He aha te mahi pokanga mō te ngongoro? Kia mōhio tātou ki ngā mea katoa e pā ana ki te pokanga UPPP! (Pokanga UPPP)

Ahakoa he tokomaha o tātou e whakaaro ana he mea noa te ngongoro, i ētahi wā he tohu pea tēnei o tētahi raruraru hauora nui atu. He raruraru nui rawa atu tēnei mō te hunga he mate e kiia nei ko te Obstructive Sleep Apnea (OSA) , arā, he mate e mutu ai te manawa i te wā e moe ana. Nō reira, i tēnei rā kei te kōrero tātou mō tētahi pokanga motuhake hei otinga mō tēnei. Koinei te pokanga UPPP. Kaua e manukanuka, kia mārama tātou ki ngā mea katoa mō tēnei mea.

He aha te tikanga o te pokanga UPPP?

Ko te UPPP he whakarāpopototanga mō te kupu hauora roa, arā, ko te Uvulopalatopharyngoplasty. Ko tēnei tikanga he tango pokanga, he hanga anō rānei i ētahi o ngā kiko tāpiri i roto i tō korokoro (pharynx) e aukati ana i tō ara manawa i a koe e moe ana. Ka huakina tō ara manawa, ka māmā ake te manawa, ā, ka whakaitihia te ngongoro.

Whakaarohia he rite ki te pūnga waka i runga i te huarahi whaiti. Ko tā mātou mahi ki tēnei pokanga he tango i ngā arai i te huarahi, me te whakawhānui i te huarahi. Koinei ngā wāhanga o te korokoro e tangohia ana, e whakarerekētia ana rānei i te wā o tēnei pokanga.

I ētahi wā ka mahia ko tēnei pokanga UPPP anake. I ētahi wā anō, ki te mea he raruraru kē atu kei roto i te ihu, i te korokoro rānei, ka mahia tēnei pokanga i te wā kotahi.

Āhea te wā e hiahiatia ai te pokanga UPPP?

Kāore ngā tākuta e tūtohu tonu i tēnei pokanga. Ka whakamātau tuatahi rātou i ētahi atu tikanga hei whakahaere i te Obstructive Sleep Apnea (OSA).

• Mīhini CPAP: Te whakamahi i tētahi mīhini me te kopare kanohi e tuku ana i te hāora hei pupuri i te ara manawa kia tuwhera tonu i te wā e moe ana.
• Te whakahekenga taumaha: Ko te pikinga o te taumaha tetahi o ngā tino take o te OSA. Nō reira, he mea tika kia whakaitihia te taumaha.

Ka whakaarohia te pokanga UPPP mēnā kāore ēnei mea e whai hua. Heoi, kāore tēnei pokanga e pai mō te katoa. Ka tirohia e ngā tākuta ētahi āhuatanga hei whakatau mēnā he kaitono pai koe mō tēnei tikanga.

• Te rahi o ō tonsils.
• Te tūnga o tō waha ngohengohe e pā ana ki tō arero.
• Ko tō taupū papatipu tinana, arā, te Taupū Papatipu Tinana (BMI).

I runga i ēnei āhuatanga, ka whakarōpūtia ngā tūroro ki te Wāhanga 1, 2, 3 rānei. Ko te hunga kei te Wāhanga 1 ko rātou ngā mea e whiwhi ana i ngā hua teitei me ngā hua pai rawa atu mai i tēnei pokanga. Ko te hunga kei ngā wāhanga e rua e toe ana, he iti ake te tūponotanga ka puta he hua. Nō reira, he mea tino nui kia kōrero noa koe ki tō tākuta mō te pai o tēnei pokanga māu, kāore rānei.

Me pēhea te whakarite i mua i te pokanga?

He mea tino nui kia ata whai i ngā tohutohu a tō tākuta i mua i te pokanga kia angitu ai te putanga. Anei ētahi mea hei maumahara māu:

• Kōrerotia tō hītori hauora ki tō tākuta: ētahi atu āhuatanga hauora kua pā ki a koe, ngā pokanga o mua, ngā mate pāwera ki te rongoā whakamoe, me ngā rongoā katoa e tangohia ana e koe (tae atu ki ngā huaora). Kōrerotia hoki ki tō tākuta mēnā kei te hapu koe, kei te whakaaro rānei koe ki te hapu.
• Kati te momi hikareti me te whakamahi tupeka: Ki te momi hikareti koe, ki ngā hikā, ki ngā hikareti hiko, ki te ngaungau rānei i te kapia, kati rawa te whakamahi i ēnei i ētahi wiki i mua i te pokanga. Ka taea e ēnei te whakaroa i te whakaora o te patunga.
• Te Nohopuku me te Rongoā: Mā tō tākuta koe e kī atu kia pēhea te roa me mutu te kai me te inu i mua i tō pokanga. Tērā pea ka kī atu ia kia mutu te tango i ētahi rongoā mō te wā poto (pēnei i ngā rongoā whakaiti toto). Me āta whai i ēnei tohutohu.
• Whakaritea kia haria koe e tetahi ki te kāinga: Whakaritea i mua i te wā kia haria koe e tetahi ki te kāinga i muri i te pokanga. He pai ake mēnā ka taea e tetahi te tiaki i a koe mō ngā haora 24 tuatahi.
• Mauria mai tō mīhini CPAP: Mena kei te whakamahi kē koe i tētahi mīhini CPAP, mauria mai ki te hōhipera.
• Pūrongohia mēnā he mate koe: Ki te pāngia koe e te makariri, e te kirika rānei i ētahi rā i mua i tō pokanga, whakamōhio atu ki te hōhipera tonu. Me whakaroa pea tō pokanga.

He aha ngā mea ka tupu i te wā o te pokanga?

Kāore he take e wehi ai koe i tēnei. Ka noho koe i raro i te rongoā whakamoe, ā, ka moe hōhonu hoki i te roanga o te pokanga. Kāore koe e rongo i tetahi mea.

1. Tuatahi, ka hoatu he rongoā whakamoe hei whakamarie i a koe, kātahi ka whakamoea katoatia koe.

2. Ka huakina tō waha e te taote pokanga, ka nekehia tō arero ki te taha, ā, ka mārama te tirohanga o muri o tō korokoro.

3. Kātahi ka tohua tika ngā wāhi kiko e tangohia ana.

4. Mā te whakamahi i tētahi taputapu koi, i tētahi taputapu motuhake rānei e whakamahi ana i te wera (electrocautery), ka tangohia ngā tonsil, te uvula, me te waha ngohengohe kua pakaru.

5. Hei whakamutunga, ka whakamahia ngā tuitui rewa hei kati i ngā patunga.

E rua hāora te roa o tēnei pokanga, i runga i te nui o te kiko e tangohia ana, me te mea kei te mahia ētahi atu pokanga i te wā kotahi.

Kāore ianei he mōrearea me ngā raruraru?

Pērā i ngā pokanga katoa, he tūponotanga kei reira. Hei tauira, te toto, te mate pāwera, me ngā mate pāwera ki te rongoā whakamoe. Hei tāpiri, kei reira ētahi raruraru e pā ana ki te pokanga UPPP.

• Te pūngao o te ihu: I te wā e ora ana te korokoro, ka puta he kiko whara, ka whakawhāiti anō i te ara manawa. Ka puta he ahua piri me te maroke o te korokoro i tēnei. He tino onge tēnei.
• Te ngoikore o te ihu: Ina inu wai koe, kāore te waha ngohengohe o tō korokoro e kati tika, ka puta te ahua o te ihu e piki ake ana. He wā poto noa iho tēnei, ā, ka memeha haere i muri i ētahi rā.
• Ngā panonitanga o te reo: Mō tētahi wā i muri i te pokanga, ka rerekē pea te tangi o tō reo, me te mea kei te kōrero koe mā roto i tō ihu. He wā poto noa iho hoki tēnei.

Kia ako tātou mō te wā whakaora.

E rua ki te whā wiki pea te roa hei whakaora katoa. Me whai wā okioki pea koe i te mahi, i te kura rānei i tēnei wā. He mea tino nui kia whai i ngā tohutohu a tō tākuta i tēnei wā.

Kia pēhea te wā me toro atu ahau ki te tākuta?

Mena ka pāngia koe e ēnei tohu i a koe e ora ana, waea atu ki tō tākuta tonu atu.

• Ki te kino anō ō tohumate moe pōrearea (te ngongoro, te poto o te manawa).
• Mena ka kitea te toto i roto i te huware.
• Mena he uaua te horomi i te kai, he mau rānei ki te korokoro.
• Ki te kite koe i ngā tohu o te mate pāwera, pērā i te kirika, te pupuhi, te whero, te pupuhi rānei mai i te patunga.