Angina - ka mamae koe i te uma
Ko Angina tetahi momo o te manawa o te uma na te ngoikore o te rere o te toto i roto i nga toto toto o te uaua o te ngakau. Ka korerohia e tenei tuhinga me pehea te tiaki i a koe ano ka mate koe i te angina.
Ka raru pea koe, ka pehi, ka wera, ka piri ranei ki to uma. Akene he pehanga koe, he kokiri, he mura, he kikii ranei i o ringaringa, pakihiwi, kaki, kauae, korokoro, tuara ranei.
Ko etahi taangata he rereke nga tohu, tae atu ki te poto o te manawa, te ngenge, te ngoikore, me te tuara, te ringa, te kaki ranei. E pa ana tenei ki nga waahine, nga taipakeke, me nga tangata whai mate huka.
Ka pangia pea e te mate raru, kei te mauiui ranei to kopu. Ka ngenge pea koe. Akene he poto to manawa, he werawera, he maama, he ngoikore ranei.
Ko etahi ka whai angina ka pa ana ki te rangi makariri. Ka rongo hoki te iwi i nga wa e whakakori tinana ana. Ko etahi tauira ko te piki arawhata, ko te hikoi pikitanga, ko te hiki i tetahi mea taumaha, ko te taatai ranei.
Noho, noho humarie, okioki. Ko o tohu ka haere wawe tonu i muri i to whakamutu i to mahi.
Mena kei te takoto koe, noho ki runga i te moenga. Ngana ki te manawa hohonu kia pai ai to ahotea me te manukanuka ranei.
Mena kaore o nitroglycerin kaore ano kia ngaro o tohu i muri i to okiokinga, waea wawe atu ki te 9-1-1.
Kua tohua pea e to kaiwhakaora hauora he papa nitroglycerin ranei te rehu mo nga whakaeke kino. Noho, takoto ranei i te wa e whakamahi ana koe i au papa, rehu ranei.
I a koe e whakamahi ana i to papa, waiho te pire ki waenga o to paparinga me to kapia. Ka taea hoki e koe te waiho ki raro o to arero. Tukua kia memeha. Kaua e horomia.
A, no te whakamahi i to rehu, kaua e ruru i te ipu. Kia mau te ipu ki te waha tuwhera. Hikihia te rongoa ki raro o to arero ranei. Kaua e pupuhi, kaua e horomia te rongoa.
Tatari mo te 5 meneti i muri i te horopeta tuatahi o te nitroglycerin. Mena kaore i pai ake o tohu, he kino ake, ka hoki mai ranei i muri i to haerenga atu, waea atu ki te 9-1-1 tonu. Ma te Kaiwhakahaere e whakahoki kupu ana e whakaatu ki a koe nga mea hei mahi.
(Panui: akene he rereke nga tohutohu a to kaiwhakarato ki a koe mo te tango i te nitroglycerin ka mamae ana koe i te uma, ka pehanga ranei. Ka kii etahi ki te whakamatautau i te 3 potae nitroglycerin e 5 meneti te tawhiti i mua i te waea 9-1-1.)
Kaua e momi hikareti, kai, inu ranei mo te 5 ki te 10 meneti i muri i te tangohanga o te nitroglycerin. Ki te paipa koe, me tarai koe ki te whakamutu. Ka taea e to kaiwhakarato te awhina.
Ka mutu ana o tohu, tuhia etahi korero mo te kaupapa. Tuhia ki raro:
- He aha te haora o te ra i tu ai te huihuinga
- He aha taau mahi i tera wa
- Kia pehea te roa o te mamae
- He aha te ahua o te mamae
- I mahi koe ki te whakaora i o mamae
Pataihia ki a koe etahi patai:
- I tangohia katoahia e koe o rongoa ngakau auau ki te huarahi tika i mua i o tohu?
- I kaha ake to mahi i to tikanga?
- He kai nui noa taau?
Tuhia enei korero ki to kaiwhakarato i o haerenga auau.
Ngana kia kaua e mahi i nga mahi e raru ai to ngakau. Ka whakahau pea to kaiwhakarato i nga rongoa maau hei kai ma mua o te mahi. Ma tenei ka aukati i nga tohu.
Karangahia te 9-1-1 mena ka mamae to angina:
- He pai ake i te 5 meneti i muri i te tangohanga i te nitroglycerin
- Kaore e haere i muri i te 3 inenga o te rongoa (peau ki ta te kaiwhakarato)
- Kei te kino haere
- Ka hoki mai i muri i te awhina a te rongoa
Karangahia hoki to kaiwhakarato mena:
- Kei te nui haere to tohu.
- Kei te mate angina koe i a koe e noho humarie ana ranei, kaore i te hohe. Ka kiia tenei ko te angina okioki.
- Kei te kaha ngenge koe i nga wa katoa.
- Kei te ngoikore koe, kua marama ranei.
- He puhoi te patu o to ngakau (iti iho i te 60 nga pauna i te meneti) he tino tere ranei (neke atu i te 120 nga pauna i te meneti), kaore ranei i te pumau.
- Kei te raru koe ki te tango i nga rongoa o to ngakau.
- Kei i a koe etahi atu tohu rereke.
Te mate o te mate korona - te mamae o te uma; Te mate o te mate roro - te mamae o te uma; CAD - te mamae o te uma; Nga mate ngakau Coronary - te mamae o te uma; ACS - mamae te uma; Te mate ngakau - te mamae o te uma; He mate Myocardial - te mamae o te uma; MI - te mamae o te uma
Amsterdam EA, Wenger NK, Brindis RG, et al. 2014 AHA / ACC aratohu mo te whakahaerenga o nga tuuroro me te kore-ST-whakapiki i te mate kino: he purongo mo te American College of Cardiology / American Heart Association Task Force mo nga whakaritenga mahi. J Am Coll Cardiol. 2014; 64 (24): e139-e228. PMID: 25260718 pubmed.ncbi.nlm.nih.gov/25260718/.
Boden WE. Angina pectoris me te pumau mate ngakau ischemic. I roto i: Goldman L, Schafer AI, eds. Te rongoa Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 62.
Bonaca MP, Sabatine MS. Whakatata atu ki te manawanui me te mamae o te uma. I roto i: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. He Mate Ngakau a Braunwald: He Pukapuka Kupu mo te Mate Cardiovascular. 11th ed. Philadelphia, PA: Elsevier Saunders; 2019: chap 56.
Fihn SD, Blankenship JC, Alexander KP, Bittl JA, et al. 2014 ACC / AHA / AATS / PCNA / SCAI / STS arotahi whakahoutanga o te aratohu mo te taatari me te whakahaere i nga turoro e mau ana te mate ngakau ischemic pumau: he purongo mo te American College of Cardiology / American Heart Association Force Force mo nga Aratohu Mahi, me te American Association for Thoracic Surgery, Preventive Cardiovascular Nurses Association, Society for Cardiovascular Angiography me nga mahi wawaotanga, me te Society of Thoracic Surgeons. J Thorac Cardiovasc Surg. 2015 Maehe; 149 (3): e5-23. PMID: 25827388 pubmed.ncbi.nlm.nih.gov/25827388/.
O'Gara PT, Kushner FG, Ascheim DD, et al. 2013 ACCF / AHA aratohu mo te whakahaere i te ST-teitei myocardial infarction: whakarapopototanga whakahaere: he purongo mo te American College of Cardiology Foundation / American Heart Association Task Force mo nga whakaritenga mahi. Porohita. 2013; 127 (4): 529-555. PMID: 23247303 pubmed.ncbi.nlm.nih.gov/23247303/.
- Te whakanoho i te Angioplasty me te taikaha - carotid artery
- Nga tikanga whakahekenga Cardiac
- Te mamae o te uma
- Nga pungawerewere kopu
- Taatai pokohiwi
- Te pokanga karo-a-manawa - he tino whakaeke
- Kaihoko i te ngakau
- Ka taea te whakakapihia te cardioverter-defibrillator
- Angina tuuturu
- Angina pumau
- Angina - tuku
- Angina - he aha te paatai ki to taakuta
- Angioplasty me te taakaha - ngakau - tuku
- Ahipirini me te mate ngakau
- Te kaha ki te mate koe i te ngakau
- Catheterization Cardiac - tuku
- Te mate ngakau - te tuku
- Te pokanga paahitanga ngakau - te tuku
- Te pokanga ma te ngakau - he iti rawa te urutomo - te tuku
- Ngakau ngakau - tuku
- Angina