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October 10, 2025
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Ko te mate ngakau rūpū whakararu (ACS) tētahi mate ngakau kino e puta mai ana ina mutu te rere o te toto ki te uaua o tō ngakau, kīhai rānei e ranea. Whakaarohia he karere āwangawanga nui tēnei nō tō ngakau ina kore e whiwhi i te toto whai-hākikino e hiahiatia ana kia mahi pai.
Ko tēnei āhuatanga kei roto ngā raruraru ngakau e hono ana, mai i te mamae puku kore-tumau ki ngā mate ngakau. Ahakoa ka rangona te kupu nei he whakawehi, ka āwhina te mārama ki te mea kei te pēhea tō tinana ki te kite i ngā tohu whakatūpato, ā, ki te mahi tere ina nui te take.
Ka puta te mate ngakau rūpū whakararu ina mutu te rere o te toto ki ngā uaua e whāiti ana i te uaua o tō ngakau. Me whiwhi tonu te uaua o tō ngakau i te toto whai-hākikino kia mahi pai ai, pēnei i ētahi atu uaua o tō tinana.
Ina mutu tēnei rere o te toto, ka tīmata ngā pūtau o tō ngakau ki te mamae i te kore hākikino. Ka puta mai tēnei i te mamae uma, te poto o te manawa, me ētahi atu tohu e tohu ana kei te puta tētahi mea kino. Ko te kupu ‘whakararu’ e tohu ana ka tere te puta mai, ā, me whakarongo wawe te taote.
Ko te ACS te ingoa mō ngā āhuatanga e toru e pā ana ki te iti o te rere o te toto ki te ngakau. Kei roto i ēnei te mamae puku kore-tumau, kei reira te uaua o te ngakau e pēhia ana, kāore ia i pakaru tonu, me ngā momo mate ngakau e rua, kei reira ngā pūtau o te uaua o te ngakau e mate ana i te kore hākikino.
E toru ngā momo nui o te mate ngakau rūpū whakararu, ā, he rerekē ngā taumata o te kino. Ka āwhina te mārama ki ēnei rerekētanga ki te mohio ki te mea kei te pēhea ina kōrero ngā tākuta mō tō āhuatanga, kīhai rānei mō te āhuatanga o tētahi e arohaina ana e koe.
Angina koretake te ahua ngawari rawa, kei te whawhai te uaua o tō ngākau, engari kāotia tonutia. Āta waiho e koe te mamae o te uma e kaha ake ana, e maha atu rānei i te mea noa, e puta ana i te wā e okioki ana koe. Ko te whakamārama tēnei a tō ngākau e hiahia ana ki te āwhina wawe.
NSTEMI (Non-ST-elevation myocardial infarction) he momo tukinga ngākau tēnei i mate ai ētahi pūtau uaua o te ngākau, engari kāore i ārai katoa te uaua toto. Ka whakaatuhia e ngā whakamātautau toto ngā tohu o te pakaru o te uaua ngākau, ā, pea ka kite koe i te mamae nui o te uma me ētahi atu tohu.
STEMI (ST-elevation myocardial infarction) te ahua kino rawa, kei te ārai katoa te uaua ngākau nui. Ka puta tēnei i te mate o te rohe nui o te uaua ngākau i te tere, ā, ka puta mai hei huringa motuhake i runga i te electrocardiogram (ECG). Me whakaora tonu tēnei momo i te wa poto kia whakahokia te rere o te toto.
Ko te tohu tino noa ko te mamae o te uma, te kore ranei e pai, e rerekē ana i ngā mamae me ngā mamae noa. He tokomaha te whakaahua i te pehanga, te kōkī, te whānuitia, te tahunga rānei i waenganui o te uma e roa atu ana i ngā meneti torutoru.
Pea ka tohu tō tinana i te raruraru i ngā huarahi maha atu i te mamae o te uma. Ko ēnei ngā tohu matua hei titiro:
Ko ngā wāhine, ngā kaumātua, me ngā tāngata whai mate huka i ētahi wā ka raru ki ētahi tohu rerekē ka ngāwari ki te ngaro. Ki te kore te mamae puku noa, āe pea ka kite koe i te ngenge pēhea, te poto o te manawa, te ruaki, te mamae rānei i ō tua rānei i tō kauae.
Ko te mamae, te mamae rānei, e kore e mutu te okioki, te rongoā mamae rānei i te kaute. Ki te pā ana koe ki ēnei tohu, ina koa ki te hou rānei, ki te rerekē rānei i ō mamae noa, he mea nui kia rapu āwhina hauora tonu.
Ko te take matua ko te atherosclerosis, he āhuatanga e hangaia ana e ngā kohinga ngako e kiia nei ko te papa i roto i ō uaua koroni i te wa roa. Ko ēnei papa he rite ki ngā ara rori e tipu haere ana i te wa e whakaiti haere ana i ngā huarahi e whakamahia ana e te toto ki te tae atu ki ō uaua ngakau.
Ko te take tūturu mō te mate ngakau pakari ka puta ina pakaru pēhea tetahi o ēnei papa, ka pakaru rānei. Ka puta tēnei, ka ngana tō tinana ki te whakaora i te pakaru mā te hanga i te toto toto i te wāhi. Engari, ka taea e tēnei toto te aukati i te waahanga, te aukati rānei i te uaua kua whakaitihia.
He maha ngā take ka piki ake te tupono o te pakaru o te papa:
I ētahi wā, ka puta te mate ngakau pakari kahore he hanga nui o te papa. Ka puta pea tēnei na te spasm o te uaua koroni, ka pēhea ai te uaua ka whakaiti i te rere o te toto. Ka taea hoki e ngā toto toto mai i ētahi atu wāhi o tō tinana te haere ki ō uaua ngakau, ahakoa he iti ake tēnei.
I etahi wā, ko ngā āhuatanga penei i te mate toto whero kino, te iti rawa o te toto, te ngākau rānei e mahi nui ana ka taea te whakapau i tō ngākau kia puta ai ngā tohu e rite ana ki te mate ngākau tūturu, ahakoa kāo te aukati o ō uaua toto.
Karanga atu ki te 111 tonu mēnā ka pāngia koe e te mamae puku, te pehanga rānei e roa atu ana i te torutoru meneti, ā, tērā pea mēnā ka haere tahi mai me te poto o te manawa, te werawera, te ruaki, te ngoikore rānei. Kaua e ngana ki te tarai i a koe ki te hōhipera, ki te tatari rānei kia pai ake ngā tohu.
Ka taea e ngā ratonga hauora ā-mate te tīmata i te maimoatanga ora i te huarahi ki te hōhipera, ā, kua rite ngā hōhipera ki te mahi tere ina mōhio ana rātou kei te haere mai tētahi me te mate ngākau tūturu pea. Ko ia meneti he mea nui ina kore e whiwhi hau nui tō ngākau.
Rapua te tiaki hauora tonu mēnā kei a koe tētahi whakakotahitanga o ēnei tohu whakatūpato, ahakoa kāo te tino mōhio kei tō ngākau. He pai tonu te mahi i te taha o te tupato ina tae mai ki te mamae puku, ki ngā huringa ohorere rānei i tō āhua.
Mēnā he hītori o te mate ngākau kei a koe, ā, he rerekē ngā tohu i tō angina noa, kaua e whakaroa ki te karanga atu mō te āwhina. Ka taea e ngā huringa i tō tauira noa o te mamae puku te tohu kei te kino haere tō āhuatanga, ā, me whakamātau tonu.
He maha ngā take ka taea te whakapiki ake i tō tūponotanga ki te whanake i te mate ngākau tūturu, ahakoa ko te whai i ngā take pūngao kāo te tikanga ka whanake koe i te āhuatanga. Ka taea e te mārama ki ēnei take te āwhina i a koe ki te mahi tahi me tō kaiwhakarato hauora ki te whakaiti i tō tūponotanga whānui.
Ko ētahi take pūngao ngā mea kāo e taea te whakarereke, ko ētahi atu kei roto i tō mana mā ngā whakarerekētanga oranga me te maimoatanga hauora. Ko ēnei ngā take matua ka taea te whakapiki ake i tō tūponotanga:
Ka taea hoki e ētahi āhuatanga hauora te whakapiki ake i tō tūponotanga, tae atu ki te apnea moe, ngā mate ā-whakaū pērā i te mate rewiti rheumatoid, me te mate whatukuhu roa. Ki te maha ō tūponotanga morearea, ka taea e rātou te whakakotahi i ngā pānga o ia o rātou ki tō hauora ngākau.
Ko te rongo pai ko te nuinga o ēnei tūponotanga morearea ka taea te whakahaere mā ngā huringa oranga, ngā rongoā, te rua rānei. Ko te mahi tahi me tō kaiwhakarato hauora hei whakautu i ngā tūponotanga morearea ka taea te whakarereke ka taea te whakaiti nui i ō tūponotanga ki te whanake i te mate ngākau ohorere.
Ka taea e te mate ngākau ohorere te arahi ki ētahi raruraru kino, inā koa ki te whakaroa te rongoā, ki te pānga nui rānei o te uaua ngākau. Ko te mārama ki ēnei raruraru pea ka āwhina i te whakamārama he aha te mea nui o te tiaki hauora tonu.
Ko te āwangawanga tino tata ko te kaha o te angina kore pumau ki te haere tonu ki te mate ngākau katoa, ki te iti rānei te mate ngākau ka nui ake mena kaore e whakahokia wawe te rere o te toto. Ka mate ngā pūtau uaua ngākau i te kore o te hāora, kaore e taea te whakahoki mai, ka arahi ki te pakaru o te ngākau tonu.
Ko ēnei ngā raruraru matua ka taea te whanake:
Ka whanake etahi i te toto kōtiti i roto i ō rātou ruma ngakau i muri i te āwangawanga o te ngakau, ka taea te motu me te whakaeke i ngā tātaritanga ranei. Ka raru pea ētahi ki te āhuatanga e kiia nei ko te aneurysm ventricular, te wāhi ka ngākau te pakitara o te ngakau ka pupuhi ki waho.
He mea noa hoki te pouri me te manukanuka i muri i te āwangawanga o te ngakau, i te mea ka taea te whāinga o te ngakau me te huringa o te ora. He raruraru pono enei pānga hauora hinengaro e tika ana kia arohia me te whakaora i te taha o ngā āhuatanga tinana o te ora.
Ko te tūponotanga me te kino o ngā raruraru ka whakawhirinaki ki te tere o te tīmatanga o te rongoā me te nui o te uaua ngakau e pā ana. Ko tēnei tetahi atu take he mea nui kia rapu i te tiaki hauora tere ina puta mai ngā tohu.
Ka tīmata te whakatau i tō hītori hauora me te whakamātau tinana, engari ka whakawhirinaki ngā tākuta ki ētahi whakamātau motuhake hei whakau i te āwangawanga o te ngakau me te whakatau i tōna kino. Ka mahi tere te rōpū āwhina kia kohia ēnei kōrero, nā te mea he mea nui te wā mō ngā whakatau rongoā.
Ko te electrocardiogram (ECG rānei EKG) te whakamātau tuatahi e mahia ana. Ka ine tenei i te mahi hiko o tō ngakau ka taea te whakaatu mena kāore tetahi wāhanga o tō uaua ngakau e whiwhi i te toto nui, kua pakaru rānei. Ka āwhina ngā tauira i runga i te ECG ki ngā tākuta ki te whakatau i te momo āwangawanga o te ngakau e pā ana ki a koe.
He mea nui ngā whakamātautau toto mō te whakatau i te mate, nā te mea ka taea e rātou te kite i ngā pūmua e rere ana i ngā pūtau ngākau kua pakaru. Ko ngā tohu matua e titiro ana ngā tākuta ko ngā troponin, e tukuna ana ina mate ngā pūtau ngākau. Ka taea e ēnei taumata te noho teitei mō ngā rā i muri i te pakaru o te ngākau.
Ka āhei ētahi atu whakamātautau:
Ka tirotirohia hoki e te rōpū hauora ō tohu oranga, ngā taumata hau, me tō āhua whānui tonu. Ka ui pea rātou ki ō tohu i te taipitopito, tae atu ki te wā i tīmata ai rātou, te āhua o te āhua, me te aha e pai ake ai, e kino ake rānei.
I ētahi wā, kāore te whakatau i te marama tonu, ina koa ki te ngawari, ki te rerekē rānei ō tohu. I ēnei take, ka tirotiro pea ngā tākuta i a koe i te hōhipera me te whakahaere i ngā whakamātautau atu kia kore ai e ngaro te āhuatanga kino.
Ko te maimoatanga mō te syndrome koroni mate e aro ana ki te whakahoki i te rere o te toto ki tō ngākau kia tere ai, me te aukati i ngā raruraru atu. Ko te huarahi maimoatanga motuhake e whakawhirinaki ana ki te momo ACS kei a koe, me te āhua kino o tō āhuatanga.
Ko te maimoatanga tere e tīmata ana me ngā rongoā hei āwhina i tō ngākau, me te aukati i ngā toto toto kei te kino haere. Ka whiwhi pea koe i te aspirin hei āwhina i te aukati i te toto atu, me ētahi atu kaiwhakarongo toto, me ngā rongoā hei whakaiti i te mahi a tō ngākau.
Mō ngā ārai kino, ina koa i ngā ngākau STEMI, me whakatuwhera wawe e ngā tākuta te āti kua ārai. Ka taea tēnei mā te:
Ko ngā rongoā ka whiwhi koe pea ko ngā beta-blockers hei whakaheke i te tere o tō ngakau me te whakaiti i tōna mahi, ngā ACE inhibitors hei āwhina i tō ngakau kia pupuhi atu ai, me ngā statins hei whakaiti i te cholesterol me te whakau i ngā papa i roto i ō uaua.
He mea nui hoki te whakahaere mamae, ehara i te mea mō te whakamarie anake, engari nā te mea ka taea e te mamae te whakapā atu i tō ngakau. Ka whiwhi pea koe i te nitroglycerin hei āwhina i te whakatuwhera i ō uaua me te morphine mō te mamae nui e kore e whakautu ki ētahi atu maimoatanga.
I te katoa o tō maimoatanga, ka tirotiro tata te rōpū hauora i te tere o tō ngakau, te toto toto, me ngā taumata o te hāora. Ka whakarite rongoā me ngā maimoatanga i runga i tō whakautu me ētahi atu raruraru ka puta pea.
He wāhanga nui hoki o te maimoatanga te ora me te whakaora. Kei roto i ēnei ngā kaupapa whakaora ngakau e āwhina ana i a koe ki te hoki haumaru ki ngā mahi noa me te ako i ngā huringa noho hei aukati i ngā raruraru ngakau i muri mai.
He tukanga atawhai te ora mai i te mate ngakau ohorere, e whakauru ana i te ora tinana me ngā whakaritenga noho. Ka homai e tō rōpū hauora ngā aratohu motuhake mō tō āhuatanga, engari he kaupapa whānui e pā ana ki te nuinga o te hunga e ora ana i te ACS.
Tangohia ngā rongoā katoa kia rite ki te whakahau, ahakoa kei te pai ake koe. Kei te tiaki ēnei rongoā i tō ngakau me te aukati i ngā raruraru i muri mai, na kaua e mutu, kaua hoki e whakarereke i ētahi atu rongoā me te kore e kōrero tuatahi ki tō tākuta. Whakaritea he kaiwhakarite rongoā, te whakamahi ranei i ngā whakamaharatanga waea hei āwhina i a koe ki te noho tika.
Tīmatahia ngā mahi ngāwari e whakaaetia ana e tō rōpū hauora. Ko te hikoi te tikanga e whakaohohia ana i te tīmatanga o te whakaora, mā te tīmatanga ki ngā tawhiti poto ka piki haere te roa i te hokinga mai o tō kaha. Kaua e kawe taumaha, mahi whakakaha rānei, mahi rānei e pāngia ai te mamae o te uma, te poto o te manawa rānei.
Tātai atu ki tō tinana, ako hoki ki te mohio ki tō tikanga hou. Ko te ngenge me te mamae iti i te wā o te whakaora he mea e tumanakohia ana, engari ko te mamae hou, te mamae rānei o te uma, te poto o te manawa rānei, me ētahi atu tohu whakawehi me whai kia whakawhitiwae atu ki te taote tonu.
Whai i ngā tohutohu kai, e whakauruhia ana te whakaiti i te konutai, ngā ngako makariri, me te kolesterol, me te whakamahi i ngā hua, ngā huawhenua, ngā witi katoa, me ngā pūmua ngawari. Ka taea e tō kaiwhakaako kai rānei, kaiwhakarato hauora rānei te awhina i a koe ki te hanga i te mahere kai hauora ngākau e pai ana ki ō hiahia me tō oranga.
Whakahaerehia te ahotea mā ngā tikanga whakamahinga, te whakakakahu ngāwari, te moe pai, me te tautoko pāpori. Whakaarohia te whakauru ki te kaupapa whakaora ngākau, e whakarato ana i te whakakakahu whakarite, te mātauranga, me te tautoko ngākau i te wā o tō whakaora.
Haere ki ngā hui whakarite katoa, kia mau ki ngā nama nui penei i tō pehanga toto, ngā taumata kolesterol, me te taumaha. Ka āwhina ēnei haerenga i tō rōpū hauora ki te tirotiro i tō ahunga whakamua me te whakarite i ngā maimoatanga kia rite ki te hiahia.
Ko te whakarite mō ō whakatau ki te taote i muri i te mate ngākau nui ka āwhina i a koe ki te whiwhi i te hua nui mai i ō haerenga, kaua hoki e wareware ki ngā mōhiohio nui. Tuhia ō pūrongo me ō awangawanga i mua i ia whakatau kia kaua e wareware ki a rātou i taua wā.
Kia mau ki te rārangi taipitopito o ngā rongoā katoa e inu ana koe, tae atu ki ngā ingoa tika, ngā rāpoi, me te auau o te inu. Whakauruhia ngā rongoā kore-whakahaunga, ngā taapiri, me ngā rongoā otaota, na te mea ka taea e ēnei te pā ki ō rongoā ngākau.
Aroturukihia ō tohu i waenganui i ngā whakaritenga mā te tuhi i te wā e puta mai ai, ngā mea e whakaohooho ana i ā rātou, te roa o te roa, me ngā mea e āwhina ana kia pai ake. Ka āwhina tēnei mōhiohio i tō tākuta ki te mōhio ki te pēhea o tō whakautu ki te rongoā me te mea kei te hiahiatia he whakatikatika.
Kawe mai he rārangi o ō pātai, mā te tīmata ki ngā mea nui rawa atu. Ko ngā pātai noa pea ka uru atu ki te wā ka taea e koe te hoki ki te mahi, ngā mahi haumaru, ngā tohu e tika ana kia awangawanga koe, me te pēhea te whakahaere i ngā pānga o te rongoā.
Whakaarohia te kawe mai i te mema whānau, i te hoa tata rānei ki ngā whakaritenga nui. Ka taea e rātou te āwhina i a koe ki te mahara ki ngā mōhiohio i kōrerohia i te wā o te toro me te whakarato tautoko i te wā e mahi ana i ngā whakatau nui mō tō tiaki.
Whakamahia ngā mōhiohio e pā ana ki tō hītori hauora, tae atu ki tetahi hītori whānau o te mate ngākau, ngā raruraru ngākau o mua, me ētahi atu āhuatanga hauora kei a koe. Ki te kite koe i tetahi tākuta hou, kohikohia ngā rēkōta mai i ngā kaiwhakarato, i ngā hōhipera rānei o mua.
He āhuatanga kino engari ka taea te whakaora te mate ngākau tūturu e hiahia ana ki te tiaki hauora tonu ina puta mai ngā tohu. Ko te ki ki te hua pai rawa atu ko te mohio wawe ki ngā tohu me te whiwhi i te tiaki āwhina me te kore whakaroa.
Ahakoa ka wehi te ACS, kua tino pai ake ngā hua mō te hunga e pā ana ki a ia. Mā te tiaki hauora tika, ngā rongoā, me ngā huringa oranga, ka ora tonu te nuinga o te iwi i muri i te mate ngākau tūturu.
Ko te aukati tonu te rautaki pai rawa atu mō te karo i ngā raruraru ngākau a muri ake nei. Kei roto i ēnei te tango tonu i ngā rongoā i tohua, te whai i te oranga hauora ngākau, te whakahaere i ētahi atu āhuatanga hauora penei i te mate huka me te toto teitei, me te mahi tata atu ki tō rōpū hauora.
Kia mahara ko te ora he tukanga, ehara i te wāhi e tae atu ai. Kia manawanui ki a koe ano i a koe e ora ana, e whakarite ana ki ngā huringa oranga e tika ana. I te wā, ka kite te nuinga o te iwi kua waiho o rātou mahi hou hei mea noa, ā, e tino whakapono ana rātou ki te whakahaere i to rātou hauora ngākau.
Ae, he mea pēnei te mate ngākau Ūkuikui kahore he mamae uma noa, inā koa mō ngā wāhine, ngā kaumātua, me ngā tāngata e mate huka ana. Āe pea ka kite koe i te poto o te manawa, te ruaki, te ngenge pēnei, te mamae i tō kauae, i tō tua rānei, te āhua noa rānei kei te he tetahi mea nui. Ko ēnei whakaaturanga ‘ngāwari’ ka rite tonu te kino ki ētahi atu e mamae uma ana, na kaua e wareware ki ngā tohu pēnei e awangawanga ana koe.
He rerekē te roa o te ora ka whakawhirinaki ki te kino o tō mate me tō hauora whānui. Ka taea e te nuinga o te iwi te hoki ki ngā mahi māmā i roto i ngā wiki torutoru, engari ko te ora katoa ka roa pea i ngā marama maha. Me wātea te manawa o tō ngākau kia ora, ā, me wātea te wā ki te whakarite ki ngā rongoā hou me ngā huringa oranga. Ko ngā kaupapa whakaora ngākau e 8-12 wiki te roa, ā, ka āwhina i te arahi i tō ora haumaru.
Ka taea e te nuinga o te iwi te hoki ki te whakakori i muri i te mate ngākau Ūkuikui, ā, ka kite pea i te kaha ake, i te kaha ake i mua i to rātou kaupapa. Heoi, me whai whakaae hauora koe, me tīmata noa i ngā mahi e tiaki ana. He pai ngā kaupapa whakaora ngākau mō te ako ki te whakakori haumaru me te whai hua. Ka āwhina tō rōpū hauora ki te whakatau i ngā momo me ngā taumata o te whakakori e tika ana mō tō āhuatanga motuhake.
Ahakoa te piki o tō raru mō ngā raruraru ngākau i muri mai i te whiwhi i te mate ngākau tūturu, ka taea te whakaiti nui i tēnei raru mā te tango i ngā rongoā kua tohua, me te whakarereke i ngā tikanga ora. He tokomaha ngā tāngata e whai ana i ō rātou mahere maimoatanga, ā, e pupuri ana i ngā tikanga hauora ngākau, kāore e pāngia e tētahi atu kaupapa ngākau. Ko tō raru whaiaro e whakawhirinaki ana ki ngā take pēnei i te whānui o tō mate ngākau, te pai o tō whakautu ki te maimoatanga, me te mau tonu o tō whai i ngā tūtohu hauora.
Ka taea e te ahotea ngākau nui, te ahotea tinana rānei te whakaoho i te mate ngākau tūturu ki ngā tāngata kua pangia e te mate ngākau. Ka piki ake te tere o tō ngākau me te toto, ā, ka taea e tēnei te whakarewa i ngā papa i roto i ō uaua toto. Ahakoa ko te ahotea anake ka rāre e whakaoho i te mate ngākau tūturu ki ngā tāngata e hauora ana ō rātou ngākau, he wāhanga nui te whakahaere i te ahotea roa o te aukati me te ora mai i te mate ngākau. Ka taea te whai hua te ako i ngā tikanga whakahaere ahotea mō tō hauora ngākau katoa.
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