E mōhio ana koe ki ngā mate manawa i te wā e hapu ana? Me kōrero tāua!

Mena he whaea kei te hapu koe, kua hapu kē rānei, he mea tino nui tēnei tuhinga māu. He wā tino motuhake, he wā ataahua te haputanga, ā, he wā hoki e maha ai ngā huringa o ō tātou tinana. He nui ake te mahi a tō tātou ngākau i tēnei wā, nā te mea he nui te mahi a te ngākau ki te whakarato i te kai me te hāora e tika ana ki te whaea me te pēpi. Nō reira, i tēnei rā ka kōrero tātou mō te tūponotanga o te mate ngākau i tēnei wā, me te pānga o te haputanga ki te hunga kua pāngia e te mate ngākau.

He aha ngā mate ngakau ka taea te pā ki te tinana i te wā e hapu ana?

Ki te kī māmā noa, koinei te mea e kiia nei he raruraru o tō ngākau i te wā e hapu ana. E rua ngā momo matua:

1. Ngā mate ngakau o mua: Ko ēnei ngā mate ngakau i pā ki a koe i mua i tō hapūtanga. Kāore pea ēnei i pā mai he tohu nui ki a koe, kāore hoki i waiho hei raruraru nui. Heoi, i te wā e hapū ana, ka rerekē te pānga o ēnei mate ki a koe, ā, ka puta mai he maha ngā raruraru.

2. Ngā mate ngākau e puta mai ana i te wā e hapu ana: Ko ēnei ngā mate kāore i pā ki a koe i mua i tō haputanga, ā, ka puta mai i te wā e hapu ana. Ko ētahi o ēnei he mea kore kino, engari ko ētahi he mea morearea.

Ka taea e te nuinga o ngā wāhine whai mate manawa te hapu me te whānau i tētahi pēpi hauora. Heoi, i ētahi wā ka arahi te mate manawa i te wā e hapu ana ki ngā raruraru nui. Inaa, kua tautuhia te mate manawa hei tino take o ngā matenga o ngā whaea i ētahi whenua whakawhanake.

• E ai ki ētahi pūrongo, tata ki te hautoru o ngā matenga e pā ana ki te hāputanga i ahu mai i ngā raruraru o te pūnaha manawa.
• Tata ki te 4 i roto i te 100 ngā whaea hāpu ka pāngia e ngā raruraru nā te mate manawa.
• Ko ngā āhuatanga pēnei i te toto toto tiketike, te momona nui, me te pakeke neke atu i te 40, he āhuatanga ēnei e whakapiki ake ai i te mōrearea o te mate i te wā e hapu ana.

Mena kei te hapu koe, kei te whakaaro rānei koe kia hapu, he mea nui kia mōhio koe ki te pānga o te mate manawa ki a koe. Engari i mua i tērā, me titiro tātou ki te pānga o te haputanga ki tō manawa me ō uaua toto.

Ngā huringa o te ngākau me ngā oko toto i te wā e hapu ana

He maha ngā huringa ka pā ki tō tinana i te wā e hapu ana. Ka nui ake te taumahatanga o ēnei huringa ki tō tinana, ā, me kaha ake te mahi a tō ngākau. He mea noa ēnei huringa i te wā e hapu ana. Ka āwhina i tō pēpi e tipu haere ana kia whiwhi i te hāora me ngā matūkai e hiahiatia ana e ia.

• Te pikinga o te toto: Ka tīmata te pikinga o te toto i roto i ngā wiki tuatahi o te hapūtanga, ā, ka piki tonu. Ka piki te toto o te nuinga o ngā wāhine mā te 40% ki te 45% i te wā e hapū ana. Whakaarohia te nui ake o te toto e pupuhihia ana e tō ngākau i tōna tikanga!
• Te pikinga o te tere o te ngakau:He mea noa te pikinga o te tere o te manawa o te hapūtanga mā te 10 ki te 20 ngā pao i te meneti. Ka piki haere tēnei, ā, ka tae ki tōna taumata teitei i te toru o ngā marama.
• Te pikinga o te putanga o te ngākau: Ko te putanga o te ngākau te nui o te toto e pupuhihia ana e tō ngākau ia meneti. I waenganui i ngā wiki 28 me te 34, ka taea e tō putanga o te ngākau te piki ake mā te 30% ki te 50%. Nā te pikinga o te nui o te toto me te pikinga o te tere o te ngākau tēnei. Mena he māhanga tāu e whānau ana, ka taea e tō putanga o te ngākau te piki ake mā te 60%.

Tērā pea ka pā mai ēnei huringa ki a koe:

• Te tino ngenge (te ngenge nui) .
• Te pōuriuri.
• Te uaua ki te manawa (dyspnea) .
• Te āhua nei kei te tere te pao o tō ngākau (ngā palpitations) .

He tohu noa ēnei o te hapūtanga. Engari koinei te raruraru: Ka taea hoki e ēnei tohu te noho hei tohu mō ētahi mate ngakau. Nō reira, ahakoa he tohu whakatūpato kei a koe mō te mate ngakau, ka wareware pea koe ki a rātou, me te whakaaro, "Koinei tonu te āhua i te wā e hapū ana." Koia te take he mea morearea te mate ngakau i te wā e hapū ana. He uaua ki te mōhio mēnā he noa te tohu, he mea rānei hei āwangawanga māu.

Mena kei a koe te mate ngakau i mua, he nui ake te tūponotanga ki te pāngia e ngā raruraru e pā ana ki te ngakau i te wā e hapu ana. Ko tō tūponotanga ka whakawhirinaki ki te āhua o tō mate me tōna kaha.

He aha ngā mate ngakau o mua ka pā ki te hapūtanga?

Ka taea e ētahi mate ngākau te whakanui ake i te mōrearea o ngā raruraru i te wā e hapu ana. Mena kei a koe tētahi o ngā mate i raro nei, kōrero ki tō tākuta mō ngā mōrearea o te haputanga.

Mate ngakau whānau

Ko te mate manawa whānau he mate e kitea ana i te whānautanga. Ko ētahi o ēnei mate he iti noa iho, ko ētahi he tino kino. Ko ngā pēpi he mate kino te nuinga o te wā ka rongoatia i te wā taitamariki. Heoi, i ētahi wā ka puta he huringa ki te mahi a te manawa i muri i te maimoatanga, i te pokanga rānei.

Nō reira, ki te mea he mate manawa whānau tōu, he mea nui kia kōrero koe ki tō tākuta i mua i tō hapūtanga. Tērā pea ka tukuna koe e tō tākuta ki tētahi tohunga mate manawa whānau pakeke, ki tētahi tohunga manawa-whakawhanau rānei. Ka taea e rātou te aromatawai i ngā mōrearea o tō hapūtanga. Ka taea hoki e rātou te āwhina i a koe ki te tautuhi me te whakahaere i ngā mōrearea o tētahi hapūtanga kāore i whakamaheretia.

Ko ngā raruraru ngakau e kitea ana i roto i ngā wahine hapu me te mate ngakau whānau ko:

• Ngā rerekētanga o te pā o te ngakau (arrhythmia) .
• Te ngoikore o te ngākau .

Mena he mate manawa whānau tōu, he nui ake anō hoki tō tūponotanga ki te whānautanga o te pēpi i mua i te wā .

I te nuinga o te wā, ko ngā wāhine whai mate ngakau whānau e whai ake nei he iti ake te mōrearea ki ngā raruraru i te wā e hapu ana:

• Te ngoikore ngawari o te takirere pūkahukahu.
• Mena kua whakatikahia ngā "kōhao" iti o te ngākau, pērā i ngā hapa o te atrial septal (ASD) me ngā hapa o te ventricular septal (VSD).
• He iti, he pai rānei te whakatikatika i te patent ductus arteriosus (PDA).

Ko ngā wāhine whai mate ngākau whānau nei ka nui ake te mōrearea ki ngā raruraru hāputanga:

• Te pūmautanga o te takirere aorta me te takirere aorta bicuspid.
• Te whakapūngao o te aorta.
• Te āhua rerekē o Ebstein.
• Te āhua o te tinana o Fontan.
• Te tino uaua o te aukati o te takirere pūkahukahu.
• Tetralogy o Fallot (kua whakatikahia)
• Te whakawhiti i ngā uaua nui (kua whakatikatikaina)

Kia maumahara, he maha atu anō ngā mate ngākau whānau kāore i roto i tēnei rārangi. Ahakoa kāore tō mate ngākau i roto i tēnei rārangi, he mea nui tonu kia kōrero koe ki te tākuta mēnā kei te whakaaro koe kia hapu.

Ngā mate ngakau

Ko te cardiomyopathy tētahi o ngā tino take o ngā raruraru nui me te mate i te wā e hapu ana. Ko te mōrearea o ngā raruraru mai i te cardiomyopathy ka whakawhirinaki ki te momo me tōna kaha.

Tata ki te 4 i roto i te 10 o ngā wāhine e pāngia ana e te mate ngakau whānui ka pāngia e te mate manawa, e ētahi atu raruraru rānei. He iti ake te mōrearea o te mate ngakau hypertrophic i te wā e hapu ana. Heoi, ka taea tonu e ia te whakararuraru, inā koa mēnā i pāngia koe e ngā tohu i mua i tō haputanga.

Mena kei a koe tētahi momo cardiomyopathy, kōrero ki tō tākuta mō ō mōrearea i mua i te haputanga.

Mate takirere ngakau

He maha ngā momo mate takirere ngākau ka pā ki a koe i tō oranga. Ka rerekē ēnei mai i te ngawari ki te kino. Tērā pea kāore ētahi mate takirere e pā ki tō hāputanga, engari ko ētahi ka piki ake te tūponotanga o ngā raruraru. Mēnā he hītori tō mate takirere, kōrero ki tō kaiwhakarato hauora kia mōhio ai mēnā he haumaru te hāputanga mōu.

• Te ruakitanga o te takirere aorta:Ko te taumata o tō mōrearea ka whakawhirinaki ki te kaha o te rerenga toto (tūtaki). Mena kāore he tohu āu, ā, kei te mahi noa tō ngākau, he iti noa iho ō mōrearea ki ngā raruraru. Engari ki te mea he nui tō rerenga toto me te ngoikore o te mahi a te ngākau, he nui ake tō mōrearea, ā, me karo pea koe i te hāputanga. Ka pā pea hoki ki tō mōrearea ngā āhuatanga e pā ana pērā i te Marfan syndrome, te bicuspid aortic valve rānei.
• Te hekenga o te takirere mitral: He āhuatanga noa tēnei e kore e puta he tohu, e kore hoki e hiahiatia he maimoatanga. Ko te nuinga o ngā wāhine e pāngia ana e te hekenga o te takirere mitral, kāore he raruraru o te ngākau, kāore he raruraru o te hāputanga. Mena kua puta he turuturu nui o te takirere i roto i tō āhuatanga, me rongoā pea koe i mua i tō hāputanga.
• Te ruakitanga o te takirere mitral: Ko te taumata o tō mōrearea ka whakawhirinaki ki te turuturu o tō takirere, te pai o te pupuhi toto o tō ngākau, me te mea kei a koe ngā tohu. Mena he kino tō ruakitanga, ā, kei a koe ngā tohu, me whakatika pea te takirere mitral i mua i te haputanga. Ko ngā wāhine he nui te ruakitanga me te ngoikore o te mahi o te ngākau, me karo pea i te haputanga.
• Mitral valve stenosis: Koinei te raruraru ngākau tino noa i te wā e hapu ana puta noa i te ao. He nui ake te kitea i ngā wāhi e kitea whānuitia ana te kirika rūmātika (he mate e puta mai ana i te kirika whero me ngā mate korokoro kāore i rongoatia). Mena he mitral valve stenosis tōu, me whai tikanga, me pokanga rānei koe i mua i tō haputanga hei whakaiti i tō tupono ki ngā raruraru.

Mā te whakakapinga takirere ka taea te āwhina i te hunga whai mate takirere kia roa te ora, kia ora hauora. Engari me tiaki motuhake ngā wāhine whai takirere ngākau hangai i te wā e hapu ana. Nā te mea:

• Ka piki ake te mōrearea o te toto totoka i te wā e hapu ana. Ka piki ake hoki te mōrearea o te toto totoka i te wā e whai takirere horihori ana.
• Mena he takirere hangai āu, me tango e koe he rongoā ārai toto mō te toenga o tō oranga hei whakaiti i te tūponotanga o te toto totoka. Ka pā kino pea ētahi rongoā ārai toto ki te pēpi.

Mena he takirere hangai tōu, he mea tino nui kia toro atu koe ki tētahi tohunga ngakau i mua i te whakamahere i te haputanga. Ka kōrero tō tohunga ngakau ki a koe mō:

• Ngā mōrearea o tō hāputanga.
• Ko te maimoatanga e tika ana māu hei ārai i te toto totoka.
• Ngā whakatūpato me mahi e koe hei ārai i te endocarditis.

Mate aortic

Ko te mate aortic, te aortopathy rānei, he rōpū mate e pā ana ki tō aorta. E hono ana ngā mate ira ki ētahi mate aortic.

Ka whakanui ake te mate aortic i te mōrearea o ngā raruraru nui i te wā e hapu ana. Nā te mea ka piki ake te pēhanga ki runga i te aorta i te wā e hapu ana, inā koa i te wā e whānau ana. Ka whakanui ake tēnei pēhanga tāpiri i te mōrearea o te tapahi aortic, te pakaru rānei o te aneurysm, ka mate pea.

Ko ngā wāhine e whai ana i ēnei āhuatanga ka nui ake te tūponotanga o ngā raruraru i te wā e hapu ana:

• Te takirere aorta bicuspid me te whakawhānui o te aorta.
• He hītori o te wehenga aortic.
• Te mate Loeys-Dietz.
• Te mate Marfan.
• Te mate Turner.
• Te mate Ehlers-Danlos toto.

He mea nui: Tata ki te haurua o ngā wehenga me ngā pakaru o te aorta i roto i ngā wāhine kei raro iho i te 40 tau te pakeke e pā ana ki te hāputanga. I te nuinga o te wā ka puta i te toru o ngā marama o te hāputanga, i muri rānei i te whānautanga.

Mena he mate aortic tōu, he mea tino nui kia toro atu koe ki tētahi tohunga ngakau mō tētahi aromatawai i mua i te whakamahere i te hāputanga.

He aha ngā raruraru ngākau hou ka puta i te wā e hapu ana?

Ahakoa kāore he hītori o te mate manawa me te ngākau i roto i tōu tinana, ka pā mai pea ngā raruraru maha ki tō ngākau, ki ō uaua toto rānei i te wā e hapu ana koe.

Te toto toto tiketike (hypertension)

Tata ki te 1 i roto i te 10 ngā wāhine hāpu e pāngia ana e te toto toto tiketike i te wā e hapū ana. He mate noa anō hoki tēnei.

Ko ngā tātaritanga mō te toto toto tiketike ko:

• Te toto toto tiketike i te wā hapūtanga: Te toto toto tiketike (neke atu i te 140/90 mmHG) ka tīmata i muri i te 20 wiki o te hapūtanga.
• Preeclampsia: Te toto toto tiketike e tīmata ana i muri i te 20 wiki. Ka haere tahi tēnei me te pūmua i roto i tō mimi, te tohu rānei o te kino o ngā whekau. Ko te eclampsia he mate e puta ana i te wā e hapu ana, i roto rānei i ngā rā 10 o te whānautanga, me te haere tahi me ngā haurangi.
• Te toto toto tiketike mau tonu: Te toto toto tiketike e tīmata ana i mua i te 20 wiki, i mua rānei i te haputanga.
• Te toto toto tiketike mau tonu me te preeclampsia: Te toto toto tiketike mau tonu me te pūmua i roto i te mimi, te tohu rānei o te kino o ngā whekau.

Mate huka hāputanga

Ko te mate huka hāputanga he taumata huka toto tiketike e puta ana i muri i te 20 wiki o te hāputanga. Ki te kore e rongoatia, ka nui ake te mōrearea o ngā raruraru mōu me tō pēpi.

Ngā rerekētanga o te pā o te ngakau (Arrhythmias)

Ka piki ake te tūponotanga o te pāngia e te ngakau koretake (arrhythmia) i te wā e hapu ana, ahakoa kua pāngia koe e tēnei mate i mua, kāore rānei. Ko ngā momo arrhythmia ka pāngia pea koe i te wā e hapu ana ko:

• Te manawa pāwera o te ngākau: He manawa pāwera tāpiri tēnei, kāore he kino i te nuinga o te wā.
• Te tachycardia supraventricular (SVT): He tere te pao o te ngakau e tīmata ana i ngā rūma o runga o tō ngākau (atria). Koinei te arrhythmia roa rawa atu (neke atu i te 30 hēkona te roa) e kitea ana i te wā e hapu ana. He nui ake tō mōrearea mēnā he hītori tōu o te SVT, he mate ngākau whānau rānei. Engari ka taea hoki te tupu mō te wā tuatahi i te wā e hapu ana.

Ko ētahi o ngā arrhythmias e hiahiatia ana he maimoatanga, ko ētahi kāore. Ko ngā wāhine he mate manawa whānau me ngā arrhythmias he nui ake te tūponotanga kia hiahiatia he maimoatanga. Mā tō kaiwhakarato hauora e whakatau te maimoatanga haumaru mōu.

Te tapahi tūpono i te uaua o te ngakau (SCAD)

He mate morearea te pokanga toto o te ngākau (SCAD). Ko te SCAD he haehae i roto i tētahi, i ētahi rānei o ngā uaua e tuku toto ana ki tō ngākau. E 4 i roto i te 5 o ngā tāngata e pāngia ana e te SCAD he wāhine. Tata ki te 1 i roto i te 3 o ngā take e pā ana ki te hāputanga. I te nuinga o te wā ka puta te SCAD i roto i te wiki kotahi i muri i te whānautanga, engari ka taea hoki te puta i te mutunga o te hāputanga, i roto rānei i ngā wiki e ono i muri i te whānautanga.

E whakapono ana ngā kairangahau he pānga nui tō ngā huringa homoni i te wā e hapu ana. Ko ētahi atu āhuatanga mōrearea i roto i ngā wāhine hapu ko:

• Neke atu i te 30 tau te pakeke.
• Te whakamahinga o te kōkāine.
• Ngā mate o te kiko honohono.
• Mate huka.
• Te toto toto tiketike.
• Te whakamahi tupeka.

Te hekenga o te rere o te toto ki te uaua o te ngākau (Myocardial ischemia)

Ko te ischemia myocardial ko te wā kāore e nui te toto e tukuna ana ki tō ngākau. Ka puta pea tēnei i:

• Angina pumau.
• Angina kore pumau.
• Te whakaekenga o te ngākau.

Tata ki te 2 i roto i te 25,000 ngā whakaurunga hōhipera e pā ana ki te hāputanga nā te mate ngakau ischemia. Ko ngā āhuatanga mōrearea mō ngā wāhine hāpu ko:

• Neke atu i te 30 tau te pakeke.
• Mate huka.
• Hītori whānau mō te mate ngakau.
• Te toto toto tiketike.
• He nui te cholesterol, he nui rānei ngā triglycerides.
• Hītori o te tapahi ohorere o te uaua ngakau `(SCAD)`.
• Taumaha rawa/momona.
• Te whakamahi tupeka.

Te ngakau o te ngākau i muri i te whānautanga

Ko te cardiomyopathy peripartum he momo ngoikore o te ngakau e puta ana i te mutunga o te hapūtanga, i muri tata mai rānei i te whānautanga. Ka pāngia ngā wāhine kāore anō kia kitea he mate ngakau i mua. Nā tēnei āhuatanga ka kore e taea e tō ngakau te pupuhi toto ki tō tinana. Ka pā pea tēnei i ngā tau katoa, engari he maha ngā wā ka pā ki te hunga neke atu i te 30 tau te pakeke.

Te totohu o te uaua hohonu me te embolism pūkahukahu

Ka piki ake te mōrearea o te mate toto toto hohonu (DVT) me te mate pūkahukahu (PE) i te wā e hapu ana. E whā ki te rima ngā wā ka nui ake te kitea o ēnei āhuatanga i roto i ngā wāhine hapu i ngā wāhine kāore i te hapu. I te nuinga o te wā ka puta i te wā i muri i te whānautanga (i roto i ngā marama e ono i muri i te whānautanga).

Ko te toto toto hohonu (DVT) he toto totoka i roto i te uaua hohonu o tō tinana (i roto i tō waewae te nuinga). Ko te toto totoka pūkahukahu (PE) he toto totoka e puta ana i tētahi wāhi o tō tinana ka haere ki ō pukahukahu.

Ka nui ake tō mōrearea mēnā he hītori toto totoka, he embolism rānei tōu. Mēnā he DVT, he PE rānei tōu, me rongoā pea koe ki ngā rongoā whakangawari toto. Me tohu e tō tākuta he rongoā whakangawari toto haumaru i te wā e hapu ana.

He aha te mate ngakau e tino kitea ana i te wā e hapu ana?

Ko te mate manawa whānau te momo mate manawa e tino kitea ana i ngā whenua whakawhanake.

I ngā whenua whakawhanake, ko te mate manawa rūmātiki te momo mate manawa tino noa, e 7 i roto i te 10 ngā mate manawa i te wā e hapū ana.

He aha ngā mate ngakau he tino morearea mō te hapūtanga?

Ko ētahi mate ngākau me ngā mate e pā ana ki tēnei mate ka tino morearea te hāputanga. Me karo pea koe i te hāputanga mēnā kei a koe ēnei mate:

• Te stenosis o te takirere aorta (mēnā he kino, ā, he tohumate te take)
• Te hononga o te aorta (mēnā kāore i whakatikahia, kei te haere tahi rānei me te aneurysm aortic)
• Te mate Eisenmenger.
• Te āhua o te tinana o Fontan.
• Te mate Marfan.
• Te stenosis o te takirere mitral (mēnā he kino rawa)
• Te cardiomyopathy peripartum i roto i te haputanga o mua (me te toenga o te kino ki te mahi o te ngakau)
• Te toto toto tiketike o te pūkahukahu.
• Te whānui nui o te aorta (neke atu i te 45 mm mēnā he Marfan syndrome tōu, neke atu i te 50 mm mēnā he bicuspid aortic valve tōu)
• Te ngoikore o te ventricle me te wāhanga ejection ventricle maui i raro i te 40%

Mena kei a koe tētahi o ēnei āhuatanga, kōrero ki tō tākuta. Māna e aromatawai te kaha o tō āhuatanga, ā, māna anō e kōrero ki a koe mō ō mōrearea.

He aha ngā tohu me ngā āhuatanga o ngā raruraru ngākau i te wā e hapu ana?

He rite ētahi tohu o ngā raruraru ngākau ki ngā mea ka pā ki a koe i te wā e hapu ana. Kei roto i ēnei ko:

• Te tino ngenge (te ngenge nui) .
• Te hiahia tonu ki te mimi.
• Te uaua ki te manawa.
• Te pupuhi o ngā waewae me ngā pona (edema) .

Kāore pea ēnei tohu e kino. Heoi, he tohu pea ēnei mō te raruraru o te ngākau, ina koa mēnā:

• Mena ka tīmata i muri i te 20 wiki o te hapūtanga.
• Mena ka pāngia koe e ēnei āhuatanga tae noa ki te wāhi e kore ai e taea e koe te mahi i ngā mahi o ia rā.
• Ki te mea ka pōturi tō manawa ahakoa kei te okioki koe.
• Ki te ara ake koe i waenganui pō me te uaua ki te manawa.

Ngā tohu rerekē i te wā e hapu ana:

• Te tirohanga pōuri.
• Te mamae o te uma (angina) .
• Te tere o te manawa e neke atu ana i te 30 hēkona.
• Te ngaronga o te māramatanga (syncope) .
• Te tere o te manawa o te ngakau (tachycardia) .

He mea nui: Ki te mamae tō uma, ki te kore rānei e pai te noho, waea atu ki te 119, ki tō nama urupare ā-rohe rānei.

Kōrerotia ki tō tākuta ngā tohumate katoa e pā ana ki a koe. Tērā pea he pai ki te pupuri i tētahi pukapuka rātaka mō ō tohumate. Whakaurua ēnei e whai ake nei:

• Ngā tohu katoa e pā ana ki a koe.
• Te rā me te wā.
• Te kaha o te mate i runga i te tauine mai i te 1 ki te 10 (ko te 10 te mea kino rawa atu).
• Ngā mahi e mahia ana e koe i taua wā (hei tauira, te whakakorikori tinana, te mahi i ngā mahi māmā o te whare, te whakangā rānei).

Ko ngā tohu he kare ā-roto, he huringa rānei e pā ana ki a koe. Ko ngā tohu he tohu whakatūpato e kitea ana e tō kaiwhakarato hauora i te wā o te whakamātautau tinana, i ngā whakamātautau rānei. Ngā tohu o ngā raruraru ngākau i te wā e hapu ana:

• Te ngākau nui (cardiomegaly).
• Ngā oro o te ngākau rerekē (ngā haruru o te ngākau).
• Te toto toto tiketike.
• Te aroaro o te pūmua i roto i te mimi.
• Te pupuhi o ngā uaua i te kaki (te pupuhi o te uaua jugular).

Ka tirohia koe e tō tākuta i tō whare hauora hapūtanga mō ngā tohu o ngā raruraru ngākau.

Me pēhea te whakahaere i te mate ngakau i te wā e hapu ana?

Mā te rongoā hauora me te tiaki i a koe anō ka āwhina i a koe ki te whakahaere i te mate manawa i te wā e hapū ana. Anei ētahi tohutohu:

• Haere ki ngā wā whakarite a tō tākuta. Tērā pea ka rongoatia koe e te tākuta whānau-tākuta wahine me te tākuta ngakau. Kia mahara ki te haere ki ō wā whakarite me ō tirotirohanga katoa. Me whai whakamātautau auau pea koe (tae atu ki ngā echocardiograms) hei tirotiro i te mahi a tō ngakau.
• Āraia te pikinga taumaha koretake. Pātai atu ki tō tākuta mō te nui o te taumaha ka taea e koe te piki ake me te haumaru i te wā e hapu ana.
• Āraia te ahotea. Kia taea, karohia ngā āhuatanga e whakararuraru ana i a koe. Kimihia hoki he huarahi hei whakangā hei āwhina i a koe kia marino. Mēnā ka kī mai tō tākuta he pai, ka taea e ngā akomanga yoga i te wā e hapu ana te āwhina.
• Kai i ngā kai hauora mō te ngākau.Whāia ngā tohutohu a tō tākuta mō ngā kai hei kai me ngā kai hei karo. I te nuinga o te wā, ngana ki te whakawhāiti i te kai o te konutai, te huka, te ngako kukū, me te ngako whakawhiti.
• Whakakorikori tinana kia haumaru. Mā tō tākuta koe e kī atu ki te auau o te whakakorikori tinana me ngā momo whakakorikori tinana e haumaru ana māu. Kia tino whai i ā rātou tohutohu. Me karo pea koe i ngā mahi e tino taumaha ai tō ngākau.

I runga i tō āhua, ka tūtohu pea tō tākuta i tētahi tikanga hei āwhina i te mahi pai ake o tō ngākau. He pai ake te mahi i ēnei tikanga i mua i tō haputanga. Ma tō rōpū hauora e aromatawai tō āhua, ā, ka whakatau i te huarahi mahi pai rawa atu.

Tērā pea ka hiahia koe ki te rongoā hei whakahaere i ētahi āhuatanga, i ētahi āhuatanga mōrearea rānei. Kōrero ki tō tākuta mō ngā rongoā e haumaru ana, me ngā rongoā kāore e haumaru mōu ki te tango i te wā e hapu ana.

Ngā rongoā mō ngā mate pūnaha io i te wā e hapu ana

Ko tētahi wāhanga o tō mahere whakahaere ko te tango i ō rongoā kia rite ki te mea i whakaritea. Tērā pea ka whakarerekētia e tō tākuta ō rongoā. Nā te mea kāore ētahi rongoā ngākau e haumaru ana ki te tango i te wā e hapu ana.

Ko ngā rongoā kāore i te haumaru ko:

• Ngā aukati ACE.
• Ngā aukati i ngā kaiwhakawhiwhi angiotensin (ARB).
• Ngā kaitukino Aldosterone.
• Ko ētahi rongoā whakaheke toto, pērā i te warfarin.
• Ko ētahi rongoā hei rongoā i te toto toto tiketike, pērā i te riociguat me te bosentan.

He mea nui: Ki te mea kei te tango koe i tētahi o ēnei rongoā, ā, ka hapu koe, waea atu ki tō kaiwhakarato hauora tonu. Kaua e mutu te tango i tētahi rongoā me te kore e kōrero ki te tākuta.

Te aroturuki i muri i te whānautanga

Tērā pea ka puta ētahi raruraru i roto i ngā marama e ono i muri i te whānautanga. Ka tirotirohia koe e tō tīma hauora, ka tirohia hoki te mahi a tō ngākau. Ahakoa he tino pukumahi, he ngenge hoki koe i tēnei wā, he mea nui kia tae atu koe ki ō wā whakarite katoa. Ka kōrero anō hoki tō tīma tiaki ki a koe mō te haumaru me ngā mōrearea o te whakamahere i ngā hāputanga o muri mai.

Ka pāngia tōku oranga ā muri ake nei e ngā raruraru ngākau i te wā e hapū ana?

Ka piki ake te mōrearea o te mate manawa i te wā e hapu ana i ngā mate manawa i muri mai. Anei ētahi tatauranga matua:

• Ka piki ake te mōrearea o te mate pūnaha toto i te wā e hapu ana i te mate huka hāputanga mā te 68%.
• Ka piki ake te mōrearea o te mate ngakau mā te 67% i te toto toto tiketike i te wā e hapū ana.
• Ka piki ake te mōrearea o te mate i te mate pūnaha toto i te hunga e hapu ana (preeclampsia) mā te 75%.

Tērā pea he āhua whakamataku ēnei tatauranga ki a koe. Engari ko te rongo pai, he wāhanga noa iho o te kōrero e kōrerohia ana e ngā tatauranga. He whakaata ēnei i ngā mea i tupu i mua. Kāore e hiahiatia kia whakatau i tō heke mai. Whakamahia tēnei mōhiotanga hei whakamahere rautaki hei whakaiti i tō tupono ki te mate manawa. Mena i pāngia koe e ēnei āhuatanga i te wā e hapu ana, i ngā marama rānei i muri i te whānautanga, kōrero ki tō tākuta i muri i te whānautanga, ā, tonoa kia whakamātauria koe mō te mate manawa.

He maha ngā mea ka taea e koe te mahi hei ārai i te mate ngakau, hei whakaroa rānei i tōna whanaketanga. Tērā pea me tirotirohia e te tākuta ngakau mō te wā roa hei aroturuki i te hauora o tō ngakau, hei kite hoki i ngā tohu wawe o ngā raruraru. Kōrero ki tō tīma tiaki mō ngā huringa āhua noho hei āwhina i te pupuri i te hauora o tō ngakau me ō oko toto mō ngā tau e haere ake nei.

Hei whakamutunga, kia mahara ki tēnei.

Mena he mate manawa tōu, ā, kei te whakamahere koe kia hapu, koinei te wā tika ki te kōrero ki tō kaiwhakarato hauora. Akohia ō mōrearea me te whakahaere i tō mate manawa i te wā e hapu ana. Mena he haputanga kāore i te whakamaheretia, he mea nui kia kōrero tonu koe ki tō tākuta. Ka aromatawaihia e tō tākuta tō mōrearea mō ngā raruraru. Tērā pea ka taea e ia te whakarerekē i ō rongoā manawa kia haumaru ai mō te haputanga.

Ahakoa kāore koe i te mate manawa, he mea nui kia mōhio koe ki te pānga o ngā raruraru manawa ohorere ki tō hapūtanga. Kōrero ki tō tākuta mō ngā āhuatanga mōrearea e pā ana ki a koe. Mahi tahi me tō tākuta ki te whakaiti i tō mōrearea kia taea ai e koe te hapūtanga haumaru, hauora hoki. Kia maumahara, mā te whaea hauora ka pai te tīmatanga o te pēpi hauora!

` Mate ngakau, haputanga, ngakau, mate ngakau i te wā e hapu ana, ngā tohumate mate ngakau, ngā raruraru haputanga, hauora ngakau