Kei te tere te pao
o tō ngākau i ētahi wā, kei te pāorooro rānei i ētahi wā? Kei te ngenge, kei te pōuri rānei koe, kāore he take? He mea noa ēnei i ētahi wā. Heoi, i ētahi wā he tohu anō hoki ēnei mō tētahi raruraru ki te mahi a tō tātou ngākau. I tēnei rā kei te kōrero tātou mō tētahi o aua mate, ko te Sick Sinus Syndrome (SSS). Kaua e manukanuka, kia mārama noa tātou ki tēnei.
He aha te Sick Sinus Syndrome (SSS)?
Whakaarohia tō ngākau hei pūhiko i roto i tō whare. Ka tukuna e tēnei pūhiko ngā tohu hiko ki te ngākau katoa kia tika te patu. Ka kiia tēnei pūhiko tūturu i roto i tō tātou ngākau ko te pona sinus. Koinei te
pūhiko tere tūturu o te ngākau.
Ko te Sick Sinus Syndrome (SSS) he āhuatanga e kore ai e mahi tika te pūhiko tere tūturu o te ngākau, te pona sinus. Kātahi ka koretake te manawataki o te ngākau. I ētahi wā ka tere rawa te patu, i ētahi wā ka tere rawa te patu, ā, i ētahi wā ka mutu te patu mō tētahi wā poto. Ka puta pea ngā momo ngakau koretake (arrhythmias).
He aha ngā momo matua o te SSS?
Kāore tēnei mate e puta mai i te kotahi āhua anake. He maha ngā momo matua e ahu mai ana i ngā huringa o te manawataki o te ngākau. Me titiro tātou ki ēnei.
| Momo SSS | He whakamārama māmā |
|---|
| Te Bradycardia o te Sinus | Ko te tikanga o tēnei he puhoi rawa te tere o te manawa i te mea noa (iti iho i te 60 ngā pao i te meneti). He mea noa tēnei mō ngā kaitākaro e pai ana te whakakori tinana. Engari mō ētahi atu, kāore pea e taea e te manawa te pupuhi i te hāora e ranea ana ki te tinana ina tere rawa te pao. |
| Bradycardia-Tachycardia | He āhuatanga tino pōhēhē tēnei. Ko te mea e tupu ana i konei , ka pōturi whakarere te tere o te manawa, kātahi ka tere anō . He rite ki te rama e kimo ana. |
| Te aukati/te whakamutu o te sinus | Ko te mea e tupu ana i konei, ka mutu te mahi a te taputapu whakateretere tūturu o te ngākau mō tētahi wā poto . Arā, ka pekehia tētahi, neke atu rānei o ngā pao o te ngākau. |
| Te Korekore o te Wā | He ahua uaua tēnei. Ki te kī māmā noa, tera pea he noa te tere o tō manawa ina okioki koe. Engari ina whakakori tinana koe, pērā i te piki arawhata, kāore tō manawa e piki ake i te nui e tika ana . |
He aha i puta ai tēnei āhuatanga?
He uaua ki te tohu i tētahi take kotahi mō te SSS. I ētahi wā, kāore e kitea te take. Engari he torutoru ngā take noa:
- Te koroheketanga : I a tātou e pakeke haere ana, ka ngoikore haere te kiko o te ngākau, pērā i ētahi atu wāhanga o te tinana. Koinei te take matua.
- Mate ngakau : Mena kua pāngia koe e te mate ngakau o mua, kua pakaru rānei tō ngakau i ngā āhuatanga pēnei i te toto toto tiketike , te mate uaua coronary rānei.
- Pokanga ngākau : Ka taea e te kiko koha e puta mai ana i muri i te pokanga ngākau te kino i te pūngao sinus .
- Ētahi rongoā: Ko ētahi rongoā, pērā i ngā beta-blockers me ngā calcium channel blockers mō te toto toto tiketike, ka taea te whakaroa i te tere o te manawa .
- Ētahi atu āhuatanga hauora: Ka taea hoki e te moe koretake, ngā raruraru tairoi, me ētahi mate mumura te puta o tēnei āhuatanga.
- Ngā take ira: He tino onge, ka taea hoki te whakaputa i te SSS e ngā huringa ira e tukuna iho ana i roto i ngā whakatipuranga.
He aha ngā tohu o tēnei?
Ko te nuinga o te hunga whai SSS
kāore e pāngia e tetahi tohu . Tērā pea he tino ngawari ngā tohu, ā, kāore e kitea. Heoi, ki te puta mai ngā tohu, ko ēnei pea:
- Ngenge
- PōuriuriMāuiui rānei te mahunga
- Te hemo
- Te uaua ki te manawa, te poto o te manawa (Te ahua o te korenga o te manawa)
- Te mamae o te uma , te kore whakamarie rānei
- Ngaronga o te mahara, te pōhēhē
- Tino puhoi te pā o te manawa
- Ngā tere o te ngakau
He mea nui: Ki te pā mai tētahi, ētahi rānei o ēnei tohumate ki a koe, kaua e warewaretia. Me toro atu ki tō tākuta mō ētahi tohutohu. Mā te whakarerekē i tētahi o ngā rongoā e tangohia ana e koe ka ea pea te raruraru.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ka pātai tuatahi tō tākuta ki a koe mō ō tohumate. Nā te mea he rite ngā tohumate o te SSS ki ērā o ētahi atu mate, me maha ngā whakamātautau hei whakatau tika i te mate.
- Irahiko o te manawa (ECG): Koinei te whakamātautau tino taketake. Ka tuhia te ngohe hiko o tō ngākau hei kauwhata rārangi. Tērā pea ka tonoa koe kia mahi i te ECG i a koe e whakakorikori tinana ana (Whakamātautau Treadmill).
- Aroturuki Holter: Ka whakaatuhia noa e te ECG tō tere manawa i taua wā. Engari ka puta ngā huringa o te manawataki o te SSS i ētahi wā. Nō reira, ka hopukina tonutia tō tere manawa e tētahi mīhini iti e piri ana ki tō tinana mō te 24, 48 rānei hāora.
- Aroturuki Takahanga: Ki te kore te aro turuki Holter e kite i ngā huringa manawataki, ka taea te hoatu he aro turuki takahanga ka taea te whakamahi mō ētahi wiki.
- Rangahau Hikohiko (EPS): He whakamātautau motuhake tēnei e uru ana ki te tuku i ngā waea angiangi ki roto i te ngākau, te mahere i ngā ara hiko o te ngākau, me te tautuhi i te wāhi tika o te raruraru.
He aha tāu e mahi nei hei maimoatanga?
Ko te maimoatanga e whakawhirinaki ana ki te momo SSS kei a koe, te kaha o ō tohumate, me ētahi atu mate hauora kei a koe.
| Tikanga maimoatanga | Whakaahuatanga |
|---|
| Te whakarerekē i ngā rongoā | Mena ko te rongoā kei te tangohia e koe te take o te raruraru, ka taea e koe te whakatau i te raruraru mā te kōrero ki tō tākuta me te whakarerekē i te rongoā, te whakaiti rānei i te horopeta. |
| Te whakaurunga o te taputapu whakatere | He maha ngā tāngata whai SSS e hiahia ana ki tētahi taputapu whakatere. He taputapu iti rawa tēnei. Ka whakatōkia ki raro i te kiri, i raro noa i te wheua kaki, i te wā o tētahi pokanga iti rawa. Ka kitea ina puhoi rawa te tere o te manawa, ā, ka tukuna he tohu hiko ki te manawa kia mau tonu te tere o te patu. |
| Ngā Whakaiti Toto | I te mea he nui ake te mōrearea o te toto totoka i roto i te ngākau i roto i ngā āhuatanga pēnei i te Bradycardia-Tachycardia, ka tohua pea ēnei rongoā hei ārai i ngā āhuatanga pēnei i te whiu. |
| Te maimoatanga whakawete | Whakahaerehia te tere o te manawa o te ngākau, kimihia te wāhi kei reira ngā tohu hiko rerekē i roto i te ngākau, ka whakamahia he maimoatanga motuhake hei whakaweto i aua tohu. |
Karere Tangohia ki te Kāinga
- Ko te Sick Sinus Syndrome (SSS) he pā o te ngakau kāore i te tika te mahi a te pacemaker tūturu o te ngakau (te node sinus).
- Tērā pea ka puta ngā tohu pēnei i te whanoke, te ngenge rawa, me te kore moe. Heoi, he tokomaha te hunga kāore pea e pāngia e tētahi tohu.
- Ki te puta mai ēnei tohu, kaua e mataku, kaua hoki e warewaretia, engari me toro atu ki tō tākuta.
- He maimoatanga kei reira (ngā taputapu whakatere manawa, ngā rongoā). Mā tō tākuta e whakatau te maimoatanga e pai ana mō tō āhua.
- He mea tino nui kia noho hauora tō ngākau mā te karo i te kai hikareti, te whakahaere i te cholesterol me te toto toto tiketike, te kai i ngā kai hauora, me te whakakori tinana.
Te Mate Sinus Mate, SSS, te tere o te manawa, te manawataki o te manawa, te taputapu whakateretere, te whanoke, te bradycardia, te tachycardia, te mate o te manawa, te mate o te manawa, te taputapu whakateretere, te arrhythmia, te mamae o te uma
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