He aha te Tricuspid Valve Regurgitation? Tohutohu, Take, me te Maimoatanga

Ka puta te tricuspid valve regurgitation ina kore e kati tika te waahanga tricuspid o to ngakau, ka tukua ai te toto ki te hoki whakamuri. Kei waenganui i te atria matau (ruuma o runga) o to ngakau me te ventricle matau (ruuma o raro) tenei waahanga, ka mahi hei tatau kotahi-ara e tika ana kia tukua noa te toto ki mua.

Whakaarohia he tapu rewa i roto i te pūnaha paipa o to ngakau. Ka ngawari ranei ka pakaru te waahanga tricuspid, ka rere etahi toto ki muri, kaua ki te haere ki o ngā ngā manawa penei i te tikanga.

He aha ngā tohu o te tricuspid valve regurgitation?

He tokomaha ngā tāngata e pangia ana e te tricuspid valve regurgitation ngawari kaore he tohu. Ka whakautu pai tonu te ngakau ki te iti o te rere toto whakamuri, ina koa i ngā wā tuatahi.

Ka puta mai ngā tohu, ka tupu haeretia te āhua o te mate. Ko ēnei ngā mea ka kitea e koe:

• Te poto o te manawa, ina koa i te wā e mahi tinana ana, i te takoto rānei.
• Te ngenge me te āhua o te wīwī i ngā mahi o ia rā.
• Te pupū o ō waewae, o ō turi, o ō waewae, o te kopu rānei.
• Te āhua o te rere i roto i tō uma, i tō kaki rānei.
• Te iti o te kaha ki te whakakori tinana, ki te mahi rānei.
• Te āhua o te tere o te makona i te kai.

I ngā take nui atu, ka kitea pea e koe ētahi atu tohu penei i te mamae uma, te wiri, te ngākau rereke rānei. Ka puta ēnei tohu nā te kaha ake o te mahi a to ngakau ki te pupuhi toto i te wā kaore e kati tika te waahanga.

He aha ngā momo tricuspid valve regurgitation?

Ka whakarōpū ngā tākuta i te tricuspid valve regurgitation i runga i te nui o te toto e rere ana whakamuri, me te take o te raru. Ka āwhina te mārama ki ēnei momo ki te whakatau i te huarahi maimoatanga pai mō tō āhua motuhake.

Ka tohaina te āhua hei ngawari, waenga, nui rānei i runga i te nui o te toto e rere ana whakamuri. Kāore ngā tohu o te regurgitation ngawari, ā, pea kaore e hiahiatia te maimoatanga, engari ko ngā take nui ka hiahia ki te whakauru hauora.

E rua ngā kāwai matua i runga i te take taketake. Ko te tricuspid regurgitation matua te tikanga kua pakaru te waahanga, kua rereke rānei. Ka puta te tricuspid regurgitation tuarua ina noa te āhua o te waahanga, engari kaore e mahi tika nā ētahi atu raruraru ngakau, penei i te teitei o te pehanga i te taha matau o to ngakau.

He aha ngā take o te tricuspid valve regurgitation?

He maha ngā āhuatanga rerekē ka arahi ki te tricuspid valve regurgitation. Ko te take tino noa ko te hanga o te pehanga i te taha matau o to ngakau, ka totoro ai te waahanga, ka kore ai e kati katoa.

Ko ēnei ngā take matua ka pā ki tō waahanga tricuspid:

• Te pehanga toto teitei i roto i ō uaua manawa (pulmonary hypertension)
• Te ngakau kore i te taha maui e hoki ana te pehanga ki te taha matau
• Te mate ngakau rheumatic mai i ngā mate kōroheke kore i te maimoatanga
• Te infective endocarditis (te mate o ngā waahanga ngakau)
• Ngā hapa ngakau whānau mai i te whānau
• Te mate carcinoid (ngā pūngāwerewere onge e tukuna ana ētahi matū)
• Ētahi rongoā, ina koa ētahi rongoā kai, rongoā mamae pūtake rānei
• Te whara ki te uma, ki te ngakau rānei

I ētahi wā onge, ka pakaru pea te waahanga e te rongoā radiation, ngā mate autoimmune, ngā raruraru rānei mai i ngā mahi ngakau. I ētahi wā, kaore e marama te take, e kiia ana e ngā tākuta ko te tricuspid regurgitation idiopathic.

Nōhea te haere ki te tākuta mō te tricuspid valve regurgitation?

Me whakapiri atu koe ki tō tākuta ki te puta mai ngā tohu e tohu ana pea ki ngā raruraru waahanga ngakau. Ka āwhina te arotake wawe ki te aukati i ngā raruraru, kia whakarite hoki ka whiwhi koe i te tiaki tika.

Whakatau i tetahi whakatau wā ki te kite koe i te poto o te manawa, ina koa ki te kino haere, ki te āwangawanga rānei i ō mahi o ia rā. Ko te pupū kaore i te marama i ō waewae, i ō turi, i te kopu rānei, he mea nui hoki te tiaki hauora, na te mea ka tohu pea tenei ki te hanga wai mai i ngā raruraru ngakau.

Rapua te tiaki hauora tere ki te pāngia koe e te poto o te manawa, te mamae uma, te ngaro o te mohio, te ngākau tere rereke rānei. Ka tohu pea ēnei tohu ki tetahi raru ngakau nui e hiahia ana ki te maimoatanga tere.

He aha ngā take morearea mō te tricuspid valve regurgitation?

Ka taea e ētahi take te whakapiki ake i tō tūponotanga ki te whanake i te tricuspid valve regurgitation. Ka āwhina te mārama ki ēnei take morearea ki a koe me tō tākuta ki te aroturuki i te hauora o tō ngakau.

Ko ēnei āhuatanga me ngā āhuatanga ka whakapiki ake i tō morearea:

• Te pehanga toto teitei i roto i ō uaua manawa (pulmonary hypertension)
• Te ngakau kore i te taha maui, ētahi atu mate ngakau rānei
• Te hītori o te mate rewharewha, te mate kōroheke maha rānei
• Ngā hapa ngakau whānau
• Ngā mate waahanga ngakau o mua
• Te whakamahinga o ētahi rongoā penei i ngā kai whakaiti i te hiahia kai, i ngā ergot alkaloids rānei
• Te whakamahinga tarukino intravenous, e whakapiki ake ana i te morearea o te mate
• Te hītori whānau o ngā raruraru waahanga ngakau

Ka taea hoki e te tau te whai wāhi, na te mea ka pāngia ngā waahanga ngakau e te whakamahi i te wā. Ko te maha o ngā take morearea kaore e whakamana ka whanake koe i te āhua, engari ko te tikanga he mea nui ake te aroturuki ngakau auau.

He aha ngā raruraru pea o te tricuspid valve regurgitation?

Ki te kore e maimoatia, ka taea e te tricuspid valve regurgitation nui te arahi ki ētahi atu raruraru nui. Ka whakapaea pea to ngakau ki te pupuhi toto, ka pā ki tō hauora whānui me tō kounga ora.

Ko ēnei ngā raruraru matua ka taea te whanake i te wā:

• Te ngakau kore i te taha matau i te wā ka ngoikore te uaua ngakau mai i te mahi nui
• Ngā āhua ngākau rereke, ina koa te atrial fibrillation
• Te hanga wai i roto i tō kopu, i ō waewae, i ētahi atu kiko rānei
• Ngā raruraru ate mai i te hoki o te toto ki ngā oko ate
• Te whakapiki ake i te morearea o ngā toto kōtiti me te pōkaikaha
• Te iti o te kaha ki te whakakori tinana me te kounga ora

I ngā take onge, ka taea e te tricuspid regurgitation nui kore i te maimoatia te mate kino. Heoi, mā te tiaki hauora me te aroturuki tika, ka taea e te nuinga o ngā tāngata te whakahaere i tō rātou āhua, te aukati hoki i ēnei raruraru nui kia kaua e whanake.

Me pēhea te aukati i te tricuspid valve regurgitation?

Ahakoa kaore e taea e koe te aukati i ngā take katoa o te tricuspid valve regurgitation, ka taea e koe te mahi i ētahi mahi hei whakaiti i tō morearea, hei tiaki hoki i te hauora o tō ngakau. Ko te aukati ka aro ki te whakahaere i ngā āhuatanga taketake e arahi ana ki ngā raruraru waahanga.

Ko te whakahaere i tō pehanga toto me te maimoatanga tere o ētahi atu mate ngakau ka āwhina ki te aukati i te hanga pehanga e mate ai te tricuspid regurgitation. Ki te teitei tō pehanga toto, mahi tahi me tō tākuta ki te pupuri i te mana pai mā ngā rongoā, kai, me ngā huringa noho.

He mea nui te aukati i ngā mate. Whakaotitia ngā rongoā antibiotic kua tohua mō te mate kōroheke kia aukati ai i te mate rewharewha. Ki te nui tō morearea mō ngā mate waahanga ngakau, ka tūtohu pea tō tākuta i ngā antibiotic i mua i ētahi mahi niho, mahi hauora rānei.

Ko te karo i te whakamahinga tarukino intravenous me te tupato ki ngā rongoā ka pā ki ngā waahanga ngakau ka āwhina hoki ki te whakaiti i tō morearea. Ka āwhina ngā tirotiro auau ki tō tākuta ki te aroturuki i te hauora o tō ngakau, ki te hopu hoki i ētahi atu raruraru i te wā wawe.

Me pēhea te whakatau i te tricuspid valve regurgitation?

Ko te whakatau i te tricuspid valve regurgitation ka tīmata mā tō tākuta e whakarongo ana ki tō ngakau mā te stethoscope. Kei te whakarongo rātou ki tetahi oro motuhake e kiia nei he murmur, ka tohu pea i te rere o te toto whakamuri i roto i te waahanga.

Ko te echocardiogram te whakamātautau matua e whakamahia ana hei whakau i te whakatau, hei aromatawai hoki i te nui o te regurgitation. Ka whakaatu mai tēnei ultrasound o tō ngakau i te pai o te mahi a ō waahanga, me te nui o te toto e rere ana whakamuri. Kāore he mamae, ka homai ngā whakaahua taipitopito o te āhua me te mahi a tō ngakau.

Ka tono pea tō tākuta i ētahi atu whakamātautau penei i te electrocardiogram (EKG) hei tirotiro i tō āhua ngākau, ngā X-rays uma hei titiro ki te rahi o tō ngakau, ngā whakamātautau toto rānei hei tirotiro i ngā tohu o te ngakau mamae. I ētahi wā, ka hiahiatia pea ngā whakamātautau motuhake atu penei i te cardiac catheterization, MRI rānei hei whiwhi i tetahi whakaahua whānui o te hauora o tō ngakau.

He aha te maimoatanga mō te tricuspid valve regurgitation?

Ko te maimoatanga mō te tricuspid valve regurgitation ka whakawhirinaki ki te nui o tō āhua, me te take hoki. Ko te nuinga o ngā tāngata e pangia ana e te regurgitation ngawari ka hiahia noa ki te aroturuki auau, kaore he maimoatanga tere.

Mō ngā take ngawari, ka tūtohu pea tō tākuta i ngā tirotiro auau hei titiro ki ētahi atu huringa. Ka hiahia pea koe ki te echocardiogram i ia toru tau, kia whakarite ai kaore e kino haere te āhua. Ko te maimoatanga i ngā take taketake penei i te pehanga toto teitei, te ngakau kore rānei, ko te take matua.

Ko ngā take waenga ki te nui ka hiahia pea ki ngā rongoā hei āwhina i tō ngakau ki te mahi pai ake. Ka uru pea ēnei ki ngā diuretics hei whakaiti i te hanga wai, ngā rongoā hei whakahaere i te āhua ngākau, ngā rongoā rānei hei whakaiti i te mahi a tō ngakau. Ka whakaritea e tō tākuta te mahere rongoā ki ō hiahia me ō tohu motuhake.

Ko te tricuspid regurgitation nui ka hiahia pea ki te whakauru pokanga. Ka uru pea tenei ki te whakatika i te waahanga o nāianei, ki te whakakapi rānei mā te waahanga mīhini, te waahanga ora rānei. Kei te wātea hoki ngā mahi hou, iti ake te whakauru mō ētahi atu manuhiri, tae atu ki ngā tikanga whakatika waahanga e mahia ana mā ngā wahi iti, mā ngā oko toto rānei.

Me pēhea te whakahaere i te tricuspid valve regurgitation i te kāinga?

Ko te whakahaere i te tricuspid valve regurgitation i te kāinga ka uru ki te mahi i ngā whiringa noho hauora ngakau, me te whai i ngā tūtohu a tō tākuta. Ka āwhina ēnei mahi ki a koe kia pai ake te āhua, ā, ka whakaiti pea i te whanake o tō āhua.

Ko te whai i te kai hauora ngakau iti te tote ka āwhina ki te whakaiti i te pupū wai, ki te whakaiti hoki i te mahi a tō ngakau. Whakatau ki te iti iho i te 2,300 milligrams o te tote ia rā, iti atu rānei ki te tūtohu tō tākuta. Aro ki ngā hua hou, ngā huawhenua, ngā witi katoa, me ngā pūmua ngawari.

Ko te whakakori tinana ngawari auau, e whakaaetia ana e tō tākuta, ka āwhina ki te whakakaha i tō ngakau, ki te whakapai ake hoki i tō hauora whānui. Tīmata haere mā te iti, ka whakapiki haeretia ngā taumata mahi. Ko te kauhoe, te hikoi, me te hikoi potae ngawari he whiringa pai, engari tirohia tonu me tō rōpū hauora i mua.

Aroturukihia tō taumaha ia rā, ka whakamōhio atu ki tō tākuta ki ngā whakapikitia ohorere, na te mea ka tohu pea tenei ki te pupū wai. Ko te tango i ō rongoā penei i te tohu, me te pupuri i ngā whakatau wā whai muri he mea nui mō te whakahaere pai i tō āhua.

Me pēhea te whakarite mō tō whakatau wā ki te tākuta?

Ko te whakarite mō tō whakatau wā ka āwhina ki a koe ki te whakamahi pai i tō wā me tō tākuta, kia whakarite hoki ka whiwhi koe i ngā mōhiohio katoa e hiahia ana koe. Tīmata mā te tuhi i ō tohu katoa, ahakoa he iti, he kore hononga rānei.

Hanga he rārangi o ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā rongoā kore-tohu me ngā taapiri. Kawea mai ētahi atu hua whakamātautau, rēkōta hauora rānei e pā ana ki tō āhua ngakau. Ki te kite koe i ētahi atu tākuta mō tēnei raru, kohikohia ngā rēkōta.

Tuhia ngā pātai e hiahia ana koe ki te ui ki tō tākuta. Ka uru pea ēnei ki ngā pātai e pā ana ki tō āhua motuhake, ngā whiringa maimoatanga, ngā huringa noho, ngā mea rānei e tatari ana koe ki te haere mai. Kaua e manukanuka ki te maha o ngā pātai – e hiahia ana tō tākuta ki te āwhina i a koe ki te mārama ki tō āhua.

Whakaarohia te kawea mai i tētahi mema whānau, hoa rānei hei āwhina i a koe ki te mahara ki ngā mōhiohio i kōrerotia i te wā o te whakatau wā. Ka taea hoki e rātou te tuku tautoko ngākau, te tautoko hoki i ō hiahia ki te hiahiatia.

He aha te mea nui mō te tricuspid valve regurgitation?

Ko te tricuspid valve regurgitation he āhua ka taea te whakahaere e pā ana ki te tokomaha o ngā tāngata, kāore hoki e tino tohu. Ko te mea nui ko te whiwhi i te whakatau tika, me te whai i ngā tūtohu a tō tākuta mō te aroturuki me te maimoatanga.

Ka taea e te nuinga o ngā tāngata e pangia ana e te tricuspid regurgitation ngawari te noho i ngā oranga noa, mahi, mā ngā tirotiro auau me ngā whakarerekētanga noho tika. Āe, ko ngā tāngata e pangia ana e ngā take nui ake he maha ngā whiringa maimoatanga whai hua e wātea ana, tae atu ki ngā rongoā me ngā mahi pokanga ina hiahiatia.

Kia mahara ko te kite wawe me te maimoatanga o ngā āhuatanga ngakau taketake ka taea te aukati i te tricuspid regurgitation kia kaua e whanake, kia kino rānei. Ko te mahi tata atu ki tō rōpū hauora, te whai i ngā mahere maimoatanga, me te pupuri i ngā tikanga hauora ngakau ka homai ki a koe te tupono pai mō te hua pai.

Ngā pātai e ui pinepinetia ana e pā ana ki te tricuspid valve regurgitation

He mate kino te tricuspid valve regurgitation?

Kāore te tricuspid valve regurgitation ngawari e mate kino, ā, he tokomaha ngā tāngata e ora ana i ngā oranga noa me tēnei āhua. Heoi, ka taea e ngā take nui te arahi ki te ngakau kore me ētahi atu raruraru nui ki te kore e maimoatia. Ka taea e te aroturuki auau me te maimoatanga tika te aukati i te nuinga o ngā hua kino.

Ka pai ake rānei te tricuspid valve regurgitation ake?

Kāore te tricuspid valve regurgitation e pai ake ake, engari ka mau pea mō ngā tau maha kaore e kino haere. I ētahi wā, ko te maimoatanga i te take taketake (penei i te pehanga toto teitei) ka taea te whakaiti i te nui o te regurgitation. Ka āwhina te aroturuki auau ki te aroturuki i ētahi atu huringa i tō āhua.

He aha ngā kai me karo e au me te tricuspid valve regurgitation?

Aro ki te whakaiti i te tote hei whakaiti i te pupū wai, hei whakaiti hoki i te mahi a tō ngakau. Karohia ngā kai kua tukatuka, ngā kai i ngā wharekai, me ngā kai kua oti te tāpaki e nui ana te tote. Whakaititia hoki te waipiro me te caffeine, ka pā pea ki tō āhua ngākau. Ka homai pea e tō tākuta ngā aratohu kai motuhake i runga i tō āhua motuhake.

Ka taea e au te whakakori tinana me te tricuspid valve regurgitation?

Ka taea e te nuinga o ngā tāngata e pangia ana e te tricuspid regurgitation ngawari ki te waenga te whakakori tinana haumaru mā te whakaae a tō tākuta. Tīmata mā ngā mahi iti te pānga penei i te hikoi, te kauhoe rānei, ka whakapiki haeretia te kaha kia rite ki te manawanui. Kōrerohia tonu ō mahere whakakori tinana me tō rōpū hauora, ina koa ki te pāngia koe e ngā tohu, te regurgitation nui rānei.

Nōhea te hiahia o au ki ngā whakatau wā whai muri?

Ko te auau o ngā whakatau wā whai muri ka whakawhirinaki ki te nui o tō āhua. Ko ngā tāngata e pangia ana e te regurgitation ngawari pea ka hiahia ki ngā tirotiro i ia 3-5 tau, engari ko ngā tāngata e pangia ana e ngā take waenga ki te nui pea ka hiahia ki ngā whakatau wā i ia 6-12 marama. Ka whakatau tō tākuta i te kaupapa tika i runga i tō āhua me ō tohu motuhake.