Kua kī te kōhao o te uma i te toto? Me ako tātou mō te hemothorax!

Kua pāngia koe e te whiu kaha ki te uma, i tētahi aituā rānei, ā, ka pāngia koe e te uaua ki te manawa, te mamae o te uma, me te mataku? Mena koinā, ko te take pea he kohinga toto i roto i te kōhao o te uma. I tēnei rā ka kōrero tātou mō tētahi mate kino pēnei, engari ka taea te rongoā. Ko te hemothorax te ingoa i roto i te pūtaiao hauora.

He aha te hemothorax?

Whakaarohia, kei roto i te kōhao o tō uma ō pūkahukahu, tika? Ko te hemothorax te kohikohinga toto i roto i te wāhi pleural, te wāhi i waenganui i ō pūkahukahu me te pakitara o roto o te kōhao o tō uma. He mate kino tēnei. Ki te kore e rongoatia, ka piki tonu te toto, ā, ka nui te pēhanga ki waho o ō pūkahukahu. Mā tēnei ka kore e pupuhi tika ō pūkahukahu, arā, kāore e taea te mahi tika.

Mena kei a koe ngā tohu o te hemothorax, ina koa mēnā he uaua ki te manawa i muri i te whara o te uma, me toro atu koe ki te tākuta tonu atu.

Me pēhea tēnei e tupu ai? He aha te hiranga o te wāhi pleural?

Hei mārama ki te āhua o te hemothorax, me titiro tuatahi tātou ki te mahi a te wāhi pleural. He tino māmā noa iho. Ka āwhina te wāhi pleural ki te whakahaere i te pēhanga i roto me te taha o ngā pukahukahu ina manawa tātou. Kei roto i te nuinga o te wā he paparanga wai tino angiangi e kiia nei ko te wai pleural. Ka āwhina tēnei wai pleural i te kiko e hipoki ana i ō pukahukahu (e kiia nei ko te pleura) me te pakitara o roto o te uma kia neke pai ina manawa koe. He rite ki te hinu iti e āwhina ana i ngā wāhanga mīhini kia neke pai ake.

Nā te whara o te uma, te aituā, te pokanga, te mate hauora rānei, ka uru te toto ki te wāhi pleural ka whakaranu ki te wai pleural. Koinei te wā ka puta ai te hemothorax.

He pēhea te noa o tēnei āhuatanga?

Ehara i te mea onge te hemothorax pērā i tō whakaaro. Ina koa ka whakaritea ki ngā whara o te uma. Hei tauira, e ai ki ngā tohunga i te United States anake, tata ki te 300,000 ngā take hemothorax e pūrongohia ana i ia tau. Nō reira, he maha ngā take pēnei e kitea ana i tō tātou whenua.

He aha ngā tohu o te Hemothorax?

Mena kei a koe tētahi, neke atu rānei o ēnei tohu, me āwangawanga koe:

• Te uaua ki te manawa (e kiia ana tēnei e ngā tākuta ko te "Dyspnea")
• Te tere o te manawa (pērā i te hāngū - `(Hyperventilation)`)
• Ngā tere o te ngakau
• Mamae o te uma (he mamae ohorere, he mamae koi pea tēnei)
• Te toto toto iti (hypotension)
• Te āhua o te kore okiokinga
• Te manukanuka, arā, te whakaaro i te mataku koretake
• Te kirika (i ētahi wā)

I ngā wā tino kino, ka taea e te hemothorax te arahi ki te mate. Nō reira, he mea tino nui kia mōhio ki ēnei tohu.

He aha ngā tino take o te hemothorax?

Ko ngā tino take o tēnei mate ko ngā aituā kino, ngā whara, me ngā pokanga ki te uma. Hei tauira, mēnā ka pāngia te uma i roto i tētahi aituā motuka, mēnā ka taka mai i te teitei, mēnā rānei ka mau tētahi mea koi ki roto i te uma, ka pā mai pea tēnei mate. Hei tāpiri, he maha atu anō ngā take:

• Ngā mate toto totoka (ngā mate e kore ai e totoka ngāwari)
• Matepukupuku pūkahukahu
• Te mesothelioma pleural (he momo mate pukupuku e puta ana i roto i te pleura)
• Te mate pūkahukahu (ina mutu te rere o te toto ki tētahi wāhanga o te pūkahukahu)
• Tae atu ki te pokanga uma , te pokanga ngākau.
• I ētahi wā ka pakaru tētahi oko toto ina whakauruhia he catheter uaua pokapū ki roto i tētahi uaua nui.
• Ngā mate ira e pā ana ki te kiko honohono, pērā i te mate Ehlers-Danlos .
• Te mate kohi (he take anō tēnei i ētahi wā)

Ko wai te mea tino mōrearea ki te whakawhanake i tēnei?

Ka pāngia te tangata katoa e te hemothorax, inā koa mēnā he whara kei te uma. Heoi, he nui ake te mōrearea o ētahi tāngata:

• Te hunga kua pokangahia te uma: Kei te noho tonu tēnei mōrearea i muri i tētahi pokanga e pā ana ki ngā pukahukahu, ki te uma rānei, hei tauira, te pokanga ngākau tuwhera, te whakawhitinga pukahukahu rānei.
• Ko te hunga e takaro ana i ngā hākinakina, e mahi ana rānei e whara pinepine ana te uma: Ko te hunga e takaro ana i ngā hākinakina pēnei i te whutupaoro, te hoki, te hiki taumaha, te mekemeke, ngā mahi toi whawhai pēnei i te karate, me te nonoke, ka nui ake te tūponotanga ka whiua te uma. Nō reira, he nui ake te mōrearea ki a rātou.

He aha atu ngā raruraru ka pā mai i tēnei?

Ka taea hoki e te hemothorax te whakararu i te tinana i ētahi atu raruraru. Ko ētahi o ēnei ko:

• Te uaua nui ki te manawa, te kore rānei e taea te manawa ko koe anake (e kiia ana tēnei ko te `(Respiratory failure)`)
• Te ohorere hypovolemic : He āhuatanga ohorere tēnei e puta mai ana i te nui o te toto e ngaro ana i te tinana.
• Empyema : He kohinga waikura tēnei i roto i te wāhi pleural. Ka pā pea tēnei mēnā ka puta he mate i te wāhi kua kohia te toto.
• Te whara o te kiko pleural, o te kiko pukahukahu rānei.

Me pēhea te tautuhi a ngā tākuta i tēnei mate? (Tautuhinga)

Ko te tākuta anake ka taea te tautuhi tika i te hemothorax. Tuatahi, ka tirotirohia koe e ia.Ka whakahaerehia e ia he whakamātautau tinana. Kātahi ka whakarongo ia ki ō pukahukahu mā te whakamahi i te stethoscope (auscultation). Kātahi ka taea e ia te tautuhi i ngā oro rerekē e puta mai ana i te pukahukahu e pāngia ana. Ka tonoa hoki e ia ētahi atu whakamātautau hei whakaū i te mate.

He aha ngā whakamātautau tātaritanga?

Ka taea e te tākuta te tono i ngā whakamātautau penei:

• X-ray o te uma : Ka taea e tēnei te tirotiro mēnā he toto kua kohia ki te wāhi pleural.
• Matawai CT : Mā tēnei ka taea te whakarato i tētahi tirohanga mārama ake, taipitopito ake hoki o roto o te uma. Ka taea hoki te tirotiro i ngā toto totoka, i ētahi atu kino rānei.
• Te tango i te toto i roto i te uma : He whakamātautau tēnei, he maimoatanga anō hoki. Ka whakamahia he ngira angiangi hei tango tauira wai mai i te wāhi pleural. Ka taea te whakamahi hei tirotiro mēnā he toto, he mea kē atu rānei.

Āe, kia tirohia tātou he aha ngā maimoatanga e wātea ana mō tēnei.

Ka rongoatia te hemothorax mā te tango i te toto mai i te wāhi pleural.

Tuatahi, ki te mea he uaua ki a koe te manawa, ka hoatu he rongoā hāora ki a koe. Ki te mea he kino rawa te mate, me hoatu pea he manawa ā-ringa ki a koe.

Muri iho, i runga i te kaha o te hemothorax, ka mahi ngā tākuta i tētahi o ēnei mea:

• Thoracentesis: Ka werohia he ngira angiangi ki waenganui i ngā rara hei tango i ētahi toto mai i te wāhi pleural. Ka mahia tēnei mēnā he iti te nui o te toto.
• Te whakatakotoranga ngongo uma (Thoracostomy): Ka whakauruhia he ngongo nui (ngongo uma) mā roto i ngā rara ki roto i te wāhi pleural hei tango i te toto kua kohia. Me waiho pea tēnei ngongo ki tōna tūranga mō ētahi rā.
• Te tango i te uma: I ētahi wā, ki te haere tonu te toto ahakoa kua whakauruhia he ngongo hei tango i te toto, ki te mea rānei me tautuhi me te rongoā te take o te toto, ka tapahia e te taote pokanga te uma, ka uru atu ki te pukahukahu e pāngia ana, ā, ka mahia te maimoatanga e tika ana.

Mena kua nui te toto kua ngaro i a koe, tera pea me whakawhiti toto koe.

Me whai ngongo uma rānei ia hemothorax?

Kāo. Ehara i te mea me whakamahi he ngongo uma mō ngā maimoatanga hemothorax katoa. Mena he iti noa te toto (`Minor hemothorax`), tera pea ka taea te tango i ētahi o te toto mā te ngira iti (`Thoracentesis`).

He mōrearea kei roto i ēnei maimoatanga?

Āe, pērā i ngā maimoatanga hauora katoa, kei reira ētahi mōrearea e pā ana ki te maimoatanga hemothorax. Kei roto i ēnei ko:

• Ngā raruraru e pā ana ki te rongoā whakamoe (mēnā he pokanga kei a koe).
• Mamae.
• Te toto.
• Ngā mate urutā, pērā i te niumōnia.
• Te pupuhi o te pūkahukahu.

Kaua e manukanuka, kei te whakapau kaha ngā tākuta ki te whakaiti i ēnei mōrearea.

Kia pēhea te tere o taku ora ake i muri i te maimoatanga?

Ko te roa o tō whakaoranga ka whakawhirinaki ki te take i puta ai tō hemothorax me te maimoatanga i whiwhi koe. Mena i whakauruhia he ngongo uma, i pokangahia rānei koe, me noho koe ki te hōhipera mō ētahi rā. Ma tō tākuta koe e kī atu ki ngā mea hei tumanako atu i a koe e whakaora ana, me te wā ka taea e koe te hoki ki ngā mahi noa, ki te mahi, ki te kura rānei.

He aha ngā mea hei tumanakohia mēnā he hemothorax tōu?

He mate kino te hemothorax e hiahia ana kia tere te aro atu ki te taote. Me noho pea koe ki te hōhipera mō ētahi rā, neke atu rānei. I a koe e noho ana i te hōhipera, ka taea e ngā tākuta te tirotiro i a koe me te hoatu hāora ki a koe mēnā e tika ana.

Engari, kia maumahara, ki te tika te tātaritanga me te rongoā wawe, ka ora katoa te nuinga o te tangata, kāore he raruraru mō te wā roa.

Me pēhea te whakaiti i tēnei mōrearea?

Kāore e taea e tātou te ārai i ētahi o ngā take o te hemothorax. Heoi, ka taea e tātou te mahi i ēnei hei whakaiti i te tūponotanga o te whakawhanaketanga o te hemothorax mai i te whara o te uma:

• Me mau ngā taputapu tiaki i te wā e takaro ana i ngā hākinakina, i ngā mahi rānei ka whara ai te uma.
• Me mau tonu tō whitiki nohoanga i a koe e eke ana i roto i te motuka.
• I te wā e kohi ana i tētahi mea mai i runga, kaua e piki ki runga i ngā tūru, i ngā tēpu rānei, kaua e whakamahi i tētahi taputapu e tika ana, kaua hoki e tono āwhina i tētahi.
• Mena he uaua ki te hikoi, he nui rānei te tūponotanga o te hinga, whakamahia he tokotoko, he taputapu hikoi, he tokotoko toko rānei.

Me pēhea taku tiaki i ahau anō i te wā e ora ana?

I a koe e ora ana i te hemothorax, he mea pai kia matara atu i ngā mea ka kino, ka pēhi rānei i ō pukahukahu. Hei tauira:

• Kaua e kai hikareti.
• Āta karohia ngā mahi whakakori tinana taumaha pēnei i te hiki taumaha me te piko taumaha.
• Me noho tawhiti atu i ngā hākinakina pā atu ki te tinana mō tētahi wā.
• Āta karohia te mahi i ngā mahi pēnei i te ruku wai, te ruku moana hōhonu rānei.
• Te haereere i runga waka rererangi (he pai ake te kōrero ki te tākuta mō tēnei mea).

Āhea ahau me kite anō i taku tākuta?

Kia mahara ki te haere ki ngā wā tirotiro katoa i tohua e tō tākuta. Mā tēnei ka taea e ia te kite mēnā kei te ora koe e ai ki te tumanako, ā, ka taea hoki e ia te whakahaere i ētahi atu whakamātautau (hei tauira, ngā hihi-X) mēnā e tika ana.

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

Ki te pāngia koe e te uaua ki te manawa, ki te mamae rānei o tō uma, me haere ki te rūma whawhati tata tonu. Kaua e moumou taima.

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

Ka taea e koe te pātai atu ki te tākuta i ngā pātai pēnei:

• Me pēhea koe e mōhio ai mēnā he hemothorax tōku?
• He pēhea te kino o taku hemothorax?
• He aha tāku e taea ai te mahi hei ārai i tēnei mea kei puta anō?
• He aha te maimoatanga e taunaki ana koe?
• Kia pēhea te roa ka ora ake ahau?
• Me whai hāora anō ahau?
• Me noho tonu ahau ki te hōhipera?

He mōrearea te ora i te hemothorax?

Kei te kaha o tō hemothorax me te roa o te wā e mutu ai te toto. Ka taea e ngā hemothorax iti te ora me te kore he mōrearea, he raruraru rānei. Heoi, ko ngā hemothorax kino ka mate pea mēnā kāore e tere te rongoā.

He aha te rerekētanga i waenga i te Hemothorax me te Pneumothorax?

Kaua e whakapoauau i ngā mea e rua.

• Ko te hemothorax te kohikohinga toto i roto i te wāhi pleural.
• Ko te Pneumothorax he mate e uru ai te hau ki te wāhi pleural ka pēhi i te pukahukahu, ka hinga katoa, ka hinga wāhanga rānei. E kiia ana hoki tēnei ko te "pukahu hinga".

He pūkahukahu kua hinga te hemothorax?

Kāo. He rerekē ngā āhuatanga o te hemothorax me te hinganga o te pūkahukahu. Ko tētahi atu ingoa mō te hinganga o te pūkahukahu ko te pneumothorax. Heoi, ka taea hoki e te hemothorax te pēhi i te pūkahukahu, ā, ka hinga.

He aha te rerekētanga i waenga i te Hemothorax me te Pleural Effusion?

• Ko te rerenga wai i roto i te pleural he kohikohinga o te wai nui i roto i te wāhi pleural. I te nuinga o te wā, e 5-10 miririta (tata ki te 1-2 tīpune) o tēnei wai kei te taha kotahi o te wāhi pleural o te pakeke. Mēnā ka piki ake tēnei nui, ka kiia ko te rerenga wai i roto i te pleural.
• Ko te hemothorax te kohikohinga toto i roto i te wāhi pleural.

He māmā noa iho, he momo toto e puta mai ana i te pleural effusion te hemothorax, engari he toto kei roto.

Mena ka pāngia koe e ngā tohu e pā ana ki te mamae o te uma, te uaua rānei ki te manawa, rapua tonutia he tohutohu hauora.Ka taea e te tākuta te tātaritanga i te hemothorax, te kimi i te pūtake, me te hoatu ki a koe te maimoatanga tino whai hua.

## Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Āe, he nui ngā kōrero kua kōrerohia e tātou mō Hemothorax i tēnei rā. Hei whakamutunga, koinei ngā mea tino nui hei maumahara māu:

• Ko te hemothorax te kohikohinga o te toto i roto i te kōhao e karapoti ana i ngā pukahukahu.
• Ko ngā tino take o tēnei ko ngā aituā, ngā whara, me ngā pokanga ki te uma.
• Tērā pea ka puta ngā tohu pēnei i te uaua ki te manawa, te mamae o te uma, me te tere o te pakū o te manawa .
• He mate kino pea tēnei, nō reira, ki te puta mai ngā tohu, me toro atu koe ki te tākuta tonu.
• Kei roto i te maimoatanga ko te whakawhiti toto, te hāora, me te pokanga pea .
• Ki te tere te rongoā, ka taea e koe te ora katoa.
• Ka taea te whakaiti i tēnei mōrearea mā te tiaki i a koe anō i ngā aituā.

Mena he pātai anō āu mō tēnei, kaua e wehi ki te pātai atu ki tō tākuta, ki tō nēhi rānei. Kia ora tonu koe!

Hemothorax , he toto e whakakī ana i te uma, he āputa pleural, he uaua ki te manawa, he mamae o te uma, he ngongo uma, he mate manawa