Ngā mea me mōhio koe mō te Atake Manawa o "Widowmaker"!

Kua rongo kē koe i te mate manawa "Widowmaker"? He momo mate manawa tino morearea tēnei. Inaa, ka taea e ia te noho hei mōrearea tonu ki ō tātou oranga. Nō reira, me kōrero taipitopito tātou mō tēnei i tēnei rā, he mea nui rawa atu kia mōhio koe me ō whanaunga ki tēnei.

He aha tēnei mate manawa o "Widowmaker"?

Ki te kī māmā noa iho, he momo whakaeke ngakau tino kino te whakaeke ngakau "widowmaker". Ko te mea ka tupu i roto i tēnei, ka aukatia rawatia tētahi o ngā oko toto nui rawa atu o tō tātou ngākau, te uaua matua e tuku toto ana ki te ngākau. Ko te ingoa o tēnei uaua ko te Left Anterior Descending Artery (LAD) . Hei whakamārama, ko tēnei uaua LAD te mea e kawe ana i te toto ma, he nui te hāora ki te ventricle maui o tō tātou ngākau, te ruma papu matua kei raro i te ngākau. Ko tēnei ventricle maui te mea e tuku toto ana ki te aorta, e pupuhi ana i te toto ki te tinana katoa. Nō reira, whakaarohia te mea ka tupu mēnā ka aukatia tēnei uaua matua!

E kiia ana e ngā tākuta te whakaeke ngakau he "myocardial infarction." Ko te tikanga tēnei kāore e nui te toto e whiwhihia ana e te uaua ngakau (myocardium). Ki te kore he hāora, ka tīmata te mate o te uaua ngakau. He āhuatanga ohorere hauora te whakaeke ngakau. Ki te whakaaro koe kei te pāngia koe e te whakaeke ngakau, waea atu ki te 1990 (te ratonga ambulance ohorere o Sri Lanka), haere rānei ki te hōhipera tata.

He pēhea te kino o tēnei?

He mate pōrearea tēnei mate manawa "pouaru" i roto i te wā poto . Whakaarohia, ko te uaua LAD i kōrerohia e tātou i mua ake nei, e whakarato ana i te 50%, te haurua rānei, o te toto e hiahiatia ana e te uaua o te manawa. Nō reira, ina aukatia rawatia, ka motuhia te rere o te toto i te nuinga o te manawa. Koia te take he tino morearea.

Ko wai ka pāngia e tēnei mate manawa?

Ahakoa ko te ingoa "Widowmaker," ko tōna tikanga "pouaru-kaihanga," ehara tēnei i te mate e pā ana ki ngā tāne anake. Ka taea hoki e ngā wāhine te pāngia e tēnei momo mate ngākau. Nō reira kaua e tinihangatia e te ingoa.

He maha ngā āhuatanga e whakanui ake ai i te mōrearea o te mate ngakau:

• Tau: Mena he tāne koe, i muri i te 45 tau te pakeke. Mena he wahine koe, i muri i te 50 tau te pakeke.
• Hītori whānau: Mena he mate manawa tō tetahi o tō whānau.
• Te kai hauora kore: Ki te nui rawa ngā kai e kainga ana e koe, he nui te hinu, te tote, te huka, he iti te muka, ā, he kore taurite. Me whakaaro anō hoki tātou ki ngā "kai tere" me te "raihi parai" e kainga ana e tātou.
• Te whakamahi tupeka: Ki te mea he hikareti koe, whakamahia ngā mea pēnei i te bidi, te hikā, me ētahi atu.
• Te kore whakakori tinana: Mena he noho noa iho tōu, engari kāore e whakakori tinana.
• Ētahi atu āhuatanga hauora:
• Ko te tikanga o te momona nui ko te taumaha rawa.
• Te toto toto tiketike .
• Te nui o te cholesterol.
• Mate huka (Diabetes Mellitus) .

He aha ngā tohu whakatūpato mō tēnei?

"Kaiwhanau" Koinei ētahi o ngā tohu ka puta i te wā e pāngia ana koe e te mate manawa. Ki te pāngia koe e tētahi, e ētahi rānei o ēnei, kaua e warewaretia.

• Te mamae, te koretake rānei o te uma: Koinei te tohu matua. Tērā pea he pēhanga kei roto i te uma, he taumaha kei waenganui o te uma, he pēhi rānei. Tērā pea ka pāngia ētahi tāngata e te wera o te uma.
• Te uaua ki te manawa: Ka uaua whakarere te manawa, ā, ka ahua ngoikore pea koe.
• Whatiwhati: Tērā pea ka rite koe ki te mea kei te hurihuri tō mahunga, ā, he uaua pea ki te tū mārire.
• Puku mamae, whakapairuaki rānei: Tērā pea ka rite koe ki te hurihanga o tō puku, ka rite rānei koe ki te ruaki. E pohehe ana ētahi tāngata ki tēnei he gastritis.
• Ngenge rawa: Ka tino ngenge, ka tino ngenge rawa te ngenge, kāore he take.
• Māmā te upoko: Te māmā, te pōuri rānei.
• Mamae i ētahi atu wāhi o te tinana o runga: Ka tīmata pea tēnei mamae i te uma ka horapa ki raro i te ringa maui, ki te pakihiwi, ki te kaki, ki te kauae, ki waenganui o te tuara rānei.

Ko te mea nui: Ki te pāngia koe e ēnei tohu, waea atu ki te 1990 tonu atu , haere rānei ki te hōhipera tata. Kaua e taraiwa ko koe anake. Kōrero atu ki tō whānau. He mea nui te wā ki konei!

He aha te take o tēnei āhuatanga mōrearea?

Ko te tino take o te whakaeke ngakau "widowmaker" he mate e kiia nei ko te "atherosclerosis." I roto i ngā kupu māmā, koinei te wā e kohikohi ai te cholesterol me ētahi atu ngako mai i ngā kai kino e kainga ana e tātou ki roto i ngā pakitara o tō tātou uaua LAD. Pērā i te waikura e kohikohi ana i roto i te paipa wai, ka āta whakawhāitihia, ka whakapakeketia te uaua e ēnei putunga. Ā tōna wā, ka pakaru ēnei putunga, ka hanga he toto totoka ka ārai katoa i te uaua. Koinei te wā ka puta ai te whakaeke ngakau.

Me pēhea te kite a ngā tākuta i tēnei?

Ina haere koe ki te hōhipera, ka whakahaerehia e ngā tākuta ētahi whakamātautau hei tautuhi i tēnei mate ngakau "powdermaker".

• Te hiko o te manawa (EKG/ECG): Mā tēnei ka whakamātautau i te ngohe hiko o te ngākau. Ka kitea ngā panoni i roto i tēnei i te wā e pāngia ana koe e te mate ngākau. He whakamātautau tēnei mā te whakapiri i ngā tapanga iti ki tō uma, ki ō ringaringa rānei.
• Echocardiogram: He rite tēnei ki te matawai i te ngākau. Ka taea te tirotiro i te kaha pupuhi o te ngākau, te mahi a ngā takirere, me te tirotiro mēnā he kino kei te uaua o te ngākau.
• Ngā whakamātautau toto: Tērā ētahi whākōkī (hei tauira, troponin) ka tukuna ki roto i te toto ina pakaru te uaua o te ngākau. Ka taea te whakamahi i ō rātou taumata hei whakaū i te whakaeke ngākau.
• X-ray o te uma:He āwhina tēnei ki te tirotiro mō ētahi atu raruraru o te uma, pērā i te ngākau kua rahi.
• Angiogram Coronary: Koinei te whakamātautau matua hei tirotiro i te āhua o te aukati o ngā uaua toto. Ka whakauruhia he ngongo iti ki roto i te uaua i te ringa, i te waewae rānei, ka werohia he tae ki roto i ngā uaua toto o te ngākau, ā, ka tangohia he hihi-X.
• Matawai CT o te Manawa (Cardiac Computed Tomography - CT): He matawai motuhake anō hoki tēnei e mahia ana hei tirotiro i te āhua o ngā uaua o te manawa.
• MRI o te Ngākau (Whakaahua Āhua Aukume): Ka taea hoki e tēnei te whakarato i ngā kōrero taipitopito mō te hanganga me te mahi a te ngākau.
• Matawai ngākau karihi: Ka taea hoki e tēnei te tirotiro i te rere o te toto i roto i te ngākau.

He aha ngā maimoatanga e wātea ana?

Ka whakamahia e ngā tākuta ngā mea pēnei i te wā e rongoā ana i te whakaeke ngakau "widomaker":

• Kopare hāora: Ka hoatu te hāora hei whakaiti i te uauatanga o te manawa, hei whakanui ake hoki i te nui o te hāora e tae atu ana ki te ngākau.
• Ngā momo rongoā:
• Whakaitihia te mamae.
• Whakarewahia ngā toto totoka, ārai rānei i te hanganga (hei tauira, aspirin, clopidogrel).
• Whakahaerehia ngā manawataki ngakau rerekē.
• He whakaiti i te cholesterol (Statins).
• Whakahaerehia te toto toto.
• Angioplasty: Ko te whakauru i tētahi poihau iti ki roto i te uaua LAD kua āraia, ka pupuhihia hei whakawhānui i te wāhi kua āraia.
• Te whakanoho i te stent: Whai muri i te whakawhanuitanga o te uaua mā te angioplasty, ka whakanohoia he taputapu iti rite ki te mata (stent) ki tōna tūranga hei ārai i te whaiti anō. Koinei te maimoatanga tere rawa atu i te nuinga o te wā.
• Pokanga Ārai i te Arorangi o te Koronari (CABG): Mena he maha ngā wāhi kua āraia te uaua, he kuiti rawa rānei, kāore e taea te whakauru i tētahi stent, ka mahia tēnei pokanga ārai. Ko te tikanga o tēnei ko te ārai i te uaua kua āraia, ka waihanga i tētahi ara hou mā te whakamahi i tētahi wahi uaua i tangohia mai i tētahi atu wāhanga o te tinana.

I te nuinga o te wā, me noho pea te pouaru i te hōhipera mō ngā rā e rua ki te whā i muri i te mate manawa. Heoi, me noho pea ētahi tāngata mō te wā roa atu mēnā ka puta he raruraru.

He pānga taha kei te rongoā?

Ae, ka pā mai pea ētahi pānga taha iti noa iho i ētahi maimoatanga.

• I ētahi wā ka tūpono te toto i te tango i ngā rongoā whakaiti toto.
• I muri i te whakatakotoranga o te stent, me tango e koe ētahi rongoā (hei tauira, Aspirin, Clopidogrel) mō te toenga o tō oranga hei ārai i te hanganga o ngā toto totoka i roto.
• Ina pokangahia te arai toto, he iti noa te tūponotanga ka pā mai ngā raruraru nui pēnei i te whiu, te whakaeke ngakau anō, te mate rānei, ahakoa he tino onge. Engari ka whakapau kaha ngā tākuta ki te whakaiti i ēnei mōrearea.

Me pēhea tā tātou aukati i tēnei?

Waimarie, he maha ngā mea ka taea e tātou te mahi hei whakaiti i te tūponotanga o te pāngia e tetahi mate manawa, tae atu ki tēnei mate manawa "pouaru". Mēnā ka tika te mahi, ka nui te rerekētanga ka puta.

• He kai hauora mō te ngākau:
• Ngā kai iti te ngako kukū: Whakaitihia ngā kai hinuhinu, ngā kai i hangaia ki te hinu kokonati (kia taurite noa iho), te mīti whero (pīhi, poaka), te kai tere, me ngā kai tunu taro (he nui te pata me te pata) ki te nui e taea ana.
• Te whakahaere huka: Whakaitihia ngā kai huka pērā i ngā inu reka, ngā keke, ngā pihikete, me te aihikirīmi. Me tūpato hoki tātou ki te huka ka tāpirihia e tātou ki tā tātou tī.
• Te whakahaere tote: Whakaitihia te nui o te tote ka tāpirihia e koe ki tāu kai. He nui hoki te tote i roto i ngā pīkara, ngā ika tote, me ngā ranu.
• Huawhenua, hua rākau, me ngā rau matomato: Tāpirihia ēnei ki roto i ētahi kai i te rā. He tino pai ngā kai he nui te muka mō te ngākau.
• Ika: Kai ika i te iti rawa i ngā rā e rua o te wiki. He pai rawa atu ngā ika hinuhinu pērā i te hāmana, te makarera, me te tātini.
• Te whakahaere i te toto toto tiketike, te cholesterol tiketike, me te mate huka: Mena kei a koe ēnei āhuatanga, me tango i ngā rongoā e tohua ana e tō tākuta i te wā tika. Me tirotiro i a koe anō i ia wā.
• Me matara rawa atu i ngā hua tupeka: Kati tonu te momi hikareti. He kino anō hoki te noho tahi me te hunga momi hikareti (momi hikareti kore mahi).
• Whakakorikori tinana auau: Whai kia 150 meneti te iti rawa i te wiki (arā, 30 meneti i te rā, 5 ngā rā i te wiki) o ngā mahi whakakorikori tinana kaha-waenga. He kōwhiringa pai te hikoi tere, te oma, te eke pahikara, te kaukau rānei.
• Kia mau ki te taumaha hauora: Kia mau ki te taumaha hauora mō tō roa. Ko te momonatanga tetahi o ngā tino take o te mate ngakau.
• Te whakahaere i te ahotea: Whakamātauria kia whakangāwari i tō hinengaro mā roto i ngā mahi pēnei i te yoga me te whakaaroaro. Kia nui te moe.

He aha te mea ka tupu i muri i te whakaeke ngakau o "Widowmaker"?

E waru wiki pea te roa o te ora mai i te whakaeke ngakau "widowmaker", engari he rerekē tēnei i ia tangata, i ia tangata.

• Ka taea e ētahi tāngata te hoki ki te mahi i roto i ngā wiki e rua.
• Mō ētahi atu, e toru marama pea te roa ka tino ora ai.
• Mena he mahi uaua ki te tinana tōu (hei tauira, te ahuwhenua, te hanga whare), he pai pea te huri ki tētahi mahi kāore i te uaua.

Kei te pēhea te āhua o te wā roa?

Ahakoa te āhua whakamataku o tēnei, he mea nui kia mōhio koe. E 50% o ngā mate mai i ngā whakaeke ngakau ka puta i roto i ngā haora tuatahi o ngā tohu. Koia mātou i kī tonu ai kia haere ki te hōhipera i te wā tonu ka puta mai ngā tohu.

Heoi, ki te ora tonu koe i roto i ētahi rā i muri i te mate manawa, ka taea e te nuinga o te tangata te ora katoa.Heoi, e ai ki ngā tatauranga, tata ki te 10% o te hunga e pāngia ana e te mate manawa ka mate i roto i te tau tuatahi. Koia te mea nui kia whakarerekētia tō momo noho me te whai i ngā tohutohu a tō tākuta i muri i te mate manawa.

Me pēhea taku tiaki i ahau anō i muri i tērā?

Mena kua pāngia koe e te mate manawa, me hanga e koe ētahi huringa nui ki tō ao kia kore ai e puta anō. Whakaarohia tēnei hei tīmatanga hou.

• Whai wāhi atu ki ngā kaupapa whakaora ngākau: I muri i tō wehenga atu i te hōhipera, ka tukuna pea koe e ō tākuta ki tētahi kaupapa e kiia nei ko te "whakaora ngākau". He maha ngā mea ka akohia e tēnei kaupapa, tae atu ki te whakakori tinana, te kai i ngā kai hauora mō te ngākau, me te whakahaere i te ahotea. Kia mahara ki te mahi i tēnei.
• He kai hauora mō te ngākau: E ai ki tā tātou i kōrero ai i mua ake nei, me kai he iti te hinu, te tote, me te huka, engari me kai nui ngā hua me ngā huawhenua.
• Te whakahaere i te ahotea: Kia harikoa tō hinengaro. Whakapaua he wā ki te whānau me ngā hoa.
• Whakamutu rawatia te whakamahi tupeka: He mea whakahau tēnei.
• Tangohia te rongoā kia rite ki te whakahaunga a te tākuta: Kaua e ngaro tetahi o ngā rongoā kua whakahaungahia e te tākuta, tangohia i te wā tika, me te horopeta kua whakaritea. Me tango ētahi rongoā mō te toenga o tō oranga. Kaua e mangere ki te tango. Hei oranga mōu ake.

Āhea ahau me kite i te tākuta?

Kia mahara ki te haere ki ngā wā tirotiro katoa kua whakaritea e tō tākuta ki a koe. E hiahia ana rātou ki te kite me pēhea koe e ora ana, mēnā kei te pāngia koe e ngā pānga taha o ō rongoā, me te mea me whakarerekē tō horopeta. Pātai atu ki a koe ngā pātai, ngā āwangawanga rānei kei a koe i taua wā.

Āhea ahau me haere anō ki te rūma whawhati tata?

Ki te pāngia anō koe e tētahi o ngā tohu o te mate manawa (pērā i te mamae o te uma i kōrerotia i mua ake nei, te poto o te manawa), waea atu ki te 911, haere rānei ki te hōhipera tata tonu . He mea tino nui tēnei.

He aha ngā pātai nui hei pātai atu ki te tākuta?

Ina haere koe ki te tākuta, kaua e mangere ki te pātai i ēnei pātai:

• "He aha te tūponotanga ka pāngia anō ahau e te mate manawa?"
• "He aha te rongoā pai rawa atu mō tōku āhua?"
• "He rōpū tautoko kei reira e taea ai e te hunga e ora ana i ngā mate manawa te whakauru atu?"
• "Me pēhea taku tūpato ki te kai me te inu?"
• "Me pēhea taku whakakorikori tinana?"

Mā te mārama ki ēnei mea ka tino āwhina i a koe.

Hei whakamutunga, he mea hei maumahara! (Karere hei kawe ki te kāinga)

He tino morearea ngā whakaeke ngakau "Widowmaker". Heoi, mā te mōhio ki ēnei whakaekenga me te mahi wawe, ka taea e tātou te ārai i te maha o ngā kino.

Ki te whakapae koe kei te pāngia koe e ngā tohu o te mate manawa, rapua tonutia te āwhina.Arā, me waea atu ki te tau 1990. Ko te tere o tō taenga atu ki te hōhipera, ko te nui ake o ngā tākuta ka taea te whakaora i tō uaua ngākau. Ka tīmata te kapa waka tūroro ki te rongoā i a koe ina tae atu koe ki te hōhipera. Nō reira, he pai ake te waea atu ki te waka tūroro, kaua e tonoa he hoa, he whanaunga rānei hei taraiwa i a koe.

Tiakina tō ngākau. Kia ora tō āhua noho. He mea nui rawa atu ēnei mōhiotanga māu me ō whanaunga. Nō reira, me whakamōhio atu hoki ki a rātou.

` te whakaeke ngakau o te widowmaker, te whakaeke ngakau, te ngakau, te uaua LAD, te mamae o te uma, te poto o te manawa, te hauora o te ngakau, te atherosclerosis, te cholesterol, te tiaki ohorere