He aha te Mate o Dressler? Ngā Tohutohu, Ngā Take, me te Maimoatanga

Ko te mate o Dressler he āhuatanga mumura e pā ana ki te kiko kei te taha o tō ngakau, e puta ana i te wiki ki ngā marama i muri i te mate ngakau, i te pokanga ngakau rānei. Ko tō pūnaha mate, i te ngana ki te whakaora i te kiko ngakau i pakaru, ka nui rawa te mahi i etahi wā, ka puta he mumura ki te pericardium – te putea tiaki e karapoti ana i tō ngakau.

Ko te āhuatanga nei e pā ana ki te 1-5% o te hunga kua pāngia e te mate ngakau, ahakoa kei te iti haere te nui o te hunga e pāngia ana me ngā maimoatanga mate ngakau hou. Ahakoa ka rangona te ingoa he whakawehi, ka taea te whakaora i te mate o Dressler, ā, ka ora pai te nuinga o te iwi me te tiaki hauora tika.

He aha te mate o Dressler?

Ko te mate o Dressler te whakautu mate pūnaha o tō tinana ki te whara ngakau. Ka pakaru te uaua o tō ngakau i te mate ngakau, i te pokanga rānei, ka tere te mahi a tō pūnaha mate ki te horoi me te whakaora i te wāhi.

I etahi wā, ka nui rawa te mahi a tēnei whakautu mate whai hua. Kāti ka whakaeke atu, ehara i te kiko i pakaru anake, engari ki te pericardium hauora kei te taha o tō ngakau. Whakaarohia me te pūnaha haumaru o tō tinana e tino mataara ana, ā, ka tohu i ngā manuhiri hoa rite tonu ki ngā tūkino.

I whakaahuatia tuatahi te āhuatanga e te Dr. William Dressler i te tau 1956, ā, koia te take i huaina ai ki tōna ingoa. Ka rongo pea koe i ngā tākuta e karanga ana i te “mate pūtau myocardial i muri i te mate” i te “mate whara ngakau i muri i te mate,” kei runga i te mea i timata ai.

He aha ngā tohu o te mate o Dressler?

Ka rite ngā tohu o te mate o Dressler ki te āwangawanga o tetahi atu raruraru ngakau, e manukanuka ana te nuinga o te iwi. Ko te rongo pai ko te mohio wawe ki ēnei tohu ka āwhina i tō tākuta ki te hoatu i te maimoatanga tika i te tere.

Ko ngā tohu tino noa ko:

• Te mamae o te uma: I te nuinga o te wā he koi, he rite ki te wero, ka kaha ake te mamae ina manawa hohonu koe, ina kohukohu, ina takoto pū kau
• Te kirika: I te nuinga o te wā he iti te pāmahana, engari i etahi wā ka piki ake
• Te ngenge: Te ngenge rānei, te ngoikore rānei, ahakoa te okiokinga
• Te poto o te manawa: Te uaua ki te manawa, ina koa ina takoto
• Te tere o te ngakau: Ka rite pea tou ngakau ki te oma, ki te tukituki rānei
• Te kohukohu maroke: He kohukohu mau tonu kaore e puta mai he mimi

Ka rongo hoki ētahi i ngā tohu kaore i te noa, pēnei i te mamae o ngā hononga, te ngaro o te hiahia kai, te ahua koretake rānei. He rerekē te āhua o te mamae o te uma mai i te mate Dressler – he rerekē te ahua i te mamae o te ngakau i mua, ā, ka pai ake te ahua ina noho pū kau koe, ka tō atu ki mua.

Ka puta ēnei tohu i te torutoru wiki ki te maha o ngā marama i muri i te whara o tō ngakau. Ka rereke te wā mō ia tangata, na kaua e manukanuka ki te kore e rite tō wheako ki ētahi atu.

He aha ngā take o te mate Dressler?

Ka puta te mate Dressler ina werohia e tō pūnaha ārai mate ngā kiko hauora o te ngakau i muri i te whara tuatahi. Ka puta tēnei nā te hanga e tō tinana ngā antibody hei whawhai ki ngā pūtau ngakau kua pakaru, engari ka taea e ēnei antibody te wero i ngā kiko noa hoki.

Ko ngā take tino noa ko:

• Ngā mate ngākau: Ko te take tino noa, ina koa ngā mate ngākau nui ake e whakarawe ana i te tino nui atu o ngā kiko
• Taote ngākau: Te mahi ā-taote katoa e pā ana ki te whakatuwhera i te uma, ki te mahi tika rānei ki te ngākau
• Ngā tikanga ngākau: Ka taea e ngā rongoā kore-whakawhāiti penei i te angioplasty, te whakanoho ranei i te stent te whakaoho i te wa poto
• Te whara uma: Ngā whara kino ki te rohe uma e whakarawe ana i ngā kiko ngākau
• Te whakauru i te pacemaker: Ahakoa he iti ake te noa, ka taea e tēnei mahi te arahi ki te mate pūhui i etahi wā

He mea whakamīharo, kaore te kaha o tō raruraru ngākau taketake e kī tonu ana mēnā ka whanake koe i te mate pūhui a Dressler. Ka whanakehia e ētahi tāngata he mate ngākau iti, kaore hoki ētahi atu e whara nui ana te ngākau. Ka whakaatu mai tēnei ko ngā whakautu pūnaha ā-mate takitahi he wāhi nui.

E whakapono ana ngā kairangahau ko ētahi pūmua i tukuna mai i ngā pūtau ngākau i whakarawehia he rite ki ngā tohu whero ki tō pūnaha ā-mate. I te nuinga o te iwi, ka noho te whakautu ā-mate i te aro turuki, i te whakahaere. I ētahi atu, ka horapa ake, ka pā ki ngā kiko a tawhio noa.

Nōhea te haere ki te taote mō te mate pūhui a Dressler?

Me whakapiri atu koe ki tō taote tonu mēnā ka pāngia koe e te mamae uma, te poto o te manawa, te kirika rānei i muri i te mate ngākau tata, i te taote ngākau rānei. Me whai wā tika ngā tohu nei kia mohiotia te take, kia whakakorehia hoki ētahi atu raruraru kino.

Rapua te tiaki ā-mate tonu mēnā kei a koe:

• Te mamae uma nui e kore e pai ake me te okioki
• Te uaua nui ki te manawa, te poto rānei o te manawa
• Te ngākau tere, te kore ranei o te ngākau me te māuiui
• Te kirika nui (neke atu i te 101°F) me te wiri
• Te ngākau ngoikore, te ngaro rānei o te mohio

Kaua e whakaroa ki te karanga atu ki tō kaiwhakarato hauora ahakoa kaore koe e tino mōhio mena kei te hono atu ō tohu ki te mate a Dressler. I muri i tetahi āhuatanga o te ngakau, he pai tonu te tupato me te tirotiro wawe i ngā tohu.

Ka hiahia tō tākuta ki te kite i a koe i ia wā i roto i tō wā whakaora, na reira whakamāramahia ngā tohu hou, hou rānei i ēnei haerenga. Ka taea e te kitenga wawe me te maimoatanga o te mate a Dressler te aukati i ngā raruraru nui ake.

He aha ngā take tūponotanga mō te mate a Dressler?

Ka taea e ētahi take te whakapiki ake i tō tūponotanga ki te whanake i te mate a Dressler, ahakoa ko te whai i ēnei take tūponotanga kaore e whakamana ka whiwhi koe i te mate. Ko te mārama ki ēnei take ka āwhina i a koe me tō tākuta ki te tupato ki ngā tohu wawe.

Ko ngā take tūponotanga matua ko:

• Ngā ngākau nui: Ka whakapiki ake te nui o te kino o te uaua o te ngakau i te tūponotanga
• Ngā wāhanga o mua: Ki te mea kua pangia koe e te mate a Dressler i mua, ka nui ake te tūponotanga ka puta anō
• Ngā rongoā: Ko ētahi tangata e inu ana i ngā anticoagulants (ngā kaiwhakaheke toto) pea ka nui ake te tūponotanga
• Te tau: Ahakoa ka puta i tetahi tau, he maha ake te puta i ngā pakeke o te tau waenga me ngā kaumātua
• Te ira tane: E kite ana te hunga tane ki te whanake i te mate i te nuinga atu i ngā wāhine
• Te maimoatanga whakaroa: Ko te hunga kaore i whiwhi i te maimoatanga tere mō tō rātou ngakau pea ka nui ake te tūponotanga

Ko ētahi take tūponotanga iti ake ko te whai i ētahi mate ā-tinana ranei he hītori whānau o ngā mate mumura. Heoi, kaore anō kia tino mārama ēnei hononga, ā, kei te haere tonu te rangahau.

He mea tika te kōrero, he maha o ngā take tino nui e pā ana ki te kaha me te rongoā o tō mate ngakau tuatahi. Koia tēnei te take i āwhina ai te rongoā hou, tere o ngā ātakura ngakau ki te whakaiti i te nui o te mate Dressler.

He aha ngā raruraru pea o te mate Dressler?

Ahakoa ka ora katoa te nuinga o te hunga e pangia ana e te mate Dressler me te rongoā tika, he mea nui te mōhio ki ngā raruraru pea kia taea ai e koe te kite i ngā tohu whakatūpato. Ko te rongo pai, he iti rawa ngā raruraru kino, inā koa me te tiaki hauora tere.

Ko ngā raruraru tino noa e whai ake nei:

• Te pupuhi o te pericardium: Te kohikohi o te wai i te taha o te ngakau ka āhei te whakapakeke i te mahi o tō ngakau
• Te pupuhi o te pleural: Te kohikohi o te wai i te taha o ngā pūkahukahu, e pāngia ana te manawa
• Ngā wāhanga e hoki mai ana: Ka hoki mai te mate, ahakoa ka puta tenei i raro iho i te 20% o ngā keehi

Ko ngā raruraru nui ake engari he iti te tupono e whai ake nei:

• Te tamponade ngakau: Te nui o te wai i te taha o te ngakau e ārai ana i te whakaki i te ngakau – he āwangawanga hauora tēnei
• Te pericarditis whakapānga: Te whākākā me te mātotorotanga o te pericardium e ārai ana i te nekehanga o te ngakau
• Te mumura roa: Te mumura tonu e kore e pai te whakautu ki ngā rongoā noa

Ko te tūponotanga o ēnei raruraru kino te take ka tirotiro tatahia koe e tō tākuta i te wā e rongoātia ana koe. Ko te nuinga o ngā raruraru ka whanake haere mā te iti, ā, ka taea te kite wawe mā ngā tirotiro me ngā whakamātautau penei i ngā echocardiograms.

Mēnā ka tukuna te rongoā tika, ka tino ora te nuinga o te hunga e pangia ana e te mate Dressler, kāore he raruraru ngākau roa. Ko te mea nui ko te noho hono atu ki tō rōpū hauora, ā, kia whai i ā rātou tohutohu rongoā.

Pehea te whakamātautau i te mate Dressler?

Ko te whakamātautau i te mate Dressler e whakauru ana i te whakakotahitanga o ō tohu, hītori hauora, me ngā hua whakamātautau. Ka tīmata tō tākuta mā te whakarongo ki tō kōrero mō te wā i tīmata ai ngā tohu, me te āhua o te āhua, inā koa e pā ana ki tō kaupapa ngākau tata nei.

Ko te tukanga whakamātautau e whakauru ana i te tirotiro tinana, kei reira tō tākuta e whakarongo ana ki tō ngākau me ō ngāwari mā te stethoscope. Kei te whakarongo rātou ki tetahi oro motuhake e kiia nei ko te 'pericardial friction rub' – he haruru pakaru e puta ana ina mutu te ngāwari o te pericardial ki tetahi.

He maha ngā whakamātautau hei whakau i te whakamātautau:

• Echocardiogram: Ko tēnei ultrasound o tō ngākau e whakaatu ana i te wai kei te taha o te ngākau me te pai o te pupuhi
• X-ray uma: Ka whakaatu i te rāhi me te āhua o tō ngākau, ā, ka taea te whakaatu i te wai kei roto i ngā ngāwari
• Electrocardiogram (ECG): Ka ine i te mahi hiko, ā, ka taea te whakaatu i ngā huringa noa o te pericarditis
• Ngā whakamātautau toto: Tirohia ngā tohu o te mumura pēnei i te nui o te taumaha o te pūtau toto ma, te pūtau C-reactive ranei
• CT, MRI rānei: Ka whakarato i ngā whakaahua taipitopito mēnā kāore ngā whakamātautau kē atu i te whakatau

Ka whakakorehia hoki e tō tākuta ētahi atu āhuatanga ka puta mai ngā tohu rite, pēnei i tetahi atu whakaeke ngākau, te mate huango, te toto rānei e kī i ngā ngāwari. Ka roa pea tēnei tukanga i te rā kotahi, rua rānei, engari he mea nui kia tino tika.

Ka tino kitea te whakatau whakaora mena kei a koe te whakakotahitanga tuku iho o te mamae uma, te kirika, me nga tohu mumura i roto i tou toto, katoa i roto i nga wiki ki nga marama i muri i te whara o te ngakau. Ka whakaarohia e to rōpū hauora nga mea katoa nei hei tahi, kaua e whakawhirinaki ki tetahi whakamatautau kotahi.

He aha te rongoā mō te mate Dressler?

Ko te kaupapa matua o te rongoā i te mate Dressler ko te whakaiti i te mumura me te whakahaere i ō tohu i te wa e ora ana tō tinana. Ko te nuinga o te iwi ka pai te whakautu ki nga rongoā anti-mumura, a ka pai ake nga tohu i roto i nga ra ki nga wiki i te tīmatanga o te maimoatanga.

Ko nga maimoatanga tuatahi e whakamahia ana ko:

• NSAIDs (Rongoā anti-mumura kore-steroidal): Ka āwhina nga rongoā penei i te ibuprofen, te aspirin rānei ki te whakaiti i te mumura me te mamae
• Colchicine: He rongoā anti-mumura tenei e tino whai hua ana mō te pericarditis, ā, ka āwhina i te aukati i te puta mai anō
• Okioki: Ka āwhina te whakaiti i te mahi tinana kia ora ai tō ngakau kahore he ahotea atu

Mō ngā take nui ake, mā te kore rānei e mahi ngā maimoatanga tuatahi, ka taea e tō tākuta te whakahau:

• Corticosteroids: He rongoā anti-mumura kaha penei i te prednisone, e whakamahia ana ina kore e whai hua ētahi atu maimoatanga
• Rongoā immunosuppressive: He rongoā hei whakangā i te whakautu nui o tō pūnaha mate tupurangi
• Ngā tikanga whakaheke: I roto i ngā take onge ka nui rawa te wai e hanga ana i te taha o te ngakau

Ko te maimoatanga ka roa i te maha o nga wiki ki etahi marama, kei runga i tō whakautu. Ka tirotirohia e tō tākuta tō ahunga whakamua me ngā tirotiro auau, ā, ka taea te whakarereke i ngā rongoā i runga i ō tohu me ngā hua whakamātautau.

Ka tīmata te nuinga o te iwi ki te pai ake i roto i ngā rā torutoru i muri i te tīmatanga o te rongoā, ahakoa ka roa pea ngā wiki kia ora katoa. He mea nui kia tangohia ngā rongoā rite tonu ki te whakahau, ā, kaua e mutu i mua rawa, ahakoa kei te pai ake koe.

Me pēhea te whakahaere i te mate Dressler i te kāinga?

Ko te whakahaere i te mate Dressler i te kāinga ko te whai i tō mahere rongoā me te whakarereke i ngā āhuatanga o te oranga e tautoko ana i tō ora. Ka taea e te huarahi tika te awhina i a koe kia pai ake te noho, ā, ka tere pea te tere o tō tukanga ora.

Ko ētahi o ngā rautaki whakahaere kāinga matua ko:

• Tangohia ngā rongoā rite tonu ki te whakahau: Kaua e ngaro ngā horoinga, kaua hoki e mutu i mua, ahakoa kei te pai ake koe
• Okioki tika: Whakatūpatohia te okioki me te nekehanga ngawari rite tonu ki te whakahau a tō tākuta
• Aroturukihia ō tohu: Pupuri i te ara o te mamae uma, te poto o te manawa, te rerekētanga o te kirika
• Kia makona te wai: Inu nui te wai ki te kore tō tākuta i hoatu he herenga wai ki a koe
• Kai kai anti-inflammatory: Whakauruhia ngā kai e whai hua ana i ngā ngako momona omega-3 me ngā antioxidants

Mō te whakamarie i te wā e ora ana, whakamātauria te moe me tō ulu i whakatūria ki runga i ngā urunga taapiri, ka taea te awhina i te whakaiti i te mamae o te uma. Ko te whakamahi i te wera ngawari ki tō rohe uma ka homai pea ētahi whakaora mai i te mamae.

Kaua e mahi i ngā mahi e whakaiti ana i tō mamae uma, te poto o te manawa rānei. Ko te tikanga tenei ko te whakaiti i te kawe i ngā mea taimaha, te whakakori kaha, te mahi kaha rānei kia tae ra ano tō tākuta ki te tuku i te marama. Ko te hikoi mārama te nuinga o te wā he pai, ā, ka taea pea te awhina i te rere o te toto.

Pupurihia he tātai tohu e tohu ana i te wā e puta mai ai te mamae, he aha ngā mea e whakaohooho ana i te mamae, ā, he aha ngā mea e awhina ana kia pai ake. He mea nui tēnei mō tō rōpū hauora, ā, ka āwhina i a rātou ki te whakarereke i tō rongoā mehemea e hiahiatia ana.

Me pēhea te whakarite mō tō hui ki te tākuta?

Ko te whakarite mo tō whakatau ki te taakuta ka ārahi ki te whiwhi i te painga nui atu i tō haerenga, ā, ka whakarato hoki i tō rōpū hauora ki ngā korero e hiahiatia ana e rātou hei āwhina pai i a koe. Ka taea hoki e te whakarite pai te whakaiti i te manukanuka mō te whakatau.

I mua i tō whakatau, kohikohia:

• Ngā kōrero mō ngā tohu: Nō hea i tīmata ai, he aha ngā mea e pai ake ai, he aha ngā mea e kino ake ai, me te kaha o rātou
• Rārangi rongoā: Tāpirihia ngā rongoā tākuto katoa, ngā rongoā kore-tākuto, me ngā taapiri
• Ngā rēkōti hauora: Mauria ngā rēkōti mai i tō mate ngākau tata nei, i tō pokanga rānei
• Ngā korero inihua: Kia tino mōhio koe kei a koe ngā kāri inihua hou
• Rārangi pātai: Tuhia ngā āwangawanga, ngā pātai rānei e hiahia ana koe ki te kōrero

Ko ētahi pātai pai hei ui ki tō taakuta ko te roa o te maimoatanga, ngā tohu e tika ai te karanga wawe atu, te wā ka taea te hoki ki ngā mahi noa, me te mea kei reira ētahi ārai kai e tika ana kia whai koe.

Whakaarohia te kawe mai i tētahi mema whānau, i tētahi hoa rānei ki te whakatau. Ka taea e rātou te āwhina i a koe ki te mahara ki ngā korero nui, ā, ka whakarato hoki i te tautoko i ngā kōrero mō tō āhuatanga me ngā whiringa maimoatanga.

Haere mai i etahi meneti i mua i te whakaoti i ngā tuhinga e hiahiatia ana, ā, tangohia he wā hei whakarite i ō whakaaro. Kaua e whakaroa ki te tono whakamārama mena kaore tetahi mea i te marama – e hiahia ana tō rōpū hauora kia mōhio koe ki tō āhuatanga me tō mahere maimoatanga.

Me pēhea te aukati i te mate Dressler?

Ahakoa kaore e taea te aukati katoa i te mate Dressler ki te mea kei te tūpono koe, ka taea e ētahi rautaki te whakaiti i tō tūponotanga ki te whanake. Ko te mea nui rawa ko te whiwhi i te maimoatanga tika, tika hoki mō tō raruraru ngākau tuatahi.

Ko ngā rautaki aukati e whai ake nei:

• Whakaora tere mō te mate ngākau: Ko te tere haere ki te hōhipera me te whiwhi āwhina wawe ka whakaiti i te pakaru o ngā kōpū
• Te whai i ngā tohutohu muri i te pokanga: Te whai tika i ngā whakahau katoa i muri i te pokanga ngākau
• Te tango i ngā rongoā kua tohua: Te whakaoti i ngā kaupapa katoa o ngā rongoā mate huaketo, rānei ētahi atu rongoā penei i te tohutohu
• Te haere ki ngā whakaritenga whai muri: Ko ngā tirotiro auau ka āwhina i te hopu i ngā raruraru i te tīmatanga
• Te whakahaere i ngā take morearea: Te whakahaere i te toto teitei, te kolesterol, me te mate huka

Ka tohu etahi tākua i ngā rongoā anti-mumura i muri tonu i ngā mahi ngākau nui mō ngā turoro morearea teitei, ahakoa ehara tenei tikanga i te paerewa mō te katoa. Ka whakatau tō rōpū hauora mena he tika tēnei huarahi ārai mōu.

Ko te noho ki te oranga hauora ngākau katoa – tae atu ki te whakakori tinana auau, te kai tōtika, te kore wāhine, me te whakahaere i te ahotea – ka tautoko i te kaha o tō pūnaha ngākau ki te ora me te whakaiti pea i te mumura puta noa i tō tinana.

Mēnā kua pāngia koe e te mate Dressler i mua, mahi tata atu ki tō tākuta ki te whakawhanake i te mahere ārai mō ngā mahi ngākau a muri ake nei. I ēnei wā pea ngā rongoā motuhake, rānei ngā tikanga aroturuki e rite ana ki tō tūāhua morearea takitahi.

He aha te mea nui e tangohia ana e pā ana ki te mate Dressler?

Ko te mate Dressler, ahakoa he awangawanga, he āhuatanga e taea te whakahaere e pā ana ki te iti o te hunga i muri i ngā mate ngākau, rānei te pokanga ngākau. Ko te mea nui rawa kia mahara ko te nuinga o te hunga ka ora katoa kaore he raruraru roa me te whakaora tika.

He mea nui te mohiotanga wawe me te whakaora mō ngā hua pai. Ki te pāngia koe e te mamae uma, te kirika, te poto o te manawa i ngā wiki ki ngā marama i muri i te kaupapa ngākau, kaua e whakaroa ki te whakapiri atu ki tō kaiwhakarato hauora i te wa tonu.

Ka pai te whakautu o te mate ki ngā rongoā whakangāwari-pūngāwerewere, ā, ka tīmata te nuinga o te iwi ki te pai ake i roto i ngā rā i muri i te tīmatanga o te maimoatanga. Ahakoa pea ka roa ngā wiki te ora, ko te pupuri tonu i tō mahere maimoatanga me te pupuri i te whakawhitiwhiti korero tūturu ki tō rōpū hauora ka ārahi ki ngā hua pai rawa atu.

Kia mahara, ehara te mea he mate ngākau tonu, te mate o Dressler, te mea rānei kei te nui ake te tūponotanga o ngā raruraru ngākau i muri mai. He huarahi noa iho tēnei o tō tinana ki te whakautu ki te whakaora, ā, mā te tiaki tika, ka taea e koe te tumanako kia hoki ki ō mahi noa me te kounga o te ora.

Pātai e ui ana te iwi mō te mate o Dressler

Ka mate rānei te mate o Dressler?

Ko te mate o Dressler he tino onge te mate ina tino whakatauhia me te maimoatanga. Ahakoa he kino ngā raruraru penei i te tamponade ngākau, he mea whakamataku, he mea noa iho, ā, he maha te aukati mā te tiaki hauora tika. Ka ora katoa te nuinga o te iwi mā te maimoatanga whakangāwari-pūngāwerewere noa.

E hōea ana te mate o Dressler?

He rerekē te roa mai i te tangata ki te tangata, engari ka kite te nuinga o te iwi i te whakapainga i roto i ngā rā ki ngā wiki i te tīmatanga o te maimoatanga. Ko te ora katoa te tikanga he 1-3 marama. Ka rongo pea etahi i ngā tohu ngawari mō ngā marama maha, engari ehara tenei i te tikanga kei te kino haere te mate.

Ka taea e au te whakakori tinana me te mate o Dressler?

Me karo koe i te whakakori tinana kaha kia tae ra ano ki te whakamārama a tō tākuta, i te mea ka kaha ake te whakaheke i te mumura me ngā tohu. Ko te hikoi māori te tikanga he pai, ā, ka pai pea. Ka ārahi tō rōpū hauora i a koe ki te wā me te āhua o te hoki whakamāori ki tō kaupapa whakakori tinana noa.

Ka hoki mai rānei te mate o Dressler?

Ka puta te tōngatanga anō i raro iho i te 20% o ngā take. Ki te pāngia koe e te tōngatanga anō, he māngai noa atu te tikanga i te wāhanga tuatahi, ā, ka pai te whakautu ki ngā rongoā kotahi. Ko te tango i ngā rongoā pēnei i te colchicine kia rite ki te whakahau ka āwhina i te whakaiti i te tūponotanga o te tōngatanga anō.

He rite te mate a Dressler ki te ngākau whati?

Kāo, ehara te mate a Dressler i te ngākau whati. Ahakoa e taea e ngā mea e rua te whakaeke i te mamae o te uma, ko te mate a Dressler he mumura kei te taha o te ngākau, ehara i te aukati o te rere o te toto ki te uaua o te ngākau. Ko te mamae o te uma mai i te mate a Dressler e rereke ana te tikanga, ā, ka pai ake te tikanga ina noho koe ki runga, ā, whakatū te taha ki mua.