Kei te āhua nei kei te tōia te uma me te kaki o tāu pēpi ki roto ina manawa ana ia? Ko te tikanga o tēnā ko te "(Retractions)". Me kōrero tāua mō tēnei!

I ētahi wā, ina manawa te tamaiti nohinohi, te pakeke rānei, ka kite pea koe i ētahi wāhanga o te uma, te kaki, ka haere ki roto pērā. He rite ki te mea he tino uaua ki te manawa. Koinei te mea e kiia nei e tātou ko te "(Retractions)" i roto i te rongoā. I tēnei rā ka kōrero tātou mō te aha tēnei mea, te take e puta ai, me te mea rānei me wehi tātou.

He aha rawa te tikanga o te "(Ngā Whakahokinga)"?

Ki te whakarāpopototanga, ko te "(Ngā Whakahokinga)" he wā e manawa ana te tangata (arā, e manawa ana) ā, ka totohu te kiri i ngā wāhi pēnei i te kaki, i waenganui i ngā rara, me raro i ngā rara ki roto, ka tōia ki roto rānei. Ko te mea nui e whakaatu mai ana tēnei ko te uaua o te tangata ki te manawa. He rite ki te hiki i tētahi taumaha taumaha, kei te uaua rātou ki te whakauru i te hau ki roto i ō rātou pukahukahu. Kua kite pea koe i ētahi wā i te wā e manawa ana te pēpi, ka tōia ki roto te kiri o tōna uma, koinā te āhua.

Me pēhea tā tātou manawa i te nuinga o te wā?

Hei mārama ake ki ēnei "(Ngā Whakahokinga)", me titiro tātou ki te āhua o tā tātou manawa. Whakaarohia he rite ki te kukume i tētahi inu mā roto i tētahi ngongo.

Kei waenganui i tō tātou uma me tō tātou puku he wahi uaua nui, papatahi e kiia nei ko te diaphragm . Hei tāpiri, he wahi uaua iti ake kei waenganui i ō tātou rara.

Ina manawa tātou ki roto, ka heke iho tēnei diaphragm nui, ā, ka kumea ake ngā rara e ngā uaua i waenganui i ngā rara ki waho, ki runga hoki. Kātahi ka nui haere te wāhi i roto i te uma (te kōhao o te uma). Ka whakaitihia te pēhanga i roto i ngā pukahukahu, ā, ka kumea noa te hau i waho ki roto i ngā pukahukahu. He rite ki te hanga i tētahi korehau, ka kumea mai te hau ki roto. I te nuinga o te wā ka tupu tēnei me te kore e nui te mahi a tātou.

He aha rā te take e puta ai ngā `(Retractions)`?

Whakaarohia inaianei, mō tētahi take, kei te uaua te manawa o tētahi. Tērā pea kua āraia ngā ara manawa (ngā pūkahukahu) e anga atu ana ki ngā pukahukahu, kei te pāngia rānei ētahi momo mate i roto i ngā pukahukahu.

Ina uaua te manawa pēnei, kāore e ranea ngā uaua e āwhina ana i te tukanga manawa noa (ngā uaua i waenganui i te diaphragm me ngā rara) hei kukume i te hau ki roto i ngā pukahukahu.

Ka aha rā? Ka ngana tō tātou tinana ki te whakamahi i te kiko uaua tāpiri mō tēnei kaupapa. Ina koa ko te kiko uaua i te kaki, ko ētahi uaua iti i waenganui i ngā rara, me ngā uaua i te pakihiwi ka tāpirihia ki tēnei.

Ina tere, ina kaha hoki te whakawhāiti o ēnei muka uaua tāpiri, ka tōia ki roto te kiri me ngā kiko ngohengohe e piri ana ki a rātou. Ko tēnei āhua tōia ki roto te mea e kiia nei e tātou ko "(Ngā Whakahokinga)".

Arā, ko te kitenga i ngā `(Ngā Whakahokinga)` ko te tikanga kei te whakamahi te tinana o te tangata i tētahi 'kaha tautoko tāpiri' hei pupuhi i te hau ki roto i ngā pukahukahu!

Kei hea ahau e kite ai i ngā `(Ngā Whakahokinga)`?

Ka kitea ēnei kōhao i ngā wāhi rerekē. I runga i aua wāhi, ka taea e tātou te mārama i ētahi wā ki te āhua o te uauatanga o te manawa.

• Ngā Hokinga o te Uho i raro i te Costal:Ka pupuhi te kiri ki te wāhi e tūtaki ai te puku me te uma, i te pito o raro o te rara. He mea tino kitea tēnei i roto i ngā pēpi nohinohi.
• Te Hokinga o te kiri i waenganui i ngā rara e rua ki roto: Ka hoki te kiri i waenganui i ngā rara e rua ki roto, me te mea nei kei te pūwero ngā rara.
• Ngā Hokinga o te Upoko o te Kēhi: He wāhi iti, he rite ki te rua ēnei i ia taha o te kaki, i runga ake i te kēhi.
• Te Hokinga ki Runga i te Sternal, ki Raro rānei i te Sternal: Ka kumea te kiri ki roto, ki runga ake rānei i raro i te wheua papatahi i waenganui o te uma (te sternum), pērā i te tīmatanga o te kaki.

Tērā pea ka kitea tētahi, ētahi rānei o ēnei i te wā kotahi. Ka kitea pinepinetia ēnei, ka nui ake te uaua ki te manawa.

He aha ngā take o ngā `(Retractions)`?

Ehara te "(Ngā Whakahokinga)" i te mate, engari he tohu. Ka kitea i roto i tētahi āhuatanga e uaua ai te manawa. Ko ētahi o ngā tino take e pā ana ki ngā tamariki nohinohi ko:

• Te Pūkahukahu Ānini: He mate e mumura ai ngā ara manawa iti rawa o ngā pukahukahu, inā koa i roto i ngā pēpi kei raro iho i te 2 tau te pakeke. He maha ngā wā ka puta mai i te mate huaketo.
• Te mate huango: He āhuatanga e pupuhi ai, e kuiti ai hoki ngā ara manawa, e uaua ai te manawa.
• Pneumonia: He mate e puta mai ana i ngā iroriki i roto i ngā pukahukahu.
• Croup: He mate e pupuhi ai te arai me ngā ara manawa o runga, ka puta ai te mare auau.
• Te mimiti i te tinana ke: Ki te piri tetahi mea pēnei i te taonga takaro, i te kai rānei ki roto i te ihu, i te waha rānei o te tamaiti nohinohi, he āhuatanga ohorere tēnei!
• Ētahi atu take: Ka kitea hoki ngā hoki whakamuri i roto i ētahi āhuatanga o te ngākau, pērā i te mate pāwera kino (anaphylaxis).

I roto i ngā pakeke, ka puta anō hoki tēnei tohu i roto i ngā āhuatanga pēnei i te COPD (Mate Pūkahukahu Ārai Mau), te niumōnia kino, me te ngoikore o te ngakau.

He aha atu ngā mea hei tirotiro mā tātou mō ngā `(Ngā Whakahokinga)`? Āhea tātou me toro atu ki te tākuta?

Ki te kite koe i te `(Ngā Whakakorenga)`, ehara i te mea pai kia wareware noa. Nā te mea he tohu tērā kei te pāpouri.

Tirohia ēnei āhuatanga mā te whakamahi i ngā `Whakahokinga`:

• He tere rawa te manawa? `(Manawa tere / Tachypnea)` He rerekē te tere manawa noa mō ngā tamariki nohinohi i runga i ō rātou tau. Engari kia tūpato mēnā he tere rawa te manawa.
• Ka pūwhera tō ihu? `(Ka pūwhera tō ihu)` Mēnā ka nui haere ō pongaponga ihu ina manawa koe.
• Ka puta he oro ngunguru ina manawa koe ki roto? Ki te puta he oro pēnei i te "Agh... agh..." ina manawa koe ki waho.
• Kei te pā mai he wheezing? He tangi whiowhio kei te puta mai i tō uma ina manawa koe?
• He maremare tōu?
• Ka kikorangi ō ngutu, ō arero, me ō maikuku? (Cyanosis)He tohu tino morearea tēnei. Ko tōna tikanga kāore te tinana e whiwhi ana i te nui o te hāora. He āhuatanga ohorere tēnei! Haere tonu ki te hōhipera.
• Kāore te pēpi e whāngai ū ana, e kai ana rānei i te nui? Kei te hiamoe ia? Kei te tino pōrearea rānei ia?
• Kei te pāngia koe e te kirika?

Ko te mea nui: Ki te pāngia tō tamaiti e te "(Retractions)", inā koa he pēpi nohinohi, me kawe ia ki te tākuta. Mā rātou e kitea te tino take me te tīmata i te maimoatanga e tika ana.

Rapua tonutia he tohutohu hauora, inā koa i roto i ēnei āhuatanga e whai ake nei:

• Mena kei raro iho i te 3 marama te pakeke o te tamaiti.
• Ki te kikorangi ō ngutu nā te mea he `(Retractions)`, ā, te āhua nei he uaua ki a koe te manawa.
• Kei te kaha rawa te manawa o te tamaiti, ā, kāore e taea e ia te kōrero.
• Mena he tino teitei te tere o te manawa.
• Mena te āhua ngoikore rawa te tamaiti, ā, kei te hiamoe hoki.

He aha tā tātou e taea ai te mahi i te kāinga?

Nā te mea he tohu te "(Ngā whakahokinga)" o tētahi mate taketake, he iti noa ngā mea ka taea e koe te mahi i te kāinga. Ko te mea nui ko te rapu tohutohu hauora.

Heoi, kia kite rā anō koe i tētahi tākuta, ka taea e koe te mahi i ēnei mea:

• Kia marino: Ki te mataku koe, ka nui ake te mataku o tō pēpi, ā, ka uaua ake te manawa.
• Whakamarietia te tamaiti: kōrero ki a ia me te aroha, awhia ia.
• Tukua te tamaiti kia noho pai: Tērā pea he māmā ake te manawa i a ia e noho ana.
• Mena he mate huango tāu tamaiti: Whakamahia te rongoā manawa whakaora kua tohua e tō tākuta kia rite ki ngā tohutohu.
• Mena he kirika: Ka taea e koe te hoatu i tētahi mea pēnei i te Paracetamol i runga i te tohutohu a te taote.
• Whakaitihia te paoa me te puehu i roto i te rūma.

Kaua rawa e hoatu he rongoā ki a koe anō me te kore e kōrero tuatahi ki te tākuta.

Me pēhea te tātaritanga me te rongoā a ngā tākuta i tēnei mate?

Ina haria e koe tāu tamaiti ki te tākuta, ko te mea tuatahi ka mahia e ia ko te tirotiro marie i te tamaiti.

• Ka tirohia te tauira manawa, ngā wāhi kei reira ngā "(Whakahokinga)", me te tere o te manawa.
• Ka whakarongo te tākuta ki te uma mā te whakamahi i te stethoscope hei tirotiro mō ngā oro (ngā pakū, ētahi atu oro rerekē) i roto i ngā pukahukahu.
• Ka taea e koe te tirotiro i te taumata o te hāora o tō tinana mā te whakamahi i tētahi taputapu iti e kīia nei ko te pulse oximeter, e whakatakotoria ana ki tō maihao, ki tō taringa rānei.
• Ki te tika, ka tonoa pea koe kia tangohia he hihi-X o te uma. Ka āwhina tēnei ki te tautuhi i ngā mate pēnei i te niumōnia.
• I ētahi wā, ka taea hoki te mahi i ngā mea pēnei i te whakamātautau toto me te whakamātautau ūkui ihu.

Ko te maimoatanga e whakawhirinaki ana ki te take o ngā hokinga whakamuri.

• Mena he mate kitakita (hei tauira, te niumōnia): Ka taea te hoatu he rongoā paturopi.
• Mena he mate huaketo (hei tauira, te bronchiolitis): Kāore he maimoatanga motuhake. Ka tukuna te tinana kia ora i a ia anō i te wā e rongoatia ana ngā tohu (hei tauira, te hāora, te tote).
• Mēnā he mate huango: Ka taea te whakamahi i te nebulization, i ngā inhaler rānei hei hongi i te kohu.
• Mena he tino uaua te manawa, ā, he iti te taumata o te hāora: Me kawe pea koe ki te hōhipera, me hoatu hoki he hāora ki a koe.

Ko te mea nui ko te kimi i te mate tika i te wā e taea ai, me te tīmata i te maimoatanga e tika ana.

Ngā mea nui hei maumahara (Karere hei kawe ki te kāinga)

Āe, kua maha ā tātou kōrero mō ngā `(Ngā Whakakorenga)`. Hei whakamutunga, anei ngā mea tino nui hei maumahara māu:

• Ko te ``(Ngā Hokinga)`` e pā ana ki te kiri o te uma me te kaki e kumea ana ki roto i a ia e manawa ana. Ko te tikanga tēnei kei te uaua te manawa o te tangata, ā, kei te whakapau kaha nui ia.
• Ehara tēnei i te mate, engari he tohu e tohu ana i te uaua ki te manawa.
• He mea kitea noa i waenga i ngā tamariki nā ngā mate pēnei i te `(Bronchiolitis)`, `(Asthma)`, me te `(Pneumonia).`
• Tirohia pai ngā tohu pēnei i te tere o te manawa, te pupuhi o te ihu, te wheezing, me te ngutu kikorangi me te "(Retractions)".
• Mena kei te pāngia tō tamaiti e ngā `(Retractions)`, inā koa he pēpi nohinohi, me toro atu koe ki te tākuta. He pai ake kia kaua e mataku, engari me rapu tohutohu hauora tonu.
• Kia tino whai i ngā tohutohu a te tākuta.

Kia maumahara, ina kite koe i tētahi panonitanga o te āhua manawa o tāu tamaiti, kaua e whakahawea. Mā te awhina hauora wawe ka taea te whakatau i ngā raruraru maha. Kia ora koutou katoa!

Te uaua ki te manawa, te hoki whakamuri, te kukume o te uma ki roto, ngā mate o ngā tamariki, ngā raruraru manawa, te mate pūkahukahu, te niumōnia, te huango