He rite tō tātou ngākau ki tētahi mīhini whakamiharo e mahi ana i roto i tētahi manawataki, kāore? Engari i ētahi wā ka paku hē te manawataki o tēnei manawataki. Tērā pea kua rongo koe i te puhoi o te pao o tō ngākau, te peke ohorere o te pao, te pēhi rānei o tō uma. Ko tētahi o ngā take matua mō tēnei ko te āhua e kiia nei ko te 'Heart Block'. Kaua e mataku ina rongo koe i tēnei ingoa. I tēnei rā ka kōrero tātou mō tēnei, arā, te aukati i ngā tohu hiko o te ngākau, i roto i tētahi huarahi tino māmā ka taea e koe te mārama.
He aha te Poraka Manawa?
Hei mārama ki tēnei, me titiro tuatahi tātou ki te mahi a tō tātou ngākau. Whakaarohia tō ngākau he rite ki tētahi whare me ngā rūma e whā. E rua ngā rūma i te papa o runga (e kiia nei e tātou ko te Atria) me ngā rūma e rua i te papa o raro (ko ngā Ventricles). Kia pā te ngākau, me haere he tohu hiko mai i te papa o runga ki te papa o raro.
I te haerenga o tēnei tohu hiko mai i ngā rūma o runga ki raro, ka haere mā roto i tētahi hononga iti (e kiia nei ko te pūnga AV i roto i te pūtaiao hauora) i waenganui i ngā mea e rua. Ko te aukati o te ngākau he tikanga kei reira ētahi ārai, kei te whakaroa, kei te mutu katoa rānei te tohu hiko i a ia e haere ana mā roto i tēnei hononga.
Ka ahatia ina kore tēnei tohu hiko e tika te haere? Nā te mea kāore ngā rūma (ngā pūtau) o te ngākau e whiwhi i te tohu i te wā tika, ka puhoi te pā o te ngākau, ka peke rānei i ētahi pā . I ngā wā tino kino, kāore pea te ngākau e kaha ki te papu i te toto ki te tinana. Ka taea e tēnei te whakaiti i te rere o te toto ki te tinana katoa.
Ko te aukati o te ngākau he motumotu i ngā tohu hiko e haere ana mai i te tihi ki raro o te ngākau. Nā tēnei ka puhoi, ka kore rānei e rere tika te ngākau.
He nui ake te tūponotanga ka pā mai tēnei āhuatanga i muri mai i te ao, inā koa i te kaumātuatanga, kaua i te wā whānau. Ka kiia hoki ko te aukati Atrioventricular (AV).
He aha ngā momo matua o te aukati ngākau?
Ka rerekē te kaha o te Ārai Manawa i runga i te nui o te whakararuraru i te tohu hiko. Nō reira, ka wehea e mātou kia toru ngā momo matua. Me titiro ki tēnei ripanga kia māmā ake ai te mārama ki tēnei.
| Momo Poraka Manawa | Hei whakarāpopototanga... | Te kaha |
|---|---|---|
| Te Poraka Manawa Tuatahi-Tohu | Kei te mura te rama huarahi, engari kua pōturi . Me te mea kei te mau koe i roto i te waka. Ka tae ia rama ki tōna ūnga. | Koinei te momo tino kino . He maha ngā wā kāore he tohu. |
| Te Poraka Manawa Tuarua-tohu | Kāore ngā tohu hiko katoa e tukuna ana e puta. Ka ngaro ētahi i te huarahi , pērā i te motu o te waea i waenganui o te huarahi. | E rua ngā momo o tēnei. Ko tētahi he iti ake te kino (Mobitz Momo I), ā, ko tētahi he kino ake (Mobitz Momo II). |
| Te Poraka Manawa Tuatoru-tohu | Kāore he tohu hiko mai i runga e taea te tae ki raro. He aukati katoa. Ka tīmata ngā rūma (ngā pūtau) i raro ki te patu i roto i tō rātou ake manawataki puhoi rawa. | Koinei te kēhi tino kino rawa atu . Me tino rongoatia tēnei. |
He kōrero anō mō te Poraka Manawa taumata tuarua...
- Momo Mobitz I: He āhuatanga tēnei e whakaroa ana te tohu hiko, kātahi ka whakaroa, kātahi ka ngaro ohorere, kātahi ka tīmata anō. He āhuatanga iti ake te kino o tēnei.
- Mobitz Momo II: Ehara tēnei i te tohu whakatūpato. He ohorere, he kore e taea te whakahaere i te hiko e kore e rangona. He koretake, he puhoi hoki te tere o te manawa. He kino ake tēnei i te Momo I. He maha ngā wā ka hiahiatia he taputapu whakatere manawa mō tēnei āhuatanga.
Kei a koe anō ēnei tohu?
Ka rerekē ngā tohu i runga i te kaha o te aukati ngākau. Tērā pea kāore koe e kite i tētahi tohu i a koe e pāngia ana e ēnei tohu e tō hoa.
- Ko te hunga e pāngia ana e te aukati ngakau taumata tuatahi, kāore he tohu . Ka kitea noa iho i te wā o te whakamātautau ECG (electrocardiogram) mō tētahi atu take.
Engari i te tuarua me te tuatoru o ngā wāhanga, i te puhoi haere o te tere o te manawa, ka puta ngā tohu pēnei i:
- Te mamae o te uma , te kore whakamarie rānei
- Te ngenge nui rawa atu mō te kore take
- Te uaua ki te manawa , te poto rānei o te manawa
- Ngā tere o te ngakau (te ahua kei te tere te pao o tō ngakau)
- Pōuriuri me te māhunga māmā
- Te hemo
- Whakapairuaki
Ka tino kino rawa atu ēnei tohu i roto i te aukati ngakau tuatoru. Mena kei a koe ēnei tohu kino, he mea nui kia rapu tohutohu hauora tonu. Mena ka taea, haere ki te Tari Whawhati Tata (ETU) o te hōhipera tata.
He aha ngā take o te aukati o te ngākau?
Ka taea tēnei te take e tetahi mea ka kino ai te pūnaha hiko o te ngākau. Anei ētahi o ngā tino take:
- Te whakaekenga o te ngakau: Te kino ki te uaua o te ngakau i puta mai i te whakaekenga o te ngakau.
- Mate pūkahukahu o te ngākau (CAD): Te whaiti o ngā pūkahukahu e tuku toto ana ki te ngākau.
- Cardiomyopathy: Te ngoikore, te matotoru rānei o te uaua o te ngākau.
- Ngā mate o te takirere o te ngākau: Ētahi raruraru o ngā takirere o te ngākau.
- Ngā rongoā motuhake: Ngā rongoā motuhake mō te toto toto tiketike me te mate manawa (hei tauira, ngā Beta-blockers, ngā Calcium channel blockers).
- Mate manawa whānau: Ko te kitea o ētahi huringa i roto i te hanganga o te manawa i te whānautanga.
- Ngā whara i te wā o te pokanga ngākau tuwhera.
- Ētahi mate urutā: Ngā mate urutā pēnei i te mate Lyme.
- Ētahi atu mate hauora: Te mate tairoi, te sarcoidosis, me ētahi atu.
Me pēhea te kimi i tēnei?
Ina haere koe ki te tākuta, ka pātai atu ia ki a koe mō ēnei mea:
- He aha ō tohumate, ā, kia pēhea te roa o te pāngia e ēnei tohumate?
- He mate manawa tō tetahi o tō whānau?
- Mō ngā rongoā e tangohia ana e koe.
- Mō tō momo noho (kai, inu, whakakori tinana, momi hikareti).
Kātahi ka tirotirohia koe e te tākuta, ka whakarongo ki tō ngākau, ka tirohia tō tere o te ngākau, ā, ki te tika, ka tukuna koe ki tētahi tohunga ngakau.
Hei whakaū i te mate, ka taea te whakahaere i ngā whakamātautau e whai ake nei:
- ECG (Electrocardiogram): Koinei te whakamātautau tino māmā, tino taketake hoki. Ka tuhia te mahi hiko o te ngākau.
- Aroturuki Haereere (Aroturuki Holter): Kāore pea e puta he aukati ngakau i ngā wā katoa, nō reira ka hoatu he taputapu iti ki a koe hei mau hei hopu i te mahi a tō ngakau mō ngā haora 24 ki te 48.
- Whakamātautau Taumahatanga Whakakorikori Tinana: Ka mahia he ECG i a koe e hikoi ana, e oma ana rānei i runga i te mīhini oma, hei tirotiro i te panoni o te tere o tō ngakau me te whakakorikori tinana.
- Rangahau Hikohiko (Rangahau EP):He whakamātautau uaua ake tēnei. Ka tukuna he waea angiangi ki roto i te ngākau hei tohu i te wāhi tuturu o te raruraru i roto i te pūnaha hiko.
Me pēhea te rongoā i te Poraka Manawa?
Ko te maimoatanga e whakawhirinaki ana ki te momo aukati ngakau kei a koe, te kaha o tōna mate, me ngā tohumate kei a koe.
- Te Ārai Manawa Taumata Tuatahi: Kāore e hiahiatia he maimoatanga mō tēnei. Mā tō tākuta koe e aroturuki.
- Te Ārai Manawa Tuarua-Tohu: Kāore pea e hiahiatia he maimoatanga Mobitz Momo I mēnā kāore he tohu. Heoi, mēnā he tohu, Mobitz Momo II rānei, me whakamahi pea he taputapu whakatere hei pupuri i te manawataki o te manawa.
- Te Ārai Manawa Tuatoru-Tohu: He maha ngā wā ka hiahiatia he taputapu whakateretere mō te hunga whai mate pēnei.
He aha tēnei taputapu whakatere?
He taputapu iti rawa te taputapu whakatere, he mea whakamahi i te pākahiko. Ka whakatōkia ki raro i te kiri o tō uma i te wā o te pokanga iti. Ka honoa he waea angiangi mai i tēnei ki tō ngākau. Ka mahi te taputapu whakatere mā te tuku tohu hiko ki tō ngākau ina puhoi rawa te pā, kia mau tonu te pā i te auau.
Ngā mea hei whakaaroaro māu ina noho tahi ana me te taputapu whakatere
Ka taea e koe te noho noa i muri i te tāutanga o te taputapu whakatere manawa, engari me tūpato koe ki ēnei mea e whai ake nei:
- Me noho tawhiti atu i ngā papa aukume kaha: Kaua e whakatata ki ngā mea pēnei i ngā mīhini MRI.
- Waea Pūkoro: Kaua e mauria tō waea pūkoro i roto i te pōke kotahi me tō taputapu whakatere manawa. Kia 6 inihi te tawhiti.
- Ngā tirotiro haumaru, pērā i ngā taunga rererangi: Kōrero atu ki ngā āpiha haumaru kei a koe he taputapu whakatere manawa. Me mau tonu hoki he kāri e kī ana kei a koe he taputapu whakatere manawa.
- Whakamōhio atu ki ētahi atu tākuta: Ahakoa kei te haere koe ki te toro atu ki tētahi tākuta niho, ki tētahi atu tākuta rānei, me kī atu kei a koe he taputapu whakatere manawa.
Āhea koe me toro atu ki tō tākuta?
Mena he aukati ngakau tōu, he mea nui kia haere koe ki te wāhi mahi hauora i ngā wā kua whakaritea e te tākuta. Mena he taputapu whakatere manawa tōu, me tirotiro tonu e koe mēnā kei te tika te mahi.
Mena ka pāngia koe e tētahi o ēnei tohu, waea atu ki tō tākuta tonu:
- Pōuriuri, māuiui rānei
- Mamae o te uma
- Te tere o te ngakau, te pekepeke rānei o ngā pao
- Te ngoikore o te ngākau
- Te uaua ki te manawa
- Te pupuhi o ngā waewae me ngā pona
Ki te puta ngā tohu o te mate manawa (mamae nui o te uma, uaua ki te manawa) ngā tohu rānei o te hopukanga o te manawa (ngaronga ohorere o te māramatanga), haere tonu ki te Tari Ohotata (ETU) o te hōhipera tata.
Karere Tangohia ki te Kāinga
- Ko te Ārai Manawa he whakararuraru i te tuku tohu hiko o te manawa. Ehara tēnei i te mea hei wehi, engari he mea hei āwangawanga.
- He maha ngā momo o tēnei, mai i te iti rawa te kino (tohu tuatahi) ki te tino kino (tohu tuatoru).
- Ki te pā mai ngā tohu pēnei i te whanoke, te whakapairuaki, te ngenge rawa, te uaua rānei ki te manawa, kaua e warewarehia. Me toro atu ki te tākuta.
- I ēnei rā, he tino whai hua ngā maimoatanga mō tēnei, pērā i ngā taputapu whakatere. Mā ēnei maimoatanga, ka taea e koe te noho ora, hauora hoki.
- Tiakina tō ngākau. He mea nui tonu te whai i tētahi momo noho hauora.
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