Kei te pakaru ō pūkahukahu? Me kōrero tātou mō te atelectasis!

Kua pāngia koe e te taumaha, he rerekē te āhua i roto i tō uma i a koe e manawa ana? Kāore rānei, kei te ahua ohorere koe kei te uaua koe ki te manawa? Tērā pea kua oti kē te pokanga nui i a koe, kei te pāngia rānei koe e tētahi atu mate manawa, he mea nui pea tēnei ki a koe. I tēnei rā ka kōrero tātou mō te atelectasis, he mate e hinga ai tētahi wāhanga o te pukahukahu, i ētahi wā ko te pukahukahu katoa rānei . Kaua e manukanuka, he mea tēnei ka taea te whakahaere mēnā ka mārama koe ki tēnei.

He aha te atelectasis?

Āe, me titiro tuatahi tātou ki te aha te atelectasis. He māmā noa iho, ko te wā tēnei e kore ai e pupuhi tika tetahi, ētahi rānei o ngā pēke hau iti (alveoli) i roto i ō tātou pukahukahu, ā, ka hinga.

E mōhio ana koe ki te aha ka puta ina manawa tātou. Ka uru te hau e manawahia ana e tātou ki roto i ngā pukahukahu, ki roto hoki i ēnei pēke hau e kiia nei ko ngā alveoli. Koinei te wāhi e konatunatua ai te hāora o te hau ki roto i ō tātou toto. Kātahi ka rere te toto kī tonu i te hāora puta noa i te tinana, ka tukuna ki ō tātou whekau me ngā kiko katoa te hāora e hiahiatia ana hei oranga.

Whakaarohia, he aha te mea ka tupu mēnā kāore e nui te hau e puta mai ana i ēnei pēke hau (alveoli) hei pupuhi tika, mēnā rānei ka pēhia e tētahi mea i waho? Koinā te wā ka hinga ai. Koinei te mea e kiia nei e tātou ko te atelectasis. Ka pā pea tēnei ki tētahi wāhanga iti o te pukahukahu, ka pā rānei ki te pukahukahu katoa. Ko te mea nui, mēnā ka hinga te nui o te pukahukahu i tēnei ara, tērā pea kāore e nui te hāora e puta mai i roto i ō tātou toto. Kātahi ka puta ake ngā raruraru hauora.

He aha te rerekētanga i waenga i te Atelectasis me te Pneumothorax?

Tērā pea ka pōhēhē koe i ēnei ingoa e rua, nō reira me whakamārama tātou i te rerekētanga i waenganui i a rāua.

• Ko te atelectasis , e ai ki taku kōrero i mua ake nei, ko te hinganga o ngā pēke hau (alveoli) i roto i ngā pūkahukahu, i tētahi wāhanga rānei o te pūkahukahu tonu. I tēnei wā, kei roto i te pūkahukahu tonu te raruraru.
• Ko te pneumothorax te wā e turuturu ai te hau ki roto i te āputa huri noa i te pukahukahu, ka panaia te pukahukahu ki roto, ka hinga. I tēnei wā, ka puta te pēhanga mai i waho o te pukahukahu.

I kite koe i te rerekētanga? Ko tētahi i roto, ko tētahi i waho.

He aha te tohu o te atelectasis?

Mena kāore anō kia pokangahia tō uma, tō puku rānei i ngā wā tata nei, ki te kitea he mate atelectasis tōu, tera pea he tohu kei te āraihia tō ara manawa . Ko tēnei ārai te mea e pakaru ai tetahi wāhanga, katoa rānei o tō pukahukahu.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei?

He iti noa ngā tāngata kei te mōrearea nui ake ki te pāngia e te atelectasis. Me titiro tātou ko wai rātou:

• Ngā tāngata kua pokangahia te uma, te puku rānei:Ina koa i te wā e pokanga ana, tērā pea kāore e taea e koe te manawa hōhonu nā te rongoā whakamoe e whakamahia ana hei pupuri i a koe kia moe. Ko te tikanga o tēnei, kāore ōu pukahukahu e pupuhi tika.
• Te hunga whai mate e aukati ana i ngā ara manawa iti (pērā i te bronchi) i roto i ngā pukahukahu: Ka whakaitihia te kaha o ngā pukahukahu ki te whānui noa.
• Ngā tāngata kua whara te uma, kua whati rānei ngā rara: Nā te mamae nui i ēnei wā ka uaua te manawa hōhonu.
• Ngā tāngata e pāngia ana e te paoa tupeka.

He aha ngā momo atelectasis?

E toru ngā momo matua o te atelectasis: Te Kōpeketanga, te Whakapūngao/Te Āraitanga, me te Whakaiti. He ahua uaua te ahua? Kia māmā noa iho.

1. Te atelektasis pēhanga

Koinei te wā e pēhia ai te pūkahukahu e tetahi mea e karapoti ana i te pūkahukahu – pērā i te wai, te hau, te toto, te pukupuku rānei – ka hinga. He rite ki te pēhi i te taha waho o te poihau ka hinga.

2. Te atelektasis resorptive/aukati

Koinei te mea ka tupu: Ka mimitihia e ngā pēke hau i roto i ō pūkahukahu (alveoli) te hāora me te hauhā waro ki roto i ō toto, engari kāore he ara mō te hau hou ki roto. Kātahi ka mimiti aua pēke hau, ka pūngā. Ko ngā pokanga e hiahiatia ana he rongoā whakamoe tētahi o ngā tino take o tēnei.

Waihoki, ki te mau tetahi mea i roto i te pukahukahu (hei tauira, he puku, he pukupuku, he mea iti rānei i horomia e koe) ā, ka ārai i te hau kia uru ki roto, ka puta pea te "Resorptive atelectasis". Ka kiia hoki tēnei ko te "Obstructive atelectasis" .

3. Te atelektasis whakaheke

Nā te whara (fibrosis) i roto i ngā pukahukahu tēnei i puta ai. Ka ārai tēnei whara i te whakatuwheratanga tika o ngā pēke hau (alveoli).

Ētahi atu momo

Ka pāngia ngā pēpi whānau hou, inā koa ngā pēpi whānau wawe , ngā pēpi rānei e pāngia ana e te mate manawa ohorere (ARDS), e te momo onge o te atelectasis. Ka puta tēnei ina kore e nui te pūmua (e kiia nei ko te surfactant) e ārai ana i te hinga o ngā pukahukahu.

Hei tāpiri, ko ngā ingoa pēnei i te bibasilar atelectasis, te rounded atelectasis, te gravity-dependent atelectasis, me te subsegmental atelectasis e pā ana ki te wāhi, te āhua, te kaha rānei o te hinganga.

He aha ngā tohu?

I te nuinga o te wā, kāore he tohu motuhake e puta mai i te atelectasis.Heoi, ki te mea he mate hauora kei raro i te maru (pēnei i te COPD) e puta ai te atelectasis, tera pea ka puta ngā tohu.

Heoi, ki te pāngia tētahi wāhi nui o ō pukahukahu e te atelectasis, ka heke pea ngā taumata hāora o roto i tō toto. Ka kiia tēnei ko te hypoxemia. Tērā pea ka puta ngā tohu pēnei i ēnei:

• Te uaua ki te manawa / te poto o te manawa (dyspnea)
• Maremare
• Mamae o te uma
• Te manawa tere (tachypnea)
• Kiri kikorangi me ngā ngutu

He aha te take tino noa?

Ko te pokanga te tino take o te atelectasis . Ina whakamahia te rongoā whakamoe hei pupuri i a koe kia moe i te wā pokanga, kāore koe e manawa hohonu. Kāore hoki koe e maremare tika hei whakakore i te huware i roto i ō pukahukahu. Ka ārai pea tēnei i ō ara manawa, ā, ka kore e tae atu te hau ki ngā alveoli. Koinei te wā ka puta ai te resorptive atelectasis.

He aha ngā take kē atu?

Haunga te pokanga, he maha atu anō ngā take.

• Te puru hūpē: He mea noa tēnei i muri i te pokanga, i roto i ngā tamariki nohinohi, i te hunga whai mate pukupuku cystic, me te wā e pāngia ana e te mate huango kino.
• Mea e manawahia ana: Ka taea te horomia ngā mea iti , inā koa ngā tamariki nohinohi, pērā i ngā taonga takaro iti, ngā kai rānei. Ka taea e ēnei te noho ki roto i ngā ara manawa, ka aukati i ngā pukahukahu.
• Te kohi wai i te taha o ngā pukahukahu (te rerenga wai i roto i te pleural): Ko te tikanga ka puta mai tēnei i tētahi mate hauora kei raro i te maru, pērā i te mate manawa.
• Te kohikohinga hau e karapoti ana i ngā pukahukahu (pneumothorax).
• Ngā pukupuku kore-matepukupuku (pai).
• Ngā pukupuku matepukupuku.
• Te whara o ngā pukahukahu.
• Ngā mate pūtake: Ka taea hoki te whakaputa i te atelectasis e ngā āhuatanga pēnei i te mate pūkahukahu aukati mau tonu (COPD) te mate manawa ohorere rānei (ARDS), me ngā mate manawa pēnei i te COVID-19, te niumōnia rānei.

Me pēhea koe e mōhio ai ki tēnei?

Ko te taahiraa tuatahi ki te tautuhi i te atelectasis ko te tango i te hihi-X o te uma . Ka tangohia he pikitia o ō pukahukahu. Mena e tika ana, ka tono pea tō tākuta i te matawai CT (matawai Tomography Rorohiko) kia whiwhi ai i ngā whakaahua taipitopito ake.

I ētahi wā, me tirotiro pea tō tākuta i roto i ō pukahukahu. Mā te tuku i tētahi ngongo iti kei roto he kāmera ki raro i tō korokoro ka mahia tēnei. Ka kiia tēnei he bronchoscopy . I roto i tēnei whakamātautau, ka taea te tango i ngā aukati i roto i ō ara manawa.

He aha ngā maimoatanga?

He maha ngā wā ka kitea te atelectasis.Ka ora tonu, kāore he maimoatanga motuhake, i raro i te tirotiro tata a te tākuta.

Ko ētahi atu maimoatanga ka whakawhirinaki ki te pūtake o te pupuhi me tōna kaha. Kei roto pea i ēnei:

• Ngā mahi manawa hōhonu ('incentive spirometry'): Kei roto i tēnei ko te whakaharatau i te manawa hōhonu mā te whakamahi i tētahi taputapu iti.
• Te tango i ngā aukati i roto i ngā pukahukahu: Ko te tikanga ka mahia tēnei mā te whakamātautau bronchoscopy.
• Whakaora tinana: Kei roto i tēnei ko ngā mahi whakakori tinana hei āwhina i te whakawhānui i ngā pukahukahu.
• Ngā rongoā manawa e whakatuwhera ana i ngā ara manawa (ngā rongoā bronchodilator).
• Te rongoā i ngā pukupuku, i ngā mate pūkahukahu mau tonu rānei.

Kia maumahara, mā tō tākuta e whakatau tō mahere maimoatanga, nō reira he mea tino nui kia whai koe i ngā tohutohu a tō tākuta.

Me pēhea te whakaiti i te mōrearea?

He maha ngā mea ka taea e koe te mahi hei whakaiti i tō tupono ki te atelectasis:

• I muri i te pokanga: Whakatika, hikoi i te wā tonu e kīia ana e tō tākuta, mahihia ngā mahi whakakorikori manawa, ā, whakamahia he ine manawa whakatenatena.
• Mena kei a koe ētahi mate hauora huna: Me whiwhi rongoā tika mō te mate. Whaia ngā tohutohu a tō tākuta.
• Ki te kai hikareti koe, kati, kaua rānei e tīmata. He tino kino te kai hikareti mō ō pukahukahu.
• Mena he tamariki nohinohi āu: Kaua e waiho ngā taonga takaro nohinohi, ngā kai rānei ki te wāhi e taea ai e rātou te kōroke.

He āhuatanga kino tēnei?

Ehara te atelektasis i te mate kino . Heoi, i ētahi wā, ka puta pea ngā raruraru nui:

• Te iti o te hāora i roto i te toto (hypoxemia): Ina kore e taea e te hau te tae ki ngā alveoli nā te pupū o ngā pukahukahu, kāore te toto e whiwhi hāora, ā, kāore hoki ngā kiko me ngā whekau e whiwhi hāora.
• Pīnōnia: Ki te kohia te hūpē ki roto i ngā ara manawa kua āraia, ka pangia pea.
• Te ngoikore o te manawa: I ngā wā tino kino (hei tauira, mēnā ka pāngia te pukahukahu katoa), ka pāngia pea te ngoikore o te manawa. Ka tūpono pea tēnei ki te ora.

Kei te pēhea te tirohanga?

Ko te rongo pai , i te nuinga o te wā, ka hoki anō te atelectasis (ka ora anō) ina rongoatia te pūtake. Ka tere te ora o te nuinga o te tangata, ā, kāore he pānga kino mō te wā roa. Heoi, ko te tangata he mate roa (mau tonu) me hiahia pea ki ētahi atu maimoatanga hei whakahaere i te pūtake o te atelectasis.

Me pēhea taku tiaki i ahau anō?

Ko te mea pai rawa atu ka taea e koe ko te whai i ngā tohutohu a tō tākuta i muri tonu i te pokanga.Waihoki, ki te mea kei a koe ngā āhuatanga hauora o raro e whakanui ake ai i te mōrearea o te atelectasis, me whakahaere pai aua āhuatanga.

Āhea koe me toro atu ki te tākuta?

Mena kua oti koe te pokanga inā tata nei, kei a koe tētahi mate hauora taketake, kei te pā mai ētahi tohu hou, kei te āwangawanga rānei koe mō tētahi o ngā tohu, me toro atu tonu ki tō tākuta.

He tino uaua, he tino nui hoki ngā okana o ō tātou pūkahukahu. Ko rātou te kawenga mō te pupuri i te hau ki roto, te whakarato hāora ki te toto, me te pupuri i ngā kiko me ngā okana katoa o te tinana kia mahi tika. Ko te atelectasis te wā kāore tetahi wāhanga o tēnei pūnaha e mahi pērā i tana mahi. He mea whakamataku te kī "he pūkahukahu kua hinga" - ahakoa he wāhanga iti noa iho. Engari, waimarie, i te nuinga o te wā, ehara te atelectasis i te mate kino rawa atu hei mōrearea ki te ora.

Hei whakarongo māu: ētahi kōrero nui

Āe, nā, mai i ngā mea kua kōrerotia e tātou, koinei ngā mea tino nui hei maumahara māu:

• Ko te atelectasis te hinganga o ngā pēke hau (alveoli) i roto i ngā pukahukahu.
• Ko te pokanga te tino take, engari tera atu anō ētahi take, pērā i te aukati i te hūpē, te horomi i tētahi mea, ngā pukupuku, me te mate pūkahukahu.
• I te nuinga o te wā, kāore he tohu, engari ka puta pea ngā āhuatanga pēnei i te uaua ki te manawa, te maremare, me te mamae o te uma.
• Mā te mahi i ngā mahi manawa hōhonu me te karo i te momi hikareti i muri i te pokanga ka āwhina i te whakaiti i te mōrearea.
• He maha ngā wā ka taea te whakaora i tēnei mate.
• Mena he ruarua, he āwangawanga rānei ōu, rapua tonutia he tohutohu hauora.

Ko tāku tumanako ka whai hua ēnei kōrero ki a koe. Kia ora tonu!

` Atelectasis, hinganga o ngā pūkahukahu, mamae manawa, mate pūkahukahu, uauatanga manawa, pokanga pūkahukahu, niumōnia