Kei te poto hoki tō manawa? Kei te pēhia tō uma? Me kōrero tāua mō tēnei (te whakapūngao o te pūkahukahu)!

Ka uaua pea koe ki te manawa i ētahi wā? Me te mea kei te pēhia tō uma e tetahi, me te mea kei te tata koe ki te hemo? Tērā pea ka rongo koe i te wheezing, i te haruru rānei e puta mai ana i roto i tō uma. I ēnei wā, tērā pea ka rongo koe i te mea kei te mau tetahi mea i roto i tō korokoro me te maremare pakupaku. Koinei te mate ka kōrerohia e tātou i tēnei rā, e kiia nei ko te bronchoconstriction . Ahakoa he ahua rerekē te ingoa, he mea tēnei ka pā ki ētahi tāngata, inā koa ko te hunga he mate huango. Kaua e manukanuka, me kōrero taipitopito tātou mō tēnei, he tino māmā noa iho, kei te pai?

He aha te whakawhāiti i te pūkahukahu? He māmā noa iho...

Ki te whakarapopoto, ko te whakawhāiti ohorere o ngā ara manawa matua (e kiia nei e tātou ko ngā pūkahukahu ) e arahi ana ki ō tātou pukahukahu. Whakaarohia tēnei me te mea ka āraia ohoreretia he paipa wai, ka uaua ai te rere o te wai. He paparanga uaua angiangi rawa kei te taha o ō tātou ara manawa. Ina whakawhāiti ohoreretia ēnei uaua, ka whakawhāitihia te ara manawa. Koinā te wā e uaua ai tātou ki te manawa, ā, e ahua ana kei te pēhia tō tātou uma.

He maha ngā mea ka puta ai tēnei. Hei tauira, ina pāwera koe ki tētahi mea, arā, ina hongihia e koe tētahi mea pāwera , hei tauira, ina pāngia koe e te nui o te puehu, ina pāngia rānei koe e te hau makariri, i ētahi wā ahakoa he kaha tō whakakori tinana. Ka pā tēnei ki te hunga mate huango , ki ngā mate manawa roa rānei pērā i te COPD (Chronic Obstructive Pulmonary Disease), he nui ake te tūponotanga ka pāngia rātou e te bronchoconstriction.

He aha tēnei e pā ana ki a tātou? He aha ngā take mō tēnei?

E ai ki tā tātou i kōrero ai i mua, ko te take matua mō tēnei ko te whakawhāititanga o ngā uaua ngawari o roto i ō tātou ara manawa (e kiia ana ēnei he uaua maeneene , kāore e taea e tātou te whakahaere i tā tātou e hiahia ai, arā, kāore e taea e tātou te whakamahi i a rātou i te wā e pai ai). Ka puta ohorere tēnei.

I ētahi wā, i roto i tētahi mate pāwera nui pērā i te anaphylaxis, ka taea e ngā ara manawa te kati ohorere pēnei. He āhuatanga tino morearea tēnā. Haunga tēnā, ka taea e ngā uaua o ēnei ara manawa te urupare ki ētahi mea. Kia titiro tātou he aha aua mea.

He aha ngā tino take e pā ai tēnei?

Anei ētahi mea ka ārai i tō ara manawa:

• Ngā Mate Pāwera: Ka pāwera pea ētahi tāngata ki te hae , ki te kiri o ngā kararehe , ki te puehu, tae atu ki ētahi kai. Whakaarohia, mō ētahi tāngata, ina horoia e rātou ngā pukapuka tawhito, ka tīmata te taunga o te puehu, kāore? Pērā tonu.
• Whakakorikori tinana, whakapau kaha rānei: Tērā pea ka pāngia ētahi tāngata e te poto o te manawa i a rātou e oma ana, e piki ana i ngā arawhata, e hiki ana rānei i ngā taumaha. Ka karangatia tēnei e tātou ko teKa kiia tēnei ko te whakawhāititanga o te manawa nā te whakakori tinana.
• Ngā Matū: Hei tauira, ka pāngia pea te kohu chlorine i roto i ngā puna kaukau, ngā hinu kakara kaha, me ētahi matū horoi whare.
• Ngā huringa pāmahana: Pērā i te nekehanga ohorere mai i tētahi wāhi tino wera ki tētahi rūma makariri he hauhautanga tōna, i te haerenga rānei ki waho i tētahi rā makariri.
• Hau makariri, hau maroke: He take anō hoki tēnei o te whakawhāititanga o ngā ara manawa.
• Te momi hikareti me te momi hikareti tuarua: Kāore tēnei i te miharo. He tino kino te momi hikareti ki te pūnaha manawa.
• Ngā mate urutā o runga: Ka puta tēnei āhuatanga ina pangia te ara manawa e te makariri, te rewharewha, te mate pāwera rānei.
• Ētahi rongoā: Hei tauira, ko ētahi beta-blockers mō te toto toto tiketike, me ngā rongoā whakamamae pēnei i te aspirin, ka pā ki ētahi tāngata pēnei.

Hei tāpiritanga, ka taea e ngā mate manawa roa te whakararu i ngā ara manawa, te whakarerekētanga tuturu rānei i ngā pakitara o ngā ara manawa (te whakahounga ara manawa), ka taea ai te whaiti haere o ngā ara manawa i roto i te wā. Ka taea e tēnei te arahi ki te tere o te hemokai i ngā mea iti rawa.

He aha ngā tohu o tēnei? Me pēhea koe e tino mōhio ai?

Mena he pūngao tōu, ka pāngia pea koe e tētahi, e ētahi rānei o ēnei tohu i te wā kotahi. I ētahi wā ka piki haere haere ēnei tohu.

• Te wheehe: He tangi whiowhio, he tangi haruru rānei i te wā e manawa ana . He rite ki te hau e pupuhihia ana i roto i tētahi ngongo angiangi. Tērā pea ka rongo koe i tēnei, ka rongo rānei te tākuta mā te stethoscope.
• Te poto o te manawa: He uaua ki te manawa, me te mea kei te whakamomori koe. Ahakoa te nui o tō manawa, kāore i te rawaka. Tērā pea ka rite koe ki te hinga rawa ina piki koe i ētahi arawhata, ina oma paku rānei.
• Maremare: Tērā pea he maremare maroke tōu. Tērā pea ka maremare koe me te mea kei roto i tō korokoro tetahi mea e mau ana, me te mea kei te whewhe koe. I ētahi wā ka kino ake te maremare i te pō.
• Te kikī o te uma: Tērā pea ka taumaha te uma, me te mea kei te pēhia e te tangata ki te whitiki, kei te pēhia rānei i roto.

Tērā pea ka puta ohorere mai tētahi, ētahi rānei o ēnei tohu. Mō ētahi tāngata, ka memeha haere i roto i ngā meneti, mō ētahi atu ia, ka roa pea mō ngā hāora.

Ko wai te mea tino mōrearea mō tēnei?

Ko te hunga whai mate hauora, ka nui ake te pānga o te whakawhāiti i te manawa. Ko te tikanga he nui ake te tūponotanga ki te pāngia e tēnei mate.

• Te mate huango:Ko ngā tūroro huango te hunga matua e pāngia ana e tēnei. Ko te huango he mumura mau tonu me te tino pāwera o ngā ara manawa.
• COPD (Mate Pūkahukahu Ārai Mau): Kei roto i tēnei ko ngā mate pēnei i te emphysema me te bronchitis mau tonu. He mate roa hoki ēnei e pā ana ki ngā pūkahukahu.
• Mate pāwera kino: Hei tauira, ka tere te whanake o tēnei āhuatanga i roto i te hunga he mate pāwera kino ki ngā mea pēnei i te kai, i ngā wero pepeke rānei.

He mea mōrearea pea tēnei? Me wehi rānei tātou?

Ae, he tino morearea tēnei i ētahi wā. Koia te take ehara i te mea hei whakaaro māmā noa iho. Ki te kuiti rawa ngā ara manawa, kāore te tinana e whiwhi i te hāora e hiahiatia ana. Ka arahi pea tēnei ki ngā āhuatanga kino pērā i te hypoxia (he iti rawa te taumata hāora i roto i te toto) me te ngoikore o te manawa . Ka morearea pea tēnei ki te ora.

Nō reira, ki te uaua tō manawa, ki te tino piri tō uma, ki te tino mōmona koe, kāore e taea e koe te kōrero, ki te kikorangi ō ngutu, ki te kino rawa atu rānei tō mate huango, haere tonu ki te hōhipera tata, waea atu rānei ki te ratonga waka tūroro ohorere o te tau 1990. Ki te whiwhi koe i te maimoatanga i te wā tika, ka taea e koe te karo i tēnei āhuatanga morearea.

Me pēhea te tautuhi a te tākuta i tēnei mate? He aha ngā whakamātautau ka mahia e rātou?

Mēnā he āhuatanga ohorere, ka tātaritatia e ngā tākuta te pūngao o te manawa i runga i ō tohumate (pērā i te uaua ki te manawa, te wheezing). Heoi, ka whakahaerehia pea e rātou ētahi atu whakamātautau hei rapu i te tino take me te kaha o te mate.

• Ngā whakamātautau mahi pūkahukahu (PFT): Ka tirohia e ēnei te pai o te mahi a ō pūkahukahu, te nui o te hau ka taea e koe te manawa me te whakaputa i roto i te manawa kotahi, me te mea he aukati kei roto i ō ara manawa. Ko te whakamātautau tino noa mō tēnei ko te spirometry.
• Ngā whakamātautau whakaahua: Tērā pea ka mahia he hihi -X o te uma, he karapa CT rānei. Ka taea e ēnei te tirotiro mō ētahi atu mate pukupuku, raruraru rānei o te pukahukahu.

He aha ngā rongoā mō tēnei? Kāore e taea te whakaora?

Kaua e manukanuka, he pai ngā maimoatanga mō tēnei. Ka whakawhirinaki te maimoatanga ka whiwhi koe ki te take o tō mate me tōna kaha. Ka tohua pea e tō tākuta ngā rongoā pēnei i:

• Ngā rongoā hei whakaiti i te pupuhi me te whakatuwhera i ngā ara manawa:
• Ngā rongoā whakawhanui i te manawa: Ka mahi ēnei rongoā mā te whakangāwari i ngā uaua o ō ara manawa, kia whānui ake ai. Mā tēnei ka māmā ake te manawa. Ka hoatu ēnei mā te whakamahi i tētahi mea whakapūha (e mōhiotia ana ko te pūhā).Ka taea te tiki mai i tētahi mīhini nebulizer ( he mīhini e hanga ana i te kohu). E rua ngā momo o ēnei: ​​he mahi poto me te mahi roa.
• Ngā Corticosteroids: Ka mahi ēnei mā te whakaiti i te pupuhi i roto i ngā ara manawa. Ka taea te hoatu hei rongoā manawa, hei pire rānei i ētahi wā. He maha ngā wā ka whakamahia ēnei e te hunga mate huango mō te wā roa.
• Ngā rongoā e aukati ana i ngā matū i roto i te tinana e pupuhi ai: Ngā rongoā pēnei i te antihistamines (ngā rongoā e hoatu ana mō ngā mate pāwera) me ngā leukotriene modifiers (he momo pire anō hoki e whakaiti ana i te pupuhi i roto i ngā ara manawa).
• Rongoā hei whakautu i te whakaekenga huango: Tērā pea ka kī atu tō tākuta kia mauria he manawa whakaora (he rongoā whakawhanui i te manawa poto) hei whakamahi wawe mēnā ka pāngia koe e te whakaekenga huango, arā, ka uaua koe ki te manawa. He rite tēnei ki te "whakaiti ahi".
• Maimoatanga ohorere: Mena kei te tūpono koe ki te pāngia e te mate pāwera nui (anaphylaxis) , puritia he werohanga epinephrine aunoa , pērā i te EpiPen® , Auvi-Q® rānei, i te taha, ā, me whakaako koe e tō tākuta ki te whakamahi.

He aha tāu e mahi ai i roto i te hōhipera i roto i tētahi āhuatanga ohorere?

Mena kua āraia rawatia tō ara manawa, ā, kāore e taea e koe te manawa ko koe anake, me whakatuwhera pea tō ara manawa e ngā tākuta i te hōhipera penei:

• Te whakaurunga ngongo: Ko te whakaurunga o tētahi ngongo ki roto i tō pūhā (trachea) me te tuku i a koe kia manawa hangai, mā te whakamahi i tētahi mīhini manawa (e kiia ana hoki ko te mīhini manawa ).
• Tracheostomy: Ko te mahi i tēnei ko te hanga i tētahi kōhao iti ki mua o te kaki ki roto i te pūhā kia taea ai te manawa tika. Ka taea tēnei te mahi mō te wā poto, i ētahi wā onge, mō te wā roa.

He aha ngā mea e tika ana kia tumanakohia e koe ina noho tahi ana koe me tēnei mate?

Mena he mate manawa mau tonu tōu pērā i te mate huango e whakawhāiti ana i te pūkahukahu, he mea nui kia tika te whakahaere i taua mate. He mea nui kia tangohia ō rongoā e ai ki te tohutohu a tō tākuta, ā, kia matara atu hoki i ngā mea e whakaoho ana i te mate i ngā wā katoa e taea ana. Ki te kore, ka piki haere pea tō mate.

Kāore e ōrite te wheako o te katoa. Mō ētahi, he onge pea, he ngāwari rānei te whakahaere. Mō ētahi atu, he maha pea, he kino pea i ētahi wā. Nō reira, kōrero ki tō tākuta mō tō āhua me te huarahi e hiahia ana koe ki te whakahaere, ā, whakaarohia he mahere maimoatanga e pai ana mōu.

Āhea ahau me toro atu ki te tākuta?

Me toro atu koe ki te tākuta i roto i ēnei āhuatanga:

• Mena he maha ngā wā ka pāngia koe e te pupuhi o te pūkahukahu, arā, te poto o te manawa me te kikī o te uma.
• Mena kāore tō rongoā e pai ana te whakahaere i te mate. Hei tauira, me whakamahi pinepine koe i tō inhaler whakaora.
• Mena he kino atu ngā tohu i tō mua.
• Mena he uaua tēnei āhuatanga mōu ki te mahi i ō mahi o ia rā.

Kātahi ka taea e te tākuta te arotake anō i tō āhua, te whakarerekē i tō mahere maimoatanga ina hiahiatia, me te āwhina ki te ārai i te kino haere o te āhua.

Āhea tātou me mataku, ā, me haere tonu ki te hōhipera (ETU) ?

Ki te pāngia koe, tētahi atu rānei e mōhio ana koe e ēnei tohu, waea atu ki te 911 tonu, haere rānei ki te rūma ohorere o te hōhipera tata tonu. Tērā pea he āhuatanga ora, he mate rānei tēnei!

• Mena he tino uaua ki a koe te manawa (kāore e taea e koe te kōrero, te hikoi rānei).
• Mena he kino rawa tō mate huango, ā, kei te whakamahi tonu koe i tō inhaler whakaora,
• Ki te pupuhi ohorere tō korokoro, tō mata, tō waha, ō ngutu, tō arero rānei (he tohu pea tēnei nō te mate pāwera nui).
• Ki te pāngia koe e te heke o te toto toto, te pōuri, te makariri rānei.
• Ki te kikorangi te kiri, ngā ngutu, ngā maikuku rānei (e kiia ana tēnei he cyanosis , arā, kāore i te rawaka te hāora i roto i te toto).
• Ki te ngaro tō māramatanga, ki te ngoikore rānei tō māramatanga.

He aha ngā pātai nui hei pātai atu ki te tākuta?

He tino āwhina te pātai i ēnei momo pātai ina haere koe ki te tākuta, he mea nui hoki kia tino mōhio koe ki tō āhua.

• He aha ō whakaaro mō ngā tino take o tēnei whakawhāititanga o te manawa?
• Me pēhea taku karo i aua take i te mea ka taea?
• He aha te mea me mahi tuatahi ki te kāinga mēnā ka pā mai he mate huango, he mate huango rānei? Me pēhea te whakamahi tika i taku inhaler whakaora?
• He aha ngā rongoā me tango e au i ia rā? Me pēhea te tango i aua rongoā?
• He aha atu anō ngā mea ka taea e au te mahi hei ārai i te kino haere o tēnei āhua, i te pāngia rānei e te mate huango? (hei tauira, te kai pai, te whakakori tinana, me ētahi atu)
• He aha ngā tohu e tika ana kia tino māharahara ahau? Āhea ahau me toro atu anō ki te tākuta?

He aha tā tātou e taea ai te ārai i tēnei?

Ahakoa e kore e taea te ārai katoa, he maha ngā mea ka taea e tātou te mahi hei whakaiti i te mōrearea o te whakawhanaketanga o tēnei mate pupuhi o te manawa me ōna whakaekenga auau.

• Te rongoā i te take: Mena he mate pēnei i te huango, te COPD rānei tōu, he mea nui kia tangohia te rongoā kia rite ki te whakahaunga a tō tākuta.
• Te karo i ngā mea e whakaoho ana i te mate: Whakapaua he wā ki te kimi i ngā mea e whakaoho ana i a koe. Me tuhi pea e koe he pukapuka mō ō tohumate, ngā mea e kai ana koe, me te wāhi e haere ana koe. Mā tēnei ka āwhina i a koe ki te mārama ki ngā mea e whakaoho ana i ō tohumate. Kātahi, karohia aua mea i ngā wā katoa e taea ana. Hei tauira, karohia te puehu, karohia ngā wāhi e momi hikareti ana te tangata, me te karo i te whakamahi i ngā hinu kakara kāore e pai mōu.
• Whāia ngā tohutohu hauora e ai ki te whakahaunga: Kia mahara ki te haere ki te tākuta i ngā rā kua whakaritea, me te tango i tāu rongoā e ai ki te whakahaunga.

Ko ētahi mea e whakaaro ana ahau he mea nui māu (Karere hei tango ki te kāinga)

Te kikī o te uma. Me te mea kāore e taea te manawa. He tangi wheezing. Mēnā he mate manawa tōu pērā i te mate huango, te COPD rānei, e mōhio ana koe ki te whakamataku me te kore whakamarie o tēnei pupuhi o te manawa.

Engari, kaua e mataku. He āhuatanga ngāwari tēnei e taea te whakahaere. Ko te mea nui ko te mārama pai ki tō āhua, me te mahi tahi me tō tākuta ki te whakawhanake i tētahi mahere maimoatanga pai. Kātahi ka mōhio wawe koe ki te aha me mahi mēnā ka kino haere tēnei āhuatanga. Kaua e wareware ki te pupuri tonu i tō inhaler whakaora.

He mea nui anō hoki kia kōrerotia ki tō whānau, ki ō hoa tata, me ō hoa mahi ngā tohu o te whakawhāiti i te manawa me pēhea te āwhina i a koe mēnā ka puta (hei tauira, te hoatu i tō inhaler, te waea atu ki tētahi waka tūroro i roto i tētahi āhuatanga ohorere). Mā tēnei ka āwhina i a rātou kia tere te whiwhi i te āwhina e hiahiatia ana e rātou i roto i tētahi āhuatanga ohorere.

Kia maumahara, mā te maimoatanga tere me te tika, te mōhio, me te hauora pai, ka taea e koe te whakahaere i tēnei mate me te noho i te oranga noa!

Te whakawhāiti i te pūkahukahu, te poto o te manawa, te mate huango, te COPD, te kikī o te uma, te mare, te mate manawa