Kua kite koe i te wā e pāngia ana tō tamaiti e te makariri, e te kirika rānei, ka uru te kiri i waenganui i ngā rara o te uma ina manawa ana? He āhua rānei kei te pupuhi tōna uma? He mea noa ki te whaea, ki te pāpā rānei te mataku ina kite i tēnei. Koinei te mea e kiia nei e mātou ko ngā Whakahokinga o te Iwi i waenganui i te Kohatu i roto i te rongoā. He tohu nui tēnei mō te uaua ki te manawa. Nō reira, me kōrero tātou mō tēnei i roto i te huarahi māmā, mārama hoki i tēnei rā.
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He aha ngā Whakahokinga o te Iwi i waenganui i te Kohatu?
Ko te hoki whakamuri o te uma ko te wā e kukume ana ngā uaua me te kiri i waenganui i ō rara ki roto ina manawa koe. Ko te 'Intercostal' e pā ana ki te āputa i waenganui i ngā rara e rua. Ko te tikanga o tēnei hoki whakamuri o te uma he mumura, he ārai rānei kei roto i ngā pukahukahu, e uaua ai te manawa.
Whakaarohia pēnei. Ina manawa noa tātou, ka tōia ki raro te uaua i waenganui i te uma me te puku, e kiia nei ko te diaphragm. Ka puta he pēhanga kino i roto i te uma, ā, ka tōia te hau ki roto i ngā pukahukahu. He rite tēnei ki te tōia o te rongoā ki roto i te ngira. Engari he aha te mea ka tupu mēnā ka āraia, ka whaiti rānei te ara manawa, te ara e haere ai te hau, e te hūpē, e tētahi atu mea rānei? Ahakoa ka tōia ki raro te diaphragm, kāore e ranea te hau e taea te uru ki roto i ngā pukahukahu.
He rite ki te mea kei te katia e koe tetahi pito o te kakau witi, ā, ka ngote i tetahi pito. Ahakoa te kaha o tō kukume, kāore he mea e heke iho i te kakau witi, engari ka totohu ngā taha o te kakau witi ki roto. Koinei te mea e tupu ana i roto i te uma. Nā te korenga o te hau e tomo mai ana, ka tīmata ngā uaua me te kiri o te uma ki te kukume ki roto.
He mea noa pea tēnei i muri i te oma me te tākaro, engari ki te puta tēnei tohu i te wā okioki, me te kore he whakapau kaha, he tohu tēnā o ngā uauatanga nui ki te manawa.
He aha atu ngā tohu o te poto o te manawa?
Ko ngā whakamuri i waenganui i ngā ihu o te hope ko te putanga mai o ngā āputa i waenganui i ngā rara. Me te mea nei kei te kumea ngā rara ki roto. He mea tino kitea tēnei i roto i ngā pēpi me ngā tamariki nohinohi nā te mea he iti ake te ngako o te tinana. Tērā pea kua kī atu ngā tākuta ki a koe i ētahi wā kia tirohia te kikī o te uma mēnā he uaua ki te manawa tō pēpi. Haunga tēnei tohu, he maha atu anō ngā tohu ka kitea mēnā he uaua ki te manawa tō pēpi.
| Tohu | Whakaahuatanga |
|---|---|
| Te pupuhi o te ihu | Ka whānui haere, ka whaiti haere ngā pongaponga ihu i ia manawa. |
| Te manawa tere (Tachypnea) | Ka tino piki ake te maha o ngā manawa ia meneti i te pakeketanga. |
| Ngā oro rerekē | Te wheezing, te tangi pakari rānei (stridor) i te uma, i te korokoro rānei i te wā e manawa ana. |
| Te poto o te manawa | Te āhua nei kei te poto te manawa, ahakoa kei te kōrero. |
| Ka roa ake te manawa | Ka roa ake te manawa i te manawa. |
Ki te kite koe i tētahi, i ētahi rānei o ēnei tohu, inā koa ka hoki whakamuri te ihu i waenga i ngā ihu, he āhuatanga ohorere hauora tēnā. Kawea tonutia te tamaiti, te tangata rānei ki te tari ohorere o te hōhipera tata (ETU).
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Check Availability →He rerekē ngā momo whakahokinga?
Ae, ka taea te wehewehe i ēnei ki ētahi momo, i runga i te wāhi e kumea ana te kiri o te uma me te kaki ki roto. I runga i taua wāhi, ka taea e te tākuta te whiwhi whakaaro whānui mō te wāhi e aukatihia ana te ara manawa.
| Momo whakahokinga | Te wāhi e kumea ai koe | He maha ngā whakaaturanga |
|---|---|---|
| Intercostal | I waenganui i ngā rara | Te aukati i te ara manawa o raro. |
| Te raro o te koko | I raro i te rara, te rohe puku | Te aukati i te ara manawa o raro. |
| Ā-roto | I raro i te uma | Te aukati i te ara manawa o raro. |
| Te tōnga o runga i te sternal (te tōnga o te trachea) | I waenganui o te kaki, i runga ake i waenganui o te wheua o te uma | Te aukati i te ara manawa o runga. |
| Te pūnga o runga o te clavicle | I runga ake i te wheua kaki | Te aukati i te ara manawa o runga. |
He aha ngā tino take mō tēnei āhuatanga?
Ko ngā hoki whakamuri o te ihu i waenganui i ngā kōiwi ka puta mai i te whaiti, i te aukati rānei o te ara manawa. He maha ngā take o tēnei.
- Te kaha haere o ngā mate pēnei i te mate huango, te COPD rānei: I roto i ēnei āhuatanga, ka whaiti ngā ara manawa, ka uaua ai te manawa.
- Ngā mate manawa: Ina koa ko ngā mate pēnei i te huaketo 'RSV', 'COVID-19', he mea noa i roto i ngā tamariki.
- Te mumura o te ara manawa: Ngā āhuatanga pēnei i te 'Bronchiolitis' (te mumura o ngā ara manawa iti), te 'Croup' (te mumura o te larynx), me te 'Pneumonia' (te niumōnia).
- Ārai: Te aukati i te ara manawa nā te mea i mau ki te korokoro (hei tauira, he kai, he taonga takaro), he hūpē matotoru, he pukupuku rānei.
- Te Tauhohenga Mate Pāwera Nui (Anaphylaxis): Ka pupuhi, ka āraia hoki ngā ara manawa mēnā ka pāngia koe e te mate pāwera nui ki te kai, ki te rongoā, ki te ngau pepeke rānei.
- Ētahi atu take: Te pararutiki o te taura reo, te ketoacidosis mate huka, me ngā mate onge pēnei i te mate a Reye.
He aha te maimoatanga e tukuna ana e ngā tākuta mō tēnei?
Ina kawea mai te tangata e pāngia ana e te uaua o te manawa i waenganui i ngā ihu o te korokoro ki te hōhipera, ko te whāinga tuatahi a ngā tākuta he whakaiti i ngā uauatanga o te manawa me te whakarato i te nui o te hāora e tika ana ki te tinana. I runga anō i te take, ka whakamahia ngā momo tikanga maimoatanga.
- Whakaora hāora: Ka tukuna te hāora mā te ngongo ihu, mā te kopare kanohi rānei.
- Ngā maimoatanga nebulizer: Te hongi i te kohu o te rongoā, pērā i ngā bronchodilator e whakatuwhera ana i ngā ara manawa, i ngā corticosteroids rānei e whakaiti ana i te mumura.
- Te tango i te mea e ārai ana: Te tango i tētahi mea e mau ana i roto i te ara manawa.
- Te whakapūngao hau pēhanga pai: Mēnā he uaua rawa te manawa ko koe anake, ka tukuna e te mīhini te hau, te hāora rānei i te pēhanga teitei. Ka taea tēnei mā te whakamahi i tētahi kopare kanohi pērā i te CPAP, BiPAP rānei, mā te hono atu rānei ki tētahi taputapu manawa horihori (whakapūngao hau mīhini).
I te wā o tēnei maimoatanga, ka whakahaerehia pea e te tākuta ētahi whakamātautau hei kimi i te pūtake o tēnei mate.
- He matawai X-ray o te uma, he matawai CT rānei.
- Te tango i tētahi ūkui ihu hei kite i ngā mate huaketo.
- Ngā whakamātautau toto.
He aha ngā mōrearea mēnā kāore e rongoatia?
Ki te kore e rongoatia te mate e puta ai ngā whakamuri o te ihu i waenganui i te kōpū, ka kino haere te āhua. I ngā wā tino kino, ka uaua te manawa,
- Te hekenga o te hāora ki ngā kiko o te tinana (hypoxia).
- Te pikinga o te taumata o te hauhā waro i roto i te toto (hypercapnia).
- Tērā pea ka puta ngā raruraru e morearea ana ki te ora, pērā i te ngoikore katoa o te manawa.
Karere Tangohia ki te Kāinga
- Ko te hoki whakamuri o te hope ko te kukume i te kiri i waenganui i ngā rara i te wā e manawa ana. He tohu nui tēnei o te uaua ki te manawa .
- Ka kitea mārama tēnei āhuatanga i waenga i ngā tamariki nohinohi me ngā pēpi.
- Ki te pāngia koe e tēnei tohu i a koe e tū noa ana, kāore he kaha, he āhuatanga ohorere tēnei. Haere tonu ki te Tari Ohorere (ETU) o te hōhipera tata.
- Ka puta pea tēnei āhuatanga i ngā momo take maha, pērā i te mate huango, te niumōnia, te ārai rānei i te ara manawa.
- Mā te maimoatanga ka huaki ngā ara manawa, ka hoatu hoki ki te tinana te hāora e hiahiatia ana. He mea nui kia kaua e mataku ina kite koe i tēnei āhuatanga, ā, me rapu wawe i ngā tohutohu hauora tika.
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