He aha te Tukunga Wai Perikā? Tohutohu, Take, me te Maimoatanga

Ka puta te tukunga wai perikā ina nui rawa te wai e kohikohi ana i roto i te putea angiangi e karapoti ana i tō ngākau, e kiia nei ko te perikārium. Whakaarohia he wai e kohikohi ana i roto i te putea tiaki e karapoti ana i tō ngākau. Ka rereke tēnei āhuatanga mai i ngā take ngawari kaore he tohu tae atu ki ngā āhuatanga nui ake e hiahia ana ki te tiaki hauora tonu.

Ko te rongo pai, he maha ngā tāngata e pangia ana e te tukunga wai perikā ka taea te whakaora i te wa e kitea ana e ngā tākua te take o te kohikohi wai. Ko te mārama ki ngā tohu, me te mohio ki te wa hei rapu awhina, ka taea te whakarite i te tiaki tika i te wa tika.

He aha te tukunga wai perikā?

Ko te tukunga wai perikā ko te kohikohi o te wai nui rawa atu i waenganui i ngā paparanga e rua o te perikārium, arā, te putea tiaki e karapoti ana i tō ngākau. I te nuinga, he iti noa te wai whakamakuku kei roto i tēnei wāhi hei āwhina i tō ngākau kia whiti marie.

Ina nui rawa te wai e kohikohi ana i roto i tēnei wāhi, ka taea e ia te whakapehapeha i tō uaua ngākau. Ka taea e tēnei whakapehapeha te whakakore i te kaha o tō ngākau ki te whakaki i te toto i waenganui i ngā whiti. Ko te kino ka whakawhirinaki ki te nui o te wai e kohikohi ana, me te tere o te hanga.

Ka whakaputa me te tango tonu tō tinana i te wai perikā i roto i te taurite tino pai. Ina pakaru tēnei taurite na te whara, te mate, tetahi atu rātou āhuatanga hauora rānei, ka taea te kohikohi tere atu i te wai i te wa e tangohia ana e tō tinana.

He aha ngā tohu o te tukunga wai perikā?

He maha ngā tāngata e pangia ana e te tukunga wai perikā ngawari kaore he tohu, koia te take i ngaro ai te āhuatanga i etahi wā tae noa ki te kitea i te wa o te whakaahua hauora noa. Heoi, i te kohikohi o te wai, ka tīmata pea koe ki te kite i ētahi tohu whakatūpato e kore e tika kia warewarehia.

Ko ngā tohu tino noa ko:

• Te mamae uma ka kaha ake pea ina takoto, ina manawa hohonu rānei
• Te poto o te manawa, ina koa i te wa e mahi tinana ana, ina takoto rānei
• Te ngenge me te ngenge nui i te wa e mahi ana i ngā mahi noa
• Te mare o te kōhū kaore he take ke
• Te tere, te kore ranei o te whiti ngākau
• Te māuiui, te mārama rānei o te mahunga
• Te pupuhi o ō waewae, o ō turi, o tō kopu rānei

I roto i ngā take nui ake, ka pāngia pea koe e te mea e kiia ana e ngā tākua ko te tamponade ngākau, kei reira te wai e whakakore nui ana i te mahi o tō ngākau. He āwangawanga hauora tēnei e hiahia ana ki te tiaki tonu.

Ko ngā tohu nui e hiahia ana ki te tiaki hauora tere ko te mamae uma nui ohorere, te uaua nui ki te manawa, te ngaro o te ngākau, te tere rānei o te whiti ngākau ngoikore. Ka whakaatu ēnei tohu kei te whakapehapeha te wai i tō ngākau, ā, kei te aukati i te mahi tika.

He aha ngā take o te tukunga wai perikā?

Ka taea te whanake i te tukunga wai perikā mai i te maha o ngā āhuatanga taketake rerekē, mai i ngā mate tae atu ki ngā mate ā-tinana. Ko te mārama ki ngā take pea ka āwhina i ngā tākua ki te whakatau i te huarahi maimoatanga pai mō tō āhuatanga motuhake.

Ko ngā take tino noa ko:

• Ngā mate huaketo penei i te mate huaketo, te COVID-19, tetahi atu huaketo manawa rānei
• Ngā mate huaketo e horapa ana ki te perikārium
• Ngā āhuatanga ā-tinana penei i te lupus, te mate rewiti rheumatoid rānei
• Te mate pukupuku kua horapa ki te wāhi e karapoti ana i te ngākau
• Te pokanga ngākau, tetahi atu mahi ngākau rānei
• Te whara uma mai i ngā aituā, ngā whara rānei
• Te kore mahi whatukuhu, te mate whatukuhu nui rānei
• Ētahi rongoā, ina koa ētahi kaiwhakaheke toto
• Te rongoā radiation ki te wāhi uma

Ko ngā take iti ake engari he mea nui ko te mate huaketo, ngā mate harore, me ētahi āhuatanga ira e pā ana ki te kōpū hono. I etahi wā, kaore e taea e ngā tākua te kimi i te take motuhake, ā, e kiia ana tēnei ko te tukunga wai perikā idiopathic.

I etahi wā, ka whanake te tukunga wai hei whakawhitinga o ētahi atu āhuatanga ngākau penei i ngā mate ngākau, te kore mahi ngākau rānei. Ka mahi tō tākua ki te kimi i te take taketake, no te mea ko te whakaora i te take taketake te ki ki te whakatau i te kohikohi wai.

Nōhea koe e kite ai i te tākua mō te tukunga wai perikā?

Me rapu awhina hauora koe mena ka pāngia koe e te mamae uma roa, ina koa ki te kaha ake i te wa e takoto ana, e manawa hohonu ana rānei. Kaua e tatari kia pai ake ngā tohu, no te mea ko te taumata whakamātautau me te maimoatanga wawe ka ārahi ki ngā hua pai ake.

Waea atu ki tō tākua ina kite koe i te poto o te manawa e kino haere ana, te ngenge kaore i te whakamārama, te pupuhi rānei o ō waewae me ō turi. Ka taea e ēnei tohu te whakaatu kei te pā te wai ki te kaha o tō ngākau ki te pupuhi.

Rapua te tiaki hauora tere tonu mena ka pāngia koe e te mamae uma nui, te uaua nui ki te manawa, te ngaro o te ngākau, ngā tohu rānei o te pakaru penei i te tere o te whiti ngākau ngoikore me te pohehe. Ka taea e ēnei te whakaatu i te tamponade ngākau, e hiahia ana ki te maimoatanga tere hei aukati i ngā whakawhitinga kino ki te ora.

Ahakoa ngāwari ngā tohu, he pai te kōrero ki tō kaiwhakarato hauora, ina koa ki te whai koe i ngā take morearea penei i te mate hou, ngā āhuatanga ā-tinana, te hītori rānei o ngā raruraru ngākau. Ka taea e te kitea wawe me te maimoatanga te aukati i ngā whakawhitinga nui ake.

He aha ngā take morearea mō te tukunga wai perikā?

Ka taea e ētahi take te whakapiki ake i tō tūponotanga ki te whanake i te tukunga wai perikā, ahakoa te whai i ēnei take morearea kaore e tikanga ka whanake koe i te āhuatanga. Ko te mohio ki ēnei take ka āwhina i a koe me tō tākua ki te tupato ki ngā tohu pea.

Ko ngā take morearea matua ko:

• Ngā mate huaketo, mate huaketo rānei hou, ina koa ngā mate manawa
• Ngā mate ā-tinana penei i te lupus, te mate rewiti rheumatoid, te scleroderma rānei
• Te mate pukupuku, ina koa te mate pukupuku ngākau, te mate pukupuku u, te lymphoma rānei
• Te mate whatukuhu, te kore mahi whatukuhu rānei
• Te pokanga ngākau, tetahi atu mahi ngākau rānei i mua
• Te whara uma, te whara rānei
• Te tango i ētahi rongoā penei i ngā kaiwhakaheke toto, ētahi rongoā chemotherapy rānei
• Te rongoā radiation ki te uma i mua

Ka taea hoki e te tau te whai wāhi, me ngā pakeke o te tau waenga me ngā pakeke ka nui ake te tūponotanga na te nui ake o ngā āhuatanga taketake. Heoi, ka taea te puta te tukunga wai perikā i tetahi tau, tae atu ki ngā tamariki me ngā taitamariki.

Ko te whai i ngā take morearea maha kaore e whakapiki ake i tō morearea i te taurite. I etahi wā, ka whanake te tukunga wai perikā i roto i ngā tāngata kaore he take morearea marama, e whakamahara ana ki a tātou ka taea e tēnei āhuatanga te pā ki tetahi.

He aha ngā whakawhitinga pea o te tukunga wai perikā?

Ahakoa he maha ngā take o te tukunga wai perikā ka mutu kaore he raruraru nui, he mea nui te mārama ki ngā whakawhitinga pea kia taea ai te mohio ki ngā tohu whakatūpato. Ko te whakawhitinga tino nui ka puta ina kohikohi tere te wai, ina tae rānei ki ngā taumata kino.

Ko ngā whakawhitinga matua ko:

• Te tamponade ngākau, kei reira te wai e whakakore nui ana i te mahi ngākau
• Te tukunga wai perikā roa e mau ana mō ngā marama
• Ngā tukunga wai e hoki mai ana
• Te pericarditis whakapūmau, kei reira te perikārium e mātotoru ana, e toka ana rānei
• Ngā rerekētanga o te whiti ngākau na te whakapehapeha ki te ngākau
• Te whakaiti i te manawanui mahi me te kounga o te ora

Ko te tamponade ngākau te whakawhitinga tino kino, e hiahia ana ki te whakauru hauora tere. Ka puta tēnei ina nui rawa te whakapehapeha o te wai ki te ngākau, kaore e taea te whakaki i te toto, ka ārahi ki te heke tere o te toto me ngā hua kino pea ki te ora.

Ko te tukunga wai perikā roa, ahakoa iti ake te kino, ka taea te pā ki te mahi o tō ngākau i te wa roa. Ka whanake etahi i ngā wa e hoki mai ana, ka hiahia pea ki te whakahaere roa hei aukati i te kohikohi wai e hoki mai ana.

Ko te rongo pai, me te tiaki hauora tika, ka taea te aukati i te nuinga o ngā whakawhitinga, te whakaora rānei. Ko te whai i te whai wāhi tonu ki tō kaiwhakarato hauora ka āwhina ki te hopu i ngā huringa wawe.

Me pēhea te whakamātautau i te tukunga wai perikā?

Ko te whakamātautau i te tukunga wai perikā ka tīmata i te whakarongo a tō tākua ki ō tohu me te tirotiro i a koe. Ka whakarongo ia ki tō ngākau me te stethoscope, ka tirotiro i ngā oro ngākau ngāwari, ngā whiti rānei koretake e whakaatu ana i te wai e karapoti ana i te ngākau.

Ko te whakamātautau whakamātautau me te whai hua ko te echocardiogram, e whakamahi ana i ngā ngaru ultrasound hei hanga i ngā whakaahua o tō ngākau. Ka taea e tēnei whakamātautau te whakaatu marama i te kohikohi wai e karapoti ana i te ngākau, ā, ka āwhina i ngā tākua ki te whakatau i te nui o te wai kei reira, me te pānga rānei ki te mahi ngākau.

Ko ētahi atu whakamātautau ka tūtohutia e tō tākua ko ngā X-ray uma hei titiro ki te atarangi ngākau nui ake, ngā electrocardiograms hei tirotiro i ngā huringa hiko i roto i tō ngākau, me ngā CT scans, MRI rānei mō ngā whakaahua taipitopito ake. Ka taea e ngā whakamātautau toto te āwhina ki te kimi i ngā take taketake penei i ngā mate, ngā āhuatanga ā-tinana rānei.

I etahi wā, ka hiahia pea ngā tākua ki te mahi i te pericardiocentesis, he tukanga kei reira te whakamahi i te ngira hei tango i ētahi wai mō te whakamātautau. Kāore tēnei e āwhina anake ki te whakamātautau, engari ka taea hoki te whakarite i te whakaora tere mena kei te whakapehapeha te wai i tō ngākau.

He aha te maimoatanga mō te tukunga wai perikā?

Ko te maimoatanga mō te tukunga wai perikā ka whakawhirinaki ki te take taketake, te nui o te wai kei reira, me te pānga rānei ki te mahi o tō ngākau. Ka hanga e tō tākua he mahere maimoatanga motuhake e whai ana ki tō āhuatanga motuhake me tō hauora whānui.

Mō ngā take ngawari kaore he tohu, ka tūtohu ngā tākua i te tatari atawhai me te tirotiro tonu mā ngā echocardiograms. Mena ka kitea tetahi āhuatanga taketake penei i te mate, te mate ā-tinana rānei, ko te whakaora i taua āhuatanga ka āwhina i te whakatau i te kohikohi wai.

Ko ngā huarahi maimoatanga noa ko:

• Ngā rongoā anti-mumura penei i te ibuprofen, te colchicine rānei hei whakaiti i te mumura
• Te whakaora i ngā mate taketake me ngā rongoā antiwaito, rongoā anti-huaketo rānei
• Te whakahaere i ngā āhuatanga ā-tinana me ngā rongoā immunosuppressive
• Te pericardiocentesis hei tango i te wai nui ina hiahiatia
• Te pokanga i ngā take nui, ngā take e hoki mai ana rānei

Mō ngā take nui ake, ina koa ngā take e puta ai te tamponade ngākau, he mea tika te tango tere i te wai. Ka mahia tēnei mā te pericardiocentesis, kei reira te whakauru i te ngira angiangi hei tango i te wai nui me te whakaiti i te whakapehapeha ki te ngākau.

I roto i ngā take onge ka hoki mai tonu te tukunga wai, ka tūtohu pea ngā tākua i ngā tukanga pokanga penei i te hanga i te matapihi perikārium, te tango rānei i tetahi wāhanga o te perikārium. Ka āwhina ēnei tukanga ki te aukati i te kohikohi wai i muri mai, engari ka waiho mō ngā take kaore i te whakautu ki ētahi atu maimoatanga.

Me pēhea te whakahaere i te tukunga wai perikā i te kāinga?

Ahakoa e hiahia ana te tukunga wai perikā ki te tirotiro hauora, he āwhina tautoko ka taea e koe te tango i te kāinga hei āwhina i te whakahaere i ngā tohu me te tautoko i tō whakaora. Whai tonu i ngā tohutohu motuhake a tō tākua, ā, kaua rawa e whakakapi i ngā maimoatanga kua tohua ki ngā rongoā kāinga.

He mea nui te okioki i te wa e ora ana koe, ina koa ki te pāngia koe e te ngenge, te poto rānei o te manawa. Kaua e mahi i ngā mahi uaua tae noa ki te whakamārama a tō tākua kia hoki koe ki te mahi whakapakari noa. Ko ngā mahi ngawari penei i ngā hikoi poto te nuinga o te wa ka pai, engari whai tonu i ngā tūtohu motuhake a tō kaiwhakarato hauora mō ngā taumata mahi i te wa e maimoatia ana, e ora ana rānei.

Tātai ki tō tūnga tinana i te wa e okioki ana, e moe ana rānei. He maha ngā tāngata e kite ana ko te noho tika, te tautoko rānei ki ngā urunga ka āwhina i te whakaiti i te poto o te manawa. Mena ka uaua te manawa ina takoto, kaua e whakamātau ki te takoto katoa.

Tangohia ngā rongoā kua tohua kia rite ki te tohutohu, tae atu ki ngā rongoā anti-mumura, ngā rongoā rānei mō ngā āhuatanga taketake. Pupuri i ngā tohu me te whakaatu i ngā huringa ki tō kaiwhakarato hauora tere tonu. Tātai mō ngā tohu whakatūpato penei i te mamae uma e kino haere ana, te poto o te manawa e whakapiki ana, te pupuhi rānei o ō waewae.

Noho makuku me te pupuri i te kai hauora ngākau, engari whai i ngā herenga kai a tō tākua, ina koa mo te kai tote mena kei te pupuhi koe. Kaua e inu waipiro, kaua hoki e pā te hikareti, no te mea ka taea e ēnei te whakakore i te ora me te whakaiti i te mumura.

Me pēhea te whakarite mō tō hui tākua?

Ko te whakarite mō tō hui ka āwhina i te whakarite kia whiwhi koe i te hua nui rawa atu i tō wā me tō kaiwhakarato hauora. Tuhia ō tohu, tae atu ki te wa i tīmata ai, he aha te mea e pai ake ai, te kino rānei, me te pānga rānei ki ō mahi o ia rā.

Kawe mai i te rārangi katoa o ngā rongoā, ngā taapiri, me ngā hua hua katoa e tangohia ana e koe, tae atu ki ngā rāpoi me te auau. Whakamahia hoki te rārangi o tō hītori hauora, tae atu ki ngā mate hou, ngā pokanga, ngā whara rānei, no te mea ka hono pea ki tō āhuatanga o nāianei.

Whakaarohia ngā pātai e hiahia ana koe ki te ui, penei i te take pea o ō tohu, ngā whakamātautau pea e hiahia ana koe, me ngā whiringa maimoatanga kei reira. Kaua e whakaroa ki te ui mō te wa e tumanakohia ana mō te ora, me te wa e tika ai te whakarite i ngā hui whai wāhi.

Mena ka taea, kawe mai he mema whānau, he hoa rānei hei āwhina i a koe ki te mahara ki ngā korero nui i kōrerotia i te hui. Whakaarohia te pupuri i te raarangi tohu i mua i tō haerenga, te tuhi i ngā tohu o ia rā, ngā taumata mahi, me te āhua o tō ngākau whānui.

He aha te mea nui mō te tukunga wai perikā?

He āhuatanga taea te whakahaere te tukunga wai perikā ina whakamātautauhia, ina maimoatia tika rānei. Ahakoa ka rongo pea he awangawanga, he maha ngā tāngata e ora katoa ana me te tiaki hauora tika me te maimoatanga o ngā take taketake.

Ko te mea nui rawa atu hei mahara ko te kitea wawe me te maimoatanga ka ārahi ki ngā hua pai ake. Kaua e wareware ki te mamae uma roa, te poto o te manawa kaore i te whakamārama, ētahi atu tohu awangawanga rānei. Ko te rapu awhina hauora tere ka taea te aukati i ngā whakawhitinga me te āwhina i a koe ki te hoki ki te āhua o koe.

Mahi tata atu ki tō rōpū hauora hei mārama ki tō āhuatanga motuhake me te whai i ō rātou tūtohu maimoatanga. Me te tiaki tika me te tirotiro, ka tumanako te nuinga o ngā tāngata e pangia ana e te tukunga wai perikā ki te hoki ki ō rātou mahi noa me te pupuri i te hauora ngākau pai.

Mahara ko te whai i te tukunga wai perikā kaore e tikanga kei te whai koe i te raruraru ngākau nui. He maha ngā take e hono ana ki ngā āhuatanga wa poto penei i ngā mate, te mumura rānei e mutu ana me te maimoatanga tika.

Ngā pātai e ui pinepinetia ana mō te tukunga wai perikā

Ka taea te mutu ake te tukunga wai perikā?

Ka taea e ngā nui iti o te tukunga wai perikā te mutu ake i etahi wā, ina koa ki te puta mai i ngā āhuatanga wa poto penei i ngā mate huaketo. Heoi, kaua rawa e whakaaro ka mutu ake kaore he whakamātautau hauora. Me whakatau e tō tākua te take taketake me te tirotiro i te āhuatanga kia kore ai e kino ake, ngā whakawhitinga rānei.

He rite te tukunga wai perikā ki te mate ngākau?

Kāo, ehara te tukunga wai perikā i te mate ngākau, ahakoa ka taea e ngā rua te puta te mamae uma. Ka puta te mate ngākau ina aukati te rere toto ki tetahi wāhanga o te uaua ngākau, ā, ko te tukunga wai perikā ko te kohikohi wai e karapoti ana i te ngākau. Heoi, e rua ngā āhuatanga e hiahia ana ki te tiaki hauora, ā, i etahi wā ka taea te whanake i te tukunga wai perikā i muri i te mate ngākau.

E hia te roa o te ora mai i te tukunga wai perikā?

Ka rereke te roa o te ora i runga i te take taketake me te kino o tō āhuatanga. Ka mutu pea ngā take ngawari i roto i ngā rā ki ngā wiki me te maimoatanga tika, ā, ko ngā take uaua ake e pā ana ki ngā mate taketake ka roa pea ngā marama. Ka tirotirohia e tō tākua tō ahunga whakamua me te whakatika i te maimoatanga kia rite ki te hiahia i te wa e ora ana koe.

Ka taea te mahi whakapakari me te tukunga wai perikā?

Ka whakawhirinaki ngā herenga whakapakari ki te kino o tō āhuatanga me ō tohu. I te nuinga, me karo koe i ngā mahi uaua tae noa ki te whakamārama a tō tākua. Ko ngā mahi mārama penei i te hikoi ngawari te nuinga o te wa ka pai, engari whai tonu i ngā tūtohu motuhake a tō kaiwhakarato hauora mō ngā taumata mahi i te wa e maimoatia ana, e ora ana rānei.

Ka pā te tukunga wai perikā ki tō hauora ngākau roa?

Ko te nuinga o ngā tāngata e pangia ana e te tukunga wai perikā kaore e pāngia e ngā raruraru ngākau roa, ina koa ina whakamātautauhia te āhuatanga, ina maimoatia tika rānei. Heoi, ka taea e etahi te whanake i ngā tukunga wai e hoki mai ana, te whakawhitinga roa rānei, onge. Ko te whai i te whai wāhi tonu ki tō kaiwhakarato hauora ka āwhina i te whakarite kia kitea wawe, kia whakahaerehia wawe rānei ngā take roa.