Kua rongo koe i tētahi i roto i te wāhanga tiaki nui (ICU) e uaua ana ki te manawa, ā, e honoa ana ki tētahi mīhini manawa? Tērā pea kua pā tēnei ki tētahi o ōu ake. Ko te take matua o tēnei ko te mate hauora kino ka kōrerohia e tātou, ko te ARDS. Tērā pea he ahua whakamataku te ingoa, engari kaua e manukanuka. Ka whakamāramahia e mātou i roto i tētahi huarahi māmā ka taea e koe te mārama.
He aha rawa te ARDS?
Ki te whakarapopoto, he kino nui te mate urutā (ARDS) ki ō pūkahukahu. Whakaarohia ō pūkahukahu he rite ki ngā poro hautai e rua. I te nuinga o te wā, ina manawa tātou, ka whakakīia ēnei hautai ki te hau. Engari i roto i te ARDS, ka tīmata te whakakī i ngā pēke hau iti i roto i ēnei pūkahukahu (e kiia nei ko ngā alveoli) ki te wai.
Whakaarohia, ina mimiti te hautai i te wai, kāore he wāhi mō te hau atu ki roto. Ka pērā anō te āhua o ngā pukahukahu. Ina kī te wai, kaua ko te hau, kāore e taea e ngā pukahukahu te kī tika i te hau. Nō reira, kāore te toto e whiwhi i te nui o te hāora e hiahiatia ana. I roto i te rongoā, ka kiia tēnei āhuatanga ko te '(hypoxia)' . He tino morearea tēnei.
Nā te mea he mea nui te hāora kia mahi pai ai ngā okana katoa o te tinana, pērā i te roro, te ngākau, me ngā whatukuhu. Ina kore te hāora, ka tīmata te kore mahi a aua okana, takitahi.
E toru ngā taumata o te ARDS e whakarōpūhia ana e ngā tākuta - he ngawari, he taurite, me te kino. Ka whakatauhia tēnei mā te whakataurite i te taumata o te hāora i roto i tō toto ki te nui o te hāora e hiahiatia ana e koe ki waho hei whakahoki i taua taumata ki te taumata tika.
Ko te ARDS ka puta i te nuinga o te wā ina noho te tangata ki te hōhipera mō tētahi atu mate, mate, aituā kino rānei. Heoi, ki te puta ēnei tohu ahakoa kāore koe i te hōhipera, he mea nui kia rapu awhina hauora tonu.
He aha ngā tohu matua o tēnei mate?
Ka rerekē pea ngā tohu o te ARDS i runga i te pūtake, te kaha o te mate, me ngā mate manawa, mate pūkahukahu rānei kua pā ki a koe. Heoi, tera ētahi tohu noa.
| Tohu | Whakaahuatanga |
|---|---|
| He uaua nui ki te manawa | He tino uaua ki te manawa, me te mea kei te mōmona koe. |
| Te manawa tere me te uaua | Ka piki ake te maha o ngā manawa. Me whakapau kaha koe ki te tango i ia manawa. |
| Ngā tere o te ngakau | Kei te tere te pao o tōku ngākau. |
| Ngā ngutu me ngā maikuku kikorangi | Ina tino heke te taumata hāora i roto i te toto, ka tīmata te kikorangi o ngā ngutu me ngā maikuku. He āhuatanga ohorere tēnei. |
I te nuinga o te wā ka puta te ARDS i roto i ngā hāora, i ngā rā rānei i muri i te tīmatanga o te huihuinga, ā, ka tere tonu te kino haere o te āhua.
He aha ngā take o te ARDS?
Ehara te ARDS i te mate e puta takitahi ana. Ka puta mai i tētahi atu mate hauora, i tētahi aituā rānei. Me titiro tātou ki ētahi o ngā tino take i raro nei.
| Take | He whakamārama māmā |
|---|---|
| Te mate pāwera | Koinei te tino take o te ARDS. Ki te kī māmā noa, ka kore e taea te whakahaere i tētahi mate kino (hei tauira, te niumōnia ) i roto i te tinana, ā, ka horapa puta noa i te tinana. |
| Te mimiti o te kai/wai ki roto i ngā pukahukahu | Ki te haere pōhēhē te kai, te inu, ngā mea rānei o roto o te puku mā roto i te trachea ki roto i ngā pukahukahu, ka pā kino pea ki ngā pukahukahu, ā, ka arahi atu ki te ARDS. |
| Te tuku toto i roto i te nui | Mena ka neke atu i te 15 wae toto e tukuna ana ki te tinana i roto i te wā poto, kei reira te mōrearea o te ARDS. |
| Huaketo COVID-19 | Tērā pea ka pāngia ngā tūroro e pangia kinotia ana e te mate urutā COVID-19 (ARDS). |
| Te mate pāwera | Nā te mumura nui, te mate pāwera rānei o te repe taiaki. |
| Ngā aituā kino, ngā wera rānei | Te kino ki ngā pukahukahu, ki ētahi atu okana rānei o te tinana i puta mai i tētahi aituā nui, i tētahi wera rānei. |
| Te manawa i ngā auahi paitini | Te kino o te pukahukahu i te hongi i ngā auahi matū paitini, i te nui rawa rānei o te paowa. |
| Te nui rawa o te rongoā | Te whakamahi nui rawa i ngā raau taero pērā i te kōkāne me te heroini. |
| Te toremitanga i roto i te wai | Ina toremi, ka pā he kino nui ki te wai e tomo ana ki ngā pukahukahu. |
Ko wai kei te mōrearea nui ake?
Ko te hunga kua noho kē ki te hōhipera nā te mate, nā te aituā rānei, kei roto i a rātou te mōrearea nui ki te whakawhanake i te ARDS. Heoi, ehara i te katoa e noho ana ki te hōhipera ka pāngia e tēnei mate. He maha atu anō ngā āhuatanga e whakanui ake ana i te mōrearea:
- Neke atu i te 65 tau te pakeke.
- Te whakamahi tupeka (te momi hikareti).
- Te waranga ki ngā raau taero, ki te waipiro rānei.
- Kei a koe tētahi mate pūkahukahu kua pā mai i mua.
Ētahi atu raruraru ka puta mai i te ARDS
Kāore te ARDS e pā ki ngā pukahukahu anake. Ka taea e ia te whakaputa i ngā raruraru maha i a koe e noho ana i te hōhipera, i muri hoki i tō hokinga ki te kāinga.
- Ngā toto totoka: Ka puta ngā toto totoka i roto i ngā uaua, inā koa i ngā waewae. Ka kiia tēnei ko te "thrombosis uaua hohonu - DVT".
- Te hinganga o te pukahukahu: Ka pā mai pea te pukahukahu kua pakaru (pneumothorax) nā te pēhanga o te mīhini manawa.
- Pōrangi: Pōrangi.
- Te ngoikore o ngā okana maha: Te ngoikore ngātahi o ngā okana pēnei i te roro, te ngākau, me ngā whatukuhu.
- Ngoikoretanga o te uaua: Ka ngoikore ngā uaua nā te takoto noa i te moenga mō ngā rā.
- Te whara o ngā pukahukahu: Ka puta te kiko whara i te wa e ora ana ngā pukahukahu (te mate pukupuku o te pukahukahu).
- Ngā raruraru hinengaro: I muri i tētahi wheako kino pēnei, ka puta pea ngā āhuatanga pēnei i te mate ahotea muri-traumatic (PTSD), te manukanuka, me te pouri.
Me pēhea te mōhio o ngā tākuta ki tēnei?
Nā te mea he rite ngā tohu o te ARDS ki ētahi atu mate o te ngākau, o te pukahukahu rānei, he maha ngā whakamātautau ka mahia e ngā tākuta hei whakaū mēnā he ARDS.
- X-ray o te uma: Hei tirotiro i te nui o te wai i roto i ngā pukahukahu.
- Ngā whakamātautau toto: Inehia te taumata hāora i roto i te toto, ka whakatau i te kaha o te ARDS.
- Echocardiogram: He matawai ultrasound hei tirotiro i te mahi a te ngākau.
- ECG (Electrocardiogram): Tirohia te mahi hiko o te ngākau.
- Pūwero Ārai: Te aro turuki tonu i ngā taumata hāora mā te whakamahi i tētahi taputapu iti e piri ana ki te matihao.
- Matawai CT: Tikina ētahi atu kōrero taipitopito mō ngā pukahukahu.
- Te tirotiro i ngā hinu manawa: Kimihia te pūtake o te mate.
Me pēhea te rongoā?
Ko te whāinga matua o te maimoatanga ARDS he whakanui ake i te taumata hāora i roto i te toto, me te ārai i te ngoikore o ētahi atu okana o te tinana. Hei whakatutuki i tēnei, me whakamahi he mīhini manawa me te rongoā hāora mō ngā tūroro.
Ka tū katoa ēnei maimoatanga i roto i te wāhanga tiaki nui (ICU), i raro i te tirotiro tonu a ngā tākuta tohunga me ngā nēhi.
Hei tāpiritanga, he maha atu anō ngā mahi a ngā tākuta hei whakaiti i ngā raruraru.
- Ka hoatu ngā rongoā whakangāwari hei whakahaere i te mamae me te kore whakamarie.
- Ka hurihia te tūroro ki te tūnga takoto, kaua ki te tūnga poutū. Mā tēnei ka ngāwari ake te rere o te hāora ki ngā pukahukahu.
- Ka hoatu ngā rongoā whakangawari toto hei ārai i te toto e pupuhi ana.
- Ka hoatu ngā rongoā diuretic hei tango i te wai nui mai i te tinana me ngā pukahukahu.
- Whakaorahia, āraihia rānei ngā mate urutā mēnā kei te pāngiaKa hoatu ngā rongoā paturopi.
- Ka whakamahia te whakaora tinana hei ārai i te ngoikore o ngā uaua.
Kia pēhea te roa o te wā e ora ai, me te āhua o te wā?
Ko te roa o te wā e pau ana, e whakawhirinaki ana ki te kaha o te mate me te tere o te ora o ngā pukahukahu. I te nuinga o te wā, ka roa pea te ono marama ki te kotahi tau ka hoki mai te tangata ki tana mahi pukahukahu i muri i te ARDS. Heoi, kāore ētahi tāngata e tino ora.
Kua tino piki ake ngā reiti oranga mō te ARDS. Mēnā ka rongoatia wawe, kei waenganui i te 55% me te 70% ka ora. Heoi, ka heke iho tēnei reiti mēnā ka whakaroahia te maimoatanga, mēnā rānei ka tīmata te ngoikore o ētahi atu okana.
He roa te haerenga whakaora. Ka taea e te nuinga o te tangata te manawa takitahi i muri i te tangohia mai i te mīhini manawa. Ka ora katoa ētahi. Ko ētahi pea he raruraru pūkahukahu mō te wā roa. Me haere tonu te tirotiro a te tākuta pūkahukahu i a rātou.
Kia maumahara, he wā tino uaua te noho i te wāhanga tiaki nui mō te tūroro me te whānau. He mea tino nui ki a koe te tautoko a tō whānau me ō hoa i a koe e whakaora ana.
Karere Tangohia ki te Kāinga
- He mate kino te ARDS, he mate morearea hoki e puta mai ana i te wai e whakakī ana i ngā pēke hau o ngā pukahukahu.
- Ehara tēnei i te mate e puta takitahi mai ana; he hua noa iho tēnei o tētahi atu mate hauora, pērā i te sepsis, te niumōnia, ngā aituā kino rānei.
- Ko ngā tohu matua ko te poto o te manawa, te tere o te manawa, me te iti o te hāora i roto i te toto.
- Ka whakaratohia te maimoatanga i roto i te Wāhanga Tiaki Kaha (ICU) me te awhina o ngā mīhini manawa me te hāora.
- Ka roa pea te whakaoranga i ngā marama, i ngā tau rānei, ā, he haerenga roa, he haerenga manawanui hoki.
- Mena kei te pāngia koe, tetahi atu rānei e mōhio ana koe e te uauatanga o te manawa, he mea nui kia haere tonu koe ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
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