Ngā mea me mōhio koe mō te iti o te hāora i roto i te toto (Hypoxemia)!

Ka pōturi te manawa i ētahi wā, ka pēhia tō uma, ka pōuri rānei ahakoa he poto noa te hikoi? He maha rānei ngā wā ka pāngia koe e te ānini? Ko tētahi take pea ko te hekenga o te taumata hāora i roto i tō toto. I roto i ngā kupu hauora, ka kiia tēnei ko te hypoxemia . Nā te mea he mate kino tēnei, me rapu tātou i te pūtake o te mate, kia māmā noa, kia mārama hoki.

Āe, he aha tēnei Hypoxemia?

Ki te kī māmā noa, ko te Hypoxemia he āhuatanga e iti iho ai te nui o te hāora i roto i tō toto i te nui noa. He mea nui te hāora kia tika ai te mahi a ngā pūtau me ngā okana katoa o te tinana, pērā i te motuka e hiahia ana ki te penehīni hei whakahaere.

Whakaarohia pēnei. Ina manawa tātou, ka uru te hāora o te hau ki roto i ō tātou pūkahukahu. Kei roto i ngā pūkahukahu he whatunga o ngā pēke hau iti e kiia nei ko ngā alveoli. Kei roto i ēnei pēke hau he uaua toto tino angiangi (ngā capillary). Ina manawa tātou, ka mimitihia te hāora e uru ana ki ngā pūkahukahu mā roto i ēnei pēke hau ki roto i ngā uaua toto. Kātahi ka kohia e te toto tēnei hāora ka tohatoha ki ngā kiko puta noa i te tinana.

Ka puta te hypoxemia ina he hapa kei roto i tēnei tukanga. Kāore e taea e koe te manawa i te nui o te hāora , kāore rānei e taea te mimiti tika i te hāora e manawahia ana e koe ki roto i ō toto . Koia te take he nui ake te mōrearea o te hunga whai mate pūkahukahu me te mate manawa ki tēnei mate.

He rerekē te Hypoxemia me te Hypoxia?

Ae, ahakoa he tokomaha e whakapoauau ana i ēnei kupu e rua, he iti noa te rerekētanga. He mea nui kia mōhio ki tēnā.

• Ko te hypoxemia he whakahekenga o ngā taumata hāora i roto i te toto .
• Ko te hypoxia he whakahekenga o te nui o te hāora e tae atu ana ki ngā kiko o te tinana .

Whakaarohia te toto hei 'taraka tuku' e kawe ana i te hāora. Ko ngā kiko he 'kiritaki' e tatari ana mō te hāora. Ko te hypoxemia te wā e iti ana te utanga o te taraka (hāora). Nō reira, ko te hypoxia te wā kāore te kaihoko e whiwhi i te utanga. He maha ngā wā, ina iti te hāora i roto i te toto (Hypoxemia), ka kore hoki ngā kiko e whiwhi hāora (Hypoxia). Engari kāore i te tupu tonu tēnā.

He aha ngā tohu o tēnei mate?

Ka rerekē ngā tohu o te hypoxemia i runga i tōna kaha me te pūtake. Kei te ripanga i raro nei ētahi tohu noa.

He aha tēnei ka tupu ai? He aha ngā take o te hypoxemia?

He maha ngā take mō tēnei. Ko te take matua he mate hauora e pā ana ki te tukanga manawa, ki te rere toto rānei. Hei tauira, ina haere koe ki tētahi teitei, pērā i te wāhi maunga, ka puta pea tēnei mate mō tētahi wā poto nā te kore o te hāora i te taiao.

Kei raro nei ētahi o ngā mate hauora matua ka pāngia ai te hypoxia.

• Mate huango
• Pūkahukahu
• COPD (Mate Pūkahukahu Ārai Mau)
• Te ngoikore o te ngākau
• Te Pukupuku Pūkahukahu
• Pupuhi Pūkahukahu
• Te moe pōrearea
• Te mate toto iti
• Ngā Kore o te Ngākau Whānau
• Ngā mate manawa kino pēnei i te COVID-19

5 ngā tikanga matua e whai wāhi ana ki te whakaiti i te hāora

Mai i te tirohanga hauora, e rima ngā tikanga matua e whai wāhi ana ki te korenga o te hāora i roto i te toto. He ahua uaua ēnei, engari kia māmā noa iho.

1.Te Taurite Kore o te Hau me te Rerenga (V/Q): Whakaarohia ngā pukahukahu he tūnga pahi. Ko te hau (hāora) ngā pāhihi. Ko te toto te pahi. I ētahi wā ka kī tonu te tūnga i ngā pāhihi, engari kāore he pahi (he iti te rere o te toto). He maha rānei ngā pahi, engari kāore he pāhihi (he iti te hau). Ko tēnei taurite kore i waenga i te rere o te hau me te rere o te toto ka kiia ko te taurite kore V/Q.

2. Te Whakararuraru i te Horapa: Whakaarohia inaianei kei te tūnga ngā pāhihi (hāora), ā, kei te neke te pahi (toto). Engari he arai kei reira mō ngā pāhihi ki te eke ki te pahi. Koinei te arai ki te hāora mai i ngā pukahukahu ki te toto . Ka puta pea tēnei nā ngā mea pēnei i te matotoru o ngā pakitara o ngā pukahukahu.

3. Te ngoikore o te manawa: Ki te kī māmā noa , ko te puhoi o te manawa, ko te kore rānei e hohonu te manawa , ā, ko te mutunga iho, kāore e ranea te hāora e tae atu ana ki ngā pukahukahu.

4. Te iti o te hāora taiao: He mārama noa iho tēnei. Mēnā he iti te hāora i roto i te taiao e noho nei tātou , hei tauira, ina piki tātou ki te tihi o te maunga, kāore e taea e tātou te ngongo i te nui o te hāora.

5. Te Whakawhitiwhiti Mai i te Matau ki te Mauī: He toto iti te hāora (toto kikorangi) kei te taha matau o te ngākau, he toto nui te hāora (toto whero) kei te taha mauī. Kāore ēnei e rua e hono. Engari i roto i ētahi mate ngākau, i te kore e haere ki ngā pukahukahu ki te tiki hāora, ka peke tika atu ētahi o ngā toto iti te hāora ki te taha mauī ka haere ki te tinana . He take anō hoki tēnei o te Hypoxemia.

Me pēhea te kitenga a te tākuta i tēnei?

I muri i te whakarongo ki ō tohumate, ka tirotirohia koe e te tākuta. Kei roto i tēnei ko te whakarongo ki tō ngākau me ō pukahukahu, te tirotiro i te tae o tō kiri, me te whakahaere i ētahi whakamātautau hei whakatau i ō taumata hāora.

• Ine Pūwero: Kua kite pea koe i tēnei. He taputapu e piri ana ki tō maihao, e ine ana i ō taumata hāora. Kāore he mamae, he tino māmā hoki. Me 95%, neke atu rānei te pēwero o te tangata hauora.
• Whakamātautau Hau Toto o te Utauta (ABG): Koinei te whakamātautau tino tika. Ka tangohia he tauira toto iti mai i te uaua i roto i te ringaringa, te piko o te tuke, te hope rānei, ā, ka inehia ngā taumata o te hāora, te hauhā waro, me te waikawa (pH) o te toto.
• Whakamātautau Hīkoi Ono-Meneti (6MWT): He whakamātautau e ine ana i te tawhiti ka taea e koe te hīkoi i runga i te whenua papatahi i roto i ngā meneti e 6, me te pēhea o te rerekētanga o ō taumata hāora i roto i te whakakori tinana.

Me pēhea te rongoā?

Ko te mea nui i te rongoā i te hypoxemia ko te rongoā i te pūtake . Hei tāpiri, ka whakamahia hoki te rongoā hei whakahoki wawe i ngā taumata hāora toto ki te noho noa.

He maha ngā tikanga maimoatanga:

• Hāora: Ka tukuna te hāora mā roto i te pūwero ihu, i te kopare rānei. Ka tohua he rongoā whakakōhiko hāora ki ētahi tāngata ka taea te whakamahi ki te kāinga.
• Ngā Inhaler: Ko te hunga whai mate pēnei i te mate huango, te COPD rānei, ka hoatu he inhaler hei whakawhanui i ngā ara manawa (ngā bronchodilators) hei whakaiti rānei i te pupuhi (steroids).
• Ngā mīhini CPAP: E whakaratohia ana tēnei mīhini mā te hunga e pāngia ana e te mate moe pōrearea hei whakamahi i te pō.
• Pūwero manawa: Mena he tino kino te āhua o te tūroro, arā, he uaua ki a ia te manawa ko ia anake, ka honoa ia ki tētahi mīhini manawa horihori (pūwero manawa) i te wāhanga tiaki nui o te hōhipera.
• Ētahi atu rongoā: Mena kua kī tonu ngā pukahukahu i te wai, ka hoatu he rongoā (diuretics) hei tango i te wai tāpiri.

Me aha tātou kia mau tonu ai te taumata o te hāora?

Mena kei a koe te mate manawa, te mate pūkahukahu rānei, he mea nui ēnei mea hei whakaiti i te mōrearea o te hypoxia.

• Whakahaeretia tō āhua: Whakamahia te rongoā me te manawa i tohua e tō tākuta i te wā tika. Kia mahara ki te haere ki ngā wāhi rongoā.
• Kaua rawa e kai hikareti: He tino kino te kai hikareti ki ngā pukahukahu. Mā te whakamutu i te kai hikareti ka āwhina i te whakanui ake i ngā taumata hāora.
• Mahia ngā mahi manawa: Pātai atu ki tō tākuta mō ngā mea pēnei i te manawa hōhonu me te whakamahi i ngā taputapu pēnei i te Incentive Spirometer.
• Kia tūpato ki ngā tohu hou: Ki te mea he poto te manawa, he mamae rānei tō uma, kaua e warewaretia.
• Kia tūpato i te wā e haere ana koe ki ngā teitei: Mena he mate manawa, he mate pūkahukahu rānei tōu, kōrero ki tō tākuta, ā, tikina ngā tohutohu e tika ana i mua i te haere ki tētahi wāhi maunga.

Āhea tātou me toro atu ki te tākuta i te wā e taea ai? (Āhea tātou me haere ki te ETU)

He mate morearea te kore toto e hiahiatia ana (hypoxemia). Mēnā kei a koe ētahi o ngā tohu e whai ake nei, haere tonu ki te Tari Ohotata (ETU) o te hōhipera.

• Te poto ohorere o te manawa.
• Te tae kikorangi o ngā ngutu, o ngā maikuku, o te kiri rānei (Cyanosis).
• Te mamae nui o te uma.
• Te pōhēhē, te ohorere, te ngaro rānei o te māramatanga.
• Mena kei a koe tētahi mate, ka kino haere pea ōna tohu noa.