He aha te pericarditis? Tohutohu, Take, me te Maimoatanga

He aha te pericarditis?

Ko te pericarditis te mumura o te pericardium, te putea angiangi e karapotia ana tō ngakau, ano he kākahu tiaki. Ka puta mai te mamae o te uma me ētahi atu tohu e āhei ana te manukanuka ki a koe, ki te riri, ki te mumura rānei taua putea.

Whakaarohia te pericardium he rua paparanga, he iti te wai i waenganui, hei āwhina i te whiti pai o tō ngakau. Ka puta te pericarditis, ka pupū ēnei paparanga ka mutu ka wiri ki tetahi ki tetahi, ka puta he riri me te kore āta.

Ko te nuinga o ngā keehi o te pericarditis he ngawari, ka ora ake ano i a rātou anō me te maimoatanga tika. Ahakoa ka rongo te tohu, ina koa te mamae o te uma, he maha tonu te pericarditis e taea te whakahaere, kāore hoki e tino pāngia te ngakau mo te roa.

He aha ngā tohu o te pericarditis?

Ko te tohu tino noa o te pericarditis he mamae koi, ka mutu ka tino kino ake te rongo i te wa e manawa hohonu ana koe, e kohu ana, e takoto ana rānei. Ka pai ake te mamae i te wa e noho ana koe ka whāiti i mua.

Tirohia ngā momo tohu ka pā pea ki a koe, kia mahara kei te kore katoa e whiwhi i ēnei katoa:

• Te mamae koi, ka mutu ka horapa ki tō pokohiwi maui me tō kaki
• Te mamae e kino ake ana me te manawa hohonu, te kohu, te takoto rānei
• Te kirika ngawari (i raro iho i te 38°C)
• Te ngoikore, te ngenge rānei
• Te kohu maroke kāore e puta mai he mimi
• Te whiti tere, te kore rānei o te whiti
• Te poto o te manawa, ina koa i te wa e takoto ana

I ētahi wā, ka kite pea koe i te pupū o ō waewae, o ō turi, o tō kopu rānei, ahakoa he iti rawa tenei. He rerekē te mamae o te uma mai i te ngakau – he koi ake i te pakaru, ka rereke hoki me tō tūnga me tō manawa.

He aha ngā momo pericarditis?

Ka taea te wehewehe i te pericarditis i ngā huarahi maha, i runga i te tere o te whanaketanga me te roa o te noho.

Ka puta mai te pericarditis koi, ka mutu ka iti iho i te toru marama. Koinei te ahua tino noa, ka pai te whakautu ki te maimoatanga me ngā rongoā anti-mumura.

Ka roa ake te pericarditis tawhiti i te toru marama, ka uaua ake te maimoatanga. I ētahi wā ka puta haere mai me te kore e kitea e koe ngā tohu nui i te tīmatanga.

Ko te tikanga o te pericarditis hou te hokinga mai o te mate i muri i te wa kore tohu. Ka puta tenei ki te 15-30% o te hunga kua pangia e te pericarditis koi, ahakoa he tino maimoatia tonu.

He pericarditis whakapāha hoki, he ahua onge engari he kino, kei reira te kiri mate e hanga ana i te ngakau, ka uaua ake te whakaki i te ngakau ki te toto. Me whai maimoatanga hauora nui ake tenei momo.

He aha ngā take o te pericarditis?

I te nuinga o ngā wā, kāore e taea e ngā tākua te kimi i te take tika o te pericarditis, ā, he mea noa tēnei. Ki te kore e kitea he take motuhake, ka kiia he pericarditis idiopathic, ā, ka pai te ora me te maimoatanga noa.

Koinei ngā take tino kitea, mai i te noa ki te iti ake te noa:

• Ngā mate huaketo penei i te mate huaketo noa, te mate huaketo, te COVID-19 rānei
• Ngā mate huaketo, ahakoa he iti ake i ngā take huaketo
• Te ngakau rānei, te pokanga ngakau rānei (ka taea te whakaoho i te mumura)
• Ngā āhuatanga autoimmune penei i te lupus, te mate rewiti rheumatoid rānei
• Ētahi rongoā, tae atu ki ētahi kaiwhakapātoto
• Te whara uma mai i ngā aituā, ngā whara rānei
• Te koretake o te whatukuhu, te maimoatanga dialysis rānei
• Te rongoā radiation ki te rohe uma

Ko ētahi take onge ko te mate pukupuku, ngā mate huaketo fungal rānei, ngā mate pukupuku e horapa ana ki te pericardium. Ka mahi tō tākua ki te kimi i tetahi take take, engari kia mahara he taea te maimoatanga angitu ahakoa kaore i te mohiotia te take.

Nōhea te haere ki te tākua mō te pericarditis?

Me rapu awhina hauora koe ki te pāngia koe e te mamae hou, nui o te uma, ina koa ki te koi, ka kino ake rānei i te wa e manawa hohonu ana koe, e takoto ana rānei. Ahakoa he maha te pericarditis e taea te whakahaere, me arotake hauora tonu te mamae o te uma.

Waea atu ki tō tākua wawe ki te pāngia koe e te mamae o te uma me te kirika, te uaua o te manawa, te ngoikore rānei. Ka tohu ngā tohu nei ki te hiahia o tō mate ki te aromatawai me te maimoatanga ngaio.

Rapua te tiaki āwangawanga tonu ki te pāngia koe e te mamae pakaru o te uma, te poto nui o te manawa, te ngaro o te mohio rānei, ki te rerekē rānei te mamae o tō uma i te mea i korerotia ki a koe mō te pericarditis. Ka taea e ēnei te tohu i ngā raruraru e hiahia ana ki te tiaki āwangawanga.

Ki te kua whakatauhia koe ki te pericarditis, ā, ka kino ake ō tohu, ka puta mai rānei ngā tohu hou, whakapiri atu ki tō kaiwhakarato hauora. Ka taea e rātou te whakarereke i tō mahere maimoatanga, ka whakarite hoki kei te ora koe i te huarahi e tumanakohia ana.

He aha ngā take morearea mō te pericarditis?

He maha ngā take e taea te whakapiki ake i tō tūponotanga ki te whanake i te pericarditis, ahakoa te kore o ēnei take morearea e tino pāngia koe e te mate. Ka āhei te mārama ki a rātou hei āwhina i a koe ki te pupuri i te mataara ki tō hauora.

Koinei ngā take morearea matua, mai i te noa ake ki te iti ake te noa:

• Ko te tane me te tau i waenga i te 20-50 (he maha ake te pericarditis i ngā tāne)
• Te mate huaketo hou, te mate manawa rānei
• Te mate autoimmune penei i te lupus, te mate rewiti rheumatoid rānei
• Te ngakau o mua, te pokanga ngakau rānei
• Te tango i ētahi rongoā, ina koa ētahi kaiwhakapātoto
• Te mate whatukuhu, te noho rānei i runga i te dialysis
• Te rongoā radiation o mua ki te uma
• Te mate pukupuku, ina koa te pukupuku ngakau, te pukupuku u rānei

Ka whanake etahi i te pericarditis kaore he take morearea marama, ā, he mea noa tēnei. He mea nui tō pūnaha mate me tō hauora whānui ki te whakautu o tō tinana ki ngā whakaoho pea.

He aha ngā raruraru pea o te pericarditis?

Ko te nuinga o te hunga e pangia ana e te pericarditis ka ora katoa kaore he raruraru roa. Heoi, he pai te mārama ki ngā raruraru pea kia taea ai te mohio ki ngā tohu whakatūpato me te rapu i te tiaki tika.

Ko te raruraru tino noa ko te pericarditis hou, kei reira te hokinga mai o te mate i muri i tō ora. Ka puta tenei ki te 15-30% o ngā keehi, engari ka pai te whakautu ki ngā whakarereketanga maimoatanga.

Ko ngā raruraru iti ake engari he nui ake te kino ko:

• Te pericardial effusion – te kohikohi o te wai nui i te ngakau
• Te cardiac tamponade – te pehanga kino ki te ngakau mai i te kohikohi wai
• Te pericarditis whakapāha – te kiri mate e ārai ana i te mahi o te ngakau
• Te pericarditis tawhiti – te mumura roa e uaua ake te maimoatanga

He onge te cardiac tamponade, engari me whai maimoatanga āwangawanga, no te mea ka ārai i tō ngakau ki te whakaki tika ki te toto. Ko ngā tohu ko te poto nui o te manawa, te whiti tere, te ngaro o te mohio rānei.

Ka tirotirohia koe e tō tākua mō ēnei raruraru mā ngā haerenga whai muri, ina koa ki te kaha ō tohu, ki te kore rānei e whakautu ki te maimoatanga tuatahi penei i te tumanako.

Me pēhea te whakatau i te pericarditis?

Ka tīmata te whakatau i te pericarditis mā tō tākua e whakarongo ana ki ō tohu me te tirotiro i a koe. Ka aro nui rātou ki te tauira o tō mamae uma, ka whakarongo hoki ki tō ngakau mā te stethoscope.

I te wa o te tirotiro tinana, ka rongo pea tō tākua i te pericardial friction rub – he oro wiri e puta mai ana i te wa e wiri ana ngā paparanga mumura o te pericardium. He tohu matua tēnei oro e tohu ana ki te pericarditis.

Ka tono pea tō tākua i ētahi whakamātautau hei whakau i te whakatau, hei whakakore hoki i ētahi atu āhuatanga o te ngakau:

• Electrocardiogram (ECG) hei tirotiro i te mahi hiko o tō ngakau
• Te X-ray uma hei kite i te rahi me te āhua o tō ngakau
• Ngā whakamātautau toto hei tirotiro i ngā tohu mumura, hei whakakore hoki i te ngakau
• Echocardiogram hei kite i te mahi o tō ngakau, hei tirotiro hoki i te wai

I ētahi wā, ka hiahiatia ngā whakamātautau atu penei i ngā CT scans, ngā MRI rānei ki te uaua tō keehi, ki te whakapaehia rānei ngā raruraru. Ka āhei ēnei whakamātautau i tō tākua ki te kite i ngā whakaahua taipitopito o tō ngakau me tō pericardium.

Ko te whakakotahitanga o ō tohu, ngā kitenga tirotiro tinana, me ngā hua whakamātautau ka āhei i tō tākua te mahi i te whakatau tika, me te hanga i te mahere maimoatanga pai rawa mō koe.

He aha te maimoatanga mō te pericarditis?

Ka aro te maimoatanga mō te pericarditis ki te whakaiti i te mumura, ki te whakahaere hoki i tō mamae. Ko te nuinga o ngā keehi ka pai te whakautu ki ngā rongoā anti-mumura, ka tumanako koe ki te pai ake i roto i ngā rā ki ngā wiki i muri i te tīmatanga o te maimoatanga.

Ko te maimoatanga tuatahi ko te tikanga ko ngā rongoā anti-mumura kore-steroidal (NSAIDs) penei i te ibuprofen, te aspirin rānei. Ka āhei ēnei rongoā ki te whakaiti i te mumura me te mamae, te whakautu hoki i te take take o ō tohu.

Ka tono pea tō tākua i te colchicine, he rongoā hei āwhina i te ārai i te pericarditis mai i te hokinga mai. Ka whakaatu te rangahau ko te tāpiri i te colchicine ki te maimoatanga NSAID ka whakaiti i te tūponotanga o ngā wāhanga hou.

Koinei ngā mea kei roto pea i tō mahere maimoatanga:

• NSAIDs (ibuprofen, aspirin rānei) e tangohia ana i ia rā mō te 1-2 wiki
• Colchicine hei ārai i te hokinga mai, ko te tikanga mō te 3 marama
• Te okioki me te whakarereke i te mahi i te wa koi
• Ngā hui whai muri hei tirotiro i tō ahunga whakamua

Ki te puta mai tō pericarditis i te mate huaketo, ka hiahia koe ki ngā rongoā antibiotic. Mō ngā keehi kino kāore e whakautu ki te maimoatanga noa, ka whakaaro pea tō tākua ki ngā corticosteroids, ahakoa ka whakamahia enei me te tupato.

Ko te nuinga o te hunga ka tīmata te pai ake i roto i ngā rā torutoru o te maimoatanga, ahakoa ka roa pea ngā wiki maha te ora katoa. Ka whakarereke tō tākua i ō rongoā i runga i tō whakautu me ētahi pānga ka pāngia koe.

Me pēhea te whakahaere i te pericarditis i te kāinga?

Ko te tiaki i a koe i te kāinga he mea nui ki tō ora mai i te pericarditis. Ka āhei ngā tikanga tiaki whai hua ki te āwhina i a koe ki te pai ake te rongo i te wa e ora ana tō tinana.

He mea nui te okioki i te wa koi o te pericarditis. Ko te tikanga tenei te karo i te whakakori kaha, te kawe i ngā mea taimaha, ngā mahi rānei e kino ake ai tō mamae uma. Whakarongo ki tō tinana, kaua hoki e pēhi i te mamae.

Tangohia ō rongoā penei i te whakahau, ahakoa ka tīmata te pai ake tō rongo. Ko te mutu o ngā rongoā anti-mumura i mua i te wa ka āhei te arahi ki te hokinga mai o ngā tohu, ngā raruraru rānei.

Koinei ngā rautaki tiaki kāinga whai hua:

• Te whakamahi i te wera, te makariri rānei ki tō rohe uma, ko tehea te pai ake tō rongo
• Te moe me tō ulu e whakatūria ana hei whakaiti i te kore āta o te uma
• Te mahi i ngā whakakorikori manawa ngawari ki te kore e kino ake tō mamae
• Te inu wai, te kai kai kai hauora hoki hei tautoko i te ora
• Te karo i te waipiro i te wa e tango ana i ngā rongoā
• Te pupuri i te tuhi o ō tohu hei whakamōhio ki tō tākua

Ka taea e koe te hoki haere ki ngā mahi noa i te wa e pai ake ana ō tohu, engari karohia te whakakori kaha kia tae ra ano ki te tuku atu i te āwhina e tō tākua. Ka taea e te nuinga o te hunga te whakahoki i ngā mahi ngawari i roto i te wiki, rua wiki rānei.

Whakapiri atu ki tō tākua ki te kino ake ō tohu, ki te puta mai rānei ngā tohu hou, ki te manukanuka rānei koe mō ō rongoā, te ahunga whakamua o te ora rānei.

Me pēhea te ārai i te pericarditis?

Ahakoa kāore e taea te ārai i ngā keehi katoa o te pericarditis, ina koa ngā mea mai i ngā take kaore i te mohiotia, he taaea e koe te tango hei whakaiti i tō tūponotanga ki te whanake i tēnei mate.

Ko te pupuri i te hauora whānui pai tō tiaki pai. Ko te tikanga tenei te whiwhi i te moe tika, te kai i te kai rite, te whakakori i ia rā, me te whakahaere pai i te ahotea.

Whakamahia te horoi pai hei ārai i ngā mate huaketo me ngā mate huaketo ka taea te whakaoho i te pericarditis. Horoihia ō ringa i ia wā, karohia te hononga tata ki ngā tāngata mate i te wa e taea ana, kia hou hoki ki ngā whakakōhatu e tūtohutia ana.

Ki te pāngia koe e te mate autoimmune, mahi tata ki tō tākua hei pupuri i te pai o te whakahaere. Ka taea e te whakahaere tika o ngā āhuatanga take te whakaiti i tō tūponotanga ki ngā raruraru penei i te pericarditis.

Mō te hunga kua pangia e te pericarditis i mua, ko te tango i te colchicine penei i te whakahau a tō tākua ka āhei te ārai i ngā wāhanga hou. Kaua e mutu tēnei rongoā me te kore e kōrero ki tō kaiwhakarato hauora i mua.

Ki te nui ake tō tūponotanga na te mate ngakau, ngā raruraru whatukuhu, ētahi atu āhuatanga hauora rānei, pupuri i te tiaki whai muri tonu ki ō tākua, whakamōhio hoki i ngā tohu hou i ia wā.

Me pēhea te whakarite mō tō hui tākua?

Ko te whakarite mō tō hui tākua ka āhei te whakarite kei te whiwhi koe i te whakatau tika me te mahere maimoatanga whai hua. Ka āhei hoki te whakarite pai ki te pai ake tō maia me te iti ake tō manukanuka mō tō haerenga.

Tuhia ō tohu katoa, tae atu ki te wa i tīmata ai rātou, he aha te mea e pai ake ai, e kino ake rānei, me te āhua o te rerekē i te wā. Kia tino mōhio koe mō tō mamae uma – whakaahuahia tō āhua, tō kounga, me ō whakaoho.

Kawe mai i te rārangi katoa o ngā rongoā e tangohia ana e koe i tēnei wā, tae atu ki ngā rongoā-ā-te-kaute, ngā tāpiri, me ngā rongoā otaota. Tāruahia hoki ngā mate pāwera rongoā, ngā pānga kino rānei kua pāngia koe i mua.

Koinei ngā mea hei whakarite i mua i tō hui:

• Rārangi o ngā tohu o nāianei me ngā rā me ngā whakaahuatanga
• Rārangi rongoā katoa me ngā horo
• Hītori hauora tae atu ki ngā mate hou, ngā mahi rānei
• Hītori whānau o te mate ngakau, ngā āhuatanga autoimmune rānei
• Rārangi o ngā pūrongo e hiahia ana koe ki te ui ki tō tākua
• Ngā korero inihua me ngā pepa tohutoro ki te hiahiatia

Whakaarohia te kawe mai i tētahi hoa whakawhirinaki, mema whānau rānei hei āwhina i a koe ki te mahara ki ngā korero nui i kōrerotia i te hui. Ka taea hoki e rātou te tuku tautoko ngākau i te wa ka rongo pea he wā pēhanga.

Kaua e whakaroa ki te ui i ngā pūrongo mō tō whakatau, ngā kōwhiringa maimoatanga, te wā ora e tumanakohia ana, me ētahi whakarerekētanga oranga e tika ana kia mahi koe. E hiahia ana tō tākua ki te āwhina i a koe ki te mārama katoa ki tō mate.

He aha te mea nui mō te pericarditis?

Ko te pericarditis, ahakoa he āwangawanga i te wa e pāngia ana koe e te mamae o te uma, he mate taea te whakahaere i te nuinga o te wā, he hua pai mō te nuinga o te iwi. Ko te mamae koi o te uma e kino ake ana me te manawa, te takoto rānei, ko te tohu matua e kawe mai ana i te iwi ki te aromatawai hauora.

Ko te nuinga o ngā keehi ka pai te whakautu ki ngā rongoā anti-mumura penei i te ibuprofen me te colchicine, ka tumanako koe ki te pai ake te rongo i roto i ngā rā ki ngā wiki i muri i te tīmatanga o te maimoatanga. Ko te mea nui ko te rapu i te aromatawai hauora tika me te whai i tō mahere maimoatanga tonu.

Ahakoa ka taea te hokinga mai o te pericarditis i ētahi tāngata, he taea te maimoatanga ngā keehi hou, me ngā whakarereketanga maimoatanga. He onge ngā raruraru kino, ina koa me te tiaki hauora tika me te tirotiro.

Kia mahara kei te kore te mamae o te uma e tino tohu ana i tetahi mea kino e puta ana ki tō ngakau. He maha te pericarditis e puta mai ana i ngā whakaoho noa penei i ngā mate huaketo, ka ora katoa me te maimoatanga tika.

Noho ki te hononga tata ki tō kaiwhakarato hauora i te wa katoa o tō ora, tangohia ngā rongoā penei i te whakahau, ka hoki haere ki ngā mahi noa i te wa e pai ake ana ō tohu. Me te tiaki tika, ka ora katoa te nuinga o te hunga e pangia ana e te pericarditis, ka hoki ki ō rātou oranga noa, mahi.

Ngā pūrongo e ui pinepinetia ana mō te pericarditis

Ka taea e te pericarditis te whakaoho i te ngakau?

Kāore te pericarditis i a ia e whakaoho ana i ngā ngakau, engari ka rite te mamae o te uma, ka āwangawanga hoki. Ko te pericarditis te mumura o te papanga o waho o te ngakau, ko te ngakau te wahi e aukatihia ana te rere o te toto ki te uaua o te ngakau. Heoi, ko te ngakau i ētahi wā ka taea te whakaoho i te pericarditis hei āhuatanga tuarua. Ki te pāngia koe e te mamae o te uma, he mea nui tonu te rapu i te aromatawai hauora hei whakatau i te take tika.

E pehea te roa o te pericarditis?

Ko te pericarditis koi ko te tikanga ka roa te 1-3 wiki me te maimoatanga tika, ahakoa ka pai ake te rongo o ētahi i roto i ngā rā torutoru i muri i te tīmatanga o ngā rongoā anti-mumura. Ka roa pea ngā wiki maha ki ngā marama torutoru te ora katoa o te pericardium. E 15-30% te hunga e pāngia ana e ngā wāhanga hou, engari he taea te maimoatanga ēnei. Ko te pericarditis tawhiti, he iti ake te noa, ka taea te roa mo ngā marama, ka hiahia hoki ki te whakahaere hauora haere tonu.

He mate pāngia te pericarditis?

Kāore te pericarditis i a ia he mate pāngia – kāore e taea te hopu tika mai i tētahi e pangia ana. Heoi, ki te puta mai te pericarditis i te mate huaketo penei i te mate huaketo, te mate huaketo rānei, ka taea te pāngia taua mate take. Ka whanake te pericarditis hei whakautu mumura o tō tinana ki te mate, kāore i te tuku tika o te mate ngakau i a ia.

Ka taea e au te whakakori me te pericarditis?

Me karo koe i te whakakori kaha me ngā hākinakina whakataetae i te wa koi o te pericarditis, ko te tikanga mō te 3-6 marama, ki te kore rānei e tuku atu tō tākua. Ko ngā mahi ngawari penei i te hikoi ngawari he pai tonu ki te kore e kino ake tō mamae uma. Ko te hoki ki te whakakori kaha i mua i te wa ka taea te whakapiki ake i te tūponotanga o ngā raruraru, te hokinga mai rānei. Ka ārahi tō kaitātari ngakau ki a koe ki te wa e ora ai te hoki haere ki tō mahi whakakori noa.

Ka puta mai rānei te pericarditis i runga i te EKG?

Ae, he maha ngā whakarerekētanga o te pericarditis e whakaatu ana i runga i te electrocardiogram (EKG), ina koa i ngā wā tīmatanga. Ko ēnei whakarerekētanga ko te ST-elevation whānui puta noa i ngā ara maha, he rerekē te ahua i te tauira e kitea ana i ngā ngakau. Heoi, kāore katoa ngā keehi o te pericarditis e whakaatu ana i ngā whakarerekētanga EKG, ā, ka taea e ētahi te whai EKG noa ahakoa te pangia e te mate. Ka whakamahi tō tākua i ngā hua EKG me ō tohu, te tirotiro tinana, me ētahi atu whakamātautau hei mahi i te whakatau.