Ka tere ake te pao o tō ngākau? Me kōrero tātou mō te Ventricular Tachycardia!

Kei te rongo koe i ētahi wā kei te tere rawa te pao o tō ngākau, kei te patupatu? Tērā pea ka rongo koe i tō uma e patupatu ana, kei te poto te manawa, kei te pōuri rānei. Mena kua pā tēnei ki a koe, kua rongo rānei koe mō tētahi e mōhio ana koe e pāngia ana e tēnei, he mea nui kia mōhio koe ki te āhuatanga ka kōrerohia e tātou i tēnei rā, e kiia nei ko te Ventricular Tachycardia.

He aha rawa te tere o te manawa o te ngakau (Ventricular Tachycardia)?

Ki te kī māmā noa, ko te `(Ventricular Tachycardia)` ko te tere o te pao o tō ngākau neke atu i te 120 pao ia meneti. Engari ko te mea motuhake mō tēnei, kāore tēnei pao tere e tīmata mai i te pūnaha tohu hiko noa o te ngākau. I te nuinga o te wā, me tīmata te pao o tō tātou ngākau mai i tētahi tohu hiko e puta mai ana i tētahi wāhi e kiia nei ko te `(Sinoatrial Node)`, e mahi ana pērā i te pana i te tihi o te ngākau. Engari i roto i te `(Ventricular Tachycardia)`, ka tīmata tēnei pao i ngā rūma matua e rua i raro i te ngākau, arā, ko ngā ventricles . Koinei te raruraru e puta ana nā te mea kei tua atu tetahi mea i te ara hiko noa o te ngākau.

I a tātou e okioki ana, ka pā te manawa i waenga i te 60 me te 100 ngā wā i te meneti, tika? Whakaarohia te mea ka tupu ina piki ake tēnei tau ki runga ake i te 120! Ina pā te manawa i tēnei tere, ka puta ēnei mea nui:

• Tērā pea ka heke ohorere tō toto toto.
• Kāore i te nui te wā o te ngākau ki te whakakī tika i ngā rūma ki te toto, me te pana atu ki te tinana. Nā reira , kāore ētahi atu wāhanga o te tinana, inā koa te roro me ngā peka, e whiwhi i te hāora e hiahiatia ana e rātou.
• Nā ēnei take, ka tīmata koe ki te pāngia e ngā tohu rerekē.

He āhuatanga tino kino tēnei?

Ae, he mate tino kino tēnei, ā, me tere tonu te rongoā. Mēnā ka roa ake i te 30 hēkona te roa o tēnei tere o te ngakau e kiia nei ko te `(Ventricular Tachycardia)` (e kiia ana tēnei e mātou ko te `sustained Ventricular Tachycardia`), ka taea e ia te neke atu ki tētahi mate kino ake e kiia nei ko te `(Ventricular Fibrillation)`. Mēnā ka tupu tēnā, tera pea ka pāngia koe e te mate ohorere, tae noa ki te mate. Nō reira, ehara tēnei i te mea hei mea ngāwari noa iho.

He aha te rerekētanga i waenga i te `(Ventricular Tachycardia)` me te `(Ventricular Fibrillation)`?

He tere rawa ngā manawataki o te ngākau e rua. Heoi, he mate kino rawa atu, he mate morearea hoki te "Ventricular Fibrillation" i te "Ventricular Tachycardia".

Whakaarohia, i roto i te `(Ventricular Tachycardia)` ka tere te pao o te ngākau, engari ka pupuhihia e ia ētahi toto ki te tinana. Engari nā taua tere, kāore te tinana e whiwhi i te nui o te toto.

Engari i roto i te `(Ventricular Fibrillation)`, hei utu mō te patu tika, ka wiri noa te uaua o te ngākau. Kātahi ka kore te ngākau e pupuhi toto ki te tinana. Ka taea e tēnei te arahi ki te mate ohorere o te ngākau.Tērā pea ka tupu.

Ka taea e te Ventricular Tachycardia te ora ake i a ia anō ?

Ae, i ētahi wā, he torutoru hēkona noa iho pea tēnei e roa ana, ā, ka hoki anō te manawataki o te ngākau ki te āhua noa. I ēnei wā, kāore he kino nui e pā mai. Engari kāore e taea e tātou te tumanako ka tupu tonu tēnā.

Ko wai ka nui ake te tūponotanga ka pāngia e tēnei? - Ngā āhuatanga mōrearea

Tērā ētahi āhuatanga mōrearea ka pā ki te whanaketanga o te `(Ventricular Tachycardia)`. Mēnā kei a koe ēnei āhuatanga, he nui ake te tūponotanga ka pāngia koe e tēnei mate i ētahi atu:

• Mena kua pāngia koe e te mate ngakau i mua.
• Mena he raruraru manawataki o te ngākau tō tētahi o tō whānau (arā, he hononga ira tuku iho).
• Mena kei a koe te mate uaua o te ngakau .
• Mena kei a koe tētahi mate e kiia nei ko te "Myocarditis" , arā, he mumura o te uaua o te ngākau.
• Mena kei a koe te ngoikore o te ngakau .
• Mena kua rahi te ngākau, ko te tikanga he cardiomyopathy tōu.
• Mena kei a koe te mate takirere ngakau .
• Mena kua pāngia koe e te mate manawa ('Myocardial Infarction') i mua, kua pokangahia rānei tō manawa.
• Mena he nui te kore taurite o ngā irahiko o te tinana, arā, ngā tote (pērā i te pāhare pāporo me te konupora).
• Mena kei te whakamahi koe i ētahi rongoā whakaohooho (hei tauira, te kōkaini, te methamphetamine).

He aha te pānga o te Ventricular Tachycardia ki tōku tinana?

Ina pā mai te `(Ventricular Tachycardia)`, ka tere rawa te pao o tō ngākau, ā, kāore e ranea te wā e whakakīia ai ngā rūma o te ngākau ki te toto i mua i te pao e whai ake nei. Whakaarohia he pahi e tū ana i tētahi taunga mō te wā poto rawa. Kātahi ka kore e ranea te wā e eke ai te katoa ki te pahi, ā, ka mahue ētahi ki te rori. Koinei anō te mea e tupu ana i konei. Ina kore e ranea te wā e whakakīia ai te ngākau ki te toto, ka heke te nui o te toto e pupuhihia ana puta noa i te tinana. Kātahi ka iti ake te hāora me ngā matūkai e whiwhi ai ngā pūtau me ngā kiko o te tinana.

He aha ngā tohu o tēnei?

Ka rerekē ngā tohu o te `(Ventricular Tachycardia)` i ia tangata, i ia tangata. Tērā pea kāore he tohu o ētahi tāngata. Engari koinei ngā tohu tino kitea. Mēnā ka pāngia koe e tētahi o ēnei tohu, me haere tonu koe ki te rūma whawhati tata. Ka taea e tēnei te arahi ki te mate manawa, tae atu ki te mate.

• Te mamae o te uma, te kikī rānei.
• Te uaua ki te manawa.
• Te rongo i te tere o te pao o te manawa, te rongonga i te pao o te uma ('Palpitasi/tere o te pā').
• Pōuriuri, māuiui, koretake rānei te roro.

Ko te mea nui kia kaua e warewarehia ēnei tohu. Ahakoa te āhua iti noa iho, ka taea e rātou te whakamate i te tangata.

He aha i puta ai tēnei `(Ventricular Tachycardia)`?

Āe, kia titiro tātou he aha tēnei ka puta. Ina puta mai ngā tohu hiko rerekē i roto i ngā rūma o raro o tō ngākau, e kiia nei ko ngā ventricles, ka taupatupatu aua tohu ki ngā tohu e puta mai ana i te pona sinoatrial, e whakahaere ana i te manawataki noa o te ngākau. Ka pā te manawa ki te tere me te kore e taea te whakahaere. Kāore tēnei tere e āhei ai ngā rūma o te ngākau ki te kī i te toto.

Ko te nuinga o te hunga e pāngia ana e te Ventricular Tachycardia he mate manawa anō kei a rātou. Ko ngā tino take ko:

• Te mate o te uaua koronari.
• Te ngoikore o te ngākau.
• Te mate pūkahukahu .
• Te whakanui o te ngākau (Cardiomyopathy) .
• Te mate takirere ngākau .
• Te pokanga ngakau o mua.
• Te kiko whara i roto i te ngākau nā te whakaekenga ngākau o mua ('Myocardial Infarction') .
• Ētahi atu mate hauora pēnei i te `(Sarcoidosis)` .
• Ētahi āhuatanga tuku iho .

Tērā atu anō ētahi take kāore e pā ana ki te ngākau, engari ka taea te whakaputa i te `(Ventricular Tachycardia)`:

• Ko ētahi rongoā .
• Te kore taurite o ngā irahiko i roto i te tinana (koinei ngā kohuke e whakahaere ana i te manawataki o te ngākau).
• Te nui rawa o te kawheine, te waipiro rānei .
• Te whakamahi i ngā raau taero turekore ('Ngā raau taero whakangahau') .
• I ētahi wā, nā te nui rawa o te whakakori tinana te take.

I ētahi wā, kāore pea e taea te kimi i tētahi take mō tēnei.

He aha te take tino noa?

Ko te tino take o te Ventricular Tachycardia ko te mate ngakau ischemic . Ka kiia hoki tēnei ko te mate ngakau coronary, ko te mate uaua coronary rānei. Ki te kī ngāwari, kāore e nui te toto me te hāora e whiwhi ana te uaua o te ngakau nā te mea he aukati i roto i ngā uaua coronary. He maha ngā wā ka puta ēnei aukati i te atherosclerosis .

Me pēhea te mōhio ki te `(Ventricular Tachycardia)`?

Hei kimi mārire mēnā kei a koe te `(Ventricular Tachycardia)`, ka mahia e tō tākuta ēnei mea:

• Ka kōrero taipitopito rātou ki a koe mō ō tohumate.
• Ka whakahaerehia he whakamātautau tinana, tae atu ki te tirotiro i te tere o tō pātaki.
• Ka kohi i ngā mōhiohio e pā ana ki tō hītori hauora .
• Ka whakahaua e ia kia whakahaerehia he maha o ngā whakamātautau e tika ana.

He aha ngā whakamātautau e mahia ana mō tēnei?

Ko te whakamātautau matua, ko te whakamātautau tino whakamahia hei tautuhi i te Ventricular Tachycardia, ko te electrocardiogram (ECG/EKG) . Ka tuhia e tēnei te mahi hiko o tō ngākau.

Hei tāpiri, ka taea te whakahaere i ētahi atu whakamātautau, pēnei i:

• Aroturuki Holter: He taputapu iti tēnei e hopu tonu ana i te manawataki o tō manawa mō ngā haora 24, 48 rānei.
• Te rangahau hikohiko (EPS): Kei roto i tēnei ko te whakauru i tētahi waea angiangi ki roto i te ngākau, me te tirotiro hōhonu i te pūnaha hiko o te ngākau.
• Aroturuki i ngā takahanga manawa: He rite tēnei ki te aroturuki Holter, engari ka taea e koe te whakahohe me te tuhi i tō pao o te manawa ina pā mai ngā tohu.
• Whakamātautau ahotea o te mīhini oma: Ka whakamātautau tēnei i te urupare a tō ngākau ina whakakorikori koe (oma i runga i te mīhini oma).
• Echocardiogram: He matawai ultrasound tēnei o te ngākau. Ka taea te tirotiro i te hanganga me te mahi a te ngākau.
• Ngā whakamātautau toto: Tirohia ngā mea pēnei i ngā taumata electrolyte me ngā whākōkī o te ngākau.

Me pēhea te rongoā i te Ventricular Tachycardia?

Mena kei a koe ngā tohu, kei te pāngia rānei koe e te Ventricular Tachycardia mō te neke atu i te 30 hēkona ahakoa kāore he tohu, me tino hiahia koe ki te rongoā.

I te wā e rongoatia ana tēnei, ko te mea nui ko te rongoā i te mate taketake i puta ai te āhua. Ka taea e ēnei maimoatanga te whakapai ake i tēnei manawa pākiki rerekē, me te ārai i tōna hokinga mai.

Ko te maimoatanga ohorere mō te Ventricular Tachycardia ko:

• CPR (Whakaora Manawa Pūkahukahu): He tikanga āwhina tuatahi hei whakaora i te ora mēnā ka mutu te pao o te manawa.
• Te whakakore i te fibrillation hiko: Ka tukuna he ru hiko ki te ngākau hei ngana ki te whakahoki i te manawataki ki te auau noa.
• Ngā rongoā IV: Whakahaerehia te tere o te manawa.

I ngā take ehara i te mea ohorere, ko ngā maimoatanga noa ko:

• Te Whakakorenga o te Catheter Auautanga Reo Irirangi (RCA): I roto i tēnei, ka kitea te wāhi tika o te manawataki o te ngākau rerekē, ā, ka whakamahia he catheter (he ngongo angiangi) hei whakangaro i te kiko i taua wāhi mā te iahiko hiko.
• Pūwhakamātautau-Whakamātautau-Kaiwhakatō (ICD): He taputapu iti tēnei e whakatōngia ana ki raro i te kiri e tata ana ki te ngākau mā te pokanga. Ka aroturuki tonu i te manawataki o tō ngākau. Mēnā ka puta he tachycardia ventricular, ka kitea e te taputapu, ā, ka tukuna tonutia he tohu hiko hei whakahoki i te manawataki o te ngākau ki tōna noa.
• Ngā Rongoā: Ka hoatu ngā rongoā hei whakaroa i te tere o te manawa, hei pupuri hoki i te auau noa. Heoi anō, ka pāngia pea koe e ētahi rongoā. Mā tō tākuta ēnei e whakamārama ki a koe.

He raruraru kei roto i te maimoatanga?

He haumaru, he whai hua hoki te tango i te catheter mō te ventricular tachycardia. Heoi, he tino onge pea ētahi raruraru. Kei roto i ēnei ko:

• Te kino ki tō ngākau, ki ō oko toto rānei.
• Ngā toto totoka.
• Te toto.
• Te mate urutā .

Kia pēhea te roa o te wā e ora ai i muri i te maimoatanga?

I muri i te `(Ventricular Tachycardia Ablation)`, me noho koe ki te hōhipera mō te pō kotahi pea. I te nuinga o te wā ka taea e koe te hoki ki ngā mahi o ia rā i roto i ētahi rā i muri i te wehenga atu i te hōhipera. Heoi , kāore i te tūtohutia kia mahi i tētahi mea taumaha, uaua rānei mō te toru rā pea, kia whakahaua rā anō rānei koe e tō tākuta.

Me pēhea taku whakaiti i tēnei mōrearea?

Mā te karo i ngā mate manawa e hua ai te Ventricular Tachycardia, ka taea e koe te whakaiti i te mōrearea o te whakawhanake i tēnei mate.

Ka taea e koe te mahi i ēnei mea hei tiaki i a koe mai i te mate pūkahukahu, te tino take o tēnei:

• Kai i tētahi kai hauora, iti te ngako, iti te tote .
• Whakakorikori tinana i ngā wā katoa.
• Kia mau tonu te taumaha hauora.
• Kati rawa te whakamahi i ngā hua tupeka katoa.
• Tangohia te rongoā e tohua ana e tō tākuta mō te toto toto tiketike me te cholesterol tiketike, kia rite tonu ki te mea i tohua.

He aha te mea ka puta mēnā kei a au te `(Ventricular Tachycardia)`? (Te Matapae)

Ko tō matapae ka whakawhirinaki ki te kaha o tō Ventricular Tachycardia me te mea he mate manawa anō tōu. Ka kino pea te mate, ina koa mēnā kāore te ventricle maui o tō ngākau e mahi tika ana. Engari mā te maimoatanga tika, ka taea e te nuinga o te tangata te noho noa.

Ka taea te whakaora katoa i te Ventricular Tachycardia?

Kei te pūtake o te raru tēnei. Mō ētahi tāngata, ka taea e te Radiofrequency Catheter Ablation te whakaora katoa i tēnei manawataki rerekē, ā, kāore he maimoatanga atu e hiahiatia ana. Kāore ngā taputapu e kiia nei ko ngā Implantable Cardioverter Defibrillators (ICD) e whakaora i tēnei, engari he tino whai hua ki te āwhina i te whakahoki i te manawataki ki te manawataki noa mā te tuku i te tere o te pā, i te ohorere rānei i roto i ngā take e morearea ana te ora o te Ventricular Tachycardia.

Me pēhea taku tiaki i ahau anō?

Hei tangata e pāngia ana e te `(Ventricular Tachycardia)`, me mahi e koe ēnei mea hei tiaki i a koe anō:

• Whāia he kai hauora mō te ngākau me te mahere whakakori tinana kua tūtohutia e tō tīma hauora.
• Kati te whakamahi i ngā hua tupeka.
• Me haere tonu te tango i ngā rongoā kua tohua e tō tākuta māu e ai ki te whakahaunga, kaua e waiho tetahi horopeta hei wareware.

Āhea ahau me toro atu ki taku tākuta?

He mea tino nui kia kite i tō tākuta i ia wā mō ngā whakamātautau whai muri. Ka hiahia tō tākuta ki:

• Tirohia tō āhua.
• Me whakarite kei te tika te mahi a tō maimoatanga.
• Kōrerohia ngā tohu hou e pā ana ki a koe, ngā huringa rānei o tō āhua.

Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Ki te pāngia koe e tētahi o ēnei tohu, waea atu ki te 1990 (mēnā kei Sri Lanka koe), haere rānei ki te rūma whawhati tata tonu:

• Mamae o te uma.
• Te hemo.
• He tere, he rerekē hoki te pā o te manawa.

Kaua e taraiwa ko koe anake i tēnei wā. Me tono āwhina i te wā e taea ai.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ina haere koe ki te tākuta, kaua e mangere ki te pātai i ēnei pātai. He mea tino nui kia mārama koe ki tō āhua.

• Kia pēhea te auau o taku haerenga mai mō ngā whakamātautau "whai muri"?
• Me whai ICD ahau?
• Me tango anō rānei he catheter ablation?
• He aha ngā huringa me mahi e au i roto i tōku āhua noho?

Mā te mōhio ki te tere o tō manawa me ō kare ā-roto ka āwhina i a koe ki te whiwhi maimoatanga ina hiahiatia. He mea nui te maimoatanga wawe mō te Ventricular Tachycardia. Nō reira, ki te hiahia āwhina koe, tō whanaunga rānei, kaua e whakaroa. Ahakoa i muri i te wehenga atu i te hōhipera, me whai i ngā tohutohu a te tākuta. Tangohia te rongoā kia rite ki te mea i whakaritea. Kia ora te noho. Ina koa mēnā he taputapu hauora tāu hei maimoatanga, haere ki ngā whakamātautau '(whai muri)' me te kore e ngaro.

Hei whakamutunga, ngā mea hei maumahara

Ko te Ventricular Tachycardia he tere, he rerekē te pao o te ngakau e tīmata ana i ngā rūma o raro o te ngākau. He mate kino tēnei, nō reira kaua e warewarehia ngā tohu. Mena ka pāngia koe e te mamae o te uma, te uaua ki te manawa, te whanoke, te hemo rānei , rapua tonutia he awhina hauora.

Waimarie, kei reira ngā maimoatanga whai hua mō tēnei mate. Ka taea e ngā rongoā, te tango i te catheter, me ngā taputapu ICD te āwhina ki te whakahaere i te mate. Ko te mea nui ko te whai i ngā tohutohu a tō tākuta me te noho i tētahi momo oranga hauora. Kātahi ka taea e koe te noho pai me tēnei mate.

` Te tere o te manawa, te mate manawa, te takikardia, te hopukanga ohorere o te manawa, te manawataki o te manawa, te maimoatanga o te manawa, ICD