He aha te pūkahukahu kua hinga (Pneumothorax)? Kaua e mataku, me rapu tātou i ngā taipitopito

"Āe, e te tākuta, kei te mamae tetahi taha o tōku uma ina manawa ahau, ā, he tino uaua ki te manawa." Kua pā pea tēnei ki a koe, kua rongo rānei koe i tētahi e kōrero ana. Ko tētahi take mō tēnei mamae ohorere o te uma ko te hinga o te pukahukahu, e kiia nei e mātou ko te 'pneumothorax' i roto i te rongoā. Kaua e mataku ina rongo koe i tēnei ingoa. I tēnei rā, ka kōrero noa tātou mō te aha, te take e puta ai, me te aha me mahi.

He aha te tikanga o te kōpeketanga o te pukahukahu?

Whakaarohia ō tātou pūkahukahu he rite ki ngā poihau e rua. Kei roto i tō tātou uma ēnei pūkahukahu. He āputa tino angiangi kei waenganui i ngā pūkahukahu me te pakitara o roto o te uma. Ka kiia tēnei ko te āputa pleural. I te nuinga o te wā, he iti noa te wai kei roto i tēnei āputa. Mā tēnei ka ngāwari te whakawhanui i ngā pūkahukahu me te kore he waku ina manawa tātou.

Nā, he aha te mea ka tupu mēnā ka kohia te hau ki roto i tēnei wāhi pleural mō tētahi take? Kātahi ka hinga te pūkahukahu i te pēhanga o taua hau, pērā i te poihau e memeha ana. Koinei te mea e kiia nei e tātou he pūkahukahu hinga, he pneumothorax rānei. He iti noa iho tēnei i ētahi wā, ka taea rānei te hinga katoa o te pūkahukahu.

He aha ngā momo huarahi e puta ai te pneumothorax?

Ka taea te wehewehe i te pneumothorax ki ētahi momo matua i runga i te āhua o tōna putanga mai. Mā te mārama ki tēnei ka āwhina i a koe ki te mārama ake ki te mate.

He aha ngā tohu o te pneumothorax?

Ka tīmata ohorere pea ēnei tohu. Ka puta pea i a koe e tū ana, e moe ana rānei.

• He mamae ohorere, koi i te taha kotahi o te uma. Ka piki ake te mamae ina tangohia he manawa hōhonu.
• Te uaua ki te manawa (Dyspnea). E ahua ana kei te whakamomori koe, ā, me mahi nui koe ki te manawa.
• Te manawa tere.
• Te tere o te manawa o te ngakau.
• Maremare.
• Te ngenge (Te ngenge nui).
• I ngā wā tino kino, ka kikorangi pea te kiri, ngā ngutu, ngā maikuku rānei (cyanosis). Ko te tikanga tēnei kāore te tinana e whiwhi ana i te nui o te hāora.

He aha tēnei ka tupu ai? He aha ngā āhuatanga mōrearea?

He maha ngā take me ngā āhuatanga mōrearea ka arahi pea ki te pneumothorax.

Ngā take pea

• Ngā mate pūkahukahu: Ko te hunga whai mate pēnei i te huango, te COPD (Mate Pūkahu Ārai Mau), te Cystic Fibrosis, te mate pukupuku pūkahukahu, me te mate kohi he nui ake te mōrearea ki te mate.
• Ngā whara: E ai ki tā tātou i kōrero ai i mua ake nei, ko ngā whara ki te uma.
• Maimoatanga hauora: Ka puta pea tēnei hei pānga taha o ētahi maimoatanga hauora.
• Te āhua noho:
• Te kai hikareti: He nui ake te mōrearea o te hunga kai hikareti ki te whakawhanake i tēnei mate.
• Te whakamahinga o ngā raau taero: inā koa ngā raau taero e manawahia ana.
• Ngā mahi e huri ohorere ana te pēhanga hau: Ngā mea pēnei i te ruku wai, te rere.

Ngā āhuatanga e whakanui ake ai i te mōrearea

• Hītori whānau: Mena kua pāngia tētahi o tō whānau e te pneumothorax i mua, tera pea ka noho mōrearea koe.
• Momo tinana: Ko ngā tāne taitamariki, inā koa ko te hunga he roa, he kikokore ō rātou tinana, ka nui ake te tūponotanga ka pāngia e te Pneumothorax Tūturu.
• Ētahi mate ira: Hei tauira, he āhuatanga e kiia nei ko te Marfan Syndrome.
• Endometriosis: Ka pāngia ngā wāhine anake e tēnei mate. He tino onge, ka taea e tēnei mate te whakapōrearea i ngā pukahukahu (catamenial pneumothorax).

Me pēhea e kitea ai tēnei e koe, e Tākuta?

Ina haere koe ki te hōhipera, ka pātai tuatahi te tākuta ki a koe mō ō tohumate, kātahi ka tirotirohia koe.

• Whakamātautau mā te stethoscope: Ka whakatakotoria e te tākuta he stethoscope ki tō uma, ka whakarongo ki ngā oro e puta ana i a koe e manawa ana. Tērā pea ka mārie ake ngā oro manawa, kāore rānei e rangona i te taha e pēhia ana te pukahukahu.
• X-ray o te uma: Koinei te huarahi pai me te huarahi māmā ki te whakaū i te pneumothorax. Ka taea e te X-ray te whakaatu mārama i te pēhanga o ngā pukahukahu me te nui o te hau kua kohia.
• Matawai CT (Matawai Tomography Rorohiko): I ētahi wā, ka mahia he matawai CT mena kāore i te mārama te hihi-X, mena rānei e hiahiatia ana ētahi atu taipitopito.
• Whakamātautau Hau Toto Arteri (ABG): Ka ine tēnei i ngā taumata o te hāora me te hauhā waro i roto i tō toto.

Me pēhea te rongoā?

Ko te maimoatanga e whakawhirinaki ana ki te rahi o tō pneumothorax, tōna pūtake, me te kaha o ō tohu.

1. Tirotiro: Mena he iti noa te hinganga o te pukahukahu, ā, kāore koe e pāngia e te mamae nui, ka noho pea tō tākuta ki te hōhipera hei tirotiro māu. Ka taea e te tinana te pana mārire i te hau kua kohia.

2. Whakaora Hāora: Ka whakaitihia e te whakaora hāora te uauatanga o te manawa, ā, ka whakapiki ake i te tere o te mimiti o te hau i roto i te wāhi pleural ki roto i te tinana.

3. Te Momi Ngira / Te Whakapūngao o te Thoracentesis: Mena he nui te pneumothorax, ka whakangāwari pea te tākuta i te uma, ka werohia he ngira ki waenganui i ngā rara e rua, ā, ka whakamahia he ngira hei tango i te hau kua kohia.

4. Te Whakaheke i te Wai i roto i te Ngongo Uma: He maimoatanga tēnei e whakamahia pinepinetia ana. I roto i tēnei, ka whakangāwarihia te kiri o te uma, ka tapahia he wahi iti, ā, ka whakaurua he ngongo ki roto i te wāhi pleural. Ka honoa tetahi pito o te ngongo ki tētahi pūnaha pērā i te pounamu wai. Mā tēnei ka taea te puta o te hau i roto, engari ka ārai i te hau kei hoki ki roto. Ka waiho te ngongo ki tōna tūranga mō tētahi wā, ā, ka whānui anō ngā pukahukahu, kātahi ka tangohia te ngongo.

5. Tukanga Pleurodesis: Mena ka pāngia tonutia te tangata e te pneumothorax, ka mahia tēnei maimoatanga hei ārai i te hinganga anō o te pukahukahu. Ko te whakauru i tētahi matū motuhake (pērā i te paura talcum) mā roto i te ngongo uma, ka piri te arai o te pukahukahu me te pakitara o roto o te uma. Kātahi ka whakakorea te tūponotanga o te kohikohinga hau i waenganui i a rāua anō.

6. Pokanga: Mena kāore e angitu ētahi atu maimoatanga, me pokanga pea hei whakatika i te turuturu hau i roto i te pukahukahu, hei tango rānei i ngā mirumiru hau (ngā pupuhi/ngā pupuhi).

Te whakaoranga me te ārai i te hokinga mai

E rua wiki pea te roa o te wā e ora ai te pneumothorax. Mēnā he ngongo uma tōu, me noho koe ki te hōhipera mō ētahi rā.

Kia tiakina ēnei mea i muri i tō hokinga ki te kāinga:

• Ki te mea he kai paipa koe, kati rawa. Koinei te mea pai rawa atu ka taea e koe te mahi.
• Āta karohia te hiki taumaha me te whakakori tinana kaha kia tohua rā anō e tō tākuta.
• Āta karohia ngā mahi pēnei i te haere rererangi me te ruku moana hohonu mō ētahi wiki.
• Kia mahara ki te haere ki te whare hauora i ngā rā whai muri i whakaritea e te tākuta.

Ki te pāngia te tangata kua pāngia e te pneumothorax, ka tūpono anō ia ki te pāngia e taua mate. Nō reira, ki te puta anō ngā tohu, rapua tonutia he tohutohu hauora.