Kua pāngia koe e tēnei āhuatanga? Kua ora ake koe i te makariri, ā, kua ora ake, engari kāore tō maremare e mutu. He wiki koe e maremare ana. I ētahi wā, ka ara ake koe i waenganui o tētahi hui nui, i tētahi pō marino rānei, ka tīmata te maremare. He tino hoha, he tino koretake hoki tēnei. Ahakoa he tikanga tiaki te maremare i roto i tō tātou tinana, ehara i te mea noa kia haere tonu pēnei. I tēnei rā, ka kōrero tātou mō tēnei maremare pumau, te mea e kiia nei e tātou i roto i te rongoā ko te 'Mare Mau tonu'.
He aha tēnei maremare mau tonu?
He whakarāpopototanga noa iho, ko te maremare roa he maremare e roa ana mō te neke atu i te 8 wiki i roto i te pakeke , ā, neke atu i te 4 wiki i roto i te tamaiti . He mea pai te maremare. Ka āwhina i te whakakore i te puehu me ngā huakita e uru ana ki roto i tō tātou ara manawa. Ka maremare te katoa i ētahi wā. Engari ko te maremare roa pēnei he tohu o tētahi atu raruraru hauora. Koinei te take matua e toro atu ai te tangata ki te tākuta.
Nō reira, ehara i te mea pai kia warewarehia tēnei. He tino hoha te tinana ki te maremare pinepine. Waihoki, ka uaua te hikoi i te aroaro o te marea, ā, ka pātai te tangata, "Āhea ka hoki mai anō tēnei maremare?" Nō reira, he mea tino nui kia kitea te pūtake o tēnei, kia tika ai te whakahaere.
Ētahi atu tohu noa e haere tahi ana me te maremare
I runga i te pūtake o tō maremare mau tonu, ka puta pea ētahi atu tohumate e haere tahi ana me te maremare. Tirohia te ripanga i raro nei kia kite ai mēnā kei a koe ētahi o ēnei.
| Tohu | Whakaahuatanga |
|---|---|
| Kirika | Te pikinga o te pāmahana tinana. |
| Ngau mamae | Te mumura i puta mai i te waikawa o te puku e uru ana ki te korokoro. |
| Mamae o te uma | Te mamae i te wā e maremare ana, i ngā mahi noa rānei. |
| Te pāorooro o te reo | He panonitanga o te reo, he pāorooro. |
| Te uaua ki te manawa | Te poto o te manawa, te uaua rānei ki te manawa. |
| Ihu pupuhi, ihu pūngāwerewere rānei | Te mamae o te ihu, pērā i te makariri. |
| Te horoi pinepine i te korokoro | Te horoi pinepine i te korokoro nā te mea e ahua ana kei te mau tetahi mea i roto i te korokoro. |
He aha ngā tino take o tēnei maremare tonu?
He torutoru ngā "kaihara" matua ka puta ai te maremare mau tonu. 90% o te wā, ko te take he kotahi, neke atu rānei o ēnei e toru.
| Take matua | He whakamārama māmā |
|---|---|
| Mate huango | Ko te tino take o te maremare mau tonu. I ētahi wā, ka kino ake te maremare i te pānga ki te hau makariri/maroke, te puehu, te paoa, me ētahi atu. |
| Te maturuturunga o muri i te ihu | Ka kiia hoki tēnei ko te 'Upper Airway Cough Syndrome' (UACS). I roto i ngā kupu māmā, koinei te kohikohinga o te hūpē mai i te ihu ki te korokoro . Ka puta te nui o te hūpē i roto i te ihu nā te mate pāwera, ka heke iho ki te korokoro, ka whakapataritari i ngā ara manawa me ngā pukahukahu, ka puta te maremare. |
| GERD (Mate Reflux Gastroesophageal) | Koinei te wā e hoki ake ai te waikawa o te puku ki roto i te korokoro. Ka tahuna e ēnei waikawa ngā kiko ngawari o te korokoro, ka puta ai te maremare. |
| Ētahi atu mate pūkahukahu | Ka taea hoki e ētahi atu mate pūkahukahu pērā i te bronchitis, te COPD, me te niumōnia te whakaputa i te mare mō te wā roa. |
Ētahi atu take
Haunga ngā tino take o runga ake nei, he maha atu anō ngā take ka pā mai ai te maremare roa.
- Ētahi rongoā toto toto: Ka pāngia ētahi tāngata e tango ana i ētahi rongoā, inā koa ko ngā mea e kiia nei ko ngā aukati ACE, e te maremare maroke. Engari kia maumahara, kaua rawa e mutu te tango i ēnei rongoā me te kore he tohutohu a tō tākuta.
- Mate pāwera: He mate pāwera ki ngā mea pēnei i te puehu, te hae, me ētahi atu.
- Te ngoikore o te ngākau: Ka puta hoki te maremare nā te ngoikore o te mahi a te ngākau.
- Te Momi Paipa: Kāore i te miharo ka pāngia te hunga momi paipa e te maremare mau tonu e kiia nei ko te "mare a te hunga momi paipa".
- Ngā mate manawa: Ka taea e ngā mate pēnei i te maremare te whakaroa i te mare mō ngā wiki i muri i te whakaoranga.
I ētahi wā, ahakoa ngā whakamātautau katoa, kāore e kitea he take mō te maremare. I ēnei wā, ka kiia tēnei mate e ngā tākuta ko te "Chronic Refractory Cough".
Me pēhea te rongoā mō tēnei?
Ko te mea nui ko te maimoatanga e whakawhirinaki ana ki te pūtake o te mare. Ko te tikanga he mea nui ake te rongoā i te mate taketake e puta ai te mare i te tango i te rongoā ārai mare.
Mā tō tākuta koe e hoatu he mahere maimoatanga e tika ana māu. Kei roto i tēnei ko te huinga o ngā rongoā me ngā huringa āhua noho.
Ngā momo rongoā
- Mō te GERD: Whakahaerehia te waikawa o te puku mā te whakamahi i ngā rongoā pēnei i te `(antacids)`, `(H2 blockers)`, `(PPIs)` rānei.
- Mō ngā mate kitakita: `(Ngā rongoā paturopi)`.
- Mō ngā mate pāwera me te rhinitis: Ngā rongoā antihistamine me ngā rehu ihu.
- Hei whakaputa i te hūpē: Ngā rongoā pēnei i te "Expectorants" hei whakangawari i te hūpē, hei āwhina hoki i te putanga mai.
- Hei whakaiti i te pupuhi: I roto i ngā āhuatanga pēnei i te mate huango, whakaitihia te pupuhi o ngā ara manawa mā te whakamahi i ngā steroids, i ngā rongoā bronchodilator rānei.
He mea tino nui:Kaua e hoatu he rongoā mare/makariri ka hokona kore utu ki ngā tamariki kei raro iho i te 6 tau te pakeke, me te kore he tohutohu a te tākuta tamariki.
Ngā huringa āhua noho
Ahakoa te āhua māmā noa iho ēnei, he tino āwhina nui ki te whakahaere i te mare.
- Kia nui te moe .
- Kai i te kai taurite .
- Inuhia he nui te wai.
- Ki te whakaaro koe kei a koe te GERD, moe me te upoko o te moenga kia paku teitei ake .
- Kōrero ki tō tākuta mō ngā mea e whakaoho ana i te maremare (hei tauira, te paoa, ngā kakara kaha, ētahi kai), kātahi ka whakatakoto mahere hei karo i aua mea.
Ka aha mēnā ka kore e rongoatia?
Ka taea e te maremare mau tonu te whakararu i te moe. Ka pāngia tō rā katoa e te ngenge me te ahotea e puta mai ana. Tērā pea ka noho motuhake koe i roto i te ao nā te whakama o te maremare tonu.
I ētahi wā kino, ka taea hoki e te mare te whakaputa:
- Te toto o te kanohi
- Ngā whati rara
- Pōuri me te ānini
- Hernia
- Te ngaronga o te mana whakahaere o te pūkahukahu (te turuturu o te mimi iti i te wā e maremare ana)
- Te mamae o te uma me te puku
Āhea koe me toro atu ki te tākuta?
Ko te ture māmā rawa, ki te mea he maremare tōu mō ngā rā neke atu i te 10, ā, kāore koe i te mōhio ki te tino take, me toro atu koe ki tō tākuta.
Hei tāpiri atu, ki te kitea e koe tētahi o ngā tohu whakatūpato e whai ake nei, rapua tonutia he tohutohu hauora. Ki te tika, haere ki te Tari Ohotata (ETU) o te hōhipera tata.
| Ngā tohu whakatūpato e hiahia ana kia aro wawe atu ki te hauora | |
|---|---|
| Te maremare toto | He toto toto, he toto whero pouri rānei e konatunatua ana ki te hūpē. |
| Te werawera nui i te pō | Nui rawa te werawera, mākū ana ngā whāriki moenga. |
| Te pāorooro o te reo kāore e pai ake | Kāore i memeha te pāorooro o te reo mō ētahi wiki. |
| Te uaua ki te manawa | Te poto o te manawa, te tere rānei o te manawa. |
| Te uaua ki te horomi | Te mamae, te kōkō rānei i te wā e horomia ai te kai, te inu rānei. |
| Te whakahekenga taumaha kāore i te whakamāramahia | Te whakaiti i te taumaha me te kore e ngana. |
| Te whewhe | He tangi whiowhio mai i te uma i te wā e manawa ana. |
Ehara te maremare mau tonu i te mea e tika ana kia pāngia koe. Tērā ētahi maimoatanga hei āwhina. Ko te kimi i te tautuhi tika te taahiraa tuatahi i tēnei haerenga. Nō reira kaua e whakaroa, me toro atu ki tō tākuta.
Karere Tangohia ki te Kāinga
- Ko te maremare e roa ana mō te neke atu i te 8 wiki i roto i te pakeke, mō te 4 wiki rānei i roto i te tamaiti, ka kiia he 'Mare Mau tonu'. Kaua rawa e warewaretia tēnei.
- Ko ngā tino take o tēnei ko ngā mate pēnei i te huango, te pupuhi ihu i muri i te ihu, me te mate reflux gastroesophageal (GERD).
- Ko te maimoatanga e whakawhirinaki ana ki te pūtake o te mare, nō reira he mea tino nui kia tika te tautuhi mate.
- Ki te puta mai ngā tohu whakatūpato pēnei i te maremare toto, te uaua ki te manawa, te ngaro rānei o te taumaha, rapua tonutia he tohutohu hauora.
- Kōrero ki tō tākuta, kia whiwhi ai koe i te mahere maimoatanga me ngā tohutohu pai rawa atu māu.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He aha te mate e whakamahia ai ngā papa Timolol (Timolol Systemic / Blocadren)?
Ahakoa e mōhiotia whānuitia ana mō āna pata kanohi mō te glaucoma/te pēhanga kanohi, ko tēnei 'pire' te momo rongoā (Non-selective Beta-blocker) tino kaha o te ao! Ka whakamahia e ngā tākuta hei ārai i te 'Toto Toto Teitei', te migraines kino, me te whakaiti i te tūponotanga o te mate tuarua i muri i te oranga mai i te 'Atuā Manawa' mā te 100%.
💬 Me pēhea te ārai i a koe kei pāngia anō e te mate ngakau/mate migrain i muri i te tango i tēnei pire kino (Timolol)?
Ka rerekē te manawataki o tō ngākau me ngā oko toto i roto i tō mahunga nā te karere 'Adrenaline (Epinephrine). Ina uru atu tēnei pire ki te tinana, ka āraia/katia katoatia ngā kuaha o te ngākau (Beta-1) me ngā oko toto/pūkahukahu (Beta-2) 100% ā, ka raka māia (Kāore e whiriwhiria). Nā te mea kāore he ara e tukuna ai te karere, ka puhoi noa te ngākau, ā, ka mutu te whānui haere o ngā oko toto i roto i te roro, ka kore ai e pāngia e te mate migraine/mate ngākau.
💬 He aha i kīia ai kaua e mutu te tango i tēnei rongoā (Timolol) i te wā ohorere? He aha ngā Whakatūpato Pouaka Pango?
Ki te tangohia e koe tēnei pire mō ngā marama, ā, ka wareware koe ki tēnā, ka 'mutu ohorere' rānei, ka puare ohorere aua kaiwhakawhiwhi adrenaline kua āraia! Kātahi, i roto i ngā meneti, ka pāngia koe e te mate manawa nui, ā, ka mutu tō manawa (Myocardial Infarction / Osden Death) he tino whakamate, ā, ka mate pea koe! Waihoki, nā te mea ka āraihia hoki e tēnei ngā pukahukahu, ki te hoatu e koe tēnei ki te hunga whai 'Hua mate', ka taea e rātou te whakamomori, ka mate (kāore e whakaaetia te inu!).
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