Kua kite koe i te wā e maremare nui ana koe, ka puta mai he toto iti me te hūpē? He mea noa te mataku me te ohorere ina kite koe i tētahi mea pēnei. Tērā pea ka whakaaro koe, "Āe, he mate kino kei ahau?" Engari i te nuinga o te wā, ehara tēnei i te mea hei wehi. Heoi, he mea nui te mōhio ki te take o tēnei, te take e puta ai, me te wā e tika ana kia āwangawanga tātou mō tēnei mea, hei oranga ngākau me te oranga tinana .
He aha rawa te hemoptysis (mare toto)?
He whakarāpopototanga noa iho, he toto tēnei e puta mai ana i te taha raro o tō pūnaha manawa, arā, mai i ō pukahukahu, i tō korokoro rānei . Ko tēnei toto e puta mai ana me te maremare he huka, he mirumiru hoki. Nā te mea ka puta mai i roto i te hūpē me te huware. I ētahi wā he māwhero, he whero mārama, he waikura rānei te tae. I te nuinga o te wā, he iti noa iho.
Engari, he rerekē tēnei i te ruaki toto. Me titiro tātou ki tēnā.
He rite tonu te maremare toto me te ruaki toto?
Ae, he wāhi tēnei e pōhēhē ai te tini o te tangata. He rerekē rawa ēnei āhuatanga e rua.
- Te mare toto (Hemoptysis): Ka puta mai tēnei i tō ara manawa (pūkahukahu, korokoro). He iti noa te huka, he mea whakaranu ki te hūpē me te huware.
- Te toto toto: Ka puta mai tēnei i te taha whakarunga o tō pūnaha nakunaku (puku, whekau iti). He nui te toto e puta mai ana i te wā kotahi. He tohu tēnei mō te toto o roto.
Ki te ruaki toto koe, me whakaaro he āhuatanga ohorere tēnei , ā, me toro atu koe ki te tākuta tonu . He pai ake kia kaua e whakaroa.
He āhuatanga kino pea tēnei?
Ko te whakautu ki tēnei pātai ko "āe, ka taea" me "kāo, ka taea." Kei te take o tō toto me te nui o te toto e puta ana.
Ko te rongo pai, ko te nuinga o ngā take ehara i te mea nui , ā, he ngāwari noa te rongoā me te whakaora. Hei tauira, ka taea e te maremare kaha te puta he motu iti i te korokoro, ka puta he toto iti. Heoi, i ētahi wā he tohu tēnei mō tētahi mate kino, mō tētahi mate kino rānei, pērā i te mate pukupuku o te pūkahukahu. Waihoki, ko te maremare i te nui o te toto i te wā kotahi ka taea te whakararu i te ora.
Kia maumahara, ahakoa te take, ko tō tākuta anake ka taea te kī atu ki a koe te kaha tuturu o te mate. Nō reira, he mea whakaaro nui te rapu tohutohu hauora kaua e whakapae noa.
He aha ngā take e pā ai te toto ki te maremare?
He maha ngā take. Me wehewehe kia rua, kia rua, kia toru, kia toru, kia toru. Mā tēnei ripanga koe e mārama ake ai.
| Take | He whakaahuatanga poto |
|---|---|
| Ngā take noa e kitea pinepine ana | |
| Bronchitis | He mate pāwera o te ara manawa. He mea noa te maremare me te hūpē. |
| Pūkahukahu | He mate kino ki ngā pukahukahu. |
| Te mate kohi | He mate huakita e pā ana ki ngā pukahukahu. |
| Ētahi atu take pea | |
| Te mate pūkahukahu | Te whānui haere tonu o ngā ara manawa i roto i ngā pukahukahu. |
| Te Pukupuku Pūkahukahu | He mate kino tēnei e hiahia ana kia rongoatia wawetia. |
| COPD (Mate Pūkahukahu Ārai Mau) | He mate pūkahukahu kua roa e noho pūmau ana, inā koa he mea noa i waenga i te hunga kaipaipa. |
| Matepukupuku Pūkahukahu | He tino teitei te mōrearea i waenga i te hunga kaipaipa neke atu i te 40 tau te pakeke. |
| Te ngoikore o te ngākau | Te kohi wai i roto i ngā pukahukahu nā te ngoikore o te mahi a te ngākau. |
| Te whakamahinga o ngā rongoā whakaheke toto | Ko te hunga e tango ana i ēnei rongoā ka nui ake te tūponotanga ka toto. |
| He mea ke kua piri ki roto i te ara manawa | He mea tino kitea tēnei i waenga i ngā tamariki nohinohi. |
Me pēhea te kimi a te tākuta i te pūtake o tēnei?
Ina haere koe ki te tākuta, ka pātai tuatahi ia i ētahi pātai ki a koe.
- E hia te toto e ngaro ana?
- Kia pēhea te roa o tēnei āhuatanga?
- E hia ngā wā ka toto koe i te rā?
- E hia te nui o te toto e konatunatua ana ki te hūpē?
- He kai paipa koe? He tohu kē atu anō kei reira?
I runga i ō whakautu ki ēnei pātai, ka taea e tō tākuta te whiwhi whakaaro whānui mō te take. Kātahi ka whakahaerehia pea e rātou ētahi whakamātautau hei whakaū i te take, pēnei i:
- X-ray o te uma: Hei tirotiro mō te pukupuku, te wai, tetahi atu āhuatanga rerekē rānei i roto i ngā pukahukahu.
- Matawai CT o te uma: He tirohanga hōhonu atu ki tētahi mea e kitea ana i runga i te hihi-X.
- Pūnaha tirotiro toto: He whakamātautau e tukuna ai he ngongo iti kei roto he kāmera mā roto i ngā ara manawa hei tautuhi i te pūtake o te toto.
- Te tatau toto katoa (CBC): Ka tirohia te nui o te toto kua ngaro i te tinana, me te tirotiro mēnā he tohu o te mate.
- Ahurea huware: Tangohia he tauira o te huware hei tirotiro mō ngā mate urutā pēnei i te huakita me te huaketo.
- Whakamātautau toto totoka: Ka tirohia mēnā he raruraru kei te totoka.
He aha ngā maimoatanga mō tēnei?
Ko te maimoatanga e whakawhirinaki ana ki te nui o te toto me tōna pūtake.
Mena he nui te toto:
Ki te ngaro te nui o te toto i te wā kotahi, ka whakaurua koe ki te wāhanga tiaki nui (ICU) ā, ko te mea tuatahi ka mahia ko te whakahaere i te toto. Ka uru atu ki tēnei he bronchoscopy.Ka taea te tango i ngā toto totoka, te mahi rānei i tētahi maimoatanga e kīia nei ko te Bronchial Artery Embolization , e aukati ana i te uaua toto.
Te maimoatanga i runga i te take:
Kia whakahaeretia te toto, mēnā rānei he iti noa te toto, ka tohua e te tākuta he maimoatanga i runga i te pūtake.
- Ngā rongoā paturopi: Mena he mate kitakita te take pērā i te niumōnia, te mate kohi rānei.
- Ngā steroids: Mena ko te mumura te take.
- Te pokanga me te maimoatanga matepukupuku: Mena he pukupuku matepukupuku kei roto i ngā pukahukahu te take.
Me haere tonu ahau ki te tākuta?
Koinei te wāhanga tino nui. Āhea tātou me whakaaro ai he āhuatanga ohorere tēnei?
Mena he nui atu i te tīpune torutoru tō toto e toto ana, mēnā rānei kua neke atu i te wiki te toto e rere ana, me toro atu koe ki te tākuta.
Mena kei te toto koe me ngā tohu e whai ake nei, haere tonu ki te Tari Ohotata (ETU) o te hōhipera.
| Kia tūpato! Ki te pā mai ēnei tohu ki a koe, haere tonu ki te ETU. | |
|---|---|
| Kirika | Te uaua ki te manawa |
| Mamae o te uma | Te hekenga taumaha ohorere, tere rānei |
| Te werawera o te pō | Pōuriuri, ngoikore rānei |
| Te toto i roto i te mimi, i te tūtae rānei | |
Karere Tangohia ki te Kāinga
- Ehara i te mea kino te puta o te toto iti i te wā e maremare ana koe, engari kaua e warewaretia.
- Mena he nui rawa te toto, he roa atu rānei i te wiki, he tohu kē atu rānei pērā i te mamae o te uma, te uaua ki te manawa, te kirika rānei, rapua tonutia he tohutohu hauora.
- Ko te mea nui ko te kimi i te tino take me te whiwhi i te maimoatanga tika mōna. Nō reira kaua e wehi ki te toro atu ki te tākuta.
- E rua ngā mate e pāngia ana e te toto toto (hemoptysis) me te toto toto toto (hematemesis). He āhuatanga ohorere kino rawa atu pea te ruaki toto me te maremare toto.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He aha te mate e tohua ana ngā papa Nisoldipine (Nisoldipine / Sular)?
He Pūwero Ārai Konupūmā (CCB) tēnei i hangaia hei whakahaere i te toto toto tiketike. Ko tētahi o ngā pire toto toto tino kaha o te ao! Ko te mea motuhake o tēnei he iti ake tōna pānga ki te manawataki o te ngakau i ērā atu pire (CCB) (Vascular Selectivity). Nō reira, kāore e kino ki te ngakau, engari ka mahi tika ki te whakangāwari i ngā oko toto.
💬 Me pēhea te whakaheke i te toto toto mā te tango i tēnei pire toto toto (Nisoldipine)?
Kia mimiti/mimiti ai te uaua toto, kia piki ai te pēhanga, me uru ngā matūriki 'Konupūmā' ki roto i te uaua o te uaua toto! Ina uru tēnei rongoā ki roto i te toto, ka ārai/kati, ka raka hoki i ngā kuaha konupūmā katoa (ngā awa konupūmā momo-L) i roto i aua uaua toto 100%! Nā te mea kāore te konupūmā e uru, kāore te uaua toto e mimiti, ā, ka tino wetekina (Vasodilation). Kātahi ka rere ngāwari te toto, ā, ka heke te pēhanga.
💬 He aha ngā pānga taha whakarihariha o te tango i tēnei rongoā (Nisoldipine)? He aha i kīia ai kaua e tangohia me te kai/ngako (kai ngako nui)?
Ko te raru nui rawa atu, kaua rawa e kai i tētahi 'kai momona' i a koe e tango ana i tēnei pire! Ki te pēnā koe, ka piki/heke pea te mimiti o te rongoā ki roto i te tinana (Altered absorption) ā, ka heke pea te pēhanga i te mutunga, ā, ka mate pea koe. Ko ētahi atu pānga taha whakarihariha nui ko te tino hua o tēnei ko te 'pupuhi o ngā pona/waewae (Peripheral Edema)' me te tere o te ngakau/whero o te mata (Reflex tachycardia/Flushing).
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero