Kua whakarongo kē koe ki tō ake manawa i a koe e noho puku ana? I ētahi wā ka rite ki te tere ake o te pā, i ētahi wā ka rite ki te puhoi ake o te pā. Ina koa ka piki ake te tere o tō manawa ina manawa hōhonu koe, kātahi ka pōturi ina manawa pōturi koe, tera pea he mate kei a koe e kiia nei ko te "Sinus Arrhythmia." Kaua e mataku ki te ingoa. Nā te mea ko te wāhanga "arrhythmia" o te ingoa, ko te tikanga "manawa koretake," ka whakaaro te tini he mate kino tēnei. Engari he rerekē te pono. I roto i tēnei tuhinga, ka kōrerohia e tātou he aha te mea tūturu, he aha i te nuinga o te wā he mea pai, me te mea me wehi koe i tēnei mate.
He aha te Arrhythmia Sinus?
Ko te sinus arrhythmia he āhua rerekē o te manawataki o te ngākau. Engari kāore i rite ki ētahi atu mate ngākau morearea. Ko te momo tino noa, ā, ko te mea e kitea ana ko te paku rerekētanga o te wā i waenga i ngā manawataki me te āhua o te manawa.
Whakaarohia pēnei,
- Ina manawa koe ki roto (Te Manawa): Ka paku piki ake te tere o tō manawa.
- Ina whakapūha koe i te manawa (Paunga): Ka puhoi anō te tere o tō manawa.
He rite tēnei ki te takahi mārire i te whakateretere o te motuka, kātahi ka tuku. He mea noa tēnei, he mea hauora hoki . Inaa, he tohu pai tēnei e ora ana tō ngākau. E whakaatu ana kei te pai te mahi a te hononga i waenga i tō ngākau me tō pūnaha io. Nō reira, ki te kite te tākuta i tēnei i runga i tō ECG, kāore ia e manukanuka.
He aha te rerekētanga o tēnei i ētahi atu raruraru manawataki o te ngākau?
He tokomaha te hunga e mataku ana ina rongo i te kupu "arrhythmia" nā te mea he maha ngā mate kino e kiia ana ko taua ingoa. Hei tauira, ko te atrial fibrillation. Engari he tino rerekē, he kore kino hoki te sinus arrhythmia. Ka taea e te tākuta te wehewehe ngāwari i waenga i te sinus arrhythmia me tētahi atu mate kino mā te titiro ki tō ECG.
Kia mārama ake tātou ki tēnei rerekētanga mai i te ripanga i raro nei.
| Te āhua o te manawataki o te ngākau | He aha tēnei? |
|---|---|
| Te Āritimia o te Sinus | He huringa noa, kāore he kino o te tere o te manawa e puta ana i te manawa ki roto, ki waho hoki. He maha ngā wā kāore he tohu. |
| Te Whakapūngao Atrial | He mate kino tēnei e tere rawa ai, e kore hoki e taupatupatu ngā rūma o runga o te ngākau (atria). Ko ētahi o ngā tohu ko te mamae o te uma, te ngenge, me te whanoke. |
| Te Rerenga o te Atrium | Ko tētahi atu mate kino e tere rawa ai te pā o ngā rūma o runga o te ngākau, engari i roto i tētahi auau motuhake, e hiahia ana ki te aro hauora. |
| Te pāwera o te uaua | He tere rawa te tere o te manawa. Tērā pea ētahi momo e hiahiatia ana he maimoatanga. |
Kei te kite koe, āe? Ahakoa he kino ētahi atu mate, me ōna tohu, ā, me rongoā pea, ehara te sinus arrhythmia i tētahi o aua mate.
Ko wai te mea tino tūpono ka kite i tēnei āhuatanga?
Ahakoa ka taea te pā ki ngā tāngata o ngā tau katoa, he mea noa iho i roto i ngā tamariki hauora me ngā taiohi . Inaa, he maha ngā wā ka kitea e ngā tākuta tamariki i runga i ngā ECG o ngā tamariki.
Nā te mea he tino kaha te pūnaha io ā-roto o te hunga rangatahi me ngā tamariki - te pūnaha e whakahaere ana i ngā mea kāore e taea e tātou te whakahaere, pērā i te tere o te manawa me te manawa. Ko te tikanga he tino tairongo ngā io e whakahaere ana i te manawa me te tere o te manawa, ā, he tere te urupare. Koia te take e kitea mārama ai tēnei rerekētanga o te tere o te manawa. I te nuinga o te wā ka heke haere tēnei āhuatanga i a tātou e pakeke haere ana.
Ko te mea nui, mā te kite i tēnei āhuatanga i roto i te tangata rangatahi, hauora, ko te tikanga kāore he raruraru o tōna ngākau, ā, kei te mahi hauora.
He aha ngā take o te sinus arrhythmia?
Ka wehea e ngā tākuta tēnei mate ki ētahi wāhanga matua e ai ki ngā take. Kia tirohia tātou he aha ēnei.
1. Momo i puta mai i te manawa (Respiratory Sinus Arrhythmia)
Koinei te momo tino noa, ā, he tino noa iho kua kōrerohia e tātou tae noa mai ki tēnei wā. Nā te manawa noa iho i puta ai. Ki te titiro matatau tātou ki ngā mea e tupu ana, ko te wā i waenga i te pao o te manawa me te pao o te manawa e whai ake nei i runga i te ECG ka kiia ko te wā PP. I te nuinga o te wā, me rite tonu tēnei wā. Engari ina whakapūha te tangata whai mate pēnei, ka roa ake te wā i waenga i ēnei pao e rua i te 0.16 hēkona. Ka mōhio te tākuta ki tēnei mā te kite i tēnei rerekētanga i runga i te ECG.
2. Momo kāore e pā ana ki te manawa (Kore-manawa Sinus Arrhythmia)
He ahua onge tēnei. Ahakoa he rite te āhua o tēnei momo ECG ki te momo noa i whakahuatia i mua ake nei, ehara i te mea nā te manawa. I te nuinga o te wā ka kitea tēnei i runga i tētahi atu mate huna.
- Tetahi aituā ki te upoko, ki te kaki rānei.
- Te nui rawa o te horomanga o ētahi rongoā mō te ngākau, pērā i te Digoxin (Digoxin - Digitek®).
- Te aroaro o ētahi atu mate ngakau.
Ahakoa ka taea tēnei te kitea mā te ECG, ka puta te whakatau a te tākuta mā te titiro ki tō hītori hauora me ētahi atu tohumate.
3. Te Arrhythmia Sinus Ventriculophasic
He momo motuhake, he momo onge hoki tēnei, ā, ka kitea anake mā te whakamātautau ECG. He maha ngā wā ka kitea i roto i te hunga he raruraru kei te haere o ngā tohu hiko o te ngākau, pērā i te aukati AV tuatoru-tohu. He ahua uaua tēnei, nō reira ka whakamāramahia e tō tākuta mā te titiro ki te ECG.
Me pēhea taku kimi i tēnei? Me rongoā?
I te nuinga o te wā, ka kitea te mate pāwera o te ngākau mā te tūpono noa iho. Tērā pea ka kitea tēnei e tō tākuta i te wā e whakahaerehia ana he whakamātautau electrocardiogram (EKG) e mahia ana e koe mō tētahi atu take, he tirotiro hauora noa pea, i mua rānei i te pokanga. E mōhio ana koe, ko te whakamātautau e tuhi ana i te mahi hiko o tō ngākau mā te whakapiri i ngā tapanga iti ki tō uma, ringa, me ngā waewae, e kiia ana ko te EKG.
Nā, kia tae tātou ki te pātai tino nui: Me rongoā tēnei?
Ko te rongo pai, ko te arrhythmia sinus respiratory, he mate noa e pā ana ki te manawa , kāore e hiahiatia he rongoā nā te mea ehara i te mate.
Ahakoa e rua atu ngā momo (Kore-manawa me te Ventriculophasic), kāore i te nuinga o te wā e rongoatia tika ana. Engari, ka rongoatia e ngā tākuta te mate hauora taketake i puta ai (pēnei i te mate manawa, i te nui rawa rānei o te rongoā).
He mea morearea tēnei? Tērā pea ka mamae te uma?
Koinei te pātai nui rawa atu kei roto i te hinengaro o te katoa. Ina kitea he mea e kiia nei ko te "koretake" i runga i te ECG, ka mataku tātou.
Engari, kāo. Ehara te Respiratory Sinus Arrhythmia i te mate noa. Inaa, he tohu pai tēnei kei te hauora tō ngākau, kei te urutau pai ki te taiao, ā, kei te pai te mahi. Kāore e taea te ārai i tēnei mate, ā, kāore he take ki te ārai.
Ko tētahi atu mea nui hei mōhio, kāore te sinus arrhythmia e puta ai te mamae o te uma. Mena kei a koe ngā tohu pēnei i te mamae o te uma, te poto o te manawa, te ngenge, te whanoke rānei, tera pea he mea kē atu i te sinus arrhythmia. Nō reira, ki te mea kei a koe tētahi o ēnei tohu, kaua e warewarehia. Tirohia tō tākuta tonu.
Nō reira, ā te wā e kī mai ai tō tākuta kei a koe te sinus arrhythmia i runga i tō ECG, kaua e mataku. He rongo pai pea tēnei mō te hauora o tō ngākau.
Karere Tangohia ki te Kāinga
- Ko te sinus arrhythmia he panoni i te tere o te manawa. Ehara tēnei i te mate i te nuinga o te wā, engari he āhua noa .
- He mea tino kitea tēnei i waenga i ngā tamariki me ngā taiohi hauora , ā, e kiia ana he tohu pai mō te ngākau hauora.
- Kāore he tohu o te arrhythmia sinus noa, ā, kāore e hiahiatia he maimoatanga .
- Ka tātaritatia tēnei mate mā te whakamātautau EKG . He maha ngā wā ka kitea noa iho ina mahia he EKG mō tētahi atu take.
- Ki te pāngia koe e ngā tohu pēnei i te mamae o te uma, te poto o te manawa, te tere o te manawa, te ngaro rānei o te mahara, kaua e warewaretia nā te mea he sinus arrhythmia tēnei. Tirohia tō tākuta tonu .
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