Kei te uaua te manawa o tāu tamaiti? Me kōrero tātou mō te Mate Huarere Ārai (RAD)!

Kei te pāngia tetahi o tō whare, tāu tamaiti pea, koe anō rānei, e te maremare tonu e uaua ai te manawa, e ahua ana kei te kikī tō uma, ā, koinei te take o te wheezing? I ētahi wā ka kī pea te tākuta, "Koinei pea te 'Reactive Airway Disease', te 'RAD' rānei" ina kite rātou i ēnei tohu. Nō reira, tera pea koe e whakaaro ana, "Āe, he aha tēnei mate hou?" Kaua e manukanuka, i tēnei rā ka kōrero tātou mō te 'RAD', me pēhea te whanaketanga, he aha ngā tohu, me ngā maimoatanga, i roto i te huarahi māmā ka taea e koe te mārama.

He aha rawa te Mate Huarere Ārai Reactive (RAD)?

Ki te kī māmā noa iho, ehara te 'Reactive Airway Disease (RAD)' i te mate kua whakaūtia hei mate, kāore hoki i hoatu he ingoa motuhake. He ingoa rangitahi noa iho. Ka whakamahia tēnei kupu e ngā tākuta ina pāngia koe, tāu tamaiti rānei e ngā raruraru manawa rite ki te mate huango, engari kāore e kitea te tino take.

Whakaarohia, he iti ngā hanganga rite ki te ngongo o ō tātou pūkahukahu e uru ana te hau ki roto, ki waho hoki (e kiia ana ēnei he ngongo pūkahukahu), ā, ina pupuhi, ina whaiti aua ngongo, ka uaua te manawa. Koinei te mea e tupu ana i roto i te RAD.

He mea nui kia mōhiotia ko te 'Reactive Airway Disease (RAD)' me te 'Reactive Airways Dysfunction Syndrome (RADS)' he mate rerekē e rua. Ahakoa he rite ngā ingoa, kaua e whakapoauautia ēnei mate e rua. Ko te 'RADS' he mate e puta ana i muri i te pānga ohorere, teitei ki te hau paitini.

Nō reira, ina kī te tākuta he `RAD`, ko tōna tikanga, "Āe, he hapa kei roto i tō pūnaha manawa, ā, me mahi mātou i ētahi atu whakamātautau kia kitea ai he aha rawa." I ētahi wā ka rongo koe i ngā tākuta e whakamahi ana i ngā kupu `RAD` me te `Asthma`, engari kāore i te rite te tikanga. He ingoa rangitahi noa te `RAD` e whakamahia ana kia tae rā anō ki te wā e kitea ai he mate tino tika.

He aha ngā tohu o te RAD? He aha ōu kare ā-roto?

Tērā pea ka pāngia te tangata whai RAD e ngā tohu pēnei i:

• Maremare tonu: Tērā pea ka haere tahi tēnei mare me te huware.
• Te poto o te manawa, te uaua rānei ki te manawa (dyspnea): He āhua kāore e taea te manawa, me te mahi nui hoki kia puta ai he manawa.
• Wheezing: He tangi "whooshing" he "whooshing" rānei e puta mai ana i te uma i te wā e manawa ana.
• Te kikī o te uma: He kare ā-roto e taumaha ana, me te mea kei te pēhi tetahi i tō uma.

Ka tino whakararuraru pea ēnei tohu i a koe. Ko ngā tohu matua ko te kikī o te uma me te uaua ki te manawa.

He aha ngā mea e whakaoho ana i te RAD?

He maha ngā take e uaua ai te manawa o ngā tākuta, e kiia nei ko te `RAD' mō tētahi wā poto. Ko ētahi o ēnei ko:

• Mate pāwera:He mate pāwera ki ngā mea pēnei i te puehu, te hae, ētahi kai, me te huruhuru kararehe. Whakaarohia, ka mākūkū ētahi tamariki ina hongi puehu, ina whakatata atu rānei ki tētahi ngeru, tika? Koinā te āhua.
• Ngā mate huakita, ngā mate huaketo rānei: Ka pupuhi pea ngā ara manawa i ngā mate pēnei i te rewharewha, te makariri, me te niumōnia.
• Ngā kohu matū, ngā hinu kakara, ngā kohu rānei: Ngā mea pēnei i ētahi hinu kakara kaha, ngā kohu patu pepeke, me ngā kohu mai i ngā wai horoi.
• Auahi: Ngā momo auahi katoa, pērā i te auahi hikareti, te auahi oumu rakau, me te auahi waka.
• Whakakorikori Tinana: Tērā pea ka pāngia ētahi tāngata e te poto o te manawa i te wā e whakakorikori tinana ana.
• Ngā huringa o te rangi: Te pāngia ohorere e ngā hau makariri, te wera nui, te noho i roto i te taiao makuku, ngā huringa ohorere o te rangi.

Koinei ngā mea e tino whai wāhi ana ki ngā tohu o te RAD.

Kia pēhea te roa o te RAD? Ka ora katoa?

He uaua ki te kī pono i tēnei. Ko te take he ingoa rangitahi noa iho te 'RAD', ā, ko te roa o te ora ka whakawhirinaki ki te mate pūtake. Kia kitea e te tākuta te pūtake tuturu o ō tohu, ā, kia tohua hoki te rongoā tika, ka kī atu rātou ki a koe kia pēhea te roa ka pai ake ai tō āhua.

Ko wai te hunga e tino pāngia ana e tēnei āhuatanga RAD?

Ina hoki, ka taea e te tākuta te waea atu ki te tangata e uaua ana ki te manawa, engari kāore i te mārama te take. Heoi, he maha ngā wā ka whakamahia tēnei kupu mō ngā pēpi me ngā tamariki nohinohi he iti rawa ki te whakamātautau i te mahi a te pukahukahu. Nā te mea me mārama te tamaiti me te tautoko kia taea ai e ia te mahi i ēnei whakamātautau. Nā te mea he uaua ki ngā pēpi nohinohi te mahi i tēnei, ka karangatia tēnei e ngā tākuta mō tētahi wā ko te 'RAD' i runga i ngā tohu.

Me pēhea te tātaritanga o te RAD?

Mena kei te uaua koe, tāu tamaiti rānei ki te manawa, ki te mea rānei kei te maremare tonu koe, kia kite i te tākuta. Ka pātai atu te tākuta ki a koe mō ō tohu me tō hītori hauora, pēnei i te mea he hītori mate huango tō tētahi o tō whānau.

Kātahi ka tirohia koe e te tākuta. Ina koa, ka whakarongo ia ki ō pukahukahu mā te whakamahi i te stethoscope (auscultation). Mā tēnei ka taea e te tākuta te mōhio ki ngā oro e rangona ana i roto i ngā pukahukahu, me te mōhio mēnā he ārai kei te puta mai i te hau. Whai muri i tēnei whakamātautau tuatahi, ka tūtohu te tākuta i ētahi atu whakamātautau hei whakaū i te mate.

He aha ngā whakamātautau mō tēnei?

Hei kimi i te tino take o te poto o te manawa, ka whakahaerehia pea e te tākuta ētahi whakamātautau, pēnei i:

• Spirometry: Koinei te whakamātautau mahi a ngā pukahukahu e tino kitea ana. Ka ine i te nui o te hau ka taea e koe te manawa ki roto, ki waho hoki i te tere. Ka āwhina i te whakatau mēnā he aukati kei roto i ō ara manawa.
• Ngā whakamātautau whakaahua:He whakamātautau kore mamae ēnei. Ka āwhina i te tirotiro i roto i ō pukahukahu, ngākau, me ō wheua.
• X-ray o te uma: Hei tirotiro mō ngā mate pūkahukahu me ētahi atu raruraru.
• Echocardiogram (echo): Ka tirohia te mahi a te ngākau. Tērā pea ka puta te poto o te manawa i te mate ngākau.
• Matawai CT (Matawai Tomography Rorohiko): Tikina he whakaahua mārama ake, taipitopito ake hoki o ngā pukahukahu me te uma.
• Ngā whakamātautau toto: Ka tangohia he toto iti mai i tētahi ngira iti, ka whakamātautauhia hei tirotiro mēnā he mate pāwera, he mate pāwera, he tohu mumura rānei kei roto i te tinana.
• Whakamātautau wero kiri: Ka mahia tēnei whakamātautau hei kimi mēnā he mate pāwera koe ki tētahi mea. Ka pania he iti noa o ngā momo mate pāwera ki tētahi wāhi iti o te kiri, ā, ka whakamātauria te kiri mō tētahi tauhohenga.
• ECG (ECG, EKG rānei - Electrocardiogram): Mā tēnei ka whakamātautau i te ngohe hiko o tō ngākau. Ka āwhina tēnei ki te whakakore i te mate ngākau hei take o tō poto o te manawa.
• Pūnaha oximetry: He taputapu iti tēnei, he rite ki te topenga, ka whakatakotoria ki tō maihao. Ka ine i te taumata o te hāora i roto i tō toto.
• Whakamātautau whakakori tinana: Ka tirohia tēnei mēnā ka heke te taumata hāora o roto i tō toto ina whakakori tinana koe.

Ka mahia ēnei whakamātautau katoa hei kimi i te tino pūtake o ō tohumate.

Me pēhea te rongoā mō te RAD?

Nā te mea he tapanga rangitahi te `RAD`, ka rongoatia i runga i te mate pūtake. Ko te tikanga me whakatau tuatahi tō tākuta mēnā ko te huango, he mate pāwera, he mate kē atu rānei te take o ō uauatanga manawa.

Heoi, i roto i tētahi āhuatanga ohorere, arā, mēnā ka tino uaua te manawa, ka whakamahia pea e ngā tākuta ngā maimoatanga pēnei i ēnei:

• Ngā rongoā whakawhanui i te manawa: Koinei ngā mea e kīia ana e mātou he inhaler. Mā te mahi a ēnei rongoā ka whānui ake ngā ara manawa kua whaiti, ka māmā ake te manawa. He mea noa ēnei hei whakamahi mā ngā mate pēnei i te mate huango me te COPD (Mate Pūkahukahu Ārai Mau).
• Whakaora hāora: Ka āwhina tēnei ki te whakarato i te nui o te hāora e tika ana ki te tinana ina uaua te manawa.
• Werohanga Epinephrine: Ka hoatu tēnei mēnā ka pāngia koe e te mate pāwera nui (anaphylaxis) me te whakaekenga huango kino rānei.
• Corticosteroids: Ka whakaitihia e ēnei rongoā te mumura o ngā pukahukahu. Ka whakamahia hei rongoā i te mate huango, te COPD, me ngā mate pāwera kino.

Ka āwhina a Albuterol ki te RAD?

He momo rongoā whakawhanui i te manawa hoki te Albuterol. He rongoā e whakawhanui ana i ngā ara manawa. E whakamahia ana hei rongoā i te mate huango, te COPD, me te bronchospasm i puta mai i te whakakori tinana. Heoi, ki te mea he take kē atu te take o te RAD, kāore e taea e tēnei anake te whakaora. He mea nui kia kitea te take tuturu me te rongoā.

Ka taea te ārai i te RAD?

Ka taea e koe te mahi i ēnei mea hei whakaiti i tō tupono ki te whakawhanake i ngā tohu RAD:

• Me noho tawhiti atu i ngā mate pāwera me ngā mea whakaoho e mōhiotia ana he kino ki a koe. Hei tauira, ki te mea he mate pāwera koe ki te puehu, noho ki ngā wāhi he iti ake te puehu, ā, kia pai te horoi i tō whare.
• Whakamahia ngā rongoā hei ārai i te pupuhi o te ara manawa (mēnā kua tohua e te tākuta) kia tika.
• Ki te mea he kaipaipa koe, kati rawa, ā, kaua e noho ki ngā wāhi e kaipaipa ana ētahi atu.
• Mena kei te mahi koe me ngā matū, mauria he kopare kanohi, he taputapu tiaki manawa rānei.

Mena kei a koe te RAD, he aha tāu e tumanako ai? He aha ngā mea ka puta ā muri ake nei?

Ki te kī mai te tākuta kei a koe te `RAD`, ko te tikanga kei te uaua koe ki te manawa, engari kāore anō kia mōhiotia te pūtake tuturu . Kaua e manukanuka. Ka tirohia koe e te tākuta, ka whakahaerehia ngā whakamātautau e tika ana, ā, ka ngana ki te kimi i te pūtake. Ko reira anake ka taea te tīmata i te maimoatanga tika.

I ētahi wā, ka tukuna pea koe e tō tākuta whānau ki tētahi tohunga pūkahukahu (pūkahukahu) .

Ko tō whakaoranga me te whakahaere i te mate e whakawhirinaki ana ki te tautuhi tika. Ka taea te whakaora katoa i ētahi mate. Ko ētahi (pēnei i te COPD) ka roa pea, ka haere tonu hoki.

Āhea koe me toro atu ki te tākuta? Āhea koe me haere ki te Tari Whakaora Mate (ETU) ?

Mena kei a koe ngā tohu o te RAD (mare, wheezing, kikī o te uma), ki te kore rānei ō tohu e pai ake ahakoa te maimoatanga, me toro atu ki te tākuta.

Heoi, i roto i tēnei āhuatanga, haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) tata rawa atu, waea atu rānei ki te 1990:

• Ki te mea kei te uaua koe ki te manawa (ahakoa ka titiro atu koe, ka kite koe he tino uaua ki te manawa).
• Mena kāore he whakaoranga ahakoa te whakamahinga o te rongoā mō ngā uauatanga manawa (hei tauira, te inhaler).
• Mena he iti te taumata hāora i roto i te toto (pēnei i te kikorangi o ngā ngutu me ngā maikuku).
• Mena kei te whakaatu koe i ngā tohu o te mate pāwera kino (anaphylaxis), ko te tikanga tēnei:
• Te uaua nui ki te manawa.
• Te hekenga ohorere o te toto toto.
• Te pupuhi o te ngutu.
• Te ngoikore ohorere.
• Te ngaronga o te māramatanga (syncope) te hemo rānei.
• Pōhēhē (kāore e mārama ki tāu e mahi ana, ki tō wāhi rānei).

I ngā wā pēnei, kaua e whakaroa. Rapua he tohutohu hauora tonu.

He aha ngā pātai me pātai atu e au ki te tākuta?

Ina haere koe ki te tākuta, ka taea e koe te pātai i ēnei pātai kia pai ake ai tō māramatanga ki tō āhua.

• He aha te take o taku mate 'Reactive Airway Disease'?
• He rongoā katoa kei te wātea mō tēnei mate?
• He aha taku e taea ai hei whakangawari ake i taku manawa?
• He aha ngā rongoā e taunaki ana koe?
• Me pēhea te whakamahi tika i tēnei rongoā? (hei tauira, mēnā he mea whakaoho, me pēhea te whakamahi tika).
• Me haere ahau ki te tākuta mate pūkahukahu?

He aha te rerekētanga i waenga i te RAD, te huango, me te COPD?

He ahua pōhēhē ēnei ingoa. Me whakamahara anō tātou ki a tātou anō:

• Mate Huarere Ārai (RAD): He ingoa rangitahi tēnei. Ko tōna tikanga he raru kei roto i te pūnaha manawa, engari kāore anō kia mōhiotia te tino take.
• Te mate huango: He mate motuhake tēnei. He mate mō te wā roa. Ka pupuhi, ka whaiti hoki ngā ara manawa. I ētahi wā, ka nui rawa te hūpē.
• COPD (Mate Pūkahukahu Ārai Mau): He ingoa anō tēnei mō tētahi rōpū mate motuhake. Kei roto ko ētahi mate roa e pā ana ki ngā pūkahukahu, e uaua ai te manawa, ā, ka kino haere i roto i te wā (hei tauira, te bronchitis mau tonu, te emphysema).

Nō reira, ka kī pea te tākuta i ngā tohu 'COPD' he 'RAD' i te tīmatanga, kia puta rā anō te tautuhi tika.

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

Tērā pea kua mārama koe inaianei ehara te 'Reactive Airway Disease (RAD)' i te tautuhi mate motuhake. Heoi, ehara i te mea he hē te whakamahi a te tākuta i tēnei kupu. Ko tōna tikanga kāore anō kia mōhiotia te pūtake o ō uauatanga manawa, ā, kāore e taea te hoatu he tautuhi mate tuturu kia oti rā anō ngā whakamātautau e tika ana .

Mena kei a koe, kei tāu tamaiti rānei tētahi o ēnei tohu, kaua e mataku, engari me toro atu ki te tākuta. Māna koe e tohutohu. Mena kāore e taea e tō tākuta whānau te tautuhi i te mate, tonoa kia tukuna koe ki tētahi tohunga pūkahukahu (Pulmonologist).

Ko te mea nui ko te whiwhi i te tautuhi tika me te tīmata i te maimoatanga tika. Kātahi ka taea e koe te ora wawe.

` Mate Huarere Ārai, RAD, uaua ki te manawa, mate manawa, huango, pukahukahu, hauora o ngā tamariki, mare, wheezing