Ka pāngia koe e te taumaha, te kikī, te mamae rānei o tō uma i ētahi wā ina ngenge koe, ina piki koe i te arawhata, ina manukanuka rānei koe? He tokomaha o tātou e wareware ana ki tēnei, e whakaaro ana he mea noa, he mate puku pea. Engari kāore e tika kia māmā noa te whakahaere i ngā mamae katoa o te uma. He tohu nui pea tēnei e tukuna ana e tō ngākau ki a koe. Koinei tā tātou e kōrero nei i tēnei rā, arā, kāore te ngākau e whiwhi toto nui ana.
He aha te Myocardial Ischemia?
He ahua uaua te ingoa, engari he māmā noa iho te pono. Ko te Myocardial Ischemia ko te korenga o te uaua o te ngākau e whiwhi i te nui o te toto e hiahiatia ana hei mahi tika. E mōhio ana tātou ko te toto te mea e kawe ana i te hāora me ētahi atu matūkai puta noa i te tinana. Nō reira, ina heke te nui o te toto e rere ana ki te ngākau, kāore e nui te hāora e whiwhi ana.
Pērā i te hiahia o te motuka wai ki te wai hei whakahaere, me hiahia hoki tō tātou ngākau ki te rere tonu o te toto. Mēnā ka mutu tēnei rere o te toto mō tētahi wā, ka heke rānei, ka tīmata te pakaru o ngā pūtau o te uaua o te ngākau. Mēnā ka kino haere tēnei āhuatanga, ka taea te huri hei whakaekenga ngākau (Myocardial Infarction, Heart Attack rānei) .
He āhuatanga ohorere te mate manawa e hiahia ana kia tere te rapu awhina hauora, nō reira he mea nui kia mōhio koe ki ēnei tohu.
Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei mate?
Ahakoa ka pā tēnei mate ki te katoa, he nui ake te mōrearea o ētahi tāngata. Tirohia mēnā kei a koe ētahi o ēnei āhuatanga mōrearea.
| Tauwehenga mōrearea | He whakamārama māmā |
|---|---|
| Te toto toto tiketike | Ina piki ake te pēhanga, ka pakaru pea ngā uaua toto, ka angiangi, ka ārai hoki i te rere o te toto. |
| Teitei o te Cholesterol | Ko te cholesterol kino i roto i te toto e putunga ana i runga i ngā pakitara o ngā uaua toto (pērā i te toto totoka), ka whakawhāiti ake. |
| Mate huka | Ka taea hoki e te mate huka te kino i ngā uaua toto, te whakaiti i te ngāwari, me te aukati i te rere o te toto. |
| Hītori whānau | Mena kei te pāngia tetahi o tō whānau (whaea, pāpā, tuākana, teina rānei) e te mate manawa, he nui ake tō tūponotanga ki te pāngia. |
| Te whakamahinga tupeka | Ka kino tika te momi hikareti i ngā uaua toto, ā, ka nui ake te tūponotanga o te totoka. |
He aha ngā tohu o tēnei?
Ko te tohu matua me te tohu tino kitea o tēnei mate ko te mamae o te uma e kiia nei ko te angina . Ka rite pea tēnei ki te mamae o te uma, ki te koretake rānei o te puku, engari he rerekē te āhua.
He aha te āhua o te mamae o te angina?
- Te ahua nei he taumaha kei runga i te uma
- Te mamae o te uma
- Te kikī o te uma
- He rite ki te werawera i roto i te uma.
- I ētahi wā ka rite ki te ngoikore
E rua ngā momo angina.
E rua ngā momo matua o te angina. He mea nui kia mōhio ki te rerekētanga i waenganui i ngā momo e rua.
1. Angina Pūmau: Ka puta tēnei i te nuinga o te wā ina pāngia koe e te ahotea (hei tauira, te whakakorikori tinana, te hikoi tere). Ka memeha te mamae ina okioki koe, ina tango rānei i te rongoā kua tohua e tō tākuta (hei tauira, he papa hei whakatakoto ki raro i tō arero) .
2. Angina Pūmau: Koinei te āhua tino morearea . Ka pā mai pea tēnei mamae ahakoa kei te okioki koe, kei te moe rānei i te pō. Kāore hoki e memeha ahakoa kua tangohia he rongoā. He tohu pea tēnei mō te mate manawa, nō reira me rapu tohutohu hauora tonu koe .
Ngā tohu ehara i te angina
Haunga te mamae o te uma, ka puta pea ngā tohu e whai ake nei:
- Te mamae, te kore whakamarie rānei e horapa ana ki te ringa maui, ki te pakihiwi, ki te kaki, ki te kauae, ki te tuara, ki te puku rānei .
- Te poto o te manawa .
- Te mātao me te werawera .
- He kare ā-roto e kī ana, e kore e taea te kai paipa, he puku rānei i te korokoro.
- Whakapairuaki, ruaki rānei .
- Pōuriuri , māuiui, ngoikore rawa, manukanuka rānei.
- Te tere o te manawa, te koretake rānei o te manawa.
Ko te hunga mate huka, inā koa, ka pāngia e te ischemia puku, te mate ngakau rānei, me te kore mamae o te uma. Nō reira, me tino tupato hoki rātou ki ēnei atu tohu.
Mena ka pāngia koe e tētahi, e ētahi rānei o ēnei tohu mō te neke atu i te 5 meneti, he āhuatanga ohorere tēnei. Waea atu ki te Ratonga Āwhina Hauora 1990 tonu.
He aha i heke ai te rere o te toto ki te ngākau? He aha ngā take?
Ko te tino take, ko te mate o te uaua coronary . He whakarāpopototanga noa iho, he kohinga cholesterol me te ngako tēnei (e kiia ana tēnei e mātou ko '(Plaque)') i roto i ngā uaua e tuku toto ana ki te ngākau (ngā uaua coronary), ka whaiti ai ngā uaua. He rite ki te waikura e hangai ana i roto i te paipa wai i roto i te wā, ā, ka ārai i a ia. Ina whaiti te uaua, kāore e taea te rere o te toto e hiahiatia ana e te ngākau.
Ētahi atu take:
- Pukupuku Toto: Ki te pakaru te paparanga ngako (pēke) kua hangai ki roto i te uaua whaiti, ka puta he pupū toto ki taua wāhi ka aukati katoa i te uaua.
- Te Āwhiowhio o te Arorangi o te Ngākau: I ētahi wā ka whakawhāiti ohorere ngā oko toto i roto i te ngākau, ka aukati i te rere o te toto mō tētahi wā.
- Te whakamahi i ngā raau taero pēnei i te kōkāini.
- Te Tātahitanga o te Arorangi o te Koronari: He āhuatanga tino onge tēnei e pakaru ai te pakitara o te uaua toto.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ina haere koe ki te tākuta, ka pātai atu ia ki a koe mō ō tohumate, ka whakahaere i tētahi whakamātautau tinana, ā, ka tūtohu pea ia i ētahi whakamātautau.
- ECG (Electrocardiogram): Ka whakamātautau i te ngohe hiko o te ngākau.
- Echocardiogram: He matawai o te ngākau. Ka taea te tirotiro i te mahi me te hanganga o te ngākau.
- Whakamātautau Taumahatanga Whakakorikori Tinana: Ka mahia he ECG i a koe e hikoi ana i runga i te mīhini oma, e aroturuki ana i ngā huringa o tō ngākau i a koe e whakakorikori tinana ana.
- Angiogram Coronary: Ka werohia he wai motuhake ki roto i ngā oko toto o te ngākau, ā, ka tangohia he hihi-X hei tirotiro me pēhea te aukati o ngā oko toto.
- Ngā whakamātautau toto: Hei tirotiro mō ngā pakaru o te uaua o te ngākau me te tirotiro i ngā mea pēnei i te taumata cholesterol.
He aha tāu e mahi nei hei maimoatanga?
Ko te maimoatanga e whakawhirinaki ana ki te kaha me te pūtake o tō mate. Ko te whāinga matua he whakaora i te rere o te toto ki te uaua o te ngākau, me te ārai i ngā whakaekenga ngākau a muri ake nei.
Ngā momo rongoā:
- Nitroglycerin:He rongoā e tere ai te whakaora i te mamae o te angina.
- Ngā aukati beta me ngā aukati hongere konupūmā: Whakahaere i te mahi o te ngakau me te toto totoka, ka whakaiti i te kawenga ki te ngakau.
- Ngā rongoā ārai toto totoka (hei tauira, Aspirin, Clopidogrel): Ka ārai i te hanganga o ngā totoka i roto i ngā oko toto.
- Ngā rongoā whakaheke kolesterol.
Ngā tikanga maimoatanga me ngā pokanga:
- Te Angioplasty me te Whakatakoto Stent: Ka pupuhihia te oko toto kua āraia ki tētahi taputapu rite ki te poihau, ā, ka whakaurua he taputapu rite ki te mata (stent) hei ārai i te aukati anō.
- Te Tāruatanga Ārai o te Arorangi: Ka hangaia he oko toto hou mā te karo i te oko toto kua āraia mā te whakamahi i tētahi wahi oko toto i tangohia mai i tētahi atu wāhanga o te tinana.
He aha tā tātou e taea ai te whakaiti i te mōrearea?
Mā te hanga i ngā huringa iti ki tō momo noho ka taea te whakaiti nui i tēnei mōrearea.
- Mena he mate huka koe, he toto toto tiketike, he cholesterol rānei, me whakahaere pai i aua taumata kia rite ki ngā tohutohu a tō tākuta.
- Whakakorikori tinana mō te 30-60 meneti i te rā, kia rima ngā rā i te wiki. (He pai tonu te hikoi tere.)
- Whakaitihia ngā kai he nui te hinu, te tote, me te huka, ā, kai nui atu i ngā huawhenua, ngā hua rākau, ngā pīni, me ngā witi katoa.
- Ki te kai paipa koe, kati rawatia.
- Whakaitihia te ahotea.
- Kia mau tonu te taumaha tinana hauora.
Karere Tangohia ki te Kāinga
- Kaua e warewaretia ngā mamae uma katoa hei mate kapia. Kia aro ki ngā mamae e pā mai ana, inā koa i te wā e whakakorikori tinana ana koe.
- Mena kei te haere tahi te mamae o te uma me ngā tohu pēnei i te uaua ki te manawa, te werawera, me te mamae e horapa ana ki te ringa, he tohu pea tēnei nō te mate manawa.
- Ki te mamae tō uma mō te neke atu i te 5 meneti, waea atu ki te 1990, haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera. Ko te wā te ora.
- Tāutuhia ō āhuatanga mōrearea (te toto toto tiketike, te cholesterol, te mate huka) ka kōrero ki tō tākuta mō te whakahaere i aua mea.
- Mā te oranga hauora koe e kaha ai ki te tiaki i a koe anō mai i tēnei mate me te whakahaere i a koe anō.
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