Kua tino kino te pakaru o ō pūkahukahu, ā, kāore e taea te whakahaere mā te rongoā, mā ētahi atu maimoatanga rānei? Tērā pea kua kōrero tō tākuta mō te "whakawhiti pūkahukahu." He mea noa te mataku me te manukanuka ina rongo koe mō tētahi pokanga nui pēnei. Kaua e manukanuka. Me haere tātou ki te pūtake. He aha te whakawhitinga pūkahukahu? He aha ngā mea e pā ana ki tēnei? I tēnei rā, ka kōrerohia e tātou i roto i ngā kupu māmā.
He aha te tikanga o te whakawhitinga pukahukahu?
He pokanga te whakawhitinga pūkahukahu e tangohia ai tētahi, e rua rānei o ō pūkahukahu mate, kua pakaru rānei, ka whakakapia ki tētahi pūkahukahu, ki tētahi pūkahukahu hauora rānei mai i tētahi kaituku. I te nuinga o te wā, nō tētahi tangata kua mate ēnei pūkahukahu kua tukuna.
Ka mahia anake tēnei pokanga ki te tangata he mate pūkahukahu kino tōna , kāore e taea te whakaora mā tētahi atu rongoā, mā tētahi atu maimoatanga rānei. Arā, ka tūtohu ngā tākuta i tēnei pokanga hei huarahi whakamutunga.
He aha ngā momo matua o te whakawhitinga pukahukahu?
E toru ngā momo matua o te whakawhitinga pūkahukahu. Me titiro tātou ki ēnei momo.
| Momo whakawhitinga | He aha te mea e tupu ana? |
|---|---|
| Te whakawhitinga pūkahukahu kotahi | Ka tangohia tētahi o ō pūkahukahu mate e rua, ka whakakapia ki tētahi pūkahukahu hauora i kohaina mai. |
| Te whakawhitinga pūkahukahu takirua | Ka tangohia ō pūkahukahu mate e rua, ka whakakapia ki ētahi pūkahukahu hauora e rua kua kohaina mai. |
| Te whakawhitinga ngākau-pūkahukahu | I tēnei mahi, ka tangohia tō ngākau me ō pūkahukahu, ā, ka whakatōkia he ngākau me ō pūkahukahu hauora kua tukuna. Ka mahia tēnei i roto i ngā āhuatanga kino e pā ana ki te ngākau me ngā pūkahukahu. |
Ko wai te tangata e tika ana mō tēnei pokanga?
Nā te mea he pokanga tino kino tēnei, kāore e taea e te katoa te mahi. He maha ngā āhuatanga e whakaarohia ana e ngā tākuta i te wā e whiriwhiri ana i tētahi tangata mō tēnei. Ko te tikanga, kia tika ai koe mō tēnei pokanga, me tutuki i a koe ēnei paearu:
- Me pāngia koe e tētahi mate hauora nui e kore ai ōu pukahukahu e mahi tika.
- Me rongoā tō mate mā te rongoā, mā ētahi atu maimoatanga rānei.
- Ki te kore koe e pokangahia, kua whakatau pea ngā tākuta he iti iho i te kotahi, e toru rānei tau e toe ana ki a koe hei oranga.
- Kāore e taea te pāngia koe e te mate pukupuku pūkahukahu.
- Me noho koe hei tangata kāore e whakamahi ana i ngā hua tupeka (hikareti, pīni, me ētahi atu).
- Me kaha tō tinana, me kaha hoki tō hinengaro ki te tango i ngā rongoā ārai mate e hiahiatia ana e koe mō te toenga o tō oranga i muri i te pokanga.
He aha te take e hiahiatia ai te whakawhitinga pūkahukahu? He aha ngā momo mate hauora ka taea te rongoā?
E taunakihia ana te whakawhitinga pūkahukahu mō ngā mate pūkahukahu kino kāore e taea te rongoā ki tētahi atu maimoatanga. Anei ētahi o ngā āhuatanga ka puta ai tēnei.
| Āhua | He whakamārama māmā |
|---|---|
| Te mate pūkahukahu | Te whānui me te pakaru o ngā ara manawa o roto i ngā pukahukahu mō ake tonu atu. |
| Mate Pūkahukahu Ārai Mau tonu (COPD) | He rōpū mate pūkahukahu mau tonu e uaua ai te manawa. |
| Ngā kino nui i puta mai i te COVID-19 | Ka taea e te mate COVID-19 te whakararu kino kino ki ngā pukahukahu. |
| Te Pūnaha Pūkahukahu (CF) | He mate ira e meinga ai te hūpē (huka) o te tinana kia matotoru, kia piri hoki. Ka pā kino tēnei ki ngā pukahukahu. |
| Mate Pūkahukahu Interstitial (ILD) | He mate e whara ai te kiko o te pukahukahu, ā, ka mārō ai ngā pukahukahu. |
| Te toto toto tiketike o te pūkahukahu | Te toto toto tiketike i roto i ngā uaua e kawe ana i te toto ki ngā pukahukahu. |
He aha ngā mea ka tū i mua i te pokanga? (Tirohanga i mua i te whakawhitinga toto)
I mua i te whakatau mēnā he kaitono koe mō te whakawhitinga pūkahukahu, ka whai whakamātautau tino hohonu koe. Ka kiia tēnei ko te 'tirotiro i mua i te whakawhitinga.' Koinei te taahiraa tuatahi. Ka kohia e te kaiwhakahaere whakawhitinga motuhake ō mōhiohio hauora katoa.
He aha ngā mea e rapuhia ana e ēnei whakamātautau?
He maha ngā whakamātautau nei. Ko ia whakamātautau hei tirotiro mēnā ka taea e tō tinana te tu atu ki tētahi pokanga nui pēnei, ā, mēnā ka taea e koe te ora i te pokanga.
| Ngā whakamātautau matua i mahia i mua i te pokanga | |
|---|---|
| Hauora tinana | Tō hauora whānui, me tō hītori hauora whānau. |
| Ngā whakamātautau toto | Te tirotiro i te momo toto, te mahi a ētahi atu whekau, me te tūnga o te mate pāwera. |
| Te Tātaitanga Kiko | Te tirotiro mēnā kei te hototahi ngā kiko o tō tinana ki ngā kiko o te kaituku. He mea tino nui tēnei, hei whakaiti i te tūponotanga ka whakakahoretia e te tinana te pukahukahu hou. |
| Ngā whakamātautau pūkahukahu | Ngā mea pēnei i te X-hihi o te uma, te matawai CT, ngā whakamātautau mahi a te pūkahukahu. |
| Ngā whakamātautau mate ngakau | Mā ngā whakamātautau pēnei i te ECG, te Echocardiogram, me te Cardiac Catheterization ka tirohia te hauora o te manawa. |
| Ētahi atu whakamātautau | Ka mahia hoki e rātou ngā mahi pēnei i te whakamātautau kiato o te wheua (matawai DEXA), te koroni, te Pap smear me ngā whakamātautau mammogram mō ngā wāhine, me ngā whakamātautau prostate mō ngā tāne. |
I muri i ēnei whakamātautau katoa, ka huihui te tīma hauora whakawhitinga wheua, ka tātari i ō tuhinga katoa, ā, ka whakatau whakamutunga mēnā he pai tēnei pokanga māu.
Mena ka whakatauhia koe he tika, ka whakaurua tō ingoa ki te rārangi tatari mō te whakawhitinga pūkahukahu ā-motu . Me tatari koe kia wātea mai he pūkahukahu e ōrite ana.
Kia maumahara, ko te wā i runga i tēnei rārangi tatari ka rerekē mai i ngā marama ki ngā tau, i runga i te kitenga o tētahi kaituku toto he rite te momo toto me te rahi o ōna pukahukahu.
Me aha koe ina kei runga koe i te rārangi tatari?
He mea tino nui tēnei wā. Me noho koe i roto i te hauora pai rawa atu mō te pokanga. Mā tō rōpū hauora e waihanga he mahere motuhake māu.
- Ngā huringa āhua noho: Me mutu rawa te inu waipiro. Me pupuri tonu tō taumaha hauora. Ki te momona koe, me whakaiti tō taumaha.
- Ngā Rongoā: Tangohia ngā rongoā katoa e tohua ana e tō tākuta i te wā tika. Mēnā ka hoatu he rongoā hou ki a koe e tētahi atu tākuta, me whakamōhio atu koe ki te kaiwhakahaere whakawhitinga. Me whakamōhio atu hoki koe ki a rātou mō ngā huaora, ngā rongoā otaota rānei e tangohia ana e koe.
- Korikori Tinana: Ka whakawhanakehia e te kaiwhakaora tinana he raupapa o ngā korikori tinana e tika ana māu. Me mahi tahi anō hoki koe me te kaiwhakaora manawa ki te mahi i ngā korikori manawa hei pupuri i te hauora o ō pukahukahu.
- Ngā tirotiro auau: Ka haere mai te tākuta ki te kite i a koe i ia rua, i ia toru marama rānei.
- Te whakarite:Tērā pea ka wātea mai he pūkahukahu e rite ana i ngā wā katoa. Nō reira, whakaritea he mahere kawe mō te haere ki te hōhipera. He mea pai kia rite mai he putea kākahu me ngā mea nui.
He aha ngā mea ka tupu i te wā o te pokanga?
I muri i tō haria ki te rūma pokanga, ka hoatu e te tākuta whakamoe he rongoā whakamoe kia kore ai koe e mamae. Ka aro turukihia tonutia tō tere o te manawa me tō toto toto.
Kātahi ka honoa koe ki tētahi mīhini e kiia nei ko te mīhini manawa . Koinei te mea e manawa ana māu i te wā o te pokanga. I ētahi wā, ka whakamahia pea tētahi mīhini e kiia nei ko te `ECMO (extracorporeal membrane oxygenation)`. Mā tēnei ka mutu te rere o te toto ki tō ngākau me ō pukahukahu mō tētahi wā poto, kātahi ka horoia te toto e te mīhini ka tukuna atu ki tō tinana.
Ka tapahia tō uma e te taote pokanga, ā, ka tangohia marietia te pūkahukahu mate, ngā pūkahukahu e rua rānei. Kātahi ka whakatōkia he pūkahukahu hou, hauora ki tōna wāhi, ka hono anō i ngā oko toto me ngā ara manawa katoa.
Kia honoa pai ngā mea katoa, ka tirohia mēnā kei te rere te toto me te hau ki te pukahukahu hou. Hei whakamutunga, ka tuia te tapahi, ā, ka hipokina te patunga.
E 4-8 hāora pea te roa o te whakawhitinga pukahukahu kotahi, ā, e 6-12 hāora pea te roa o te whakawhitinga pukahukahu takirua.
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, ka whakawhitia koe ki te wāhanga tiaki nui (ICU). Ka tiakina koe e ngā tākuta me ngā nēhi kia hoki mai tō māramatanga, kia tau hoki tō āhua. I te tīmatanga, ka whakanohoia koe ki runga i te mīhini manawa hei āwhina i a koe ki te manawa.
Kia pai ake tō āhua, ka whakawhitia koe ki tētahi wāhanga noa. Koinei te tīmatanga o te wāhanga tino nui. Ka hoatu he rongoā ārai mate ki a koe hei ārai i tō tinana kei paopao ki te pukahukahu hou. Ka tirotirohia tō tinana kia kite i tana urupare ki ēnei rongoā.
I a koe e ora haere ana, ka tīmata ngā kaiwhakaora tinana me ngā kaiwhakaora manawa i ngā mahi whakakori tinana hei whakapakari i tō kaha. I te nuinga o te wā ka whakaaetia koe kia hoki ki te kāinga i muri i ngā rā 12-14, i te roa atu rānei mēnā e tika ana.
He aha ngā mōrearea me ngā raruraru? (Ngā Mōrearea me ngā Whakararuraru)
Pērā i ngā pokanga nui katoa, he tūponotanga kei roto. He mea nui kia mōhio ki ēnei.
- Ngā mōrearea o te pokanga: Ngā mea pēnei i ngā raruraru o te rongoā whakamoe, te toto nui, te pupuhi toto, me ngā mate pāwera.
- Te Whakakore i te Whakatō Pūkahukahu: Koinei te wero nui rawa atu. He tino pai te pūnaha ārai mate o tō tātou tinana ki te kite i ngā matū ke. Nō reira, tera pea ka kite ia i te pūkahukahu hou kua whakatōngia hei "mea ke" ka tīmata ki te whakaeke i a ia. Ka kiia tēnei ko te 'whakakore'.
- Te Whakakorenga Kore:Ka taea tēnei te tupu i roto i te tau tuatahi i muri i te pokanga, engari ka taea te whakahaere i te nuinga o te wā mā te rongoā.
- Te Whakakorenga Mau tonu: Ka puta pea tēnei i muri i ētahi tau. He uaua ki te rongoā i tēnei āhuatanga.
- Mate urutā: Ka whakaitihia te mahi a te pūnaha ārai mate e ngā rongoā ārai mate e hoatu ana hei ārai i te tinana kei paopao i te pukahukahu hou. Nā tēnei ka nui ake te tūponotanga ka pāngia koe e ngā momo mate urutā (huakita, huaketo, harore).
Ngā tohu o te whakakorenga a te tinana i te pukahukahu
Me tino tupato koe ki ēnei tohu. Ki te pāngia koe e tētahi o ēnei, me kōrero tonu ki tō tākuta.
| Ngā āhuatanga whakatūpato whakakorenga | |
|---|---|
| - Kirika | - Te pikinga o te taumaha o te tinana |
| - Whakapairuaki me te ruaki | - Ngenge rawa |
| - Mamae tinana | - Korere |
| - Te mamae, te māuiui rānei huri noa i te pukahukahu kua whakatōkia | - Te pupuhi o te tinana |
Kia pēhea te roa o te wā e ora ai? (Te Wā Whakaora)
He haerenga roa tēnei. E kore e ora i roto i te pō kotahi.
- Ngā marama tuatahi e 3: Me haere tonu koe ki te hōhipera. Me whai whakamātautau toto, hihi-X, me ngā maimoatanga whakaora tinana.
- Wiki 6-8: Ka taea e koe te tīmata i te whakakori tinana māmā me te taraiwa.
- 3-6 marama: Ka heke te mōrearea o te tinana ki te whakakore i te pukahukahu. Ka tau te mahi a te pukahukahu.
- 4-6 marama: Ka taea e te nuinga o te tangata te hoki ki te mahi, ki te kura rānei.
Ko te mea nui ko te ahurei o tō tinana. Tērā pea he rerekē te wā whakaora i tō tētahi atu. Nō reira, he mea tino nui kia tino whai koe i ngā tohutohu a tō tākuta.
Karere Tangohia ki te Kāinga
- He pokanga whakaora ora te whakawhitinga pūkahukahu, engari he tino kino. Ka mahia ki te hunga he mate pūkahukahu kino e kore e taea te whakaora e tētahi atu maimoatanga.
- I mua i te pokanga, ka whai koe i tētahi raupapa o ngā whakamātautau hōhonu hei whakatau mēnā he tika koe.
- Ko te mōrearea nui rawa atu ko te whakakorenga a tō tinana i te pukahukahu hou, ā, ka pāngia koe e ngā mate, ko te tikanga me tango e koe ngā rongoā ārai mate mō te toenga o tō oranga .
- He roa te tukanga whakaora, ā, he mea nui te manawanui me te mahi tahi me te tīma hauora.
- Ki te pāngia koe e ētahi tohu rerekē (kirika, uaua ki te manawa), kaua e mangere ki te whakamōhio atu ki tō tākuta tonu atu .
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