Kei te pēhea te hauora o tō ngākau me ō pūkahukahu? Kia kitea tātou mā te whakamātautau CPET! (Whakamātautau Whakakorikori Manawa Pūkahukahu)

He uaua ki a koe te manawa i ētahi wā ahakoa he iti noa te oma, he piki arawhata rānei? He tino ngenge rānei koe? Tērā pea kua kōrero mai tō tākuta ki a koe mō tētahi 'whakamātautau ahotea'. Ka tirohia te mahi a tō ngākau i te wā e whakakorikori ana. Engari i tēnei rā kei te kōrero tātou mō tētahi whakamātautau motuhake e titiro hohonu ana ki te mahi a tō ngākau me ō pukahukahu. Ka kiia tēnei ko te CPET, ko te Whakamātautau Whakakorikori Cardiopulmonary rānei.

He aha te CPET?

He whakamātautau te CPET e ine ana i te mahi a tō ngākau (cardio) me tō pūkahukahu (pūkahukahu) i a koe e whakakorikori tinana ana. Ka kiia hoki ko te 'whakamātautau ahotea whakakorikori tinana'. He tino māmā noa iho. Ka tonoa koe kia hikoi i runga i te mīhini oma, kia eke rānei i te pahikara tū. I tēnei wā, ka whakakakahuria koe ki tētahi kopare kanohi motuhake, ki tētahi waha rānei, e āhei ai koe ki te manawa mā roto i tō waha anake.

Ka ine tēnei i te pai o te mahi tahi a tō ngākau, ō pūkahukahu, me ō uaua toto ki te tuku hāora ki ō uaua i a koe e whakakorikori tinana ana. Ko te whakamātautau ahotea ngākau noa ka titiro ki tō ngākau anake. Engari he nui ake te uara o te whakamātautau CPET nā te mea ka whakaratohia he mōhiohio mō tō ngākau me ō pūkahukahu i te wā kotahi .

He aha te take e taunaki ai te tākuta i tēnei whakamātautau?

He maha ngā take e taunaki ai tō tākuta i tēnei whakamātautau. Hei tauira, tera pea kei a koe tētahi o ēnei raruraru e whai ake nei:

• Kimihia te take e poto ai tō manawa, e tino ngenge ana rānei koe i a koe e whakakori tinana ana: Ka kitea e ētahi tāngata ka tino ngenge rātou ina paku ngenge ana. Mā tēnei whakamātautau ka āwhina i te whakatau mēnā he raruraru ngākau, he raruraru pūkahukahu, he aha atu rānei te take.
• Tirohia te nui o te whakakori tinana ka taea e tō ngākau me ō pukahukahu te whakahaere: He mea nui tēnei kia mōhio ai koe ki te taumata haumaru o te whakakori tinana i mua i te tīmatanga o te whakakori tinana, inā koa mō te tangata whai mate ngākau.
• Tātarihia, aroturukitia rānei ngā mate o te ngākau, o te pukahukahu rānei: Ka whakamahia tēnei whakamātautau hei whakatau i te kaha o ngā āhuatanga pēnei i te ngoikore o te ngākau, te mate ngākau whānau, te toto toto tiketike o te pūkahukahu, te COPD rānei.
• Whakawhanakehia tō mahere maimoatanga: He mea whai hua ēnei raraunga hei whakatau mēnā kei te tika te mahi a ngā rongoā e tangohia ana e koe, me te mea hoki kei te pai ake tō āhua i muri i te maimoatanga.
• Kia mārama ki te āhua hauora ā muri ake nei (Matapae): Ka taea e koe te mārama ki te āhua o tētahi mate ā muri ake nei, arā, mēnā ka pai ake, ka kino ake rānei te āhua.
• Waihangahia he mahere whakakori tinana haumaru e pai ana māu: Kāore e rite te momo whakakori tinana mō te katoa. Mā tēnei koe e āwhina ki te whakamahere ko ēhea ngā whakakori tinana e pai ana mō tō tinana, me te roa hoki.
• Aromatawaihia ngā mōrearea i mua i te pokanga nui: Hei tauira, i mua i te tango i te pukahukahu, i te whakawhitinga pukahukahu rānei, he mea nui kia aromatawaihia mēnā ka taea e tō tinana te aro atu ki te pokanga.
• Kia tino mohio koe ka taea e koe te mahi haumaru i tētahi mahi uaua ki te tinana: Ko ētahi mahi (hei tauira, ngā kaipatu ahi, ngā hōia) e hiahia ana ki te taumata teitei o te hauora tinana. Ka whakamahia hoki tēnei whakamātautau hei whakatau mēnā he pai koe mō aua mahi.

Me pēhea te mahi i tēnei whakamātautau?

Ka whakahaerehia te whakamātautau CPET i roto i tētahi rūma motuhake e kiia nei ko te 'Stress Lab'. He wāhanga motuhake kei ngā hōhipera mō tēnei kaupapa. Ahakoa ka whakahaerehia tēnei whakamātautau e tētahi tohunga taiwhanga whakangungu, ka mahia ngā mea katoa i raro i te tirotiro a te tākuta.

Me eke koe i tētahi pahikara tū, me hikoi rānei i runga i te mīhini oma. Me whakakorikori koe mō te roa e taea ana e koe . I ia meneti, i ia rua rānei, ka āta whakanuia e te tohunga hangarau te ātete o te pahikara, te tere me te pikinga rānei o te mīhini oma. Kātahi ka tīmata koe ki te kite he uaua ake te whakakorikori. Ka mutu te whakamātautau ina whakaaro koe kāore e taea e koe te mahi i tēnā .

I roto i tēnei wā katoa, ka manawa koe mā te kopare kua whakahuatia ake nei. Ka ine tēnei taputapu i te nui o te hāora i roto i te hau e manawahia ana e koe me te nui o te hauhā waro i roto i te hau e manawahia ana e koe. Ka ine anō hoki i te nui o te hau ka taea e ōu pukahukahu te ngongo i te wā kotahi. Ka tuhia katoatia ēnei raraunga ki te rorohiko.

Me pēhea tāu whakarite i mua i te whakamātautau?

Mā tō tākuta koe e whakamārama mārama me pēhea te whakarite mō tēnei whakamātautau. He mea nui kia tino whai i aua tohutohu. Kei raro nei ētahi mea whānui hei whai. Me titiro tātou ki tētahi ripanga hei āwhina i a koe ki te maumahara mārama ki ēnei mea.

He aha ngā mea ka tupu i te wā o te whakamātautau?

He maha ngā wāhanga o te whakamātautau. E 75 meneti pea te roa o te whakamātautau katoa. Engari, e 20 meneti pea te roa o te whakakori tinana.

Tirohia ngā kaupae i raro nei.

1. Te Whakarite: Tuatahi, ka whakapirihia e te tohunga hangarau ētahi whakapiripiri ki tō uma. Ka kiia ēnei he hikohiko EKG. Ka aroturukihia e ēnei tō tere o te ngakau. Kātahi ka whakanohoia he poroporo toto ki tō ringa, ā, ka whakanohoia he oximeter pulse ki tō maihao. I ētahi wā, ka whakauruhia he ngongo tino angiangi (catheter) ki roto i te uaua i roto i tō ringaringa hei ine i te hau toto o tō uaua.

2. Okioki: Muri iho, ka tonoa koe kia kaua e mahi i tetahi mea mō ngā meneti e rua, e toru rānei. I tēnei wā, ka tuhia tō tere manawa noa, tō toto toto, me ngā taumata hāora hei uara tūāpapa.

3. Whakamahana:Kātahi ka hikoi koe i runga i te mīhini oma, ka eke pahikara rānei mō te rua ki te toru meneti i te tere tino mārie, ngāwari hoki. Ka whakamātautauhia e tēnei te urupare a tō ngākau me ō pukahukahu ki te iti noa o te whakakori tinana.

4. Te Whakakorikori Tinana: Koinei te wāhanga tino nui o te whakamātautau. E 8 ki te 12 meneti te roa. Ka haere tonu te whakakorikori tinana i a koe e whakanui haere ana i te taumaha e te tohunga hangarau. Ka uaua haere māu. Koinei te wā me akiaki koe i a koe kia kaha rawa atu.

5. Whakamatao: Ki te kore e taea e koe te mahi i tetahi atu mea, kati te wāhanga matua o te whakamātautau. Kātahi ka whakakorikori tinana anō mō ​​te toru ki te rima meneti, mārire, me te kore taumaha. Mā tēnei ka taea e te tinana te whakaora mārire.

Ka aro turukihia tō āhua e te tohunga hangarau i tēnei wā. Tērā pea ka tonoa koe kia whakamahi i ngā tohu ā-ringa hei pātai mō tō āhua. Hei tauira, i runga i te tauine 1 ki te 10, ka pātai pea rātou ki a koe kia aromatawaihia tō ngenge.

Ka pēhea ō kare ā-roto ina oti i a koe te whakamātautau?

Hei whiwhi hua tika, whai hua hoki, me whakakorikori tinana koe kia tino ngenge rawa koe. Nō reira, he mea noa kia piki ake tō tere o te ngakau, tō toto toto, me tō tere manawa. Tērā pea ka werawera koe, ā, ka tino ngenge ō waewae. He mea noa anō hoki kia maroke tō waha nā te mea kei te manawa koe mā roto i te kopare.

Kia aro nui ki ngā tohu pēnei i ēnei:

• Te mamae, te kikī, te kore whakamarie rānei i te uma, te ringa, te kauae rānei.
• He tino uaua te manawa.
• Pōuriuri, āhua hemo rānei.

He tohu pea ēnei mō tētahi āhuatanga ohorere, pērā i te mate manawa. Ka mātakihia tō EKG e ngā kaimahi taiwhanga, ā, ki te kite rātou i ētahi huringa kino, ka mutu tonu te whakamātautau.

He mōrearea kei roto i tēnei whakamātautau?

Ka mahia te CPET i roto i tētahi taiao tino haumaru, ā, he tino whakahaeretia. Nō reira, kāore he mea e wehi ai. Heoi, kāore i te tino mōhiotia te urupare a tō tinana ki ngā mahi whakakori tinana kaha. He tino onge ngā tūponotanga, pērā i te ngaronga o te māramatanga, te mate ngakau rānei. Ahakoa he āhuatanga ohorere, kua whakangungua ngā kaimahi taiwhanga ki te rongoā i a koe i taua wā tonu.

I mua i tō haerenga ki te taiwhanga, ka whakarite tō tākuta he haumaru tēnei whakamātautau māu. Hei tauira, mēnā kei a koe tētahi o ēnei mate e whai ake nei, ka whakatau pea tō tākuta kāore tēnei whakamātautau i te haumaru māu:

• He mate urutā nui pērā i te kirika, te makariri, te COVID-19 rānei.
• Te mumura o te ngākau.
• He toto totoka i roto i ngā waewae (Deep Vein Thrombosis - DVT).
• Te mate ngakau hypertrophic.
• Te ngoikore o te whatukuhu.
• Te aukati i te takirere ngākau i roto i te āhua ngawari, i te āhua kino rānei.
• Te haputanga tōmuri, te haputanga rānei me ngā raruraru.
• Mena kua pāngia koe e te mate manawa tata nei (i roto i ngā rā 30).
• Te toto toto tiketike kāore i te whakahaeretia (Te toto toto tiketike rawa) te toto toto tiketike rānei i roto i ngā pukahukahu (Te toto toto tiketike pūkahukahu).
• Ngā mate manawataki kore whakahaere (Ngā Arrhythmias Kore Whakahaere).

He aha te mea ka tupu i muri i te whakamātautau?

Kia mutu tō wā whakamatao, ka tirohia anō e te tohunga hangarau ō toto, ka tangohia atu hoki ngā taputapu katoa e piri ana ki tō tinana. Whai muri i tēnā, ka taea e koe te noho, te inu wai, me te okioki mō tētahi wā. Kia tino mōhio rātou kei te pai koe, ka tukuna koe e rātou kia hoki ki te kāinga.

Mā te tākuta nāna i tono tēnei whakamātautau e whakarite he wā motuhake hei kōrero ki a koe mō ngā hua .

He aha ngā mea kei roto i te pūrongo ka riro mai i a koe?

E mano ngā inenga ka kohia e te whakamātautau CPET. Ka whakaatuhia ēnei i roto i tētahi pūrongo me ngā kauwhata uaua e kiia nei ko ngā 'kauwhata e iwa-panel'. He tino hangarau ēnei, ā, he uaua ki te tangata noa te mārama.

Kaua e manukanuka. Ka tātarihia e tō tākuta ēnei tūtohi katoa, ā, ka whakamāramahia ki a koe i roto i ngā kupu māmā te tikanga. Ka kī atu hoki ia ki a koe he aha te mahi e whai ake nei, mēnā he whakamātautau anō e hiahiatia ana, mēnā rānei me tīmata he maimoatanga.

He nui ngā kōrero ka taea e te matawai CPET te whakaatu ki a koe mō te mahi a tō ngākau me ō pukahukahu. Tērā pea he taumaha rawa te mau i ngā taputapu katoa me te mahi i ngā mahi whakakori tinana. Engari kia mahara, he nui ngā kōrero nui kei roto i ia taputapu hei āwhina i a koe ki te whakamahere i te maimoatanga pai rawa atu māu.

Mena he pātai āu i mua i te whakamātautau, e hiahia ana rānei koe ki ētahi atu kōrero mō te whakarite, kaua e mangere ki te pātai ki tō tākuta.