He aha ō whakaaro mēnā ka pāngia koe e te kirika nui, te mamae o te tinana, ā, ka rite koe ki te makariri? I te nuinga o te wā, ka whakaaro tātou he kirika huaketo. Heoi, ki te whakamahi koe i te tampon i tō paheketanga, ki te mea rānei he patunga, he koha rānei nō te pokanga, ko ēnei tohu he tohu pea mō tētahi mea kino atu i te kirika noa. Koinei te mate morearea, engari he tino onge e kōrerohia ana e tātou i tēnei rā. Ko te mate pāwera paitini, ko te "Toxic Shock Syndrome (TSS)" rānei te whakarapopototanga.
He aha te tikanga o te toxic shock syndrome (TSS)?
Ko te mate pāwera kino (TSS) he mate kino, he mate morearea hoki e puta mai ana i ētahi momo huakita i roto i ō tātou tinana e whakaputa ana i ngā paitini. Ka uru ngā paitini e whakaputaina ana e ēnei huakita ki roto i ō tātou toto ka tīmata ki te kino i ngā whekau nui pēnei i te ngākau, te ate, me ngā whatukuhu.
He tokomaha kua rongo mō tēnei mate e pā ana ki ngā tampon e whakamahia ana i te wā paheketanga. He pono tēnā, engari ehara i te mea he mate anake e pā ana ki ngā wāhine. Ka taea e te tangata katoa, ahakoa te pakeke, te pāngia e te TSS. Ka taea hoki e ngā huakita te uru ki te tinana mā roto i ngā patunga kiri, ngā koha pokanga, ngā wera, me ngā ihu e kapi ana. Inaa, ko te haurua o te hunga e pāngia ana e te TSS kāore i te paheketanga.
Ko te mea tino mōrearea mō tēnei ko te tīmatanga ohorere o ngā tohumate, ā, ka tere haere te horapa. Engari ko te rongo pai, ki te kitea wawetia, ka rongoatia wawetia, ka taea te whakaora katoa .
He aha ngā tohu o te TSS? Ka puta ohorere mai?
Ae, ka tīmata ohorere ngā tohu o te TSS, ā, ka kaha haere i roto i ētahi haora. Mā te mōhio ki ēnei tohu ka ora ai koe.
Ko te mea nui, he tino ōrite ēnei tohu ki ērā o te makariri, nō reira ka taea e tātou te wareware i ētahi wā. Nō reira, kia tino tupato ki tēnei.
Kia mārama tātou he aha ēnei tohu i te ripanga i raro nei.
| Tohu | He whakamārama māmā |
|---|---|
| Te kirika nui ohorere | He kirika nui ohorere, me te makariri me te mamae o te tinana. Pērā i te dengue. |
| Whakapairuaki me te ruaki | Whakapairuaki me te ruaki me te mamae o te puku. |
| Mate korere wai (korere) | Te korere wai nui. |
| Ponana kiri | He ponana whero, rite tonu ki te werawera o te rā, puta noa i te tinana. I ētahi wā ka rite ki ngā ira whero iti. |
| Pōuri me te ngoikore | Pōuriuri , tirohanga pōuri, ngoikore rānei. |
| Te toto toto iti (hypotension) | He tino morearea te hekenga ohorere o te toto toto. |
| Te whero o ngā kanohi, te waha, me te korokoro | Te whero o ngā kanohi (conjunctivitis), te whero o te korokoro me roto o te waha. |
| Te tihore kiri | Te kiri e tihore ana i te wā e ora ana, inā koa i ngā kapu o ngā ringa me ngā kapu o ngā waewae. |
He aha te take e puta ai te TSS? Ko te tampon te tino take?
Ki te kī māmā noa iho, ehara i te tampon tonu te take. Ko ngā huakita te take. Ko tā te tampon he waihanga i tētahi taiao pai mō aua huakita ki te tipu.
E rua ngā momo huakita e hua ake ai te TSS.
1. Staphylococcus aureus (Staphylococcus aureus, staph rānei)
2.Streptococcus pyogenes (Streptococcus pyogenes, te rōpū A strep rānei)
Ko te tikanga, ka noho kino ēnei huakita i runga i tō tātou kiri, i roto i ō tātou ihu, me ō tātou waha. Heoi, i ētahi wā ka uru ki te tinana, ka tere te tipu, ka tīmata te whakaputa paitini.
He aha te hononga o te tampon ki tēnei?
Ina whakamahia he tampon i te wā o tō paheketanga, ka noho tonu ki roto i tō tenetene mō ngā hāora. He wāhi whakatipu tēnei mō ngā huakita Staphylococcus. Ina koa,
- Ki te pupuri koe i te tampon kotahi mō ngā hāora me te kore e whakarerekētia.
- Ki te whakamahi koe i tētahi tampon tino mimiti i ngā rā e ngawari ana te rere o tō paheketanga,
- Mena ka puta he motu iti ki ngā pakitara o te tara i te wā e whakauru ana, e tango ana rānei i te tampon , ka taea e te huakita te tomo ki roto i te toto mā roto i aua motu.
Ehara i te mea ko ngā tampon anake, engari ko ngā kapu paheketanga, ngā diaphragm, ngā hautai rānei e whakamahia ana hei ārai whānau ka pā mai tēnei mōrearea mēnā ka waiho ki roto mō te wā roa atu i te wā i tūtohutia.
Me pēhea te puta o te TSS me te kore he tampon?
- Ka uru mai ngā huakita mā roto i ngā patunga, ngā motu, me ngā karawarawa o te kiri.
- Te mate o te patunga i muri i te pokanga.
- I muri i te whānautanga o te tamaiti.
- Ngā whara o te wera.
- Hei aukati i te toto o te ihu, whakamahia he tauera kua whakaurua ki roto.
Me pēhea te tātaritanga a te tākuta i te TSS?
Mena kei a koe tētahi o ngā tohu kua whakarārangihia i runga ake nei, me toro atu koe ki te tākuta tonu. Māna koe e tirotiro. Mena kei te whakapae koe he TSS tōu, ka tukuna pea ētahi whakamātautau ki a koe, tae atu ki:
- Ngā whakamātautau toto me te mimi: Hei kimi mēnā he mate kei roto i te tinana, me ngā huakita e puta ai.
- Te tirotiro i te tara me te kaki o te kōpū: Tirohia mēnā he tohu mate, tae atu ki te whakamahinga o te tampon, o tētahi atu mea rānei.
- Ahurea kiko: Ka tukuna he tauira mai i te tenetene, te kaki, te korokoro rānei ki te taiwhanga hei tirotiro mō ngā huakita.
- Mena he patunga, tangohia he tauira mai i taua patunga.
Mena he kino rawa te āhua, ka mahia pea he matawai CT, he hihi-X rānei o te uma hei tirotiro mēnā he kino kei ngā whekau o roto.
Me pēhea te rongoā mō te TSS?
Kāore te TSS e taea te rongoā i te kāinga. He āhuatanga ohorere hauora tēnei. Nō reira, ki te pāngia koe e ngā tohu, me haere tonu koe ki te hōhipera, inā koa ki te Wāhanga Maimoatanga Ohotata (ETU) .
Ko ngā maimoatanga matua e tukuna ana i te hōhipera ko:
- Paturopi: Ka hoatu ngā paturopi mā roto i te uaua (IV) hei whakahaere i ngā mate kitakita.
- Wai IV: Ka hoatu he tote hei ārai i te matewai me te whakahaere i te toto toto tiketike.
- Ngā rongoā mō te toto toto tiketike: Ki te iti rawa tō toto toto tiketike, ka hoatu he rongoā ki a koe hei whakahoki i tōna toto ki te āhua noa.
- Hoatu he hāora: Mēnā he uaua ki te manawa.
- Te dialysis mēnā ka ngoikore ngā whatukuhu: Mēnā ka mutu te mahi a ngā whatukuhu, ka whakamahia te maimoatanga dialysis hei pure i te toto.
- Pokanga: I ētahi wā, me tango te kiko pangia me te kiko mate mā te pokanga.
Me pēhea tātou e tiaki ai i a tātou anō i tēnei āhuatanga mōrearea?
He mate onge te TSS, engari e hiahia ana tātou katoa kia noho haumaru mai i tēnei mate. Mā te whai i ēnei mahi ngāwari, ka taea e koe te whakaiti i tō tuponotanga.
| Me aha? | He aha te mea nui? |
|---|---|
| Whakawhitihia ngā tampon i ngā wā katoa. | Kia tino whakawhitia tō tampon i ia 4 ki te 8 hāora . Whakakapia wawetia mēnā he nui te toto. |
| Kōwhiria te taumata mimiti iti rawa. | Kōwhiria he tampon me te taumata mimiti iti rawa e hiahiatia ana mō tō paheketanga. |
| Whakamahia ngā tampon me ngā tauera horoi i ia wā, i ia wā. | Whakamahia he paraikete horoi hei utu mō te tampon, inā koa i te pō. He mea pai hoki kia taurite te whakamahi i waenga i ēnei i te awatea. |
| Puritia kia ma ngā patunga. | Horoia rawatia ngā motu, ngā karawarawa, ngā patunga pokanga rānei i tō kiri kia kore ai e pangia. Mēnā ka pupuhi, ka whero, ka wera rānei te patunga, tirohia he tākuta. |
| Kia tūpato ki ngā taputapu ārai whānau. | Mena kei te whakamahi koe i ngā mea pēnei i ngā diaphragm, i ngā hautai rānei, me whai tika i ngā tohutohu. |
A, mehemea kua pāngia ahau e te TSS i mua?
Mena kua pāngia koe e te TSS i mua, he nui ake te tūponotanga ka pāngia anō koe e te mate. Nō reira, he pai ake te mutu te whakamahi i ngā tampon. Kōrero ki tō tākuta mō tēnei mea, ā, rapua he tohutohu.
Karere Tangohia ki te Kāinga
- He mate onge engari he kino te mate urutā paitini (TSS) ka mōrearea pea te ora.
- Ko ngā tohu matua ko te kirika nui ohorere, te mamae o te tinana, te ruaki, te korere, te whero o te kiri, me te whanoke.
- Kāore tēnei e pā ki te hunga e whakamahi ana i ngā tampon anake, engari ki te hunga kua whara te kiri, kua pokanga rānei.
- Ki te whakamahi koe i ngā tampon, whakawhitia ia 4-8 hāora. He pai ake te whakamahi i ngā paraikete horoi i te pō.
- Ki te whakapae koe kei a koe ngā tohu o te TSS, inā koa kei te whakamahi koe i te tampon, tangohia tonutia ka toro atu ki te tākuta, haere rānei ki te rūma ohorere o te hōhipera (ETU). He mea nui te wā ki konei.
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