He maha ngā wā ka pāngia koe e te kikī, te taumaha, te mamae rānei o tō uma? Ka piki ake tēnei mamae ina koa ka ngenge koe, ina piki arawhata koe, ina manukanuka rānei koe? Engari i muri mai ka mahia he ECG, he angiogram pea, engari i kī te tākuta kāore he aukati i roto i ngā oko toto nui o te ngākau (ngā uaua coronary), ā, kei te pai katoa. Tērā pea kei te whakaaro koe, "He aha rawa te take e pāngia ai ahau e tēnei mamae o te uma?" He raruraru tēnei e pāngia ana e te tini tāngata. Kāore koe i te mokemoke. I tēnei rā kei te kōrero tātou mō tētahi momo mamae o te uma e kore e kitea ngāwari e ngā whakamātautau nui, engari kei reira tonu. Ka kiia tēnei ko te angina microvascular.
He aha te Angina Makoro-Waterovascular?
He kupu ngāwari noa iho, he angina anō hoki tēnei, arā, he mamae o te uma nā te korenga o te toto hāora e tae atu ana ki te ngākau. Engari koinei te rerekētanga. I roto i te angina noa, ko te raruraru kei roto i ngā oko toto nui e tuku toto ana ki te ngākau. Tērā pea ka āraia e ngā putunga ngako.
Engari i roto i te angina microvascular, ehara te raruraru i aua oko toto nui. Kei roto i ngā oko toto tino angiangi, ririki e peka mai ana i aua oko toto nui (coronary microvascularature). Whakaarohia, he paipa nui tā tātou e kawe mai ana i te wai ki tō tātou whare. He pai tēnā. Engari ki te mea kua purua, kua waikura hoki ngā paipa iti e haere ana ki ngā tap me ngā kaukau iti i roto i te whare, e kore te wai e puta mai. Koinā hoki te mea e tupu ana i konei. Ina kore e mahi tika tēnei pūnaha iti o ngā oko toto e kawe ana i te hāora ki te uaua o te ngākau, ka mamae te uma.
Koia te take ina tirohia ō uaua nui i roto i ngā whakamātautau pēnei i te angiogram, he āhua noa iho. Engari kei reira tonu te mamae. I ngā wā o mua, i tapaina tēnei mate e ngā tākuta ko te 'Cardiac Syndrome X.'
He aha ngā tohu o tēnei mate?
He tino rite ēnei tohu ki ērā o te angina noa. Ka roa pea te mamae mō te 15 meneti, neke atu rānei.
| Tohu | Whakamārama |
|---|---|
| Te mamae o te uma, te kore whakamarie rānei | He kare ā-roto e kikī ana, e pēhia ana, e taimaha ana rānei i roto i te uma. Ka piki ake tēnei i te nuinga o te wā i te mea ka whakapau kaha, ka ahotea rānei. |
| Te uaua ki te manawa | He uaua ki te manawa ahakoa he iti noa te kaha, me te mea kei te pāngia koe e te whiu. |
| Ngenge rerekē | Te tino ngenge me te kore kaha, kāore he take. |
| Ētahi atu āhuatanga | Tērā pea ka pāngia ētahi tāngata e ngā āhuatanga pēnei i te werawera, te whakapairuaki me te whanoke, me te mamae o te puku. |
He aha tēnei ka puta ai? He aha ngā take me ngā āhuatanga mōrearea?
He maha ngā take mō tēnei. E wehea ana e ngā tākuta kia rua ngā wāhanga: te tuatahi me te tuarua.
- Ngā take matua: Ko te raruraru i konei kei roto i ngā oko toto iti tonu. Ka whakawhāiti ohorere (ka pākia), ka kore rānei e whānui (tuwhera) tika ina hiahia te tinana ki te toto nui ake. Ka kiia tēnei ko te "mate toto iti o te mate koronari".
- Ngā take tuarua: Koinei te wā ka puta ai te raruraru o ngā oko toto iti hei pānga taha o tētahi atu mate hauora. Hei tauira, ka puta pea i ngā āhuatanga pēnei i te cardiomyopathy, e ngoikore ai te uaua o te ngākau, i ngā mate pūnaha ārai mate rānei, e whakaeke ana i ngā pūtau o te tinana.
Hei tāpiri, he nui ake te mōrearea o ētahi tāngata ki te whakawhanake i tēnei mate.
| Tauwehenga Mōrearea | Ko wai kei te mōrearea nui ake? |
|---|---|
| Te noho hei wahine | Ko ngā wāhine kua pāngia e te menopause te hunga tino mōrearea. |
| Mate huka | Nā te mea ka taea e te mate huka te kino i ngā oko toto. |
| Te toto toto tiketike (hypertension) | Ka taea e te toto toto tiketike te pakaru i ngā oko toto ngoikore. |
| Te cholesterol teitei `(Hyperlipidemia)` | Ka pā pea ki te mahi a ngā oko toto. |
| Te whakamahinga o ngā hua tupeka | Ko te kai hikareti tētahi tino take o te whaiti me te kino o ngā oko toto. |
Me pēhea te rongoā mō tēnei?
E rua ngā huarahi matua hei whakahaere i tēnei mate. Ngā huringa āhua noho me te rongoā. He rite tonu te hiranga o ngā mea e rua.
Ngā huringa āhua noho hei mahi
- Ki te mea he kaipaipa koe, kati rawa. Koinei te taahiraa tino nui ka taea e koe te mahi.
- Whakamahia he kai hauora mō te ngākau. Whakaitihia te hinu me te mīti whero, ā, kai atu i ngā huawhenua, ngā hua rākau, me ngā kai whai kiko i te muka.
- Whakakorikori tinana i ngā wā katoa. Ahakoa te hikoi noa mō te 30 meneti i te rā, he tino whai hua. Heoi, pātai atu ki tō tākuta he aha te momo whakakorikori tinana e tika ana māu.
- Kia mau tonu te taumaha hauora.
- Kia pai te moe, kia whakaitihia hoki te ahotea. Ka taea e ngā mahi pēnei i te whakaaroaro me te yoga te āwhina.
- Mena kei a koe ētahi atu mate pēnei i te mate huka, te toto toto tiketike, te cholesterol rānei, me whakahaere pai aua mate.
Te rongoā i hoatu e te tākuta
Tērā pea ka tohua e tō tākuta ngā momo rongoā hei whakapai ake i te mahi a ēnei oko toto me te whakaiti i te mamae.
- Ngā aukati hongere konupūmā
- Ngā aukati-beta
- Ngā nitrates - hei tauira, te nitroglycerin
- Ngā Statins - hei whakaiti i te cholesterol
- Ngā aukati ACE
Ko te mea nui: Ka tohua ēnei rongoā e tō tākuta i muri i te tirotiro tika i tō āhua. Kaua e whakamahia ēnei rongoā, ahakoa he aha te take, i runga i ngā tohutohu a ētahi atu, i runga rānei i tāu e pai ai.
Āhea te wā e tika ai kia kite i te tākuta? me te tautuhi mate
Ko te whakautu māmā noa iho, ki te pāngia koe e te mamae o te uma, me toro atu koe ki te tākuta. Tērā pea he mate kapia noa iho, engari kei te tākuta te whakatau mēnā he raruraru ngākau.
I te mea he uaua te tautuhi i tēnei mate, he mea nui kia mārama koe ki tō tākuta mō ō tohumate. Kaua e wehi ki te kī, "Kei te mamae tonu tōku uma ina ahotea ahau," ahakoa kāore he raruraru o ō uaua nui i roto i ngā whakamātautau.
Mena kei te whakapae te tākuta kei a koe tēnei mate, ka whakahaerehia pea e ia ētahi atu whakamātautau motuhake.
- Whakamātautau Taumahatanga: Hei tirotiro mēnā ka heke te rere o te toto ki te ngākau i a koe e whakakorikori tinana ana (Myocardial Ischemia).
- Whakamātautau Rahui Rere o te Manawa (CFR): Hei ine mēnā ka taea e te manawa te whakanui ake i tōna rere toto kia ea ai te hiahia hāora.
- Ngā matawai motuhake: Ka taea e ngā matawai karihi, te MRI, te whakamātautau motuhake rānei mō te whakaurunga o te catheter o te ngākau te tautuhi i te ngoikore o ēnei oko toto iti.
Ki te kore e rongoatia, ka taea e te korenga o te rere o te toto ki te ngākau te whakararu i te uaua o te ngākau. Nō reira kaua e waiho tēnei mamae o te uma hei tohu noa iho. He tohu nui tēnei mai i tō ngākau.
Karere Tangohia ki te Kāinga
- Ko te angina microvascular he momo mamae uma e puta ana ina mahi tika ana ngā oko toto nui o te ngākau, engari nā ngā raruraru ki te mahi a ngā oko toto tino iti.
- Ko te mamae o te uma, te poto o te manawa, me te tino ngenge ngā tohu matua .
- Ki te mamae tonu tō uma ahakoa he noa ngā hua o tō whakamātautau, kaua e warewarehia. Kōrero anō ki tō tākuta.
- He nui ake te kitea o tēnei i roto i ngā wāhine, te hunga mate huka, te toto toto tiketike, me te cholesterol tiketike.
- Mā te tātaritanga tika me te maimoatanga (ngā huringa āhua noho me ngā rongoā), ka taea te whakahaere pai i tēnei āhuatanga, ā, ka taea hoki te pupuri i te kounga pai o te oranga.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He aha ngā mamae tinana?
Ehara i te mea ko ngā mamae tinana anake e puta mai ana i muri i te whakangungu i te whare takaro! He tohu kino te 'Mamae Tinana' e meinga ai koe kia rite ki te kuru me te pakaru o ō uaua, o ō hononga, me ō wheua (mamae uaua/hononga) i te wā kotahi, ā, e kore e taea te tu atu i te moenga. He tohu whakatūpato tuatahi tēnei mō tētahi pakanga nui kei roto i tō tinana!
💬 He aha ngā tino take o te mamae/mamae o te tinana e kore ai e taea te ara ake i te moenga?
E toru ngā take matua mō tēnei: 1) 'Ngā mate huaketo kino' - Dengue (Dengue - te ngoikore o te hinu wheua), COVID-19, te rewharewha noa rānei, ina whawhai te pūnaha ārai mate i roto i te tinana (Inflammatory response/Cytokines) ka mumura te tinana katoa. 2) 'Fibromyalgia' - He mamae nui te mate io e puta ai te mamae kore e taea te mau i roto i ngā hononga me ngā uaua puta noa i te oranga me te kore he mate. 3) Lupus (Lupus / Autoimmune diseases), me ngā Statins (Statins) pire e tangohia ana mō te cholesterol, e puta ai hoki te ngoikore o te uaua.
💬 He aha ngā 'āhuatanga mate/ohorere' e tika ai kia haere tonu koe ki te hōhipera, me te kore e tango i te Panadol (Paracetamol) i te pō ina pāngia koe e te kirika?
I te nuinga o te wā, ka memeha haere tēnei i roto i ngā rā e 3-4 i roto i te kirika huaketo. Engari ko te mōrearea nui rawa atu! Mēnā, me te mamae o te tinana, 1) ka puta te 'kirika nui me te wiri me te kaki maro (Kaki maro / Meningitis - kirika roro)', 2) ka uaua te manawa / mamae o te uma, 3) ka ngaro te taumaha me te kore take, ka werawera i te pō (matepukupuku / mate kohi), 4) ka huri te tae o te mimi ki te kawhe pouri (mimi pouri / ngoikore o te uaua), me haria koe ki te hōhipera tonu!
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