Ka pōuri koe ina tū koe? Ka tere te pao o tō ngākau? Tērā pea he POTS tēnei! (Postural Orthostatic Tachycardia Syndrome)

Whakaarohia kei te noho pai koe i runga i tētahi tūru, ā, ka tū ake koe i te ara. Kei te takoto rānei koe i runga i te moenga, ā, ka pōuri koe, ka pōuri tō tirohanga, ā, ka tere te pao o tō ngākau. I ētahi wā ka whakaaro tātou he mea noa tēnei, he mea e pā ana ki te tinana nā te kaha o te tinana, engari kāore i te pērā tonu. He tohu pea tēnei nō tētahi mate motuhake e kiia nei ko te POTS (Postural Orthostatic Tachycardia Syndrome) . Kaua e manukanuka, ka kōrerohia e tātou tēnei mea, mai i te A ki te Z.

He aha te POTS?

Kaua e mataku ki tēnei ingoa roa. Me wehewehe kupu ia kupu. Ko reira ka tino māmā ai te mārama.

• Tūranga: E pā ana tēnei ki tētahi mea e pā ana ki te tūranga o tō tinana.
• Orthostatic: Ko tōna tikanga he tū tika.
• Tachycardia: Kua rongo pea koe i tēnei. E pā ana tēnei ki te tere o te manawa, arā, e pā ana te manawa ki te neke atu i te 100 ngā wā i te meneti.
• Te Mate Pūmanawa: E pā ana tēnei ki tētahi rōpū tohu e puta tahi ana.

Nō reira, he kohinga tohu te POTS e piki haere ai te tere o te manawa ina huri koe i te tūnga, ina koa ka tū ake koe i te takoto, i te noho rānei.

I te nuinga o te wā, he pūnaha aunoa whakamiharo tō ō tātou tinana. Ko te Pūnaha Io Ā-Whaiaro tōna ingoa. He rite ki te pūnaha rorohiko i roto i ō tātou tinana. Ahakoa e tū ana tātou, e noho ana, e moe ana rānei, ka whakatikatikahia e ia ngā mea pēnei i te rere o te toto, te tere o te manawa, me te toto toto e hiahiatia ana. Kāore tātou e hiahia ki te whakaaro ki tēnā.

Engari he iti nei te raruraru o tēnei pūnaha rorohiko i roto i te tangata whai POTS. Ina tū koe, kāore e taea e te pūnaha te pana tika i te toto e kohia ana i roto i ō waewae nā te kaha o te kaha ki tō ngākau me tō roro. Me te mea nei hei utu, ka tere ake te pao o te ngākau e te tinana. Koia te take ka pōuri koe, ka mamae tō uma, ā, ka ngenge koe.

Ko wai te mea tino tūpono ka pāngia e tēnei mate?

Ahakoa ka pāngia te tangata e te POTS, kua kitea e ngā rangahau he mea noa tēnei i waenga i ngā wāhine i waenga i te 15 me te 50 tau te pakeke. Heoi, ka taea hoki e ngā tāne te pāngia e te mate.

He nui ake te tūponotanga ka puta tēnei āhuatanga i muri i tētahi huihuinga. Hei tauira:

• I muri i te mate nui:Pērā i muri i te ora ake i te kirika nui pēnei i te dengue, te mononucleosis rānei.
• I muri i te hapūtanga: Ka pāngia pea ētahi whaea e tēnei mate i muri i te whānautanga o te pēpi.
• I muri i tētahi aituā ki te tinana: I muri i tētahi aituā, pērā i te whara o te upoko.
• I muri i te pokanga nui.

Hei tāpiri, ko te hunga whai mate pūnaha ārai mate , arā, ko ngā mate e whakaeke ana te pūnaha ārai mate o te tinana i tōna ake tinana (hei tauira, te mate a Sjogren, te lupus, te mate celiac), he nui ake te mōrearea ki te whakawhanake i te POTS.

He aha ngā tohu matua o te POTS?

Ka rerekē ngā tohu o te POTS i ia tangata, i ia tangata. He torutoru noa iho ngā tohu o ētahi tāngata, he maha hoki ngā tohu o ētahi. Ka puta ohorere mai ēnei tohu, ka piki haere rānei i roto i te wā.

Ka taea e koe te mōhio pai ki tēnei mā te titiro ki te ripanga i raro nei.

Ngā āhuatanga ka kino ake pea ngā tohu

• Ina i roto i te taiao wera: ina kaukau i te wai wera, ina i raro i te rā.
• Ina tū roa ana i te wāhi kotahi: ina tū ana i runga i te pahi, ina tatari ana i te rārangi.
• Ina nui rawa te whakakori tinana e mahia ana.
• Ina tino mate koe: ina pāngia koe e te makariri, e te kirika rānei.
• Mō ngā rā e pāngia ai ngā wāhine e te paheketanga.

Me pēhea koe e mōhio ai mēnā kei a koe te POTS?

Ki te pā mai ēnei tohu ki a koe, ko te mea nui ko te toro atu ki tētahi tākuta pai. Kaua e whakaaro kei a koe tēnei mate. Ka puta anō hoki ēnei tohu i roto i ētahi atu āhuatanga hauora.

Ka pātai atu tō tākuta ki a koe mō ō tohu me tō hītori hauora, kātahi ka tirotirohia koe. Mena kei te whakapae koe he POTS tōu, ko te whakamātautau matua hei whakaū ko te whakamātautau tēpu tilt .

I roto i tēnei, ka takoto koe ki runga i tētahi moenga motuhake, ā, ka herea ki ngā whitiki hei ārai i a koe kia kore ai e neke. I muri i tētahi wā, ka āta hurihia te moenga ki te tūnga tū. I tēnei wā, ka inehia tonutia tō tere o te ngakau me te toto toto ki ngā mīhini. Mō te tangata whai POTS, ina whakatikatikahia te moenga, ka nui ake te pikinga o te tere o te ngakau i tētahi uara kua whakaritea.

Hei tāpiritanga, ka whakatau pea te tākuta ki te whakahaere i ētahi atu whakamātautau, pērā i ngā whakamātautau toto me te mimi me ngā whakamātautau io, hei kimi i te pūtake.

He aha ngā maimoatanga me ngā tikanga whakahaere mō tēnei?

Kāore anō kia kitea he rongoā mō te POTS. Engari he maha ngā huarahi hei whakahaere i ngā tohu me te oranga pai ake. He rerekē te maimoatanga i ia tangata, i ia tangata, nā te mea kāore i te rite ngā tohu o ia tangata.

Ko te arotahi matua kei runga i ēnei wāhanga e toru:

1. Te kai me te matūkai

2. Te whakakori tinana me te mahi ā-tinana

3. Rongoā i ētahi wā

1. Te kai me te matūkai

He wāhanga tino nui tēnei o te whakahaere POTS.

• Tote me te wai: Mō te hunga he iti te nui o te toto, ka tūtohu pea te tākuta kia nui ake te tote me te wai.He mea pai kia inu. He mea nui kia inu i te 2-2.5 rita wai i te rā. Ehara i te mea ko te tote anake te tote e tāpirihia ana ki te kai. Ka taea e koe te kai i ngā kai hauora me te tote. (Hei tauira: te tote, te raima, te pīkara, te oriwa, te nati tote, te ranu pīni). Engari he mea tēnei me kōrero koe ki tō tākuta, me mahi hoki i runga i āna tohutohu.
• Ngā Kai: Ina kai koe i tētahi kai nui i te wā kotahi, ka rere te toto nui ki tō puku hei nakunaku. Ka kino ake pea ngā tohumate o te POTS. Nō reira, he pai ake te kai i te 5, i te 6 rānei ngā kai iti i te rā, kaua i te 3 ngā kai nui.
• He kai taurite: Mā te kai i ngā kai whai kiko i te muka me ngā warowaihā matatini ka āwhina i te whakahaere i ngā pikinga huka toto me te whakaiti i ngā tohu.

2. Te whakakori tinana me te mahi ā-tinana

Tērā pea kei te whakaaro koe, "Āe, me pēhea taku whakakorikori tinana mēnā he uaua ki te ara ake?" Engari ko te whakakorikori tinana tētahi o ngā maimoatanga pai rawa atu mō te POTS. Engari me mahi tika.

• He rawe ngā mahi whakakori tinana pēnei i te kauhoe, te whakamahi i te mīhini hoe, me te eke pahikara takoto, nā te mea kāore koe e tū ana i a koe e mahi ana i ēnei.
• Ngā mahi whakakori tinana isometric: He mahi whakakori tinana ēnei e whakakorikori ana, e whakangāwari ana hoki i ngā uaua, engari kāore e nekehia ngā hononga o te tinana. Hei tauira, i a koe e takoto ana i te moenga, me whakakorikori, me whakangāwari hoki i ngā uaua o ngā waewae mō ētahi hēkona. Mā te mahi i ēnei i mua i te ara ake i te moenga i te ata ka āwhina i te whakarite i te tinana.
• Hurihia āta ngā tūnga: Ina ara ake koe i te moenga, kaua e ara ohorere, noho ki te moenga mō ētahi meneti i te tuatahi. Kātahi ka ara āta, ka noho ki te wāhi kotahi mō tētahi wā i mua i te hikoi. He mea nui tēnei kia whai wā tō tinana ki te taunga ki te tūnga hou.

3. Ngā rongoā (ngā rongoā)

Kāore he rongoā motuhake kua whakaaetia mō te POTS. Heoi, ka tohua pea e ngā tākuta ētahi rongoā hei āwhina i te whakahaere i ētahi o ngā tohu. Hei tauira, ko ngā rongoā hei āwhina i te tinana ki te pupuri i te tote me te wai, ko ngā rongoā hei whakahaere i te tere o te manawa (ngā beta-blockers), me ngā rongoā hei āwhina i te whakawhāiti i ngā oko toto.

Kaua e whakamahia ēnei rongoā ko koe anake. Me tuku noa ēnei e tō tākuta i muri i te tirotiro tika i tō āhua.

Ētahi atu mea hei whakaaroaro māu ina noho tahi ana me te POTS

• Moe pai: He mea nui te moe mō te katoa. He mea nui ake anō hoki mō te tangata whai POTS. Mā te hiki ake i te upoko o tō moenga kia 6 inihi te teitei ka āwhina i te whakaiti i ngā tohu i te ata. Hei mahi i tēnei, whakatakotoria kia rua ngā pereki ki raro i ngā waewae o tō moenga kia paku whakatītaha te moenga katoa.
• Whakahaere pāmahana:Ka kino ake pea ngā tohu i te wera nui. Nō reira, kaua e noho roa ki waho i ngā rā wera, ā, kaua hoki e kaukau i te wai wera. He pai ake te noho ki tētahi wāhi hauhautanga mēnā ka taea.
• Tōkena Kōpeke: He tōkena motuhake ēnei e mau ana ki ngā waewae. Ka āwhina ēnei ki te kōpeke i ngā uaua o ngā waewae me te pupuhi toto ki runga. Ka taea te whakamahi i ēnei e ai ki ngā tohutohu a tō tākuta.
• Hauora hinengaro: Ka taea e te noho me te mate roa te whakararuraru. Kōrero ki tō whānau me ō hoa mō tēnei. Mena e tika ana, he tino āwhina te rapu tohutohu.

Ehara te POTS i te mate e morearea ana ki te ora. Arā, e kore e whakapoto i tō roanga o te ora. Engari ka taea e ia te whakararuraru nui i tō oranga o ia rā. Engari mā te whakahaere tika me ngā huringa momo noho, ka taea e te tini o te tangata te whakahaere i ō rātou tohu me te noho harikoa.