He aha te Mate Pūtake Mitral? Ngā Tohutohu, Ngā Take, me te Rongoā

Ka puta te mate pūtake mitral ina ngāwari te pūtake mitral i roto i tō ngakau, ka pakari, ka uaua ai te rere o te toto i tō atria maui ki tō ventricle maui. Whakaarohia he tatau kaore e tuwhera katoa – me kaha ake te mahi a tō ngakau ki te pupuhi i te toto i roto i tēnei tuwhera iti.

Ka whanakehia tenei āhuatanga i roto i ngā tau maha, kāore pea koe e kite i te tīmatanga. Ahakoa he āhuatanga nui, he nui, he maha ngā tāngata e ora ana i te ora, i te mahi, me te tiaki hauora tika me te tirotiro.

He aha te Mate Pūtake Mitral?

Kei waenganui i ngā ruma e rua i te taha maui o tō ngakau tō pūtake mitral. I te nuinga, ka tuwhera nui tēnei pūtake kia rere te toto whai-hākari i tō atria maui ki tō ventricle maui, katahi ka kati kaha kia kaua e hoki whakamuri te toto.

Ina pangia koe e te mate pūtake mitral, ka mātotoru, ka pakari, ka hono ngā rau o te pūtake. Ka hanga tēnei i te tuwhera iti e ārai ana i te rere o te toto. Ka whakautu tō ngakau mā te kaha ake te mahi, engari i te roa, ka āhei tenei kaha atu ki te arahi ki ngā raruraru.

Ka pā te āhuatanga ki te 1 i roto i te 100,000 o ngā tāngata i ngā whenua whānui, ahakoa he maha atu i ngā wāhi kei reira tonu te mate pāwera rheumatic. Ka whanakehia e te nuinga o ngā tāngata ngā tohu i te ngāwari, koia te take i āhei ai te kite wawe mā ngā tirotiro auau.

He aha ngā Tohutohu o te Mate Pūtake Mitral?

He maha ngā tāngata e pangia ana e te mate pūtake mitral ngāwari kāore e kite i ngā tohu mō ngā tau, ahakoa ngā tekau tau. Ina puta mai ngā tohu, ka whanakehia i te ngāwari i te wā e iti haere ana te tuwhera o te pūtake.

Ko ngā tohu tino noa ka kite koe:

• Te poto o te manawa, ina koa i te wā e mahi ana koe, i te takoto rānei.
• Te ngenge e kore e rite ki tō taumata mahi.
• Te mamae, te pēhanga rānei o te uma.
• Te pupuhi o te ngakau, te kore rānei o te ngakau.
• Te māuiui, te mārama rānei.
• Te pupuhi o ō waewae, o ō rekereke, o ō waewae rānei.
• Ngā mate manawa auau.

Ka kite etahi i te mare mare tonu, ina koa i te takoto, ka taea te kohu i te toto. Ka puta ēnei tohu nā te mea ka taea te hoki o te toto ki ō manawa ina kore te pūtake mitral e tuwhera tika.

I etahi wā, ka kite pea koe i ō ngutu, i ō maihao rānei e whero ana, ka puta ina kore te toto e kawe i te hākari. Mena ka pā atu tēnei ki a koe, he mea nui kia rapu āwhina hauora tonu.

He aha ngā Take o te Mate Pūtake Mitral?

Ko te take tino noa o te mate pūtake mitral ko te mate ngakau rheumatic, ka whanakehia hei raruraru o te pāwera rheumatic. Ka puta tēnei āhuatanga i te 10 ki te 20 tau i muri i te mate korokoro strep kaore i rongoā i te tamarikitanga i arahi ki te pāwera rheumatic.

I te wā o te pāwera rheumatic, ka whakaeke he te pūnaha ārai mate o tō tinana i ngā kōeke hauora o te ngakau, tae atu ki te pūtake mitral. Ka puta tēnei i te mumura me te toka e pakari haere ana te pūtake i roto i ngā tau maha.

Ko ētahi atu take, ahakoa he iti rawa te noa, ko:

• Ngā hapa ngakau whānau mai i te whānautanga.
• Ngā toenga kārati e hanga ana i runga i te pūtake me te pakeke.
• Ngā āhuatanga ārai mate penei i te lupus, te mate hono rheumatoid rānei.
• Ētahi rongoā, ina koa ngā alkaloids ergot e whakamahia ana mō ngā migraines.
• Te rongoā radiation ki te rohe uma.
• Te mate ngakau mate, he mate ngakau nui.

I ngā whenua whānui kei reira te pāwera rheumatic he iti, kua riro ngā huringa whakaheke mai i te pakeke hei take noa atu. I etahi wā, kāore e taea te kite i te take motuhake, e kiia ana e ngā tākuta he mate pūtake mitral idiopathic.

Nōhea te Tiro ki te Tākutu mō te Mate Pūtake Mitral?

Me whakapiri atu koe ki tō kaiwhakarato hauora mena ka kite koe i te poto o te manawa, ina koa ki te kino haere, ki te ārai rānei i ō mahi o ia rā. Kaua e tatari mena kei te uaua ki te manawa i te takoto, ki te ara rānei i te pō e ngau ana te hau.

Rapua te āwhina hauora tonu mena ka puta te mamae o te uma, te māuiui nui, ngā whakaheke, te kite rānei i ō ngutu, i ō maihao rānei e whero ana. Ka taea e ēnei tohu te tohu kei te kino haere tō āhuatanga, me te hiahia kia arotakehia tonu.

Ahakoa ngāwari ngā tohu, he mea tika te kōrero ki tō tākutu. Ka taea e te kite wawe me te tirotiro te ārai i ngā raruraru, me te whakarite kia whiwhi koe i te rongoā tika i mua i te whanake o te āhuatanga.

Mena he hītori o te pāwera rheumatic, he mea nui ngā tirotiro ngakau auau, ahakoa kei te pai koe. Ka taea e tō tākutu te kite i ngā huringa i roto i tō ngakau i mua i te puta o ngā tohu.

He aha ngā Take Pānga mō te Mate Pūtake Mitral?

Ka taea e te mārama ki ō take pānga te awhina i a koe me tō kaiwhakarato hauora kia tupato ki ngā tohu wawe o te mate pūtake mitral. Ko ētahi take ka taea e koe te whakahaere, ko ētahi atu kāore.

Ko ngā take pānga matua ko:

• Te hītori o te pāwera rheumatic, ina koa ki te kore i rongoā.
• Te pakeke neke atu i te 65, i te mea ka taea te puta ngā huringa pūtake me te pakeke noa.
• Te whānautanga i ngā rohe kei reira tonu te pāwera rheumatic.
• Te hītori whānau o te mate pūtake, o ngā hapa ngakau whānau rānei.
• Ngā āhuatanga ārai mate penei i te lupus, te mate hono rheumatoid rānei.
• Te rongoā radiation o mua ki te uma.
• Te mate whatukuhu roa e hiahia ana ki te dialysis.

Ka nui ake te whanake o te mate pūtake mitral i ngā wāhine i ngā tāne, ina koa ētahi e whai hītori ana i te pāwera rheumatic. Ka taea hoki e te hapu te whakaiti i te mate pūtake mitral kei reira nā te nui o te toto me ngā tono ngakau.

Ahakoa kaore e taea e koe te huri i tō pakeke, i tō ira tangata, i tō hītori hauora rānei, ka taea e koe te whakaiti i tō pānga mā te rongoā i ngā mate korokoro strep tonu, me te pupuri i te hauora ngakau pai mā te whakakori auau me te kai hauora.

He aha ngā Raruraru Ka Taea o te Mate Pūtake Mitral?

Ina whanake te mate pūtake mitral kaore he rongoā, ka taea te whanake i ngā raruraru maha i te wā e tautohe ana tō ngakau ki te pupuhi i te toto. Ka whanakehia ēnei raruraru i te ngāwari, koia te take i nui ai te tirotiro auau.

Ko ngā raruraru tino noa ko:

• Te atrial fibrillation, he āwangawanga ngakau kore e rite e whakanui ana i te pānga o te pōka.
• Te kore o te ngakau, kei reira te ngakau e kore e taea te pupuhi i te toto.
• Te toto teitei i ngā uaua manawa.
• Ngā toto e taea te haere ki tō roro, te puta ai te pōka.
• Te pupuhi o te wai i ō manawa.
• Te mate ngakau mate, he mate ngakau nui.

I ngā take nui, ka taea e koe te whanake i te mea e kiia ana e ngā tākuta he "kanohi mitral" – he ahua kanohi motuhake me ngā paparinga whero me ngā ngutu whero nā te rere kino o te toto. Ka kite etahi i te reo ngāwari nā te nui o te atria maui e pēhi ana i te uaua reo.

He iti rawa, ka taea e te mate pūtake mitral nui te arahi ki te mate ngakau ohorere, ahakoa he nui ake te pānga ki ngā tāngata kaore i whiwhi i te tiaki hauora tika. Ko te rongo pai, me te rongoā tika me te tirotiro, ka taea te ārai, te whakahaere rānei i te nuinga o ēnei raruraru.

Me pēhea te Whakataurite i te Mate Pūtake Mitral?

Ka tīmata tō tākutu mā te whakarongo ki tō ngakau me te stethoscope, te tirotiro rānei i te ngāwari o te ngakau e rangona ana he ngāwari iti. Ko tēnei ngāwari te tohu tuatahi e tohu ana i te mate pūtake mitral, ahakoa i mua i te puta o ngā tohu.

Ko te whakamātautau whakataurite tino nui ko te echocardiogram, e whakamahi ana i ngā ngaru oro ki te hanga i ngā pikitia nekehanga o tō ngakau. Ka whakaatu tēnei whakamātautau kore mamae i te pai o te tuwhera me te kati o tō pūtake mitral, te ine i te rahi o te tuwhera, me te aromatawai i te kaha o te mahi a tō ngakau.

Ka taea hoki e tō tākutu te tūtohutia ngā whakamātautau atu penei i:

• Te X-ray uma ki te tirotiro i te nui o te ngakau, te pupuhi rānei o te manawa.
• Te electrocardiogram (ECG) ki te kite i ngā āwangawanga ngakau kore e rite.
• Te whakamātautau ahotea whakakori ki te kite i te whakautu o tō ngakau ki te mahi tinana.
• Te catheterization ngakau i ngā take uaua ki te ine tika i ngā pēhanga.
• Te echocardiogram transesophageal mō ngā pikitia marama ake, ngā taipitopito atu rānei.

Ka taea e ngā whakamātautau toto te awhina i te whakakore i ētahi atu āhuatanga, me te tirotiro i ngā tohu o te mate, o te mumura rānei. Mena kei te whakamahere koe i te pokanga, ka hiahiatia pea ngā whakamātautau atu penei i ngā ako mahi manawa kia whakarite koe he kaitono pai.

He aha te Rongoā mō te Mate Pūtake Mitral?

Ka whakawhirinaki te rongoā mō te mate pūtake mitral ki te nui o tō āhuatanga, me te kite rānei koe i ngā tohu. Mena he ngāwari tō stenosis, me te pai hoki tō āhuatanga, ka tūtohu pea tō tākutu i te tirotiro auau me ngā echocardiograms auau.

Mō ngā take tohu, nui rānei, ko ngā kōwhiringa rongoā ko ngā rongoā, ngā mahi, me te pokanga. Ka mahi tahi tō rōpū hauora ki a koe ki te whakatau i te huarahi pai e hāngai ana ki tō āhuatanga motuhake me tō hauora whānui.

Ka aro ngā kōwhiringa rongoā ki te whakahaere i ngā tohu me te ārai i ngā raruraru:

• Ngā diuretics ki te whakaiti i te pupuhi o te wai me te whakamama i te manawa.
• Ngā beta-blockers ki te whakaiti i te tere o tō ngakau me te whakapai ake i te whakaki.
• Ngā kaiwhakarau toto mena ka whanake koe i te atrial fibrillation.
• Ngā rongoā mate i mua i ngā mahi niho ki te ārai i te mate ngakau.
• Te digoxin ki te whakapakari i ngā pupuhi ngakau i te kore o te ngakau.

Ina kore e ranea ngā rongoā, ka hiahiatia ngā whakawhitinga mahi. Ko te valvuloplasty porowhita e pā ana ki te whakauru i te catheter me te pito porowhita ki tō ngakau me te pupuhi ki te whakangawari i te pūtake. Ka mahi pai tēnei kōwhiringa iti-whakauru mō ngā tāngata kōhungahunga me ngā pūtake ngawari.

Ko ngā kōwhiringa pokanga ko te whakatikatika pūtake, te whakakapi rānei. Ka tūtohu pea tō taote i ngā pūtake mīhini e roa ake te ora, engari e hiahia ana ki ngā kaiwhakarau toto ora, ki ngā pūtake kararehe mai i te kōeke kararehe e kore e hiahia ki ngā kaiwhakarau toto, engari ka hiahia pea ki te whakakapi i mua.

Me pēhea te Tiaki ia Koe me te Mate Pūtake Mitral?

Ko te tiaki ia koe i te kāinga he mea nui ki te whakahaere i te mate pūtake mitral me te pupuri i tō kounga ora. Ka taea e ngā whiringa iti o ia rā te whakarereke nui i tō āhuatanga me te pai o te mahi a tō ngakau.

Aro atu ki ngā whiringa ora hauora ngakau e tautoko ana i tō pūnaha cardiovascular. Kai i te kai e whai hua ana i ngā hua, i ngā huawhenua, i ngā witi katoa, i ngā pūmua ngawari, i te whakaiti i te tote ki te ārai i te pupuhi o te wai me te whakaiti i te kaha ki tō ngakau.

Noho mahi i te wā e taea ana e ō tohu, engari whakarongo ki tō tinana. Ka taea e te whakakori ngāwari penei i te hikoi, te kauhoe, te hikoi potae rānei te whakapakari i tō ngakau, engari kia kaua e mahi nui e tino poto ai tō manawa. Kōrero tonu ki tō kaiwhakarato hauora mō ō mahere whakakori.

Tirohia ō tohu me te pupuri i ngā huringa. Taumaha koe i ia rā, me te ripoata i te nui o te taumaha ki tō tākutu, i te mea ka taea tēnei te tohu i te pupuhi o te wai. Tangohia ō rongoā penei i te whakahau, ahakoa kei te pai koe.

Whakamahia te tiaki niho pai, me te whakamōhio i ngā kaiwhakarato hauora katoa mō tō āhuatanga pūtake. Ka hiahia pea koe ki te prophylaxis antibiotic i mua i ētahi mahi niho, hauora rānei ki te ārai i ngā mate ngakau.

Me pēhea te Whakamahere mō tō Hui Tākutu?

Ko te whakamahere mō tō hui ka awhina i te whakarite kia whiwhi koe i te nuinga o tō wā me tō kaiwhakarato hauora. Tīmata mā te tuhituhi i ō tohu katoa, ahakoa ngā mea e kore e rite, tae atu ki te wā i tīmata ai rātou me te aha e pai ake ai, e kino ake rānei.

Hangaia he rārangi katoa o ngā rongoā, ngā taapiri, me ngā huaora katoa e tangohia ana e koe, tae atu ki ngā horoinga. Kawe mai i ngā hua whakamātautau o mua, ina koa ngā echocardiograms, ngā ako ngakau rānei, mena kei te kite koe i te tākutu hou.

Whakamahia ngā pātai ki te ui ki tō rōpū hauora:

• Nui rawa atu tō mate pūtake mitral?
• He aha ngā tohu me titiro atu ahau e tohu ana i te kino haere?
• Nōhea me whiwhi ahau i ngā hui, i ngā whakamātautau rānei?
• He aha ngā mahi e ora ana mōku?
• Me hiahia ahau ki te prophylaxis antibiotic mō te mahi niho?
• Nōhea pea ka hiahia ahau ki te pokanga, ki ētahi atu mahi rānei?

Whakaarohia te kawe mai i te mema whānau, i te hoa rānei ki te awhina i a koe ki te mahara ki ngā korero nui i te wā o te hui. Kaua e whakaroa ki te ui mō te marama mena kaore tetahi mea i marama.

He aha te Tango Matua mō te Mate Pūtake Mitral?

He āhuatanga taea te whakahaere te mate pūtake mitral ina whakatauritea tika me te rongoā. Ahakoa ka taea te nui mena kaore i rongoā, he maha ngā tāngata e pangia ana e tēnei āhuatanga e ora ana i te ora, i te mahi, me te tiaki hauora tika me ngā whakaritenga ora.

Ko te mea tino nui hei mahara ko te kite wawe me te tirotiro auau he rerekētanga nui ki ngā hua. Mena he take pānga tō, he tohu rānei e puta ana, kaua e whakaroa ki te kōrero ki tō kaiwhakarato hauora.

Me ngā kōwhiringa rongoā o nāianei, tae atu ki ngā rongoā me ngā hangarau pokanga whānui, ka pai haere tonu te tirohanga mō ngā tāngata e pangia ana e te mate pūtake mitral. Ko te mahi tata atu ki tō rōpū hauora me te tango i te mahi kaha i roto i tō tiaki ka hoatu ki a koe te tupono pai mō te hua pai.

Ngā Pātai Auau e Pā ana ki te Mate Pūtake Mitral

Ka taea te rongoā katoa te mate pūtake mitral?

Kāore e taea te "rongoā" te mate pūtake mitral me ngā rongoā, engari ka taea te whakahaere tika me te whakatika rānei me ngā mahi, te pokanga rānei. Ka taea e te valvuloplasty porowhita te whakapai ake i te mahi pūtake, i te wā e taea ai e te whakatikatika pūtake, te whakakapi rānei te whakahoki i te rere toto noa. Ko te matua ko te whiwhi i te rongoā tika i mua i te whanake o ngā raruraru.

He ora te whakakori mena he mate pūtake mitral tōu?

Ka whakawhirinaki te ora o te whakakori ki te nui o tō āhuatanga me ō tohu. Ka taea e ngā tāngata e whai stenosis ngāwari te whakakori noa, i te wā e hiahia ana pea ētahi e whai stenosis waenga ki te nui ki te whakaiti i ngā mahi nui. Ka taea e tō kaitātari ngakau te mahi i te whakamātautau ahotea whakakori ki te whakatau i ngā taumata mahi ora motuhake mōu.

E hā roa te ora o tetahi me te mate pūtake mitral kaore i rongoā?

Ka rereke te whanake i waenga i ngā tāngata. Kāore pea etahi tāngata e whai stenosis ngāwari e hiahia ana ki te rongoā, i te wā e taea ai e ētahi atu e whai stenosis nui te whanake i ngā raruraru kino i roto i ngā marama mena kaore i rongoā. Kia puta mai ngā tohu i te stenosis nui, ko te ora toharite kaore he rongoā ko te 2-5 tau, koia te take i nui ai te tiaki hauora tonu.

Me tango ahau i ngā kaiwhakarau toto mō te ora?

Kāore te katoa e whai mate pūtake mitral e hiahia ana ki ngā kaiwhakarau toto. Ka hiahia pea koe ki a rātou mena ka whanake koe i te atrial fibrillation, mena ka whiwhi koe i te whakakapi pūtake mīhini. Engari, mena he whakatikatika pūtake tō, he whakakapi pūtake kararehe rānei kaore he atrial fibrillation, pea kaore e hiahiatia ngā kaiwhakarau toto roa.

Ka taea e te hapu te whakaiti i te mate pūtake mitral?

Ae, ka taea e te hapu te whakaiti i te mate pūtake mitral nā te nui o te toto me ngā tono ngakau. Me kōrero ngā wāhine e whai stenosis waenga ki te nui mō te whakamahere whānau ki te kaitātari ngakau i mua i te hapu. Me te tirotiro tika me te tiaki, ka taea e ngā wāhine maha e whai stenosis ngāwari te hapu ora, engari he mea nui te tirotiro hauora tata.