He uaua ki a koe te manawa i ētahi wā, he pēhi tō uma, he poto rānei te manawa ahakoa i muri i te mahi tinana māmā? He maha ngā wā ka tino ngenge koe? He maha ngā take ka puta mai ai ēnei tohu, engari ko tētahi take nui pea ko te nui rawa o te hau e pupuri ana i ō pukahukahu , he mate e kiia nei e ngā tākuta ko te Hyperinflated Lungs . I tēnei rā, me kōrero tātou mō tēnei mea i roto i te huarahi taipitopito engari ngāwari, i konei i Nirogi Lanka.
He aha tonu ngā Pūkahukahu Pupuhi Rawa?
Hei whakarāpopototanga, ka puta tēnei ina āraia ngā ara manawa ririki i roto i ōu pūkahukahu, ka uaua ai te puta o te hau i muri i tō manawa. Nā te mea kāore e taea te whakaputa katoa i te hau, ka mau tonu me te hūpē. Whakaarohia he rite ki te poihau: ki te pupuhihia e koe engari kāore e taea te puta o te hau, ka noho totoro rawa, ka mau tonu. Koinei te mea e tupu ana i roto i ōu pūkahukahu.
Ina mau te hau me te hūpē, ka uaua te manawa, ā, ka whānui haere ō pūkahukahu ki tua atu i tōna kaha noa. I roto i te wā, ka arahi pea tēnei ki te kino tuturu o ngā pūkahukahu, te taumahatanga o te ngākau, me te kore e ranea te hāora ki tō tinana . Nō reira, me aro hauora tēnei mate.
Ka taea e te tākuta te tautuhi i tēnei mā te whakamātautau tinana me ngā whakamātautau whakaahua pērā i te hihi-X. Ko ngā kōwhiringa maimoatanga i ngā hōhipera he maha ngā wā ko ngā inhaler, ngā nebulizer , ngā mahi manawa motuhake, ā, i ngā wā tino kino, ka taea te pokanga.
He aha i pupuhi nui ai ngā pukahukahu? He aha ngā take?
Ko te tino take o te pupuhi nui o te pūkahukahu ko te COPD , te mate pūkahukahu aukati mau tonu rānei. Ehara tēnei i te mate kotahi, engari he rōpū mate pūkahukahu, ko te mea tino kitea ko:
1. Te mate pūkahukahu mau tonu: Kei roto i tēnei ko te mumura mau tonu me te pupuhi o ō ara manawa (ngā ara hau). Ka whakawhāitihia te ara, ka uaua ai te manawa, ā, ka nui rawa te hanga hūpē.
2. Emphysema: Kei roto i tēnei ko te pakaru o ngā pēke hau ngawari (alveoli) i roto i ō pukahukahu, ka ngaro te ngāwari o ēnei pēke, ā, ka hinga. He mea nui ēnei pēke mō te whakawhiti hāora ki roto i ō toto me te tango i te hauhā waro. Ina pakaru, ka mau te hau ki roto.
Haunga te COPD, ko ētahi atu mate pūkahukahu e whakararu ana i te manawa ka arahi pea ki te pupuhi nui, tae atu ki:
- Te mate huango : E mōhio ana pea koe, ka whakawhāitihia e te mate huango ngā ara manawa, ā, ka hua ake pea tēnei mate.
- Te Pūkahukahu Pūkahukahu: He mate ira e hangai ai te hūpē matotoru, piri ki roto i ngā pukahukahu, ka uaua ai te manawa.
- Te Pūkahukahu Ānini: He āhuatanga e whānui haere ai ngā ara manawa, ka hua ake ai te kohikohinga o te hūpē me ngā mate urutā pinepine.
- Te Pūkahukahu Ānini: He mumura o ngā ara manawa iti rawa o ngā pukahukahu, he mea noa i roto i ngā tamariki nohinohi.
He pēhea te noa o tēnei āhuatanga?
Ko te pupuhi nui o ngā pūkahukahu te mea e kitea nuitia ana i roto i ngā tūroro COPD. I ngā whenua pēnei i te US, 15–20 miriona tāngata e noho ana me te COPD. Ahakoa kāore i te motuhake ngā tatauranga ā-ao mō te pupuhi nui, he kitenga haumanu tino noa tēnei i waenga i ngā tūroro COPD.
He aha ngā tohu?
He rite tonu ngā tohu o te pupuhi nui o te pūkahukahu ki ērā o ētahi atu mate pūkahukahu mau tonu:
- Te poto o te manawa : Te ahua o te haunga i muri i te hikoi māmā, te piki arawhata rānei. I ētahi wā, ka uaua te manawa ahakoa kei te okioki.
- Te manawa papaku: Te kore e taea te manawa hōhonu, te manawa katoa.
- Te ngenge tonu me te kore kaha: Te ngoikore tonu o te tinana, te kore rānei o te kaha ki te mahi i ngā mahi o ia rā.
- Te kikī o te uma: He kare ā-roto e kikī ana, e taimaha ana rānei i roto i te uma, e hono pinepine ana ki te hanga hupe.
Ka puta pea ēnei tohu ahakoa kāore he kaha nui. Ki te kite koe i ngā mahi o ia rā—pērā i te mahi i ngā mahi o te whare, i te haere poto rānei ki te toa—ka kore koe e manawa, ka ngenge hoki, kua tae ki te wā ki te toro atu ki te tākuta.
Ko wai te mea tino mōrearea?
Ko te hunga kua pāngia e ngā mate manawa pēnei i te COPD, te huango, me te emphysema he nui ake te mōrearea.
Ko te kai hikareti te tino take mōrearea. Ka pā kino tika te kai hikareti ki ngā pukahukahu, ka tino pāngia koe e te COPD, ā, ka whai muri iho ka nui haere te pupuhi o te pukahukahu.
Hei tāpiritanga, kei reira ngā āhuatanga ira, pērā i te ngoikore o te Alpha-1 antitrypsin , he mate i tukuna iho i roto i ngā whānau ka taea te whakanui ake i te mōrearea o te emphysema me te hyperinflation o te pukahukahu. Mena he nui ngā tohu kino kei a koe, whakapā atu ki tō ratonga ohorere ā-rohe tonu.
He aha ngā raruraru ka puta mai i tēnei āhuatanga?
Ko tētahi o ngā raruraru tino kino o te pupuhi nui o te pūkahukahu ko te taumahatanga e pā ana ki tō ngākau. Nā te mea kei waenganui tonu tō ngākau i ō pūkahukahu, ka taea e ngā pūkahukahu kua nui rawa te pupuhi te pēhi i a ia. I roto i te wā, ka taea e tēnei pēhanga te whakararu i te kaha o tō ngākau ki te pupuhi toto ki ō pūkahukahu, e kore e whakanui noa i te mōrearea o te ngoikore o te ngākau engari ka arahi hoki ki te heke o ngā taumata hāora i roto i ō toto .
Hei tāpiritanga, ka taea e te pupuhi nui o te pūkahukahu te whakararuraru nui i tō oranga o ia rā. Nā te mea ka uaua te manawa, tera pea ka kitea e koe he uaua ahakoa ngā mahi māmā noa iho, ka pā kino ki tō kounga whānui o te oranga.
Me pēhea te tautuhi i tēnei?
Ka arotakehia e tō tākuta tō hītori hauora, ka arotakehia ō tohumate, ā, ka whakahaerehia he whakamātautau tinana. Mā te whakamahi i te stethoscope, ka whakarongo rātou ki tō ngākau me ō pukahukahu, me te tono atu kia manawa hōhonu koe i ētahi wā. I tēnei whakamātautau, ka kite pea rātou kāore tō uma e whānui ana, e kōpiri ana rānei i a koe e manawa ana.
Whai muri i tēnei, ka tono pea tō tākuta i ētahi atu whakamātautau tātaritanga hei aromatawai i te mahi a tō pukahukahu, pēnei i:
- X-ray o te uma: Mā tēnei ka puta he whakaahua o ō pukahukahu, ngākau, me te kōhao o te uma, hei āwhina i te tautuhi i ngā tohu o te pupuhi nui o ngā pukahukahu.
- Matawai tomography rorohiko (CT): Ka taea e tēnei te kite i tētahi pikitia taipitopito me te mārama ake o ō pukahukahu me tō ngākau i te hihi-X noa.
- Ngā whakamātautau mahi pūkahukahu (PFT): Ka ine ēnei whakamātautau i te nui o te hau ka taea e ō pūkahukahu te pupuri me te pai o tā rātou mahi.
Tērā pea ka tukuna koe e tō tākuta matua ki tētahi Tohunga Pūkahukahu (he tohunga ki ngā mate manawa).
He mate kino te pupuhi nui o ngā pūkahukahu?
Ae, he mate hauora nui te pupuhi nui o ngā pūkahukahu. Haunga te kino o te kiko o ngā pūkahukahu me te whakaiti i te kounga o tō oranga, ka taea e ia te whakararu i tō ngākau, ka arahi pea ki ngā raruraru pēnei i te ngoikore o te ngākau. Nō reira, he mea nui te whakahaere matatau a ō mātou tohunga Nirogi Lanka.
He aha ngā maimoatanga e wātea ana?
Ko ngā mahere maimoatanga e whakawhirinaki ana ki te kaha o ō tohu me tō hauora whānui. Ko ngā maimoatanga noa ko:
- Ngā rongoā whakawhanui i te manawa: Ka whakangāwari ēnei rongoā i ngā uaua e karapoti ana i ō ara manawa, ka noho tuwhera tonu kia ngāwari ake ai te whakaputa i te hau kua mau. Ko te tikanga ka tukuna mā roto i ngā inhaler, i ngā nebulizer rānei.
- Ngā tikanga manawa: Tērā pea ka akohia e tō tākuta ētahi mahi whakakori tinana, pērā i te manawa ngutu-pursed, hei āwhina i te pupuri i ngā ara manawa kia tuwhera. He tino whai hua hoki ngā kaupapa whakaora pūkahukahu mō te whakahaere i ngā āhuatanga pēnei i te COPD.
- Whakaora hāora: Ko ētahi tūroro e hiahia ana ki te hāora tāpiri e tukuna ana mā te cannula ihu, mā te kopare kanohi rānei kia whiwhi ai ō rātou tinana i te hāora e nui ana.
- Ngā taputapu tautoko manawa: Ka taea e ngā taputapu pēnei i ngā nebulizer me ngā mīhini CPAP te āwhina i te whakangāwari ake i te manawa.
- Te pokanga whakaiti i te rōrahi o te pukahukahu:Ko tēnei te huarahi whakamutunga mēnā kāore e angitu ētahi atu maimoatanga; ko te tango i te kiko o te pukahukahu kua pakaru kia pai ake ai te mahi a te kiko hauora e toe ana.
Ka taea te whakakore i te āhua?
Engari, ko te kino i pā ki ngā pukahukahu he mea pumau tonu , arā, kāore pea e hoki ki tōna āhua taketake. Heoi, mā te maimoatanga tika ka taea te whakahaere pai i ngā tohu me te whakaiti nui i te hiahia mō ngā whakaurunga hōhipera, ngā haerenga rānei ki te tari whawhati tata (ED) . Ahakoa ka whakapai ake te maimoatanga i tō kaha ki te manawa, kāore te kiko o te pukahukahu e tino ora anō.
He aha te tirohanga mō tēnei āhuatanga?
Mā te tiaki tika me te ārahi a te tīma o Nirogi Lanka, ka taea tonu e koe te noho i tētahi oranga whai hua me te whai kiko . Ahakoa kāore e taea e tātou te whakakore katoa i te kino, ka taea e tātou te whakatinana i ngā rautaki hei ārai i te pikinga ake o te hau me te aukati i te kino atu o ngā pūkahukahu.
He mea nui kia mōhiotia, ki te kore he wawaotanga hauora, ka taea e te pupuhi nui o te pūkahukahu te arahi ki te taumahatanga nui o te ngākau me te ngoikore o te ngākau. He mea nui kia piri tonu koe ki tō mahere maimoatanga.
Me pēhea te ārai i tēnei?
Ko te huarahi pai ki te ārai i te pupuhi nui o te pūkahukahu ko te mahi i ngā mahi hei karo, hei whakahaere rānei i te COPD. Tata ki te 90% o ngā take COPD e pā ana ki te momi hikareti. Nō reira, ko te whakamutu i te momi hikareti me te karo i te paoa tuarua ko ngā huarahi tino whai hua hei ārai i te COPD me ngā kino o te pūkahukahu. Hei tāpiri, ko te whakaiti i te pānga ki te parahanga hau he mea nui mō te hauora o tō pūkahukahu mō te wā roa.
Āhea koe me toro atu ki te tākuta?
Mena kei te pāngia koe e ngā uauatanga manawa—ina koa mēnā he mate pūkahukahu tōu pērā i te COPD, te mate huango rānei—he mea nui kia tere tonu te toro atu ki te tākuta . Tena koa rapu tohutohu hauora mēnā ka kite koe i ēnei tohu e whai ake nei:
- Te poto o te manawa tonu.
- He uaua ki te manawa, he āhua rānei kāore e ranea te hau e whiwhi ana koe.
- Te ngenge, te tino ngenge rānei, ahakoa te iti o te mahi tinana.
Āhea koe me haere ki te Rūma Ohotata (ER)?
Ki te kore ō uauatanga manawa e pai ake ahakoa ō mahi whakahaere noa, tēnā haere tonu ki te tari ohorere o te hōhipera tata . Ahakoa te nuinga o te hunga e pāngia ana e te pupuhi nui o te pūkahukahu ka kitea he whakaoranga mā te maimoatanga hauora tika, ko te uauatanga manawa nui he ohorere hauora e hiahia ana kia tere te wawaotanga. Ki te uaua koe ki te manawa, waea atu ki ngā ratonga ohorere (hei tauira, 911) tonu.
` ## He Panui Whakamutunga na Nirogi Lanka
He uaua te noho me te mate pūkahukahu mau tonu, ā, ka pā nui pea ki ō mahi o ia rā. Ko te pupuhi nui o te pūkahukahu he raruraru e mōhiotia ana e pā ana ki ngā mate pēnei i te COPD me te mate huango. Ka taea e tō tākuta, e te tākuta pūkahukahu rānei te mahi tahi me koe ki te waihanga i tētahi mahere maimoatanga whaiaro hei āwhina i te whakahaere i ēnei tohumate kia whai hua.
> **He mea nui kia whai i tō rārangi rongoā kua tohua kia rite ki ngā tohutohu.** Ahakoa kei te piki haere te mate pūkahukahu, ka taea e koe te whakahaere mā te whakamutu i te kai paipa, te karo i te auahi tuarua, me te whakaiti i te pānga ki ngā poke o te hau. Ko tō hauora te mea nui ki a mātou.
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Te pupuhi nui o te pūkahukahu, te poto o te manawa, te COPD, te mate huango, te mate pūkahukahu, te hauora o te manawa, te whakamutu i te kai paipa
