He aha te Atrial Fibrillation? Tohutohu, Take, me te Maimoatanga

Ko te atrial fibrillation tetahi mate o te rōpū o te ngakau e kore ai e whiti tika te ngakau, ā, e tere rawa ana te whiti. Ki te kore te ngakau e whiti i roto i tōna tikanga noa, ka raru ngā tohu hiko, ka pakaru rānei te ngakau.

He maha ngā tangata o te ao nei e pā ana ki tēnei mate, ā, ka nui haere te pānga i te wā e pakeke haere ana tātou. Ahakoa ka wehi pea koe i te wā tuatahi e pā ana koe, ka taea te whakahaere i te atrial fibrillation mā te tiaki hauora tika me ngā whakarerekētanga o te noho.

He aha te atrial fibrillation?

Ko te atrial fibrillation, e kiia ana ko te AFib, ko te AF rānei, ka puta mai i te wā e raru ana te pūnaha hiko o ngā ruma o runga o te ngakau (ngā atria). I te nuinga, ka whiti te ngakau i roto i te tauira whakarite, engari ki te AFib, ka wiri haere ngā atria i te kore whakarite, kaore hoki e whakaiti tika.

Whakaarohia he ope waiata kei reira ētahi kaiwaiata e takaro ana i waho o te whakarite. Ka pupuhi tonu te ngakau i te toto, engari ehara i te āhei rite ki te mea me mahi.

Ko te rongo pai, ahakoa he tino mate te AFib, he tino taea te whakaora. He maha ngā tangata e ora ana i tēnei mate, e ora ana i te ora katoa, i te ora mahi, me te tautoko hauora tika me ngā rautaki tiaki whaiaro.

He aha ngā tohu o te atrial fibrillation?

Ko ētahi o ngā tāngata e pā ana ki te atrial fibrillation ka kite i ngā tohu mārama, engari ko ētahi atu pea kaore e kite i tetahi mea tae noa ki te wā e kitea ana i te wā o te tirotiro noa. Ki te puta mai ngā tohu, ka rere ke mai i te ngawari ki te tino kitea.

Ko ngā tohu tino noa ka pā atu ki a koe:

• Te pupuhi o te ngakau, te wiri rānei i roto i tō puku
• Te whiti kore whakarite, te tere rānei o te ngakau e taea ai te kite
• Te poto o te manawa, ina koa i ngā mahi noa
• Te mamae o te uma, te mamae iti rānei o te uma
• Te ngenge, te ngenge rānei
• Te māuiui, te mārama rānei
• Te ngoikore, te ngoikore rānei ki te whakakori tinana

Ko ētahi atu o ngā tāngata ka pā atu ki ngā tohu iti ake, pēnei i te werawera, te manukanuka, te whakapohehe rānei i ngā wā. Ka haere mai ēnei tohu, ka haere atu rānei, kaore rānei e puta tonu ki te AFib tonu.

He mea nui kia mahara, ki te kore ngā tohu, ehara tena i te tikanga kaore te AFib e tino kino. Ka āwhina te aro turuki hauora kia mau tonu te whakahaere i tō mate, ahakoa te āhua o tō ahua i ia rā.

He aha ngā momo o te atrial fibrillation?

Ka wehewehe ngā tākuta i te atrial fibrillation ki ngā momo rerekē i runga i te roa o ngā wā, me te āhua o te whakautu ki te maimoatanga. Ka āwhina te mōhiotanga ki tō momo motuhake i tō rōpū hauora ki te hanga i te mahere maimoatanga pai mōu.

Ko ngā momo matua:

• Paroxysmal AFib: Ka haere mai ngā wā, ka haere atu rānei, e noho ana i raro iho i te 7 rā, ā, he maha ngā haora noa iho.
• Persistent AFib: Ka roa ake ngā wā i te 7 rā, ā, e hiahiatia ana te maimoatanga hauora hei whakahoki i te tikanga whiti.
• Long-standing persistent AFib: Ngā wā tonu e roa atu ana i te 12 marama.
• Permanent AFib: Ko te whiti kore whakarite tonu, ā, kua whakatau koe me tō tākuta kia kaua e ngana ki te whakahoki i te tikanga whiti.

Ka rereke pea tō momo i te wā, ā, he mea noa tena. He maha ngā tāngata e tīmata ana me te paroxysmal AFib ka piki pea ki ngā momo pumau, koia te take i tino nui ai te tiaki hauora tonu.

He aha ngā take o te atrial fibrillation?

Ka puta te atrial fibrillation i te wā e whakararu ana tetahi mea i te pūnaha hiko noa o te ngakau. I te nuinga, he whakakotahitanga o ngā take, kaore rānei i te kotahi noa te take, ā, i ētahi wā kaore e mārama te take.

Ko ngā take take tino noa:

• Te toto teitei (te mea tino nui)
• Te mate ngakau, tae atu ki te mate o ngā uaua o te ngakau, ngā raruraru o te waewae ngakau rānei
• Te kore o te ngakau, ngā whakaeke ngakau rānei o mua
• Te thyroid nui (hyperthyroidism)
• Te moe apnea, ētahi atu mate manawa rānei
• Te inu waipiro nui
• Te mate huka me ngā mate metabolic

Ko ngā take iti ake, engari he mea nui, ka uru atu ngā mate pūkahukahu, ngā mate, ētahi rongoā rānei, ngā take ira rānei. I ētahi wā, ka taea e ngā take ohorere, pēnei i te mate kino, te pokanga, te ahotea nui rānei, te whakaoho i tetahi wā AFib ki ngā tāngata kua whakaritea.

I ētahi wā, ina koa ki ngā tāngata taitamariki, ka puta te AFib kaore he take take e kitea ana. E kiia ana tēnei ko te "lone atrial fibrillation," ahakoa kei te kitea e ngā tākuta he maha o ēnei take he take iti e kore i kitea i te tīmatanga.

Nōhea te haere ki te tākuta mō te atrial fibrillation?

Me rapu koe i te tiaki hauora mena ka pā atu ki a koe ngā tohu e tohu ana pea ki te atrial fibrillation, ina koa ki te hou, ki te rerekē rānei i te mea e pātata ana koe. Ka taea e te aromatawai me te maimoatanga wawe te aukati i ngā raruraru, ā, ka āwhina i a koe kia pai ake te āhua.

Whakapa atu ki tō tākuta ina kite koe i ngā whiti kore whakarite o te ngakau, te pupuhi tonu, te poto rānei o te manawa. Ahakoa ka haere mai ngā tohu, ka haere atu rānei, e tika ana kia arotakehia e te hauora kia kitea he aha te take.

Rapua te tiaki ohorere ina kite koe i te mamae o te uma, te poto nui o te manawa, te ngaro o te ngakau, ngā tohu o te pōka rānei, pēnei i te ngoikore ohorere, te whakapohehe, te uaua rānei ki te kōrero. Ka taea e ēnei tohu te tohu i ngā raruraru nui e hiahia ana ki te maimoatanga ohorere.

Kaua e whakaroa ki te karanga atu ki tō kaiwhakarato hauora ahakoa kaore koe e tino mohio kei te hono atu rānei ō tohu ki te AFib. He pai tonu te tirotiro me te rangimarie o te ngākau i te manukanuka, te ngaro rānei i tetahi mea nui.

He aha ngā take morearea mō te atrial fibrillation?

He maha ngā take ka piki ake ai tō tūponotanga ki te whanake i te atrial fibrillation, ahakoa te mea kei a koe ngā take morearea, ehara tena i te whakamana ka whanake koe i te mate. Ka taea e te mōhiotanga ki ēnei take te āwhina i a koe me tō tākuta ki te tango i ngā mahi aukati ina taea.

Ko ngā take morearea tino nui:

• Te tau (ka piki ake te morearea i muri i te 65)
• Te toto teitei
• Te mate ngakau, te pokanga ngakau rānei o mua
• Te hītori whānau o te atrial fibrillation
• Te momona
• Te mate huka
• Te moe apnea
• Ngā mate thyroid
• Te mate whatukuhu roa
• Te inu waipiro nui

Ko ētahi o ngā take morearea kaore e taea te whakarerekē, pēnei i te tau me te ira, engari he maha atu ngā mea ka taea te whakarerekē mā ngā whakarerekētanga o te noho me te maimoatanga hauora. Ka whakaitihia te morearea AFib mā te whakahaere i ngā āhuatanga pēnei i te toto teitei me te mate huka.

He mea whakamīharo, ko te whakakori tinana roa i ngā tau maha ka piki ake te morearea AFib ki ētahi tāngata, ahakoa he mea tiaki te whakakori tinana noa.

He aha ngā raruraru pea o te atrial fibrillation?

Ahakoa ehara te atrial fibrillation i te mate mate ohorere, ka taea te arahi ki ngā raruraru nui ki te kore e whakaora. Ko te rongo pai, ka whakaitihia ngā morearea mā te whakahaere hauora tika, ka taea ai e te nuinga o ngā tāngata te noho noa.

Ko ngā raruraru tino awangawanga:

• Te pōka: Ka taea te hanga i ngā toto i roto i ngā atria wiri, ka haere ki te roro.
• Te kore o te ngakau: Ka ngoikore pea te uaua o te ngakau i te wā roa o te whiti kore whakarite.
• Ngā toto toto ke: Ka taea te haere ngā toto ki ngā pūkahukahu, ngā whatukuhu, ētahi atu okana rānei.
• Ngā raruraru hinengaro: Ka pā pea te rere o te toto ki te mahara me te whakaaro.
• Cardiomyopathy: Te kino o te uaua o te ngakau mai i ngā tere tere tonu.

Ko te aukati i te pōka te mea nui i te maimoatanga AFib. Ka aromatawai tō tākuta i tō morearea pōka, ā, ka tūtohutia pea ngā rongoā whakaheke toto hei whakaiti i tenei morearea.

Me te maimoatanga tika, tae atu ki te whakahaere whiti, te tere rānei, me te whakaheke toto tika, he hua pai te nuinga o ngā tāngata e pā ana ki te AFib. Ka āwhina te aro turuki tonu ki te hopu me te whakaoti i ngā take i mua i te riro hei raruraru nui.

Me pēhea te aukati i te atrial fibrillation?

Ahakoa kaore e taea te aukati i ngā take katoa o te atrial fibrillation, ina koa ngā mea e pā ana ki te pakeketanga, te ira rānei, he maha ngā take morearea ka taea te whakahaere mā ngā whiringa noho hauora me te whakahaere hauora o ngā āhuatanga take.

Ko ngā rautaki aukati tino whai hua:

• Te pupuri i te toto hauora mā te kai, te whakakori tinana, me te rongoā mena e hiahiatia ana.
• Te whakahaere i te mate huka mā te whakahaere tika i te huka toto.
• Te pupuri i te taumaha hauora.
• Te whakaiti i te inu waipiro.
• Te tiki i te moe kounga me te whakaora i te moe apnea mena kei reira.
• Te whakakori tinana tonu, engari te karo i te whakakori tinana nui.
• Te whakahaere i te ahotea mā ngā tikanga whakamahinga.
• Te whakaora wawe i ngā mate thyroid.
• Te karo i te caffeine me ngā whakaohooho nui.

Mena kei a koe te mate ngakau, ka āwhina te mahi tata atu ki tō tākuta ki te whakapai ake i tō maimoatanga ki te aukati i te whanake o te AFib. Ka uru atu tēnei ki te tango tonu i ngā rongoā kua tohua, me te haere ki ngā tirotiro tonu.

Mō ngā tāngata e pā ana ki te AFib, ka āwhina ēnei tikanga ano ki te aukati i ngā wā mai i te nui haere, te piki rānei ki ngā momo pumau o te mate.

Me pēhea te whakatau i te atrial fibrillation?

Ko te whakatau i te atrial fibrillation ka tīmata mā tō tākuta e whakarongo ana ki ō tohu me te tirotiro i tō whiti. Ka kitea pea e rātou te whiti kore whakarite i te wā o te tirotiro tinana, engari ko te whakau i te whakatau e hiahiatia ana te tuhi i te mahi hiko o tō ngakau.

Ko te taputapu whakatau matua ko te electrocardiogram (ECG, EKG rānei), e whakaatu ana i te tauira kore whakarite o te AFib. Engari, mai i te mea ka haere mai te AFib, ka haere atu rānei, pea ka hiahia koe ki te aro turuki roa hei hopu i ngā wā ina puta mai.

Ka tūtohu pea tō tākuta i ngā whakamātautau atu, pēnei i:

• Te tirotiro Holter (te tuhi tonu mō te 24-48 haora)
• Te tirotiro mahi (e mau ana mō ngā wiki ki ngā marama)
• Te echocardiogram hei tirotiro i te hanganga me te mahi o te ngakau
• Ngā whakamātautau toto hei tirotiro i te mahi thyroid me ētahi atu take
• Te X-ray uma hei tirotiro i te āhua o te ngakau me te pūkahukahu
• Te whakamātautau ahotea hei kite me pēhea te whakautu o tō ngakau ki te whakakori tinana

I ētahi wā ka kitea te AFib i te wā o te tiaki hauora noa, te rangahau rānei i ētahi atu tohu. Ka taea hoki e ngā karaka atamai me ngā kaiwhakakori tinana te kite i ngā whiti kore whakarite, ahakoa e hiahiatia ana te whakau hauora.

Ka āwhina te tukanga whakatau i te kite mena kei a koe te AFib, te momo rānei, me te take, e arataki ana i tō mahere maimoatanga.

He aha te maimoatanga mō te atrial fibrillation?

Ko te maimoatanga atrial fibrillation e arotahi ana ki ngā whāinga matua e rua: te aukati i te pōka mā te whakaheke toto, me te whakahaere i ngā tohu mā te whakahaere i te tere o te ngakau, te whiti rānei. Ka whakawhirinaki tō mahere maimoatanga motuhake ki ō tohu, ki tō hauora whānui, ki ō hiahia whaiaro.

Ko te nuinga o ngā tāngata e pā ana ki te AFib ka hiahia ki te rongoā anticoagulant (whakaheke toto) hei aukati i te pōka. Ko ngā whiringa noa ko te warfarin, ngā rongoā hou rānei pēnei i te apixaban, rivaroxaban, dabigatran rānei. Ka tātai tō tākuta i tō morearea pōka hei whakatau mena e hiahiatia ana te whakaheke toto.

Mō te whakahaere tohu, ko ngā huarahi maimoatanga:

• Te whakahaere tere: Ngā rongoā pēnei i ngā beta-blockers, ngā kaiwhakahaere calcium channel rānei hei whakaiti i te tere o te ngakau.
• Te whakahaere whiti: Ngā rongoā, ngā tukanga rānei hei whakahoki, hei pupuri rānei i te tikanga whiti.
• Te catheter ablation: He tukanga e whakangaro ana i ngā wāhi iti o te uaua o te ngakau e puta mai ana te AFib.
• Cardioversion: Te whakakikikī hiko, te rongoā rānei hei whakahoki i te whiti o te ngakau.
• Te pacemaker: I ētahi wā e hiahiatia ana mena ka tino whakaitihia te tere o te ngakau e ngā rongoā.

He maha ngā tāngata e pai ana ki te whakahaere tere, e tuku ana i te AFib ki te haere tonu, engari e pupuri ana i te tere o te ngakau i te taumata tika. Ko ētahi atu ka whai hua ake i te whakahaere whiti, ina koa ki te tino nui ngā tohu.

Ka whanake pea te maimoatanga i te wā e rerekē ana tō mate, ngā rongoā hou rānei e puta mai ana. Ka āwhina te whai tonu kia mau tonu te mahere maimoatanga pai mō tō āhuatanga.

Me pēhea te whakahaere i te atrial fibrillation i te kāinga?

Ko te whakahaere i te AFib i te kāinga e uru ana ki te tango tonu i ngā rongoā kua tohua, te aro turuki i ō tohu, me te whakarerekē i te noho e tautoko ana i tō hauora ngakau. Ka taea e ō tikanga o ia rā te pānga nui ki te āhua o tō ahua, me te āhua o tō mate.

He mea nui te whai i ngā rongoā mō te aukati i te pōka me te whakahaere tohu. Tangohia ngā whakaheke toto kia rite ki te tohu, ahakoa kei te pai tō ahua, kaua hoki e mutu te tango me te kore e kōrero ki tō tākuta.

Ko ngā rautaki whakahaere kāinga whai hua:

• Te aro turuki i tō whiti tonu me te tuhi i ngā whakarerekētanga.
• Te pupuri i te pukapuka tohu hei kite i ngā take.
• Te pupuri i te kai hauora ngakau iti te tote.
• Te pupuri i te wai, engari te whakaiti i te caffeine me te waipiro.
• Te tiki i te moe tika me te whakahaere i te ahotea.
• Te whakakori tinana tonu i roto i ngā aratohu a tō tākuta.
• Te tango i ngā rongoā i ngā wā kotahi i ia rā.

Ako ki te mohio ki te wā e rerekē ana, e kino ake ana rānei ō tohu, kaua hoki e whakaroa ki te whakapa atu ki tō rōpū hauora me ngā awangawanga. Ka kitea e ētahi tāngata ko ētahi kai, mahi, taumata ahotea rānei e whakaoho ana i ō rātou wā AFib.

Whakaarohia te whakamahi i te taupānga waea atamai, te pukapuka rānei hei tuhi i ngā tohu, ngā rongoā, me ngā take. Ka taea te whakamahi i tēnei mōhiohio i ngā wā whakarite hauora, ā, ka āwhina i a koe kia riro hei hoa mahi i roto i tō tiaki.

Me pēhea te whakarite mō tō whakaritenga tākuta?

Ko te whakarite mō tō whakaritenga AFib ka āwhina i a koe ki te tiki i te uara nui mai i tō wā me tō kaiwhakarato hauora. Kawe mai ngā mōhiohio e tika ana, haere mai me ngā pātai motuhake mō tō mate me ngā whiringa maimoatanga.

I mua i tō whakaritenga, kohikohia ngā mōhiohio nui, tae atu ki te rārangi o ngā rongoā me ngā taapiri katoa e tangohia ana e koe, tae atu ki ngā horopeta. Tuhia ō tohu, te wā e puta mai ana, me te mea e whakaoho ana, e whakaora ana rānei i a rātou.

Ko ngā mea whai hua hei kawe mai:

• Te rārangi rongoā katoa me ngā horopeta.
• Te pukapuka tohu, ngā tuhi rānei mō ngā wā.
• Te rārangi o ngā pātai, ngā awangawanga rānei.
• Ngā rēkōta mai i ētahi atu tākuta, ngā tohunga rānei.
• Ngā mōhiohio mō tō hītori whānau o ngā raruraru ngakau.
• Ngā mōhiohio mō tō noho, tae atu ki ngā tikanga whakakori tinana me te inu waipiro.

Whakaarohia te kawe mai i te mema whānau, te hoa rānei e whakawhirinaki ana e taea te āwhina i a koe ki te mahara ki ngā mōhiohio i kōrerohia i te wā o te whakaritenga. Pea ka whakaaro rātou ki ngā pātai kaore koe i whakaaro.

Kaua e wehi ki te ui pātai mō tetahi mea kaore koe e mōhio. E hiahia ana tō tākuta kia pai koe ki tō mahere maimoatanga, kia mōhio hoki koe me pēhea te whakahaere tika i tō mate.

He aha te mea nui mō te atrial fibrillation?

Ko te atrial fibrillation he mate whiti ngakau e taea te whakahaere, e pā ana ki ngā miriona o ngā tāngata o te ao nei. Ahakoa e hiahia ana ki te aro turuki hauora tonu, ko te nuinga o ngā tāngata e pā ana ki te AFib e ora ana i te ora katoa, i te ora mahi, me te maimoatanga tika me te whakahaere noho.

Ko ngā mea tino nui o te tiaki AFib ko te aukati i te pōka mā te whakaheke toto tika, me te whakahaere i ngā tohu hei pupuri i tō kounga o te ora. Ka āwhina te mahi tata atu ki tō rōpū hauora kia whiwhi koe i te tiaki pai rawa atu e rite ana ki tō āhuatanga motuhake.

Kia mahara ko te whakahaere AFib he hononga mahi i waenga i a koe me tō rōpū hauora. Ko te tango i ngā rongoā kia rite ki te tohu, te haere ki ngā tirotiro tonu, me te pupuri i ngā tikanga hauora ngakau katoa e āwhina ana ki ngā hua pai ake.

Kia mōhio tonu koe mō tō mate, kaua hoki e tuku kia whakatau i tō ora. Me ngā whiringa maimoatanga o nāianei me ngā whakapainga hauora tonu, te mea kei a koe te AFib, ehara i te mea e whakaiti ana i ō whāinga, ō mahi rānei.

Ngā pātai e ui pinepinetia ana mō te atrial fibrillation

Ka taea te haere atu te atrial fibrillation i runga i a ia ake?

Ko ētahi o ngā tāngata e pā ana ki te paroxysmal AFib e haere mai ana, ka haere atu rānei, me ngā wā e mutu ana i runga i a rātou ake. Engari, ko te AFib kaore e ngaro tonu me te kore he maimoatanga, ā, ko te nuinga o ngā tāngata e hiahia ana ki te whakahaere hauora tonu hei aukati i ngā raruraru me te whakahaere i ngā tohu.

He haumaru te whakakori tinana me te atrial fibrillation?

Ko te nuinga o ngā tāngata e pā ana ki te AFib ka taea te whakakori tinana me te aratohu a tō rātou tākuta. He pai te whakakori tinana noa mō te hauora ngakau, engari pea ka hiahia koe ki te karo i ngā mahi tino kaha, te whakarerekē rānei i tō mahi i runga i ō tohu me tō mahere maimoatanga.

Me tango tonu pea au i ngā whakaheke toto?

Ko te nuinga o ngā tāngata e pā ana ki te AFib e tango ana i ngā whakaheke toto mō te wā roa hei aukati i te pōka, engari ko te whakatau e whakawhirinaki ana ki ō take morearea pōka motuhake. Ka arotake tonu tō tākuta mena e hiahiatia ana te whakaheke toto i runga i tō mate me ētahi atu take hauora.

Ka taea te whakaoho i ngā wā atrial fibrillation e te ahotea?

Ae, ko te ahotea hinengaro, te ahotea tinana, ngā whakarerekētanga nui o te ora rānei ka taea te whakaoho i ngā wā AFib ki ētahi tāngata. Ka taea e te ako i ngā tikanga whakahaere ahotea, te pupuri rānei i te moe me te whakakori tinana tonu te whakaiti i ngā wā e pā ana ki te ahotea.

He aha ngā kai me karo e au me te atrial fibrillation?

Ahakoa kaore he kai AFib tino tika, ko te whakaiti i te caffeine nui, te waipiro, ngā kai nui te tote rānei ka āwhina pea i ētahi tāngata. Mena kei te tango koe i te warfarin, me pupuri koe i te kai hua K. Ka taea e tō tākuta, tō kaiwhakaako kai rānei te hoatu i te aratohu kai motuhake.