

Health Library
October 10, 2025
Question on this topic? Get an instant answer from August.
Ko ngā raruraru whākōkō o te wa whakawhiti mitral he āhuatanga o te ngakau i whānau mai koe me te pānga ki te wa whakawhiti mitral, tētahi o ngā tūranga nui e whā o tō ngakau. Kei waenganui i te ruma o runga o te taha maui o tō ngakau (atrium) me te ruma o raro o te taha maui (ventricle) te wa whakawhiti mitral, e whakahaere ana i te rere o te toto ano he kuwaha kotahi-ara.
Ka puta ēnei āhuatanga ina kore te wa whakawhiti mitral e hanga tika i te wā hapu. Ka ora etahi i to rātou oranga katoa kaore e mōhio ana he ngoikoretanga ngawari kei a rātou, ā, ko ētahi atu pea ka hiahia ki te maimoatanga hei āwhina i te mahi pai ake o tō rātou ngakau.
Ko ngā tohu ka pāngia koe e rere ke ana te kaha o tō raruraru wa whakawhiti, me te pehea te pānga ki te kaha o tō ngakau ki te pupuhi toto. He tokomaha ngā tāngata he ngoikoretanga ngawari kei a rātou kaore he tohu, inā koa i te wā tamariki.
Ina puta mai ngā tohu, ka tupu haeretia i te wā e mahi kaha ana tō ngakau hei utu. Ko ēnei ngā tohu tino noa ka hoatu e tō tinana ki a koe:
I roto i ngā take kino ake, ka kite pea koe i te tae kikorangi o tō kiri, o ō ngutu, o ō maihao rānei, e puta ana ina kore tō toto e kawe i te nui o te hāora. Ka pāngia hoki etahi e te māuiui, te ngāwari rānei ki te ngaro, inā koa i te wā whakakori tinana.
He mea nui te mahara ka taea e ēnei tohu te whanake haere mō ngā marama, ngā tau rānei. He tino pai te whakamahinga o tō ngākau ki te whakarite, na reira pea ka kore koe e kite i ngā huringa tae noa ki te nui haere o te āhuatanga.
He maha ngā momo rerekētanga o te taumanu mitral whānau, ā, ka pā ia ki te mahi a tō taumanu. Ko te momo tino noa ko te prolapse taumanu mitral, kei reira ngā rau o te taumanu e pupuhi ana ki te ruma o runga ina tika kia kati.
Ko te stenosis mitral tētahi atu momo kei reira te whakatuwheratanga o te taumanu e tino pōkē, ka uaua ai te rere o te toto. Whakaarohia te inu i roto i te kakau kua pirihia.
Ka puta te regurgitation mitral ina kore te taumanu e kati tika, ka taea ai te rere o te toto ki muri. Ka nui te mahi a tō ngākau, nā te mea me pupuhi e ia te toto kotahi ano i ngā wā maha.
Ko ngā momo iti ake engari nui ake te kino ko te taumanu mitral parachute, kei reira ngā aho tautoko katoa o te taumanu e hono ana ki te uaua kotahi anake, kaua ki te horapa noa. Kei reira hoki te atresia taumanu mitral, he āhuatanga onge kaore te taumanu e hanga.
He maha ngā tangata he taumanu mitral rua-pūtake, kei reira rua ngā whakatuwheratanga o te taumanu, kaua kotahi. Ahakoa ka rangona tenei he awangawanga, he maha ngā tangata e ora ana i tēnei āhuatanga i ngā oranga noa kahore he tohu.
Ka whanake ngā rerekētanga o te taumanu mitral whānau i roto i ngā wiki waru tuatahi o te haputanga ina hangaia ana te ngākau o tō pēpi. Kāore i te marama tonu te take tika, engari he whakakotahitanga o ngā take ira me ngā taiao e mahi tahi ana.
He tino nui te wāhi o ngā take ira i roto i ngā take maha. Ki te whai koe i te hītori whānau o ngā hapa ngākau whānau, ka piki tō tūponotanga. Ko ētahi mate ira, pēnei i te mate Down, te mate Marfan rānei, e hono ana ki te tupono nui ake o ngā rerekētanga taumanu.
Ka taea hoki e ngā āhuatanga taiao i te wā hapu te whakauru ki te whanaketanga o ēnei āhuatanga. Ko ētahi o ngā take tūponotanga e mohiotia ana:
He mea nui kia mōhio ko te nuinga o ngā wā, kāore he mahi he i mahia e ngā mātua hei whakaeke i te āhuatanga o tā rātou tamaiti. He tino uaua te whanaketanga o te ngākau, ā, i etahi wā ka puta noa ēnei rerekētanga hei wāhanga o te rerekētanga taiao.
Ka taea e te pakeketanga o te whaea (neke atu i te 35) me te whānau tamariki kua pāngia e ngā hapa whanau o te ngākau te whakaiti i te tūponotanga, engari he maha ngā pepeha oranga e whānau ana ki ngā whaea kei roto hoki i ēnei āhuatanga.
Me haere koe ki te taote mēnā ka pāngia koe e tetahi tohu e taea ai te tohu i tetahi raruraru ngākau, inā koa he mea hou, he kino haere rānei. Kaua e tatari kia kino rawa ngā tohu i mua i te rapu awhina.
Whakaritea he whakatau me tō kaiwhakarato hauora mēnā ka kite koe i te poto o te manawa kāore i te noa mōu, inā koa ka puta i te wā okioki, i te mahi mārama rānei. Me arotake wawe tonu te mamae uma, inā koa i te wā o te whakakori tinana.
Mēnā ka pāngia koe e ngā pupuhi ngākau e rerekē ana i te noa, i te maha rānei, he mea tika kia kōrero ki tō taote. Ko te tikanga ano tēnā mō te ngenge kāore i te whakamārama e āwangawanga ana i ō mahi o ia rā.
Mō ngā mātua, tirohia ngā tohu i ō koutou tamariki pēnei i te whāngai kino, te ngenge kore noa i te wā takaro, i ngā mate manawa maha rānei. Me whakawātea ngā pepeha kāore e piki tika te taumaha, kāore rānei e kitea ana te mahi pakeke ki te manawa.
Rapua te tiaki hauora tūturu mena ka pāngia koe e te mamae o te uma me te poto o te manawa, te ngaro o te ngakau, te whero ranei o ō ngutu, o ngā maihao rānei. He tohu pea ēnei kei te hiahia tō ngakau ki te tiaki tūturu.
He maha ngā take ka piki ake te tūponotanga o te whānau mai me te rerekētanga o te waewae mitral. Mā te mōhio ki ēnei take morearea ka taea e koe te whakatau whakamārama mō tō hauora me te whakarite whānau.
Ko te hītori whānau tētahi o ngā take morearea kaha. Mena kei a koe tētahi mātua, teina, te whānau tata rānei me te mate ngakau whānau, ka piki ake tō tūponotanga i te toharite. Kāo reira te tikanga ka pāngia koe, engari he mea tēnei hei kōrero atu ki tō kaiwhakarato hauora.
He maha ngā āhuatanga ira ka piki ake te tūponotanga o ngā rerekētanga o te waewae mitral:
Ka taea hoki e ngā take whaea i te whakawhānautanga te awe i te tūponotanga. Ko te mate huka kore-whakahaere i mua i te whakawhānautanga me te wā o te whakawhānautanga ka piki ake te tūponotanga o ngā hapa o te ngakau whānau. He maha ngā rongoā, inā te nuinga o ngā rongoā hei whakaora i ngā āwangawanga, i ngā mate ngākau rānei, ka taea te pā ki te whanaketanga o te ngakau.
Ko ngā mate whaea i te tīmatanga o te toru-marama tuatahi, inā te mate rubella, ka taea te piki ake i te tūponotanga. Koia te take i nui ai ngā inopēne i mua i te whakawhānautanga hei tiaki i te hauora o tō pēpi.
Ahakoa he tokomaha ngā tāngata me ngā rerekētanga mitral ngawari e ora ana i ngā oranga noa, hauora, ka taea e ngā take nui ake te arahi ki ngā raruraru i te wā. Mā te mōhio ki ēnei take pea ka taea e koe te mahi tahi me tō rōpū hauora hei aukati, hei whakahaere rānei i a rātou.
Ko te ngakau kore kaha tetahi o ngā raruraru nui ka puta. Ka puta tēnei ina kore e taea e tō ngakau te pupuhi i te toto kia āhei ai te whakatutuki i ngā hiahia o tō tinana. Ka tupu ia te nuinga o te wā i te itiiti, ā, ka taea te whakahaere pai ki te whakaora tika.
Ko ngā arrhythmias, ko ngā rereketanga o te ngakau ranei, tētahi atu raruraru noa. Ka tere rawa pea te pāwhiri o tō ngakau, ka pōturi rawa rānei, kāore rānei i te tauira noa. Ahakoa he wehi te ahua o tēnei, he maha ngā arrhythmias ka taea te whakaora angitu me ngā rongoā, me ngā tukanga rānei.
Ko ētahi atu raruraru pea ka puta:
Ko te rongo pai ko te tirotiro auau me te whakaora tika ka taea te aukati i te maha o ēnei raruraru. Ka mahi tahi tō rōpū hauora ki a koe ki te hopu i ngā raruraru i te tīmatanga ina tino taea te whakaora.
He mea tika te kōrero ko ētahi raruraru onge ka puta, pēnei i te mate ngakau ohorere i ngā take kino, engari he onge tēnei me te tiaki hauora me te tirotiro tika.
Mai i te whakawhānautanga o ngā hapa whānau o te waea mitral i te wā hapu, ka arotahi te aukati ki te whakapai ake i te hauora o te whaea i mua i te wā hapu, me te wā hapu. Ahakoa kaore e taea e koe te aukati i ngā take katoa, he kaupae nui hei whakaiti i te tūponotanga.
Mena kei te whakamahere koe ki te hapu, whakaritea he toro i mua i te haputanga ki tō kaiwhakarato hauora. Ka taea ai e koe te whakahaere i ngā āhuatanga hauora, te arotake i ngā rongoā, me te whakarite kei te pai rawa tō hauora mō te haputanga.
He mea nui te kai i te waikawa fōrika i mua i te whakaotinga me te wā o te whakaotinga o te whakaotinga. Ka āwhina tēnei hua B ki te aukati i ngā hapa o te pūnaha io, ā, ka taea hoki te whakaiti i te tūponotanga o ētahi hapa o te ngākau. Ko te nuinga o ngā tākua e tūtohutia ana te 400 micrograms i ia rā.
Ko ēnei ngā kaupapa matua hei aukati:
Ki te pēnei koe i te whānau o ngā hapa o te ngākau whānau, whakaarohia te tohutohu ira i mua i te whakaotinga. Ka taea e te kaiwhakaako ira te āwhina i a koe ki te mārama ki ō tūponotanga me te kōrero mō ngā whiringa mō te whakamātautau i mua i te whānau.
He mea nui te tiaki hauora i mua i te whānau hei aroturuki i te whanaketanga o tō pēpi me te hopu i ngā raruraru i te tīmatanga. Ka tūtohu pea tō tākua i ngā whakamātautau motuhake ki te whai koe i ngā take morearea mō te mate ngākau whānau.
Ko te whakamārama i ngā hapa o te taumanu mitral whānau e tīmata pinei ana ki te whakarongo a tō tākua ki tō ngākau me te stethoscope. He maha ngā raruraru taumanu e hanga ana i ngā oro motuhake e kiia nei he murmurs e taea te kite e ngā kaiwhakarato hauora whakangungua.
Ki te whakaaro tō tākua he raruraru taumanu, ka tono pea rātou i te echocardiogram, he rite ki te ultrasound o tō ngākau. Ka whakamahi tēnei whakamātautau kore mamae i ngā ngaru oro hei hanga i ngā pikitia taipitopito o te hanganga me te mahi o tō ngākau, e whakaatu ana i te mahi o tō taumanu mitral.
I ētahi wā ka mahia te whakamārama i mua i te whānau i ngā ultrasound i mua i te whānau. Ka taea e ngā echocardiograms fetal te kite i ngā hapa o te ngākau i te tīmatanga o te 18-20 wiki o te whakaotinga, e hoatu ana ki ngā whānau te wā hei whakarite me te whakarite mō te tiaki motuhake.
Ko ētahi atu whakamātautau ka tūtohu pea tō tākua ko:
Ka taea hoki te mahi i ngā whakamātautau toto hei tirotiro i ngā mate pukupuku, i ētahi atu āhuatanga rānei e pā ana ki tō ngakau. Ka tohua e tō tākuta te huinga tika o ngā whakamātautau e whai ana ki ō tohu motuhake me tō āhuatanga.
Ko te tukanga whakamātautau he mea ngāwari me te kore mamae. Ko te nuinga o ngā whakamātautau ka mahia hei manuhiri, arā, ka taea e koe te haere ki te kāinga i taua rā.
Ko te rongoā mō ngā raru pūmau o te waahanga mitral e whakahaeretia ana e te momo me te kaha o tō āhuatanga. He tokomaha ngā tāngata e whai ana i ngā raru ngawari kaore e hiahia ki tetahi rongoā atu i te tirotiro auau kia mau tonu ngā mea.
Mō te hunga e hiahia ana ki te rongoā, ko ngā rongoā te huarahi tuatahi. Ka taea e ēnei te awhina i tō ngakau ki te mahi pai ake me te whakahaere i ngā tohu. Ka taea e tō tākuta te whakahau i ngā rongoā hei whakahaere i te toto toto, hei ārai i ngā toto, hei whakahaere rānei i te auau o te ngakau.
Ina kore e ranea ngā rongoā, he maha ngā whiringa pokanga kei te wātea. Ko te whakatikatika i te waahanga mitral te mea e pai ana ki te taea, na te mea ka tiaki i ō kōpū waahanga ake. I roto i tēnei tukanga, ka whakatika ngā tākuta i te hanganga o te waahanga hei awhina i te mahi pai ake.
Ko ēnei ngā huarahi rongoā matua:
Ko te whiriwhiri i te rongoā e whakahaeretia ana e te maha o ngā take, tae atu ki tō tau, te hauora whānui, te momo rerekētanga motuhake, me te kaha o ō tohu. Ka mahi tahi tō rōpū hauora ki a koe ki te kimi i te huarahi pai mō tō āhuatanga.
He rerekē ngā wā ora i runga i te momo rongoā. Ko ngā mahi pokanga iti te nuinga o te wā he poto ake ngā wā ora, ā, ko te pokanga ngakau tuwhera e hiahiatia ana te maha o ngā wiki o te whakaora.
Ko te whakahaere i tō āhuatanga i te kāinga e pā ana ki te hanga i ngā whiringa oranga e tautoko ana i tō hauora ngakau me te whai i ngā tūtohu a tō tākua. Ko te rongo pai ko te nuinga o te iwi e pangia ana e ngā rerekētanga o te katua mitral ka ora i ngā oranga mahi, kīkī me te tiaki tika i a rātou anō.
He mea nui te tango i ō rongoā kia rite ki te whakahau kia whakahaere pai ai tō āhuatanga. Whakaritea he pūnaha hei āwhina i a koe ki te mahara, ahakoa he kaiwhakahaere rongoā, ngā whakamaharatanga waea, te tango rongoā i te wā kotahi i ia rā.
He mea nui te noho mahi tinana, engari me mahi tahi koe me tō tākua ki te whakatau i te taumata mahi e tika ana mōu. Ka taea e te tini o te iwi te whakauru ki te whakakori tinana noa, ahakoa pea ka hiahia etahi ki te karo i ngā mahi kaha rawa.
Ko ēnei ngā rautaki whakahaere kāinga matua:
Aroturukihia ō tohu me te pupuri i ngā huringa. Mena ka kite koe i te poto o te manawa, te mamae o te uma, te ngenge ranei, whakapiri atu wawe ki tō kaiwhakarato hauora.
He mea nui ngā whakamātautau whai muri kia mau tonu ai te tirotiro i tō hauora, ā, kia taea ai te whakarereke i te rongoā kia rite ki te hiahia. Kaua e whakarere i ēnei whakamātautau ahakoa kei te pai koe, nā te mea ka kitea e tō tākuta ngā huringa i mua atu i tō kite i ngā tohu.
Ko te whakarite mō tō whakamātautau ka āwhina kia whiwhi koe i te hua pai rawa atu i tō wā me tō kaiwhakarato hauora. Tīmatahia mā te tuhituhi i ō tohu katoa, tae atu ki te wā i tīmata ai rātou me te mea e pai ake ai rātou, e kino ake rānei.
Kawe mai i te rārangi kākāriki o ngā rongoā katoa e inu ana koe, tae atu ki ngā rongoā tākuta, ngā rongoā kore-tākuta, me ngā taapiri. Tāpirihia ngā horopeta me te auau e inu ai koe, nā te mea ka āwhina tēnei mōhiohio i tō tākuta ki te whakatau whakamāramatanga mō tō tiaki.
Kohikohia ngā rekoata hauora e tika ana, ina koa ngā whakamātautau ngakau o mua, ngā pūrongo rānei mai i ētahi atu tākuta. Ki te mea kua whakamahia e koe ngā echocardiograms, ECGs, ngā whakamātautau ngakau atu rānei, kawe mai i ngā kōpeke, kia mohio rānei kua uru atu tō tākuta ki ngā hua.
Whakaritea he rārangi o ngā pātai e hiahia ana koe ki te ui. Ko ēnei ētahi o ngā pātai nui hei whakaaro:
Tuhituhia te hītori hauora o tō whānau, ina koa ngā āhuatanga o te ngakau, nā te mea ka tika tēnei mōhiohio mō tō tiaki. Ki te taea, kawe mai i tētahi mema o te whānau, hoa rānei ki te whakamātautau hei tautoko, hei awhina hoki ki te maumahara i ngā mōhiohio nui.
Kaua e whakaroa ki te ui ki tō tākuta kia whakamārama i tetahi mea kaore koe e mōhio. He mea nui kia pai koe ki tō mahere tiaki, kia mōhio hoki ki te whakahaere i tō āhuatanga.
Ko te mea nui rawa atu hei mārama mō ngā raru pūtau o te waewae mitral i whānau ai, ko te whakahaere i ngā āhuatanga, ā, he tokomaha ngā tāngata e ora ana i ngā oranga tino whānuitia, mahi. Ahakoa ka raru pea te whakatau i te tīmatanga, he rongoā whakamīharo me ngā whiringa aroturuki e whakaratohia ana e te rongoā hou.
He mea nui te kite wawe me te tiaki tika ki ngā hua. Ki te pēhea he raru tōu waewae mitral, ko te mahi tata atu ki tō rōpū hauora me te whai i ō rātou tūtohu ka āwhina i te aukati i ngā raruraru me te pupuri i tō kounga o te ora.
Kia mahara kei te whakataurite te raru o te waewae mitral i whānau ai, kāore rānei e whakataurite i tō kaha. He tokomaha ngā tāngata e whakahaere pai ana i ō rātou āhuatanga i te wā e whai mahi ana, e whānau ana, me te koa ki ngā mahi whakangahau me ngā mahi e arohaina ana e rātou.
Ko te matua ko te noho mohio ki tō āhuatanga, te pupuri i te tiaki hauora auau, me te mahi i ngā whiringa noho ora hauora ngākau. Mā te whakahaere tika, ka taea e te nuinga o ngā tāngata e whai ana i ngā raru o te waewae mitral te ora roa, hauora.
Ae, he tokomaha ngā tāngata e ora ana i ngā oranga tino noa me ngā raru pūtau o te waewae mitral i whānau ai. Ko te matua ko te whakatau tika, te rongoā tika ina hiahiatia, me te aroturuki auau e tō rōpū hauora. Ka taea e te nuinga o ngā tāngata te mahi, te whakakori tinana, me te whai wāhi ki ngā mahi e pai ana ki a rātou, ahakoa pea ka hiahia etahi ki te mahi i ngā whakarerekētanga iti e whakaū ana ki ō rātou āhuatanga motuhake.
Kāore te katoa o te hunga he raru o te waewae mitral e hiahia ana ki te pokanga. He tokomaha ngā tāngata he ngoikoretanga ngawari anake te hiahia kia tirotirohia tonu, me ngā rongoā mēnā e hiahiatia ana. Ka tūtohutia te pokanga i te nuinga o te wā ina pā kino te ngoikoretanga ki te mahi o te ngākau, ki te whakaeke rānei i ngā tohu raruraru. Ka arotake tika tō tākuta i tō āhuatanga motuhake hei whakatau i te huarahi ārai pai.
Ka taea e ētahi ngoikoretanga o te waewae mitral te whakawhāiti i te wā, ā, ka mau tonu ētahi atu i te ora katoa. Koinei te take i nui ai te whai i te whai wāhi tonu ki tō kaitātari ngākau. Ka taea e rātou te aroturuki i ngā huringa i te mahi o tō waewae, me te whakarite i tō mahere ārai kia rite ki te hiahia. He maha ngā take e pā ana ki te whakawhāiti, tae atu ki te momo ngoikoretanga, tō hauora whānui, me te pai o tō whakahaere i tō āhuatanga.
Ka taea e te nuinga o te hunga he ngoikoretanga o te waewae mitral te whakakori tinana haumaru, ā, ka whakatenatenahia te mahi tinana i te nuinga o te wā mō te hauora o te ngākau. Heoi, ko te momo me te kaha o te whakakori tinana e tika ana mōu e whakawhirinaki ana ki tō āhuatanga motuhake me tōna kaha. Mahi tahi me tō tākuta hei whakawhanake i te mahere whakakori tinana e haumaru ana, e tika ana hoki mō tō āhuatanga. Ka tūtohu pea rātou kia kaua e whakamahi i ngā hākinakina whakataetae kaha rawa, engari kia whakatenatenahia te whakakori tinana noa.
Ka taea e te tokomaha o te hunga he ngoikoretanga o te waewae mitral te whānau tamariki haumaru, ahakoa ka nui ake te ahotea o te hapu ki tō ngākau. Mēnā kei te whakamahere koe ki te hapu, he mea nui kia kōrerohia tēnei me tō kaitātari ngākau me tō tohunga hāpu i mua i te hapu. Ka taea e rātou te āwhina i a koe ki te mārama ki ō morearea motuhake, me te whakarite kia whiwhi koe i te tirotiro me te tiaki tika i te wā hapu. Ka hiahia pea ētahi ki te whakatika rongoā, ki ngā tirotiro auau ake i te wā hapu.
6Mpeople
Get clear medical guidance
on symptoms, medications, and lab reports.