He raruraru ngākau i muri i te COVID-19? Me kōrero tātou mō tēnei!

Kua pāngia koe e te COVID-19, ā, kua ora ake koe? Kua pāngia rānei tētahi e tōu mōhio e te COVID-19? Ko tētahi o ngā mea e kōrerohia ana i ēnei rā ko te pānga o te COVID-19 ki te ngākau. He mea nui tēnei hei whakaaroaro. Me kōrero tātou mō tēnei mea i roto i ngā taipitopito, ā, i tēnei rā tonu, me pēhea?

Ka taea e te COVID-19 te whakararu i te mate ngakau?

Ae, ina pāngia koe e te COVID-19, ahakoa he mate ngawari, he mate kino ake rānei, tera pea ka nui ake te tūponotanga ka pāngia koe e te mate manawa, e te ngoikore rānei o te manawa . Kāore pea te huaketo e puta ai te COVID-19 e pangia tika te uaua o te manawa. Engari ko ngā raruraru ka puta mai i tēnei huaketo puta noa i te tinana ka kino pea te manawa.

Ahakoa te tangata kāore anō kia pāngia e te mate manawa i mua, ka pāngia tonutia ia e ngā raruraru manawa i muri i te COVID-19. Engari, ki te mea kua pāngia kētia koe e te mate manawa, e te mate pūnaha manawa rānei, he nui ake tō tūponotanga. Ā, ki te mea kei a koe ngā āhuatanga mōrearea pēnei i te toto toto tiketike, te mate huka , te momona , te cholesterol tiketike rānei, he nui ake anō hoki tō tūponotanga ki te pāngia e ngā raruraru nui. Ka pāngia te manawa e te COVID-19 i te wā e noho ana te huaketo i roto i te tinana, me muri hoki i tōna wehenga atu i te tinana.

He aha te pānga o te COVID-19 ki tō pūnaha manawa?

Ka taea te puta mai ētahi raruraru ngākau – pērā i te kino o te uaua ngākau – ina pāngia koe e te COVID-19. Ko tēnei kino o te uaua ngākau (whara myocardial) ko te matenga o ngā pūtau uaua ngākau. I ētahi wā, kāore he tohu o te hunga whai i tēnei momo kino. Ko ētahi atu ka pāngia e ngā tohu pērā i te mamae o te uma , te poto o te manawa (dyspnea) , te pupuhi rānei o ngā waewae. Ka taea e te tākuta te tātaritanga i tēnei mā te whakamātautau toto me te whakaahua ngākau .

Kei te ngana tonu ngā kairangahau ki te whakatau i te tokomaha o te hunga e pangia ana e te COVID-19 e whara ana te uaua o te ngākau. E ai ki te kōrero whānui, mai i te 7% ki te 40% o te hunga ka pāngia e tēnei mate. He mea noa tēnei i roto i te hunga e mate ana, ā, e hiahia ana ki te tiaki i te wāhanga tiaki nui (ICU). Mēnā kua pakaru tō ngākau, ka nui ake te tūponotanga o ngā raruraru i a tō tinana e whawhai ana ki te huaketo.

He pēhea te kino o te mumura e puta mai ana i te COVID-19 ki te ngākau?

E ai ki ngā rangahau ko te mumura te tino take o te kino o te ngākau mai i te COVID-19. Ina pāngia koe e te mate, ka whakahohehia tō pūnaha ārai mate. Mā tēnei ka tukuna ngā pūtau mumura me ngā cytokine.Ko te whakaputanga o ngā mea e kiia nei ko ngā cytokine. He pūmua iti ēnei cytokine e whakahohe ana i te urupare ārai mate. Inaa, ko tēnei mumura, arā, te mumura, he tukanga e hiahiatia ana e tō tātou tinana, ā, e āwhina ana hoki.

Heoi, nā te COVID-19 ka nui rawa te mumura o te tinana o ētahi tāngata. Ka kiia tēnei āhuatanga ko te cytokine release syndrome , ko te 'cytokine storm' rānei. He maha ngā wā ka kitea tēnei i roto i ngā take kino o te COVID-19. Ka taea e tēnei mumura nui te kino ki tō pūnaha manawa i roto i ngā huarahi maha. Hei tauira:

• Te Arrhythmia: Ka taea e tēnei mumura te whakarerekē i ngā tohu hiko i roto i te ngākau. Nō reira, ka ngaro pea te manawataki o te ngākau. Mena kua pāngia kē koe e te arrhythmia, ka taea e tēnei awha cytokine te whakararuraru i te mahi.
• Ngā Puku Toto: Ina pā te mumura ki te arai o roto (endothelium) o ō oko toto, ka nui ake te mōrearea o ngā pupuhi toto, te mate ngakau, te whiu rānei.
• Myocarditis: He mumura tēnei o te uaua o te ngākau. He nui ake te mōrearea o te hunga whai COVID-19 ki te pāngia e te myocarditis i te hunga kāore he COVID-19.
• Pericarditis: He mumura tēnei o te kiriuhi e karapoti ana i te ngākau. Ka mamae pea te uma me te pupū ake o te wai huri noa i te ngākau.
• Te ngoikore o te ngākau: Ka puta tēnei i te kohikohinga koretake o te wai me te pupuhi (edema) i roto i ngā pukahukahu me te tinana.

He nui ake te mōrearea o te hunga whai mate manawa, ngā āhuatanga mōrearea rānei

He tokomaha ngā tāngata e noho ana i te hōhipera me te COVID-19 he mate manawa kei roto. Waihoki, ko te hunga e mate ana i te mate manawa ka nui ake te tūponotanga ka pāngia e te cytokine storm.

Mena kei a koe tētahi o ngā āhuatanga e whai ake nei, he nui ake te tūponotanga ka pāngia koe e ngā raruraru mai i te COVID-19:

• Te ngoikore o te ngākau
• Te Mate Puku o te Arota o te Koronari (CAD)
• Ngā mate ngakau
• Te Mate Tākihi Mau tonu (CKD)
• Mate Huka (Diabetes Mellitus)
• Taumaha rawa/Momona
• Mena kua pāngia koe e te whiu o mua
• Te toto toto tiketike (hypertension)
• Mate Pūtau Hāripa
• Ngā mate Thalassemia

Ka taea e te COVID-19 te whakararu i te mate manawa, i te whiu rānei?

Tērā pea ka piki ake te tūponotanga o te mate manawa, te whiu rānei i te COVID-19, inā koa kua mau koe ki te hōhipera. Engari kei te rangahau tonu ngā kairangahau i tēnei. Ko te mumura tētahi o ngā take nui o tēnei. Ka piki ake te tūponotanga o ngā toto totoka, ā, ka whakaiti i te kaha o te tinana ki te whakakore i aua toto.

Ina totohu te toto, ka mutu te whiwhi hāora i ō whekau, tae atu ki tō ngākau. Ina tupu tēnei, ka tūpono koe ki te pāngia e te mate manawa. Ko te tikanga kāore tō ngākau e whiwhi toto nui ana i te hāora. Mā te ine i tētahi whākōkī e kiia nei ko te troponin i roto i ō toto ka āwhina i ngā tākuta ki te tautuhi i te mate manawa.

Kaua e whakaroa i ngā wā whakarite hauora, i ngā maimoatanga ohorere rānei.

Ka haere tonu ngā kairangahau ki te ako atu mō te COVID-19 me ngā raruraru o te ngākau, engari i tēnei wā, kei te pā tonu ngā mate ngākau ki te hunga kāore i pangia e te COVID-19.

"I te wā o te mate urutā, he tokomaha kua karo i te kite i ngā tākuta me te haere ki ngā hōhipera. Ahakoa he mea noa te wehi kei pangia koe e te COVID-19, kaua e whakaroa te rapu maimoatanga. He nui ake te haumaru o te kite i te tākuta, te haere rānei ki te hōhipera i te kore aro ki ngā tohu ka tūpono ki te ora."

Ki te pāngia koe e ngā tohu o te mate manawa, waea atu ki te 911 (ki tō nama urupare ā-rohe rānei). He mea nui te maimoatanga tere hei ārai i ngā kino atu ki tō manawa. Kaua hoki e mahue ō wā tirotiro tākuta. Kōrero atu ki tō tākuta mēnā he tohu hou, he raruraru rānei āu. Mēnā kei a koe te COVID-19, kōrerohia te pānga ki a koe.

Ka pāngia anō hoki ahau e ngā mate ngakau i muri i te COVID-19?

Ka pāngia ētahi tāngata e ngā mate manawa i muri i te COVID-19. He nui ake te mōrearea mēnā kei roto koe i te wāhanga tiaki nui (ICU) i runga rānei i te mīhini manawa . Heoi anō, ahakoa te hunga kua ora noa mai i te COVID-19, ka pāngia pea rātou e ngā mate manawa i muri mai.

Ka puta pea ēnei raruraru mēnā kei a koe tētahi mate e kiia nei ko te COVID Roa . Ka kiia hoki tēnei ko te mate urutā muri-mate urutā (COVID-19) . Mēnā kei a koe te COVID Roa, ko te tikanga kāore anō tō hauora kia hoki ki tōna āhua i mua i tō pāngia e te mate.

E whakaaro ana ngā tākuta he tohu nui te tohu wiki e whā. Mena kua whā wiki koe e pangia ana e te COVID-19, ā, kei te raru tonu koe, tera pea he COVID roa tōu. Ka pāngia koe e tēnei i ngā huarahi maha.

Ngā tohu hou, ngā tohu pumau rānei

Ko te hunga e pāngia kinotia ana e te COVID-19, ka pāngia pea rātou e ngā tohu hou, e ngā tohu pumau rānei. Waihoki, ko te hunga e pāngia ana e te COVID-19 ngawari, kāore rānei he tohu, ka pāngia pea rātou e ngā raruraru pumau. Ko te ngenge, te poto o te manawa, me te 'kohu roro' ngā raruraru tino noa. Ko ngā tohu e pā ana ki tō ngākau ko:

• Te mamae o te uma e kaha ake ana i te wā e manawa hōhonu ana.
• Ngā tere o te ngakau .
• Te tere o te manawa o te ngakau (Tachycardia) .
• Pōuriuri, māuiui rānei te mahunga.
• Te uaua ki te manawa i te wā e whakakorikori ana.

Ki te pā mai ētahi o ēnei tohu ki a koe, waea atu ki tō tākuta tonu atu, ka kōrero atu ki a ia mō ōu kare ā-roto. Tērā pea ka hiahia tō tākuta ki te whakahaere i ētahi whakamātautau, pērā i te electrocardiogram (EKG) me te echocardiogram rānei, hei tirotiro i te mahi a tō ngākau.

Ngā pānga ki ētahi atu okana anō hoki

Ka pāngia e te huaketo COVID-19 ngā okana me ngā pūnaha maha, pērā i tō ngākau, pukahukahu, roro, me ngā whatukuhu.

Ka honoa e te huaketo SARS-CoV-2 tana pūmua pīrahi ki ngā pūmua o tō tinana e kiia nei ko ngā kaiwhakawhiwhi ACE2. He pūmua ēnei e kitea ana i roto i tō tinana katoa, tae atu ki tō ngākau me ō pukahukahu. Kei te arai o ō uaua toto hoki ngā kaiwhakawhiwhi ACE2. Mā tēnei ka taea e te huaketo SARS-CoV-2 te piri ngāwari ki ō kaiwhakawhiwhi ACE2 ka horapa ki ngā whekau maha, ka pā kino. Hei tauira:

• Ngā Pūkahukahu: Ka taea e te huaketo COVID-19 te kino rawa atu i te rewharewha noa. I ngā take kino o te COVID-19, ka matotoru, ka whara hoki te kiko o te pūkahukahu (fibrosis) .
• Roro: Ka taea e te COVID-19 te whakararu i te roro nā te kore o te hāora e tae atu ki te roro.
• Ngā whatukuhu: Tērā pea ka kore e pai te mahi a ō whatukuhu i te COVID-19.

Nā te mea ka pā te COVID-19 ki tō tinana katoa, he mea nui kia mahi i ngā mahi ārai hei ārai i te pangia e te huaketo. Ko te werohanga te huarahi pai hei tiaki i a koe anō me ētahi atu. Me mau hoki he kopare kanohi ina tika, noho ki te kāinga mēnā kei te mate koe, ā, horoia ō ringaringa i ngā wā katoa.

Ngā pānga o te maimoatanga me te whakaurunga ki te hōhipera

Ehara i te mea ko te COVID-19 anake ngā wero o te maimoatanga me te roa o te noho hōhipera. Tērā pea ka tino ngoikore koe, ka ngenge hoki. Tērā pea ka pāngia koe e te mate ahotea muri-traumatic (PTSD).Tērā pea ka puta mai anō ngā tohu.

Kōrero ki tō tākuta mō ōu kare ā-roto. He mea noa te noho māuiui mō tētahi wā i muri i tō oranga ake i te COVID-19. Hoatu he wā ki a koe anō kia ora ai, kia hoki ai ki tō āhua o ia rā. Kāore koe i te mokemoke. Ka mahi tahi tō tākuta me koe ki te whakatau i te huarahi pai hei āwhina i a koe i tō haerenga whakaora.

He mea pai te ora ake i te COVID-19. Engari tera pea ka raru koe i ngā raruraru ngākau i muri i te COVID-19. He pono tēnei, ā, he tika hoki ō āwangawanga. Kaua e wehi ki te pātai ki tō tākuta mō ō kare ā-roto. Kia tino whai i ngā tohutohu a tō tākuta, me te pupuri i ō wā whakarite katoa.

He aha ngā mea tino nui hei ako mā tātou i tēnei pūrākau?

Āe, he iti noa ngā mea hei maumahara māu i roto i ngā kōrero i kōrerotia e tātou i tēnei rā:

• Ahakoa he ngawari te mate urutā COVID-19, ka pā pea ki te ngākau. Nō reira kia tūpato ki ngā tohu.
• Mena kei a koe tētahi mate pēnei i te mate manawa, te mate huka, te toto toto tiketike rānei, kia tino āwangawanga koe mō ngā raruraru mai i te COVID-19.
• Ki te pāngia koe e te mamae o te uma hou, te uaua ki te manawa, te tere rānei o te papā o te ngakau i muri i te COVID-19 , rapua tonutia he tohutohu hauora.
• Kaua e whakaroa i ngā wā tirotiro hauora. Kaua e warewarehia ngā tohu ohorere.
• Tiakina koe mai i te COVID-19 mā te werohanga me te whai i ētahi atu mahi ārai mate.
• Mena kei te raru tonu koe i muri i te COVID-19, ehara i te mea ko koe anake. Rapua he tohutohu hauora me te tautoko.

"Ko tō ngākau te taonga tino utu nui o tō ao. Nāu te kawenga ki te tiaki. Ko te tumanako ka whai hua ēnei kōrero ki a koe. Kia ora tonu!"

` Koviti, mate ngākau, ngākau, mumura, toto totoka, Koviti roa, tohu