Kei te mamae anō hoki tō uma i te pō i a koe e okioki ana? Tērā pea ko te Prinzmetal Angina!

Whakaarohia kua mahi kaha koe i te rā katoa, kua oti i a koe ō mahi katoa, ā, kua moe noa koe i te pō... I tētahi hararei rānei, i a koe e mātaki ana i te pouaka whakaata, ka pā mai he mamae nui ki waenganui o tō uma, me te mea kei te pēhia koe e tetahi. Ko te mea rerekē, kāore koe i ngenge, kāore koe i oma haere, kāore koe i raro i tētahi pēhanga. Ka puta mai tēnei mamae i a koe e marino ana, e noho mārie ana. He tokomaha te hunga e whakaaro ana he gastritis, he reflux waikawa rānei tēnei i ngā wā pēnei. Engari he mea tino rerekē tēnei, me tino tupato koe, he mate onge pea e pā ana ki te mate ngakau. Koinei tā tātou e kōrero ai i tēnei rā.

He aha rawa te Prinzmetal Angina?

He māmā noa iho, he momo mamae uma onge te Prinzmetal Angina (angina condition) . Ko te āhuatanga motuhake o tēnei, ka puta tēnei mamae i te wā e okioki ana koe, inā koa i waenganui i te waenganui pō me te ata. Ka kiia hoki ko te variant angina, te angina inversa, me te vasospastic angina.

Tērā pea kei te whakaaro koe, "He aha te angina?" Ko te angina he mamae o te uma e puta ana ina kore e nui te toto hāora e whiwhi ana i roto i ngā uaua o te ngākau. Pērā i te haruru o te papu wai ina pau te wai, ka tohu te ngākau ina kore e nui te toto e whiwhi ana. Ko te tikanga o tēnei ko ngā putunga cholesterol i roto i ngā uaua coronary e tuku toto ana ki te ngākau, ka whakawhāiti i a rātou.

Engari i roto i te Prinzmetal Angina, he rerekē te āhua o te mate. I konei, ka whaiti pea ngā uaua toto, ka āraia rānei. Ko te tino take o tēnei ko te kōpiri ohorere o ngā uaua toto o te ngākau (spasm) me te kore take. Whakaarohia me te mea kua pēhia e te tangata he paipa wai. Kātahi ka motuhia rawatia te rere o te toto mō tētahi wā. Ko te wā tēnā ka puta mai ai te mamae nui o te uma. I muri i tētahi wā, ka ngaro noa iho tēnei spasm, ka heke iho hoki te mamae.

He aha te rerekētanga i waenga i te angina noa me te angina Prinzmetal?

Ahakoa he mamae uma ēnei āhuatanga e rua, he mārama ngā rerekētanga i waenganui i ngā mea e rua. Me titiro tātou ki tēnei ripanga kia māmā ake ai te mārama.

Ko wai te mea tino pāngia e tēnei āhuatanga?

He tino onge te mate angina o Prinzmetal. E ai ki te American Heart Association, e rua anake i roto i te 100 tūroro angina e pāngia ana e tēnei mate.

Ka pāngia ngā tāne me ngā wāhine. He mea noa tēnei i roto i te hunga he mate kē atu kei a rātou e ārai ana i ngā oko toto. Hei tauira:

• Ngā mamae upoko o te mahunga: Ngā mamae upoko e puta mai ana i te whakawhāititanga o ngā oko toto i roto i te upoko.
• Te āhuatanga o Raynaud: He āhuatanga e whakawhāiti ana ngā oko toto i roto i ngā maihao me ngā matimati, ka huri hei koma, hei kikorangi hoki ina pāngia e te makariri.

Ko te tikanga o ēnei āhuatanga e rua he tairongo ake ngā oko toto o tō tinana, ā, he ngāwari ake te whakawhāiti i te mea noa. Nō reira, tera pea ka rite tonu te whanonga o ngā oko toto o tō ngākau.

Ka taea hoki te whanake i roto i te hunga he nui te cholesterol, he nui rānei te toto toto. Engari ko te mea miharo, ahakoa he taiohi hauora, kāore he take mōrearea, ka taea tonu e rātou te whakawhanake i te Prinzmetal Angina .

Kāore i te tino mōhiotia mēnā he mate tuku iho tēnei. Heoi, e kī ana ētahi rangahau he hononga ira pea kei waenganui. Hei tauira, he nui ake te kitea o tēnei mate i waenga i te iwi Hapanihi i te iwi Pākehā.

He aha ngā tohu o te Prinzmetal Angina?

Mena kei a koe te Prinzmetal Angina, ka pāngia pea koe e ēnei tohu:

• Mamae nui o te uma: He mamae e pēhia ana, e kōpiripiritia ana, e pēhia ana rānei i waenganui o te uma. Ka horapa pea tēnei mamae ki te ringa maui, ki te pakihiwi, ki te kaki, ki te māhunga rānei.
• Tauira mamae: Kāore tēnei mamae e pumau. He kaha mō te 5-15 meneti pea, kātahi ka memeha haere. Heoi, ka taea e ia te hoki mai anō i te wā kotahi, i taua ara anō, mō ētahi rā, wiki rānei. Ko te tikanga o tēnei ka puta ēnei wā mamae i runga i tētahi tauira motuhake.
• Ētahi atu tohu: Ka haere tahi pea te mamae o te uma me te werawera, te whakapairuaki, me/ranei te hemo o te ngākau .
• Te whakaora mā te rongoā: Ka tere te whakaora i te mamae mā te tango i ngā rongoā momo-nitrate (ngā papa e whakatakotoria ana ki raro i te arero) e tohua ana mō tēnei mamae.

He aha te take e puta ai te Prinzmetal Angina? He aha ngā tino take?

E ai ki tā mātou i kōrero ake nei, ko te tino take o te Prinzmetal Angina he whakawhāiti ohorere (spasm) o ngā uaua o te ngākau. Engari ko te pātai, "He aha i whakawhāiti ai ēnei uaua i te kore e taea te whakaaro?" He maha ngā mea matua kua tautuhia e pā ana ki tēnei.

• Te whakamahi tupeka: Ko te momi hikareti te tino take o tēnei mate. Ka whakawhāiti rawa ngā oko toto i te nikotīni me ētahi atu matū i roto i te tupeka.
• Te whakamahinga o ngā raau taero: Ka taea e te whakamahinga o ngā raau taero, pērā i te kōkaini me te mariuana, te whakawhāiti i ngā oko toto.
• Ngā rongoā: Ko ētahi rongoā he āhuatanga whakawhāiti i ngā uaua toto. Hei tauira, ko ētahi rongoā mō te migraine (hei tauira, sumatriptan) me te ephedrine, e kitea ana i roto i ētahi rongoā mō te makariri me te ihu pupuhi.
• Te ahotea nui: Ka taea e te ahotea kare ā-roto te whakarerekē i te mahi homoni o te tinana, ā, ka whakawhāiti i ngā uaua toto.
• Te pānga ki te makariri: Ka taea hoki e te pānga ki ngā taiao tino makariri te whakararu i tēnei āhuatanga i roto i ētahi tāngata.
• Korikori Tinana: He mea whakamiharo, ka pāngia ētahi tāngata e tēnei āhuatanga i te wā e okioki ana rātou, engari i te wā e korikori tinana ana hoki. Heoi, he tino onge tēnei.

Me pēhea te tautuhi i tēnei?

He uaua te tautuhi i te mate Prinzmetal Angina nā te mea, ki te whai ECG, angiogram rānei koe i te wā kāore koe e mamae ana, ka āhua noa ngā mea katoa nā te mea kāore ngā uaua e aukatia i taua wā.

Nō reira, ka whakarongo pai tō tākuta ki ō tohumate. Ngā mea pēnei i te wā e puta ai te mamae, te āhua o te mamae, ngā mahi e mahia ana e koe, me ētahi atu. Kātahi ka whakahaerehia pea e rātou ētahi whakamātautau hei whakaū i te mate.

• Te Irahiko o te Ngākau Ā-Wāhi: He rite tēnei ki tētahi mīhini EKG iti e piri ana ki tō tinana mō ngā haora 24, 48 rānei. Ka hopukina tonutia te mahi a tō ngākau i a koe e mahi ana i ō mahi o ia rā. Ka āwhina tēnei i a koe ki te kite mēnā ka rerekē te EKG o tō ngākau ina mamae tō uma i te pō.
• Angiography Coronary: Ko te werohanga o tētahi tae motuhake ki roto i ō uaua coronary, me te tirotiro i te āhua o aua uaua mā te whakamahi i ngā hihi-X. Mā tēnei ka taea te whakatau tika mēnā kua whaiti ngā uaua nā ngā putunga cholesterol.
• Whakamātautau Whakaoho: I ētahi wā, ina whakaūtia te mate, me whakaoho horihori ngā tākuta i te whakawhāiti o te uaua toto i roto i te hōhipera, i raro i te tirotiro tata. Hei whakatutuki i tēnei, ka hoatu he rongoā pēnei i te acetylcholine, te ergonovine rānei i roto i ngā horopeta iti. Mena ka whakawhāiti te uaua toto, ka taea te whakamahi i ngā huringa o te EKG me ō tohu hei tātaritanga tika i te mate.

Ngā tikanga maimoatanga me te whakahaere

Kia kitea tēnei āhuatanga, kāore he take e mataku ai. Ka taea te whakahaere pai mā te rongoā me te whakarerekē i te āhua noho.

Te maimoatanga me te rongoā

• Ngā Ārai Hongere Konupūmā: Koinei te momo rongoā matua e whakamahia ana mō te Prinzmetal Angina. Ka mahi ēnei rongoā mā te whakangāwari i ngā pakitara o ngā oko toto, me te ārai i a rātou kia kaua e whakawhāiti. Ko Diltiazem, Amlodipine, Verapamil ētahi tauira o tēnei momo rongoā.
• Ngā Nitrates: He rongoā roa te mahi e hoatu ana i ia rā. Ka taea hoki te tango hei papa mahi poto i raro i te arero, ka whakatakotoria ki raro i te arero hei whakaora tere mēnā ka pāngia te uma e te mamae ohorere. Ka mahi ēnei mā te whakawhānui tere i ngā oko toto me te whakaora i te rere o te toto.

Ngā huringa āhua noho

Haunga ngā rongoā, he mea nui anō hoki kia whakarerekētia tō momo noho, inā koa te karo rawa i ngā mea i tīmata ai te mate.

• Kati tonu te momi hikareti: Ki te mea he kaipaipa koe, me mutu rawa te momi hikareti i tēnei wā tonu. Koinei te mea pai rawa atu ka taea e koe te mahi.
• Āraia ngā raau taero: Āta karohia te whakamahi i ngā raau taero pēnei i te kōkaini me te tarukino.
• Āta karohia ngā rongoā whakaoho: Kōrero ki tō tākuta mō ētahi atu rongoā e tangohia ana e koe. Tērā pea kei roto i ētahi rongoā whakaiti i te pupuhi o te toto, ngā hua whakaiti taumaha, tae atu ki ngā inu pūngao ngā kai ka whakawhāiti i ngā oko toto.

He aha te momo tumanako ka taea e tātou te mau i a tātou e noho nei i roto i tēnei āhuatanga?

Ki te tika te rongoā, he tino pai te āhua o te mate Prinzmetal Angina mō te tangata. Ka taea e koe te noho noa. Heoi, me whiwhi koe i te maimoatanga mō te wā roa me te tirotiro haumanu i raro i te tohunga ngakau.

Heoi, ki te haere tahi te Prinzmetal Angina me te ngakau pāhekeheke (arrhythmia), ki te whaiti tuturu rānei ngā uaua o te ngakau nā ngā putunga cholesterol (mate uaua o te ngakau), ka uaua ake te āhua.

Ehara te Prinzmetal Angina i te mate e morearea ana ki te ora. He tohu noa iho. Engari e tohu ana kei te raru te rere o te toto ki tō ngākau. Ki te kore e rongoatia, ka taea e tēnei whakawhāititanga o ngā uaua te arahi ki te whakaekenga ngākau (myocardial infarction) me ngā arrhythmias kino rānei. Nō reira kaua e whakahawea ki tēnei mate.

Āhea koe me rapu tohutohu hauora?

Koinei te wāhanga tino nui.

Ka whakahaerehia e te tākuta ngā whakamātautau e tika ana, ā, ka kitea te tino pūtake o te mamae.

Ki te pāngia koe e te mamae nui o te uma, te uaua ki te manawa, te werawera nui, te hemo rānei, he āhuatanga ohorere pea tēnei. Mēnā he pēnei, haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.

Mena kua tāpaetia koe kei te pāngia e te Prinzmetal Angina, me whai i ngā tohutohu me ngā rongoā a tō tākuta kia rite ki te mea i whakaritea. Me whakarerekē i ngā momo noho e tika ana. Kia maumahara, he āhuatanga ngāwari tēnei. Ko tāu noa iho he whakapau kaha me te whakapā atu ki tō tākuta.