E mōhio ana koe ki te Matenga o te Manawa?

Kua rongo pea koe i te matenga ohorere o tētahi tangata ora, kāore he mate, kāore hoki he mamae. I ētahi wā, kua kite pea tātou i roto i te nūpepa i hinga tētahi kaitākaro i runga i te papa tākaro, ā, ka mate. He tino ohorere tātou ina rongo tātou i ēnei momo kōrero, kāore? I te nuinga o te wā, ko te take o ēnei matenga ohorere ko te mate manawa. I tēnei rā, me kōrero tātou mō tēnei āhuatanga e kiia nei ko te 'Matenga Ngākau Ohorere' (SCD) . Ahakoa he mea tino morearea tēnei, he mea nui kia mōhio ki tēnei.

He aha rawa te Matenga o te Ngākau ohorere (SCD)?

Ki te kī ngāwari, ko te 'Matenga ohorere o te Ngākau' (SCD) he mate ohorere, kāore i te tūmanakohia e puta ana i roto i te wā poto, pērā i te haora, nā tētahi raruraru o te ngākau. Ka puta tēnei ina mutu ohorere te ngākau, arā, ina puta he 'Hopu Ngākau' . Whakaarohia, he rite te ngākau ki te miihini o tō tātou tinana. Ko te mea e tupu ana i konei me te mea kua mutu ohorere te mahi a tēnei miihini.

Ka ahatia ina mutu te manawa? Ka pupuhi te manawa i te toto whai hāora puta noa i te tinana. Ki te mutu te manawa, kāore te roro me ētahi atu okana nui e whiwhi hāora. Ki te kore he hāora, kāore e taea e ēnei okana te mahi, ā, kāore e ora. Nō reira, ki te kore e tere te whiwhi āwhina, ā, ki te kore te manawa e tīmata anō te mahi, ka mate pea. Koinei te mea e kiia nei e tātou ko te 'Matenga ohorere o te Ngākau'.

Engari, anei tētahi mea nui hei maumahara. Ki te tīmata koe i te CPR (Cardiopulmonary Resuscitation) i te wā tonu ka pāngia te tangata e te mate manawa, arā, ina mutu te patu o tōna ngākau, ka taea e koe te whakarea, te whakarea rānei i te tūponotanga o te whakaora i tōna ora. Koia te mea nui kia mōhio koe ki te CPR.

He pēhea te noa o te ingoa o tēnei mate ko te `SCD`?

He āhua whakamataku tēnei. Ko te SCD te tino take o te mate mai i ngā take taiao i ngā whenua pēnei i te Hononga o Amerika. Koinei te haurua o ngā mate katoa mai i te mate manawa.

E ai ki ngā tatauranga, neke atu i te 3.5 miriona tāngata i te Hononga o Amerika anake e pāngia ana e te mate manawa i waho o te hōhipera i ia tau. Ko te mea pouri, ahakoa ka whiwhi rātou i te maimoatanga mai i ngā ratonga waka tūroro, he iti noa iho, tata ki te 10%, ka ora.

Ko tētahi atu mea, e rua te nui ake o te tūponotanga o te pāngia o ngā tāne e te SCD i ngā wāhine. Engari he iti ake te kitea i roto i ngā tamariki nohinohi. Kotahi, e rua rānei ngā tamariki mō ia 100,000 whānautanga ora ia tau.

He tohu whakatūpato kei mua i te matenga ohorere o te ngākau?

Ae, i ētahi wā ka puta ngā tohu i ngā hāora, i ngā rā, i ngā wiki rānei i mua i te puta mai o tētahi SCD. Ki te aro koe ki ēnei, tera pea ka taea e koe te karo i tētahi aituā nui. Ki te pā mai ēnei tohu ki a koe, me rapu tohutohu hauora tonu koe.

• Ngā tohu ora rerekē : Ko te tikanga o tēnei he huringa rerekē o ngā mea pēnei i te tere o te manawa me te toto totoka.
• Ngā tohu o te whakaeke ngakau(Ngā tohu o te mate manawa): Ngā āhuatanga pēnei i te mamae o te uma, te kikī o te uma, te mamae e horapa ana ki te ringa maui.
• Ngā mate urutā kino pēnei i te `Sepsis`: He mate e puta mai ana i te mate urutā kino o te tinana.
• Ngenge : Te tino ngenge, kāore he take.
• Te poto o te manawa : Te āhua nei kei te hemo te manawa ahakoa he iti noa te nekehanga.
• Mamae o te uma : Koinei te tohu matua e mōhiotia ana e te nuinga o te tangata.
• Te ngoikore: Te ngaro ohorere o te māramatanga me te hinga.
• Te tere o te pā o te ngākau: He kare ā -roto e tere ana te pā o te ngākau, me te haruru e pā ana ki te uma.

Mena kei a koe, kei tētahi atu rānei o ēnei tohu, kaua e whakahawea. Tirohia te tākuta i te wā e taea ai.

He aha te take o tēnei `SCD`?

Ko te tino take o te `SCD` ko te mate pūkahukahu . He kupu ngāwari noa iho, ko te aukati i ngā pūkahukahu e tuku toto ana ki te ngākau (ngā pūkahukahu) e ngā putunga ngako. Ka ārai tēnei i te ngākau ki te whiwhi toto e ranea ana.

Ko te SCD i roto i te hunga kei raro iho i te 35 tau te pakeke ka puta mai i te koretake o te ngakau (arrhythmia) . He raruraru tēnei ki te manawataki o te ngakau. Ka puta pea tēnei i ngā raruraru ngakau whānau, i ngā āhuatanga ira rānei e pā ana ki te pūnaha hiko o te ngakau.

Kua kite pea koe kei te tirotirohia ngā kaitākaro ngaio mō te hypertrophic cardiomyopathy (he matotoru o te uaua o te ngākau, inā koa ngā pūtau uaua o te ngākau), koinei tētahi o ngā tino take o te SCD i roto i taua rōpū tau. Heoi, he tino onge te SCD i roto i ngā kaitākaro (i waenga i te kotahi me te ono ngā take mō ia 100,000 kaitākaro kei raro iho i te 35 tau te pakeke).

Ko te take o te SCD i roto i te hunga neke atu i te 35 tau te pakeke he rite tonu ki te Mate Pukupuku o te Arteri Koronari kua whakahuatia i mua.

Haunga ēnei take matua e rua, he maha atu anō ngā take o te `SCD`. Ko ēnei:

• Te Cardiomyopathy mai i te Mate Whakamahi Waipiro .
• Te momonatanga .
• Ngā mate ira o te uaua o te ngākau, hei tauira, ko te 'Hypertrophic Cardiomyopathy' me te 'Arrhythmogenic Cardiomyopathy' kua whakahuatia ake nei.

He aha ngā āhuatanga mōrearea mō te SCD?

He maha ngā āhuatanga mōrearea mō te whakawhanake i te SCD. Ka piki ake tēnei mōrearea i te pakeketanga, mena he tāne koe, ā, mena kei a koe ētahi mate ngakau ira (hei tauira, Hypertrophic Cardiomyopathy).

Ko ngā āhuatanga mōrearea matua e rua ko:

• Kua pāngia koe e te mate ngakau: He nui ake te mōrearea o te SCD i muri i te mate ngakau.
• Te mate o te uaua koronari:Ko ētahi atu āhuatanga mōrearea e pā ana ki tēnei ko te kai paipa, he hītori whānau mō te mate ngakau, he taumata cholesterol teitei, me te ngakau nui.

Haunga tēnei, kei reira anō ētahi atu āhuatanga mōrearea:

• I pāngia ahau e te 'Hopu Manawa Ohorere' i mua.
• Kua pāngia tētahi o te whānau e te 'Ohorere o te Ngākau', te 'SCD' rānei.
• Kei a koe, kei tētahi rānei o tō whānau, ētahi manawataki manawa rerekē ('Arrhythmia'). Hei tauira, ko ngā āhuatanga pēnei i te 'Long QT Syndrome' , te 'Wolff-Parkinson-White Syndrome' me te 'Ventricular Tachycardia' .
• Te putanga mai o te 'Ventricular Tachycardia' te 'Ventricular Fibrillation' rānei i muri i te whakaeke ngakau.
• He raruraru whānau tō te ngākau, he rerekē rānei ō ngā oko toto.
• He hītori o te matepukupuku auau, kāore he take mārama.
• Te ngoikore o te ngākau : Ko te tikanga o tēnei he ngoikore ake te kaha o te ngākau ki te pupuhi toto i te mea noa. Ko te hunga e ngoikore ana te ngākau e ono ki te iwa ngā wā ka nui ake te tūponotanga ki te whakawhanake i te Ventricular Arrhythmia (te ngakau pōturi o ngā pūtau ngākau) me te pāngia e te Ohorere o te Ngākau i ētahi atu.
• Te Cardiomyopathy Dilated (te uaua ngākau kua nui, kua ngoikore): Koinei te take o te 10% o ngā SCD. Mā te whara me te pakaru o te uaua ngākau ka nui ake te tūponotanga o ngā manawataki ngākau rerekē. Ka taea hoki e tēnei te arahi ki te ngoikore o te ngākau.
• Te mātotoru o te uaua o te ngākau ( hypertrophic cardiomyopathy ).
• Ngā huringa nui o ngā taumata pāhare pāporo me te konupora i roto i te toto.
• Te momonatanga .
• Mate huka .
• He hītori o te whakamahi tarukino, te tango rānei i ngā rongoā e pā ana ki te tere o te manawa.

Mena kei a koe tētahi, neke atu rānei o ēnei āhuatanga mōrearea, he mea tino nui kia kōrero koe ki te tākuta mō ngā huarahi hei whakaiti i tō mōrearea.

Me pēhea te mōhio ki tētahi `SCD`?

Ka whakaūtia he `SCD` e te tākuta i muri i te whakaū kāore he take kē atu i mate ai. Tērā pea kua pāngia te tangata e te `Ohorere o te Ngākau`, ā, tērā pea kei a ia te `SCD` mēnā kei a ia ēnei tohu e whai ake nei:

• Me i kore ahau e manawa.
• Ki te kore te pā o te manawa e heke.
• Me i kore he hinengaro.

He aha tā tātou e taea ai te whakaiti i te mōrearea o te SCD?

He maha ngā mea ka taea e tātou te mahi hei whakaiti i tēnei mōrearea.

• Haere ki te tākuta i te wā tika , ka kōrero ki a ia mō tō hauora.
• Kia ora te tinana. Kia mau ki te taumaha hauora e tika ana māu, kia whakakorikori tinana, kia kai hoki i ngā kai iti te ngako.
• Āta karohia ngā hua tupeka katoa.
• Mena he nui tō cholesterol, he koretake rānei te ngakau o te tangata ('Arrhythmia'),Tangohia ngā rongoā kua tohua e te tākuta kia rite tonu.
• Ki te tūtohutia e tō tākuta, tikina he taputapu e kiia nei ko te `Implantable Cardioverter Defibrillator` (`ICD`) . Ka kitea e tēnei taputapu ngā manawataki o te ngākau morearea, ā, ka tukuna he ru hiko ki te ngākau hei whakahoki i te ngākau ki te āhua noa.
• Me mahi i ngā maimoatanga, i ngā pokanga rānei i tūtohutia e tō tākuta, pērā i te Angioplasty (te whakatuwhera i ngā uaua o te ngākau) te Catheter Ablation rānei (te whakatika i ngā tohu hiko koretake i roto i te ngākau).
• Ki te taunaki tō tākuta, me whakamātau i ngā ira kia kitea ai mēnā he āhuatanga ira kei roto hei take o te SCD.
• Whakaakona tō whānau ki te hiranga o te CPR. Whakamōhiotia rātou mō ngā mea hei mahi i roto i te āhuatanga ohorere.

Me tirotirohia ngā kaitākaro whakataetae mō te mate ngakau i te iti rawa kotahi i te tau. Me uru atu ki tēnei he arotake i ō rātou hītori hauora whaiaro me te whānau (me whakahou i ia tau) me te whakamātautau tinana. Mena he mea whakapae i te wā o te tirotiro tuatahi, ka tūtohu pea tā rātou tākuta rongoā hākinakina kia whakamātauria anō.

Ki te whakapae te tākuta he mate manawa tōu, me toro atu koe ki te tākuta ngakau.

He aha te rerekētanga i waenga i te mate manawa me te SCD?

He tokomaha te hunga e whakapoauau ana i ngā mea e rua. Ko te mate manawa he raruraru ki te rere o te toto whai hāora ki te uaua o te manawa. I te nuinga o te wā ka puta mai ina aukatihia te uaua o te ngakau e tuku toto ana ki te manawa. I tēnei wā, kāore te manawa e mutu, ka haere tonu te patu, engari kua pakaru tetahi wāhanga o te manawa.

Ko te Matenga ohorere o te Ngākau (SCD) he mate e puta ana i muri i te mutu o te patu o te ngākau (He Matenga o te Ngākau) ā, kāore e taea te whakaora anō. Ka puta te matenga o te ngākau nā te raruraru o te pūnaha hiko o te ngākau. Ahakoa ka taea e te matenga o te ngākau te puta te SCD, tera atu anō ngā take o te matenga o te ngākau. He māmā noa iho, he raruraru "pūnga" te matenga o te ngākau, ā, he raruraru "hiko" te matenga o te ngākau.

Kia pēhea te tere o te puta mai o tētahi `SCD`?

Ina puta he 'Whakamutu Manawa', kāore e nui te rere o te toto i roto i te roro. Ka ngaro pea te māramatanga i roto i ngā hēkona. Ka puta pea te 'Mate Manawa Ohorere' i roto i ngā meneti. Koia i kiia ai he āhuatanga ohorere.

Ki te mate ohorere tetahi o ō tātou whanaunga i te SCD...

Ko te ngaromanga ohorere o tētahi e arohaina ana tētahi o ngā wheako tino uaua o te ao. He uaua ki te whakamanawanui i te mamae. Heoi, ki te mea kua mate tō hoa aroha nā te mate ngākau ira ka pā ki ētahi atu mema o te whānau, he mea nui kia kōrero koe ki tō tākuta mō tēnei mea, kia kite ai mēnā kei roto koe i te mōrearea. Mā te mahi i ngā mahi inaianei ka āwhina i a koe me tō whānau ki te tiaki i a koe anō me tō whānau mai i tētahi atu huihuinga pouri.

Hei whakamutunga, ko te mea tino nui hei maumahara

Ahakoa he mate kino te 'Matenga ohorere o te Ngākau', ka taea te whakaiti i te mōrearea mā te mōhio ki tēnei mate, te tautuhi me te whakahaere i ngā āhuatanga mōrearea, me te whai i ngā tohutohu hauora tika.

• Tiakina tō ngākau. Noho i tētahi oranga hauora.
• Kia tūpato ki ngā tohu whakatūpato. Kaua e warewaretia.
• Mena he mate ngakau tōu, me whai i ngā tohutohu a tō tākuta.
• Akohia te CPR. Ka taea hoki e koe te whakaora i te ora o tētahi.

Ko tāku tumanako ka whai hua ēnei kōrero ki a koe. Kia ora tō ngākau!

Te Matenga o te Manawa, te whakaekenga o te manawa, te mate manawa, te manawa tere, te CPR, te hauora o te manawa, ngā āhuatanga mōrearea