Ka pekepeke ohorere tō ngākau, ā, ka rite ki te mea kua pekepeke? Me kōrero tātou mō (Ngā Whakaohooho o te Atrium i te Wā o Mua)!

Kua pā mai rānei te ahua ohorere o tō ngākau, te ahua ohorere rānei o te pā o roto i tō uma? He mea noa i ētahi wā te mataku me te manukanuka ina pā mai tēnei momo āhua. Engari i te nuinga o te wā, kāore he mea e wehi ai. I tēnei rā, ka kōrero tātou mō tēnei āhuatanga e pāngia ana e te tini tāngata, arā, ko te Premature Atrial Contractions (PACs).

He aha ēnei Whakahekenga o te Atrium i te Wā o Mua (PAC)?

Hei mārama māmā ki tēnei, me titiro tuatahi tātou ki te mahi a tō tātou ngākau. Whakaarohia he mīhini iti tō ngākau, engari he tino kaha. Kia tika ai te mahi a tēnei mīhini, me whiwhi tohu hiko i roto i te huarahi pūnaha. I roto i ngā rūma e rua o runga o tō tātou ngākau (e kiia ana ēnei e tātou ko "Atria" i roto i ngā kupu hauora), i te taha matau, i te kokonga o runga, he wāhi iti e kiia nei ko "Sinus node". Koinei te mea e mahi ana pērā i te "pacemaker" tūturu o te ngākau. Arā, ka tukuna ngā tohu hiko i roto i te huarahi pūnaha e whakatau ana i te manawataki me te tere o te patu a te ngākau.

Ināianei, he whakararuraru iti noa ngā Whakahekenga Atrial Premature (PAC) ki tēnei tukanga noa. I ētahi wā, ka tukuna wawetia he tohu hiko mai i tētahi atu wāhi i te rūma o runga o te ngākau, ehara i te "pūnga Sinus". Ko te tikanga o te kupu "premature" ko te "premature". Nō reira, nā tēnei tohu premature, ka pā te ngākau kotahi i mua i tōna wā noa.

Whakaarohia, he rite te mea e tupu ana i konei ki te tangata e whakatangi pahu ana i a ia e patu ana ki te manawataki kotahi, engari ka whiua whakareretia kia puta i waho o te manawataki.

Ina pā wawe te manawa, ka nui rawa te toto e ngaro ana, ā, kāore e taea te pupuhi i roto i te manawa i taua wā. Nō reira, he ngoikore te pā wawe. Kātahi ka okioki te manawa mō tētahi wā poto, ā, ka pā noa mō te pā e whai ake nei. Engari nā taua pā poto, ka kī tonu te manawa i te toto nui ake i te wā e pā mai ai te pā e whai ake nei. Nō reira, ka ahua kaha ake te pā i te tikanga. Ko taua pā kaha ko te mea e rite ana ki te "ngaro i te pā" me te "pā i te uma".

He aha ngā tohu o te tangata whai PAC?

Ahakoa he PAC kei a rātou, kāore pea ētahi e pāngia e ngā tohu. Heoi, ki te pāngia rātou, penei pea te āhua. Me titiro tātou ki tēnei kia mārama ake ai.

He aha i whai ai tātou i ēnei PAC? He aha ngā take?

I te nuinga o te wā, kāore he tino take mō ngā PAC. Heoi anō, he maha ngā āhuatanga noa ka whai wāhi ki te whanaketanga o te mate. Ko ētahi o aua mea ko:

• Ngā āhuatanga o te noho:
• Te nui rawa o te kawheine: Te inu nui rawa i ngā mea pēnei i te kawhe, te tī, me ētahi inu ngohengohe.
• Te inu waipiro: Te inu waipiro.
• Te whakamahinga o ngā hua tupeka: Ngā mea pēnei i te hikareti me ngā inu.
• Te ahotea: Te nui rawa o te manukanuka, te pēhanga.
• Te ngenge me te kore moe: Te tino ngenge me te kore e nui te moe.
• Ngā take hauora:
• Te kore taurite o ngā kohuke i roto i te tinana:Kua heke, kua piki rānei ngā taumata o ngā irahiko hiko, pērā i te pāhare pāporo, te konupora rānei, i roto i te toto.
• Ngā raruraru hanganga o te ngākau: Ngā āhuatanga pēnei i te aukati i ngā oko toto e tuku toto ana ki te ngākau (Te Mate Arteri Koronari) te matotoru rānei o te uaua o te ngākau (Hypertrophic Cardiomyopathy).
• Te kino o te ngākau: Nā tētahi take pēnei i te whakaeke ngākau o mua.
• Ngā raruraru o te tairoi: Ngā huringa o ngā taumata o ngā homoni tairoi.
• Ngā rongoā motuhake: Ko ētahi rongoā e hoatu ana mō te mate manawa, te mate hinengaro rānei.
• Te whakamahi ture kore i ngā raau taero.

Mena he maha āu PAC, ka ngana tō tākuta ki te rapu i ēnei take.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei mate?

Ahakoa ka taea e te tangata te pāngia e te PAC, he nui ake te mōrearea o ētahi tāngata ki te whakawhanake pinepine.

• Ngā tāngata roa
• Ngā wāhine hapu
• Ngā tāngata whai mate pūnaha toto
• Ngā tāngata kāore e kaha ki te korikori tinana (ngā tāngata kāore e whakakorikori tinana)
• Ngā tāngata he toto toto tiketike (ina koa ko te toto toto systolic)
• Ngā tāngata whai mate huka
• Ngā tāngata he iti te taumata o te cholesterol pai (HDL cholesterol)
• Ngā tāngata e pāngia ana e te mate pūkahukahu aukati mau tonu (COPD)
• Ngā tāngata kāore e inu nui ana i te wai
• Ngā tāngata e momi hikareti ana
• Ngā tāngata e kai nui ana i te kawheine, i ngā mea whakaohooho rānei
• Ngā tāngata kāore e nui te moe, ā, kei raro i te ahotea nui

He raruraru pea kei te pā mai i ngā PAC?

Kāore e kino ngā PAC. Heoi, ki te maha tonu ngā wā ka pāngia te tangata e ngā PAC, tera pea he tohu tēnei mō tētahi raruraru manawataki nui ake e kiia nei ko te 'Atrial Fibrillation (Afib)' ā muri ake nei.

Ko te Atrial Fibrillation (Afib) he āhuatanga e tere rawa ai te pā o ngā rūma o runga o te ngākau, ā, kāore e taea te whakahaere. Ka taea e tēnei te arahi ki ngā āhuatanga kino pēnei i te whiu. Koia te mea nui kia kite i te tākuta mēnā he maha ngā PAC kei a koe.

Me pēhea te tātaritanga a te tākuta i tēnei mate?

Ki te kore āu PAC ina haere koe ki te tākuta, tērā pea kāore e taea e ia te kite i aua PAC mā te whakamahi i te stethoscope. Nō reira, i runga i ō tohumate, ka tūtohu pea tō tākuta i ēnei whakamātautau.

Me pēhea te rongoā i ngā PAC?

Koinei te mea tino nui: I te nuinga o te wā, kāore e hiahiatia he maimoatanga mō ngā PAC. He maha ngā wā ka memeha haere rātou.

Heoi, ki te tino kino ō tohu, ki te puta pinepine rānei ngā PAC, ka whakatau pea tō tākuta ki te rongoā i a koe.

• Ngā huringa āhua noho: Koinei te mea tuatahi hei whakamātau. He tokomaha e kite ana i te whakamarie mā te whakaiti i te kai kawheine me te waipiro, te whakamutu i te momi hikareti, te moe nui, me te whakahaere i te ahotea.
• Ngā rongoā:
• Ngā ārai-beta: Ko tēnei momo rongoā te kōwhiringa tuatahi. Ka whakaitihia e rātou te tere o te manawa me te kaha o ōna whakawhāititanga, ka whakahaere i ngā tohu.
• Ngā rongoā ārai-āriti: Ngā rongoā motuhake hei whakahaere i te manawataki o te ngākau. Ka hoatu noa ēnei mēnā kāore e taea e ngā beta-blockers te whakahaere.
• Te tango i te katitere:He tino onge te mahi i tēnei. I roto i tēnei, ka whakauruhia he ngongo angiangi (catheter) ki roto i te ngākau mā te hope, mā te ringa rānei, ā, ka whakangaromia he wāhanga iti rawa o te ngākau e tuku ana i ngā tohu hiko rerekē.

He pānga taha kei te rongoā?

Āe. Pērā i ngā maimoatanga katoa, tera pea ētahi pānga taha. Ka taea e ngā Beta-blockers te whakararuraru i te ngenge me te whanoke. He maha ngā pānga taha o ngā rongoā anti-arrhythmic, nō reira me tango i raro i te tirotiro tata a tō tākuta. Ahakoa he iti noa te mōrearea o te tikanga o te catheter ablation, he iti noa iho ngā mōrearea, pērā i te toto totoka me te toto.

He aha taku e taea ai te whakahaere i ngā PAC me te whakaiti i te mōrearea?

He maha ngā mea ka taea e koe te mahi hei whakaiti me te whakahaere i ō PAC.

• Whakakorikori tinana i ia wā, i ia wā .
• Whakaititia ngā inu kei roto te kawheine pērā i te kawhe, te tī, me te tiakarete.
• Whakaitihia, kati rawatia rānei te inu waipiro.
• Ki te kai paipa koe, kati.
• Inumia he nui te wai. Āraia te matewai.
• Kia nui te moe i ia rā.
• Whakahaerehia te ahotea. Ka taea e ngā mahi pēnei i te yoga me te whakaaroaro te āwhina.
• Whakahaerehia te toto toto me ngā taumata cholesterol.

Āhea ahau me toro atu ki te tākuta?

I te nuinga o te wā, kāore he take e manukanuka ai ki ngā PAC mēnā ka puta i ētahi wā. Heoi, i roto i ēnei āhuatanga, me toro atu koe ki tō tākuta.

• Mena kei te kino haere ō tohumate.
• Mena ka piki ake te auau o ngā PAC.
• Mena kei te haere tahi mai ēnei tohu me te mamae o te uma, te poto o te manawa, te whanoke, te hemo rānei, me haere tonu koe ki te Tari Urupare (ETU) o te hōhipera.
• Mena kei a koe te mate ngakau, ā, kei te whanakehia ngā PAC.

Ko ētahi pātai pea kei a koe

He rite tonu ngā PAC me te Atrial Fibrillation (Afib)?

Kāo. He rerekē ēnei mea e rua. Ko ngā PAC he kotahi noa te manawa o te ngakau, he tere wawe. He mate kino te Afib e pā ai ngā rūma o runga o te ngakau i roto i te tere me te koretake. Heoi, mā te whai PAC maha ka piki ake te mōrearea o te whakawhanake i te Afib.

He mea hei āwangawanga māu ina puta ngā PAC i te wā e hapu ana?

Kāore i te nuinga o te wā. He mea noa te puta o ngā PAC i te wā e hapu ana nā ngā huringa o ngā homoni me te nui o te toto. I te nuinga o te wā, ka memeha noa iho, kāore hoki e hiahiatia he maimoatanga. Heoi, ki te mea kei te āwangawanga koe mō tēnei, kōrero ki tō tākuta.

He aha te rerekētanga i waenga i ngā PAC me ngā PVC (Premature Ventricular Contractions)?

Ko te rerekētanga ko te wāhi ka tīmata te tohu hiko wawe. Ka tīmata ngā PAC i ngā rūma o runga o te ngākau (Atria) . Ka tīmata ngā PVC i ngā rūma o raro o te ngākau (Ventricles) . Ka rite tonu ngā tohu o ngā mea e rua.