He rite tonu te ahua o te mate pūkahukahu ki tētahi mate whakamataku, kāore? He maha ngā wā ka puta he āwangawanga tonu ina rongo koe i te pūnga o te uma, i te uaua rānei ki te manawa . I Nirogi Lanka, e hiahia ana mātou ki te āwhina i a koe kia mārama he aha te mate pūkahukahu, he aha i puta ai, me pēhea te tiaki i a koe anō, me ngā mahi hei mahi mēnā ka kitea tō mate, i roto i tētahi huarahi māmā, tautoko hoki.
He aha te niumōnia?
I te whakarapopototanga, he mate pukupuku te niumōnia i roto i ō pūkahukahu. Ka puta pea i te huakita, i te huaketo, i ētahi wā rānei i te harore. Ka pupuhi te kiko o ō pūkahukahu i tēnei mate, ka hua ake te mumura . Nō reira, ka kī pea ō pūkahukahu i te wai, i te pupuhi rānei.
mumura - He pupuhi o ngā kiko
Ko te tikanga, he kino ake te niumōnia kitakita i te niumōnia huaketo , e memeha haere ana i a ia anō mā te okioki.
Ka pā te niumōnia ki te kotahi anake o ngā pūkahukahu, ki ngā pūkahukahu e rua rānei i te wā kotahi. Mēnā ka pā ki ngā pūkahukahu e rua, ka kiia ko te niumōnia taha-rua, takirua rānei .
Me pēhea te whanaketanga o te niumōnia, ā, he aha ngā momo?
He aha te rerekētanga i waenga i te niumōnia kitakita me te niumōnia huaketo?
Ahakoa he mate motuhake te niumōnia, ka rerekē pea ō tohu i runga i te pūtake (huakita, huaketo, harore rānei).
Ko te niumōnia kitakita te momo tino noa, ā, ka kaha ake pea, i ētahi wā me kawe ki te hōhipera. Ko te tikanga ka rongoāhia tēnei e tō tākuta ki ngā paturopi .
Ko te niumōnia huaketo ka puta mai me ngā tohu pēnei i te kirika me te makariri noa. I te nuinga o te wā, ka memeha haere me te kore e hiahiatia he rongoā motuhake.
Ngā momo matua o te niumōnia
Ka whakarōpūtia te niumōnia e te mate urutā i puta ai me te taiao i riro mai ai—pērā i te hapori, i te hōhipera, i ngā taputapu hauora pēnei i te mīhini manawa.
Te niumōnia i riro mai i te hapori (CAP)
Mena ka pāngia koe e te niumōnia i waho o tētahi whare hauora (i te kāinga, i te mahi, i te kura rānei), ka whakarōpūtia hei CAP. Ko ngā take ko:
- Huakita: Ko te 'Streptococcus pneumoniae' te tino take o te CAP (e mōhiotia ana ko te mate pneumococcal). Ka taea hoki e tēnei huakita te whakararu i ngā mate taringa, ngā mate sinus , me te meningitis. Ko te 'Mycoplasma pneumoniae' te nuinga o te wā ka puta he tohu ngawari ake. Ko ētahi atu huakita pēnei i te 'Haemophilus influenzae', 'Chlamydia pneumoniae', me te 'Legionella' (mate Legionnaires) he take pea.
- Ngā Huaketo: I ētahi wā ka arahi pea te makariri noa, te rewharewha, te COVID-19 , me te RSV (Respiratory Syncytial Virus) ki te niumōnia.
- Harore/pokepokea: He onge, engari ko ngā momo pēnei i te 'Cryptococcus', 'Pneumocystis jirovecii', me te 'Coccidioides' ka taea te whakararu i te niumōnia. He nui ake te kitea o ēnei i roto i te hunga he ngoikore te pūnaha ārai mate .
- Pūmua : I ētahi wā tino onge, ka taea e ngā rauropi pēnei i te 'Toxoplasma' te whakaoho i te niumōnia.
Te niumōnia i riro mai i te hōhipera (HAP)
Mena ka pāngia koe e te niumōnia i a koe e noho ana i te hōhipera mō tētahi atu mate, mō tētahi atu pokanga rānei, ka mōhiotia ko te HAP. He maha ngā wā ka kino ake tēnei i te CAP nā te mea he maha ngā wā ka puta mai i ngā huakita ātete ki ngā paturopi, pērā i te 'MRSA (methicillin-resistant Staphylococcus aureus)', ā, ka uaua ake te rongoā.
Te niumōnia e pā ana ki te hauora (HCAP)
Ka puta tēnei mēnā kei roto koe i tētahi whare tiaki mō te wā roa, pērā i te whare tiaki kaumātua, kei te whiwhi maimoatanga ā-waho rānei koe i ngā wā katoa. He rite ki te HAP, he maha ngā wā ka puta mai i ngā huakita ātete ki ngā paturopi.
Te niumōnia e pā ana ki te manawa (VAP)
Mena kei te hiahia koe i tētahi mīhini manawa, i tētahi mīhini manawa rānei i roto i te hōhipera (i roto i te ICU i te nuinga o te wā), kei te tūpono koe ki te pāngia e te VAP. Ka puta pea tēnei i ngā huakita ātete i riro mai i te hapori me ngā huakita i riro mai i te hōhipera.
Te niumōnia manawa
Ka puta tēnei ina manawahia te kai, te wai, te huware, te ruaki rānei ki roto i tō puku, kātahi ka uru ki roto i ō pukahukahu. Ki te kore e taea e koe te whakakore i ēnei matū, ka puta he mate, ka arahi atu ki te niumōnia.
He niumōnia, he makariri, he rewharewha rānei? Me pēhea e mōhio ai koe?
Ka taea e ngā tohu o te makariri, te rewharewha, me te niumōnia te taupatupatu, ā, he uaua ki te wehewehe i waenga i ēnei me te kore he tātaritanga ngaio. Nā te mea he mate morearea pea te niumōnia, me rapu awhina hauora tonu mēnā ka pāngia koe e:
- Te kikī o te uma, te mamae rānei.
- Te uaua ki te manawa .
- He kirika o te 102°F (38.88°C) neke atu rānei.
- Te maremare i te hūpē kōwhai, kakariki, toto rānei.
Ko wai kei te nui ake te mōrearea ki te pāngia e te niumōnia?
He nui ake te tūponotanga o ētahi tāngata ki te pāngia e te niumōnia. Me tino tupato koe mēnā kei roto koe i tētahi o ēnei kāwai:
- Ngā pakeke 65 tau te pakeke, me ngā tamariki kei raro iho i te 2 tau te pakeke.
- Ngā tāngata kei a rātou ngā mate pūkahukahu, ngā mate ngākau rānei, pērā i te cystic fibrosis, te huango, te COPD (mate pūkahukahu aukati mau tonu), te emphysema, te pulmonary fibrosis, te sarcoidosis rānei.
- Ko te hunga whai mate pūnaha io e pā ana ki te horomitanga, pērā i te mate wareware, te mate a Parkinson, te hunga rānei kua pāngia e te whiu, nā te mea ka nui ake te mōrearea o te niumōnia manawa i ēnei āhuatanga.
- Ngā tūroro e noho ana i te hōhipera i tēnei wā, e noho ana rānei i ngā whare tiaki mō te wā roa.
- Ngā tāngata e momi hikareti ana.
- Ngā whaea hapū.
- Ngā tāngata he ngoikore te pūnaha ārai mate. Kei roto i tēnei ko te hunga e whiwhi ana i te rongoā chemotherapy mō te mate pukupuku, ngā tāngata e whakawhiti ana i ō rātou okana, te hunga e ora ana me te HIV/AIDS, te hunga rānei e tango ana i ngā rongoā ārai mate.
He aha ngā tohu o te niumōnia?
He rerekē ngā tohu o te niumōnia i runga i te pūtake o te mate, ā, ka rerekē pea mai i te ngawari ki te kino. He mea nui kia mōhio he rerekē te puta o ngā tohu i roto i ngā pēpi, ngā tamariki nohinohi, me ngā kaumātua.
Ngā Tohu o te Pneumonia Kitakita
Ka pā ohorere mai te niumōnia kitakita, ka puta mārire rānei. Ko ngā tohu matua ko:
- Te kirika nui (tae atu ki te 105°F / 40.55°C).
- Te maremare i te hūpē kōwhai, kakariki, toto rānei.
- Te ngenge nui.
- Te manawa tere.
- Te poto o te manawa.
- Te tere o te manawa o te ngakau.
- Te werawera nui, te wiri rānei o te matao.
- Te mamae o te uma, o te puku rānei, inā koa i te wā e maremare ana, e manawa hōhonu ana rānei.
- Te ngaronga o te hiahia kai.
- He kikorangi te kiri, te ngutu, te maikuku rānei (cyanosis).
- Te pōhēhē, te whakarerekētanga ohorere rānei o te āhua hinengaro.
Ngā Tohu o te Pneumonia Viral
Ko te niumōnia huaketo ka puta i roto i ētahi rā. Tērā pea ka pāngia koe e ngā tohu e rite ana ki te niumōnia kitakita, ka kite rānei koe i:
- Maremare maroke.
- Te mamae o te upoko.
- Ngā mamae o te uaua.
- Te ngenge nui, te ngoikore rānei.
Ngā Tohu i roto i ngā Tamariki Nohinohi
Mō ngā pēpi me ngā pēpi hou, kāore pea he tohu, he tohu rānei e puta mai ana i te niumōnia, he rerekē rawa atu i ērā o ngā pakeke. Aroturukihia mō:
- Te kirika, te makariri, te ngoikore whānui, te whero rānei.
- Maremare.
- Te manawa uaua, te manawa tere rānei (tachypnea).
- Te ngaronga o te hiahia kai.
- Te ruaki.
- Te ngenge.
- Te riri nui, te tangi tonu rānei.
Hei tāpiritanga, mō ngā pēpi me ngā tamariki nohinohi, tirohia ēnei:
- He tangi whewhe, he tangi ngunguru rānei i te wā e manawa ana.
- Te iti o te mimi, te iti rānei o ngā nāpi mākū.
- He kiri mā, he hina rānei.
- Te ngoikore rawa, te ngoikore rānei.
- Te tangi tonu, te tangi kore e taea te whakamarie.
- Te kore e kai, te kore rānei e kai.
Ngā Tohu i roto i ngā Pakeke Neke atu i te 65 Tau
Mena kua neke atu i te 65 tau te pakeke, he ngoikore rānei tō pūnaha ārai mate, tera pea he ngawari, he ngaro rānei ngā tohu tawhito pēnei i te maremare, te poto rānei o te manawa. Engari, tera pea ka kite koe i te kino haere o ngā mate mau tonu, i ngā tohu ohorere rānei pēnei i:
- Te pōhēhē ohorere, te rerekētanga rānei o te āhua hinengaro.
- Te ngaronga o te hiahia kai.
- Ngenge hōhonu.
He aha te take o te niumōnia?
Ka puta te niumōnia ina mumura ngā pēke hau iti (alveoli) i roto i ō pukahukahu e te mate, ka kī tonu i te wai, i te pūkahukahu rānei. Koinei te urupare a tō pūnaha ārai mate ki ngā huakita e whakaeke ana.
Ahakoa ka taea e ngā huakita, ngā huaketo, me ngā harore te whakaputa i te niumōnia, ko ngā mate huakita te tino take i roto i ngā pakeke , ko ngā huaketo ia te tino take i roto i ngā tamariki kura . Ko ngā mate noa ko:
- Te makariri noa (rhinovirus)
- COVID-19 (SARS-COV-2)
- Huaketo rewharewha
- Te huaketo metapneumo tangata (HMPV)
- huaketo parainfluenza tangata (HPIV)
- Te mate a ngā Rīkiona
- Pūngāwerewere mycoplasma
- Mate pūkahukahu
- Te niumōnia pneumocystis
- Huaketo syncytial manawa (RSV)
He mate hopuhopu te niumōnia?
Ehara te niumōnia i te mate "hopupū" kotahi, engari he mate hopuhopu ngā huaketo me ngā huakita e hua ai . Hei tauira, ka taea e te makariri noa, e te rewharewha rānei te huri hei niumōnia, ahakoa kāore e pāngia te katoa e te huaketo.
Ka taea e ngā huakita Streptococcus pneumoniae te horapa mā roto i ngā pata manawa mai i te maremare, i te tihe rānei, mā te pā atu rānei ki ngā mata kua poke. Kāore te niumōnia harore e horapa mai i te tangata ki te tangata.
Me pēhea te tautuhi i te niumōnia?
Hei tātaritanga i te niumōnia, ka arotakehia e tō tākuta tō hītori hauora, ā, ka whakahaerehia he whakamātautau tinana, tae atu ki te whakarongo ki ō pukahukahu me te stethoscope. Tērā pea ka tonoa e rātou he whakamātautau pēnei i te hihi-X o te uma, te pulse oximetry (hei tirotiro i ngā taumata hāora toto), ngā whakamātautau toto, ngā ahurea huware rānei.
He mea nui: Ahakoa te whakaū a te tākuta kei a koe te niumōnia, he uaua tonu i ētahi wā ki te tohu ko wai te mate e mate ana.
He aha ngā whakamātautau e mahia ana?
Hei aromatawai i ngā tohu o te mate i roto i ō pukahukahu, hei aromatawai i te pai o te mahi a ō pukahukahu, me te whakatau i te pūtake o tō niumōnia, ka tūtohu pea tō tākuta i ēnei whakamātautau tātaritanga e whai ake nei:
- Whakaahua: Mā te hihi-X o te uma, mā te karapa CT rānei, ka āwhina tō tākuta ki te tiro i ngā tohu o te mate i roto i ō pukahukahu.
- Ngā whakamātautau toto: Ka āwhina ēnei ki te tautuhi i te momo mate e puta ai tō niumōnia.
- Whakamātautau huware: Ka tonoa koe kia maremare i te huware ki roto i tētahi ipu. Ka tukuna tēnei tauira ki tētahi taiwhanga hei whakamātautau mō te mate me te tautuhi i te mate urutā motuhake.
- Pūnaha oximetry: Ka whakamahia he pūoko hei ine i te mākū o te hāora i roto i tō toto. Mā tēnei ka mārama te tākuta ki te whai huatanga o te mahi a ō pukahukahu.
- Ahurea wai pleural: Mā te whakamahi i tētahi ngira angiangi, ka kohia he tauira wai mai i te rohe huri noa i ō pukahukahu ka tukuna ki tētahi taiwhanga hei tautuhi i te pūtake o te mate.
- Whakamātautau hau toto uaua: Ka tangohia he tauira toto mai i tō ringaringa, i tō ringaringa, i tō hope rānei hei ine i ngā taumata hāora, hei whakarato māramatanga ki te mahi a ō pukahukahu.
- Pūnaha tirotiro i te ihu: I ētahi wā, ka whakamahia pea e te tākuta he ngongo angiangi, he mārama, e kiia nei ko te pūnaha tirotiro ihu hei tirotiro tika ki roto i ō ara manawa. Ka kohia pea e rātou he tauira kiko, he tauira wai rānei hei tātaritanga taiwhanga.
Me pēhea te rongoā i te niumōnia? (Nirogi Lanka)
Ko te maimoatanga mō te niumōnia e whakawhirinaki ana ki te pūtake motuhake (huakita, huaketo, harore rānei) me te kaha o tō mate. Nā te mea he uaua ki te whakatau tonu i te pūtake tuturu, ko te whāinga matua o te maimoatanga he whakahaere i ō tohu me te ārai i te kino haere o te mate.
Ko ngā huarahi maimoatanga noa ko:
- Ngā rongoā paturopi: Ka tohua ēnei mō te niumōnia kitakita. Ahakoa kāore e mahi ki ngā huaketo, ka tohua tonu pea ēnei e tō tākuta mēnā he mate kitakita tuarua.
- Ngā rongoā ārai harore: Ka whakamahia ēnei mēnā he mate harore te take o tō niumōnia.
- Ngā rongoā ārai huaketo: He maha ngā wā ka memeha noa te niumōnia huaketo; heoi, ki te mea he huaketo te take o te mate kino, ka tohua pea e tō tākuta ngā rongoā ārai huaketo pērā i te oseltamivir (Tamiflu®) , zanamivir (Relenza®) , peramivir (Rapivab® rānei) hei whakapoto i te roa me te kaha o ō tohumate.
- Te whakaora hāora: Mena he iti te taumata hāora o roto i tō toto, ka whakaratohia pea e tō tākuta he hāora tāpiri mā te cannula ihu, he kopare kanohi rānei.
- Wai IV: Ka whakamahia ngā wai e tukuna tika ana ki roto i ō uaua hei ārai, hei rongoā rānei i te matewai.
- Te rerenga wai: Mena he nui te wai e pupū ake ana i waenganui i ō pukahukahu me te pakitara o te uma (te rerenga wai i roto i te pleura), ka tangohia pea e tō tākuta mā te whakamahi i te catheter, i te pokanga rānei.
Ka memeha noa iho te niumōnia?
He maha ngā wā ka memeha haere te niumōnia huaketo me te kore he wawaotanga hauora. Heoi, he mea nui kia whai tonu koe i ngā tohutohu a tō tākuta hei whakahaere i ngā tohu me te whakaiti i te tūponotanga o ngā raruraru nui.
Ngā tohutohu tiaki-ā-koe mō te whakahaere i ngā tohumate i te kāinga
Mā ēnei mahi ka āwhina i a koe kia pai ake te noho i a koe e ora ana:
- Ngā rongoā whakamamae mamae me ngā rongoā whakaiti kirika: Ka tūtohu pea tō tākuta i ngā rongoā pēnei i te ibuprofen (Advil®) me te acetaminophen (paracetamol/Panadol®) hei whakahaere i te kirika me te mamae.
- Rongoā mare: Me kōrero tonu ki tō tākuta i mua i te tango i ngā rongoā ārai mare. Ko te mare te huarahi a tō tinana ki te tango i te wai mai i ō pukahukahu.
- Ngā mahi manawa me ngā maimoatanga: Ka tohua pea e tō tākuta he tikanga, he rongoā rānei hei āwhina i te wetewete i te hūpē me te whakangāwari i te manawa.
- Whakamahia he kaiwhakamakuku hau: Mā te pupuri i tētahi kaiwhakamakuku kohu hauhautanga i roto i tō rūma, mā te kaukau rānei i te wai māhana ka āwhina i te whakamakuku i te hau me te whakahaere i tō manawa.
- Kia nui te makuku o te tinana.
Kia pēhea te tere o taku pai ake?
Ko te roa o te whakaoranga e whakawhirinaki ana ki ētahi āhuatanga:
- Tō tau.
- Te tino pūtake o tō niumōnia.
- Te kaha o te mate.
- Ngā āhuatanga hauora, ngā raruraru hauora rānei o nāianei.
Mena kei te hauora koe i te nuinga o te wā, me tīmata koe ki te rongo i te whakapainga i roto i ngā haora 24 ki te 48 o te tīmatanga o te maimoatanga mō te niumōnia kitakita . Tērā pea ka pai ake te niumōnia huaketo i roto i ētahi rā, ahakoa ka roa pea ngā tohu pēnei i te mare me te ngenge mō ētahi wiki.
He mate hopuhopu te niumōnia?
Mena he niumōnia kitakita tōu, e kiia ana kāore koe i te pangia e te mate urutā i muri i te hekenga o tō kirika, ā, kua 48 hāora pea koe e kai ana i ngā paturopi . Mō te niumōnia huaketo, ka noho tonu pea koe hei pangia e te mate urutā tae noa ki te wā e pai ake ai koe, ā, kua kore he kirika mō ētahi rā.
Me pēhea te ārai i te niumōnia? (Nirogi Lanka)
Ko te huarahi pai hei ārai i te niumōnia ko te werohanga ki ngā take huakita me ngā huaketo tino noa. Mā te pupuri i ngā tikanga hauora ka taea hoki te whakaiti i tō tupono.
Ngā werohanga
Ahakoa kāore e taea e ngā kano kano te tiaki i ngā momo niumōnia katoa, he tino whai hua rātou ki te ārai i ngā mate kino.
- Ngā kano ārai mate pūkahukahu: Ka ārai ēnei i ngā huakita e hua ai te pūkahukahu. E taunakihia ana ēnei mō ngā rōpū tau motuhake me te hunga he nui ake te mōrearea. Kōrero ki tō tākuta kia mōhio ai koe ko tēhea kano ārai mate e tika ana mōu, mō ō whanaunga rānei.
- Ngā kano ārai mate huaketo: Mā te whai mōhiohio ki ngā kano ārai mate COVID-19 me te rewharewha (rewharewha) ka taea te whakaiti i te tūponotanga o te pāngia e te niumōnia i puta mai i ēnei huaketo.
- Ngā ārai mate mō ngā tamariki: Me whakarite kia whiwhi āu tamariki i ngā werohanga o ia rā, nā te mea he maha o ēnei e tiaki ana i a rātou mai i ngā huakita me ngā huaketo ka arahi pea ki te niumōnia.
Ngā mahi tiaki tāpiri
Haunga te werohanga, ka āwhina ēnei tikanga hauora ki te whakaiti i tō tupono ki te pangia, ki te horapa rānei o te niumōnia:
- Āta karohia te momi hikareti me te pāngia e te auahi tuarua. Ka kino te momi hikareti i ō pukahukahu, ā, ka nui ake te tūponotanga ki te pāngia e ngā mate manawa.
- Horoia pai ō ringaringa ki te hopi i mua i te kai, i te taka kai, i te whakamahi rānei i te wharepaku. Mēnā kāore he hopi, whakamahia he wai horoi ringa kei roto he waipiro.
- Mena kei a koe, kei tētahi rānei i tō taha, tētahi mate pāwera pērā i te makariri, te COVID-19 rānei, karohia te whakapā atu ki tētahi atu, ā, kaua hoki e tohatoha i ngā taonga whaiaro.
- Mena kei te hōhipera koe, kei te whiwhi rānei koe i te tiaki i tētahi whare hauora, kaua e mangere ki te pātai ki tō tīma hauora mō ngā mahi ka taea e koe te mahi hei whakaiti i tō tupono ki ngā mate urutā i riro mai i te hōhipera.
- Kia taurite te kai, kia auau te korikori tinana, ā, kia nui hoki te okiokinga.
- Whakahaerehia ngā mate hauora e pā ana ki a koe, ngā mate pāwera rānei. Ka taea e ēnei te whakaiti i tō pūnaha ārai mate, ā, ka ngāwari ake ai koe ki te pāngia e te niumōnia.
- Āta karohia te inu nui rawa o te waipiro.
He aha ngā raruraru pea o te niumōnia? (Ngā raruraru)
Ka taea e te niumōnia te arahi ki ngā raruraru kino e hiahia ana kia haria ki te hōhipera. Ko ngā mōrearea pea ko:
- Ngā uauatanga manawa: Ka pā pea te niumōnia ki te ngoikore o te manawa, ki te Acute Respiratory Distress Syndrome rānei (ARDS).
- Te rerenga wai i roto i te puku: Te pupūnga wai huri noa i ngā pukahukahu.
- Bacteremia, Sepsis rānei: Tērā pea ka uru ngā huakita mai i te niumōnia ki roto i tō toto, ka horapa te mate ki ētahi atu okana, ā, ka arahi pea ki te sepsis, ki te ngoikore rānei o ngā okana maha.
- Puku pūkahukahu: He poka kapi i te pūkahukahu ka puta i roto i te kiko pūkahukahu.
Āhea koe e hiahia ai ki te kawe ki te hōhipera mō te niumōnia?
Mena he nui te niumōnia kei a koe, he maha rānei ngā raruraru, ka tūtohu pea tō tākuta kia rongoatia koe ki te hōhipera. He nui ake te tūponotanga me noho koe ki te hōhipera mena:
- Kei raro iho i te 2 tau te pakeke, neke atu rānei i te 65 tau te pakeke.
- He ngoikore tō pūnaha ārai mate.
- Kei a koe ngā mate manawa, ngā mate pūkahukahu rānei i mua.
Kia maumahara: Ki te mea kei te hōhipera koe mō te niumōnia, e ono ki te waru wiki pea ka tino kaha ake koe.
Ngā mea ka taea e koe te mahi hei whakaora i a koe e ora ana i te niumōnia
Hei āwhina i a koe kia pai ake te noho i a koe e whakaora ana, whai i ēnei mahi:
- Whakahaerehia ō tohumate kia rite ki ngā tohutohu a tō tākuta.
- Whakaotia te rongoā katoa kua tohua e koe. Kaua e mutu te tango i ngā paturopi nā te mea kua pai ake tō hauora; ki te kore e oti katoa te rongoā, ka hoki mai anō te mate.
- Whakamahia ngā rongoā whakaheke kirika (pērā i te acetaminophen, i te ibuprofen rānei) e ai ki ngā tohutohu kei runga i te tapanga. Kaua rawa e hoatu te aspirin ki ngā tamariki.
- Whakaritea te okiokinga hei mea nui kia ora ai tō tinana.
Ki te kino haere tō āhua, ki te kore rānei koe e pai ake, whakapā atu ki tō tākuta tonu.
Ngā tohu e ora ana koe i te niumōnia
I a koe e ora ake ana, ka kite koe i te hokinga mai o tō kirika ki te āhua noa. Me kite hoki koe i te hekenga o te hanga huware me te maremare. Ko te whakaaro ka taea e koe te tīmata anō i ētahi o ō mahi o ia rā he tohu kaha anō mō tō ahunga whakamua.
Āhea koe ka taea te hoki ki te mahi, ki te kura rānei i muri i te pāngia e te niumōnia?
Ka taea e koe te hoki ki tō āhua noa ina mutu, ina pai ake rānei ō tohu, ā, kāore koe e pāngia ana e ēnei āhuatanga:
- Te poto o te manawa, te ngenge nui rānei.
- Mamae o te uma.
- Te maremare tonu, te kirika, te nui rawa rānei o te hūpē.
Mena kei te hauora koe i te nuinga o te wā, ka taea e te nuinga o te tangata te hoki anō ki ā rātou mahi o mua i roto i te wiki pea. Heoi, tera pea ka roa te wā ki te kotahi marama ka hoki anō koe ki tō āhua noa.
Āhea koe me toro atu ki te tākuta?
Mena kei te pāngia koe e te mate, kei a koe ētahi mate mau tonu, kei te pāngia rānei koe e ngā tohu hou, e kino haere ana rānei, me toro atu koe ki tō tākuta mō:
- Te uaua ki te manawa.
- Te kirika tonu, te maremare rānei me te hūpē.
- Te ngenge tonu.
- He hekenga nui o te hiahia kai.
Āhea koe me rapu awhina āwhina ohorere?
I roto i ngā āhuatanga e whai ake nei, rapua tonutia te āwhina ohorere, waea atu rānei ki te 911:
- Te uaua ki te manawa, te whakaaro rānei kāore e taea te hopu i te manawa i a koe e okioki ana.
- Te tīmatanga ohorere o te mamae o te uma, te kino haere rānei o te mamae o te uma o mua.
- Te pōhēhē, te uaua rānei ki te whakaaro mārama.
Ka taea e koe te pāngia e te niumōnia me te kore he kirika?
Āe. Ahakoa he tohu noa te kirika o te niumōnia, ka taea te pāngia e te niumōnia me te kirika ngawari noa iho, me te kore rānei o te kirika. He nui ake te tūponotanga ka pā tēnei ki ngā rōpū e whai ake nei:
- Ngā pakeke neke atu i te 65 tau te pakeke, ngā tamariki rānei kei raro iho i te 2 tau te pakeke (ina koa ko ngā pēpi hou me ngā pēpi).
- Ngā tāngata whai pūnaha ārai mate ngoikore.
He rerekē te āhua o te rongoā mō te niumōnia i roto i ngā tamariki nohinohi?
Ko te tikanga, kāore e tino rerekē te huarahi maimoatanga mō te niumōnia mō ngā tamariki. Heoi, he nui ake te mōrearea o ngā tamariki nohinohi ki te pāngia e te niumōnia kino , arā, he nui ake te tūponotanga kia whakaurua rātou ki te hōhipera i tērā o ngā pakeke.
Nā te mea he maha ngā take me ngā tohu o te niumōnia, he mea noa te pōhēhē, te manukanuka rānei mēnā he āhua āwangawanga ō tohu. Kaua rawa e wareware ki ngā tohu whakatūpato pēnei i te kirika nui, te hūpē toto, te tae rerekē rānei, te mamae o te uma, te uaua rānei ki te manawa. E mōhio ana tō tinana ina he tetahi mea, nō reira kaua e mangere ki te rapu awhina hauora. Mēnā ka pāngia koe e te āhuatanga ohorere, whakapā atu ki te 911, ki ngā ratonga ohorere tata atu rānei ki a koe i taua wā tonu.
He karere mai i Nirogi Lanka (Karere hei kawe ki te kāinga)
He mate kino pea te niumōnia, engari mā te mōhio tika me te maimoatanga hauora i te wā tika, ka tino ora katoa koe. Ko te taahiraa nui ko te mōhio ki ngā tohu me te toro atu ki te tākuta mēnā he ruarua āu.
- He mea nui te ārai:Me whai mōhiohio tonu ki ngā werohanga kua tūtohutia, me te pupuri i ngā tikanga hauora.
- Kia tūpato: Kia aro nui ki ngā tohu pēnei i te kirika, te mare, me te poto o te manawa.
- Whāia ngā tohutohu a te taote: Tangohia ō rongoā kua tohua kia rite ki ngā tohutohu, ā, whakaotia katoatia te horopeta.
- Whakaritea te okiokinga ki te taumata matua: Hoatu te wā e hiahiatia ana e tō tinana hei whakaora.
Mena he pātai anō āu, he pātai rānei a tō whanaunga mō te niumōnia, tēnā koa kōrero ki tētahi tohunga hauora. Kei konei rātou hei āwhina i a koe.
