He aha ngā Ngā Whakawehenga Rūma Whakamua (PVCs)? Ngā Tōmhanga, Ngā Take, me te Maimoatanga

Ko ngā whakawehenga rūma whakamua (PVCs) he whiu ngākau taapiri e tīmata ana i ngā rūma raro o tō ngākau, ā, ka puta i mua atu i tō whiu ngākau noa. Whakaarohia he rite tēnei ki te ngākau e tukutahi ana i te whiu, te tāpiri rānei i te pupuhi taapiri i mua i te hokinga mai ki tōna āhua noa.

He tino noa enei whiu ngākau kore-āhua, ā, he kore-kino te nuinga. Ko te nuinga o te iwi ka pāngia e ngā PVCs i tētahi wā o o rātou oranga, ahakoa ka kore pea koe e kite i te putanga.

He aha ngā tōmhanga o ngā whakawehenga rūma whakamua?

Ko te nuinga o te iwi e pāngia ana e ngā PVCs kaore e kite i ngā tōmhanga. Ki te puta mai ngā tōmhanga, he ngawari te nuinga, ā, ka rite ki te mahi rerekē o tō ngākau mō tētahi wā poto.

Ko ēnei ngā tōmhanga tino noa ka kitea e te iwi ina pāngia ana e ngā PVCs:

• He āhua pupuhi i roto i tō uma
• Te āhua kua tukutahi tō ngākau i te whiu
• He whiu ngākau kaha, he whiu taapiri rānei, ka whai muri i te wā okioki
• He āhua "thud" he "thump" rānei i roto i tō uma
• Ngā wā poto ka rere tere ai tō ngākau
• Te mamae uma ngawari e puta ana, ka ngaro hoki

Ko ēnei āhua ka roa noa iho i ngā hēkona torutoru, ka hoki mai tō ngākau ki tōna āhua noa. Ko te nuinga o te iwi ka whakaahua i te āhua hei mea e kitea ana, engari ehara i te mea mamae, he āwangawanga rānei, ina mohio ana rātou ki te mea kei te puta.

I etahi wā, ko ngā PVCs maha pea ka puta mai ngā tōmhanga pēnei i te māuiui, te poto o te manawa, te ngenge rānei. Ko te nuinga o te wā ka puta mai tēnei ina tino maha ngā PVCs i te rā, ka pāngia pea te pai o te pupuhi toto o tō ngākau.

He aha ngā take o ngā whakawehenga rūma whakamua?

Ka puta ngā PVCs ina whakamua ake te whakahohe o ngā tohu hiko i ngā rūma raro o tō ngākau i te mea me pēhea. Ka hanga tēnei i te whiu ngākau taapiri e whakaroa ana i te āhua noa o tō ngākau.

Ko ngā mea whakaoho tino noa mō ngā PVCs ko ngā take o ia rā e pā ana ki te pūnaha hiko o tō ngākau:

• Te caffeine mai i te kōhi, te tii, ngā inu kaha, te tiakarete rānei
• Te ahotea me te manukanuka
• Te kore moe, te kino rānei o te kounga moe
• Te inu waipiro
• Te nikotini mai i te wāhine, te vaping rānei
• Te whakakino tinana kaha
• Te kore wai
• Ngā taumata iti o te pōtāhiuma rānei i roto i tō toto

Kāore ēnei mea whakaoho e puta ai ngā PVCs ki te katoa, engari ka taea e rātou te whakaiti i te putanga ina pāngia ana koe e rātou.

I etahi wā ka puta ngā PVCs kahore he mea whakaoho marama, he mea noa tēnei. Ko te pūnaha hiko o tō ngākau ka taea te takahi i etahi wā ahakoa kei te ora koe, kei te māhaki rānei.

Kaore e tino noa, ko ngā āhuatanga ngākau e huna ana ka taea te whakauru ki ngā PVCs. Kei roto i ēnei te mate a te uaua koroni, ngā raruraru o te waahanga ngākau, te cardiomyopathy, te whakaeke ngākau rānei o mua. Ko ētahi rongoā, ngā mate thyroid, me ngā koretake o te waikawa hoki ka taea te whakapiki i te tūponotanga o te wheako i ngā PVCs.

Nōhea te haere ki te taakuta mō ngā whakawehenga rūma whakamua?

Ko te nuinga o ngā PVCs he kore-kino, ā, kaore e hiahiatia te tiaki hauora. Heoi, me whakapiri atu koe ki tō taakuta ki te kite koe i ētahi tauira, i ngā tōmhanga taapiri rānei.

Me kite koe i tō taakuta ki te wheako koe i:

• Ngā PVCs e tino maha ana i te rā
• Te mamae uma e roa atu ana i ngā meneti torutoru
• Te poto o te manawa i ngā mahi noa
• Te māuiui, te āhua rānei e ngākau ana koe ki te ngaro
• Ngā PVCs e tino maha haere ana
• Ngā huringa āhua ngākau e awangawanga ana koe

Whakawhirinaki ki ō whakaaro mō tō tinana. Ki te rerekē te āhua o tetahi mea, te āwangawanga rānei mō tō whiu ngākau, he pai tonu te tirotiro atu ki tō kaiwhakarato hauora mō te rangimarie o te ngākau.

Rapua te tiaki hauora tūturu ina wheako koe i te mamae uma me te werawera, te ruaki, te mamae rānei e horapa ana ki tō ringa, ki tō kauae rānei. Ko ēnei pea ngā tohu o te whakaeke ngākau, he rerekē tēnei i ngā PVCs, engari e hiahia ana ki te tiaki āwangawanga.

He aha ngā take tūponotanga mō ngā whakawehenga rūma whakamua?

Ka taea e te tangata te wheako i ngā PVCs, engari ko ētahi take ka taea te whakapiki i te putanga. Ko te mārama ki ēnei take tūponotanga ka āwhina i a koe ki te kimi i ngā mea whakaoho pea i roto i tō oranga ake.

Ko ngā take tūponotanga noa e whakapiki ana i ō tūponotanga ki te whai PVCs ko:

• Ngā taumata teitei o te ahotea, te manukanuka rānei
• Te inu caffeine noa
• Te wāhine, te whakamahi rānei i ngā hua tapoko
• Te inu waipiro noa
• Te taumaha
• Te whai toto teitei
• Te koroheketanga, i te mea ka tino noa ngā PVCs i te koroheketanga
• Te whai apnea moe, ētahi atu mate moe rānei

Kāore ēnei take e whakamana ana ka whai PVCs koe, engari ka taea e rātou te whakaiti i te pūnaha hiko o tō ngākau ki ngā koretake. Ko te nuinga o ēnei take tūponotanga ko ngā mea ka taea e koe te whakarereke mā ngā huringa oranga.

Ko ētahi āhuatanga hauora ka taea te whakapiki i tō tūponotanga ki ngā PVCs. Kei roto i ēnei ngā mate thyroid, te mate huka, te mate whatukuhu, me ētahi atu āhuatanga ngākau. Ko ētahi rongoā, tae atu ki ētahi inhalers mate huango me ngā decongestants, ka taea te whakapiki i ngā PVCs.

He aha ngā raruraru pea o ngā whakawehenga rūma whakamua?

Mō te nuinga o te iwi, kāore ngā PVCs e puta mai he raruraru, ā, ka noho tonu hei whakarerekētanga āhua ngākau ngāwari. He tino kaha tō ngākau, ā, ka taea te whakahaere i ngā whiu taapiri i etahi wā kahore he raruraru.

Heoi, ina tino maha ngā PVCs, ko ētahi raruraru pea ka puta i te wā:

• Cardiomyopathy, ina ngoikore te uaua ngākau e ngā PVCs maha
• Te whakaiti i te mahi ngākau ki te nui atu i te 20% o ō whiu ngākau ngā PVCs
• Te whakapiki i te manukanuka mō ngā tōmhanga ngākau
• Te whakaroa moe ki te kitea ngā PVCs i te wā moe

He kore-noa ēnei raruraru, ā, ka puta noa i te wā e whai mano mano PVCs ana tetahi i te rā i ngā marama, i ngā tau rānei. Ko te nuinga o te iwi e whai PVCs noa ana kaore e wheako i ēnei take.

I etahi wā, ka taea e ngā PVCs te whakaoho i ngā raruraru āhua ngākau nui atu, ina koa ki te iwi kua whai mate ngākau nui. Koia te take e hiahia ana tō taakuta ki te aromatawai i ngā PVCs maha, ina koa ki te whai koe i ētahi atu āhuatanga ngākau.

Me pēhea te aukati i ngā whakawehenga rūma whakamua?

Ahakoa kaore e taea te aukati i ngā PVC katoa, ka taea e koe te whakaiti nui i te maha o te putanga mā te whakahaere i ō mea whakaoho me te pupuri i ngā tikanga hauora ngākau pai.

Ko ēnei ngā huarahi tino whai hua ki te whakaiti i ngā PVCs:

• Whakaitihia te inu caffeine, ina koa ki te kite koe e whakaoho ana i ō PVCs
• Whakahaerehia te ahotea mā ngā tikanga whakamāhaki, te whakakino, te tohutohu rānei
• Whiwhi i te moe pai, kia 7-9 haora ia pō
• Noho wai pai i te rā
• Whakaitihia, kaua e inu waipiro
• Whakamutu i te wāhine, kaua e whakamahi i ngā hua nikotini
• Whakakino noa, kaua e whakakino nui
• Pupuri i te taumaha hauora

Tātaihia ō mea whakaoho whaiaro mā te pupuri i te pukapuka ngāwari, i te taupānga waea rānei o te wā e puta ai ngā PVCs, me te mea i mahi koe i mua. Ka āwhina tēnei ki a koe ki te kimi i ngā tauira me te whakarereke i te oranga.

Ko te whakahaere i ngā āhuatanga hauora e huna ana pēnei i te toto teitei, te mate huka, te mate thyroid rānei ka taea te whakaiti i ngā PVCs. Ko ngā tirotiro noa ki tō taakuta ka whakarite kia pai te whakahaere i ēnei āhuatanga.

Me pēhea te whakatau i ngā whakawehenga rūma whakamua?

Ka tīmata tō taakuta mā te whakarongo ki ō awangawanga me te uiui mō ō tōmhanga, tae atu ki te wā e kite ai koe i ngā PVCs me te mea pea e whakaoho ana i a rātou. Ka āwhina tēnei kōrero ki a rātou ki te mārama ki tō āhuatanga motuhake me te whakatau i te huarahi pai mō te aromatawai.

Ko te whakamātautau matua e whakamahia ana ki te whakatau i ngā PVCs ko te electrocardiogram (ECG, EKG rānei), e tuhi ana i te mahi hiko o tō ngākau. He tere tēnei whakamātautau, he kore mamae, ā, ka taea te hopu i ngā PVCs ina puta ana i ngā meneti torutoru e hono atu ana koe ki te mīhini.

Ki te kore ngā PVCs e puta i tō haerenga ki te tari, pea ka tūtohu tō taakuta kia mau koe i te kaiārahi ngākau kawe. Ka tuhi te kaiārahi Holter i tō āhua ngākau mō ngā haora 24-48, ā, ka taea te mau i te kaiārahi kaupapa mō ngā wiki, ka whakahohehia ina kite koe i ngā tōmhanga.

Pea ka tono hoki tō taakuta i ngā whakamātautau toto ki te tirotiro i ō taumata waikawa, te mahi thyroid, me te hauora whānui. Ka āwhina ēnei whakamātautau ki te kimi i ngā take e huna ana e taea te whakauru ki ō PVCs.

I etahi wā, pea ka tūtohu tō taakuta i te echocardiogram, e whakamahi ana i te ultrasound ki te hanga i ngā pikitia o tō ngākau. Ka āwhina tēnei whakamātautau ki te whakarite kia noa te hanganga me te mahi o tō ngākau, he mea nui tēnei mō te whakatau i te nui o ō PVCs.

He aha te maimoatanga mō ngā whakawehenga rūma whakamua?

Ko te nuinga o ngā PVCs kaore e hiahia ki tetahi maimoatanga hauora atu i ngā whakarerekētanga oranga me te whakamārama. Ko te huarahi tuatahi a tō taakuta ka aro noa ki te kimi me te karo i ō mea whakaoho whaiaro.

Ina kore ngā whakarerekētanga oranga e ranea ki te whakahaere i ngā PVC e awangawanga ana, pea ka whakaaro tō taakuta ki ngā whiringa rongoā:

• Ngā beta-blockers, ka taea te whakaiti i te maha o ngā PVCs
• Ngā kaihoroi kauae kōhatu mō ētahi momo PVCs
• Ngā rongoā anti-arrhythmic mō ngā PVCs maha ake, ngā PVCs uaua rānei
• Ngā taapiri magnesium, pōtāhiuma rānei ki te iti ngā taumata toto

Ka mahi ēnei rongoā mā te pānga ki te pūnaha hiko o tō ngākau kia iti ake te putanga o ngā PVCs. Ka whakaaro marie tō taakuta ki ngā painga me ngā pānga taha i mua i te tūtohutanga i tetahi rongoā.

Mō te iwi e whai PVCs maha rawa ana kaore e whakautu ki ngā whakarerekētanga oranga, ki ngā rongoā rānei, ka whakaarohia pea te tukanga e kiia nei ko te catheter ablation. Kei roto i tēnei te whakamahi i te wera, i te makariri rānei ki te whakakore i te wāhi motuhake o te kiko ngākau e hanga ana i ngā whiu taapiri.

Ko te nuinga o te iwi ka kite he nui te whakaiti i ō rātou PVCs mā ngā whakarerekētanga oranga ngāwari kahore he tukanga hauora, he rongoā roa rānei.

Me pēhea te whakahaere i ngā whakawehenga rūma whakamua i te kāinga?

Ko te whakahaere i ngā PVCs i te kāinga ka aro ki te hanga i te oranga hauora ngākau me te ako i ngā tikanga ki te noho māhaki ina kite koe i ngā whiu ngākau kore-āhua. Ko te nuinga o te iwi ka taea te whakaiti nui i ō rātou PVCs mā ngā mahi tiaki whaiaro.

Tīmata mā te tuhi i ō PVCs i roto i te pukapuka ngāwari, i te taupānga waea rānei. Tuhia te wā e puta ai, te mea i mahi koe, te mea i kai, i inu rānei koe, me tō taumata ahotea. Ka āwhina tēnei mōhiohio ki a koe ki te kimi i ō mea whakaoho whaiaro me te ine i te whakapai i te wā.

Ina kite koe e puta ana ngā PVCs, whakamātauria ēnei tikanga whakamāhaki:

• Tangohia ngā manawa hohonu, ngāwari ki te whakahohe i te whakautu whakamāhaki o tō tinana
• Whakamātauria te whakamāhaki uaua whakamua mā te pēhi me te wetekina i ngā rōpū uaua
• Whakamahia ngā taupānga whakaaro, ngā taupānga whakaaroaro rānei mō te whakamāhaki aratohu
• Mā te ngawari te mirimiri i tō kaki, i ō temepara rānei ki te whakaoho i te uaua vagus
• Hurihia ngā tūnga mā te ngawari ki te noho, ki te takoto rānei koe

Aro atu ki ngā tikanga o ia rā e tautoko ana i tō hauora ngākau. Kei roto i tēnei te kai i ngā kai noa, te noho wai, te whiwhi moe kounga, me te whakauru ki te whakakino ngawari e pai ana koe.

Mahara ko te manukanuka mō ngā PVCs ka taea te whakaiti i a rātou, te hanga i te huringa o te awangawanga me ngā tōmhanga. Ko te ako ki te whakaae he mea noa ngā PVC i etahi wā ka taea te wawahi i tēnei huringa me te whakaiti i te maha o te putanga.

Me pēhea te whakarite mō tō whakatau ki te taakuta?

Ko te whakarite mō tō whakatau ka āwhina ki te whakarite ka whiwhi koe i ngā mōhiohio me te tiaki tino whai hua mai i tō haerenga. Ka hiahia tō taakuta ki te mārama ki tō wheako motuhake ki ngā PVCs me te āhua e pā ana ki tō oranga o ia rā.

I mua i tō whakatau, tuhia ngā mōhiohio mō ō tōmhanga:

• Te maha o te wā e kite ai koe i ngā PVCs me te wā e puta ai
• Te āhua o ngā āhua i roto i ō kupu ake
• Ngā mahi, ngā kai, ngā āhuatanga rānei e whakaoho ana i a rātou
• Te roa o ngā wāhanga me te āhua o tō ngākau i muri mai
• Ngā tōmhanga atu e puta ana i te wā kotahi
• Te āwhina rānei o tetahi mea ki te whakapai ake, ki te whakaiti rānei i a rātou

Mau mai he rārangi katoa o ngā rongoā, ngā taapiri, me ngā hua hua e inu ana koe, tae atu ki ngā hua-ā-tauhokohoko. Ko ētahi mea ka taea te pā ki te āhua ngākau, no reira he mea nui tēnei mōhiohio mō te aromatawai a tō taakuta.

Whakaarohia ngā pātai e hiahia ana koe ki te ui, pēnei i te āwangawanga o ō PVCs, me karo rānei koe i ētahi mahi, te wā rānei e karanga ai koe mō te āwhina. Ko te tuhi i ēnei i mua i te wā ka whakarite kaore koe e wareware i ngā kaupapa nui i tō haerenga.

Ki te taea, mau mai tetahi mema whānau, tetahi hoa rānei ka taea te āwhina i a koe ki te mahara ki ngā mōhiohio e whakawhiti ana tō taakuta me te whakarato i te tautoko i te whakatau.

He aha te mea nui mō ngā whakawehenga rūma whakamua?

Ko te mea nui rawa atu ki te mārama mō ngā PVCs ko te mea he kore-kino te nuinga, he tino noa hoki. Ko te tata katoa o te iwi ka wheako i a rātou i tētahi wā, ā, mō te nuinga o te iwi, kāore e tohu i ngā raruraru ngākau nui.

Ahakoa ka taea e ngā PVCs te āhua awangawanga ina kite tuatahi koe i a rātou, ko te ako mō te take o te putanga me te whakahaere i ngā mea whakaoho ka tino whakaora. Ko ngā whakarerekētanga oranga ngāwari pēnei i te whakaiti i te caffeine, te whakahaere i te ahotea, me te whiwhi moe pai ka taea te whakarereke nui i te maha o te putanga.

Whakawhirinaki ki tō tinana, kaua e whakaroa ki te kōrero ki ō awangawanga ki tō taakuta. Ka taea e rātou te whakarato i te aratohu motuhake e hangai ana ki tō āhuatanga motuhake me te āwhina ki te whakatau mehemea he whakamātautau, he maimoatanga rānei e hiahiatia ana. Ko te nuinga o te iwi ka kite ko te mārama ki ō rātou PVCs me te whai i te whakamārama a tetahi kaiwhakarato hauora ka āwhina i a rātou ki te noho humarie ake ki ēnei whakarerekētanga āhua ngākau noa.

Mahara ko te whai PVCs kaore e tikanga me whakaiti koe i ō mahi, te manukanuka tonu rānei mō tō ngākau. Mā te mārama me te whakahaere tika, ka taea e koe te haere tonu i tō oranga noa, mahi, me te pupuri i ēnei whiu ngākau taapiri i etahi wā i roto i te tirohanga.

Ngā pātai e ui pinepinetia ana mō ngā whakawehenga rūma whakamua

He kino, he mate rānei ngā PVCs?

Mō te nuinga o te iwi, ehara ngā PVCs i te mea kino, mate rānei. He whakarerekētanga āhua ngākau ngāwari te nuinga, ā, kaore e hiahiatia te maimoatanga atu i ngā whakarerekētanga oranga. Heoi, ko ngā PVCs maha rawa atu, ngā mea rānei e puta ana me te mate ngākau e huna ana pea ka hiahia ki te aromatawai hauora ki te whakarite kaore e pā ki te mahi ngākau i te wā.

Ka taea e te ahotea me te manukanuka te whakaoho i ngā PVCs?

Ae, ko te ahotea me te manukanuka kei roto i ngā mea whakaoho tino noa mō ngā PVCs. Ina ahotea koe, ka tukuna e tō tinana ngā homoni ka taea te whakaiti i te pūnaha hiko o tō ngākau, te pāngia rānei e ngā whiu taapiri. Ko te ako i ngā tikanga whakahaere ahotea ka tino whakaiti i te maha o te putanga o ngā PVCs.

Ka ngaro ngā PVCs i a rātou ake?

Ko te nuinga o te iwi ka kite ka iti haere te maha o ō rātou PVCs, ka ngaro rānei katoa ina kimi, ina karo rānei i ō rātou mea whakaoho whaiaro. Heoi, ko ētahi iwi ka mau tonu ki ngā PVC i etahi wā i o rātou oranga, he mea noa tēnei, ā, he kore-raruraru te nuinga. Ko te mea nui ko te ako ki te whakahaere i a rātou, kaua ki te tumanako kia ngaro katoa.

Ka taea e au te whakakino ki te whai PVCs ahau?

Ko te nuinga o te iwi e whai PVCs ana ka taea te whakakino noa, me haere tonu te noho mahi tinana mō tō hauora ngākau whānui. Heoi, ki te kite koe e whakaoho ana te whakakino kaha i ō PVCs, te maha haere rānei i te wā o te mahi, kōrerohia tēnei ki tō taakuta. Ka taea e rātou te āwhina ki te whakatau i ngā aratohu whakakino e tika ana e hangai ana ki tō āhuatanga motuhake.

E tohu ana rānei ngā PVCs kei te mate ngākau ahau?

Ko te whai PVCs kaore e tohu tonu kei te mate ngākau koe. Ko te nuinga o ngā PVCs ka puta ki te iwi e whai ngākau ora katoa ana, he whakarerekētanga noa i te pūnaha hiko o te ngākau. Heoi, pea ka tūtohu tō taakuta i ngā whakamātautau ki te tirotiro i te hanganga me te mahi o tō ngākau, ina koa ki te maha ngā PVCs, ki te whai koe rānei i ētahi atu take tūponotanga ngākau.