He aha te Mate o Eisenmenger? Tohutohu, Take, me te Maimoatanga

Ko te mate o Eisenmenger he mate ngakau nui e puta mai ana ina puta he rua i roto i tō ngakau, ā, ka rere te toto ki te huarahi he. Ka pakaru tenei rerenga whakamuri i ngā oko toto o ō manawa, ā, ka uaua ake te pupuhi toto a tō ngakau.

Ko te mea motuhake mō tēnei mate, ko te tīmatanga hei raru kotahi, engari ka huri ki tetahi atu i te wā. Ka whānau koe me te ngoikoretanga o te ngakau e tuku ana i te toto momona-hākari me te toto iti-hākari ki te whakaranu, engari ka whakahaeretia e ō manawa te rere o te toto atu. Heoi, i muri i ngā marama, i ngā tau rānei, ka tīmata ngā oko toto o ō manawa ki te whakahē i tēnei rere koretake, ka hanga he rerenga o ngā raruraru e whakarereke ana i te mahi a tō pūnaha ngakau katoa.

He aha ngā tohu o te mate o Eisenmenger?

Ko te tohu tino kitea ko te tae kikorangi o tō kiri, ngutu, i ngā maihao rānei, e kiia nei ko te cyanosis. Ka puta mai tenei nā te rere o te toto iti-hākari i roto i tō tinana, kaua e horoia tika i ō manawa.

I te whakapau kaha o tō ngakau ki te whakakapi, ka tino kitea e koe ētahi atu tohu ka pā ki ō mahi o ia rā:

• Te poto o te manawa, ina koa i ngā mahi tinana, i te whakakori rānei
• Te ngenge e kore e rite ki tō taumata mahi
• Te mamae o te uma, te kore ranei i te wā e whakapau kaha ana
• Te wiri, te ngaro rānei o te ngakau, ina koa i te wā e tu ana koe
• Te pupuhi o te ngakau, te kore ranei o te ngakau
• Te pupuhi o ō waewae, o ō turi, o ō waewae rānei
• Te whakanui o ngā maihao me ngā maihao waewae (ka porotaka, ka nui ngā pito)

Ka tupu auautia ēnei tohu, koia ka kore pea koe e kite i te wa poto. He kaha te kaha o tō tinana ki te whakarite, engari ka nui rawa te ahotea ki te whakakapi katoa.

He aha ngā take o te mate o Eisenmenger?

Ka tīmata tonu te mate o Eisenmenger me te ngoikoretanga o te ngakau, koia te tikanga ka whānau koe me te raru hanganga i roto i tō ngakau. Ko ngā ngoikoretanga taketake e tino kitea ana e hanga ana i ngā hononga koretake i waenganui i ngā ruma o tō ngakau, i ngā oko toto nui rānei.

Ko ēnei ngā ngoikoretanga o te ngakau e tino arahi ana ki te mate o Eisenmenger:

• Te ngoikoretanga o te septal ventricular (VSD) - he rua i waenganui i ngā ruma raro o te ngakau
• Te ngoikoretanga o te septal atrial (ASD) - he rua i waenganui i ngā ruma o runga o te ngakau
• Te patent ductus arteriosus (PDA) - ina tuwhera tonu te oko toto me mutu te tuwhera i muri i te whānautanga
• Te ngoikoretanga o te septal atrioventricular - ngā rua e pā ana ki ngā ruma o runga me ngā ruma raro
• Te truncus arteriosus - ina puta mai tētahi oko nui mai i te ngakau, kaua e rua ngā oko motuhake

Ko te mea e huri ai ēnei ngoikoretanga ki te mate o Eisenmenger, ko te wā me te pehanga. I te tīmatanga, ka rere te toto mai i te taha maui o tō ngakau (pehanga teitei) ki te taha matau (pehanga iti) i ēnei tuwhera koretake. Ka whakapau kaha tēnei nui o te toto ki ō manawa ki te mahi, ā, i muri i ngā marama, i ngā tau rānei, ka mātotoru, ka pakari ngā oko toto i ō manawa ki te tiaki i a rātou.

I te mutunga, ka nui rawa te pehanga i ō manawa, ka nui atu i te pehanga i te taha maui o tō ngakau. Ina puta mai tēnei, ka huri te rere o te toto, ā, ka tīmata te whakaranu o te toto iti-hākari me te toto momona-hākari i roto i tō tinana.

Nōhea te haere ki te taote mō te mate o Eisenmenger?

Me rapu wawe koe i te tiaki hauora mena ka kitea e koe te poto o te manawa, te mamae o te uma, te ngaro rānei o te ngakau. Ka taea e ēnei tohu te tohu kei te kino haere tō mate, kei te whānau rānei koe i ngā raruraru e hiahia ana ki te maimoatanga wawe.

He mea nui hoki te haere ki tō taote i ia wā mena ka kitea e koe ngā huringa auau i ō taumata kaha, i tō manawanui whakakori rānei. Āe rawa ngā huringa iti i te āhua o tō whakaaro i ngā mahi o ia rā ka hoatu ētahi mōhiohio whai hua mō te whakahaere o tō ngakau me ō manawa.

Mena he ngoikoretanga ngakau e mohiotia ana mai i te whānautanga, he mea nui te pupuri i ngā whakaritenga whai muri, ahakoa kei te pai tō whakaaro. Ka taea e te kite wawe o ngā pehanga manawa te aukati i te whānautanga o te mate o Eisenmenger i roto i te wā tika o te whakahaere pokanga.

He aha ngā take morearea mō te mate o Eisenmenger?

Ko te take morearea matua ko te whānautanga me ētahi momo ngoikoretanga ngakau, ina koa ētahi e hanga ana i ngā hononga koretake i waenganui i ngā wāhanga rerekē o tō pūnaha ngakau. Heoi, ehara i te katoa o te hunga he ngoikoretanga penei ka whānau i te mate o Eisenmenger.

He maha ngā take ka pā ki te whānautanga o te ngoikoretanga o te ngakau ki te mate o Eisenmenger:

• Te rahi me te wāhi o te ngoikoretanga o te ngakau - ngā ngoikoretanga nui e tuku ana i te rere o te toto koretake
• Te tau i kitea ai te ngoikoretanga, i te whakahaere rānei - ka aukati te whakatikatika wawe i te whānautanga
• Te hauora whānui i te wā tamariki me te taiohi
• Te noho o ētahi atu ngoikoretanga ngakau e whakanui ana i te uaua
• Te noho i teitei teitei, kei hea ngā taumata iti o te hākari e whakapēhi ana i te ngakau me ngā manawa

Ka taea hoki e te ira te whai wāhi, i ētahi whānau he nui ake te maha o ngā ngoikoretanga o te ngakau. I tua atu, ka taea e ētahi āhuatanga i te wā hapu, penei i te mate huka o te whaea, te whakamahinga rānei o ngā rongoā motuhake, te whakanui i te tūponotanga o ngā ngoikoretanga ngakau i ngā pepe.

He aha ngā raruraru pea o te mate o Eisenmenger?

Ka taea e te mate o Eisenmenger te pā ki ngā pūnaha tinana maha, nā te mea kaore e whiwhi tō tinana katoa i te toto momona-hākari. Ko te mārama ki ēnei raruraru pea ka āwhina i a koe ki te mohio ki ngā tohu whakatūpato, ki te mahi tahi rānei me tō rōpū hauora ki te aukati, ki te whakahaere rānei i a rātou.

Ko ēnei ngā raruraru tino kitea:

• Ngā raru o te au o te ngakau (arrhythmias) e taea ai te pupuhi o te ngakau, te mate ngakau rānei ohorere
• Te kore o te ngakau i te wā ka ngoikore te uaua o tō ngakau i ngā tau o te mahi atu
• Ngā toto e taea te haere ki ō manawa, roro, ki ētahi atu tinana rānei
• Te pōkaikaha, ina koa i ngā tāne taitamariki he mate penei
• Ngā raruraru whatukuhu nā te iti o te rere o te toto me te tuku hākari
• Te mate gout nā te nui o ngā taumata o te waikawa uric
• Ngā kohatu gallstones, e tino puta ana i ngā tāngata he mate ngakau roa

Ko ētahi raruraru iti ake, engari he nui te kino, ko ngā raruraru toto nā ngā take toto koretake, me ngā mate o ngā uaua ngakau (endocarditis). He nui ngā morearea o te haputanga mō ngā wāhine he mate o Eisenmenger, ā, e hiahia ana ki te tiaki motuhake mai i tētahi rōpū o ngā tohunga.

Ahakoa ka kitea pea tenei rārangi he nui rawa, he maha ngā tāngata he mate o Eisenmenger e ora ana i ngā oranga whai hua mā te mahi tata me tō rōpū hauora, me te mahi i ngā whakaritenga noho ora.

Me pēhea te whakatau o te mate o Eisenmenger?

Ka tīmata te whakatau i te whakarongo a tō taote ki tō ngakau me ō manawa, te titiro ki ngā oro motuhake, me te tirotiro i te tae o tō kiri me ō maihao. Ka ui hoki rātou i ngā pātai taipitopito mō ō tohu, me tetahi hītori o ngā raruraru ngakau mai i te whānautanga.

He maha ngā whakamātautau e āwhina ana ki te whakau i te whakatau, ki te aromatawai rānei i te kino o tō mate. Ka whakamahi te echocardiogram i ngā ngaru oro ki te hanga i ngā pikitia nekehanga o tō ngakau, e whakaatu ana i te hanganga me te mahi o ngā ruma me ngā uaua o tō ngakau. Ka taea e tēnei whakamātautau te whakaatu i te ngoikoretanga ngakau taketake, me te ine i ngā pehanga i roto i tō ngakau.

Ka tono pea tō taote i ētahi atu whakamātautau hei tiki i te whakaahua katoa o tō hauora ngakau. Ka tuhi te electrocardiogram (ECG) i te mahi hiko o tō ngakau, ā, ka taea te kite i ngā raruraru au, i ngā tohu ahotea rānei. Ka whakaatu ngā X-rays uma i te rahi me te āhua o tō ngakau me ō manawa, i te wā e ine ana ngā whakamātautau toto i ngā taumata hākari, me te tirotiro hoki i ētahi atu raruraru.

I ētahi wā, ka hiahiatia pea ngā whakamātautau motuhake ake penei i te catheterization ngakau. Ko tēnei tukanga e whakauru ana i te whakauru i te tiu angiangi i roto i ō oko toto ki te ine tika i ngā pehanga i roto i tō ngakau me ō manawa, e whakarato ana i te aromatawai tino tika o te kino o tō mate.

He aha te maimoatanga mō te mate o Eisenmenger?

Ka aro te maimoatanga ki te whakahaere i ngā tohu me te aukati i ngā raruraru, kaua ki te whakaora i te mate taketake. Kia whānau katoa te mate o Eisenmenger, ko ngā huringa i ngā oko toto o ō manawa he mau tonu, ka nui rawa te morearea o te whakatikatika pokanga o te ngoikoretanga ngakau taketake.

Ka tono pea tō rōpū hauora i ngā rongoā hei āwhina i tō ngakau ki te mahi pai ake, ki te whakaiti rānei i ngā tohu. Ka taea e ēnei te whakauru i ngā rongoā e whakahaere ana i ngā oko toto i ō manawa, e āwhina ana i tō ngakau ki te pupuhi pai ake, ki te aukati rānei i te hanga o ngā toto.

Mō ngā tāngata he tohu nui, ka whakaarohia pea ngā maimoatanga matatau ake:

• Te rongoā hākari hei whakanui i te hākari i roto i tō toto
• Ngā rongoā i hangaia motuhake hei whakahaere i te hypertension manawa
• Ngā tukanga hei tango i ngā pūtau toto whero nui mena ka nui rawa te hanga e tō tinana
• Te whakawhiti ngakau-manawa i roto i ngā take i tīpakohia tika

He mea nui te tirotiro auau, nā te mea ka taea te whakarereke o tō mate i te wā. Ka whakarite tō rōpū hauora i ngā maimoatanga i runga i tō whakaaro me ngā mea e whakaatu ana ō whakamātautau, e whai ana tonu ki te āwhina i a koe ki te pupuri i te kounga ora pai rawa.

Me pēhea te whakahaere i te mate o Eisenmenger i te kāinga?

Ko te ora pai me te mate o Eisenmenger e whakauru ana i te mahi i ngā whiringa whakaaro mō ō mahi o ia rā, i te pupuri i te kaha ka taea. Ko te matua ko te kimi i te taurite tika i waenganui i te pupuri i tō oranga tinana me te karo i te whakapau kaha nui ka taea te kino i ō tohu.

Me ngawari te mahi tinana, me te whakawhirinaki ki tō whakaaro i ia rā. Ka taea e te hikoi, te kauhoe māori, te whakatete rānei te pupuri i tō kaha kaore e tino whakapau kaha i tō ngakau me ō manawa. Kia aro ki ngā tohu a tō tinana, kia okioki hoki ina poto tō manawa, ina ngenge rānei koe.

Ka taea e tō mahi o ia rā te whakarereke nui i tō whakaaro. Kia pai te inu wai, engari kia kaua e nui rawa te wai mena kua tūtohu tō taote i ngā whakawhāiti. Kia kai kai tōtika e whai hua ana i te rino, i te mea pea ka hiahia tō tinana ki te tautoko atu ki te hanga i ngā pūtau toto whero hauora. Kia nui te okioki, i te mea he mea noa te ngenge me tēnei mate.

He mea nui te tiaki i a koe i ngā mate, ina koa ngā mate manawa e taea te whakapēhi atu i tō ngakau me ō manawa. Horoihia ō ringa i ia wā, kia hou te whakakori, kia kaua hoki e haere ki ngā wāhi nui i te wā mate huka ina taea.

Me pēhea te whakarite mō tō whakaritenga taote?

I mua i tō whakaritenga, tangohia he wā ki te aroturuki i ō tohu me ō taumata kaha mō etahi rā, etahi wiki ranei. Kia tuhia ngā mahi e ngenge ai koe, te wā e mamae ai tō uma, me te kounga o tō moe. Ka āwhina ēnei mōhiohio i tō taote ki te mārama ki te pānga o tō mate ki tō oranga o ia rā.

Kaua e wareware ki te kawe mai i te rārangi katoa o ngā rongoā katoa e inu ana koe, tae atu ki ngā rongoā ka hokona i te toa me ngā taapiri. Ka taea e ētahi rongoā te mahi tahi me ngā mate ngakau, te whakakore rānei i ngā maimoatanga, no reira me mohio tō taote ki ngā mea katoa e whakamahi ana koe.

Tuhia ngā pātai e hiahia ana koe ki te ui i mua i te wareware i a rātou i taua wā. Whakaarohia te ui mō ngā tohu hou kua kitea e koe, te tika o tō taumata mahi, me ngā tohu whakatūpato e hiahia ana kia karanga wawe koe. Kaua e whakaroa ki te tono whakamārama mena ka kitea ngā kupu hauora, ngā whiringa maimoatanga rānei he whakapohehe.

Mena ka taea, kawe mai tētahi mema whānau, tētahi hoa rānei ki tō whakaritenga. Ka taea e rātou te āwhina i a koe ki te mahara ki ngā mōhiohio nui, me te whakarato tautoko ngākau i ngā kōrero mō tō mahere tiaki.

He aha te mea nui mō te mate o Eisenmenger?

Ko te mate o Eisenmenger he mate uaua e tupu ana i te wā mai i te ngoikoretanga ngakau taketake, engari me te tiaki hauora tika me ngā whakaritenga noho ora, he maha ngā tāngata e ora ana i ngā oranga whai hua me te kaha. Ko te mea nui rawa hei mahara, ehara koe i te kotahi anake e whakahaere ana i tēnei mate.

Ka whakarereke te kite wawe me te tiaki hauora haere tonu i ngā hua. Mena he ngoikoretanga ngakau e mohiotia ana koe, te kite rānei i ngā tohu penei i te poto o te manawa, te huringa tae kiri rānei, kaua e whakaroa ki te rapu whakamātautau hauora. Ka taea e ngā maimoatanga hou te whakapai ake i te kounga ora, me te āwhina i te aukati i ngā raruraru.

Ahakoa e hiahia ana te mate o Eisenmenger ki te whakahaere ora, ka tuku tonu ngā whakapainga i te mārama me te maimoatanga i te tumanako. Mahi tata me tō rōpū hauora, kia whakamāramahia ō mate, kaua hoki e whakaroa ki te tautoko i a koe ina he awangawanga, he pātai rānei koe.

Ngā pātai e ui pinepinetia ana mō te mate o Eisenmenger

Ka taea te aukati i te mate o Eisenmenger?

Ka taea te aukati i te mate o Eisenmenger i te nuinga o te wā mā te whakatikatika i te ngoikoretanga ngakau taketake i te wā tamariki, i te wā tamariki rānei. Mena he tamaiti koe he ngoikoretanga ngakau, he mea nui te whai i ngā tūtohu a tō kaitiaki ngakau tamariki mō te wā o te whakatikatika pokanga. Kia whānau katoa te mate, heoi, ko ngā huringa i ngā oko toto manawa he mau tonu.

He ira te mate o Eisenmenger?

Ka taea e ngā ngoikoretanga ngakau taketake e arahi ana ki te mate o Eisenmenger te rere i roto i ngā whānau, engari ko te nuinga o ngā take ka puta noa mai kaore he tauira ira mārama. Mena he mate o Eisenmenger koe, he ngoikoretanga ngakau whānau rānei, ka taea e te tohutohu ira te āwhina i a koe ki te mārama ki ngā morearea mō ngā tamariki kei te heke mai, me te kōrero hoki mō ngā whiringa mō te whakatōpū whānau.

Ka taea e ngā tāngata he mate o Eisenmenger te whānau tamariki?

He nui ngā morearea o te haputanga mō ngā wāhine he mate o Eisenmenger, ā, ehara i te mea e tūtohutia ana nā te nui o ngā raruraru mō te whaea me te pepe. Heoi, he motuhake ia āhuatanga, ā, mena kei te whakaaro koe ki te hapu, he mea nui te kōrero pai me tētahi rōpū tohunga, tae atu ki tētahi kaitiaki ngakau me tētahi tohunga hauora whaea-pepe.

E hā roa ngā tāngata he mate o Eisenmenger e ora ana?

Ka rereke te roa o te ora i runga i te kino o te mate, te hauora whānui, me te uru atu ki te tiaki hauora tika. He maha ngā tāngata he mate o Eisenmenger e ora ana tae noa ki ngā tau 30, 40, me ētahi atu, ina koa me ngā maimoatanga hou. Ka taea e te tiaki hauora auau me ngā whakaritenga noho ora te whakapai ake i te kounga ora me te roa o te ora.

He mahi kei te karohia katoatia?

Ko ngā mahi teitei, te whakakori tino kaha, me ngā mahi he morearea o te maroke o te tinana me karohia. Ko te rere wātea he mea noa, engari ka hiahia pea ki ngā whakaritenga motuhake penei i te hākari tāpiri. Ka taea e tō taote te whakarato i ngā aratohu motuhake i runga i tō mate takitahi, me te āwhina i a koe ki te whakatau i ngā taumata mahi haumaru e pupuri ana i tō hauora i te wā e tuku ana i a koe ki te pai ki te ora.