Ka pāngia te ngākau e te maimoatanga irahiko mate pukupuku? Me kōrero tātou mō te Mate Ngākau irahiko!

Mena kua whiwhi koe i te rongoā irahiko mō te mate pukupuku, i te mea rānei kua whiwhi tētahi e mōhio ana koe, kua rongo pea koe ka pāngia te ngākau e ēnei maimoatanga. He āwangawanga tēnei. Kaua e manukanuka, nā te mea ko te mea nui ko te mōhio ki tēnei. Nō reira, i tēnei rā ka kōrero tātou mō te aha tēnei mate ngākau e kiia nei ko te mate irahiko , me pēhea te whanaketanga, ko wai kei te mōrearea nui ake mō tēnei mate, me ētahi atu mea ka taea te mahi mōna.

He aha te mate manawa irahiko?

I roto i ngā kupu māmā, ko te mate manawa irahiko he kohinga o ngā mate me ngā raruraru rerekē ka puta i roto i te manawa hei hua o te rongoā irahiko, e whakamahia ana hei patu i ngā pūtau matepukupuku. Whakaarohia, ina tukuna ngā hihi irahiko ki te wāhi o te matepukupuku, tera pea ka pā he kino ki ngā kiko hauora e tata ana, inā koa te manawa. Ka puta pea tēnei kino i roto i ētahi wiki i muri i te whiwhinga i te rongoā irahiko, ka puta rānei i muri i ngā tau.

He maha ngā wā ka puta tēnei āhuatanga i roto i te hunga kua whiwhi i te maimoatanga irahiko ki te uma mō ēnei momo mate pukupuku:

• Matepukupuku ū
• Matepukupuku korokoro
• Te mate pukupuku o Hodgkin
• Matepukupuku pūkahukahu

He pēhea te pānga o te maimoatanga irahiko ki te ngākau?

Ka taea e te irahiko te kino i ngā kiko i roto, i te taha hoki o tō ngākau. I roto i te wā poto, ka mumura te ngākau. Ko te tikanga ka pupuhi, ka whero, ka mamae hoki ētahi wāhanga o te ngākau. I roto i te wā, ka mātotoru haere tēnei kiko kua pakaru, ka huri hei muka. He rite ki te koha e puta ana i runga i te patunga. Kātahi ka kore e taea e te kiko te mahi tika.

Ko ngā wāhanga o te ngākau ka tino pāngia e te rongoā irahiko ko:

• Ngā uaua o te ngakau: Koinei ngā uaua e tuku toto ana ki te uaua o te ngākau . Mēnā ka pakaru ēnei, ka taea te whakaiti i te rere o te toto ki te ngākau.
• Ngā pūtau e whakaputa ana, e kawe ana hoki i ngā nekehanga hiko hei pupuri i te tere me te manawataki o te ngakau (pūnaha kawe hiko): He rite tēnei ki te waea hiko o te ngakau. Mēnā ka pakaru tēnei, ka kore e tika te haere o te ngakau .
• Myocardium: Koinei te wāhanga matua o te ngākau e pupuhi ana. Mēnā ka ngoikore, kāore e taea e te ngākau te pupuhi tika i te toto.
• NgākauTe pericardium: He rite tēnei ki tētahi pēke tiaki e karapoti ana i te ngākau. Ka taea e ia te mumura.
• Ngā takirere i waenganui i ngā rūma o te ngākau: Ka āwhina ēnei i te rere o te toto ki te taha kotahi anake. Mēnā ka pakaru ēnei, ka tīmata te rere whakamuri o te toto.

Ngā pānga mō te wā poto

Ko ngā pānga matua o te rongoā irahiko ki te ngākau mō te wā poto kei te pericardium. Kei roto i ēnei āhuatanga:

• Pericarditis : He mumura tēnei o te kiriuhi e karapoti ana i te ngākau.
• Te rerenga toto o te ngākau: Koinei te kohikohinga o te wai i waenganui i te ngākau me te pēke pericardial.

Ko te tikanga ka puta ēnei āhuatanga i roto i ētahi wiki ki ētahi marama i muri i te whiwhinga o te rongoā irahiko. Ko te mea tino noa i roto i te hunga kua rongoatia mō te mate pukupuku e kiia nei ko te lymphoma Hodgkin.

Ngā raruraru roa

Ka roa pea ētahi mate manawa, tae atu ki te 20 tau te roa, ki te whanake. Ko ētahi o ngā raruraru mō te wā roa ko:

• Te ngoikore o te ngakau: Kāore e taea e te ngakau te pupuhi i te toto e ranea ana ki te tinana.
• Mate pūkahukahu: Te whaiti, te aukati rānei i ngā pūkahukahu e tuku toto ana ki te ngākau.
• Cardiomyopathy: Ka ngoikore, ka matotoru, ka nui rānei te uaua o te ngākau.
• Te koretake o te pā o te ngakau (Arrhythmia): He pā o te ngakau he koretake, he tere rawa, he puhoi rawa rānei.
• Pericarditis aukati: Ka matotoru, ka pakari te kiriuhi e karapoti ana i te ngākau, ka kore ai e whānui tika te ngākau.
• Mate pūkahukahu: Kāore ngā pūkahukahu e mahi tika ana.

Ko wai te mea tino mōrearea?

Mena kua whiwhi koe i te maimoatanga irahiko ki tō uma, inā koa te taha maui kei reira tō ngākau, tera pea ka tūpono koe ki te pāngia e tēnei mate ngākau. Ko te ine mō te irahiko e kiia ana ko te Gray (Gy) . I te nuinga o te wā, ka piki ake te tūponotanga o te mate ngākau irahiko mena ka neke atu te horopeta katoa i te 30 Gray (Gy) i roto i ētahi maimoatanga irahiko.

Hei tāpiri, kei reira ētahi atu āhuatanga e whakanui ana i tēnei mōrearea:

• Te rongoā i te wā kotahi me ētahi atu rongoā chemotherapy e pā kino ana ki te ngākau , pērā i te trastuzumab, te anthracycline rānei.
• He mate ngākau kei mua i a koe.
• Te rangatahi haere i te wā e whiwhi ana koe i te maimoatanga irahiko.

Hei tāpiri, ka taea hoki e ētahi āhuatanga hauora me ngā tikanga noho te whakanui ake i tēnei mōrearea:

• Te momonatanga.
• Mate huka (Diabetes Mellitus).
• Te nui rawa o te whakamahi waipiro.
• Te toto toto tiketike.
• Te kore o te whakakori tinana.
• Te momi hikareti.
• Ngā taumata cholesterol kino.

He pēhea te noa o tēnei āhuatanga?

I mua, kāore i te mārama te hunga i pāngia e te paitini o te ngākau, nō reira he nui ake ngā mate o te ngākau i puta mai i te rongoā irahiko. Engari i nāianei, kua nui ngā rangahau a ngā tākuta me ngā tohunga mō tēnei mea, ā, kua whakawhanakehia hoki e rātou he tikanga hou, haumaru ake. Nā tēnei kua taea ai te whakaiti i te nui o te irahiko e tae atu ana ki te ngākau. Nō reira, waimarie, kua heke te tokomaha o te hunga e pāngia ana e tēnei mate ngākau irahiko.

He aha ngā tohu o te mate ngakau irahiko?

Ka rerekē ngā tohu o te mate ngakau irahiko i ia tangata, i ia tangata, i runga i te tere o te puta mai o ngā tohu me te momo mate ngakau i puta mai i te irahiko.

Ngā tohu o te mate ngakau irahiko poto

Ko te tohu matua o te pericarditis me te pericardial effusion, arā, he pānga taha poto o te rongoā irahiko, ko te mamae nui o te uma . Ko tēnei mamae:

• Ka heke iho ina noho koe, ka piko whakamua.
• Ka piki ake ina nui tō manawa.

Tērā pea ka pāngia koe e te uaua ki te manawa (dyspnea) . Ka whakamamahia tēnei mā te piko whakamua.

Ngā tohu o te mate ngakau irahiko roa

Kāore pea e puta he tohu i te mate manawa irahiko tae noa ki te tino kino rawa atu. Ka whakawhirinaki ngā tohu ki te momo mate manawa kei a koe. Ko ngā tohu noa o te mate manawa ko:

• Te mamae o te uma, te kore rānei e pai.
• Te whanoke, te ngoikore rānei (syncope).
• Maremare maroke.
• Whakapairuaki.
• Te tere o te manawa, te koretake rānei o te ngakau (ngā palpitations).
• Te uaua ki te manawa.
• Te pupuhi (edema) o ngā pona, ngā waewae, ngā waewae, te puku rānei.
• Te ngoikore, te tino ngenge rānei.

He mea nui: Ka taea e te mate ngakau nui o te irahiko te arahi ki te whakaeke ngakau, ki te aukati ngakau rānei.

He āhuatanga ohorere e morearea ana te mate o te ngakau, te mate pāwera rānei. Ki te whakaaro koe kei te pāngia koe, tetahi atu rānei e te mate ngakau, haere ki te rūma ohorere o te hōhipera tata, waea atu rānei ki ngā ratonga ohorere o tō rohe. He mea nui te wā. Ahakoa he torutoru meneti te roa o te whakaroa, ka taea e koe te whakararuraru i a koe anō, te mate rānei.

Me pēhea koe e mōhio ai ki tēnei?

He maha ngā momo whakamātautau e whakamahia ana e ngā tākuta hei tātaritanga i te mate manawa irahiko. Ka whakawhirinaki ngā whakamātautau ka whakamahia e koe ki ō tohu me tō hītori hauora. Haunga te whakamātautau tinana me ngā whakamātautau toto, ka tono pea tō tākuta i tētahi, i ētahi rānei o ēnei whakamātautau:

• Te whakaurunga o te catheter o te ngākau
• Matawai CT o te ngākau
• MRI o te ngākau
• X-ray o te uma
• Te Echocardiogram
• Te hiko o te manawa (EKG, ECG rānei)
• Whakamātautau hikohiko
• Whakamātautau ahotea whakakori tinana
• Aroturuki Holter
• Te koiora endomyocardial (ngākau)

He aha ngā maimoatanga?

He maha ngā maimoatanga mō te mate manawa. Kei roto i ēnei ko ngā huringa āhua noho ki ngā rongoā, ngā maimoatanga iti rawa te whakaekenga, me te pokanga. Ka matapakihia e tō tākuta ko tēhea maimoatanga te mea pai mōu.

Nā ngā whanaketanga hou o te rongoā mō te mate ngakau, kua taea e te tangata te ora roa ake, me te ora pai ake.

Me pēhea e taea ai e ngā hangarau hou te whakaiti i tēnei mōrearea?

Ko te huarahi matua hei ārai i te mate ngakau irahiko ko te whakawhāiti i te nui o te irahiko e whiwhi ana tō ngākau.

Mā ngā hangarau irahiko matatau hou mō te mate pukupuku ka tukuna he horopeta tika o te irahiko ki te pukupuku, ka whakaitihia te nui o te irahiko e tae atu ana ki ngā kiko hauora e karapoti ana, inā koa ki te ngākau. Ko ētahi o ēnei ko:

• Te rongoā irahiko kua whakatikatikahia te kaha (IMRT): Kei roto i tēnei ko te mahi i te mahere puku toru-ahu (3D) me te tuku i ngā hihi irahiko i roto i te huarahi tino whakahaeretia.
• Te rongoā pūmua: Ka whakamahia e tēnei ngā matūriki pūngao-nui, he pai te utu (ngā pūmua) ka arotahi te nuinga o te pūngao ki te pukupuku.

Waihoki, i te wā e rongoatia ana te mate pukupuku o te ū, ka taea e koe te whakaiti i te nui o te irahiko ka tae atu ki tō ngākau mā te whakarerekē i tō tūnga. Hei tauira, ka taea e koe te whiwhi maimoatanga i a koe e takoto ana i tō puku, ka taea rānei e koe te whiwhi irahiko i roto i ngā wā poto noa iho ina manawa hōhonu koe.

Me pēhea e taea ai e koe te whakaiti i tēnei mōrearea?

Mena kua whiwhi koe i te maimoatanga irahiko ki te uma, ka taea e koe te whakaiti i tō tupono ki te pāngia e te mate ngakau mā te whai i tētahi momo oranga hauora mō te ngakau. Ko te tikanga:

• Te karo i te inu waipiro.
• Te kai i tētahi kai hauora.
• Te whakakorikori tinana i ia wā, i ia wā.
• Te whakahaere i te toto toto me ngā taumata cholesterol.
• Te whakamutu rawa i te momi hikareti.

Kia oti te maimoatanga matepukupuku, he mea nui anō hoki kia whai i te tiaki ā-muri i ia wā. Ka āwhina tēnei ki te aroturuki i tō hauora whānui. Tērā pea ka tonoa e tō tākuta he whakamātautau hei tirotiro i te mahi a tō ngākau i ia 5 ki te 10 tau.

He aha ngā whakaaro o te hunga kua whiwhi i te maimoatanga irahiko mō āpōpō?

I te mea he nui ake te hunga e ora ana i te mate pukupuku, ā, e roa ake ana te ora, kei te whānui haere tō tātou māramatanga ki ngā pānga roa o te maimoatanga. Ka roa ake tō oranga i muri i te maimoatanga mate pukupuku, ka nui ake tō tūponotanga ki te pāngia e te mate manawa. Heoi, kei te heke haere tēnei tūponotanga nā ngā hangarau hou e whakaiti ana i te pānga o te irahiko ki te manawa.

Ko tō tirohanga takitahi e whakawhirinaki ana ki ēnei āhuatanga:

• Te nui o te irahiko i pā ki tō ngākau.
• Tō tau i te wā i whiwhi ai koe i te maimoatanga irahiko.
• Ō āhuatanga mōrearea o te ngākau. Arā, ko tō kai, tō whakakori tinana, me ētahi atu āhuatanga hauora kei a koe.

Āhea koe me toro atu ki te tākuta?

Ki te pāngia koe e ētahi tohu o te mate manawa, waea atu ki tō tākuta tonu. Kei roto i ēnei tohu ko te mamae o te uma, te poto o te manawa, te pā o te ngakau kāore i te tika.

Ki te whakapae koe kei te pāngia koe e te mate manawa, te mate manawa rānei, me rapu tonu i te maimoatanga ohorere.

Ko te hunga kua whiwhi i te rongoā irahiko mō te mate pukupuku i te rohe o te uma, ka pāngia pea e te mate ngakau i puta mai i te irahiko i ngā tau i muri mai. Heoi, nā ngā whanaketanga hou o te hangarau irahiko kua whakaitihia te maha o ngā tāngata e pāngia ana e te mate ngakau i te irahiko. Kua pai ake hoki ngā maimoatanga mō te mate ngakau, ā, ka pai ake te kounga o te oranga. Mena kua whiwhi koe i te rongoā irahiko i mua, ā, kei a koe ētahi tohu o te mate ngakau, me whakamōhio atu ki tō tākuta.

Whakarāpopototanga (Karere hei tango ki te kāinga)

Āe, he nui ngā kōrero kua kōrerohia e tātou mō te Mate Ngākau irahiko i tēnei rā. Anei ētahi o ngā mea tino nui hei maumahara:

• Ka taea e te rongoā irahiko ki te uma mō te mate pukupuku te kino i te ngākau.
• Ka puta pea tēnei pānga i te wā poto, i te wā roa rānei (i muri i ngā tau).
• Kua tino whakaitihia tēnei mōrearea nā ngā hangarau irahiko hou.
• Mena kua whiwhi koe i te maimoatanga irahiko, he mea tino nui kia whai i tētahi momo noho hauora mō te ngākau, me te tirotiro hauora i ia wā.
• Ki te pāngia koe e ngā tohu pēnei i te mamae o te uma me te uaua ki te manawa , kaua e mataku, engari me rapu tohutohu hauora tonu.

Kāore he mea e wehi ai, ko te mōhio me te manaaki ngā mea tino nui. Mēnā he pātai anō āu mō tēnei, kōrero ki tō tākuta.

` Te mate manawa irahiko, te maimoatanga mate pukupuku, te mate manawa, te rongoā irahiko, te irahiko o te uma, te mate manawa, ngā tohu o te mate manawa