Kei te uaua te manawa o ō pūkahukahu? Kia ako tātou mō tēnei mate kino o te ARDS (Acute Respiratory Distress Syndrome)!

Kua kitea e koe he tino uaua ki te manawa, me te mea kua kikī tō uma? Kei te mahara rānei koe ki tētahi wā i pāngia ohorere ai tētahi e mōhiotia ana e koe e te mate kino, kāore i taea te manawa tika, ā, ka whakaurua ki te wāhanga tiaki nui (ICU) o te hōhipera? Tērā pea ko te take he mate e kiia nei ko te ARDS (Acute Respiratory Distress Syndrome) . He ahua nui tēnei, engari ki te mōhio tika koe, he māmā ake te mārama ki ngā mea maha. Me kōrero taipitopito tātou mō tēnei, āe?

He aha te ARDS? Kia mārama tātou.

I te whakarapopototanga, he mate kino te ARDS e pā ana ki ō tātou pūkahukahu. Whakaarohia pēnei: ​​He iti ngā pēke hau o ō tātou pūkahukahu (e kiia nei ko ngā alveoli). He rite ki ngā karepe iti i runga i te waina. Ina manawa tātou, ka tangohia e ēnei pēke hau te hāora mai i te hau ka tukuna ki roto i te toto. Engari ina puta te ARDS, ka kī ēnei pēke hau i te wai. He rite ki te poihau wai. Kātahi ka kore e taea e ngā pūkahukahu te kī tika i te hau, ā, ka tino heke te nui o te hāora e uru ana ki te toto. Ka kiia tēnei he hypoxia. I te nuinga o te wā ka whakarōpūhia e ngā tākuta te ARDS hei ngawari, hei taurite, hei kino rānei . Ka whakatauhia mā te whakataurite i te taumata o te hāora i roto i te toto me te nui o te hāora e tika ana kia tukuna ki taua taumata. Ka taea hoki e te ARDS te kore e whiwhi i te hāora e hiahiatia ana e ētahi atu okana nui pēnei i tō tātou roro, te ngākau, ngā whatukuhu, me ngā whekau. Nō reira, he mate kino te ARDS, ā, ka taea te whakararu i te ora. He maha ngā wā ka puta te ARDS ina rongoatia tetahi i te hōhipera mō tētahi atu mate, mate, aituā rānei. Heoi, ki te puta ēnei tohu ki a koe i te kāinga, he mea nui kia rapu awhina hauora tonu.

E toru ngā wāhanga o te ARDS?

I ētahi wā ka wehea e ngā tākuta te ARDS kia toru ngā wāhanga: Te Pupuhi, te Pupuhi, me te Pupuhi. Ko te nuinga o tēnei e pā ana ki te nui o te pupuhi me te wai e kohia ana i roto i ngā pukahukahu, kātahi ka pā ki te huarahi e tīmata ai te whakaora o ngā pukahukahu. Kāore te katoa e ahu whakamua ki te Wāhanga 3. Ko tēnei wāhanga e pā ana ki te whara o ngā pukahukahu (`(Lung fibrosis)`) me te hiahia tonu ki te whakapūngao mīhini.

He pēhea te noa o te mate urutā ARDS?

He mate kino tēnei. E pāngia ana e te mate nei te 200,000 tāngata i te tau i te United States anake. I te ao whānui, e pāngia ana e te 3 miriona tāngata i te tau. Ko te ARDS te take mō te 10% o ngā whakaurunga katoa ki te wāhanga tiaki nui (ICU). Koia anō te take mō te 25% o ngā whakaurunga katoa ki te hōhipera mō te manawa mīhini.

He aha ngā tohu o te ARDS? Me pēhea te mōhio ki tēnei?

Ka rerekē pea ngā tohu o te ARDS i runga i te pūtake, te kaha o te mate, me ngā mate pūkahukahu, mate ngākau rānei kua pā ki a koe. Ko ngā tohu matua ko:

• Te uaua nui ki te manawa :E ahua ana kāore e taea e koe te manawa, me te mea kei te whakamomori koe.
• Te manawa tere me te uaua: Te manawa nui me te mea e kiki ana mō te manawa.
• Ka piki ake te tere o te manawa.
• Te tae kikorangi o ngā whao me ngā ngutu: Nā te iti o te hāora i roto i te toto tēnei e hua ai.

Whakaarohia, e rua ngā rā i pāngia ai a Mr. Nalin e te kirika nui me te maremare. Kātahi ka uaua ki a ia te manawa, ka pēhia tōna uma. I kite tana wahine kua kikorangi ōna maikuku. I te taenga atu ki te hōhipera, ka kī mai ngā tākuta he ARDS pea.

Ka taea e te ARDS te whanake i roto i ngā hāora, i ngā rā rānei i muri i te tīmatanga o te huihuinga, ā, ka tere tonu hoki te kino haere.

He aha ngā take o te ARDS?

He maha ngā take pea o te ARDS. Me titiro tātou ki ngā mea matua:

• Sepsis : Ko te tino take o te ARDS he mate e kiia nei ko te sepsis. Ka puta pea tēnei mate ina horapa te mate kino ki roto i ō pukahukahu (pērā i te niumōnia ) i tētahi atu okana rānei puta noa i tō tinana, ka pupuhi kino.
• Te niumōnia manawa : Ki te uru ngā mea o roto i te puku (kai, wai) ki roto i ngā pukahukahu, ka pāngia kinotia ngā pukahukahu me te ARDS. Ka puta tēnei ina uru tetahi mea e kainga ana, e inuhia ana rānei ki roto i ngā ara manawa. He tino tūpono tēnei ka pā ki te tangata kua kore e mōhio, kua kaumātua rānei.
• Ngā whakawhiti toto: He tūponotanga kei te pāngia koe e te ARDS mēnā ka hoatu ki a koe he neke atu i te 15 wae toto i roto i te wā poto.
• Covid-19 `( COVID-19 )`: Ka taea e te huaketo Covid-19 te whakararu i te ARDS kino.
• Pancreatitis : He mumura nui o te repe taiaki.
• Ngā aituā nui, ngā wera rānei: Ka taea e ngā aituā me ngā hinganga te kino tika i ngā pukahukahu, ka taea rānei e rātou te kino i ētahi atu okana o te tinana, ka pupuhi kino hoki ngā pukahukahu.
• Whara manawa: Te manawa i ngā kohu matū, i te paoa rānei, he tino kukū.
• Te nui rawa o te tarukino: Te tango i te nui rawa o te tarukino, pērā i te kōkaini, i te opioids rānei.
• Te toremitanga, te tata toremitanga rānei: Ina toremi koe, ka uru te wai ki roto i ō pukahukahu, ā, ka pakaru.

Ko wai kei te nui ake te mōrearea ki te ARDS?

He maha ngā wā ka puta te ARDS i roto i te hunga kua noho ki te hōhipera nā te aituā, nā te mate rānei. Heoi, ehara i te mea ka pāngia koe e te mate nā te mea kei te hōhipera koe. He maha ngā āhuatanga ka whakanui ake i tō mōrearea:

• Neke atu i te 65 tau te pakeke.
• Te kai tupeka (te momi hikareti).
• Te whakamahinga o ngā raau taero.
• Kei a koe tētahi mate pūkahukahu kua pā mai i mua.

He aha ngā raruraru ka pā mai i te ARDS?

Ka taea e te ARDS te whakaputa i ngā raruraru maha, i a koe e noho ana i te hōhipera, i muri hoki i te hokinga ki te kāinga. Ko ētahi o ēnei:

• Ngā toto totoka , te totohu uaua hōhonu rānei (DVT).
• Pneumothorax: Ka puta pea tēnei nā te pēhanga o te mīhini manawa ki runga i te pukahukahu kua pakaru, kua mārō hoki.
• Pōrangi: Te raruraru o te hinengaro.
• Te ngoikore o ngā okana maha .
• Te ngoikore o te uaua.
• He whara o te pukahukahu , he fibrosis rānei.
• Te Mate Auau i Muri i te Whara (PTSD)
• Ngā raruraru hauora hinengaro pērā i te manukanuka me te pouri .

Me pēhea te tautuhi i te ARDS? (Tautuhinga)

Ka tātaritatia te ARDS e ngā tākuta i runga i te whakamātautau tinana me ngā hua o ētahi whakamātautau. Nā te mea he rite ngā tohu o te ARDS ki ngā tohu o ngā mate pūkahukahu, ngā mate ngākau rānei, me whakakore hoki e te tākuta ētahi atu take. Ka taea e te tākuta te tono i tētahi huinga o ngā whakamātautau, pēnei i:

• X-ray o te uma: Hei tirotiro i te nui o te wai i roto i ngā pukahukahu.
• Whakamātautau toto: Ka ine i te taumata hāora i roto i te toto, ā, ka whakatau i te kaha o te ARDS.
• Echocardiogram (whakamātautau ultrasound o te ngākau): Tirohia te mahi a te ngākau.
• Te hiko o te manawa (EKG): Ka ine i te ngohe hiko o te ngākau.
• Pūoko matimati `(Pulse oximetry)`: Aroturuki tonu i ngā taumata hāora.
• Matawai CT (Tomography Rorohiko - matawai CT): Tikina ētahi atu kōrero taipitopito mō ngā pukahukahu.
• Te tango tauira o ngā hinu mai i te ara manawa: Kimihia te pūtake o te mate.

He aha ngā maimoatanga mō te ARDS?

Ko te whāinga matua o te rongoā i te ARDS he whakanui ake i ngā taumata hāora i roto i te toto, me te ārai i te ngoikore o ngā okana. Tērā pea ka hiahiatia he manawa whakaeaea me/ranei he rongoā hāora hei whakanui ake i ngā taumata hāora i roto i te toto e te hunga whai ARDS. Tērā pea ka hiahiatia he āwhina hei whakatuwhera i ngā ara manawa kua āraia e te kino. Tērā pea ka mahi tō tākuta i ngā mahi hei whakaiti i ngā raruraru o te ARDS, pēnei i:

• Te hoatu pire moe (whakamarie) hei āwhina i te whakahaere i te mamae me te noho marino.
• Kaua e hurihia koe ki raro, engari me takoto koe ki raro. Mā tēnei ka pai ake te rere o te hāora.
• Whakahaerehia ngā whakamātautau manawa, ka whakatau i te wā tika hei tango i te ngongo me te mīhini manawa.
• Te hoatu i ngā rongoā whakangawari toto hei ārai i te toto e pupuhi ana.
• Te hoatu i ngā rongoā diuretic hei tango i te wai nui mai i te tinana.
• Te hoatu rongoā hei whakaiti i te hanga wai i roto i ngā pukahukahu.
• Ka hoatu ngā paturopi hei ārai i ngā mate urutā, hei rongoā rānei i ngā mate urutā o nāianei.
• Whakaratohia he nekehanga hohe me te whakaora tinana hei ārai i te ngoikore o te uaua.
• Te tuku ki ngā kaupapa whakaora pūkahukahu hei whakapakari i ngā pūkahukahu me te whakanui ake i te kaha o ngā pūkahukahu.

Kia pēhea te roa o te wā e ora ai i te ARDS? He aha te tere o te ora?

Kei te kaha o te mate me te roa o te wā e ora ai ngā pukahukahu o te tangata. E ai ki te nuinga o ngā rangahau , e ono marama ki te tau te roa ka hoki mai te mahi noa o ngā pukahukahu i muri i te ARDS. Heoi, kāore ētahi tāngata e tino ora. Ko te ōrau ora mō te ARDS he tata ki te 55% ki te 70% , ki te tere te rongoā. Ka heke te ōrau ora mēnā ka whakaroahia te rongoā, mēnā rānei ka tīmata te ngoikore o ētahi atu okana. Ka whakatauhia tō matapae e ngā āhuatanga pēnei i ō āhuatanga hauora, tō hītori hauora, me te kaha o tō raruraru manawa. Ka kōrerohia tēnei e tō tākuta ki a koe.

Ka taea te ārai i te ARDS?

Kāore he huarahi motuhake hei ārai i te ARDS. Heoi, ki te mea kei a koe ngā tohu o te poto o te manawa, te pakaru rānei o ō pukahukahu, tētahi atu mate rānei, mā te rapu awhina hauora tonu ka āwhina i te ārai i te kino haere o te mate. Mā te karo i te momi hikareti me te whakaiti i te inu waipiro ka whakaiti i te tūponotanga o te whakawhanake i te ARDS kino.

He aha te āhua o te oranga i muri i te ARDS? He aha ngā mea me mōhio tātou?

Ka taea e te ARDS te whakararu i te ora, ā, ka whakamataku hoki. Engari nā te pai ake o ngā maimoatanga me te tautoko manawa (ina koa ko te huri i ngā tūroro ki runga i ō rātou puku hei whakapai ake i te tuku hāora), he maha atu ngā tāngata e ora ana, ā, kei te heke haere ngā raruraru ARDS. Ko te hunga kei raro iho i te 65 tau te pakeke me te hunga e pāngia ana e te ARDS i muri i tētahi aituā, i tētahi whakawhiti toto rānei, he pai ake te āhua o te mate. Ka roa pea te wā e ora ai i te ARDS. He maha ngā tāngata kua tangohia te manawa ka taea te manawa noa. Ko ētahi ka ora katoa, engari ko ētahi ka pāngia e ngā raruraru pūkahukahu mau tonu. Me tiaki rātou e tētahi tohunga pūkahukahu (kaimātai pūkahukahu).

"I pāngia tōku whaea e te ARDS, ā, i noho ia ki te hōhipera mō ngā marama. Ahakoa i muri i tōna hokinga mai ki te kāinga, i tino ngenge ia. Kāore i taea e ia te mahi i ngā mahi iti rawa. Engari i muri i te whai i ngā tohutohu a ngā tākuta me te mahi whakaora tinana, kei te pai haere ia. I tēnei wā, he mea tino nui te tautoko me te aroha o tōna whānau."

He uaua pea te oranga i muri i te ARDS. Kia manawanui, me te rapu tautoko mai i te whānau me ngā hoa i a koe e ora ana. Tērā pea ka hiahia āwhina koe ki ngā mahi o ia rā kia ora rā anō ōu pūkahukahu. Kōrero ki tō tākuta mō ngā rōpū tautoko, ngā rauemi rānei hei āwhina i a koe kia kaha anō.

He aha te hononga i waenga i te COVID-19 me te ARDS?

Kāore ēnei i te rite. Ka taea e te tangata whai COVID-19 te whakawhanake i te ARDS ina tae te huaketo ki ngā pukahukahu. E ai ki ngā kairangahau ko te reiti ora mō te tangata whai COVID-19 me te ARDS he tata ki te 50% ki te 60%. Engari ka whakawhirinaki hoki tēnei ki ngā āhuatanga maha, pēnei i te hītori hauora me ētahi atu āhuatanga hauora. Ko te noho i te wāhanga tiaki nui (ICU) he wheako mamae, he uaua hoki. Ko te hunga e ora ana i te ARDS, kāore pea e taea te hoki wawe ki ō rātou oranga noa, nō reira me tino hiahia koe ki te tautoko. He mea nui kia whiwhi āwhina ngaio me ngā tohutohu i a koe e ora ana i te ARDS. Pātai atu ki tō rōpū hauora mō ngā kaupapa whakaora i muri i te tiaki nui me ngā rōpū tautoko ipurangi i tō rohe.

Ngā Mea Tino Hira: Ngā Mea hei Mahara (Karere hei Tango ki te Kāinga)

Āe, anei ētahi mea hei maumahara māu mai i ngā mea kua kōrerohia e tātou:

• He mate kino te ARDS e kino ai ngā pukahukahu. Ka kī ngā pēke hau i roto i ngā pukahukahu i te wai, ka whakaiti i te nui o te hāora ka tae ki te toto.
• Ki te pāngia koe e ngā tohu pēnei i te uaua ki te manawa, te tere o te manawa, te kikorangi rānei o ngā maikuku/ngutu, rapua tonutia he tohutohu hauora.
• He maha ngā take o te ARDS. Ko te sepsis, te niumōnia, te COVID-19, me ngā aituā kino ētahi o ēnei.
• Ko te nuinga o te maimoatanga ko te hāora, te tautoko i te manawa, me te whakahaere i ngā raruraru .
• He roa te wā e ora ai, ā, ka pāngia pea ētahi tāngata e ngā raruraru pūkahukahu mō te wā roa.
• He mea tino nui te maimoatanga tere me te tiaki hauora pai hei whakaora i ngā oranga me te whakaiti i ngā raruraru.
• He mea nui te tautoko a te whānau me te hapori mō te tangata e ora ana i te ARDS.

Kia maumahara, he mea nui kia mōhio koe ki tēnei āhuatanga. Mēnā ka pāngia koe, tētahi atu rānei e mōhio ana koe e tētahi o ēnei tohu, kaua e mataku, kaua hoki e mataku, engari me toro atu ki te tākuta tonu. Pērā ai, ka taea e koe te tīmata i te maimoatanga e tika ana i te wā e taea ai.