E mōhio ana koe ki tēnei wāhanga iti o tō ngākau? – Te Āpitihanga o te Atrium Matau

E mōhio ana tātou katoa he tino mīharo te okana o tō tātou ngākau. Engari, kāore pea koe i rongo nui mō ētahi o ngā wāhanga iti o tēnei ngākau. Nō reira, i tēnei rā ka kōrero tātou mō tētahi wāhanga iti o te ngākau kāore i te kōrerotia e te tini tāngata, engari he mahi nui tāna. Ko te taha matau o te atrial appendage , arā, i te reo Pākehā ko `(Right Atrial Appendage)`, ko `(RAA)` rānei hei whakarapopototanga. Tērā pea ko te wā tuatahi tēnei i rongo ai koe i tēnei ingoa. Kaua e manukanuka, me kōrero noa iho tātou mō tēnei.

He aha te Tāpiritanga Atrial Matau?

Ki te kī ngāwari, ko te "Right Atrial Appendage" ko te "RAA" rānei he wāhanga iti rite ki te putea o tō ngākau e puta paku ana mai i te rūma o runga o tō ngākau, e kiia nei ko te atrium matau. Kua rongo pea koe mō tēnei i mua, inā koa mēnā ka kī atu te tākuta kia whakaurua he "pacemaker lead", he waea iti e hono ana ki te pacemaker, ki roto i tō atrium matau.

Whakaarohia tēnei `(RAA)` hei pōke iti i roto i tō tātou hāte. He wāhi iti i waho o te hāte matua. He take motuhake tēnei e pai ai ngā tākuta ki te whakauru i ngā waea pacemaker ki roto i tēnei `(RAA)`. Ko tētahi he tino ngāwari te toro atu ki tēnei `(RAA)`. Ko tētahi atu mea, kei te tata rawa tēnei `(RAA)` ki te `(SA node)`, `(sinoatrial node)` rānei, e tuku ana i ngā tohu hiko e patupatu ana i tō tātou ngākau. Nō reira, he mea tino nui mō te whai huatanga o te pacemaker.

Ka raru pea koe i tēnei wāhanga tauhou o te ngākau. Engari ko te rongo pai, he maimoatanga kei reira mō tēnei `(RAA)`, pērā i ngā rongoā mō ētahi atu wāhanga o te ngākau.

He aha te mea ka tupu ki tēnei RAA? (Mahi RAA)

Nā, kia tirohia tātou he aha te mahi a tēnei `(RAA)` iti nei. Ko tētahi o ana mahi matua ko te pikinga ake o te nui o te toto i roto i te tinana, arā, ina nui ake te nui o te toto i roto i te tinana i te mea e tika ana, ka tīmata te totoro o ngā pakitara o tēnei `(RAA)`. Kātahi ka tukuna e tēnei `(RAA)` tētahi momo pūmua motuhake e kiia nei ko ngā `peptides natriuretic` .

He mea tino nui te mahi a ēnei matū e kiia nei ko ngā "peptides natriuretic":

• Ka paku whānui haere ō uaua toto.
• Ka āwhina i te tango i te tote me te wai nui mai i te tinana mā te mimi.

Mā tēnei tukanga ka āwhina i te whakaiti i te nui o te toto me te toto toto. Whakaarohia he rite ki tētahi paipa iti e tuku ana i te wai nui ina kī ana te tāke wai i roto i tō whare.

Kei hea te RAA? (Tauwāhi RAA)

Kei te tihi o te atrium matau o tō ngākau tō "Āpiti Atrial Matau". Hei whakamārama, kei te taha tonu o tō "vena cava teitei", he oko toto nui. Ko tēnei "(RAA)" he wāhanga rite ki te awaawa e toro atu ana ki runga i waenganui i te atrium matau me te ventricle matau.

He aha ngā wāhanga o te RAA? He aha tōna āhua? (Te Anatomy me te Āhua o te RAA)

Ki te tirohia te hanganga o roto o tēnei `(RAA)`, he rite ki tētahi pēke he pūaha e taea ai e te toto te tomo me te puta. He paku taratara te mata o roto o te `(RAA)`. Ko te take o tēnei, he maha ngā uaua e kiia nei ko te `terminal crest` me te `musculi pectinati` . He rite ēnei ki ngā uaua iti i runga i te mata.

Mō te rahi, e ai ki ngā kairangahau ko te horahanga o tēnei `(RAA)` he tata ki te 3 henimita tapawha (arā, tata ki te hawhe inihi tapawha). Ko te whānui o te whakatuwheratanga o te `(RAA)` he tata ki te 2 henimita (he iti iho i te inihi).

Ko te mea tino whakamiharo ko tēnei `(RAA)` ka taea te whai i te kotahi płatka (lobe) me ētahi płatki, i ētahi wā ka taea te ono. Ko te tikanga ehara i te mea he rite te `(RAA)` o te katoa.

He aha ngā āhua ka kitea i roto i te RAA? (Ngā Āhua RAA)

Kua tautuhia e ngā kairangahau ētahi momo o te `(RAA)`. Anei ētahi o aua momo:

• Āhua tapawhā (āhua ngutu kākā): Koinei te āhua tino kitea. He rite ki te ngutu o te kākā.
• Āhua tapawhā: He rite ki te āhua o te upoko hōiho.
• Āhua trapezoid: He rite ki te āhua o te paepae.
• Āhua tapatoru: He rite ki te rā i runga i te poti whakatere.
• Āhua kāore i tautuhia: He uaua te whakaahua tika i ētahi o aua āhua.

Haunga ēnei āhua matua, kua kitea e ngā kairangahau ēnei momo iti. He mea whakamiharo te kanorau o tēnei wāhanga iti o tō tātou ngākau?

He aha ngā āhuatanga me ngā mate e pā ana ki te RAA?

Pērā i ētahi atu wāhanga o te ngākau, he maha ngā āhuatanga hauora ka pā ki te RAA. Ko ētahi o ēnei:

• Te Whakapūngao Atrial (Afib): He pārekareka koretake tēnei o te ngakau. Ka taea e tēnei āhuatanga te hanga i ngā toto totoka i roto i te RAA. Heoi, he iti ake te kitea o tēnei i te taha matau ki te whakataurite ki te taha maui o te atrium.
• Ngā whara i puta mai i tētahi aituā motuka: I roto i tētahi aituā kino, ka pakaru pea te RAA nā te pānga ki te uma.
• Aneurysm: He āhuatanga tēnei e whānui rawa ai te uaua, ka pupuhi pērā i te poihau. Ka taea hoki e te RAA te whakawhanake i tēnei momo aneurysm.

He mea nui: He mea tino nui te kite wawe me te rongoā tika mō ēnei āhuatanga.

He aha ngā tohu o ngā mate RAA?

Mā ngā āhuatanga e pā ana ki te atrium matau (RAA) ka pāngia koe e ngā tohu pēnei i:

• Mamae o te uma
• Ngenge
• Te poto o te manawa, te 'dyspnea' rānei
• Pōuriuri

Ahakoa kei a koe ēnei tohu, ehara i te mea he raruraru tō RAA. Tērā pea ka puta mai i ētahi atu mate manawa me ngā raruraru hauora whānui. Nō reira, ki te mea kei a koe ēnei tohu, he pai ake te rapu tohutohu hauora.

Me pēhea te tirotiro i te hauora o te RAA? (Ngā Whakamātautau Noa mō te Hauora RAA)

He maha ngā whakamātautau e whakamahia ana e ngā tākuta hei tirotiro i te hauora o tō atrium matau (RAA):

• Te Ine i te Echocardiogram Transesophageal (TEE): He momo echocardiogram motuhake tēnei. I roto i tēnei whakamātautau, ka whakauruhia he ngongo iti (he taputapu whakawhiti) kei roto he kāmera mā roto i tō korokoro ki roto i tō korokoro hei tango pikitia mārama o tō ngākau. Mā tēnei ka taea te tiro pai ki te RAA.
• Matawai CT o te ngākau (Cardiac Computed Tomography): Ka whakamahia ngā hihi-X me te hangarau rorohiko hei whakaputa whakaahua whakawhiti-wāhanga o te ngākau.
• Te Echocardiogram Transthoracic (TTE): Koinei te momo echocardiogram tino noa. I konei, ka whakatakotoria he transducer ki tō uma hei tango whakaahua o tō ngākau.

Mā te tākuta e whakatau te mea hei mahi māu mō ēnei whakamātautau i runga i tō āhua.

He aha ngā maimoatanga mō tēnei? (Ngā Maimoatanga Noa)

Mena he raruraru kei te taputapu atrial matau (RAA), he maha ngā maimoatanga ka taea:

• Ngā rongoā ārai toto: Mena he ngāwari tō RAA ki te toto totoka, ka hoatu ēnei rongoā ki a koe hei ārai i te toto totoka.
• Maimoatanga tango: Mena ka tīmata te ngakau koretake, pērā i te atrial fibrillation, me te RAA, ka taea te mahi i tētahi maimoatanga e kīia nei ko te ablation hei whakangaro i te kiko rerekē.
• Pokanga: Mena kua pakaru ngā kiko o te RAA i tētahi aituā, me pokanga pea hei whakatika, hei tango rānei i ngā wāhanga kua pakaru.

Ko te whakatau ko tēhea maimoatanga te mea tika māu ka whakawhirinaki ki ngā mea maha, tae atu ki tō āhua hauora, tō tau, me tō hauora whānui.

Me pēhea te tiaki i tō RAA kia ora tonu ai? (Me pēhea te tiaki i tō RAA)

Kāore rawa he mea ka taea e koe te mahi mō tō `(Right Atrial Appendage)`. Ko ngā mea e mahia ana e koe hei pupuri i te hauora o tō ngākau katoa he pai anō hoki mō tō `(RAA)`. Hei pupuri i te hauora o tō ngākau, tiakina ēnei mea:

• Kia korikori tinana mō te iti rawa 150 meneti ia wiki: mahihia ngā mahi whakakori tinana pēnei i te hikoi, te oma, te kaukau rānei.
• Kai i ngā kai hauora mō te ngākau: Kai atu i ngā huawhenua, ngā hua rākau, ngā pīni, ngā witi katoa, ngā mīti kikokore, me ngā ika. Whakaitihia te hinu, te tote, me te huka.
• Kaua e whakamahi i ngā hua tupeka: He tino kino te momi hikareti ki te ngākau.
• Whakahaerehia tō ahotea:Mahia ngā mahi pēnei i te yoga, te whakaaroaro, me ētahi atu. Whakangāwari.
• Whakahaerehia ngā mate hauora pēnei i te toto toto tiketike me te mate huka: Tangohia ngā rongoā e ai ki tā tō tākuta i whakahau ai.

Mā te whai i ēnei mahi ngāwari, ka taea e koe te pupuri i te hauora o tō pūnaha manawa katoa.

Hei whakamutunga, ko te mea tino nui (Karere hei tango i te kāinga)

He tokomaha te hunga kāore anō kia rongo i te kupu "Right Atrial Appendage" me te "RAA" rānei i mua. Tērā pea kua rongo te hunga whai "Afib" i te kupu "Left Atrial Appendage", engari kāore i te tino kōrerohia te mea kei te taha matau.

Mena kei te pānui koe i tēnei tuhinga nā te mea ka whakauruhia he taputapu whakateretere ki roto i tō puku, ko tētahi mea me mōhio koe ko te RAA te wāhi pai rawa atu hei whakanoho i te taura taputapu whakateretere e whiriwhiria ana e ngā tākuta. Kua kōrerohia kētia e tātou ngā take mō tēnei.

Nō reira, ki te mea he pātai anō āu mō tēnei `(RAA)`, kaua e mangere ki te kōrero ki tō tākuta. Ka taea e ia te hoatu whakautu mārama ki ō pātai katoa. Kia maumahara, he mahi nui tā ia wāhanga iti o tō tātou tinana, nō reira he mea nui kia mōhio koe ki tēnei.

Manawa , Āpitihanga Atrial Matau, RAA, Mate Manawa, Pacemaker, Whakapūpū Atrial, Hauora Manawa, Āpitihanga Atrial Matau