He aha te mate manawa? Me ako tātou mō tēnei mate morearea.

He mamae, he kōpiripiri rānei tō uma i ētahi wā? He tokomaha o tātou e whakaaro ana, "He mate puku tēnei." Engari ehara i te mea ko ngā mamae uma katoa he mate puku. Tērā pea koinei te tīmatanga o tētahi mate ngakau kino ake, e morearea ana ki te ora, e kiia nei e tātou he mate ngakau. Ki te kitea i te wā tika, ka taea te whakaora i te ora. Nō reira, me kōrero tātou mō tēnei mea i tēnei rā tonu, i te tino mārama hoki.

He aha te mate manawa?

Ko te mate manawa, e mōhiotia ana i roto i te rongoā ko te "Myocardial Infarction", he mate tino morearea e puta ana ina kore te uaua o te manawa e whiwhi i te nui o te toto e hiahiatia ana. Whakaarohia he paipa e kawe mai ana i te wai ki tō tātou whare kua purua e te paru. Kātahi ka kore te wai e puta mai i te puna wai, tika? Koinei te āhua, ina purua tetahi, ētahi rānei o ngā oko toto (ngā uaua) e kawe ana i te toto ki te manawa, kāore te toto e rere ki tētahi wāhanga o te manawa.

Ina ngaro te rere o te toto, ka tīmata te mate o te uaua o te ngākau e kore nei e rere te toto. Ki te kore e tere te whakahoki mai i te rere o te toto, ka pā he kino tuturu ki te ngākau, ka mate rānei.

He aha te mea ka tupu ina pā mai te mate manawa?

Ina pāngia koe e te mate manawa, ka mutu katoa te rere o te toto ki tētahi wāhanga o tō manawa, ka tino heke rānei. Ka pakaru, ka mate rānei te uaua o te manawa. Ina mate tētahi wāhanga o te manawa me te kore toto, kāore e taea e ia te pupuhi toto. Ka taea e tēnei te whakararuraru i te mahi pupuhi o te manawa katoa. Ka taea e tēnei te whakaiti, te aukati rānei i te rere o te toto ki te tinana katoa. Ka mate pea tēnei mena kāore e tere te rongoā.

He aha pea ngā tohu o tēnei?

He maha ngā tohu o te mate manawa. Ko ētahi he tino noa, ko ētahi he iti ake te kitea. Engari he mea tino nui kia mōhio pai koe ki ēnei tohu.

Ko ngā tohu matua e pāngia ana e te nuinga o te tangata ko:

He rerekētanga kei waenganui i ngā tāne me ngā wāhine i roto i ngā tohu?

Ae, he mea tino nui tēnei. He rerekē pea ngā tohu e pā ana ki ngā wāhine ina pāngia rātou e te mate manawa i ērā o ngā tāne.

• Kāore i te tino pāngia ngā wāhine e te mamae nui o te uma i ngā tāne. Engari, ka pāngia pea rātou e ngā tohu pēnei i te poto o te manawa, te ngenge nui, te kore moe, te whakapairuaki, me te ruaki . Tērā pea ka pāngia hoki rātou e te mamae o te tuara, o ngā pakihiwi, o te kaki, o ngā ringa, o te puku rānei.
• Ko te tikanga, he nui ake te tūponotanga o ngā tāne ki te pāngia e te mamae uma "tūturu" e mōhiotia ana e tātou katoa.

Nō reira, he mea tino nui kia mōhio ngā wāhine ki ēnei tohu rerekē.

He aha ngā pūtake o te mate manawa?

Ko te nuinga o ngā whakaeke ngakau ka puta mai i te aukati i roto i te oko toto e tuku toto ana ki te ngakau. Ko te tino take o tēnei ko ngā putunga cholesterol (Plaque) . Pērā i te wā e ringihia ana te hinu ki raro i te totohu o te kīhini, ka piri te hinu ki roto i ngā paipa, ka piri te cholesterol me ētahi atu mea ki roto i ō tātou oko toto ka hanga he paparanga. Ka kiia tēnei e tātou ko '(Atherosclerosis).' Ina piki ake ēnei putunga cholesterol, ā, ka whaiti ngā oko toto, ka kiia taua āhuatanga ko '(Coronary Artery Disease)'.

I ētahi wā, ka pakaru te mata o ēnei putunga cholesterol. Ka puta he toto totoka ki te wāhi i pakaru ai, ā, ka noho ki roto. Ki te ārai katoatia te uaua toto e tēnei totoka, ka taea e ia te aukati i te rere o te toto ki te uaua o te ngākau, ka puta he mate ngākau.

Haunga tēnei take matua, ka puta anō hoki ngā whakaeke ngakau mō ētahi atu take, he tino onge (tata ki te 5% o ngā whakaeke ngakau katoa).

• Te whaiti ohorere o ngā oko toto o te ngākau (te pupuhi o te uaua coronary).
• Ngā āhuatanga hauora onge e hua ai te whaiti rerekē o ngā oko toto.
• Te pakaru o ngā uaua toto o te ngākau nā tētahi aituā.
• Ko te embolism he haerenga o tētahi mea pērā i te toto totoka kua hanga ki tētahi atu wāhi o te tinana, ka mau ki roto i tētahi oko toto i roto i te ngākau.
• Ka taea e ngā mate kai te whakararu i te ngākau mō te wā roa.

Ko wai te mea tino mōrearea?

He maha ngā āhuatanga mōrearea ka pā ki te mōrearea o te mate manawa. Ko ētahi o aua āhuatanga kāore e taea te whakarerekē, engari ko ētahi ka taea e tātou te whakahaere.

Me pēhea te mōhio a ngā tākuta kei te pāngia koe e te mate manawa?

Ko te mate manawa ka kitea i roto i te rūma ohorere o te hōhipera (ETU). Ina haere koe ki te ETU me ō tohu, ka tirotirohia koe e te tākuta. Ka tirohia e rātou tō tere o te manawa, tō toto toto, ka whakarongo ki tō manawa me ō pukahukahu, ā, ka pātai atu mō ngā tohu kua pā ki a koe.

Kātahi ka whakahaerehia he maha o ngā whakamātautau hei whakaū i tēnei āhuatanga.

• Ngā Whakamātautau Toto: Koinei te huarahi pono rawa atu hei tautuhi i te mate manawa. Ina pakaru te uaua manawa, ka tukuna he matū e kiia nei ko te "Cardiac Troponin" ki roto i te toto mai i aua pūtau. Ka inehia tēnei mā te whakamātautau toto.
• ECG (Electrocardiogram): Koinei te whakamātautau tuatahi ka tukuna ki a koe ina haere koe ki te ETU. Ka tirohia ngā tohu hiko o tō ngākau hei whakatau mēnā he kino kei tō ngākau, mēnā rānei he pakūnga o te ngakau kāore i te tika.
• Echocardiogram: He rite tēnei ki te matawai ultrasound. Ka tangohia he pikitia o roto, o waho hoki o tō ngākau hei tirotiro i te pai o tana pupuhi me te kite mēnā kei te mahi tika ngā takirere.
• Angiogram Coronary: Ka whakamahia e tēnei whakamātautau he tae motuhake me ngā hihi-X hei tango pikitia o ngā oko toto i roto i te ngākau. Ka āwhina tēnei ki te whakatau mēnā kua āraia ētahi oko toto.

Me pēhea te rongoā?

Ko te whāinga matua o te rongoā i te mate manawa ko te whakahoki wawe i te rere o te toto ki te uaua manawa kua pakaru. Ka taea tēnei mā te whakamahi i ngā momo tikanga, mai i ngā rongoā ki te pokanga.

Te maimoatanga tonu

• Hāora: Ka hoatu te hāora ki te hunga e uaua ana ki te manawa mā te ngongo ihu, mā te kopare waha rānei.
• Ngā momo rongoā:
• Ngā rongoā ārai toto: Ngā rongoā whakaiti toto pērā i te aspirin.
• Nitroglycerin: Ka whakaitihia te mamae o te uma, ka whakawhānuihia hoki ngā oko toto, ka māmā ake te rere o te toto.
• Ngā rongoā whakamamae: Ka hoatu ngā rongoā pēnei i te morphine hei whakaiti i te mamae o te uma.
• Ngā rongoā thrombolytic: Ka hoatu ēnei i roto i ngā haora 12 tuatahi o te whakaeke ngakau.
• Ngā aukati-beta: Ka whakahaere ēnei i te tere o te manawa, ka whakangāwari i te manawa, ka āwhina hoki i te manawa kia ora.
• Ngā Statin: Ka whakahaere ēnei i te cholesterol, ka whakau i ngā putunga cholesterol i roto i ngā oko toto, ā, ka ārai i tētahi atu mate manawa.

Ngā maimoatanga motuhake

• Te Wawaotanga Koronari Percutaneous (PCI) / Angioplasty: Koinei te maimoatanga tino noa. He māmā noa iho, ka whakauruhia he ngongo angiangi (catheter) mā te waewae, mā te ringa rānei ki roto i te oko toto i roto i te ngākau, ā, ka pupuhihia he taputapu rite ki te poihau hei whakatuwhera i te wāhi kua āraia. Kātahi ka whakanohoia he stent , he taputapu rite ki te mata, ki te wāhi hei pupuri i te oko toto kei kati anō.He nui te pānga o te tere o tēnei mahi ki te oranga o te tūroro.
• Pokanga Ārai i te Arorangi o te Ngākau (CABG): E kiia ana tēnei ko te pokanga ārai . Ka mahia tēnei pokanga ina tino āraia ngā oko toto o te ngākau i ngā wāhi maha. Ko te tikanga o tēnei ko te tango i tētahi wāhanga o te oko toto mai i tētahi atu wāhanga o te tinana (te uma, te ringa, te waewae rānei) ka waihanga i tētahi ara hou mō te rere o te toto huri noa i te wāhi kua āraia.

Kia pēhea te roa o te wā e ora ai i muri i te maimoatanga?

Ko te roa o te wā e pai ake ai koe i muri i te maimoatanga, ka whakawhirinaki ki te kaha o te whakaeke ngakau, te wā i tīmata ai te maimoatanga, me ētahi atu mate hauora i pā ki a koe.

Ko te toharite o te noho hōhipera e whai ake nei:

• Mena ka rongoatia ki te rongoā anake: ​​Tata ki te 6 nga ra.
• Mena i mahia te maimoatanga PCI/Stent: Tata ki te 4 ngā rā.
• Mena i pokangahia tō pokanga taha (CABG): He pokanga nui tēnei, ā, ka roa te wā e ora ai koe. Me noho pea koe mō ngā rā e 8 ki te 12.

E rua wiki ki te toru marama pea te roa hei whakaora katoa i te hōhipera, hei hoki anō ki te mahi me ngā mahi o ia rā. Mā tō tākuta koe e hoatu he tohutohu motuhake mō tēnei.

Me aha koe kia ora ai i te mate ngakau, kia kore ai hoki e puta anō?

He maha ngā mea ka taea e tātou te mahi hei ārai i te mate manawa. Mena kua pāngia koe e tētahi, he mea nui kia mahia ēnei mea hei ārai i tētahi atu mate manawa.

• Tikina he tohutohu hauora tika: Tirohia tō tākuta whānau (PCP) mō tētahi tirotiro hauora i te iti rawa kotahi i te tau. Tirohia ngā mea pēnei i te toto totoka, te taumata huka, me te taumata cholesterol.
• Kati rawa te momi hikareti: Me mutu katoa ngā hikareti, ngā hikā, me ngā hikareti hiko (vaping).
• Whakakorikori tinana i ngā wā katoa: Me whakakorikori tinana kaha-waenga mō te 30 meneti pea, kia rima ngā rā o te wiki. He pai tonu te hikoi tere.
• Whakamahia he kai hauora: Whakaitihia ngā kai he nui te hinu, te tote, te huka, ngā kai tere me ngā kai kua tākaihia. Tāpirihia he huawhenua, he hua rākau, he otaota, me te mīti kikokore me te ika ki roto i tō kai.
• Kia mau ki te taumaha hauora: He mea tino nui kia mau tonu te taumaha hauora mō tō roa.
• Te whakahaere i ētahi atu mate: Mena he mate huka koe, he toto toto tiketike, he cholesterol rānei, me tango e koe ngā rongoā i tohua e tō tākuta kia tika, kia tika hoki i te wā tika.
• Whakaitihia te ahotea: Whakangāwarihia tō hinengaro mā te whakamahi i ngā mahi pēnei i te yoga me te whakaaroaro.

He aha koe i kī ai ko te tau 1990, kaua ko te haere ko koe anake ki te hōhipera?

Mena kei a koe ngā tohu o te mate manawa, he huarahi whakaora ora pea te waea atu ki te 1990 me te tiki i tētahi waka tūroro, kaua e kimi waka ka taraiwa koe ki te hōhipera. He maha ngā take mō tēnei:

1. Ka taea te tīmata i te maimoatanga i roto i te waka tūroro: Ka taea e ngā kaimahi hauora kua whakangungua i runga i te waka tūroro te tīmata i ngā whakamātautau taketake (pēnei i te ECG) me ngā maimoatanga (hāora, aspirin) e hiahiatia ana e koe i a koe e haere ana ki te hōhipera. Ka penapenahia te wā utu nui e tēnei.

2. Ka whiwhi koe i te awhina tonu i te hōhipera: Ina tae atu koe mā te waka tūroro, ka whakamōhiotia koe i mua i te wā he tūroro ohorere koe, nō reira ka whiwhi koe i te awhina tonu me te maimoatanga i te ETU.

3. Ki te ngaro tō mārama i te huarahi: Ka taea e te mate manawa te patu i tō manawa kia kore e tika, kia mutu rānei, ka ngaro tō mārama. He aituā nui tēnei mēnā kei te taraiwa koe i tētahi waka. Ki te puta tēnei i roto i tētahi waka tūroro, ka taea e rātou te rongoā tonu i a koe, ā, ka whakaora i a koe.

Kia maumahara, "Ko ia hēkona e penapena ana koe he wahi kikokiko i roto i tō ngākau." Ko te tikanga kei te whiwhi koe i tētahi whai wāhitanga pai ake i te ao.