Kua pāngia koe e te poto o te manawa, te kikī o tō uma, te uaua rānei ki te manawa? Koinei te mea e kiia nei e tātou ko te poto o te manawa, ko te dyspnea rānei, i roto i ngā kupu hauora. E kiia ana hoki e ētahi ko te "poto o te manawa" ko te "poto o te manawa". He mea noa te poto o te manawa i te wā e whakakorikori tinana ana, e piki ana i ngā arawhata, e pāngia ana rānei koe e te makariri. Heoi, ki te puta pinepine tēnei āhuatanga, ahakoa kei te okioki koe, he tohu pea tēnei mō tētahi raruraru hauora.
He aha te Dyspnea? Kia mārama tātou.
Ki te whakarapopoto, ko te Dyspnea te kupu a ngā tākuta mō te uaua ki te manawa. Ehara i te mate, engari he tohu. He rite tonu ki te kirika. Ehara te kirika i te mate, engari he tohu o tētahi mate pāwera, o tētahi atu mate rānei. Koinei te āhua o tēnei āhuatanga e kiia nei ko te Dyspnea.
Tērā pea ka pāngia koe e tēnei i ngā huarahi rerekē:
- Te poto o te manawa (te hiakai hau).
- Te ahua o te kikī me te kōpiri i roto i te uma.
- Me mahi nui ake i te tikanga kia manawa ai.
- Kāore e taea te manawa hōhonu.
He tohu nui pea tēnei mō ngā mate pūkahukahu me te mate ngākau. Ka kitea anō hoki i roto i ngā āhuatanga pēnei i te mate huango, te mate pāwera, me te manukanuka.
E rua atu ngā kupu e pā ana ki te poto o te manawa
Tērā pea ka whakamahia ēnei kupu e tō tākuta, nō reira me ako tātou i ētahi kōrero mō tēnei.
- Te Pō Māuiui Āhua-pōuri (PND): He āhua ahurei tēnei. I roto i tēnei āhua, ka oho ake koe me te uaua ki te manawa i roto i te haora, e rua rānei i muri i te moe.
- Te Pōrearea o te Āue: Koinei te wā ka manawa hōhonu koe (āue) kia māmā ake ai te manawa.
Ngā huarahi matua e rua e puta ai te uauatanga o te manawa
E rua ngā momo matua o te Dyspnea, i runga i te tere o te tīmatanga me te roa. He rerekē hoki ngā take o ēnei e rua. Me titiro tātou ki tēnei ara kia māmā ake ai te mārama.
| Tūnga | Whakaahuatanga | Ngā take noa |
|---|---|---|
| Te Matepukupuku Whakapeka | Ka tīmata ohorere tēnei, ā, he poto noa te wā e mau ana (mai i ētahi hāora ki ētahi rā). | Mate pāwera, ahotea, whakakori tinana, makariri, rewharewha. Ngā take kino ake: mate manawa, anaphylaxis, pulmonary embolism. |
| Te Matepukupuku Mau tonu | He mate tēnei e roa ana mō ētahi wiki, neke atu rānei, e haere mai ana, e memeha haere ana rānei. | Te mate huango, te ngoikore o te ngākau, te COPD (te mate pūkahukahu ārai mau tonu), me te ngoikore o te tinana nā te kore o te whakakori tinana. |
He aha tātou ka uaua ai te manawa? He aha ngā take?
Whakaarohia tō ngākau me ō pūkahukahu he hoa pai e mahi tahi ana. Ka tāpirihia e ngā pūkahukahu te hāora ki te toto, ka pupuhihia e te ngākau taua toto kua whai hāora puta noa i te tinana, ā, ka haria hoki e ngā pūkahukahu te hauhā waro ki te tinana ka tukuna atu ki waho.
Nō reira, ki te mea he raruraru kei te mahi a te ngākau, a te pukahukahu rānei, tera pea he korenga o te hāora i roto i te toto, he pikinga rānei o te hauhā waro. Kātahi ka whiwhi te roro i tētahi tohu e mea ana, "Kāore e ranea te manawa, kia kaha ake te manawa." Koinā te wā ka raru ai tātou i te manawa.
Ko ngā mate pūkahukahu me te mate ngākau ngā tino take. Me titiro motuhake tātou ki ēnei.
Ngā take e pā ana ki ngā pukahukahu me te pūnaha manawa
- Mate huango
- Mate pāwera
- COPD (he mea noa i waenga i ngā kaipaipa)
- Ngā mate manawa (hei tauira, te bronchitis, te COVID-19, te niumōnia)
- Te rerenga wai i roto i te pleural, te mumura rānei (pleurisy)
- Te kohikohinga wai i roto i ngā pukahukahu (Pulmonary Edema) te whara rānei (Fibrosis)
- Matepukupuku pūkahukahu
- Te toto toto tiketike o te pūkahukahu
- Te mate kohi
- Pūkahukahu Hinga / Pneumothorax
- Te Pukupuku Pūkahukahu
- Te kōroke
Ngā take e pā ana ki te ngākau me te toto
- Te mate toto kore toto - Ko te tikanga tēnei he hekenga o te nui o ngā toto toto whero i roto i te toto.
- Te ngoikore o te ngākau
- Ngā mate ngakau
- Te tere o te manawa rerekē (Arrhythmia)
- Te mumura o te ngākau (hei tauira, te endocarditis, te pericarditis)
Ētahi atu take
- Manukanuka: He tino take noa tēnei.
- Momona: Ko te taupū papatipu tinana (BMI) neke atu i te 30.
- Te kore whakakori tinana: Ki te kore koe e whakakori tinana, ka ngoikore ō uaua, ā, ka pāngia koe e te poto o te manawa ahakoa ngā mahi iti e mahia ana.
- Ētahi rongoā: Ka taea hoki tēnei te puta mai i ētahi rongoā whakaheke cholesterol (statins) me ētahi rongoā toto toto tiketike (beta-blockers).
- Te whati o tētahi mea pērā i te rara.
- Apnea moe: He āhuatanga e mutu ai te manawa i te wā e moe ana.
Me pēhea e kitea ai e te tākuta te pūtake o tēnei?
Ina amuamu koe mō te poto o te manawa, ka tirohia tuatahitia koe e te tākuta. Ka whakarongo ia ki ō pukahukahu mā te whakamahi i te stethoscope, ka ine i tō toto toto, ā, ka ine i te nui o te hāora i roto i ō toto mā te whakamahi i tētahi topenga iti i tō maihao (he pulse oximeter).
Hei tāpiri, ka taea te whakahaere i ēnei whakamātautau hei kimi i te tino take:
- Ko te hihi-X o te uma, ko te matawai CT rānei: Hei tirotiro mō ngā raruraru o ngā pukahukahu.
- Ngā whakamātautau toto: Tirohia mēnā he anemia, he mate pāwera rānei.
- Ngā Whakamātautau Mahi o Ngā Pūkahukahu: Inehia te pai o tō manawa ki roto, ki waho hoki.
- Whakamātautau Whakakorikori Manawa Pūkahukahu: He whakamātautau e ine ana i te mahi a tō ngākau me ō pūkahukahu i a koe e hikoi ana i runga i te mīhini oma me te whakakorikori tinana.
Āhea te rapu tohutohu hauora tonu
Ko te uaua ki te manawa he tohu pea i ētahi wā o tētahi mate hauora nui. Mena kei a koe tētahi, ētahi rānei o ngā tohu e whai ake nei, haere tonu ki te tari ohorere o te hōhipera tata (ETU).
| Ngā tohu ohorere hei tūpato |
|---|
| - Te uauatanga ohorere, te uaua ki te manawa. |
| - Kāore te poto o te manawa e marino ahakoa kua okioki mō te 30 meneti. |
| - Te kikorangi o ngā ngutu, te kiri, ngā maikuku rānei (Cyanosis). |
| - Te mamae o te uma, te kare rānei e mākū ana te uma. |
| - Te tere o te manawa, te koretake rānei o te manawa (ngā palpitations). |
| - Te kirika nui. |
| - Te wheehe, te tangi teitei rānei (stridor) i te wā e manawa ana. |
| - Te pupuhi o ngā pona waewae, o ngā waewae rānei. |
Me pēhea te whakahaere me te aukati i tēnei āhuatanga?
Ko te maimoatanga e whakawhirinaki ana ki te take o tō manawa poto. Mā tō tākuta e whakatau te take, ā, ka tohua te maimoatanga tika. I te nuinga o te wā, ka taea e ēnei mea te āwhina i a koe kia pai ake te ahua.
- Whakakorikori Tinana: Mā te whakakorikori tinana auau ka whakapakari i tō ngākau me ō pukahukahu, kia kore ai e nui te mahi.
- Ngā mahi manawa: Ka taea e tō tākuta te whakaako i a koe ki ngā mahi manawa me ngā tikanga tika hei whakamarie i tō hinengaro.
- Ngā Rongoā: Tērā pea ka tohua he rongoā manawa (ngā rongoā whakawātea i te manawa) mō ngā āhuatanga pēnei i te mate huango me te COPD.
- Whakaora Hāora: Mena he tino iti te taumata hāora o roto i tō toto, ka tohua pea e tō tākuta he hāora o waho.
- Kaua e kai paipa: He mea nui tēnei hei mahi.
- Te pupuri i te taumaha hauora.
- Āta karohia te hongi i ngā mea e whakapataritari ana i ngā pukahukahu, pērā i te puehu me te paoa.
Ehara te poto o te manawa i te mea hei wareware. Ki te pāngia koe e tēnei momo uauatanga i ngā wā katoa, kaua e wehi ki te kōrero ki tō tākuta whānau. I ētahi wā, ahakoa he iti noa te panonitanga ka pā he rerekētanga nui ki tō kounga o te oranga.
Karere Tangohia ki te Kāinga
- Ehara te poto o te manawa i te mate, engari he tohu nō tētahi raruraru hauora kei roto.
- Ka pāngia tēnei e ngā āhuatanga maha, pērā i ngā pukahukahu, te ngākau, me te ahotea hinengaro.
- Ahakoa he mea noa te ngenge i te wā e mahi ana koe i ngā mahi noa, kia āwangawanga koe mēnā ka puta pinepine tēnei mamae, i te wā rānei e okioki ana.
- Mena kei a koe ngā tohu pēnei i te uaua ohorere ki te manawa, te mamae o te uma, te kikorangi rānei o ngā ngutu,Haere tonu ki te wāhanga maimoatanga ohorere (ETU).
- Kaua e wehi i tēnei, kōrero noa ki tō tākuta, kimihia te take, ā, rapua te maimoatanga tika.
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