Whakaarohia kei te piki koe i tētahi arawhata, kei te hikoi tere rānei. Kātahi ka rongo koe i te kikī i waenganui o tō uma, me te mea kei te piki tētahi ki runga i tō uma, he pēhanga, me te mamae. Engari ko te mea whakamiharo, ina mutu tāu mahi ka noho mō tētahi wā, ka memeha katoa te mamae i roto i ētahi meneti. Kua pāngia koe e tēnei wheako? Kāti, ko te Angina Tūmau pea tēnei. Kaua e mataku ina rongo koe i tēnei. He tohu iti tēnei e tukuna ana e tō ngākau ki a koe. Me kōrero mārama, me te ngāwari hoki mō tēnei.
He aha te Angina Tūmau?
Ehara te Angina Tūmau i te mate, engari he tohu. Hei whakamārama, koinei te tohu matua o te mate ngākau e kiia nei ko te Mate Arteri Koronari (CAD), e puta mai ana i te aukati i ngā oko toto e tuku toto ana ki te ngākau.
Whakaarohia tō tātou ngākau he motuka e mahi tonu ana. Me whai toto ma, he toto whai hāora tonu tēnei motuka kia mahi ai. Ka haria tēnei toto ki te ngākau mā roto i ngā ngongo iti e kiia nei ko ngā uaua coronary. I roto i te wā, ka tīmata te hanga o ngā mea pēnei i te cholesterol mai i te kai e kainga ana e tātou ki roto i ēnei ngongo. He rite ki te moko e tipu ana i roto i te paipa wai. Ka kiia tēnei e tātou ko te 'pēkara' . Ka āta whakawhāitihia te rere o te toto e tēnei paparanga o te pēkara.
Ināianei, ina noho noa koe, i te wā okioki, he nui te toto o tō ngākau hei haere mā roto i tēnei ara whaiti. Engari ina whakakorikori tinana koe, ina hikoi tere, ina piki arawhata, ina taumaha rānei koe, me mahi kaha ake tō ngākau i te tikanga. Kātahi ka tono te ngākau kia nui ake te hāora. Engari kāore e taea e aua oko toto whaiti te hoatu i te toto tāpiri e hiahiatia ana e te ngākau. I taua wā, ka karanga te uaua o te ngākau, "Kāore i te nui te hāora." Ko taua karanga te mamae o te uma e pā ana ki a tātou.
Ka kiia tēnei he "Pūmau" nā te mea ka puta te mamae i roto i tētahi tauira tino motuhake.
- I te nuinga o te wā ka puta mai i te wā e mahi ana koe i tetahi mea hoha.
- He rite tonu te mamae i ngā wā katoa.
- Ka ngaro atu i muri i te okiokinga poto, pērā i te 5 meneti.
He aha te āhua o te angina pumau?
Ahakoa he rerekē tēnei i ia tangata, he tohu noa iho ētahi. Me titiro tātou ki ēnei tohu.
| Tohu | Te āhua o te āhua |
|---|---|
| Te mamae o te uma, te kore whakamarie rānei | He rite tonu tēnei ki te mamae koi, ki te kōpiri o te uma, ki te taumaha kei runga i te uma, ā, ki ētahi, ka rite ki te mumura o te puku (pērā i te gastritis). |
| Te horapa o te mamae | He maha ngā wā ka tīmata te mamae i waenganui o te uma, ka horapa ki te pakihiwi maui, ka heke ki te ringa maui, ki te kaki, ki te kauae, ki te tuara rānei. |
| Te uaua ki te manawa | Haunga te mamae o te uma, tera pea ka raru koe i te manawa, me te mea kei te kōkō koe. |
| Ētahi atu āhuatanga | Tērā pea ka pāngia ētahi tāngata e te whanoke, te whakapairuaki, me te ngenge. |
He aha i puta ai tēnei āhuatanga? (Ngā take me ngā mea e whakaoho ana)
E ai ki tā tātou i kōrero ai i mua ake nei, ko te tino take o te angina pumau ko te Mate Puku o te Arteri Koronari (CAD) , arā, ko te whaiti o ngā oko toto i roto i te ngākau. Heoi anō, ka taea hoki tēnei mate te puta mai i ētahi atu āhuatanga.
- Te ngoikore o te ngakau i muri i te whakaeke ngakau
- Ngā raruraru o te takirere ngākau
- Ngā raruraru manawataki o te ngakau
- Te mate taiaki toto nui
- Te hekenga o te hemoglobin i roto i te toto (anemia)
Ngā mea e whakaoho ana i te angina
Ahakoa nō roto te pūtake o tēnei āhuatanga, tera ētahi mea ka taea te whakaoho i te mamae. Ka kiia ēnei he 'pūtake'.
- Korikori tinana: Ngā mahi pēnei i te hikoi tere, te piki arawhata, me te hiki i ngā taumaha.
- Taumahatanga: Ngā kare ā-roto kaha pērā i te riri nui, te pōuri, me te manukanuka.
- Ngā panonitanga ohorere o te pāmahana: Te neke mai i te wāhi tino wera ki te rūma tino makariri (hauātea).
- Te kai taumaha: Ka pāngia pea ētahi tāngata e tēnei mamae ahakoa kua kai katoa rātou i te kai.
Me aha koe mēnā ka pāngia koe e te angina? He aha ngā maimoatanga?
Ki te tīmata koe ki te rongo i te mamae o te angina, kaua e mataku, engari me mahi i ēnei mea i te tuatahi.
1. Kati tāu mahi: Ki te mea kei te hikoi koe, kei te mahi rānei i tētahi mea, kati tonu.
2. Noho, takoto rānei: Whakangāwari mā te noho i runga i te tūru, te takoto rānei i runga i te moenga.
3. Whakamahia te rongoā kua tohua e tō tākuta: Mena kua hoatu e tō tākuta he papa nitroglycerin , he rehu rānei, whakatakotoria ki raro i tō arero. Ka whakawhanuitia ngā oko toto i roto i tō ngākau mō te wā poto, ka māmā ake te rere o te toto ki tō ngākau.
I te nuinga o te wā, me memeha katoa te mamae i roto i te 5 meneti i muri i te okiokinga me te tango i te Nitroglycerin. Ki te kore e mahi, kua hoatu e tō tākuta he tohutohu ki a koe mō te mea hei mahi. He mea nui kia tino whai i aua tohutohu.
He otinga rangitahi noa iho tēnei. Hei whakahaere i te angina mō te wā roa, ka tohua e tō tākuta ētahi atu rongoā hei tango i ia rā. Hei tauira, ko ngā beta-blockers , ko te nitroglycerin tuku-roa , ko te ranolazine rānei.
Me rongoā anō hoki te pūtake o te angina (CAD). Tērā pea ka whakaurua he taputapu iti rite ki te mata (stent) ki roto i te oko toto hei whakawhanui i te aukati, te pokanga rānei. Mā tō tākuta e whakatau ko tēhea te rongoā pai mōu, ā, māna anō e whakamārama atu ki a koe.
Me aha tātou hei tiaki i a tātou i tēnei āhuatanga?
Ko te huarahi pai hei ārai i te angina pumau ko te whakaiti i te tūponotanga o te whakawhanake i te mate uaua ngakau (CAD), te tino take. Ko te tikanga o tēnā ko te whakarerekē i te momo noho.
He nui ake te mana o te rongoā i te rongoā noa iho hei oranga hauora mō te ngākau.
- He kai hauora mō te ngākau: Whakaitihia ngā kai he nui te hinu, te tote, me te huka i ngā wā katoa e taea ana. Engari, me whakauru ngā huawhenua, ngā hua rākau, ngā pīni, ngā ika ririki, me ngā kai he nui te muka (te raihi parauri, te ōti) ki roto i tō kai.
- Whakakorikori tinana auau: Me mahi i ngā mahi whakakorikori tinana māmā, pērā i te hikoi mō te 30 meneti pea i te rā. Heoi, ki te pāngia koe e te angina, he mea nui kia pātai atu koe ki tō tākuta he aha ngā mahi whakakorikori tinana e tika ana māu.
- Te whakahaere i ētahi atu mate: Mena he toto toto tiketike tōu, he mate huka, he cholesterol tiketike rānei, me tango e koe ngā rongoā e tohua ana e tō tākuta, ā, me whakahaere pai aua āhuatanga.
- Kati rawa te kai paipa: Ki te kai paipa koe, kati i tēnei rā tonu. Koinei te ratonga nui rawa atu ka taea e koe te mahi mō tō ngākau.
- Whakaitihia te ahotea: Kia mau tonu te oranga hinengaro mā te mahi i ngā mea pēnei i te whakaaroaro, te yoga, te whakarongo waiata, me te whai wāhi atu ki tētahi mahi whakangahau tino pai.
Āhea tātou me toro atu ki te tākuta?
Ki te pāngia koe e te mamae o te uma, e te kore whakamarie rānei pēnei mō te wā tuatahi i roto i tō ao, kaua e warewarehia. Tirohia he tākuta tonu. Ka tirotirohia koe e te tākuta, ā, ki te tika, ka tonoa ētahi whakamātautau pēnei.
| Whakamātautau | Hei whakarāpopototanga... |
|---|---|
| Ngā whakamātautau toto | Tirohia mēnā he kino kei te ngākau, me te āhua o tō taumata cholesterol me te huka. |
| ECG (Electrocardiogram) | Ka tuhia te mahi hiko o te ngākau hei tirotiro mēnā he raruraru. |
| Whakamātautau ahotea (ECG Whakakorikori Tinana) | Ka tangohia he ECG i a koe e hikoi ana i runga i te mīhini oma, hei tirotiro i te urupare a te ngakau ki te taumaha. |
| Angiography Coronary | Ka whakamahia he hihi-X motuhake hei tirotiro tika mō ngā aukati i roto i ngā oko toto o te ngākau. |
| Matawai CT | Ka tangohia e te hihi-X rorohiko ngā whakaahua taipitopito o te ngākau me ngā oko toto. |
Āhua ohorere! Āhea kōrua me haere tahi ki te ETU (Emergency Treatment Unit)?
Ahakoa mō te tangata e pāngia ana e te angina pumau, ka taea e te mate te kino rawa atu i ētahi wā. He tohu pea tēnei mō te angina pumau , mō te mate ngakau rānei. Mō ngā take e whai ake nei, haere tonu ki te rūma ohorere (ETU) o te hōhipera, waea atu rānei ki te ratonga ambulance 1990.
| Āhuatanga mōrearea | Me aha? |
|---|---|
| Mena kāore te mamae e memeha ahakoa i muri i te tango i te nitroglycerin (ki te kore rānei e ranea te maha o ngā horopeta i whakaritea e te tākuta). | Haere tonu ki te ETU. |
| Mena he kino rawa atu te mamae i te tikanga, ka memeha rānei , kātahi ka hoki mai anō . | Haere tonu ki te ETU. |
| Mena ka pā te mamae ahakoa i te okiokinga (kāore he kaha e hiahiatia ana). | Haere tonu ki te ETU. |
| Mena he rerekē te mamae i tō te tikanga (hei tauira, mena kei te haere tahi me te werawera, te nui rawa o te werawera, te ruaki rānei). | Haere tonu ki te ETU. |
Ehara te Angina pumau i te mate manawa. Engari he tohu whakatūpato kaha kei te tata te mate manawa. Nō reira kaua rawa e warewarehia tēnei tohu.
He mea noa te mataku me te manukanuka i ētahi wā i a koe e noho ana me tēnei mate. Kōrerohia mārire ki tō tākuta mō tēnei mea. Māna koe e tautoko me te tohutohu e hiahiatia ana e koe. He maha ngā mea ka taea e koe te mahi hei tiaki i tō ngākau.
Karere Tangohia ki te Kāinga
- Ko te angina pumau he mamae o te uma e puta ana i te wā e whakapau kaha ana, ā, e memeha haere ana i te wā e okioki ana, ā, he āhua motuhake anō hoki.
- He tohu tēnei nō te mate pūkahukahu (CAD), ehara i te mate manawa. Engari he tohu whakatūpato kaha mō te mate manawa.
- Mā te okioki me te rongoā nitroglycerin i tohua e te tākuta ka whakamamae i te mamae.
- Ki te mamae tō uma mō te wā tuatahi, ki te rerekē rānei te mamae i te tikanga, ki te kino rawa, ki te puta rānei ahakoa i te wā okioki, haere tonu ki te Tari Whawhati Tata (ETU).
- Ka taea e koe te noho hauora mā te whai i tētahi momo noho hauora mō te ngākau, me te whai i ngā maimoatanga kua tohua e tō tākuta.
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