Kei te pāngia koe e te ohorere me te manukanuka o tō ngākau? (Ngā Pōrearea o te Ngākau me te Manukanuka) - Me kōrero tātou mō tēnei!

Kua rongo koe i tō uma e pā ana, e pā ana, kāore he take? Me te mea kua oma noa koe i tawhiti. Kei te rongo rānei koe kei te hurihuri tetahi mea i roto i tō uma, ka pekepeke te pao, kātahi ka pā anō? He mea tēnei e pā ana ki te tini tāngata. Ka pā pea tēnei ina koa kei te mataku nui koe, kei te pēhanga, kei te manukanuka rānei, koinei te mea e kiia nei e tātou ko te "Manukanuka". Nō reira, kaua e mataku. Me kōrero mārama tātou mō tēnei i tēnei rā.

Hei whakarāpopototanga, he aha ēnei tere o te ngākau?

Tērā pea ka mataku ētahi i te kupu 'Heart Palpitations'. Engari ko te tikanga māmā o tēnei ko te tīmatanga o te rongo i te pai o te pao o tō ngākau. I te nuinga o te wā, kāore tātou e rongo i te pao o tō tātou ngākau. Engari i tēnei wā,

• Tērā pea ka rite te ngākau ki te mea e pā nui ana, e tere ana hoki .
• Tērā pea ka rite koe ki tētahi pūrerehua e rere ana i roto i tō uma .
• Tērā pea ka rite te manawa o te ngakau ki te pekepeke i tētahi wā, kātahi ka tere ake te pao i te wā e whai ake nei .
• Tērā pea ka rite ki te patupatu rerekē tō ngākau , ka tere ake te patu, kātahi ka pōturi ake, kātahi ka tere ake anō.

Ka puta pea tēnei kare ā-roto i te uma, i te kaki, i te korokoro rānei. I ētahi wā ka memeha haere i roto i ētahi hēkona. I ētahi wā ka roa pea mō ngā meneti.

He aha te take e mamae ai te uma i te manukanuka? He aha te hononga?

Whakaarohia kei te hikoi koe i te tiriti, ā, ka peke ohorere mai tētahi kurī nui ki a koe. He aha te mea ka pā ki a koe? Ka mātao koe, ka werawera koe, ā, ka tīmata te patupatu o tō uma, tika? Koinei te tikanga tiaki ā-taiao o tō tātou tinana. Ka kiia e tātou ko te "tauhohenga whawhai, rere rānei."

Ina mataku koe, ina manukanuka, ina ahotea rānei, ka whakaaro tō roro kei roto koe i te mōrearea. I taua wā, ka tukuna e te roro ngā tohu ki te tinana kia rite ai koe ki te aro atu ki taua "mōrearea." I taua wā anō, ka tukuna e tō tātou tinana ngā homoni pērā i te adrenaline . Ko tētahi o ngā mahi matua a ēnei homoni ko te tere ake i te tere o te manawa. Nā te mea ka tere te pupuhi i te toto me te hāora ki ngā uaua o te tinana, ka hoatu he kaha ki a koe hei whawhai, hei oma atu rānei.

Nō reira, koinei te mea ka puta ina pāngia koe e te `(Manukanuka)`. Ahakoa he raruraru i te mahi, he whakamātautau, he wehi rānei ki te kōrero i mua i te iwi, ka taea e tō roro te tohu he "mōrearea". Kātahi ka whakahohehia te urupare `(Whawhai, Rere rānei)`, ka piki ake te adrenaline, ā, ka tere ake te patu o tō uma.

Āhea tātou me āwangawanga ai mō te mamae o te uma?

Ahakoa ehara i te mea morearea te mamae o te uma i puta mai i te manukanuka, ehara i te mea ko te manukanuka te take o ngā mamae katoa o te uma. I ētahi wā he tohu pea tēnei mō tētahi raruraru hauora. Nō reira, ki te pāngia koe e tētahi o ngā tohu kua whakarārangihia i raro nei me te mamae o te uma, he mea nui kia rapu tohutohu hauora tonu. Ko te tikanga tēnei me haere wawe ki te Tari Urupare o te hōhipera tata (ETU) .

Ētahi atu take o te mamae o te uma me te kore manukanuka

• Ngā raruraru manawataki o te ngākau (Arrhythmias): Hei tauira, ngā āhuatanga pēnei i te `(Atrial Fibrillation - Afib)`.
• Myocarditis: Te mumura o te uaua o te ngakau nā te mate huaketo.
• Ngā raruraru o te tairoi: Tērā pea ko te hyperthyroidism.
• Ngā raruraru hanganga o te ngākau: Ngā mea pēnei i te mate takirere ngākau.
• Ētahi atu take: te nui rawa o te kawheine (kawhe, tī) te inu waipiro rānei, ētahi rongoā, te anemia (te korenga o te toto).

Me pēhea te tātaritanga a te tākuta i tēnei mate?

Ina haere koe ki te tākuta ki te kōrero mō tēnei mea, māna koe e kōrero tuatahi ki te tākuta. Kāore he take e mataku ai. Kia mārama ki ō kare ā-roto. Tērā pea ka pātai atu te tākuta ki a koe i ētahi mea pēnei:

• Kia pēhea te roa o tō mamae o te uma? Kia pēhea te roa? E hia ngā wā i te rā ka rongo koe i tēnei mamae?
• He aha ōu kare ā-roto i mua i tēnei mea? Kei te mataku koe, kei te manukanuka rānei?
• He aha ngā rongoā (tae atu ki ngā huaora me ngā rongoā otaota) e tangohia ana e koe?
• He aha āu tikanga kai? E hia te nui o te kawhe, te tī, me ngā inu pūngao e inuhia ana e koe? E inu waipiro ana koe?
• He mate manawa tō tetahi o tō whānau?

Kātahi ka whakatakotoria e te tākuta he stethoscope ki tō uma, ā, ka tirohia. Mēnā e tika ana, ka tonoa pea e ia ētahi atu whakamātautau hei whakatau i te tino take.

• Ngā whakamātautau toto: Tirohia mēnā he anemia, he taumata o ngā homoni tairoi, me ngā taumata o ngā kohuke pēnei i te pāhare pāporo (hypokalemia).
• ECG (Electrocardiogram): He whakamātautau e hopu ana i te ngohe hiko o te ngākau. Mā tēnei ka taea te tirotiro i ngā hapa o te manawataki o te ngākau.
• Echocardiogram (Echo): He matawai tēnei o te ngākau. Ka taea te tirotiro i te hanganga o te ngākau, te mahi a ngā takirere, me te pai o te pupuhi toto a te ngākau.
• Aroturuki Holter: He taputapu iti tēnei ka mau koe mō te rā kotahi, e rua rānei. Ka hopukina tonutia te mahi a tō ngākau i a koe e mahi ana i ngā mahi o ia rā.
• Pūrere Hopu Takahanga: Ka taea e koe te whakamahi i tēnei mō ētahi wiki. Ina rongo koe i te pao o te ngakau, pēhia he pātene, ā, ka tuhia he ECG i taua wā.

Me pēhea te rongoā i te mamae o te uma i puta mai i te manukanuka?

I muri i ngā whakamātautau, ki te whakaūtia e tō tākuta ko te "Manukanuka" te take o tō mamae o te uma, ka arotahi te maimoatanga ki te whakahaere i tō "Manukanuka". Nā te mea ina rongoatia te take, ka heke aunoa te tohu (te mamae o te uma).

Hinengaro Whakaora

He tikanga tino whai hua tēnei. Ka karangatia hoki ko te 'Talk Therapy'. I konei, ka kōrero koe mō ō raruraru me tētahi kaiwhakatakoto whakaaro, tohunga hinengaro rānei, māna koe e āwhina ki te tautuhi me te whakarerekē i ngā tauira whakaaro e puta ai tō "Manukanuka". He tikanga tino whai hua te Cognitive Behavioral Therapy (CBT) e whakamahia whānuitia ana mō tēnei.

Ngā rongoā

I ētahi wā, ka tohua pea e te tākuta he rongoā hei whakahaere i te āhua.

• Ka taea e ngā rongoā pēnei i ngā rongoā ārai-manukanuka (anxiolytics) me ngā antidepressants te āwhina ki te whakahaere i te manukanuka mō te wā roa.
• Ka whakaitihia e ngā rongoā pēnei i ngā beta-blockers ngā pānga o te homoni adrenaline, ka whakahaere i ngā tohu ā-tinana pēnei i te tere o te manawa me te wiri.
• Ngā BenzodiazepinesAhakoa ka tere te whakaora i ēnei momo rongoā i roto i te āhuatanga ohorere, me whakamahi noa i ēnei i ngā wā tino onge, ā, mō te wā poto noa iho, nā te mea he tūponotanga ka warangahia koe.

Ngā huringa āhua noho me ngā mahi whakaora mamae

Haunga ngā rongoā, he maha ngā mea ka taea e koe te mahi māu ake. Mā te whakauru i ēnei hei wāhanga o tō oranga, ka taea e koe te whakahaere pai ake i te manukanuka me te tere o te manawa.

Ngā huarahi hei whakahaere tonu i te mamae o te uma

Whakaarohia ka pāngia koe e te whakaekenga manukanuka, ā, ka tīmata te pakū o tō uma. Kaua e mataku i taua wā tonu, ngana ki te mahi i ēnei mea.

• Manawa Hōhonu: Koinei te huarahi pai rawa atu, tere hoki. Noho pai. Katia ō kanohi. Whakatakotoria tetahi ringa ki tō uma, tetahi ki tō puku. Manawa hōhonu mā roto i tō ihu (tatau kia 4). I a koe e manawa ana, me rongo koe i tō ringa kei runga i tō puku e neke whakamua ana. Kātahi ka pupuri i tō manawa mō te 1-2 hēkona, ka tuku mā roto i tō waha (tatau kia 6). Me mahi tēnei i ētahi wā, ā, ka rongo koe i te tere o tō manawa kia hoki mārire ki te āhua noa.
• Te Aromatawai: Kia tūpato ki tō wāhi. Ngāna ki te tautuhi i ngā mea e rima e kite ana koe, ngā oro e whā e rangona ana e koe, ngā mea e toru e pā ana ki a koe, ngā mea e rua e hongi ana koe, me ngā mea e rua e reka ana koe (ahakoa he iti noa te wai). Mā tēnei ka āwhina i tō hinengaro kia matara atu i te wehi, ā, ka hoki mai koe ki te ao o nāianei.
• Wai matao: Tauhiuhia he wai matao ki tō mata. Mēnā rānei, inuhia he karāhe wai matao i ia wā, i ia wā. Mā tēnei ka āwhina i te pūnaha io kia marino.
• Hīkoi: Ki te taea, haere mō tētahi wā poto. Tirohia te taiao e karapoti ana i a koe. Ka whakararuraru tēnei i tō hinengaro.