He aha te Tachycardia? Ngā Tohutohu, Ngā Take, me te Maimoatanga

Ko te tachycardia te tere o te whiti o tō ngakau atu i te noa i te wā e okioki ana koe. Ko te tikanga o te whiti o tō ngakau i waenganui i te 60 ki te 100 i ia meneti i te wā e māha ana koe, engari me te tachycardia, ka tere ake i te 100 i ia meneti.

Ka taea e tēnei whiti tere te puta ki te tangata katoa, ā, ehara i te mea kino tonu. I etahi wā ka tere ake tō ngakau mō ngā take noa, pēnei i te wā e whakakori tinana ana koe, i te wā rānei e koa ana koe. Heoi, ki te puta mai kahore he take mārama, ki te āwangawanga rānei, he mea tika kia mōhio koe ki te aha pea e puta mai ana.

He aha ngā tohu o te tachycardia?

He tokomaha ngā tāngata e pangia ana e te tachycardia e mōhio ana ki te tere o te whiti o tō rātou ngakau, ki te pupuhi rānei i roto i tō rātou uma. Ka āta kite pea koe i tēnei whiti tere ahakoa kei te noho māha koe, kei te takoto rānei.

Ko ēnei ngā tohu ka pā pea ki a koe ina tere ake te whiti o tō ngakau:

• Te whiti tere, te kore ranei o te whiti e taea te kite
• Te mamae, te kore ranei o te ngākau i roto i te uma
• Te poto o te manawa, ahakoa i te wā e mahi ngāwari ana
• Te mokemoke, te mārama rānei o te upoko
• Te ngenge, te ngoikore rānei
• Te ngaro o te ngākau, te tata rānei ki te ngaro o te ngākau
• Te werawera nui atu i te noa
• Te manukanuka, te kore rānei o te ata noho

Kāhore etahi e kite i ngā tohu, ina koa ki te ngawari te tachycardia. Ka taea e tō tinana te whakarite ki te whiti tere o te ngakau, ka iti ake te kite i te ao o ia rā.

He aha ngā momo tachycardia?

He maha ngā momo tachycardia, kei te wāhi o tō ngakau te timatanga o te whiti tere. He āhua anō, he take anō ō ia momo.

Ko ēnei ngā momo matua:

• Sinus tachycardia: Ka tere ake te kaiārahi o tō ngakau, i te nuinga na te ahotea, te kirika, te whakakori tinana rānei
• Atrial fibrillation: Ka kore te whiti o ngā ruma o runga o tō ngakau, ā, i te nuinga ka tere rawa
• Atrial flutter: He rite ki te atrial fibrillation, engari he whiti tere ake, he tika ake
• Supraventricular tachycardia (SVT): Te whiti tere e tīmata ana i runga ake i ngā ruma pupuhi matua o te ngakau
• Ventricular tachycardia: Te whiti tere e tīmata ana i ngā ruma o raro o te ngakau
• Ventricular fibrillation: He whiti kino, he kore tikanga, e hiahia ana ki te tiaki hauora tonu

Ka taea e tō tākuta te whakatau i te momo kei a koe mā ngā whakamātautau pēnei i te electrocardiogram (ECG). Ko te mōhio ki te momo motuhake ka āwhina i te huarahi maimoatanga pai.

He aha ngā take o te tachycardia?

Ka taea te whanake o te tachycardia i ngā whakaohooho maha, mai i te ahotea o ia rā ki ngā āhuatanga hauora. Ka tere pea tō ngakau hei whakautu noa ki te aha kei roto i tō tinana, i tō taiao rānei.

Ko ēnei ngā take noa:

• Te ahotea tinana, te ahotea wairua rānei
• Te kirika, te mate rānei
• Te kore wai
• Te nui o te caffeine, te waipiro rānei
• Ngā rongoā, ngā taapiri rānei
• Te kai hikareti, te whakamahi i te nikotine rānei
• Te iti o te huka toto
• Te anemia (te iti o te rino i roto i te toto)
• Ngā raruraru o te thyroid
• Te moe apnea

Ko etahi take iti ake, engari he kino ake, ka uru atu ki te mate ngakau, ngā raruraru hiko i roto i te ngakau, ngā āhuatanga ira rānei. Ka taea e ēnei āhuatanga ngakau te whakapakari i tō ngakau ki te whanake i ngā whiti tere.

I etahi wā, ka puta mai te tachycardia i ngā āhuatanga kino penei i ngā ngākau mate, ngā mate kino, ngā toto kōtiti rānei i roto i ngā pūkahukahu. Ko ēnei āhuatanga i te nuinga ka puta mai me ētahi atu tohu nui e tino kore ai koe e pai.

Nōhea te haere ki te tākuta mō te tachycardia?

Me whakapiri atu koe ki tō tākuta ki te kite koe i te tere o tō ngakau, ki te puta mai rānei te whiti tere me ētahi atu tohu āwangawanga. Ahakoa he noa te whiti tere i etahi wā, ko ngā wāhanga mau tonu, ngā wāhanga rānei e āwangawanga ana e tika ana kia whakarongohia e te hauora.

Rapua te tiaki hauora tonu ki te pāngia koe e:

• Te mamae, te pehanga rānei o te uma
• Te poto o te manawa
• Te ngaro o te ngākau, te ngaro rānei o te mohio
• Te mokemoke nui
• Te whiti o te ngakau i runga ake i te 150 i ia meneti

Whakaritea he hui noa ki tō tākuta ki te maha ngā wāhanga o te whiti tere o te ngakau, ahakoa ehara i te mea kino. Ka taea e te aromatawai wawe te awhina i te kimi i ngā take, me te whakawhiwhi i te rangimarie o te ngākau.

He aha ngā take morearea mō te tachycardia?

Ka taea e ētahi take te whakapakari i a koe ki te whanake i te tachycardia. Ko etahi o ēnei ka taea e koe te whakahaere, ko ētahi atu he wāhanga noa iho o tō hauora whakapapa, o tō whānau rānei.

Ko ngā take ka piki pea tō morearea:

• Te pakeke i runga ake i te 60
• Te hītori whānau o ngā raruraru o te whiti o te ngakau
• Te toto teitei
• Te mate huka
• Te mate ngakau, ngā ngākau mate o mua rānei
• Ngā mate thyroid
• Te moe apnea
• Te nui o te inu waipiro
• Te nui o te whakamahi caffeine
• Te kai hikareti
• Te ahotea roa

Ko te whai i ēnei take morearea kāhore e tikanga ka whanake koe i te tachycardia. He tokomaha ngā tāngata e maha ana ngā take morearea kāhore e pāngia e ngā raruraru o te whiti o te ngakau, ko ētahi atu e torutoru ana ngā take morearea ka taea tonu te whanake.

He aha ngā raruraru pea o te tachycardia?

Ko te nuinga o ngā take o te tachycardia kāhore e ārai ki ngā raruraru kino, ina koa ki te whakahaere tika. Heoi, ki te kore e rongoā, ki te kino rānei, ka taea e te tachycardia te pā ki te pai o te pupuhi toto o tō ngakau.

Ko ngā raruraru pea:

• Te ngakau kore e mahi pai na te whiti tere o te ngakau
• Ngā toto kōtiti ka taea te mate roro
• Ngā wāhanga ngaro o te ngākau
• Te mate ngakau ohorere i ngā take kino
• Te heke o te kounga o te ora na ngā tohu

Ko te rongo pai, ko te nuinga o ngā tāngata e pangia ana e te tachycardia ka taea te ārai i ngā raruraru mā te maimoatanga tika me ngā huringa oranga. Ka āwhina tō tākuta ki a koe ki te mōhio ki tō taumata morearea motuhake, me te whakahaere tika.

Me pēhea te ārai i te tachycardia?

Ahakoa kāhore e taea e koe te ārai i ngā momo tachycardia katoa, ka taea te karo i ngā wāhanga maha mā te mahi i ngā whiringa hauora ngakau. Ka taea e ngā huringa iti i tō mahi o ia rā te whakaiti i te maha o ngā wāhanga o te whiti tere o te ngakau.

Ko ngā tikanga hauora ngakau ka āwhina pea:

• Te whakaiti i te inu caffeine me te waipiro
• Te noho makuku
• Te whakakori tinana noa, te whakakori tinana ngawari rānei
• Te whakahaere i te ahotea mā ngā tikanga whakangāwari
• Te pupuri i te taumaha hauora
• Te kore kai hikareti
• Te moe pai
• Te tango i ngā rongoā penei i te whakahau
• Te whakahaere i ngā āhuatanga penei i te mate huka, te toto teitei rānei

Ki te pangia koe e te mate ngakau, ētahi atu take morearea rānei, ka nui ake te mahi tahi me tō rōpū hauora. Ka taea e rātou te āwhina i a koe ki te whakarite i te mahere motuhake hei whakaiti i tō morearea ki te whanake i te tachycardia.

Me pēhea te whakatau i te tachycardia?

Ka tīmata tō tākuta mā te uiui mō ō tohu me tō hītori hauora, ka whakamātautau tinana hei tirotiro i te tere o tō ngakau me te whiti. Ka āwhina tēnei aromatawai tuatahi ki te whakatau i ngā whakamātautau pea e hiahiatia ana.

Ko ēnei ngā whakamātautau noa mō te whakatau i te tachycardia:

• Electrocardiogram (ECG): Te tuhi i te mahi hiko o tō ngakau
• Holter monitor: Te taputapu kawe e tuhi ana i te whiti o tō ngakau mō te 24-48 haora
• Event monitor: He rite ki te Holter, engari ka mau mō ngā wiki, ngā marama rānei
• Echocardiogram: Te ultrasound o tō ngakau hei tirotiro i te hanganga me te mahi
• Ngā whakamātautau toto: Te tirotiro mō ngā raruraru thyroid, ngā koretake o te waikawa, te anemia rānei
• Stress test: Te tirotiro i tō ngakau i te wā e whakakori ana

I etahi wā kāhore te tachycardia e puta i te wā o tō haerenga ki te tākuta, koia te take i taea ai te awhina o ngā taputapu aroturuki. Ka taea e ēnei whakamātautau te hopu i ngā wāhanga i te wā e puta mai ana, ka whakawhiwhi i ngā korero nui mō tō mahere maimoatanga.

He aha te maimoatanga mō te tachycardia?

Ko te maimoatanga mō te tachycardia e whakawhirinaki ana ki te aha te take, te kino o te āhuatanga, me te pānga ki tō oranga o ia rā. He tokomaha ngā tāngata e kite ana i te whakaora mā ngā huringa oranga ngāwari, ko ētahi atu pea e hiahia ana ki ngā rongoā, ki ngā tukanga rānei.

Ko ēnei ngā whiringa maimoatanga:

• Ngā whakarerekētanga oranga: Te whakaiti i te caffeine, te whakahaere i te ahotea, te noho makuku
• Ngā rongoā: Beta-blockers, calcium channel blockers, ngā rongoā anti-arrhythmic rānei
• Ngā mahi vagal: Ngā tikanga ngāwari pēnei i te pupuri iho, te kōhuru rānei hei whakaiti i te tere o te ngakau
• Cardioversion: Te hiko hiko hei whakahoki i te whiti o te ngakau
• Catheter ablation: Te tukanga hei whakangaro i ngā wāhi iti o te kiko ngakau e pāngia ana
• Pacemaker: Te taputapu hei whakahaere i te whiti o te ngakau

Ka mahi tahi tō tākuta ki a koe ki te kimi i te huinga tika o ngā maimoatanga. Ko te nuinga o ngā tāngata e tīmata ana me ngā huarahi ngāwari, ka neke noa atu ki ngā maimoatanga nui ake ki te hiahiatia.

Me pēhea te whakahaere i te tachycardia i te kāinga?

Ka taea e koe te mahi i ētahi mahi i te kāinga hei āwhina i te whakahaere i ngā wāhanga tachycardia, me te whakaiti i te maha o te puta. Ko ēnei rautaki ka pai te mahi ina whakauruhia ki te mahere maimoatanga a tō tākuta.

Ina kite koe i te tere o tō ngakau, whakamātauria ēnei tikanga:

• Tangohia ngā manawa hohonu, ngāwari
• Noho ki raro, ngana ki te whakangāwari
• Inu i te karaihe wai makariri
• Māhia ngāwari tō kaki kei te kite koe i tō whiti
• Whakamātauria te mahi Valsalva (pupuri iho pēnei i te haere ki te wharepaku)

Mō te whakahaere roa, arotahi ki te hanga i te taiao hauora ngakau. Tūpato ki te aha ngā whakaohooho i ō wāhanga kia taea ai e koe te karo i aua āhuatanga.

Whakaarohia te pupuri i te puka tohu hei whakapiri atu ki tō tākuta. Tūtohu ki te wā e puta mai ana ngā wāhanga, te aha i mahi ai koe, me te pēhea o tō āhua i mua, i te wā, i muri rānei.

Me pēhea te whakarite mō tō hui ki te tākuta?

Ko te haere ki tō hui i te wā e whakarite ana ka āwhina i tō tākuta ki te mōhio pai ake ki tō āhuatanga, me te whakawhanake i te mahere maimoatanga pai. Ka taea e te whakarite iti te whakanui ake i tō haerenga.

I mua i tō hui, kohikohia:

• Rārangi o ngā rongoā me ngā taapiri katoa e tangohia ana e koe
• Te tuhi o te wā e puta mai ana ngā wāhanga tachycardia
• Te whakaahuatanga o ō tohu
• Ngā pānui e hiahia ana koe ki te ui
• Te hītori whānau o ngā raruraru ngakau
• Ngā korero mō ō tikanga oranga

Ki te taea, tirohia tō whiti i te wā e puta mai ana te wāhanga, me te tuhi i te tere. Ka taea e ēnei korero te awhina nui mō te aromatawai a tō tākuta.

Kaua e whakaroa ki te kawe mai i te mema whānau, i te hoa rānei hei tautoko. Ka taea e rātou te āwhina i a koe ki te mahara ki ngā korero nui, me te whakawhiwhi i te tautoko wairua i te wā o tō haerenga.

He aha te mea nui mō te tachycardia?

Ko te tachycardia he āhuatanga noa e pāngia ana e te tokomaha o ngā tāngata i tētahi wā o ō rātou oranga. Ahakoa ka āwangawanga pea ina tere tō ngakau, ko te nuinga o ngā take ka taea te whakahaere mā te tiaki tika me ngā whakarerekētanga oranga.

Ko te mea nui rawa ki te mahara, kāhore koe e noho ki ngā tohu āwangawanga. Ki te pāngia e te whiti tere o te ngakau tō kounga o te ora, ki te āwangawanga rānei, ka taea e te kōrero ki tō tākuta te whakawhiwhi i ngā whakautu me te whakaora.

Me te huarahi tika, ka taea e te nuinga o ngā tāngata e pangia ana e te tachycardia te noho tonu i ngā oranga tino whānuitia, ngā oranga mahi rānei. Kei reira tō rōpū hauora hei tautoko i a koe ki te kimi i te huarahi pai ki te whakahaere i tō āhuatanga motuhake.

Ngā pānui e ui ana mō te tachycardia

He kino te tachycardia?

Ko te nuinga o ngā take o te tachycardia kāhore he kino, ina koa ki te whakahaere tika. Heoi, ko etahi momo ka kino, koia te take i nui ai te aromatawai i ngā tohu āwangawanga e te tākuta. Ko tō morearea motuhake e whakawhirinaki ana ki te momo tachycardia kei a koe, me ētahi atu āhuatanga hauora.

Ka taea e te ahotea te whakaohooho i te tachycardia?

Ae, ko te ahotea tētahi o ngā whakaohooho noa mō te tachycardia. Ina ahotea koe, ka tukuna e tō tinana ngā homoni ka taea te whakapakari i te whiti o tō ngakau. Ka taea e te ako i ngā tikanga whakahaere ahotea te whakaiti i ngā wāhanga.

E hia te tere rawa mō te whiti o te ngakau?

Ko te whiti o te ngakau i te okioki i runga ake i te 100 i ia meneti e kiia ana he tachycardia. Heoi, ko te aha e āwangawanga ana e rerekē ana i te tangata me te āhuatanga. Ko ngā whiti o te ngakau i runga ake i te 150 i ia meneti i te wā e okioki ana, te whiti tere rānei me ngā tohu kino, me aromatawai wawe.

Ka taea e te tachycardia te ngaro ake?

Ko etahi wāhanga o te tachycardia ka mutu ake, ina koa ki te whakaohoohohia e ngā take wā poto pēnei i te ahotea, te caffeine rānei. Heoi, ki te maha ngā wāhanga e puta mai ana, he mea nui te mahi tahi me tō tākuta ki te kimi i te take, me te whakawhanake i te mahere whakahaere.

Me haere rānei ahau ki te ruma ohorere mō te tachycardia?

Rapua te tiaki ohorere ki te whai koe i te tachycardia me te mamae uma, te poto o te manawa, te ngaro o te ngākau rānei, ki te āwangawanga rānei koe kei te tere rawa tō whiti ngakau. Mō ngā wāhanga kahore ēnei tohu kino, ka taea e koe te tatari ki te kite i tō tākuta noa, ahakoa me karanga koe ki a rātou mō te aratohu.