Kua tīmata ohorere koe ki te mamae puku nui? Kāore he tae o tō tūtae, he wai hoki? Kei te ngoikore hoki koe, kei te ruaki? I ēnei wā, he maha ngā wā ka whakaaro tātou he mamae puku noa iho. Engari i ētahi wā he tohu ēnei o tētahi mate kino ake e kiia nei ko te Cholera . Kaua e mataku ina rongo koe i tēnei ingoa. Ki te tika te whakamōhio atu ki a koe, ā, ka whiwhi maimoatanga i te wā tika, he mate tino ora tēnei. Nō reira, i tēnei rā, ka kōrero tātou mō te cholera i roto i tētahi huarahi tino māmā, arā, me pēhea te puta, ngā tohu, ngā tikanga ārai, me te maimoatanga.
He aha rawa te Cholera?
He whakarāpopototanga noa iho, he mate huakita te korara e puta ana i roto i ō tātou whekau. Ina uru mai ngā huakita e hua ai tēnei mate ki roto i ō tātou tinana, ka puta he mate korere nui, he wai. Kāore tēnei i rite ki te mate korere noa. I roto i ētahi haora, ka ngaro te nui o te wai me ngā electrolytes , arā, ngā tote e tika ana mō te mahi a te tinana.
He tino morearea te ngaronga o te wai i te tinana, e kiia nei e tātou ko te matewai . Ki te kore e rongoatia i te wā tika, ka mate pea ngā raruraru e puta mai ana i tēnei matewai.
Nō reira, kia maumahara, ki te tino pāngia koe e te mate korere, ko te mea tuatahi me mahi ko te inu i te nui o ngā wai, inā koa ko ngā wai pērā i a Jeevani. Ki te tino kino te mate, arā, kei te tino pāngia koe e te mate korere, te ruaki, te ngoikore rānei, haere ki te ETU (Emergency Treatment Unit) o te hōhipera, kaua e whakaroa.
Ko te tikanga, ka horapa te mate kolera i ngā wāhi kāore he wai inu ma, kāore hoki he akuaku tika. Ka taea hoki te pangia e te kai i ngā kaimoana kāore i tino maoa, inā koa ko ngā kaimoana. I tō tātou whenua, kei reira te tūponotanga o te horapa o tēnei mate i muri i ngā āhuatanga taiao pēnei i ngā waipuke me ngā whenua horo.
He aha ngā tohu o te korara?
Ko te tohu matua, me te tohu tino morearea o te korara, ko te mate korere nui, he wai. He āhuatanga motuhake tēnei. Ka kiia e ngā tākuta ko te "tūtae wai raihi." Arā, ehara te tūtae i te mea kore tae, engari he wai mā. Ka taea e tēnei mate korere te matewai i roto i ētahi haora.
Haunga tēnei tohu matua, tera pea ētahi atu tohu. Tirohia te ripanga i raro nei.
| Tohu | Whakaahuatanga |
|---|---|
| Mate korere nui | He rerenga wai tonu. He rite te āhua ki te "wai raihi". |
| Ruaki | Ka taea te puta inā koa i ngā wāhanga tuatahi o te mate. |
| Te matewai nui | Ka puta mai i te ngaronga nui o te wai mai i te tinana. |
| Ngā mamae o te uaua | Ko te ngaronga o ngā tote pēnei i te konutai me te pāhare pāporo mai i te tinana ka parauri te kikokiko o ngā waewae me ngā ringa. |
| Te ngenge me te ngoikore | Te āhua o te kore ora. |
| Pōuriuri | Tērā pea ka puta mai i te hekenga o te toto toto. |
| Te whakahekenga o te mimi | He tohu nui tēnei o te matewai. Kāore pea e mimi. |
| Ngā tere o te ngakau | Me kaha ake te mahi a te ngākau nā te mea kua iti te nui o te wai i roto i te tinana. |
Engari he mea nui anō tēnei. He tokomaha te hunga kua pangia e te korara kāore e whakaatu i ngā tohu . Engari kei roto pea i ō rātou tūtae te huakita. Nō reira ka taea e rātou te hora i te mate ki ētahi atu.
He aha te pūtake o te whanaketanga o te korara?
Ko te Vibrio cholerae te huakita e pā mai ai te mate kolera.He huakita e kiia ana. He pai ki tēnei huakita te noho i roto i te wai mahana, tote hoki.
Me pēhea tātou e pāngia ai e te korara?
Ka uru mai ēnei huakita ki roto i ō tātou tinana mā te wai e inuhia ana e tātou, mā te kai rānei e kainga ana e tātou.
- Te inu i te wai paru: Ko te take matua ko te inu i te wai kua poke i te paru o te tangata e pangia ana e te korara.
- Kai i tukatukahia ki te wai paru: Te horoi i ngā huawhenua me ngā hua ki tēnei momo wai, te tunu kai rānei.
- Kaimoana mata: Ka kitea tēnei huakita i roto i ngā kararehe pērā i te tio me te pāpaka ka kainga me te kore e tunua tika.
Kia uru atu tēnei huakita ki roto i tō tātou puku, ka piri ki ngā pakitara o tō tātou whekau iti. Mai i reira, ka puta he paitini i tēnei huakita. Ka whakaoho taua paitini i ngā pūtau i roto i ō tātou whekau, ā, ka tukuna e rātou he nui o te wai me te tote ki roto i ngā whekau. Koia te take ka pāngia tātou e te mate korere kino.
Ehara te kolera i te mate e horapa ana mai i te tangata ki te tangata mā te tihe, te maremare rānei, pērā i te makariri noa. Ka horapa ā-korekore. Arā, ka horapa ki waenga i te hapori mā te puna wai kua poke i te paru o te tūroro.
Ko wai te hunga tino mōrearea ki te pāngia e te korara?
Ka pāngia te tangata kāore e whiwhi wai ma, waiaku rānei, e te mate korara, engari he nui ake te mōrearea o ētahi tāngata.
- Ngā tāngata he momo toto O tō rātou: Kua kitea e ngā rangahau he nui ake te tūponotanga o te hunga he momo toto O ki te pāngia e te mate korara i ngā tāngata he momo toto kē atu.
- Te hunga he iti te waikawa o te puku: Ko te waikawa i roto i tō tātou puku he parepare e patu ana i ngā iroriki maha e tomo mai ana. Ko te hunga e tango ana i ngā rongoā roa mō te gastritis (hei tauira, ngā aukati papu proton pēnei i te Omeprazole) he iti te waikawa o te puku. Nō reira, he iti ake te tūponotanga ka ora rātou i tēnei huakita.
- Ngā tāngata e pangia ana e te mate H. pylori: He mate kitakita anō hoki tēnei e puta ana i roto i te puku.
- Ngā tāngata kua tangohia ō rātou puku mā te pokanga (Gastrectomy).
Te tātaritanga me te maimoatanga o te mate
Me pēhea te tātaritanga a te tākuta i te mate?
Ina haere koe ki te hōhipera, ka pātai te tākuta mō ō tohumate. Kātahi, ki te whakapaehia he mate korara, ka tukuna he tauira paru hei whakamātautau hei whakaū i te mate. Mā tēnei ka kitea te aroaro o te huakita 'Vibrio cholerae'. Tērā pea ka mahia he whakamātautau toto hei tirotiro i te matewai me te taumata tote.
He aha tāu e mahi nei hei maimoatanga?
Ko te mea matua, ko te mea tino nui hoki i te rongoā i te korara, ko te whakakapi wawe i ngā wai me ngā tote kua ngaro i te tinana.
1. Whakaora wai ā-waha: Ki te mōhio te tūroro, ā, kāore e ruaki, hoatu tuatahitia he wai whakaora wai ā-waha (ORS) .Te hoatu. I tō mātou whenua, e kiia ana tēnei e mātou ko "Jeevani." Kei roto te nui o te wai, te huka, me ngā tote e tika ana mō te tinana.
2. Ngā Wai Ā-roto: Mena kua tino matewai te tūroro, kua kore e mōhio, kua ruaki tonu rānei, kāore e taea te hoatu wai ā-waha. I roto i ēnei āhuatanga, ka hoatu he wai tote (wai ā-roto) mā roto i te uaua.
3. Ngā rongoā paturopi: Ki te whakatau te tākuta he mea tika, ka tohua ngā rongoā paturopi pērā i te Doxycycline me te Azithromycin. Ka taea e ēnei rongoā te whakaiti i te roa o te mate korere me te whakakore i ngā huakita i te tinana.
4. Ngā tāpiringa konutea: Kua kitea te whakaiti i te kaha me te roa o te mate korere mā te hoatu konutea ki ngā tamariki kei raro iho i te 5 tau te pakeke.
He mea tino nui: Mō tētahi āhuatanga pēnei i te korara , kaua rawa e whakamahi i ngā rongoā ārai mate korere (hei tauira, ngā rongoā kei roto ko te Loperamide) me te kore tohutohu a te tākuta. Mā te mahi pēnā ka ārai pea i te putanga o ngā huakita me ā rātou paitini i te tinana, ka kino ake ai te mate.
Āhea tātou me haere tonu ki te ETU (Emergency Treatment Unit)?
Ka tere rawa te matewai i te korere. Nō reira, ki te pāngia koe, tētahi rānei o tō whānau e ēnei tohu, kaua e moumou taima, engari me haere tonu ki te rūma whawhati tata o te hōhipera.
| Ngā tohu o te matewai nui |
|---|
| - Te hurihanga nui o te kikokiko (ina koa ki ngā waewae) |
| - Te matewai nui e kore e taea te tineia ahakoa te nui o te wai e inuhia ana e koe |
| - Ka tino heke te mimi, ka mutu rānei, ka mutu katoa rānei |
| - Te whanoke nui me te māhunga māmā |
| - He tino tere te tere o te manawa |
| - Te ngaro o te māramatanga, te pōuri, te kōrero pōturi rānei |
Me pēhea te tiaki i a koe mai i te korara? Ngā tikanga ārai
He mate te kolera ka taea e tātou te ārai katoa. Kāore he take e hiahiatia ai he mahi motuhake hei ārai i tēnei mate. He nui noa iho te whakarerekē i ā tātou tikanga o ia rā.
He aha te mea e tika ana kia mahia e tātou ake?
- Te inu wai mā: Me inu tonu i te wai kohua, i te wai pounamu rānei. Ki te mea he ruarua koe mō te parakore o te wai, kaua e inu.
- Horoia ō ringaringa i ngā wā katoa: Horoia pai ō ringaringa ki te hopi me te wai ma. He mea nui tēnei i mua i te kai, te taka kai, me muri i te whakamahi i te wharepaku.
- Tunua kia tino maoa te kai: Tunua kia tino maoa ngā mīti, ngā ika, me ngā huawhenua katoa. Ko ngā kai moana (kūtai, kōura, wheke) me tunu kia tino maoa.
- Kia tūpato ki ngā kai mata: Horoia pai ngā kai mata pērā i ngā huamata ki te wai ma. Kia tūpato ki ēnei kai ina kai ana i waho.
- Te Horoi i ngā Hua: Horoia pai ngā hua i mua i te kai. Ki te taea, tangohia te kiri i mua i te kai.
- Te pupuri i ngā wharepaku kia ma: He mea tino nui te whakamahi i ngā wharepaku tika, me te pupuri hoki i aua wharepaku kia ma, hei ārai i te horapa o te mate.
Ki te haere koe ki tētahi wāhi morearea...
Mena kei te haere koe ki tētahi rohe e kitea whānuitia ana te mate korara, kei te noho rānei koe i tētahi rohe e mōrearea ana nā ngā āhuatanga pēnei i te waipuke, tera atu ētahi atu mea ka taea e koe te mahi hei tāpiri atu ki ngā mea o runga ake nei.
- Werohanga Kolera: He werohanga ā-waha hei tiaki i a koe mai i te kolera. Mena kei te haere koe ki tētahi rohe mōrearea, kōrero ki tō tākuta mō tēnei mea, ā, tiki tohutohu.
- Wai pounamu: Whakamahia tonutia te wai pounamu. He haumaru ake te whakamahi i te wai pounamu ahakoa mō te paraihe i ō niho.
- Papa horoi wai: Puritia ngā mea pēnei i ngā papa chlorine ki te taha tata. Ka taea te tāpiri i ēnei ki te wai hei patu i ngā iroriki.
Karere Tangohia ki te Kāinga
- He mate huakita te kolera. Ko tōna āhuatanga matua, ko te tino mōrearea hoki, ko te matewai i puta mai i te mate korere nui.
- Mena he rite tō mate korere ki te "wai raihi," he tohu matua pea tēnei o te korara.
- Ko te taahiraa tuatahi o te maimoatanga ko te whakakapi i ngā wai me ngā tote kua ngaro i te tinana. He mea tino nui ngā inu pēnei i te ORS mō tēnei.
- Kaua rawa e tango i ngā rongoā ārai-korere me te kore he tohutohu a te taote. Ka kino ake pea te āhua.
- Mena ka pāngia koe e ngā tohu kino pēnei i te ruaki nui, te ngaronga o te māramatanga, me te iti o te mimi, haere tonu ki te ETU o te hōhipera.
- Ka taea te ārai katoa i te kolera mā te inu i te wai kohua, te horoi ringa ki te hopi, me te tunu kai kia tino maoa.
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