Ina takoto koe i te moenga, ina takoto rānei koe i runga i te tūru e mātaki ana i te pouaka whakaata, ka kitea ohoreretia e koe he uaua ki te manawa? Ka rite ki te mea kua kikī tō uma, ā, ka poto te manawa? Engari ina tū koe, ka noho ki runga, ka memeha haere. Kua pāngia koe e tēnei? He tokomaha e whakaaro ana he mea noa tēnei, engari ehara i te mea hei wareware. Koinei te mea e kiia nei e tātou ko te Orthopnea i roto i ngā kupu hauora.
He aha te Orthopnea i te whakarapopototanga?
Ko te Orthopnea he āhuatanga e uaua ai te manawa i a koe e takoto ana, ina koa kei te taumata kotahi tō kaki me tō uma. Hei tauira, ki te takoto koe i runga i te moenga me te kore urunga, ka pōturi tō manawa, engari ka ngaro te uauatanga ina noho ake koe, ina moe rānei koe me tō māhunga e hiki ake ana i runga i ngā urunga e rua, e toru rānei. Koinei te tohu matua o te orthopnea.
Anei tētahi atu mea. Ka oho ohorere ētahi tāngata i te pō me te poto o te manawa. Ka kiia tēnei ko te Paroxysmal Nocturnal Dyspnea (PND). He rerekē te Orthopnea. Ka puta noa te PND i te wā moe. Engari ka taea te orthopnea ahakoa kei te ara koe, ahakoa kei te takoto koe. Hei tauira, ka rongo pea koe i a koe e takoto ana ki te mātaki pouaka whakaata, i te wā rānei ka takoto koe i te moenga kia tirohia e te tākuta.
Ko te mea nui, ehara te Orthopnea i te mate, engari he tohu nō tētahi atu mate . Nō reira, ki te pāngia koe e tēnei momo mamae, he mea nui kia kitea te pūtake.
He aha atu ngā tohu e pā mai ana me te orthopnea?
Haunga te uaua ki te manawa, tera pea ka pāngia koe e ētahi atu tohu. Ko ētahi tāngata e moe ana me te maha o ngā urunga i runga i a rātou, ko ētahi e moe ana i runga i te tūru. Nā te mea he māmā ake te manawa i a rātou e noho ana i te takoto.
| Tohu | Whakaahuatanga |
|---|---|
| Te kikī o te uma, te mamae rānei | Te āhua nei kei te kikī, kei te taumaha hoki tō uma ina manawa koe. |
| Te whewhe, te maremare rānei | He tangi 'tīhi-tīhi' mai i te uma i te wā e manawa ana, he maremare tonu rānei. |
| Ngā tere o te manawa | Te tere o te pao o tō ngākau, me te mea he tere te pao o te manawa. |
He aha tēnei ka puta ai? He aha ngā take o te orthopnea?
Ko te take matua mō tēnei he nui te wai e kohia ana i roto i ngā pukahukahu nā tētahi āhuatanga hauora o te tinana, kāore rānei e taea e ngā pukahukahu te whānui tika me te ngongo i te hau.
Whakaarohia pēnei. Ina piko tātou, ka hoki te toto i roto i ō tātou waewae ki tō tātou uma. Ka taea e te ngākau hauora te pana i tēnei toto tāpiri ki te tinana me te kore he raruraru. Engari ki te ngoikore tō ngākau, kāore e taea e ia te pana i tēnei toto tāpiri. Kātahi ka kohia taua toto ki roto i ō pukahukahu, ka hanga he pēhanga, ka uaua ai te manawa. Ina tū koe, ka noho, ka nekehia taua toto e te kaha ā-papa ki ō waewae, ka whakaiti i te pēhanga i roto i ō pukahukahu, ā, ka māmā ake ai te manawa.
Kei raro nei ētahi o ngā mate hauora matua ka puta ai te orthopnea.
| Āhua | He whakamārama māmā |
|---|---|
| Te ngoikore o te ngākau | He tino take tēnei o te orthopnea. I te ngoikore haere o te ngākau, ka nui haere te wai e karapoti ana i ngā pukahukahu, ā, ka uaua te manawa. |
| Te toto toto tiketike o te pūkahukahu (PH) | Te pikinga ake o te pēhanga i roto i ngā oko toto e kawe ana i te toto ki ngā pukahukahu. |
| COPD (Mate Pūkahukahu Ārai Mau) | He rōpū mate e puta ai te mumura mau tonu o ngā pukahukahu, e uaua ai te manawa. |
| Momonatanga | Ka uaua pea te manawa i te momona nui, nā te mea kāore e taea e te diaphragm te whānui katoa. |
| Pupuhi Pūkahukahu | Te kohikohinga wai i roto i ngā pukahukahu. |
| Pīnioma kino | He mate kino e pā ana ki ngā pukahukahu. |
| Te Pararutiki o te Diaphragm | He ngoikore o te diaphragm nā te whara, te pukupuku, tētahi atu mate rānei, e uaua ai te manawa. |
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ina kōrero koe ki tō tākuta kei a koe tēnei raruraru, ka pātai tuatahi ia i ētahi pātai ki a koe. Ina koa, he mea tino nui te pātai "E hia ngā urunga e hiahia ana koe ki te moe?". Mā te maha o ngā urunga e hiahiatia ana e koe, ahakoa kotahi, e rua, e toru rānei, ka taea e koe te whakaaro ki te kaha o te mate.
Kātahi ka whakaritea e rātou ētahi whakamātautau hei kimi i te take matua.
- X-ray o te uma
- He matawai hei tirotiro i te mahi a te ngākau (Echocardiogram)
- Whakamātautau ECG (Electrocardiogram)
- Ngā whakamātautau mahi pūkahukahu
He aha ngā maimoatanga mō tēnei?
Kia maumahara, ehara te orthopnea i te tohumate, engari ko te mate taketake e puta ai . Ka tūtohu anō tō tākuta i ngā huarahi hei whakaiti i tō manawa poto i a koe e rongoā ana i te mate.
Ko te tikanga, ka taea te whakahaere i ngā tohu mā te moe me te mahunga e ara ake ana, te hoatu hāora mēnā e tika ana, me te whakaiti i te taumaha. Tērā anō hoki ngā maimoatanga motuhake i runga i te take.
- Te ngoikore o te ngākau: Tērā pea ka tohua he whakarerekētanga o te āhua noho, he rongoā whakaheke toto, me ngā rongoā pēnei i te aukati ACE me te aukati beta hei āwhina i te mahi a te ngākau. I ētahi wā, me mahi pokanga, me whakamahi rānei i te pacemaker.
- COPD: Ka whakamahia ngā rongoā hei whakawhanui i ngā ara manawa (Bronchodilators) me te whakaiti i te mumura i roto i ngā pukahukahu (Corticosteroids).
- Momona: Ko te whakahaere i tō taumaha mā te kai hauora me te whakakori tinana te mea nui.
- Pēnia: Ka hoatu he paturopi me te hāora mēnā e tika ana.
Ka taea te ārai i te orthopnea?
Ko te huarahi pai hei ārai i te orthopnea ko te whakaiti i te tūponotanga o te whakawhanake i ngā mate e hua ai. Arā, me noho i tētahi momo noho hauora.
- Te whakahaere tika i ngā āhuatanga e whakanui ake ai i te mōrearea o te mate ngakau, pērā i te mate huka, te cholesterol tiketike, me te toto toto tiketike .
- Whakakorikori tinana i ia wā. He mea pai kia whakakorikori tinana mō te 30 meneti pea i te rā, i te nuinga o ngā rā o te wiki.
- Kaua rawa e kai paipa. Ki te kai paipa koe, me tono awhina mai i tō tākuta kia mutu ai.
- Whakawhāitihia, kati rawatia rānei te whakamahi waipiro .
- Tāpirihia ngā hua rākau, ngā huawhenua, me ngā kai whai kiko ki tāu kai.
- Me tirotiro hauora koe i te iti rawa i te kotahi i te tau , kia mōhio hoki koe ki tō hauora.
Ahakoa te mate o te ngākau, ehara i te mea he mate manawa tōu. Heoi, he tohu nui pea tēnei o te mate manawa. Nō reira, me toro atu ki te tākuta kia tika ai te tātaritanga.
Karere Tangohia ki te Kāinga
- Ko te Orthopnea he āhuatanga e uaua ai te manawa ina piko koe, engari ka pai ake ina noho koe.
- Ehara tēnei i te mate, engari he tohu ia nō tētahi mate hauora e pā ana ki te ngākau, ki ngā pukahukahu rānei.
- Ko tētahi tohu noa o tēnei ko te whakamahi i ngā urunga maha hei moe.
- Kaua rawa e warewarehia tēnei tohu. Tirohia tō tākuta i te wā e taea ai kia kitea ai te pūtake.
- Mā te rongoā tika i te mate taketake, ka taea e koe te whakahaere i ō uauatanga manawa me te ora i te oranga pai.
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He aha te mamae o te uaua / te mamae o te uaua?
He mea noa te mamae o ngā uaua i muri i te whakakori tinana i te whare takaro, i muri rānei i te oma me te hikoi roa. Engari ko tēnei mate e kiia nei ko te 'Māuiui Uaua (Myalgia)' he tohu kino e meinga ai koe kia rite ki te kuru me te pakaru ohorere o ngā uaua katoa (me te tuaiwi) o tō tinana, ā, kāore e taea te ara ake i te moenga, me te kore e mahi i tetahi mahi taumaha.
💬 He aha ngā tino take o te mamae/ngoikoretanga o ngā uaua e kore ai e taea te ara ake i te moenga?
He maha ngā take matua mō tēnei: 1) 'Ngā mate huaketo kino' - Ina pāngia koe e te dengue, te COVID-19, te rewharewha noa rānei, ka whawhai tō pūnaha ārai mate, ā, ka mamae ō uaua puta noa i tō tinana. 2) 'Te Pōrearea/Te Ānini o te Uaua' - Ina maroke tō tinana, ka mārō ohorere ngā wāhi pēnei i ō makawe. 3) 'Ngā Statins/Rhabdomyolysis', he pānga taha o ngā rongoā whakaheke cholesterol, ka taea hoki te whakararu i ngā uaua. 4) Fibromyalgia.
💬 Mēnā ka pāngia koe e te mamae o te uaua, me haere tonu koe ki te hōhipera, kaua e noho noa ki te kāinga ka tango i te Panadol. He aha ngā 'āhuatanga mate/ohorere (Rhabdomyolysis)'?
I te nuinga o te wā, ka memeha haere tēnei i roto i ngā rā e 3-4 me te kirika/ngoikore o te huaketo (okioki/inu wai). Engari ko te mōrearea nui rawa atu! I tua atu i te mamae o te uaua, ki te 1) ka huri tō mimi hei kawhe pouri, hei toto rānei (mimi pouri hei tī), ko te tikanga kei te rewa ō uaua, ā, kei te tīmata te pirau o ō whatukuhu (Whara Kino Koretake)! 2) Ki te tio ngā uaua o tō kaki, ā, kei te pāngia koe e te kirika (Meningitis), 3) Ki te uaua koe ki te manawa, me haria koe ki te hōhipera tonu!
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