He aha te Mate Ngakau Sino? Ngā Tohutohu, Ngā Take, me te Maimoatanga

Ka puta te mate ngakau sino ina kore e mahi tika te kaiwhakahaere ngakau taiao. Ko te wāhi iti nei i roto i tō ngakau, e kiia nei ko te pūtake sino, e whakahaere ana i te whiti o tō ngakau mā te tuku i ngā tohu hiko e kī ana ki tō ngakau te wā hei whiti.

Ina kore e mahi tika tēnei kaiwhakahaere, ka raru pea te whiti o tō ngakau, ka tere rawa, ka ngāwari rānei. Whakaarohia he kaiārahi e wareware ana i etahi wā ki te pupuri i te oroketere i te wā kotahi. E mohiotia ana hoki tēnei āhuatanga ko te ngoikoretanga o te pūtake sino, ā, ahakoa he wehi te ahua, he tokomaha ngā tāngata e whakahaere pai ana i te maimoatanga tika.

He aha te Mate Ngakau Sino?

Ko te mate ngakau sino he rōpū o ngā raruraru o te whiti ngakau e puta mai ana i te pūtake sino he. Ko tō pūtake sino te mahi rite ki te kaiwhakahaere ngakau i hangaia ki roto i tō ngakau, kei te rūma matau o runga o tō ngakau, ā, e whakahaere ana i te whiti o tō ngakau.

Ina kore e mahi tika tēnei kaiwhakahaere taiao, ka taea e ia te whakaputa i ngā raruraru whiti maha. Ka tere rawa pea te whiti o tō ngakau (bradycardia), ka whakawhitiwhiti i waenga i ngā whiti tere me ngā whiti puhoi, ka mutu pea te wā poto i waenga i ngā whiti.

Ka tupu noa tēnei āhuatanga i te wa roa. Ko te nuinga o ngā tāngata he mate ngakau sino he kaumātua, ahakoa ka taea e ia te pā ki ngā tāngata kōuriuri hoki. Ko te rongo pai, mā te whakamātautau me te maimoatanga tika, ka taea e te nuinga o ngā tāngata te whai tonu i ngā oranga mahi, ngā oranga whai hua.

He aha ngā Tohutohu o te Mate Ngakau Sino?

He tokomaha ngā tāngata he mate ngakau sino e pā ana ki te ngenge me te māuiui hei tohu tino noa. Ka puta ēnei nā te kore e pupuri pai te toto e tō ngakau ina whiti koretake.

Ko ēnei ngā tohu ka kite pea koe, mai i te ngawari ki te āwangawanga atu:

• Te ngenge rānei te ngoikore rawa atu, ina koa i ngā mahi noa
• Te wiri rānei te mārama o te ngākau, ina koa ka tu
• Te poto o te manawa i ngā mahi o ia rā
• Te mamae o te uma rānei te wiri o te ngākau
• Te whakapohehe rānei te uaua ki te aro atu
• Te ngaro o te ngākau rānei ngā wā tata ki te ngaro o te ngākau

Ka rongo hoki ētahi i te ngākau tere, kei te tere te whiti o tō ngākau, kei te whakarere rānei i ngā whiti. Ka kite pea koe i ēnei tohu e haere ana, e haere ana, he mea noa i tenei āhuatanga.

He mea tika kia mōhio ko ētahi kaore he tohu, ina koa i ngā wā tuatahi. Ka kite pea tō tākuta i te āhuatanga i te wā o te tirotiro noa ina kitea e rātou he ngākau koretake, he rerekētanga rānei i te electrocardiogram.

He aha ngā momo o te mate o te ngākau?

Ka wehewehea e ngā tākuta te mate o te ngākau ki ētahi momo, e whakaū ana ki ngā raruraru o te taurite o tō ngākau. Ko te mārama ki ēnei momo ka āwhina i tō rōpū hauora ki te whiriwhiri i te huarahi whakaora pai mōu.

Ko ngā momo matua ko te bradycardia sinus, kei te whiti tonu tō ngākau i te iti rawa, i raro iho i te 60 whiti ia meneti. Ka ngenge pea koe, ka ngoikore rānei, no te mea kāore tō ngākau e pupuhi i te toto hei whakatutuki i ngā hiahia o tō tinana.

Ka puta te whakamutu o te sinus, te whakamutunga rānei o te sinus ina mutu te mahi o tō pūtake sinus. I ēnei wā, ka mutu pea tō ngākau mō etahi hēkona i mua i te tango a ētahi atu wāhanga o tō ngākau i ngā mahi whakahaere.

Ko te mate tachy-brady pea te momo tino uaua. Ka whakawhitiwhiti tō ngākau i waenganui i te tere rawa me te iti rawa, i etahi wā i roto i ngā meneti. Ko te whakawhitiwhiti i mua i muri ka tino kino pea koe, ka wiri.

Ko te korenga o te kaha chronotropic te tikanga kaore te tere o tō ngakau e piki tika ina mahi koe, ina rānei e pēhia ana. Āta kē koe pea e ngenge ana i te wā e whakakori tinana ana koe, i te mahi tinana rānei, nā te mea kaore tō ngakau e tere ake hei whakatutuki i ngā hiahia nui ake o tō tinana.

He aha ngā take o te mate ngakau o te sinus?

Ko te take tino nui o te mate ngakau o te sinus ko te tukanga koroheketanga taiao e pā ana ki te pūnaha hiko i roto i tō ngakau. I a tātou e koroheke haere ana, ka taea te pakaru, te whakangaro rānei i te kiko kei te taha o te kōpū sinus, ā, ka whakaroa i ngā tohu hiko e whakahaere ana i te tukituki o tō ngakau.

He maha ngā āhuatanga hauora ka āhei te arahi ki te mate ngakau o te sinus:

• Te mate ngakau, tae atu ki te mate o ngā āti coronary me ngā tūāhutanga o te ngakau
• Te toto teitei kua whakangaro i te kiko ngakau i te roa o te wā
• Ngā mate o te uaua ngakau pēnei i te cardiomyopathy
• Ētahi rongoā, ina koa ētahi e whakamahia ana hei whakaora i ngā raruraru o te tukituki o te ngakau
• Ngā mate huaketo e pā ana ki te ngakau, pēnei i te myocarditis
• Ngā mate ā-tinana e taea te whakangaro i te kiko ngakau

I etahi wā, ka puta te mate ngakau o te sinus i muri i te pokanga ngakau, ina koa ngā mahi e pā ana ki ngā ruma o runga o te ngakau. Ka taea e te tukanga pokanga te whakangaro i ngā ara hiko ngawari kei te taha o te kōpū sinus.

I ngā take onge, ka whānau mai ngā tāngata me ngā āhuatanga ira e pā ana ki te pūnaha hiko o tō rātou ngakau. Ka puta ngā momo i whakawhiwhia mai i te timatanga o te ora, ā, ka taea te rere i roto i ngā whānau.

Nōhea te kite i te taote mō te mate ngakau o te sinus?

Me kite koe i tō taote ki te pāngia koe e ngā wāhanga e puta ake nei o te māuiui, te ngaro o te ngākau, te ngenge rānei kaore e pai ake me te okioki. Ka taea e ēnei tohu te tohu kei te pupuri te ngakau i te tukituki pumau, whai hua.

Rapua te tiaki hauora tūturu mena ka ngaro ngākau koe kahore he whakaaro, ā, tino nui mena ka nui atu i te kotahi te wā. He mea kino te ngaro ngākau, ina koa ki te pēhi i te wā e taraiwa ana koe, i te wā rānei e mahi ana koe i ētahi atu mahi ka taea te whara mai i te ngaro o te whakaaro.

Ko ētahi atu tohu whakatūpato e hiahia ana ki te aromatawai hauora tere, ko te mamae uma me te māuiui, te poto o te manawa nui i ngā mahi noa, te āhua rānei o tō ngākau e tere ana, ka whakaheke tere.

Kaua e tatari mena ka kite koe i ēnei tohu e kino haere ana i te wā. Ka taea e te whakamātautau me te maimoatanga wawe te aukati i ngā raruraru, ā, ka awhina i a koe kia pai ake te āhua i mua. Ka taea e tō tākuta te mahi i ngā whakamātautau ngāwari hei tirotiro i te tere o tō ngākau, ā, hei whakatau mena ko te mate o te sinus mate te take o ō tohu.

He aha ngā take morearea mō te mate o te sinus mate?

Ko te tau te take morearea nui rawa atu mō te whanake o te mate o te sinus mate. Ko te nuinga o te hunga i whakamātautauhia ki tenei āhuatanga he 50 tau neke atu, ā, ka nui haere te morearea i muri i te 65 tau, i te mea ka koroheketia te pūnaha hiko o te ngākau.

He maha ngā āhuatanga hauora ka taea te whakanui ake i tō tūponotanga ki te whanake i tēnei mate:

• Te toto teitei roa
• Te mate huka, ina koa ki te kore e whakahaeretia pai
• Ngā whakaeke ngākau o mua, i te mate ngākau rānei
• Te apnea moe e whakapēhi ana i tō ngākau
• Ngā mate thyroid, ina koa te thyroid ngoikore
• Te mate whatukuhu roa

Ka taea hoki e ētahi take oranga te whakauru ki tō morearea. Ka taea e te inu waipiro nui te kino i te kiko ngākau, i te wā e tere haere ai te tukanga koroheketanga o tō pūnaha toto ngākau.

Ko te tango i ētahi rongoā i ia rā ka taea te pā ki tō mahi sinus node. Kei roto i ēnei ētahi rongoā toto teitei, ngā rongoā tere ngākau, ā, tae noa ki ētahi rongoā pouri. Heoi, kaua e mutu te tango i ngā rongoā i whakaritea kahore he kōrero ki tō tākuta i mua.

He piki haere pea te tūponotanga mōu, ahakoa iti, ki te whai koe i te hītori whānau o ngā raruraru o te ihu o te ngākau, te mate ngākau tūturu rānei, ahakoa ehara te mate ihu mate i te tikanga e tukuna tika ana.

He aha ngā raruraru pea o te mate ihu mate?

Ko te raruraru tino awangawanga o te kore-whakaora i te mate ihu mate ko te ngaro o te ngakau, ka taea te arahi ki te hinga me ngā whara. Ka iti rawa te tere o te ihu o tō ngākau, ka mutu rānei, pea ka kore e whiwhi te roro i te toto nui, ka ngaro kē te mohio.

Kei te piki ake te tūponotanga o te hunga e pangia ana e te mate ihu mate ki te whanake i te fibrillation atrial, he momo raru rerekē o te ihu o te ngākau. Ka taea e tēnei ihu kore-tūturu, tere i ngā ruma o runga o tō ngākau te arahi ki te hanga o ngā toto kōtiti, ka haere pea ki tō roro ka pā te pōka.

Ka taea te whanake o te ngoikore o te ngākau i te roa o te wā ki te tukituki tonu tō ngākau i te iti rawa te tere, te kore-tūturu rānei. Ki te kore e taea e tō ngākau te pupuhi toto pai, ka taea te hanga wai i roto i ō ngā pūkahukahu me ētahi atu wāhanga o tō tinana, ka ngākau pouri koe, ka ngenge.

Ka iti te tūponotanga, ka wheako etahi i te mutu o te ngākau tūturu, kei reira te mutu katoa o te tukituki o te ngākau. He āwangawanga hauora tēnei e hiahia ana ki te whakaora tonu. Heoi, he iti te tūponotanga o tēnei raruraru nui, ina koa ki te tirotiro tika me te whakaora.

Ko te rongo pai ko te nuinga o ēnei raruraru ka taea te aukati me te whakaora tika. Ka āwhina te tiaki whai muri me te tirotiro kia mau ngā raruraru i mua i te nui haere.

Me pēhea te aukati i te mate ihu mate?

Ahakoa kaore e taea e koe te aukati i ngā take katoa o te mate ihu mate, ina koa ngā mea e pā ana ki te koroheketanga, ka taea e koe te mahi kia mau te hauora o te pūnaha hiko o tō ngākau i roto i tō oranga.

Ko te whakahaere i tō pehanga toto tētahi o ngā mea nui rawa atu e taea e koe te mahi. Ka taea e te pehanga toto teitei i ngā tau maha te whakangaro i ngā kiko ngawari e karapotia ana tō pūtake sinus, na te mahi tahi atu rātou me tō tākuta ki te pupuri i te mana whakahaere ka āwhina i te tiaki i te kaihanga o tō ngākau.

Ko te whakahaere pai hoki o te mate huka e āwhina ana ki te aukati i te pakaru o te pūnaha hiko o tō ngākau. Pupuritia ō taumata huka toto i roto i tō whānuitanga whāinga mā te kai, te whakakori tinana, me ngā rongoā penei i te whakahau a tō rōpū hauora.

Ka whakakahangia e te whakakori tinana auau te uaua o tō ngākau ā, ka āwhina i te pupuri i ngā ara hiko hauora. Kāohore koe e hiahia ki te oma i ngā marathons – ahakoa ngā mahi noa penei i te hikoi, te kauhoe, te whakato māra rānei ka taea te whai hua ki te hauora o tō ngākau.

Ko te karo, te whakaiti rānei i te waipiro me te kore e kai paipa he mea nui hoki mō te pupuri i te taurite o te ngākau hauora. Ka taea e ngā mea e rua te whakangaro i te kiko ngākau i te roa o te wā, ā, ka whakaroa i te pūnaha hiko o tō ngākau.

Ko te whiwhi i te rongoā mō te apnea moe, ki te pēnei koe, ka taea te whakaiti i te kaha ki tō ngākau ā, ka āwhina i te aukati i ngā raruraru taurite kei te whanake.

Me pēhea te Whakatau i te Mate Sinus Mate?

Ka tīmata tō tākuta mā te whakarongo ki tō ngākau mā te stethoscope me te uiui mō ō tohu. Ka hiahia rātou ki te mohio ki te wā e mōrearea ana koe, e ngenge ana, e kite ana rānei i tō ngākau e pā ana i te koretake, me ngā mahi ka taea te whakaoho i enei āhuatanga.

Ko te electrocardiogram (ECG, EKG rānei) te whakamātautau tuatahi ka tono pea tō tākuta. Ko tēnei whakamātautau ngāwari, kore mamae e tuhi ana i te mahi hiko o tō ngākau mō te 10 hēkona pea, ā, ka taea te whakaatu mena he tino mā, he tino tere, he koretake rānei te tere o tō ngākau i taua wā.

No te mea ka tae mai, ka haere atu ngā raruraru taurite o te ngākau, ka tūtohu pea tō tākuta ki te mau i te kaiārahi ngākau kawe. Ka tuhi tonu te kaiārahi Holter i te taurite o tō ngākau mō te 24 ki te 48 haora, i te wā ka taea te mau i te kaiārahi kaupapa mō ngā wiki, ngā marama rānei, ā, ka whakahohetia ina kite koe i ngā tohu.

I etahi wā, ka taea e tō tākuta te kōrero mō te whakamātautau ahotea whakakori tinana hei tirohanga ki te whakautu o tō ngākau ki ngā mahi tinana. Ka taea e tēnei whakamātautau te whakakite i te kore-whakahaere chronotropic, kei reira te tere o tō ngākau e kore e piki tika i te wā e whakakori ana.

I roto i ngā take uaua, ka taea e tō tākuta te tūtohutia he rangahau electrophysiology. Ko tēnei whakamātautau motuhake e whakauru ana i te whakauru i ngā uaua angiangi i roto i ngā oko toto ki tō ngākau hei whakamātautau tika i te mahi o tō pūtake sinus me te kimi tika i te wāhi e puta mai ana ngā raruraru hiko.

He aha te Maimoatanga mō te Mate Sinus Mate?

Ko te maimoatanga mō te mate sinus mate e arotahi ana ki te whakahaere i ō tohu me te aukati i ngā raruraru. Ko te huarahi e tūtohu ana tō tākuta e whakawhirinaki ana ki te kaha o ō tohu me te momo raru o te taurite e pā ana koe.

Mō te tini o te iwi, ko te maimoatanga tino whai hua ko te pacemaker pumau. Ko tēnei taputapu iti, tata te rahi o te moni nui, ka whaowhia ki raro i tō kiri ka hono atu ki tō ngākau me ngā uaua angiangi. Ka aroturuki ia i te taurite o tō ngākau ka tuku i ngā whakaohooho hiko ina kore e mahi tika tō kaihanga ngākau taiao.

Mēnā kei a koe te momo tachy-brady o te mate sinus mate, pea ka hiahia koe ki te pacemaker me ngā rongoā. Ka aukati te pacemaker i tō ngākau kei te pārekareka rawa, i te wā e āwhina ana ngā rongoā ki te whakahaere i ngā taurite tere.

Ka arotake hoki tō tākuta i ō rongoā katoa o nāianei kia kite mēnā kei te pā kino tetahi ki tō taurite ngākau. I etahi wā, ko te whakarite noa i te mutu rānei i ētahi rongoā ka taea te whakapai ake i ō tohu nui.

Mō te iwi he atrial fibrillation me te mate sinus mate, pea ka hiahiatia ngā rongoā whakaheke toto hei aukati i te pēhanga. Ka whakaitihia e ēnei rongoā tō tūponotanga o te hanganga toto i roto i tō ngākau.

I roto i ngā take onge kaore he hua ngā ātete atu, āta whakaaro pea tō tākuta ki tētahi mahi e kīia nei ko te catheter ablation. Ka whakamahia e tēnei ātete te wera, te makariri rānei hei whakangaro i ngā wāhanga iti o te kiko ngākau e pāngia ana e ngā raruraru o te ihu.

Me pēhea te tango i te rongoā kāinga i te wā o te mate o te sinus mate?

Ahakoa he mea nui te rongoā hauora mō te whakahaere i te mate o te sinus mate, he maha ngā mea ka taea e koe te mahi i te kāinga hei awhina i te whakahaere i ō tohu, ā, hei tautoko i te hauora o tō ngākau katoa.

Aroturukihia ō tohu mā te pupuri i tētahi pukapuka ngāwari mō te wā e mōrearea ana koe, e ngenge ana rānei, e kite ana rānei i ngā huringa o te ihu o te ngākau. Tūhia he aha ngā mea i mahi koe i te wā i puta mai ai ngā tohu, me te roa o te roa. Ka āwhina tēnei mōhiohio i tō tākuta ki te whakarite i tō mahere ātete.

Kia pai te inu wai, ina koa i te wā o te rangi wera, i te wā rānei e mahi ana koe. Ka kaha ake te kino o ngā raruraru o te ihu o te ngākau te kore wai, ka piki ake te tūponotanga o te ngaro. Whakaarohia te inu wai i te rā katoa, engari kōrero atu ki tō tākuta mō ngā rohe wai mēnā kei a koe te ngoikore o te ngākau.

Whakatika haere mai i ngā tūnga noho, takoto rānei hei aukati i te mōrearea. Ka hoatu tēnei ki tō ngākau te wā hei whakarite me te pupuhi i te toto ki tō roro. Tangohia he wā hei whakau i a koe i mua i te haere.

Whakahaerehia te ahotea mā ngā tikanga whakahaerenga pērā i te manawa hohonu, te whakaaroaro, te yoga ngawari rānei. Ka pā te ahotea roa ki tō ihu o te ngākau, ka kaha ake ngā tohu. Rapua ngā mahi whakaiti ahotea e pai ana koe, ā, ka taea te mahi i ia rā.

Kaua e whakamahi i ngā mea whakaohooho pērā i te caffeine me te nicotine, ka taea te whakaohooho i ngā raruraru o te ihu o te ngākau i ētahi tangata. Mēnā he kai inu kōpi koe, kāo rawa koe e mutu rawa, engari whakaarohia te whakaiti i tō kai, kia kite mēnā ka pai ake ō tohu.

Me pēhea te whakarite mō tō hui tākuta?

I mua i tō whakatau, tuhituhia ngā tohu katoa o tō mate, tae atu ki te wā i tīmata ai rātou, me te aha e āhei ana te whakaoho i a rātou. Kia tino mōhio koe ki te āhua o te pānga o ngā tohu ki ō mahi o ia rā, me te mea kei te pai ake rātou, kei te kino ake rātou rānei i te wā.

Kawe mai he rārangi katoa o ngā rongoā katoa e inu ana koe, tae atu ki ngā rongoā tākuto, ngā rongoā kore-tākuto, me ngā taapiri. Tāpirihia ngā horoinga me te auau o te inu i ia rongoā, i te mea ka pā etahi rongoā ki te taumaha o te ngākau.

Whakamahia he rārangi o ngā pātai e hiahia ana koe ki te ui ki tō tākua. Ka hiahia pea koe ki te mohio mō ngā whiringa whakaora, ngā huringa oranga e tika ana kia mahia e koe, te wā rānei e tika ana kia karanga atu ai koe mō te awhina. Kaua e manukanuka ki te maha o ngā pātai – e hiahia ana tō tākua kia mārama koe ki tō mate.

Mēnā kua aroturuki koe i ō tohu, kawe mai taua mōhiohio ki a koe. Tāpirihia ngā kōrero mō tō tere o te ngākau mēnā kua tirotirohia e koe, me ngā pānui toto toto mēnā kei te aroturuki koe i aua mea i te kāinga.

Whakaarohia te kawe mai i tētahi mema o te whānau, i tētahi hoa rānei ki tō whakatau. Ka taea e rātou te āwhina i a koe ki te maumahara ki ngā mōhiohio nui me te whakarato i te tautoko i ngā kōrero mō ngā whiringa whakaora.

Kohikohia tō hītori hauora, tae atu ki ngā raruraru ngākau o mua, ngā pokanga, ngā whakauru rānei ki te hōhipera. Ka hiahia tō tākua ki te mohio mō ētahi atu āhuatanga hauora kei a koe me tetahi hītori whānau o te mate ngākau.

He aha te mea nui mō te mate o te sinus mate?

He āhuatanga whakahaere te mate o te sinus mate e pā ana ki te kaihanga o te ngākau, e āhei ai te whiti koretake, tino pōturi, tino tere rānei. Ahakoa ka taea e ia te whakaoho i ngā tohu whakawehi penei i te māuiui me te ngenge, ka ora te nuinga o te iwi i ngā oranga tino whānuitia, mahi tonu me te whakaora tika.

Ko te mea nui rawa atu hei mahara ko te whakamārama wawe me te whakaora tika ka taea te aukati i ngā raruraru nui. Ki te pāngia koe e ngā tohu penei i te ngenge kore whakamaarama, te māuiui, te ngākau rānei, kaua e whakaroa ki te kōrero ki tō tākua.

He tino whai hua ngā rongoā hou,inā, ngā kaiwhakahaere ngākau, ki te whakahaere i tēnei āhuatanga. Kua āwhina ēnei taputapu ki te miriona o te iwi ki te pupuri i ngā oranga noa, ngā oranga mahi, me te pupuri i te rere o te ngākau kia pumau, kia pono.

Mā te tiaki hauora tika me ētahi whakarerekētanga oranga, ka taea e koe te tumanako ki te whakahaere i te mate ngākau pēhanga (sick sinus syndrome) me te angitu. Noho hono atu ki tō rōpū hauora, whai i tō mahere rongoā, ā, kaua e wehi ki te uiui pā ana ki tō āhuatanga me tō tiaki.

Pātai Auau e Pā ana ki te Mate Ngākau Pēhanga (Sick Sinus Syndrome)

Ka taea te whakaora katoa te mate ngākau pēhanga?

Ko te tikanga kaore e taea te whakaora te mate ngākau pēhanga, engari ka taea te whakahaere pai rawa atu mā te rongoā tika. Ka taea e te kaiwhakahaere ngākau te whakahoki i te rere o te ngākau ki te noa me te whakakore i te nuinga o ngā tohu, ā, ka taea e koe te hoki ki ō mahi noa. Ahakoa kei te noho tonu te āhuatanga taketake, ka āwhina te rongoā i a koe ki te ora i te oranga noa, mahi, kaore he whakawhitinga nui.

E hā roa te ora ka taea e koe te ora me te mate ngākau pēhanga?

Ko te hunga e pangia ana e te mate ngākau pēhanga e whiwhi ana i te rongoā tika,inā, te rongoā kaiwhakahaere ngākau, he tikanga he roa noa te ora, he tata noa rānei te roa o te ora. Ko te matua ko te whiwhi i te whakamātautau me te rongoā tika i mua i te whanake o ngā raruraru kino. Mā te tiaki hauora hou, ka haere tonu te nuinga o te iwi ki te ora i ngā oranga katoa, mahi, mō ngā tau maha i muri i te whakamātautau.

He haumaru te whakakori tinana me te mate ngākau pēhanga?

Ko te whakakori tinana he pai te tikanga mō te hunga e pangia ana e te mate ngākau pēhanga,inā, i muri i te whiwhi i te kaiwhakahaere ngākau. Heoi, me kōrero tonu koe ki tō tākuta i mua i ō mahere whakakori tinana. Ka taea e rātou te āwhina i a koe ki te whakatau he aha ngā mahi e haumaru ana, e tika ana hoki mō tō āhuatanga motuhake. He tokomaha ngā tāngata e whakamahi ana i ngā kaiwhakahaere ngākau e whai wāhi ana ki ngā mahi tinana noa, tae atu ki te kauhoe, te hikoi, me te hikareti.

Me mahi rongoā te mate ngākau pēhanga?

Mēnā ka hiahia koe ki te whakauru pēkēpēka, ko te mahi whakauru he pokanga iti te whakaaro, ka mahia hei mahi hauora tūmatanui. Ko te nuinga o te wā, ka roa te pokanga mo te haora, ā, ka hoki te nuinga o te iwi ki te kāinga i taua rā rānei, i muri i te noho mā te pō. He nui te angitu o te mahi, ā, he iti te tūponotanga o ngā raruraru ina mahia e ngā tākuta whai wheako.

Ka taea te whakaora i te mate o te sinus mā te rongoā anake?

Ko te nuinga o te wā, kaore e ranea te rongoā anake hei whakaora pai i te mate o te sinus. Ahakoa ka taea e ngā rongoā te whakahaere i ētahi tohu, i ngā āhuatanga e pā ana, pēnei i te fibrillation atrial, kāore e taea e rātou te whakatika i te take o te kaihanga pēkēpēka o tō ngakau. Ko te nuinga o te iwi ka hiahia ki te pēkēpēka hei pupuri i te taurite o te ngakau, ā, hei ārai i te hokinga mai o ngā tohu.