Created at:1/16/2025
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Ko te hūhae he mate roa e whakaititia ai, e mumura ai ō ngā ara hau, ā, ka uaua ake te manawa. Whakaarohia ō ngā ara hau hei ngā pūkaha e kawe ana i te hau ki ō ngā pūkahukahu – ina pangia koe e te hūhae, ka pupū enei pūkaha ka whakaputa i te waiū nui atu, ka puta mai te ahua pēnei i te kīkino o tō pouaka.
Ka pā tēnei mate ki te iwi o ngā tau katoa, mai i ngā tamariki iti ki ngā pakeke. Ko te mea pai, mā te whakahaere tika, ka taea e te nuinga o te hunga e pangia ana e te hūhae te noho ora, hauora.
Ka tino whakarongo ō ngā ara hau ki ētahi whakaohooho, ā, ina whakaaturia ki a rātou, ka whakautu rātou mā te kīkino – engari ka taea te whakahaere tino pai tēnei whakautu mā te huarahi tika.
Ka rereke ngā tohu o te hūhae mai i te ngawari ki te kino, ā, ka haere mai, ka haere atu. Ka pā ngā tohu ki ētahi i ngā rā katoa, ā, ka kite pea ētahi i ngā wā o te tau, i te wā rānei e whakaaturia ana ki ngā whakaohooho motuhake. Ko te mea nui ko te ako ki te mohio ki ō tauira me te mahi tahi me tō kaiwhakarato hauora hei hanga i te mahere e mahi ana mōu.
Ko ngā tohu tino noa o te hūhae ka whakaahuatia pinei te kore e taea te hopu manawa, te pēnei rānei i te tangata e pehia ana tō pouaka. Ka puta ēnei tohu nā te mea kei te mahi nui atu ō ngā ara hau i te mea noa hei tiki i te hau ki roto, ki waho hoki i ō ngā pūkahukahu.
Ko ēnei ngā tohu matua ka pā pea ki a koe:
Ko ētahi atu tāngata ka pāngia hoki e ngā tohu kaore e tino kitea he hononga ki te manawa. Ā, ka uru atu ki ēnei ngā whakakīkī i te korokoro, te āwangawanga rānei te wehi i te wā e uaua ana te manawa, te kore rānei e taea te mahi i ngā mahi noa i mua i te koretake.
Ka whai tauira pea ō tohu – pea ka kino ake i te ata, i te wā e whakakori ana, i te wā rānei e noho ana koe ki ngā mea whakaohooho. Ko te pupuri i ēnei tauira ka āwhina i a koe me tō tākuta ki te mārama pai ake ki tō mate huango, me te hanga i te mahere rongoā pai ake.
Ehara te mate huango i te āhua kotahi – he maha ngā āhua kei runga i te aha ngā mea whakaohooho i ō tohu me te wā e puta ai. Ko te mōhio ki tō momo ka āwhina i a koe ki te whakahaere pai ake i tō mate.
Ko ngā momo tino noa ko:
He maha hoki ngā momo onge ake e hiahia ana ki te tiaki motuhake. Ko te mate huango kino ka pā ki te iti o te hunga, kāore hoki e pai te whakautu ki ngā rongoā noa. Ko te mate manawa whakaohoohotia e te aspirin ka whakakotahi i te mate huango me te ngawari ki te aspirin me ētahi atu rongoā mamae. Ko te mate huango eosinophilic kei roto ngā taumata teitei o ngā pū toto ma motuhake, a he maha ngā wā e hiahia ana ki te rongoā āta whai whāinga.
He maha ngā tāngata he whakakotahitanga o ngā momo – hei tauira, pea he mate huango pāwera tōu e kino ake ana i te wā e whakakori ana. Ka taea e tō tākuta te āwhina ki te whakatau i te momo, i ngā momo rānei kei a koe mā te whakamātautau me te arotake i ō tauira tohu.
Ko te mate huango e puta mai ana i te whakakotahitanga o ngā take ira tuku iho me ngā āhuatanga o te taiao, kāo he take kotahi anake. Ki te mea he mate huango kei roto i tō whānau, ka nui ake te tūpono ka puta ki a koe, engari ko ngā āhuatanga o te taiao te nuinga o te whakatau i te wā me te wā e puta mai ai ngā tohu.
Ko ngā take matua e āwhina ana ki te whanake i te mate huango ko:
Kia mau ki a koe te mate huango, ka taea e ētahi kaiwhakaoho te whakaoho i ō tohu. Ko ngā kaiwhakaoho noa ko ngā mate manawa pēnei i te mate huka, te rewharewha rānei, ngā mea pāwera pēnei i te paura, te huruhuru kararehe rānei, ngā mea whakaoho pēnei i ngā kakara kaha, te paowa rānei, ngā huringa o te rangi, me te ahotea.
Ko ētahi kaiwhakaoho kaore i te noa ka miharo pea koe. Ka taea e ēnei te whakauru i ētahi rongoā pēnei i ngā beta-blockers, ngā taapiri kai pēnei i ngā sulfites, te mate reflux gastroesophageal (GERD), me ngā huringa homoni i te wā o te marama, te hapu rānei.
He mea nui te mārama ki ō kaiwhakaoho whaiaro hei whakahaere pai i tō mate huango. Ko te mea ka whakaoho i te mate huango o tētahi tangata kaore pea e pā ki tētahi atu tangata, no reira he mea nui kia kitea tō tauira motuhake o ngā kaiwhakaoho mā te tirotiro tika, me te whakamātautau mate pāwera pea.
Me titiro koe ki te taakuta ki te pāngia koe e ngā raruraru manawa mau tonu, ahakoa he ngawari te ahua. Ka taea e te tautuhi me te maimoatanga wawe te aukati i te kino o tō mate huango, ā, ka āwhina i a koe ki te pupuri i te mana pai ake i ō tohu.
Whakaritea he whakatau wā ki te kite koe i ēnei tohu whakatūpato:
Rapua te tiaki hauora tūpato tonu mena ka pāngia koe e ngā tohu kino. Kei roto i ēnei te uaua ki te kōrero i ngā rerenga kōrero katoa nā te poto o te manawa, te whakamahi i ngā uaua o tou kaki me tou uma ki te manawa, te whero kikorangi rānei o ō ngutu, o ō maihao rānei. He pānui rere teitei i raro i te 50% o tō pai ake ake e hiahia ana hoki ki te arotake tonu.
Kaua e tatari kia whiwhi awhina mena kaore tō mīhini manawa whakaora e whakarato ana i te whakaora, mena ka hiahia koe ki te whakamahi i te maha atu i te noa. Ka whakaatu ēnei tohu kaore i te pai te whakahaere o tō mate huango, me te hiahia ki te tiaki hauora hei aukati i te whakaeke mate huango kino.
He maha ngā take ka piki ake ai tō tūmanako ki te whanake i te mate huango, ahakoa te mea he morearea ngā take morearea, kaore e whakamana ka whanake koe i te āhuatanga. Ka taea e te mārama ki ēnei take te āwhina i a koe ki te tango i ngā mahi aukati me te mohio wawe ki ngā tohu.
Ko ngā take morearea matua ko:
He maha ngā take e tino rite ana ki ētahi wāhanga o te oranga. Ko ngā tamariki e pāngia ana e ngā mate pukupuku manawa maha, e whakaū ana ki te paowa tapeka, kei a rātou ngā whaea i kai hikareti i te wā hapu, he nui ake te morearea. Ko ngā pakeke e mahi ana i ētahi umanga, ka whanake rānei i ngā mate pāwera hou i muri mai o te ora, ka nui ake pea te morearea.
Ko ētahi atu take morearea e kore e tino kitea ko te whai whaea e pangia ana e te mate huango i te wā hapu, te whānau wawe, te mate rerenga kai hoki. Ka taea hoki e ngā huringa homoni i te wā o te pakehatanga, te hapu, te wā whakamutunga o te wā, te whakauru ki te whanaketanga o te mate huango ki ētahi tangata.
Ahakoa kaore e taea te whakarereke i ngā take ira, ka taea te whakaiti i tō morearea mā te pupuri i te taumaha hauora, te karo i te paowa tapeka, te whakahaere pai i ngā mate pāwera, me te whakaiti i te whakapiri ki ngā mea whakaohooho e mohiotia ana ki te taea.
Ki te kore te mate huango i te whakahaere pai, ka taea te arahi ki ngā raruraru maha e pā ana ki tō oranga o ia rā me tō hauora whānui. Ko te rongo pai ko te nuinga o ngā raruraru ka taea te aukati mā te whakahaere tika me te tiaki hauora auau.
Ko ētahi raruraru noa ka pā ki a koe:
Ka taea te whanake i ngā raruraru nui ake ki te kore te mate huango i te whakahaere pai i te roa o te wā. Kei roto i ēnei te whakaiti tonu o ngā ara hau (te hanga hou o ngā ara hau), te piki o te morearea o te mate huango, me te mate huango nui – he āhuatanga kino e kore ngā whakaeke o te mate huango e whakautu ki te maimoatanga noa.
Ka whanake etahi tangata i etahi raruraru onge penei i te aspergillosis bronchopulmonary mate pāwera (ABPA), kei hea ngā mate huaketo e whakawhāiti ana i te whakahaere mate huango, te whanake ranei i te mate huango kino, e kore e taea te whakaora, e hiahia ana ki ngā huarahi maimoatanga motuhake.
Ko te ki hei aukati i ngā raruraru ko te mahi tata atu ki tō kaiwhakarato hauora hei whakawhanake me te whai i te mahere mahi mate huango whai hua. Ka taea e te aroturuki auau me ngā whakarereketanga rongoā te āwhina i a koe ki te karo i te nuinga o ngā raruraru me te pupuri i te kounga ora pai.
Ahakoa kaore e taea te ārai katoa i te hūhae ki te whakawhānau koe, ka taea e koe te mahi kia iti te tūponotanga me te ārai i te puta mai o ngā tohu, te whakaiti rānei. Ko te ārai e arotahi ana ki te karo i ngā mea whakaohooho e mohiotia ana, me te pupuri i te hauora o te manawa katoa.
Ko ētahi o ngā rautaki ārai matua ko:
Mō ngā whaea e tatari ana, ko te karo i te wāhine kai paipa i te wā hapu me te whāngai u ina taea e āwhina ki te whakaiti i te tūponotanga o te hūhae o tā rātou tamaiti. Ko te pupuri i ngā kāinga kia ma, me te whakaiti i te whakamahinga o ngā nakahi puehu, te huruhuru kararehe, me te harore ka pai hoki.
Ki te mahi koe i roto i tētahi taiao he mea whakaohooho manawa pea, ko te whakamahi i ngā taputapu tiaki tika me te whai i ngā aratohu haumaru ka āwhina ki te ārai i te hūhae mahi. Ka taea hoki e ngā tirotiro hauora ā-wā te āwhina i te kimi me te whakaoti i ngā take tūponotanga i te tīmatanga.
Ahakoa kaore ēnei mahi e taea te whakamana i te ārai, ka whakaiti nui i tō tūponotanga, ā, ka āwhina ki te pupuri i te hauora manawa pai ake. Ahakoa kua pangia koe e te hūhae, ka taea e ēnei rautaki te āwhina ki te ārai i te kino o ō tohu.
Ko te whakatau i te hūhae e whakauru ana i te kōrero mō ō tohu, te arotake i tō hītori hauora, me te mahi i ngā whakamātautau manawa motuhake. Ka hiahia tō tākuta ki te mārama ki ngā tauira tohu me te whakakore i ētahi atu āhuatanga ka puta mai he raruraru manawa rite.
Ko te tukanga whakatau i te nuinga o te wā e whakauru ana:
Āta whakamahia e tō tākuta te whakamātautau wero bronchial, kei reira koe e manawa ana i tetahi mea ka taea te whakaohooho i ngā tohu mate huango ki ngā tāngata e pangia ana e te āhuatanga. Ka mahia tēnei whakamātautau i roto i tetahi wāhi hauora whakahaeretia me te rongoā tika kei te wātea mena ka hiahiatia.
I etahi wā, he mea tika ngā whakamātautau atu, ina koa ki te koretake ō tohu, ki te kore rātou e whakautu ki ngā rongoā noa. Ka uru pea ēnei ki ngā whakamātautau toto hei tirotiro i ngā momo mate huango motuhake, ngā tātaritanga CT hei titiro ki ō ngā pūkahukahu i roto i ngā kōrero, i ngā whakamātautau rānei hei ine i ngā taumata o te hau ngāwari i roto i tō manawa.
He mea nui te whiwhi i te tautuhi tika, na te mea he maha atu ngā āhuatanga ka taea te whakaohooho i ngā tohu rite. Ka mahi tika tō tākuta ki te wehe i te mate huango i ngā āhuatanga penei i te COPD, ngā raruraru ngakau, te mahi koretake rānei o ngā aho reo.
Ka arotahi te rongoā mate huango ki te whakahaere i ō tohu me te aukati i ngā whakaeke mate huango mā te whakakotahitanga o ngā rongoā me te whakahaere oranga. Ko te whāinga kia āwhina koe ki te manawa ngāwari ake me te ora i te oranga mahi, noa.
Ka uru pea tō mahere rongoā ki:
Ko te rongoā whakaora tino noa ko te albuterol, e whakatuwhera tere ana i ō ara hau i te wā o te mate huango. Ko ngā rongoā whakahaere roa e whakauru pinepine ana i ngā corticosteroids whakahemohemo, e whakaiti ana i te mumura i roto i ō ara hau ina whakamahia tonu.
Mō te hunga he mate huango kino kaore e whakautu ki ngā maimoatanga noa, kei te wātea ngā kōwhiringa hou. Kei roto i ēnei ngā rongoā pāngarau e āta whakaeke ana i ngā huarahi pūnaha ārai, te thermoplasty bronchial (he tukanga e whakaiti ana i te uaua ara hau), me ngā maimoatanga whakakotahi e rite ana ki tō momo mate huango.
Ka mahi tahi tō tākuta ki a koe ki te kimi i te whakakotahitanga tika o ngā maimoatanga. Ka roa pea tēnei me ngā whakatikatika, engari ka taea e te nuinga o te iwi te whakatutuki i te whakahaere pai o te mate huango me te huarahi tika.
Ko te whakahaere i te mate huango i te kāinga e pā ana ki te whai i tō mahere mahi mate huango, te tango i ngā rongoā pera i te whakarite, me te mohio ki te whakautu ina kino ake ngā tohu. Ka taea e te whakahaere kāinga pai te aukati i te maha o ngā whakaeke mate huango, ā, ka awhina i a koe kia tū rangatira ake mō tō mate.
Ko ngā kaupae whakahaere kāinga nui e whai ake nei:
Akohia te tikanga tika o te pūhaere kia whakarite ai koe kei te whiwhi koe i te painga katoa o ō rongoā. He tokomaha kaore e whakamahi tika ana i ō rātou pūhaere, ka taea te whakaiti i te whai hua o te maimoatanga. Pātai atu ki tō tākuta, ki tō kai rongoā rānei kia whakaatu i te tikanga tika.
Hangaia tetahi taiao pai mō te mate huango mā te whakamahi i ngā kai horoi hau, te horoi i ngā kakahu moe i roto i te wai wera ia wiki, me te pupuri i ngā taumata makuku i waenga i te 30-50%. Ki te whai koe i ngā kararehe, ā, kei te mate pāwera koe, ka āwhina te tiaki auau me te pupuri i a rātou i waho o ngā ruma moe.
I ngā wā e pūmau ana ngā tohu, kia mārama, kia whai i tō mahere mahi. Whakamahia tō pūhauma whakaora penei i te aratohu, noho tika, ā, arotahi ki te manawa ngawari, pumau. Ki te kore ngā tohu e pai ake, kīhai rānei e kino ake, kaua e whakaroa ki te rapu awhina hauora.
Ko te whakarite mō tō hui huango te āwhina kia whiwhi koe i te hua nui rawa atu i tō haerenga, ā, whakarato hoki i tō taote ki ngā mōhiohio e hiahiatia ana hei whakahaere pai i tō āhuatanga. Ka taea e te whakarite pai te arahi ki ngā whakatau rongoā pai ake me te whakahaere pai ake o te mate huango.
I mua i tō hui, kohikohia:
Pupuri i te ara o ō tohu mo te kotahi wiki iti rawa i mua i tō hui. Tūtohuhia te wā e puta mai ana ngā tohu, te mea pea i whakaohooho i a rātou, me te pai o te mahi a ō rongoā whakaora. Ka āwhina ēnei mōhiohio i tō taote ki te mārama ki te pai o te mahi a tō rongoā o nāianei.
Kawe mai ō pūhauma ki te hui kia taea ai e tō taote te tirotiro i tō tikanga me te whakarite kei te whakamahi koe i a rātou tika. He tokomaha ngā tāngata e whānau ana i ngā tikanga kino i te roanga o te wā ka taea te whakaiti i te whai hua o te rongoā.
Kaua e whakaroa ki te uiui i ngā mea kaore koe e mārama. E hiahia ana tō taote ki te āwhina i a koe ki te whakahaere pai i tō mate huango, ā, he mea nui te whakawhitiwhiti mārama mō te whakatutuki i te mana whakahaere pai.
He mate whakahaeretia te mate huango, kāo ia e āhei te whakawhāiti i tō oranga ina whakahaeretia tika. Mā te mahere rongoā tika, ka taea e te nuinga o te hunga mate huango te whakauru ki ngā mahi noa katoa, tae atu ki ngā hākinakina me te whakakori tinana.
Ko te mea nui rawa atu kia mahara ko te whakahaere i te mate huango he hononga mahi tahi i waenganui i a koe me tō kaiwhakarato hauora. Ko ngā tirotiro auau, te whakawhitiwhiti kōrero pono mō ō tohu, me te whai tonu i tō mahere rongoā ko ngā ki kia angitu.
Kaua e tuku i te mate huango ki te whakahaere i tō oranga – tangohia te mana o tō mate huango. Mā ngā rongoā whai hua o nāianei me tō whakaute ki te whakahaere tika, ka taea e koe te manawa ngāwari ake, me te ora i te oranga mahi e hiahia ana koe.
I tēnei wā, kāore he rongoā mō te mate huango, engari ka taea te whakahaere pai mā te rongoā tika. He tokomaha ngā tāngata mate huango e ora ana i ngā oranga noa katoa me ngā rongoā me te whakahaere noho ora tika. Ka taea e ētahi tamariki te tupu ake i ō rātou tohu mate huango, engari ka noho tonu te āhuatanga taketake.
Ae, he waahanga ira te mate huango. Mēnā he mate huango tētahi mātua, he 25% te tūponotanga o tō rātou tamaiti ki te whanake. Mēnā e rua ngā mātua he mate huango, ka piki te tūponotanga ki te 60-75%. Heoi, ko te whai i te tūponotanga ira kāore e whakamana ka whanake koe i te mate huango.
Ae rawa! He pai te whakakori tinana mō te hunga mate huango, ā, ka taea te whakapai ake i te mahi o ngā pūkahukahu i te roa. Ko te matua ko te mahi tahi me tō tākuta ki te whakawhanake i te mahere whakakori tinana e whakauru ana i te whakamahana tika, te whakamahi i tō mīhini manawa whakaora i mua i te mahi mena e hiahiatia ana, me te whiriwhiri i ngā mahi e pai ana ki a koe.
Ka taea te whakarereke o te mate huango i te wa, engari kaore e tino kino ake me te pakeke. Ka kite etahi i te pai ake o o rātou tohu i te pakeke, ā, ka raru pea ētahi atu i ngā huringa o te homoni, ngā tūāwhiti hou, me ētahi atu āhuatanga hauora. Ka āwhina te arotautanga tūturu ki te whakahaere pai i ēnei huringa.
Ae, ka taea e te ahotea ngākau te whakaoho i ngā tohu o te mate huango ki ētahi tangata. Ka taea e ngā kare āroha kaha te whakaoho i te manawa tere, ā, ka taea hoki e te ahotea te whakaiti i tō pūnaha mate, ā, ka nui ake te tūponotanga ki ngā mate manawa ka taea te whakaiti i te mate huango. Ka taea te awhina te ako i ngā tikanga whakahaere ahotea.