Kei te kino haere tō mate huango, ā, kei te uaua ki te manawa? He mate huango tēnei?

He mate huango tōu? He mate huango rānei tō tētahi o tō whānau, tō hoa rānei? Kua rongo pea koe i ngā wā ka kino haere tō mate huango, ā, ka uaua ki a koe te manawa. Engari i ētahi wā, ka nui atu te kino o tēnei mate huango i tō whakaaro. Ko tēnei mate huango, he tino kino, kāore e taea te whakahaere mā te rongoā noa, ka kiia ko te Status Asthmaticus , ko te Acute Severe Asthma rānei.

He aha rawa te Status Asthmaticus?

Ki te kī māmā noa, ko te Status Asthmaticus te wāhanga tino kino, tino kino o te mate huango. Koinei te wā ka uaua haere tō manawa, ahakoa ngā rongoā mate huango e whakamahia ana e koe, pērā i te inhaler. Whakaarohia, kāore e taea e koe te kōrero, te kai rānei, ā, kāore e taea e koe te moe tika. Ka kino haere tēnei āhuatanga i roto i ētahi rā, ka kino haere rānei i roto i ētahi haora. Engari ko te mea pai rawa atu ko te taea e koe te ārai i tēnei āhuatanga kino mā te aro ki ō tauira manawa, te karo i ngā mea whakaoho, me te whai i tētahi mahere mate huango kua whakawhanakehia e koe me tō tākuta.

He mea nui: He āhuatanga ohorere tēnei momo whakaekenga huango kino, ā, ka mate koe. Mēnā he uaua rawa tō manawa, ā, kāore tō inhaler e āwhina, me waea atu koe ki te 911 tonu, me haere rānei ki te tari ohorere o te hōhipera tata.

He aha te rerekētanga i waenga i te mate huango noa me tēnei mea e kiia nei ko te status asthmaticus?

Inaianei kei te whakaaro pea koe, 'Nā, he aha ngā mate huango noa, me te mea e kiia nei ko te Status Asthmaticus?' Ae, koia tonu. Ko te mate huango, e mōhiotia ana e tātou, he mate pūkahukahu mau tonu . I roto i te tangata he mate huango, ka pupuhi, ka kī hoki ngā ara manawa i ngā mate pāwera pērā i te paoa, te puehu, te hae, te nui rawa rānei o te whakakori tinana. Koinei te mea ka tupu ina pāngia koe e te mate huango. I te nuinga o te wā, ka taea te whakahaere i tēnei mate huango mā te rongoā.

Heoi, he rerekē rawa atu, he kino rawa atu te mate o te Status Asthmaticus . Koinei te wā ka pāngia koe e te mate huango kino kāore e taea te whakahaere e ō rongoā huango o te kāinga. Ko te tikanga ka kino haere te mate, kāore e pai ake.

He aha ngā tohu o te Status Asthmaticus, te mate huango kino rānei?

Ka puta mārire ngā tohu o tēnei mate huango kino i roto i ētahi hāora, i ētahi rā rānei. Tirohia mēnā e mōhio ana koe ki ēnei tohu:

• Te uaua nui ki te manawa: Te uaua ki te manawa tika. I ētahi wā ka tino uaua, ā, kāore e taea e koe te kōrero, te kai rānei.
• Te wheehe: Ka rangona he tangi whiowhio i te uma ina manawa mai, ina manawa mai.
• Maremare: Tērā pea ka puta he maremare pumau, kāore e taea te aukati.
• Te tere o te manawa: Ka tino piki ake te manawa.
• Pōuriuri.
• Pōhēhē: Tērā pea ka rite koe ki te ngaro o te māramatanga, ā, kāore koe i te tino mārama ki te mea e tupu ana.
• He kikorangi ngā maihao, ngā ngutu, te kiri rānei: He tohu tino morearea tēnei. Ko tōna tikanga kāore te tinana e whiwhi ana i te nui o te hāora.

He aha te take e puta ai te Status Asthmaticus? He aha ngā take?

Ina pāngia koe e te mate huango, ka whaiti ō ara manawa, ō ara manawa rānei. Ka kiia tēnei e ngā tākuta he bronchospasm . Ka pupuhi hoki ēnei ara manawa. Ka kiia tēnei he mumura . Hei tāpiri, he nui te hūpē ka puta.

Ināianei, e whakapono ana ngā tohunga ehara i te mea ko te bronchospasm te tino take o ngā whakaekenga huango kino, kāore e taea te whakahaere, engari ko te mumura o ngā ara manawa me te nui rawa o te hanga hūpē. Ina koa, ko te wā e pupuhi ana, e āraia ana hoki ngā ara manawa e te hūpē, ka tino uaua te manawa.

He aha ngā mea e whakaoho ana i te pikinga ake o te status asthmaticus?

Ko ngā mea katoa ka taea te whakaoho i te mate huango noa ka taea hoki te whakaoho i tēnei mate kino e kiia nei ko te Status Asthmaticus. Me titiro tātou ki ētahi o ēnei mea e whakaoho noa ana:

• Ngā mate pāwera i te kāinga, i waho hoki: Ngā noke puehu, ngā huruhuru kararehe, te hae, te pokepokea ai, me ētahi atu.
• Ētahi atu mea whakapataritari: Auahi hikareti, hinu kakara, kakara kino o ngā matū, hau makariri.
• Te whakakori tinana: Tērā pea ka piki ake te mate huango o ētahi tāngata i te wā e whakakori tinana ana.
• Te ahotea kare ā-roto: Ka kino ake te mate huango ina tino pouri koe, ina mataku, ina manukanuka rānei.
• Ngā mate urutā: Ngā mate urutā manawa pērā i te makariri, te rewharewha, me te COVID-19.
• Ētahi rongoā: Hei tauira, ka taea e ētahi rongoā whakamamae mamae pērā i te aspirin me ētahi rongoā toto toto tiketike (beta-blockers) te whakararu i te mate huango i roto i ētahi tāngata.

Ko wai kei te mōrearea nui ake ki te pāngia e tēnei mate huango kino (Acute Severe Asthma)?

Tērā pea ka nui ake te tūponotanga ka pāngia koe e tētahi whakaekenga kakahu kino pēnei i ēnei mō ēnei take e whai ake nei:

• Mena kāore koe i te mōhio me pēhea te whakamahi tika i tō inhaler, mēnā rānei kei te hē tāu whakamahinga:He mea tino noa tēnei. Nā te mea he maha ngā mahi hei whai māu ina whakamahi ana i te inhaler. Ki te ngaro tetahi o aua mahi, ki te kore rānei e tika te wā o tō manawa, kāore te rongoā katoa e tae ki ō pukahukahu. Kātahi ka kore he hua e puta.
• Ki te kore koe, e ō tākuta rānei e aromatawai tika i te kaha o tō mate huango: Tērā pea ko te tikanga kāore koe e whiwhi ana i te rongoā tika, i te horopeta tika rānei.
• Mena kāore e taea e koe te tango i ō rongoā, kāore koe e hiahia, kāore rānei koe e mōhio ana āhea me tango hei ārai i ngā tohu kino: Kāore ētahi tāngata e pai ki te tango i ā rātou rongoā, kāore rānei e tango i te wā tika. Ahakoa i taua wā, he uaua pea te whakahaere i tō rātou mate huango.

He aha ngā raruraru ka pā mai i te Status Asthmaticus?

Ka taea e tēnei mate huango kino (Acute Severe Asthma) te whakararu i ngā raruraru nui. Tirohia:

• Te korenga o te hāora e whiwhi ana i roto i ngā kiko o tō tinana. He tino morearea tēnei.
• Te Mate Pōuri Manawa Whakapeka (ARDS): He āhuatanga e tino pakaru ai ngā pukahukahu, ā, ka tino uaua te manawa.
• Te ngoikore o te manawa: Ko te tikanga tēnei kāore e taea e ōu pukahukahu te manawa ko rātou anake. I tēnei wā, me hono pea koe ki tētahi mīhini manawa.

Me pehea te mohio ki te Status Asthmaticus, te mate huango kino ranei?

Ka tātaritatia e te tākuta te status asthmaticus mā te tirotiro i ō tohumate, te tirotiro i a koe, te pātai mō tō hītori hauora, me te mahi pea i ngā whakamātautau mahi a ngā pukahukahu (hei tauira, te spirometry).

Ko te mea nui ko te tīmata tonu o te maimoatanga a ngā tākuta hei whakahaere i tō manawa. I taua wā tonu, ka whakahaerehia pea e rātou he whakamātautau toto me he hihi-X o te uma hei tirotiro mō ētahi atu mate.

Me pēhea te rongoā mō tēnei?

Ka hoatu e te tākuta he hāora ki a koe, he rongoā hei whakaiti i te pupuhi i roto i ō pukahukahu, ā, ka whakatuwhera i ō ara manawa. I ētahi wā tino kino, me hono pea koe ki tētahi mīhini manawa kia taea rā anō e koe te manawa ko koe anake.

He aha ngā maimoatanga motuhake mō te Status Asthmaticus?

I runga i te kaha o tō mate, ka whakamahia pea e ngā tākuta ngā maimoatanga pēnei i:

• Hāora tāpiri: Ka tukuna te hāora mā te ngongo ihu, mā te kopare kanohi rānei.
• Ngā rongoā whakawhanui i te manawa:Ka tukuna ēnei mā te whakamahi i tētahi mea whakapūngao, i tētahi mea nebulizer rānei. Mā te whakawhanui i ngā ara manawa ka mahi. Hei tauira:
• Ngā kaiwhakaoho Beta-2: Salbutamol (e kiia ana ko Albuterol) ko Levalbuterol rānei.
• Ngā rongoā ārai-kōrini: Ipratropium bromide.
• Ngā corticosteroids ā-uaua (IV): Ka tere te whakaiti i te mumura o ngā ara manawa. Hei tauira: hydrocortisone, methylprednisolone rānei.
• Ngā rongoā whakawhanui i te manawa: Ka hoatu ētahi rongoā pēnei i te konupora whanariki.
• Adrenaline (Epinephrine): I ētahi wā ohorere, ka hoatu hei werohanga.
• Wai ā-uaua (wai ā-infus): Whakamahia hei ārai i te matewai me te hoatu rongoā.
• Hau hīriama e manawahia ana (Heliox): I ētahi wā motuhake, ka konatunatua ki te hāora hei whakangāwari i te manawa.
• Te whakaurunga o te ngongo me te whakapūngao manawa ā-ringa: Mena he tino kino te āhua, ka meinga kia ngaro te mōhio, ka whakauruhia he ngongo ki roto i te paipa o te manawa, ā, ka honoa te tūroro ki te whakapūngao manawa.
• Whakamarie: Mena kei te manukanuka te tūroro, ka hoatu he whakamarie i ētahi wā hei āwhina i a rātou ki te urutau ki te mīhini manawa.

He aha ngā mea ka taea e koe te tumanako mēnā ka pāngia koe e te status asthmaticus?

Ki te pāngia koe e te Status Asthmaticus, me noho koe ki te hōhipera kia pai ra ano te whakahaere i tō āhua. I ētahi wā tino kino, ka taea pea koe te whakawhiti ki te Wāhanga Tiaki Kaha (ICU).

Ina hoki koe ki te kāinga, ka tohua e tō tākuta he pire corticosteroid (pērā i te prednisolone) hei tango māu mō te 12 ki te 14 rā. He mea tino nui kia tangohia tēnei rongoā kia rite ki tā tō tākuta i tohutohu ai, mō te roanga katoa o te wā e rongoā ana koe.

Ka taea te ārai i te Status Asthmaticus?

Āe, he tino taea! Anei ētahi mea ka taea e koe te mahi hei whakaiti i tō tupono ki ēnei whakaekenga kino ki ngā kākahu:

• Kia mōhio koe ki te whakamahi i ngā taputapu e whakamahia ana e koe hei whakahaere i tō mate huango. Kei roto i tēnei ko ngā mea pēnei i ngā inhaler me ngā nebulizer. Pātai atu ki tō tākuta, ki tō kaiwhakahaere rongoā rānei kia whakaaturia mai e ia te huarahi pai ki te whakamahi i aua taputapu, taahiraa i ia taahiraa. Whakaharatau.
• Kia mārama koe ki te wā me te pēhea te rongoā i ō tohumate huango i mua i te kaha rawa o te mate. Ka taea tēnei mā te whakamahi i te "Peak Flow Meter".Ka taea e koe te ine i tō kaha manawa mā te whakamahi i tētahi taputapu e kiia nei ko te spirometer. Mēnā rānei, mahi tahi me tō tākuta ki te waihanga i tētahi "Mahere Mahi mō te Hua Huango ." Mā tēnei ka mōhio koe ki te mea hei mahi ina pai te taumata o tō huango, ina kino ake, ā, ina kino rawa atu.
• Kia mōhio koe ki ngā mea e whakaoho ana i tō mate huango, ā, me karo i aua mea i ngā wā katoa e taea ana.
• Tirohia tō tākuta i ia wā, kia mōhio ai koe kei te pai te whakahaere i tō mate huango. Mā tēnei koe e āwhina ki te whakatau mēnā me whakarerekē te horopeta o tō rongoā, me tīmata rānei koe i tētahi rongoā hou.
• Ki te hiahia āwhina hauora koe, rapua wawe tonu. Kaua e tatari kia kino rawa ngā tohu.

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

Mena kei te tino uaua koe ki te manawa, ki te pāngia rānei koe e te mate huango, ā, kāore e taea te whakahaere i tēnei mā te whakamahi i tō taputapu manawa noa, waea atu ki te 1990 tonu, haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera. Kaua e moumou taima.

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

Ina tūtaki koe ki te tākuta, he pai pea te pātai i ēnei pātai:

• 'E te tākuta, he aha ahau i pā mai ai ki tēnei mate?'
• 'Me pēhea taku tango tika i taku rongoā?' (Akohia anō te whakamahi i te inhaler)
• 'He aha atu ngā huarahi maimoatanga kei a au?'
• 'Me pēhea taku ārai i tēnei momo āhuatanga kei puta anō?'

Hei whakamutunga, ko te mea tino nui (Karere hei tango i te kāinga)

He mea whakamataku te kore e taea te manawa. Kaua e mataku i ngā wā pēnei, kia marino, me te tono āwhina. Mena he mate huango tōu, mahi tahi me tō tākuta kia mārama ai koe ki tō āhua, ā, whakawhanake i tētahi mahere hei whakahaere i taua mate. Kia mōhio koe ki te wā me te pēhea te rongoā i ō tohumate i mua i te kino haere. Mā te whai mahere kua whakaritea ka āwhina i a koe ki te tiki āwhina i roto i tētahi āhuatanga ohorere me te kore e mataku. He mea nui tō ora ki a koe, me tō whānau anō hoki. Nō reira, ki te mea he mate huango tōu, he mea nui kia whakahaerea.