I pāngia ō pūkahukahu e te COVID-19? (Te kino o te pūkahukahu COVID-19) Me kōrero taipitopito tātou mō tēnei!

Kei te mahara koe ki te wā i horapa ai te ao i te COVID-19? I taua wā, i pupuri katoa tātou i ō tātou manawa i te wehi. Nō reira, ina uru mai tēnei huaketo COVID-19 ki roto i ō tātou tinana, ka taea e ia te kino i ō tātou pukahukahu. Mō ētahi tāngata, ka taea e ia te whakararu i te niumōnia nui, te mamae rānei o te manawa . Mō ētahi atu, ahakoa kua ora ake rātou, tera pea ka uaua ki te manawa , ka ngenge hoki mō tētahi wā.

He aha te kino o te COVID-19 ki ngā pukahukahu?

He kupu ngāwari noa iho, he mate te COVID-19 e pā ana ki te pūnaha manawa. Ina uru tēnei huaketo ki roto i ō tātou pūkahukahu, ka tīmata te pūnaha ārai mate o tō tātou tinana ki te whawhai ki a ia. I roto i tēnei pakanga, ka puta te mumura i roto i ngā pūkahukahu. Ki te kore e whakahaerea tēnei mumura, ka taea hoki e ia te kino i ngā pūtau pūkahukahu hauora. He rite ki te pakanga, i te wā e whawhai ana ki te hoariri, i ētahi wā ka whara hoki tō tātou taha.

I te nuinga o te wā, ka pāngia ngā pūkahukahu e ngā mate manawa pēnei i te rewharewha me te makariri noa. Engari i te tīmatanga o te horapa o te COVID-19, i kite ngā tākuta ka tere ake te kino, ā, ka nui ake te kino o ngā pūkahukahu. E kī ana ētahi raraunga ko te momo o nāianei, ko Omicron, he nui ake te tūponotanga ki te pā ki te ara manawa o runga (ihu me te korokoro) i te momo o mua. Heoi, ka taea tonu e ia te kino o ngā pūkahukahu , ā, ka puta he raruraru nui.

He aha ngā tohu o te pakaru o ngā pukahukahu i te COVID-19?

Mena kei a koe te COVID-19, ko ngā tohu o ngā mate i puta mai i te kino o te pukahukahu ko:

• Te uaua ki te manawa , te poto rānei o te manawa .
• Te ngenge nui rawa atu.
• Kirika .
• Te tae kikorangi, hina rānei o te kiri, o ngā ngutu, o ngā maikuku rānei (cyanosis) . Ka puta tēnei ina kore e nui te hāora e whiwhi ana te toto.
• Te manawa tere, te manawa uaua.
• Te mamae, te kikī rānei o te uma .

Heoi, ki te mea he roa te wā e pakaru ana ōu pukahukahu i muri i tō whakaoranga mai i te COVID-19 , tērā pea kāore koe e kite i tētahi tohu. Tērā pea ka pōturi tō manawa, ka ngenge rānei, ahakoa he mahi māmā noa iho. I ētahi wā ka kino haere ēnei tohu i roto i te wā.

He aha te take e kino ai ngā pukahukahu i te COVID-19?

Ko te take matua mō tēnei he nui rawa te tauhohenga a tō tātou pūnaha ārai mate . Whakaarohia, ka haere ō tātou pūtau ārai mate ki te wāhi i tae mai ai te huaketo ka whawhai ki a ia. He pai tēnā. Engari, ki te kore e taea te whakahaere i tēnei whawhai, arā, ki te kaha rawa te pūnaha ārai mate, ka taea hoki e ia te kino i ngā kiko hauora.

Ina pakaru, ina ngoikore hoki ngā pakitara o ngā pēke hau ririki i roto i ō tātou pukahukahu (e kīia nei ko ngā alveoli ), ka tīmata te kī i te wai. Kātahi ka kore e taea e te hau te uru, ā, kāore e taea e te hāora te uru ki te toto , ki te toenga o te tinana rānei.

Ka taea hoki e tēnei mumura te whakaputa i ngā pona pūkahukahu , i ngā kōpura rānei i roto i ngā pūkahukahu. Ka roa pea te wā e ora ai ēnei, ā, i ētahi wā ka pumau tonu.

Tērā pea ka pā tēnei momo kino ki ētahi atu mate manawa, engari he nui ake te tūponotanga ka kino i roto i te COVID-19. Tērā pea nā te nui rawa o te urupare a te huaketo ki tō tātou pūnaha ārai mate, ka puta ai ngā awha cytokine , hei tauira. Tērā pea nā te mea ka whakamahia e te huaketo ō tātou ake pūtau ārai mate hei whakaeke i ngā pukahukahu.

Ko wai kei te nui ake te mōrearea ki te pakaru o ngā pukahukahu i te COVID-19?

Mena kei a koe tētahi o ngā āhuatanga e whai ake nei, he nui ake te tūponotanga ka pāngia koe e te COVID-19 kino, ā, ka pakaru ō pukahukahu:

• Mena kua neke atu i te 65 tau tō pakeke.
• Mena kei te hapu .
• Mena he kaipaipa koe, kua kaipaipa rānei i mua.
• Mena kua whakawhitinga okana koe, kua whakawhitinga pūtau take rānei .
• Mena kāore anō kia tangohia e koe te kano ārai mate COVID-19.
• Mena he ngoikore tō pūnaha ārai mate - ka puta pea tēnei i ngā āhuatanga pēnei i te mate pukupuku, ētahi rongoā, te mate HIV, te ngoikore rānei o te pūnaha ārai mate tuatahi .

Waihoki, ki te mea kei a koe tētahi o ngā āhuatanga hauora e whai ake nei, ka piki ake pea tō mōrearea:

• Matepukupuku.
• Ngā mate pūkahukahu mō te wā roa, ngā āhuatanga rānei e pā ana ki ngā pūkahukahu, hei tauira, te mate huango, te COPD (Mate Pūkahukahu Ārai Mau) , me te cystic fibrosis .
• Ngā āhuatanga e pā ana ki te ngākau, ngā whatukuhu, te ate, te toto, te roro rānei.
• Ngā mate whānau, hei tauira , te pararutiki roro , te mate Down syndrome rānei.
• Mate huka (Diabetes Mellitus).
• Ngā raruraru hauora hinengaro.
• Te momonatanga.
• Te whakamahinga o ngā raau taero.

He aha ngā raruraru ka pā mai i te kino o ngā pukahukahu i te COVID-19?

Ka taea e te mumura i puta mai i te COVID-19 me ētahi atu mate pāwera te arahi ki ngā raruraru pēnei i:

• Pneumonia: He mate pukupuku tēnei o ngā pukahukahu. I roto i tēnei, ka kī ngā pēke hau i te wai.
• Te Mate Pōuri Manawa Whakapeka (ARDS):He mate tino kino tēnei. I roto i tēnei, ka kī te nuinga o ngā pēke hau i roto i ō pukahukahu i te wai, ā, ka kore e uru te hāora ki roto i ō toto.
• Ngā pona pukahukahu: Tērā pea ka noho tonu ngā pona ki roto i ngā pukahukahu nā te kino i puta mai i te mumura.
• Te mate pūkahukahu: Ka taea e ngā wāhi kua pakaru o ngā pūkahukahu te whakakōhatu. I ētahi wā, ka tipu tonu tēnei kōhatu ahakoa kua ora koe i te mate.
• COVID Roa: Ka mau tonu pea ngā tohumate o ētahi tāngata mō ngā marama, mō ngā tau rānei i muri i te pangia e te COVID-19.

Me pēhea te tautuhi i te pakaru o ngā pukahukahu i te COVID-19?

Ka rapu te tākuta i ngā kino o te pūkahukahu mā te whakamahi i ngā whakamātautau whakaahua (hei tauira, te hihi-X, te matawai CT) te bronchoscopy rānei (he ngongo angiangi me te kāmera e whakaurua ana ki roto i ngā pūkahukahu hei tirotiro i roto). Ka whakamahia hoki e rātou ētahi atu whakamātautau hei tautuhi i ngā mate pāwera, pērā i te niumōnia.

He aha ngā whakamātautau e mahia ana?

Tērā pea ka whakahaerehia e ngā tākuta ēnei whakamātautau hei tirotiro i te āhua o ngā pukahukahu me te kite i ngā mate pāwera:

• Te ūkui ihu: Ka tangohia he tauira mai i roto i tō ihu, i tō korokoro rānei mā te whakamahi i te ūkui miro hei whakamātautau mō te COVID-19 me ētahi atu huaketo.
• Pūnaha oximetry: Ka inehia e tētahi taputapu iti e whakanohoia ana ki tō maihao te nui o te hāora i roto i tō toto. Mā tēnei ka taea e koe te whakaaro ki te pai o te mahi a ō pukahukahu.
• Whakaahua: Ka mahia he hihi-X o te uma, he matawai CT rānei hei tango pikitia o ngā pukahukahu kia kitea ai mēnā he pakaru.
• Ngā whakamātautau toto: Ka āwhina ngā whakamātautau toto ki te tirotiro mō ngā mate me te tirotiro i tō hauora whānui.
• Whakamātautau huware: Ko te tikanga tēnei he tango tauira o te huware e puta mai ana i te wā e maremare ana koe, hei tirotiro mō te mate.
• Ahurea wai pleural: I roto i tēnei whakamātautau, ka whakamahia e te tākuta he ngira angiangi hei tango i te iti o te wai huri noa i ō pukahukahu hei tirotiro mō te mate.
• Whakamātautau hau toto uaua: Mā tēnei whakamātautau ka taea e ngā tākuta te kite i te pai o te mahi a ō pukahukahu.
• Pūkahukahu: Ka taea te whakamahi i te pūkahukahu hei tirotiro i ngā pukahukahu me te tango i ngā tauira kiko, wai rānei hei tuku ki te taiwhanga hei whakamātautau.

Me pēhea te rongoā i te pakaru o ngā pukahukahu o te COVID-19?

Kāore rawa he mea nui e taea e koe te mahi hei whakatika katoa i ō pūkahukahu i muri i te pakaru. Engari, ka taea e ngā tākuta te āwhina i a koe ki te tiki i te hāora e hiahiatia ana e koe. Mena kei a koe te niumōnia, te ARDS rānei nā te COVID-19, ka tūtohu pea tō tākuta i ēnei maimoatanga e whai ake nei:

• Hāora tāpiri:Kei te mahi ō pukahukahu, engari ki te kore e nui te hāora e whiwhi ana koe, ka hoatu he hāora tāpiri mā te ngongo kua whakatakotoria ki roto i tō ihu, mā te kopare rānei kua whakatakotoria ki tō mata.
• Wai ā-uaua (wai ā-infus): Ka hoatu he wai tāpiri mā te ā-infus hei aukati i te matewai o te tinana.
• Te whakapūngao hau ā-ringa: Ki te kore e taea e koe te manawa ko koe anake, ka honoa koe ki tētahi whakapūngao hau.
• Te Whakatūpato: Hei āwhina i ō pukahukahu kia mahi pai ake, me takoto koe ki tō puku mō ētahi haora i te rā.
• Te Whakaoraora i te Kiriuhi o Waho (ECMO): Mena kāore ō whekau e mahi tika ana, tera pea kua honoa koe ki tētahi mīhini whakaora ora e mahi ana i ngā mahi a tō ngākau me ō pukahukahu.
• Te mimiti wai: Hei whakaiti i te wai i roto i ō pukahukahu, ka whakamahia pea e te tākuta he catheter, he pokanga rānei hei tango i te wai.

Ka taea hoki e ngā tākuta te tohu i ngā rongoā pēnei hei āwhina i te whawhai ki te mate:

• Ngā rongoā ārai huaketo: Ka taea e ngā rongoā pēnei i a Remdesivir , Paxlovid™ rānei te āwhina ki te whawhai i te mate COVID-19.
• Corticosteroids: Ka whakamahia pea e ngā tākuta ngā steroids me ētahi atu rongoā anti-inflammatory hei whakaiti i te pupuhi.
• Ngā paturopi monoclonal: Ka taea e ngā maimoatanga paturopi monoclonal, pērā i te tocilizumab, te whakaiti, te ārai rānei i te mumura.
• Ngā rongoā paturopi: Mena he mate kitakita tōu, hei tāpiri atu ki te COVID-19, ka tohua pea e tō tākuta he rongoā paturopi.

Kāore i te maha ngā wā ka mahia ngā whakawhitinga pūkahukahu ki te hunga e pāngia ana e te kino o te pūkahukahu mō te wā roa e te COVID-19. Waihoki, ki te haere tonu te kino o te whara o te pūkahukahu (pulmonary fibrosis), tera ētahi rongoā ka taea te whakaroa i tōna tere.

He aha ngā mea ka tumanakohia e au mēnā kua pakaru ōku pukahukahu i te COVID-19?

Ki te pāngia koe e te niumōnia, te ARDS rānei nā te COVID-19, me noho koe ki te hōhipera kia taea ai e ngā tākuta te āwhina i a koe ki te manawa kia ora rā anō tō tinana i te huaketo.

Ka roa pea te mau o ngā whara o ngā pukahukahu, ka pumau rānei. I ētahi wā, ka kino haere tonu te whara i puta mai i te mate i roto i te wā, ahakoa kua ngaro atu ō tohumate.

Āhea ahau me toro atu ki taku tākuta?

Ki te kitea he pai tō whakamātautau COVID-19, pātai atu ki tō tākuta i te wā e taea ai mō te tango i te rongoā ārai huaketo. He tino whai hua tēnei mēnā ka tangohia i roto i ngā rā tuatahi e rima o te tīmatanga o ngā tohu.

Mena kei te pāngia tonu koe e te poto o te manawa, te ngenge, ētahi atu tohu rānei, kōrero ki tō tākuta. Ka taea e te COVID roa te āwhina i a koe kia pai ake te ahua.Kei reira anō ngā wāhi rongoā.

Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Mena kei a koe te COVID-19, ā, kei a koe ēnei tohu kino, haere tonu ki te rūma whawhati tata, waea atu rānei ki te 1990 (ki tō nama whawhati tata rānei):

• Te poto o te manawa, te uaua rānei ki te manawa.
• Pōhēhētanga.
• Te kore e taea te noho mataara.
• Te tae kikorangi o te kiri, o ngā ngutu, o ngā maikuku rānei.

He aha ngā pātai me pātai atu e au ki taku tākuta?

He pai pea te pātai atu ki tō tākuta i ēnei pātai:

• He kōwhiringa maimoatanga kei te wātea māku?
• Ka taea e tēnei te whakaora i a ia anō?
• Me pēhea taku tiaki i ahau anō?

Ka taea te ārai i te kino o ngā pukahukahu o te COVID-19?

Ko te huarahi pai hei ārai i te kino o te pukahukahu ko te karo i te pangia e te mate. Ka taea e koe te mahi i ēnei e whai ake nei hei whakaiti i tō tupono ki te pangia e te COVID-19 kino:

• Werohia: Mā te werohanga mō te COVID-19 me ētahi atu mate pēnei i te rewharewha ka whakaiti i tō tupono ki te pāngia e te mate, ki te tino pāngia rānei.
• Te whakamutu i te momi hikareti me te karo i te auahi tuarua: Ka kino te momi hikareti i ō pukahukahu, ko te tikanga ka nui ake te tūponotanga ka pāngia koe e ngā mate pēnei i te niumōnia.
• Horoia pai ō ringaringa ki te hopi me te wai i mua i te kai, i te pā atu ki te kai, me muri hoki i te whakamahinga o te wharepaku. Mena kāore he hopi e wātea ana, whakamahia he wai horoi ringa kei roto he waipiro.
• Āraia te whakapā tata ki ētahi atu, me te whakawhitiwhiti taonga .
• Whakahaeretia ō mate hauora katoa , nā te mea ka piki ake tō tupono ki te pāngia e te COVID-19 kino.

Ki te pāngia koe e te mate, mā te tango i ngā rongoā patu huaketo i roto i ngā rā tuatahi e rima o ngā tohu ka āwhina i te ārai i te kino haere o te mate.

Kia maumahara, ko te mumura te huarahi e whakamahia ana e tō pūnaha ārai mate hei tiaki i a koe. Engari ki te kore e taea te whakahaere, ka pā he kino, pērā i te kino o ngā pukahukahu i puta mai i te COVID-19. Kāore e taea e tetahi te kī ko wai ka tino pāngia e te mate, ā, ko wai ka pāngia e te pānga roa.

Hei whakamutunga, he karere hei kawe ki te kāinga:

Ehara te COVID-19 i te kēmu, e hoa mā. Ka pā kino pea ki ō tātou pukahukahu i ngā huarahi ohorere. Nō reira, kia noho haumaru koe. Me werohanga, me whai i ngā aratohu hauora. Ki te pāngia koe e ētahi tohu, kaua e warewarehia. Rapua he tohutohu hauora tonu. Ina koa mēnā he uaua ki te manawa, he mamae rānei tō uma, me toro atu ki te tākuta.

Mena he pātai, he āwangawanga rānei āu mō te kino o ngā pukahukahu o te COVID-19, kōrero ki te tākuta. Ka taea e rātou te whakamārama me pēhea te whakaiti i tō mōrearea me te rongoā i ō tohumate. Kia ora tātou katoa!

` COVID-19, Te kino o te pūkahukahu, Te mamae o te manawa, Te niumōnia, ARDS, Te COVID roa, Te maimoatanga COVID