Kei te pēhia tō ngākau e te tere haere, kāore he take? Kei te pēhia tō oma atu? Kei te pēhia tō uma e te patupatu, kei te poto te manawa, kei te pōuri koe, ā, kei te kikorangi ō kanohi? Mena kua pāngia koe e ēnei āhuatanga, ko tētahi o ngā take ko te mate e kōrerohia nei e tātou i tēnei rā, ko te Wolff-Parkinson-White Syndrome. Kaua e mataku mena he ahua uaua te ingoa. Me kōrero tātou mō tēnei mea kia tino māmā, kia mārama ai koe.
He aha rawa te mate Wolff-Parkinson-White (WPW)?
He whakarāpopototanga noa iho, ko te WPW Syndrome he panoni iti i te huarahi e haere ai ngā tohu hiko i roto i te ngākau. He āhuatanga e kitea ana i te whānautanga mai.
Whakaarohia he rite ki tētahi papu iti. Kia tika ai te mahi a tēnei papu, me whiwhi tohu hiko. I te nuinga o te wā, kotahi noa te ara motuhake o te ngākau e haere ana ēnei tohu. Kei tēnei ara he hononga iti e kiia nei ko te pūnga AV . Mā tēnei hononga ka āwhina i ngā wāhanga o runga o te ngākau (atria) me ngā wāhanga o raro (ngā rūma ventricular) kia whakapoto i roto i tētahi raupapa tika.
Engari i roto i te ngākau o te tangata e pāngia ana e te mate WPW, he ara tāpiri anō kei tua atu i te ara hiko noa. He rite tēnei ki tētahi "ara poto" ka taea te whakamahi hei karo i tētahi rori matua i roto i te tāone nui.
Mā tēnei ara tāpiri, e karo ana i te pūnga AV e whakahaere ana i te tere, ka taea e ngā tohu hiko te haere tere ki ngā rūma o raro o te ngākau, arā, ngā ventricles. Mā tēnei ka mimiti wawe ngā rūma o te ngākau i te wā noa. I roto i te rongoā, ka kiia tēnei ko te preexcitation . Mā ēnei tohu tere, rerekē hoki ka tere ake te patu o te ngākau. Ka whakamahia e mātou ngā ingoa pēnei i te "supraventricular tachycardia - SVT" me te "atrial fibrillation - AFib" mō ēnei momo patu tere o te ngākau.
Kia maumahara, ehara te WPW Syndrome i te ngoikore o te ngākau. He panoni iti noa iho i roto i te pūnaha hiko o te ngākau e kitea ana i te whānautanga.
Ehara tēnei āhuatanga i te mea tino noa. E pāngia ana te 1 ki te 3 i roto i te 1,000 tāngata puta noa i te ao. He nui ake te kitea i roto i te hunga he mate manawa whānau anō ō rātou, pērā i te mate Ebstein.
He aha ngā tohu o te mate WPW?
Ehara i te mea ka pāngia te katoa e te mate WPW Syndrome. Tērā pea ētahi tāngata kāore e mōhio kei a rātou te mate mō te toenga o ō rātou oranga. Engari, ki te puta ngā tohu, ka puta i te nuinga o te wā ina tere rawa te tere o te manawa.
He aha ai tēnei? Ina tere rawa te pā o te manawa, kāore e ranea te wā o ōna rūma ki te whakakī i te toto. Nō reira, kāore e taea e te manawa te papu i te toto ki te tinana. Koinei te wā e puta ai ēnei tohu.
Kia tirohia ngā tohu matua kei te ripanga i raro nei.
| Tohu | Whakamārama Māmā |
|---|---|
| Ngā Whakaterenga o te Ngākau | He kare ā-roto ohorere o te kikī o te uma, me te mea kei te pakū te manawa i waho o tō uma. Ka puta pea tēnei i a koe e noho ana, e whakakorikori tinana ana, e taumaha ana, i muri rānei i te tango i tētahi mea whakaohooho pēnei i te kawhe. |
| Pōuriuri | Te pōuri. Ka puta pea tēnei āhuatanga ina kore e ranea te toto e whiwhi ana te roro. |
| Te ngoikore, te ngoikore rānei | Ka kikorangi ngā kanohi, ka ngoikore, ka ngaro rānei te māramatanga. |
| Te ngenge, te ngoikore rānei | Te āhua nei kāore he ora o tō tinana, te ngenge tonu. |
| Te poto o te manawa | Te āhua e hemo ana te manawa, te uaua rānei ki te manawa. |
| Te pēhanga o te uma, te kikī rānei | He kare ā-roto e pēhia ana, e taimaha ana rānei i roto i te uma. |
He aha te take o te mate WPW?
Mō te nuinga o te tangata, kāore anō kia kitea he take motuhake mō te mate WPW. Ko te tikanga he mea tūpono noa iho. Engari mō te hunga tokoiti, tera pea nā ngā āhuatanga ira te take o te mate. Ko tētahi take ko ngā huringa o te ira e kiia nei ko te PRKAG2 . Ka taea hoki te tuku iho i ēnei huringa ira mai i tētahi whakatipuranga ki tētahi whakatipuranga.
He aha ngā raruraru ka puta mai i tēnei āhuatanga?
He oranga noa iho te nuinga o te hunga e pāngia ana e te mate WPW. Heoi, ki te kore e rongoatia, ka puta pea ngā raruraru i ētahi wā. Kaua e manukanuka , he tino onge ēnei. Ā, kei reira ngā maimoatanga whai hua e wātea ana i ēnei rā hei ārai i a rātou.
- Ngā aituā i puta mai i te ngaronga o te māramatanga: Ki te ngaro whakarere tō māramatanga, ka hinga pea koe, ka whara hoki.
- Ētahi atu āhuatanga rerekē o te manawa o te ngakau: Tērā pea ka piki ake te mōrearea o te whakawhanake i ētahi atu āhuatanga rerekē o te manawa o te ngakau, pērā i te atrial fibrillation.
- Ngā hapa o te manawa o te ngakau: He tino onge, ka puta he āhuatanga kino e kiia nei ko te "Ventricular fibrillation".
- Te matenga ohorere o te ngākau: Koinei te raruraru tino kino, tino onge hoki o te mate WPW. Ko tētahi o ngā whāinga matua o te maimoatanga ko te whakakore katoa i tēnei mōrearea.
Me pēhea te tautuhi a ngā tākuta i tēnei mate?
Mena kei a koe ngā tohu kua whakahuatia ake nei, ko te mea tuatahi ka mahia e tō tākuta ko te mahi i tētahi ECG (electrocardiogram). He whakamātautau tino māmā tēnei, kāore he mamae.
Ka taea e te ECG te hopu i ngā mahi hiko o te ngākau. Ka whakaatuhia e te ECG o te tangata whai mate WPW tētahi tauira motuhake i puta mai i te ara hiko tāpiri. Ka kiia tēnei tauira ko te "tauira WPW".
- Tauira WPW: Ahakoa kei tō ECG tēnei tauira, ki te kore he tohu, ka kī noa tō tākuta he tauira WPW tōu.
- Te Mate WPW: Ki te pāngia koe e ngā tohu pēnei i te mamae o te uma me tēnei tauira i runga i tō ECG, ka whakatauhia e tō tākuta kei a koe te Mate WPW.
Haunga te ECG, ka tūtohu pea tō tākuta i ētahi atu whakamātautau.
- Echocardiogram (Echo): He matawai ultrasound tēnei o te ngākau. Ka āwhina ki te kite mēnā kei te mahi tika te hanganga, ngā rūma, me ngā takirere o te ngākau.
- Rangahau hikohiko: He whakamātautau uaua ake tēnei. I roto i tēnei, ka whakauruhia ngā waea angiangi (ngā catheter) ki roto i te ngākau, ka maherehia ngā ara hiko o te ngākau, ā, ka whakatauhia te wāhi tika o te ara tāpiri.
- Whakamātautau ahotea whakakori tinana: Ka hangaia koe kia oma i runga i te mīhini oma, ā, ka whakamahia he ECG hei aroturuki i te panonitanga o te ngohe me te manawataki o tō ngakau i a koe e whakakori tinana ana.
- Te aroturuki haereere (te aroturuki Holter):Ka mauhia he taputapu iti ki tō tinana hei hopu i te tere o tō manawa mō ngā haora 24, neke atu rānei. Mā tēnei ka āwhina i te tautuhi i ngā huringa o te tere o tō manawa i a koe e mahi ana i ngā mahi o ia rā.
He aha ngā maimoatanga mō te WPW Syndrome?
He tino whai hua ngā maimoatanga mō te mate WPW. Mā tō tākuta e whakatau te maimoatanga tino tika māu i runga i te āhua o ō tohu, te auau o te puta mai, me ngā hua o ō whakamātautau.
| Tikanga Maimoatanga | Whakaahuatanga |
|---|---|
| Ngā rongoā ārai-arrhythmic | Ka taea e ngā rongoā hei whakahaere i te tere o te ngakau te whakaiti i te auau o ngā tohu. |
| Ngā Mahi Whakarerekētanga Vagal | Ina tere te tere o tō manawa, he maha ngā mea ngāwari ka taea e koe te mahi i te kāinga hei āwhina i a ia kia hoki ki te āhua noa. Hei tauira, te maremare nui, te muru rānei i tō mata ki te tauera matao. Mā tō tākuta koe e ako ki te mahi i ēnei. |
| Te Putanga o te Ngākau | Mēnā he āhuatanga ohorere, arā, mēnā ka tere tonu te pā o te ngakau, he tikanga tēnei hei whakahoki i te pā o te ngakau kia noho noa mā te tuku i tētahi ru hiko iti ki te uma i roto i te hōhipera. |
| Te Whakakorenga o te Catheter | Koinei te rongoā pai rawa atu, ā, tino pumau hoki mō te Mate WPW. I roto i tēnei, ka whakaurua he waea angiangi (catheter) ki roto i te ngākau mā roto i tētahi oko toto i roto i te hope, ka kimihia te ara hiko tāpiri, ā, ka whakakorengia mā te pūngao auau irirangi, mā te cryoablation rānei. He rongoā tēnei e neke atu i te 94% te angitu. Whai muri i tēnei, ka taea te whakaora katoa i te mate. |
| Te Whakakorenga Pokanga | He tikanga ka whakamahia anake mēnā kāore e angitu te tikanga tango catheter, mēnā rānei e hiahiatia ana tētahi atu pokanga ngākau. |
Āhea ahau me kite i te tākuta?
Mena kei a koe te mate WPW Syndrome, he mea tino nui kia toro atu koe ki tō tākuta mō ngā tirotiro auau (tirotiro whai muri). Mā tō tākuta koe e kī atu ki te auau o tō haerenga mai. Waihoki, ki te kite koe i ētahi huringa o ō tohumate, ki te puta rānei ētahi tohumate hou, me whakamōhio tonu atu ki tō tākuta.
I a koe e noho ana i roto i tēnei āhuatanga, ka pāngia pea koe e te mataku me te manukanuka i ētahi wā. He mea noa iho tēnā. I ēnei wā, kaua e huna i roto i a koe, engari he pai te kōrero ki tētahi e whakawhirinaki ana koe, ki tētahi kaiwhakatakoto whakaaro rānei, mō tō hauora hinengaro.
Āhea te haere ki te ETU mō te maimoatanga ohorere
Ki te pāngia koe e ngā tohu e whai ake nei, haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera tata rawa atu .
- Mena ka pāngia koe e te mamae nui o te uma .
- Te hemo.
- Mena ka roa ake i te torutoru meneti te tere o te pā o te ngakau , ā, kāore e mimiti ahakoa kua oti ngā mahi Vagal Maneuvers kua tohua e tō tākuta.
Ki te kore koe e mōhio, tērā pea kāore e taea e koe te āwhina i a koe anō. Koia te mea nui kia mōhio koe ki tō whānau me ō hoa e noho tahi ana koe mō tō āhua. Pērā ai, ka mōhio rātou ki te mea me mahi i roto i te āhuatanga ohorere.
Ka pēhea rā tōku heke mai me tēnei āhuatanga?
Ko te nuinga o te hunga e pāngia ana e te mate WPW e te maimoatanga tika ka taea te noho ora noa, hauora hoki . Mā te tango i te catheter, ka taea te whakaora katoa i te mate me te tiaki i a koe mai i te mōrearea o te mate ngakau ohorere.
Me tūpato pea koe ki ētahi mea o tō oranga o ia rā. Hei tauira, he pai ake te karo i ngā mea ka tere ake te pao o tō ngākau.
- Waipiro
- Kawheine (kawhe, ētahi tī, ētahi inu ngohengohe)
- Ngā mea whakaohooho pērā i te nikotīni (te momi hikareti)
- Te whakakori tinana taumaha, taumaha (pātai atu ki tō tākuta he aha ngā whakakori tinana haumaru māu)
Mena kei te pāngia tāu tamaiti e te mate WPW...
Hei mātua, tera pea ka tino mataku koe ina kitea e koe kei te pāngia tāu tamaiti e tēnei mate. He mea noa tēnā. Ko te mea nui ko te kōrero tuwhera ki te tākuta o tāu tamaiti, me te pātai i ō pātai katoa.
Hei tauira, me tiki tohutohu mārama mō te haumaru o te tākaro hākinakina mā tāu tamaiti, me te aha rānei me mahi mēnā ka piki ake te tere o tōna manawa i te kura. Ka taea hoki e te tākuta te āwhina i a koe ki te whakamārama i te āhuatanga i roto i te reo e mārama ana tāu tamaiti.
He mea whakamataku te ingoa o te WPW Syndrome. Engari kia maumahara, he āhuatanga tēnei ka taea te whakahaere, ā, i te nuinga o te wā, ka taea te whakaora katoa. Kei konei tō tākuta me tō rōpū hauora hei āwhina i a koe. Nō reira kaua e mangere ki te pātai i ō pātai.
Karere Tangohia ki te Kāinga
- Ko te mate Wolff-Parkinson-White (WPW) he mate whānau mai i te whānautanga mai i te aroaro o tētahi ara hiko tāpiri i roto i te ngākau.
- Tērā pea ka puta ohorere mai ngā tohu pēnei i te tere o te manawa, te whanoke, me te ngaro o te māramatanga. Heoi, kāore e pāngia te katoa e ngā tohu.
- Ko te whakamātautau matua mō te tautuhi i tēnei mate ko te ECG.
- Kaua e manukanuka! He tino whai hua ngā maimoatanga mō tēnei. Ka taea e te maimoatanga e kiia nei ko te Catheter Ablation te whakaora katoa i tēnei mate i roto i te 94% neke atu o ngā take.
- Ki te mamae tō uma, ka hemo tō puku, ka tere tonu rānei te pā o te ngakau, haere tonu ki te ETU o te hōhipera.
- Kōrerohia mā te mahorahora ki tō tākuta mō ō tohu me te maimoatanga. Mā te maimoatanga tika me ngā huringa āhua noho, ka taea e koe te noho ora pai rawa atu.
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