He aha te Cardiomyopathy Whānui? Tōna Tohutoro, ōna Take, me tōna Rongoā

Ko te cardiomyopathy whānui tētahi āhuatanga o te ngākau e whānui haere ai te uaua o tō ngākau, ā, ka ngoikore, ka uaua ai te pupuhi i te toto puta noa i tō tinana. Whakaarohia he poroporo kua tino whakawhānuitia – ka ngākau pakari ake ngā taha, ā, kāore e taea te pehi pai.

Ka pā tēnei āhuatanga ki te ruma pupuhi matua o tō ngākau, ko te ventricle maui. Ka whānui haere, ka ngoikore hoki tēnei ruma, ka whakapaua ai tō ngākau ki te tuku i te toto whai-hākari-oxygen e hiahia ana tō tinana ki te mahi pai.

He aha ngā tohutoro o te cardiomyopathy whānui?

Ka tupu haere ngā tohutoro i te wā e mahi pakeke ana tō ngākau ki te whakakapi i tōna āhua ngoikore. He tokomaha kaore e kite i ngā tohu o mua, no te mea he tino pai te ngākau ki te whakarite ki ngā huringa.

Ko ēnei ngā tohutoro tino noa ka pā atu ki a koe:

• Te poto o te manawa, ina koa i te wā e mahi tinana ana, i te takoto rānei.
• Te ngenge tonu me te ngoikore e kore e pai ake ahakoa te okioki.
• Te pupū i ō waewae, ō turi, ō waewae, i tō kopu rānei.
• Te tere, te kore ranei o te whiti o te ngākau e rite ana ki te rere.
• Te mamae o te uma, te kore ranei o te harikoa.
• Te māuiui, te mārama rānei o te mahunga.
• Te uaua ki te moe nā te raruraru o te manawa.

Ka pā atu ētahi tohutoro iti ki ētahi atu, pēnei i te mare tonu, ina koa i te takoto, i te piki tere rānei o te taumaha mai i te pupū o te wai. Ka rerekē ēnei tohutoro mai i te tangata ki te tangata, ā, ka iti rawa ngā tohutoro o ētahi i te tīmatanga.

He mea nui kia mōhio ka kaha ake ngā tohutoro i te wā e kore e whakahaeretia tika te āhuatanga. Heoi, mā te rongoā tika, ka kite te tokomaha i te whakaora nui, ā, ka taea te pupuri i te kounga ora pai.

He aha ngā take o te cardiomyopathy whānui?

Kāore i te marama tonu te take tika, ā, ka āwangawanga pea tēnei ina rapu koe i ngā whakautu. I te nuinga o ngā wā, ka whakarōpūtia e ngā tākuta hei “idiopathic”, arā, kāore i te mōhiotia te whakaohooho motuhake ahakoa te whakamātautau hohonu.

Heoi, he maha ngā take e āhei ana te whakauru ki tēnei āhuatanga:

• Ngā take ira – ka tukuna mai i ngā whānau e pangia ana e ngā āhuatanga o te ngākau.
• Ngā mate huaketo e pā ana ki te uaua o te ngākau, pēnei i ētahi mate huaketo.
• Te inu waipiro roa e whakarawe ana i te kiko o te ngākau.
• Ētahi rongoā, tae atu ki ētahi rongoā chemotherapy.
• Ngā mate autoimmune e whakaeke ana tō pūnaha ārai ki te kiko hauora o te ngākau.
• Ngā ngoikoretanga kai, ina koa te thiamine (vitamin B1).
• Ngā raruraru e pā ana ki te hapu, e mohiotia ana ko te peripartum cardiomyopathy.

Ko ngā take iti ake te whakaū ki ngā poizon, ngā mate metabolic pēnei i te mate huka, me ngā āhuatanga ira onge. I ētahi wā, ka āhei ngā raruraru o te ngākau pēnei i te mate ateri coronary ki te ārai i te cardiomyopathy whānui ki te kore e whakahaerea.

Ko te mārama ki te take, ki te taea, ka āwhina i tō rōpū hauora ki te whakawhanake i te mahere rongoā tino pai mō tō āhuatanga motuhake.

Nōhea koe me haere ki te tākuta mō te cardiomyopathy whānui?

Me rapu koe i te tiaki hauora mena ka pā atu ki a koe ngā tohutoro tonu e ārai ana ki ō mahi o ia rā. Kaua e tatari kia kaha ngā tohutoro i mua i te tono atu i te āwhina.

Whakaritea he whakatau me tō tākuta mena ka kite koe i te poto tonu o te manawa, te ngenge kaore i te whakamārama, te pupū rānei o ō waewae e kore e pai ake ahakoa te okioki me te whakaara. Ka iti pea ēnei tohutoro i te tīmatanga, engari ka tino whakarerekē te kite wawe me te rongoā i tō hauora roa.

Rapua te tiaki mate tere mena ka pā atu ki a koe te mamae o te uma, te uaua nui ki te manawa, te ngaro o te ngakau, i ngā tohutoro e kaha ake ana. Ka tohu pea ēnei kei te whakapaua atu tō ngākau i te mea noa, ā, e hiahia ana ki te whakauru hauora tere.

Mena he hītori whānau o te mate ngākau, te cardiomyopathy rānei, kōrerohia tēnei ki tō kaiwhakarato hauora ahakoa kāore koe e pangia e ngā tohutoro. Ka āwhina ngā tirotiro noa ki te hopu i ngā raruraru pea i te tīmatanga ina tino taea te whakaora.

He aha ngā take morearea mō te cardiomyopathy whānui?

He maha ngā take e āhei ana te whakapiki i tō tūponotanga ki te whānau mai i tēnei āhuatanga, ahakoa te mea kei a koe ngā take morearea, kāore e tikanga ka whānau mai koe i te cardiomyopathy whānui. Ka āwhina te mārama ki ēnei take i a koe me tō rōpū hauora ki te noho mataara.

Ko ēnei ngā take morearea matua:

• Te hītori whānau o te cardiomyopathy, te mate ngākau tūturu rānei.
• Te tau – he mea noa i ngā pakeke o te tau waenga, ahakoa ka puta i tetahi tau.
• Te ira tane – ka pangia ngā tāne i te nuinga atu i ngā wāhine.
• Te inu waipiro nui roa.
• Te hītori o ngā mate ngākau, te mate ateri coronary rānei.
• Te toto teitei e kore e whakahaeretia pai.
• Ētahi mate huaketo.
• Ngā āhuatanga autoimmune.

Ka maha pea ngā take morearea o ētahi, ka whānau mai ētahi atu i te āhuatanga kaore he take morearea e kitea ana. Ko tēnei rerekētanga tētahi wāhanga o te mea ka uaua ai te mate ngākau, engari ko te tikanga hoki kei a koe ngā take morearea, kāore e katia tō oranga.

Ko te rongo pai ko te maha o ngā take morearea, pēnei i te whakamahinga waipiro me te whakahaere toto teitei, ka taea te whakahaere mā ngā huringa oranga me te rongoā hauora.

He aha ngā raruraru pea o te cardiomyopathy whānui?

Ahakoa ka āwangawanga pea ngā raruraru, ka āwhina te mārama ki a koe ki te mohio ki ngā tohu whakatūpato, ā, ki te mahi tahi me tō rōpū hauora ki te ārai i ngā raruraru nui. Ka taea te whakahaere pai te nuinga o ngā raruraru mā te tiaki tika me te aroturuki.

Ko ēnei ngā raruraru tino noa:

• Te kore o te ngākau – ina kore e taea e tō ngākau te pupuhi i te toto hei whakatutuki i ngā hiahia o tō tinana.
• Ngā whiti ngākau koretake (arrhythmias) e rite ana ki ngā whiti kua ngaro, te tere rānei.
• Ngā toto kōtiti e taea te hanga i roto i ngā ruma ngākau whānui.
• Ngā raruraru o te waahanga ngākau, ina koa ki te waahanga mitral.
• Te pōka – mena ka haere ngā toto kōtiti ki te roro.
• Te mutu o te ngākau tūturu i ngā take kino.

Ko ngā raruraru iti ake, engari he kino, ko te kore o te ngākau nui e hiahia ana ki ngā whakaora whānui pēnei i te whakawhiti ngākau. Ka whānau mai hoki ētahi ki ngā raruraru whatukuhu mena kāore e taea e tō ngākau te pupuhi i te toto ki ngā whatukuhu.

Heoi, mā te tiaki hauora tika me te whakahaere oranga, ka noho te tokomaha e pangia ana e te cardiomyopathy whānui ki te ora roa, te ora mahi, kaore e pāngia e ngā raruraru kino. Ka whakaitihia te aroturuki noa me te whai i tō mahere rongoā i ēnei morearea.

Me pēhea te whakatau i te cardiomyopathy whānui i te kāinga?

He mea nui te whakahaere kāinga ki te pai ake te ahua, ki te ārai rānei i te kino o tō āhuatanga. Ka taea e ngā huringa iti, tonu i ō mahi o ia rā te whakarerekē i tō ahua.

Arotakehia ngā huringa oranga hauora ngākau pēnei i te kai kai iti i te tote hei āwhina i te ārai i te pupū o te wai. Whakatauhia kia iti iho i te 2,000 mg o te tote i ia rā, arā, te pānui i ngā tohu kai me te whiriwhiri i ngā kai hou i runga i ngā kai kua tukatukahia ina taea.

Ka taea e te mahi tinana noa, ngawari, e whakaaetia ana e tō rōpū hauora te whakakaha i tō ngākau i te wā. Ka uru pea tēnei ki te hikoi, te kauhoe, ki ētahi atu mahi iti e kore e waiho koe e manawa poto, e ngenge rānei.

Aroturukihia tō taumaha i ia rā, ā, whakamōhio atu ngā piki tere ki tō rōpū hauora, no te mea ka tohu pea tēnei i te pupū o te wai. Pupurihia he rārangi ngāwari o tō taumaha o ia rā, ngā tohutoro, me tō ahua.

Whakaitihia te inu waipiro, kaua rānei e inu, no te mea ka ngoikore ake te uaua o tō ngākau. Whai atu, kia hou ngā whakakakahu, ina koa ngā whakakakahu mate huaketo me te mate pneumonia, no te mea ka taea e ngā mate te whakapiki i te ahotea ki tō ngākau.

Me pēhea te whakarite mō tō whakatau me te tākuta?

Ka āwhina te whakarite ki a koe ki te whakamahi pai i tō wā me tō rōpū hauora, ā, kia kore ai e warewarehia ngā mōhiohio nui. Ka āhei te whakahaere iti i mua i tō haerenga ki te tiaki pai ake me te whakapono atu ki tō mahere rongoā.

Tuhia katoa ō tohutoro, tae atu ki te wā i tīmata ai, he aha te mea e pai ake ai, te kino rānei, me te āhua o te pānga ki ō mahi o ia rā. Whakauruhia ngā kōrero mō ō taumata kaha, ngā tauira moe, me tetahi pupū kua kitea e koe.

Mau mai he rārangi katoa o ngā rongoā, ngā taapiri, me ngā huaora katoa e inu ana koe, tae atu ki ngā rāpoi me te auau o te inu. Mena ka taea, mau mai ngā pounamu pono, i tetahi whakaahua rānei o ngā tohu.

Whakaritea ngā pātai mō tō āhuatanga, ngā whiringa rongoā, me te mea e tatari ana koe ki te haere tonu. Kaua e manukanuka ki te maha o ngā pātai – e hiahia ana tō rōpū hauora kia mārama koe ki tō āhuatanga, kia harikoa hoki ki tō mahere tiaki.

Whakaarohia te mau mai i tētahi mema whānau whakawhirinaki, i tētahi hoa rānei e taea te āwhina i a koe ki te mahara ki ngā mōhiohio i kōrerotia i te whakatau, ā, ki te whakarato i te tautoko ngākau.

He aha te mea nui mō te cardiomyopathy whānui?

He āhuatanga nui te cardiomyopathy whānui, engari he tino whakahaerea hoki mā te tiaki hauora tika me ngā whakaritenga oranga. Ka noho tonu te tokomaha e pangia ana e tēnei āhuatanga ki te ora whai hua, te ora mahi ina mahi tata ana rātou me tō rōpū hauora.

Ka tino whakarerekē te kite wawe me te rongoā i ngā hua, na kaua e whakaroa ki te rapu i te tiaki hauora mena kei te pāngia koe e ngā tohutoro e awangawanga ana. He nui atu te whai hua o ngā rongoā ngākau i tēnei wā.

Kia mahara ko te whakahaere i tēnei āhuatanga he hononga tahi i waenga i a koe me tō rōpū hauora. Ko tō whakauru mahi ki te rongoā, mai i te tango i ngā rongoā penei i te whakahau ki te mahi i ngā whiringa oranga hauora ngākau, he mea nui ki tō hauora roa me tō oranga pai.

Ngā pātai e ui ana te tokomaha mō te cardiomyopathy whānui

Ka taea te whakaora i te cardiomyopathy whānui?

Ahakoa kāore he rongoā mō te cardiomyopathy whānui i tēnei wā, ka taea te whakahaere pai te āhuatanga mā te rongoā tika. Ka kite te tokomaha i te whakapai nui ki ō rātou tohutoro me te kounga ora mā ngā rongoā, ngā huringa oranga, me te tiaki hauora noa. I ētahi wā, ina koa ka puta mai i ngā āhuatanga taea te whakaora pēnei i te whakamahinga waipiro, i ētahi mate huaketo rānei, ka taea te whakapai ake o te mahi ngākau mā te rongoā tika.

He ira te cardiomyopathy whānui?

Ae, ka taea te rere i roto i ngā whānau te cardiomyopathy whānui. Ko te 20-35% o ngā take he wāhanga ira, arā, ka taea te tuku mai i ngā mātua ki ngā tamariki. Mena he hītori whānau o te cardiomyopathy, te kore rānei o te ngākau e whakamāramahia ana, ka tūtohutia pea te tohutohu ira me te whakamātautau. Ka taea hoki te whai hua ngā mema whānau i te tirotiro ngākau ahakoa kāore rātou e pangia e ngā tohutoro.

E hā roa ka taea te ora me te cardiomyopathy whānui?

Ka rerekē te roa o te ora i runga i ngā take maha, tae atu ki te wā e kitea wawe ai te āhuatanga, te āhua o te whakautu ki te rongoā, me tō hauora whānui. Ka ora te tokomaha e pangia ana e te cardiomyopathy whānui mo ngā tekau tau mā te whakahaere hauora tika. Ko te mea nui ko te mahi tata me tō rōpū hauora, te whai i tō mahere rongoā, me te pupuri i te tiaki aroturuki noa ki te aroturuki i te mahi o tō ngākau.

Ka taea te mahi tinana me te cardiomyopathy whānui?

Ae, ka taea e te nuinga o te hunga e pangia ana e te cardiomyopathy whānui te mahi tinana, ā, me mahi, engari he mea nui te mahi tahi me tō rōpū hauora ki te whakawhanake i te mahere mahi tinana haumaru. Ka taea e te mahi tinana noa, ngawari te whakapai ake i te mahi ngākau me te oranga whānui. Ka tūtohu pea tō tākuta ki te tīmata haere mā te hikoi, te kauhoe rānei, ā, ka piki haere te kaha i te wā e manawanui ana. Kaua e mahi i ngā hākinakina whakataetae, i ngā mahi kaha rānei, ki te kore e whakaaetia motuhake e tō kaitātari ngākau.

He aha ngā kai me karo i te cardiomyopathy whānui?

Arotakehia te whakaiti i te kai tote hei āwhina i te ārai i te pupū o te wai me te whakaiti i te ahotea ki tō ngākau. Ko te tikanga tenei te karo i ngā kai kua tukatukahia, ngā hupa kānana, ngā mīti deli, me ngā kai wharekai e nui ana te tote. Whakaitihia rānei te karo katoa i te waipiro, no te mea ka ngoikore ake te uaua o te ngākau. Engari, whiriwhiria ngā hua hou me ngā huawhenua, ngā pūmua ngākau, ngā witi katoa, me ngā kai e iti ana te tote. Ka tūtohu pea hoki tō rōpū hauora ki te whakaiti i te inu wai mena he tohutoro nui tō kore o te ngākau.