He aha te mate o Wolff-Parkinson-White? Tohutohu, Take, me te Maimoatanga

Ko te mate o Wolff-Parkinson-White (WPW) tētahi āhuatanga o te ngakau e whānau ana koe me te huarahi hiko taapiri i roto i tō ngakau. Ka taea e tēnei huarahi taapiri te whakapakari i te whiti o tō ngakau i ngā wāhanga e kiia nei ko te tachycardia supraventricular. Ahakoa ka rongo pea tenei he wehi, he maha ngā tāngata e ora ana me te WPW i ngā oranga noa, ā, he maimoatanga whai hua kei te wātea ina hiahiatia.

He aha te mate o Wolff-Parkinson-White?

Ka puta te mate o WPW ina he hononga hiko taapiri tō ngakau e kiia nei he huarahi taapiri. I te nuinga, ka haere ngā tohu hiko i tetahi huarahi matua hei hanga i te whiti o tō ngakau. Ki te WPW, ka taea e ngā tohu te tango i te huarahi poto i tēnei huarahi taapiri, te hanga i te porowhita e whakapakari ai tō ngakau.

Whakaarohia he rua ngā huarahi i waenganui i tō kāinga me tō mahi. I etahi wā, ka whakamahi te waka i ngā huarahi e rua i te wa kotahi, te hanga i te whakawareware. I roto i tō ngakau, ka taea e tēnei "waka waka" hiko te whakapakari i ngā whiti o te ngakau ka rongo pea he kore pai, engari he maha ngā wā ka taea te whakahaere.

Ka pā tēnei āhuatanga ki te 1 ki te 3 tāngata ia 1,000, te hanga i te mea kaore e tino noa, engari ehara i te mea onge. He maha ngā tāngata e kite ana kua pā ki a rātou te WPW i ngā whakamātautau hauora noa, ā, ko ētahi atu ka kite i ngā tohu i ō rātou tau tekau tau rānei, i te timatanga o te pakeketanga.

He aha ngā tohu o te mate o Wolff-Parkinson-White?

He maha ngā tāngata e pā ana ki te mate o WPW kaore e kite i ngā tohu, ā, ka ora tonu rātou i ō rātou oranga katoa me te kore e mōhio kua pā ki a rātou te āhuatanga. Heoi, ina puta mai ngā tohu, ka puta i ngā wāhanga o te whiti ngākau tere.

Ko ngā tohu tino noa ka kitea e koe ko:

• Ngā wāhanga ohorere o te whiti ngakau tino tere (150-250 whiti ia meneti)
• Te pupuhi o te ngakau, te rongo rānei kei te oma, kei te pupuhi tō ngakau
• Te mamae, te pēhanga rānei o te uma i ngā wāhanga
• Te poto o te manawa, ina koa i ngā wāhanga o te whiti ngakau tere
• Te māuiui, te ngākau mārō rānei ina oma tō ngakau
• Te ngenge, te rongo rānei he tino ngenge koe i muri i ngā wāhanga
• Te werawera i ngā wāhanga o te whiti ngakau tere

Ka taea e ngā tohu kaore e tino noa, engari he tino kino ake te whakauru i ngā wāhanga o te ngenge, te mamae nui o te uma, te rongo rānei ka mate koe. Ka roa enei wāhanga mai i etahi hēkona ki ngā haora maha, ahakoa ko te nuinga ka mutu i roto i ngā meneti ki te haora kotahi.

I etahi wā onge, ka kite pea etahi tāngata i te awangawanga, te manukanuka rānei i ngā wāhanga, he mea tino mārama te āhua o te ngakau e oma ana. Kia mahara ahakoa ka wehi enei tohu, kaore e tino mate te hunga e pā ana ki te WPW.

He aha ngā take o te mate o Wolff-Parkinson-White?

Ko te mate o WPW he āhuatanga whānau, ko te tikanga kua whānau koe me ia. Ka hanga te huarahi hiko taapiri i te wā e whānau ana te pēpi, i mua atu o tō whānautanga. Kaore tēnei i te take i tetahi mea i mahi koe, i mahi rānei koutou mātua i te wā hapu.

I te wā e whānau ana te ngakau, he hononga hiko wā poto kei waenganui i ngā ruma o runga me raro o te ngakau. I te nuinga o ngā pēpi, ka ngaro enei hononga taapiri i mua i te whānautanga. Ki te WPW, ka noho tonu tētahi huarahi, te hanga i te huarahi taapiri e pāngia ai ngā raru i muri mai.

Ahakoa kaore i tino mōhiotia te take tino take he aha i pupuri ai etahi tāngata i ēnei huarahi taapiri, e whakapono ana ngā kairangahau kei roto i ngā take whanaketanga me te ira tino uaua. Ko te nuinga o ngā take o te WPW ka puta noa iho, ahakoa ka whakaatu etahi whānau i ngā tauira o te whakawhiwhi.

I etahi wā onge, ka taea te hono o te WPW ki ētahi atu āhuatanga o te ngakau penei i te anomaly o Ebstein, te cardiomyopathy hypertrophic rānei. I ēnei take, ko te WPW he wāhanga o te tauira whanaketanga ngakau whānui atu i te kitenga motuhake.

Nō hea te titiro ki te taote mō te mate o Wolff-Parkinson-White?

Me rapu awhina hauora koe mena ka kite koe i ngā wāhanga o te whiti ngakau tere, ina koa ki te whai rātou i ētahi atu tohu. Ahakoa kaore e tino kino ngā wāhanga o te WPW, he mea nui kia whiwhi i te tautuhi tika me te mārama ki tō āhuatanga motuhake.

Whakaritea he hui ki tō taote mena ka kite koe i ngā wāhanga e puta ana o te whiti ngakau tere, te mamae o te uma i te wā e oma ana te ngakau, te māuiui rānei e rite ana ki te pupuhi. Ahakoa he poto ngā wāhanga, ka taea te arotake i a rātou te whakawhiwhi i te rangimarie o te ngākau me ngā whiringa maimoatanga tika.

Rapua te tiaki hauora tonu mena ka ngenge koe i te wā e oma ana te ngakau, te mamae nui o te uma kaore e tere te mutu, te uaua rānei ki te manawa e mau tonu ana. Ahakoa he onge enei āhuatanga ki te WPW, me arotake teretia kia whakakorehia ētahi atu āhuatanga kino.

Me kite hoki koe i tetahi taote mena ka nui ake te maha o ngā wāhanga, ka roa atu i te tikanga, ka raru rānei ki ō mahi o ia rā. I etahi wā ka kaha ake ngā tohu o te WPW i te wā, ā, ka taea te whakarite i tō mahere maimoatanga te awhina i te pupuri i tō kounga ora.

He aha ngā take morearea mō te mate o Wolff-Parkinson-White?

Mai i te mea he āhuatanga whānau te mate o WPW, ko te nuinga o ngā take morearea e pā ana ki te whānautanga me te huarahi hiko taapiri i te wā e whānau ana, kaore i te whānau i muri mai. Ka taea te mārama ki ēnei take te awhina i a koe ki te mārama pai ake ki tō āhuatanga.

Ko ngā take morearea matua ko:

• Te hītori whānau o te mate o WPW, te raru rānei o te whiti ngakau
• Te whānautanga me ētahi hapa o te ngakau whānau
• Te whai i ngā āhuatanga ira motuhake e pā ana ki te whanaketanga o te ngakau
• Te ira tane (he iti te noa o te WPW i ngā tane)

Ina kua whai koe i te WPW, ka taea e ētahi take te whakaoho i ngā wāhanga o te whiti ngakau tere. Ka taea e ēnei whakaoho te whakauru i te ahotea tinana penei i te whakakori kaha, te ahotea hinengaro, te awangawanga, te inu kofe, te inu waipiro, te rongoā rānei e pā ana ki te whiti ngakau.

Ka kite etahi tāngata kei te nui ake te maha o ō rātou wāhanga i ngā wā mate, te maroke, te kore rānei o te moe. Ka taea hoki e ngā huringa homoni, penei i te wā hapu, te menestrual, te awe i te maha o ngā wāhanga i ētahi wāhine.

He aha ngā raruraru pea o te mate o Wolff-Parkinson-White?

Ko te nuinga o ngā tāngata e pā ana ki te mate o WPW ka ora i ngā oranga hauora, noa, me te kore o ngā raruraru kino. Heoi, ka taea te mārama ki ngā raruraru pea te awhina i a koe ki te mohio ki te wā hei rapu atu i te tiaki hauora me te whakatau i ngā whakatau mō te maimoatanga.

Ko ngā raruraru tino noa ka kitea e koe ko:

• Ngā wāhanga e puta ana o te tachycardia supraventricular e raru ana ki ngā mahi o ia rā
• Te iti o te manawanui whakakori i ngā wāhanga
• Te awangawanga, te manukanuka rānei mo te wā ka puta mai te wāhanga e whai ake nei
• Te ngenge i muri i ngā wāhanga maha, roa rānei

Ka taea e ngā raruraru kino ake, engari he onge te whakauru i te atrial fibrillation, he momo whiti ngakau koretake tētahi atu e hiahia ana pea ki ngā huarahi maimoatanga rerekē. I etahi wā tino onge, ka taea pea tēnei te arahi ki ngā raru o te whiti ngakau nui ake.

He tino onge, ka taea e ngā tāngata e pā ana ki te WPW te whanake i te ngakau ngoikore mena he tino maha, he roa ngā wāhanga i ngā tau maha. Heoi, he tino onge tēnei, ā, he maha ngā wā ka taea te aukati me te tiaki hauora tika me te aroturuki.

Ko te mea nui hei mahara ko ngā raruraru kino he tino onge, ā, ko te nuinga ka taea te aukati me te tiaki hauora tika me ngā whakaritenga noho ora ina hiahiatia.

Me pēhea te tautuhi i te mate o Wolff-Parkinson-White?

Ko te tautuhi i te mate o WPW ka timata i te electrocardiogram (EKG, ECG rānei), e tuhi ana i te mahi hiko o tō ngakau. Ka hanga e te huarahi taapiri tētahi tauira āhuatanga i runga i te EKG e taea ai e ngā taote te mohio tere.

Ka kite pea tō taote i te mea e kiia nei ko te "ngaru delta" i runga i tō EKG, e puta mai ana he slurred upstroke i te tīmatanga o ētahi whiti ngakau. Ko tēnei tauira motuhake, me te PR interval poto, e whakaatu ana i te noho o te huarahi taapiri e tino rite ana ki te WPW.

Mena kaore tō EKG tuatahi e whakaatu i ngā tohu marama, engari kei te whai koe i ngā tohu, ka tūtohu pea tō taote i ngā whakamātautau atu. Ka taea e ēnei te whakauru i tetahi kaitutei Holter (he taputapu EKG ka mau koe mō te 24-48 haora) tetahi kaitutei mahi rānei e whakahohe ana koe i ngā tohu.

I etahi wā ka whakamahi ngā taote i tetahi ako electrophysiology, e whakauru ana i te whakauru i ngā waea angiangi i roto i ngā oko toto ki tō ngakau hei whakaahua i ngā huarahi hiko kia tino tika. Ko tēnei whakamātautau ka whakaritea noa mō ngā tāngata e whakaaro ana ki te ablation catheter, te hunga rānei e whai take uaua ana.

Ka tango hoki tō taote i tetahi hītori hauora taipitopito me te mahi i tetahi whakamātautau tinana hei whakakore i ētahi atu āhuatanga ka taea te whakaoho i ngā tohu rite.

He aha te maimoatanga mō te mate o Wolff-Parkinson-White?

Ko te maimoatanga mō te mate o WPW e whakawhirinaki ana ki ō tohu, te maha o ngā wāhanga e puta ana, me te nui o te pānga ki tō oranga o ia rā. He maha ngā tāngata e pā ana ki te WPW kaore e hiahia ki tetahi maimoatanga mena kaore he tohu, he iti rawa rānei, he ngawari ngā wāhanga.

Mō ngā tāngata e hiahia ana ki te maimoatanga, ko ngā whiringa e whakauru ana i ngā rongoā hei whakahaere i te whiti ngakau, he tukanga rānei e kiia nei ko te ablation catheter. Ka taea e ngā rongoā penei i ngā beta-blockers, ngā kaiwhakahaere o te hongere kāratiuma, te rongoā anti-arrhythmic rānei te āwhina i te aukati i ngā wāhanga, te whakaiti rānei i te kino.

Ko te ablation catheter te maimoatanga e pai ana ki te whakaaro mō ngā tāngata e whai tohu maha ana, e raru ana rānei. I te wā o tēnei tukanga, ka whakamahi ngā taote i te kaha o te radiofrequency hei whakangaro i te huarahi hiko taapiri i roto i tetahi pūtau angiangi e whakauruhia ana ki tetahi oko toto. He tino teitei te rereketanga o te angitu, neke atu i te 95%.

Ko te tukanga ka mahia hei maimoatanga manawanui, ko te tikanga ka taea e koe te haere ki te kāinga i taua rā. Ko te nuinga o ngā tāngata e whai ablation angitu ana kua ora katoa i ō rātou WPW, ā, kaore e hiahia ki ngā rongoā, ngā herenga noho ora rānei.

Ka awhina tō taote i a koe ki te whakatau i te huarahi maimoatanga e tika ana e whakawhirinaki ana ki tō āhuatanga motuhake, tohu, tau, me ngā manakohanga whaiaro.

Me pēhea te whakahaere i te mate o Wolff-Parkinson-White i te kāinga?

Mena he mate o WPW tōu, he maha ngā rautaki ka taea e koe te whakamahi i te kāinga hei awhina i te whakahaere i tō āhuatanga me te whakaiti i te tūponotanga o ngā wāhanga. Ka pai rawa enei huarahi ina whakakotahitia ki te tiaki hauora tika.

Ko te ako ki te mohio me te karo i ō whakaoho whaiaro ka tino awhina. Pupuri i tetahi raupapa o te wā e puta ana ngā wāhanga me te mea i mahi koe i mua. Ko ngā whakaoho noa hei aroturuki ko te inu kofe, te inu waipiro, ngā taumata ahotea, ngā tauira moe, me te kaha whakakori.

I te wā o te wāhanga, ka taea e ētahi hangarau te awhina i te whakaheke i te tere o tō ngakau. Ka whakauruhia enei i te mahi a Valsalva (te mau i raro me te mea kei te haere koe ki te wharepaku), te kohu kaha, te whakamahana rānei i te wai makariri ki tō mata. Ka taea e tō taote te whakaako i ēnei hangarau kia ora.

Ko te pupuri i te hauora ngakau pai i roto i te whakakori noa, te moe tika, te whakahaere ahotea, me te kai hauora ka taea te awhina i te whakaiti i te maha o ngā wāhanga. Heoi, me kōrero koe ki tō taote mō te kaha whakakori, i te mea me karo etahi tāngata e pā ana ki te WPW i ngā mahi tino kaha tae noa ki muri i te maimoatanga.

Kia makona te wai me te ngana ki te pupuri i ngā wa moe mau, i te mea ka taea e te maroke me te ngenge te whakaoho i ngā wāhanga i ētahi tāngata. Whakaarohia ngā hangarau whakaiti ahotea penei i te whakaaroaro, te yoga, te whakakorikori manawa hohonu mena ka puta mai te ahotea i ō tohu.

Me pēhea te whakarite mō tō hui taote?

Ko te whakarite pai mō tō hui taote ka taea te awhina i te whakarite kia whiwhi koe i te tautuhi tika me ngā tūtohu maimoatanga tika. Tīmatahia ma te tuhi i ō tohu katoa, tae atu ki te wā e puta ana, te roa o te roa, me te āhua o te āhua.

Pupuri i tetahi raupapa tohu mō te wiki kotahi i mua atu o tō hui mena ka taea. Tuhia te wā, te roa, me te kaha o ngā wāhanga, me te mea i mahi koe i te wā i tīmata ai rātou. Ka awhina tēnei mōhiohio i tō taote ki te mārama ki tō tauira motuhake o te WPW.

Hangaia he rārangi o ngā rongoā katoa e inu ana koe i tēnei wā, tae atu ki ngā rongoā-ā-tauhoko, ngā taapiri, me ngā rongoā otaota. Ka taea e ētahi mea te mahi tahi me ngā rongoā whiti ngakau, te whakaoho rānei i ngā wāhanga, no reira he mea nui te mōhiohio katoa.

Whakaritea ngā pātai mō tō āhuatanga, ngā whiringa maimoatanga, ngā whakaritenga noho ora, me ētahi atu awangawanga kei a koe mō te whakahaere roa. Kaua e whakaroa ki te ui mō ngā mea penei i ngā herenga whakakori, ngā whakaaro mo te hapu, te wā rānei hei rapu awhina āwangawanga.

Mau mai ētahi atu EKG, ngā kaitutei ngakau, ngā rēkōta hauora rānei e pā ana ki tō whiti ngakau. Mena kua kite koe i ētahi atu taote mō ngā take e pā ana ki te ngakau, ka taea te whakarato i tēnei rēkōta i tetahi wā mō tō tiaki o nāianei.

He aha te mea nui hei tango mō te mate o Wolff-Parkinson-White?

Ko te mate o Wolff-Parkinson-White he āhuatanga ngakau ka taea te whakahaere e pā ana ki te pūnaha hiko o tō ngakau. Ahakoa ka rongo pea ngā wāhanga o te whiti ngakau tere he wehi, ko te nuinga o ngā tāngata e pā ana ki te WPW ka ora i ngā oranga noa me te tiaki tika me te maimoatanga ina hiahiatia.

Ko te mea nui hei mahara ko ngā maimoatanga whai hua kei te wātea, mai i ngā whakaritenga noho ora me ngā rongoā ki ngā tukanga angitu nui penei i te ablation catheter. He maha ngā tāngata e kite ana ina mārama ana rātou ki ō rātou āhuatanga me te mahi tahi me ō rātou rōpū hauora, ka pai ake te kounga o ō rātou oranga.

Kaua e tuku i te mate o WPW ki te whakatau, ki te whakaiti rānei i tō oranga. Me te aratohu hauora tika, ka taea e te nuinga o ngā tāngata te whakauru ki ngā mahi noa, te whakakori tika, me te koa ki ngā oranga whai hua. Ko te matua ko te mahi tahi me ngā kaiwhakarato hauora mohio ka taea te awhina i a koe ki te whakawhanake i tetahi mahere whakahaere e rite ana ki ō hiahia motuhake.

Kia mahara kaore te whai i te WPW e kī ana he ngoikore koe, he tūpono tonu rānei. Ko te tikanga he ngakau noa iho tōu e whiti ana ki tetahi āhua rerekē i etahi wā, ā, he mea ka taea te whakahaere angitu me te mātauranga hauora me ngā maimoatanga o nāianei.

Ngā pātai e ui pinepinetia ana mō te mate o Wolff-Parkinson-White

Ka taea te whakakori me te mate o Wolff-Parkinson-White?

Ko te nuinga o ngā tāngata e pā ana ki te WPW ka taea te whakakori kia ora, ahakoa me kōrero koe ki tō taote mō tō āhuatanga motuhake. Ka taea e te nuinga o ngā tāngata te whakauru ki te whakakori noa me te kore herenga. Heoi, mena he maha ngā wāhanga kei a koe, he āhuatanga morearea nui rānei, ka tūtohu pea tō taote kia karo i ngā mahi tino kaha tae noa ki muri i te maimoatanga. Ko te rongo pai ko muri i te ablation catheter angitu, ka taea e te nuinga o ngā tāngata te hoki ki ngā mahi noa katoa me te kore herenga.

He whakawhiwhi te mate o Wolff-Parkinson-White?

Ka taea e te mate o WPW te rere i roto i ngā whānau, engari ko te nuinga o ngā take ka puta noa iho me te kore hītori whānau. Ina whakawhiwhitia, ka whai pea i te tauira rangatira autosomal, ko te tikanga he 50% te tūponotanga o te whakawhiti ki ia tamaiti. Heoi, ahakoa kua whakawhiwhitia te tūponotanga ira, ka rereke te kaha me te kino i waenganui i ngā mema whānau. Mena he WPW tōu, kei te whakaaro koe ki tetahi whānau, ka taea e te tohutohu ira te awhina i a koe ki te mārama ki tō āhuatanga motuhake.

Ka taea te ngaro ake te mate o Wolff-Parkinson-White?

Ko te mate o WPW kaore e tino ngaro, mai i te mea kua hangaia e te huarahi hiko taapiri kua whānau koe. Heoi, ka kite etahi tāngata kua iti ake te maha o ō rātou tohu, iti ake rānei te raru i te wā. I etahi wā tino onge, ka ngaro pea te kaha o te huarahi taapiri ki te arahi i ngā tohu hiko i te wā e pakeke ana ngā tāngata, te "whakaora" i te āhuatanga noa iho. Ko te nuinga o ngā tāngata e hiahia ana kia kore te WPW e whiriwhiri i te ablation catheter, e whakarato ana i te whakaora pumau i roto i te neke atu i te 95% o ngā take.

Me aha koe i te wā o te wāhanga WPW?

I te wā o te wāhanga, ngana ki te noho marino me te whakamahi i ngā hangarau kua whakaakona e tō taote, penei i te mahi a Valsalva, te kohu rānei. Noho, takoto rānei i tetahi tūnga ngāwari, ā, arotahi ki te manawa ngawari, mau tonu. Ko te nuinga o ngā wāhanga ka mutu noa iho i roto i ngā meneti ki te haora kotahi. Heoi, rapu awhina hauora tonu mena ka roa atu te wāhanga i te tikanga, ka whai mamae nui o te uma, ka puta te ngenge, ka rongo rānei koe he tino kino. Ko te whai i tetahi mahere mō te whakahaere i ngā wāhanga ka taea te awhina i te whakaiti i te awangawanga me te whakapai ake i tō whakawhirinaki.

Ka taea te awe o te hapu i te mate o Wolff-Parkinson-White?

Ka taea e te hapu te whakapakari i te maha o ngā wāhanga WPW i etahi wā na te huringa homoni, te nui o te toto, me ngā tono tinana o te hapu. Heoi, he maha ngā wāhine e pā ana ki te WPW e whai hapu angitu ana me te aroturuki me te tiaki tika. Ka mahi tahi tō taote me tō kaitohutohu hapu hei whakarite kia hauora koe me tō pēpi i te wā hapu. Ka hiahia pea te whakarite i ētahi rongoā whiti ngakau i te wā hapu, engari he whiringa ora kei te wātea. Ko te whakarite i mua me te kōrero ki tō rōpū hauora mō tō WPW i mua i te whakaaro ki te hapu ka taea te awhina i te whakarite i ngā hua pai.