He wā poto te manawa e pā mai ana ki a koe? He maremare rānei kāore e memeha? Tērā pea he pēhanga tō uma, he wheezing, he rite rānei ki tēnā. Mena he tohu pēnei āu, he tohu pea tēnei nō te raruraru o ō pūkahukahu. Koinā te wā e hiahia ana mātou ki te toro atu ki tētahi tākuta e tohunga ana ki ngā mate pūkahukahu, arā, he "Pūkahu Matū".
Ko wai tēnei tākuta manawa?
He māmā noa iho, he tākuta te "Takuta Pūkahukahu" e tohunga ana ki ngā mate e pā ana ki ngā pūkahukahu. Hei whakamārama, he mārama pai tōna ki ngā mate e pā ana ki tō tātou "Pūnaha Manawa" - arā, ko ngā ara manawa (trachea, bronchi), ngā pēke hau iti i roto i ngā pūkahukahu "Alveoli", me ngā oko toto e pā ana ki aua mate.
Kua rongo pea koe i ētahi tāngata e karanga ana i ēnei tākuta he "tākuta pūkahukahu," he "tākuta manawa," he "tākuta uma" rānei. Heoi, ko ēnei ingoa katoa e pā ana ki te tohunga kotahi.
He aha te mahi a te tākuta mate pūkahukahu?
Ko te mahi matua a te tākuta manawa he tātaritanga tika me te rongoā i ngā mate o te pūnaha manawa. Heoi, he whānui rawa atu hoki tēnei mara. Nō reira, ko ētahi tākuta manawa he tohunga ki ētahi atu mara iti.
Hei tauira:
- Manaaki Tino Pai: Ka whiwhi ētahi tākuta i te whakangungu motuhake hei rongoā i ngā tūroro he tino kino ngā raruraru manawa.
- Hua mate huango: Kei reira ētahi kua ako anō mō ngā tikanga maimoatanga motuhake mō ngā tūroro huango.
- Rongoā Moe: Kua rongo pea koe i te tangata e ngongoro ana, e whakamomori ana i te wā e moe ana . He tākuta kei reira e tohunga ana ki te rongoā i ngā mate pēnei i te "Sleep Apnea".
- Ngā Tākuta Pūkahukahu Tamariki: Ina koa, ko ngā tākuta e tohunga ana ki ngā mate pūkahukahu i roto i ngā tamariki kei raro iho i te 18 tau te pakeke.
- Ngā Tākuta Pūkahukahu Kaumātua: Ngā tākuta e aro nui ana ki ngā mate pūkahukahu o te hunga kaumātua, neke atu i te 65 tau te pakeke.
He aha ngā mate e rongoatia ana e ngā tākuta mate pūkahukahu?
He maha ngā mate me ngā āhuatanga manawa e rongoatia ana e ngā tākuta manawa. Me titiro tātou ki ētahi o ngā mea matua:
- Te mate pāwera
- Te Aspergillosis
- Mate huango
- Te mate pūkahukahu
- Te mate pūkahukahu - He mate roa hoki tēnei e hiahia ana kia tukuna atu ki tētahi tohunga.
- Te Mate Beryllium Mau tonu (Berylliosis)
- Te Mate Pūkahukahu Ārai Mau Tonu (COPD): He mea tino noa tēnei i waenga i ngā kaipaipa nui.
- Te Pneumoconiosis a ngā Kaimahi Waro - Te Mate Pūkahukahu Pango
- Te Pūmua Pūmua
- Te Emphysema - He wāhanga anō hoki tēnei o te COPD.
- Mate Pūkahukahu Interstitial
- Te mamae o te manawa nā te COVID mō te wā roa
- Matepukupuku Pūkahukahu
- Te toto toto tiketike o te pūkahukahu
- Te Sarcoidosis
- Te silicosis
- Te moe pōrearea
- Te mate kohi
Kāore tēnei rārangi i oti, engari koinei ētahi o ngā āhuatanga tino noa.
He aha koe me toro atu ai ki te tākuta mate pūkahukahu?
Mēnā kei te whakaaro koe he mate manawa tōu, ka tukuna koe e tō kaiwhakarato ratonga hauora tuatahi ki tētahi tohunga manawa, ā, me whakamātautau motuhake. Tērā pea ka tūtohu tō tākuta kia toro atu koe ki tētahi tohunga manawa mēnā kei a koe ētahi o ēnei tohu e whai ake nei:
- Maremare Mau tonu: Me tino āwangawanga koe mēnā ka roa ake i te torutoru wiki te maremare.
- Te Pōrearea o te Manawa: Ahakoa he mea noa te poto o te manawa i te wā e whakapau kaha ana, ka taea te kino mena ka uaua ki te manawa ahakoa kei te tū noa koe.
- Ngā whakaekenga huango kino (Ngā whakaekenga huango): Mena ka kore e taea te whakahaere i tō huango, ā, ka maha haere te pānga mai.
- Te mamae o te uma, te kikī rānei: He tohu pea tēnei nō te mate manawa, engari he raru anō hoki nō te pukahukahu.
- Ko te wheezing he tangi whiowhio e puta mai ana i te uma.
- Ngā tohu o te mate moe pōrearea: Hei tauira, te hiamoe nui i te awatea me te ngongoro nui.
Whakaarohia, kua pāngia tō hoa e te maremare mō ngā marama, ā, ahakoa te tango rongoā, te āhua nei kāore anō kia pai ake. Kua tukuna ia e tana tākuta whānau ki tētahi tākuta manawa. Koinā te wā e hiahiatia ana e mātou tēnei āwhina tohunga.
He aha te mea ka tupu ina kite koe i tētahi tākuta manawa mō te wā tuatahi?
Mena koinei tō haerenga tuatahi ki te kite i tētahi tākuta manawa, ka pātai tuatahi ia ki a koe mō tō hītori hauora, kātahi ka whakahaere i tētahi whakamātautau tinana. I tēnei wā, ka taea e koe te kōrero ki te tākuta mō ō take i toro atu ai koe me ō tohumate.
Whakaarohia, he tino pai mēnā ka taea e koe te whakarite i mua i tō haerenga ki te tākuta, pērā i a koe e ako ana mō tētahi whakamātautau. Anei ētahi mea ka taea e koe te tuhi:
Ngā mea ka taea e koe te whakarite i mua i te hui:
- Kia pēhea te roa o te pā mai o ngā tohu?
- Kua kite koe i ētahi mea e tino pā kino ana ki ō tohu ? (hei tauira, ētahi mate manawa,ahotea, ētahi huringa o te rangi).
- He āhuatanga kei reira e kino ake ai, e kino ake ai rānei ō tohumate ?
- He kai hikareti koe? He kai hikareti hiko koe? Kua mahi kē rānei koe i mua?
- Kei te pāngia koe e ngā mate pāwera, ngā mea whakapataritari rānei i ō pukahukahu nā roto i tō mahi, i ō hiahia, i tō taiao noho rānei ? (hei tauira, te auahi tuarua, ngā matū, ngā witi, ngā pāmu kararehe, ngā manu).
- He mate manawa tō tetahi o tō whānau?
- He pātai āu e hiahia ana koe ki te pātai ki te tākuta ? (He mea pai kia tuhia ēnei i mua i te wā, ki te kore ka wareware pea koe i ētahi wā.)
He aha pea ngā mea ka puta i te mutunga o te hui?
I muri i te arotake i ō tohu me te tirotiro i a koe, ka taea e tō tākuta te:
- He maha atu ngā whakamātautau ka tonoa.
- Ka whakarite i tētahi haerenga whai muri.
- E taunaki ana i ngā maimoatanga, e tohu ana rānei i ngā rongoā.
- Te tuku atu ki tētahi atu tohunga (hei tauira, mēnā e whakaarohia ana kei te pā tō raruraru ki te mate manawa).
He aha ngā whakamātautau e mahia ana e te tākuta mate pūkahukahu?
Tērā pea ka tonoa e te tākuta manawa he maha ngā whakamātautau hei āwhina i te tautuhi i tō mate me te whiriwhiri i te maimoatanga tino tika. Ko ētahi o ēnei ko:
- Ngā Whakamātautau Toto: Ka taea e ēnei te kite i ngā mea pēnei i ngā mate pāwera i roto i te tinana me ngā tohu o ētahi mate pūkahukahu.
- Ngā whakamātautau whakaahua pēnei i ngā hihi-X o te uma, ngā matawai CT rānei (Matawai Tomography Rorohiko): Ka taea e ēnei te tirotiro i te āhua o ngā pukahukahu, me te tirotiro mēnā he pukupuku, he rerekētanga rānei.
- Ngā Whakamātautau Mahi Pūkahukahu (PFT): He whakamātautau ēnei e ine ana i te pai o te mahi a ō pūkahukahu me te nui o te hau ka taea e koe te ngongo me te tango.
- Spirometry: He PFT anō hoki tēnei. Ka ine i te tere me te nui o te hau e manawahia ana e koe ki roto, ki waho hoki. He mea tino nui tēnei mō te tautuhi i ngā mate pēnei i te mate huango me te COPD.
- Pūkahukahu: He whakamātautau e tukuna ana he ngongo iti kei roto he kāmera mā roto i te puku o te manawa hei tirotiro i roto i ngā pukahukahu. Mēnā e tika ana, ka taea hoki te tango tauira kiko (koiora) me tēnei tikanga.
- Ngā Rangahau Moe: Ka mahia tēnei whakamātautau hei whakatau tika mēnā kei te kitea ngā āhuatanga pēnei i te Apnea Moe.
I ētahi wā, me mahi anō ēnei whakamātautau, me mahi rānei ētahi atu whakamātautau hei whakaū i ngā hua. Kaua e manukanuka ki tēnā, ko te mea nui ko te hoatu i te maimoatanga pai rawa atu ki a koe.
He aha te rerekētanga i waenga i te Tākuta Manawa me te Tākuta Pūkahukahu?
Ko te tikanga whānui, he tohunga kotahi ēnei tokorua. Arā, he 'Takuta Manawa'. Heoi, i ētahi wā ka kīia he 'Takuta Manawa', ka taea hoki te kī he 'Takuta Manawa', he 'Takuta Mate Pāwera', he 'Takuta Pokanga Uma' rānei. He hunga katoa ēnei e āwhina ana ki te whakahaere i ngā āhuatanga rerekē o ngā mate pūkahukahu me ngā mate manawa.
He aha te rerekētanga i waenga i te tohunga ngakau me te tohunga pūkahukahu?
Ko te rerekētanga kei roto i te mara o te tohungatanga. He tohunga te Tākuta Ngākau ki ngā mate o te ngākau me te pūnaha manawa. I tētahi atu ringa, he tohunga te Tākuta Ngākau ki ngā mate o ngā pukahukahu me te pūnaha manawa.
Engari whakaarohia, ko te ngākau me ngā pūkahukahu he okana e rua e mahi tahi ana. Nō reira, ki te mea he mate pēnei i te `(Pulmonary Hypertension)` (te toto toto pūkahukahu), me toro atu pea koe ki tētahi tohunga ngakau me tētahi tohunga pūkahukahu. Nā te mea i roto i tēnei āhua, ka pāngia te ngākau me ngā pūkahukahu.
Me pēhea koe e noho ai hei tohunga mate pūkahukahu?
Ehara i te mahi ngāwari te noho hei tohunga tākuta manawa. He maha ngā tau o te mātauranga me te whakangungu mahi e hiahiatia ana. Kia oti tō MBBS, me mahi koe i te whakangungu paerua i roto i te Rongoā ā-roto. Whai muri i tēnā, me mahi koe i te karahipi i roto i te Pūtaiao Manawa. Ka whakangungua hoki ētahi tāngata i roto i ētahi atu momo tohungatanga iti, pērā i te rongoā ohorere. He haerenga roa tēnei, ā, he nui te whakapau kaha e hiahiatia ana.
Hei whakamutunga, ko te mea tino nui!
He maha ngā wā kāore tātou e whakaaro ki te manawa, koia rā? Engari, ina pā mai he raruraru iti ki a tātou ka mōhio tātou ki tōna uara. Mena he maremare tonu tōu, ki te mea rānei kei te raru koe ki te manawa pērā i mua, ka pā nui ngā mate manawa ki te kounga o tō tātou oranga. I ētahi wā ka kino ēnei āhuatanga, ā, ka roa mō te wā katoa. Heoi, ka taea te whakahaere pai i ētahi āhuatanga mena ka tātaritatia me te rongoā tika.
Koinei te wāhi e uru mai ai te tākuta manawa. He whakangungu motuhake tā rātou hei mārama ki te mahi a tō pūnaha manawa me ngā take e puta ai ngā tohu pēnei i te maremare me te poto o te manawa. Ka taea e rātou te āwhina i a koe ki te whakahaere i ō mate mō te wā roa, me te whakangawari ake i tō oranga.
Ki te kore koe e tino mōhio me haere koe ki tētahi tākuta manawa, pātai atu ki tō tākuta whānau, ki tētahi atu kaiwhakarato hauora rānei e whakawhirinaki ana koe mō ngā tohutohu. Ka taea e rātou te tohutohu atu ki a koe he aha te mea tika kia mahia. Kia maumahara, he mea nui ngā manawa hauora mō te oranga hauora!
`Tākuta manawa, tohunga pūkahukahu, mate manawa, maremare, poto o te manawa, mate huango, COPD

💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment