Te Ngau Ngakau Paheke i roto i nga Ngeru

Te taima panui: 9 meneti

He aha te ngoikore o te ngākau (CHF) i roto i ngā ngeru?

Ko te ngoikore o te ngākau (CHF) he āhuatanga i roto i ngā ngeru kua horapa te mate ngākau ki te wāhi e kore ai e taea e te pūnaha manawa te mahi i ana mahi. Ko te hua o tēnei, kāore e taea e te ngākau te pupuri i te rere o te toto kia noa.

• Te Mahi Noa o te Ngākau

I te nuinga o te wā, ka hoki te toto mai i te tinana ki te taha matau o te ngākau, ka pamuhia ki ngā pukahukahu mō te whakakī hāora, kātahi ka neke atu ki te taha maui o te ngākau kia pamuhia anō ki te tinana. Ka taea te whakarite i te mahi a te ngākau ki tētahi papu wai i roto i te rūma raro:

• Ki te kore e taea e te papu o te puna wai te tango i te wai i te wā ua, ka waipuke te rūma o raro.

Waihoki, te taha maui o te ngākau Ki te kore e taea e ngā pukahukahu te pupuhi toto, ka tīmata te hanga wai ki roto i ngā pukahukahu.te pupuhi puohu).

• Te taha matau o te ngākau Ki te kore e ranea tēnei, ka kohia te wai ki roto i ngā kōhao o te puku, o te uma rānei.te ascites, te pleural effusion rānei).

Ka puta te wai i roto i te tinana i te ngoikore o te ngākau (CHF), ka hua ake he raruraru manawa nui me ētahi atu tohu ā-tinana. He mea nui te tautuhi wawe me te maimoatanga e whakaritea ana e te rata kararehe hei whakahaere i ngā pānga o te CHF me te whakapai ake i te kounga o te oranga o te kararehe.

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He aha ngā tohu o te ngoikore o te ngākau (CHF)?

Mō ētahi atu kōrero e pā ana ki ngā tohu o te mate, tirohia te tahua "Ngā Mate o te Manawa". "Ngā Tohu o te Mate Manawa i roto i ngā Ngeru me ngā Kurī" Ka taea e koe te panui i te tuhinga kua whakaingoatia.

• Te manawa tere me te manawa uaua: Nā te kohi wai i roto i ngā pukahukahu, te kohi wai rānei i roto i te uma (te rerenga wai i roto i te pleural).

• Te huna, te koretake rānei: Ngāna kia kitea he tūranga whakamarie.

• Te kore mahi me te ngenge: Te karo i ngā mahi ā-tinana.

• Te pararutiki, te ngoikore rānei o ngā waewae o muri: He tohu pea tēnei mō te hanganga toto totoka nā te thromboembolism arterial.

• Te ngaronga o te hiahia kai me te taumaha.

Mena ka kitea ēnei tohu i roto i tētahi o ngā momo kararehe, me toro atu tonu ki tētahi rata kararehe. Mā te wawaotanga wawe ka piki ake te angitu o te maimoatanga, ā, ka tiakina te kounga o te oranga o tāu kararehe.

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He pēhea te kino o te ngoikore o te ngākau (CHF)?

He mate kino te ngoikore o te ngākau (CHF), engari he whakaaro hē noa iho ko te mate tēnei mō ngā ngeru i te mutunga o te ora.

Waimarie, mā te whakahaere tika i te ngoikore o te ngākau (CHF), ka pai ake te āhua o te mate mō te wā roa. I roto i te nuinga o ngā mate ngākau e pā ana ki te ngoikore o te ngākau, mā te tautuhi wawe me te maimoatanga hauora auau ka taea te tiaki i te kounga o te oranga o ngā kararehe.

Te Maimoatanga me te Tumanako Ora

• Ka rongoatia ngā ngeru e pāngia ana e te ngoikore o te ngākau (CHF), ā, ka mau tonu te kounga o te oranga. mō ngā marama, tae noa ki ngā tau whai hua.

• Ka whakaritea te mahere maimoatanga e te rata kararehe i runga i te take me te kaha o te mate manawa me te āhua hauora whānui o te kararehe.

Ahakoa he mate kino te ngoikore o te ngākau (CHF), mā te maimoatanga tika me te tirotiro tonu a te rata kararehe, ka taea e ngā ngeru e ora ana me tēnei mate te ora roa me te hauora. Ko te tautuhi wawe me te mahere maimoatanga whai hua ngā mea tino nui o tēnei tukanga.

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Me pēhea te rongoā i te ngoikore o te ngakau i roto i ngā ngeru?

Ko te ngoikore o te ngākau (CHF) i roto i ngā ngeru ka whakahaerea e te rata kararehe o te ngākau me te tikanga maimoatanga takitahi i runga i te take matua, te wāhanga, me ngā kitenga haumanu o te mate. Ko te maimoatanga mō te ngoikore o te ngākau (CHF) ka uru pea ki ngā rongoā hei tautoko i te uaua o te ngākau, hei whakaiti i te kohikohinga wai, hei whakamama hoki i te taumahatanga ki te ngākau.

Te Mōrearea o te Thromboembolism Arterial

I te wā o te ngoikore o te ngakau (CHF) i roto i ngā ngeru te thromboembolism arterial He tino teitei te mōrearea o te toto totoka. Hei whakaiti i tēnei mōrearea, ka taea te whakamahi i ngā rongoā ārai totoka, i ngā huinga rongoā rānei. Ka āwhina ēnei mahi ārai i te aukati i te toto totoka me te karo i ngā raruraru o te mate.

Ka whakaritea te maimoatanga e tō tākuta kararehe i runga i te tirotiro taipitopito, ā, ka whakaritea kia rite ki ngā hiahia takitahi o tō ngeru. He mea nui ngā tirotiro auau hei aromatawai i te whai huatanga o te mahere maimoatanga, me te whakahou anō hoki ina hiahiatia.

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He aha ngā rongoā whakaheke toto (ngā pire wai)?

Ko ngā rongoā diuretic, e mōhiotia whānuitia ana ko ngā "pire wai," he momo rongoā e whakamahia ana hei rongoā i ngā āhuatanga e pupuri ana i te wai i roto i te tinana. Ka āwhina ēnei rongoā ki te tango i te wai nui mā te whakanui ake i te whakaputanga mimi.

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Me pēhea te mahi a ngā diuretics i roto i te ngoikore o te ngakau?

Mō ngā kararehe e ngoikore ana te ngākau, ka mau tonu te wai i te ngoikore o te ngākau. Ko te tikanga ka kohia tēnei wai ki roto, ki te taha rānei o ngā pukahukahu. Nā te wai kua kohia ka tere ake, ka uaua ake hoki te manawa o ngā kararehe. Ka āwhina ngā rongoā diuretic ki te whakahaere i ngā tohu o te ngoikore o te ngākau mā te tango i tēnei wai nui.

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Me pēhea taku mōhio kei te whai hua taku maimoatanga mō te ngoikore o te ngākau?

Ko te angitu o te maimoatanga diuretic mō te ngoikore o te ngakau ka kitea mā te whakahekenga o te tere manawa me te hokinga ki te kaha manawa noa.

• Te Aroturuki i te Tere Manawa

Ko tētahi o ngā huarahi tino whai hua hei aromatawai i te angitu o te maimoatanga ko te ine i te tere manawa o tō ngeru. Ka taea e koe te mahi i tēnei mā te whai i ēnei mahi:

1. Te Tatau Manawa: Tatauhia te maha o ngā manawa e tangohia ana e tō ngeru i roto i te 15 hēkona. Whakareatia tēnei tau ki te whā hei tatau i te tere manawa ia meneti. Ko te manawa he pikinga me te hekenga kotahi o te pakitara o te uma (he manawa katoa).

2. Ine i te wā okioki: Me ine te taumaha i a tō ngeru e okioki ana, e moe ana, e marino ana.

3. Ine Auau: Me ine i ia rā, pai ake i te wā kotahi.

4. Te Pupuri Rekoata: Tuhia ō inenga ki roto i tētahi pukapuka takiuru. He āwhina tēnei ki te mārama ki te whai huatanga o ngā rongoā whakaheke toto.

Ngā Āhuatanga e Tūmanakohia ana

• Maimoatanga Whai Hua: Mena kei raro iho i te 30 ngā manawa ia meneti te tere o te manawa, ka kiia te maimoatanga he whai hua.

• Ngā Tohu Whakatūpato: Mena ka neke atu te tere o te manawa i te 30 manawa ia meneti, ka piki ake rānei (ahakoa kāore e neke atu i te 30 manawa ia meneti), tera pea he tohu tēnei kua hoki mai ngā tohu o te ngoikore o te ngakau. Mēnā he pēnei, whakapā atu ki tō tākuta kararehe tonu.

• Ngā Pūrere Āwhina

Kei te wātea ngā taupānga waea atamai hei āwhina i a koe ki te ine i tō tere manawa me te whai i ngā uara. Mā ēnei taputapu ka taea e koe te tuhi pūnaha i ngā raraunga ka riro mai i a koe me te kite i ngā au.

Mā te aroturuki i te manawa o tō ngeru, ka taea e koe te whakatau mēnā he whai hua te maimoatanga, ā, ka taea e koe te mahi i ngā mahi ārai e tika ana mā te kite wawe i ngā raruraru.

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He aha te pānga o ngā rongoā diuretic, e whakamahia ana mō te ngoikore o te ngākau, ki taku ngeru?

Ko tētahi o ngā hua e tumanakohia ana o ngā rongoā diuretic ko te mea ka nui ake te inu wai a tō ngeru, ka nui ake hoki te mimi. Nō reira, he mea nui kia mahi i ētahi mahi whakatūpato hei āwhina i tō ngeru ki te whakahaere i tēnei mea me te whakamarie:

1. Me whakarite kia nui te wai e wātea ana: Me whakarite kei te wātea tonu te wai māori mō tō ngeru.

2. Tukua kia mimi pinepine: Kia maumahara ka hiahia tō ngeru ki te haere ki te wharepaku i ngā wā katoa. Nō reira, hoatu he wā ki a ia kia haere ki waho, kia noho rānei ki te wharepaku.

3. Ārai i ngā aituā o roto: Ki te kore e nui ngā wā e mimi ai tō ngeru, tera pea ka noho ia ki roto i te whare. Hei ārai i tēnei, he mea nui kia haere ia ki waho i ngā wā katoa.

He mea noa ēnei pānga i te wā e rongoā ana i te diuretic, ā, he wāhanga hoki o te maimoatanga e whakamahia ana hei whakahaere i ngā tohu o te ngoikore o te ngākau. Mā te whai i ēnei taunakitanga hei whakarite i te whakamarie o tō ngeru ka māmā ake te whakahaere i te maimoatanga.

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Ka pāngia pea ngā rongoā diuretic e whakamahia ana mō te ngoikore o te ngakau?

Pērā i ngā rongoā katoa, ka pāngia pea koe e ngā rongoā whakaheke toto. Ko ngā pānga tino kitea me ngā pānga e tumanakohia ana o ngā rongoā whakaheke toto ko te nui haere o te matewai me te auau o te mimi. Heoi anō, tera pea ka pāngia koe e ētahi atu pānga:

1. Ngā Huringa o ngā Taumata Irahiko: Ka pāngia pea ngā taumata o ētahi tote (ngā irahiko) i roto i te toto e ngā rongoā whakaheke toto. Ka kitea pea tēnei hei hekenga, hei pikinga rānei o ngā irahiko pērā i te pāhare pāporo, te konutai rānei, ka hua ake ai he kore taurite.

2. Ngā Pānga ki te Mahi a te Tākihi: Ka pāngia pea te mahi a ngā rongoā diuretic e te mahi a te whatukuhu i ētahi tūroro. Ahakoa he ngawari noa iho ēnei pānga, me āta aroturukitia i te wā e rongoatia ana.

3. Te Aroturuki me ngā Whakamātautau Toto: Tērā pea ka tūtohu tō tākuta kararehe kia whakamātauhia he toto i ētahi rā, i ētahi wiki rānei i muri i te tīmatanga o te maimoatanga hei kite wawe i ēnei momo pānga taha. Ka āwhina ēnei whakamātautau ki te aromatawai i ngā taumata electrolyte me te mahi a te whatukuhu.

Ahakoa he onge ngā pānga taha, he mea nui ngā tirotiro kararehe me ngā whakamātautau toto auau hei aroturuki i te hauora o tō ngeru. Ka taea e tō tākuta kararehe te aroturuki i ngā pānga o te maimoatanga me te whakarerekē i te horopeta rongoā, i te mahere maimoatanga rānei e hiahiatia ana. Mā tēnei huarahi ka taea e tō ngeru te haere tonu i te maimoatanga me te haumaru.

Ngā Pānga o te Ngaronga Nui o te Wai

I ētahi tūroro, ka pāngia pea tō ngeru e te toto toto iti (hypotension). Ka pāngia pea tō ngeru e tēnei āhuatanga. ngoikore ve puhoi Ka taea e ia te meinga kia pērā ō rātou whakaaro.

• Me aha koe?

• Mena kei te rongoatia tō ngeru ki te diuretic ngoikore ranei ngoikore Ki te kite koe i tētahi tohu, whakapā atu ki tō tākuta kararehe tonu.

• Ka arotakehia e tō tākuta kararehe tō ngeru kia kitea ai te pūtake o tēnei mate, ā, ka whakarerekētia te maimoatanga ina hiahiatia.

He āhuatanga e hiahia ana kia arohia te nui o te wai e ngaro ana, engari ka taea te whakahaere mēnā ka kitea me te whakahaere wawe. He mea nui te aroturuki tata i te āhua whānui me ngā tohu o tō ngeru kia mau ai te haumaru me te whai huatanga o te maimoatanga.

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Kia pēhea te roa me tohu rongoā diuretic hei rongoā i te ngoikore o te ngakau?

Ngā rongoā diuretic i te nuinga o te wā mutunga kore He rongoā ēnei me hoatu. Nā te mea he mea tika te whakamahi tonu i te rongoā hei ārai i te hokinga mai o ngā tohu o te ngoikore o te ngākau.

• Nga mea nui

1. Whāia ngā tohutohu a tō tākuta kararehe: Kia ata whai i ngā tohutohu a tō tākuta kararehe mō te horopeta me te auau o te rongoā. Kaua e mutu ohorere te rongoā; me mahi noa mēnā ka tohutohu tō tākuta kararehe kia pērā koe.

2. Te Tukunga Rongoā: Kia mau tonu te nui o ngā rongoā. Mēnā ka pau te rongoā, ka mutu pea te maimoatanga, ā, ka hoki mai anō ngā tohu o te ngoikore o te ngākau.

He mea nui ngā rongoā whakaheke toto hei rongoā mō te wā roa hei ārai i te hokinga mai o ngā tohu. He mea nui ngā tirotiro kararehe auau hei whakarite kia whai hua te rongoā me te aroturuki i te hauora whānui o tō ngeru.

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He mea anō kei te hiahia ahau ki te mōhio mō te ngoikore o te ngākau?

Ae, he hononga tata te whai huatanga o ngā rongoā whakaheke toto ki te nui o te tote i roto i te kai a tō ngeru. Anei ētahi mea hei whakaaroaro māu:

• Te Ihirangi Kai me te Tote

1. Te Ihirangi Tote: Ka taea e te nui o te tote i roto i te kai a tō ngeru te whakaiti i te whai huatanga o ngā rongoā diuretic, ā, me nui ake pea te horopeta o te rongoā. Mā ngā rerekētanga nui o te tote e kainga ana i ia rā ka uaua ake te whakahaere i te ngoikore o te ngakau.

2. Kai Tote Iti: Kōwhiria he kai tote-iti, he kai tote-rahi rānei. Āta karohia ngā kai tote me ngā kai reka (pērā i te tiihi, te parai paraoa, me te salami).

• Te Taunakitanga a te Tākuta Kararehe

• Kōrero ki tō tākuta kararehe mō ētahi atu kōrero e pā ana ki te kai. Ka taea e tō tākuta kararehe te tūtohu i tētahi kai whaiaro e hāngai ana ki ngā hiahia o tō ngeru.

He mea nui te whakahaere i te nui o te tote i roto i te kai a tō ngeru hei whakahaere i te ngoikore o te ngākau me te whakarite i te whai huatanga o te rongoā diuretic. Mā te whai i ngā whakarerekētanga kai me ngā taunakitanga a tō tākuta kararehe ka āwhina i te whakapai ake i te kounga o te oranga o tō ngeru.

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Ētahi atu Tuhinga ka hiahia pea koe

• Te ngoikore o te ngākau (CHF)
• Te Tikanga Maimoatanga o te Ngakau Ngakau
• Tirohanga mo nga rongoa ngakau
• Nga Whakamātautau Taiwhanga
• Myxomatous Mitral Valve Disease (MMVD)

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"Kei te noho tātou i tētahi ao kua whakarerekētia ake tonu atu e te pūtaiao, ā, ko te mea e tika ana kia awhihia e tātou ehara i te pūtaiao anake, engari ko te huarahi whakaaro pūtaiao."

Brian Cox

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