Kei te tere te pao o tō ngākau? Tērā pea he Multifocal Atrial Tachycardia (MAT) tēnei?

Kei te pēhia tō ngākau e te mea e pā ana ki te haurangi? Kei te pēhia rānei koe e te mamae, e te taumaha o tō uma? Kaua e mataku, kaua e hohoro te whakaaro kei te tupu tēnei katoa nā te mea he mea nui. Heoi anō, i ētahi wā ka taea e ēnei tohu te tohu o tētahi mate e kiia nei ko te Multifocal Atrial Tachycardia (MAT) , ka kōrerohia e tātou i tēnei rā. Nō reira, me kōrero ngāwari tātou mō tēnei, i roto i tētahi huarahi e mārama ai koe.

He aha te tachycardia atrial multifocal (MAT)?

Ki te whakarapopoto, ko te multifocal atrial tachycardia (MAT) he āhuatanga e puta ana ina puta ngā tohu hiko mai i ngā rūma e rua o runga o tō ngākau, e kiia nei ko te atria, i roto i te āhua pōrearea, mai i ngā wāhi rerekē. Whakaarohia me te mea he maha ngā "pokapū karere hiko" iti i roto i ēnei rūma o runga o tō ngākau ka tīmata te mahi i te wā kotahi. Mā tēnei ka tere rawa te patu o tō ngākau, ka kore e rite . I te nuinga o te wā, neke atu i te 100 ngā patu o tō ngākau ia meneti, engari i ētahi wā, ka eke ki te 150 ngā patu ia meneti i roto i te MAT. Ka kiia hoki ko te Chaotic Atrial Tachycardia , ko tōna tikanga ko te "chaotic atrial tachycardia."

He aha te rerekētanga i waenga i te MAT me te Atrial Fibrillation?

He rerekē ngā manawataki o te ngākau e puta ana i ngā rūma o runga o te ngākau, arā, te atria. Inaa, i ētahi wā ka taea te tautuhi he he te tangata whai MAT kei a ia te fibrillation atrial . Heoi, ka taea e te tākuta te wehewehe i waenga i ngā mea e rua mā te titiro ki ngā hua o tō Electrocardiogram (EKG) . Ko te nuinga o te wā ka titiro rātou ki ngā 'ngaru P' i runga i te EKG, ka tuhia i te wā e kuiti ana te atria o te ngākau. Ka wehewehea ngā mea e rua e ō rātou tauira.

He mea nui, tata ki te haurua o te hunga whai MAT ka pāngia pea e te atrial fibrillation , te atrial flutter rānei i muri mai.

Ko wai te mea tino pāngia e tēnei āhuatanga?

Ko te MAT te mea e kitea nuitia ana i roto i ngā kaumātua, tata ki te 70 tau te pakeke . Heoi, he mea nui kia mahara ka taea hoki te pā ki ngā tamariki nohinohi. Ko te nuinga o te wā, ko te hunga e pāngia ana e te MAT ko te hunga e tino mate ana i taua wā. Ko te tikanga he nui ake te tūponotanga ka pā te MAT hei hua o te kaha haere o tētahi atu mate hauora i te mea ka pāngia ohoreretia te MAT e te tangata hauora.

He mate manawa o te ngākau tino onge tēnei. Ka kitea te MAT i roto i te iti iho i te 1% o ngā mate manawa katoa (arrhythmias).

He aha ngā mea ka pā ki tō tinana mai i te MAT?

Whakaarohia tō ngākau he papu wai. Ka pupuhi i te toto puta noa i tō tinana. Ka mahi tika anake tana mahi mēnā ka pā te toto i te tere me te manawataki tika.

Heoi, i roto i tētahi āhuatanga pēnei i te MAT, ka tere rawa te pā o te manawa., kāore e ranea te wā e whakakīia ai ngā rūma e whā o te ngākau ki te toto. Ka haere te toto kore-hāora i roto i te ngākau ki ngā pukahukahu, ka kohi i te hāora, kātahi ka hoki ki te ngākau kia papua puta noa i te tinana. Nā te poto o te wā i waenganui i ēnei pao o te ngakau, he iti iho te nui o te toto e whakakī ana i ngā rūma o te ngākau i te wā kotahi i te mea noa. Ko te tikanga he iti iho hoki te nui o te toto e haere ana ki ngā pūtau o tō tinana i ia pao o te ngakau . Ka taea e tēnei te kore e whiwhi tō tinana i te hāora me ngā matūkai e hiahiatia ana e ia.

He aha ngā tohu o te MAT?

Kāore te nuinga o te tangata e pāngia e tētahi tohu motuhake nā te MAT. Heoi anō, tera pea he tohu ōu nō ētahi atu mate hauora i puta ai te MAT.

Heoi, i ētahi wā ka puta mai ngā tohu pēnei i te MAT:

• Mamae te uma, te piri rānei
• Ngā palpitations (te ahua kei te tere te patu o tō ngākau)
• Te poto o te manawa
• Te ngoikore, te ngaro o te māramatanga

He aha ngā take o te MAT?

Ko te nuinga o te hunga whai MAT (i waenga i te 60% me te 85%) he mate e pā ana ki te pukahukahu . O ēnei , ko te Mate Pūkahukahu Ārai Mau Tonu (COPD) te tino take. Whakaarohia, ko ētahi tāngata he maremare tonu, he wheezing, me ērā atu mea pērā.

Ka taea te karanga i ētahi atu take:

• Te ngoikore o te manawa
• Ngā mate urutā kino
• Te mate uaua koronari
• Te ngoikore o te ngākau
• He iti ngā taumata o te pāhare pāporo, te konupora, te konutai rānei i roto i te tinana
• Matepukupuku
• Mate Huka (Diabetes Mellitus)
• Kei te whakahaerehia he pokanga nui
• Te ngoikore o te whatukuhu
• Te embolism pūkahukahu (he ahua onge tēnei)
• Te mate takirere ngākau (he onge hoki tēnei)

I te kīanga māmā noa, ko tētahi mate kino e pā ana ki te pēhanga nui me te ahotea ki te tinana, ka taea e ia te whakaputa i te MAT.

Me pēhea taku mōhio mēnā kei a au te MAT?

Ko te tikanga, ka tātaritatia te MAT e ngā tākuta mā te whakamātautau Electrocardiogram (EKG) . Kua kite pea koe i aua whakapiripiri iti i runga i tō uma me ō ringaringa e ine ana i te ngohe hiko o tō ngākau. Koinei te āhua o te tātaritatia. Ko te tauira i runga i te EKG he mea motuhake ki te MAT.

He aha atu ngā whakamātautau ka mahia hei tautuhi i te MAT?

Hei tautuhi tika i te MAT, he rawaka noa te whakamahi i tētahi whakamātautau EKG .

Heoi, ina kitea tō mate MAT, ka tonoa pea e tō tākuta ētahi atu whakamātautau hei kimi i te mate e pā ana ki tēnei mate. Kei roto i ēnei ko:

• X-ray o te uma
• Ngā whakamātautau toto - Hei tauira, hei tirotiro i ngā taumata tote o te tinana, me te tirotiro mēnā he mate pāwera kei roto.
• He tino onge te whakamahi i te ultrasound o te ngākau, arā, he echocardiogram .

He aha ngā maimoatanga mō te MAT?

I te nuinga o te wā, me rongoā te hunga whai MAT mō te mate taketake i puta ai te MAT . Hei tauira, ki te mea he mate pūkahukahu kino tōu, ā, ka pāngia koe e te MAT, ka ngana tuatahi ngā tākuta ki te rongoā i taua mate. Kia rongoātia te mate taketake, ka memeha noa te MAT.

Mena kei a koe te MAT, tera pea kua mau koe ki te hōhipera mō tētahi mate kino, pērā i te uaua o te manawa. Kātahi ka whakaratohia e ngā tākuta te maimoatanga e tika ana mō taua mate.

Heoi anō, i ētahi wā ka hiahiatia he maimoatanga hei whakahaere i te tere o te manawa. Kei roto pea i tēnei ko ēnei e whai ake nei:

• Ko te mahi a ngā beta-blockers, pērā i te metoprolol (Lopressor®, Toprol®XL rānei), mā te whakahaere i te tere o te manawa.
• Te whakarato i ngā tote konupora me te pāhare pāporo mēnā he ngoikore i roto i te tinana.
• Ka āwhina anō hoki ngā rongoā aukati hongere konupūmā , pērā i te verapamil (Verelan®, Calan® rānei) te diltiazem (Diltzac®, Cardizem® rānei), ki te whakahaere i te tere o te manawa.

He tino onge, arā, ki te kore e taea e ētahi atu maimoatanga te whakahaere, ka whakamahia pea ngā maimoatanga pēnei i te AV node ablation (te whakakore i tētahi wāhanga o te ara tohu hiko o te ngākau) me te pacemaker (he taputapu kua whakauruhia hei pupuri i te auau o te pao o te ngākau).

He pānga taha kei te rongoā?

Ka pā mai pea ngā pānga taha pēnei i ētahi rongoā e hoatu ana mō te MAT:

• Pōuriuri
• Ānini
• He puku pouri, pērā i te whakapairuaki (Puku pouri)
• Korere
• Te kōroke

Mena kei a koe tētahi o ēnei, kōrero ki tō tākuta . Tērā pea ka taea e ia te whakarerekē i te horopeta, te tohu rānei i tētahi atu rongoā.

Me pēhea te whakaiti i te mōrearea o te whakawhanaketanga o te MAT?

Ko te tino take o te MAT ko te whakararuraru i ētahi atu mate hauora, inā koa ko te mate pūkahukahu, te mate ngakau rānei. Nō reira, ki te taea e koe te whakahaere pai i tō mate pūkahukahu (pēnei i te COPD, te huango) te mate ngakau rānei , arā, ki te tango koe i ō rongoā e ai ki te whakahaunga a tō tākuta i te wā tika, ā, ka tirotirohia koe i ia wā, ka taea e koe te whakaiti i tō tupono ki te whakawhanake i te MAT.

He aha te mea ka pā ki te tangata whai MAT? He aha te heke mai?

Ka taea e koe te hoki ki te kāinga i muri i te maimoatanga angitu o te mate taketake i puta ai te MAT. Ko te mate tonu, arā, ko te MAT, ka ora i te nuinga o te wā ina rongoatia te take taketake.

Heoi, ko te āhua o te mate mō te tangata whai MAT ka whakatauhia e te kaha o te mate hauora matua, kaua e te MAT tonu.Nā te mea ko ngā āhuatanga matua e puta ai te MAT (pērā i te ngoikore o te pūkahukahu, ngā mate kino) ka mate pea i ētahi wā, i waenga i te 30% me te 60% o te hunga whai MAT ka mate i a rātou e noho ana ki te hōhipera. Kia maumahara, ko ēnei mate ehara i te mea nā te MAT tonu, engari nā te mate nui i puta ai.

Me pēhea taku tiaki i ahau anō?

Mena kei a koe te MAT, ā, kua rongoatia te mate taketake, ka tūtohu pea tō tākuta kia haere tonu te tango i ngā beta-blockers , ngā calcium channel blockers rānei mō tētahi wā. Heoi, e 25% anake o te hunga whai MAT ka pā tēnei ki a rātou.

Ko te mea nui ko te whai i ngā tohutohu a tō tākuta. He mea nui rawa kia haere koe ki ngā wāhi rongoā i ngā rā kua whakaritea, kia tika hoki te tango i ō rongoā.

Āhea ahau me toro atu ki te tākuta? He aha ngā pātai me pātai atu e au?

Me whai wā tirotiro anō koe mō te mate i puta ai te MAT. Mena he mate roa (hei tauira, te COPD), me toro atu koe ki tō tākuta i ia wā, kia mōhio ai kei te pai te whakahaere.

Kaua e mangere ki te pātai atu ki tō tākuta i ēnei pātai:

• "E te tākuta, kia pēhea te roa me tango e au tēnei rongoā i tohua mai mōku?"
• "Ka taea e koe te whakamārama mai i tētahi mea mōku i te heke mai, i runga i tōku āhua?"
• "Ka taea e au te whiwhi anō i tēnei āhuatanga MAT?"

He tokomaha ngā tāngata whai MAT kāore he tohu, nō reira he mea miharo pea te mōhio kei a rātou tēnei mate. Heoi, ko te mea nui ko te rongoā a tō tākuta i te mate pūtake e puta ai te ngakau rerekē (he mate pūkahukahu te nuinga o te wā). Whaia ngā tohutohu a tō tākuta, ā, kia tino pātai atu mēnā he mea kāore koe e mārama. I te pai haere o tō mate pūtake, ka pai ake anō hoki tō ngakau rerekē.

Karere Tangohia ki te Kāinga

Āe, anei tētahi huarahi māmā hei maumahara ki tā tātou i kōrero ai:

• Ko te MAT he āhuatanga e tere haere ai te pā o te manawa, e kore e tika, nā ngā tohu hiko pōrearea e puta mai ana i ngā wāhanga o runga o te manawa.
• He maha ngā wā ka puta tēnei i roto i te hunga whai mate kino kē atu, inā koa ko ngā mate pūkahukahu (pērā i te COPD).
• He tokomaha te hunga kāore he tohu motuhake o te MAT, engari tera pea he tohu kei a rātou nō te mate taketake.
• Ka tātaritatia tika te MAT mā te EKG.
• Ko te mate matua e aro ana ki te mate taketake i puta ai te MAT. Kātahi ka tino pai ake te MAT.
• I ētahi wā ka taea te hoatu rongoā (ngā Beta-blockers, ngā Calcium channel blockers) hei whakahaere i te tere o te manawa.
• Ko te kaha o te MAT ka whakatauhia e te mate i puta ai.
• He mea tino nui kia tino whai i ngā tohutohu a te taote, me te haere ki ngā whakamātautau kua whakaritea.

Mena kei a koe, kei tētahi atu rānei e mōhio ana koe, tēnei momo raruraru, kaua e wehi ki te toro atu ki te tākuta me te tiki tohutohu. Ko te tere o te tautuhi me te rongoā, ko te pai ake.

Te tere o te manawa, te mate manawa, te tachycardia, te mate pūkahukahu, te mate pūkahukahu, te EKG, ngā uauatanga manawa