Kei te mumura tō tinana? Me kōrero tātou mō te serositis!

Kei te mamae tō puku i ētahi wā, kei te mamae te uma, kei te pupuhi rānei i roto i tō tinana? Tērā pea he take kāore koe e whakaaro ana. I tēnei rā ka kōrero tātou mō tētahi mea pēnei. He mate e kiia nei ko te serositis .

He aha te Serositis?

He whakarāpopototanga noa iho, ko te serositis he mumura o ngā kiriuhi serous i roto i tō tinana. Tērā pea kei te whakaaro koe he aha ngā kiriuhi serous. Koinei ngā kiriuhi angiangi e whakarārangi ana i ngā kōhao i roto i ō tātou tinana, pērā i te kōhao puku, te kōhao uma, me te karapoti hoki i ō tātou whekau i roto i aua kōhao. He rite ki te putea kirihou, engari he angiangi ake, he motuhake ake. Nō reira, ki te mumura tētahi o ēnei kiriuhi serous, ka pā ki te kōhao katoa me ngā whekau i roto.

Whakaarohia, ki te pupuhi tēnei momo kiriuhi i roto i tō puku, ka mamae te puku, ka kore hoki e pai. Waihoki, ki te mea kei te kotahi noa te wāhi o te tinana e pāngia ana e tēnei mate serositis, tera pea nā te mate , te pukupuku rānei i taua wāhi. Heoi, ki te mea kei roto tēnei mumura i ētahi wāhi, he tohu pea tēnei mō tētahi mate pūnaha e pā ana ki te tinana katoa .

He rerekē ngā momo serositis?

Ae, ka taea te wehewehe i te serositis ki ētahi momo i runga i te wāhi e puta ai te mumura o ēnei kiriuhi serous. Kia titiro tātou he aha ēnei:

• Peritonitis: He mumura tēnei o te peritoneum , te kiriuhi e whakarārangi ana i tō kōhao puku . Ka mamae pea te puku me te pupuhi.
• Te Pāwera (Pleuritis): He mumura tēnei o te pleura, te kiriuhi e whakarārangi ana i te uma me te karapoti i ō pukahukahu . Ka mamae pea te uma me te uaua ki te manawa.
• Pericarditis: He mumura tēnei o te pericardium , te pēke kī tonu i te wai e karapoti ana i tō ngākau . Ka mamae pea te ngākau me te uaua ki te manawa.
• Polyserositis: He āhuatanga tēnei e mumura ai te neke atu i te kotahi te kiriuhi serous, te katoa rānei. He tohu tēnei mō tētahi āhuatanga hauora e pā ana ki te tinana katoa.

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He aha ngā tohu o te serositis?

Ko te mumura e pā ana ki te mamae me te pupuhi o ngā kiko.Nō reira, i runga i te momo serositis kei a koe, ka rerekē pea ēnei tohu. Ko ngā tohu noa ko:

• Mamae puku
• Te pupuhi o te puku
• Mamae o te uma
• Tachycardia - Ko te tikanga tēnei ka piki ake te tere o te manawa.
• Te poto o te manawa
• Te pupuhi (Edema) - inā koa ki ngā wāhi pēnei i ngā waewae.

Haunga ēnei tohu, tera pea ka pā mai ētahi atu tohu ki a koe i runga i te mate e puta ai te serositis, pērā i te kirika me te ngenge .

Whakaarohia, mō ētahi rā, kua pāngia a Nalini e te mamae nui o te puku, me te puku pupuhi paku. I mahara ia he mamae puku noa iho. I taua wā anō, kua ngenge ia, ā, he paku kirika tōna. Nō tana kitenga i te tākuta ka mōhio ia he peritonitis tōna. Arā, he momo serositis.

He aha ngā tino take o te serositis?

He maha ngā take matua mō tēnei āhuatanga:

• Ngā mate pāwera: Mena he serositis kei te kotahi anake te wāhi, ka puta mai i te mate kitakita , i te mate huaketo rānei. Hei tauira, ka horapa te mate pēnei i te appendicitis i roto i te puku, ka puta ai te peritonitis. Ka puta mai i te mate toto, i te mate kino atu rānei pēnei i te kohi toto, te mate pukupuku rānei, e pā ana ki te tinana katoa, te mate pukupuku rānei.
• Matepukupuku: Tērā tētahi momo matepukupuku e kiia nei ko te mesothelioma , e whanake ana i roto i ēnei kiriuhi serous. Hei tāpiri, ko ētahi atu momo matepukupuku e whanake ana i roto i te kōhao puku, i te kōhao uma rānei, ka taea hoki te mumura o ēnei kiriuhi serous. Ka taea hoki te whakaputa i te polyserositis e ngā matepukupuku e pā ana ki ngā wāhanga maha o te tinana, pērā i te matepukupuku toto.
• Ngā mate ārai mate: Ko ēnei ngā mate e whakaekea ai e tō tātou ake pūnaha ārai mate ō tātou ake kiko hauora. Ina pāngia e ēnei ngā kiko honohono, ka puta te mumura puta noa i te tinana. Hei tauira, ko ngā mate pēnei i te Lupus me te Rheumatoid Arthritis . Ka pāngia hoki e ēnei mate ngā kiriuhi serous, ka puta te polyserositis.

Haunga ēnei take matua, kei reira anō ētahi atu take kāore i te tino kitea. Hei tauira ko te ischemia , arā, he hekenga o te rere o te toto ki ngā kiko. I ētahi wā, kāore e kitea e ngā tākuta he take mō tēnei. I taua wā, ka kiia koKa kiia ko te serositis idiopathic.

He aha ngā raruraru ka pā mai i te serositis?

Ehara te serositis i te mea e ngāwari ana te wareware. Ka taea e ia te arahi ki ngā raruraru nui. Me titiro tātou ki ēnei:

• Te rerenga toto o te ngākau: Ka taea e te pericarditis te hanga wai i te taha o te ngākau. Mēnā ka hanga tēnei wai, ka taea te whakaputa i ngā āhuatanga morearea pērā i te ngoikore o te ngākau, te tamponade o te ngākau (te ngoikore o te pupuhi o te ngākau), me te ohorere cardiogenic (te ohorere i puta mai i te korenga o te ngākau ki te pupuhi toto tika).
• Te rerenga wai i roto i te pleural: Ka taea e te pleurisy te hanga wai i te taha o ngā pukahukahu. Ka uaua pea te manawa noa. Ki te roa te wā, ka puta he whara ki ngā pukahukahu, ā, ka arahi ki te mate e kiia nei ko te pulmonary fibrosis .
• Sepsis: Mena ka puta te serositis nā te mate i roto i te puku, i te uma rānei, he tino māmā te uru o te mate ki roto i te toto (septicemia). Mena ka horapa puta noa i te tinana, ka puta he mate tino kino, he mate morearea hoki e kiia nei ko te sepsis .

Nā ēnei mōrearea ka tino aro nui ngā tākuta ki te mate e kiia nei ko te serositis.

Kaua e manukanuka. He maha ngā wā ka taea te rongoā me te whakaora i te serositis me ōna pūtake. Ki te rongoā wawetia, he pai te nuinga o te wā. Mō te mate pukupuku, ka whakawhirinaki te āhua ki te momo, te wāhanga, me ētahi atu āhuatanga kāore e taea te matapae. Ahakoa kāore e taea te whakaora katoa i ngā mate pūnaha ārai mate, ka taea e te maimoatanga te whakaiti i te mumura e puta ai aua mate. I ētahi wā, ka memeha haere ngā tohu.

Me pēhea te tautuhi i te serositis?

Ina kite koe i tētahi tākuta, ka pātai tuatahi ia mō ō tohu me tō hītori hauora . Kātahi, ka tirotirohia e rātou te tinana . Muri iho, ka whakaritea e rātou ētahi whakamātautau hauora, pērā i ngā whakamātautau whakaahua (hei tauira, X-ray, CT scan, Ultrasound scan) me ngā whakamātautau toto . Ka hiahia te tākuta ki te kimi i te momo serositis kei a koe me te take matua . Mena ka kite koe i te pupuhi i roto i tō puku, i tō uma rānei, ka tangohia pea e rātou he tauira o te wai mai i te pupuhi ka whakamātautau. Ko te tango i te wai mai i te puku ka kiia he paracentesis , ā, ko te tango i te wai mai i te uma ka kiia he thoracentesis .

Me pēhea te rongoā i te serositis?

Ka taea e ngā tākuta te rongoā i ngā tohu o te serositis mā te whakamahi i ngā rongoā ārai-mumura , pērā i ngā NSAID (Nonsteroidal anti-inflammatory drugs) me ngā corticosteroids . Ka taea e ēnei te āwhina ki te whakaiti i te mumura me te mamae. Mena kei te whakararuraru, kei te whakararuraru rānei te wai i te hanganga, ka taea hoki e tō tākuta te tango i te wai.

Heoi, ehara i te mea ko te whakaora noa i ngā tohu te kaupapa matua a te tākuta. He mea nui ake te rongoā i te pūtake o tō serositis.

No reira, ko ngā tikanga maimoatanga ka taea te whai ake:

• Ngā rongoā paturopi , ngā rongoā ārai huaketo rānei mēnā he mate pāwera.
• Mēnā he mate pukupuku, ka tūtohutia pea te pokanga , te maimoatanga rānei mō ētahi atu mate pukupuku, i runga i te momo me te wāhanga o te mate.
• Mena he mate pūnaha ārai mate, me whai rongoā pēnei i ngā rongoā ārai mate e ārai ana i te mate , i ngā DMARD rānei (ngā rongoā ārai rūmātiki e whakarerekē ana i te mate) .

He aha ngā mea hei tumanako atu mā te serositis?

He mate kino te serositis. Pērā i ngā mate katoa e puta ai, ka kino pea. Ka taea e te serositis te kawe mai i ēnei mate, te tohu rānei kua tae rātou ki tētahi wāhanga hou, kino ake. He mate ohorere nui tetahi mate e pā ana ki te kiriuhi serous, nā te mea ka tere te horapa puta noa i te tinana, ā, ka noho hei mate pūnaha katoa. Ko tetahi mate rūmātiki e kino ana ki te puta he mate pēnei i te polyserositis ka noho hei mōrearea ki tō hauora whānui.

He maha ngā tikanga o te serositis. Mēnā kei te wāhi kotahi koe, ka hoatu e tō tākuta he ingoa motuhake ake: peritonitis, pericarditis, pleurisy rānei. Mēnā ka whakamahia e tō tākuta te kupu polyserositis , ko te tikanga he maha atu i te kotahi ēnei āu.

He mate kino pea te serositis, kāore pea koe i te mōhio. He wā whakamataku pea. Ahakoa te take, ka mahi tonu tō tākuta i ngā mahi hei rongoā. Nō reira, ko te mea nui ko te kaua e mataku, me te whai i ngā tohutohu a tō tākuta.

Ngā mea tino nui hei maumahara māu (Karere hei kawe ki te kāinga)

Āe, me whakarāpopoto e au ētahi o ngā kōrero nui kua kōrerohia e tātou mō te serositis:

• Ehara te serositis i te mea ngāwari: he mumura o ngā kiriuhi serous i roto i te tinana. Ka puta pea ngā tohu pēnei i te mamae o te puku me te uma, me te pupuhi.
• He maha ngā take: ko ngā mate pāwera, ko te mate pukupuku, ko ngā mate pūnaha ārai mate ngā mea matua. I ētahi wā, kāore e kitea he take.
• He mea nui te rongoā wawe: Ki te puta ngā tohu, me toro atu ki te tākuta tonu, nā te mea ka ara ake pea he raruraru nui.
• He mea nui kia rongoātia te mate pūtake: Mā te rongoā anake i te mate pūtake e puta ai te serositis ka taea te whakaora katoa.
• Kaua e mataku, engari kia tūpato: ahakoa he kino rawa tēnei mate, he maha ngā wā ka taea te rongoā me te whakaora. Ko te mea nui ko te rapu tohutohu hauora i te wā tika.

Ki te pā mai ēnei tohu ki a koe, me toro atu ki te tākuta, me te rapu tohutohu. Kaua e ngana ki te rongoā i a koe anō. Kia ora tonu ai, me tiaki tātou i ō tātou tinana, tika?