Kua titiro koe ki ō ringaringa, ā, kua whakaaro koe, "Āe, he nui rawa ōku matimati, ā, kei te piko iho ōku maikuku"? Kua kite rānei koe i tētahi panoni pēnei i roto i ngā ringaringa o tētahi e mōhio ana koe? I roto i te rongoā, ka kiia tēnei ko 'Clubbed Fingers'. Ehara tēnei i te mate motuhake. Heoi, he tohu tino nui pea tēnei e whakaatu mai ana i tētahi atu mate kei roto i tō tātou tinana. Nō reira, he mea tino nui kia mōhio ki tēnei.
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He aha tonu ngā Maihao Pōro?
He kupu ngāwari tēnei, he panonitanga e puta ana i ngā pito o ō maihao me ō matimati. Ka pupuhi, ka nui haere ngā pito o ō maihao, ka piko ngā maikuku ki raro, ka kanapa te āhua. Ka whānau mai ētahi tāngata me tēnei mate, ā, he mate whānau mai. Engari i te nuinga o te wā, ka puta mai i tētahi atu mate hauora.
Whakaarohia, ina kore e nui te hāora e whiwhihia ana e ngā kiko o te tinana, ka urupare te tinana mā te whakaputa i ngā matū maha atu, pērā i te Vascular Endothelial Growth Factor (VEGF) . Mā tēnei VEGF ka whānui ngā oko toto ki ngā pito o ngā maihao. Koia te take e pupuhi ana, e whakanuia ana hoki ngā pito o ngā maihao.
Ko te mea nui, kāore he take ki te rongoā i te mate tonu, e kiia nei ko ngā matimati karapu. Heoi, he mea nui kia kitea, kia rongoāhia hoki te mate hauora taketake i puta ai.
He aha tonu ngā āhuatanga o tēnei?
Ka kitea mārama ēnei panonitanga ina tirohia ngā maihao o te tangata he maihao kua whiua. Me titiro tātou ki tēnei hei tēpu?
| Tohu | Whakamārama |
|---|---|
| Te pupuhi o te kiko i raro i te whao | E pupuhi ana te kikokiko i raro i te maikuku, ā, he ngohengohe te āhua, pērā i te hautai, ina pāngia. |
| Te pupuhi o ngā pito o ngā maihao | He rite te āhua o ngā pito o ngā matimati ki ngā rākau pahu, ā, tera pea he whero, he mahana hoki te āhua. |
| Te piko o te whao | Ka piko ngā maikuku ki raro, ka rite te āhua ki te ngutu. Tērā pea ka kanapa te āhua o ngā maikuku. |
| Te huringa o te koki o te turanga whao | I te nuinga o te wā, ko te koki i waenganui i te whao me te kiri kei reira tōna tīmatanga (te kiriuhi) he tata ki te 160 nekehanga. Engari i tēnei wā, ka piki ake taua koki. |
He aha ngā tino take o te pao o ngā maihao?
Koinei te wāhanga tino nui. Tata ki te 80% o ngā maihao kua whiua ka puta mai i te mate pūkahukahu. Haunga tēnā, ka taea hoki e te mate manawa me ētahi atu mate hauora te take.
1. Ngā raruraru e pā ana ki te pūkahukahu
- Matepukupuku Pūkahukahu: Koinei te tohu tino noa e whakapaehia ana e ngā tākuta ina kite rātou i ngā maihao kua whiua. Ka taea hoki e te matepukupuku pūkahukahu te whakaputa tohu pēnei i:
- He maremare tonu, he rerekētanga rānei o te āhua o te maremare
- Te maremare toto, te hūpē rānei
- Te uaua ki te manawa
- Te mamae o ngā wheua me ngā hononga
- Te matekai me te whakaheke taumaha
- Ngenge tonu
- Ētahi atu mate pūkahukahu:
- Mate Puku Interstitial: Te mumura o ngā pukahukahu.
- Te Pūkahukahu o te Pūkahukahu: Ka mātotoru, ka pakari te kiko o te pūkahukahu.
- Te Pūkahukahu Pūkahukahu: He mate ira e nui rawa ai te hūpē e whakaputaina ana e te tinana.
- Bronchiectasis: Te kino o ngā ara manawa o roto i ngā pukahukahu.
- Puku Pūkahukahu: He puku kī tonu i te pūkahukahu.
2. Ngā raruraru e pā ana ki te ngākau
- Mate Ngākau Hānau Pūngāwerewere (CCHD): He mate ngākau hānau e kore ai e nui te hāora e whiwhi ana te tinana. Ka taea e tēnei te huri kikorangi o te kiri (cyanosis).
- Te ngoikore o te ngākau: Ko te kore e taea e te ngākau te pupuhi toto hei whakatutuki i ngā hiahia o te tinana.
- Atrial Myxoma: He pukupuku kore-matepukupuku (pai) e puta ana i roto i te ngākau.
- Te mate huakita o te ngākau (subacute bacterial endocarditis): He mate huakita kino e pā ana ki te pakitara o roto o te ngākau (endocardium).
3. Ētahi atu take
Kāore i te tino kitea ēnei, engari ka taea hoki e ēnei āhuatanga te whakararu i ngā maihao.
- Te Ātete o te Ate: Te ngoikore o te mahi a te ate nā te kino mō te wā roa.
- Mate Puku Mumura (IBD): Kei roto i tēnei ko ngā mate pēnei i te Mate a Crohn me te Ulcerative Colitis . He mumura mau tonu ēnei o te ara nakunaku.
- Te Osteoarthropathy Hypertrophic Tuatahi (HOA Tuatahi):He āhuatanga ira tēnei. Ka tīmata ngā huringa o ngā maihao i te wā o te taiohitanga, me ngā tohu pēnei i te matotoru o te kiri me te werawera nui.
Me pēhea te kitenga a te tākuta i tēnei?
Ina kite koe i tētahi tākuta me tēnei tohu, ko te mea tuatahi ka mahia e ia ko te tirotiro i ō maihao me te āta tirotiro. Hei tāpiri, ka pātai atu rātou mō tō hītori hauora katoa.
Kātahi ka tonoa ētahi whakamātautau hei rapu i te tino take o tēnei.
| Whakamātautau | He aha i mahia ai? (He aha i mahia ai?) |
|---|---|
| He matawai X-ray, he matawai CT rānei mō te uma | Tirohia mēnā he raruraru kei roto i ngā pukahukahu me te ngākau. |
| Ngā Whakamātautau Toto | Tirohia ngā mea pēnei i te tūnga o te mate me te mahi a te ate. |
| Te koiora | Tangohia he wahi iti o te kiko whakapae, ka tirotirohia i raro i te karu hiko kia kitea ai mēnā he pūtau matepukupuku kei roto. |
He aha ngā wāhanga o te karapu?
Kāore tēnei huringa e puta katoa i te wā kotahi. I te nuinga o te wā, ka puta ēnei wāhanga i roto i tētahi wā o ngā tau.
1. Wāhanga 1: Tuatahi, ka whero, ka ngawari te moenga whao.
2. Wāhanga 2: Ka tīmata te piki haere o te koki i waenganui i te whao me te kiri. Ka tīmata te piko o te whao i tēnei wāhi.
3. Wāhanga Tuatoru: I roto i te wā, ka pupuhi haere te pito o te matimati, ka nui haere hoki.
4. Wāhanga Tuawhā: Ka āhua rite ngā maihao ki te 'patu', ki te patu rānei.
5. Wāhanga 5: Ā tōna wā, ka kanapa te whao me te kiri e karapoti ana. Tērā pea ka puta he rārangi ki ngā whao.
Ahakoa he puhoi te puta o tēnei tukanga, i roto i ētahi āhuatanga hauora (hei tauira, he whewhe pūkahukahu) ka taea e ia te puta tere rawa.
Karere Tangohia ki te Kāinga
- Ehara te pao o ngā maihao i te mate motuhake, engari he tohu nui o tētahi atu mate hauora e pā ana.
- He maha ngā wā ka hono atu tēnei ki ngā mate kino pērā i te mate pūkahukahu (ina koa ko te mate pukupuku pūkahukahu), te mate manawa, te mate ate rānei.
- Ki te kite koe i tētahi o ēnei panonitanga i ō matihao, i ērā rānei o tētahi e mōhio ana koe, kaua e warewaretia. Tirohia tonutia he tākuta whai tohu mō ētahi tohutohu.
- Kāore ngā Maihao Poroporo e rongoātia mō te mate, engari mō te mate taketake i puta ai. Mēnā ka rongoātia tika taua mate, ka hoki pea ngā maihao ki te āhua noa.
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