He uaua ki a koe te manawa ina piki koe i te arawhata, ina hikoi tere, ina mahi rānei i ngā mahi o te whare? Kei te pēhia tō uma, ā, kei te poto tō manawa? Tērā pea ka whakaaro koe he mea noa ēnei mea ina noho koe me te mate pūkahukahu roa pēnei i te mate huango, te COPD rānei. Tērā pea ka taea e koe te whakaiti i ō mahi me te noho ki te kāinga. Engari he kaupapa motuhake kei reira hei āwhina i a koe ki te whakangawari i tō oranga, ki te whakangawari i tō manawa, me te kaha ake o te mahi. I tēnei rā kei te kōrero tātou mō tētahi maimoatanga kāore i te mōhiotia e te tini o te tangata, engari he tino whai hua, arā, ko te whakaora i ngā pūkahukahu.
He aha te Whakaoraora i te Pūkahukahu?
He kupu ngāwari noa iho, he kaupapa hauora motuhake tēnei i hangaia hei whakapai ake i te kounga o te oranga o te hunga e pāngia ana e te mate pūkahukahu mau tonu mā te whakahaere i ō rātou tohu. Ehara i te mea ko te whakakori tinana anake tēnei. He nui atu i tēnā. Ka huihui mai tētahi rōpū tohunga hauora, tae atu ki ngā tākuta, ngā kaiwhakaora tinana, me ngā kaiwhakaora manawa, ki te whakaako i a koe me pēhea te whakahaere i tō manawa i roto i te whakakori tinana, te mātauranga, me ngā mahi o ia rā, i whakaritea ki tō āhua me te taumata ka taea e koe te manawanui.
Whakaarohia pēnei. Kāore koe e hikoi nui ana nā te mea he poto tō manawa. Kātahi ka ngoikore haere ō waewae, ō ringa, tae atu ki ngā uaua e āwhina ana i a koe ki te manawa. Ina ngoikore ō uaua, ka ngenge koe ahakoa te mahi i ngā mahi iti, ā, ka uaua ake te manawa. He rite ki tētahi huringa. Ka arahi tētahi mea ki tētahi atu. Ka pakaruhia e te whakaora pūkahukahu tēnei huringa kino , ā, ka āwhina i a koe ki te tū pakari me te āta haere. Ahakoa kāore pea e tino rongoatia tō mate pūkahukahu, ka kitea e koe kua iti ake ō uaua manawa, kua nui ake te kaha o tō tinana, ā, kua māmā ake te oranga.
He aha ngā momo āhuatanga ka āwhinahia e tēnei maimoatanga?
He pai te whakaora i ngā pūkahukahu mō ētahi āhuatanga ka pā ki te mahi a ngā pūkahukahu mō te wā roa. Mena kei a koe tētahi o ngā āhuatanga kei runga i tēnei rārangi, he mea tika kia kōrerohia tēnei ki tō tākuta.
| Tūnga mate | He whakamārama māmā |
|---|---|
| COPD (Mate Pūkahukahu Ārai Mau) | He āhuatanga noa e uaua ai te manawa me te maremare. |
| Mate Pūkahukahu Interstitial (hei tauira, Sarcoidosis, Pulmonary Fibrosis) | Ngā mate e uaua ai te manawa nā te whakapakeketanga o te kiko o te pukahukahu. |
| Mate huango | Te uaua ki te manawa nā te pupuhi me te whaiti o ngā ara manawa. |
| Te Pūmua Pūmua | He mate ira e pā ana ki ngā pukahukahu nā te hanga a te tinana i te hūpē matotoru. |
| Te mate pūkahukahu | He āhuatanga e whānui haere ai ngā ara manawa, ka kohikohi ai te hūpē, ka piki ake ai te mōrearea o te mate. |
| Te toto toto tiketike o te pūkahukahu | Te toto toto tiketike i roto i ngā uaua toto e kawe ana i te toto ki ngā pukahukahu. |
| Matepukupuku Pūkahukahu | Hei whakahaere i te raruraru manawa i puta mai i te mate pukupuku me tōna maimoatanga. |
| I muri i te whakawhitinga pūkahukahu, i te pokanga rānei | Hei whakahoki mai i te kaha me te whakanui ake i te mahi a ngā pukahukahu i muri i te pokanga. |
He aha te mea e tino tupu ana i roto i tētahi kaupapa whakaora?
Ehara tēnei kaupapa i te mea mā te katoa. He mea whakarite motuhake māu, i runga i tō āhua, tō kaha tinana, me ō whāinga (hei tauira, "E hiahia ana ahau ki te tākaro me taku mokopuna" me "E hiahia ana ahau ki te haere ki te toa ko au anake"). Ka aromatawaihia koe i mua atu, i muri mai hoki i te kaupapa. Kei roto i tēnei ko te ine i ō tohu, ngā taumata hāora, me te nui o te whakakori tinana ka taea e koe te mahi.
He maha ngā wāhanga matua o te hōtaka:
1. Whakakorikori tinana
Koinei te wāhanga matua, te wāhanga tino hira hoki o te kaupapa. Kaua e manukanuka, ehara tēnei i te mea kāore e taea e koe te whakahaere. Ka mahia katoatia ēnei mea i raro i te tirotiro katoa a tētahi tohunga.
- E rua, e toru rānei ngā wā whakangungu tinana i te wiki.
- Tīmata ki ngā whakangungu poto, tino iti, kātahi ka whakanuia haeretia te wā me te nui o te whakangungu i a koe e kaha haere ana.
- Ka tirotirohia e rātou tō manawa me tō ngenge i a koe e whakakorikori tinana ana.
Ngā momo mahi whakakori tinana:
- Te whakamahana me te whakamatao: Te whakarite me te whakaora i te tinana i mua me muri i te korikori tinana.
- Whakangungu Ngāwari: Ngā mahi totoro hei whakanui ake i te ngāwari o ngā uaua.
- Whakangungu uaua manawa: Ngā mahi hei whakapakari i ngā uaua e āwhina ana i a koe ki te manawa. Tērā pea ko te tango manawa tere ki roto, ki waho hoki mā te whakamahi i tētahi taputapu iti e puritia ana e te ringa.
- Whakangungu manawanui: He whakakori tinana hei whakanui ake i te kaha o te ngākau me ngā pukahukahu. Hei tauira, ngā mahi pēnei i te eke pahikara, te hikoi rānei i runga i te mīhini oma.
- Whakangungu ātete: He whakakori tinana hei whakapakari i ngā uaua mā te whakamahi i ngā taumaha. Ka whakamahia ngā taumaha māmā me ngā whitiki ātete.
- NMES (Whakaoho hiko uaua-a-ringa): I ētahi wā, he tikanga hei whakapakari i ngā uaua mā te whakawhāiti i a rātou mā te whakamahi i tētahi iahiko hiko iti.
2. Mātauranga me te mōhiotanga (Mātauranga)
Pērā i te whakakori tinana, he mea nui anō hoki kia mōhio koe ki te noho tahi me tō āhua. I tēnei wāhanga, ka ako mātou i a koe mō:
- Me pēhea te whakahaere i te poto o te manawa me ētahi atu tohu?
- Ka whakamāramahia e rātou ngā rongoā kua tohua ki a koe, me pēhea te whakamahi tika, me ō rātou pānga taha.
- Mena kei te whakamahi koe i te hāora, ka akona koe ki te tirotiro i tōna taumata me te wā e hiahiatia ana te hāora.
- Me pēhea te ārai i ngā mura/whakahōhā me ngā mate pāwera? Me aha mēnā ka puta.
- Me pēhea te whakamahi tika i ngā taputapu hauora o te kāinga (hei tauira, te nebulizer).
3. Te whakangungu manawa anō
He wāhanga tino whai hua tēnei. Ka whakaakona ngā tikanga manawa motuhake ki konei hei āwhina i te whakahaere i te poto o te manawa i a koe e mahi ana i ngā mahi o ia rā, pērā i te piki arawhata.
- Ngā tikanga manawa whakahaere: Pērā i te `(manawa diaphragmatic)` (te manawa hōhonu mā te whakamahi i te diaphragm) me te `(manawa ngutu pursed)` (te manawa mārire, pērā i te pupuhi rama, me te katia o tō waha). Ka tino āwhina ēnei ki te whakaiti i te poto o te manawa.
- Ngā tikanga whakangā: Ngā huarahi hei whakaiti i te ahotea me te whakangā i te tinana.
- Ina pā mai te poto o te manawa, he tū hei āwhina i te whakaiti i taua uauatanga (hei tauira, "tūnga tūru-toru" - te piko whakamua me te whakatakoto i ō ringa ki runga i te tēpu).
4. Te whakaora tinana o te uma me te whakawātea i te manawa
Mena kei te puta he hūpē matotoru i roto i ō pukahukahu me tō ara manawa i roto i tō mate, he mea tino nui tēnei wāhanga māu. Anei ētahi huarahi ngāwari hei whakakore i te hūpē.
- Ngā tikanga maremare me te manawa: Te whakakore i te hūpē mā roto i ngā tikanga maremare motuhake pēnei i te `(Huff cough)`.
- Ngā taputapu PEP (pēhanga manawa pai): He taputapu iti ēnei e hanga ana i te ātete iti ina manawa koe ki waho, ka whakatuwhera i ō ara manawa, ā, ka māmā ake te tango i te hūpē.
- Ngā koti whakawātea ara manawa: He taputapu rite ki te koti e mau ana ki te tinana. Ka wiri tēnei, ka wetekina te huware i roto i te uma.
- Te whakaheke i te wai i roto i te tinana me te patupatu: He tikanga tango huware mā te noho i roto i ētahi tūranga, me te tono i tētahi atu tangata kia papaki mārire i te uma me te tuara.
5. Tautoko hauora hinengaro
Ka taea e te noho me te mate roa te whakararuraru i te hinengaro. Ka āwhina hoki tēnei kaupapa ki te whakahaere i te manukanuka, te pouri, me te ahotea. Ka uru atu pea ki roto ko te tohutohu, ngā rōpū tautoko, tae atu ki te rongoā mēnā e tika ana.
6. Kai Totika
He mea nui te kai tika hei pupuri i te kaha o tō tinana me te hanga uaua. Mā te tohunga kai e tohutohu ngā kai e tika ana mō tō āhua, me kai pūmua anō hoki, me kai iti i ngā wā maha i te rā, kaua e kai nui i te wā kotahi.
He aha ngā painga o tēnei kaupapa?
He tino mīharo ngā hua o te whai wāhi atu ki tēnei kaupapa. Ka taea e ia te hanga i tētahi rerekētanga nui i roto i tō koiora.
Ko ngā painga matua e kitea ana i roto i te hunga kua oti te whakaora i ngā pūkahukahu ko:
- He tino hekenga o ngā tohu pēnei i te poto o te manawa me te mare.
- Te whakaiti i te hiahia mō ngā whakaurunga hōhipera anō.
- Te whakaiti i te maha o ngā whakaekenga.
- He tino pai te kounga o te oranga. Ehara i te mea uaua ngā mahi pēnei i te mahi whare, te haere ki te māra ki te kohi putiputi, te haere rānei i tētahi haerenga poto, engari he ngāwari noa iho te mahi.
- Te kaha ake ki te korikori tinana me te hikoi.
- Te hauora hinengaro kua pai ake. Te whakaiti i te manukanuka me te wehi.
- Ka whakaiti i te ngenge o te tinana, ka nui ake te kaha.
Me pēhea te whakamahi i te hōtaka hei painga nui?
Mā ēnei tohutohu koe e āwhina ki te whakamahi i tēnei kaupapa kia tino whai hua ai koe:
- Kōrero pono ki tō tākuta me ngā kaiwhakaora hinengaro.Ki te uaua tētahi mahi whakakori tinana, ki te ngenge koe, me kī atu. Kōrero ki a rātou mō ō tumanako me ō whāinga.
- Haere mai ki ia wāhanga ako. Ki te kore koe e whakaoti i te kaupapa, tera pea ka heke ō hua.
- Whakaarohia ngā huarahi hei whakangāwari ake i te whakakori tinana. Me whakakori tinana pea i a koe e whakarongo ana ki te puoro, me mau he pā hau, me pātai atu rānei mēnā ka taea e koe te whakakori tinana i waho.
- Ahakoa kua mutu te kaupapa, me mahi tonu i ngā mea i akona ki te kāinga. Koinei te mea nui rawa atu. Ki te hiahia koe ki te pupuri i ngā hua kua tutuki i a koe, me waiho tēnei hei wāhanga o tō oranga.
- Me whakamōhio atu ki tō whānau me ō hoa. He puna kaha nui tō rātou tautoko mōu.
Hei whakamutunga, he uaua ki te whakaaro ki te whakakorikori tinana i a koe e uaua ana ki te manawa. Engari kua hangaia tēnei kaupapa hei āwhina i a koe kia kaha ake, kia haumaru hoki, i tō ake tere. Ehara i te mea he whakakorikori tinana noa iho, engari he huarahi pai ki te whakahaere anō i tō oranga, ki te mahi i tāu ake mahi me te kore e whakawhirinaki ki tētahi atu. Mena he mate pūkahukahu mau tonu tōu, pātai atu ki tō tākuta mō tēnei kaupapa whakaora pūkahukahu i tēnei rā.
Karere Tangohia ki te Kāinga
- He kaupapa haumaru te Whakaora Pūkahukahu, e tirotirohia ana e te rata, i hangaia mō te hunga e pāngia ana e te mate pūkahukahu mō te wā roa.
- Ahakoa kāore tēnei e whakaora katoa i te mate, ka whakaitihia te poto o te manawa, ka whakanui ake i te pūngao, ā, ka tino whakapai ake i te kounga o te oranga.
- Kāore tēnei e mutu noa i te whakakori tinana; kei roto hoki ko te mātauranga mō te mate, ngā tikanga manawa tika, te kai totika, me te tautoko hinengaro.
- Hei pupuri i ngā hua o te kaupapa mō te wā roa, he mea nui kia mau tonu ngā mea kua akohia e koe hei wāhanga o tōu ao ahakoa kua mutu te kaupapa.
- Mena he roa te wā e pāngia ana koe e te mate manawa, me kōrero koe ki tō tākuta kia kite ai mēnā he tika tēnei tikanga maimoatanga māu.











💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero