Ahakoa te āhua nei he mate manawa, kāore pea: Te Tātahitanga o te Arteri Koronari Tūpono (SCAD)

Whakaarohia he tangata hauora whānui koe, kāore he mate, he mamae rānei, e mahi ana i ō mahi o ia rā. Ka whakakorikori tinana koe, ka kai pai, ka inu. Engari i te ohorere, ka pā mai he mamae nui ki tō uma, he kikī. Ka tīmata koe ki te werawera, ka uaua ki te manawa, ā, ka pā mai te mamae ki tō ringa. He aha te mea tuatahi ka puta ake ki tō hinengaro? "Āe, kei te pāngia ahau e te mate manawa?" Ehara i te mea koinei te wehi? Engari kāore ēnei tohu i te rite tonu ki ngā tohu o te mate manawa noa e mōhiotia ana e tātou. I tēnei rā, ka kōrero tātou mō tētahi āhuatanga ohorere hauora he rite te āhua, engari he rerekē, inā koa i waenga i ngā wāhine taitamariki, hauora. Ka kiia tēnei e tātou ko te 'Spontaneous Coronary Artery Dissection', ko te '(SCAD)' rānei.

He aha te SCAD i te whakarapopototanga?

Ahakoa te ahua uaua o te ingoa, he tino māmā noa iho te mārama ki te mea e tupu ana. Whakaarohia tō tātou ngākau he motuka e mahi tonu ana. Me whai toto tonu tēnei motuka, arā, he hāora me ngā matūkai, kia mahi ai. Ka haria tēnei toto ki ngā uaua o te ngākau e ngā oko toto e rite ana ki tētahi pūnaha paipa iti. Koinei ngā mea e kiia nei e tātou ko ngā uaua coronary.

Ahakoa he rite tēnei uaua o te ngākau ki te ngongo, e toru ngā paparanga o tōna pakitara kua piri tahi. Pērā i te keke paparanga. Mō te SCAD, ko te mea ka tupu, kāore he take e kitea ana, ka puta he haehae iti i roto i tētahi o ngā paparanga o roto o tēnei pakitara uaua.

Whakaarohia te mea ka tupu ina pakaru paku te roto o te paipa wai. Nā te pēhanga wai ka turuturu te wai mā roto i te pakaru, ka mau i waenganui i ngā pakitara e rua o te paipa. Waihoki, ina pakaru te uaua toto, ka turuturu te toto e rere ana i raro i te pēhanga teitei i waenganui i ēnei kiriuhi e rua, ka kohia. Ina mau te toto i tēnei ara, ka pupuhi ki roto i te pakitara uaua toto i taua wāhi, ka aukati i te rere o te toto. Ka kiia tēnei he "hematoma". Ina whaiti, ina āraia rawatia rānei te rere o te toto i tēnei ara, ka heke te nui o te toto e tae atu ana ki te uaua o te ngākau. Koinei te wā ka puta mai ai ngā tohu o te mate ngākau i kōrerotia e tātou i mua ake nei.

He aha ngā tohu o tēnei? Me pēhea e mōhio ai koe ki tēnei?

He tino rite ngā tohu o te SCAD ki ērā o te mate manawa noa, nō reira he ngāwari ki te whakapoauau i ngā mea e rua. Engari ki te pāngia koe e tētahi o ēnei tohu, he mea nui kia rongoatia hei āhuatanga ohorere hauora .

Ko wai te hunga tino mōrearea ki te whakawhanake i te SCAD?

Koinei te mea tino miharo mō te SCAD. Ko ngā mate manawa ka pā ki te hunga kua kaumātua, he hunga whai take mōrearea pēnei i te mate huka, te toto toto tiketike, me te cholesterol. Engari ehara te SCAD i te pērā.

• Te nuinga o te wā i roto i ngā wāhine: I roto i te 10 o ngā tūroro SCAD, e 9 he wāhine.
• I te wā taitamariki: He mea noa tēnei mate, inā koa i waenga i ngā wāhine hauora i waenga i te 40-50 tau te pakeke, kāore nei he take mōrearea mō te mate ngakau.
• E pā ana ki te hapūtanga: Tērā pea ka pāngia ētahi wāhine e tēnei mate i te wā e hapū ana, i muri rānei i te whānautanga. E whakaponohia ana nā ngā huringa homoni me te ahotea o te whānautanga i puta ai.
• Te ahotea tinana, te ahotea hinengaro rānei: Ko te hiki ohorere i ngā taumaha, te whakakori tinana kaha, te mamae nui o te kare ā-roto, te pouri rānei, ka taea te whakaoho i te mate SCAD.
• Ētahi atu āhuatanga hauora: Kei te mōrearea hoki te hunga e pāngia ana e te Fibromuscular Dysplasia (FMD) (he mate e ngoikore ai ngā pakitara o ngā oko toto), ngā mate hononga kiko pērā i te Marfan syndrome, me te lupus.

Me pēhea te tātaritanga a te tākuta i tēnei?

Ina haere koe ki te rūma whawhati tata, ko te mea tuatahi ka mahia e ngā tākuta ko te tirotiro mēnā kei te pāngia koe e te mate manawa. He maha ā rātou whakamātautau hei whakatau mēnā kei te pāngia koe e te mate manawa. Me whai whakamātautau motuhake hei tautuhi tika i te SCAD.

Me pēhea te rongoā? Kia pēhea te roa o te wā e ora ai?

He rerekē te maimoatanga mō te SCAD i te rongoā i te mate manawa noa. He mea whakamiharo, ko te nuinga o ngā take o te SCAD ka memeha haere i roto i te wā me te rongoā, me te kore he pokanga, he tikanga nui rānei. Ka taea e te tinana te whakaora i te uaua pakaru i a ia anō.

Ngā tikanga maimoatanga

• Maimoatanga rongoā: He mea nui ngā rongoā pēnei i te aspirin hei ārai i te toto totoka, ngā beta-blockers hei whakahaere i te tere o te ngakau me te toto totoka me te whakangāwari i ngā uaua toto, me ngā rongoā hei whakahaere i te mamae o te uma.
• Te noho hōhipera: Ka puritia te tūroro ki te wāhanga tiaki nui o te hōhipera, ki te wāhanga rānei, mō ētahi rā, ā, ka āta tirotirohia te mahi a te ngākau.
• Angioplasty me te Stenting: Kāore i te tino auau te mahi i tēnei. Mēnā kua tino āraia te uaua, ā, kei te mōrearea te ora o te tūroro, ka whakamahia he poihau hei pupuhi i te uaua, ā, ka whakauruhia he taputapu rite ki te mata (stent) hei pupuri i te tuwhera.
• Pokanga Karo: He onge te mahi i tēnei mō te SCAD.

He rerekē te roa o te wā whakaora i ia tangata, i ia tangata. Me noho koe ki te hōhipera mō te 3-5 rā pea. E hia wiki, e hia marama rānei te roa kia ora katoa ai te uaua pakaru. Heoi, he mea nui kia ata whai i ngā tohutohu a te tākuta i tēnei wā.

I muri i te whakaoranga

Ahakoa kua ora ake koe, me haere tonu koe ki te whare hauora i raro i te tirotiro a te tohunga ngakau.

• Whakaora i te Manawa: He mea tino nui tēnei. Mā tēnei kaupapa koe e āwhina ki te whakakori tinana haumaru i raro i te tirotiro a te rata, ki te whai i tētahi kai hauora mō te manawa, me te whakahaere i te ahotea.
• Ngā huringa āhua noho: Ka tohutohu pea tō tākuta kia karohia e koe te hiki taumaha me ngā mahi e tino taumaha ai tō tinana.

Ina puta he SCAD, he mea noa te manukanuka me te manukanuka, me te whakaaro, "Ka puta anō rānei tēnei mea?" Kōrerohia tēnei ki tō tākuta. Rapua he tohutohu hinengaro mēnā e tika ana.