Mate Huahua

Whakaahua o te dermatitis whakapā i runga i ngā tae kiri rerekē. Ka puta mai te dermatitis whakapā hei pupuhi ngāngā. Ko te pupuhi poizon ivy he hua o te mate pāwera ki te rakau hinu e kiia nei ko te urushiol (u-ROO-she-ol). Kei roto tēnei hinu i ngā rau, ngā peka me ngā pakiaka o te poizon ivy, te poizon oak me te poizon sumac. Horoi tonu tou kiri mena ka pa koe ki tēnei hinu, ki te kore koe e mōhio kei te pāwera koe ki a ia. Ka taea e te horoi i te hinu te whakaiti i ō tūmanako kia whiwhi i te pupuhi poizon ivy. Ki te puta mai tētahi pupuhi, ka tino ngāngā pea, ā, ka roa ngā wiki. Ka taea e koe te whakaora i ngā take ngāwari o te pupuhi poizon ivy ki te kāinga mā ngā mīti whakahāhā me ngā kaukau makariri. Me whai rongoā tākuto pea koe mō te pupuhi kaha, kāore rānei i te whānui—inā, kei runga i tō mata, kāore rānei i ngā wahine.

Ngā tohu me ngā pūāhua o te mate huka poipoia e ngā rau ngāwari e whai ake nei:

• Whero
• Ngau
• Pupuhi
• Pūngāwerewere
• Uaua ki te manawa, ki te mea kua ngau koe i te paowa mai i te tahunga o te rau ngāwari

Te nuinga o te wā ka puta te mate huka poipoia i roto i te raina tika na te ara o te tipu e pa ana ki tō kiri. Engari ki te whanake koe i te mate huka i muri i te pā atu ki te kakahu, ki te huruhuru o te kararehe rānei he urushiol kei runga, ka horapa pea te mate huka. Ka taea hoki e koe te whakawhiti i te hinu ki ētahi atu wāhanga o tō tinana mā ō maihao. Ko te tikanga ka puta te āhuatanga i roto i ngā haora 12 ki te 48 i muri i te whakamahinga, ā, ka roa mai i te rua ki te toru wiki.

Ko te kaha o te mate huka e whakawhirinaki ana ki te nui o te urushiol e pā ana ki tō kiri.

Rapua te tiaki hauora tūturu mena:

• I ngākau koe i te paowa mai i te ngahere poihana e wera ana, ā, kei te uaua te manawa

Tirohia tō tākuta mena:

• He kino te āhuatanga, he whānui rānei
• Kei te pupū tonu tō kiri
• Kei te pā te pupuhi ki ō kanohi, ki ō waha, ki ō ure rānei
• Kei te rere te mūmu mai i ngā pupuhi
• Kei te wera koe i te pāmahana neke atu i te 100 F (37.8 C)
• Kāohore te pupuhi e pai ake i roto i ngā wiki torutoru

Ko te tipu poihana whakatoa he toru ngā rau e puta mai ana i tētahi pūtake kotahi. Ka tupu pea hei tipu iti, hei rakau rānei, hei waina rānei. Ko ngā tipu poihana whakatoa e takoto ana i raro e kitea ana i roto i ngā rōpū o ngā otaota me ētahi atu tipu.

He rerekē rawa te ahua, te tae me te āhua o ngā rau poihana whakatoa. He rau māeneene te taha o ētahi rau, ā, he niho, he rite ki te niho te ahua o ētahi atu. I te ngahuru, ka mākū pea ngā rau ki te kowhai, ki te karaka, ki te whero rānei. Ka taea e te poihana whakatoa te whakaputa i ngā puawai iti, matomato, me ngā pī matomato, pī ma rānei.

Ko te tipu poihana sumac he rau māeneene te taha, ā, ka tupu hei rakau, hei rākau rānei. Kāore i rite ki te poihana whakatoa me te poihana oki, kāore e tupu i roto i te tauira toru-rau-i-te-pūtake.

Ko te pupuhi poihana whakatoa i puta mai i te mate pāwera ki te rapa hinu e kiia nei ko te urushiol. Kei roto i te poihana whakatoa, te poihana oki, me te poihana sumac. He piri rawa tenei rapa hinu, no reira ka piri ngāwari ki tō kiri, ki ō kakahu, ki ō taputapu, ki ngā taputapu me te huruhuru o te kararehe. Ka taea e koe te whiwhi i te mate pāwera poihana whakatoa mai i:

• Te pa ki te tipu. Ki te pa koe ki ngā rau, ki te pūtake, ki ngā pakiaka, ki ngā pī rānei o te tipu, ka pāwera pea koe.
• Te pa ki ngā mea kua whakapokea. Ki te haere koe i roto i ētahi poihana whakatoa, ka pa atu ki ō hu rānei i muri mai, ka taea e koe te whiwhi urushiol ki ō ringa. Ka taea e koe te whakawhiti atu ki tō mata, ki tō tinana rānei mā te pa atu, mā te wiri rānei. Ki te kore e horoia te mea kua whakapokea, ka taea tonu e te urushiol kei runga i te mea te whakaoho i te mate kiri i muri i ngā tau.
• Te ngau i te paowa mai i ngā tipu e wera ana. Āe rawa, ko te paowa mai i te wera o te poihana whakatoa, te poihana oki, me te poihana sumac ka whakaoho, ka kino rānei i ō ngā huha, i ō ngā manawa rānei.

Kāore te pū kei roto i ngā pupuhi kāore e whakauru urushiol, ā, kāore e hora te pupuhi. Engari he mea pea te whiwhi i te pupuhi poihana whakatoa mai i tētahi tangata ki te pa koe ki te rapa tipu kei runga tonu i te tangata, ki ngā kakahu kua whakapokea rānei.

Kei te piki tou tūponotanga ki te pupuhi mena ka uru atu koe ki ngā mahi i waho e whakapiki ake ana i tō tūponotanga ki te whakapiri atu ki te poizon ivy, te poizon oak, me te poizon sumac:

• Tāuta taura waea rānei
• Kāpeti
• Hangarau
• Te mahi pāmu
• Te whawhai ahi
• Te ika i te taha o te takutai
• Ngā ngāhere
• Māra
• Te hikoi
• Te hopu kēmu
• Te whakarite whenua

Ki te keri koe i te mate huka o te pohue, ka taea e nga huakita kei raro i ou maru te whakapoke i te kiri. Tirohia to taakuta ki te timata te pūngoi te rere mai i nga pupuhi. Akene ka tukuna e to taakuta etahi rongoa. Ko te uaua nui ki te manawa me te mumura o te papanga o nga ngakau ka puta mai i te ngau i te urushiol.

Kia kore ai te mate huhu o te pua rangirua, whai i ēnei tohutohu:

• Kaua e whakauru ki ngā tipu. Akohia te huarahi ki te tautuhi i te pua rangirua, te rakau poihana, me te sumac poihana i ngā wa katoa o te tau. I te wā e hikoi ana, e mahi ana rānei i ētahi atu mahi ka pā atu pea koe ki ēnei tipu, ngana ki te noho ki runga i ngā huarahi mārama. Kakahuhia ngā takai waewae, ngā tarau, me ngā ringa roa ina kei waho. Ki te puni, kia tino whakarite koe kei te wāhi kore noa i ēnei tipu tō teneti. Kaua ngā kararehe e rere i roto i ngā wāhi ngahere kia kore ai te urushiol e piri ki ō rātou huruhuru, ka pa atu pea koe i muri mai.
• Kakahuhia ngā kakahu tiaki. Ki te hiahiatia, tiakina tō kiri mā te kakahu i ngā takai waewae, ngā pūtua, ngā tarau, ngā ringa roa me ngā karapu taumaha.
• Tangohia, kāotia rānei ngā tipu. Tautuhia ka tangohia te pua rangirua, te rakau poihana, me te sumac poihana i tō pāmu, i tō māra rānei. Ka taea e koe te whakakore i aua tipu mā te whakamahi i te raau taero, mā te unu atu rānei i te whenua, tae atu ki ngā pakiaka, i te wā e kakahuria ana ngā karapu taumaha. I muri iho, tangohia ngā karapu mā te atawhai ka horoia rātou me ō ringa. Kaua e tahu te pua rangirua, te tipu rite rānei, no te mea ka kawehia te urushiol e te paowa.
• Horokia tō kiri, te huruhuru rānei o tō kararehe. I roto i ngā meneti 30 i muri i te pā ki te urushiol, whakamahia te hauwai me te wai hei horoi māori i te rapa kino i tō kiri. Whakakī i raro i ō ngā kuihi. Ahakoa te horoi i muri i te haora, ka taea te whakaiti i te kino o te mate huhu. Ki te whakaaro koe kei te whakapoketia tō kararehe ki te urushiol, kakahuhia ētahi karapu rapa roa ka hoatu he kaukau ki tō kararehe.
• Horokia ngā mea whakapokeke. Ki te whakaaro koe kua pā atu koe ki te pua rangirua, horoia ngā kakahu i te wai mahana hauwai – tino pai ki roto i te mīhini horoi. Whakahaerehia ngā kakahu whakapokeke mā te atawhai kia kaua e whakawhiti te urushiol ki a koe, ki ngā taonga whare, ki ngā mohiti, ki ngā taputapu rānei. Horokia hoki i te wa e taea ai ētahi atu taonga i pā ki te hinu tipu – pēnei i ngā taputapu waho, ngā taputapu māra, ngā whakapaipai, ngā hu, tae atu ki ngā aho hu. Ka taea e te Urushiol te noho kaha mo ngā tau maha. No reira, ki te waiho koe i te koti whakapokeke kaore i te horoia ka tangohia i te tau i muri mai, ka taea e te hinu kei runga i te koti te mate huhu tonu.
• Whakamahia he kiri kiri ārai. Whakamātauhia ngā hua kiri i runga i te kaute ka whakaarohia hei ārai i waenga i tō kiri me te rapa hinu e mate ai te mate huhu o te pua rangirua. Kaua e whakauru ki ngā tipu. Akohia te huarahi ki te tautuhi i te pua rangirua, te rakau poihana, me te sumac poihana i ngā wa katoa o te tau. I te wā e hikoi ana, e mahi ana rānei i ētahi atu mahi ka pā atu pea koe ki ēnei tipu, ngana ki te noho ki runga i ngā huarahi mārama. Kakahuhia ngā takai waewae, ngā tarau, me ngā ringa roa ina kei waho. Ki te puni, kia tino whakarite koe kei te wāhi kore noa i ēnei tipu tō teneti. Kaua ngā kararehe e rere i roto i ngā wāhi ngahere kia kore ai te urushiol e piri ki ō rātou huruhuru, ka pa atu pea koe i muri mai. Horokia tō kiri, te huruhuru rānei o tō kararehe. I roto i ngā meneti 30 i muri i te pā ki te urushiol, whakamahia te hauwai me te wai hei horoi māori i te rapa kino i tō kiri. Whakakī i raro i ō ngā kuihi. Ahakoa te horoi i muri i te haora, ka taea te whakaiti i te kino o te mate huhu. Ki te whakaaro koe kei te whakapoketia tō kararehe ki te urushiol, kakahuhia ētahi karapu rapa roa ka hoatu he kaukau ki tō kararehe. Horokia ngā mea whakapokeke. Ki te whakaaro koe kua pā atu koe ki te pua rangirua, horoia ngā kakahu i te wai mahana hauwai – tino pai ki roto i te mīhini horoi. Whakahaerehia ngā kakahu whakapokeke mā te atawhai kia kaua e whakawhiti te urushiol ki a koe, ki ngā taonga whare, ki ngā mohiti, ki ngā taputapu rānei. Horokia hoki i te wa e taea ai ētahi atu taonga i pā ki te hinu tipu – pēnei i ngā taputapu waho, ngā taputapu māra, ngā whakapaipai, ngā hu, tae atu ki ngā aho hu. Ka taea e te Urushiol te noho kaha mo ngā tau maha. No reira, ki te waiho koe i te koti whakapokeke kaore i te horoia ka tangohia i te tau i muri mai, ka taea e te hinu kei runga i te koti te mate huhu tonu.

Ko te nuinga o te wā, e kore koe e hiahia kia kite i tō tākuta hei whakatau i te mate huhu pōhue. Ki te haere koe ki tētahi whare hauora, ka tino whakatau tō tākuta i tō mate huhu mā te titiro atu ki a ia. Ko te nuinga o te wā, e kore koe e hiahia ki ētahi atu whakamātautau.

Ko te nuinga o ngā rongoā mo te poizon ivy ko ngā tikanga tiaki whaiaro kei te kāinga. Ā, ka ngaro noa atu te pupuhi i roto i ngā wiki e rua ki te toru. Ki te whānui te pupuhi, ki te maha rānei ngā whewhe, ka tāpā te taakuta ki te whakamahi i te corticosteroid waha, pēnei i te prednisone, hei whakaiti i te pupuhi. Ki te whanake te mate huaketo i te wāhi o te pupuhi, ka tāpā pea te taakuta ki te whakamahi i te rongoā antibiotic waha. Ko te hononga wehe i roto i te īmēra.

Ka ngaro haere te pupuhi pōhue pōhue i te mutunga, engari ka uaua pea te whakakore i te ngau me te uaua ki te moe. Mena ka kiko koe i ō whewhe, ka pakaru pea. Ko ētahi kaupae ka taea e koe te tango hei āwhina i te whakahaere i te ngau:

• Whakamahia he kirikiri koritisoni kore-whakahaunga, he hinu rānei (Cortizone 10) mō ngā rā tuatahi.
• Whakamahia te wai karamine, te kirikiri rānei e wātea ana te menthol.
• Tangohia ngā antihistamine waha, pēnei i te diphenhydramine (Benadryl), ka āwhina pea i a koe ki te moe pai ake. Ko te antihistamine kore-whakahaunga kaore e tino moe koe ko te loratadine (Alavert, Claritin, ētahi atu).
• Whakamakuku te wāhi e pā ana ki roto i te kaukau wai makariri kei roto te haurua kapu (100 karamu) o te paura tunutunu, he hua kaukau i hangaia i te oatmeal rānei (Aveeno).

Jason Howland: Ka taea e ēnei tipu kore-whakaaro te whakaputa i ngā raruraru ki tō kiri. Kei roto i te pōhue pōhue, te oki pōhue, me te sumac pōhue katoa he raiki hinu i roto i te tipu ka taea te whakaputa i te mate pāwera e roa ana mo ngā wiki.

Dr. Allen: Ko te tohu mō te iwi ko te ngau kaha ka kitea e rātou, me te tahunga tata, katahi ka whero o rātou kiri. Ka taea te pāngia mena ka kiko koe, ka whakatuwhera koe i tetahi o ngā whewhe.

Ā, tētahi atu tohu nui...

Dr. Allen: Kia mahara ki te horoi i ō rātou kakahu katoa.