Kua pāngia tō tamaiti e te kirika nui, ā, kua tino ngoikore, kua hiamoe hoki? Ahakoa te nui o tō ruru i a ia, e tangi tonu ana ia? Kāore rānei, kei a koe tonu te ānini e kore e taea te tu atu, ā, kua tino pakari tō kaki, kāore e taea te neke? Ko te wehi nui rawa atu e puta ake ana ki ō tātou hinengaro i tēnei wā ko te "kirika roro?" Inaa, ko tētahi o ēnei mate "kirika roro" ko te meningitis. He mate kino pea tēnei e hiahia ana kia tere tonu te aro atu ki te hauora. Nō reira, he mea nui kia mōhio tātou katoa ki tēnei meningitis.
He aha te meningitis?
Whakaarohia tō tātou roro me te taurakira e rere ana i raro i tō tātou tuaiwi he rite ki ngā whekau tino ataahua, utu nui e rua. Hei tiaki i ēnei, he hipoki kei te taha o ngā kiriuhi angiangi e toru. Pērā i te wā e hoko ana tātou i tētahi waea hou, ka whakatakotoria e tātou he paparanga tiaki ki runga hei tiaki i tōna mata. Ka kiia tēnei ko te hipoki i ngā meninges.
He mate te meningitis e pupuhi ai, e mumura ai rānei ngā kiriuhi tiaki. He mea nui, ehara tēnei i te mate o te roro tonu, engari o te hipoki e karapoti ana i te roro. Heoi, nā te mea he tata rawa tēnei hipoki ki te roro, ki te kaha te mate, he nui te tūponotanga ka pakaru hoki te roro.
Ka whakapoauau ētahi i ngā mate e rua, arā, te meningitis me te encephalitis. Ko te meningitis he mate o te uhi o te roro. Ko te encephalitis he mate o te kiko o te roro tonu . He rite tonu ngā tohu o ngā mea e rua.
He maha ngā momo meningitis, kei runga i te āhua o te putanga mai.
He momo iroriki rerekē te take o tēnei mate. Ko te kaha o te mate me te maimoatanga e whakawhirinaki ana ki te momo iroriki.
1. Te mate kiriuhi kitakita
Koinei te momo whiu tino wehingia, te momo tino morearea. He āhuatanga ohorere hauora tēnei ka taea te whakararu i te ora. Ki te kore e tīmata te maimoatanga i te tīmatanga o ngā tohu, ka puta pea ngā raruraru nui pēnei i te kino o te roro tuturu me te ngaronga o te rongo. Nō reira, ki te whakapae koe i tēnei, me haere tonu koe ki te Tari Ohorere o te hōhipera tata (ETU).
Ko ētahi o ngā momo huakita matua e hua ai tēnei:
- Streptococcus pneumoniae
- Neisseria meningitidis
- Listeria monocytogenes (ina koa i roto i ngā kaumātua, ngā wāhine hapu, me te hunga ngoikore te pūnaha ārai mate)
I mua, ko te huakita matua i puta ai te meningitis i roto i ngā tamariki nohinohi ko te Haemophilus influenzae momo b (Hib). Heoi, nā te mea kua tukuna te kano kano Hib ki ngā tamariki i raro i te kaupapa kano kano ā-motu i tō tātou whenua, kua tino whakahaeretia te maha o ngā mate meningitis i puta mai i tēnei. Kei reira anō hoki ngā kano kano mō ētahi atu momo huakita.
2. Te mate kiriuhi huaketo
He nui ake te kitea o tēnei i te momo kitakita, ā, kāore i te tino kino. I te nuinga o te wā, ka memeha noa iho i roto i ngā rā 7-10, kāore he maimoatanga motuhake. Heoi, ko te tākuta anake ka taea te whakatau mēnā he huaketo, he kitakita rānei te take. Nō reira, he mea nui kia haere ki te hōhipera ina puta ngā tohu.
Ka pā mai pea i ngā momo huaketo maha, pērā i te herpes, te mumps, te rewharewha, me te huaketo e hua ai te mate ringa, waewae, me te waha.
3. Ngā harore, ngā pirinoa me ētahi atu momo onge
He tino onge ēnei momo meningitis. Ko te hunga he hauora, he kaha hoki ō rātou pūnaha ārai mate, he iti ake te tūponotanga ka pāngia e ēnei momo. Ko te hunga he ngoikore ō rātou pūnaha ārai mate, pērā i te hunga whai HIV/AIDS, he nui ake te tūponotanga ka pāngia e tēnei momo meningitis.
He aha ngā tohu? Me pēhea tātou e mōhio ai ki tēnei?
Ka puta ohorere pea ngā tohu o te meningitis, i roto i ngā hāora, i ngā rā rānei. I te tīmatanga, ka rite pea ki te makariri noa, ki te rewharewha rānei, engari ka tere te kaha haere o ngā tohu.
| Ngā tohu noa (ngā pakeke me ngā tamariki neke atu i te 2 tau te pakeke) | |
|---|---|
| Te kirika nui | Te kirika nui ohorere. |
| Te ānini nui | He mamae rerekē i te mamae o te upoko noa, e kore e taea te whakamanawanui. |
| Kaki Pakari | He tohu nui tēnei. Ka tino mārō te kaki, ā, kāore e taea te piko i te kaki ki raro, te whakatako rānei i te kauae ki runga i te uma. |
| Te aro ki ngā āhuatanga o waho | Te kore e taea te titiro ki te mārama kanapa, ka kikorangi ngā kanohi. |
| Te ruaki me te whakapairuaki | Te ruaki, inā koa me te mamae o te upoko. |
| Te pōhēhē me te hiamoe | Te pōhēhē, te kōrero koretake, me te hiamoe e uaua ana ki te whakaara ake. |
| Ponana kiri | Ka taea e ētahi momo huakita te whakaputa i te ponana he rite ki ngā ira papura, ki ngā ira rānei (ka whakamāramahia tēnei i raro nei). |
| Ngā tohu i roto i ngā pēpi me ngā pēpi nohinohi | |
| Te kirika nui | He tohu anō pea te mātao o te tinana. |
| Te tangi tonu | Ka kaha ake te tangi, ina koa ka hikitia te pēpi. |
| Ngenge/kore ora | Kei te hiamoe te pēpi, e kore e inu waiū, ā, kāore e mahi. |
| He wāhi ngohengohe pupuhi i runga i te upoko | He pupuhi, he pupuhi te āhua o te wāhi ngohengohe i te tihi o te māhunga o te pēpi (fontanelle). |
| Te pakari o te tinana me te kaki | He tino pakari te tinana o te pēpi. |
Te Whewhe o te Meningitis me te Whakamātautau Karāhe
Ka puta he ponana motuhake i te meningitis huakita i ētahi wā. Ka puta tēnei i te kino o ngā uaua toto me te toto i raro i te kiri.
- I te tīmatanga, ka tīmata pea ēnei hei ira whero iti.
- Ka taea e ēnei te whanake hei ira nui, papura, e rite ana ki ngā marōtanga.
Te Whakamātautau Karāhe: He whakamātautau tino nui tēnei. Tangohia he karāhe mārama ka pēhi ki te kiri mākūkū. Mena he kiri mākūkū noa iho, ka huri hei mā, ka ngaro atu ina pēhia. Heoi, mena he kiri mākūkū meningitis, e kore e memeha ahakoa pēhia ki te karāhe. Ka kiia tēnei he "kiri mākūkū kore-makuku." Mena ka kite koe i tētahi kiri mākūkū pēnei, he tino āhuatanga ohorere hauora tēnā! Haere tonu ki te hōhipera!
Te tātaritanga me te maimoatanga o te mate
Ina haere koe, tāu tamaiti rānei ki te hōhipera me ngā tohu o te meningitis, ka tirohia koe e te tākuta, ka pātai atu mō ō tohu. Me whakahaere e rātou ētahi whakamātautau hei whakaū i te mate.
- Ngā whakamātautau toto: Tirohia mēnā he mate kitakita kei roto i te toto.
- Te Tātari Tuaiwi / Te Werohanga o te Lumbar: Koinei te whakamātautau tino nui, tino whai hua hoki mō te tautuhi i tētahi mate. I roto i tēnei, ka werohia he ngira iti ki roto i te tuara o raro, ā, ka tangohia he wai iti e karapoti ana i te roro me te taurakira (wai cerebrospinal - CSF) hei whakamātautau. Ka whakamatautauria tēnei wai hei tirotiro mēnā he huakita, he huaketo, he mea kē atu rānei te take o te mate. Kāore he take e wehi ai koe i tēnei whakamātautau, he tino haumaru te mahi a te tākuta mātau.
Ko te maimoatanga e whakawhirinaki ana ki te momo meningitis.
- Mēnā he mate kiriuhi huakita: Haere tonu ki te hōhipera, ka tīmata te hoatu i ngā paturopi ki roto i te uaua . I ētahi wā, ka tīmata te maimoatanga i runga i te whakapae, me te kore e tatari mō te pūrongo whakamātautau wai tuaiwi. Nā te mea he mea nui ia hēkona i tēnei take.
- Te mate kiriuhi huaketo: Kāore e hiahiatia he maimoatanga motuhake. He nui te okiokinga, te inu i te nui o ngā wai, me te tango i ngā rongoā whakamamae pēnei i te paracetamol mō te kirika me te mamae o te tinana. Heoi, ko te tākuta anake hei whakatau i tēnei.
Me pēhea e taea ai e koe te tiaki i a koe mai i tēnei mate?
Ka taea te horapa ētahi o ngā iroriki e hua ai te meningitis mai i tētahi tangata ki tētahi atu mā te tihe, te maremare, me ngā pata huware. Nō reira, me mahi tātou i ēnei mea hei tiaki i a tātou anō.
- Horoia ō ringaringa kia tino horoia ki te hopi me te wai i ngā wā katoa. Ina koa i mua i te kai, i muri i te whakamahi i te wharepaku, me muri hoki i te noho ki ngā wāhi tūmatanui. Whakaakona hoki ki ō tamariki tēnei tikanga.
- Kaua e tohaina ngā taonga e whakamahia ana e koe ki ētahi atu (hei tauira, ngā paraihe niho, ngā kapu, ngā taputapu kai, ngā rīpene ngutu).
- Taupokina tō waha me tō ihu ki te tauera, ki tō tuke rānei ina maremare, ina tihe rānei.
- Werohia. Kei te whakarato te kaupapa werohanga ā-motu o tō tātou whenua i ngā werohanga hei tiaki i ngā huakita pēnei i te Hib me te Pneumococcus, e hua ai te meningitis. Hoatu ēnei werohanga ki tāu tamaiti i te wā tika.
- Me tino tupato ngā whaea hapū. Kai noa i ngā kai kua tino maoa. Āta karohia ngā kai pēnei i te miraka me te tiihi kāore i te whakamataotia, te mīti kāore i tino maoa, te ika, te hua manu, me ngā hōtiti. Tērā pea kei roto i ēnei he huakita e kiia nei ko 'Listeria'.
Karere Tangohia ki te Kāinga
- Ko te meningitis he mumura o ngā kiriuhi tiaki e karapoti ana i te roro me te taurakira. He mate tino kino.
- He āhuatanga ohorere hauora te meningitis huakita. Mēnā ka whakaroa te maimoatanga, ka mate pea, ka hauā tuturu rānei.
- Ko ngā tohu matua ko te kirika nui, te ānini e kore e taea te whakamanawanui, me te kaki maro e kore ai e taea te piko i te kaki ki raro .
- Ki te kite koe i tētahi ponana papura e kore e memeha ina pēhia ki te karāhe, he tohu tino morearea tēnā.
- Ki te mea he iti noa tō whakapae kei te pāngia koe, tāu tamaiti rānei e te mate meningitis, haere tonu ki te Tari Whawhati Tata (ETU) i taua wā tonu, kaua e whakaroa.
- Mā te werohanga i te wā tika ka ārai i ētahi o ngā momo mate kino rawa atu.
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