Kua rongo koe i tētahi tangi whiowhio ina manawa koe, inā koa ina manawa koe? Tērā pea kua pāngia koe e te makariri. Koinei te mea e kīia ana e te rongoā he wheezing . Kāore pea tēnei i te mea nui ki ētahi tāngata, engari i ētahi wā he tohu pea nō tētahi mate kino. Nō reira, me kōrero tātou mō tēnei mea me te taipitopito, me te ngāwari hoki.
He aha rawa tēnei whewhe?
I te whakarapopototanga, ko te wheezing he tangi whiowhio teitei ka rangona ina manawa koe. Ka puta tēnei ina aukatia ngā ara manawa (ngā ara manawa) o roto i ō tātou pūkahukahu mō tētahi take. Whakaarohia he rite ki te tangi ka puta ina pupuri koe i te waha o tētahi poihau kī tonu i te hau ka pupuhi i te hau ki roto. Ina aukatia ō tātou ara manawa, ka puta tēnei tangi ina puta te hau mā roto i taua wāhi whaiti.
Ko ngā tino take o te wheezing ko ngā mate pēnei i te huango me te COPD (Mate Pūkahukahu Ārai Mau) . Ka taea hoki te puta mai i ngā mate manawa pēnei i te bronchitis me ngā momo mate pāwera. I ētahi wā ka haere tahi tēnei tangi wheezing me te mare. Nā te mea kei te ngana te tinana ki te tango i ngā mea pēnei i te hūpē kua āraia i roto i ngā ara manawa.
He aha te rerekētanga i waenga i te wheezing me ētahi atu oro rite?
Ehara i te mea he wheezing ngā oro manawa katoa. I ētahi wā, kāore pea koe e rongo i tēnei oro, engari ina whakanohoia e te tākuta he stethoscope ki tō uma, ka mārama te rongonga i tēnei oro.
Kia mārama tātou ki te rerekētanga o ēnei oro mai i te ripanga i raro nei.
| Momo oro | Te taiao whakarongo | Te wā whakarongo |
|---|---|---|
| Te whewhe | He oro teitei, he puoro, he oro iti, pērā i te whiowhio. | I te nuinga o te wā ka puta te hau. I ētahi wā ka rangona hoki i te wā e manawa ana. |
| Ronchi | He ngongoro, he whēwhē, he tangi paku pākū. | Ka rangona i te wā e whakamā ana ki roto, i te wā hoki e whakamā ana ki waho. |
| Stridor | He oro tino teitei, he hamama. Kāore i te rite te puoro ki te wheezing. | He maha ngā wā ka manawahia. Ka puta tēnei i te aukati i te korokoro, i ngā taura reo rānei. |
Ko te mea nui, ki te rongo koe i te wheezing i a koe e manawa ana ki roto, e manawa ana hoki ki waho, ko te tikanga kua tino whaiti te ara manawa.
He aha ngā take o te wheezing?
He maha ngā mate me ngā āhuatanga ka pā mai te whewhe. Anei ētahi o ngā tino take:
- Te mate huango: Ka pupuhi, ka whaiti hoki ngā ara manawa nā te nui rawa o te hūpē e puta ana.
- COPD: Te pupuhi me te kikī o te uaua i puta mai i te kino o ngā pukahukahu.
- Mate pāwera : Ngā uruparenga ki te hae, te puehu, te kiri kararehe, ētahi kai, ngā ngau pepeke rānei.
- Ngā mate manawa: Ngā mate pērā i te makariri, te bronchitis, me te niumōnia.
- He mea e mau ana i roto i te ara manawa: Ina koa i roto i ngā tamariki nohinohi, nā te horomitanga o tētahi mea pērā i tētahi kai, i tētahi taonga takaro rānei.
- GERD ( Mate reflux Gastroesophageal): He mate urutā o te ara manawa e puta mai ana i te waikawa o te puku e piki ana ki roto i te korokoro.
- Te ngoikore o te ngākau: Te kohikohinga wai i roto i ngā pukahukahu nā te ngoikore o te mahi a te ngākau.
- Te kai hikareti: Te kai hikareti, te pāngia rānei e te auahi hikareti.
- Te mate pūkahukahu: He mate pāwera o ngā ara manawa iti o ngā pukahukahu, he mea noa i waenga i ngā tamariki nohinohi.
Ako atu mō te wheezing i roto i ngā pēpi nohinohi.
He mea tino noa te whewhe i waenga i ngā tamariki nohinohi me ngā pēpi. Nā te mea he iti rawa ō rātou ara manawa. Ahakoa he makariri iti, ka pupuhi aua ngongo iti, ka kī i te hūpē, ā, ka ngāwari te aukati.
Heoi, ahakoa he wheezing tō pēpi, ehara i te mea he mate huango tōna.Ka mutu te nuinga o ngā tamariki i tēnei mate i a rātou e pakeke haere ana, nō reira kāore ngā tākuta e tātaritanga i te mate huango kia tae rā anō ki te 4-5 tau te pakeke o te tamaiti.
He mea nui kia mōhiotia: Ki te tīmata ohorere te tamaiti ki te whewhe, kāore he take e kitea ana, tera pea he mea kei roto i tōna korokoro. He āhuatanga ohorere hauora tēnei.
Me pēhea te kimi i te take o te wheezing me te rongoā i te reira?
Ina kite koe i te tākuta, ka whakahaerehia e ia ētahi whakamātautau hei kimi i te take.
- Ka pātai atu rātou ki a koe (pēnei i te roa o te wā e pāngia ana? He nui ake i te awatea, i te pō rānei? Ka pā mai i te wā e whakakorikori tinana ana koe?).
- Te whakarongo ki te uma me te stethoscope.
- He hihi-X o te uma.
- Ngā whakamātautau mahi manawa (Ngā whakamātautau manawa/Spirometry).
- Te tirotiro i te taumata hāora i roto i te toto.
Ko te maimoatanga e whakawhirinaki ana ki te take o te wheezing.
- Maimoatanga ohorere: Mēnā he uaua ki te manawa, ka taea e ngā rongoā pēnei i te Albuterol , e tukuna ana mā te inhaler, te nebulizer rānei, te whakatuwhera wawe i ngā ara manawa kua purua. Tērā pea ka hoatu hoki he hāora, he steroids rānei.
- Maimoatanga mō te wā roa:
- Mō te mate huango, te COPD rānei: Ka tohua ngā rongoā manawa ia rā (ngā steroids manawa) me ngā rongoā manawa whakaora (ngā rongoā bronchodilator).
- Mena he mate kitakita (bronchitis): Ka hoatu he rongoā paturopi.
Ngā huarahi me ngā mahi hei whakaora i te mamae i te kāinga
Ki te kore tō wheezing e tino kino, arā, kāore he uaua ki te manawa, ka taea e koe te whakaora i ēnei mea.
- Whakanuia te haumākū: Whakamahia he mea whakamakuku. Kaukau wera rānei, kati rānei te tatau o te wharepaku ka ringihia he ua wera ka hongihia te mamaoa.
- Inuhia he mea mahana: Mā te inu i tētahi mea mahana pērā i te tī, i te hupa rānei, ka taea te whakangawari i ō ara manawa me te whakangawari i te hūpē piri.
- Kaua e kai paipa: Me noho tawhiti atu i te hunga kai paipa.
- Ngā mahi manawa: Ka taea e ēnei te whakangāwari i ngā ara manawa me te whakapai ake i te mahi a ngā pukahukahu.
- Te manawa ngutu pēhi: Mā te manawa i roto i tō ihu, pēhi ō ngutu me te mea kei te whiowhio, ka whakaputa manawa kia rua te roa o te manawa e hiahiatia ana.
- Te manawa puku: Manawa mā roto i tō ihu. Whakatakotoria ō ringaringa ki runga i tō puku, ka rongo i te whānui o tō puku. Ina manawa koe mā roto i tō waha, kia rua, kia toru rānei ngā wā roa atu i tō manawa. Mā tēnei ka whakaiti i te kikī o te uma.
Āhea koe me toro atu ki te tākuta?
Mena he iti noa te whewhe e haere tahi ana me te makariri, ka memeha haere ina pai ake te mate. Heoi, ki te mea kei a koe tētahi o ngā āhuatanga e whai ake nei, me toro atu koe ki te tākuta.
| Āhea te rapu tohutohu hauora | |
|---|---|
| Ngā āhuatanga noa e tika ana kia toro atu koe ki te tākuta: | |
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| Āhea me haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU): | |
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Karere Tangohia ki te Kāinga
- He tangi te wheezing nā te whaiti o ngā ara manawa i roto i ngā pukahukahu. He maha ngā take mō tēnei .
- Mena he uaua ki a koe, ki tāu tamaiti rānei te manawa, me te whewhe, te tere o te manawa, te kikorangi rānei o te kiri, rapua tonutia he tohutohu hauora.
- Ka taea te whakahaere pai i tēnei āhuatanga mā te tautuhi tika i te pūtake o te wheezing me te whiwhi i te maimoatanga tika.
- Kaua e tatari kia pāngia tō kounga o te oranga, kōrero ki tō tākuta mō tēnei. He maimoatanga kei te wātea i ēnei rā hei āwhina i a koe kia pai ake te manawa.
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