He aha te Whakamātau Kore-Whakaaro o te Aorere Karauna? Tohutohu, Take, me te Maimoatanga

Ka puta te whakamātau kore-whakaaro o te aorere karauna (SCAD) ina puta he pakaru i te pakitara o te aorere karauna kahore he whara, kahore hoki he mahi hauora. Ka hanga tēnei pakaru i te awa teka ka taea te aukati i te rere o te toto ki te uaua o tō ngakau, ka āhei pea te whakaputa i te mate ngakau.

Ahakoa ka rongo pea tenei āhuatanga he wehi, ko te mārama ki te SCAD ka taea te āwhina i a koe ki te mohio ki ōna tohu me te rapu i te tiaki tika. He maha atu i ngā wāhine, ina koa ētahi i raro i te 50, ā, ka puta i ngā wā o te ahotea tinana, o te ahotea hinengaro rānei.

He aha te Whakamātau Kore-Whakaaro o te Aorere Karauna?

Ko te SCAD he āhuatanga ngakau kei reira te paparanga o roto o te aorere karauna ka pakaru, ka wehe rānei i ngā paparanga o waho. Whakaarohia te pepa pakitara e wehe ana i te pakitara, ka hangaia he putea i waenganui i ngā paparanga.

Ina puta tēnei wehenga, ka taea e te toto te rere ki roto i tēnei putea teka, kaua ki te neke maeneene i roto i te aorere. Ka whakaroa tēnei i te rere o te toto ki te uaua o tō ngakau, e hiahia ana ki te tuku pumau o te toto whai-hākari-oxygen hei mahi tika.

Kāore i rite ki ngā mate ngakau noa e puta ana i te hanga o te papa, ka pā pea te SCAD ki ngā tāngata he aorere hauora. Ka taea e te āhuatanga te whakaora i a ia ano i roto i te maha o ngā take, engari e hiahia ana ki te tirotiro hauora me te whakahaere ata.

He aha ngā Tohutohu o te Whakamātau Kore-Whakaaro o te Aorere Karauna?

Ko te tohu tino noa o te SCAD ko te mamae uma e rite ana ki te mate ngakau. Ka puta pea tēnei mamae i te wa poto, ka taea te pehi, te pehi, te tahuna rānei i tō uma.

Ko ēnei ngā tohu matua ka pā pea ki a koe:

• Te mamae uma nui, te pehanga rānei, e roa atu ana i te 20 meneti
• Te mamae e horapa ana ki ō ringa, kaki, kauae, tua rānei
• Te poto o te manawa, te uaua rānei ki te manawa
• Te ruaki, te ruaki rānei
• Te werawera, te makariri rānei
• Te wiri, te mārama rānei
• Te ngenge koretake, te ngoikore rānei
• Te pupuhi o te ngakau, te koretake rānei o te ngakau

Ka pā pea ki ētahi ngā tohu ngawari e haere mai ana, ka haere atu rānei, engari ko ētahi atu he mamae nui e rite ana ki te mate ngakau noa. Ko te mea nui ko ēnei tohu ka puta pea i te wa poto ki ngā tāngata i hauora i mua.

He aha ngā Momo o te Whakamātau Kore-Whakaaro o te Aorere Karauna?

Ka wehea te SCAD ki ngā momo rerekē i runga i te ahua o te pakaru i ngā whakamātau whakaahua. Ko te mārama ki ēnei momo ka āwhina i ngā tākuta ki te whakatau i te huarahi maimoatanga pai mō tō āhuatanga motuhake.

Ka whakaatu te momo 1 SCAD i te pakaru mārama me te toto e kohikohi ana i waenganui i ngā paparanga aorere. He ngāwari ake te kite i tēnei momo i ngā whakamātau whakaahua, ā, ko te 30% pea o ngā take.

Ka puta te momo 2 SCAD hei wāhanga roa, he iti te whānui o te aorere kahore he pakaru e kitea ana. Ka puta tēnei ina horapa te toto i waenganui i ngā paparanga i runga i te tawhiti roa, ka hangaia he ahua "hurihuri sausages" i runga i te whakaahua.

Ko te momo 3 SCAD te ahua o te wāhanga poto, he iti te whānui ka taea te pohehe ki te atherosclerosis (te hanga o te papa). Ko tēnei momo te uaua ki te whakatau, ā, e hiahia ana ki te aromatawai ata mai i ngā kaitātari ngakau whai wheako.

He aha ngā Take o te Whakamātau Kore-Whakaaro o te Aorere Karauna?

Kāore i te marama tonu te take tika o te SCAD, engari e whakapono ana ngā kairangahau ka puta mai i te whakakotahitanga o ngā take e whakawai ana i te pakitara aorere. Ka taea e ēnei take te whakaiti i te ngawari o te aorere ki te pakaru i te kore whakaaro.

Ka taea e te maha o ngā āhuatanga me ngā whakaohooho te whakauru ki te whanaketanga SCAD:

• Te dysplasia fibromuscular (he āhuatanga e pā ana ki ngā pakitara aorere)
• Ngā mate hononga pērā i te mate Ehlers-Danlos
• Ngā mate autoimmune pērā i te lupus, te mate pūkahukahu rānei
• Te hapu me te wā muri i te whānau (ngā huringa homoni)
• Te kaha o te mahi tinana, te whakakori tinana nui rānei
• Te ahotea hinengaro nui, te trauma rānei
• Ētahi rongoā, ina koa ngā homoni
• Te ruaki, te kōhinga, te kaha rānei (te pēhanga nui)

I ētahi wā, ka puta te SCAD kahore he whakaohooho, he āhuatanga taketake rānei e kitea ana. Ka taea e tēnei kore-whakaaro te ahua o te awangawanga, engari he mea nui kia mōhio kei te SCAD koe kāore i te tikanga i mahi koe i tetahi mea he, i taea rānei te aukati.

Nōhea te Tiro ki te Tākutu mō te Whakamātau Kore-Whakaaro o te Aorere Karauna?

Me rapu wawe koe i te awhina hauora āwangawanga mena ka pā ki a koe te mamae uma, ina koa ki te ahua nui, ki te haere tahi rānei me ētahi atu tohu mate ngakau. Kaua e tatari kia ngaro te mamae.

Waea atu ki te 111 inaianei mena he mamae uma koe me te poto o te manawa, te ruaki, te werawera, te mamae rānei e horapa ana ki ō ringa, kaki, kauae rānei. E hiahia ana ēnei tohu ki te aromatawai wawe, ahakoa tō tau, tō morearea rānei ki te mate ngakau.

Ahakoa he ngawari ngā tohu, he haere mai ana, he haere atu rānei, he pai ake te aromatawai wawe. Ka taea e te SCAD te pā ki ngā tāngata taitamariki, hauora e kore pea e whakaaro he morearea rātou ki ngā raruraru ngakau.

Mena kua whakatauhia koe ki te SCAD, whakapiri atu ki tō kaitātari ngakau mena ka pā ki a koe te hokinga mai o te mamae uma, te poto o te manawa hou, tetahi atu tohu rānei e awangawanga ana. He mea nui te tiaki whai muri mo te tirotiro i tō āhuatanga.

He aha ngā Take Morearea mō te Whakamātau Kore-Whakaaro o te Aorere Karauna?

He take morearea motuhake tō te SCAD e rerekē ana i te mate ngakau noa. Ko te mārama ki ēnei ka taea te āwhina i a koe me tō tākuta ki te aromatawai i tō morearea motuhake me te whakarite i te tiaki tika.

Ko ēnei ngā take morearea tino nui:

• Ko te wahine (ko te 90% pea o ngā take ka puta ki ngā wāhine)
• Te tau i waenganui i te 30-50 tau
• Te haputanga hou, te whānau rānei (tae atu ki te 12 wiki i muri i te whānau)
• Te dysplasia fibromuscular (kei te 50% pea o ngā turoro SCAD)
• Ngā mate hononga
• Ngā mate autoimmune
• Te hītori whānau o te SCAD
• Ngā mamae migraine
• Te hītori o te pouri, te manukanuka rānei
• Te maha o ngā haputanga (he maha ngā haputanga)

Kāore i rite ki te mate ngakau noa, ka noho noa te SCAD ki ngā tāngata he take morearea noa pērā i te cholesterol teitei, te whakakī, te mate huka rānei. Ka hangaia tēnei he mea nui rawa atu te mohio ka taea e ngā raruraru ngakau te pā ki te tangata katoa, ahakoa tō rātou ahua hauora whānui.

He aha ngā Raru pea o te Whakamātau Kore-Whakaaro o te Aorere Karauna?

Ahakoa ka ora pai te nuinga o ngā tāngata he SCAD, ka taea e te āhuatanga te arahi ki ngā raruraru nui e hiahia ana ki te tiaki hauora tonu. Ko te mārama ki ēnei wāhi ka āwhina i a koe ki te pupuri i tō hauora ngakau.

Ko ēnei ngā raruraru tino wawe:

• Te mate ngakau (myocardial infarction)
• Ngā āhuatanga koretake o te ngakau (arrhythmias)
• Te kore o te ngakau mai i te uaua ngakau i pakaru
• Te pakaru cardiogenic (te hekenga nui o te toto)
• Te mutu o te ngakau ohorere
• Te horapa o te whakamātau ki ētahi atu aorere

Ka puta pea ngā raruraru roa i te wa roa, ā, ko te hokinga mai o ngā wāhanga SCAD, e puta ana i te 10-20% pea o ngā turoro. Ka pā pea ki ētahi te mamae uma tonu, te whanaketanga rānei o te manukanuka mō tō rātou hauora ngakau.

Ko te rongo pai ko te tiaki hauora tika me te tirotiro, ka taea e te nuinga o ngā tāngata he SCAD te tumanako i te poroporoaki pai. Ka mahi tahi tō rōpū hauora ki a koe ki te whakaiti i ēnei morearea me te āwhina i a koe ki te pupuri i tō hauora ngakau.

Me pēhea te Whakatau i te Whakamātau Kore-Whakaaro o te Aorere Karauna?

Ko te whakatau i te SCAD e hiahia ana ki ngā whakamātau whakaahua motuhake ka taea te whakaatu i te pakaru i tō aorere karauna. Ka tīmata pea te tukanga i te rūma āwangawanga mena he tohu kei a koe e whakaatu ana i te mate ngakau.

Ka tīmata tō tākuta me ngā whakamātau taketake pērā i te electrocardiogram (EKG) hei tirotiro i te mahi hiko o tō ngakau me ngā whakamātau toto hei rapu i ngā tohu o te pakaru o te ngakau. Ka āwhina ēnei whakamātau ki te whakatau mena kei te mate ngakau koe, engari kāore e whakatau tika i te SCAD.

Ko te whakamātau whakatau matua ko te angiography karauna, kei reira te pūtau angiangi e whakauruhia ana ki ō oko toto, ā, ka whakamahia te tae whakakā hei whakaatu i ō aorere karauna. Ka taea e tēnei tukanga te whakaatu i te ahua o te SCAD me te āwhina ki te wehe i ngā take o te mate ngakau.

I ētahi wā, e hiahiatia ana ngā whakaahua atu pērā i te ultrasound intravascular, te tomography whakamarama rānei hei tiki i te whakaahua mārama ake o te pakitara aorere. Ka whakarato ēnei whakamātau i ngā whakaahua taipitopito e āwhina ana ki te whakau i te whakatau me te arahi i ngā whakatau maimoatanga.

He aha te Maimoatanga mō te Whakamātau Kore-Whakaaro o te Aorere Karauna?

Ko te maimoatanga mō te SCAD e whakawhirinaki ana ki ngā take maha, tae atu ki te wāhi me te nui o te whakamātau, ō tohu, me tō hauora whānui. Ko te wāhi e noho ana he māori atu i te maimoatanga mō ngā mate ngakau noa.

Ko te nuinga o ngā take o te SCAD ka whakahaerehia me ngā rongoā, kaua ki ngā tukanga wawe. Ka taea e tēnei wāhi māori te whakaora i te aorere i te āhua noa, me te tiaki i tō ngakau me te aukati i ngā raruraru.

Ko ngā rongoā noa:

• Aspirin hei aukati i ngā toto
• Ngā beta-blockers hei whakaiti i te tere o te ngakau me te toto
• Ngā ACE inhibitors, ngā ARBs rānei hei tiaki i tō ngakau
• Ngā statins hei whakau i ngā pakitara aorere
• Clopidogrel (Plavix) mō te aukati atu o te toto

I roto i ngā take nui kei reira te aukati nui o te aorere, ka tūtohu pea tō tākuta i te whakauru karauna percutaneous (PCI) te stenting rānei. Heoi, he nui ake ngā morearea o ēnei tukanga i ngā turoro SCAD, no te mea kua pakaru te pakitara aorere.

Kāore e hiahiatia te pokanga bypass āwangawanga, engari ka whakaarohia pea mena he maha ngā aorere e pā ana, mena kāore ētahi atu maimoatanga e angitu.

Me pēhea te Tango i te Maimoatanga Kāinga i te Wā o te Whakamātau Kore-Whakaaro o te Aorere Karauna?

Ko te whakahaere i te SCAD i te kāinga e arotahi ana ki te tautoko i te tukanga whakaora o tō ngakau me te aukati i ngā raruraru. Kei roto i tēnei te tango i ngā rongoā e whakaritea ana me te hanga i ngā whakarerekētanga oranga e whakatairanga ana i te hauora ngakau.

Tangohia ngā rongoā katoa kia rite ki te whakarite a tō tākuta, ahakoa kei te pai ake koe. Kei a ēnei rongoā ngā mahi nui ki te tiaki i tō ngakau me te aukati i ngā toto i te wā whakaora.

He mea nui te whakarerekē i te mahi i te wā whakaora. Ka tūtohu pea tō tākuta ki te karo i te whakakori kaha me te kawe i ngā mea taimaha mō ngā wiki, ngā marama rānei. Ko ngā mahi ngawari pērā i te hikoi ka whakaohoohohia pea ina pumau koe.

Ka noho te whakahaere ahotea hei mea nui, no te mea ka taea e te ahotea hinengaro te whakaohooho i te SCAD. Whakaarohia te ako i ngā tikanga whakamahinga, te mahi i te manawa hohonu, te mahi rānei me te kaiāwhina mena kei te manukanuka koe mō tō whakatau.

Tirohia ō tohu ata, kia mōhio hoki ki te rapu awhina. Pupurihia he rārangi o ngā tohu whakatūpato pērā i te mamae uma, te poto o te manawa, te ngenge koretake rānei, kaua hoki e whakaroa ki te whakapiri atu ki tō rōpū hauora mena ka puta ēnei.

Me pēhea te Aukati i te Whakamātau Kore-Whakaaro o te Aorere Karauna?

Heoi, kāore he huarahi kī hei aukati i te SCAD, no te mea ka puta pea i te kore whakaaro kahore he whakatūpato. Heoi, ka taea e koe te tango i ngā kaupae hei whakaiti i tō morearea me te tautoko i tō hauora ngakau whānui.

He mea nui te whakahaere i ngā āhuatanga taketake e whakanui ana i te morearea SCAD. Mena he dysplasia fibromuscular koe, ngā mate hononga, ngā mate autoimmune rānei, mahi tata atu ki tō rōpū hauora hei pupuri i ēnei āhuatanga kia pai te whakahaere.

Whakaarohia ngā whakarerekētanga oranga e tautoko ana i te hauora ngakau, pērā i te whakakori ngawari tonu, te kai hauora ngakau, te moe tika, te whakahaere ahotea rānei. Ahakoa kāore ēnei e aukati tika i te SCAD, ka taea e rātou te āwhina i tō pūnaha ngakau kia noho hauora rawa.

Mena kua pā ki a koe te SCAD i mua, ka noho hei mea nui te karo i ngā whakaohooho e mohiotia ana. Ka uru pea tenei ki te whakahaere i ngā taumata ahotea, te karo i te kaha o te mahi tinana, te kōrero rānei mo ngā morearea me ngā painga o ngā rongoā homoni ki tō tākuta.

He mea nui te tiaki whai muri tonu me te kaitātari ngakau e mārama ana ki te SCAD. Ka taea e rātou te tirotiro i tō āhuatanga, te whakarite i ngā rongoā kia rite ki te hiahia, me te matawai hoki mō ētahi atu āhuatanga ka whakanui pea i tō morearea.

Me pēhea te Whakarite mō tō Hui Tākutu?

Ko te whakarite mō tō hui e āwhina ana ki te whakarite ka whiwhi koe i te nuinga mai i tō wā me tō rōpū hauora. Tīmata ma te tuhi i ō tohu katoa, tae atu ki te wā i tīmata ai, te roa o te roa, me te mea i mahi koe i te wā i puta ai.

Kawe mai he rārangi katoa o ngā rongoā, ngā taapiri, ngā huaora katoa e tangohia ana e koe. Kei roto hoki ngā horopeta me te maha o te tango. Huihuia hoki ngā rekoata hauora, ngā hua whakamātau rānei mai i ētahi atu kaiwhakarato hauora.

Tuhia ō pūrongo i mua i te hui kia kaua e wareware ki te ui i ngā mea nui. Ko ngā pūrongo noa ka uru pea ki te take i puta ai tō SCAD, ngā whiringa maimoatanga, me ngā mahi me karo e koe.

Whakaarohia te kawe mai i te mema whānau, te hoa rānei hei āwhina i a koe ki te mahara ki ngā korero i kōrerotia i te wā o te hui. Ka taea hoki e rātou te whakarato i te tautoko hinengaro me te āwhina i te tautoko i ō hiahia.

Kia rite ki te kōrero mō tō hītori whānau o te mate ngakau, ngā kaupapa ahotea hou, me ō tikanga oranga o nāianei. Ka āwhina tēnei korero i tō tākuta ki te mārama ki ō take morearea motuhake me te whakawhanake i te mahere maimoatanga pai.

He aha te Tango Matua mō te Whakamātau Kore-Whakaaro o te Aorere Karauna?

Ko te SCAD he momo motuhake o te mate ngakau e pā ana ki ngā wāhine taitamariki, hauora, ā, ka puta pea i te kore whakaaro. Ahakoa ka rongo pea tenei he wehi, ko te mārama he āhuatanga e mohiotia ana me ngā maimoatanga e whakatūria ana ka taea te whakawhirinaki.

Ko te mea nui rawa atu hei mahara ko te SCAD ka taea te maimoatanga, ā, ka haere tonu te maha o ngā tāngata ki te noho i ngā oranga noa, hauora i muri i te whakatau. Ko te mahi tata atu ki te kaitātari ngakau e mārama ana ki tēnei āhuatanga he mea nui mō tō tiaki tonu.

Whakaarohia tō tinana, rapu hoki i te tiaki hauora mena ka pā ki a koe te mamae uma, ētahi atu tohu mate ngakau rānei, ahakoa tō tau, tō morearea rānei e whakaarohia ana. Ko te mohiotanga wawe me te maimoatanga ka taea te whakarereke nui ki tō hua.

Ahakoa kāore e taea e koe te aukati katoa i te SCAD, ka taea e koe te tango i ngā kaupae hei tautoko i tō hauora ngakau me te whakaiti i tō morearea o ngā raruraru. Noho hono atu ki tō rōpū hauora, tangohia ngā rongoā e whakaritea ana, kaua hoki e whakaroa ki te whakapiri atu mena he awangawanga kei a koe.

Ngā Pūrongo Nui e Pā ana ki te Whakamātau Kore-Whakaaro o te Aorere Karauna

Q1: Ka taea te puta atu i te kotahi te SCAD?

Ae, ka taea te hokinga mai o te SCAD i te 10-20% pea o ngā turoro, i roto i ngā tau torutoru i muri i te wāhanga tuatahi. Koinei te take he mea nui te tiaki whai muri tonu me te kaitātari ngakau. Ka tirotiro ata koe e tō tākuta, ā, ka tūtohu pea i ngā rongoā hei whakaiti i tō morearea o te hokinga mai. Mena kua pā ki a koe te SCAD i mua, he mea nui te mohio ki ngā tohu whakatūpato me te rapu i te tiaki hauora wawe mena ka hokinga mai ngā tohu.

Q2: He haumaru te whakakori i muri i te SCAD?

Ka taea e te nuinga o ngā tāngata te hoki ki te whakakori i muri i te SCAD, engari me mahi tēnei i te wa poto, i raro hoki i te tirotiro hauora. Ka tūtohu pea tō tākuta ki te karo i ngā mahi kaha i te tīmatanga, ā, ka tūtohu pea i te whakaora ngakau hei āwhina i a koe ki te hoki haumaru ki te mahi tinana. Ko te mea nui ko te kimi i te taurite tika i waenganui i te noho mahi mō tō hauora ngakau me te karo i ngā mahi ka taea te whakaohooho i tetahi atu wāhanga.

Q3: Ka taea e au te haputanga noa i muri i te SCAD?

Ka taea e te maha o ngā wāhine te haputanga angitu i muri i te SCAD, engari e hiahia ana tenei ki te whakarite ata me te tirotiro me tō kaitātari ngakau me tō tohunga whānau. Ka whakanui te haputanga i te morearea o te hokinga mai o te SCAD, no reira me pauna e tō rōpū hauora ngā morearea me ngā painga. Mena kei te whakaaro koe ki te haputanga, kōrerohia tēnei me tō kaitātari ngakau i mua i te ngana ki te whānau.

Q4: He kai, he taapiri rānei me karo e au me te SCAD?

Kāore he kai motuhake me karo e koe, engari ko te whai i te kai hauora ngakau e tūtohutia ana. Ka tūtohu ētahi tākuta ki te whakaiti i te caffeine me te karo i ngā taapiri ka pā pea ki te toto, engari me motuhake ēnei whakatau. Kōrerohia tonu ngā taapiri kai, ngā huringa kai nui rānei ki tō kaitātari ngakau i mua i te mahi.

Q5: Me tango e au ngā rongoā ngakau mō te toenga o toku oranga?

E whakawhirinaki ana tenei ki tō āhuatanga motuhake me te pai o tō whakaora mai i te SCAD. E hiahia ana ētahi tāngata ki ngā rongoā roa hei tiaki i tō rātou ngakau me te aukati i ngā raruraru, engari ka taea e ētahi atu te whakaiti, te mutu rānei i ētahi rongoā i te wa roa. Ka arotake tonu tō kaitātari ngakau i ō rongoā, ā, ka whakarite i rātou i runga i tō āhuatanga hauora me ō take morearea.