He raruraru kei roto i ō uaua toto? Me ako tātou mō te ngoikore o te Endothelial.

Kua whakaarohia e koe te hiranga o ngā uaua toto i roto i ō tātou tinana? He rite ki ngā ara iti e kawe ana i ngā karere me ngā matūkai puta noa i ō tātou tinana. Nā, he aha te mea ka puta mēnā he ngoikore kei roto i te arai angiangi o roto i ēnei ara, e kiia nei ko te endothelium? Koinei te mea e kiia nei e tātou ko te "Endothelial Dysfunction". Me kōrero anō tātou mō tēnei, āe?

He aha te ngoikore o te Endothelial?

Ki te whakarapopoto, ko te ngoikore o te Endothelial te wā e kore ai e mahi tika te paparanga angiangi o ngā pūtau i roto i ō oko toto e kiia nei ko te endothelium . Ko ēnei pūtau endothelial te tikanga ka āwhina i te pupuri i ō oko toto kia tuwhera (kia whānui) ina hiahiatia. Engari ina puta tēnei ngoikoretanga, ka puta te ritenga kē. Arā, ka tīmata te whakawhāiti me te whaiti o ngā oko toto.

Whakaarohia he rite ki te paipa wai. Ki te kore e tika te arai o roto, ka uaua te rere o te wai, tika? Koia te āhua. Ko te take matua o tēnei āhuatanga ko te āhuatanga e kiia nei ko te "Vasospasm" e pā ana ki ngā uaua o te ngākau. I roto i tēnei, ahakoa kāore he mea e āraia ana i roto i ō uaua o te ngākau, ka whaiti noa ngā uaua. Waihoki, ka whakanui ake te "Endothelial Dysfunction" i te mōrearea o te "Atherosclerosis", arā, ko te whakatakotoranga o te ngako ki ngā pakitara o ngā uaua me te whaiti i ngā uaua.

Nā, he aha te mahi a tēnei endothelium?

Kei roto i ngā oko toto katoa o tō tātou tinana (arā, ngā uaua toto, ngā kapia toto iti) he paparanga kotahi o ngā pūtau e kiia nei ko ngā pūtau endothelial. I mōhio koe, ko tēnei endothelium tētahi o ngā pūnaha okana nui rawa atu o tō tātou tinana!

Ka whakaputahia e ngā pūtau endothelial ngā matū maha. Mā ēnei matū ka whakahaere te whakatuwheratanga me te katinga o ngā uaua toto (e kiia ana tēnei ko te "Tone o ngā Toto"). Mā tēnei "Tone o ngā Toto" ka whakatau i te pēhanga toto, me te kaha o te manawa ki te pupuhi toto.

Ehara i te mea koinā anake, engari he maha atu anō ngā mahi nui a tō endothelium:

• Ka whakahaere i ngā wai me ngā electrolytes i roto i ō toto.
• Ka āwhina i te toto kia totoka ina hiahiatia.
• Ārai i ngā paitini kei uru ki roto i ngā kiko.
• Whakahaere i te mumura i roto i ngā kiko.

Whakaarohia te nui o te mahi a tēnei paparanga iti o ngā pūtau i roto i tō tātou tinana!

He pēhea te noa o te ingoa o tēnei āhuatanga ko te ngoikore o te endothelial?

Mō te wā roa, i whakaaro ngā tohunga hauora he ārai noa iho te endothelium i roto i ngā oko toto. Engari i muri mai ka kitea he pūnaha okana nui anō hoki tēnei. Koinei te wā i taea ai te mōhio ki tēnei āhuatanga e kiia nei ko te "Endothelial Dysfunction" hei mate motuhake.

I kitea ēnei kitenga i te mutunga o te tekau tau atu i 1990, arā, kāore i roa te tautuhi i te mate. Nō reira, kāore anō kia taea e ngā tohunga te kī tika me pēhea te horapa i waenga i te tangata.

He aha i puta ai tēnei ngoikoretanga o te endothelial?

Ko te take matua mō tēnei āhuatanga he iti noa te hau e kiia nei ko te Nitric Oxide (NO) i roto i ngā pakitara o ō uaua toto. Ko te mea whakamiharo, ka hangaia tēnei nitric oxide e tō endothelium tonu! He "(Vasodilator)" tēnei nitric oxide, arā, ka whakatuwhera i ngā uaua toto, ka tuku i te toto kia rere noa.

Nā, he aha ka tupu ina heke te taumata o te waikura hauota?

• Ka whaiti ngā oko toto: Ka hua ake pea te toto toto tiketike.
• Ka puta te mumura i roto i ngā pakitara o te uaua: Ka taea e tēnei te arahi ki te atherosclerosis, te whakapakeketanga rānei o ngā uaua.
• Ka piki ake te hanga pereti toto: Ka taea e tēnei te whakapūpū i te toto.
• Ka pūngāwerewere ngā pakitara o ngā oko toto: Ka tūwhera ngā kiko ki ngā lipoproteins kino me ētahi atu paitini.

He aha ngā tohu o te ngoikore o te Endothelial?

Ko te tohu matua o te mate uaua coronary (te ngoikore o te endothelial) ko te angina , arā, te mamae o te uma. Ka puta tēnei mamae o te uma nā te mea kei te kati ō uaua i te wā e tika ana kia tuwhera. He maha ngā wā ka kino ake tēnei mamae o te uma i te wā e whakakorikori ana.

Ahakoa kāore he mahi a ētahi tāngata, ka pāngia pea rātou e te mamae tonu o te uma (`Angina`) ahakoa kāore rātou e mahi ana i tetahi mea. He tohu pea tēnei mō te mate manawa. Ki te puta tēnei, ko ngā tohu ko te mamae tonu o te uma, te ngenge nui, me te poto o te manawa. He āhuatanga ohorere hauora tēnei e hiahia ana kia rongoatia tonutia.

Ko wai te hunga tino mōrearea mō tēnei? (Ngā Take Mōrearea)

Tērā pea ētahi āhuatanga ka whakanui ake i tō tupono ki te whakawhanake i te ngoikore o te Endothelial. He nui ake tō tupono mena kei a koe ēnei āhuatanga e whai ake nei:

• Mate Huka (‘Diabetes Mellitus’)
• Te toto toto tiketike (hypertension)
• Te taumata huka toto tiketike (hyperglycemia)
• Teitei o te Cholesterol
• Te Mate Pūmua
• Te momi hikareti
• Momonatanga
• Ko ētahi mate pūnaha ārai mate

He aha atu ngā āhuatanga ka puta mai i te ngoikore o te Endothelial?

Ka whakanui ake tēnei āhuatanga (Endothelial Dysfunction) i te mōrearea o ngā mate pūnaha toto (Cardiovascular Diseases) me ētahi atu mate. Hei tauira:

• Te Atherosclerosis me te Mate Puku o te Arorangi
• Ngā Pukupuku Toto me ngā Whiu
• Ngākau nui (Hypertrophic Cardiomyopathy)
• Ngā whakaekenga ngākau me te ngoikore o te ngākau
• Te toto toto tiketike (hypertension)
• Te ngoikore o te whatukuhu
• Te Mate o te Uaua o te Takiwā (PAD)
• Te toto toto tiketike o te pūkahukahu (PH)
• Mate o ngā oko iti (mate toto iti o te koroni)

He aha ngā raruraru o tēnei āhuatanga?

Ka taea e te ngoikore o te Endothelial te arahi ki tētahi āhuatanga e kiia nei ko te Acute Coronary Syndrome . He huinga tēnei o ngā momo mate uaua coronary e toru. Ka piki ake te mōrearea o te putunga ngako (plaque) i roto i te uaua toto e pakaru ana. Ka taea e tēnei putunga pakaru te aukati i te rere o te toto ki te uaua o te ngākau, ā, ka puta he whakaeke ngākau.

Me pēhea te tautuhi i tēnei mate? (Tautuhinga)

Ka whakamahia e ngā tākuta ngā momo whakamātautau whakaahua hei tirotiro tika i te rere o te toto i roto i ngā oko toto. Ka taea e ēnei whakamātautau te āwhina i te tākuta kia kite mēnā he tohu o te ngoikore o te endothelial. Kei roto i ēnei whakamātautau:

• Te hiko o te manawa (`Electrocardiogram - EKG`)
• Angiogram, tae atu ki te Angiogram Tomography Rorohiko Koronari (CCTA).

Waihoki, ka taea te whakamahi i ētahi whakamātautau "Whakaahua Taumahatanga" hei tirotiro mēnā kua heke te rere o te toto i roto i ō uaua toto, ā, ka kaha ake pea te mahi a tō ngākau. Hei tauira:

• Te Echocardiogram (`Echocardiogram - echo`)
• MRI (MRI)
• Tomography Tukunga Positron (matawai PET)

Me pēhea te rongoā i tēnei? (Te rongoā)

Mena kei a koe te mate pūkahukahu, te mate pūkahukahu ā-roto rānei (COPD) nā te ngoikore o te endothelial, ka tohua pea e tō tākuta ētahi rongoā. Hei tauira:

• He āpipirini, he rongoā whakangawari toto rānei.
• Ngā rongoā e whakahaere ana i te toto toto tiketike, pērā i ngā aukati hongere konupūmā.
• Ngā rongoā whakaheke cholesterol pērā i ngā statin.
• Ngā rongoā e whakatuwhera ana i ngā oko toto, pērā i te nitrates.

Waihoki, ki te mea he ngoikore tō Endothelial, ka taea e koe te whakaiti i ō tohu mā te whakarerekē i te kai me te momo noho . Kei roto i ēnei ko:

• Te kai i ngā kai hauora mō te ngākau , me te whakakori tinana i ngā wā katoa.
• Te whakawhāiti i te inu waipiro.
• Whakaitihia te taumaha (mēnā e tika ana) me te pupuri i te taumaha hauora.
• Te kimi i ngā huarahi hauora hei whakahaere i te ahotea .
• Rapua he āwhina hei whakamutu i te kai paipa me te karo i te auahi tuarua.
• He pai te whakahaere i ngā āhuatanga pēnei i te toto toto tiketike, te mate huka, me te cholesterol tiketike.

He aha te tirohanga mō te hunga e pāngia ana e te ngoikore o te Endothelial?

Ka taea te rongoā i te ngoikore o te Endothelial mā te whakarerekē i te momo noho me te tango rongoā.He mate tino ngāwari ki te rongoā. Heoi, ko ētahi tāngata e pāngia ana e te mate uaua ngakau kore-ārai (NOCAD) ka pā tonu pea ki te mamae o te uma ahakoa te maimoatanga.

Ka taea e tēnei momo mamae uma mau tonu te whakararuraru i ngā mahi o ia rā. Ka taea hoki e ia te arahi ki ngā āhuatanga pēnei i te manukanuka me te pouri. Ka taea e te hinengaro whakaora, te rongoā, me ngā tikanga whakahaere ahotea te āwhina.

Āhea ahau me toro atu ki te tākuta?

Ki te pāngia koe e ēnei tohu e whai ake nei, me toro atu ki te tākuta tonu:

• Mamae o te uma
• Te uaua ki te manawa
• Ngā tohu o te mate manawa (hei tauira, te mamae nui o te uma, te mamae e horapa ana ki te ringa maui, te mamae o te kauae, te werawera, te whakapairuaki)
• Te ngenge nui rawa atu mō te kore take

He aha taku e pātai atu ai ki taku tākuta?

Ka taea e koe te pātai atu ki tō tākuta i ēnei pātai:

• He aha ahau i pāngia ai e tēnei āhuatanga (Endothelial Dysfunction)?
• Me rongoā ahau?
• He aha ngā huringa āhua noho me ngā huringa kai me mahi e au?
• Kei te tūpono ahau ki te pāngia e te mate manawa? Me pēhea taku whakaiti i taua tūponotanga?
• Me mōhio ahau ki ngā tohu o ngā raruraru?

Karere Tangohia ki te Kāinga

Ko te ngoikore o te Endothelial he momo mate pūkahukahu. Ina kore e nui te hauota hauota i roto i ngā pakitara o ō oko toto, ka whaiti ngā oko toto. Ka whakaitihia te rere o te toto ki te ngākau e tēnei whaiti. Ka puta te angina, te mamae o te uma rānei, ā, ka piki ake te mōrearea o te mate ngākau.

Ko te mea pai rawa atu, ki te kitea wawetia e koe, ā, ka whiwhi koe i te maimoatanga tika, me te huri i tō momo noho, he nui te tūponotanga ka tiakina koe i ngā mate ngakau kino. Nō reira, kaua e warewarehia ngā tohumate. Ki te ruarua koe, he mea whakaaro nui kia rapu tohutohu hauora.

Te ngoikore o te endothelial, te mate o te ngākau, ngā oko toto, te angina, te hauota hauota, te pēhanga toto, te cholesterol