He wai kei te taha o te ngākau? Me kōrero tātou mō te Pericardial Effusion!

Kua rongo koe i tētahi āhua pēhanga rerekē i roto i tō uma, he uaua ki te manawa? Kua kī atu rānei tētahi tākuta kei te kohikohi te wai i tō ngākau. Koinei tā tātou e kōrero ai i tēnei rā. E kiia ana tēnei e te rongoā ko te `(Pericardial Effusion)`. Kaua e mataku, ka kōrerohia ngāwaritia tēnei e tātou, i roto i tētahi huarahi e mārama ai koe.

He aha te tikanga o tēnei wai e whakakī ana i te ngākau? (Pericardial Effusion)?

Ki te kī māmā noa, ko te `(Pericardial Effusion)` te kohikohinga o te wai i roto i te pēke angiangi e karapoti ana i tō ngākau, e kiia nei ko te `pericardium` . Whakaarohia tō ngākau he mea utu nui kei reira he pēke iti hei tiaki i a ia. Koinei te wāhi ka taea e te wai te kohikohi. He maha ngā take mō tēnei. I ētahi wā, ka puta tēnei āhuatanga i ngā mate urutā, i ngā whara, i ētahi atu mate rānei.

Heoi, ki te nui rawa tēnei wai e pupū ake ana i te wā kotahi , ki te tere rawa rānei, ka tere ake te patu o te ngākau. Mēnā koinei te āhua, ka noho hei āhuatanga morearea ki te ora, ā, me whiwhi maimoatanga hauora ohorere .

Inaianei tirohia, i te mea ka āta hanga ake tēnei wai, ka āta whānui haere te pēke e karapoti ana i te ngākau, te pericardium, ka hanga wāhi mō te wai tāpiri. Engari ki te kī katoa te wai i te wā kotahi, kāore e whai wā te pēke ki te whānui, ki te whānui hoki. Ka ahatia? Ka nui te pēhanga o te wai ki te ngākau. Ka kī ngā rūma o te ngākau i te toto, ā, kāore e whai wā ki te whānui. Nā tēnei, ka heke te nui o te toto e pupuhihia ana e te ngākau. Kātahi ka kore e whiwhi ngā whekau kē atu o te tinana i te toto e hiahiatia ana e rātou.

Hei whakamārama māmā ake, whakaarohia kei te pupuhi koe i tētahi poihau i roto i tētahi pounamu kirihou. I konei, ko tō ngākau te poihau, ā, ko te pounamu te pericardium. Ina takoto kau te pounamu, he nui te wāhi hei pupuhi i te poihau, tika? Engari ki te tīmata koe ki te whakakī i te pounamu ki te wai, ka iti haere te wāhi e wātea ana mō te poihau ki te pupuhi. Ki te whakakī tonu koe i te pounamu ki te wai, ā tōna wā, kāore e taea e te poihau te pupuhi. Koinei te mea e tupu ana i roto i te `(Pericardial Effusion)`.

He pēhea te noa o tēnei āhuatanga?

He mate noa te pupuhi o te puku. Ka taea te pā ki te tangata ahakoa te pakeke, ahakoa te papamuri, nā te mea he maha ngā take.

He aha ngā raruraru ka pā mai i tēnei?

Ko tētahi o ngā raruraru tino mōrearea o te pericardial effusion ko te cardiac tamponade . I te nuinga o te wā, he paparanga angiangi o te wai kei waenganui i te pakitara o roto o te pericardium me te ngākau. Pērā i tā tātou whakatakoto i te takai mirumiru ki te taha o tētahi mea pakarukaru i roto i tētahi pouaka, ka whakaratohia e tēnei paparanga wai he pānga whakamarie ki te ngākau.

Engari i roto i tētahi āhuatanga e kiia nei ko te "Cardiac Tamponade", ka nui rawa te wai e kohia ana, ka ārai i te ngākau kia kī ki te toto, kia kore ai e mahi tika. Ki te kore tēnei e rongoā wawetia, ka mutu pea te ngākau, ā, ka mate pea i roto i ētahi haora.

Engari ehara i te mea ko te `(Cardiac Tamponade)` anake te raruraru o tēnei. Ina heke te nui o te toto e pupuhihia ana e te ngākau, ka tīmata te tere o te patu o te ngākau hei utu mō te ngaronga. Engari i roto i te wā, kāore e taea e te ngākau te mahi tere pēnei. Kātahi ka puta he āhuatanga e kiia nei ko te `Cardiogenic Shock` . Ka mate pea tēnei mena kāore e rongoatia.

He aha ngā tohu o tēnei?

Mena he iti noa te nui o te wai e puta mai ana i roto i a koe, tērā pea kāore koe e kite i tētahi tohu. He nui ake te tūponotanga ka puta ngā tohu mena ka tere te puta o te wai, mena he nui rawa te nui o te wai, mena rānei ka pāngia koe e te mate i kōrerohia e tātou i mua ake nei, arā, te "Card Tamponade". Ko ngā tohu matua ko:

• Te uaua ki te manawa (e kiia ana i ētahi wā ko te "Dyspnea")
• Te kikī o te uma, te mamae rānei
• Te tere o te ngakau, te mamae rānei o te uma (palpitations)
• Te māhunga , te whanoke rānei
• Te ngoikore, te ngaro rānei o te māramatanga (`(Syncope)`)
• Te ngenge rawa (Fatigue)
• Te kore oho, te pōhēhē, te whakarerekētanga whanonga rānei (nā te hekenga o te rere o te toto ki te roro ēnei e hua ai)
• Cyanosis ( he kikorangi/hina te tae o ngā ngutu, o raro rānei i ngā maikuku nā te iti o te hāora i roto i te toto)

Mena he nui rawa te nui o tēnei wai, ka pēhia pea ngā kiko, ngā io rānei e karapoti ana, ka puta ai ngā tohu pēnei i:

• Te uaua ki te horomi (`(Dysphagia)`)
• Ngā hīkoi
• Te maremare, te pāorooro rānei

He aha tēnei e tupu nei? He aha ngā take?

I ngā whenua whakawhanake, i te nuinga o te wā, kāore e kitea te tino pūtake o te Pericardial Effusion. Heoi, i ngā whenua whakawhanake, inā koa i roto i te whenua pēnei i a Sri Lanka, ko te mate kohi te tino take o tēnei.

He maha ngā take o te `(Pericardial Effusion)`. I te nuinga o te wā, ka puta mai me te mumura o te ngākau, arā, me te mate `Pericarditis` .

Ka taea te karanga i ētahi atu take:

• Ngā Mate Pukupuku: Ka pā mai pea i ngā huaketo, ngā huakita (hei tauira, te HIV me te mate kohi), ngā harore, ngā pirinoa rānei. Heoi, ehara te pericardial effusion i te mea hopuhopu.
• Matepukupuku: Ka taea e ngā pukupuku e puta mai ana i roto i te ngākau, ngā pūtau matepukupuku rānei e horapa ana mai i ētahi atu wāhi o te tinana te kino i te arai o te ngākau.
• Ngā mate pūnaha ārai mate, ngā mate mumura rānei: Hei tauira, ngā mate pēnei i te `(Lupus)`, te `(Rheumatoid Arthritis)` me te `(Sjögren's syndrome)` rānei.
• Ngā raruraru e pā ana ki ngā homoni: Hei tauira ko te `(Hypothyroidism)` (kāore e nui te homoni tairoi e hangaia ana e te repe tairoi).
• Whara: Ngā whara o te uma, ngā patunga kino pērā i ngā aituā motuka, ngā werohanga, me ngā patunga pū.
• Ngā mate manawa, ngā raruraru rānei o te pūnaha tohanga toto: te whakaeke manawa, te mate takirere manawa, te wehenga, te haehae rānei o ngā paparanga o te aorta (Aortic Dissection).
• Ngā take hauora: Whai muri i te pokanga ngākau, whai muri i te rongoā irahiko mō te mate pukupuku, hei pānga taha rānei nō ētahi rongoā.
• Ētahi atu: Ka pā mai pea tēnei ki ngā āhuatanga pēnei i te ngoikore o te ngākau, te mate tākihi mau tonu, te ngoikore o te tākihi, te mate ate cirrhosis rānei.

Me pēhea te tautuhi i tēnei? (Tautuhinga)

Mena kei a koe ngā tohu, ka whakatauhia e te tākuta mēnā kei a koe te Pericardial Effusion i muri i te arotake i ō tohu, tō hītori hauora, ngā whakamātautau hauora me te whakamātautau tinana.

Ki te kore he tohu, ka kitea noa iho. Hei tauira, ka kitea pea i roto i te hihi-X o te uma mō tētahi atu take.

Mena kei te whakapae te tākuta i tētahi āhuatanga e kiia nei ko te "Pericardial Effusion," ka whakahaerehia pea e rātou ētahi whakamātautau, tae atu ki:

• Electrocardiogram (EKG): Tirohia te mahi hiko o te ngākau.
• Ngā whakamātautau whakaahua:
• Echocardiogram: Koinei te whakamātautau matua me te mea nui rawa atu hei tautuhi i tēnei mate. He rite ki te matawai ultrasound o te ngākau.
• X-ray o te uma.
• Matawai CT o te uma.
• MRI o te ngākau.

Kia oti te tautuhi i te pericardial effusion, ka tonoa pea e te tākuta he whakamātautau toto hei whakatau i te take. Hei tauira:

• Te Tatau Toto Katoa (`CBC`).
• Te whakamātautau Troponin.
• Whakamātautau peptide natriuretic momo-B.
• He whakamātautau homoni whakaohooho tairoi.
• Ngā whakamātautau pūnaha ārai mate (hei rapu i ngā mate, i ngā āhuatanga mumura rānei o te pūnaha ārai mate).

I ētahi wā, ka taea te whakamātautau i te wai i tangohia mai i te pericardium hei whakatau i te pūtake o tēnei āhuatanga.

He aha te rongoā mō tēnei?

Ko te maimoatanga ka whakawhiwhia ki a koe ka whakawhirinaki ki te kaha o tō mate me te take.

• Mena he iti te taumata wai, engari kāore he tohu: Mena kei te heke te taumata wai, kei te noho tonu rānei, kāore pea koe e hiahia ki tētahi maimoatanga. I roto i ēnei āhuatanga, ka aroturukihia pea e tō tākuta te taumata wai, ā, ka rongoā noa mēnā ka puta he tohu, he tohu rānei nō tētahi atu raruraru.
• Mena kei te tere te piki haere o te wai, mena kei te kitea ngā tohu, mena rānei he take nui (ina koa he whara, he mate pukupuku rānei), me tere tonu pea te maimoatanga.

Mena he nui te `(Pericardial Effusion)`, ka puta pea te `(Cardiac Tamponade)`, he mate e hiahia ana kia rongoatia wawetia . I roto i ēnei āhuatanga, kāore te wai e memeha noa iho me te kore e tangohia. Ko ngā maimoatanga e whai ake nei ka taea te mahi:

• Pericardiocentesis: Whai muri i te whakangāwari i tētahi wāhi motuhake o te uma, mā te āwhina o tētahi tikanga whakaahua pēnei i te echocardiography, te fluoroscopy rānei, ka werohia e te tākuta he ngira ki roto i te pericardium. Kātahi ka ringihia te wai tāpiri. Ka waiho pea he ngongo angiangi ki tōna wāhi mō ētahi rā tae noa ki te pau katoa o te wai.
• Pokanga: I ētahi wā, ko te pokanga te huarahi pai ki te tango i te wai nui mai i te pericardium. He tikanga ohorere pea tēnei, he tikanga kua whakaritea rānei (ina he tohu te nui haere o te wai engari kei te piki haere mārire, ā, kāore i te mōrearea). Ko tētahi tikanga noa mō tēnei ko te pokanga uma āwhina-ataata (VATS) . Kei roto i tēnei ko te hanga i tētahi "matapihi" i roto i te pericardium (he "matapihi pericardial"), e taea ai e te wai te rere ki roto i te kōhao nui e karapoti ana i ngā pukahukahu (te "kōhao pleural") me te kore e whakakī i te wāhi pericardial.

Mēnā kāore e hiahiatia ana ngā maimoatanga o runga ake nei, ā, kāore hoki e mōrearea, ka taea e te tākuta te whakahaere i tēnei mā te rongoā, mā ētahi atu maimoatanga rānei. Ko te maimoatanga e whakawhirinaki ana ki te take matua. Ētahi tauira:

• Ngā paturopi mō ngā mate pāwera pēnei i te mate kohi.
• Ka whakaitihia e ngā rongoā anti-inflammatory te mumura me te pupuhi.
• E taunakihia ana te chemotherapy me te radiation therapy mō te hunga e pāngia ana e te pericardial effusion nā te mate pukupuku.
• Ngā rongoā diuretic me ētahi atu rongoā mō te hunga kua pāngia e te pericardial effusion nā te ngoikore o te ngakau.

He aha ngā pānga taha, ngā raruraru rānei o te maimoatanga?

Ko ngā pānga taha ka puta mai i te maimoatanga mō te `(Pericardial Effusion)` ka whakawhirinaki ki te maimoatanga, ki te rongoā rānei e whiwhi ana koe. Ka taea e tō tākuta te whakamārama pai ki a koe i ngā pānga taha ka puta mai i ngā rongoā e tangohia ana e koe.

Ko tētahi raruraru pea ko te pericardial decompression syndrome . Ka pā tēnei ina pokangahia, ina rānei he tikanga hei rongoā i te pericardial effusion. Ahakoa he onge, he mate kino, he mate morearea hoki. He maha ngā wā ka pā mai mēnā ka tere rawa te tango i te nui o te wai. Hei ārai i tēnei, ka āta tangohia pea e tō tākuta te wai.

Kia pēhea te tere o taku ora i muri i te maimoatanga? Kia pēhea te roa o te wā e ora ai ahau?

Ko te roa o te wā e ora ai koe, e ora ai hoki, ka whakawhirinaki ki ēnei āhuatanga:

• Te take o te kohi wai.
• Te kaha o te kohikohinga wai.
• Te maimoatanga i riro i a koe.
• Tō hauora whānui me te mea kei a koe ētahi atu mate hauora e pā ana.

Mena kei a koe ngā tohu o te `(Cardiac Tamponade)`, me tīmata koe ki te pai ake i te tangohia o te wai, me te whakaiti i te pēhanga ki tō ngākau. I te nuinga o te wā, ka taea e tō tākuta te hoatu ki a koe te whakaaro pai rawa atu mō te roa o te wā e ora ai koe, me te wā me tīmata koe ki te pai ake.

Ka taea te ārai i te Pericardial Effusion?

He āhuatanga e kore e taea te matapae te puta o te wai i roto i te ngākau, nō reira he maha ngā wā kāore e taea te ārai. Heoi, ka taea e koe te whakaiti i tō mōrearea mā te karo i ngā āhuatanga ka puta ai. Hei tauira:

• Te waiho i te mate kia roa rawa te wā e kore e rongoatia ana.
• Te whai wāhi atu ki ngā hākinakina, ki ngā mahi o waho rānei he nui te mōrearea o te whara, me te kore e whakamahi i ngā taputapu tiaki.

He aha ngā mea ka tumanakohia e au mēnā he Pericardial Effusion tōku?

He mate kino te pupuhi o te puku o te ngākau. Engari ehara i te mea he āhuatanga ohorere hauora tonu. Ko te mea he āhuatanga ohorere e morearea ai te ora, kei te pūtake, te nui o te wai, me te tere o te whakakī o te wai i te puku o te ngākau.

Ina tere te pupū ake o te wai, ka iti ake te wai hei whakaputa i tētahi āhuatanga morearea pēnei i te `(Cardiac Tamponade)`. Nā te mea kāore he wā o te pericardium ki te hanga wāhi mō te wai. Ina puhoi te pupū ake o te `(Pericardial Effusion)`, ka roa pea ngā wiki, ngā marama rānei ka noho hei raruraru.

Ko tētahi āhuatanga e whakatau ana mēnā he kino te pericardial effusion ko te take i puta ai i te tuatahi. Ahakoa he whara, he mate ngakau, he raruraru tohanga toto (he take kē atu rānei ka tere ai te hanga wai), me tere te maimoatanga hei ārai i ngā raruraru kino pēnei i te cardiac tamponade.

Kia pēhea te roa o te Pericardial Effusion?

He mate kino te nui o te wai e kohia ana, me te tere o te piki haere o te wai, ā, me aro tonu ki te hauora. Ina koa i ngā āhuatanga ohorere, kaua e roa ake i te wā e tika ana kia kitea, kia rongoatia hoki.

Ka roa pea te kohikohinga wai, inā koa ko ngā mea iti, kāore he tohu, mō ngā wiki, mō ngā marama, tae noa ki ngā tau. Tērā pea ka tūtohu tō tākuta kia tirohia te nui o te wai, me te mea he mōrearea ki tō hauora.

Te Tirohanga mō te Pupuhi Pericardial

He maha ngā wā ka taea e ngā tākuta te rongoā i ngā rerenga toto pericardial. I ētahi wā, ka taea te whakaora i runga i te kaha me te take o aua rerenga.

I te nuinga o te wā, he pai te matapae o ngā rerenga wai o te ngākau kāore i te mōhiotia te take. Ko ngā rerenga wai o te ngākau i puta mai i te whara, i te mate pukupuku rānei, he nui ake te tūponotanga ka puta he raruraru, ā, he uaua ake te rongoā. Ko ngā rerenga wai o te ngākau e pā ana ki te mate pukupuku, ki te HIV/AIDS rānei, he iti ake te ora.

Me pēhea taku tiaki i ahau anō?

Mena kei a koe te Pericardial Effusion, he mea nui kia mōhio koe ki ngā tohu, ki ngā huringa rānei o tō hauora whānui. He mea nui anō hoki kia whai i ngā tohutohu a tō tākuta, inā koa mō te tango rongoā me te whakahaere i tō wā whakaora.

Āhea ahau me toro atu ki taku tākuta?

Mena e tika ana, ka whakaritea e tō tākuta he haerenga tirotiro hei aroturuki i tō āhua. Ka hoatu hoki e ia he tohutohu ki a koe mō te whakahaere i ō tohumate me te wā me waea atu koe ki tana tari.

Āhea ahau me haere ki te Tari Whawhati Tata (ETU) ?

Mena kei a koe ētahi o ēnei tohu, me haere tonu koe ki te rūma whawhati tata o te hōhipera. Tērā pea he tohu ēnei o tētahi mate e kiia nei ko te "Cardiac Tamponade":

• Mamae o te uma.
• Te uaua ki te manawa, te tere rānei o te manawa.
• Ngā panonitanga o te tae kiri, inā koa te mā, te hina, te kikorangi rānei.
• Te mangere, te pongi, te pongiha ranei.
• Ngā tere o te manawa.
• He tere o te pā o te manawa neke atu i te 100 ngā pā o ia meneti i te wā okiokinga (Tachycardia).

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ka hiahia pea koe ki te pātai atu ki tō tākuta i ēnei pātai:

• He aha te take o taku `(Pericardial Effusion)`?
• He aha te maimoatanga pai rawa atu mōku?
• He aha te tūponotanga ka puta anō te toto pericardial?
• He aha taku matapae?

He aha te rerekētanga i waenga i te `(Pericardial Effusion)` me te `(Pleural Effusion)`?

He rite te pleural effusion ki te pericardial effusion, engari ka puta i tētahi atu wāhanga o te uma. Ko te kōhao pleural te pēke e karapoti ana i ō pūkahukahu. Ko te pleural effusion te kohikohinga o te wai i roto i taua wāhi. Ka taea e te pleural effusion te mea ka kore e whānui tika ō pūkahukahu, ka uaua ai te manawa.

Ina uaua tō manawa, ina mamae tō uma, ko te mea anake e hiahia ana koe he whakamarie. Kāore pea koe e mōhio he aha te take o te pericardial effusion, he pēke wai e karapoti ana i tō ngākau. Ahakoa te take, me pai ake tō hauora i muri i te maimoatanga. Kaua e mangere ki te pātai ki tō tākuta mō ngā mea kāore i te mārama ki a koe.

Karere Tangohia ki te Kāinga

Ko te pericardial effusion te kohikohinga o te wai i roto i te pēke e karapoti ana i tō ngākau e kiia nei ko te pericardium. He iti noa iho pea tēnei, he mate kino rānei e hiahia ana ki te maimoatanga hauora ohorere.

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Ki te pāngia koe e ngā tohu pēnei i te mamae o te uma, te uaua ki te manawa, te hemo rānei, rapua tonutia he tohutohu hauora.

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Ko ngā kōwhiringa maimoatanga e whakawhirinaki ana ki te take me te kaha o te mate. Nō reira, he pai ake te kōrero ki tō tākuta kia mōhio ai koe ko tēhea te maimoatanga e pai ana mōu. Kaua e manukanuka, ka taea te whakahaere pai i tēnei mate mā te maimoatanga tika.

Pupuhitanga o te ngākau, te wai e whakakī ana i te ngākau, te wai i roto i te ngākau, te tamponade o te ngākau, te mamae o te uma, te uaua ki te manawa, te mate o te ngākau