I tēnei rā ka kōrero tātou mō te Pulseless Ventricular Tachycardia, he āhuatanga morearea e tere rawa ai te pā o te manawa, ā, kāore e taea te rongo i te pā!

Kua rongo, kua kite rānei koe i tētahi e hinga ohorere ana, e kore e mōhio? Kei te pupuri pea i tōna uma? Me te mea kei te uaua te manawa. I taua wā, ka whakaaro tātou kei te pāngia rātou e te mate manawa, tika? Ae, ka taea. Engari i tēnei rā ka kōrero tātou mō tētahi āhuatanga nui ake te tere, te mōrearea ki te ora. Arā, ka tere rawa te pā o te manawa, ā, kāore e taea te rongo i te pā o te manawa, he āhuatanga e kiia nei ko te "Pulseless Ventricular Tachycardia" e ai ki ngā tākuta. Ahakoa he ahua uaua te ingoa, he tino māmā ki te mārama.

Nā, he aha te tere o te manawa me te kore he pā? (Pulseless Ventricular Tachycardia)

Ki te kī ngāwari, e whā ngā rūma matua o tō ngākau. Ko ngā rūma iti e rua i runga ka kiia ko te atria. Ko ngā rūma nui, pakari e rua i raro ka kiia ko ngā ventricles. Ko ēnei ventricles te papu matua o te ngākau. I ia wā e pā ana te ngākau, ka whakawhāiti ēnei ventricles, ka pupuhi toto puta noa i te tinana me ngā pukahukahu. He mea nui rawa atu, tika?

Whakaarohia, he aha te mea ka tupu mēnā ka tīmata te patu o ēnei ventricles i te tere whakamiharo, neke atu i te 100 ngā patu i te meneti, 200-300 pea? He rite ki te mīhini. Ina tupu tēnā, kāore e whai wā aua rūma ki te whakakī tika i te toto. Ka whakawhāiti anō i mua i te whakakī. He aha te mea ka tupu i muri mai? Kāore te toto e pupuhihia huri noa i te tinana. Ina mutu te rere o te toto, kāore e taea e tātou te rongo i te pā. Koinei te mea e kiia nei e tātou ko te tachycardia ventricular pulseless. Ko te tachycardia te wā e tere rawa ai te patu o te ngakau.

He āhuatanga tino morearea tēnei. Nā te mea, ina mutu te rere o te toto ki te tinana, kāore ō tātou whekau e whiwhi i te hāora me te kai. Nō reira , ka tere te kore mahi a ngā whekau o te tinana ('te ngoikore o te whekau'), ka kore mahi te ngākau ('te ngoikore o te ngākau'), ā, ka mutu ohorere te ngākau ('te aukati ohorere o te ngākau'). He rite tēnei ki te pakanga i waenganui i te ora me te mate.

Ka taea e tēnei tere o te ngakau te noho kotahi, te noho maha rānei. Ka taea anake e ngā tākuta te whakatau i tēnei mā te whakamātautau ECG.

He mate kore-pulse tonu te Ventricular Tachycardia?

Kāo, kāore e puta tonu mai i tēnā. Ko te tachycardia ventricular he āhuatanga e tere ake ai te pao o ngā ventricles o te ngākau i te 100 pao ia meneti. I te nuinga o te wā, ka pao te ngākau o te tangata hauora i waenga i te 60 me te 100 pao ia meneti i a ia e okioki ana.

Ko te kaha o tēnei "(Ventricular Tachycardia)" ka whakatauhia e ētahi āhuatanga:

• Te tere o te pā o te ngākau.
• Kia pēhea te roa o tēnei tere o te pā?
• E hia ngā wā ka puta mai ai tēnei āhuatanga?

He maha ngā wā ka taea te rongoā i te Ventricular Tachycardia. Heoi, ki te kore e whakahaeretia, ki te puta rānei i roto i tētahi atu mate ngākau, ka kino haere, ka huri hei Pulseless Ventricular Tachycardia.

He pēhea te noa o tēnei āhuatanga?

Ehara tēnei i te mate e pā ana ki te katoa. Engari, e mōhio ana tātou i roto i tētahi whenua pērā i Amerika, tata ki te 350,000 ngā tāngata e mate ana i ia tau i te mate ohorere o te ngakau, inā koa ko te hunga neke atu i te 35 tau te pakeke? Ko te nuinga o aua mate nā te auau ngakau rerekē i roto i ngā ventricles (ventricular arrhythmias). Nō reira, ehara tēnei i te mea e taea te whakaaro māmā noa.

Me pēhea te tere o te pao o te ngakau me te kore he pāorooro?

Ka pā te manawa o tō tātou ngākau mā te whakamahi i tētahi pūnaha tino uaua o ngā hiko. He rite tonu ki te pūnaha waea i roto i tētahi whare, ka haere ēnei hiko mā roto i te ngākau i tētahi ara motuhake, ka meinga ngā wāhanga o te ngākau kia kōpiri i runga i te tikanga tika.

Whakaarohia, me pēhea mēnā ka hē tetahi mea i te ara o ēnei tohu hiko, mēnā rānei ka tīmata he tohu hou i te wāhi hē? Koinei te wā ka tīmata te manawa ki te patu tere me te koretake. Ko te '(Pulseless Ventricular Tachycardia)' ka puta mai i te hapa o te pūnaha tohu hiko.

He aha ngā take mō tēnei?

He maha ngā take e pakaru ai te pūnaha hiko o te ngākau. He maha ngā wā, ko te tino take ko ētahi atu mate hanganga ngākau. Ko ētahi o ēnei:

• Mate manawa takirere: Ngā raruraru o ngā takirere e mahi ana pērā i ngā tatau i roto i te manawa.
• Cardiomyopathy: He mate e ngoikore ai, e matotoru ai rānei te uaua o te manawa.
• Mate pūkahukahu: Te whaiti, te ārai rānei i ngā pūkahukahu e tuku toto ana ki te ngākau.
• Te whakaeke ngakau ('myocardial infarction'): Koinei te wā ka pakaru tetahi wāhanga o te ngakau.
• Te ngoikore o te ngākau: He āhuatanga e kore ai e taea e te ngākau te pupuhi tika i te toto.

Haunga ēnei, tera pea ētahi atu take:

• Ngā mate ira e pā ana ki te manawataki o te ngakau: Hei tauira, ngā āhuatanga pēnei i te 'Long QT syndrome' me te 'Brugada syndrome'.
• Ētahi rongoā: Hei tauira, ko te paturopi erythromycin, ko ngā rongoā whakamamae mamae pērā i te methadone. Ka pā pea ēnei ki te mahi hiko o te ngākau.
• Ngā taurite kore o ngā irahiko i roto i te tinana: Ka pā te pikinga, te hekenga rānei o te nui o ngā tote i roto i tō tātou tinana, pērā i te konutai me te pāhare pāporo, ki te mahi a te ngākau.

He aha ngā tohu o tēnei mate?

Ina pāngia te tangata e te "Pulseless Ventricular Tachycardia", arā, ina tere te pao o te ngākau me te kore he pao, ko taua tangata:

• Te ngaro haere o te mōhio.
• Kāore e aro atu ki tetahi mea (`Kāore e aro atu`).
• Kāore he pā.

Koinei te wāhanga tino morearea. Heoi, i mua i te taenga ki tēnei wāhanga, ina tīmata te tere o te pao o te ngākau (Ventricular Tachycardia), ka puta pea ēnei tohu:

• Te mamae o te uma, te kikī rānei.
• Pōuriuri.
• Te ahua nei kei te tere te pao o tō ngākau, kei te patupatu hoki tō uma ('Heart palpitations').
• Te māuiui me te ngoikore ('Lightness').
• Te poto o te manawa.

Mena kei a koe, kei tētahi atu rānei e mōhio ana koe, kaua e warewaretia. He mea nui kia rapu tohutohu hauora tonu.

Me pēhea te tautuhi i tēnei? (`Tautuhinga`)

Ina hoki, he "ohorere hauora" te "(Pulseless Ventricular Tachycardia)". Nō reira, kāore i te wā tonu ki te whakatau tika i mua i te kawe i tētahi ki te hōhipera. Mēnā ka ngaro whakarere te mārama o tētahi, ā, kāore he pā o te manawa i te wā e tirohia ana he pā o te manawa, me waea tonu atu koe ki te ratonga waka tūroro o te tau 1990, ā, ki te taea, tīmatahia te "CPR (Cardiopulmonary Resuscitation). Ko te tikanga o tēnei ko te pēhi i te uma me te hoatu manawa mai i te waha ki te waha.

I muri i te kawe mai ki te hōhipera, ka whakahaerehia e ngā tākuta he ECG me ētahi atu whakamātautau hei whakaū i tēnei āhua.

He aha ngā maimoatanga mō tēnei?

Mena ka puta tēnei momo āhuatanga ohorere i waho o te hōhipera, ko te mea tuatahi me mahi ko te mahi CPR e ngā kaimahi ambulance, e tētahi rānei kua whakangungua. Hei tāpiri:

• Te tango i ngā fibrillation: Kua kite pea koe i tēnei i roto i ngā kiriata, ina tukuna he ru ki te uma. Koinei te mea e aukati ana i te ngakau pōturi, ā, e ngana ana ki te whakahoki anō i tōna pao kia rite ki te tikanga.
• Hāora tāpiri: Whakanuia te taumata hāora i roto i te toto.
• Te hoatu rongoā: Ka hoatu he rongoā hei whakanui i te toto toto me te whakahaere i te tere o te ngakau.

Ko te whāinga matua kia tere te patu o te ngākau. Kātahi ka aromatawaihia te tinana mō ngā kino i puta mai i te āhuatanga ohorere. Hei ārai i ngā kino, inā koa ki te roro, ka whakamahia te rongoā mō te hypothermia. Mena nā te mate ngākau tēnei, ka tere hoki te rongoā.

Mō ētahi tāngata, ka tūtohu ngā tākuta i tētahi taputapu iti e kiia nei ko te Implantable Cardioverter Defibrillator (ICD) ka whakatōkia ki raro i te kiri hei aroturuki i te tere o te manawa, ā, ki te tika, hei whakatika i te manawataki mā te tuku i tētahi ru hiko. He rite tēnei ICD ki tētahi mea whakaora i te manawataki o te manawa. Ka aroturukihia te manawataki o te manawa 24/7, ā, ki te kitea he raruraru, ka tukuna he ru hei whakatika. Kua kitea e ngā rangahau he tino whai hua ēnei taputapu ki te whakaiti i te mate ohorere o te manawataki.

Me pēhea tātou e tiaki ai i a tātou anō i tēnei āhuatanga morearea? (Te ārai)

Ko te mea pai rawa atu ko te ngana ki te ārai i tēnei mea i mua i te tupu. Mā te whai i tētahi momo oranga hauora mō te ngākau ka āwhina i a koe ki te tiaki i a koe mai i ngā mate ngākau maha. Anei ētahi mea ka taea e koe te mahi hei āwhina:

• He kai hauora: Te kai i ngā kai he iti te tote, te hinu, te huka, me te cholesterol, engari he nui ngā hua me ngā huawhenua.
• Te whakahaere i te ahotea: Kia marino tō hinengaro mā roto i ngā mahi pēnei i te whakaaroaro me ngā mahi whakangahau.
• Te whakakori tinana auau: Te hikoi, te oma, te kaukau rānei mō te 30 meneti pea i te rā.
• Te whakawhāiti i te waipiro me te whakamahi nui i te kawheine.
• Te pupuri i te taumaha tinana hauora.
• Mena kei a koe ngā mate pēnei i te toto totoka me te mate huka, me whakahaere pai aua mate.
• Te kore rawa e kai paipa me te whakamahi tupeka.

Me pēhea te ārai i tēnei mēnā kua pāngia koe e te mate ngakau?

Mena kei a koe te mate manawa, kaua e mataku. Ko te mea nui ko te whai i te mahere maimoatanga a tō tākuta. Tangohia ō rongoā i te wā tika, ā, tirohia tō tākuta i ia wā mō ngā tirotiro hauora. Mā te mahi tika i ēnei mea ka whakaiti i te tūponotanga o te kino haere o tō mate manawa, me te whakawhanake i tētahi āhuatanga morearea pēnei i te `(Pulseless Ventricular Tachycardia)`.

He aha te matapae mō te tangata kua pāngia e tēnei mate? (Matapae)

Ina hoki, ko te roa o te wā e mutu ai te patu a te ngākau, me te hoki mai o te pā o te manawa, ka whakatauhia te matapae. Mena kua neke atu i te 15 meneti te tomuri, ka taea te whakaiti i te tūponotanga o te ora ki te 5%. Ko te tikanga he mea utu nui ia hēkona. Koia mātou e kī nei, ki te kore e mōhio tetahi, me mahi tonu.

He aha ngā pānga taha ka pā mai i tēnei? (Ngā raruraru)

Ki te mutu te pao o te ngākau, ā, ka motuhia te rere o te toto ki te roro mō te neke atu i te 3-5 meneti, ka pā mai pea he kino tuturu ki te roro. Hei tāpiri, ka pā mai pea ētahi atu raruraru e morearea ai te ora. Ko ētahi o ēnei ko:

• Te ngoikore o te ngākau.
• Te ngoikore o ētahi atu okana ('Te ngoikore o te okana') - pērā i ngā whatukuhu me te ate.
• Te mamae o te manawa.
• Ngā toto totoka puta noa i te tinana.

Ka whakapau kaha tō tīma hauora ki te whakaiti i ēnei raruraru me te āwhina i a koe kia ora wawe.

Āhea koe me toro atu ki te tākuta?

Ko ngā tohu o te `(Ventricular Tachycardia)` i kōrerotia atu ki a koe i mua ake nei, arā:

• Mamae o te uma
• Pōuriuri
• Te ahua nei kei te tere te patu o tō ngākau
• Te māuiui me te hemo o te upoko
• Te uaua ki te manawa

Ki te pāngia koe e tēnei āhuatanga, kaua e warewaretia. Rapua he tohutohu hauora tonu. Nā te mea he tohu pea tēnei o tētahi mate kino e kiia nei ko te `(Pulseless Ventricular Tachycardia)`.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He tino kino te mate o te `(Pulseless Ventricular Tachycardia)`, he mate e morearea ana ki te ora. Me tere tonu te maimoatanga ohorere. Ahakoa he iti te tūponotanga o te ora, he mate ka taea te ārai.

Ko te mea nui ko te whai i tētahi momo noho hauora mō te ngākau. Mena he mate ngākau tōu, whai i ngā tohutohu a tō tākuta, ā, me tirotiro tonu koe i a koe anō. Mena he pātai, he ruarua rānei āu mō te hauora o tō ngākau, kaua e wehi ki te kōrero ki tō tākuta. Ko ia te kaiārahi pai rawa atu mōu.

Nō reira, kia tiakina e tātou ō tātou ngākau. Kia ora tonu tātou!

`Te Tachycardia o te Ventricular Kore-Pū, Te tere o te manawa, Te tere o te manawa, Kore-Pū, Te hopukanga ohorere o te manawa, CPR, Te whakakore i te fibrillation, Te mate manawa