Kei te uaua hoki tō manawa? Nā te Tracheal Stenosis rānei? Kia mōhio tātou!

He uaua rawa te manawa i ētahi wā ina piki koe i te arawhata, ina hikoi tere ake rānei? Kei te rongo rānei koe i te tangi whiowhio i roto i tō korokoro ina manawa koe, ina koa ina manawa koe, ina manawa koe? Tērā pea kei te whakapūha tō pēpi, ā, kei te āhua ngenge ia ina inu miraka? Kaua e wareware noa i ēnei mea. Nā te mea tera pea he take hauora kei muri i ēnei. Ko tētahi o ngā āhuatanga ka kōrerohia e tātou i tēnei rā. Ko te Tracheal Stenosis tēnā.

He aha te Tracheal Stenosis?

Kaua e mataku ki tēnei ingoa. Kia mārama noa tātou ki tēnei. Ko tō pūwero hau, arā, te wāhanga e kīia nei e tātou ko te pūwero hau (i te reo Pākehā, 'Trachea'), ko te wāhanga e haria ana te hau e tangohia ana e tātou mai i tō tātou ihu me te waha ki ō tātou pukahukahu. He rite ki te paipa e haria ana te wai mai i te tāke wai. Whakaarohia, he aha ka tupu mēnā ka whaiti, ka āraia rānei tēnei paipa mai i roto mō tētahi take? Ka heke te rere o te wai, tika? Koinei te āhua.

Ko te Tracheal Stenosis te wā e whaiti ana tō pūkahukahu mō tētahi take. Tērā pea nā te mate urutā, nā te whara rānei, nā te tipu rānei o te kiko whara tēnei whaiti. Ina whaiti te pūkahukahu pēnei, ka iti ake te wāhi e uru ai te hau ki roto i ngā pukahukahu. Koinei te wā e uaua ai te manawa.

Ko te "Stenosis" he kupu hauora mō te whaiti rerekē o te ngongo, o te ara rānei i roto i te tinana. Ka puta pea tēnei i ngā wāhi rerekē o te korokoro.

• Te ngoikore o te ihu o te korokoro: I tēnei, ka whaiti te pūwero o te ihu (trachea) me te pouaka reo (larynx).
• Te Stenosis o raro i te korokoro: He whaiti tēnei o te wāhi i raro i ngā taura reo, engari i runga ake i te pūkahukahu.

E rua ngā huarahi matua e puta ai tēnei āhuatanga.

Ka taea te wehewehe i te stenosis tracheal ki ngā momo matua e rua.

1. Te Whakatōtōnga o te Ara o te Rerenga: Koinei te momo tino noa. Ka puta mai i tētahi mate, whara, tētahi atu take rānei i roto i tō tātou oranga. Ka taea te pā ki ngā pakeke me ngā tamariki.

2. Te Mate Pūngāwerewere o te Huarahi Kōhungahunga (CTS): He mate tēnei e kitea ana i te whānautanga. He tino onge. Tata ki te kotahi i roto i te 64,500 pēpi ka pāngia. Heoi, he mate tino morearea, he mate mō te pēpi nohinohi. I te nuinga o te wā, ka kitea tēnei mate i te whānautanga, i roto rānei i ngā marama tuatahi o te oranga.

Mō te pēpi whānau houHe āhuatanga ohorere tēnei. Mēnā kei te uaua te manawa o tō pēpi, kei te whakaatu rānei i ngā tohu o te uaua ki te manawa, haria ia ki te rūma ohorere o te hōhipera (ETU) i runga i te wā tonu.

Heoi, e rua ngā momo mate ka uaua ki te manawa. Ka pā nui pea ki te kounga o tō oranga. Koia te mea nui kia toro atu ki te tākuta mēnā he iti noa te whakapae kei a koe, kei tāu tamaiti rānei tēnei mate.

He aha ngā tohu o te Tracheal Stenosis?

He maha ngā tohu e pā ana ki ngā pakeke me ngā tamariki. Me titiro tātou ki ēnei tohu.

Ngā āhuatanga motuhake ki ngā tamariki

Haunga ngā tohu o runga ake nei, ka kitea pea e ngā tamariki ētahi atu tohu motuhake.

• Pēpi whānau hou: Tērā pea ka uaua ki a rātou te whāngai mai i te waiū ū, i te pounamu rānei. Tērā pea ka āhua ngenge rawa atu rātou i muri i te whāngai.
• Tamariki pakeke ake: Tērā pea ka kōroke i a rātou e kai ana, ā, ka uaua ki te manawa.
• Tamariki pakeke ake: Tērā pea ka kitea he kikorangi te tae o te kiri me ngā kapia huri noa i te ihu (`cyanosis`). Nā te kore e nui te hāora e whiwhi ana i te toto.

He aha i puta ai tēnei āhuatanga? He aha ngā take?

He rerekē ngā āhuatanga i puta ai ngā momo e rua i kōrerotia i mua ake nei.

Te take o te mate whānautanga (CTS):

Ka puta tēnei ina kore e whanake tika te kiriuhi e hanga ana i te manawa o te pēpi, ka whaiti ake te manawa o te pēpi i te mea noa i te whānautanga.

Ngā take o te mate i te wā e ora ana:

Ko te tino take, ko te tino take o tēnei ko te roa o te whakaurunga o te ngongo. He aha te whakaurunga o te ngongo? Mēnā he uaua ki te manawa, ka whakauruhia he ngongo ki roto i te puku mā te waha, mā te ihu rānei hei āwhina i te tūroro ki te manawa. He maimoatanga whakaora ora tēnei. Heoi, i ētahi wā, nā te mea kei roto tēnei ngongo i te puku, ka taea e ia te kino i ngā kiko o reira, ka puta he kiriuhi me te whaiti o te puku. Ina whakamahia tēnei momo ngongo ki te manawa i ngā tamariki i whānau mai me ngā pukahukahu kāore anō kia tino pakari, ka nui ake te tūponotanga ka puta tēnei āhuatanga i muri mai.

Haunga te whakaurunga o te ngongo, he maha atu ngā mea ka pā ki tēnei:

• Ngā mate pūnaha ārai mate: Ngā āhuatanga pēnei i te Granulomatosis me te Polyangiitis (GPA) e whakaeke ai te pūnaha ārai mate o te tinana i ōna ake pūtau.
• Ngā āhuatanga mumura: Ngā mate e pā ana ki ngā pukahukahu, pērā i te Pulmonary Sarcoidosis.
• Ngā mate urutā: Ngā mate kitakita, ngā mate huaketo rānei e pā ana ki te pūnaha manawa, pērā i te mate kohi.
• Ngā pukupuku: Ko ngā pukupuku he tipu matepukupuku, kāore rānei i te matepukupuku e pēhi ana i te pūhā.
• Te manawa o ngā matū paitini:Te kino o te paipa hau i te hongihanga o ngā matū, ngā hau paitini rānei.
• Whakaora Irahiko: Hei pānga taha o te rongoā irahiko e aro ana ki te kaki, ki te uma rānei.
• Pokanga tracheostomy: Te whakatakoto i te kohao i muri i te pokanga hei hanga i tētahi kōhao ki te kaki, hei whakauru hoki i tētahi ngongo ki roto i te puku o te ihu hei āwhina i te manawa i roto i tētahi āhuatanga ohorere.

Me pēhea te tautuhi a te tākuta i tēnei mate?

Ina haere koe ki te tākuta, ka whakarongo pai ia ki ō tohumate, ā, ki te tika, ka tukuna koe kia tirohia ētahi whakamātautau. Ko ngā taote taringa, ihu, me te korokoro (ENT) ngā tāngata e rongoā ana i tēnei mate.

Ko ngā whakamātautau matua i mahia ko:

• Ngā Tukanga Endoscopy: Ko te tirotiro i te roto o te ara manawa mā te whakamahi i tētahi ngongo angiangi, ngāwari me tētahi kāmera e piri ana.
• Pūnaha tirotiro kanohi: Koinei te whakamātautau matua e whakamahia ana hei tautuhi i tēnei mate. I roto i tēnei, ka tukuna he ngongo ki roto i te puku o te manawa kia kitea ai te wāhi e whaiti ana, tōna whānuitanga, me te take.
• Laryngoscopy: Ka tirohia ngā taura reo me te rohe e karapoti ana i a rātou.
• Ngā Tukanga Whakaahua:
• Matawai CT (Matawai Tomography Rorohiko): Mā te matawai CT o te kaki me te uma ka taea te whakaatu i te wāhi me te āhua o tēnei whaiti.
• Matawai MRI (Whakaahua Āhua Aukume): I ētahi wā ka whakahaerehia he matawai MRI hei āwhina i te whakamahere maimoatanga.
• Whakamātautau Mahi Pūkahukahu: Kei roto i tēnei ko te tono i a koe kia manawa me te whakaputa manawa i ngā huarahi rerekē hei ine i te pai o te mahi a ō pūkahukahu me te pānga o te whaiti o ō ara manawa ki tō manawa.

Hei tāpiritanga, ka taea te whakahaere i ētahi atu whakamātautau hei kimi i te pūtake o te mate. Hei tauira, ka taea te whakahaere i te whakamātautau toto mēnā e whakapaetia ana he mate pāwera, he mumura rānei, ka taea rānei te whakahaere i te koiora (te tango i tētahi wahi kiko hei tirotiro) mēnā he puku rerekē hei whakatau mēnā he mate pukupuku.

He aha ngā maimoatanga mō tēnei?

Ko te rongoā matua mō tēnei mate ko te whakawhanui i te pūwero kua whaiti mā te pokanga, mā ētahi atu tikanga rānei. Mā tō tākuta e whakatau te rongoā tino tika mōu i runga i ngā āhuatanga maha, tae atu ki te kaha o tō mate me te wāhi i whaiti ai.

He maha ngā kōwhiringa maimoatanga:

• Te Whakawhanui i te Trachea: I tēnei tikanga, ka whakauruhia e tō tākuta he poihau, he taputapu motuhake rānei (he 'dilator') ki roto i tō pūkahukahu, ka āta totoro, ka whānui haere te wāhi whaiti. Mā tēnei ka māmā ake te manawa.
• Pūnaha Tirotiro Taiaho: Ka tukuna he hihi taiaho mā roto i te pūnaha tirotiro hei tahu i te kiko whara e ārai ana i te ara, ā, ka whakatuwhera anō i te ara manawa.
• Te Tāutanga o te Ara Rererangi o te Trachea: Ko te whakaurunga o tētahi ngongo iti rite ki te mata (stent) he mea hanga ki te kirihou, ki te konganuku rānei ki roto i te ara rere kua āraia. Ka āwhina te stent ki te pupuri i te ara rere kia tuwhera, kia kore ai e āraia. Heoi, kāore e taea tēnei mō ngā tūroro katoa, ā, kei te wāhi i āraia ai.
• Te Tangohanga me te Whakahou i te Ara o te Huarere: Koinei te tikanga pokanga tino noa mō tēnei mate. Ko te tikanga he tapahi katoa i te wāhanga kua āraia o te paipa hau, ā, ka hono anō i ngā wāhanga hauora e toe ana. Ka āwhina tēnei ki te whakaora i te ara manawa kāore he ārai.

He aha ngā mea ka taea e koe te tumanako i muri i te maimoatanga?

Mena kei a koe tēnei āhuatanga, me mahi pokanga pea koe, me mahi rānei i tētahi atu tikanga. Ka rerekē te roa o te wā whakaora me ngā hua mō ia maimoatanga.

Hei tauira, he ahua kino ake te pokanga e kiia nei ko te 'Tracheal Resection and Reconstruction'. Engari he nui ake te tūponotanga ka ea te raruraru o te whaiti i te wā roa. He iti ake te kino o ngā tikanga kore-pokanga pēnei i te 'Tracheal Dilation'. Me mahi kotahi pea, me mahi anō rānei i ētahi wā.

Me pēhea taku tiaki i ahau anō i te kāinga i muri i te maimoatanga?

I muri i te pokanga, i tētahi atu tikanga rānei, me whai koe i ētahi tohutohu motuhake i te kāinga. Tērā pea ka rerekē ēnei tohutohu i runga i te maimoatanga i whiwhi koe. Mā tō tākuta ēnei e whakamārama ki a koe. I te nuinga o te wā ka kī atu rātou kia tūpato koe ki ngā mea pēnei i:

• Kai me te Inu: Mō ngā haora 24 tuatahi, ka tonoa pea koe kia whakawhāiti i tō kai ki ngā wai, ki ngā kai ngohengohe rānei e ngāwari ana ki te horomi. He pai ake te kai i ngā kai iti ake te raukikī, engari kāore i te tino raukikī.
• Te moe: Mō ngā rā tuatahi, ka tonoa pea koe kia moe me ngā urunga kia teitei ake ai tō tinana o runga.
• Te whakahaere mamae: Ki te tika, ka taea e koe te tango i ngā rongoā mamae ka taea te hoko kore-tohu, i ngā rongoā rānei kua tohua e tō tākuta.
• Ngā Mahi: Me karo koe i te hiki taumaha me ngā mahi uaua i te wiki tuatahi i muri i te pokanga.

Āhea ahau me kite anō i te tākuta? He aha ngā wā me haere ahau ki te ETU?

I muri i te maimoatanga, ka whakaritea e tō tākuta he wā tirotiro anō hei tirotiro i tō ahunga whakamua. Tērā pea ka tonoa koe kia hoki mai i ia wiki torutoru i te tuatahi. Mēnā kei te pai tō hauora, tērā pea ka tonoa koe kia hoki mai i ia marama torutoru. Ka tirotirohia koe kia tino mōhio rā anō koe kāore anō te mate kia hoki mai anō.

Waea atu ki tō tākuta i ngā wā katoa ka pāngia koe e te uaua ki te manawa . He mea morearea te whakaroa i te maimoatanga i tēnei wā. Nō reira, he mea nui kia rapu tohutohu hauora.

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

Mena kei te uaua koe ki te manawa, ki te puta anō rānei ngā tohu i kōrerotia i mua ake nei, he tohu pea tēnei kua hoki mai tō Tracheal Stenosis. Mēnā koinei te āhua, me haere tonu ki te ETU.

Tērā pea kei te tiaki koe i tētahi tamaiti hou, i tētahi tamaiti nohinohi rānei, ā, ki te uaua te manawa o te tamaiti, me kawe tonu ia ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera tata, kaua e whakaroa.