Ngā Tohu Whakatūpato mai i tō Ngākau: E Hia Ngā Mea Ka Taea e Koe te Mōhio?

I tēnei ao hou e tere haere ana, e mahi ana ō tātou tinana pērā i ngā mīhini uaua e rere tonu ana, ko te ngākau te miihini nui e whakahaere ana i ngā mea katoa. Heoi, i waenganui i te ngangau me te pukumahi o te oranga o ia rā, he tokomaha te hunga e wareware ana ki ngā "tohu mamae" e tukuna ana e ō rātou ngākau. Ko ēnei tohu tinana noa iho pea he whakatūpato ngaro nō tō ngākau. E hia o ēnei ka taea e koe te kite?

◉Te poto o te manawa i te takoto
Ki te pāngia koe e te poto o te manawa i muri i ētahi meneti i te takoto papatahi, ā, ka ngāwari ake ina noho koe, he tohu pea tēnei mō te ngoikore o te ngākau. Ka puta tēnei nā te mea ka nui ake te hokinga mai o te toto ki te ngākau mā te takoto papatahi, ka piki ake te ātete o te ara manawa, ā, ka puta te kore manawa. I roto i ēnei āhuatanga, me rapu wawe i te kōrero ki te tākuta ngākau, me te whakakore hoki i ngā mate e pā ana ki te pūkahukahu.

◉ Te Taumaha o te Uma, Pērā i te Kōhatu Taumaha
E mōhiotia whānuitia ana ko te kikī o te uma, ā, tera pea tēnei tohu e tohu ana i te ischemia myocardial mena kāore e whakaurua ngā āhuatanga kare ā-roto me ngā raruraru o te pūnaha manawa. Mena ka roa te kikī mō ētahi meneti, ka piki ake rānei hei mamae nui o te uma, tera pea he tohu angina, he mate myocardial infarction rānei (e mōhiotia whānuitia ana ko te "whakaeke ngakau"). Waea atu ki te 120 tonu ka haere ki te hōhipera tata. Mena kei te wātea, tangohia he papa nitroglycerin, he pire whakaora ngakau tere rānei hei rongoā tuatahi.

◉ Te Ngaronga o te Hiahia Kai
Ko ngā tūroro he ngoikore te mahi a te ngākau, kāore pea i te ngaro noa te hiahia kai, engari ka pāngia hoki e te pupuhi, te whakapairuaki, te ruaki, te kōroke, te mamae rānei o te puku o runga. He maha ngā wā ka puta mai ēnei tohu i te pupuhi o te puku nā te ngoikore o te ngākau o te taha matau.

◉ Te maremare
He tohu nui te maremare mō te ngoikore o te ngākau, engari he maha ngā wā ka pohehetia he rewharewha, he makariri noa rānei. He rerekē ki ngā maremare e pā ana ki te makariri noa, he onge te maremare e puta mai ana i te korokoro. Tērā pea ka puta he pahuka mā, he huware matotoru, he toto rānei. He nui ake te kitea o te maremare maroke i roto i te ngoikore o te ngākau, ā, ka kino haere i te wā e takoto ana, e ara ake ana rānei.

◉ Te Whakaiti i te Putanga Mimi me te Pupuhi o ngā Waewae o Raro
He iti ake te mimi e whakaputaina ana e ngā tūroro ngoikore o te ngākau i roto i ngā hāora 24, ā, ka nui ake te mimi i te pō. Hei tāpiri, ko te pupuhi e pā ana ki te ngākau ka tīmata i ngā wāhi e pā ana ki a rātou pērā i ngā pona waewae me ngā kuao kau, ka puta hei pupuhi poka. He rerekē, ko te pupuhi whatukuhu ka puta tuatahi ki te mata. He mea nui, ko ngā whakamātautau mimi mō te pupuhi ngākau he mea noa, engari ko te pupuhi whatukuhu ka whakaatu i ngā taumata albumin teitei.

◉ Ngā Pāpātanga, te Patu Manawa Tūpono rānei
Ko te tere, te koretake, te pāorooro rānei o te ngakau he tohu noa o te ngoikore o te ngakau. Tērā pea ka rongo ngā tūroro i te tere o te ngakau, me te mataku hoki. Ko ētahi atu mate manawataki, pērā i te atrial fibrillation, te atrial flutter rānei, ka rite tonu te mōrearea ki te kore e rongoatia.

◉ Pōuriuri, Māmā rānei te Upoko
He mea noa te whanoke, te hurihanga rānei o te ngākau i roto i te ngoikore o te ngākau, ā, i ētahi wā ka haere tahi me te whakapairuaki, te mate nekeneke rānei. Mēnā ka puta tahi ēnei tohu me te tere o te pao o te ngākau, te koretake rānei o te pao o te ngākau, me rapu wawe i te awhina hauora.

◉ Manukanuka, Ohorere rānei
Ko ngā tohu pēnei i te tere o te manawa, te tere o ngā whakaaro, te werawera o ngā ringaringa, me te tere o te manawa, he tohu noa iho ēnei o te manukanuka. Heoi, tera pea ētahi tūroro e hē te whakaaro he mea e pā ana ki te ahotea, ā, ka warewarehia te tūponotanga o te ngoikore o te ngakau.

Me pēhea te tirotiro i te ngoikore o te ngākau me te aromatawai i tōna kaha?

Ko te ngoikore o te ngākau e kiia ana i tēnei wā he mate mau tonu, he mate haere tonu, he uaua ki te rongoā engari ka taea te ārai.Ngā Aratohu Hainamana 2024 mō te Tātaritanga me te Maimoatanga o te Ngoikore o te Manawatūtohu kia inehia te peptide natriuretic (BNP rānei)NT-proBNP) ngā taumata hei tirotiro i ngā taupori mōrearea nui (te whakarōpūtanga NYHA mō te whakatauranga o te ngoikore o te ngakau e whai ake nei).

NT-proBNPhe roa te haurua-ora o tēnei, arā, 60–120 meneti pea, ā, he tino pumau i roto i te vitro. Ka āta tangohia mai i te toto, ka taea ai te kohikohi ki ngā kukū teitei ake, e hono tika ana ki te kaha o te ngoikore o te ngākau. Heoi anō,NT-proBNPkāore ngā taumata e pāngia e te tū, ngā mahi o ia rā, ngā rerekētanga o te awatea rānei, e whakaatu ana i te kaha o te tāruarua. Nō reira, NT-proBNPe kiia ana ko te tohu koiora koura mō te ngoikore o te ngakau.

Te Whare Hauora o Xiamen BaysenKete Whakamātautau NT-proBNP(mā te whakamahi i te immunochromatography fluorescence) ka taea te ine tere i te rahinga oNT-proBNPngā taumata i roto i te toto tangata, te toto toto, ngā tauira toto katoa rānei, hei āwhina i te tautuhi i te ngoikore o te ngākau. Ka taea te tiki hua i roto i te 15 meneti