Kua kōrerotia atu rānei e te tākuta ki a koe, ki tētahi rānei e mōhio ana koe, mō te whakawhitinga pūkahukahu? Kua rongo rānei koe mō tēnei mea engari kāore koe i te tino mōhio he aha te tikanga? He pokanga nui te whakawhitinga pūkahukahu. He mea mārama kei a koe he maha ngā pātai, ngā āwangawanga, me ngā āwangawanga mō tēnei mea. Nō reira, i tēnei rā, me whakamārama atu ki a koe i roto i te huarahi māmā, mārama hoki, me te mea kei te kōrero koe ki tētahi hoa tata.
He aha te tikanga o te whakawhitinga pukahukahu?
He pokanga te whakawhitinga pūkahukahu e tangohia ai tētahi, ētahi rānei o ō pūkahukahu mate, ngoikore, pakaru rānei, ka whakakapia ki tētahi pūkahukahu, ki tētahi pūkahukahu hauora rānei mai i tētahi kaituku. I te nuinga o te wā, ko ngā pūkahukahu e tukuna ana i tēnei ara i ahu mai i tētahi tangata kua mate.
Ko te tikanga, ka tūtohu ngā tākuta i tēnei momo pokanga mō te tangata he mate pūkahukahu tino kino e kore e taea te whakaora e tētahi atu rongoā, maimoatanga rānei.
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 whakamārama ngāwari noa iho |
|---|---|
| Te whakawhitinga pūkahukahu kotahi | Te tango i tētahi o ō pūkahukahu mate e rua, ka whakakapia ki tētahi pūkahukahu hauora i kohaina mai. |
| Te whakawhitinga pūkahukahu takirua | Te tango i ō pūkahukahu mate e rua, ka whakakapia ki ētahi pūkahukahu hauora e rua kua tukuna mai. |
| Te whakawhitinga ngākau-pūkahukahu | Te tango i tō ngākau me ō pūkahukahu mate, ka whakakapi i aua mea ki tētahi ngākau me ō pūkahukahu hauora i kohaina mai. |
Ko wai e tika ana kia whiwhi i te whakawhitinga pukahukahu?
Ehara tēnei i te pokanga e taea e te katoa te mahi. He maha ngā āhuatanga e whakaarohia ana hei whakatau mēnā he pai koe mō tēnei pokanga.
Ko te mea nui rawa atu, i muri i tēnei pokanga, me tango e koe ētahi rongoā mō te toenga o tō oranga. Me huri anō hoki tō āhua noho. He mea nui anō hoki kia mōhio koe mēnā ka taea e koe te whakarite i te hinengaro me te tinana mō ēnei mea katoa.
I te nuinga o te wā, he kaitono pai koe mō tēnei pokanga mēnā ka tutuki i a koe ngā paearu e whai ake nei:
- He mate kino tōu, he āhuatanga rānei e kore ai e taea e ōu pukahukahu te mahi tika.
- Kāore anō kia ora tō mate pūkahukahu i tētahi atu rongoā, maimoatanga rānei.
- Kua whakatauhia e ngā tākuta mēnā kāore koe e pokangahia, ko te roanga o tō oranga he kotahi ki te toru tau anake.
- Kāore he mate pukupuku pūkahukahu i a koe.
- Kāore koe e whakamahi i ngā hua tupeka (pērā i te momi hikareti).
- Ka taea e koe te tango i ngā rongoā ārai mate.
He aha ngā momo āhuatanga e mahia ai tēnei pokanga?
Tērā pea ka tūtohutia he whakawhitinga pūkahukahu i roto i te nuinga o ngā wā, tae atu ki ēnei āhuatanga:
- Te mate pūkahukahu
- Te mate pūkahukahu ārai mau tonu (COPD)
- Te kino nui o te pūkahukahu i puta mai i te COVID-19
- Te mate pukupuku kiriuhi (CF)
- Mate pūkahukahu interstitial (ILD)
- Te toto toto tiketike o te pūkahukahu
He aha ngā mea ka tupu i mua i te pokanga?
I mua i tō whakawhitinga pūkahukahu, ka whai koe i tētahi raupapa whakamātautau tino hohonu, taipitopito hoki. Ka kiia tēnei ko te tirotiro i mua i te whakawhitinga . Koinei te taahiraa tuatahi ki te whakatau mēnā ko tēnei pokanga te maimoatanga pai rawa atu māu. Ka kohia e tētahi kaiwhakahaere whakawhitinga kua whakangungua motuhake ō mōhiohio hauora katoa.
Kei roto i tēnei ko ngā whakamātautau pēnei i:
- Te tirotiro i tō hauora whānui.
- Hītori whānau mō te mate.
- Ngā taipitopito mō ngā rongoā e tangohia ana e koe, inā koa ngā rongoā whakaiti toto.
- Ngā pūrongo tata nei mō te matawai CT me te hihi-X o te uma.
- Ngā whakamātautau toto.
- Te momo kiko - Mā tēnei ka tirohia mēnā he hototahi te kiko o tō tinana ki te kiko o te kaituku.
- Ngā whakamātautau mahi a te pūkahukahu.
- Ngā whakamātautau ngākau (ECG, Echocardiogram, Cardiac catheterization).
- Whakamātautau kiato wheua (matawai DEXA).
I muri i ēnei whakamātautau katoa, ka huihui mai tō rōpū whakawhitinga toto, ka arotake i ēnei pūrongo katoa, ā, ka whakatau whakamutunga mēnā he pai koe mō tēnei pokanga. Mēnā ka whakatau rātou he pai koe, ka tāpirihia tō ingoa ki te rārangi.Ka whakanohoia koe ki te rārangi tatari ā-motu mō te whakawhitinga pukahukahu.
He aha te mea ka tupu ina kei runga koe i te rārangi tatari?
Me tatari pea koe mō ngā marama, tae atu ki ngā tau, kia kitea ai he pūkahukahu e tika ana. Ahakoa he tokomaha te hunga e hiahia ana ki tēnei pokanga, he iti noa iho ngā pūkahukahu e wātea ana hei tuku. Nō reira, he iti noa ngā mea ka taea e koe te mahi:
- Ngā huringa āhua noho: Me mutu rawa te inu waipiro. Me pupuri tonu tō taumaha tinana i te hauora.
- Whakakorikori Tinana: Kua whakaratohia he kaupapa whakakorikori tinana hei pupuri i a koe i roto i te āhua pai rawa atu.
- Ngā Whakaritenga: Me hui koe me tō tīma hauora i ia rua, i te toru rānei marama hei tirotiro i tō hauora.
- Te Whakarite: Ka taea te wātea mai he pukahukahu e tika ana i ngā wā katoa, nō reira he mea nui kia whai mahere kawe hei haere ki te hōhipera. He mea pai hoki kia rite mai he putea me ngā kākahu e tika ana, ngā mea whakapaipai tinana, me ētahi atu mea.
Ngā mea ka tupu i te wā o te pokanga
He mahi tino uaua tēnei, ā, he maha ngā hāora e pau ana. E 4-8 hāora pea te roa mō te whakawhitinga pūkahukahu kotahi, ā, e 6-12 hāora pea te roa mō te whakawhitinga pūkahukahu takirua.
1. Tuatahi, ka whakamoea katoatia tō tinana. Nō reira, kāore koe e rongo i tētahi mamae, i tētahi kare ā-roto rānei i te wā e pokangahia ana.
2. Ka honoa koe ki tētahi mīhini manawa (he mīhini whakapūngao manawa) . Mā tēnei mīhini koe e manawa puta noa i te pokanga.
3. Me whakamahi pea koe i tētahi mīhini motuhake e kīia nei ko te ECMO (extracorporeal membrane oxygenation) hei whakawhiti i te toto ki tō ngākau me ō pukahukahu.
4. Ka tapahia tō uma e te taote pokanga ki tētahi wāhi tika, ā, ka tangohia te pūkahukahu mate, ngā pūkahukahu e rua rānei.
5. Kātahi ka whakanohoia te pukahukahu hauora kua kohaina ki tōna tūranga, ā, ka honoa anō ngā uaua toto me ngā ara manawa mā te ātaahua.
6. Whai muri i te whakaū kei te whiwhi toto me te rere o te hau tika ki te pukahukahu hou, ka tuia anō te tapahi.
He aha ngā mōrearea me ngā raruraru i muri i te pokanga?
Pērā i ngā pokanga nui katoa, he tūponotanga kei roto. He mea nui kia mōhio ki ēnei.
- Ngā mōrearea o te pokanga: Kei konei anō hoki ngā mōrearea noa o tētahi pokanga, pērā i te toto, te totoka, me te mate.
- Te whakakorenga o te whakawhitinga pūkahukahu: Koinei te wero nui rawa atu. Ki te kī māmā noa, ka mōhio te pūnaha ārai mate o tō tinana ki te pūkahukahu hou kua whakawhitingahia hei "hoariri" ka tīmata ki te whakaeke. Hei ārai i tēnei, me tango e koe ngā rongoā ārai mate mō te toenga o tō oranga.
- Mate urutā:Nā ngā rongoā ārai mate kua whakahuatia ake nei, ka heke te kaha o tō tinana ki te whawhai ki te mate. Nō reira, ka nui ake te tūponotanga ka pāngia koe e ngā momo mate urutā.
He aha ngā tohu o te whakakorenga o te pukahukahu?
Me tino mōhio koe ki ēnei tohu. Mēnā kei a koe tētahi o ēnei, whakamōhio atu ki tō tākuta, ki tō rōpū whakawhitinga rānei i taua wā tonu.
| Ngā tohu whakatūpato o te whakakorenga | |
|---|---|
| Kirika | Te ruaki me te whakapairuaki |
| Te pikinga taumaha ohorere | Mamae tinana |
| Ngenge rawa | Korere (mamae puku) |
| Te mamae, te ngawari rānei i te rohe e karapoti ana i te pukahukahu kua whakatōkia | Pupuhi tinana |
Te wā whakaora me te oranga kei mua
I muri i te pokanga, ka puritia koe ki te wāhanga tiaki nui (ICU) mō ētahi rā, kātahi ka whakawhitia ki te wāhanga noa. E rua wiki pea, neke atu rānei, ka hoki katoa mai i te hōhipera ki te kāinga.
He roa te wā whakaora. Me haere tonu koe ki te hōhipera mō ngā tirotiro me te maimoatanga mō ngā marama tuatahi e 3-6. Ka taea e koe te whakakorikori tinana, te taraiwa, me te hoki ki te mahi i muri i ētahi marama, engari ka whakawhirinaki katoa ēnei ki ngā tohutohu a tō tīma hauora.
Ko tētahi o ngā painga matua o tēnei pokanga ko te whakapiki ake i te roanga o te oranga me te kounga o te oranga. Kua kore ngā uauatanga manawa, ā, ka whiwhi koe i te kaha ki te mahi i ngā mahi o ia rā me te whakakori tinana.
Kia maumahara, he rerekē te tinana o te katoa, nō reira, he rerekē pea te roa o tō whakaoranga i tō tētahi atu. Ko te mea nui ko te whai i ngā tohutohu a tō tākuta.
Karere Tangohia ki te Kāinga
- He pokanga nui te whakawhitinga pūkahukahu e mahia ana mō ngā mate pūkahukahu kino e kore e taea te whakaora e tētahi atu maimoatanga.
- Ka whakahaerehia he raupapa whakamātautau taipitopito hei whakatau mēnā he pai koe mō tēnei pokanga, ā, me tatari koe i runga i te rārangi tatari kia wātea mai rā anō he pukahukahu e ōrite ana.
- Hei ārai i te tinana kei paopao ki te pukahukahu hou, me tango e koe ngā rongoā ārai mate mō te toenga o tō oranga.
- Kia tūpato tonu ki ngā tohu o te panga o te pukahukahu (te kirika, te pupuhi, te ngenge). Mena he āwangawanga āu, whakapā atu ki tō tākuta tonu.
- Ahakoa he roa te tukanga whakaora, ka taea e tēnei pokanga te whakapai ake i te kounga o tō oranga me te roanga o te ora. Me kōrero tuwhera tonu ki tō tīma hauora.
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