He aha te Bradycardia? Tohutohu, Take, me te Maimoatanga

He aha te Bradycardia?

Ko te bradycardia te tere o te whiu o tō ngakau i raro i te noa, i te nuinga i raro i te 60 whiu ia meneti. Whakaarohia tō ngakau he kaiārahi tūturu ake tōna ake e tere ana i etahi wā.

Ki te tini o te iwi, ehara i te raruraru te tere o te whiu o te ngakau. Ko ngā kaitākaro hākinakina te nuinga o te wā he tere o te whiu o te ngakau i roto i te 40s, 50s rānei, nā te whai hua o ō rātou ngakau.

Engari, ki te pā te bradycardia ki ngā tohu penei i te māuiui, te ngenge rānei, me āta tirohia e te taote.

He aha ngā Tohutohu o te Bradycardia?

Ko te tini o te iwi e pangia ana e te bradycardia ngawari e pai tonu ana te ahua, kāore hoki e mōhio kei a rātou.

Ka puta noa ngā tohu ina he iti rawa te tere o te whiu o tō ngakau kia kore ai e ranea te toto ki te whakahoki i ngā hiahia o tō tinana.

• Te māuiui, te mārō rānei, ina tū ake
• Te ngenge, te ngoikore rānei i ngā mahi noa
• Te poto o te manawa, ina mahi tinana
• Te mamae, te kore ngāwari rānei o te uma
• Te whakapohehe, te uaua rānei ki te aro
• Te ngaro o te ngākau, te tata ki te ngaro o te ngākau rānei

Ka puta ēnei tohu nā te kore o te ranea o te toto e mau ana i te hāora ki ngā kōpū. Ki te pā atu tētahi o ēnei ki a koe, he mea tika kia kōrero ki tō taote.

He aha ngā momo Bradycardia?

He maha ngā momo bradycardia, kei te wāhi o te raru i roto i te pūnaha hiko o tō ngakau.

Ko ēnei ngā momo matua:

• Sinus bradycardia: Ko te kaiārahi tūturu o tō ngakau (sinus node) e tuku ana i ngā tohu he iti rawa te tere
• Heart block: Ka whakaroahia, ka aukatia rānei ngā tohu hiko ina haereere ana rātou i roto i tō ngakau
• Sick sinus syndrome: Ka kore e whakawhirinaki te kaiārahi o tō ngakau, ka rereke i waenga i ngā tere tere me ngā tere iti

He rerekē ngā take o ia momo, ā, me rerekē pea ngā maimoatanga. Ka taea e tō taote te whakatau i te momo kei a koe mā ngā whakamātautau ngāwari penei i te electrocardiogram (ECG).

He aha ngā Take o te Bradycardia?

Ka puta mai te bradycardia i ngā take maha e pā ana ki te pūnaha hiko o tō ngakau.

Ko ēnei ngā take noa:

• Ngā rongoā penei i ngā beta-blockers, ngā kaihoroi kaupapa kārara, digoxin rānei
• Ngā huringa e pā ana ki te pakeke ki te pūnaha hiko o tō ngakau
• Ngā mate ngakau penei i te mate ateri o te ngakau, te mate ngakau rānei
• Ngā mate thyroid, ina koa te iti o te mahi a te thyroid
• Te moe apnea e whakaroa ana i ngā āhuatanga o te manawa
• Ngā koretake o te electrolyte, ina koa te iti o te pāhare pāporo, te kārara rānei

Ko ēnei ngā take iti ake, engari he mea nui:

• Ngā āhuatanga mumura penei i te myocarditis, te kirika rheumatic rānei
• Ngā hapa o te ngakau i whānau mai
• Te mate Lyme, ētahi atu mate rānei e pā ana ki te ngakau
• Te hypothermia nui, ngā mate metabolic rānei

I etahi wā, kāore e taea te kimi i te take motuhake, e kiia ana e ngā taote he bradycardia idiopathic. Ko te rongo pai ko te nuinga o ngā take ka taea te whakaora ina kitea.

Nōhea te Tiro ki te Taote mō te Bradycardia?

Me kimi āwhina hauora koe ki te pā ngā tohu ki ō mahi o ia rā.

Whakapa atu ki tō taote ina kite koe i te māuiui, te ngenge rānei, te poto o te manawa rānei i ngā mahi noa. Ka whakaatu ēnei tohu kei te kore pea e ranea te toto e pupuhi ana tō ngakau ki te whakahoki i ngā hiahia o tō tinana.

Rapua te tiaki hauora tūturu ina ngaro tō ngākau, te mamae nui o te uma rānei, te whakapohehe ohorere rānei. Ka taea e ēnei tohu te whakaatu kua heke te tere o te whiu o tō ngakau ki te taumata kino.

Ki te inu koe i ngā rongoā ngakau, ā, ka kite koe i ngā tohu hou, kaua e mutu te inu i ō rongoā. Whakapa atu ki tō kaiwhakarato hauora kia kōrerotia te whakarite i tō maimoatanga.

He aha ngā Take Pānga mō te Bradycardia?

Ka taea e ētahi take te whakapiki ake i tō tūponotanga ki te whanake i te bradycardia.

Ko te pakeke te take pānga nui rawa atu, nā te mea ka huri noa te pūnaha hiko o tō ngakau i te wā.

Ko ēnei ngā take pānga nui:

• Te inu i ngā rongoā e whakaroa ana i te tere o te ngakau
• Te mate ngakau, te pokanga ngakau rānei
• Te toto teitei, te mate huka rānei
• Ngā mate thyroid
• Te moe apnea, ētahi atu mate manawa rānei
• Te hītori whānau o ngā raruraru o te tere o te ngakau

Ko te kaitākaro hākinakina whakataetae ka taea te arahi ki te bradycardia, ahakoa he tohu tēnei o te hauora ngakau pai ake i te raru hauora.

He aha ngā Raru pea o te Bradycardia?

Ko te nuinga o te iwi e pangia ana e te bradycardia e ora ana i ngā oranga noa, hauora, me te whakahaere tika.

Ko te take nui ko te kore pea e ranea te toto e pupuhi ana tō ngakau ki te whakarato i ō kōpū. Ka taea e tēnei te arahi ki:

• Ngā whakaaturanga ngaro o te ngākau e whakapiki ake ana i te tūponotanga o te whara
• Te kore o te ngakau ki te kore e taea e tō ngakau te whakahoki i ngā hiahia o tō tinana
• Te mutu ohorere o te ngakau i ngā take kino
• Ngā raruraru hinengaro mai i te iti o te toto e rere ana ki tō roro

He tino pea ēnei raruraru me ngā tere o te ngakau tino iti, te puta mai ohorere rānei o te bradycardia. Me te tirotiro tika me te maimoatanga, ka taea te aukati, te whakahaere rānei i te nuinga o ngā raruraru.

Me pēhea te aukati i te Bradycardia?

Ahakoa kaore e taea e koe te aukati i ngā take katoa o te bradycardia, ka taea e koe te mahi kia hauora te pūnaha hiko o tō ngakau.

Arotakehia te pupuri i te oranga hauora ngakau mā te kai i te kai rite e whai hua ana i ngā hua, ngā huawhenua, me ngā witi katoa. Ka whakakahangia e te mahi tinana noa tō ngakau.

He mea nui te whakahaere i ētahi atu āhuatanga hauora. Pupurihia tō toto teitei, tō cholesterol, me tō mate huka kia pai te whakahaere mā ngā rongoā me ngā huringa oranga.

Mahi tahi me tō rōpū hauora ki te inu koe i ngā rongoā e pā ana ki te tere o te ngakau. Kaua rawa e mutu te whakamahi rongoā ngakau, te whakarereke rānei i ngā rongoā ngakau, me te kore he tirotiro hauora, nā te mea ka kino tēnei.

Me pēhea te Whakatau i te Bradycardia?

Ka tīmata te whakatau i te bradycardia mā tō taote e whakarongo ana ki tō ngakau me te kōrero mō ō tohu.

Ko te electrocardiogram (ECG) te whakamātautau matua e whakamahia ana hei whakatau i te bradycardia. Ka tuhia e tēnei whakamātautau kore mamae te mahi hiko o tō ngakau, ka whakaatu i te tere o te whiu o tō ngakau me ngā āhuatanga o te tere.

Ki te haere mai, te haere atu rānei tō bradycardia, ka tūtohu pea tō taote ki:

• Holter monitor: He taputapu ECG ka mau koe mō te 24-48 haora
• Event monitor: He taputapu ka whakahohe koe ina puta ngā tohu
• Whakamātautau ahotea mahi: Ka tirotiro i te tere o te whiu o tō ngakau i te wā e mahi tinana ana
• Ako electrophysiology: He whakamātautau taipitopito ake o te pūnaha hiko o tō ngakau

Ka taea e ngā whakamātautau toto te awhina i te kimi i ngā take kei muri penei i ngā raruraru thyroid, ngā pānga rongoā rānei. Ka whiriwhiri tō taote i te whakakotahitanga tika o ngā whakamātautau e hāngai ana ki ō tohu motuhake me tō hītori hauora.

He aha te Maimoatanga mō te Bradycardia?

Ko te maimoatanga mō te bradycardia e whakawhirinaki ana ki te take me te āhua o te pānga ki tō oranga o ia rā.

Ina puta mai te bradycardia i ngā rongoā, ka taea e tō taote te whakarite i ngā rongoā, te whakarereke rānei ki ētahi atu rongoā. Mō ngā āhuatanga penei i te hypothyroidism, te moe apnea rānei, ko te whakaora i te take kei muri ka pai ake te tere o te whiu o tō ngakau.

Mō te bradycardia tohu e kore e whakautu ki ētahi atu maimoatanga, ka tūtohu pea he pacemaker. Ka whakatōngia tēnei taputapu iti i raro i tō kiri, ka tuku i ngā tohu hiko hei pupuri i te whiu o tō ngakau i te tere noa.

I ngā āhuatanga ohorere me ngā tere o te ngakau tino iti, ka taea te whakamahi i ngā maimoatanga wā poto penei i ngā rongoā intravenous, te whakakā rānei o waho kia taea ra ano te whakauru i te otinga pumau.

Me pēhea te tiaki i a koe i te kāinga me te Bradycardia?

Ko te noho me te bradycardia te tikanga o te mahi i ētahi whakarerekētanga hei tautoko i te hauora o tō ngakau me ngā taumata kaha.

Arotakehia ngā tohu a tō tinana, okioki ina ngenge koe. Kāore koe e hiahia ki te karo i te mahi tinana, engari me whakatauira pea koe i tō tere. Tīmata noa me te whakakori tinana, ka whakapiki haere i te kaha i te wā e taea ana.

Pupurihia te wai, karohia te nui o te caffeine, te waipiro rānei, ka taea te pā ki te tere o te whiu o tō ngakau. Ki te inu koe i ngā rongoā, inu tika i ngā rongoā i te wā e tohua ana, pupurihia he rārangi o ngā rongoā katoa hei whakapiri atu ki tetahi kaiwhakarato hauora.

Tirohia ō tohu, pupurihia ngā tuhinga mō te wā e māuiui ana koe, e ngenge ana rānei, te poto o te manawa rānei. Ka āwhina ēnei korero i tō taote ki te whakarite i tō maimoatanga. Kaua e whakaroa te whakapa atu ki tō rōpū hauora ki te kino ake ngā tohu, te puta mai rānei o ētahi tohu hou.

Me pēhea te Whakarite mō tō Hui Taote?

Ko te whakarite mō tō hui ka āwhina i te whakarite kia whiwhi koe i te hua nui mai i tō wā me tō taote.

Kawe mai he rārangi katoa o ngā rongoā, ngā taapiri, me ngā huaora katoa e inu ana koe, tae atu ki ngā rongoā me te wā. Ki te whai koe i ngā ECG o mua, ngā hua whakamātautau ngakau rānei, kawe mai ngā tārua.

Tuhia ngā pātai e hiahia ana koe ki te ui, penei i:

• He aha te take o taku bradycardia?
• Me whakamārama e ahau ētahi mahi?
• Me pehea te auau o taku tirotiro?
• He tohu whakatūpato me titiro ahau?
• Nōhea ahau e karanga atu ai ki a koe i waenga i ngā hui?

Whakaarohia te kawe mai i te mema whānau, te hoa rānei hei awhina i a koe ki te mahara ki ngā korero i te wā o te hui. Kaua e wehi ki te tono whakamārama ki te kore he mea mārama.

He aha te Tāpiringa Matua mō te Bradycardia?

He āhuatanga whakahaere te bradycardia e pā ana ki te tini o te iwi me te kore e puta he raruraru nui.

Kia mahara ko te tere iti o te whiu o te ngakau kāore i te tikanga he raru nui kei a koe. Ko te tini o te iwi e pangia ana e te bradycardia e ora ana i ngā oranga mahi, whai hua, me te tiaki tika me te tirotiro.

Arotakehia te pupuri i te hauora pai mā te tiaki hauora noa, te oranga hauora ngakau, me te noho mohio ki tō āhuatanga. Me ngā whiringa maimoatanga o nāianei, tae atu ki ngā pacemaker tino whai hua ina hiahiatia, ko te tirohanga mō te iwi e pangia ana e te bradycardia he tino pai.

Titiro ki ngā tohu a tō tinana, kaua e whakaroa te kimi āwhina hauora ina kore he mea e pai ana. Kei reira tō rōpū hauora hei tautoko i a koe i ia kaupae.

Ngā Pātai Uiui Auau mō te Bradycardia

Q1: Ka taea te whakaora katoa te bradycardia?

Ko te whakautu e whakawhirinaki ana ki te take o tō bradycardia. Ki te puta mai i ngā rongoā, ngā raruraru thyroid, ētahi atu āhuatanga rānei e taea te whakaora, ka taea te whakatau i te tere iti o te whiu o te ngakau. Engari, ngā huringa e pā ana ki te pakeke, te pakaru rānei o te ngakau pea ka hiahia ki te whakahaere tonu i te wā roa.

Q2: He haumaru te whakakori tinana me te bradycardia?

Ko te nuinga o te iwi e pangia ana e te bradycardia ka taea te whakakori tinana, ahakoa me whakarereke pea koe i tō mahi. Tīmata noa, kia arotakehia me pēhea te ahua o koe i te wā e mahi ana. Ki te pā te māuiui, te mamae o te uma rānei, te poto o te manawa rānei, mutu te whakakori tinana, kōrero atu ki tō taote mō ngā taumata mahi e tika ana mō tō āhuatanga motuhake.

Q3: Me hiahia ahau ki te pacemaker mō taku bradycardia?

Kāore te katoa e pangia ana e te bradycardia e hiahia ana ki te pacemaker. Ko te maimoatanga tēnei e tūtohuhia ana noa ina puta mai ngā tohu nui e pā ana ki te oranga o ia rā, kāore hoki e whakautu ki ētahi atu maimoatanga. Ka whakaaro tō taote ki ō tohu, ki tō hauora whānui, ki te kounga o tō oranga ina mahi tēnei tūtohu.

Q4: Ka taea e te ahotea, te manukanuka rānei te puta mai i te bradycardia?

Ko te ahotea me te manukanuka te nuinga o te wā ka puta mai ngā tere tere o te ngakau i te iti. Engari, ētahi rongoā e whakamahia ana hei whakaora i te manukanuka, penei i ngā beta-blockers, ka taea te whakaroa i te tere o te whiu o tō ngakau. Ki te manukanuka koe mō te hononga i waenga i te ahotea me te tere o te whiu o tō ngakau, kōrero atu ki tō kaiwhakarato hauora.

Q5: Me pehea te auau o taku tirotiro i te tere o te whiu o taku ngakau ki te whai ahau i te bradycardia?

Ko te auau o te tirotiro e whakawhirinaki ana ki ō tohu me te kino o tō āhuatanga. Ko ētahi iwi e hiahia ana ki ngā tirotiro o ia marama i te tīmatanga, ētahi atu me te bradycardia pumau, kore tohu rānei pea e hiahia ana ki ngā aromatawai o ia tau. Ka hanga e tō taote he kaupapa tirotiro e tika ana mō tō āhuatanga motuhake, ka whakarite i te wā e hiahiatia ana.