei te mea e kiia nei e tātou he Kairangahau Hiko .
Ki te kī ngāwari, ko wai tēnei Kaimātai Hiko?
Whakaarohia he raruraru nui kei roto i tō whare, kei te tahuri, kei te mate ngā rama, ā, he poto ngā ara iahiko i ētahi wāhi. I taua wā, kāore koe e kōrero ana ki tētahi tohunga hiko noa, engari ki tētahi tohunga hiko mohio e mōhio pai ana ki tēnei. Koia te āhua. He tohunga te tohunga hiko-tinana ki te pūnaha hiko o te ngākau.
He tākuta ngakau rātou, engari ko tō rātou tohungatanga kei roto i te pūnaha hiko e whakahaere ana i te manawataki o te ngakau. Ko tēnei pūnaha hiko te mea e patupatu ana i tō tātou ngakau, e whakahaere ana i tōna tere, e pupuri ana hoki i tōna patupatu kia rite tonu. Mena he raruraru kei roto i tēnei, kei reira tētahi Tākuta Hiko hei kimi i te wāhi tika, he aha te raruraru, me te rongoā.
Ka karangahia hoki e mātou ngā tohunga hiko-tinana o ngā tamariki e rongoā ana i ngā raruraru manawa o te ngakau o ngā tamariki nohinohi me ngā taiohi.
He aha te rerekētanga i waenga i te Kaimātai Matepukupuku me te Kaimātai Hiko?
He wāhi tēnei e pōhēhē ai te tini o te tangata. Nō reira, kia mārama noa tātou ki tēnei.
- He tākuta te tākuta ngakau e tohunga ana ki ngā mate katoa e pā ana ki te ngakau. Hei tauira, he maha ngā āhuatanga e rongoatia ana e ia, pērā i te toto toto tiketike, ngā whakaeke ngakau, ngā raruraru takirere ngakau, me te ngoikore o te ngakau. He rite ia ki te 'Taote Whānui' o te ngakau.
- He tohunga ngakau te tohunga hiko-tinana , engari kotahi anake te wāhanga o te ngākau e whakangungua ana e ia, arā, ko te pūnaha hiko me te manawataki o te ngākau .
He māmā noa iho, he Kaimātai Manawa ia Kaimātai Manawa. Engari ehara i te mea he Kaimātai Manawa ia Kaimātai Manawa. Me te mea ehara i te hunga katoa e mōhio ana ki te motuka he tohunga ki te pouaka miihini.
Mena he pāhekeheke te manawa o te ngakau (arrhythmia), ka tukuna pea koe e tō tākuta ngakau ki tētahi tohunga hiko.
He aha ngā āhuatanga e rongoatia ana e te tohunga hiko?
Ka rongoatia e ēnei tohunga te whānuitanga o ngā āhuatanga e puta mai ana i ngā hapa o te pūnaha hiko o te ngākau. Ahakoa kāore ētahi o ēnei i te kino, ko ētahi ka mate pea. Nō reira, he mea nui te tohungatanga o tētahi Kaimātai Hikohiko hei wehewehe i waenga i ēnei me te whakarato i te maimoatanga tika.
Kei te ripanga i raro nei ētahi o ngā mate hauora matua me ō rātou whakamārama māmā.
| Ingoa Āhuatanga | He whakamārama māmā |
|---|---|
| Te Whakapūngao Atrial (AFib) | He tere rawa te pā o ngā rūma o runga o te ngākau (atria), ā, he koretake te pā, me te mea kei te wiri. Ka taea e tēnei te arahi ki ngā mate pēnei i te whiu. |
| Te Rerenga o te Atrium | He rite ki te AFib, engari i konei ka tere ake te pā o ngā rūma o runga o te ngākau, engari he auau ake. |
| Te Tachycardia o te Supraventricular (SVT) | He tere rawa te pā o te ngakau e tīmata ana i te pito whakarunga o te ngākau, ka puta whakarere mai, kātahi ka mutu tere tonu. |
| Te Tachycardia Ventricular (VT) | He tere rawa te pā o te ngakau, ā, he morearea pea, e tīmata ana i ngā rūma o raro (ventricles) o te ngākau. |
| Te Whakapūpūtanga o te Ventricular (VFib) | He āhuatanga tino morearea ki te ora, e wiri ana ngā rūma o raro o te ngākau me te kore e taea te whakahaere, ka puta ai te aukati ohorere o te ngākau. |
| Poraka Manawa | He aukati, he whakaroa rānei i ngā tohu hiko o te ngākau i a rātou e haere ana mai i ngā rūma o runga ki ngā rūma o raro. Ka taea e tēnei te whakaroa i te pā o te ngākau. |
| Te Mate Sinus Mate | Te ngoikore o te mahi a te pona sinus, te kaiwhakaoho manawa tūturu o te ngākau. Ka taea e tēnei te tere ake, te puhoi rānei te pā o te ngākau. |
He aha koe i tukuna ai ki tētahi Kaimātai Hiko?
I te nuinga o te wā, ka tukuna koe e tō tākuta whānau, e tō tākuta ngakau rānei, ki tētahi tākuta hiko. He maha ngā take mō tēnei.
- Ki te kite koe he tere ake te tere o tō manawa i te mea noa (Tachycardia) he puhoi ake rānei i te mea noa (Bradycardia) .
- Mena ka whakaatuhia e te whakamātautau ECG he koretake te tere o te ngakau o tōu .
- Mena he maha ngā wā ka hemo koe, ka kore rānei e taea te oho , tirohia mēnā he raruraru kei te pūnaha hiko o te ngākau te take.
- Mena he hītori o te mate ohorere o te ngākau tō tētahi o tō whānau, tirohia mēnā kei roto koe i te mōrearea.
Whakaarohia, ina haere koe ki te kite i tō tākuta, ka titiro ia ki te ECG ka mea, "He iti nei te rerekētanga o te manawataki o tō manawa, me titiro atu tāua ki tēnei, ka whakaatu atu ki tētahi tohunga e mōhio ana ki tēnei." Koinā te wā ka tukuna koe ki tētahi Kaimātai Hiko.
He aha ngā whakamātautau e mahia ana e ēnei tākuta?
Hei kimi i te hē o te pūnaha hiko o te ngākau, ka whakamahia e te tohunga hiko-tinana he maha ngā momo whakamātautau. He maha o ēnei he whakamātautau māmā noa iho, kāore e pokanoa.
| Ingoa Whakamātautau | He aha tāu e mahi ai ki tēnei? |
|---|---|
| Te hiko o te manawa (EKG/ECG) | Koinei te whakamātautau tino taketake. Ka tāpirihia ngā pūoko, pērā i ngā whakapiripiri, ki tō uma, ki ō ringaringa me ō waewae, ā, ka tuhia te mahi hiko o tō ngākau i taua wā tonu. |
| Aroturuki Holter | He mīhini iti tēnei. Ka tonoa koe kia mau mō te 24, 48 rānei hāora. Ka hopukina tonutia e ia te manawa o tō manawa i a koe e mahi ana i ō mahi o ia rā. |
| Aroturuki Takahanga | He rite ki te aroturuki Holter, engari ka taea te mau mō ngā rā, mō ngā wiki rānei. Ina rongo koe i ngā tohu, ka taea e koe te pēhi i te pātene ka tuhi i tō tere manawa i taua wā. |
| Te Echocardiogram (Echo) | He rite tēnei ki te matawai ultrasound o te ngākau. Ka taea te tirotiro i te hanganga o te ngākau, ngā takirere, me te mahi a te ngākau. |
| Whakamātautau Ripanga Honga | He whakamātautau mō te hunga e hemo pinepine ana. Ka whakatakotoria koe ki runga i te moenga, ā, ka aroturukitia tō toto toto me tō tere o te manawa i a koe e tahuri pōturi ana te moenga ki runga. |
| Rangahau Hikohiko (Rangahau EP) | Koinei te whakamātautau hōhonu rawa atu. Ka tukuna ngā waea tino angiangi (ngā catheter) mā roto i te uaua i te waewae, i te ringa rānei ki roto i te ngākau, ka hangaia he mapi o te pūnaha hiko o te ngākau hei tohu i te wāhi tika o te raruraru. |
He aha ngā tohu e tika ana kia tirohia e au tētahi tohunga hiko?
Mena kei a koe tētahi, ētahi rānei o ngā tohu e whai ake nei, he mea nui kia kōrero koe ki tō tākuta mō ēnei. Māna koe e tuku ki tētahi tohunga hiko mēnā e tika ana.
- Ngā Whakateretere o te Ngākau:Ko ngā pātītītanga o te manawa te mea e kīia nei e tātou ko te kare o te manawa e pā ana. Ka rite ki te tere o te manawa i roto i te uma, me te mea ka tere ake te pā, ka mutu, me te mea rānei ka pekepeke te pā.
- Te poto o te manawa: Te ahua nei he uaua ki te manawa ahakoa he iti noa ngā mahi.
- Te mamae, te kore whakamarie rānei o te uma: He kare ā-roto e kikī ana, e kōpiri ana rānei i te uma.
- Te whanoke, te ngoikore rānei: Ka rerekē pea tēnei āhuatanga mai i te māuiui o te mahunga ina tū ohorere koe ki te ngaro o te māramatanga.
- Ngenge: Te tino ngenge i ngā wā katoa, kāore he take e kitea ana.
Nā te mea he rite tonu ēnei tohu, he mea nui te tohungatanga o tētahi tohunga hiko-tinana kia mōhiotia ai te take o te raruraru.
Me pēhea te rongoā i ngā raruraru manawataki o te ngākau?
Ko te mea pai rawa atu, he tino whai hua ngā maimoatanga o ēnei rā mō te nuinga o ngā raruraru manawataki o te ngākau. Kia tika te tātaritanga a te tohunga hiko i tō mate, ka tūtohu rātou i te maimoatanga tino tika māu.
| Tikanga Maimoatanga | He aha te mea ka tupu ki tēnei? |
|---|---|
| Rongoā | Ngā pire hei whakahaere i te tere o te manawa, hei whakaroa, hei ārai rānei i te pupuhi o te toto. |
| Te Whakakorenga o te Catheter | I kitea i roto i te rangahau a te EP, ko te wāhi o te ngākau e tuku ana i ngā tohu hiko hē ka hangaia mā te whakamahi i te pūngao pēnei i te auau reo irirangi hei hanga i tētahi koha iti. Kātahi ka mutu te puta mai o ngā tohu hē. He maimoatanga tēnei e neke atu i te 90% te angitu. |
| Kaiwhakatere tere | He taputapu hiko iti e āwhina ana i te hunga he puhoi rawa te manawa kia mau tonu te tere o te manawa. Ka whakatōkia ki raro i te kiri mā te pokanga. |
| Pūwhakaiti i te Fibrillator Cardioverter Whakatō (ICD) | He rite tēnei ki tētahi taputapu whakatere manawa, engari ko te mea motuhake mō tēnei, ka taea e ia te kite i tētahi pacemaker tere rawa (pēnei i te VT, i te VFib rānei) ka mōrearea pea te ora, ā, ka tukuna he ru hiko ki te manawa kia hoki anō ki te āhua noa. |
| Te Putanga o te Ngākau | Mēnā he āhuatanga ohorere, ka tukuna he ru hiko mā te whakatakoto i ngā 'hoe' ki waho o te uma hei whakahoki wawe mai i te tere o te ngakau, te koretake hoki. |
Ki te hiahia koe ki te toro atu ki tētahi Kairangahau Hiko, kaua e mataku. He tohunga tino whakangungua rātou i tēnei mara, ā, e whakapau kaha ana ki te whakapai ake i tō kounga o te oranga. Kōrero ki a rātou mō ngā pātai, ngā āwangawanga rānei kei a koe. Kia mārama ki tō āhua me tō maimoatanga.
Karere Tangohia ki te Kāinga
- He tohunga ngakau te tohunga hiko-tinana e tohunga ana ki te pūnaha hiko o te manawa me te manawataki o te ngakau.
- Mena kei a koe ngā tohu pēnei i te tere, te puhoi, te koretake o te ngakau, te hemo pinepine rānei, he tohu pea tēnei nō te hapa o te pūnaha hiko o te ngakau.
- Kaua e warewarehia ēnei tohu. Me kōrero koe ki tō tākuta mō tēnei.
- I ēnei rā, he tino whai hua ngā maimoatanga mō ngā pāheketanga o te ngakau (arrhythmias), mai i ngā rongoā ki te ablation me ngā pacemakers.
- Kaua e wehi ki te toro atu ki tētahi tohunga hiko. Kei reira rātou hei āwhina i a koe. Whakarongo ki ō pātai, kia mārama hoki koe ki ngā mea katoa.
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