He papaku rawa tō manawa? (Te Pouri Manawa/Te Hauātanga) - Me kōrero tāua mō tēnei!

Kua pāngia koe e te ahua uaua ki te manawa, ki te ahua poto rawa rānei tō manawa? Tērā pea i pōuri koe, i ngenge rānei. Ko tētahi take pea mō ēnei āhuatanga ko te hekenga o te manawa, e kiia nei e tātou i roto i te rongoā ko te (Respiratory Depression) ko te (Hypoventilation) rānei.

He aha te pōuri o te manawa?

Ki te whakarapopoto, ko te whakaheke manawa ( te kore e pai te manawa) he puhoi rawa tō tere manawa, he papaku rawa rānei tō manawa. Ina tupu tēnei, kāore e tika te whakawhiti hau i roto i ō pukahukahu. Whakaarohia, ina manawa tātou, ka haere te hāora i roto i te hau hou ki roto i te toto mā roto i ngā pēke hau iti (alveoli) i roto i ō tātou pukahukahu. Waihoki, ko te hauhā waro (CO2) , he para mō tō tātou tinana, ka hoki ki roto i ngā pukahukahu mai i te toto ka tukuna ki waho. Koinei te mea e kiia nei e tātou he whakawhiti hau .

Nā, mō te (Hypoventilation) , ko te mea ka tupu, nā te mea kāore koe e manawa tika ana, kāore te hauhā waro (CO2) e wehe atu i te tinana, ā, ka kohia ki roto i te toto. Ka kiia tēnei ko te (Hypercapnia) . Ehara i te mea koinā anake, i ētahi wā, kāore pea ngā pukahukahu e whiwhi i te nui o te hāora. Kātahi ka heke te taumata hāora i roto i te toto, e kiia nei ko te (Hypoxemia) . Kei te mārama koe?

He aha ngā tohu?

Ina ngoikore te manawa (hypoventilation) , ka pāngia pea koe e ngā tohu pēnei i:

• Whakapairuaki me te ruaki.
• Te mamae o te upoko.
• Te ngenge, te hiamoe , te ngoikore rānei i ngā wā katoa.
• Te pōhēhē, te rangirua , te panoni rānei o te āhua hinengaro.
• Ka piki ake te tere o te manawa.
• Pōuriuri.
• He puhoi, he papaku, he uaua rānei te manawa.
• Te tae kikorangi o te kiri, o ngā ngutu, o ngā maikuku rānei (cyanosis) . He tohu kino rawa atu tēnei.

He aha te take o tēnei?

Ko ngā tino take o te poto o te manawa ko te whakamahinga hē o ētahi rongoā, te nui rawa o te horopeta , te uruparenga ohorere rānei ki ētahi waipiro, ki ētahi tarukino rānei. Whakaarohia ēnei mea:

• Opioids: Ka kiia hoki ēnei he narcotics . Ko ētahi tauira ko te morphine , tramadol, oxycodone (OxyContin®) , me te fentanyl . Ka whakamahia kinotia ēnei raau taero e ētahi tāngata.
• Ngā rongoā Benzodiazepine:He rongoā whakamoe me ngā pire moe ēnei. Ko ētahi tauira ko te lorazepam (Ativan®) , te alprazolam (Xanax®) , me te diazepam (Valium®) .
• Barbiturates: Ka hoatuhia ēnei rongoā i ētahi wā mō ngā haurangi , ngā migraines rānei.
• Ngā raau taero ture kore: Ngā mea pēnei i te heroin me te gamma hydroxybutyrate (GHB) .
• Ngā pire moe: Ngā rongoā kua tohua e te tākuta pērā i te zolpidem (Ambien®) .
• Te rongoā whakamoe: Tērā pea ka puta mai i te rongoā i hoatu hei mea kia hiamoe ai koe i mua i te pokanga.

Haunga ēnei rongoā me ngā rongoā, ka taea hoki e ētahi atu mate me ngā āhuatanga te whakararu i te manawa :

• Momona: Ka kiia tēnei ko te Obesity Hypoventilation Syndrome (OHS) . Ko tōna tikanga ka uaua te manawa nā te momona.
• Ngā āhuatanga e whakararu ana i te manawa: Hei tauira, te mate pūkahukahu aukati mau tonu (COPD) me te apnea moe aukati .
• Ngā āhuatanga e whakaiti ana i te kaha manawa: Hei tauira , te whiu me te hypothyroidism .
• Ngā āhuatanga e pā ana ki te tuaiwi, ki ngā io, ki te whakahaere uaua rānei: Hei tauira, ko te ngoikore o te uaua , ngā mate io, te taurakira rānei, te sclerosis maha (MS) , me te sclerosis taha amyotrophic (ALS) .
• Ngā panonitanga o te āhua o te uma, o te tuaiwi rānei: Ngā āhuatanga pēnei i te scoliosis ( te piko o te tuaiwi), te ankylosing spondylitis, me te flail chest .
• Ngā paitini, te paihana rānei: Ngā mea pēnei i te tetanus , te paihana ciguatera, me te botulism .

He aha ngā mea ka whakanui ake i te mōrearea?

Ka piki ake pea te mōrearea o te poto o te manawa nā ēnei take e whai ake nei:

• Te whakamahi hē i ngā rongoā pērā i te opioids , te benzodiazepines rānei.
• Mena kua oti kē koe te pokanga (nā te rongoā whakamoe).
• Mena kei te pāngia ētahi mate o te pūkahukahu, te uaua, me te pūnaha io (te roro me te taurakira), e ai ki tā tātou i kōrero ai i runga ake nei.

He aha ngā raruraru ka pā mai i tēnei?

Te hauhā waro i roto i ō totoKi te tino teitei rawa ngā taumata o te CO2, ka pā mai he raruraru kino, tae atu ki te mate. Tirohia:

• Te waikawa o te manawa: Ko te tikanga he nui ake te waikawa o tō toto i tōna āhua e tika ana.
• Te ngoikore o te manawa: Koinei te wā kāore e nui te hāora e whiwhi ana i roto i ngā kiko o tō tinana.
• Te aukati o te manawa: Te aukati ohorere o te manawa.
• Koma.
• Te toto toto tiketike o te pūkahukahu: Te pikinga o te pēhanga i roto i ngā oko toto e hono ana ki ngā pūkahukahu.

Me pēhea te tautuhi i tēnei?

Hei tātaritanga i te pōuri o te manawa , ka pātai tuatahi te tākuta ki a koe mō ō tohu, tō hītori hauora, me ngā rongoā katoa e tangohia ana e koe. Kātahi ka tonoa pea e rātou he whakamātautau toto motuhake hei ine i te nui o te hauhā waro (CO2) i roto i ō toto. Tērā pea ka tonoa anō hoki e rātou ētahi atu whakamātautau hei rapu i te take o te ngoikore o te manawa .

He aha ngā momo whakamātautau e mahia ana?

Ka taea te whakahaere i ngā whakamātautau e whai ake nei hei kimi i te pūtake o te poto o te manawa:

• Whakamātautau Hau Toto o te Utere: Mā tēnei ka tirohia te nui o te hāora, te hauhā waro, me te waikawa i roto i te toto.
• Ngā Whakamātautau Mahi a ō Pūkahukahu: He whakamātautau ēnei e tirotiro ana i te pai o te mahi a ō pūkahukahu.
• Te Pūnaha Oximetry: He taputapu e ine ana i te nui o te hāora i roto i tō toto mā te tāpiri i tētahi topenga iti ki tō maihao. Kua kite pea koe i tēnei.
• Ngā Whakamātautau Toto: He maha atu anō ngā whakamātautau toto hei āwhina i te tautuhi i tēnei mate, i ōna pūtake rānei. Ko ētahi tauira ko te Tatau Toto Katoa (CBC) , te Papatohu Pūnaha Taketake (BMP) , te Matawai Toxicology (hei tirotiro i ngā matū pēnei i ngā rongoā), te whakamātautau toto Waro Hauhā (CO2) , me ngā Whakamātautau Mahi Tairoi .
• Whakaahua: Ka tonoa pea e te tākuta he hihi-X o tō uma, he matawai CT (matawai Tomography Rorohiko) o tō uma, o tō mahunga rānei, hei rapu i ētahi atu mate huna.
• Rangahau Moe / Polysomnography: Ka āwhina tēnei whakamātautau ki te kite i ngā āhuatanga pēnei i te apnea moe me te mate momona ngoikore .

Me pēhea te rongoā?

Ko te maimoatanga mō te poto o te manawa e whakawhirinaki ana ki te take me te kaha o te mate. Tērā pea ka tukuna atu e ngā kaiwhakarato hauora ngā maimoatanga pēnei i:

• Te Whakapūngao Hau Kore-Whakauru: Ko te whakamahi i tētahi mīhini hei āwhina i a koe ki te manawa mā roto i tētahi kopare e piri ana ki tō mata. Hei tauira, he mīhini Pēhanga Hau Pai Tonu (CPAP) he mīhini Pēhanga Hau Pai Bilevel (BiPAP®) rānei . Kua rongo pea koe i ēnei.
• Ngā Rongoā Whakaoho Manawa: I ētahi wā, mēnā he nui rawa te horopeta o te rongoā, he pānga taha rānei nō te rongoā, ka taea te hoatu rongoā whakahurihuri . Hei tauira, mēnā nā ngā opioid tēnei āhuatanga, ka taea te whakaiti i ngā pānga mā te hoatu i tētahi rongoā e kiia nei ko Naloxone/Narcan® .
• Whakaora Hāora: Ka taea te hoatu hāora mēnā e tika ana.
• Te Whakahauora Ā-Mīhini: Mena he tino kino te āhua, me whakamoe te tangata, me whakauru ki roto i te ngongo, ā, me whakamātau ki te manawa mā te mīhini.

He aha te momo āhuatanga ka taea te tumanako i ngā rā kei te heke mai? (Tirohanga)

Ko te matapae mō te poto o te manawa e whakawhirinaki ana ki te take. Ka mate pea te tangata i tētahi āhuatanga ohorere, pērā i te nui rawa o te opioid , ki te kore e tere te rongoā. Heoi, ki te mea nā te moe pōrearea, te mate moe pōrearea e pā ana ki te momona ( OHS ) te take o te mate, me ētahi atu āhuatanga roa rānei, me haere tonu te rongoā, ā, ka pai haere mārire.

Ka taea te ārai?

Ko te huarahi pai hei ārai i te manawa poto ko te tango i ō rongoā kia rite ki te whakahaunga me te whakahaere i ngā mate hauora e pā ana ki a koe. Me pātai atu ki tō tākuta, ki tō kaiwhakahaere rongoā rānei i mua i te tango i ngā rongoā e rua, neke atu rānei, inā koa ko ngā opioid me ngā benzodiazepine, e whakapōrearea ana i tō aro, e whakamoe ana rānei i a koe. Kia tūpato hoki ki ngā pānga kino ka puta mai ina tangohia ēnei rongoā me te waipiro.

"He hoa te rongoā mēnā ka whakamahia tika, engari he hoariri mēnā ka whakamahia hē."

Āhea ahau me toro atu ki te tākuta?

Kōrero ki tō tākuta i roto i ēnei āhuatanga:

• Mena he pātai, he ruarua rānei āu mō tētahi mate hauora kei a koe.
• Mena he pātai, he ruarua rānei āu mō tētahi rongoā kua tohua e te tākuta.
• Mena kei a koe ngā tohu o te poto o te manawa, ina koa mena kei a koe ētahi atu āhuatanga hauora e whakanui ake ana i tō mōrearea.

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

Mena kei a koe tētahi o ēnei tohu kino , haere tonu ki te rūma whawhati tata:

• Mena kei a koe ngā mate hopuhopu .
• Mena kua rerekē te āhua o te hinengaro, ā, kei te pōhēhē te hinengaro .
• Ki te tino hiamoe koe, kāore e taea e koe te ara tonu.
• Mena kei te pōhēhē koe mō te wāhi kei reira koe, me te wā hoki.
• Ki te pāngia koe e te wehi rerekē, te whakapae rānei (paranoia) .
• Mena ka kikorangi te kiri, ngā maikuku, ngā ngutu rānei.

He aha ngā pātai me pātai atu koe ki te tākuta?

He pai pea te pātai atu ki tō tākuta i ēnei pātai:

• "He aha i pā mai ai tēnei ki ahau?"
• "Me aha ahau kia kore ai e puta tēnei mea ā muri ake nei?"
• "He aha ngā kōwhiringa maimoatanga kei a au?"

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

He mate kino te pōuri o te manawa , e nui haere ana te hauhā waro (CO2) i roto i tō toto. Engari he maha ngā wā ka taea te ārai. Mena kei te tango koe i ngā rongoā ka pā te pōuri o te manawa, kōrero ki tō tākuta kia mōhio ai koe kei te tika, kei te haumaru hoki te tango. Mena he mate hauora anō tōu ka pā tēnei mate, pātai atu ki tō tākuta mō ngā mahi ka taea e koe te mahi hei whakaiti i tō mōrearea. Ka taea e ia te kōrero ki a koe mō ō āwangawanga me te waihanga i tētahi mahere hei whakahaere haumaru i tō mate me ō rongoā. Ko te tiaki i tō hauora te mea nui rawa atu.

Te pōuri o te manawa, te ngoikore o te manawa, te heke o te manawa, te hauhā waro, te hāora, te mate pūkahukahu, te whakamahi kino i ngā raau taero