I tētahi wā o ō tātou oranga, nā te aituā, te pokanga, te mate hauora rānei, ka hiahia pea tātou, tētahi o ō tātou whanaunga rānei ki te whakawhiti toto. He tikanga hauora tino nui tēnei ka taea te whakaora i ngā oranga. Heoi, ahakoa he haumaru i te nuinga o te wā, he tino onge te puta o ngā raruraru nā tēnei whakawhiti toto . I tēnei rā kei te kōrero tātou mō tētahi mate he ahua kino, engari me mōhio tātou katoa. Ko TACO tēnā, arā, ko te kupu hauora ko 'Transfusion-Associated Circulatory Overload'.
He aha rawa te TACO?
Ki te kī māmā noa, ko te TACO te wā e piki ohorere ana te nui o te wai i roto i te pūnaha tohanga toto o tō tinana i muri i te tuku toto, ā, kāore e taea e koe te whakahaere. Whakaarohia he rite ki te tāke wai e puea ohorere ana i te wai.
Ina koha toto tātou, ka tāpirihia he wai ki roto i ō tātou uaua toto. I te nuinga o te wā, ka taea e ō tātou ngākau me ō tātou whatukuhu te whakahaere pai i tēnei wai tāpiri, me te pupuri i te taurite o te tinana. Engari i ētahi wā, ina koa ka nui rawa te toto e kohaina ana e koe i te wā kotahi, ki te ngoikore rānei tō ngākau, ō tātou whatukuhu rānei, kāore e taea te whakahaere i tēnei wai tāpiri. Kātahi ka piki ake te pēhanga i roto i ngā uaua toto, ā, ka tīmata te turuturu o te wai ki roto i ngā whekau pērā i ngā pukahukahu . Ka uaua te manawa, ka pupuhi te tinana, ā, ka piki te toto toto , kāore e taea te whakaaro. He mate tino kino tēnei , nō reira he mea nui kia rapu awhina hauora tonu mēnā ka puta ngā tohu.
He aha ngā tohu o tēnei mate?
Ka puta pea ngā tohu o te TACO i ngā wā katoa i roto i ngā haora 12 o te tuku toto, i roto rānei i ngā haora 12 o te tuku toto. Nō reira, me tino tupato tātou ki te tangata kua tuku toto i roto i tēnei wā. Kei te ripanga i raro nei ngā whakamārama mō ngā tohu matua.
| Tohu | Whakaahuatanga |
|---|---|
| Te uaua ki te manawa (Dyspnea) | Koinei te tohu matua, te tohu tino kitea. Ka kī tonu ngā pukahukahu i te wai, ā, ka uaua te manawa. Ka tino kino tēnei ina takoto ana. |
| Maremare | I ētahi wā ka puta te maremare me te hūpē māwhero, huka. |
| Mamae o te uma | Tērā pea ka pāngia koe e te kikī o te uma, e te mamae rānei i te kaha haere o te mahi a te ngākau. |
| He kikorangi te kiri, ngā ngutu, ngā maikuku rānei (Cyanosis) | Ka puta pea tēnei ina kore e nui te hāora e whiwhi ana te tinana. He tohu kino tēnei. |
| Te pupuhi o ngā waewae, ngā pona waewae, te kaki rānei | Ko te pupuhi e puta mai ana i te pupuri wai i roto i te tinana. Tērā pea ka puta he pupuhi i roto i ngā uaua o te kaki. |
| Te tere o te manawa (Tachycardia) | Ka tere ake te pā o te manawa nā te mea me kaha ake te mahi a te manawa ki te pupuhi toto puta noa i te tinana. |
| Pōuriuri, ngaro rānei te māramatanga | Ka puta pea tēnei āhuatanga nā te hekenga o te nui o te hāora e tae atu ana ki te roro. |
| Te ānini nui | Ko tētahi atu tohu ka puta mai i te toto toto tiketike. |
Ko te mea nui, ki te kite koe i tētahi o ēnei tohu, kaua e warewaretia. Mena kei te hōhipera koe, whakamōhio atu ki te nēhi, ki te tākuta rānei i taua wā tonu. Mena kei te kāinga koe, haere tonu ki te Tari Ohotata (ETU) o te hōhipera tata.
Ko wai te mea nui ake te mōrearea?
Ahakoa ka pāngia te tangata e te TACO, he nui ake te mōrearea o ētahi tāngata. Mena ka pā tētahi o ēnei āhuatanga ki a koe, ki tētahi rānei e mōhio ana koe, he mea nui kia kōrero koe ki tō tākuta i mua i te tuku toto.
| Tauwehenga mōrearea | He whakamārama poto |
|---|---|
| Neke atu i te 60 tau te pakeke | I a tātou e pakeke haere ana, ka paku heke iho pea te mahi a te ngākau me ngā whatukuhu. |
| He hītori o te mate ngakau | He nui ake te mōrearea o te hunga e pāngia ana e ngā āhuatanga pēnei i te mate ngakau nui, te ngoikore rānei o te ngākau. |
| He mate tākihi tō te mate | Ki te ngoikore ngā whatukuhu, arā, ngā whekau matua e whakahaere ana i te nui o te wai i roto i te tinana, ka uaua te tango i te wai nui. |
| Ngā mate manawa pēnei i te COPD | Mō te hunga kua pāngia kētia e te ngoikore o ngā pukahukahu, pērā i te Mate Pūkahukahu Ārai Mau Tonu (COPD), ka uaua pea te aro atu ki te wai e whakakī ana i ngā pukahukahu. |
| Te whakamahinga o ētahi rongoā | Mena kua whakamahia e koe ngā rongoā e whakanui ana i te toto toto (Vasopressors) me ngā rongoā rānei e tango ana i te wai i te tinana (Loop Diuretics). |
| I mua i te tuku toto i ētahi wā | Tērā pea ka paku piki ake te mōrearea mō te hunga e whiwhi pinepine ana i ngā whakawhiti toto. |
Me pēhea te tākuta e kite ai, e rongoā ai hoki i tēnei?
Ki te puta mai ngā tohu o te TACO ki a koe, ko te mea tuatahi ka mahia e tō tākuta he tirotiro i a koe me te pātai mō ō tohu. Ka whakarongo rātou ki tō manawa, ka ine hoki i tō toto toto.
Kātahi, hei whakaū i te mate, ka tukuna pea koe mō ngā whakamātautau pēnei i:
- X- ray o te uma: Ka taea e tēnei te tirotiro mō te wai i roto i ngā pukahukahu.
- Ngā whakamātautau toto : Ka tirohia ētahi taumata whākōkī hei tirotiro mēnā he kino kei te ngākau.
- Echocardiogram: Ka taea e tēnei te whakarato i tētahi pikitia mārama o te mahi a te ngākau me tana pupuhi.
Hei rongoā, ka mutu tonu te rere o tō toto. Kātahi ka whakamoea koe, ka whakatakotoria ki runga i te moenga hei āwhina i a koe ki te manawa. Ko te rongoā matua ko ngā rongoā diuretic, arā, ngā rongoā e tango ana i te wai nui mai i te tinana. Ka whakanui ake ēnei i te putanga mimi , ā, ka āwhina hoki ki te whakahaere i ngā taumata wai i roto i te tinana .
Mena ka uaua te manawa, me whakamahi pea te hāora. I ngā wā tino kino, me hono pea te tūroro ki tētahi mīhini manawa horihori (Mīhini Whakapūngao).
He huarahi hei ārai i tēnei?
Āe, ka taea tēnei te ārai i tētahi taumata. Mena kei roto koe i tētahi o ngā rōpū mōrearea kua whakahuatia ake nei, ka tino tupato te tākuta ina whakatau ana ia ki te tuku toto ki a koe.
- Te whakaiti i te tere o te whakawhiti toto: Hei ārai i te nui o te wai kei uru wawe ki te tinana, ka tino whakaitihia te tere o te whakawhiti toto.
- Te Hoatu i ngā Diuretics i mua i te Maimoatanga: I mua i te tuku toto, ka hoatu pea he rongoā hei tango i te wai nui mai i te tinana.
- Te koha toto: Engari i te hoatu i te nui katoa o te toto i te wā kotahi, ka taea e koe te hoatu i roto i ngā rahinga iti, ka wehea kia rua ngā horopeta ia rā.
Ko tō kawenga te kōrero ki tō tākuta mō tō hītori hauora katoa (ina koa ko ngā raruraru o te ngākau me te whatukuhu) me te kore e huna i tetahi mea. Mena kua pāngia koe e tetahi mamae i te wā i koha toto ai koe i mua, me whakahua anō hoki.
He mea whakaora ora te tuku toto. He mate onge te TACO. Engari mā te mōhio ki tēnei mate ka āwhina i a koe ki te kite i ngā tohu me te rapu wawe i te rongoā mēnā ka puta.
Karere Tangohia ki te Kāinga
- He raruraru kino te TACO, engari he onge, ka puta mai i te koha toto.
- Ko te uaua ki te manawa, te maremare, te pupuhi, me te mamae o te uma ngā tohu whakatūpato matua.
- He nui ake tēnei mōrearea i roto i ngā kaumātua he mate manawa, he mate tākihi, he mate pūkahukahu rānei.
- Ki te pāngia koe e tētahi o ēnei tohu i a koe e tuku toto ana, i roto rānei i ngā haora 12 i muri i te tuku toto, me whakamōhio tonu atu ki te hunga hauora, me haere rānei ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera tata.
- I mua i te tuku toto, me kōrero ki tō tākuta mō tō hītori hauora katoa me ngā raruraru kua pā ki a koe i ngā wā o mua.
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