Kei te mamae tō uma, ā, kei te uaua hoki te manawa? He pericarditis pea tēnei!

Kua pāngia koe e te mamae koi, te mamae wero i waenganui o tō uma, e uaua ai te manawa? Ka pā pea tēnei ahakoa kua ora koe i te makariri, i te rewharewha rānei. He maha ngā tāngata e mataku ana he mate ngakau tēnei. Inaa, he mumura pea o te pēke e karapoti ana i te ngakau. I tēnei rā, ka kōrerohia e tātou tēnei mate e kiia nei ko te "pericarditis".

E mōhio ana koe he aha te pericarditis?

I te whakarapopototanga, ko te 'Pericarditis' he mumura, he pupuhi rānei o te 'pericardium', he pēke tino angiangi, e rua ngā paparanga, kī tonu i te wai e karapoti ana i tō tātou ngākau. He rite ki te motu i tō tātou kiri e whero ai, e pupuhi ai te wāhi. Ko te mahi matua o tēnei 'pericardium' he tiaki i te ngākau me te whakarato i te hinu e tika ana ina pā. Nā tēnei mumura, i ētahi wā ka kohia he wai tāpiri i waenga i ngā paparanga o te pericardium. Ka kiia tēnei ko te 'pericardial effusion'.

I te nuinga o te wā ka puta ohorere mai te pericarditis. Heoi, i ētahi wā ka roa pea mō ngā wiki ki ngā marama. I te nuinga o te wā, ka memeha te mate i roto i ngā marama e toru, engari mō ētahi tāngata, ka roa pea mō ngā tau.

He maha ngā momo pericarditis, tika?

Āe, he rerekē ngā momo o te 'Pericarditis'. Kia tirohia tātou he aha ngā momo matua:

• Pericarditis Whakapeka: Koinei te momo tino noa. Ka puta ohorere tēnei mumura, me te tīmatanga o ngā tohu.
• Pericarditis Mau tonu: Koinei te ingoa i hoatu ki te mumura e mau ana mo te toru marama, neke atu ranei i muri i te wahanga tuatahi o te mate urutā.
• Pericarditis Whakapūmau: He mate kino ake tēnei. Ko te mea e tupu ana i konei ko te matotoru haere o ngā paparanga o te pericardium kua mumura, ka puta he kiko whara, ka piri tahi. Me te mea kei te whakawhāiti te ngākau. Ka tino whakararuraru tēnei i te mahi noa o te ngākau. He maha ngā wā ka puta tēnei mate i muri i te wā roa o te 'Acute Pericarditis'.
• Pericarditis Pirau: Ka puta pea tēnei mate i te mate huaketo, kitakita, harore, pirinoa rānei.
• Pericarditis Idiopathic: I ētahi wā, kāore e mōhiotia te pūtake o tēnei . Koia i tapaina ai tēnei.
• Pericarditis Traumatic: Ka puta pea tēnei āhuatanga i muri i te whara o te uma, hei tauira i muri i tētahi aituā motuka.
• Te Pericarditis Uremic: Ka pā tēnei ki te hunga kāore ā rātou whatukuhu e mahi tika ana.
• Te Pericarditis Kino:Ka puta anō hoki tēnei āhuatanga nā te whanaketanga o te mate pukupuku ki wāhi kē atu o te tinana.

He aha te rerekētanga i waenga i te Myocarditis me te Pericarditis?

He mate mumura o te ngākau ēnei e rua, engari e rua ngā wāhi e puta ai. Ko te myocarditis he mumura o te uaua o te ngākau. Ko te pericarditis he mumura o te pēke e karapoti ana i te ngākau, e kiia nei ko te pericardium. He huaketo te nuinga o ngā wā e rua e puta ai. Ka taea e ngā mea e rua te mamae o te uma. Heoi, me te pericarditis, me whakamama te mamae o te uma ina piko whakamua koe. Me te myocarditis, ka nui ake tō ngenge me tō ngoikore.

Ko wai te mea tino tūpono ka pāngia e te Pericarditis?

Ka pāngia te tangata katoa e te pericarditis. Heoi, ko te nuinga o te wā ka pāngia ngā tāne i waenga i te 16 me te 65 tau te pakeke. E ai ki ngā tatauranga, e 28 pea i roto i te 100,000 tāngata ka pāngia ia tau e tēnei mate.

He aha te mea ka pa ki te tinana ina puta te pericarditis?

Ina pāngia koe e te pericarditis, ka whero, ka pupuhi te kiriuhi e karapoti ana i tō ngākau. He rite ki te kiri e karapoti ana i te motu o tō ringa, o tō waewae rānei e pupuhi ana. He mea tino nui tēnei pericardium. Ka whakahinuhinu i te ngākau, ka tiaki i a ia mai i ngā mate me te mate pukupuku, ā, ka āwhina i a ia kia mau tonu i roto i te uma. Ka ārai hoki i te ngākau kei nui rawa ina piki te rahinga toto. Ka āwhina tēnei i te ngākau kia mahi pai ake.

He aha ngā tohu o te pericarditis? Me pēhea te mōhio ki tēnei?

Ko te tohu matua o te pericarditis ko te mamae o te uma. He maha ngā āhuatanga motuhake o tēnei mamae:

• He mamae koi, he mamae wero (nā te mirimiri o te ngākau ki te pericardium e pupuhi ana te puku e puta ai tēnei).
• Ka piki ake pea tēnei mamae ina maremare koe, ina horomi, ina manawa hōhonu, ina takoto rānei.
• Heoi, ina noho koe, ka piko whakamua, me rongo koe i te mamae e memeha haere ana. He tohu tino nui tēnei.

I ētahi wā, ka hiahia pea koe ki te piko whakamua, ki te pupuri rānei i tō uma kia māmā ake ai te manawa.

Tērā atu anō ngā tohu:

• Te mamae i tō tuara, i tō kaki, i tō pakihiwi maui rānei.
• He uaua ki te manawa ina mau koe.
• He maremare maroke.
• Ko ngā palpitations he kare ā-roto e tere ana te pao o te ngākau, e kore rānei e tika te pao.
• Te manukanuka me te ngenge tonu.
• Te kirika.
• I ngā take kino, ka pupuhi ngā waewae, ngā pona, me ngā waewae.

Mena kei te pupuhi ō waewae, ō waewae, me ō pona waewae, kei te uaua rānei tō manawa ahakoa he iti noa ngā mahi, he tohu pea tēnei mō tētahi mate kino e kiia nei ko te Constrictive Pericarditis. Koinei te wā e matotoru ai te pericardium, ā, ka ārai i te ngākau kia whānui tika. Ka ārai tēnei i te ngākau kia pupuhi tika te toto. Ka taea e tēnei te whakakī i ngā pukahukahu, te puku, me ngā waewae ki te toto, ka pupuhi, he rite ki ngā tohu o te Congestive Heart Failure. Ka puta anō hoki ngā manawataki ngākau rerekē.

Mena kei a koe ētahi tohu o te 'Acute Pericarditis', me toro atu ki tō tākuta tonu. Ki te whakaaro koe he āhuatanga ohorere ō tohu, me rapu maimoatanga i te hōhipera tata.

He aha te take e puta ai te Pericarditis? He aha ngā take?

He mea whakamiharo, i roto i te 90 o roto i te 100 ngā take, kāore e kitea he take motuhake mō tēnei "pericarditis." Ka kiia tēnei ko te "idiopathic pericarditis".

Heoi anō, he maha atu anō ngā take ka puta ai te pericarditis:

• Hei raruraru o te mate huaketo (he huaketo puku i te nuinga o te wā).
• He mate kitakita, hei tauira, te mate kohi.
• He mate harore.
• He mate urutā mai i tētahi pirinoa.
• Nā ētahi 'Mate Ārai Mate', hei tauira ko te 'Lupus', te 'Rheumatoid Arthritis', me te 'Scleroderma'.
• He whara i te uma, pērā i muri i tētahi aituā motuka.
• Nā te 'Rangohanga o te Whatukuhu'.
• Nā ngā mate pukupuku pērā i te 'Lymphoma'.
• Nā ngā mate ira pēnei i te 'Familial Mediterranean Fever (FMF)'.
• Nā ētahi rongoā e pehi ana i te pūnaha ārai mate (he tino onge tēnei).

Waihoki, ka nui ake te tūponotanga o te whakawhanake i te Pericarditis i muri i ēnei mea:

• I muri i te 'Ate Manawa'.
• I muri i te pokanga ngākau tuwhera (Pokanga Ngākau Tuwhera / Postpericardiotomy Syndrome).
• I muri i te rongoā irahiko.
• I muri i ētahi maimoatanga pēnei i te `Cardiac Catheterization` me te `Radiofrequency Ablation (RFA)` rānei.

I ēnei āhuatanga, ka puta pea te pericarditis i te raruraru o te urupare a te tinana ki te pokanga, ki te āhua rānei. I ētahi wā, ka roa pea ētahi wiki ka puta mai ngā tohu o te pericarditis i muri i te pokanga bypass. Kōrero ki tō taote pokanga mō tēnei.

E te tākuta, me pēhea te tautuhi i te pericarditis?

Ko te mamae nui i roto i tō uma me muri i ō pakihiwi, inā koa ka piko koe ki mua, me te mamae o te uma ina manawa koe, koinei ngā tohu nui e rua e whakaatu ana kei te pāngia koe e te pericarditis. Mā tēnei ka āwhina i a koe ki te whakatau mēnā ehara i te mate manawa. Ka pātai atu tō tākuta ki a koe mō ō tohumate, mēnā i pāngia koe i ēnei rā tata nei, ngā mate o mua, ngā pokanga kua mahia e koe, me ētahi atu raruraru hauora ka piki ake ai tō tupono ki te pāngia e te pericarditis.

Kātahi ka whakarongo te tākuta ki tō ngākau. Ina mirimiri ngā paparanga pupuhi o te pericardium, ka rongo koe i te tangi pērā i te mirimiri rau e rua, i te mirimiri rānei i ngā wahi hiako maroke e rua . Ka kiia tēnei he "mirimiri pericardial." Ka tino rangona tēnei tangi ina piko whakamua koe, ka pupuri i tō manawa, kātahi ka manawa mārire. I runga i te kaha o te mumura, ka rongo pea koe i ētahi "pakū" i roto i ngā pukahukahu. Ko te tikanga he wai kei roto i te wāhi huri noa i ngā pukahukahu, he wai tāpiri rānei kei roto i te pericardium.

He aha ngā whakamātautau e mahia ana mō tēnei?

Ka whakahaerehia e ngā tākuta ngā whakamātautau maha hei tirotiro mō te pericarditis, me ngā raruraru pēnei i te pericardial effusion, te constrictive pericarditis rānei. Tērā pea me mahi e koe tētahi, ētahi rānei o ēnei e whai ake nei:

• X-ray o te uma: Tirohia te rahi o te ngākau, tirohia mēnā he wai kei roto i ngā pukahukahu.
• Irahiko o te manawa (ECG, EKG rānei): Ka tirohia mēnā he panoni kei roto i te manawataki o te manawa. Tata ki te haurua o te hunga whai pericarditis ka kitea ētahi panoni i runga i ā rātou ECG. Ko ētahi tāngata kāore pea he panoni.
• Echocardiogram (Echo): Hei tirotiro i te pai o te mahi a te ngākau, me te kite mēnā he wai kei te taha o te ngākau (pericardial effusion). Ka taea e te echo te whakaatu i ngā tohu o te constrictive pericarditis, he pēke matotoru, piri hoki kei te taha o te ngākau.
• MRI o te Ngākau: Hei tirotiro mēnā he wai tāpiri, he mumura, he matotoru, he ngunguru rānei o te ngākau i roto i te pericardium . Ka werohia he matū motuhake e kīia ana ko te 'Gadolinium' ki roto i te ngākau.
• Matawai CT: Hei tirotiro mēnā he putunga konupūmā, he wai, he mumura, he pukupuku, he mate kē atu rānei kei roto i te pericardium. Ka whakamahia he tae kei roto ko te 'Iodine'. Ako atu mō te mumura. He mea tino nui tēnei whakamātautau mēnā me pokanga koe mō te 'Constrictive Pericarditis'.
• Te Tātaritanga o te Ngākau: Ka tirohia te pēhanga i roto i te ngākau. Mā tēnei ka taea te whakaū mēnā he Constrictive Pericarditis tōu.
• Ngā Whakamātautau Toto: Hei whakarite kia kore koe e pāngia e te mate manawa, kia kite i te pai o te mahi a tō manawa, kia tirohia te wai i roto i te pericardium, me te āwhina ki te kimi i te pūtake o te pericarditis. Mena he pericarditis tōu, ko ō taumata ESR (Erythrocyte Sedimentation Rate) me te ultra-sensitive C-reactive protein (CRP) he teitei ake i te tikanga. Tērā pea ka mahia ētahi atu whakamātautau hei tirotiro i ngā mate pūnaha ārai mate pēnei i te lupus me te rheumatoid arthritis.

He aha ngā maimoatanga mō te pericarditis?

I te nuinga o te wā, he rawaka te rongoā anake mō te hunga e pāngia ana e te pericarditis, i runga i te take e whakapaetia ana. Heoi, ki te mea kua kohia te wai i roto i tō pericardium, me tango pea. Ki te mea he pericarditis constrictive tōu, me mahi pokanga pea.

Ngā rongoā mō te Pericarditis

Ka rongoatia te pericarditis whakapeka ki ngā rongoā mamae me te mumura, pērā i te ibuprofen, te aspirin nui rānei. I runga i te pūtake o te pericarditis, ka hiahia pea koe ki ngā rongoā paturopi, ki ngā rongoā harore rānei.

Mena he nui ngā tohu kino kei a koe mō ngā wiki e rua neke atu rānei, ki te hoki mai anō rānei i muri i tō oranga pai, ka tohua pea e tō tākuta he rongoā ārai-mumura e kiia nei ko Colchicine (Colcrys®, Gloperba® rānei). Ka taea e te Colchicine te āwhina ki te whakahaere i te mumura me te ārai i te hokinga mai o te pericarditis mō ngā wiki, ngā marama rānei. Mena he mate tākihi tōu, ka tohua pea e tō tākuta he steroid e kiia nei ko Prednisone, ka uaua ai te tango i te ibuprofen me te colchicine.

Mena me tango e koe he horopeta nui o te 'Ibuprofen', ka tohua hoki e tō tākuta ētahi atu rongoā hei whakaiti i te mamae o te puku. Mena kei te tango koe i ngā horopeta nui o ngā 'NSAID (Nonsteroidal Anti-inflammatory Drugs)', me whai 'whakamātautau whai muri' tonu koe hei tirotiro i ngā huringa o te mahi a te whatukuhu me te ate.

Mena kei a koe te Pericarditis 'Mau', 'Pūrua' rānei, me tango pea koe i ngā 'NSAID', i ngā 'Colchicine' rānei mō ngā tau maha, ahakoa kei te ora koe. Ko ngā 'Diuretics' ("pire wai") te tikanga ka āwhina ki te tango i te wai tāpiri e kohia ana e te 'Constrictive Pericarditis'. Mena he raruraru manawataki tōu, ka kōrero tō tākuta ki a koe mō te maimoatanga mō tēnā.

Tērā pea ka kōrero atu tō tākuta ki a koe mō te rongoā i tō mate mā te whakamahi i ngā steroids, i ētahi atu rongoā rānei, pērā i te `Azathioprine (Azasan®, Imuran® rānei)`, `IV Human Immunoglobulins`, `Anakinra`, `Rilonacept` rānei.

Mena he mate te pūtake o tō pericarditis, ka tohua e tō tākuta he rongoā motuhake hei rongoā i taua mate. Mena he mate pukupuku te pūtake, ko te rongoā pai ko te rongoā i te mate pukupuku.

Ngā pokanga me ngā tikanga mō te pericarditis

Ina nui haere te wai i waenganui i ngā paparanga o te pericardium, ka puta he āhuatanga e kiia nei ko te 'Pericardial Effusion'. Mēnā ka tere te nui haere o tēnei wai, ka puta he 'Cardiac Tamponade', he āhuatanga kino e pēhi ana i te ngākau, e whakararuraru ana hoki i tana mahi. He āhuatanga ohorere hauora e morearea ana te 'Cardiac Tamponade' e hiahia ana kia rongoatia tonutia.

Mā te kohikohinga ohorere o te wai i waenganui i ngā paparanga o te ngākau ka kore e mahi tika te ngākau, ā, ka heke te toto toto. He mea mōrearea tēnei ki te ora, nō reira me tango tonu e te tākuta te wai.

Mena he wai kei roto i tō pericardial effusion, e pēhi ana i tō ngākau, me whai pea koe i tētahi tikanga e kīia nei ko te pericardiocentesis. Ko tēnei mahi he whakamahi i tētahi ngongo roa, angiangi e kīia nei ko te catheter hei tango i te wai nui. Ka arahina tēnei ngongo me te ngira ki roto i te pericardial sac mā te whakamahi i tētahi echocardiogram, i tētahi CT scan rānei.

Ki te kore e taea te tango i te wai mā te ngira, ka whakahaerehia e te tākuta tētahi pokanga iti e kiia nei ko te "matapihi pericardial." Ko te tikanga o tēnei ko te tapahi i tētahi wahi iti ki te uma, me te hanga i tētahi kōhao ki te pericardium hei tango i te wai.

Mena he pericarditis constrictive tōu, me tango pea tētahi wāhanga o tō pēke ngākau. Ka kiia tēnei pokanga he pericardiectomy. Ka mahia mō te hunga he kiko whara kei roto i te pēke ngākau. Kāore i te nuinga o te wā ka mahia mō te hunga he mumura kaha me te mamae o te uma nā te pericarditis.

Kāore te pokanga e whakamahia ana hei rongoā mō te hunga e pāngia ana e te pericarditis e hokihoki ana, nā te mea ka uaua te whakaora i muri i te pokanga nā te mumura. Heoi, ka kōrero pea tō tākuta ki a koe mō tēnei mea mēnā kāore i angitu ētahi atu maimoatanga.

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

Me tere te rongoā i roto i te wiki, engari me tango rongoā koe mō te rua wiki pea. Ka roa ake te wā e ora ai i te pokanga. Ka roa pea ngā wiki, ngā marama rānei kia tino ora ai i te pericarditis. He mea tino nui kia nui te okiokinga i taua wā.

Ka taea te whakaiti i te hokinga mai o te pericarditis?

Ahakoa kāore e taea te ārai i te wā o te 'Acute Pericarditis', ka taea e koe te whakaiti i te tūponotanga o tōna hokinga mai mā te whiwhi maimoatanga tere me te whai i te maimoatanga tika. Me whai hoki i ngā tohutohu a tō tākuta mō te wā e tīmata ai te whakakori tinana. Mā te whakakori tinana kaha i te wā e kaha ana te 'Pericarditis' ka kino ake te āhua.

He aha ngā mea me maumahara koe ina noho tahi koe me te pericarditis?

Kia ora ake koe i te pericarditis, me taea e koe te hoki ki ō mahi o ia rā, me te kore e manukanuka. Heoi, kaua e tīmata anō i te whakakori tinana kaha kia whakaaetia rā anō koe e tō tākuta. Mā tō tākuta koe e kōrero atu mō tēnei.

Kia pēhea te roa o te pericarditis?

• E whā ki te ono wiki te roa o te pericarditis acute.
• Ka roa ake i tērā te `Pericarditis Tonu` (tonu), engari kāore i te toru marama.
• Neke atu i te toru marama te roa o te pericarditis mau tonu.
• I waenganui i te 15% me te 30% o te hunga e pāngia ana e te pericarditis ka pāngia pea e ngā wā e hokihoki mai ana i roto i ngā tau.

Ki te rongoatia, he tino nui te tūponotanga ka ora te hunga e pāngia ana e te `Pericarditis Āwhati`. He maha ngā tāngata ka ora katoa. Ki te pāngia koe e te mate ngawari, ka ora pea mā te okioki. Heoi, ki te kore e rongoatia, ka pāngia ētahi tāngata e te `Pericarditis Mau tonu`.

Ko te mea nui ko te tango i ngā rongoā kia rite ki te whakahau a te tākuta, me te toro atu ki te tākuta i ngā rā kua whakaritea.

Āhea koe me toro atu ki te tākuta?

Mena kei a koe ngā tohu o te `Constrictive Pericarditis`, me toro atu ki te tākuta tonu. Ko ēnei tohu ko:

• Te uaua ki te manawa.
• Te pupuhi o ngā waewae me ngā waewae.
• Te pupuri wai i roto i te tinana.
• Ngā tere o te manawa.
• Te pupuhi nui o te puku.

Ahakoa he tohu noa te mamae o te uma o te pericarditis, he tohu anō hoki tēnei o te whakaeke ngakau. Nō reira, ki te pāngia koe e te mamae o te uma, he whakaeke ngakau pea, nō reira haere tonu ki te rūma whawhati tata.

Hei whakamutunga, ētahi mea nui

Ko tāku tumanako kua mārama ake koe ki tēnei mate e kiia nei ko te 'Pericarditis'. Kia maumahara,Ki te mamae tō uma, inā koa i te piko whakamua me te manawa, me ngā tohu pēnei i te kirika me te ngenge, he pericarditis pea. Ki te puta tēnei, he pai ake te rapu tohutohu hauora me te kore e mataku.

Ki te whiwhi wawe koe i te maimoatanga, ka taea e koe te ora katoa. Ki te whai tika koe i te maimoatanga, ka taea hoki e ia te āwhina i te aukati i te hokinga mai o te mate. Nō reira, he mea nui kia whakamahia tika te rongoā e tohua ana e tō tākuta, me te haere tonu ki ngā tirotiro whai muri. Kia mōhio ki ngā tohu o te pericarditis, kia taea ai e koe te whiwhi maimoatanga tere mēnā ka puta anō. Kia ora koe!

` Te mate puku, te mate puku, te mamae o te uma, te poto o te manawa, te mate ngakau, te mate ngakau, te Colchicine