Ina manawa koe, ina koa ka manawa koe, ka rongo koe i tētahi tangi whiowhio iti e puta mai ana i tō uma? I ētahi wā, ka mataku pea koe ina rongo koe i tēnei tangi me tō maremare? He tokomaha kua pāngia e tēnei. I roto i ngā kupu hauora, ka kiia e mātou ko te 'wheezing'. He tangi tēnei e puta ana ina whaiti ngā ara manawa iti o ō tātou pukahukahu mō tētahi take, ka puta te hau mā roto. Nō reira, i tēnei rā, me kōrero tātou mō te take o tēnei, me pēhea te tātaritanga a te tākuta, me ngā maimoatanga mōna.
Me pēhea te kimi a te tākuta i te pūtake o te wheezing?
Ko te mea pai rawa atu māu ina pāngia koe e te haruru o te uma pēnei, ko te toro atu ki te tākuta. Nā te mea he tohu noa iho tēnei, ko te mea nui ko te kimi i te take. Anei ētahi mea ka mahia e te tākuta ina kite ia i a koe.
1. Te pātai atu ki a koe:
Tuatahi, ka pātai atu te tākuta ki a koe mō ō tohumate. Whakaarohia te pātai i ēnei pātai:
- "Nōnahea i tīmata ai tēnei haruru?"
- "Kei te rongo koe i te maremare, i te mamae o te korokoro, i te kikī rānei o tō uma i te taha o tēnei?"
- "Āhea tēnei ka piki ake? Ina pāngia e te puehu? Ina makariri? Ina whakakorikori tinana ?"
- "He mate huango tō tetahi o tō whānau?"
- "Ka puta tēnei i muri i te kai i ētahi kai? Ka puta rānei i te wā kotahi o te tau (hei tauira, i te wā e puāwai ana ngā putiputi)?"
Mā ēnei pātai ka taea e tō tākuta te mōhio mēnā he mate pāwera koe, he mate huango , he raruraru rānei.
2. Whakamātautau tinana:
Muri iho, ka whakatakotoria e te tākuta he stethoscope ki tō uma, ā, ka whakarongo pai. Mā tēnei koe e āwhina ki te whakatau i te pūtake o te oro i roto i ō pukahukahu, me tōna kaha.
3. Ngā whakamātautau motuhake:
I runga i ō tohu me tō hītori, ka tūtohu pea tō tākuta i ētahi atu whakamātautau.
- Te whakamātautau manawa: Kei roto i tēnei ko te manawa ki roto, ki waho hoki i roto i tētahi mīhini iti. Ka taea e ia te ine i te pai o te mahi a ō pukahukahu me te whaiti o ō ara manawa.
- X-ray o te uma : Mā tēnei ka kitea mēnā he raruraru anō kei roto, pērā i te mate pukupuku.
- Ngā Whakamātautau Toto: I ētahi wā ka mahia ngā whakamātautau toto hei tirotiro mō ngā mate pāwera, ngā mate pāwera rānei.
- Ngā Whakamātautau Mate Pāwera: Ki te whakaaro koe he mate pāwera tōu, ka taea e koe te whakamātautau kiri, te whakamātautau toto rānei hei whakaū.
Kia maumahara, he mea morearea te tango rongoā i a koe anō me te kore e tautuhi tika i te pūtake o tō wheezing. Me toro atu ki tō tākuta mō ētahi tohutohu.
He aha ngā maimoatanga mō te wheezing?
Ko te maimoatanga e whakawhirinaki ana ki te take o tō wheezing. Koia te mea nui kia kitea te take i te tuatahi. Anei tētahi tirohanga ki ngā maimoatanga mō ētahi take noa.
Mena kei te whewhe koe nā te mate huango
Ko te mate huango he mate e pupuhi ai, e tairongo ai, e ngāwari ai te whaiti o ngā ara manawa o roto i ngā pukahukahu. Tērā pea ka tohua e tō tākuta ēnei rongoā hei rongoā i tēnei mate.
| Momo maimoatanga | Ka ahatia? | Ngā tauira |
|---|---|---|
| Ngā mea whakangā tere | Ina pāngia koe e te maremare, e te kikī rānei o tō uma, ka whānui ake ō ara manawa, ā, ka tere te whakaora. Ka kiia hoki tēnei he 'Reliever' inhaler. | Albuterol (Ventolin), Levalbuterol (Xopenex) |
| Ngā Inhaler Whakahaere | Ka whakamahia ēnei i ia rā hei whakaiti i te mumura i roto i ngā ara manawa, hei whakahaere hoki i te mate huango. Ka kiia hoki tēnei he 'Kaitātari'. | Beclomethasone (Qvar), Budesonide (Pulmicort), Fluticasone (Flovent) |
| Ngā Inhaler Whakakotahi | Ka whakakotahihia e tēnei he rongoā whakahaere me he rongoā roa te mahi e whakawhanui ana i ngā ara manawa. | Budesonide/formoterol (Symbicort), Fluticasone/salmeterol (Advair) |
| Ngā Pire Whakahaere | Haunga ngā rongoā manawa, ka tūtohu pea tō tākuta i ngā pire hei whakaiti i te pupuhi i ngā ara manawa. | Montelukast (Singulair), Zafirlukast (Accolate) |
| Ngā rongoā mate pāwera (Antihistamine) | Mena he mate pāwera te take o tō mate huango, ka hoatu pea he pire whakahaere mate pāwera, he rehu ihu rānei ki a koe. | Ngā pire: Cetirizine (Zyrtec), Loratadine (Claritin) Ngā rehu: Fluticasone (Flonase), Mometasone (Nasonex) |
Mena he mate pāwera pēnei i te bronchitis te take o te wheezing
I ētahi wā, ina kaha te makariri, ka pāngia ngā ara manawa o ngā pukahukahu e te mate (Acute Bronchitis). Ka pāngia hoki e te wheezing. I te nuinga o te wā ka memeha haere tēnei ina memeha te mate.
- Mō te uaua ki te manawa: Ka hoatu pea e tō tākuta he manawa whakangā tere ki a koe (hei tauira, Albuterol) mō te wā poto hei āwhina i a koe kia ora.
- Paturopi: Kāore e hoatu ngā paturopi mō ngā mate huaketo. Heoi, ka hoatu noa ngā paturopi mēnā he mate pūkahukahu anō tōu, mēnā rānei e whakapae ana te tākuta he mate kitakita tēnei.
Me aha i roto i tētahi āhuatanga ohorere?
He āhuatanga ohorere ngā āhuatanga pēnei i te uaua ki te manawa, te uaua ki te kōrero, te kikorangi o ngā ngutu, o ngā maikuku rānei. Mēnā he pēnei, waea atu ki te waka tūroro tonu, haere rānei ki te Tari Ohorere (ETU) o te hōhipera tata. I reira, ka whakaratohia e te tīma hauora ngā maimoatanga e whai ake nei hei whakaora wawe i a koe.
| Te maimoatanga ohorere | Whakaahuatanga |
|---|---|
| He werohanga epinephrine | Hei whakatuwhera wawe i ngā ara manawa kua tino kikī. |
| Te whakarato hāora | Hei pupuri i ngā taumata hāora e hiahiatia ana e te tinana. |
| Ngā werohanga corticosteroid | Hei whakaiti tere i te pupuhi nui i roto i ngā ara manawa. (hei tauira, Methylprednisolone) |
| Te maimoatanga nebulizer | Mā te mimiti i tētahi wai rongoā ki te wai me te hongi hohonu ka tere te whakaora. |
| Te hono atu ki tētahi mīhini manawa (Mīhini Whakahauora) | I ngā wā tino kino, ki te kore e taea e te tūroro te manawa ko ia anake, ka whakaratohia te manawa mā te āwhina o tētahi mīhini. |
Karere Tangohia ki te Kāinga
- He tohu te whewhe, ehara i te mate. He mea nui kia kitea te pūtake.
- Ko te mate huango me te mate pāwera ētahi o ngā tino take o te wheezing.
- Mena kei te pāngia koe e te wheezing, me toro atu ki te tākuta kia whiwhi ai i te tautuhi tika me te mahere maimoatanga.
- He āhuatanga ohorere te uaua o te manawa, ā, ka nui rawa te reo, ā, kāore e taea te kōrero. Haere tonu ki te Tari Ohorere o te hōhipera (ETU).
- Kaua e whakamahi i te inhaler a tētahi atu, kaua hoki e tango rongoā me te kore tohutohu a te tākuta. Ka hāngai te maimoatanga ki tō āhua.
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