He aha te ARDS? Ngā tohu, ngā take, me te rongoā

Ko te ARDS, te Acute Respiratory Distress Syndrome, tētahi āhuatanga o te manawa e tino āwangawanga ana, e tino uaua ai te manawa. Ka puta mai i te whakawhāiti o ō ringaringa, ka kīia hoki ko te pupuhi, ka kīa hoki ko te wai, ā, ka kore e taea e te hau te tae atu ki tō toto.

Ka tere te whanake o tēnei āhuatanga, i roto i ngā haora, i ngā rā rānei i muri i te take, pēnei i te mate huhu, i te whara nui rānei. Ahakoa he tino kino te ARDS, ko te mārama ki te aha, me te pēhea te rongoā, ka āwhina i a koe ki te whakarite, ki te whakaiti i te manukanuka mō tēnei āhuatanga.

He aha te ARDS?

Ko te ARDS tētahi āhuatanga e wehi ai te ora, ka pupuhi nui ō ringaringa, ka rere te wai ki roto i ngā pūngāwerewere iti e kiia nei ko te alveoli. Whakaarohia ō ringaringa he pūngāwerewere e āwhina ana i te hau ki te tomo ki tō toto, engari me te ARDS, ka kīia te pūngāwerewere, kāore e taea te mahi pai.

Ka pā te āhuatanga ki te arai angiangi i waenganui i ō pūngāwerewere me ngā oko toto. Ka pakaru tēnei arai, ka rere te wai ki te wāhi kāore e tika, ka tino uaua ai te hau ki te tae atu ki tō toto. Ka puta he āhuatanga kino, kāore e taea e ngā kōpū o tō tinana te whiwhi hau hei mahi pai.

Ka puta mai te ARDS hei āhuatanga o tētahi atu mate kino, whara rānei. Kāore tēnei i te mate e hopukina ana e koe i tetahi atu, engari ko te whakautu nui o tō tinana ki te ahotea nui, ki te pakaru rānei.

He aha ngā tohu o te ARDS?

Ka tere te puta mai o ngā tohu o te ARDS, he tino kino, ka puta i roto i ngā haora 24 ki te 48 i muri i te take. Ko ngā tohu matua e whakaatu ana kei te whawhai ō ringaringa ki te whiwhi hau hei whakaora i tō tinana.

Ko ēnei ngā tohu matua ka kitea e koe:

• Te poto o te manawa e kino haere ana
• Te manawa tere, te ngawari, ahakoa i te okiokinga
• Te ngenge nui me te ngoikore
• Te tae kikorangi o ngā ngutu, ngā maihao, te kiri rānei
• Te whakapohehe, te ngaro o te hinengaro rānei
• Te iti o te toto
• Te mare o te kohu ka puta mai te huhu pupuhi

Ka wehi ēnei tohu, engari ko te mohiotanga wawe he mea nui ki te whiwhi i te tiaki hauora tika. Ki te pā atu ēnei tohu ki a koe, ki tetahi atu rānei e mohio ana koe, rapuhia te awhina hauora tūturu tonu.

Ka rerekē te kaha o ngā tohu i te tangata ki te tangata, engari me āwhina tonu te ARDS. Kaua e tatari kia pai ake ngā tohu, no te mea ka kino haere tēnei āhuatanga.

He aha ngā take o te ARDS?

Ka puta te ARDS ina ka puta mai tētahi mea e whakawhāiti ana i ō ringaringa, mai i te whara tika ki ngā ringaringa, mai i tetahi atu wāhi rānei o tō tinana. Ka pakaru te whakawhāiti i te arai o ngā pūngāwerewere o ō ringaringa, ka rere te wai.

Ko ngā whara tika o ngā ringaringa e tino puta ai te ARDS:

• Te mate huhu kino mai i ngā pūtau, i ngā huaketo, i ngā harore rānei
• Te manawa i ngā mea kino pēnei i te paowa, ngā matū, te ruaki rānei
• Ngā aituā tata ki te mate wai
• Te whara uma mai i ngā aituā, i ngā whara rānei
• Te whakamahinga o teitei teitei i etahi wā

Ka puta mai hoki te ARDS mai i ngā āhuatanga kāore e pā tika ki ō ringaringa, engari ka puta he whakawhāiti i te tinana katoa:

• Ngā mate kino i roto i tō toto (sepsis)
• Ngā whara nui, ngā tahunga rānei
• Te pancreatitis (te pupuhi o te pancreas)
• Ngā mate pāwera kino
• Ngā taero nui, ina koa mai i ngā opioids, i te cocaine rānei
• Ngā whakawhitinga toto maha

Kaore e tino puta, ka taea e ētahi rongoā, mahi hauora rānei te whakaoho i te ARDS. Kei roto i ēnei ētahi rongoā chemotherapy, te whakamahinga roa o te manawa, ngā āhuatanga rānei i te whakahaere.

He mea nui te mārama kei te pā tētahi o ēnei āhuatanga ki a koe, kāore e tino puta te ARDS. He tokomaha ngā tāngata e pā ana ki ēnei take, kāore e whanake te mate, engari ko te mohiotanga ki te tūponotanga ka āwhina i a koe, i tō rōpū hauora rānei ki te tiaki i ngā tohu wawe.

Nōhea te haere ki te taote mō te ARDS?

Ko te ARDS tētahi āhuatanga hauora tūturu e hiahia ana ki te rongoā tūturu i te hōhipera. Me karanga atu koe ki te 111, ki te haere rānei ki te rūma tūturu tonu ki te pā atu ngā uaua o te manawa ki a koe, ina koa ki te tere te whanake i muri i te mate, i te whara rānei.

Rapua te tiaki tūturu tonu ki te kitea e koe:

• Te poto o te manawa kaore e pai ake me te okiokinga
• Te tae kikorangi o ō ngutu, kanohi, maihao rānei
• Te manawa tere e ngāwari ana koe ki te hopu manawa
• Te whakapohehe, te uaua ki te whakaaro mārama rānei
• Te mamae uma me ngā raruraru manawa

Kaua e ngana ki te whakahaere i ēnei tohu i te kāinga, ki te tatari rānei kia pai ake. Ka kino haere te ARDS, ā, ko te rongoā wawe i te wāhanga tiaki nui ka pai ake ngā hua.

Ki te noho koe i te hōhipera mō tētahi atu āhuatanga, ā, ka kitea e koe ngā uaua manawa hou, whakamōhio atu ki tō rōpū hauora tonu. Ka puta mai te ARDS hei āhuatanga o ngā raruraru hauora o nāianei, ā, ko te mohiotanga tere he mea nui ki te rongoā whai hua.

He aha ngā take morearea mō te ARDS?

Ka taea e ētahi take te whakapiki ake i tō tūponotanga ki te whanake i te ARDS ina ka pā ki tētahi āhuatanga whakaoho. Ko te mārama ki ēnei take morearea ka āwhina i a koe, i tō rōpū hauora rānei ki te tiaki i ngā tohu wawe.

Ko ngā take morearea matua:

• Te pakeke neke atu i te 65, no te mea he iti ake te kaha o ngā ringaringa o ngā kaumātua
• Te inu waipiro roa, ka ngoikore ai ngā tiaki o ngā ringaringa
• Te hītori whakapa, ka pakaru ai te kiko o ngā ringaringa
• Ngā mate ringaringa o nāianei pēnei i te COPD, te pulmonary fibrosis rānei
• Te ngoikore o te pūnaha ārai mai i te mate, i ngā rongoā rānei
• Ngā āhuatanga hauora kino

Ko ētahi take morearea iti ake, engari he mea nui:

• Ngā take ira e pā ana ki te whakahaere o tō tinana i te whakawhāiti
• Te kore kai, ka ngoikore ai te kaha whakaora o tō tinana
• Te whakahaere nui tata nei, te takoto roa rānei
• Te momona, ka uaua ai te manawa

Ko te whai i ēnei take morearea kāore e tikanga ka whanake koe i te ARDS, engari ko te tikanga kia tupato koe ki te ārai i ngā mate, ki te rapu rongoā tere hoki mō te mate kino, te whara rānei.

He aha ngā āhuatanga pea o te ARDS?

Ka taea e te ARDS te arahi ki ngā āhuatanga kino maha, i te wā o te mate, i te whakaora rānei. Ka puta ēnei āhuatanga no te mea kāore e whiwhi hau ngā kōpū o tō tinana, ā, ko ngā rongoā e hiahiatia ana ka puta mai ō rātou ake wero.

Ko ngā āhuatanga tūturu i te wā o te ARDS:

• Te kore mahi o ngā kōpū maha, ina koa ngā whatukuhu, ate, ngā ngākau rānei
• Ngā toto i ngā waewae, i ngā ringaringa rānei no te takoto roa
• Te ringaringa pakaru (pneumothorax) mai i te manawa
• Ngā mate kino, tae atu ki te mate huhu e hono ana ki te manawa
• Te pupuhi o te wai, te pupuhi hoki i te tinana katoa

Ka pā ngā āhuatanga roa ki ngā kai ora ahakoa i muri i te whakaora:

• Te toka o ngā ringaringa e whakaiti ana i te kaha o te manawa
• Te ngoikore o te uaua me te ngenge mai i te takoto roa
• Te mate ahotea muri-whakawehi mai i te wheako tiaki nui
• Ngā raruraru hinengaro me te mahara me te arotahi
• Te pouri me te manukanuka e pā ana ki te tukanga whakaora

Ahakoa he wehi ēnei āhuatanga, he tokomaha ngā tāngata e ora pai ana i te ARDS me te rongoā tika me te whakaora. Ka mahi kaha tō rōpū hauora ki te ārai i ngā āhuatanga, ki te whakahaere i ngā mea e puta mai ana.

Me pēhea te whakatau i te ARDS?

Ko te whakatau i te ARDS ko te titiro ki ō tohu, te hītori hauora, me ngā whakamātautau maha e whakaatu ana i te pai o te mahi a ō ringaringa. Kāore he whakamātautau kotahi e whakau ana i te ARDS, no reira ka whakamahi ngā taote i te whakakotahitanga o ngā mōhiohio hei whakatau i te mate.

Ka tīmata tō taote mā te tirotiro i a koe, mā te uiui hoki mō ngā mate tata nei, ngā whara, ngā whakamahinga rānei ka whakaoho pea i ngā raruraru o ngā ringaringa. Ka whakarongo ratou ki ō ringaringa, ka tirotiro i ō taumata hau mā te whakamahi i te taputapu iti i runga i tō maihao.

Ko ngā whakamātautau matua e whakamahia ana hei whakatau i te ARDS:

• Te X-ray uma, te CT scan rānei hei kite i te wai i roto i ō ringaringa
• Ngā whakamātautau toto hei tirotiro i ngā taumata hau me te hau pāmahana
• Ngā whakawhanaketanga toto hei titiro ki ngā mate
• Ngā whakamātautau ngākau hei whakakore i ngā raruraru ngākau
• Te bronchoscopy hei tirotiro i ō ara manawa ki te hiahiatia

Ka whakamahi ngā taote i ngā tikanga motuhake hei whakatau i te ARDS, tae atu ki te tere o te whanake o ngā tohu, te āhua o tō X-ray uma, me te kino o ō raruraru manawa. Ka āwhina tēnei ki te wehewehe i te ARDS mai i ētahi atu āhuatanga o ngā ringaringa ka rite pea.

Ko te tukanga whakatau i te nuinga o te wā ka tere i te rūma tūturu, i te wāhanga tiaki nui rānei, no te mea e hiahia ana te ARDS ki te rongoā tūturu. Ka tīmata tō rōpū hauora i te tiaki tautoko i te wā e mahi ana ki te whakau i te whakatau.

He aha te rongoā mō te ARDS?

Ko te rongoā mō te ARDS ko te tautoko i tō manawa i te wā e ora ana ō ringaringa, me te whakahaere i te āhuatanga e whakaoho ana i te mate. Ko te nuinga o ngā tāngata e pā ana ki te ARDS e hiahia ana ki te tiaki nui i te hōhipera me ngā taputapu motuhake me te tirotiro.

Ko te rongoā matua ko te manawa mīhini, kei reira te mīhini e āwhina ana i a koe ki te manawa mā te tuku hau i raro i te pehanga. Kāore tēnei i te rongoā hau noa, engari he pūnaha whakahirahira e taea ai te tuku i ngā rahinga tika o te hau me te pehanga hei āwhina i ō ringaringa ki te mahi pai ake.

Ka wātea pea tō mahere rongoā:

• Te manawa mīhini me ngā taumata pehanga me te hau e whakahaerehia ana
• Ngā rongoā hei whakahaere i te take, pēnei i ngā rongoā mate huhu mō ngā mate
• Te whakahaere wai hei ārai i te pupuhi o ngā ringaringa
• Te whakahaere tuunga, i etahi wā tae atu ki te takoto kanohi-iho
• Te tautoko kai hei āwhina i tō tinana ki te ora
• Ngā kai whakaheke toto hei ārai i ngā toto

I ngā take kino, ka taea e ngā taote te whakamahi i ngā rongoā whakahirahira:

• ECMO (extracorporeal membrane oxygenation) hei tango wawe i te mahi o ngā ringaringa
• Ngā rongoā motuhake hei whakaiti i te whakawhāiti
• Ngā rongoā whakamātautau mā ngā whakamātautau hauora

Ko te whāinga ko te hoatu i te wā ki ō ringaringa ki te ora i te wā e mau tonu ana te hauora o tō tinana. He tino nui te rongoā, ka roa pea ngā wiki, ngā marama rānei, engari he tokomaha ngā tāngata e ora ana me te tiaki tika.

Me pēhea te tautoko i te whakaora i te wā e rongoā ana te ARDS?

Ko te whakaora mai i te ARDS he tukanga atawhai e hiahia ana ki te manawanui me te tiaki whānui. Ahakoa kei te whakahaere te rōpū hauora i te rongoā tūturu, he mea nui ngā āhuatanga o te tiaki tautoko e āwhina ana i tō tinana ki te ora pai ake.

I te wā o te mate nui i te ICU, ka arotahi tō rōpū tiaki ki:

• Te ārai i ngā mate mā te horoi tika me ngā tukanga horoi
• Te pupuri i te kai mā ngā pūnaha kai, ngā kai IV rānei
• Te whakaora tinana hei ārai i te ngoikore o te uaua ahakoa kei te takoto
• Te tautoko hinengaro mōu me tō whānau i tēnei wā uaua
• Te tirotiro tika hei hopu me te whakahaere i ngā āhuatanga wawe

I te wā e tīmata ana koe ki te ora, ka tino nui te whakaora:

• Te whakakore haere mai i te manawa i te wā e pai ake ana ō ringaringa
• Te mahi tinana kaha hei hanga i te kaha
• Ngā mahi manawa hei whakapai ake i te mahi o ngā ringaringa
• Te whakaora mahi hei āwhina i ngā mahi o ia rā
• Te tohutohu hei whakahaere i ngā āhuatanga hinengaro o te whakaora

He mea nui te tautoko whānau ki te whakaora. Ko te whai i ngā whānau e uru ana ki tō tiaki, e tautoko ana i ō hiahia, e whakarato ana i te tautoko hinengaro ka tino pā ki tō tukanga whakaora.

Me pēhea te whakarite mō ngā hui taote mō te ARDS?

Ki te ora koe mai i te ARDS, ki te tautoko rānei i tetahi e ora ana, ko te whakarite mō ngā hui hauora ka āwhina i a koe ki te whiwhi i te tino pai mai i tō rōpū hauora. He mea nui ēnei kōrero mō te tirotiro i te ahunga whakamua me te whakarereke i ngā mahere rongoā.

I mua i tō hui, kohikohia ngā mōhiohio nui:

• Rārangihia ngā tohu o nāianei me te pēhea o te huringa
• Tuhia ngā rongoā katoa me ō rātou horoinga
• Tātaihia ngā awangawanga hou, ngā pānui rānei
• Kawe mai ngā tārua o ngā hua whakamātautau hou
• Whai mōhiohio whakapā tūturu

Ko ēnei ngā pānui ka hiahia pea koe ki te ui ki tō taote:

• Me pēhea te ora o ō ringaringa, me aha hoki a muri ake nei?
• He aha ngā tohu me tiaki ai au ka puta mai pea ngā raruraru?
• E hia te mahi e tika ana mōku inaianei?
• He aha ka taea e au hei tautoko i taku whakaora i te kāinga?
• Nōhea au e whai ake ai, me ngā tohunga rānei?

Kaua e whakaroa ki te kawe mai i te mema whānau, i te hoa rānei hei āwhina i a koe ki te mahara ki ngā mōhiohio me te uiui. Ka tino nui te whakaora mai i te ARDS, ā, he mea nui te tautoko i ngā hui hauora.

He aha te mea nui mō te ARDS?

Ko te ARDS he āhuatanga kino engari ka taea te rongoā e hiahia ana ki te tiaki hauora tūturu me te tiaki nui. Ahakoa he wehi te whakatau i tēnei whakatau, ko te mārama kei te ora ngā tāngata maha me te rongoā tika ka hoatu he tumanako i te wā uaua.

Ko te mea nui rawa atu hei mahara ko te ARDS he āhuatanga hauora tūturu. Ki te pā atu ngā uaua o te manawa ki a koe, ina koa i muri i te mate, i te whara rānei, kaua e tatari ki te rapu awhina. Ko te mohiotanga me te rongoā wawe ka pai ake ngā hua.

Ko te whakaora mai i te ARDS he mea roa, he manawanui, engari me ngā whakapainga o te tiaki hauora me te whakaora whānui, he tokomaha ngā tāngata e ora tonu ana, e ora ana. Kei reira tō rōpū hauora hei tautoko i a koe i ia kaupae o te tukanga.

Aro atu ki te whai i tō mahere rongoā, ki te noho hono atu ki tō pūnaha tautoko, ki te tango i te whakaora i te rā kotahi. Me te tiaki tika me te wā, ka taea e ō ringaringa te ora, ka taea e koe te mahi ki te hoki ki ngā mahi e tino nui ana ki a koe.

Ngā pānui e tino ui ana mō te ARDS

Ka taea te ora katoa mai i te ARDS?

He tokomaha ngā tāngata e ora pai ana i te ARDS, ahakoa ka rerekē te tukanga whakaora i te tangata ki te tangata. Ka hoki mai ētahi ki ō rātou mahi o mua, ka taea pea e ētahi atu ngā pānga roa ki ō rātou mahi ringaringa, ki te hauora whānui rānei. Ko ngā take matua e pā ana ki te whakaora ko te kino o te ARDS, te tere o te tīmatanga o te rongoā, tō hauora whānui i mua i te mate, me te pai o tō whakautu ki te rongoā me te whakaora.

E hia te roa o te whakaora mai i te ARDS?

Ko te whakaora mai i te ARDS he tukanga atawhai e taea te roa o ngā marama ki ngā tau. Ka roa pea ngā wiki te wā o te mate nui i te ICU, ka whai ake ngā marama o te whakaora hei tiki i te kaha me te mahi o ngā ringaringa. Ko te nuinga o te whakapainga ka puta i te tau tuatahi, engari ka taea pea e ētahi tāngata te kite i ngā whakapainga atawhai tae noa ki ngā tau e rua. Ka mahi tahi tō rōpū hauora ki a koe hei whakatakoto i ngā tumanakohanga tika e hāngai ana ki tō āhuatanga motuhake.

He mate pukupuku te ARDS?

Kāore te ARDS i te mate pukupuku, kāore hoki e taea te horapa mai i te tangata ki te tangata. Engari, ko ētahi o ngā āhuatanga ka whakaoho i te ARDS, pēnei i ētahi momo mate huhu, te mate huaketo rānei, ka taea te horapa. Ki te pā te ARDS ki tetahi e mohio ana koe, kāore koe e manukanuka ki te hopu i taua mea i a rātou, engari me whai koe i ngā whakatupatotanga whakahaere mate e tūtohu ana tō rōpū hauora.

He aha te reiti ora mō te ARDS?

Kua pai ake ngā reiti ora mō te ARDS i ngā tau kua pahure na te pai ake o ngā rongoā me te tiaki nui. I tēnei wā, ko te 60-70% o ngā tāngata e pā ana ki te ARDS e ora ana, ahakoa ka rerekē tēnei e hāngai ana ki ngā take pēnei i te pakeke, te hauora whānui, me te take i puta ai te ARDS. Ahakoa ka tino nui ēnei tatauranga, kia mahara ko ia āhuatanga o te tangata he motuhake, ā, ka mahi kaha tō rōpū hauora ki te hoatu i te hua pai rawa atu ki a koe.

Ka taea te puta atu te ARDS neke atu i te kotahi wā?

Ahakoa he mea pea te puta mai ano o te ARDS, kāore i te noa mō te nuinga o ngā tāngata. Ko tō tūponotanga ki te whanake ano i te ARDS e hāngai ana ki ō āhuatanga hauora o nāianei, me te whakamahinga rānei o ngā take i whakaoho i taua mea i te tīmatanga. Ka nui ake pea te tūponotanga o ētahi tāngata ki te whai raru o ngā ringaringa, ngā āhuatanga rānei e tino pā ana ki ngā mate, engari he tokomaha ngā kai ora ARDS kāore e pā atu ano.