Kua rongo koe i tētahi tākuta e kī ana, "Ka rongo au i tētahi haruru ngākau iti" ina whakanohoia he stethoscope ki tō uma? Kua rongo pea koe i tēnei. He tokomaha te hunga e mataku ana ina rongo rātou i tēnei "haruru." He mea noa te whakaaro, "He raru kei tōku ngākau?" Engari kaua e mataku. I tēnei rā, ka kōrero tātou mō te aha te Haruru Holosystolic , te take e puta ai, me ngā mea ka taea te mahi mōna.
He aha te tikanga o tēnei Murmur Holosystolic?
Whakaarohia te wai e rere mārie ana i roto i te paipa wai, kāore he ārai. Kātahi ka kore koe e rongo i tētahi tangi. Engari ki te mea he ārai iti, he kōhao rānei kei roto i te paipa, ina rere te wai, ka puta he tangi rerekē pērā i te 's...'. Koinā te āhua.
Ehara te Murmur Holosystolic i te mate. He tohu . Ina whakarongo tō tākuta ki tō ngākau me te stethoscope, he oro tāpiri tēnei e rangona ana i tua atu i te oro 'lub-dub' o te pao o tō ngākau, nā te mea kāore te toto e rere pai ana. Hei whakamārama, ka rangona tonutia tēnei oro i te wā e whakapoto ana (systole) te ngākau, nō reira ka kiia ko te Murmur Holosystolic (e rangona ana puta noa i te whakapoto katoa).
Ko te mea nui, ehara i te mea ko te noho mai o tēnei ngunguru te mea morearea, engari ko te āhuatanga matua e puta ai tēnei ngunguru me kimi, me rongoā hoki.
Tērā pea ka kī atu tō tākuta kia hoatu he tau ki tēnei tangi (mai i te 1 ki te 6). Mā tēnei anake ka mōhio koe ki te nui o te tangi. Ahakoa he tau teitei ake, ehara i te mea he nui ake te mōrearea. I ētahi wā, ina pā te ringa o te tākuta ki tō uma, ka rite tēnei tangi ki te ohorere. E kiia ana hoki ko te 'whakahihiri'.
He aha ngā tino take mō tēnei haruru?
E mōhio ana koe e whā ngā rūma o tō tātou ngākau. Kei waenganui i ēnei rūma he mea rite ki ngā tatau e āwhina ana i te rere o te toto ki te taha kotahi anake. Ka kiia ēnei he 'takirere'. Ki te kore ēnei takirere e kati tika, ka tīmata te turuturu o te toto ki muri. Ko te wā tēnei e rangona ai tēnei ngunguru.
| Take matua | He whakamārama ngāwari noa iho |
|---|---|
| Te Regurgitation Mitral | Koinei te wā kāore e kati tika te takirere mitral i te taha maui o te ngākau, ka taea ai te rere whakamuri o te toto. Ka taea te pakaru i tēnei takirere e ngā āhuatanga pēnei i te kirika rūmātiki. |
| Te Regurgitation Tricuspid | Ka puta tēnei ina kore e kati tika te takirere tricuspid i te taha matau o te ngākau, ka turuturu whakamuri te toto. |
| Ko te hapa o te ventricular septal (VSD) | He kōhao tēnei kei te pakitara i waenganui i ngā rūma matua e rua (ngā ventricle) kei raro i te ngākau. He mate whānau tonu tēnei. Ka rangona he haruru i te rere o te toto mā roto i tēnei kōhao. |
He aha te mea ka tupu ki tēnei?
Whakaarohia, i roto i te tangata e pāngia ana e te Mitral Regurgitation, kāore te takirere mitral e kati tika, ka hoki te toto ki te huarahi i ahu mai ai i ngā pukahukahu. Ka piki ake te pēhanga i roto i ngā uaua e hono ana i ngā pukahukahu, ā, i ngā wā tino kino, ka kī tonu ngā pukahukahu i te wai. I roto i te wā, ka arahi pea tēnei ki te ngoikore o te ngakau.
Me pēhea te rongoā?
E ai ki taku kōrero i mua, kāore mātou e rongoā i te ngunguru, engari ko te mate taketake e puta ai te ngunguru . Ka whakamātautau tuatahitia e tō tākuta (hei tauira, he echocardiogram , he matawai i te ngākau) kia kitea ai te take o te ngunguru.
- Mena ka turuturu te toto mai i ngā takirere (Regurgitation):
- Ngā Rongoā: Ka taea te hoatu i ngā rongoā pēnei i ngā rongoā ārai toto , ngā rongoā whakaheke toto rānei.
- Pokanga: Mena kāore e ranea te rongoā anake, me pokanga pea hei whakatika i te takirere kua pakaru, hei whakakapi rānei ki tētahi takirere hou.
- Mena he kōhao kei roto i te ngākau (VSD):
- Ka taea te hoatu rongoā hei whakahaere i ngā tohumate.
- He maha ngā wā ka mahia he pokanga hei kati i tēnei kōhao.
- Mena kua whaiti te takirere (Stenosis):
- I ētahi wā, ka puta he ngunguru nā te whaiti o te takirere. I ēnei āhuatanga, ka whakamahia he tikanga e kiia nei ko te Balloon Valvuloplasty . Ka tukuna he poihau mā roto i te uaua mā roto i te tikanga e kiia nei ko te cardiac catheterization, ā, ka pupuhihia ki roto i te takirere whaiti, ka whānui ake te takirere.
A, mehemea ka whakauruhia he takirere manawa hou?
E rua ngā momo takirere hou.
| Momo takirere | Ngā mea hei mōhio |
|---|---|
| Mīhini | He mea hanga ēnei ki te konganuku me te kirihou. Ka roa te ora. Engari me tango e koe ngā rongoā ārai toto mō te toenga o tō oranga. |
| Pūeru koiora (koiora) | He mea hanga ēnei mai i te kiko ngākau poaka, kau rānei. E 10-15 tau te roa o te ora. Engari kāore koe e hiahia ki te tango i ngā rongoā ārai toto mō te toenga o tō oranga. |
| Ngā mea hei maumahara māu i te wā e tāuta ana i tētahi o ēnei momo takirere e rua: | |
| |
He aha ngā tohu e hiahia ana kia toro atu ki te tākuta?
He ngunguru te reo o ētahi tāngata engari kāore he tohu. Kāore pea rātou e mōhio kei a rātou. Engari mō ētahi tāngata, ko te take matua ka puta he tohu whakarihariha. Ki te pāngia koe e tētahi o ēnei tohu, me toro atu ki te tākuta tonu.
- Te uaua ki te manawa
- Mamae o te uma, te ahua rānei o te kikī
- Te ahua kei te tere te pao o tō ngākau (palpitations)
- Te poto o te manawa (dyspnea)
- Te pupuhi, inā koa i ngā waewae, i ngā pona, me ngā waewae
Ki te haere koe ki ngā tirotiro hauora auau, ka taea e tō tākuta te kite wawe i tēnei mate. He pai ake te kite i tētahi mate i mua i te kino haere.
Karere Tangohia ki te Kāinga
- Ehara te Murmur Holosystolic i te mate, he tohu noa iho kei te he tetahi mea kei roto i tō ngākau.
- Ko ngā tino take o tēnei ko te turuturu whakamuri o te toto mai i ngā takirere o te ngākau (regurgitation) me te kōhao rānei i te pakitara o te ngākau (VSD).
- Ehara te rongoā i te mea mō te ngunguru, engari mō te mate hauora taketake e hua ai te ngunguru.
- Mena kei a koe ngā tohu pēnei i te uaua ki te manawa, te mamae o te uma, te pupuhi rānei o ō waewae, kaua e warewarehia , me toro atu ki tō tākuta tonu .
- Mā te whai i ngā whakamātautau hauora i te wā tika, ka taea te tautuhi wawe i ēnei āhuatanga, ā, ka taea te tīmata maimoatanga i mua i te kino haere.
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