Te taima panui: 5 meneti
Ripanga o Ihirangi
He aha te whakamātautau ngakau?
He aromatawai whānui te whakamātautau ngakau e mahia ana i muri i te whiwhinga o ngā mōhiohio tuatahi me te hītori hauora e pā ana ki te hauora o te ngakau o ngā ngeru me ngā kuri. Kei roto ko te whakamātautau tinana, te whakarongo, te electrocardiography (ECG), te ine i te toto toto, te x-ray o te uma, me te echocardiography (ECHO). Mena e tika ana, ka tāpirihia pea ngā whakamātautau taiwhanga hei whakapakari i te tukanga whakamātautau whānui me te aromatawai tātaritanga.
He aha i hiahia ai ngā tākuta ki ngā whakamātautau ngakau?
He mea nui ngā whakamātautau ngākau mō te kimi i ngā āhuatanga whānautanga o ngā ngeru me ngā kurī, te tautuhi me te rongoā i ngā mate ngākau wā tōmua kāore e whakaatu i ngā tohu haumanu, te tirotiro auau i ngā momo momo ngoikore, me te tātari mōrearea mō ngā tūroro ka whakamoea mō tetahi take. Hei tāpiri, ko ngā mate pūnaha, ngā mate tohanga toto, te ngoikore o ngā okana, ngā mate pukupuku, ngā mate pūnaha ārai mate me ngā mate endocrine, me te kore taurite o te wai-irahiko ka pā kino ki te pūnaha ngākau. Nō reira, he mea tika ngā whakamātautau ngākau ehara i te mea mō te tautuhi i te mate ngākau anake engari mō te aromatawai hoki i te hauora whānui o te kararehe.
He aha ngā tohu haumanu me kite e tātou i roto i ā tātou tūroro kia tukuna ai rātou ki te whakamātautau ngakau?
Ngā Tohu 10 o te Mate Manawa i roto i ngā Ngeru me ngā Kurī me te Hiranga o ngā Tirotiro Mate Manawa
1. Maremare pumau
He aha te take e hiahiatia ai he whakamātautau mō te ngākau?
Ina kore e taea e te ngākau te pupuhi i te toto e ranea ana ki ngā pukahukahu, ka nui haere te wai i roto i ngā pukahukahu. Ka puta te maremare, ā, ka roa te maremare, inā koa i roto i ngā kurī. Nā te mea ka taea te whakaaro he mate pukahukahu tēnei momo maremare, me whakahaere he whakamātautau ngakau hei whakatau mēnā he raruraru e pā ana ki te ngākau.
2. Te Uaua ki te Manawa
He aha te take e hiahiatia ai he whakamātautau mō te ngākau?
Ka taea e te ngoikore o te ngākau te arahi ki ngā raruraru manawa pērā i te pupuhi pūkahukahu (te kohikohinga wai i roto i ngā pūkahukahu) me te rerenga wai i roto i te uma (te wai i roto i te uma). He mea nui te tirotiro i te ngākau mō te tūroro e uaua ana ki te manawa hei whakakore i te tūponotanga o te ngoikore o te ngākau.
3. Te ngoikore (Syncope) / Te hinga
He aha te take e hiahiatia ai he whakamātautau mō te ngākau?
Ko te ngoikore, te hinga ohorere rānei (syncope) ka puta i te wā ka mutu ohorere te rere o te toto i te manawa. Ka puta pea tēnei i ngā raruraru nui o te ngākau pērā i te arrhythmia, te mate takirere ngākau, te hekenga ohorere rānei o te toto. Nō reira, me whai ECG, echocardiogram, me ētahi atu whakamātautau ngākau ngā tūroro e ngoikore ana hei aromatawai i te hauora o ō rātou ngākau.
4. Te pupuhi/te kore whakamarie o te puku (ascites)
He aha te take e hiahiatia ai he whakamātautau mō te ngākau?
Ka taea e te ngoikore o te ngākau matau te whakaemi wai i roto i te kōhao puku (ascites). Ka hua ake tēnei i te pupuhi o te puku, he tohu e kitea ngāwari ana i roto i ngā kurī me ngā ngeru. Ki te kite koe i tēnei tohu, me tirotirohia te ngākau hei tautuhi i te pūtake o te ngoikore o te ngākau.
5. Te Ātete ki te Whakakorikori Tinana (Te Ātete ki te Whakakorikori Tinana)
He aha te take e hiahiatia ai he whakamātautau mō te ngākau?
Ki te kore e taea e te ngākau te pupuhi i te toto e ranea ana ki te tinana, ka tere ake te ngenge o te kararehe i te wā e whakakorikori tinana ana. Me tirotirohia te ngākau o ngā kararehe kāore e manawanui ki te whakakorikori tinana, te hunga kāore e pai ki te tākaro, te hunga rānei e roa ana te wā e ora ai i muri i te tākaro, nā te mea kei te whakapaetia he mate ngākau.
6. Komumu Manawa
He aha te take e hiahiatia ai he whakamātautau mō te ngākau?
Ko te haruru o te ngākau he oro rerekē e rangona ana i te wā e puta ai te haruru i waenga i ngā rūma o te ngākau, i ngā oko toto rānei. Ka taea e ēnei oro te tohu i ngā āhuatanga rerekē o te ngākau whānau (ngā stenoses aortic, pulmonary dysplasias, VSD, PDA, Tetralogy of Fallot, me ētahi atu) ngā mate takirere ngākau kua riro mai rānei (myxomatous mitral valve degeneration, me ētahi atu). Nō reira, mō ia tūroro kua kitea he haruru i te wā o te whakarongo, me mahi ētahi atu rangahau pēnei i te echocardiography hei whakatau i te take matua.
7. Ngā Huringa o te Auau o te Pāpā (Bradycardia/Tachycardia)
He aha te take e hiahiatia ai he whakamātautau mō te ngākau?
Ka rerekē te tere o te manawa o ngā ngeru me ngā kurī i runga i te tau, te momo, me te momo. Heoi, ki te kitea he tere o te manawa i runga ake i te (tachycardia) i raro iho rānei i te (bradycardia) o te awhe noa, me whai whakaaro ki te tūponotanga o te arrhythmia, te mate uaua o te manawa (cardiomyopathy), ngā mate tohanga toto rānei nā te kore taurite o te electrolyte. I roto i ēnei āhuatanga, me tirotirohia te ngakau.
8. Te Huringa Ohorere o te Taumaha o te Tinana (Te Hinga Taumaha, Te Piki Taumaha rānei)
He aha te take e hiahiatia ai he whakamātautau mō te ngākau?
Ka taea e te mate manawa te whakararu i te hiahia kai me te pupuri wai i roto i te tinana, ka hua ake te hekenga taumaha, te pikinga taumaha ohorere rānei. Ko te hekenga taumaha ohorere he tohu pea o ngā raruraru ngakau nui pēnei i te ngoikore o te ngakau. Nō reira, me tirotirohia te ngakau e ngā tūroro he rerekētanga taumaha kāore i te mārama.
9. Te Ohorere me te Huna
He aha te take e hiahiatia ai he whakamātautau mō te ngākau?
I roto i ngā ngeru, ka kitea ngā tohu o te mate mā te huna me te wehe atu i ō rātou taiao. Ko ngā ngeru e uaua ana ki te manawa, e mamae ana rānei nā te mate manawa, ka noho pōrearea, ā, ka pai ake ki te noho motuhake. Nō reira, me tirotirohia te ngākau o ngā ngeru e whakaatu ana i te pōrearea, i te huna rānei, hei aromatawai mēnā he raruraru e pā ana ki te ngākau.
10. Te ngaronga o te hiahia kai
He aha te take e hiahiatia ai he whakamātautau mō te ngākau?
Mō ngā kararehe e mate ana te ngākau, ka heke te rere o te toto ki te puku me ngā whekau, ka kore ai e hiahia kai. Ka uaua te nakunaku kai mēnā ka ngoikore te ngākau me ngā raruraru tohanga toto. Nō reira, me tirotirohia te hauora o te ngākau o ngā ngeru me ngā kurī e mate ana i te hiahia kai.
Ētahi atu Tuhinga ka hiahia pea koe
"Ko te mea e mahia ana me te aroha, he mea e mahia ana me te pai."
Vincent van Gogh
