Kua mutu kē koe, kua whakaaroaro hoki mō te rere o te toto mai i tō ngākau ki ngā kokonga katoa o tō tinana, tae noa ki ō matimati? He rite ki tētahi whatunga rori i roto i te tāone nui. I ētahi wāhi, he maeneene te rere o ngā waka, i ētahi atu wāhi, he kikī, ā, i ētahi atu wāhi, he whaiti ngā rori. He rite tonu te rere o te toto i roto i ō tātou tinana. I roto i te rongoā, ka kiia tēnei rere o te toto, ngā kaha e pā ana ki a ia, me te tukanga e pā ana ki a ia, ko 'hemodynamics'. Kaua e manukanuka, tera pea he ahua uaua te ingoa, engari he tino māmā te kōrero. Me kōrero tātou mōna.
He aha tonu te hemodynamics?
Ki te kī māmā noa, ko te hemodynamics te ako i te rere o te toto i roto i ō uaua me ō uaua me ngā kaha rerekē e pā ana ki taua rere toto.
I te nuinga o te wā, ka rere te toto i roto i ngā oko toto o te tangata hauora i roto i tētahi tauira maeneene, tika hoki. Ka kiia tēnei he rere laminar . Pērā i te wai e rere ana i roto i tētahi paipa, ka tere rawa te neke o te toto i waenganui o te oko toto nā te mea he iti noa te waku ki ngā pakitara.
Heoi, i roto i ngā rūma o raro o tō ngākau (e kiia ana ēnei ko ngā ventricles ) me te wāhi e peka ai ngā oko toto, e whaiti whakarere rānei te oko toto, ka paku pōrearea ake tēnei haerenga. E kiia ana tēnei he rere pōrearea . I roto i tētahi haerenga pōrearea pēnei, ka nui ake te kaha e hiahiatia ana hei pana i te toto ki mua.
Ko ngā oko toto ririki e peka mai ana i tō aorta ka tuku i te hāora me ngā matūkai ki ia pūtau me ia kiko o tō tinana. I muri i te tango i te hāora mai i ō whekau, ka hoki te toto ki tō ngākau mā roto i ngā uaua. Kātahi ka pupuhi te ngākau i te toto ki ō pukahukahu, ki reira ka tango anō i te hāora, ā, ka tīmata anō te huringa.
Whakaarohia kei te ara ētahi arai e kore ai e rere te toto nei.
- I ētahi wā ka puta ngā putunga cholesterol (pēra) ki ngā pakitara o ngā uaua toto, ka hanga he "pūpū tere". Ka whakawhāitihia e ēnei te ara e rere ai te toto. I ētahi wā ka pakaru ēnei putunga ka ārai katoa i te uaua toto.
- Waihoki, ka taea e te toto totoka te hanga me te aukati i te uaua.
- Kāore rānei i te ngoikore tō ngākau , ā, kāore e taea e ia te papu i te toto e ranea ana ki tō tinana.
Ka taea e tētahi o ēnei raruraru te aukati i te mahi tika a tō tātou pūnaha tohanga toto, arā, kāore e taea e ia te tuku i te hāora me ngā matūkai e hiahiatia ana e ia pūtau o te tinana.
He aha te mea nui kia mōhio koe ki ngā āhuatanga o te hemodynamics?
He mea tino nui te mārama ki ngā hemodynamics, nā te mea mā tēnei ka pai ake tō mārama ki ngā mate manawa, ki ngā āhuatanga rānei o ō oko toto.
Hei tauira, whakaarohia he toto toto tiketike tōu. Ina ako koe mō te hemodynamics, ka mārama koe ina piki te toto, me kaha ake te mahi a te ngākau ki te pupuhi toto. Kātahi ka hoatu e te tākuta he rongoā hei whakawhānui (kia marino) i ngā oko toto, hei hanga wāhi nui ake mō te rere o te toto. Kātahi ka heke te taumahatanga ki te ngākau, ā, ka whakahaeretia te toto.
Ka whakamahia e tō tākuta ngā raraunga hemodynamics hei āwhina i te tautuhi me te matapae i te heke mai o tētahi mate. Hei tauira, ka taea e rātou te tirotiro mēnā kei te turuturu te takirere o te ngākau, ka ārai i te rere tika o te toto. Ka taea hoki e rātou te tirotiro mēnā kua pai ake te rere o tō toto i muri i te pokanga, i te rongoā rānei.
Ehara i te mea ko te toto toto anake te mea e pā ana ki te toto toto. Ko te toto toto he wāhanga noa iho o tēnei tukanga whānui. He maha atu anō ngā āhuatanga e pā ana ki te rere o te toto.
He aha ngā āhuatanga e pā ana ki te rere o te toto?
He maha ngā āhuatanga e āwhina ana, e ārai ana rānei i te rere o te toto i roto i ō tātou tinana. Kei te whakarerekē tonu tō tātou tinana i ēnei āhuatanga, e ngana ana ki te hoatu ki ngā pūtau te mea e hiahiatia ana e rātou. Me titiro tātou ki ngā āhuatanga matua.
| Tauwehenga | Ngā Pānga ki a ia |
|---|---|
| Te rahi (diameter) o ngā uaua toto | He māmā noa iho te rere o te toto mā roto i tētahi oko toto nui, whānui. Engari, ina rere te toto mā roto i tētahi uaua toto kua whaitihia e ngā putunga cholesterol, ka tino uaua. |
| Te waku | Ina rere te toto, ka mirimiri ki ngā pakitara o ngā uaua. Nā tēnei waku ka pōturi ake te neke o te toto i te taha o ngā pakitara. Ka tere ake te neke o te toto i waenganui o te uaua. |
| Te whakawhāiti me te whakawhānui o ngā oko toto | Ka taea e ō tātou uaua toto te whānui me te whaiti i ngā wā e tika ana. Koinei te huarahi e whakahaere ai te tinana i te rere o te toto me te toto toto. |
| Ngā huringa pēhanga | He rerekētanga kei waenganui i te kaha e pupuhi ai te ngākau i te toto me te ātete e tukuna ana e ngā uaua toto. I te pikinga ake o te pēhanga, me kaha ake te mahi a te ngākau ki tēnei ātete. |
| Putanga o te Manawa | Koinei te nui o te toto e pupuhihia ana e te ngākau i te pao kotahi. Ina whakakorikori tinana koe, ka nui ake te toto e pupuhihia ana e tō ngākau nā te mea he nui ake te hāora e hiahiatia ana e ō pūtau. |
| Te tere o te manawa | I te wā e whakakorikori ana, ka piki ake te tere o te ngakau hei whakatutuki i te pikinga o te hiahia hāora. |
| Te mahi a ngā pūtau ngākau | Ki te kore e mahi tika ngā rūma o raro (ngā ventricles) o te ngākau, kāore e taea e rātou te pupuhi toto e ranea ana ki te tinana. Ka kitea tēnei i roto i te mate ngākau. |
He aha te koretake o te hemodynamic?
He mate kino tēnei. Ko te kore pumau o te toto e puta mai i te tinana, ko te kore e taea e te tinana te whakarato i te nui o te toto. He mate tēnei e hiahia ana kia rongoatia wawetia. He tikanga tēnei e kiia ana he āhua ohorere . He maha ngā momo e wehea ana i runga i te take.
- Cardiogenic - nā te raruraru o te ngakau
- Hypovolemic - nā te iti o te wai, te nui rānei o te toto i roto i te tinana
- Ārai - nā te aukati tinana ki te rere o te toto
- Tohatoha - nā te whānui rawa o ngā oko toto
- Neurogenic - nā te kino o te pūnaha io
Me pēhea te ine i te hemodynamics?
Ka taea e tō tākuta te whakamahi i ngā momo whakamātautau hei ine i tō āhua hemodynamic, ko ētahi o ēnei kua mōhio pea koe.
| Whakamātautau | He aha tāu e mahi noa ana? |
|---|---|
| Te ine i te toto toto | Ka whakahaerehia te whakamātautau mā te whakamahi i tētahi taputapu ine toto paerewa (BP cuff). |
| ECG | Ka tirohia te ngohe hiko o te ngākau kia kitea ai mēnā he tauira rerekē o te pā o te ngakau. |
| Te Echocardiogram | Ka whakamahia e rātou ngā ngaru oro hei tango whakaahua o te ngākau, hei tirotiro mēnā kei te mahi tika ngā rūma me ngā takirere o te ngākau. |
| Te whakaurunga o te catheter o te ngākau | Ka tukuna he ngongo iti (he catheter) mā roto i tētahi oko toto ki roto i te ngākau hei ine i te pēhanga i roto i te ngākau, hei tirotiro hoki i te mahi a ngā takirere. |
| Whakamātautau tēpu whakatītaha | Mō te hunga e hemo pinepine ana, ka whakamātautauhia kia kitea ai te rerekētanga o te toto toto me te tere o te ngakau ina rerekē te tūnga o te tinana. |
Ngā āhuatanga hauora noa e pā ana ki te hemodynamics
Ko ngā mate ngakau, ko ngā mate rānei o ngā oko toto e pā ana ki te rere o te toto, ka pā ki ngā hemodynamics.
- Atherosclerosis: Te whaiti o ngā oko toto nā te mea he putunga cholesterol.
- Te toto toto tiketike: Te pikinga o te toto toto .
- Te toto toto iti: Te toto toto iti .
- Ngā raruraru o te takirere o te ngākau: Ngā takirere kāore e kati tika, e tuwhera tika rānei.
- Te ngoikore o te ngākau: Kāore e taea e te ngākau te pupuhi i te toto e ranea ana ki te tinana.
- Mate pūkahukahu taha: Te whaiti o ngā pūkahukahu e tuku toto ana ki ngā ringa me ngā waewae.
- Te toto toto hohonu o te uaua:He toto totoka i roto i tētahi uaua hohonu o te tinana.
- Te whakaekenga o te manawa: Te aukati i te uaua toto e tuku toto ana ki te manawa.
Ngā tohu noa o ngā raruraru hemodynamic
Mena he raruraru kei roto i tō rere toto, ka tukuna e tō tinana he tohu maha ki a koe. Mena kei a koe tētahi o ēnei tohu, kaua e warewarehia. He mea tino nui kia kite wawe koe i tō tākuta me te rapu tohutohu.
- Te uaua ki te manawa
- Te whanoke pinepine
- Pōuriuri
- Ngenge rawa
- Kiri mā
- Kiri makariri
- Pōhēhētanga
- Te manawa pāwera rerekē
Ina kōrero tō tākuta mō te hemodynamics, e kōrero ana ia mō tō rere toto. Mena he raruraru kei tō ngākau, kei ō uaua toto rānei, tērā pea kāore tō toto e rere tika ana. Ka taea e tō tākuta te tirotiro i a koe me te tūtohu i tētahi maimoatanga (rongoā, pokanga rānei) e tika ana mō te raruraru. He mea tino nui te rongoā i ēnei raruraru nā te mea ka āwhina i te whakarite kia whiwhi ia pūtau o tō tinana i te hāora e hiahiatia ana.
Karere Tangohia ki te Kāinga
- Ehara i te mea uaua te hemodynamics ; he kōrero noa iho mō te rere o te toto i roto i tō tinana.
- He maha ngā mea e pā ana ki tēnei rere o te toto, pērā i te rahi o ngā uaua toto, te toto toto tiketike, me te tere o te manawa.
- Ko ngā tohu pēnei i te whanoke, te poto o te manawa, me te hemonga pinepine, he tohu pea tēnei nō te raruraru o te tohanga toto.
- Kaua rawa e warewarehia ēnei tohu. Kōrero tonu ki tō tākuta.
- Mā te mārama ki tēnei tukanga koe e āwhina ki te mārama he aha te hiranga o ngā rongoā, ngā huringa āhua noho rānei e tohua ana e tō tākuta.











💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero