He uaua ki a koe te manawa? Me kōrero tātou mō te ngoikore o te manawa

Kei te ahua uaua koe ki te manawa i ētahi wā? Kāore rānei e taea e koe te manawa? Ehara i te mea pai kia wareware noa i ēnei mea. Nā te mea, he tohu pea tēnei mō tētahi mate kino e kiia nei ko te Manawa Korekore . I tēnei rā, ka kōrerohia tēnei i roto i tētahi huarahi māmā e mārama ai koe. He āhuatanga hauora pea tēnei, nō reira he mea nui kia mōhio koe ki tēnei.

Me pēhea tā tātou manawa? Ka aha mēnā kāore tēnei e mahi tika?

Whakaarohia, he rite te hāora ki te penehīni ki te motuka ki ō tātou tinana, he rite rānei ki te wahie e hiahiatia ana e tātou hei whakahaere i ō tātou oranga. Ina manawa tātou, ka uru tēnei hau utu nui e kiia nei ko te hāora ki roto i ō tātou pukahukahu. Hei whakamārama, ka uru tēnei hāora ki roto i ngā pēke hau iti i roto i ngā pukahukahu, e kiia nei ko ngā alveoli . He rite ki te pahi e tū ana ki te taunga pahi.

Mai i reira, ka "kawe" te toto i tēnei hāora ki ngā wāhanga katoa o te tinana, tae atu ki tō tātou roro, te ngākau, ngā uaua, me ētahi atu okana. Ki te kore tēnei hāora e tae ki aua wāhi, e kore e taea e ngā pūtau o tō tātou tinana te mahi, pērā i te motuka kāore he wahie.

Ināianei, i muri i te "tukunga" o te hāora ki aua wāhi, ka kohia e ngā pūtau toto te hauhā waro, he hau kāore e whai hua ki te tinana, he para hoki. He rite tēnei ki te kawe i ngā kai ki te toa me te whakahoki i ngā pouaka kau. Ki te kohia tēnei hauhā waro ki roto i te tinana, he raruraru anō hoki tēnā. Nā te mea kāore he wāhi nui mō te toto ki te kawe i te hāora hou. Nō reira, ka hoki mai tēnei hauhā waro ki ngā pukahukahu, ā, ka peia atu i te tinana ina puta te manawa. Koinā te wā ka whai wāhi tātou ki te tango anō i ētahi hāora hou.

Ki te hē tetahi wāhanga o tēnei tukanga katoa, kāore e nui te hāora e whiwhihia ana e ngā kiko o te tinana. Koinei te mea e kiia nei ko te ngoikore o te manawa .

He momo ngoikore o te manawa kei reira?

Ae, he maha ngā momo o tēnei mate, i runga i te āhua o tōna putanga mai me te pānga matua. I ētahi wā ka puta ohorere (whakamataku) , ā, i ētahi wā ka puta mārire haere i roto i te wā (mau tonu) . Ko ngā momo matua e rua ko:

1. Te ngoikore o te manawa - Momo 1

He whakarāpopototanga noa iho tēnei, he āhua tēnei e iti ana te taumata o te hāora i roto i tō toto ('hypoxemia') . Ka puta tēnei ina manawa koe engari kāore e nui te hāora e whiwhi ana i roto i tō toto. Ko te mate manawa me te mate pūkahukahu ngā tino take o tēnei. Ka kiia hoki e ētahi he ngoikore o te manawa.

2. Te ngoikore o te manawa hypercapnic - Momo 2

Koinei te wā ka piki ake te nui o te hauhā waro (CO2) i roto i tō toto.. Ina kore e taea e ō tātou tinana te tango tika i te hauhā waro, ka kohia he para e kiia nei ko te CO2 ki roto i te toto. Kātahi, e ai ki te kōrero i mua ake nei, kāore he wāhi mō te hāora i roto i te toto. Ka puta pea tēnei āhuatanga i ngā mate o te ngākau, ngā pukahukahu, ngā uaua, me te pūnaha io (te roro me te taurakira). Ka taea hoki e ētahi rongoā te whakaputa i tēnei.

He momo anō ēnei:

• Te ngoikore o te manawa i te wā o te pokanga (Momo 3): Ka puta pea tēnei i te wā o te pokanga. I ētahi wā ka uaua te manawa i te rongoā whakamoe e whakamahia ana i te wā o te pokanga. Waihoki, ka taea e ngā pēke hau i roto i ngā pukahukahu te hinga (atelectasis), ka kore ai e tae te hāora ki te toto.
• Te ngoikore o te manawa nā te ru (Momo 4): He āhuatanga kino te ru , ka heke ohorere te toto toto me ngā raruraru pēnei i te pupuhi pūkahukahu. Ka taea hoki e tēnei te whakararu i te manawa. Ka puta te ru i ngā mea pēnei i te sepsis ( he mate kino e horapa puta noa i te tinana), ngā whakaeke ngakau ohorere, me te toto nui.

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He aha ngā tohu o tēnei mate?

Ka rerekē pea ngā tohu o te ngoikore o te manawa i runga i te pūtake. Heoi anō, kei reira ētahi tohu noa:

• Te uaua ki te manawa , te poto rānei o te manawa (dyspnea).
• Te tere o te manawa (tachypnea).
• Te tino ngenge (te ngenge nui).
• Te āhua nei kei te tere te pao o tō ngākau , kei te rerekē rānei te pao o tō ngākau.
• Te maremare me te hūpē, te toto rānei (hemoptysis).
• Te werawera nui.
• Te kore okiokinga, te ohooho.
• Kiri mā.
• Te tae kikorangi o te kiri, o ngā ngutu, o ngā maikuku rānei (cyanosis) - He tohu nui tēnei o te korenga o te hāora.
• Te mamae o te upoko .
• Te tirohanga pōuri.
• Te manukanuka, te pōhēhē, te kore e taea te whakaaro mārama.
• Ngā huringa whanonga, kāore i rite ki te āhua o mua.

He mea nui: Ki te pā mai tētahi o ēnei tohu ki a koe, me rapu tohutohu hauora tonu atu , nā te mea he āhuatanga ohorere pea tēnei.

He aha ngā pūtake o te ngoikore o te manawa?

Hei whakarāpopototanga, ka puta tēnei āhuatanga ina whakararuraruhia te kaha o te tinana ki te tango hāora me te tuku hauhā waro mō tētahi take. Ko ngā mea ka pā ki tēnei ko:

• Te korenga o te rere o te hau , te heke rānei o te rere o te toto ki ngā pukahukahu.
• He ārai, he whara, he putunga wai rānei i roto i ngā pukahukahu.
• Te kore e taea te manawa tika, te manawa hōhonu rānei.Tērā pea ka puta tēnei i ngā mate e pā ana ki ngā pukahukahu, ngā raruraru ki ngā io, ki ngā uaua rānei e āwhina ana i a koe ki te manawa, ngā whara rānei ki te uma.
• Ngā āhuatanga rerekē o te rere o te toto i roto i te ngākau.

Ko wai kei te mōrearea nui ake? (Ngā āhuatanga mōrearea)

He nui ake te tūponotanga o ētahi tāngata ki te pāngia e te ngoikore o te manawa. Ko rātou ēnei:

• Ngā tāngata whai mate pūkahukahu: Hei tauira, ngā mate pēnei i te acute respiratory distress syndrome (ARDS) , te mate pūkahukahu aukati mau tonu (COPD) , te niumōnia , te huango , te cystic fibrosis , te pulmonary edema (te wai i roto i ngā pūkahukahu) , te pulmonary embolism (te toto totoka i roto i te ngongo pūkahukahu) , me te pulmonary fibrosis (te whara o ngā pūkahukahu) .
• Ngā tāngata whai mate manawa, mate pūnaha tohanga toto rānei: pērā i te mate manawa , te mate manawa whānau , te ngoikore o te manawa , me te ohorere .
• Ngā tāngata whai mate e pā ana ki ngā io me ngā uaua e āwhina ana ki te manawa: ngā āhuatanga pēnei i te mate uaua , te amyotrophic lateral sclerosis (ALS) , te scoliosis kino (te piko o te tuaiwi) , me te Guillain-Barré syndrome .
• Ngā whara ki te uma, ki te taurakira, ki te roro rānei (tae atu ki te whiu).
• Te momi hikareti, te pāngia rānei e ētahi atu mea whakapataritari i te pukahukahu: ngā paoa matū, te puehu, te parahanga o te hau (pērā i ngā tukunga nui o ngā waka i runga i ō tātou rori, ngā paoa wheketere, me te puehu mai i ngā papa hangahanga), me te asbestos.
• Ngā pokanga e hiahia ana ki te rongoā whakamoe.
• Te whakamahi i ngā raau taero, te inu nui rānei i te waipiro.
• Tau: Ko ngā pēpi hou (ina koa ko te hunga i whānau mai he iti te tipu) me ngā pakeke neke atu i te 65 tau te pakeke he nui ake te mōrearea.

Me pēhea te tautuhi a ngā tākuta i tēnei?

Ka tirohia e te tākuta te ngoikore o te manawa mā te tirotiro i te nui o te hāora me te hauhā waro i roto i ō toto . Ka tirohia hoki e rātou tō pēhanga toto, ā, ka whakamahia he taputapu iti e piri ana (e kiia nei ko te 'pulse oximeter', 'pulse ox' rānei) hei tirotiro i te taumata hāora i roto i ō toto. Ka whakarongo anō hoki rātou ki tō ngākau me ō pukahukahu, ā, ka tirotirohia koe. Mena kei te whakapaetia tēnei mate, tera pea ka mahia e rātou ētahi atu whakamātautau.

He aha aua whakamātautau?

• Te ine i te manawa o te manawa:Ko te tikanga o tēnei ko te whakatakoto i tētahi pūoko ki tō maihao hei ine i te nui o te hāora i roto i ō toto. He tikanga tēnei ina haere koe ki te tākuta.
• Whakamātautau Hau Toto Arteri (ABG): Ka tangohia he tauira toto iti mā te ngira mai i te ringaringa, te ringa o runga, te hope rānei, ā, ka inehia ngā taumata hāora me te hauhā waro. Ka taea e tēnei te whakarato i ngā mōhiohio tino tika.
• Ngā Whakamātautau Mahi a te Pūkahukahu (PFT): I tēnei whakamātautau, ka tonoa koe kia manawa ki roto, ki waho hoki mā te waha e hono ana ki tētahi mīhini. Ka taea e tēnei te tirotiro i te pai o te mahi a ō pūkahukahu.
• Ngā whakamātautau whakaahua: Ka tangohia e ngā hihi-X me ngā karapa CT ngā whakaahua o roto o te tinana. Ahakoa kāore e taea e ēnei te tautuhi tika i te ngoikore o te manawa, ka taea e rātou te āwhina ki te whakatau he aha te take.
• Te hiko o te manawa (EKG): Mā tēnei ka ine i te pai o te mahi a te ngākau. Mēnā ka whakaaro te tākuta he mate ngākau te take o te raruraru, ka tonoa e ia he EKG.

Me pēhea te rongoā mō tēnei?

Ko te maimoatanga mō te ngoikore o te manawa e whakawhirinaki ana ki tōna kaha me te pūtake . Ko ngā whāinga matua o te maimoatanga he rongoā i te pūtake, he hoatu i te nui ake o te hāora ki a koe, he whakamahi rānei i te mīhini manawa ('mīhini whakapūngao') kia taea rā anō e koe te manawa ko koe anake.

He āhuatanga ohorere te ngoikore o te manawa whakapeka, ā, me rongoā tonu. Heoi, ko te ngoikore o te manawa ngawari, roa (mau tonu) ka taea te rongoā i te kāinga mā te whakahaere i te mate taketake.

He aha ngā maimoatanga motuhake?

• Te whakapūngao hau ā-ringa: Ko te hono atu i a koe ki tētahi mīhini manawa me tētahi ngongo kua whakaurua ki roto i tō ara manawa, e hongi ana, e whakaputa ana hoki i te hau ki roto i ō pukahukahu.
• Te Whakaoraora i te Membrane Extracorporeal (ECMO): He maimoatanga uaua ake tēnei. Ko te whakamahi i tētahi mīhini karo hei tango i te toto mai i te tinana, tāpirihia he hāora ki roto, tangohia te hauhā waro, kātahi ka hoki anō ki te tinana.
• Te whakaora hāora: Ka tukuna he hāora tāpiri e te mīhini mā te kopare manawa, mā te ngongo iti rānei (cannula) e whakanohoia ana ki te ihu. Ka taea tēnei te mahi i te hōhipera, i te kāinga rānei.
• Wai: Ka hoatu ngā wai mā roto i te uaua (IV - tika ki roto i te uaua). Ka pai ake te rere o te toto i roto i te tinana, ā, ka āwhina i te kawe i te hāora ki ngā kiko.
• Te rongoā i ngā āhuatanga hauora taketake: I runga i te pūtake o te ngoikore o te manawa, ka tūtohu pea te tākuta i ētahi atu rongoā, maimoatanga rānei.

He ara hei ārai i tēnei?

Kāore e taea te ārai i te ngoikore o te manawa i ngā wā katoa. Heoi, ka taea e koe te whakaiti i tō tupono ki te whakawhanake i te ngoikore o te manawa mau tonu mā te whakahaere i ngā mate o te ngākau, te pukahukahu, te pūnaha io rānei kei a koe. Mena he take mōrearea tōu mō tēnei mate, kōrero ki tō tākuta mō ngā huarahi hei whakaiti i tō tupono.

Ka taea te rongoā i te ngoikore o te manawa?

He mate tino kino tēnei. Ka ora te nuinga o te tangata i tēnei mate. Kei te pūtake o te mate, tōna kaha, me te tere o te rongoā.

Ahakoa he maha ngā take o te ngoikore o te manawa whakapeka ka taea te rongoā, ka mate pea mēnā kāore e tere te rongoā. Tata ki te hautoru o te hunga e noho ana ki te hōhipera nā te ngoikore o te manawa whakapeka ka mate. Ko te ngoikore o te manawa mau tonu ka puta mai i tētahi mate ka kino haere i te roanga o te wā.

Āhea ahau me toro atu ki te tākuta?

Mena he mate pūmau tōu e tūpono ai koe ki te ngoikore o te manawa, kōrero ki tō tākuta. Ka taea e ia te kōrero ki a koe he aha ngā tohu o te ngoikore o te manawa hei tūpato māu, me pēhea hoki te whakahaere i tō mate.

Āhea ahau me haere ki te Tari Whawhati Tata (ETU) ?

Ki te pāngia koe e ngā tohu o te ngoikore o te manawa, haere tonu ki te rūma whawhati tata, waea atu rānei ki te 911. Ka mate pea tēnei mēnā kāore e tere te rongoā.

He aha taku e pātai atu ai ki taku tākuta?

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

• He aha ngā kōwhiringa maimoatanga kei a au?
• He aha te take mō tēnei?
• Me pēhea taku whakamahi i aku rongoā?
• Me pēhea taku whakamahi i tēnei taputapu (hei tauira, he mīhini hāora)? Ka taea e koe te whakaatu mai me pēhea?
• Āhea ahau e tumanako ai kia ora?
• Āhea ahau me haere mai anō kia kite i a koe?

Karere Tangohia ki te Kāinga

He mate kino te ngoikore o te manawa, ā, he mate pea i ētahi wā. Ki te whakaaro koe kei te pāngia koe e te ngoikore o te manawa, waea atu ki te 911 tonu, rapua rānei he awhina hauora ohorere. Mena kei te pāngia koe e te ngoikore o te manawa mau tonu, ki te mea rānei kei a koe ngā mate e whakanui ake ana i tō tupono ki te pāngia, kōrero ki tō tākuta mō te maimoatanga tika. Ka taea e ia te whakamārama i ō whiringa maimoatanga me ngā mea hei tumanakohia i runga i tō mate. Kia tiakina tō manawa, nā te mea ko tō oranga tēnei!

Te korenga o te manawa, te uaua ki te manawa, te hāora, te hauhā waro, ngā pukahukahu, te tiaki ohorere, te mate urutā (ARDS), te COPD