Ina whakaaro tātou ki te "mate ngakau," he maha ngā wā ka whakaaro tātou ki tētahi tāne pakeke. Engari i mōhio koe ko te mate ngakau me ngā mate e pā ana ki ngā wāhine o te ao te tino take o te mate, e mōhiotia ana ko te mate manawa (CVD)? He mate whakamate puku tēnei. He maha ngā wāhine kāore e mōhio kei te mōrearea rātou. Nō reira, i tēnei rā ka kōrero tātou mō te take me mōhio rawa ngā wāhine ki te mate ngakau, ngā tohu, me ngā mea ka taea e tātou te mahi hei tiaki i ō tātou ngakau.
He aha i rerekē ai te pūnaha manawa me te toto o ngā wāhine i ō ngā tāne?
Kei te whakaaro pea koe, "He ngākau te ngākau, nō reira he rerekētanga kei waenganui i te tāne me te wahine?" Kaua e miharo, āe, he mārama ngā rerekētanga. Kua kitea e ngā kaipūtaiao he rerekē anō hoki te pānga o ēnei rerekētanga ki ngā wāhine i roto i te āhua o te pānga o te mate ngākau ki a rātou.
Ki te kī ngāwari, he mea nui ēnei huringa.
- Anatomi: Ki te whakaritea ki ngā tāne, he iti ake ngā ngākau me ngā oko toto o ngā wāhine. He angiangi ake hoki ngā pakitara o ngā rūma matua (ngā ventricle) o te ngākau e pupuhi ana i te toto.
- Te Tatau Toto: He iti ake ngā toto whero o ngā wāhine i roto i ō rātou toto, arā, he iti ake te hāora ka taea e rātou te kawe i te wā kotahi.
- Ngā Whakarerekētanga o te Ngākau: Ina tū ohorere tātou i te takoto, ina piki rānei i te puke, me urutau ō tātou tinana. He nui ake te tūponotanga ka heke ohorere te toto toto o ngā wāhine i ēnei huringa.
- Ngā homoni: Koinei te rerekētanga nui rawa atu. He nui ake ngā taumata o ngā homoni estrogen me te progesterone i roto i ngā wāhine. He nui ake ngā taumata o te testosterone i roto i ngā tāne. He nui te pānga o ēnei homoni ki te hauora o te ngākau.
Me pēhea te mōhio o te wahine mēnā he mate manawa tōna?
Ko te tikanga ka tīmata ngā wāhine ki te pāngia e ngā tohu o te mate manawa i te tekau tau i muri i ngā tāne. Ahakoa he maha ngā tohu e pā ana ki ngā ira e rua, he rerekētanga anō kei ngā wāhine, inā koa ka pā ki te mate manawa me te ngoikore o te manawa.
Ngā tohu o te whakaeke ngakau i roto i ngā wahine
Ina whakaaro te tangata ki te mate manawa, ko te mamae o te uma e piri ana, e whakawhāiti ana. Koinei te tohu tino kitea. Heoi, he nui ake te tūponotanga ka pāngia ngā wāhine e ētahi atu tohu i te mamae o te uma, i te mamae rānei o te uma.
He maha ngā wā ka taea e ngā whakaeke ngakau i roto i ngā wāhine te noho hei 'whakaeke ngakau puku'. Ko te tikanga o tēnei ka puta ngā tohu i tētahi ara e kore e ngāwari te mōhio he whakaeke ngakau. Ka taea e tēnei te whakaroa i te maimoatanga, ā, ka tūpono pea te ora.
Tērā pea ka pāngia ngā wāhine e tētahi, e ētahi rānei o ēnei tohu i te wā e pāngia ana e te mate ngakau.
| Momo tohu | Whakaahuatanga me ngā wāhi i hangaia ai te huruhuru |
|---|---|
| Ngā wāhi e mamae ai koe, e kore rānei e pai |
|
| Ētahi atu tohu noa |
Ko te mea nui: Ki te pāngia koe e tētahi, e ētahi rānei o ēnei tohu, kāore he take kē atu, kaua e moumou taima. Haere tonu ki te Tari Ohotata (ETU) o te hōhipera. Ko ia meneti e pahemo ana i te wā o te whakaeke ngakau ka kino te uaua o tō ngakau. Nō reira, he mea nui kia rapu wawe i te maimoatanga.
Ngā Tohu Whakatūpato Moata o te Mate Manawa
He maha ngā wāhine e pāngia ana e ētahi tohu whakatūpato (ngā tohu tīmatanga) i roto i ngā hāora, wiki, marama rānei i mua i te whakaekenga o te ngakau. Ka haere mai, ka haere atu ēnei, nō reira he tokomaha te hunga kāore e aro atu.
Ko te tohu tino kitea, tino nui hoki mō te tīmatanga ko te ngenge rerekē, kāore he take e kitea ana. Ki te nui atu tō ngenge i te tikanga, ahakoa kāore koe e mahi i tetahi mea, kaua e warewarehia.
Ētahi atu tohu whakatūpato wawe:
- Te āhua pōuri
- Te koretake o te puku
- Ngā tere o te ngakau
- Me te mea kua taupokina tōku hinengaro e te kohu, kāore e taea e au te arotahi.
- Hiahia kai
- Te uaua ki te manawa me te kore moe i te pō
- Te ngenge, te ngau rānei i roto i ngā ringaringa
- Ngā ānini maha, ngā ānini kino rānei
- Te mamae o te uma
- Te mamae o te kauae, te niho rānei
- Te taumaha, te ngoikore rānei o ngā ringa
He tokomaha te hunga kāore e aro nui ana ki ēnei tohu nā te mea ka haere mai, ka haere atu. Engari ki te pāngia koe e tētahi mea rerekē pēnei, he mea whakaaro nui kia toro atu ki tō tākuta tonu mō ētahi tohutohu.
Ngā Wahine me te Raru o te Manawa
He mate mau tonu te ngoikore o te ngākau, e kore ai e taea e te ngākau te pupuhi toto kia tika. Ka taea e tēnei te arahi ki te pupuri wai, te pupuhi o ngā waewae, me te piki o te taumaha. He rerekē te pānga o tēnei mate ki ngā wāhine.
- Ko te ngoikore o te ngākau diastolic, he momo ngoikore o te ngākau e puta ana ina he noa te kaha pupuhi o te ngākau (ejection fraction), koinei te mea e kitea nuitia ana i waenga i ngā wāhine.
- Ko ngā tino take o te ngoikore o te ngākau i roto i ngā wāhine ko te toto toto tiketike , te mate takirere ngākau, te mate huka, me te mate uaua coronary.
- Ko te mate ngakau whati (Syndrome Ngākau Pakaru) he mate ka puta mai i te whara hinengaro nui, he mea noa anō hoki i waenga i ngā wāhine.
- He nui ake te mōrearea o ngā wāhine ki te whakawhanake i ngā tohu o te ngoikore o te ngakau i muri i te whakaeke ngakau.
Ko ngā tohu pēnei i te poto o te manawa (ina koa i te wā e whakakorikori ana), te uaua ki te whakakorikori tinana, me te pupuhi o te tinana (edema) he mea e kitea whānuitia ana i roto i ngā wāhine.
He aha ngā āhuatanga mōrearea motuhake mō te mate ngakau i roto i ngā wāhine?
Ka pāngia te katoa e ngā āhuatanga mōrearea noa pēnei i te cholesterol tiketike me te toto toto tiketike. Engari ko ētahi āhuatanga ka pā nui ake ki ngā wāhine, ā, ko ētahi he mea motuhake ki ngā wāhine. Me titiro tātou ki ēnei.
| Tauwehenga mōrearea | Te pānga ki ngā wāhine |
|---|---|
| Teitei o te Cholesterol | He nui ake te mōrearea o te iti o te cholesterol pai (HDL cholesterol) mō ngā wāhine neke atu i te 65 tau te pakeke i ngā tāne. |
| Mate Huka (Diabetes Mellitus) | He nui ake te tūponotanga ka pāngia te wahine e te mate huka i te tāne e te mate huka ana.E rua ki te whā ngā wā ka nui ake te mōrearea o te mate ngakau. |
| Te toto toto tiketike (hypertension) | He mea noa te toto toto tiketike i roto i ngā wāhine neke atu i te 60 tau te pakeke, engari kāore i te tino pai te whakahaere. Nā te mea he nui ake ngā pānga taha o ētahi rongoā, ā, ka nui ake te aro o te tinana ki te tote i muri i te paheketanga. |
| Te paheketanga | Ka whakaratohia e te homoni estrogen ētahi ārai mō te mate ngakau. I te hekenga o ngā taumata estrogen i muri i te menopause, ka piki ake te mōrearea o te toto totoka, ngā putunga ngako i roto i ngā pakitara o te uaua (atherosclerosis), me te cholesterol teitei. |
| Momonatanga | He nui ake te mōrearea o te momona mō ngā wāhine i ngā tāne. Ko te kohikohinga ngako, inā koa i te taha o te puku, ka nui ake te mōrearea o te mate ngakau. Ka taea e te momona te whakanui ake i te mōrearea o te wahine ki te mate ngakau tae atu ki te toru ngā wā . |
| Te momi hikareti | He nui ake te tūponotanga ka pāngia te wahine kaipaipa e te mate manawa i te tāne kaipaipa. |
| Ngā Mate Pūnaha Ārai Mate | He nui ake te kitea o ngā mate pēnei i te rumatiki me te lupus i roto i ngā wāhine. Ka nui ake te tūponotanga o te mate manawa me ētahi atu mate pūnaha manawa i roto i ēnei mate. |
| Ngā āhuatanga e puta ana i te wā e hapu ana | Ko ngā āhuatanga pēnei i te toto toto tiketike (preeclampsia), te mate huka gestational, me te cardiomyopathy peripartum i te wā e hapū ana ka nui ake te mōrearea o te whakawhanake i te mate ngakau i muri mai i te ao. |
| Te mate ovarian polycystic (PCOS) | Ka taea e te PCOS te whakararu i ngā momo mate o te ngākau, pērā i te mate huka, te toto toto tiketike, me te cholesterol. |
Ngā mea ka taea e tātou te mahi hei tiaki i a tātou mai i te mate ngakau
Kaua e wehi ki te kōrero mō ēnei tūponotanga katoa. Ko te rongo pai, e 4 i roto i te 5 ngā mate manawa ka taea te ārai. Anei ētahi mea ka taea e koe te mahi hei ārai.
Whakaarohia kei te taraiwa koe i tētahi motuka. Ki te takahia e koe tētahi whao, tera pea ka paku mimiti te potae, engari ka taea e koe te tae ki te karāti. Engari ki te takahia e koe ngā whao e toru, e whā rānei? Me mutu koe i reira, tika? He rite tonu ngā āhuatanga mōrearea. Ki te maha, he nui ake te tūponotanga o tētahi raruraru i te mea kotahi. Nō reira, ko tā tātou mahi he karo i ēnei "whao" i ngā wā katoa e taea ana.
- Kia mōhio ki ō mōrearea: Me tirotiro hauora koe i ia tau. Kia mōhio ki tō toto toto, ki te cholesterol, me te huka toto. Ki te hiahia koe ki te whakahaere i aua mōrearea, whakamahia ngā rongoā kua tohua e tō tākuta.
- Whakakorikori Tinana: Waihangahia he mahere whakakorikori tinana e pai ana māu. He māmā noa iho te hikoi tere mō te 30 meneti i te rā, kia rima rā te iti rawa i te wiki.
- Kati te momi hikareti me te waipiro: Kati rawa te momi hikareti. Whakaitihia te inu waipiro.
- He kai hauora mō te ngākau: Koinei te mea tino nui.
- Mahere: Kōrero ki tō tākuta mō ngā huringa e tika ana kia mahia e koe ki tō kai. Hangaia he rārangi o ngā mea e hiahia ana koe ki te kai me ngā mea e hiahia ana koe ki te tapahi.
- Kōwhiri: Whakamaherehia ō kai mō te wiki. Ina haere koe ki te hokohoko, hoko mai i runga i taua rārangi. Ki te kai koe i waho, whakaarohia i mua he aha ngā kōwhiringa hauora e wātea ana.
- Kia tūpato ki te rahi o ngā wāhanga kai: Ahakoa te reka o tētahi rihi, ehara i te mea pai kia nui rawa te kai. Kia tūpato ki te rahi o ngā wāhanga kai i runga i tō pereti.
- Kia pai!: He pakiwaitara te kī kāore e reka te kai hauora. Kimihia ngā tohutao reka, hauora e pai ana ki a koe.
Ko tō ngākau te mea tino utu nui o tō ao. Ko tō kawenga te tiaki i a ia. Kōrerohia mā te mahorahora ki tō tākuta mō ō tūponotanga me ngā tohu e pāngia ana e koe. Pērā ai, ka taea e koe te ora hauora, harikoa hoki.
Karere Tangohia ki te Kāinga
- Ko te mate manawa te tino take o te mate o ngā wāhine. Kaua e whakaaro he "mate tāne" tēnei.
- Tērā pea ka rerekē ngā tohu o te mate manawa i ngā wāhine i ngā tāne. Tērā pea ka pāngia rātou e ngā tohu pēnei i te ngenge rerekē, te poto o te manawa, me te whakapairuaki, kaua ki te mamae o te uma.
- Ko ngā mate pēnei i te mate huka, te toto toto tiketike, te paheketanga, ngā raruraru hāputanga, me te PCOS ka tino whakanui ake i te mōrearea o te wahine ki te mate ngakau.
- E 80% o ngā mate manawa ka taea te ārai. He mea nui kia whai i tētahi momo noho hauora me te tirotiro hauora i ia wā.
- Ki te pāngia koe e ētahi tohu rerekē, kaua e warewarehia , me toro atu ki tō tākuta tonu.
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