He maha ngā wā ka maremare tāu tamaiti? Ka whewhewhe ia i a ia e tākaro ana? Ka ara ake rānei ia i te pō ka mea he uaua ki a ia te manawa? He tohu pea ēnei o te mate huango i roto i ngā tamariki. Kaua e manukanuka , ka kōrerohia tēnei e tātou i tēnei rā. Ki te mārama koe ki tēnei, ā, ki te whai hoki i ngā tohutohu a te tākuta, ka taea hoki e tāu tamaiti te noho hauora.
He aha te mate huango o te tamarikitanga?
He māmā noa iho, he mate pūkahukahu mau tonu te mate huango . Ka pā ki ō ara manawa, arā, ngā ngongo e kawe ana i te hau ki roto, ki waho hoki i ō pūkahukahu. Mō te tangata he mate huango, ka pupuhi, ka whaiti ēnei ara manawa, ā, ka uaua ki ō pūkahukahu te whiwhi hau e tika ana.
Whakaarohia mēnā ka pēhia e koe tētahi paipa wai, ka uaua te rere o te wai. Nā tēnei ka uaua te manawa, ā, ka pāngia pea koe e te wheezing, te maremare, me te ahua o te kikī o tō uma. Ko ētahi mea (e kiia ana e mātou ko ngā 'Triggers') ka piki ake ai ēnei tohu i te wā ohorere, ka pā mai rānei he whakaekenga huango. Ka āta haere, ka tere rānei te puta mai o tēnei whakaekenga, ā, i ētahi wā ka mate pea koe .
Ahakoa ka tīmata te mate huango i ngā tau katoa, he maha tonu ngā wā ka tīmata i te tamarikitanga, i te wā e whanake tonu ana te pūnaha ārai mate o te tamaiti. Ko te nuinga o ngā tamariki e pāngia ana e te mate huango ka puta ō rātou tohu tuatahi i te 5 tau te pakeke. Ka taea e te mate huango te aukati i tāu tamaiti ki te haere ki te kura, ā, ka hiahiatia pea kia noho ki te hōhipera. Nō reira, he mea tino nui kia whai mahere maimoatanga tika mō te mate huango hei āwhina i te whakahaere i te mate o tāu tamaiti.
He pēhea te noa o te mate huango i roto i ngā tamariki nohinohi?
Ina hoki, ko te mate huango tētahi o ngā mate pūmau e tino kitea ana i te tamarikitanga. I te Hononga o Amerika anake, e 7.5 miriona ngā tamariki e pāngia ana e tēnei mate. Kei te piki haere te horapa o tēnei mate i waenga i ngā tamariki. He take nui anō hoki tēnei e kore ai e taea e ngā tamariki te haere ki te kura, e kore ai hoki e taea e ngā mātua te haere ki te mahi.
He aha te take he nui ake ai ngā tamariki e pāngia ana e te mate huango i ēnei rā?
E whakapono ana ngā kairangahau he maha ngā take e nui ake ai te tūponotanga o te pāngia o ngā tamariki e te mate huango. Ko ētahi o ēnei ko:
- Te tūponotanga pinepine ki ngā mate pāwera pērā i te puehu, te parahanga o te hau, me te paowa hikareti.
- Te kore rawa e pāngia e ētahi mate o te tamarikitanga e whakapakari ana i te pūnaha ārai mate .
- Te whakaiti i te whāngai ū . Ka whakaitihia te kaha o te pēpi ki te whiwhi i ngā matūkai nui mō tōna pūnaha ārai mate.
He aha ngā tohu o te mate huango i roto i te tamaiti nohinohi?
Kāore e rite ngā tohu o te mate huango ki ngā tamariki katoa. Waihoki, ka rerekē ngā tohu i waenga i te tamaiti me te tamaiti. Ko ētahi o ngā tohu ka kitea i roto i te mate huango o te tamaiti ko:
- Te maremare pinepine . Ka puta pea tēnei maremare i te wā e takaro ana, e kata ana rānei te tamaiti. Ko te maremare i te pō, i te oho ake rānei i te ata, i ētahi wā koinei anake te tohu o te mate huango.
- Te tere ake o te ngenge i te wā e tākaro ana.
- Te tere o te manawa, te āhua nei kei te mōmona koe (Dyspnea) .
- E mea ana te tamaiti he kuiti te uma, ā, he "mamae" te uma.
- Ko te wheezing he tangi whiowhio e rangona ana i te wa e manawa ana ki roto, ki waho hoki.
- Ko ngā hokinga whakamuri ko te āhua o te uma i waenganui i ngā rara me te kaki e anga ana ki roto . Ko te tikanga tēnei kei te kaha te pēpi ki te manawa.
- Te āhua kore ora, te ngenge hoki .
- Te riri .
- Te uaua ki te whāngai ū me te kai (ka pāngia pea ngā pēpi nohinohi rawa atu).
Mena kei te pāngia tō tamaiti e tētahi, e ētahi rānei o ēnei tohu i ngā wā katoa, he mea tino nui kia toro atu koe ki te tākuta mō ētahi tohutohu.
Me pēhea koe e mōhio ai kei te kino haere tō mate huango, ā, he āhuatanga ohorere tēnei?
Ina pāngia te tamaiti e te mate huango (Asthma Exacerbation), ka tino kaha ngā tohu. Ka āta haere, ka ohorere rānei te puta o tēnei mate. I ētahi wā ka mate pea (Status Asthmaticus). Mena ka kitea e tāu tamaiti tētahi o ngā tohu e whai ake nei o te mate huango kino, me rapu awhina hauora tonu koe :
- Maremare nui rawa atu .
- Te uaua ki te manawa , te wheezing rānei , ka tere te kino atu .
- He tino uaua ki te manawa .
- Te piki ake o te tere o te manawa ahakoa te tū noa.
- Ka mā, ka kikorangi rānei te mata, ngā ngutu, me/ngā maikuku rānei o te tamaiti.
- Te uaua ki te kōrero , te kore e taea te whakaoti i tētahi rerenga kōrero, te kore rānei e taea te kōrero i te katoa.
He aha ngā take o te mate huango i roto i ngā tamariki?
Kāore ngā kairangahau i te tino mōhio he aha te take o te mate huango. Engari he maha ngā wā ka tīmata i te wā tamarikitanga, i te wā e whanake tonu ana te pūnaha ārai mate o te tamaiti. He maha ngā āhuatanga e pā ana ki te whanaketanga o ngā pukahukahu o te tamaiti me te pai o te tinana ki te whawhai ki te mate. Ko ētahi o ēnei:
- Ira : Mena he mate huango tō tetahi o te whānau, inā koa he mātua.
- Ngā mate pāwera: Ngā mea e pāwera ai te tamaiti, pērā i te puehu, te huruhuru kararehe, me te paowa hikareti.
- Ngā mate huaketo i te tamarikitanga: Ngā mate ka pā ki te pūnaha manawa, pērā i te makariri noa.
He mate hopuhopu te mate huango?
Kāo, ehara te mate huango i te mate hopuhopu. Ehara i te mea nā ngā iroriki, arā, ngā huakita, ngā huaketo rānei i puta mai. Nō reira, kāore e taea te tuku mai i tētahi tangata ki tētahi atu.
He aha ngā āhuatanga mōrearea e pā ai te mate huango i te tamarikitanga?
He maha ngā āhuatanga mōrearea e whai wāhi ana ki te whanaketanga o te mate huango i te tamarikitanga:
- He mate pāwera tō te tinana.
- He hītori whānau mō te mate huango me/ranei ngā mate pāwera .
- Ngā mate manawa auau i te wā tamarikitanga.
- Te whānautanga mai me te taumaha iti i te whānautanga .
- Te pānga ki te paoa hikareti i mua atu me muri i te whānautanga.
- He tama tāne (e ai ki ngā tatauranga, he nui ake te tūponotanga ka pāngia ngā tama i te wā kōhungahunga).
- Nō ētahi iwi motuhake (kāore pea tēnei e tino pā ki Sri Lanka).
- Te noho i tētahi tāone nui e nui ana te parahanga o te hau .
He aha ngā raruraru ka pā mai mēnā kāore e tika te whakahaere i te mate huango?
Ki te kore e whakahaeretia tika te mate huango, ka puta pea he maha ngā raruraru me ngā uauatanga. Ko ētahi o ēnei ko:
- Te pāngia e te whakaekenga huango kino .
- Te ngaro i te kura, i ētahi atu mahi rānei.
- Te whakaurunga pinepine ki te hōhipera me/ranei ngā haerenga ki ngā ruma whawhati tata .
- Te kino tuturu ki ngā pukahukahu .
Me pēhea te tautuhi i te mate huango i roto i ngā tamariki nohinohi?
Ina hoki, he uaua te tautuhi i te mate huango i roto i ngā tamariki nohinohi, inā koa ngā tamariki kei raro iho i te 6 tau te pakeke. Nā te mea he rite tonu ngā tohu ki ērā o ētahi atu mate. Waihoki, kāore ētahi tamariki e whakaatu i ngā tohu o te mate huango i ngā wā katoa, nō reira ka pohehe pea rātou he mate manawa kē atu. Hei tāpiri, ko ngā whakamātautau mahi pūkahukahu e whakamahia ana hei tautuhi i te mate huango, kāore pea i te tika i roto i ngā tamariki nohinohi.
Ka taea e te tākuta tamariki o tāu tamaiti te tātaritanga i te mate i muri i te arotake i te hītori hauora o tāu tamaiti, ngā tohu, me te whakamātautau tinana. Ka pātai te tākuta ki a koe mēnā kua raru tō tamaiti ki te manawa. Ka pātai anō hoki ia mēnā he mate huango, he mate pāwera, he mate pūkahukahu rānei tō tetahi o tō whānau. Kia tino whakaahuahia ngā tohu o tāu tamaiti, tae atu ki te wā e puta ai me te auau o te puta.
Tērā pea ka tukuna atu e tō tākuta tō tamaiti ki tētahi tohunga, pērā i te tākuta mate pūkahukahu tamariki, i te tākuta mate pāwera tamariki rānei.
He aha ngā whakamātautau e mahia ana hei tirotiro mō te mate huango?
Mena ka taea, ka tono pea tō tākuta i ētahi whakamātautau hei tautuhi i te mate huango. Kei roto i ēnei ko:
- Ngā whakamātautau mahi a ngā pukahukahu: Ka ine ēnei whakamātautau i te nui o te hau ka taea e ngā pukahukahu o tāu tamaiti te pupuri me te tere o tā rātou whakaputa i te hau. Ka āwhina ngā hua i te tākuta ki te whakatau i te kaha o te mate huango o tāu tamaiti.
- Te whakamātautau kiri mate pāwera me ngā whakamātautau toto: Ka āwhina ēnei ki te tautuhi ko ēhea ngā mate pāwera e whakaoho ana i te pūnaha ārai mate o te tamaiti.
- X-ray o te uma: Ka taea e tō tākuta te whakamahi i ngā whakamātautau whakaahua pēnei hei whakaū ehara i te mate huango engari he mate hauora kē atu.
He uaua ngā whakamātautau mahi a ngā pukahukahu mō ngā tamariki nohinohi. Nō reira, ka tūtohu pea te tākuta kia hoatu he rongoā huango ki te tamaiti kia kite ai ia i tana urupare.
Me pēhea te rongoā i te mate huango i roto i ngā tamariki nohinohi?
I te wā e rongoā ana i te mate huango o te tamarikitanga, mahi tahi me te tākuta o tāu tamaiti ki te waihanga i tētahi "Mahere Mahi mō te Mate Huango".He mea nui kia whakawhanakehia he mahere. E whakaahua ana tēnei mahere me pēhea te whakahaere i ngā tohu o tāu tamaiti me te ārai i ngā whakaekenga huango. Kei roto hoki i tēnei mahere ngā mea e whai ake nei:
- Āhea, me pēhea hoki te whakamahi i te rongoā huango a tāu tamaiti .
- Me aha mēnā ka kino haere te mate huango o tāu tamaiti .
- Āhea te tamaiti e hiahia ai ki te maimoatanga ohorere ?
Kia mārama koe ki tēnei mahere, ā, pātai atu ki tō tākuta mēnā he pātai āu. He mea nui rawa tēnei mahere mahi mate huango mō te angitu o te whakahaere mate huango a tāu tamaiti. Puritia kia tata mai hei whakamahara i a koe anō ki te mahere whakahaere mate huango o ia rā a tāu tamaiti, ā, kia tata mai hoki ina pāngia tāu tamaiti e ngā tohumate mate huango. Hoatu hoki he kape o tēnei mahere ki ngā kaimahi kura o tāu tamaiti me ētahi atu kaitiaki.
Haunga te whai i tō mahere mahi mō te mate huango, me whakawhāiti i tō pānga ki ngā mea ka kino ake ai tō mate huango (ngā mea e whakaoho ana i te mate huango) i ngā wā katoa e taea ana (ā, karohia katoatia mēnā ka taea). Ka taea e tō tākuta te āwhina i a koe ki ngā rautaki hei karo i ēnei mea e whakaoho ana i te mate huango.
Ngā rongoā mō te mate huango o te tamarikitanga
He rite tonu ngā rongoā e hoatu ana ki ngā tamariki mate huango ki ērā e hoatu ana ki ngā pakeke me ngā tamariki nohinohi, engari he rerekē pea te horopeta me te tikanga hoatu. Ina hoatu he rongoā manawa, ka taea te whakamahi i tētahi atu taputapu tuku i runga i te tau me te kaha o te tamaiti.
I runga i te kaha o te mate o tāu tamaiti, me tango rongoā koe i te wā e tika ana, me tango rongoā rānei koe i ia rā. Ka āwhina ētahi rongoā ki te ārai, ki te whakaora rānei i ngā tohu o te whakaekenga huango. Ko ētahi atu rongoā ka mahi hei whakahaere, hei ārai rānei i te pupuhi i roto i ngā ara manawa o tāu tamaiti.
Ngā rongoā whakaora tere
Ka āwhina ēnei rongoā ki te ārai, ki te whakaora rānei i ngā tohumate o te mate huango. Mena he mate huango ngawari tō tāu tamaiti, ki te puta noa rānei tōna mate huango i te wā e mahi ana ia i te tinana, tera pea he nui ēnei rongoā whakaora tere. Kei roto i tēnei momo rongoā he inhaler me pupuri tonu e tāu tamaiti.
Ngā rongoā e whakaora wawe ana:
- Ngā beta2-agonists mahi poto (SABAs): Hei tauira, albuterol. Ka tere te whakatuwhera i ngā ara manawa o tāu tamaiti, ā, ka tukuna te hau kia rere i te wā e pāngia ana e te mate huango. Ka āwhina hoki rātou ki te ārai i ngā whakaekenga e puta mai ana i te korikori tinana. Ahakoa i mua ko te "whakaora" te "whakamanawa" rānei, ināianei he pai ake ki ngā tākuta te whakamahi i te kupu "whakaora tere". Nā te mea ka taea, ā, me whakamahi hoki ēnei rongoā mō ngā tohumate huango katoa, kaua ko te whakaeke huango anake.
- Ngā rongoā ārai-whakapūngao poto: Hei tauira, ko te Ipratropium bromide. He rongoā whakawhanui-pūngao hoki tēnei e whakatuwhera wawe ana i ngā ara manawa. Kāore pea ngā rongoā ārai-whakapūngao i te rite te whai hua ki ngā SABA. Heoi, nā te mea he pānga taha tō ētahi tamariki i ngā SABA, he kōwhiringa pai ngā rongoā ārai-whakapūngao.
- 'Ngā rongoā corticosteroid pūnaha':Ka taea e ngā corticosteroids te whakaiti i te pupuhi i roto i ngā ara manawa o tāu tamaiti e puta ai ngā tohumate huango. Ka taea te hoatu i ēnei rongoā ki tāu tamaiti mā te waha, mā te werohanga rānei. Ka taea hoki e rātou te āwhina i tāu tamaiti kia tere ake te ora i muri i te whakaekenga huango.
Ngā rongoā whakahaere roa
Tērā pea ka tohua e tō tākuta he rongoā mō tāu tamaiti i ia rā hei āwhina i te ārai i ngā whakaekenga huango me te whakahaere i ngā tohu. Ka āwhina ēnei rongoā ki te ārai i te whaiti o ngā ara manawa o tāu tamaiti, me te whakaiti i te pupuhi.
Ngā rongoā whakahaere roa:
- Corticosteroids: He rongoā ārai-mumura ēnei hei whakaiti i te pupuhi. Ahakoa ka taea te hoatu ā-waha, he pai ake ki ngā tākuta te hoatu mā te manawa. Ka taea te hoatu i ēnei rongoā hei wai (whakamahia i roto i te nebulizer), mā te inhaler horopeta mita (MDI), mā te inhaler paura maroke (DPI) rānei. Ina whakamahi ana i te MDI, me whakamahi e tāu tamaiti he rūma pupuri takirere, he mea whakawehewehe.
- Ngā rongoā whakarerekē Leukotriene: Ka āwhina ēnei rongoā ki te whakaiti i te pupuhi i roto i ngā ara manawa o tāu tamaiti, me te pupuri i a rātou kia tuwhera. Tērā pea ka tohua ēnei e tō tākuta ko rātou anake, ko ētahi atu rānei o ngā corticosteroids. Ka mahi ngā rongoā whakarerekē Leukotriene mā te whakaiti i ngā pānga o tētahi matū e kiia nei ko te leukotriene ki te tinana o tāu tamaiti.
- Ngā beta2-agonists roa-mahi (LABAs): Ka āwhina ngā LABAs ki te whakangāwari i ngā uaua huri noa i ngā ara manawa o tāu tamaiti, me te ārai i te whaiti. He maha ngā wā ka tohua ēnei e tō tākuta me te corticosteroid. Tērā pea ka tūtohutia he LABA ina kore e taea te whakahaere i ngā tohumate o ia rā o tāu tamaiti mā te horopeta auau o te steroid manawa. Me whakamahi tonu te LABA me te steroid manawa (ka kiia tēnei he maimoatanga whakakotahi).
He pānga taha kei te rongoā?
He pai te manawanui o te nuinga o te tangata ki ngā rongoā mate huango. E ai ki ngā tākuta he nui ake ngā painga o ngā rongoā i ngā mōrearea. Heoi, pērā i ngā rongoā katoa, tera pea ētahi pānga taha ka puta. Ka pā mai pea ngā pānga taha ki ngā rongoā mate huango pēnei i:
- Te riri o te kiri, te pupuhi rānei.
- Te mate pāwera o te waha.
- Te pikinga o te tere o te ngakau.
- Te kore okiokinga, te ohooho.
- Te pikinga o te taumaha.
- Te mamae o te upoko.
Mena ka pāngia tāu tamaiti e ngā pānga taha kino, ka taea e koe te kōrero ki tō tākuta me te whakarerekē i te horopeta, te whakawhiti rānei i ngā rongoā.
Mena he mate huango tāku tamaiti, he aha taku e tumanako ai?
Ehara te mate huango i te mate e kore e taea te whakaora katoa. Heoi, ka taea e te nuinga o ngā tamariki te whakahaere pai i ō rātou mate huango mā te whakamahi i ngā rautaki maimoatanga me te ārai tika . Mēnā kāore i rongoatia te mate huango, ka pā mai pea ngā raruraru roa, pērā i te kino tuturu o ngā pukahukahu.
Me pēhea koe e mōhio ai kei te pai te whakahaere i te mate huango o tāu tamaiti?
Ka taea e koe te mōhio kei te pai te whakahaere i te mate huango o tāu tamaiti mēnā, i a ia e tango ana i te rongoā, ka:
- Ki te mea kei te ora koe i tētahi oranga noa, i tētahi oranga hihiko .
- Mena he iti noa iho ngā tohu whakararuraru.
- Ki te kore koe e ngaro i te kura nā ngā tohu.
- Mena ka taea e koe te mahi i ō mahi o ia rā me te kore he uauatanga .
- Ki te kore e hiahiatia he haerenga ohorere ki te tākuta tamariki, ki te rūma ohorere, ki te hōhipera rānei.
- Mena he iti ake ngā pānga taha o te rongoā, kāore rānei he pānga kino .
Ka memeha haere te mate huango o te tamarikitanga i a koe e pakeke haere ana?
Kia pāngia ngā ara manawa o te tangata e te mate huango, ka mau tonu taua pāngia mō te wa katoa. Mō te haurua o ngā tamariki e pāngia ana e te mate huango, ka tino heke ngā tohu i te wā e tae ana ki te taiohitanga. Nō reira, te āhua nei kua nui ake te mate huango o te tamarikitanga.
Heoi anō, ka taea e te mate huango o te tamarikitanga te hoki mai anō. Tata ki te haurua o ngā tamariki kua kore te mate huango ka hoki mai anō ngā tohumate huango i roto i te 30, 40 rānei o ō rātou tau. Engari, kāore he huarahi hei matapae ko wai ka ngaro ō rātou tohumate i ō rātou tau taitamarikitanga, ā, ko wai ka hoki mai anō i muri mai i te ao.
Ka taea te ārai i te mate huango o te tamarikitanga?
Kāore e taea te ārai i te mate huango o te tamaiti nā te mea kāore i te mōhiotia te pūtake tuturu o te mate. Waihoki, ka pā mai te mate huango nā te mea kei te whanake tonu te pūnaha ārai mate o tāu tamaiti.
Me pēhea taku whakaiti i te mōrearea o taku tamaiti ki te pāngia e te mate huango?
Ahakoa kāore e taea te ārai i te mate huango o te tamarikitanga, he maha ngā mea ka taea e koe te mahi hei whakaiti i te tūponotanga o tāu tamaiti ki te pāngia e tēnei mate:
- Puritia tō whare kia kore e puta he harore, he makuku rānei .
- Āta karohia te parahanga o te hau i ngā wā katoa e taea ana.
- Āwhina i tāu tamaiti kia mau tonu tōna taumaha hauora .
Āhea te wā me kite taku tamaiti i te tākuta?
Mena kei tō tamaiti ngā tohumate huango me ētahi atu o ēnei āhuatanga mōrearea, me toro atu koe ki te tākuta:
- Mena kua whakaurua koe ki te hōhipera nā te mate huango i roto i te tau kua hipa.
- Mena kua pāngia koe e te mate huango i mua.
- Mena kua tangohia e koe ngā rongoā corticosteroids ā-waha i ngā wā tata nei hei rongoā i te mate huango.
- Ki te whakamahi koe i ngā ipu rongoā 'SABA' neke atu i te kotahi, ka roa te whakamahinga mō te neke atu i te kotahi marama.
- Mena he mate hinengaro tōu, he raruraru whakamahi matū rānei .
- Mena he mate pāwera kai tōu.
Me aha koe mēnā ka pāngia tō tamaiti e te mate huango?
Mena kei te whakaatuhia e tāu tamaiti ngā tohu o te whakaekenga huango:
1. Hoatu te mahere mahi mō te mate huango ki tāu tamaiti hei rongoā whakaora tere .
2. Taria mō te 15 meneti . Ki te ngaro ngā tohu, ka taea e te tamaiti te hoki ki tana mahi i mua.
3. Ki te mau tonu ngā tohu, whai i te mahere mahi mō te mate huango hei rongoā anō .
4. Ki te kore te āhua o tāu tamaiti e pai ake, ki te kore rānei koe e tino mōhio me aha, waea atu ki te tākuta o tāu tamaiti .
Āhea ahau me kawe i taku tamaiti ki te Wāhanga Maimoatanga Ohotata (ETU) ?
Mena ka whakaatuhia e tāu tamaiti tētahi o ēnei tohu whakatūpato o te whakaekenga huango, me waea atu koe ki te 911, me kawe rānei i tāu tamaiti ki te rūma whawhati tata:
- Mena he tangi whiowhio nui (Wheezing) .
- Mena he maremare nui tōu .
- Mena he uaua ki a koe te hikoi me/te kōrero rānei .
- Ki te mea ka kikorangi te kiri, ngā ngutu me/ngā maikuku rānei .
Hei whakamutunga, he aha ngā mea hei maumahara
Nō reira, he taahiraa nui te mōhio ki te mate huango o tāu tamaiti hei whakahaere i tēnei mate. He mea nui kia mahi tahi koe me tō tākuta ki te tautuhi me te karo i ngā mea whakaoho, te whakamahi tika i ngā rongoā, me te ako me pēhea te tuku tika i aua rongoā. Kaua e wareware mā te maimoatanga tika, ka taea e tāu tamaiti te noho ora noa, hauora me te kore he tohumate huango. Kei te hiahia mātou katoa kia kaha koe me tāu tamaiti ki te haere tonu i tēnei haerenga!











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