Kei te kore te hāora i roto i tō tinana? Me ako tātou mō te hypoxia.

Ka pōturi te manawa, ka pōuri, ka pōhēhē rānei koe i ētahi wā? Tērā pea nā te hypoxia te take, he āhuatanga kāore e nui te hāora e whiwhi ana ngā kiko o tō tinana. Nā te mea he āhua kino tēnei, me kōrero tātou mō tēnei mea i roto i tētahi huarahi māmā, ngāwari hoki ki te mārama. Kaua e mataku, ko te mea nui ko te tūpato.

He aha te hypoxia? He māmā noa iho...

Āe, me mārama tātou ki te tikanga o te hypoxia. He kupu ngāwari noa iho, ko te wā tēnei kāore e nui te hāora e whiwhi ana ngā kiko o tō tinana. Ina manawa tātou, ka uru te hāora ki roto i ngā pūkahukahu. Mai i reira, ka mimitihia ki roto i te toto mā roto i ngā pēke hau iti i roto i ngā pūkahukahu (e kiia nei ko ngā alveoli) ka uru ki roto i ngā oko toto tino angiangi (e kiia nei ko ngā capillaries) e rere tata ana. Kātahi ka haere tēnei toto whai hāora puta noa i te tinana, ka tukuna te hāora ki ētahi atu kiko.

Ka taea e koe te whakaaro ki te hāora he piriona pāhihi e tae mai ana ki te taunga rererangi (arā, ō pūkahukahu). Ka kohia mai i reira ka haria i runga i te huarahi nui (arā, ō toto) ki tō rātou ūnga (arā, ngā kiko o tō tinana). Ina tae te hāora ki tōna wāhi tika, ka wātea te ara mō tētahi atu pāhihi , te hauhā waro . He para tēnei hauhā waro. Ka hoki ki roto i ō pūkahukahu ka wehe atu i tō tinana ina puta tō manawa.

Nō reira, ki te kore e nui te hāora e whiwhihia ana i tētahi wā, ka puta pea te hypoxia. Me whai rere te hau me te rere o te toto . Koia te take ka nui ake te mōrearea o te hunga e mate pūkahukahu ana, e mate manawa ana hoki ki te whakawhanake i te hypoxia. Ka karangahia hoki e mātou te tangata e pāngia ana e te hypoxia he "hypoxic".

He aha te rerekētanga i waenga i te Hypoxia me te Hypoxemia?

Kua rongo pea koe i ēnei kupu e rua – te hypoxia me te hypoxemia – e whakamahia ana i waenga. Engari, ehara i te mea kotahi. He rite ngā ingoa, ā, ka pōhēhē pea, nā te mea he kore hāora kei roto i ngā wāhanga rerekē o te tinana.

• Ko te hypoxia he whakahekenga o te hāora i roto i ngā kiko o tō tinana .
• Ko te hypoxemia he whakahekenga o te hāora i roto i tō toto .

He maha ngā wā ka puta te ngoikore o te toto i te mea he ngoikore te toto, engari kāore i te katoa. Ka taea e te tangata te ngoikore te toto engari kāore e ngoikore te toto, ā, ka pērā anō hoki. Kei te mārama koe?

Ko wai kei te mōrearea nui ake ki te whakawhanake i te hypoxia?

Ko tētahi āhuatanga e whakaiti ana i te nui o te hāora i roto i tō toto, i tētahi mea rānei e aukati ana i te rere o te toto, ka taea te whakararu i te hypoxia. Ina koa,

• COPD (Mate Pūkahukahu Ārai Mau)
• Te mate pūkahukahu
• Mate huango

He nui ake te mōrearea o te hunga whai mate manawa, mate pūkahukahu rānei ki te whakawhanake i te hypoxia.

Waihoki, ka taea e ētahi mate pēnei i te niumōnia, te rewharewha, me te COVID-19 te whakanui ake i tēnei mōrearea.

He aha ngā pānga me ngā tohu o te hypoxia?

He mea nui te hāora kia puta ai te pūngao i roto i ngā pūtau o te tinana, kia tika ai hoki te mahi a ō tātou whekau me ngā kiko. Ahakoa ka taea e ētahi kiko te urutau ki te hekenga poto o ngā taumata hāora, ka taea e te hypoxia roa te kino i ngā whekau. He mea morearea te kino ki te roro me te ngākau, ā, ka mate pea. Ka kiia tēnei ko te korenga o te hāora ki te roro he cerebral hypoxia .

Ka rerekē ngā tohu o te hypoxia i ia tangata, i ia tangata. Kei te kaha o te mate, te take matua, me ngā wāhanga o te tinana e pāngia ana. Ina heke ō taumata hāora, ka rite pea koe ki te kore e taea e koe te manawa, te whakaaro rānei.

Anei ētahi tohu noa o te hypoxia:

• He āhua korekore, korekore.
• Te mamae o te upoko.
• Te pōhēhē o te hinengaro, te kore e taea te whakarite i ngā whakaaro.
• Te wehi me te manukanuka tonu.
• Te tere o te manawa o te ngakau (e kiia ana tēnei e ngā tākuta he tachycardia).
• Te tere o te manawa (e kiia ana tēnei ko te tachypnea).
• Te uaua ki te manawa, te poto rānei o te manawa (e kiia ana tēnei ko te dyspnea).

I te kaha haere o te hypoxia, ka puta mai pea ētahi atu tohu:

• Te puhoi o te manawa (bradycardia).
• Te nui rawa o te whakaohooho.
• Te tae kikorangi o te kiri, o ngā ngutu, me ngā maikuku (e kiia ana ko te cyanosis). He tohu tino morearea tēnei.

He mea nui: Mena kei a koe, kei tētahi atu rānei e mōhio ana koe, ēnei tohu, he mea tino nui kia rapu tohutohu hauora tonu atu.

He aha ngā tino take o te hypoxia?

Ko te hypoxia te take o tētahi mate hauora e pā ana ki te rere o te toto, te manawa rānei. Ko ētahi o ngā āhuatanga ka arahi ki te hypoxia ko:

• Te kore toto i roto i te tinana - te mate toto iti.
• Te mate huango.
• Bronchitis - te mumura o ngā ngongo bronchial.
• COPD (Mate Pūkahukahu Ārai Mau) - He mate pūkahukahu mō te wā roa.
• Ngā hapa ngākau whānau.
• Ko ētahi āhuatanga o te ngoikore o te ngākau (te ngoikore o te ngākau).
• Emphysema - te pakaru o ngā pēke hau i roto i ngā pukahukahu.
• Pneumonia - Ka pā mai pea i te huakita, i te huaketo rānei.
• Te hau e whakakī ana i te āputa huri noa i ngā pukahukahu, te hinganga rānei o ngā pukahukahu (Pneumothorax).
• Te pupuhi o te pūkahukahu.
• Te embolism pūkahukahu.
• Te toto toto tiketike o te pūkahukahu.
• Te mate pūkahukahu - he whara o ngā pukahukahu.
• Te mate moe.

Kaua e mataku ki tēnei rārangi. Ehara i te mea ko te hunga katoa e pāngia ana e tētahi o ēnei ka pāngia e te hypoxia, engari kei reira te mōrearea.

E whā ngā momo matua o te hypoxia:

Kia tika ai te whiwhi hāora i ngā pūtau o roto i ō tātou kiko, me tika ētahi mea:

1. Me nui te hāora i roto i te hau e manawahia ana e tātou.

2. He mea nui te mahi hauora o ngā pukahukahu hei kawe i te hāora ki roto i ngā pēke hau (alveoli).

3. Me whai manawa hauora me te pūnaha tohanga toto koe hei kawe i te toto whai hāora ki ngā kiko.

4. Me nui ngā toto whero hei kawe i te hāora.

5. Me whai kaha ngā pūtau i roto i ngā kiko ki te whakamahi i te hāora.

Ka taea e te korenga o te hāora i tētahi o ēnei wāhi te hua o tētahi o ngā momo hypoxia e whā.

1. Te korenga o te hauota o te hauota

Koinei te momo hypoxia tino noa . Koinei te wā e heke ana te nui o te hāora i roto i te toto (e kiia ana ko te hypoxemia). Ka puta pea tēnei āhuatanga i ngā mate pūkahukahu me te ngākau, ngā mate ngākau whānau, me ētahi rongoā e whakaroa ana i te manawa. Waihoki, ina haere koe ki tētahi wāhi teitei pērā i a Nuwara Eliya, ka iti te taumata hāora i te rangi, ka arahi pea ki te hypoxemia, ka arahi pea ki te hypoxia.

2. Te ngoikore o te tohanga toto

Ka kiia hoki tēnei ko te hypoxia stagnant, ko te hypoxia ischemic rānei. Ko te mea ka tupu i konei, tera pea he nui te hāora i roto i ō toto, engari ki te kore tō ngākau e pupuhi tika ana i te toto, ki te mea rānei kua āraia tētahi oko toto i tētahi wāhi, kāore taua hāora e tae atu ki ō kiko. Ka whakanui ake te mōrearea o tēnei momo hypoxia i te ngoikore o te ngākau me te toto totoka.

3. Te koretake o te toto

Nā, e kī ana ētahi he iti te toto toto, tika? Ko te tikanga kāore i te nui ā rātou toto whero. Ko ēnei toto whero te mea e kawe ana i te hāora mai i ngā pukahukahu ki te toenga o te tinana. Nō reira, ki te kore e nui ō toto whero hei kawe i te hāora, arā, ki te pāngia koe e te anemia, ka puta tēnei momo hypoxia. Ki te kore e nui te hanga o ngā toto whero e te tinana, ki te kore rānei e rerekē te āhua o ngā toto whero e hangaia ana, ka puta te anemia.

4. Te Hauātanga Histotoxic

He rerekē tēnei. I konei, kei te whiwhi ō pūkahukahu i te nui o te hāora, ā, kei te whiwhi hoki ō toto i taua hāora. Engari mō tētahi take, kāore e taea e ngā pūtau i roto i ngā kiko te whakamahi tika i taua hāora. He rite tēnei ki te mea ka puta ina horomia e koe he paitini pērā i te cyanide. Ahakoa kei te whiwhi ngā pūtau i te hāora, kāore e taea e rātou te whakamahi.

Me pēhea te tautuhi i te hypoxia?

Ka tirohia tuatahitia koe e tō tākuta, ka whakarongo ki tō ngākau me ō pukahukahu. Tērā pea ka tirohia anō hoki e rātou tō kiri, ō whao, me ō ngutu mō te kikorangi. Hei tāpiri, ka tonoa pea e rātou ētahi atu whakamātautau hei tirotiro i ō taumata hāora me te kimi i te pūtake o te korenga o te hāora:

• Te Pūnaha Oximetry: He whakamātautau tino māmā tēnei, kāore he mamae. Ka whakapirihia he pūoko iti ki tō maihao. Ka ine i te nui o te hāora i roto i ō toto. Kua maha pea ngā wā kua kite koe i tēnei.
• Whakamātautau Hau Toto o te Utere (ABG): Ko te tango i tētahi toto iti mai i tētahi uaua i roto i tō ringaringa, i tō ringaringa, i tō hope rānei mā te whakamahi i tētahi ngira angiangi hei tirotiro i ō taumata hāora.
• Whakamātautau Mahi Pūkahukahu (PFT): Kei roto i tēnei ko te manawa ki roto, ki waho hoki mā te waha e hono ana ki tētahi mīhini. Ka ine i te pai o te mahi a ō pūkahukahu.
• Ngā whakamātautau whakaahua: Mā ngā whakamātautau pēnei i ngā hihi-X, ngā karapa CT, me ngā karapa V/Q ka tangohia ngā whakaahua o ō whekau o roto. Ka āwhina ēnei ki te whakatau i te pūtake o te hypoxia.
• Whakamātautau Hīkoi Ono-Miniti (6MWT): Ka ine tēnei whakamātautau i te tawhiti ka taea e koe te hīkoi i roto i tētahi wāhi papatahi mō ngā meneti e ono. Ka taea e tēnei whakamātautau te hoatu whakaaro ki a koe mō te mahi a ō pukahukahu me tō ngākau.

Me pēhea te rongoā mō te hypoxia?

Ko te maimoatanga mō te hypoxia e whakawhirinaki ana ki te take matua . Tērā pea he āhuatanga kotahi noa iho, he mate pūmau rānei. Ko ngā kōwhiringa maimoatanga ko:

• Ngā rongoā e whakatuwhera ana i ō ara manawa, pērā i ngā steroids manawahia, hei rongoā i te mate huango, i ētahi atu mate pūkahukahu rānei.
• Ngā rongoā e whakaiti ana i te nui o te wai i roto i ngā pukahukahu (e kiia nei ko te "Diuretics").
• Te whakamahi i te kopare CPAP (Continuous Positive Airway Pressure) hei rongoā mō te apnea moe.
• Te whakamahinga o te BiPAP® (BiLevel Positive Airway Pressure) (e mōhiotia whānuitia ana ko te ingoa waitohu BiPAP®) mō te COPD me ētahi mate moe pōrearea.
• He hāora tāpiri mō te korenga o te hāora e hiahiatia ana mō te mate pūmau. Ko te tikanga o tēnei ko te tāpiri i tētahi mīhini hāora, mā roto i tētahi kopare, i tētahi ngongo rānei, ki tō ihu hei whakanui ake i te nui o te hāora e tae atu ana ki ō pukahukahu me ō pēke hau (alveoli).
• Mēnā he nui te korenga o te manawa e hiahiatia ana, ka taea te whakamahi i te pūnaha manawa ā-ringa i roto i te hōhipera.

Me pēhea te whakahaere i ngā tohu o te hypoxia?

Ki te kore e tū tika ō waewae, he tere te tere o tō manawa, he kikorangi rānei ō whao, ngutu, kiri rānei, me rapu tonu koe i te awhina hauora . E mōhio ana koe ki te aha? He mate te korenga o te hāora e tika ana kia rongoatia tonutia. Ki te kore, ka taea e ia te kino i ētahi wā ki ngā whekau nui o tō tātou tinana.

I roto i ngā āhuatanga roa pēnei i te COPD, ka mau tonu pea tēnei korenga o te hāora, engari kāore pea ngā tohu e tino kino. I roto i ēnei āhuatanga, ka kōrero tō tākuta ki a koe me pēhea te whakahaere i tō āhuatanga me te whakaiti i te mōrearea o te iti o te hāora. Kaua rawa e warewarehia ngā tohu hou. Ki te kite koe i tētahi mea rerekē, kōrero ki tō tākuta.

Me pēhea te whakaiti i te mōrearea o te hypoxia?

Ko te huarahi pai ki te whakaiti i tō tupono ki te korenga o te hāora ko te whakahaere tika i ngā āhuatanga hauora e whakaiti ana i ō taumata hāora. Mena he mate manawa, he mate pūkahukahu rānei tōu, kōrero ki tō tākuta mō ngā huarahi motuhake hei whakaiti i tō tupono.

Kia maumahara ko ētahi rongoā me ngā āhuatanga pēnei i te haere ki ngā teitei ka piki ake te mōrearea o te hypoxia. Pātai atu ki tō tākuta mō ngā whakatūpato motuhake me mahi e koe ina haere koe, ina whakawhiti rongoā rānei.

Me pēhea taku noho me tēnei āhuatanga?

Ko te koretake o te hauora e hiahiatia ana he awhina hauora tonu. Ma tō tākuta koe e whakamārama te take matua me pēhea te whakahaere i tēnei ā muri ake nei.

I ētahi wā, ka ea te hypoxia ina rongoatia te mate taketake, ka kore e hiahiatia he hāora tāpiri. Heoi, i ētahi wā, ka hiahiatia pea he hāora tāpiri mau tonu hei ārai i te hypoxia me te ārai i te kino o te kiko mai i te iti o te hāora. Ka matapakihia e tō tākuta ngā kōwhiringa e tika ana māu.

Me pēhea taku tiaki i ahau anō?

Mena he mate hauora tōu i puta ai te hypoxia, i tērā pea ka puta ai rānei te hypoxia, ko te whakahaere i taua mate te huarahi pai hei whakaiti i te mōrearea o te tupu anō.

• Kaua e warewarehia ngā tohu hou. Ki te mea kei te whakaaro koe kei te hē tetahi mea, whakawhirinaki ki ō kare ā-roto ka toro atu ki tō tākuta, haere rānei ki te Tari Whawhati Tata (ETU) .
• Kia tupato i a koe anō. Ki te pāngia koe e te mate huango, kia tūpato ki ngā mea e pā mai ai te mate. Me mau tonu he taputapu whakaora manawa, mēnā kua tohua e tō tākuta. Mahia ngā mahi manawa kia rite ki ngā tohutohu a tō tākuta.
• Āta karohia te momi hikareti me te whakamahi i ngā hua tupeka.Ki te mea he kai paipa koe, mā te whakamutu i te kai paipa ka pai ake te mahi a ōu pukahukahu, ā, ka ārai i ngā kino atu anō.
• Tangohia ngā rongoā katoa e tohua ana e tō tākuta.
• Ki te haere koe ki ngā teitei, whakaritea he mahere. Ahakoa te hunga kāore he mate hauora, ka uaua pea te manawa i ngā teitei. Kia mārama ki te pānga o tēnei ki a koe, ā, whakaritea he mahere hei urutau ki te huringa. Whakaarohia hoki te mea hei mahi mēnā e hiahia ana koe ki te tohutohu hauora. Tukua he wā ki a koe kia taunga ki te taiao, mēnā e tika ana, me te mau mai i ētahi atu taputapu, rongoā rānei e hiahiatia ana e koe.

Āhea ahau me haere ki te Tari Whawhati Tata (ETU) ?

He āhuatanga mōrearea pea te korenga o te hāora ki te ora. Mēnā kei a koe ētahi tohu o te korenga o te hāora ki te ora, ki te kite rānei ētahi atu i tētahi panoni ohorere o tō whanonga, o tō hinengaro rānei (pōhēhē, ohorere, whakarerekētanga o te hinengaro), haere tonu ki te Tari Ohotata (ETU) . Mēnā kei a koe tētahi āhuatanga hauora tonu, ā, ka kino haere ō tohu noa, ki te puta rānei he tohu hou e whakaaro ana koe he korenga o te hāora ki te ora, haere ki te Tari Ohotata.

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

Mena kua tāpaetia koe, tō hoa aroha rānei, he mate hypoxia tōu, anei ētahi pātai hei pātai atu ki tō tākuta:

• E te tākuta, nā tētahi atu mate anō tēnei ngoikore o te toto?
• Me pēhea taku whakahaere i tōku āhua hei whakaiti i te mōrearea o te hypoxia?
• Kua pāngia aku whekau e tēnei kino, kua pā mai rānei ētahi atu raruraru?
• Me huri taku āhua noho hei whakaiti i te mōrearea o te hypoxia?
• Ka piki ake pea te mōrearea o te hypoxia mā te whakarerekē i aku mahere haere, i aku rongoā rānei?

Hei whakamutunga, kia maumahara (Karere Tangohia ki te Kāinga)

He mate morearea te korenga o te hāora i roto i te toto, engari ka taea te rongoā mā te awhina hauora tere. Mena he mate ngākau, he mate pukahukahu rānei tōu e tūpono ai koe ki te korenga o te hāora i roto i te toto, kōrero ki tō tākuta mō ngā tohu hei tirotiro māu, me te aha hoki hei mahi mēnā kei te whakaaro koe he iti ō taumata hāora.

Kia maumahara, ko koe te mea tino mōhio ki tō tinana. Nō reira, ki te pā mai ētahi tohu e āwangawanga ana koe, kaua e mangere ki te waea atu ki tō tākuta tonu atu, ki te haere rānei ki te Tari Ohotata (ETU) tata atu. Kia ora tonu!

` Te korenga o te hauā, te hāora, te poto o te manawa, te mate pūkahukahu, te mate ngākau, ngā tohu, te maimoatanga