Kei te tere te pao o tō ngākau? Kei te rongo koe i ngā pūrerehua i roto i tō uma? (Te tere o te manawa) Me kōrero tāua mō tēnei!

Kei te pēhia tō ngākau e te kore e taea te whakahaere, e te mea rānei kei te pekepeke ohorere te pēhi? Tērā pea kei te pēhia tetahi mea i roto i tō uma, kei te tere rawa rānei te pēhi. Ko ēnei wheako e kiia nei e tātou i roto i te rongoā he 'palpitations'. Kaua e mataku ina rongo koe i tēnei, ka kōrerohia e mātou he mea ngāwari, i roto i te huarahi e mārama ai koe.

He aha ēnei 'whakateretere tere'?

He māmā noa iho, ko te pātītī te kare e pā ana ki te manawa. He maha ngā momo o tēnei:

• Me te mea kei te pāorooro nui te ngākau: me te mea kei te patopato tetahi i te uma.
• Te tere o te ngākau: Pērā i te wā e oma mai ana koe, i te wā rānei e tino mataku ana koe.
• Patua pekepeke: He āhua me te mea kua mutu ohorere te manawa, kātahi ka tīmata anō te patū.
• E rere ana: He kare ā-roto e rere ana te pūrerehua i roto i te uma.
• Te pā o te manawa kāore i te ōrite: He āhua kei te pā te manawa kāore i te ōrite, kaua i te auau.

Ka roa pea ēnei kare ā-roto mō ētahi hēkona, i ētahi wā mō ngā meneti. Ko te mea nui, ehara ēnei 'whakateretere' i te mate, engari he tohu pea nō tētahi āhuatanga. I te nuinga o te wā, ehara i te mea morearea, engari i ētahi wā me āwangawanga koe.

He aha tātou ka pāngia ai e ēnei 'whakatere tere'?

He maha ngā take mō te tere o te manawa. Ko ētahi o aua take he mea noa. Kia tirohia tātou he aha aua take.

1. Ngā take e pā ana ki tō tātou āhua noho:

Koinei ngā tino take e pāngia ai tātou e te tere o te manawa.

• Te ahotea me te manukanuka:

Whakaarohia he whakamātautau nui tāu, he raruraru rānei i te mahi, he raruraru whānau rānei... I ngā wā pēnei, ka tino taumaha tō ngākau, kāore? I ngā wā pēnei, ka piki ake te tere o tō ngākau. Ka pāngia hoki ētahi tāngata e tēnei momo tere o te ngākau ina pāngia rātou e te `(Panic Attacks)`.

• Ngā inu kei roto te kawheine:

E mōhio ana tātou katoa he kawheine kei roto i te tī, te kawhe, me ētahi inu ngohengohe (ina koa ko ngā inu pūngao). Ka taea e te nui rawa o ēnei te whakanui ake i te tere o te manawa. Mēnā ka inu koe i ētahi kapu kawhe i te rā, me whakaaro koe ki tēnei.

• Nikotīni:

Ka pā tēnei āhuatanga ki ngā kaipaipa me ngā kai hikareti hiko. He whakaohooho te nikotīni i te ngākau.

• Waipiro:

Ki ētahi tāngata, ahakoa he iti noa te waipiro ka taea te whakanui ake i te tere o te manawa. Ki te nui rawa te inu, tera pea ka pāngia.

• Te Whakakorikori Tinana:

He pai te whakakori tinana pai mō te tinana. Heoi, ki te mahi ohorere koe i tētahi whakakori tinana kaha, kāore i te mōhiotia, ki te nui rawa rānei tō whakapau kaha, ka piki ake pea te tere o tō manawa.

• Te maroketanga:

Ka taea tēnei te tupu ahakoa kāore koe e inu nui ana i te wai. He mea tino nui te inu wai i te werawera o tō tātou whenua.

• Te kore moe:

Ka pāngia hoki te mahi a te ngākau e te kore e nui te moe.

• Ko ētahi momo kai:

Ka pā pea tēnei ki ētahi tāngata ahakoa kua kai i ngā kai raukikī, hinuhinu, reka rānei.

2. Ngā take hauora:

I ētahi wā, ka puta te tere o te manawa nā tētahi mate.

• Ngā Āhuatanga o te Ngākau:

Tērā pea ka puta tēnei i ētahi mate manawa o te ngākau (Arrhythmias). Hei tauira, ko ngā āhuatanga pēnei i te Atrial Fibrillation me te Supraventricular Tachycardia (SVT). Ka taea hoki te puta mai i ngā raruraru hanganga o te ngākau, pēnei i te ngoikore o te uaua o te ngākau. He mea ēnei me tirotirohia e te tākuta.

• Ngā raruraru o te tairoi:

Ka piki ake te tere o te manawa, inā koa ka nui rawa te mahi a te repe tairoiti (hyperthyroidism).

• Te iti o te hemoglobin i roto i te toto (anemia):

Ina heke te rere o te toto ki te tinana, me kaha ake te mahi a te ngākau. Tērā pea ka pā mai ngā papātanga o te manawa.

• Kirika:

Ina pāngia koe e te kirika, ka piki ake te tere o tō manawa.

• Te Tauritekore o te Irahiko:

Ka pā te nui rawa, te iti rawa rānei o ngā kohuke pēnei i te pāhare pāporo me te konupora ki te manawataki o te manawa.

• Te iti o te huka toto (Hypoglycemia):

Ka taea tēnei te tupu mēnā ka heke ohorere te huka toto o te hunga mate huka, o ētahi atu rānei.

• Ngā Rongoā Motuhake:

Ka taea hoki e ētahi rongoā manawa mō te mate huango, ētahi rongoā makariri, me ētahi rongoā mō te mate hinengaro te whakararu i te tere o te ngakau.

• Ngā Huringa Hormone:

Tērā pea ka pāngia ētahi wāhine e tēnei āhuatanga i te wā e hapu ana, i te wā pāheketanga, i te wā tata rānei o tō rātou paheketanga.

Āhea tātou me manukanuka ai mō tēnei? Āhea tātou me toro atu ki te tākuta?

Āe, kei te whakaaro pea koe, "Mēnā he maha ngā take e pā ana ki tēnei, me āwangawanga ahau? Me toro atu rānei ahau ki te tākuta?"

I te nuinga o te wā, kāore i te mōrearea te tere o te manawa. Heoi, i ētahi wā, he mea nui kia rapu tohutohu hauora.

Mena kei a koe ētahi o ēnei tohu me te tere o te manawa, me toro atu koe ki te tākuta:

• Whanoke , Māmā rānei te Upoko: Ki te pōuri koe, ki te māmā rānei te upoko i te tere o te manawa, ki te kikorangi rānei ō kanohi, ā, ka tīmata te kanapa.
• Te ngoikore, te koretake rānei o te hinengaro: Ki te ngaro whakarere tō māramatanga, ā, ka hinga koe.
• Mamae, Āhua Kino rānei o te Uma: Mēnā ka pāngia koe e te mamae e kōpiripiritia ana, e kōpiripiritia ana, e wera ana rānei i roto i tō uma i a koe e patupatu ana i tō manawa.
• Te Poto o te Manawa: Ki te mea kei te raru koe i te manawa, ahakoa kei te tū noa koe.
• He tere rawa te pā o te ngakau, he koretake rānei: Mena ka tere rawa te tere o te pā o tō ngakau (neke atu i te 120-150 ngā pā i te meneti), ki te kore rānei e pai te tere o tō ngakau.
• He maha ngā wā ka puta ngā papātanga o te ihu, ka roa te wā, ka kino haere rānei.
• Mena he mate manawa tōu, kua mate ohorere rānei tetahi o tō whānau i te mate manawa, i ngā raruraru nui rānei o te manawa.

Ki te pā mai ēnei tohu ki a koe, kaua e whakahaweatia he mea noa iho. He mea whakaaro nui kia rapu tohutohu hauora tonu atu.

He aha te mea ka tupu ina tūtaki koe ki tētahi tākuta?

Ina haere koe ki te tākuta, ka pātai tuatahi ia i ētahi pātai ki a koe. Ko te tikanga o tēnei me kimi e koe ngā taipitopito mō tō hītori hauora.

• Āhea ka puta ngā palpitations?
• Kia pēhea te roa?
• He aha te āhua o te āhua (e hurihuri ana, e tuku ana, e takahurihuri ana)?
• Ka nui ake te kino o ngā tohu ina kai koe, ina inu koe, ina mahi rānei koe i tētahi mea (Ngā Whakaohooho)?
• He tohu kē atu anō kei reira (pēnei i te mamae o te uma, te uaua ki te manawa)?
• He aha ngā rongoā e tangohia ana e koe?
• He aha te āhua o tō āhua noho (kai, momi hikareti, waipiro, whakakori tinana)?
• He mate manawa tō tetahi o te whānau?

Kātahi ka tirotirohia e te tākuta tō tinana, ka whakarongo ki tō ngākau, ka tirohia hoki te tere o tō pātaki.

Muri iho, ka tonoa pea koe ki te whakahaere i ētahi whakamātautau hei āwhina i te kimi i te take:

• ECG (Electrocardiogram): He whakamātautau māmā noa iho tēnei, kāore he mamae, e hopu ana i ngā mahi hiko o te ngākau. He tino whai hua mēnā ka taea e koe te tiki ECG ina pāngia koe e te palpitations.
• Aroturuki Holter: He taputapu iti tēnei e mau ana ki tō tinana mō ngā haora 24 ki te 48. I tēnei wā, ka tuhia tonutia tō tere o te manawa. He mea whai hua tēnei mēnā he maha ō pao o te manawa engari kāore e kitea i te ECG.
• Kaituhi Kaupapa:He rite tēnei ki te Aroturuki Holter, engari ka taea te whakamahi mō ngā rā, mō ngā wiki rānei. Ka taea e koe te tuhi i ō ake patpitations ina rongo koe i aua patpitations.
• Ngā Whakamātautau Toto: Ka āwhina ēnei whakamātautau ki te tirotiro i ngā mea pēnei i te taumata o ngā homoni tairoi (Ngā Whakamātautau Mahi Tairoi), te anemia (Tau Toto Katoa), me ngā taumata electrolyte i roto i te tinana.
• Echocardiogram: He matawai ultrasound tēnei o te ngākau. Ka taea te tirotiro i te hanganga o te ngākau, te mahi a ngā takirere, me te āhua o te uaua o te ngākau.
• Whakamātautau Taumahatanga: Mena ka pāngia koe e te tere o te manawa i ētahi wā i a koe e whakakorikori tinana ana, he whakamātautau tēnei e uru ana ki te tango i te ECG i a koe e oma ana i runga i te mīhini oma.

Ehara i te mea me whai katoa ēnei whakamātautau. Ko te whakatau mō ngā whakamātautau ka mahia ka whakawhirinaki ki ō tohu me te whakatau a tō tākuta.

He aha tāu e taea ai mēnā he tere te oho o tō ihu?

Ko te mea nui ko te toro atu ki te tākuta me te whai i ana tohutohu. Engari tera ano etahi mea ka taea e koe te mahi hei awhina i te whakahaere i tenei mate.

• Tāutuhia te take, ā, karohia: Puritia he pukapuka iti mō te wā e pāngia ai koe e te tere o te manawa, ngā mahi e mahia ana e koe, me ngā kai me ngā inu e kainga ana e koe (hei tauira, i muri i te inu kawhe, te kai kai raukikini, te whakakori tinana rānei). Kātahi ka taea e koe te noho tawhiti atu i aua mea mō tētahi wā.
• Whakahaerehia te ahotea: Whakamātauria te whakamarie i tō hinengaro mā roto i ngā mahi pēnei i te manawa hōhonu, te whakaaroaro, me te yoga. He mea pai hoki te whai wāhi atu ki tētahi mahi whakangahau e pai ana ki a koe.
• Whakaitihia, kati rānei te kawheine me te waipiro: Whakaitihia te kai tī, kawhe, inu pūngao me te waipiro.
• Kaua e kai paipa: Ki te mea he kai paipa koe, he mea tino nui kia ngana koe ki te whakamutu.
• Inumia he nui te wai: Inumia he nui te wai i te roanga o te rā.
• Kia nui te moe: Ngana kia moe pai mō te 7-8 haora i te rā.
• Kai i tētahi kai taurite: Kai i ngā huawhenua, i ngā hua rākau, me ngā kai whai kiko. Kai i ngā kai iti, kaua i ngā kai nui i te wā kotahi.
• Mena ka tohutohu mai tō tākuta: I ētahi wā, he tikanga e kiia nei ko ngā "Vagal Maneuvers" hei whakahaere i te tere o tō manawa. Hei tauira, te manawa hōhonu (pēnei i te ngunguru o te puku), te tauhiuhi i te wai matao ki tō mata, te mea rānei kia maremare koe. Engari kia tino pātai atu ki tō tākuta i mua i te mahi i ēnei, ā, me mahi noa mēnā ka whakaae ia.

Hei whakamutunga, he karere hei kawe ki te kāinga:

Nō reira, he āhuatanga e pāngia ana e te tini tāngata te 'whakateretere', ā, kāore i te mōrearea i te nuinga o te wā. Heoi, ehara i te mea pai kia warewarehia.

Kia maumahara, ki te mea he ruarua, he āwangawanga rānei āu mō te āhua o te pao o tō ngākau, ki te mea rānei kei a koe tētahi o ngā tohu whakatūpato i kōrerotia i mua ake nei, me toro atu ki te tākuta.

Kaua e manukanuka, ka taea e te tākuta te āwhina i a koe ki te kimi i te pūtake o tēnei mate, me te rongoā mēnā e tika ana. I te nuinga o te wā, ka taea e koe te whakahaere i ēnei 'whakateretere' mā te hanga i ētahi huringa iti o te āhua noho. Tiakina tō ngākau!

` Te Manawa, Te Whakateretere, Te Whakateretere, Te Manawa, Te Manawa, Te Manawa, Te Manawa, Te Manawa, Te Manawa o te Uma, Te Mate Urutā, Te ECG, Te Aroturuki Holter, Te Taumahatanga, Te Manukanuka, Te Kawheine, Ngā Tohumate o te Mate Manawa