Ko te pakaru tūturu o te ātiretā kāreti he āhuatanga ohorere e puta ana ina puta he hae i roto i te pakitara o te ātiretā o te ngakau. Ka kiia hoki te pakaru tūturu o te ātiretā kāreti ko te SCAD. Ka taea e te SCAD te whakaheke, te aukati rānei i te rere o te toto ki te ngakau, ā, ka puta he āwangawanga ngakau, he raruraru i te tere o te ngakau, te mate whakamomori rānei. Ko te nuinga o te hunga e pā ana ki te SCAD ko ngā wāhine kei roto i o rātou tau 40 me 50, ahakoa ka puta i tetahi tau, ā, ka puta ki ngā tāne. Ko te nuinga o te hunga e pangia ana e te SCAD kāhore he take morearea mō te mate ngakau, pēnei i te toto teitei, te kolesterol teitei, te mate huka rānei. Ka taea e te SCAD te mate whakamomori mena kaore i te āwhina wawe. Tikina te awhina hauora ohorere mena kei a koe ngā tohu o te āwangawanga ngakau—ahakoa ki te whakaaro koe kāhore koe i te tūpono ki te āwangawanga ngakau.
Ko ngā tohu o te SCAD e āhei ana te whakauru: Te mamae o te uma, te pehanga rānei. Te mamae o ngā ringa, o ngā pakihiwi, o te tuara, o te kauae rānei. Te poto o te manawa. Te werawera pērā kore. Te ngenge nui. Te raru o te puku. Te tere o te ngākau, te wiri rānei o te uma. Te mōrehu. Waea atu ki te 911, ki te tau waea urupare o tō rohe rānei, ki te mamae tō uma, ki te whakaaro rānei koe kei te pāngia koe e te ngākau. Ki te kore koe e uru atu ki ngā ratonga hauora āwhina, tēnā kia whakahokia koe e tētahi ki te hōhipera tata. Kaua e tarai koe ake, ki te kore kau he whiringa atu mōu.
Waea atu ki te 111, ki te tau waea urupare tere o tō rohe rānei, ki te pēhia e koe te mamae o te uma, ki te whakaaro rānei koe kei te pāngia koe e te ngākau. Ki te kore koe e uru atu ki ngā ratonga hauora āwhina tere, kia kawea koe e tētahi ki te hōhipera tata rawa atu. Kaua e tarai koe ake, ā, ki te kore kau he huarahi atu.
Ko te take o te wehenga o te ngutu koroni o te ngakau kaore i te mohiotia.
Ko ngā take morearea mō te SCAD ko ēnei: Ko te wahine. Ka taea e te SCAD te pā ki te tangata tetahi. Engari ka pā atu ki ngā wāhine atu i ngā tāne. Te whānautanga. Ko ētahi o ngā wāhine kua pā ki a rātou te SCAD kua whānau mai i te wā tata nei. I pea tēnei nā ngā huringa o ngā homoni me te pēhanga ki ngā oko toto. Kua kitea te SCAD e puta ana i te nuinga o te wā i roto i ngā wiki tuatahi i muri i te whānautanga. Engari ka taea hoki te puta o te SCAD i te wā hapu. Te pēhanga nui. Ka taea e te SCAD te puta i muri i te pēhanga nui. Kei roto i ēnei ngā whakakori tinana kaha me te pouri ngākau nui. Te dysplasia fibromuscular (FMD). Ko tēnei āhuatanga e whakaiti ana i te ngoikoretanga o ngā āti o te tinana o te rahi waenga. Ka āhei te FMD ki te arahi ki ngā raruraru āti penei i te aneurysm, te wehewehe rānei. He nui ake te tūponotanga o ngā wāhine ki te whiwhi i te mea atu i ngā tāne. Ngā āhuatanga ira e pā ana ki te hononga. Kua kitea te puta o ngā mate o Ehlers-Danlos me Marfan i roto i te hunga kua pā ki a rātou te SCAD. Te toto teitei rawa. Ka taea e te toto teitei nui te whakapiki ake i te morearea o te SCAD. Te whakamahinga rongoa ture kore. Ko te whakamahinga o te cocaine, tetahi atu rongoa ture kore rānei, ka piki pea te morearea o te SCAD.
He mate pea o te SCAD ko te ngakau e mate. Ka whakahekehia e te SCAD, ka mutu ranei te rere o te toto i roto i te uaua. Ka whakawaiwai tenei i te ngakau, a ka arahi pea ki te ngakau e mate. He rereke te ngakau e mate ana i te SCAD i te ngakau e mate ana i te nui haere o nga ngako, te kolesterol me etahi atu mea i roto, i runga ranei i nga pakitara o te uaua. Ko te atherosclerosis te ingoa o tenei ahuatanga. I etahi tangata e pangia ana e te SCAD, ka wehe pea nga paparanga o roto me nga paparanga o waho o te uaua. Ka taea te kohikohi toto i waenganui i enei paparanga. Ka taea e te pehanga mai i te toto i kohia te whakaiti i te SCAD. Ahakoa te angitu o te maimoatanga, ka taea te puta ano o te SCAD neke atu i te kotahi wa. Ka puta pea i muri tata mai i te wa tuatahi, i muri i nga tau ranei. Ko te hunga kua pangia e te SCAD tera pea he nui ake te morearea o etahi atu raruraru o te ngakau. Kei roto i enei raruraru te korenga o te ngakau na te kino o te ngakau e mate ana.
Kaore he uara (NaN)
Ko te nuinga o te wā ka taea te whakatau i te SCAD i roto i tetahi wā ohorere. Ka ui pea koe ki ngā pātai e pā ana ki tō hītori hauora whaiaro me tō whānau. Ka mahia ngā whakamātautau hei tirotiro i tō ngākau. Ngā whakamātautau Pūnaha whakauru ngākau pūnaha whakatata Whakawhānuihia te whakaahua Kati Ngā pūnaha whakauru ngākau pūnaha whakatata Ngā pūnaha whakauru ngākau pūnaha whakatata I roto i tētahi mahinga whakauru ngākau, ka whakauru tētahi tākuta i tetahi pūnaha ngawari e kiia nei ko te catheter ki roto i tetahi oko toto. I etahi wā ka whakanohoia ki te uaua ringa, e kiia nei ko te uaua radial. Ka taea rānei te whakanoho ki tetahi uaua i te huha, e kiia nei ko te uaua femoral. Katahi ka arataki te catheter ki te ngākau. Angiography koroni Whakawhānuihia te whakaahua Kati Angiography koroni Angiography koroni I roto i te angiography koroni, ka whakauruhia he pūnaha ngawari e kiia nei ko te catheter ki roto i tetahi uaua, te nuinga o te wā i te huha, ringa, rānei kaki. Ka aratakihia ki te ngākau. Ka taea e te angiography koroni te whakaatu i ngā oko toto kua ārai, kua whakaitihia rānei i te ngākau. Ngākau me ngā uaua koroni whakararangi Whakawhānuihia te whakaahua Kati Ngākau me ngā uaua koroni whakararangi Ngākau me ngā uaua koroni whakararangi I etahi āhuatanga hauora, ka whakararangi pea ngā uaua i te ngākau. Ko ngā uaua ngākau te ingoa o ngā uaua koroni. Ko ngā uaua whakararangi te ingoa o ngā uaua whakararangi. Ko ngā whakamātautau hei whakatau i te SCAD he rite ki ngā whakamātautau i whakamahia hei kimi i te āwangawanga ngākau. Ka uru pea enei ki: Ngā whakamātautau toto. Ka pakaru haere ngā pūtau ngākau motuhake ki roto i te toto i muri i te pakaru o te ngākau mai i te āwangawanga ngākau. Ka taea e ngā whakamātautau toto te tirotiro i ēnei pūtau. Ka taea hoki te mahi i ētahi atu whakamātautau toto. Electrocardiogram (ECG, EKG rānei). Ka tirotirohia e tēnei whakamātautau tere te mahi hiko o te ngākau. Ka taea te whakaatu i te tere, te ngāwari rānei o te whiti o te ngākau. Ka piri ngā papatahi piri e kiia nei ko ngā electrodes ki te uma, ā, i etahi wā ki ngā ringa me ngā waewae. Ka taea e te electrocardiogram (ECG) te kōrero mena kei te pāngia koe e te āwangawanga ngākau, kua pāngia rānei koe e te āwangawanga ngākau. Angiography koroni. Ka titiro tēnei whakamātautau ki roto i ngā uaua ngākau. Ka whakanoho tētahi tākuta i tetahi pūnaha roa, angiangi, ngawari e kiia nei ko te catheter ki roto i tetahi oko toto, te nuinga o te wā i te huha, ringa rānei. Ka aratakihia ki te ngākau. Ka rere te tae i roto i te pūnaha ki ngā uaua. Ka āwhina te tae ki te whakaatu i ngā uaua kia mārama ake i runga i ngā whakaahua me ngā ataata. Ka taea e te angiography koroni te whakatau i te SCAD. Ka taea hoki te whakaatu i ngā uaua whakararangi. Ka taea te mahi i ētahi atu whakamātautau i te wā o te angiography koroni hei whakau i te SCAD me te whakarite i te maimoatanga. Ko ēnei whakamātautau ko: Optical coherence tomography (OCT). Ka whakamahi tēnei whakamātautau i te mārama hei titiro ki roto i ngā oko toto me ngā pakitara oko toto. Ka whakauru te tākuta i tetahi pūnaha ngawari e kiia nei ko te catheter ki roto i tetahi oko toto, ka arataki ki te ngākau. Ka whiti he rama mai i te catheter. Ka taea e te whakamātautau te āwhina ki te whakatau tika i te take o te āwangawanga ngākau. Intravascular ultrasound (IVUS). Ka whakamahia ngā ngaru oro hei tango i ngā whakaahua o roto o ngā uaua ngākau. Ka whakauru te tākuta i tetahi pūnaha ngawari e kiia nei ko te catheter ki roto i tetahi oko toto, ka arataki ki te ngākau. Ka tukuna e te taputapu kei te pito o te pūnaha ngā ngaru oro. Ka titiro tētahi rorohiko ki ngā ngaru oro e hoki mai ana, ka huri ki ngā whakaahua o ngā uaua ngākau. Ngākainga i te Kura Hauora o Mayo Ka taea e to tātau rōpū manaaki o ngā tohunga Kura Hauora o Mayo te āwhina i a koe ki ō kaupapa hauora e pā ana ki te wehewehenga uaua koroni tūturu (SCAD) Tīmata konei Ētahi atu mōhiohio Ngākainga wehewehenga uaua koroni tūturu (SCAD) i te Kura Hauora o Mayo Whakauru ngākau Angiography koroni CT angiography koroni X-ray Whakaatu atu ngā mōhiohio e pā ana
Ko ngā whāinga o te rongoā SCAD ko te: Whakahoki i te rere o te toto ki te ngakau. Whakahaere i te mamae o te uma. Ārai i te SCAD kei puta anō. Ka uru pea te rongoā ki ngā rongoā me te mahi, te pokanga rānei hei whakatuwhera i te ātiretā me te whakahoki i te rere o te toto. Ūa noa te ora ake o te SCAD. Ko te momo rongoā mō te SCAD e whakaū ana ki tō hauora whānui me te rāhi me te wāhi o te pakaru i te ātiretā. Rongoā Ko ētahi o ngā tāngata e pangia ana e te SCAD e hiahia ana ki ngā rongoā hei whakaora i ngā tohu. Ki te haere tonu te mamae o te uma, ētahi atu tohu rānei, ka hiahiatia pea ētahi atu rongoā. Ko ngā rongoā hei whakaora i te SCAD ka uru pea ki: Aspirin. Ko te inu aspirin mo te wā roa ka āwhina pea ki te whakaiti i te tūponotanga o te mate ngakau i muri i te SCAD. Kōrero atu ki te kaimahi hauora hei whakatau mena he tika te rongoā aspirin o ia rā mōu. Rongoā toto teitei. He maha ngā rongoā kei te wātea hei whakaiti i te toto teitei. Ka hiahia pea koe ki te inu i ēnei rongoā mō te ora hei whakaiti i te tūponotanga o tetahi atu SCAD. Rongoā hei whakahaere i te mamae o te uma. Ko ngā rongoā e kiia nei ko ngā nitrates me ngā kaihoroi kauae kōhatu ka āwhina pea ki te whakaora i te mamae o te uma i muri i te SCAD. Pokanga, ētahi atu mahi rānei Ko ētahi o ngā tāngata e pangia ana e te SCAD e hiahia ana ki te pokanga, te mahi rānei hei whakatika i te ātiretā me te whakapai ake i te rere o te toto ki te ngakau. Ka uru pea ēnei rongoā ki: Coronary angioplasty (AN-jee-o-plas-tee) me te stent. Ka hiahiatia pea tēnei rongoā ki te aukati te SCAD i te rere o te toto ki te ngakau, ki te kore rānei ngā rongoā e whakahaere i te mamae o te uma. I te wā o te mahi, ka whakanoho te taote i te pūtu roroa, angiangi, ngāwari te whakawehe e kiia nei he catheter ki roto i te oko toto, te nuinga i te huha, te ringa rānei. Ka ārahihia ki te ngakau. Ka whānui ake te pōro iti kei te pito o te catheter hei whakatuwhera i te ātiretā. Katahi, ka whakanoho te taote i te pūtu whatu iti e kiia nei he stent ki roto i te ātiretā. Ka pupuri te stent i te ātiretā kia tuwhera me te whakapai ake i te rere o te toto. Ka tangohia te pōro. Ka noho tonu te stent. Ko tetahi atu ingoa mō tēnei rongoā ko te percutaneous coronary intervention, te PCI rānei. Coronary artery bypass surgery. Ko tēnei pokanga ngakau tuwhera e hanga ana i tētahi ara hou mō te toto kia rere ki te taha o te ātiretā kua aukati, kua whakakāhoretia rānei. Ka taea te mahi mena ka kore ētahi atu rongoā SCAD e mahi, mena kei a koe neke atu i te kotahi te pakaru. Ka tango te taote i te oko toto hauora mai i te uma, te waewae rānei. Ko tēnei oko hauora e kiia nei he graft. Ko tetahi pito o te graft ka taia ki te ātiretā i raro i te aukatinga. Ko tetahi atu pito ka taia ki te ngakau. Ko ētahi atu ingoa mō tēnei pokanga ko te pokanga ngakau, te coronary artery bypass grafting, te CABG rānei—e kiia ana ko te "kāpeti". 懷孕 Ki te pangia koe e te SCAD, korero atu ki te kaimahi hauora i mua i te hapu. Ka kore pea te hapu e ora i muri i te SCAD. Whakaora ngakau I muri i te rongoā mō te SCAD, me ngā tirotiro auau koe me tō rōpū hauora. Ka taea te whakaarohia he kaupapa whakangungu me te mātauranga whaiaro. Koinei te whakaora ngakau, e kiia ana hoki ko te whakaora ngakau. I hangaia hei āwhina i a koe ki te ora mai i te āhuatanga ngakau nui. Ko te kaupapa te nuinga e uru ana ki te whakangungu i raro i te tiaki, te tautoko hinengaro me te mātauranga mō te kai hauora ngakau. Ētahi atu mōhiohio Te tiaki SCAD (Spontaneous coronary artery dissection) i te Mayo Clinic Te whakaora ngakau Te coronary angioplasty me ngā stent Te pokanga coronary artery bypass Whakaatu atu ētahi atu mōhiohio tono whakatau
Ko ētahi atu pea ka wehi, ka pouri, ka riri, ka ngākau pouri rānei i muri i te SCAD. Ka āwhina pea te mārama ki tō hauora me te kōrero ki ētahi atu. Whakamātauria ēnei tohutohu: Akohia te SCAD. Ka āwhina pea te mohiotanga ki ngā kōrero kia ngāwari ake te kōrero ki tō rōpū tiaki hauora. Pātaihia te rahi o te pakaru o tō uaua me te wāhi kei reira. Mārama ki ngā maimoatanga ka whiwhi koe me te take e hiahia ana koe ki a rātou. Pātaihia te wāhi ka kitea e koe atu ētahi atu kōrero. Hono atu ki tētahi rōpū tautoko. Ka āwhina pea te hono atu ki ētahi atu e mōhio ana ki te mea e tū ana koe. Pātai atu ki tō rōpū tiaki hauora mēnā kei te wāhi kei a koe etahi rōpū tautoko SCAD, hauora ngākau rānei.
Ka pea pea kore e whai wā koe ki te whakarite. I te nuinga o te wā, ka taea te whakatau i te SCAD i roto i tetahi āhuatanga ohorere. Ki te whai mamae koe i te uma, ki te whakaaro rānei kei te pāngia koe e te ngākau, waea atu tonu ki te 911, ki te nama urupare o to rohe rānei. I muri i te tautuhi i te SCAD, tera pea he pātai kōrero mō tō hauora. Whakamahia he rārangi o ngā pānui hei ui ki tō kaiwhakarato hauora i tō hui e whai ake nei, pēnei i: He aha te take i pangia ai ahau e te SCAD? He aha ngā whakamātautau e hiahia ana ahau? He aha te maimoatanga tino tika? Ka ora ake rānei te pakaru i roto i taku uaua toto? He aha taku tūponotanga ki te whiwhi i tētahi atu SCAD? Kei ahau tetahi āhuatanga o te oko toto, pēnei i te dysplasia fibromuscular, e kiia ana hoki ko te FMD? Kei ahau ētahi atu āhuatanga hauora. Me pēhea te whakahaere pai i a rātou tahi? He aha ngā ārai mahi, kai rānei e hiahia ana ahau ki te whai? He haumaru mōku te hapu? He pukapuka, he rauemi tā i tārua rānei e taea e au te whiwhi? He aha ngā paetukutuku e tūtohutia ana e koe? Kaua e whakaroa ki te ui i ētahi atu pānui kei a koe. Na te kaimahi o te Kura Hauora o Mayo
Whakakape: He tūāpapa pārongo hauora a Ākuhata ā, ehara ōna whakautu i te tohutohu rongoā. Me kōrero tonu ki tētahi rata whai raihana e pātata ana ki a koe i mua i tētahi whakarerekētanga.
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