E mōhio ana koe ki te whakaeke ngakau puku?

Ina rongo tātou i te kupu "whakaeke ngakau," ka mahara tonu tātou ki tētahi i roto i tētahi kiriata e pupuri ana i tōna uma, e hamama ana i te mamae i mua i te hinganga ki te whenua. He pono, ko te nuinga o ngā whakaeke ngakau ka puta mai me te mamae nui i roto i te uma. Engari i mōhio koe ko ētahi whakaeke ngakau ka puta mai me te kore he oro, me te mea he hāhā? Koinei te mea e kiia nei e tātou he "whakaeke ngakau wahangu" i roto i te rongoā. He tino morearea tēnei nā te mea kāore pea tātou e mōhio, ā, kāore pea e whiwhi maimoatanga i te wā tika.

He whakarāpopototanga noa iho, he aha tēnei Whakaekenga Manawa Tūpato?

He rite tonu te whakaeke ngakau puku ki te whakaeke ngakau noa. I roto i ngā kupu hauora, he rite tonu tēnei ki te "Myocardial Infarction". He māmā noa iho, he papu tō tātou ngākau i hangaia mai i te kiko uaua. Me whiwhi tonu ēnei kiko uaua i te hāora me te toto whai matūkai hei mahi. Ka tukuna mai tēnei toto e ngā oko toto iti e kiia nei ko ngā "Coronary Arteries" i roto i te ngākau tonu.

Whakaarohia he puranga cholesterol kei roto i tētahi oko toto, e kiia nei ko te plaque, ā, ka āta āraia. I tētahi rā, ka pakaru tēnei plaque, ka puta he toto totoka, ā, ka tino āraia te oko toto. Kātahi ka mutu te whiwhi toto i te uaua o te ngākau e tukuna ana e taua oko toto. Ina ngaro te hāora o taua uaua, ka tīmata te mate. Koinei te mea e kiia nei ko te mate ngākau.

I roto i te whakaeke ngakau noa, ka puta tēnei me te mamae nui o te uma. Engari i roto i te whakaeke ngakau puku, ka puta tēnei kino ki te ngakau me te kore he tohu, me ngā tohu iti noa iho rānei kāore tātou e aro nui ana ki ai. Ko te mea whakamataku, ka rite tonu te kino i ngā āhuatanga e rua. Engari nā te mea kāore he tohu, kāore koe e mōhio me rongoā koe.

E mārama ana rānei tātou ki te rerekētanga o ngā tohu?

Koinei te mea tino nui. Me mōhio tātou ki te rerekētanga i waenga i ngā tohu o te whakaeke ngakau noa me ngā tohu o te whakaeke ngakau puku. Whakaarohia mēnā ka mea ohorere mai tō hoa he mamae tōna uma, ka haria tonutia ia e koe ki te hōhipera. Engari mēnā ka mea ia, "He paku pōuriuri ahau," kāore tātou e aro nui ki tēnā, āe? Tirohia tēnei rerekētanga.

Ko wai te mea nui ake te mōrearea?

He nui ake te tūponotanga o ētahi tāngata ki te pāngia e te mate manawa i ētahi atu. Ka kiia ēnei he "āhuatanga mōrearea". Ko ētahi o ēnei ka taea e tātou te whakahaere, engari ko ētahi kāore e taea te whakarerekē.

Ngā āhuatanga mōrearea ka taea e tātou te whakahaere

• Te toto toto tiketike: Ina piki te toto toto, ka tino taumaha te ngākau, ā, ka pakaru ngā uaua toto.
• Te Korekore Nui: Ka kohia te cholesterol "kino" (LDL) ki roto i ngā oko toto ka ārai i a rātou.
• Mate huka: Ko te hunga mate huka he nui ake te tūponotanga ka pakaru ngā oko toto nā te nui o te huka toto. He mea noa ngā whakaeke ngakau puku i roto i te hunga mate huka me ngā wāhine.
• Te kai hikareti: Ko te kai hikareti tētahi o ngā hoariri nui o te ngākau. Ka whakawhāiti i ngā uaua toto, ā, ka whakanui ake i te tūponotanga o te toto totoka.
• Te momona nui me te kore whakakori tinana: Ina piki te taumaha o te tinana, ina heke te whakakori tinana, ka huaki te kuaha ki ngā mea katoa mai i te toto toto tiketike ki te cholesterol me te mate huka.
• Te ahotea nui rawa: Kāore hoki te ahotea tonu i te pai mō te ngākau.
• Kai hauora kore: He kino ngā kai he nui te hinu, te tote, me te huka ki te ngākau.

Ngā āhuatanga mōrearea kāore e taea te whakarerekē

• Tau: Ka piki ake te mōrearea i te kaumātuatanga, inā koa i muri i te 45 tau mō ngā tāne, ā, i muri i te paheketanga mō ngā wāhine.
• Hītori whānau: Mena kua pāngia tētahi o ō whanaunga tata (whaea, pāpā, tuākana/teina) e te mate manawa i te wā taitamariki, he nui ake anō hoki tō tūponotanga.

Me pēhea koe e mōhio ai kua pāngia koe e te mate manawa puku?

Koinei te raruraru nui rawa atu. He maha ngā wā, ka kitea noa e te tangata kua pāngia ia e te mate manawa puku i muri i ngā wiki, ngā marama, ngā tau rānei. He tūponotanga anō hoki tēnā. Whakaarohia kua haere koe ki te tākuta mō tētahi atu take, ā, ka whiwhi koe i tētahi `ECG` (Electrocardiogram). Koira te wā ka kite te tākuta kua pāngia tō ngākau i mua.

Ko ngā whakamātautau e whakamahia ana hei tautuhi i tēnei ko:

• ECG (Electrocardiogram): Mā tēnei ka whakamātautau i te ngohe hiko o te ngākau hei tirotiro mēnā he kino kei te uaua o te ngākau.
• Echocardiogram (Echo): He rite tēnei ki te matawai i te ngākau. Ka taea e ia te tirotiro i te mahi a te ngākau, te pupuhi toto, me te tirotiro mēnā he kino kei roto.
• Ngā Whakamātautau Toto: I te wā o te mate manawa, ka tukuna ētahi whākōkī (ngā whākōkī ngākau) mai i te uaua manawa ki roto i te toto. Ka taea te whakamātautau i ēnei.
• Whakamātautau Taumahatanga: Ka mahia he ECG i a koe e hikoi ana i runga i te mīhini oma hei tirotiro me pēhea te urupare a te ngakau ki te taumaha.

Me aha koe mēnā he ruarua āu? He aha ngā maimoatanga?

He āhuatanga ohorere tēnei! Ki te pā mai ētahi tohu o te mate manawa, ahakoa te ngawari, kaua e ngana ki te haere ki te hōhipera ko koe anake.

1. Waea atu ki te 1990 tonu: Ko te waka tūroro te kōwhiringa pai rawa atu, me te haumaru hoki. Ka taea e ngā paramedic i roto i te waka tūroro te tīmata i te āwhina tuatahi e tika ana i a koe e kawe ana i a koe ki te hōhipera.

2. Haere ki te Tari Ohotata (ETU) o te hōhipera tata: Ki te kore e taea e koe te tatari mō te waka tūroro, haere ki te ETU i te wā e taea ai me te āwhina a tetahi.

I te hōhipera, ka arotake wawe ngā tākuta i tō āhua ka tīmata te maimoatanga.

• Te whakarato hāora.
• Te hoatu rongoā pēnei i te aspirin hei aukati i te hanganga o ngā toto totoka.
• Te hoatu rongoā hei whakaiti i te mamae.
• Te maimoatanga hei whakatuwhera i te oko toto kua āraia. E rua ngā tikanga matua mō tēnei:
• Angioplasty: I roto i tēnei tikanga, ka whakauruhia he ngongo iti e kiia nei ko te "catheter" mā te waewae, mā te ringa rānei ki roto i te oko toto kua āraia i roto i te ngākau, ā, ka pupuhihia he poihau hei whakatuwhera. He maha ngā wā, ka whakauruhia he hanganga rite ki te mata e kiia nei ko te "stent" hei ārai i te aukati anō.
• Te Tārai Puku o te Arorangi Koronari (CABG): Mena ka tino āraia te oko toto, ka tangohia he wahi oko toto mai i tētahi atu wāhanga o te tinana (pērā i te waewae) ka hangaia he ara hou huri noa i te wāhi kua āraia. He pokanga nui tēnei.

Me aha tātou kia kore ai e puta anō tēnei āhuatanga?

I muri i te mate manawa, me huri koe i tētahi whārangi hou o tō ao. Ehara i te mea hei wehi, engari he whai wāhi tuarua tēnei hei tiaki i tō manawa.

• Tangohia te rongoā e tohua ana e tō tākuta: Ka tohua he maha ngā rongoā hei tango māu mō te toenga o tō oranga. Kei roto i ēnei ko ngā rongoā pēnei i te "Statins" e whakaiti ana i te cholesterol, te "Antiplatelets" e whakahaere ana i te toto toto, me te "Antiplatelets" e ārai ana i te toto totoka. Kaua e mahue tetahi rā o ēnei.
• He kai hauora mō te ngākau: Whakaitihia te hinu, te tote, me te huka ki te nui e taea ana. Whakaurua ngā huawhenua, ngā hua rākau, ngā kākano matomato, me ngā ika ririki ki roto i tāu kai.
• Whakakorikori tinana: Hīkoi mō te 30 meneti pea i te rā. Pātai atu ki tō tākuta he aha te momo whakakorikori tinana e tika ana māu.
• Kati rawa te momi hikareti: Kaua e momi hikareti i tetahi hikareti.
• Whakahaerehia tō taumaha: Kia mau ki te taumaha hauora mō tō teitei.
• Whakahaerehia te ahotea: Ka taea e koe te whakaiti i te ahotea mā te mahi i ngā mea pēnei i te whakaaroaro, te yoga, me te whai wāhi atu ki tētahi mahi whakangahau e pai ana ki a koe.
• Whai wāhi atu ki ngā Kaupapa Whakaora Manawa: He kaupapa whakaora anō ā ētahi hōhipera mō ngā tūroro manawa. Mai i ēnei, ka nui ngā mea ka taea e koe te ako mō te whakakori tinana, te kai, me te oranga hinengaro.