Kei te "moe" tō uaua ngākau, kei te "mau" rānei? (Te uaua ngākau e moe roa ana, me te uaua ngākau e pōuri ana) Me ako tātou mō tēnei!

Kua rongo kē koe i ētahi wāhanga o te ngākau e "moe" ana? E "mau" ohorere ana rānei? Ahakoa he kupu rerekē te ahua o ēnei, e rua ngā mate hauora e pā ana ki ō tātou ngākau. Kaua e manukanuka, ka kōrerohia e mātou i roto i te huarahi māmā, ngāwari ki te mārama. Ka tirohia e mātou he aha ēnei, he aha i puta ai, me pēhea te mōhio ki a rātou, me te mea ka taea te whakaora.

He aha te uaua ngākau "moemoeā"? (Te uaua ngākau moemoa)

Hei whakarāpopototanga, ina kore e rere te toto i tētahi wāhanga o te uaua o tō ngākau (e kiia ana ko te `(Myocardium)`), ka heke haere tana mahi, ā, ka mutu. He rite ki te moe nā te mea kua ngenge. Koinei te mea e kiia ana e mātou ko te `(Hibernating Myocardium)`, ko te "uaua o te ngākau e moe ana" rānei. Ka taea tēnei te tupu mō ngā marama, mō ngā tau pea.

Whakaarohia, ina pau te wai o ētahi tipu i roto i tō māra, ka piko, ka āhua memeha haere, tika? Koinei te āhua o tēnei tipu. Ko te nuinga o te wā, me whai waikawa ngako te uaua o te ngākau kia mahi ai (arā, kia whakawhāiti). Engari ina kore e ranea te toto, ka tīmata tēnei uaua ki te whakamahi i te hukahuka (arā, he momo huka) hei pupuri i te ora o ōna pūtau. Heoi, kāore i te ranea te kaha hei pupuhi toto ki te ngākau i tēnei wā. Nō reira, kāore tēnei uaua "moe" e āwhina ana i te tukanga pupuhi o te ngākau.

He aha te tikanga ina "tūtuki" te uaua o te ngākau, ina "pōrearea" rānei? (Te Pouri o te ngākau)

He rerekē tēnei āhua i te āhua moe kua whakahuatia ake nei. Ka tere tonu te puta, i roto i ētahi meneti, i ētahi haora rānei. Mēnā ka heke, ka mutu rānei te rere o te toto ki te uaua o te ngākau, ka mutu te mahi a te uaua, me te mea nei kua "mau" kua "pararutiki" rānei. Ka kiia tēnei ko te `(Stunned Myocardium)`.

Ko te mea rerekē, ahakoa i ētahi wā ka rongoatia e ngā tākuta te aukati (hei tauira, mā te whakauru i tētahi stent, te whakawhānui i te uaua kua aukatia ki tētahi poihau, te whakarewa rānei i tētahi toto totoka) kia rere anō te toto, kāore ēnei wāhanga uaua "kua piri" e hoki tonu ki te āhua noa. Ka roa pea ngā rā, ngā wiki rānei, kia tīmata anō te whakawhāiti tika o aua uaua.

He aha te rerekētanga o ēnei āhuatanga mai i te mate manawa?

He pātai tino nui tēnei. Ko te mate manawa te momo tino kino o te mate uaua o te ngākau. Ka puta tēnei ina āraia rawatia tētahi, ētahi rānei o ngā uaua e tuku toto ana ki te ngākau e tētahi matū ngako e kiia nei ko te paraka, ka mate ai ngā pūtau uaua o te ngākau. Ka whakakapia ngā pūtau uaua o te ngākau kua mate e te kiko whara. Kāore e taea e tēnei kiko whara te āwhina i te manawa ki te pupuhi tika. Ka taea e tēnei te arahi ki te ngoikore o te ngākau.

Heoi, he rangitahi noa iho ngā āhuatanga e rua, arā, te "Myocardium Moemoeā" me te "Myocardium Pōuri". Ko te mea e tupu ana i konei , kāore te uaua o te ngākau e mahi tika ana, engari kei te ora tonu ōna pūtau.Ki te whakahokia mai te toto me te hāora, ka taea e ēnei wāhanga uaua "moe" "mau" rānei te tīmata anō ki te mahi. Koinei te mea nui!

He aha ngā take o te 'Hibernating Myocardium'?

Ko te nuinga o tēnei āhuatanga ka kitea i roto i te hunga e pāngia ana e te mate uaua o te ngākau. I roto i tēnei mate, ka hangaia ngā putunga ngako (e kiia ana tēnei he "pēke") i roto i ngā uaua e kawe ana i te toto ki te ngākau, ka āraia ai. Ina tino whaiti te uaua, kāore e nui te hāora me ngā matūkai e whiwhi ai te uaua o te ngākau kia ora tonu ai, kia āwhina ai hoki i te ngākau ki te pupuhi toto. Nō reira, ka "moe" te uaua hei tiaki i te pūngao kia mau tonu ai āna mahi taketake o te pūtau.

He aha ngā take o te 'Stunned Myocardium'?

Ka taea hoki te puta te myocardial stunning, e mōhiotia ana ko te "piri" o te uaua o te ngākau, i te wā e rongoatia ana te mate uaua coronary. Ahakoa ka whakahokia mai e te maimoatanga te rere o te toto, kāore ētahi wāhanga o te uaua o te ngākau e ora tonu. Hei tāpiri, ka puta pea tēnei āhuatanga mō ētahi atu take:

• Ngā hopukanga (ngā mahi hiko rerekē i roto i te roro).
• Ko te Cardiomyopathy ahotea he mate e pā ana ki te ngākau nā te ahotea.
• He āhua rite ki te whiu.
• Te toto e rere ana ki roto i te roro (Subarachnoid Hemorrhage).

He aha ngā tohu o ēnei āhuatanga e rua?

Nā te mea i roto i ngā āhuatanga e rua, ko te wāhanga anake, ko te nuinga rānei o te uaua o te ngākau ka pāngia, he rite tonu ngā tohu ki ērā e kitea ana i te ngoikore o te ngākau. Kei roto i ēnei:

• Te uaua ki te manawa
• Mamae o te uma
• Pupuhi waewae

Mena kei a koe ēnei tohu, he pai ake te toro atu ki te tākuta me te tirotiro i a koe anō.

Me pēhea te tautuhi i te 'Hibernating Myocardium'?

Hei tātaritanga tika i tēnei mate, me whai i ētahi whakamātautau uaua. Ka taea e ēnei whakamātautau te āwhina ki te wehewehe i waenga i ngā wāhanga o te uaua o te ngākau e "moe" ana, e "mau" ana rānei engari ka taea te whakaora , me ngā wāhanga kua mate, kua whara, ā, kāore e taea te whakaora .

Ko ētahi o ngā whakamātautau matua e whakamahia ana e ngā tākuta mō tēnei kaupapa ko:

• `Dobutamine Stress Echocardiogram`: Ko te tikanga o tēnei ko te hoatu i tētahi rongoā ki a koe (e kiia nei ko `(Dobutamine)`) hei whakaoho i tō ngākau me te mea kei te whakakorikori tinana. Kātahi ka mātakitaki te tākuta ngākau i te mahi a tō ngākau i te wā e okioki ana, me te āhua o tana mahi ina whakanuia te horopeta o te rongoā. Mena ka piki ake te kaha o te uaua o te ngākau ki te mahi ina hoatu te rongoā, ko te tikanga he mate tōu e kiia nei ko `(Stunned Myocardium)` `(Hibernating Myocardium)` rānei. Mena kāore te uaua e kōpiri ahakoa kua whakanuia te horopeta o te rongoā, ko te tikanga kua mate te uaua, ā, kua whara.
• MRI o te ngākau:Ka whakamahia he aukume kaha me ngā ngaru reo irirangi hei hanga pikitia mārama, taipitopito hoki o te uaua o tō ngākau. Mā te titiro ki te āhua me te matotoru o te uaua o te ngākau i roto i ēnei pikitia, ka taea e ngā tākuta te kī ko tēhea kiko kua mate (kua whara), ko tēhea te mea noa, me tēhea hoki te mea "moe" me te "piri" rānei.
• Matawai PET (Consciousness Positron Emission Tomography): Ka whakamahia he taumata haumaru o ngā rauemi irahiko me tētahi kāmera motuhake. Ka whakaatuhia ko ēhea ngā wāhanga o tō uaua ngākau e mahi tika ana, me ēhea ngā wāhanga he kiko kua whara, kua mate rānei.

Ahakoa te ahua uaua o ēnei whakamātautau, he mea tino nui kia mārama ai koe ki tō āhua me te whiriwhiri i te maimoatanga e tika ana māu.

Ka taea te whakaora i te uaua ngākau e moe ana (hibernating myocardium)? He aha ngā maimoatanga?

Āe, koinei te rongo pai rawa atu! Ka taea te whakaora i tēnei mate mā te rongoā. Ko te mea nui ko te whakahoki mai i te rere pai o te toto ki te wāhanga o te uaua o te ngākau kua heke te rere o te toto. E rua ngā maimoatanga matua mō tēnei:

• Angioplasty: Ko te whakamahi i tētahi ngongo roa, angiangi (catheter) hei kuhu ki roto i te oko toto kua āraia, me te pupuhi i tētahi poihau iti ki te pito o te ngongo hei tango i te paraka me te whakawhānui i te oko toto. I ētahi wā, ka whakanohoia he taputapu rite ki te mata (stent) ki roto i te oko toto hei pupuri i a ia kei kati anō.
• Pokanga Ārai i te Arorangi o te Ngākau (CABG): He tikanga pokanga tēnei e tango ana i tētahi uaua toto hauora mai i tētahi atu wāhanga o tō tinana (pēnei i tō waewae, i tō uma rānei) ka waihanga i tētahi ara hou mō te rere o te toto mā roto, mā te ārai i te uaua toto kua āraia i roto i tō ngākau. He rite ki te hanga i tētahi ara ārai ina āraia he ara.

I muri i ēnei maimoatanga, ka tukuna pea koe ki tētahi kaupapa "Whakaora i te Ngākau" hei āwhina i tō whakaoranga. He kaupapa whakakori tinana tēnei e tirotirohia ana e te rata, e āwhina ana i a koe ki te whakanui ake i tō kaha me tō oranga tinana, me te whakawhanake i ngā tikanga hauora mō te ngākau.

He aha ngā rongoā mō te 'Stunned Myocardium'?

He rite tonu te maimoatanga mō te uaua ngākau kua āraia ki ngā maimoatanga paerewa mō te mate ngākau me te ngoikore o te ngākau. Ko ētahi o ngā rongoā e whakamahia whānuitia ana ko:

• Āpipirini
• Ngā aukati-beta
• Ngā Statin (ngā rongoā whakaheke cholesterol)
• Ngā aukati ACE, ngā aukati Angiotensin II receptor rānei (ngā rongoā e whakahaere ana i te toto toto me te tiaki i te ngākau)

Ka tirohia tō āhua e te tākuta, ā, ka tohua e ia te rongoā e tika ana māu.

Me pēhea te tiaki i a koe mai i ēnei āhuatanga?

Ko te huarahi pai ki te whakaiti i te mōrearea o ēnei āhuatanga ko te tiaki pai i tō ngākau. Ko te tikanga:

• Te whai i tētahi kai hauora:He kai iti te hinu, te huka, me te tote, engari he nui ngā huawhenua me ngā hua.
• Te whakakori tinana auau: Ahakoa te hikoi noa mō te 30 meneti i te rā, he pai tonu.
• Kaua e kai hikareti: He tino kino te kai hikareti mō te ngākau.
• Te whakawhāiti i te inu waipiro.
• Te pupuri i te taumaha hauora.
• Te whakahaere i te ahotea.
• Mena kei a koe ngā mate pēnei i te mate huka, te toto toto tiketike, te cholesterol tiketike rānei, me whakahaere pai aua mate.
• Mena kua tohua e tō tākuta, me tango ngā rongoā pēnei i te statins hei whakaiti i te cholesterol, te aspirin rānei hei ārai i te toto totoka i ia rā.

Ka taea hoki e koe te whakamahi i ngā tātaitai mōrearea mai i ngā whakahaere pēnei i te American College of Cardiology, te European Society of Cardiology rānei hei whakatau i ō hiahia mōrearea me te maimoatanga. Heoi, ki te mea kua pāngia koe e te mate manawa, he pai ake te kōrero ki tō tākuta mō tō mōrearea. I roto i ēnei āhuatanga , kua whakaatuhia te rongoā hauora e ārahihia ana e te aratohu ka tino whakaiti i te mōrearea o te whakaeke ngakau, te ngoikore o te ngakau, tae noa ki te mate.

He aha te matapae?

Ko te hauora ā muri ake nei o te tangata e pāngia ana e tēnei mate (e kiia ana tēnei e mātou ko te "matapae") e whakawhirinaki ana ki ētahi āhuatanga. Hei tauira:

• Te nui o te hekenga o te kaha pupuhi o te manawa.
• Ahakoa kei te whakamahi koe i te rongoā tonu i tohua e te tākuta.
• Ahakoa he pai koe mō te pokanga `(Angioplasty)`/`(Stent)` me te `(CABG)` rānei.

He mōrearea tonu te hunga whai mate uaua o te ngākau ki te pāngia e ngā raruraru ngākau ā muri ake nei. Mēnā ka āraia anō ō uaua o te ngākau, ka taea e tō uaua o te ngākau te "moemoeā" anō.

He mea nui: Ka puta te Myocardium moe ina whakawhāitihia te rere o te toto ki te kiko uaua o te ngākau mō te wā roa nā te aukati nui o te uaua o te ngākau i roto i te hunga e mate ana i te mate uaua o te ngākau. Ka puta te Myocardium ohorere ina heke ohorere te rere o te toto. Mena ka whakahokia te rere o te toto, me taea e tō uaua o te ngākau te whakawhāiti anō i roto i te wā poto. Ka taea te rongoā i ēnei āhuatanga e rua. He mea nui kia tiakina pai tō ngākau kia kore ai e hoki mai anō ēnei āhuatanga.

Ngā mea nui hei maumahara (Karere hei kawe ki te kāinga)

Āe, me whakarāpopoto ngā mea hei maumahara māu i roto i ngā mea kua kōrerohia e tātou:

• Ko te Myocardium e moe ana i te hotoke me te Myocardium e pōuri ana he āhuatanga e rua e puta mai ana i te hekenga o te rere o te toto ki te uaua o te ngākau.
• I ēnei āhuatanga e rua, kāore te uaua o te ngākau e mate, engari kāore e mahi tika. He rerekē tēnei i te mate ngākau.
• Ka taea te whakaora i ēnei āhuatanga e rua! He mea nui kia whakahokia mai te rere o te toto, ā, ki te tika, me rapu maimoatanga hauora.
• Mena kei a koe ngā tohu pēnei i te uaua ki te manawa, te mamae o te uma, te pupuhi rānei o ō waewae, rapua he tohutohu hauora, kaua e moumou taima.
• Ka taea te whakaiti i te mōrearea o ēnei āhuatanga mā te whai i tētahi momo noho hauora me te whakahaere i ngā āhuatanga hauora o nāianei (pēnei i te mate huka me te toto toto tiketike).
• Mena he mate ngakau tōu, he mea tino nui kia whai i ngā tohutohu a tō tākuta me te whai i ngā whakamātautau auau.

Ko tō ngākau tō taonga tino utu nui. Nō reira, tiakina. Ko tāku tumanako ka whai hua ēnei kōrero ki a koe!

` Mate ngakau, uaua ngākau e moe ana, uaua ngākau e ohorere ana, mate ngakau, mate uaua ngākau, angioplasty, pokanga bypass