Whakaarohia, kei te moe pai koe hei whakamama i te ngenge o te rā. Engari, ka ara ake koe me te ahua kino o te poto o te manawa, te kikī o tō uma. He rite ki te toremi i roto i te wai, ā, me whawhai koe ki te manawa. He wheako tēnei e pā ana ki te tini o te tangata, engari e mataku ana ki te kōrero mōna, he tino whakamataku. I roto i te rongoā, ka kiia tēnei āhuatanga ko te Paroxysmal Nocturnal Dyspnea, ko te PND rānei hei whakarapopototanga. Ehara tēnei i te mea noa iho, engari he tohu nui pea e tukuna ana e tō tinana ki a koe.
He aha rawa te PND?
Ki te kī ngāwari, ko te PND te wā ka ara ake koe i te haora, i ngā haora e rua rānei i muri i te moe me te uaua ki te manawa. He tino whakararuraru tēnei i ētahi wā. Tērā pea ka uaua ki te manawa, ka tere te manawa, ā, ka maremare pea koe.
Ko te mea nui, ko tēnei āhuatanga e kiia nei ko te PND ka puta noa i te wā e moe ana koe . He rerekē tēnei i te poto o te manawa e puta ana i a koe e takoto ana i a koe e ara ana (e kiia nei ko te orthopnea).
Engari he āhua whakamarie. Ina ara ake koe pēnei, ki te noho koe ki runga i te moenga, ka hoki tō manawa ki te āhua noa i roto i te 10 ki te 15 meneti, ā, ka memeha haere te mamae.
He aha tēnei ka puta ina moe ahau i te pō? He aha ngā take matua?
Ehara te PND i te mate, engari he tohu nō tētahi mate hauora kei raro. Ka taea te wehewehe i ngā take ki ngā wāhanga matua e toru:
| Ko te wāhi matua ka pā mai pea | Hei whakamārama noa iho... |
|---|---|
| Mate Manawa | Ina moe tātou i tō tātou taha, ka hoki te toto me te wai i roto i ō tātou waewae ki te uma, koinei te wāhi e noho ana ō tātou pukahukahu nā te kaha o te kaha. Ka taea e te ngākau hauora te pupuhi ngāwari i tēnei toto tāpiri ki te tinana. Engari ki te mea he ngoikore kei roto i te ngākau (pēnei i te Congestive Heart Failure), ka taea e tēnei wai tāpiri te kohikohi ki roto i ngā pukahukahu, ka puta he pēhanga, ka uaua ai te manawa. |
| Ngā Āhuatanga Manawa | Mena kei a koe tētahi mate hauora pērā i te mate huango, te mate pūkahukahu aukati mau tonu rānei (COPD), tera pea ka uaua ki a koe te manawa i te awatea. Ka taea e ngā huringa e puta ana i roto i tō tinana i te pō te whakanui ake i ēnei mate. |
| Ngā Take Pūnaha Io | Ko ngā tohu mai i te roro te mea e whakahaere ana i tō tātou manawa. I roto i ngā āhuatanga pēnei i te Sleep Apnea, kāore tēnei tukanga tohu e mahi tika. Kua āraia te ara manawa, kua mutu rānei te tuku tohu a te roro kia manawa mō tētahi wā poto. Mā tēnei ka mutu te manawa, ka ara ake koe i te ata. |
Ngā āhuatanga hauora motuhake e pā ana ki te PND
- Apnea moe: Te mutu o te manawa i te wā e moe ana.
- Te ngoikore o te ngākau: Te ngoikore o te kaha pupuhi o te ngākau.
- Te toto toto tiketike o te pūkahukahu: Te pikinga o te pēhanga i roto i ngā oko toto o ngā pūkahukahu.
- COPD (Mate Pūkahukahu Ārai Mau): He mate pūkahukahu mō te wā roa.
- Mate huango
- Pupuhi Pūkahukahu: He kohikohinga wai i roto i ngā pūkahukahu.
- Te mate a Parkinson
- Ngā whakaeke mataku ohorere i te pō: Ngā whakaeke mataku ohorere e puta ana i te pō.
- Momona: Ka taea hoki e te momona te pēhanga ki te ara manawa.
Me pēhea te rongoā mō tēnei?
He mea nui kia maumahara ki tēnei: Kāore te PND e rongoatia mō ngā tohu anake, engari mō te mate taketake i puta ai. Ka tirotirohia koe e tō tākuta, ka whakahaerehia ētahi whakamātautau mēnā e tika ana, ā, ka kitea te tino take. Kātahi ka tīmata te maimoatanga i runga i taua take.
| Take | Ngā maimoatanga e hoatu noa ana |
|---|---|
| Mate ngakau | Ka hoatu ngā rongoā pēnei i ngā diuretics me ngā rongoā whakahaere toto toto (ngā aukati ACE, ngā aukati beta). |
| Apnea moe | He mea tino nui hoki te whakamahi i tētahi mīhini pēnei i te CPAP, i te BiPAP rānei hei pupuri i te ara manawa kia tuwhera i te wā e moe ana. He mea tino nui hoki te whakaiti i te taumaha. |
| Ngā mate manawa (huango/COPD) | Ka whakamahia ngā rongoā whakawhanui i ngā pukupuku manawa me ngā rongoā corticosteroid manawa. |
| Ngā raruraru hauora hinengaro | Ka hoatu te Whakaora Whanoke Hinengaro, ngā rongoā ārai-manukanuka rānei, mō ngā āhuatanga pēnei i ngā whakaeke mataku o te pō. |
He aha tā tātou e taea ai te aukati i te PND?
Ko te mea pai ko te whiwhi i te maimoatanga tika mō tō mate taketake. He mea nui kia tangohia ngā rongoā e tohua ana e tō tākuta i te wā tika. Hei tāpiri, ka āwhina ēnei mea ki te pupuri i te hauora o tō ngākau me ō pukahukahu:
- Whakakorikori Tinana: Kōrero ki tō tākuta mō te taumata haumaru o te whakakorikori tinana e tika ana māu, ā, me whakakorikori tinana i ia rā. Mā tēnei ka whakapakari i tō ngākau me ō pukahukahu.
- Ngā mahi manawa: Ka taea e ngā mahi manawa hōhonu me ngā tikanga whakangā te āwhina i te whakahaere i ngā uauatanga manawa me te manukanuka.
- Kaua e kai paipa: Ki te kai paipa koe, kati i tēnei rā tonu. Ko te kai paipa te kai whakamate nui rawa atu o ngā pukahukahu. Ka taea e ia te whakararu i ngā āhuatanga pēnei i te mate huango me te COPD, ā, ka arahi pea ki ngā mate hou.
Me haere ahau ki te tākuta?
He tino māmā te whakautu. Āe, tino pono!
Ki te mea kua ara ake koe i te pō me te poto o te manawa, kaua e wareware noa. Koinei pea te tohu tuatahi o tētahi mate kino kei roto i tō tinana. Nō reira , me toro atu ki tō tākuta whānau i tēnei wā tonu. Māna koe e ārahi tika.
Kia maumahara, ki te kaha rawa tō poto o te manawa, me te mamae o te uma, te ngoikore rānei, haere tonu ki te Tari Ohotata (ETU) o te hōhipera tata.
He mea nui te moe pai mō ō tātou tinana me ō tātou hinengaro. Ka pā kino te korenga o taua moe nā te PND ki te kounga o te oranga. Nō reira, kaua e warewarehia tēnei tohu. Rapua he tohutohu hauora tika, rongoāhia te take, ā, tīmata ki te noho i tētahi oranga e taea ai e koe te moe pai anō.
Karere Tangohia ki te Kāinga
- Ko te PND te oho ohorere mai i te moe i te pō me te poto o te manawa. Ahakoa he wheako whakamataku tēnei, ehara i te tohu e kore e arohia.
- Ko te nuinga o tēnei ka puta mai i te mate manawa, i ngā mate pūnaha manawa, i ngā raruraru rānei o te pūnaha io pērā i te Sleep Apnea.
- Ki te pāngia koe e tēnei āhuatanga ahakoa kotahi noa te wā, me toro atu ki te tākuta tonu. He tohu wawe pea tēnei o tētahi mate kino.
- Ehara te rongoā i te mea mō te tohu, engari mō te mate taketake i puta ai.
- Mā te noho hauora (te whakakori tinana, te karo i te momi hikareti) ka āwhina i te whakahaere i ngā āhuatanga e puta ai te PND.
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