Kei te kī tonu ō pūkahukahu i te wai? (Pulmonary Edema) - Me kōrero tātou mō tēnei!

Kei te ahua uaua koe ki te manawa i ētahi wā? Kei te ahua pēhia tō uma, kei te maremare koe me te huka? Ehara ēnei i te tohu hei wareware noa. Tērā pea he āhuatanga tēnei e kī ana ō pukahukahu i te wai, e kiia nei e tātou i roto i te rongoā ko te Pulmonary Edema . He tino kino tēnei, nō reira me rapu tonu i te awhina hauora. Me kōrero taipitopito tātou mō tēnei i tēnei rā.

He aha te Edema Pūkahukahu?

Ki te whakarapopototia, ko te Pulmonary Edema te kohikohinga o te wai nui, pērā i te wai, i roto i ō pukahukahu. Whakaarohia he rite ki te hautai. Ka mimitihia e ngā pēke hau iti i roto i a rātou te hāora ki roto i te toto ina manawa tātou. Engari ki te kī ēnei pēke hau i te wai, pērā i te hautai kua rumakina ki te wai, ka heke te nui o te hāora ka uru ki roto i te toto. Koinā te wā ka uaua koe ki te manawa, ka maremare, ka pēhia hoki te uma. Ka taea e tēnei te whakararu i te ora, nō reira he mea nui kia rapu awhina hauora tonu.

He aha te Pupuhi Pūkahukahu o te Teitei Rawa (HAPE)?

Kua piki maunga koe? Kua tere rānei te piki ki tētahi teitei rawa? Mēnā ka piki koe, ka pāngia ētahi tāngata e te mate e kiia nei ko te High Altitude Pulmonary Edema (HAPE) . He momo mate teitei kino tēnei/mate maunga. Ko te take matua mō tēnei he iti haere te taumata hāora i te rangi i a koe e piki haere ana i te teitei.

Ina pāngia koe e te HAPE, tera pea ka ngenge koe, ka ngoikore, ka mamae te tinana, ā, ka uaua ki te manawa. Tērā pea ka pāngia koe e te maremare me te kikī o te uma. Kia maumahara, he āhuatanga ohorere hauora te HAPE . Mēnā ka pāngia koe e ēnei tohu, me haere tonu koe ki te wāhi iti iho ka rapu awhina hauora.

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He aha te rerekētanga i waenga i te Pulmonary Edema me te Pneumonia?

Ka puta te wai i roto i ngā pukahukahu i ngā āhuatanga e rua. Engari he rerekē te take. Ka puta te niumōnia i te mate. Ka puta pea tēnei mate i ngā huaketo, i ngā huakita, i ngā harore rānei. Ka puta te wai i roto i ō pēke hau i ēnei rauropi. Kāore te edema pūkahukahu i puta mai i te mate, ā, ko te wai e puta mai ana he iti ake te matotoru i te niumōnia, engari he wai ake.

He aha te rerekētanga i waenga i te Pulmonary Edema me te Pleural Effusion?

Tērā pea he āhua pōhēhē tēnei. Ko te pleural effusion te kohikohinga o te wai i roto i te pleura, te kiriuhi angiangi e karapoti ana i ngā pūkahukahu . Ko te pleura te arai i waenganui i ngā pūkahukahu me te pakitara o roto o te uma. I te nuinga o te wā, he paparanga tino angiangi noa iho o te wai i reira. Ka puta pea te pleural effusion i ngā āhuatanga pēnei i te niumōnia, te ngoikore o te ngākau, te mate pukupuku rānei.Ka taea tēnei te puta. Kāore i rite ki te Pulmonary Edema , ina kei waho te wai i ngā pukahukahu, ka taea e taua wai te pēhi i ngā pukahukahu.

He aha te Pupuhi Pūkahukahu i Āhuatia e te Kaukau?

Ka pā pea tēnei āhuatanga i ētahi wā ki ngā kauhoe whakataetae me ngā ruku wai. Ka kiia hoki ko te (Immersion Pulmonary Edema) . I te ruku wai, ka hurihia te toto mai i ngā waewae me te puku ki ngā pukahukahu. Ka whakanuia e tēnei rahinga toto tāpiri te pēhanga i roto i ngā oko toto i roto i ngā pukahukahu. Kātahi ka turuturu te wai i roto i aua awaawa ka kohia ki roto i ngā pēke hau. Ka taea e tēnei te kino i ngā pukahukahu.

He aha ngā take o te edema pūkahukahu?

Ka taea te wehewehe i ngā take o te wai i roto i ngā pukahukahu ki ngā wāhanga matua e rua.

1. Ngā take o te ngakau

2. Ētahi atu take ehara i te mate manawa (Kore-ngakau)

1. Ngā take e pā ana ki te mate manawa (Cardiogenic Pulmonary Edema)

Ko te Cardiogenic Pulmonary Edema he āhuatanga e pupū ake ai te wai i roto i ngā pukahukahu nā te raruraru o te ngākau. Whakaarohia he rite ki te papu wai. Ki te kore te taha maui o te ngākau e pupuhi tika i te toto, ka mau te toto ki roto i ngā oko toto o ngā pukahukahu, pērā i te waka e noho ana. Ka piki ake te pēhanga i roto i aua oko toto, ka panaia te wai ki roto i ngā pēke hau.

Ko te mate ngakau matua e whakakī ana i ngā pukahukahu ki te wai i tēnei ara ko te ngoikore o te ngakau . Hei tāpiri, ka taea hoki e ngā āhuatanga pēnei i:

• Te whakaekenga o te ngākau.
• Te ngoikore o te uaua o te ngākau (Cardiomyopathy).
• Te turuturu, te whaiti rānei o ngā takirere o te ngākau (mate ngākau takirere).
• Te toto toto tiketike (hypertension).
• Te pāorooro o te manawa (Arrhythmia).
• Myocarditis (mumura o te uaua o te ngākau).
• Te rerenga wai i roto i te ngākau (te kohi wai i roto i te pericardium, te kiriuhi e karapoti ana i te ngākau).

2. Te Pupuhi Pūkahukahu Kore-Ngākau (Te Pupuhi Pūkahukahu Kore-Ngākau)

Ko te edema pūkahukahu kore-ngākau he āhuatanga e kohikohi ai te wai i roto i ngā pukahukahu, ehara i te mea nā te raruraru o te ngākau. Ka puta tēnei ina mumura, ina pakaru rānei ngā oko toto i roto i ngā pukahukahu. Kātahi ka turuturu te wai i roto i aua oko toto ka kohikohi ki roto i ngā pēke hau.

Ko te Adult Respiratory Distress Syndrome (ARDS) tētahi atu ingoa mō tēnei āhuatanga (Noncadiogenic Pulmonary Edema) . Ko te raruraru matua o (ARDS) ko te mumura. Ka puta pea tēnei i:

• Pūngāwerewere.
• Mate pāwera kino (Sepsis).
• Ngā whara tinana (Whara).
• Te mate pāwera.
• Mate ate.
• Ētahi rongoā.
• Te toto, te pupuhi rānei i roto i te roro(Te pupuhi pūkahukahu neurogenic).

Hei tāpiritanga, ka puta pea tētahi āhuatanga e kīia nei ko te edema pūkahukahu pēhanga kino i muri i te aukati o te ara manawa o runga. Ina ngana koe ki te manawa i te wā e aukati ana tēnei, ka pakaru ngā oko toto i roto i ngā pūkahukahu, ā, ka turuturu te wai. Koinei anō hoki te mea e tupu ana i roto i te High Altitude Pulmonary Edema (HAPE) , i kōrerohia e tātou i mua ake nei.

He aha ngā tohu o te Pukupuku Pūkahukahu?

Ka puta ohorere tēnei āhuatanga (whakapeka) ka puta mārire rānei i roto i te wā (mau tonu).

Te pupuhi pūkahukahu whakapeka

Ka puta ohorere mai ngā tohu o tēnei.

• Te uaua ki te manawa (dyspnea) , inā koa i te wā e neke haere ana, e piko ana rānei.
• He rerenga toto, he huka rānei.
• He tangi whiowhio te wheezing i te wā e manawa ana.
• He kare ā-roto e uaua ana ki te manawa.
• Te āhua nei kei te whakamomori koe.
• Te kikī o te uma, te mamae rānei.

Te mumura pūkahukahu mau tonu

He rite ngā tohu ki ērā o te āhua ohorere, engari kāore pea i te tino kino. Ko ētahi atu tohu ko:

• Te oho ake i te moe nā te mea kua pāngia e te manawa.
• Ka piki ake te uaua ki te manawa ina takoto.
• Te pupuhi o ngā waewae.
• E tino ngenge ana, e tino ngenge ana.

Me pēhea te tautuhi i te edema pūkahukahu?

Ina kite koe i tētahi tākuta, ka tirotirohia e ia te tinana i mua i te wā kia kitea ai he wai i roto i ō pūkahukahu. Ka whakarongo ia ki tō ngākau me ō pūkahukahu mā te whakamahi i tētahi stethoscope. Ka tirohia e ia ngā mea e whai ake nei:

• Te pikinga, te hekenga rānei o te tere o te manawa, o te toto toto rānei.
• Te pikinga ake o te tere manawa.
• Ngā oro ngākau rerekē.
• He tangi pakū, he wheezing rānei i roto i ngā pukahukahu.
• Te pupuhi i roto i te tinana.
• Te hurihanga o te kiri ki te hina, ki te kikorangi rānei.

He aha ngā whakamātautau tātaritanga?

Ki te whakapae tō tākuta he wai kei roto i ō pukahukahu, ka tonoa e rātou ētahi atu whakamātautau. Kei roto i ēnei ko:

• Te Tatau Toto Katoa (CBC).
• Ngā matū toto.
• Whakamātautau pulse oximetry hei tirotiro i ngā taumata hāora i roto i te toto.
• He hihi-X o te uma hei tirotiro mēnā he wai kei roto i ngā pukahukahu.
• Ka mahia he echocardiogram, he ultrasound o te ngākau, hei tirotiro mō tetahi mahi rerekē o te ngākau.
• He Electrocardiogram (EKG) hei tirotiro mō ngā raruraru manawataki o te ngakau, mō te mate ngakau rānei.
• He whakamātautau e kiia nei ko te catheterization cardiac hei tirotiro mō ngā aukati i roto i ngā uaua coronary o te ngakau.

Me pēhea te rongoā i te edema pūkahukahu?

He mate kino te pupuhi pūkahukahu . Mēnā ka pāngia koe e tēnei mate i te wā ohorere (tino tere),Me tere tonu te maimoatanga. Tērā pea me rongoatia koe ki te Wāhanga Maimoatanga Ohotata (ETU) me te Wāhanga Tiaki Kaha (ICU) rānei.

Anei ētahi kōwhiringa maimoatanga:

• Te whakarato hāora mā roto i ngā ngongo iti (ngā mātiti) e whakanohoia ana ki roto i te ihu.
• Te whakamahinga o ngā mīhini e pupuhi ana i te hau ki roto i ngā pukahukahu mā roto i te kopare e mau ana i te mata.
• Ko te whakamahinga o ngā mīhini manawa, ngā taputapu manawa rānei e pupuhi ana i te hau mā roto i tētahi ngongo kua whakaurua ki roto i te trachea.
• Ngā rongoā e whakanui ana i te mimi hei tango i te wai, ngā rongoā rānei e whakapakari ana i te ngākau.
• Mena ehara te pupuhi pūkahukahu i te pūtake o te ngoikore o te ngakau, ka tohua pea ētahi atu rongoā pēnei i te paturopi me te steroids.

Me pēhea te ārai i te edema pūkahukahu?

Mena kei te nui ake tō mōrearea ki te pupuhi pūkahukahu, he maha ngā mahi ka taea e koe te mahi hei tiaki i a koe anō.

• Mena he mate ngakau tōu, me tango e koe ō rongoā kia rite ki te mea i tohua e tō tākuta.
• Whiwhi werohanga auau.
• Me toro atu ki tō tākuta i ngā wā katoa, ina koa mēnā he uaua ki a koe te manawa.
• Kai i tētahi kai hauora, iti te tote.
• Kaua e momi hikareti.
• Kia mau tonu te taumaha hauora.
• Mena kei te whakamahere koe i ngā mahi ka pupuhi ai ō pūkahukahu, pērā i te hikoi, kōrero ki tō tākuta.

Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Ka taea e te whara pūkahukahu whakapeka te whakararu i te ora. Mena kei a koe ētahi o ēnei tohu, waea atu ki te 911, haere rānei ki te rūma whawhati tata tonu:

• Te uaua nui ki te manawa.
• Te āhua nei kei te whakamomori koe.
• Te poto o te manawa.
• Te maremare toto, te hūpē huka rānei e kakara ana ki te toto.
• He tangi whiowhio, he āhua uaua rānei ki te manawa.
• Te tere o te manawa o te ngakau.
• Te āhua o te kore okiokinga, te āwangawanga rānei.
• Te hurihanga o te kiri ki te kikorangi, ki te hina rānei.
• Te werawera nui.
• Pōuri, ngoikore rānei.

He mea nui: He mate hauora nui te Pupuhi Pūkahukahu. Mēnā ka pāngia koe e tēnei mate, me rapu wawe tonu koe i te maimoatanga. Ko te tūponotanga o te ora mai i tēnei mate ka whakawhirinaki ki te take o te mate, te kaha o te mate, me te tere o te rapu maimoatanga. Ko te wawe o te whiwhi maimoatanga, ko te pai ake o te tūponotanga o te ora.

Kia pēhea te roa o tēnei āhuatanga? Tērā pea ka mate ohorere?

Ko te roa o te oranga me tēnei mate ka whakawhirinaki ki te pūtake o te mate me te tere o te whiwhi maimoatanga. Mena he niumōnia nui tōu, me tere tonu te maimoatanga. I ngā wā tino kino, ka mate pea koe mena kāore e tere te rongoā. Nō reira, he mea tika te noho ki te hōhipera, inā koa i ngā wā ohorere.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Nā, ko tā tātou i kōrero ai i tēnei rā (Pūkahu Pukupuku)Ko tāku tumanako ia kua mārama ake koe inaianei ki te āhua e kīia nei ko te whakakī wai i ngā pukahukahu.

• He mate kino tēnei: ​​kaua e wareware noa. Rapua he tohutohu hauora ina kite koe i ngā tohu.
• He maha ngā take: ka pā mai pea tēnei mō ētahi atu take, ehara i te mate manawa anake.
• He mea tino nui te maimoatanga wawe: Ko te wawe o te whiwhi maimoatanga, ko te nui ake o te tūponotanga ka ora koe.
• Kia tūpato ki ngā tohumate: Kia tūpato ki ngā mea pēnei i te uaua ki te manawa, te mamae o te uma, me te maremare me te pahuka.
• Ngāna kia kaua e pērā: He mea tino nui te whai i tētahi momo noho hauora.

Mena he pātai anō āu mō tēnei, kaua e mangere ki te kōrero ki tō tākuta. Kia ora tonu koe!