He aha te Epiglottitis? Tohutohu, Take, me te Maimoatanga

Ko te epiglottitis he mate kino e pupuhi ai te epiglottis, he wahi iti o te kiri e hipoki ana i tō pūhau ina horomia. Ka taea e tēnei āhuatanga te whakahirahira i te manawa me te horomi, ā, e hiahiatia ana te tiaki hauora tonu.

Whakaarohia tō epiglottis hei taupoki tiaki e ārai ana i te kai me ngā wai kei roto i ō ngā manawa. Ina pupuhi, ka taea e ia te aukati i tō ara manawa, ā, he āwangawanga hauora tēnei e hiahia ana ki te maimoatanga tere.

He aha te Epiglottitis?

Ka puta te epiglottitis ina pangia te epiglottis ka pupuhi rawa. Ko te epiglottis he wahi rite ki te rau o te cartilage kei raro i tō arero, kei runga ake i tō pouaka reo.

I kite tuatahihia tēnei āhuatanga i ngā tamariki, engari kua whakaitihia te maha o ngā keehi tamariki nā te inopēnē ki te Haemophilus influenzae momo b (Hib). I tēnei wā, ka pā atu te epiglottitis ki ngā pakeke atu i ngā tamariki, ahakoa ka taea tonu te puta i tetahi tau.

Ka tere te pupuhi ka tere te whakawhānui i roto i ngā haora. Nō te mea kei te tomokanga o tō ara manawa te epiglottis, ka taea e ngā pupuhi iti te whakaeke i ngā raruraru manawa nui.

He aha ngā Tohutohu o te Epiglottitis?

Ka tere te whanake o ngā tohu o te epiglottitis, ā, ka taea te kaha i roto i ngā haora. Ko te mohiotanga wawe ki ēnei tohu ka ora ai te ora, i te mea ka taea e te āhuatanga te whakaiti tere i tō kaha ki te manawa.

Ko ngā tohu tino noa ko:

• Te mamae o te korokoro e puta mai ana i te tere
• Te uaua ki te horomi, me te ngaungaue
• Te reo ngākau, te reo kōkō
• Te kirika nui, i runga ake i te 101°F (38.3°C)
• Te uaua ki te manawa, te manawa haruru rānei
• Te manako ki te noho tika me te whāiti i mua

I ngā tamariki, ka taea hoki e koe te kite i te riri, te kore e ata noho, me te hiahia ki te whakatuwhera i o ratou mangai kia pai ai te manawa. Ka taea e ngā pakeke te wheako i ngā tohu iti ake i te tīmatanga, engari ka taea tonu te tere o te āhuatanga.

Ko te tohu tino nui ko te tuunga tripod, kei reira te tangata e noho tika ana, e whāiti ana i mua, ka whakawhāiti i tōna kaki kia ngāwari ai te manawa. Ka āwhina tēnei tuunga ki te whakatuwhera i te ara manawa.

He aha ngā Take o te Epiglottitis?

Ko te take matua o te epiglottitis ko ngā mate huaketo, ahakoa ka taea e ngā huaketo me ētahi atu mea te whakaoho i te āhuatanga. Ko te mārama ki ngā take ka āwhina i te whakamārama he aha te mea nui o te maimoatanga antibiotic tere.

Ko ngā take huaketo tino noa ko:

• Streptococcus pneumoniae (pneumococcus)
• Streptococcus pyogenes (rōpū A strep)
• Staphylococcus aureus
• Haemophilus influenzae momo b (kaore i te noa inaianei nā te inopēnē)

Ka taea e ngā take iti ake te whakauru i ngā mate huaketo penei i te mate huaketo, ngā mate huaketo i ngā tangata he pūnaha ārai ngoikore, te whara tinana rānei ki te korokoro mai i ngā wai wera rawa atu, te whara tika rānei.

I etahi wa, ka taea e ngā tahuna matū mai i te manawa i te paowa, te kohu, tetahi atu mea whakahirahira rānei te pupuhi rite. Kua honoa ano te whakamahinga rongoā, inā te whakakī i te cocaine, ki te epiglottitis i etahi keehi.

Nōhea te Tiro ki te Taakuta mō te Epiglottitis?

He āwangawanga hauora tonu te epiglottitis e hiahia ana ki te tiaki hauora tonu i te hōhipera. Ki te whakaaro koe he epiglottitis koe, ki tetahi atu rānei, karanga atu ki te 111, ki te haere atu rānei ki te rūma āwangawanga tonu.

Rapua te tiaki hauora āwangawanga tonu mena ka kite koe:

• Te mamae ohorere, nui o te korokoro
• Te uaua ki te manawa, ki te horomi rānei
• Te ngaungaue nā te kore e taea te horomi
• Te reo ngākau, te kore rānei e taea te kōrero mārama
• Te kirika nui me ngā tohu korokoro
• Te noho i te tuunga tripod

Kaua e tatari kia pai ake ngā tohu. Ka taea te aukati katoa i te ara manawa i roto i ngā haora, ka mate pea kaore he whakauru hauora tonu.

Kaua e ngana ki te titiro ki te korokoro me te rama, te taupoki arero rānei, i te mea ka taea e tēnei te whakaeke i te epiglottis pupuhi kia aukati katoa i te ara manawa. Tukua ngā tohunga hauora ki te whakahaere i te tirotiro me ngā taputapu tika.

He aha ngā Take Pāngarau mō te Epiglottitis?

Ahakoa ka taea e te epiglottitis te pā ki te tangata, ka taea e ētahi take te whakapiki i tō tūponotanga ki te whanake i tēnei āhuatanga kino. Ko te mohiotanga ki ēnei take pāngarau ka āwhina i a koe ki te mataara mō ngā tohu.

Ko ngā take pāngarau matua ko:

• Ko te tane (ka pā atu ki ngā tāne atu i ngā wāhine)
• He pūnaha ārai ngoikore
• Kāore i te inopēnē ki te Hib
• Te noho i ngā wāhi tūwhera
• He mate huka, he mate roa atu rānei
• He iwi Pākehā (he tūponotanga teitei ake)

He mea nui ano te tau, me ngā pakeke i waenga i te 20 me te 40 tau te pakeke te tino pā i tēnei wā. Heoi, ka taea te puta o te āhuatanga i tetahi tau, ā, ka nui ake pea te tūponotanga o ngā kaumatua nā te ngoikore o ngā pūnaha ārai.

Ka taea hoki e ētahi mahi, te whakamahinga rānei te whakapiki i te tūponotanga, penei i te whakakī, te nui o te inu waipiro, te whakamahinga paowa tuarua rānei. Ka nui ake pea te tūponotanga o ngā tangata e mahi ana i ngā taiao me ngā paowa matū, ngā mea whakahirahira rānei.

He aha ngā Raruraru Ka Taea o te Epiglottitis?

Ka taea e te epiglottitis te arahi ki ngā raruraru kino, mate kino rānei ki te kore e maimoatia tere. Ko te raruraru tino kino ko te aukati katoa i te ara manawa, ka mate pea i roto i ngā meneti.

Ko ngā raruraru tino kino ko:

• Te aukati katoa i te ara manawa e hiahia ana ki te tūtuki manawa āwangawanga
• Te kore manawa me te mate ngakau
• Te hora o te mate ki ētahi atu wāhanga o te tinana
• Te mate huango mai i te horomi i te ngaungaue, te kai rānei
• Te mate toto (sepsis)

I ngā keehi onge, ka taea te hora o te mate ki ngā kiko tata, ka puta ai ngā abscess i te korokoro, te uma rānei. Ka taea e tēnei te arahi ki ētahi atu raruraru manawa, ā, ka hiahia pea ki te whakakorenga pokanga.

Ko te rongo pai ko te nuinga o ngā tāngata ka ora katoa mai i te epiglottitis me te mohiotanga tere me te maimoatanga tika. Ko te mea nui ko te whiwhi i te tiaki hauora i mua i te whanake o ngā raruraru kino.

Me pēhea te Whakataurite i te Epiglottitis?

Ko te whakataurite i te epiglottitis e hiahia ana ki te aromatawai hauora atawhai, i te mea ka kino te tirotiro i te korokoro. Ka whakamahi ngā taakuta rūma āwangawanga i ngā tikanga motuhake me ngā taputapu hei aromatawai haumaru i te āhuatanga.

Ko te tukanga whakataurite e whakauru ana i te hītori taipitopito o ngā tohu me to ratou tīmatanga. Ka ui ngā taakuta mō te kirika, te mamae o te korokoro, te uaua ki te horomi, me ngā raruraru manawa i te wa e mau tonu ana koe me te ngāwari.

Hei kite haumaru i te epiglottis, ka taea e ngā taakuta te whakamahi i te tirohanga ngawari e kiia nei he laryngoscope e haere ana i tō ihu. Ka taea e tēnei te kite i te epiglottis pupuhi kaore e whakaoho i te spasm ara manawa, te aukati katoa rānei.

I etahi wā, ka taea e te X-ray kaki taha te whakaatu i te epiglottis pupuhi, e puta mai ana hei mea e kiia ana e ngā taakuta ko te "tohu tohu." Heoi, ka mahia tēnei mena ka pumau te turoro ka taea te takoto papa haumaru.

Ka taea te mahi i ngā whakamātau toto hei whakataurite i te huaketo motuhake e pā ana i te mate, me te tirotiro hoki mō ngā tohu o te mate whānui. Ka āwhina ēnei whakamātau ki te arahi i te whiriwhiri antibiotic me te aroturuki i tō āhuatanga whānui.

He aha te Maimoatanga mō te Epiglottitis?

Ko te maimoatanga mō te epiglottitis e arotahi ana ki ngā whāinga e rua: te whakarite i tō ara manawa kia taea ai e koe te manawa haumaru me te whawhai ki te mate me ngā antibiotics. Ka puta tonu tēnei i roto i te hōhipera me te aroturuki tata.

Ko te mea tuatahi ko te whakahaere ara manawa. Ki te whakaitihia te manawa, ka hiahia pea ngā taakuta ki te whakauru i te tūtuki manawa i tō waha, ki te mahi rānei i te tracheostomy, e hanga ana i te whakatuwhera wā poto i tō kaki mō te manawa.

Ko te maimoatanga antibiotic e whakauru ana i ngā rongoā intravenous e taea ai te whawhai pai ki ngā huaketo tino noa e pā ana ki te epiglottitis. Ko te antibiotic motuhake e whakawhirinaki ana ki ngā tauira ārai huaketo rohe me ō āhuatanga hauora motuhake.

Ko te tiaki tautoko e whakauru ana ki:

• Te rongoā hauākura hei āwhina i te manawa
• Ngā wai IV hei ārai i te ngaungaue
• Te rongoā mamae me ngā whakaiti kirika
• Ngā corticosteroids hei whakaiti i te pupuhi
• Te hau makuku hei whakamarie i ngā kiko pupuhi

Ko te nuinga o ngā tāngata ka tīmata te pai ake i roto i te 24 ki te 48 haora i muri i te tīmatanga o te maimoatanga tika. Heoi, ko ngā noho hōhipera e roa ana i ngā rā maha hei whakarite i te mana o te mate me te pumau o te manawa.

Me pēhea te Tikanga Whare i te Wā o te Ora Epiglottitis?

Ko te tiaki whare mō te epiglottitis ka tīmata anake i muri i to maimoatanga i te hōhipera, ā, kua whakatau tō taakuta he haumaru te haere ki te kāinga. Ka haere tonu te ora mō ngā rā maha ki ngā wiki i muri i te tuku.

I te wā o te ora i te kāinga, he mea nui te whakaoti i tō kaupapa katoa o ngā antibiotics waha, ahakoa kei te pai ake koe. Ko te mutu o ngā antibiotics i te wa wawe ka taea te whakahoki mai i te mate, te arahi rānei ki te ārai antibiotic.

Hei tautoko i tō ora:

• Whiwhi i te nui o te okioki hei āwhina i tō tinana ki te whawhai ki te mate
• Inu wai mahana penei i te hupa, te tii rānei me te honi
• Whakamahia he makuku hei pupuri i ngā kiko korokoro makuku
• Tangohia ngā kai whakaiti mamae e taunakitia ana e tō taakuta
• Kaua e whakakī, te paowa tuarua rānei

Mataarahia te hokinga mai o ngā tohu penei i te uaua ki te horomi, ngā raruraru manawa, te kirika nui rānei. Whakapa atu ki tō taakuta tonu mena ka puta mai ēnei tohu, i te mea ka taea e ratou te tohu kei te hoki mai te mate.

Ko te nuinga o ngā tāngata ka taea te hoki ki ngā mahi noa i roto i te wiki, rua rānei, engari whai i ngā taunakitanga motuhake a tō taakuta mō te wa e haumaru ai te hoki ki te mahi, te whakakori tinana, ētahi atu mahi noa rānei.

Me pēhea te Whakamahere mō tō Hui Taakuta?

Ki te wheako koe i ngā tohu o te epiglottitis, ehara tēnei i te āhuatanga mō te hui taakuta noa. Engari, e hiahia ana koe ki te tiaki hauora āwangawanga tonu i te rūma āwangawanga hōhipera.

Heoi, ki te whai koe i muri i te maimoatanga, he awangawanga rānei mō te tūponotanga epiglottitis, koinei te huarahi hei whakamahere mō te whakawhānui hauora:

I mua i tō hui, tuhia katoa ō tohu, tae atu ki te wā i tīmata ai rātou me te āhua o te huringa. Tātarihia ngā mate hou, ngā inopēnē, ngā whakamahinga rānei e tika ana.

Whakamahia he rārangi o ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā rongoā-ā-te-kaute me ngā taapiri. Tāpirihia hoki ngā korero mō tō hītori inopēnē, inā ngā inopēnē Hib me ngā inopēnē pneumococcal.

Whakaarohia ngā pātai e hiahia ana koe ki te ui, penei i ō take pāngarau, ngā rautaki ārai, ngā tohu rānei e hiahia ana ki te tiaki hauora tonu i te wā kei te heke mai.

Me pēhea te Ārai i te Epiglottitis?

Ko te ārai i te epiglottitis e arotahi ana ki te inopēnē me ngā mahi hauora pai. Ko te whakaiti nui o ngā keehi epiglottitis tamariki e whakaatu ana i te āhua o ngā rautaki ārai.

Ko te taputapu ārai tino nui ko te noho tonu ki ngā inopēnē. Kua whakakore i te nuinga o te Haemophilus influenzae momo b hei take o te epiglottitis i ngā tamariki me ngā pakeke te inopēnē Hib.

Ko ētahi atu inopēnē e taunakitia ana ko:

• Te inopēnē pneumococcal hei ārai i ngā mate Streptococcus pneumoniae
• Te inopēnē mate huaketo ia tau hei whakaiti i ngā mate huaketo ka taea te arahi ki ngā mate huaketo tuarua
• Te inopēnē COVID-19 hei ārai i ngā mate manawa

Ka taea e ngā mahi hauora pai te ārai i te hora o ngā huaketo me ngā huaketo e pā ana ki te epiglottitis. Kei roto i ēnei te horoi i ō ringa maha, te karo i te hononga tata ki ngā tāngata mate, te kore rānei e tutaki i ngā taputapu kai, ngā inu rānei.

Ki te whai koe i ngā take pāngarau penei i te mate huka, he pūnaha ārai ngoikore rānei, mahi tahi me tō kaiwhakarato hauora hei whakahaere pai i ēnei āhuatanga. Ka taea e tēnei te whakaiti i tō tūponotanga mate whānui.

He aha te Tāpiringa Matua mō te Epiglottitis?

He āwangawanga hauora kino engari ka taea te whakaora te epiglottitis e pā ana ki te wahi iti o te kiri e tiaki ana i tō ara manawa. Ko te mea nui rawa ki te mahara ko te tere o te whanake o ngā tohu, ā, e hiahia ana ki te tiaki hauora tonu.

Kaua rawa e wareware ki te mamae ohorere, nui o te korokoro, inā te whakauru ki te uaua ki te horomi, ngā raruraru manawa, te kirika nui rānei. E hiahia ana ēnei tohu ki te haere tonu ki te rūma āwangawanga, ehara i te tatari-me-te-kite.

Ko te rongo pai ko te nuinga o ngā tāngata ka ora katoa mai i te epiglottitis me te tiaki hauora tere. Kua pai ake ngā antibiotics hou me ngā tikanga whakahaere ara manawa i tēnei āhuatanga i wehingia i mua i te wa e mau ana i te wa wawe.

Ko te ārai mā te inopēnē tonu te tiaki pai rawa atu mōu ki te epiglottitis. Noho tonu ki ngā inopēnē e taunakitia ana, kia mau tonu ki ngā mahi hauora pai hei whakaiti i tō tūponotanga ki te whanake i tēnei mate kino.

Ngā Pātai Nui e Uihia Ana mō te Epiglottitis

P1: Ka taea te whakapohehe i te epiglottitis hei mate korokoro strep?

Ae, ka taea te whakapohehe i te epiglottitis hei mate korokoro strep i te tīmatanga, no te mea e rua ngā take o te mamae nui o te korokoro me te uaua ki te horomi. Heoi, ko te epiglottitis te tikanga ka nui ake te uaua ki te manawa, te ngaungaue, me te reo ngākau. Ko te tere o te whanake me te kaha o ngā tohu ka āwhina i te wehe i te epiglottitis mai i te mate korokoro strep.

P2: He mate pāngarau te epiglottitis?

Kāore te epiglottitis i te mate pāngarau, engari ka taea te hora o ngā huaketo e pā ana ki te tangata ki te tangata mā ngā matū manawa. Heoi, ko te nuinga o ngā tāngata e whakaatu ana ki ēnei huaketo kāore e whanake i te epiglottitis. E hiahia ana te āhuatanga ki te whakakotahitanga tika o te whakaatu huaketo me ngā take tūponotanga motuhake.

P3: Ka taea e ngā pakeke te whiwhi epiglottitis ahakoa i inopēnētia ratou i te wā tamariki?

Ae, ka taea tonu e ngā pakeke te whanake i te epiglottitis ahakoa te inopēnē tamariki. Ahakoa kua whakaitihia te maha o ngā keehi e pā ana ki te Haemophilus influenzae momo b te inopēnē Hib, ka taea tonu e ētahi atu huaketo penei i te pneumococcus me te streptococcus te pā ki te epiglottitis. I tua atu, ka taea te ngoikore o te ārai inopēnē i te wā, ā, kāore katoa ngā pakeke i whiwhi i te kaupapa inopēnē katoa i te wā tamariki.

P4: E hia te roa o te ora mai i te epiglottitis?

Ko te nuinga o ngā tāngata ka tīmata te pai ake i roto i te 24 ki te 48 haora i muri i te tīmatanga o te maimoatanga antibiotic i te hōhipera. Ko te ora katoa e toru wiki, rua rānei, ahakoa ka taea e ētahi tāngata te wheako i te kore ngāwari o te korokoro mō ngā wiki torutoru atu. Ko te mea nui ko te whakaoti i te kaupapa katoa o ngā antibiotics me te whai i tō kaiwhakarato hauora e taunakitia ana.

P5: Ka taea te hoki mai o te epiglottitis i muri i te maimoatanga?

Ko te epiglottitis hoki mai he onge engari ka taea, inā i ngā tāngata he āhuatanga kei raro e whakaiti ana i to ratou pūnaha ārai. Ko te nuinga o ngā tāngata e ora ana mai i te epiglottitis kāore e wheako ano. Heoi, ko te pupuri i te hauora pai, te noho tonu ki ngā inopēnē, me te whakahaere i ngā āhuatanga hauora kei raro ka āwhina i te ārai i ngā wāhanga kei te heke mai.