Kei te hiahia anō koe ki te mōhio mō te mate manawa? Me kōrero taipitopito tātou mō tēnei!

I tēnei rā ka kōrero tātou mō tētahi kaupapa he mea nui ki te tini tāngata, ā, he mea whakamataku hoki. Ko te mate manawa tēnā, arā, ko te mate e kiia nei ko te `(Myocardial Infarction)`. Tērā pea kua pāngia tētahi o tō whānau, tētahi hoa rānei e tēnei mate. Kua rongo pea koe i roto i te nūpepa, i te pouaka whakaata rānei. Heoi, he mea tino nui kia mārama tika koe ki tēnei.

He aha te mate manawa?

He kupu ngāwari noa iho, he tino morearea te mate manawa e puta ana ina kore e ranea te rere o te toto i tētahi wāhanga o te uaua o tō manawa. Pērā i te mate o te rākau me te kore wai, ka tīmata hoki te mate haere o taua wāhanga o te manawa me te kore toto. He maha ngā take mō tēnei hekenga o te rere o te toto, engari i te nuinga o te wā ka puta mai i te aukati i roto i ngā oko toto e tuku toto ana ki te manawa, e kiia nei ko ngā "Aratau Mate Koronari".

Whakaarohia he rite ki tētahi waikeri kua purua i roto i tō māra. Mēnā ka motuhia te rere o te toto pēnei, ka tīmata te mate o te uaua o te ngākau. Mēnā kāore e tere te whakahoki mai i te rere o te toto, ka taea e te mate ngākau te whakararuraru tuturu, tae atu ki te mate.

He āhuatanga ohorere e morearea ana te mate o te ngākau. Ki te whakaaro koe kei te pāngia koe, tetahi atu rānei e te mate ngākau, waea atu ki te 1990 (ratonga hauora ohorere) tonu . He mea nui te wā ina rongoatia te mate ngākau. Ahakoa he torutoru meneti te tomuri, ka pāngia pea te ngākau e te kino tuturu, e te mate rānei.

He aha te mea e tupu ana i te wā e pāngia ana e te mate ngakau?

Ina pāngia koe e te mate manawa, ka mutu katoa te rere o te toto ki tētahi wāhanga o tō manawa, ka iti iho rānei i te mea noa. Ka pakaru, ka mate rānei taua wāhanga o te uaua o te manawa. Ina tīmata te mate o tētahi wāhanga o te manawa i te kore toto, ka whakararuraru i te mahi pupuhi a te manawa. Ka taea e tēnei te whakaiti, te aukati rānei i te rere o te toto ki ētahi atu wāhanga o te tinana. Ki te kore e rongoā wawetia tēnei, ka mate pea.

He pēhea te noa o tēnei?

He mate noa te whakaeke ngakau puta noa i te ao, tae atu ki tō tātou whenua. Ko te nuinga o ngā whakaeke ngakau ka puta mai i te `(Mate Arteri Koronari)`. E kiia ana hoki koinei te tino take o te mate i te ao. Nō reira, he mea nui kia mōhio ki tēnei.

He aha te āhua o te manawa ina pāngia koe e te mate manawa?

He maha ngā tāngata e pāngia ana e te mamae o te uma ina pāngia rātou e te mate manawa. Ka rite tēnei ki te pēhi, te kōpiri, te taumaha rānei i roto i te uma. I ētahi wā, ka tino kaha te mamae, ā, ka rite ki te mea kua tata te pakaru o te uma. Ka tīmata tēnei mamae i roto i te uma, ka horapa ki te ringa maui (i ētahi wā ki ngā ringa e rua), pakihiwi, kaki, kauae, tuara, puku rānei.

Ko te mea rerekē, he tokomaha e whakaaro pohehe ana he mate gastritis, he mate heartburn rānei tēnei .

Kāore pea ētahi tāngata e mamae te uma, engari ko ngā tohumate anake ka pā ki a rātou pērā i te poto o te manawa, te whakapairuaki, me te werawera .

He aha ngā tohu o te mate manawa?

Ka taea e te mate manawa te whakaputa i ngā momo tohu maha, ko ētahi he mea noa ake i ētahi atu.

Ko ngā tohu tino kitea e te tini o te tangata ko:

• Mamae o te uma (`(Angina)`)
• Te uaua ki te manawa , te poto rānei o te manawa
• Te kore moe (tērā pea ka puta i mua i te whakaeke ngakau)
• Whakapairuaki , mamae puku rānei
• Te rongo i te tere o te pao o te ngākau (`(Heart Palpitations)`)
• Te manukanuka, te whakaaro rānei "ka tupu tetahi mea kino"
• Te whanoke (vertigo), te ngoikore, te ngaro rānei o te māramatanga

Ka rerekē pea ngā tohu i waenga i ngā tāne me ngā wāhine?

Ae, he mea tino nui tēnei. Tērā pea ka rerekē ngā tohu o te mate manawa i ngā wāhine i ngā tāne. He iti ake te tūponotanga o ngā wāhine ki te pāngia e te mamae uma noa. Engari,

• Te uaua ki te manawa
• Tino ngenge te ngenge
• Te kore moe i mua i te whakaeke ngakau
• Whakapairuaki me te ruaki
• Ko ngā tohu tino kitea ko te mamae i te tuara, i ngā pakihiwi, i te kaki, i ngā ringa, i te puku rānei .

Nō reira, me tino tupato ngā wāhine ki tēnei mea.

He aha te take o te mate manawa?

Ko te nuinga o ngā whakaekenga manawa ka puta mai i te aukati i roto i te oko toto e tuku toto ana ki te manawa. Ko te tino take o tēnei ko te kohikohinga o tētahi matū piri e kiia nei ko te `(Plaque)` i roto i ngā uaua toto. He rite ki te ringihanga hinu ki raro i te totohu o te kīhini me te aukati i ngā paipa. Ko te ingoa o tēnei kohikohinga ko te `(Atherosclerosis). Ina nui te `(Plaque)` e kohikohi ana i roto i ngā oko toto o te manawa, ka kiia te mate ko te `(Coronary Artery Disease)`.

I ētahi wā, ka pakaru pea ēnei putunga paraka i roto i ngā uaua o te ngākau. Kātahi ka puta he toto totoka i te wāhi i pakaru ai. Mena ka āraia katoatia te uaua e taua totoka, ka kore he toto i roto i te uaua o te ngākau, ā, ka puta he mate ngākau.

He onge ngā take?

Ae, tera ētahi wā ka puta he whakaeke ngakau me te kore e pakaru he `(Plaque)`, engari he tino onge, e 5% pea o ngā whakaeke ngakau katoa. Ko ētahi o ngā take mō tēnei:

• He whakawhāiti ohorere o ngā uaua coronary o te ngākau (`(Coronary Artery Spasm)`)
• Ngā āhuatanga onge e hua ai te whaiti rerekē o ngā oko toto
• Te pakaru o ngā uaua o te ngakau nā ngā aituā
• He aukati mai i tētahi atu wāhi o te tinana, hei tauira he toto totoka, he mirumiru hau rānei (`(Embolism)`) i roto i te uaua o te ngakau
• Ka taea e ngā mate kai te kino i te ngākau i roto i te wā, ā, ka mutu, ka arahi atu ki te mate ngākau.
• Ngā tūranga rerekē o ngā uaua coronary whānautanga (`(Ngā Arteri Coronary Anomalous)`)
• Ko ētahi atu āhuatanga kāore e ranea te toto e whiwhi ana te ngākau (hei tauira, te toto toto iti rawa, te iti o te hāora, te tere o te manawa roa)

Ngā Take Tūpono e Whakanuia ai te Tūponotanga o te Mate Manawa

He maha ngā āhuatanga nui e pā ana ki te mōrearea o te mate manawa. Heoi anō, ko ētahi o ēnei he mea kāore e taea te whakarerekē.

• Tau me te ira tangata: Ka piki ake te mōrearea o te mate manawa i a koe e pakeke haere ana. Mō ngā tāne, ka piki ake te mōrearea i muri i te 45 tau te pakeke, ā, mō ngā wāhine, ka piki ake te mōrearea i muri i te 50 tau te pakeke, i muri rānei i te paheketanga.
• Hītori whānau mō te mate ngakau: Mena kua pāngia tētahi o ō mātua, o ō tuākana, tuākana rānei e te mate ngakau, inā koa i te wā taitamariki, he nui ake tō tūponotanga ki te pāngia e te mate ngakau nā te mea he rite ō ira ki ō rātou.
• Te Āhua Noho: Ko ngā āhuatanga noho kino ki te ngākau ka whakanui ake i te mōrearea o te mate ngākau. Hei tauira: te momi hikareti, te kai i ngā kai momona nui, te kore whakakori tinana, te inu nui rawa i te waipiro, me te whakamahi i ngā raau taero.
• Ētahi āhuatanga hauora: Ka taumaha te ngākau i ētahi mate, ā, ka piki ake te mōrearea o te mate ngākau. Kei roto i ēnei ko:
• Mate Huka (`(Te Mate Huka Melitus)`)
• Momonatanga
• Te toto toto tiketike (`(Total pressure)`)
• Te cholesterol teitei (`(Hypercholesterolemia)`)
• Ngā Mate Kai
• He hītori o te toto toto tiketike i te wā e hapu ana (`(Preeclampsia)`).

Ngā raruraru ka puta i muri i te whakaeke ngakau

He maha ngā raruraru ka puta i muri i te whakaeke ngakau. Kei roto i ēnei:

• Ngā manawataki o te ngākau rerekē (`(Arrhythmias)`)
• Te ngoikore o te ngākau
• Ngā raruraru o te takirere ngākau
• Whiu
• Te Hopu Manawa Ohorere (`(Te Hopu Manawa Ohorere)`)
• Te pouri me te manukanuka
• Te ohorere o te ngākau
• Ngā raruraru ā-tinana ka puta mēnā ka whakaroahia te maimoatanga mō te mate manawa (hei tauira, te Koha o te Septal Ventricular - he kōhao i waenganui i ngā rūma, he pakaru o te pakitara manawa).

Me pēhea taku mōhio mēnā kei te pāngia ahau e te mate manawa? (Tauātanga)

Ko te mate manawa ka kitea i roto i te rūma ohorere o te hōhipera. Mena kei a koe ngā tohu o te mate manawa, ka tirotirohia e te tākuta tō tere o te manawa, ō taumata hāora i roto i te toto, me tō pēhanga toto, ka whakarongo ki tō manawa me ō pukahukahu, ā, ka pātai atu mō ngā tohu kua pā ki a koe.

He aha ngā whakamātautau e mahia ana mō tēnei?

Ka whakamahia e te tākuta ēnei whakamātautau hei tautuhi i te mate ngakau:

• Ngā whakamātautau toto: Ko te huarahi pono rawa atu ki te tautuhi i te mate manawa ko te tirotiro i te toto mō tētahi matū e kiia nei ko te "Cardiac Troponin." Ka kohia tēnei matū ki roto i te toto i te wā e pakaru ana ngā pūtau uaua manawa i te wā o te mate manawa.
• Te whakamātautau manawa-hiko (EKG, ECG rānei): Koinei te whakamātautau tuatahi ka mahia ina tae koe ki te rūma whawhati tata. Ka taea e ia te kite i te pakaru o ngā tohu hiko o te manawa me ngā pao o te ngakau kāore i te rite.
• Echocardiogram: Ka whakamahia e tēnei he ngaru ultrasound hei tango pikitia o roto, o waho hoki o te ngākau. Ka taea e ia te tirotiro i te pai o te pupuhi o te ngākau me te tirotiro mēnā kei te mahi tika ngā takirere.
• Angiogram Coronary: Ka whakamahia ngā hihi-X me tētahi tae motuhake hei tirotiro i ngā oko toto i roto i te ngākau, hei kimi hoki i ngā ārai.
• Matawai Tomography Manawa (CT): Ka tangohia he pikitia taipitopito o te manawa me ngā oko toto hei tirotiro mēnā kei te whaiti, kei te whakapakeke rānei ngā uaua matua o te ngakau.
• MRI o te Manawa (Whakaahua Āhua Aukume): Ka whakamahia he papa aukume kaha me te hangarau rorohiko hei hanga pikitia o te manawa. Ka whakaatu mēnā he raruraru kei roto i te rere o te toto i roto i ngā uaua e tuku toto ana ki te manawa.
• Whakamātautau Taumahatanga Whakakorikori Tinana: I a koe e whakakorikori tinana ana, ka tukuna he ECG, he echocardiogram, he matawai karihi rānei hei tirotiro mēnā kei te whiwhi toto nui tō ngākau.
• Ngā Matawai Manawa Karihi: Ko te werohanga o tētahi matū irahiko ki roto i te toto me te whakamahi i ngā hangarau rorohiko (pēnei i te matawai CT) hei kimi i ngā wāhi e heke ana te rere o te toto, e pakaru ana rānei ki te manawa. Ka taea ēnei te whakamahi i ngā matawai SPECT, i ngā matawai PET rānei.

Me pēhea te rongoā i te mate manawa?

Ko te rongoā i te mate manawa ko te whakahoki wawe i te rere o te toto ki te uaua manawa e pāngia ana. He maha ngā huarahi ka taea ai tēnei, mai i te hoatu rongoā ki te mahi pokanga. He maha ngā wā ka whakamahia ngātahitia ētahi o ēnei tikanga.

Te hoatu hāora

Ko te hunga e uaua ana ki te manawa, ā, he iti te taumata hāora i roto i te toto, ka hoatu he hāora tāpiri me ētahi atu maimoatanga. Ka taea tēnei te hoatu mā te ngongo i raro i te ihu, mā te kopare rānei e hipoki ana i te ihu me te waha. Ka whakanui ake tēnei i te nui o te hāora i roto i te toto, ā, ka whakaiti i te taumahatanga ki te ngākau.

Ngā rongoā

Tērā pea kei roto i tēnei ngā mea e whai ake nei:

• Ngā rongoā whakaheke toto: Aspirin me ētahi atu rongoā whakaheke toto.
• Nitroglycerin: Ka whakaitihia e tēnei rongoā te mamae o te uma, ka whakawhanuitia hoki ngā oko toto, kia māmā ake ai te rere o te toto.
• Ngā Rongoā Thrombolytic: Ka hoatu noa ēnei i roto i ngā haora 12 tuatahi o te whakaeke ngakau.
• Ngā Rongoā Ārai i te Arrhythmia: Ka taea e te mate ngakau te whakaputa i ngā ngakau pāhekeheke (arrhythmias), ka morearea pea te ora. Ka taea e ēnei rongoā te aukati, te ārai rānei i ēnei pāhekeheke.
• Ngā rongoā mamae: Ko te rongoā mamae e tino hoatuhia ana i te wā o te whakaeke ngakau ko te `(Morphine).` Ka taea e tēnei te whakaiti i te mamae o te uma.
• `(Ngā aukati-beta)`:Ka whakaroa ēnei rongoā i te tere o te manawa, ā, ka āwhina i te manawa kia ora ake i ngā kino i puta mai i te whakaekenga manawa.
• Ngā rongoā ārai toto toto tiketike: Ka whakaitihia e ēnei rongoā te toto toto tiketike, ā, ka āwhina i te ngākau kia ora ake i te kino i puta mai i te whakaeke ngākau.
• Ngā Statin: Ka whakaū ēnei rongoā i te paraka i roto i ngā oko toto o te ngākau, ka whakaiti i te tūponotanga o te pahū. Ka āwhina hoki rātou ki te whakaheke i te cholesterol me te whakaiti i te tūponotanga o tētahi atu mate ngākau.

Te Wawaotanga Koronāwai Percutaneous (PCI) te Angioplasty rānei

Ka whakahokia mai e ngā tākuta te rere o te toto ki te uaua o te ngākau e pāngia ana mā te tikanga e kiia nei ko te Percutaneous Coronary Intervention (PCI) ko te Angioplasty rānei.

He mea nui te whakatuwhera i te uaua toto ki te catheter hei whakaora i te rere o te toto. Ko te tere o te mahi, ko te pai ake o te hua. Ka whakamahia e ngā tākuta he ine e kīia nei ko te "wā tatau-ki-te-poroni" hei ine i tō rātou kaha ki te rongoā i te mate manawa. Koinei te roanga o te wā e pau ana ki te mahi PCI i muri i tō taenga ki te rūma whawhati tata. Mēnā he PCI tōu, ka whakanohoia pea e tō tākuta he stent, he hanganga iti rite ki te mata, ki te wāhi kei reira te aukati. Ka āwhina te stent ki te pupuri i te uaua toto kia tuwhera kia kore ai e aukatia anō.

Te Tāruatanga o te Arorangi Koronari (CABG)

Ka mahia te Tāruatanga Arteri Koronari (CABG) ki te hunga he nui ngā aukati i roto i ngā uaua koronari. E kiia ana tēnei ko te pokanga ngākau tuwhera, ko te pokanga whakawhiti rānei.

Ko te tikanga o tēnei ko te tango i tētahi oko toto mai i tētahi atu wāhanga o te tinana (mai i te uma, i te ringa, i te waewae rānei) ka waihanga i tētahi ara hou mō te toto kia karo i te oko toto kua āraia. Mā tēnei ka haria te toto ki te uaua o te ngākau.

He pānga taha kei te rongoā?

He rerekē ngā pānga taha o te maimoatanga i runga i te tikanga maimoatanga. Tērā pea ko ēnei:

• Whakapairuaki me te ruaki
• ngoikore
• Pōuriuri
• Te toto
• Ngā mate urutā
• Te pakaru o te oko toto
• Te pā o te manawa kāore i te tika (`(Arrhythmia)`)
• Ngā raruraru whatukuhu
• Whiu

Kia pēhea te roa ka pai ake ai taku āhua i muri i te maimoatanga?

I te nuinga o te wā, ka pai ake ngā tohu o te mate manawa i a koe e whiwhi ana i te maimoatanga. Tērā pea ka ngoikore koe, ka ngenge hoki i a koe e noho ana i te hōhipera, mō ētahi rā hoki. Ka hoatu e tō tākuta he tohutohu mō te okiokinga, ngā rongoā hei tango, me ētahi atu.

Ka rerekē te roa o te wā whakaora i muri i te maimoatanga, i runga i te tikanga maimoatanga. Ko te roanga o te noho hōhipera mō te mate manawa he whā ki te rima rā.

• Mena he rongoā anake tāu e kai ana: Me noho koe ki te hōhipera mō te ono rā pea.
• Mena he PCI tōu: He māmā ake te whakaora mai i te PCI i te pokanga nā te mea he iti ake te whakaekenga o te mate. I te nuinga o te wā me noho koe ki te hōhipera mō te whā rā pea.
• Ki te mahi koe i te `(CABG)`:He roa te wā e ora ai koe i te pokanga arai manawa, nā te mea he pokanga nui tēnei. I te nuinga o te wā me noho koe ki te hōhipera mō te waru ki te tekau mā rua rā.

Ka taea te ārai i te mate manawa? Me pēhea te whakaiti i te mōrearea?

I te nuinga o te wā, he maha ngā mea ka taea e koe te mahi hei ārai i te mate ngakau. Heoi, kei reira ētahi āhuatanga kāore e taea te whakarerekē (ina koa ko tō hītori whānau), nō reira ka taea tonu te mate ngakau ahakoa te kaha o tō ngana. Heoi, mā te whakaiti i tō mōrearea ka taea te whakaroa i te tīmatanga o te mate ngakau, me te whakaiti i tōna kaha mēnā ka puta.

Ka taea e koe te mahi i ēnei mea hei whakaiti i tō mōrearea:

• Tirohia he tākuta whānau (Primary Care Provider - PCP) mō tētahi tirotiro hauora i te iti rawa kotahi i te tau. Ka kitea pea e koe ngā tohu whakatūpato mō te mate manawa (pēnei i te toto totoka, te taumata huka, me ngā taumata cholesterol kāore pea koe e mōhio).
• Kati te whakamahi i ngā hua tupeka: Kei roto i tēnei ko te momi hikareti, te tupeka kore auahi, me ngā hua hikareti hiko katoa.
• Whakakorikori tinana i ngā wā katoa: Whakamātauria te whakakorikori tinana i te kaha taurite mō te 30 meneti i te rā, e rima ngā rā o te wiki.
• Kai i ngā kai totika: Hei tauira, te kai Mediterranean, te kai DASH rānei. He pai ake te kai i ngā kai tipu, kaua i ngā mīti tukatuka me ngā kai he nui te ngako kukū.
• Kia mau tonu tō taumaha hauora: Pātai atu ki tō tākuta whānau mō tētahi taumaha hauora, ka tono āwhina kia eke ki taua taumaha.
• Whakahaerehia ngā mate hauora katoa kei a koe: ngā mea pēnei i te cholesterol tiketike, te toto toto tiketike, me te mate huka.
• Whakaitihia te ahotea: Whakamātauria ngā mahi pēnei i te yoga, ngā mahi manawa hōhonu, me te whakaaroaro.
• Tangohia tō rongoā kia rite ki te whakahaunga: Kaua e tangohia tō rongoā ina mahara noa koe, ina tata rānei koe ki te toro atu ki tō tākuta.
• Haere ki ngā wā tirotiro katoa a te tākuta: Mā te toro atu ki te tākuta i ia wā ka āwhina i te kimi i ngā raruraru o te ngākau, i ētahi atu mate rānei kāore pea koe i te mōhio.

Ko te whakahaere i tō hauora ehara i te mea me huri ko koe anake i ēnei momo noho. Pātai atu ki tō tākuta whānau me ētahi atu rōpū hauora mō te āwhina. Ka taea e rātou te whakarato i ngā mōhiohio me ngā rauemi e hiahiatia ana e koe.

Mena kua pāngia koe e te mate manawa, ka tūtohu pea tō tākuta i tētahi kaupapa whakaora manawa . Ko te whāinga o tēnei kaupapa he whakaiti i tō tupono ki te pāngia anō e te mate manawa. Ko ēnei kaupapa, e tirotirohia ana e te tākuta, e whakarato ana i te tohutohu me te arotahi ki ngā tikanga oranga hauora kua whakahuatia ake nei.

He aha ngā mea hei tumanako atu mēnā ka pāngia koe e te mate ngakau?

Kāore tō maimoatanga mō te mate manawa e mutu ina puta koe i te hōhipera. Nā te mea kei te tūpono koe ki te pāngia e te mate manawa tuarua, he mea nui kia haere tonu te tango i ō rongoā kua tohua me te huri i tō mahinga o ia rā.me mahi.

Āhea ka taea te tīmata anō i ngā mahi o ia rā?

Ko te ora ake i te mate manawa i muri i te putanga mai i te hōhipera, ka whakawhirinaki ki ngā āhuatanga pēnei i te kaha o te mate manawa, te tere o te tīmatanga o te maimoatanga, te maimoatanga i whiwhihia, me te mea he mate hauora tōu i mua i te mate manawa.

Ka taea e tō tākuta te whakamārama i ngā mahi e whai ake nei mō tō whakaoranga me ngā mea e tika ana kia tumanakohia e koe. I te nuinga o te wā, ka taea e te nuinga o te tangata te hoki ki te mahi, te tīmata anō rānei i ngā mahi o ia rā i roto i ngā wiki e rua ki te toru marama i muri i te whakaeke ngakau. Mā te whakaora ngakau ka āwhina i te tangata kia hoki mārire, kia haumaru hoki ki te taumata o mua o te mahi tinana.

He aha te āhua hauora o te tangata kua pāngia e te mate manawa? (Tirohanga)

He tokomaha ngā tāngata o ēnei rā ka ora i te mate manawa. Heoi anō, tera pea he kino ake te āhua mō ēnei tāngata:

• Ngā tāngata neke atu i te 65 tau te pakeke
• Ngā tāngata e ngoikore ana te ngākau
• Ngā tāngata whai mate huka
• Ngā tāngata kua pāngia e te mate ngakau o mua

Tērā pea ka nui ake te mōrearea o ēnei tāngata ki te pāngia anō e te mate manawa, ki te mate rānei i roto i ngā marama e ono e whai ake nei. I roto i ēnei āhuatanga, ka kaha te mahi a ngā tākuta ki te whakahaere i ō rātou āhuatanga mōrearea.

Mō ngā wāhine, he pai ake ngā hua o ngā wāhine kei mua i te wā pāheketanga i raro iho i te 45 tau te pakeke i ngā tāne o taua tau anō. E whakapono ana ngā kaipūtaiao nā ngā āhuatanga tiaki ngākau o te homoni estrogen tēnei. Heoi, i muri i te wā pāheketanga, ina ngaro te tiaki e whakaratohia ana e te estrogen, ka kino ake te āhua o ngā wāhine i ngā tāne. Ina koa:

• Ko ngā wāhine e pāngia ana e te mate manawa i waenga i te 45 me te 65 tau te pakeke, he nui ake te tūponotanga ka mate i roto i te tau kotahi i muri i te pānga atu i ngā tāne o taua tau anō.
• Ko ngā wāhine neke atu i te 65 tau te pakeke he nui ake te tūponotanga ka mate i roto i ngā wiki torutoru i muri i te pāngia e te mate manawa, i ngā tāne o taua tau anō, nō reira me tino tupato ngā wāhine ki te hauora o ō rātou manawa.

Me pēhea taku tiaki i ahau anō? (Te tiaki i ahau anō i muri i te whakaeke ngakau)

I muri i te whakaekenga o te ngākau, me haere tonu pea koe ki te tango i ētahi o ngā rongoā i riro i a koe hei maimoatanga ohorere. Kei roto i ēnei ko:

• `(Ngā aukati-beta)`
• `(Ngā aukati ACE)`
• Āpirini me ētahi atu rongoā whakaheke toto
• `(Ngā Statins)`

Āhea ahau me kite i te tākuta? (Āhea me kite i te tākuta - te tirotiro whai muri)

I muri i te pāngia e te mate manawa, ka piki ake tō tūponotanga kia pāngia anō koe e te mate manawa. Ka tūtohu tō tākuta i ngā whakamātautau me ngā maimoatanga whai muri hei āwhina i te ārai i ngā mate manawa ā muri ake nei. Ko ētahi o ēnei ko:

• Matawai ngākau: He rite ki ngā tikanga e whakamahia ana hei tātaritanga i te whakaeke ngākau, ka taea e ēnei te aromatawai i te pānga o tō whakaeke ngākau me te kite mēnā he kino tuturu kei tō ngākau. Ka taea hoki e rātou te tirotiro mō ngā raruraru o tō ngākau me tō pūnaha tohanga toto ka piki ake ai tō tūponotanga ki te pāngia e te whakaeke ngākau ā muri ake nei.
• `(Whakamātautau Taumahatanga)`:Ka taea e ēnei whakamātautau me ngā matawai ngākau, e mahia ana i a koe e whakakori tinana ana, te kite i ngā raruraru ka puta ake ina taumaha te ngākau.
• Whakaora i te Manawa: Ka āwhina ēnei kaupapa ki te whakapai ake i tō hauora whānui me tō momo noho, ka āwhina hoki ki te ārai i tētahi atu mate manawa.

Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Ki te pāngia koe e tētahi o ngā tohumate o te mate manawa kua whakahuatia i roto i tēnei tuhinga, ā, ki te whakaaro koe kei te pāngia koe e te mate manawa, waea atu ki tō nama urupare ā-rohe (1990 i Sri Lanka). I a koe e tatari ana mō te āwhina, pātai atu mēnā me tango e koe he aspirin, he rongoā rānei. Kaua e whakaroa ki te waea atu. He mea nui ia meneti i te wā o te mate manawa.

He aha koe me waea atu ai ki te 1990, kaua ko koe anake e haere ki te hōhipera?

Mena kei a koe ngā tohu o te mate manawa, he pai ake te waea atu ki te 911, ki tētahi ratonga ohorere rānei. He maha ngā take mō tēnei:

• Ka taea e ngā kaiwhakaora tuatahi te whakahaere i ētahi o ngā whakamātautau me ngā maimoatanga tuatahi mō te mate ngakau i a rātou e haere ana ki te hōhipera. Mā tēnei ka tere ake te tukanga tātaritanga me te maimoatanga whānui.
• Ki te tae atu koe ki te hōhipera mā te waka tūroro, ka taea tonu e koe te whiwhi maimoatanga . He mea nui ia hēkona i te wā e pāngia ana koe e te mate manawa.
• Ka taea e te mate manawa te patu i tō manawa kia kore e tika, kia mutu rawa rānei. Ka taea e tētahi o ēnei te whakapōrearea i a koe. Mena ka puta tēnei i a koe e noho ana i roto i te waka tūroro, ka taea e ngā kaiāwhina tuatahi te wawao tonu me te whakatau i a koe. Waihoki, kāore koe e manukanuka kei hemo koe i a koe e taraiwa ana, ā, ka puta he aituā kino ki a koe anō, ki ētahi atu rānei.

Me rongoā tonu te uaua kua purua kia kore ai e pakaru te ngākau. Mēnā kāore ō tohu i te tino kino, tera pea koe e whakaaro kāore koe i te pāngia e te mate ngākau. Engari he ngawari noa iho ngā tohu, nō reira he pai ake te tirotiro i a koe e te tākuta. Mā te waea atu ki te 911, ki tētahi ratonga ohorere rānei, kaua e haere ki te hōhipera ko koe anake, me tētahi atu rānei, ka nui ake te ora i tō whakaaro. Ko te penapena wā ko te penapena i te uaua ngākau, ko te tikanga he nui ake te tūponotanga ka pai ake te hua.

He aha ngā pātai me pātai atu e au ki te tākuta?

Ko ētahi pātai ka taea e koe te pātai atu ki tō tākuta:

• He aha ngā mahi haumaru māku i muri i te mate ngakau?
• He aha ngā mea tino nui ka taea e au te mahi hei ārai i tētahi atu mate ngakau?
• Kia hia ngā wā me haere atu ahau ki te kite i a koe?
• Me whai whakamātautau manawa anō hoki ētahi atu o tōku whānau?

Whakarāpopototanga (Karere hei tango ki te kāinga)

Ahakoa he mate tino kino te mate manawa, he mea tino nui kia mōhio koe ki tēnei mate, kia mahi i te wā tonu ka puta mai ngā tohu, ā, kia whiwhi hoki i te maimoatanga tika.Waihoki, mā te tautuhi i ngā āhuatanga mōrearea me te noho i tētahi momo noho hauora, ka taea e koe te whakaiti i te mōrearea o te mate ngakau.

Kia maumahara, ki te pāngia koe, tētahi atu rānei e mōhiotia ana e koe, e ngā tohu o te mate manawa, waea atu ki te 1990 ināianei tonu. Tērā pea ka ora te tangata!

Kia tiakina te hauora o tō ngākau. Nā te mea ko te ngākau hauora te kī ki te oranga hauora!

` Te whakaeke ngakau, te whakaeke ngakau, Te mate pukupuku o te ngākau, te mamae o te uma, te mate ngakau, te hauora o te ngakau, te maimoatanga ohorere