Kei te uaua haere tonu te manawa ahakoa kei te hikoi tere koe, kei te piki arawhata rānei? Kei te kī tonu tō uma i te hau, ā, kāore e taea e koe te manawa? He raruraru noa tēnei e pāngia ana e te tini o te tangata me te emphysema , he momo kino o te COPD (Chronic Obstructive Pulmonary Disease). Kaua e manukanuka, kei reira ngā maimoatanga hou hei āwhina i a koe ki te whakahaere i tēnei mate. I tēnei rā, ka kōrero tātou mō tētahi o aua maimoatanga motuhake.
He aha te BLVR? Kia mārama tātou ki tēnei mea.
Ko te BLVR, arā, Bronchoscopic Lung Volume Reduction , he maimoatanga e tuku ana i te hau e mau ana i roto i ō pukahukahu kia puta.
Whakaarohia ō pūkahukahu he rite ki ngā poihau e rua. I roto i te emphysema, ka taea e te hau te tomo ki ētahi wāhanga o ō pūkahukahu engari kāore e taea te puta katoa. Kātahi ka pupuhi ngā wāhanga kua pakaru, ka whakaiti i te wāhi e wātea ana mō ngā wāhanga hauora o ō pūkahukahu ki te mahi. Nā tēnei ka uaua te manawa, ā, ka ngenge koe, ka poto hoki te manawa.
Nō reira, i roto i tēnei maimoatanga BLVR, ka whakauruhia e ngā tākuta he bronchoscope , he ngongo angiangi me te kāmera e piri ana, ki raro i tō korokoro, ki roto i ō pukahukahu. Kātahi ka whakauruhia he raupapa o ngā takirere iti kotahi-ara ki roto i ngā wāhi pukahukahu kua nui haere kē.
Mā ēnei takirere ka puta te hau kua mau i a koe e whakapūha ana, engari ina whakapūha anō koe, ka aukati i te hau kei uru ki ngā wāhi kua pakaru.
I roto i te wā, ka whakaitihia te nui o te hau e mau ana i roto i ō pukahukahu, ka paku whakaitihia te iti o ō pukahukahu, ā, ka tīmata te mahi pai ake. Ka tino whakaitihia tō manawa poto me tō ngenge.
Ko te mea nui, ehara te BLVR i te rongoā mō te emphysema, ehara hoki i te rongoā whakaroa i te ora. Ko te whāinga matua he whakahaere i ngā tohu me te whakapai ake i te kounga o tō oranga.
Mā wai tēnei maimoatanga e tino tika?
Ehara te maimoatanga BLVR i te mea mā te katoa. He tohu motuhake anō kei reira mō tēnei. Ka tirotirohia koe e tō tākuta kia kite ai mēnā e tutuki ana i a koe ēnei tohu.
| Whakaaroaro | Whakaahuatanga |
|---|---|
| Tau | Ko te tikanga, me iti iho i te 75 tau tō pakeke. |
| Te kaha o ngā tohu | Ahakoa te rongoā tika me te whakaora i ngā pūkahukahu, ka mau tonu te uaua o te manawa me te ngenge. |
| Te āhua o te pūkahukahu | Me pupuhi rawa ngā pukahukahu, ā, me mau te hau. Kaua hoki te hau e neke mā roto i ngā ara rerekē i roto i ngā pukahukahu (kaua he pūnaha hauātanga āpiti). |
| Te momi hikareti | Kaua e momi hikareti i tēnei wā, ā, me mutu te momi hikareti mō te iti rawa i te 4 marama. |
| Ngā kaupapa whakaora | Me whai wāhi atu ki ngā kaupapa whakaora pūkahukahu kua whakaritea i mua atu, ā, i muri mai hoki i te maimoatanga. |
He aha ngā whakamātautau ka mahia i mua i te maimoatanga?
Hei whakatau mēnā he pai koe mō tēnei maimoatanga, ka whakahaerehia e tō tākuta he whakamātautau tinana katoa, ā, ka tonoa he maha o ngā whakamātautau. Ko ētahi o ēnei:
- Ngā whakamātautau toto
- X-ray o te uma
- Matawai CT taumira teitei
- Ngā whakamātautau mahi pūkahukahu
- Whakamātautau hau toto uaua
- He whakamātautau Echocardiogram e tirotiro ana i te mahi a te ngākau
- Whakamātautau hikoi ono meneti - Ka ine tēnei i te mahi a tō ngākau me ō pukahukahu.
Me pēhea tāu whakarite mō te maimoatanga?
Mā tō tākuta koe e tohutohu mō te whakarite mō tō maimoatanga. He mea tino nui kia whai tika koe i ēnei tohutohu hei whakaiti i ngā raruraru.
- Kaua e kai, e inu rānei i tetahi mea mō ngā hāora e 8 i mua i te maimoatanga (nohopuku).
- Me mutu pea te tango i ētahi rongoā, me whakarerekē rānei i te wā. Kōrero ki tō tākuta mō tēnei.
- I te mea ka noho koe i te hōhipera mō ētahi rā i muri i te maimoatanga, me whakarite i mua kia haria koe e tetahi ki te kāinga.
Me pēhea te whakahaere i te maimoatanga me ōna painga me ōna ngoikoretanga
Ehara tēnei i te pokanga nui. Kāore he tapahi i mahia. Ka whakamoea koe (ka whakamoea). Ka whakaurua e te tākuta te bronchoscope ki roto i tō korokoro, ka whakaurua kia 4 ngā takirere ki roto i te pukahukahu kua pakaru, kātahi ka tangohia te bronchoscope. E 30 ki te 60 meneti noa iho te roa o te tukanga katoa.
| Ngā Painga | Ngā Tūponotanga |
|---|---|
| Kāore he motu i te tinana. | Ngā tauhohenga pea ki te rongoā whakamoe. |
| Te wā whakaora poto ake. | Te pūkahukahu . |
| Te kaha ki te tango, ki te whakakapi rānei i ngā takirere mēnā e tika ana. | Ngā mate urutā pērā i te niumōnia . |
| He iti ake ngā raruraru i ngā pokanga tuku iho. | Te pupū ake o te COPD. |
| Kua tino pai ake te kounga o te oranga. | Ngā raruraru nui pērā i te toto, te whiu , me te mate ngakau (he onge noa iho). |
He aha te mea ka tupu i muri i te maimoatanga?
I muri i te maimoatanga, me noho koe ki te hōhipera mō te iti rawa i te 3 ngā rā. Ka tirotirohia koe e te tīma hauora. I muri i tō hokinga ki te kāinga, ka tonoa koe kia tīmata i tētahi kaupapa whakaora pūkahukahu i roto i ngā wiki 4-6. He tino āwhina tēnei ki te whakahaere i tō hauora.
Āhea ahau me kite i te tākuta?
Mena he pātai, he āwangawanga rānei āu i mua atu, i muri rānei i tō maimoatanga, kaua e whakaroa ki te kōrero ki tō tākuta. Waihoki, ki te pāngia koe e tētahi o ngā tohu e whai ake nei, haere tonu ki te Tari Ohotata (ETU) o te hōhipera tata.
- Te kirika, kāore he take.
- Te mamae nui o te uma.
- Te uaua nui ki te manawa.
- Te tae kikorangi o te kiri, o ngā ngutu, o ngā maikuku rānei (Cyanosis) .
Kāore he rongoā mō te emphysema, engari mā ngā maimoatanga pēnei i te BLVR ka taea e koe te āwhina i a koe ki te manawa ngāwari ake, me te noho pai ake. Kōrero ki tō tākuta kia whakatau ai mēnā koinei te maimoatanga tika māu.
Karere Tangohia ki te Kāinga
- He maimoatanga hou te BLVR, kāore e pokanoa mō te emphysema kino.
- Ahakoa kāore tēnei e whakaora i te mate, ka tino whakapai ake i te kounga o te oranga mā te whakangāwari ake i te manawa.
- Kāore tēnei maimoatanga e pai mō te katoa, ā, me whai tohu motuhake.
- Pērā i ngā maimoatanga hauora katoa, tera ētahi mōrearea, engari he iti iho i te pokanga tuku iho.
- Kōrerohia ki tō tohunga manawa mēnā he tika tēnei maimoatanga māu, me ōna painga me ōna ngoikoretanga.
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