He aha te Pūngāwai Manawa? Tohutohu, Take, me te Maimoatanga

Ka puta te pūngāwai manawa ina nui te wai e kohikohi ana i roto i ngā putea hau o ō manawa, ka uaua ai te manawa. Whakaarohia he rite tō manawa ki te wai, ka kore ai te hāora e neke tika ki roto i tō toto.

Ka taea e tēnei āhuatanga te puta tere, te puta rānei i te wa roa. Ina kohikohi te wai ki roto i ngā putea hau iti e kiia nei ko ngā alveoli, ka whakapau kaha tō tinana ki te tiki i te hāora e hiahia ana. Ahakoa he wehi tenei, ko te mōhiotanga ki te mea kei te pēhea me te mohiotanga ki te wa hei rapu awhina ka taea te whakarite i te tiaki tika i te tere.

He aha ngā tohu o te pūngāwai manawa?

Ko te tohu matua ka kite koe ko te uaua o te manawa, ina koa ina takoto. Kei te kōrero tonu tō tinana ki a koe kāore ō manawa e mahi tika ana.

Ko ēnei ngā tohu matua hei titiro atu, me mahara ko ēnei ka rereke mai i te ngawari ki te kino:

• Te poto o te manawa e kino ake ana ina takoto
• Te ahua o te ngākau pouri, te ngākau rānei
• Te wheezeng, te ngau rānei i te hau
• Te mare, ka puta mai pea he sputum whero, pupū
• Te mamae uma, te pehanga rānei
• Te tere, te kore rānei o te ngākau
• Te manukanuka, te kore rānei o te rangimarie
• Te wera nui
• Te kiri ma, te kikorangi rānei, ina koa te taha o ngā ngutu me ngā maihao

Ka kite etahi i te pupū i ō waewae, ō turi, ō waewae rānei. Mena kei te whakahaere koe i ngā raruraru manawa nui, tere, me hiahia tēnei ki te tiaki hauora tonu. Ānō hoki ngā tohu ngawari e mau tonu ana, e kino ake ana rānei i te wa roa, me whakamātauhia e tō kaiwhakarato hauora.

He aha ngā momo pūngāwai manawa?

Ka taka te pūngāwai manawa ki ngā kāwai e rua, i runga i te take o te kohikohi wai. Ko te mōhiotanga ki te momo ka āwhina i ngā tākuta ki te whiriwhiri i te huarahi maimoatanga tino pai.

Ka puta te pūngāwai manawa cardiogenic ina kore e taea e tō ngākau te pupuhi toto tika. Ko te momo tino noa tēnei, kei hea te ngākau ngoikore, te ngākau rānei i pakaru, ka puta ai te toto ki ō manawa. Ko te pehanga mai i tēnei tautoko ka aki te wai ki roto i ō putea hau.

Ka puta te pūngāwai manawa kore-cardiogenic ina rere te wai ki roto i ō manawa mō ngā take kaore e pā ana ki ngā raruraru ngākau. Ka puta tēnei momo ina pakaru, te ngawari ake rānei ngā oko toto iti i ō manawa, ka taea ai te rere o te wai ki ngā wāhi kāore e tika.

He aha ngā take o te pūngāwai manawa?

Ka rereke ngā take i runga i te mea kei te tīmata te raruraru ki tō ngākau, ki ētahi atu wāhi rānei o tō tinana. Kia wehea ngā take tino noa e puta ai tēnei āhuatanga.

Ko ngā take e pā ana ki te ngākau ko ētahi āhuatanga e pā ana ki te kaha o tō ngākau ki te pupuhi toto tika:

• Te kore o te ngākau mai i ngā āhuatanga taketake
• Te ngākau e pakaru ana i te uaua ngākau
• Te toto teitei nui
• Ngā raruraru me ngā taumanu ngākau, ina koa te mate taumanu mitral, te aortic rānei
• Ngā rereketanga o te ngākau e pā ana ki te kaha o te pupuhi
• Te cardiomyopathy, kei hea te uaua ngākau ka mātotoru, ka pakari rānei

Ka taea e ngā take kore-ngākau te whakaoho i te kohikohi wai mā ngā tikanga rerekē:

• Ngā mate kino penei i te mate huhu, te sepsis rānei
• Te mate whatukuhu e pā ana ki te taurite wai
• Te whakamahinga o te teitei teitei, ina koa i runga ake i te 8,000 waewae
• Ngā mate pāwera nui
• Te manawa i ngā mea poino, te paowa rānei
• Ētahi rongoā, tae atu ki ētahi rongoā mamae
• Ngā aituā pēnei i te ngākau, te mate rānei
• Ngā toto i roto i ngā manawa
• Ngā tahuna nui, ngā aituā rānei

I etahi wa, he maha ngā take e āwhina ana ki te āhuatanga. Ka mahi tō taakuta ki te kimi i te take, ngā take rānei e pā ana ki a koe, i te mea ka ārahi tenei i te mahere maimoatanga tino tika.

Nō hea te kite i te taakuta mō te pūngāwai manawa?

Ko tetahi uaua o te manawa ka hiahia tonu ki te tiaki hauora. Kāore tēnei he āhuatanga hei tatari me te kite atu, ina koa ki te kino, te kino haere rānei ngā tohu.

Rapua te tiaki āwhina tonu mena ka pāngia koe e te poto o te manawa, te mamae uma rānei, te mare rānei i te huka whero, te toto rānei. Ka whakaatu ēnei tohu kei te pāngia nui ō manawa, me hiahia tonu ki te whakauru.

Me whiwhi koe i te tiaki hauora tere mena he tohu ngawari kei te kino haere i ngā haora, ngā rā rānei. Ānō hoki ngā huringa iti i te manawa, ina koa ki te mate ngākau koe, ki ētahi atu take morearea rānei, me whakamātauhia. Whakawhirinaki ki ō whakaaro mo te wa kaore he mea e tika ana ki tō manawa.

He aha ngā take morearea mō te pūngāwai manawa?

Ka nui ake te tupono o ētahi āhuatanga hauora me ngā āhuatanga ora ki te whanake i tēnei āhuatanga. Ko te mōhiotanga ki ēnei take ka āwhina i a koe me tō rōpū hauora ki te mataara.

Ko ngā take morearea tino nui e pā ana ki te hauora o te ngākau me te toto:

• Te hītori o te mate ngākau, te kore rānei o te ngākau
• Te toto teitei, ina koa ki te kore e whakahaerehia
• Ngā ngākau o mua
• Te mate oko koroni
• Ngā raruraru taumanu ngākau
• Ngā rereketanga o te ngākau

Ka taea hoki e ētahi atu āhuatanga hauora te whakanui i tō morearea:

• Te mate whatukuhu, te kore rānei o te whatukuhu
• Te apnea moe
• Te mate huka
• Ngā mate kino, te sepsis rānei
• Te hītori o ngā toto

He mea nui hoki ngā take ora me te taiao. Ka pakaru te whakakā te manawa me te ngākau i te wa roa. Ko te noho, te haere rānei ki ngā teitei teitei ka taea te whakaoho i ngā wāhanga i roto i ngā tāngata e pā ana. He mea nui hoki te tau, i te mea ka nui ake te tupono o ngā pakeke ki te whai i ngā āhuatanga ngākau, whatukuhu rānei.

He aha ngā raruraru pea o te pūngāwai manawa?

Kaore he maimoatanga tika, ka taea e te pūngāwai manawa te arahi ki ngā raruraru kino e pā ana ki ngā pūnaha tinana maha. Ko te rongo pai ko te tiaki hauora tere ka whakaiti nui i ēnei morearea.

Ko te āwangawanga tino nui ko te kore o te manawa, kei hea kāore ō manawa e homai te hāora ki tō tinana. Ka taea tēnei te puta tere i roto i ngā take kino, me hiahia tonu ki ngā mahi tautoko ora.

Ka taea te whanake i ētahi atu raruraru kino:

• Ngā raruraru o te rere o te ngākau na te kore o te hāora
• Te kino o te whatukuhu na te iti o te rere o te toto
• Te whara o te roro na te kore o te hāora
• Te pakaru na te iti o te toto
• Te ngākau mate i roto i ngā take nui

He mea pea ngā pānga roa ki te kore e whakahaeretia tika te take taketake. Ka taea e ētahi te whanake i ngā raruraru manawa roa, ngā raruraru ngākau rānei. Heoi, me te maimoatanga tika me te tiaki whai muri, ka taea e te nuinga o te iwi te ora pai me te aukati i ngā wāhanga o muri.

Me pēhea te aukati i te pūngāwai manawa?

Ko te aukati e aro ana ki te whakahaere i ngā āhuatanga taketake e taea ai te kohikohi wai ki roto i ō manawa. Ahakoa kaore e taea e koe te aukati i ia keehi, ka taea e koe te whakaiti nui i tō morearea me te huarahi tika.

Ko te whakahaere i te hauora o te ngākau te turanga o te aukati. Ko te tikanga tenei te tango i ngā rongoā ngākau kua tohua tika, te tirotiro i tō toto teitei i ia wa, me te pupuri i ngā taumata kolesterol. Mena he mate huka koe, ko te pupuri i te whakahaere pai o te huka toto ka tiaki i tō ngākau me ō whatukuhu.

Ka hanga hoki ngā whiringa ora he rerekētanga nui. Ko te whakaiti i te tote ka āwhina i te aukati i te pupū wai e taea ai te whakawhiwhi i tō ngākau. Ko te noho mahi tinana i roto i ngā tūtohu a tō taakuta ka whakakahangia tō pūnaha cardiovascular. Ko te karo i te whakakā me te whakaiti i te waipiro ka tiaki i tō ngākau me ō manawa.

Mō ngā tāngata he take morearea e mohiotia ana, ko ngā tirotiro hauora auau ka taea te kite wawe i ngā raruraru. Ka taea e tō taakuta te tūtohu i ngā whakamātautau mahi ngākau auau, te mahi toto rānei hei hopu i ngā huringa i mua i te kino.

Me pēhea te whakamātautau i te pūngāwai manawa?

Ka whakamahi ngā tākuta i ngā whakamātautau maha hei whakau i te pūngāwai manawa me te kimi i tōna take taketake. Ko te tukanga whakamātautau ka tīmata me ō tohu me te whakamātautau tinana.

Ka whakarongo tō taakuta ki ō manawa me te stethoscope, ka tirotiro i ngā oro pupū e whakaatu ana i te kohikohi wai. Ka tirotirohia e rātou tō ngākau, ka tirotiro i te pupū i ō waewae, ō turi rānei, ka ine i tō toto teitei me te tere o te ngākau.

He maha ngā whakamātautau e āwhina ana ki te whakau i te whakamātautau me te ārahi i te maimoatanga:

• Te X-ray uma hei whakaatu i te wai i roto i ō manawa
• Ngā whakamātautau toto hei tirotiro i ngā taumata hāora me te mahi whatukuhu
• Te electrocardiogram (ECG) hei aromatawai i te rere o te ngākau me te mahi
• Te echocardiogram hei kite i te pai o te pupuhi o tō ngākau
• Ngā whakamātautau toto mō ngā tohu kino o te ngākau

I etahi wā, ka taea e tō taakuta te tono atu i ngā whakamātautau atu penei i te CT scan o tō uma, ngā ako mahi ngākau motuhake atu rānei. Ko te whāinga ko te mōhiotanga ki te nui o te kohikohi wai me te take, kia taea ai e te maimoatanga te whakautu i te raruraru tonu me te aukati i ngā wāhanga o muri.

He aha te maimoatanga mō te pūngāwai manawa?

Ko te maimoatanga e aro ana ki te tango i te wai nui mai i ō manawa me te whakautu i te take taketake. Ko te huarahi e whakawhirinaki ana ki te kino o ō tohu me te take o te raruraru.

Ko te maimoatanga tonu ka whakauru i te rongoā hāora hei āwhina i tō manawa me ngā rongoā hei tango i te wai nui. Ko ngā diuretics, i etahi wā e kiia nei ko ngā pire wai, ka āwhina i ō whatukuhu ki te whakakore i te wai nui mai i tō tinana. Ka taea e koe te whiwhi i ēnei rongoā mā te IV mō te mahi tere.

Ko ngā take e pā ana ki te ngākau e hiahia ana ki ngā maimoatanga motuhake:

• Ngā rongoā hei whakakahangia te pupuhi o te ngākau
• Ngā rongoā toto teitei hei whakaiti i te ahotea o te ngākau
• Ngā rongoā hei whakapai ake i te rere o te ngākau
• Ngā tukanga hei whakatuwhera i ngā oko ngākau kua araia mena e hiahiatia ana

Ko ngā take kore-ngākau e hiahia ana ki ngā huarahi rerekē. Mena ko te mate te take, ka waiho ngā rongoā mate pēnei hei wāhanga o te mahere maimoatanga. Ko te pūngāwai manawa teitei teitei ka pai ake te heke ki raro i te teitei me te rongoā hāora.

I roto i ngā take kino, ka hiahia pea koe ki te tautoko manawa me te pūkaha tae noa ki te mahi tika a ō manawa. He wehi tenei, engari he ine wa poto tēnei e tuku ana i te wa ki tō tinana ki te ora, i te mea kei te whiwhi koe i te hāora.

Me pēhea te whakahaere i te pūngāwai manawa i te kāinga?

Ko te whakahaere kāinga e aro ana ki te whai i tō mahere maimoatanga me te tirotiro i ngā huringa i tō āhuatanga. Kāore tēnei e pā ana ki te maimoatanga i te āhuatanga, engari ki te tautoko i tō maimoatanga hauora.

Ko te tango i ngā rongoā tika te mea nui. Koinei ngā diuretics, ngā rongoā ngākau, me ētahi atu maimoatanga e tūtohu ana tō taakuta. Kaua e ngaro ngā rā, kaua hoki e whakarerekē ngā nui me te kore e kōrero ki tō rōpū hauora.

Tirohia ō tohu i ia rā, kia mōhio ki te wa e hiahia ana ngā huringa ki te tiaki hauora:

• Whakapae i a koe i te wā kotahi i ia rā
• Tātai i tetahi pikinga i te poto o te manawa
• Tirohia ngā pupū hou i ngā waewae, ngā turi, ngā waewae rānei
• Tātai i ngā huringa i tō mare, tō sputum rānei
• Tātai i ō taumata kaha me tō kaha ki te mahi i ngā mahi o ia rā

Ko ngā whakarerekētanga ora e tautoko ana i tō mahere maimoatanga. Ko te whakaiti i te tote ka āwhina i te aukati i te pupū wai. Ko te whai i ngā herenga wai e tūtohu ana tō taakuta ka aukati i te nui o tō pūnaha. Ko te whiwhi i te okioki tika ka āwhina i tō tinana ki te ora, i te mea ko te noho mahi māori e whakaaetia ana e tō taakuta ka pupuri i tō hauora whānui.

Me pēhea te whakarite mō tō hui taakuta?

Ko te whakarite pai ka āwhina i tō taakuta ki te mōhiotanga pai ake i tō āhuatanga me te whakawhanake i te mahere maimoatanga tino pai. Ko te kohikohi i ngā korero tika i mua ka nui ake te hua o tō haerenga.

Tuhia ō tohu katoa, tae atu ki te wā i tīmata ai rātou me te mea e pai ake ana, te kino ake rānei. Tātai i ngā mahi e whakaoho ana i ngā raruraru manawa me ngā tūnga, ngā mahi rānei e homai ana te whakaora. Ka āwhina tēnei raupapa ki tō taakuta ki te mōhiotanga ki te pēhea te haere o tō āhuatanga.

Kawe mai he rārangi katoa o ō rongoā, tae atu ki ngā nui me te maha o te tango. Whakauruhia ngā rongoā i runga i te kaute, ngā taapiri, me ngā rongoā otaota. Ka taea e ētahi o ēnei te mahi tahi me ngā maimoatanga, te āwhina rānei ki te pupū wai.

Whakaritea ngā pātai mō tō āhuatanga me ngā whiringa maimoatanga. Ka taea e koe te ui mō ngā herenga mahi, ngā whakarerekētanga kai, ngā tohu whakatūpato rānei hei titiro atu. Kaua e whakaroa ki te ui mō tetahi mea kaore koe e mōhio ki tō whakamātautau, tō mahere maimoatanga rānei.

He aha te mea nui mō te pūngāwai manawa?

He āhuatanga nui te pūngāwai manawa e hiahia ana ki te tiaki hauora tere, engari me te maimoatanga tika, ka taea e te nuinga o te iwi te ora pai. Ko te matua ko te mohio wawe ki ngā tohu me te whiwhi i te tiaki tika i te tere.

Ko te mōhiotanga ki ō take morearea me te whakahaere i ngā āhuatanga taketake penei i te mate ngākau, te toto teitei rānei ka whakaiti nui i ō tupono ki te whanake i tēnei āhuatanga. Ko te tiaki hauora auau me te whai i tō mahere maimoatanga ngā taputapu pai rawa atu mō te aukati.

Kia mahara ko te uaua o te manawa, ina koa ki te tere, te kino rānei, e hiahia ana tonu ki te whakamātautau hauora. Whakawhirinaki ki ō whakaaro mo te wa kaore he mea e tika ana ki tō manawa, kaua hoki e whakaroa ki te rapu awhina ina hiahia koe.

Ngā pātai e ui pinepinetia ana mō te pūngāwai manawa

Ka taea te whakaora katoa i te pūngāwai manawa?

Ko te kohikohi wai tonu ka taea te whakakore i te maimoatanga tika, engari ko te take taketake pea ka hiahia ki te whakahaere tonu. Ka ora tonu te nuinga o te iwi mai i ngā wāhanga nui, ina koa ki te maimoatanga tere. Ko te tirohanga roa e whakawhirinaki ana ki te whakautu i te take taketake, ahakoa he mate ngākau, he raruraru whatukuhu rānei, ētahi atu āhuatanga rānei.

E hia te roa te ora mai i te pūngāwai manawa?

Ka rereke te wa ora i runga i te kino me te take taketake. Ka taea e ngā take ngawari te pai ake i roto i ngā rā me te maimoatanga tika, i te mea ka taea e ngā wāhanga kino te roa o ngā wiki mō te ora katoa. Ka tirotirohia e tō taakuta tō haere whakamua me te whakarerekē i te maimoatanga i runga i te hiahia. Ka kite te nuinga o te iwi i te pai ake o te manawa i roto i ngā haora 24-48 o te maimoatanga.

He mea mate tonu te pūngāwai manawa?

Ahakoa he mea nui tonu te pūngāwai manawa me te hiahia ki te tiaki hauora, kāore i te mate tonu. Ko te kino e whakawhirinaki ana ki te nui o te wai kua kohikohi me te tere o te whanake. Ka taea e ngā take roa, ngawari te whanake haere me te whakahaere me te maimoatanga. Heoi, ka taea e ngā wāhanga tere, kino te mate nā te kore o te tiaki tere.

Ka taea e koe te aukati i te pūngāwai manawa mena he mate ngākau koe?

Ae, ko te whakahaere pai o te mate ngākau ka whakaiti nui i tō morearea ki te whanake i te pūngāwai manawa. Koinei te tango i ngā rongoā kua tohua i ia wa, te tirotiro i tō toto teitei, te whakaiti i te tote, me te noho mahi tinana e tūtohu ana tō taakuta. Ko ngā tirotiro auau ka taea te kite wawe me te maimoatanga i ngā huringa e taea ai te kohikohi wai.

He aha ngā kai me karo i te pūngāwai manawa?

Ko te herenga kai matua ko te whakaiti i te tote, i te mea ka taea e te tote nui te pupū wai e whakawhiwhi ana i tō ngākau me ō manawa. Ko te tikanga tenei te karo i ngā kai kua tukatuka, ngā hupa kānana, ngā kai wharekai, me te tāpiri tote ki ngā kai. Ka taea hoki e tō taakuta te tūtohu i te whakaiti i te inu wai i etahi wā. Aro atu ki ngā hua hou, ngā huawhenua, ngā pūmua ngawari, me ngā witi katoa kua whakaritea me te kore he tote tāpiri.