He uaua ki a koe te manawa ohorere i a koe e whakakorikori tinana ana, e oma ana, e takaro hākinakina ana rānei? Kei te pēhia tō uma e te kikī, e maremare ana, e rongo ana rānei i te tangi whiowhio (wheezing) mai i tō uma? Mena he mōhio tēnei ki a koe, tera pea kei te pāngia koe e te mate e kōrerohia ana e tātou i tēnei rā. Kia mōhio koe he mea noa tēnei, nō reira kaua e manukanuka—kei konei mātou hei āwhina i a koe kia mārama ki tēnei āhuatanga.
He aha te mate huango i puta mai i te whakakori tinana?
Ki te whakarapopototanga, ko te mate huango i puta mai i te whakakori tinana he whakawhāiti rangitahi o ngā ara manawa i roto i ō pukahukahu e puta ana i te wā e whakapau kaha ana koe. Ka kiia hoki tēnei e ngā tohunga hauora ko te Exercise-Induced Bronchoconstriction (EIB) . Ina pana koe i tō tinana, ka paku herea ngā ara e kawe ana i te hau ki roto i ō pukahukahu, koia pea ka pāngia koe e te poto o te manawa, te maremare, te kikī o te uma, te tangi wheezing rongonui rānei.
Ka kino rawa atu pea ēnei tohu mēnā:
- He tino makariri, he maroke hoki te hau e karapoti ana i a koe.
- He nui te kukū o te hae i te rangi.
- Kei te whakakorikori tinana koe i ngā wāhi he nui te parahanga o te hau .
Ko te pānga o ēnei āhuatanga ka whakanui ake i te whaiti o ō ara manawa.
He pēhea te noa o tēnei?
He nui ake te kitea i tō whakaaro. Mō te hunga kua pāngia e te mate huango, e 40% ki te 90% ka pāngia e ēnei tohu i te wā e whakakori tinana ana, i muri rānei i te whakakori tinana. He mea whakamiharo, ka pāngia pea te hunga kāore he mate huango mau tonu. I te nuinga, tata ki te 20% o te taupori whānui ka pāngia e ēnei tohu i te wā e whakakori tinana ana. Ehara i te mea ko koe anake kei te pāngia e tēnei.
He aha ngā tohu?
Me titiro tātou ki ngā mea e tupu ana i te wā e pāngia ana koe e te mate huango i puta mai i te whakakori tinana:
- Te kikī o te uma, te mamae rānei : Tērā pea ka rite ki te mea kei te pēhi tetahi i tō uma.
- Maremare : Mō ētahi, ko te maremare tonu te tohu anake. Ki te kite koe i a koe e maremare tonu ana i te wā e whakakori tinana ana, i muri tonu rānei i te wā e whakakori tinana ana, he mea tika kia aroturukihia.
- Te poto o te manawa : Tērā pea ka uaua ki a koe te whakaputa katoa i tō manawa, te hopu rānei i tō manawa.
Ka rerekē pea ngā tohu mai i te ngawari ki te kino , ā, ka tīmata pea i muri i ētahi meneti i tō whakangungu tinana, i muri rānei i tō otinga. Ko te rongo pai, mō te nuinga o te tangata, ka tīmata te memeha haere o ēnei tohu i muri i te 30 meneti pea o te okiokinga .
Heoi, i ētahi wā, ka hoki anō ngā tohu i ngā hāora i muri mai—i ētahi wā tae atu ki te 12 hāora i muri i te whakakori tinana . Ka puta pea tēnei ahakoa kei te okioki koe. E mōhiotia ana ēnei ko ngā " tohu o te wā mutunga ," ā, ka roa pea te rā katoa kia memeha rawa.
He aha te take?
Ko te whakakori tinana kaha, pumau hoki te tino pūtake o tēnei mate. Tērā pea ka kino ake ō tohu mēnā ka whakakori tinana koe i raro i ēnei āhuatanga e whai ake nei:
- He makariri, he maroke te hau e karapoti ana.
- He nui te maha o te hae i te taiao.
- He kino te kounga o te hau nā te parahanga.
- Kei te ora ake koe i tētahi mate manawa pērā i te makariri , te mare, te rewharewha rānei.
- Kua hongihia e koe te paoa, te paoa matū , te paoa peita, te wai horoi kaha rānei .
Whakaarohia tētahi e oma ana i te ata makariri: kei te hongi ia i te hau makariri, maroke. Ina tae atu tēnei ki ngā pukahukahu, ka whakawhāitihia ngā ara manawa, ka pāngia e te mamae. Koia te take he mea noa te whakakori tinana i te makariri.
Ko ēhea ngā mahi ka tino whakaoho i tēnei?
Ahakoa ka taea e tetahi mahi ā-tinana te whakaputa tohu, ko ngā mahi roa me te kore okiokinga me ngā hākinakina makariri te tino take o tēnei. Hei tauira:
- Poitūkohu
- Hoki hukapapa
- Te retihuka
- Oma tawhiti
- Te retihuka me te retihuka
- Whutupaoro
Hei tāpiri, ko te kaukau i roto i ngā puna kaukau kei roto i te whare, he mea whakakī ki te hauwai , te ruku wai, te tākaro pōro wai rānei, ka whakapataritari i ngā pukahukahu, ka puta ai ēnei tohu.
Ko wai kei te tino mōrearea?
Ko te tikanga, ko te hunga whai mate huango, mate pāwera rānei, he nui ake te tūponotanga ki te whakawhāiti i te manawa i puta mai i te whakakori tinana. He mea whakamīharo, he mea tino noa hoki i waenga i ngā kaitākaro tino pai, pērā i ngā kaitākaro Ōrimipia, i ngā kaitākaro hākinakina tīma ngaio rānei. E whakaatu ana ngā rangahau e 30% ki te 70% o ngā kaitākaro tino pai ka pāngia e ngā tohu o te mate huango i puta mai i te whakakori tinana.
Me pēhea te tautuhi i tōna mate?
Ina toro atu koe ki tō tākuta i Nirogi Lanka, ka pātai atu rātou i ngā pātai taipitopito mō ō tohumate: te wā i tīmata ai, te roa o te wā e mau ana, me ngā mea e whakaoho ana i aua tohumate. Tērā pea ka pātai atu rātou mō tō hītori whānau mō te mate huango, ētahi atu mate manawa rānei. Whai muri i te whakamātautau tinana, ka whakarongo te tākuta ki ō pukahukahu me tō ngākau, ka tūtohu pea rātou i ngā whakamātautau motuhake:
- Ngā whakamātautau mahi pūkahukahu : Ka ine ēnei i te pai o te mahi a ō pūkahukahu. Ko te whakamātautau tino noa mō te mate huango ko te Spirometry . Ka tonoa koe kia pupuhi ki roto i tētahi taputapu iti e ine ana i te kaha o ō pūkahukahu me te tere o te rere o te hau.
- Whakamātautau wero whakakori tinana : E mōhiotia ana ko te whakamātautau whakaoho manawa , ka tonoa pea koe kia oma i runga i te mīhini oma, kia eke rānei i te pahikara tū hei whakatauira i te taumahatanga tinana. Ka whakahaerehia he whakamātautau spirometry i mua atu, i muri mai hoki hei ine i ngā huringa o tō manawa.
- X-ray o te uma : Ka taea e tō tākuta te tono i tētahi X-ray o te uma hei whakakore i ētahi atu mate, i ngā raruraru rānei e pā ana ki ō tohumate.
Me pēhea te rongoā mō tēnei?
Ko te maimoatanga mō te mate huango i puta mai i te whakakori tinana (EIA) e aro ana ki te aukati i ngā tohu i mua i te tīmatanga me te whakahaere tika i aua tohu ina puta. Haunga ngā mahi ārai nui pēnei i te whakamahana tika, ka tohua pea e tō tākuta he rongoā motuhake. Ko ētahi o ēnei rongoā ka mahi hei whakatuwhera i ō ara manawa ina pāngia koe e ngā tohu, ko ētahi ia he mea hanga hei aukati i aua tohu kei puta mai i te tuatahi.
Ngā Rongoā mō te Mate Huango i Āraia e te Whakakorikori Tinana
Tērā pea ka tohua e tō tākuta he rongoā hei tango mā te inhaler, mā te nebulizer rānei . Ka taea e ēnei te ārai i ngā tohu me te whakaora anō hoki. Ko ngā rongoā manawa noa mō te mate huango i puta mai i te whakakori tinana ko:
- Ngā beta-agonists mahi poto (SABAs) : Nō roto ēnei i tētahi akomanga rongoā e kiia nei ko ngā bronchodilators . Ka mahi rātou mā te whakangāwari i ngā uaua huri noa i ō ara manawa, ka whakatuwhera pai i a rātou. E kiia ana ko ngā "rescue inhalers," ka taea te whakamahi hei rongoā i ngā tohu i te wā o te whakaekenga. Hei tāpiri, mā te tango i ēnei i te 15 meneti i mua i te whakakori tinana ka ārai i te puta katoa o ngā tohu.
- Ngā beta-agonists mahi roa (LABA): He momo bronchodilator ēnei. I te nuinga o te wā ka tohua ngātahitia ēnei me ngā corticosteroids (kāore e whakamahia anake mō te mate huango). Mā te hongi i tēnei rongoā 30 meneti ki te haora i mua i te whakakori tinana ka āwhina i te ārai i te EIA.
- Corticosteroids : Ka whakaitihia e ēnei te mumura i roto i ō ara manawa, kia māmā ake ai te manawa. Ka tohua pea ēnei e tō tākuta hei whakamahi i ia rā hei āwhina i te ārai i ngā tohu mō te wā roa.
- Ngā kaiwhakaū pūtau mast : Ka āwhina ēnei ki te whakaiti i te mumura i roto i ō ara manawa. Mā te hongi i tēnei rongoā mā te nebulizer i te 15 meneti i mua i te whakakori tinana ka tino whai hua ki te aukati i ngā tohu.
Hei tāpiri, ka kitea e ētahi tūroro he oranga ngākau mā te whakamahi i ngā rongoā leukotriene me ngā antihistamine hei wāhanga o tā rātou mahere whakahaere.
He aha te āhua o te oranga me tēnei mate?
He tokomaha ngā tāngata e angitu ana ki te whakahaere i te mate huango i puta mai i te whakakori tinana, ā, e ora ana i ngā oranga ora, ora hoki . Mā te whakamahere tika me te tiaki hauora tonu, ka taea e koe te whai wāhi katoa ki ngā hākinakina me ngā mahi e pai ana ki a koe. Kāore he take e ngākau pouri ai koe—kei konei a Nirogi Lanka hei tautoko i a koe ki te pupuri i tō mahi me tō hauora.
Ka taea te ārai i tēnei?
Ae, mā te whakamahere me te whakarite āta, ka taea e koe te ārai i ngā tohumate. I mua i te whai wāhi ki tētahi mahi tinana, whakaarohia ēnei mahi:
- Whakaritea he whakamahana tinana hei kaupapa matua : Whakapaua kia 6 ki te 10 meneti te whakamahana i mua i tētahi whakangungu tinana. Me whakarite te kaha me te momo whakamahana ki tō tau, ki tō taumata hauora, me te hākinakina motuhake. Kōrero ki tō tākuta kia waihangahia he tikanga whakamahana tinana e pai ana mōu.
- Tirohia te kounga o te hau me te maha o ngā hae : I mua i te whakakori tinana i waho, tirohia te taupū kounga hau ā-rohe. Mena he teitei te parahanga, te taumata hae rānei, whakaarohia te neke i tō whakakori tinana ki roto.
- Tiakina tō waha me tō ihu : Mā te whakamahi i te kopare kanohi, i te hāri rānei, ka āwhina i te tiaki i ō ara manawa mai i te hau makariri, maroke.
- Kia mau tonu te whakahaere i ngā tohumate : Mena he mate huango mau tonu tōu, me whakarite kia pai te whakahaere me tō tākuta i mua i te tīmatanga o tētahi tikanga whakakori tinana hou. Me whai tonu i tō hōtaka manawa me te rongoā kua tohua kia rite ki ngā tohutohu.
- Whakamōhio atu ki ngā kaiako me ngā kaiako : Mena he mate huango tāu tamaiti, kia tino mōhio ā rātou kaiako me ā rātou kaiako. Me mōhio rātou ki ngā tohu, me pēhea te urupare ki tētahi wā, me pēhea hoki te āwhina ki te rongoā mēnā e tika ana.
- Kia tūpato : Aroturukihia ngā tohu o te mate huango i puta mai i te whakakori tinana. Kia mārama te mahere mahi, me te maumahara ka puta pea ngā tohu i ētahi meneti—tae noa ki ngā haora—i muri i te mutunga o te whakakori tinana.
He mea nui: I ngā wā katoa e taea ai, whiriwhiria ngā hākinakina o roto, ngā hākinakina iti iho rānei te kaha. Ko ngā hākinakina manawanui, ngā mahi rānei e mahia ana i ngā taiao makariri, ka nui ake te tūponotanga ka puta ngā tohumate. Mena he pai ki a koe te kaukau, he māmā ake pea te whiriwhiri i tētahi puna kaukau kāore i te hauota, te kaukau rānei i roto i te wai tote tūturu mō ō ara manawa.
Ko ēhea ngā hākinakina kāore pea e puta ai ngā tohumate?
Ko ngā hākinakina e takarohia ana i roto i te whare, i ngā hākinakina poto, ā-wā rānei, he iti ake te tūponotanga ka pā mai te mate huango. Hei tauira:
- Pōro
- Pōro
- Taiapa
- Korowha
- Ngā mahi whakakori tinana
- Pōro Piki
- Ngā oma tere
- Tēnehi
- Poipapa
- Te hikoi
Me pēhea taku mōhio mēnā kei ahau tēnei?
Mena ka pāngia koe e ngā tohu pēnei i te maremare, te wheezing rānei i a koe e whakakorikori tinana ana, i muri tata mai rānei, tera pea he mate huango nā te whakakorikori tinana koe. Heoi anō, ka taea e ēnei tohu te taupatupatu ki ētahi atu mate, nō reira he mea nui kia toro atu koe ki te tākuta kia whiwhi ai i te tātaritanga tuturu .
Āhea ahau me toro atu ki te tākuta?
Mena kei te pāngia koe, tāu tamaiti rānei e ēnei tohu, whakaritea he wā hui. He mea āwhina te pupuri i tētahi tuhinga mō ngā mea e whai ake nei hei whakapuaki ki tō tākuta:
- He aha ngā tohu motuhake e pāngia ana e koe?
- Āhea ēnei ka puta? (He hononga ki ngā mahi motuhake, he mea rānei nā ngā taiao o roto, o waho rānei?)
- Kia pēhea te roa o te mau o ngā tohu?
- He rongoā motuhake hei whakaora i ngā tohu?
Ki te tohua he rongoā manawa ki a koe, kia tino whakaaturia e koe tō tikanga ki tō tākuta hei whakaū kei te tika tāu whakamahinga. Kaua e mangere ki te pātai mō te tukunga o tō rongoā.
Āhea ahau me rapu awhina āwhina ohorere?
Ki te pāngia koe, tāu tamaiti rānei e te uauatanga ohorere, te uauatanga nui ki te manawa, te kore rānei e hiahia ki te hau , rapua tonutia te awhina hauora. Waea atu ki te 911, haere rānei ki te tari urupare tata ki a koe tonu. Me whakaaro tēnei he urupare hauora.
He aha ngā pātai me pātai atu e au ki taku tākuta?
Ina toro atu koe ki tō tākuta, whakaarohia te pātai i ngā mea e whai ake nei hei āwhina i a koe ki te whakahaere i tō hauora:
- He aha ngā mahi ka taea e au te mahi hei ārai i aku tohumate ?
- Ka taea tonu e au te whai wāhi atu ki aku hākinakina, ki aku mahi rānei e tino pai ana ki ahau?
- He aha te huarahi pai hei whakamahi i ēnei rongoā ?
- Ka taea e koe te whakaatu mai anō i te tikanga tika mō te manawa?
Ngā whakaaro whakamutunga mai i Nirogi Lanka
Ahakoa he kaiwhakakorikori tinana noa koe i te mutunga wiki, he kaitākaro rānei e whakapau kaha ana ki te mahi, ka taea e ngā tohu o te mate huango te whakararuraru i tō rere o te toto. Heoi, he maha ngā tāngata e ora ana me te mate huango i puta mai i te whakakorikori tinana e noho kaha tonu ana, e whakataetae ana, e pai ana ki te noho ora, e ora ana. Mā te mahi i ētahi mahi māmā, matatau hoki—pērā i te whakamahana tika i mua i tō tīmatanga—ka nui te rerekētanga. Kōrero ki tō tākuta i Nirogi Lanka mō ngā rongoā tika hei pupuri i ō ara manawa kia tuwhera, kia ngāwari hoki tō manawa. Mā te whakarerekē i te āhua noho me te whakamahere tupato, ka taea e koe te noho kaha tonu me te whakakorikori tinana me te haumaru. Kaua e ngakaukore; he mate tino ngāwari tēnei!
Te mate huango i puta mai i te whakakori tinana, EIB, uaua ki te manawa, ngā tohumate mate huango, te manawa manawa, te hauora manawa, te mate huango hākinakina
