Ina haere koe ki te tākuta, ka whakatakotoria he stethoscope ki tō uma me tō tuara, ka mea, "Hopukia he manawa hōhonu ki roto... he manawa mārire ki waho..." Kua whakaaro koe he aha rātou i pērā ai? He māmā noa iho, kei te whakarongo te tākuta ki ngā oro e puta mai ana i roto i ō pukahukahu. He rite ēnei oro ki te reo o ō pukahukahu. He maha ngā mea ka taea e ēnei oro te kōrero ki a koe mō te hauora o tō pūnaha manawa.
He aha ēnei oro o ngā pukahukahu?
Ko ngā oro o te pukahukahu, arā, ngā oro manawa, ko ngā oro ka rangona e koe i roto i ō ara manawa (ngā ngongo angiangi e kawe ana i te hau ki roto i ō pukahukahu) i a koe e manawa ana ki roto, ki waho hoki.
He mārama ngā ara manawa o te tangata hauora . Ko te tikanga tēnei kāore he hūpē nui, he pupuhi, he ārai rānei i roto. Kātahi ka neke te hau me te tino maeneene, ka puta he oro tino ngawari. Ka kiia ēnei he oro noa o te pukahukahu (ngā oro pukahukahu vesicular).
Heoi, he aha te mea ka tupu mēnā ka kī ēnei ara manawa i te hūpē, ka pupuhi, ka āraia rānei e tētahi mea nā tētahi mate hauora? Kātahi ka āraia te ara manawa. Ko te wā tēnā ka tīmata koe ki te rongo i ngā momo oro rerekē katoa. Ka rite ki te 'whoosh', te 'whoosh', te 'whoosh' rānei. Ka kiia ēnei oro pūkahukahu rerekē/tūpono .
Ko te mea nui, kia kaua te tākuta e whakatau he mate tōu nā te mea ka rongo ia i tētahi oro rerekē pēnei. He tohu nui noa iho tēnei hei āwhina i te tautuhi mate. I tua atu i tēnei, ka tutuki te tautuhi mate tino tika mā te whakaaro ki ō tohumate kē atu, ki tō hītori hauora, me ētahi atu whakamātautau mēnā e tika ana.
He aha ngā momo matua o ngā oro pūkahukahu rerekē?
He maha ngā momo oro rerekē e rangona ana e te tākuta. He rerekē te kōrero a ia oro. Me titiro tātou ki ngā momo matua.
| Momo Oro | He aha te tangi o tēnā? / He whakaahuatanga māmā noa iho |
|---|---|
| Rōnihi | He oro hōhonu tēnei, he rite ki te ngongoro. Hei whakamārama, ka puta tēnei oro ina puta te hau mā roto i ngā ara manawa nui, ina kī tonu i te hūpē. Ka ngaro pea tēnei oro mō tētahi wā ina whakatuwheratia te mare. |
| Te whewhe | He oro tēnei e mōhiotia ana e te tini tāngata. He oro whiowhio teitei. He maha ngā wā ka rangona ina whakapūha koe. Ka puta tēnei oro ina whaiti ngā ara manawa. He tino mōhio tēnei oro ki te hunga mate huango . |
| Stridor | He tangi whiowhio teitei anō hoki tēnei. Heoi, ka rangona i te wā e manawa ana . Ka rangona tēnei tangi ina he ārai kei roto i te korokoro, i te ara manawa rānei o runga (hei tauira, he pupuhi, he mea e mau ana i roto). Ka rangona tēnei tangi i roto i ngā tamariki nohinohi e pāngia ana e te croup. |
| Ngā pakū / ngā rara | Ehara tēnei i te tangi tonu. He tangi wā poto noa iho, he tangi 'kiri kiri', he tangi 'chiti chiti'. He rite ki te tangi e puta mai ana i te wā e kuruhia ana ētahi rau maroke ki ō ringaringa, i te wā rānei e pupuhihia ana te wai mā roto i te kakau witi. Ka rangona tēnei ina kī tonu ngā ara manawa iti rawa o roto i ngā pukahukahu i te hūpē, i te wai rānei. |
| Mirimiri Pleural | He oro taratara, he oro huri tēnei. He rite ki ngā rau kirikiri e rua e mirimiri ana tetahi ki tetahi. Ka puta tēnei oro ina pupuhi, ka mirimiri ngā kiriuhi e rua e karapoti ana i ō tātou pukahukahu, e kiia nei ko te pleura. Ka rangona i te wā e manawa ana, e whakaputa ana hoki i te manawa. |
He aha ēnei oro rerekē e puta mai ana i te uma?
E whā ngā mea matua ka puta ai ēnei oro rerekē:
1. Te whakakī o te ara manawa i te hūpē: Koinei te tino take.
2. Te pupuhi o ngā ara manawa: Ina pupuhi ngā ara manawa nā te mate pāwera, nā te mate pāwera rānei, ka whaiti ngā ara manawa.
3. Ārai: He pukupuku, he mea tauhou rānei kei roto i te ara manawa.
4. Te rerenga wai i roto i te puku: Te pupuhi o te kiriuhi e karapoti ana i ngā pukahukahu.
Ko ētahi o ngā mate e pāngia ai ēnei āhuatanga:
- Ngā mate manawa, hei tauira, te bronchitis, te croup rānei i roto i ngā tamariki nohinohi.
- Pūngāwerewere.
- Te mate huango.
- Ko te mate pūkahukahu aukati mau tonu (COPD) he mate manawa mau tonu.
- Te mate pukupuku kiriuhi.
- Mate pāwera.
- He mate pāwera kino te anaphylaxis.
- Te pupuhi o te pūkahukahu.
- Te ngoikore o te ngākau.
- Ko te embolism pūkahukahu (PE) he toto totoka i roto i ngā pukahukahu.
Me pēhea te rongoā?
Ko te maimoatanga e whakawhirinaki ana ki te pūtake o tēnei tangi rerekē. Ka tātarihia tuatahitia e te tākuta te tino take, kātahi ka tohua he maimoatanga.
- Mō ngā āhuatanga pēnei i te mate huango: Ngā rongoā manawa hei whakatuwhera i ngā ara manawa, hei whakaiti i te pupuhi, hei tauira, ngā corticosteroids.
- Mō te mate kitakita (hei tauira, te niumōnia): Ngā rongoā paturopi.
- Mō ngā mate pāwera kino: Ngā rongoā pēnei i te epinephrine.
- Mena kua mau tetahi mea e ārai ana: Me pokanga pea koe hei tango atu.
Āhea ahau me toro atu ki te tākuta?
Koinei te wāhanga tino nui. Mena he āwangawanga, he āwangawanga rānei āu mō tō manawa, inā koa mō te tangi e puta mai ana i tō uma, kaua e warewarehia. Tirohia tō tākuta whānau tonu. Ka taea e ia te tirotiro i a koe me te tohutohu i a koe me aha koe.
Kia maumahara rawa! Ki te pā mai ngā tohu pēnei i te uaua ki te manawa, te mamae o te uma, te kikorangi o ngā ngutu me tēnei tangi rerekē, he āhuatanga ohorere tēnei. Mēnā he pēnei, haere tonu ki te Tari Ohorere (ETU) o te hōhipera tata rawa atu.
Karere Tangohia ki te Kāinga
- He ngawari, he māeneene te tangi ka puta mai i ngā pukahukahu hauora. Ko ngā oro rerekē pēnei i te 'whooping', te 'whooping', me te 'whooping' e tohu ana i te raruraru o te ara manawa.
- Tērā pea he makariri, he huango, he niumōnia, he mea kino atu rānei te pūtake o ēnei oro.
- Ka whakarongo te tākuta ki ēnei oro me te whakamahi i te stethoscope hei tiki i ngā tohu nui hei tautuhi tika i te mate.
- Ki te rongo koe i ētahi oro rerekē i a koe e manawa ana, ina koa mēnā he uaua ki te manawa, kaua e warewaretia.
- Ki te rongo koe i tētahi haruru rerekē me te uaua ki te manawa, he āhuatanga ohorere tēnei! Haere tonu ki te Tari Ohorere (ETU) o te hōhipera.
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