Kua noho koe i roto i te rārangi, i raro rānei i te rā, ā, ka puru ō kanohi, ka pā ō taringa, ā, kāore koe e kite i tetahi mea i tō taha? Tērā pea kua hinga koe. E kiia ana tēnei e mātou ko te 'ngoikore'. I roto i te rongoā, e kiia ana tēnei āhuatanga ko te syncope. Ahakoa e pā ana ki te tini o te tangata, he mea nui kia mōhio koe he aha tēnei e pā ana, mēnā he mea hei āwangawanga, ā, āhea koe me toro atu ki te tākuta.
He aha te ngoikore?
Ko te ngoikore, ko te "Syncope" rānei, he ngaronga ohorere o te māramatanga, he ngaronga hoki o te mana whakahaere o te tinana nā te hekenga o te rere o te toto ki te roro mō te wā poto. I mua i tēnei, ka pōuri pea koe, ka pōuri rānei te mahunga. Ka kiia tēnei ko te "Presyncope".
He mea tino noa tēnei. E 3% noa iho o ngā tūroro e haere mai ana ki te tari whawhati tata (ED) ka whakaurua ki te hōhipera mō tēnei take. I ētahi wā ka pā tēnei ki tētahi tangata hauora kāore he mate hauora. Heoi, ki te hemo te kaumātua, he nui ake te tūponotanga ka whara kino rātou i te hinganga. Ko te mea pai rawa atu ko te nuinga o te wā, ka hoki anō te māramatanga o te tangata hemo i roto i ētahi meneti.
Ngā take matua me ngā momo o te hemonga
He maha ngā take e hemo ai. Ko ētahi he tino māmā noa iho, engari ko ētahi he nui ake te kino, ā, me aro atu. Me titiro tātou ki ngā momo matua e rua.
1. Te Matepukupuku Vasovagal
Koinei te momo tino noa . Neke atu i te haurua o te hunga hemo katoa e pāngia ana e tēnei momo. He mea noa iho tēnei i roto i ngā tamariki me ngā taiohi. Ka puta mai i tētahi urupare ohorere i roto i tō tātou pūnaha io.
Whakaarohia pēnei. I haere koe ki te koha toto, ā, ina kite koe i te ngira, ina pāngia rānei koe e te mamae nui, ina pāngia rānei koe e te ohorere kare ā-roto nui, ka whakaroahia te tere o te manawa o tō tātou pūnaha io, ka whakahekehia te toto toto. Kātahi ka kore e ranea te nui o te toto e haere ana ki te roro, ā, ka hemo koe. Ka kiia tēnei ko te 'Vasovagal Syncope', ko te 'Neurally Mediated Syncope' rānei.
2. Te Mate Puku o te Ngākau
Koinei te momo e tino āwangawanga ai tātou . Ka puta tēnei ina kore e taea e te ngākau te pupuhi i te toto ki te roro nā te mea he raruraru.
- Te pā o te ngakau kāore i te ōrite (te tere o te ngakau, te puhoi rānei)
- Ngā hapa hanganga o te ngākau, pērā i te whaiti o ngā takirere ngākau
- Te Pukupuku Pūkahukahu
Ka puta pea tēnei momo hemonga mō ngā take penei: He mate kino tēnei i te nuinga o te wā, nō reira he mea nui kia rapu tohutohu hauora tonu atu.
He aha ngā tohu e tukuna ana e tō tinana i mua i tō haputanga?
I mua i tō ngaronga ohorere o te mārama, ka tukuna mai e tō tinana ētahi 'tohu' iti. Ki te mōhio koe ki ēnei, ka taea pea e koe te noho haumaru, te takoto rānei, kia kore ai koe e hinga.
Ki te mea kei te tata koe te hemo, noho wawe tonu, noho ki runga i tētahi tūru me tōu māhunga i waenganui i ōu turi, takoto rānei ki runga i te papa me ōu waewae kia ara ake.
Anei ētahi āhuatanga noa:
- Te werawera me te mea he makariri
- Te māhunga mārō, te pororaru, me te kanohi kikorangi
- Te uaua ki te manawa
- Ngā huringa tirohanga (te pōuriuri haere o ngā kanohi, te kite i ngā ira)
- Whakapairuaki me te ruaki
- Te mā o te mata
- He kiri mākūkū, he mātao hoki
- Te ngoikore o ngā peka
- Te āhua māharahara, te mataku
| Ētahi atu take noa o te hemonga | He whakamārama māmā |
|---|---|
| Tū ake ohorere | Ka kiia tēnei ko te "Orthostatic Hypotension". Ka puta mai tēnei ina kore e tika te whakahaere i te toto toto i te wā e huri ohorere ana te tūnga. He mea noa tēnei i roto i te hunga kaumātua me te hunga e tango ana i ētahi rongoā. |
| Te matewai me te hiakai | Ina matewai te tinana, ā, ka heke te taumata o te huka toto (hypoglycemia), ka heke te rere o te toto ki te roro, ka hemo te ngākau. |
| Te mate toto iti | Nā te kore o te toto i roto i te tinana, ka heke te kaha o te toto ki te kawe i te hāora. Ka taea hoki e tēnei te kore e whiwhi te roro i te hāora e tika ana, ka hemo te roro. |
| Ētahi rongoā | Ka taea e ētahi rongoā mō te toto toto tiketike, te pouri, me te mate haurangi te whakanui ake i te mōrearea o te hemo. |
| Te haputanga | He mea noa te hemo i te wā e hapu ana nā ngā huringa homoni me ngā panoni o te toto toto. |
He rerekē te 'pōuriuri' me te 'ngaromanga'?
Ae, he mea tēnei e pōhēhē ana te tini tāngata. He rerekē rawa ngā āhuatanga e rua.
- Te ngoikore: E pā ana tēnei ki te ngaronga o te māramatanga . Kāore koe e mōhio ki ngā mea e tupu ana i tō taha, ā, ka hinga koe ki te whenua.
- Pōuriuri: He ngaronga mahara tēnei. Kei te mārama koe i tēnei wā. Kei te kōrero koe, kei te mahi, kei te hikoi hoki. Engari ki te titiro whakamuri koe i muri mai, kāore koe e mahara ki tetahi mea i tupu i taua wā.
Ko te tino take o te korenga o te mahara ko te nui o te inu waipiro. Waihoki, ka taea e ngā whara o te upoko (ngā whati upoko) me te mate haurangi (epilepsy) te hua o tēnei momo ngaronga mahara.
Āhea koe me toro atu ki te tākuta tonu?
I te nuinga o te wā, ehara i te mea nui te hemo kotahi, e rua rānei ngā wā. Heoi, ki te hemo tonu koe i ngā wā katoa , he tohu pea tēnei nō tētahi mate hauora kei raro iho. Nō reira, he mea nui kia kite koe i tō tākuta kia kitea ai te take.
He mea nui kia rapu tohutohu hauora tonu, ina koa i roto i ngā āhuatanga e whai ake nei:
| Ngā āhuatanga me haere koe ki te hōhipera (ETU) tonu! | |
|---|---|
| Te ngoikore i te wā e whakakorikori ana: | Ehara tēnei i te mea noa, ā, he tohu pea tēnei nō te mate o te ngākau. |
| Te mamae o te uma, te tere rānei o te manawa: | Mena ka pāngia koe e te mamae o te uma, te kikī, te tere rānei o te manawa i mua, i te wā e hemo ana, i muri rānei i te hemonga. |
| He roa te wā e hoki mai ai te māramatanga: | Mena ka ngaro tō mohio mō ngā meneti maha. |
| Ētahi atu tohu: | Mena he nui te mamae o te upoko, he pōuri te tirohanga, he uaua ki te kōrero, he pōhēhē rānei ahakoa kua hoki mai te māramatanga. |
| Te whara o te upoko i te hinganga: | Mena i hemo koe, i hinga, ā, i pā kino tō mahunga ki a koe, me rapu koe i tētahi tirotiro hauora. |
He mea nui: Ki te hiahia koe ki te kōrero mō tētahi raruraru i puta mai i te waipiro, i tētahi atu tarukino rānei, ka taea e koe te waea atu ki te National Poisons Information Centre i te National Hospital of Sri Lanka. Ka taea hoki e koe te tiki āwhina mai i ngā ratonga pēnei i te National Institute of Mental Health (NIMH) hotline 1926 mō ngā raruraru i puta mai i te whakamahinga waipiro me te tautoko hauora hinengaro.
Karere Tangohia ki te Kāinga
- Ko te syncope he ngaronga o te māramatanga mō te wā poto i puta mai i te hekenga o te rere o te toto ki te roro.
- Ko te nuinga o ngā wā hemo (ina koa ko te momo 'vasovagal') ehara i te mea kino, engari ko ētahi he tohu pea nō tētahi mate kino ake, pērā i te mate manawa.
- Kia ngoikore koe, takoto ki runga i te papa me ō waewae kia paku teitei ake. Tērā atu rānei, noho ki raro, ka tuku i tō māhunga ki waenganui i ō turi.
- Mena ka puta pinepine te hemo, ka puta i te wā e whakakorikori tinana ana, ka haere tahi rānei me ngā tohu pēnei i te mamae o te uma me te poto o te manawa, me toro atu ki tō tākuta.
- Kaua rawa e whakahawea ki te hemo o te ngākau, inā koa mō te hunga kaumātua, nā te mea ka pā kino pea ngā whara ina hinga.
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