Whakaarohia kei roto koe i tētahi huihuinga ata i te kura, kei roto rānei koe i tētahi pahi kī tonu i te tangata. Kātahi ka kikorangi ō kanohi, ka āhua puru ō taringa, ka pōuri ngā mea katoa e karapoti ana i a koe, ā, ka ngaro tō mohio. Ina ara ake koe i muri tata mai, kei te taha tonu koe e te iwi, e titiro mai ana ki a koe. Kua pā tēnei ki a koe? Kua kite rānei koe i tētahi e mahi ana i tēnei? I roto i te rongoā, ko tēnei ngaronga ohorere o te mohio me te hinganga ka kiia ko te syncope . I roto i te reo o ia rā, ka kiia ko te hemonga .
Hei whakarāpopototanga, he aha tēnei hemonga?
Ehara tēnei i te mea hei wehi. Ki te whakarāpopototanga, ka puta te ngoikore ina heke te rere o te toto e kawe ana i te hāora me ngā matūkai ki tō tātou roro mō te wā poto, arā, mō te wā poto rawa. He rite ki te rama e mate ana ina heke whakarere te hiko i roto i tō tātou whare.
Ina ngaro tō māramatanga i tēnei ara, ka hoki anō tō māramatanga i roto i ētahi hēkona, meneti rānei. Heoi, i muri i te hokinga mai o tō māramatanga, tera pea ka pōhēhē koe, ka ngenge hoki mō tētahi wā. Tērā pea ka ora katoa koe i roto i ētahi haora.
Ko te mea nui, he tino rerekē tēnei hemo noa i te ngaronga o te māramatanga e puta ana i te wā o te mate hopuhopu, nō reira kaua e whakapoauau i ngā mea e rua.
He tino noa te hemo. Ahakoa he mea tino noa i waenga i te hunga neke atu i te 70 tau te pakeke, ka taea e ia te pā ki te hunga o ngā tau katoa, tae atu ki te hunga kāore he mate hauora. Heoi, i ētahi wā he tohu pea tēnei mō tētahi mate hauora nui, nō reira he mea nui kia āwangawanga mēnā ka hemo koe i ngā wā maha, mēnā rānei ka puta mai me ētahi atu tohu.
He aha ngā tohu ka pā ki a koe i mua i te hemonga?
He maha ngā wā, ka tukuna mai e ō tātou tinana he tohu iti i mua i te tīmatanga o te hemonga. Ki te aro koe ki ēnei tohu i te wā tonu ka tīmata koe ki te rongo, ka taea e koe te karo i te hinga me te whara i a koe anō.
| Tohu | He whakamārama ngāwari noa iho |
|---|---|
| Mārama/Pouri | Te āhua nei kei te hurihuri haere ngā mea i a koe, ā, kāore he kau i roto i tōu mahunga. |
| Te pango o ngā kanohi | He pōuri ohorere kei mua i ngā kanohi. Tērā pea ka kite ētahi i ngā ira. |
| Te tirohanga o te kauhanga | E rite ana ki te titiro tika whakamua koe i roto i tētahi kōhao whaiti, kāore e taea e koe te kite i tō taha. |
| Whakapairuaki me te werawera | Ka tīmata te puta o te werawera makariri me te whakapairuaki. |
| Tinana kore ora | Te āhua nei kua ngoikore ō waewae, ā, kāore e taea e koe te tū. |
| Te ngaronga o te rongo | Ka heke haere te kaha ki te whakarongo ki ngā oro e karapoti ana i a koe, ā, ka heke haere hoki te āhua o te ārai i ō taringa. |
He aha tātou ka pōuri ai? He aha ngā tino take?
Kāore he take kotahi o te hemonga, engari he maha. Ko ētahi he tino māmā noa iho, kāore he kino. Engari ko ētahi ka puta mai i ngā mate hauora kino. Me titiro tātou ki ngā momo matua.
1. Te Mate Urutā Whakamuri - Ko te momo tino noa
Koinei te momo hemonga tino noa. Ko te mea e tupu ana i konei ko te kaha rawa o te urupare a tō tātou pūnaha io ki ētahi mea. Nā taua urupare, ka heke ohorere te tere o te manawa me te toto toto, ā, ka heke te nui o te toto e haere ana ki te roro.
- Ngā take pea:
- Te tū i te tūranga kotahi mō te wā roa (hei tauira, i te huihuinga kura).
- Te mataku nui, te ohorere, te mamae rānei (hei tauira, ina kite i te toto, te mataku rānei i te werohanga).
- Te maremare nui, te tihe, me te kata.
- Mō ētahi tāngata, tera pea nā te totoro o te tinana i te wā e tūtae ana, e mimi ana rānei.
- He tino wera, ā, kāore he hau.
2. Te Whakakorenga Tūroa, te Whakakorenga Orthostatic rānei
Kua pōuri koe i te wā e tū ohorere ana koe i te tūru, i te moenga rānei? He tohu pea tēnei nō te hemonga o te toto. Ka kiia tēnei ko te postural hypotension . He hekenga ohorere tēnei o te toto toto ina huri tō tūnga.
- Ngā take pea:
- Te iti o te wai o te tinana (te matewai).
- Ko ētahi rongoā toto toto tiketike.
- Ngā mate pēnei i te Mate Huka Mellitus.
- Ngā huringa o te tinana me te koroheketanga.
3. Te ngoikore nā te mate manawa (Cardiac Syncope)
Koinei te momo mate e tika ana kia aro nui tātou ki ai, ā, ko te mea tino morearea hoki. Ko te mea e tupu ana i konei, kāore e taea e te ngākau te pupuhi i te toto ki te roro nā tētahi raruraru.
- Ngā take pea:
- Ngā mate manawataki o te ngakau, arā, he pikinga, he hekenga rānei o te tere o te patunga o te ngakau (Arrhythmia) .
- Te mate takirere ngākau .
- Ngā ngoikore o te uaua o te ngākau.
- Te whakaekenga ngākau .
- Te toto totoka .
Ki te pāngia koe e te hemonga i a koe e whakakorikori tinana ana, e oma ana, e piki arawhata ana rānei, ki te pāngia rānei tētahi o tō whānau e te mate manawa, me whakamōhio atu koe ki te tākuta. Tērā pea he āhuatanga ohorere tēnei.
4. Te ngoikore i puta mai i ngā raruraru o te pūnaha io (Neurologic Syncope)
He āhuatanga onge tēnei. Ka puta pea ina mutu te rere o te toto ki te roro nā te raruraru o te roro, o te pūnaha io rānei. Hei tauira, ka puta pea tēnei āhuatanga i te whiu, i te whakaekenga ischemic poto rānei (TIA) .
Me pēhea te kimi a te tākuta i te pūtake o tēnei?
Ina haere koe ki te tākuta nā te mea kei te hemo koe, ka pātai atu ia ki a koe i ngā pātai maha. He aha ō kare ā-roto i mua i tō hemonga? I aha koe? E hia ngā wā i te rā ka pā mai tēnei? He aha ngā rongoā e tangohia ana e koe? He mate manawa tō tetahi o tō whānau? He maha ngā mea pērā. Kātahi ka tirotirohia koe.
Tērā pea ka tonoa koe kia mahi i ētahi whakamātautau pēnei hei kimi i te tino take.
| Whakamātautau | Hei whakarāpopototanga, |
|---|---|
| ECG (Electrocardiogram) | Ka tuhia te ngohe hiko o te ngākau hei tirotiro mō ngā raruraru kei te manawataki o te pao o te ngakau. |
| Te Echocardiogram | He matawai manawa tēnei. Ka tirohia mēnā kei te mahi tika te hanganga, ngā takirere, me ngā uaua o te manawa. |
| Aroturuki Haereere (Aroturuki Holter) | He mīhini iti kei te tāpirihia ki tō tinana, ā, ka aro turukihia tonutia tō tere o te ngakau mō ngā hāora 24, neke atu rānei. |
| Whakamātautau Ripanga Honga | Ka meinga koe e rātou kia takoto ki runga i tētahi moenga motuhake, ka whakatītaha i te moenga ki ngā koki rerekē, ka mātaki hoki i te panonitanga o tō toto toto me tō tere o te ngakau i a koe e huri ana i ō tūranga. |
| Ngā Whakamātautau Toto | Ka tirotirohia e rātou ngā āhuatanga rerekē o ngā mea pēnei i te anemia, ngā taumata huka, me ngā taumata tote. |
Me aha tātou mēnā ka hemo tetahi?
Ki te hemo tetahi i tō aroaro, ā, ka hinga, meatia ēnei mea me te kore e mataku.
1. Kia haumaru: Tuatahi, tirohia mēnā kei te manawa te tangata. Tangohia ngā mea koi, ngā mea morearea rānei i te wāhi.
2. Whakaarahia ngā waewae: Me takoto ia ki runga i te papa, ka hiki ake i ōna waewae kia tata ki te putu. Ka taea e koe te whakamahi i tētahi urunga, i tētahi pēke rānei hei mahi i tēnei. Ka whakanui ake tēnei i te rere o te toto ki te roro.
3. Wetekina ngā kākahu piripono: Wetekina ngā mea pēnei i te tai i tō kaki me ngā pātene o runga o tō hāte.
4. Taria kia hoki mai te māramatanga o te tangata: I roto i te meneti kotahi ka hoki mai te māramatanga. Kia hoki mai te māramatanga, kaua e whakaarahia tonutia. Tukua kia noho, kia takoto rānei mō te 10-15 meneti pea .
5. Hoatu he wai: Ki te mataara te tangata i muri i te hokinga mai o te māramatanga, hoatu he wai hei inu.
6. Tirohia mēnā he whara: Tirohia mārire mēnā i pāngia, i whara rānei te upoko, ngā peka rānei i a ia e tōia ana, e hinga ana rānei.
He mea nui:Mena neke atu i te rua meneti te roa o te kore mōhio o te tangata, he uaua ki te manawa, he haruru, he whara nui rānei te upoko, haria tonutia ia ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
He aha ngā maimoatanga mō te hemonga?
Ko te maimoatanga e whakawhirinaki ana ki te take o tō whanoke.
- Mō ngā take māmā noa iho:
- Ngā huringa āhua noho: Ka taea te whakahaere i tēnei mā te inu i te nui o te wai i te roanga o te rā, te tāpiri tote ki tāu kai (mō te hunga he iti te toto toto), te kai i ngā kai iti kaua i ngā kai nui, me te ara ake mārire kaua i te ara ake i te wā kotahi.
- Tōkena Kōpeke: He tōkena motuhake ēnei e mau ana ki ngā waewae. Ka whakaiti i te toto e pupū ana i roto i ngā waewae, ka whakapai ake hoki i te rere o te toto.
- Te karo i ngā mea e whakaoho ana i te pōuri: Ki te mōhio koe ki te wā e pōuri ai koe (hei tauira, ina tū roa koe), ngana ki te karo i aua āhuatanga.
- Mō ngā take nui:
- Rongoā: Ka tohua pea e te tākuta he rongoā hei whakahaere i te manawataki o te ngakau me te toto toto tiketike.
- Pacemaker: He taputapu iti e whakatakotoria ana ki raro i te kiri o te uma hei pupuri i te tere o te manawa ki te taumata noa mō te hunga he puhoi rawa ngā tere o te manawa.
- ICD (Implantable Cardioverter Defibrillator): Ka whakauruhia tēnei taputapu ki roto i ngā tāngata he rerekē te manawataki o te ngakau e morearea ana ki te ora, hei tuku i te ru hiko ki te ngakau, hei whakahoki mai i te ngakau kia noho noa.
- Pokanga: Mena he takirere ngākau, he hapa hanganga rānei, me pokanga pea.
Ka taea te ārai i te hemonga?
Āe, i te nuinga o te wā ka taea. Ko te mea nui ko te mōhio ki ngā tohu e tata ana koe ki te hemo (pēnei i te whanoke i kōrerohia i runga ake nei, ngā kanohi kikorangi).
Ki te ngoikore koe, ko te mea tuatahi me mahi ko te noho, ko te takoto rānei. Mā tēnei ka ārai katoa i a koe kei hinga, kei whara rānei. Ki te taea, kia paku teitei ake ō waewae.
Hei tāpiri, ka taea e koe te mahi i ngā mea penei:
- Ngā mahi ārai-pēhanga: Ina ngoikore koe, pūmau ō ringa. Honoa ō waewae, ka pēhi i ō huha. Ka āwhina ēnei ki te whakapiki i tō toto toto.
- Inumia he nui te wai: He mea tino nui te inu wai i te roanga o te rā.
- Kaua e ara ohorere: Ina ara ake koe i te moenga, i te tūru rānei, kaua e ara ohorere, noho ki raro i te tuatahi, tatari mō ētahi hēkona, kātahi ka ara mārire.
He mea ohorere te ngoikore, ā, ka whakamataku pea. Engari i te nuinga o te wā, ehara i te mea kino. Ko te mea nui ko te kimi i te take o te ngoikore, me te mahi i te maimoatanga tika me ngā huringa āhua noho. Mena he pātai anō āu mō tēnei, kōrero ki tō tākuta.
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. I te nuinga o te wā, kāore tēnei i te tino kino.
- Ka taea te ngoikore mō ngā take ngāwari pēnei i te tū roa, te mataku, te matewai rānei.
- Heoi anō, ka taea hoki te hemo i te ngākau nā ngā take kino, pērā i te mate manawa.
- Ki te pāngia koe e te hemonga i a koe e whakakorikori tinana ana, te hemonga me te mamae o te uma, ki te mea rānei he hītori whānau tōu mō te mate ngakau, me toro atu ki te tākuta tonu.
- Kia ngoikore tonu koe (pēnei i te pōuriuri, te kikorangi o ō kanohi), ka taea e koe te noho, te takoto rānei i taua wā tonu, kia kore ai koe e hinga, e whara rānei.
- Mena he āwangawanga, he wehi rānei āu mō te whanoke, he mea nui kia kaua e warewarehia, me kōrero ki tō tākuta.
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