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

He aha te ngunguru?

Ko te ngunguru te reo kōtiti, te reo karakaraka e puta ana ina kore e taea te rere haere o te hau i roto i tō ihu me tō korokoro i te wa e moe ana koe. Ka puta mai ina ngāwari haere ngā kiko ngawari i roto i tō ara hau ka wiri i te wa e manawa ana koe.

Tata ki te katoa ka ngunguru i etahi wā, ā, he mea noa i te nuinga o te wā. Heoi, ko te ngunguru nui tonu ka raru pea tō kounga moe, ā, ka pā pea ki te moe o tō hoa. Ko te mārama ki te take o tō ngunguru ka āhei te awhina i a koe ki te kimi i te huarahi tika ki ngā pō māhorahora.

He aha ngā tohu o te ngunguru?

Ko te tohu tino kitea ko te reo anō, engari ko te ngunguru ka puta mai me ētahi atu tohu kaore pea koe e hono atu tonu. Ka pā pea ēnei tohu ki tō kounga moe me tō ahua i te awatea.

Ko ngā tohu noa e whai ake nei:

• Ngā reo manawa nui i te wa e moe ana
• Moe kore ata noho, moe rānei maha
• Ngā mamae o te upoko i te ata
• Te maroke o te waha, te mamae rānei o te korokoro i te wa e ara ana
• Te ngenge o te awatea, te moe rānei
• Te uaua ki te aro i te awatea
• Te riri, ngā huringa manawa rānei

Ka kite pea etahi i ngā tohu nui ake e tohu ana pea i te apnea moe. Kei roto i ēnei ngā reo hamama, ngā reo whakakī rānei i te wa e moe ana, ngā wā okioki o te manawa e kitea ana, me te moe nui o te awatea ahakoa he po moe tino roa.

He aha ngā momo ngunguru?

Ka taea te wehewehe i te ngunguru i runga i te waahi o te aukatinga i roto i tō ara hau. Ko te mārama ki te momo ka āhei te awhina i te tautuhi i te huarahi maimoatanga pai mō tō āhuatanga motuhake.

Ko ngā momo matua e whai ake nei:

Ngunguru i runga i te ihu

Ka puta mai tēnei ina aukatitia, ina whakaitihia rānei ō ara ihu. Ka kite pea koe i tēnei momo i te wa o te mate pāwera, i te wa rānei e mate huka koe. Ka rongo pea he mārama ake, he kōtiti atu hoki i ētahi atu momo.

Ngunguru i runga i te waha

Ka puta mai tēnei ina moe koe me tō waha tuwhera, ka hinga hoki tou arero ki muri. Ka whakaputa pea tēnei i ngā reo ngunguru nui ake, nui atu hoki. Ko te hunga e manawa ana i o rātou waha i te pō ka kite pea i tēnei momo.

Ngunguru i runga i te korokoro

Koinei te momo tino noa, ā, ko te momo nui rawa pea. Ka puta mai tēnei ina ngāwari haere rawa ngā kiko ngawari i muri o tō korokoro. Ka wiri te uvula me te palata ngawari ki tetahi ki tetahi, ka whakaputa i taua reo ngunguru tino mohio.

Ngunguru i runga i te arero

Ka puta mai tēnei ina ngāwari haere tō arero ka hinga ki muri ki tō korokoro. He mea noa ake tēnei ina moe koe i runga i tō tua, ā, ka tohu pea i te apnea moe, ina koa ki te haere tahi me ngā wā okioki o te manawa.

He aha ngā take o te ngunguru?

Ka puta te ngunguru ina aukatitia te rere haere o te hau i roto i tō ihu me tō korokoro. I te wa e moe ana, ka ngāwari haere ngā uaua i ēnei wāhi, ā, i etahi wā ka ngāwari haere rātou kia aukatihia wāhi o tō ara hau.

He maha ngā take ka āhei te whakauru ki tēnei aukatinga:

Ngā take tinana

• Te matotoru, te iti rānei o te palata ngawari e whakaiti ana i tō ara hau
• Ngā tonsils nui, ngā adenoids rānei
• Te uvula roa (te kiko e tau ana i muri o tō korokoro)
• Te septum ihu kōtiti
• Ngā polyps ihu, te kōtiti rānei tonu

Ngā take noho

• Te taumaha nui, ka taea te tāpiri i te kiko a tawhio noa i tō kaki
• Te inu waipiro, ina koa i mua i te moe
• Te whakakī, e pā ana ki te mumura me te pupuri wai
• Ētahi rongoā e ngāwari ana i ngā uaua korokoro
• Te tu moe, ina koa te moe i runga i tō tua

Ngā take wā poto

• Te mate huka, te mate pāwera rānei e pā ana ki te kōtiti ihu
• Ngā huringa e pā ana ki te hapu
• Te ngenge nui

I etahi wā, ko ngā āhuatanga onge penei i te arero nui (macroglossia) te raru rānei o te kauae ka āhei hoki te whakauru ki te ngunguru. Ka āhei te awhina a tō tākuta ki te tautuhi mena kei te pā tētahi o ēnei take ki tō āhuatanga.

Nōhea te haere ki te tākuta mō te ngunguru?

Ahakoa he mea noa te ngunguru i etahi wā, ko ētahi tohu e tohu ana me kōrero koe ki te kaiwhakarato hauora. He mea nui rawa atu te rapu awhina mena ka pā tō ngunguru ki tō oranga o ia rā, ki tō kounga moe rānei.

Me haere koe ki te tākuta mena ka kite koe i:

• Te ngunguru nui rawa e raru ana i te moe o ētahi atu
• Ngā reo hamama, ngā reo whakakī rānei i te wa e moe ana
• Ngā wā okioki o te manawa e kitea ana i te wa e moe ana
• Te moe nui o te awatea ahakoa he wā moe tika
• Ngā mamae o te upoko i te ata, te maroke rānei o te waha i ia rā
• Te toto teitei e uaua ana ki te whakahaere
• Te mamae o te uma i te pō

Kaua e tatari mena ka kite tō hoa e mutu ana tō manawa i te wa e moe ana. Ka tohu pea tēnei i te apnea moe, he āhuatanga nui e hiahia ana ki te tiaki hauora. Ka taea e te maimoatanga wawe te aukati i ngā raruraru, ka whakapai ake i tō kounga oranga.

He aha ngā take morearea mō te ngunguru?

Ko ētahi take ka nui ake te tūpono ki a koe te ngunguru tonu. Ko te mārama ki ēnei take morearea ka āhei te awhina i a koe ki te tautuhi he aha koe ka ngunguru ai, me te aha ka taea e koe te whakarereke.

Ko ngā take morearea noa e whai ake nei:

• Ko te tane (e rua te tūpono o ngā tāne ki te ngunguru)
• Te pakeke neke atu i te 40, i te mea ka ngoikore haere ngā uaua korokoro i te wā
• Te mau i te taumaha nui, ina koa a tawhio noa i te kaki
• Te whānau e pā ana ki te ngunguru, ki te apnea moe rānei
• Ngā ara hau kōtiti nā te ira
• Te kōtiti ihu tonu
• Te inu waipiro tonu
• Te whakakī, te whakakī rānei tuarua

Ka nui ake te morearea o ētahi atu tangata nā ngā āhuatanga hauora penei i te hypothyroidism, acromegaly, tetahi atu mate ira rānei. Heoi, he iti rawa ēnei take. Ahakoa he maha ngā take morearea kei a koe, he maimoatanga whai hua kei reira hei awhina i a koe ki te moe māhorahora.

He aha ngā raruraru pea o te ngunguru?

Ka āhei te arahi o te ngunguru tonu ki te nui atu i te moe raru. Ahakoa he mea noa te ngunguru ngāwari, ka taea e te ngunguru nui tonu te tohu i ngā take kei raro e pā ana pea ki tō hauora i te wā roa.

Ko ngā raruraru pea e whai ake nei:

Ngā raruraru e pā ana ki te moe

• Te kounga moe kino e arahi ana ki te ngenge o te awatea
• Te apnea moe, kei reira ngā manawa e mutu ana, e tīmata ana
• Te ara maha i te pō
• Te raru moe o te hoa, te whakawhiti whanaungatanga rānei

Ngā raruraru e pā ana ki te hauora

• Te toto teitei mai i ngā hekenga o te hau oksikena
• Ngā raruraru o te manawa o te ngakau (arrhythmias)
• Te nui ake o te morearea o te pēhanga
• Te whanaketanga, te kino rānei o te mate huka momo 2
• Te pouri me te manukanuka mai i te kore moe roa
• Te ngoikore o te pūnaha mate

I etahi wā onge, ka āhei te arahi o te apnea moe nui kore i te maimoatia ki ngā raruraru nui penei i te ngoikore o te ngakau, te mate ngakau ohorere rānei. Heoi, mā te aromatawai me te maimoatanga tika, ka taea te whakaiti nui i ēnei morearea. Ko te nuinga o te hunga e whakahaere ana i tō rātou ngunguru ka kite i ngā whakapaitanga i tō rātou moe me tō rātou hauora katoa.

Me pēhea te aukati i te ngunguru?

Ka taea te whakaiti, te aukati rānei i te maha o ngā take o te ngunguru mā ngā huringa noho ngāwari. Ko te matua ko te whakahaere i ngā take e pā ana ki te aukati, te whakaiti rānei i ō ara hau i te wa e moe ana.

Ko ngā rautaki aukati whai hua e whai ake nei:

Ngā huringa tu moe

• Moe i runga i tō taha, kaua i runga i tō tua
• Whakaarahia tō ulu 4-6 inihi mā ngā urunga taapiri
• Whakamahia he urunga tinana hei pupuri i te moe taha

Ngā whakarereketanga noho

• Pupuri i te taumaha hauora
• Kaua e inu waipiro 3-4 haora i mua i te moe
• Whakamutu i te whakakī, te karo rānei i te paowa tuarua
• Noho makuku i te awatea
• Whakatūturu i ngā wā moe noa

Te tiaki ihu

• Whakamahia ngā horoi ihu saline hei whakaiti i te kōtiti
• Whakamātau i ngā riipene ihu hei whakatuwhera i ngā ara hau
• Maimoatia ngā mate pāwera mā ngā rongoā tika
• Whakamahia he humidifier hei aukati i te maroke o te hau

Ahakoa ka taea e ēnei kaupae te awhina nui i te maha o te iwi, ko ētahi take o te ngunguru e hiahia ana ki te maimoatanga hauora. Mena kaore ngā huringa noho e whakapai ake i tō ngunguru i muri i ngā wiki, he mea tika te kōrero mō ētahi atu kōwhiringa ki tō kaiwhakarato hauora.

Me pēhea te tautuhi i te ngunguru?

Ko te tautuhi i te ngunguru ka tīmata i te uiui a tō tākuta mō ō tauira moe me ō tohu. Ka hiahia rātou ki te mārama ki te maha o tō ngunguru, ki tō nui rānei, me te mea ka pā ki tō oranga o ia rā.

Ka āhei pea tō tākuta ki te:

• Arotake i tō hītori hauora me ō rongoā o nāianei
• Tirohia tō ihu, tō waha, tō korokoro, me tō kaki
• Tirohia tō toto teitei me tō taumaha
• Ui ki tō hoa moe mō ō tauira manawa

Mena ka whakaaro tō tākuta he apnea moe, he āhuatanga nui rānei, ka tūtohu pea rātou i ngā whakamātautau taapiri. Ka taea e te ako moe (polysomnography) te aroturuki i tō manawa, i te mahi o te roro, me ngā taumata o te hau oksikena i te po katoa. Ka taea tēnei te mahi i te pokapū moe, i te kāinga rānei i etahi wā mā ngā taputapu kawe.

I etahi wā, ka tuku pea tō tākuta ki te tohunga ihu, ihu, me te korokoro mō te aromatawai atu. Ka taea e rātou te tautuhi i ngā take hanganga e āhei ana te whakauru ki tō ngunguru, ka tūtohu i ngā maimoatanga tika.

He aha te maimoatanga mō te ngunguru?

Ko te maimoatanga ngunguru e whakawhirinaki ana ki te take o tō āhuatanga motuhake. Ka mahi tahi tō tākuta ki a koe ki te kimi i te huarahi tino whai hua, ka tīmata i ngā kōwhiringa iti rawa i te tuatahi.

Ko ngā kōwhiringa maimoatanga e whai ake nei:

Ngā maimoatanga whakahaere

• Te pehanga ara hau pai tonu (CPAP) mō te apnea moe
• Ngā taputapu waha e whakarereke ana i tō kauae, i tō arero rānei
• Ngā rongoā decongestant ihu, ngā rongoā mate pāwera rānei
• Ngā kaupapa ngaro taumaha ina tika

Ngā tukanga hauora

• Uvulopalatopharyngoplasty (UPPP) hei tango i te kiko korokoro nui
• Te laser-assisted uvulopalatoplasty (LAUP) mō te whakaiti kiko
• Te whakakī radiofrequency hei whakaiti i te kiko palata ngawari
• Te pokanga ihu hei whakatika i ngā raruraru hanganga
• Ngā whakauru hei whakakaha i te palata ngawari

Mō ngā take nui, ka whakaaro pea ki ngā pokanga whānui ake, penei i te whakarereke kauae, te whakaiti rānei o te pūtake arero. Heoi, ko ēnei te nuinga o te wā e waiho ana mō te wā kaore i angitu ētahi atu maimoatanga. Ka āhei te awhina a tō tākuta ki a koe ki te pauna i ngā painga me ngā morearea o ia kōwhiringa i runga i tō āhuatanga motuhake.

Me pēhea te whakahaere i te ngunguru i te kāinga?

He maha ngā rongoā kāinga me ngā whakarereketanga noho ka āhei te awhina i te whakaiti i tō ngunguru. Ko ēnei huarahi te mahi pai mō te ngunguru ngawari ki te reo, ā, ka taea te whakarato i te whakapaitanga nui ina whakamahia tonu.

Ko ngā rautaki whakahaere kāinga whai hua e whai ake nei:

Ngā tikanga whakaora tere

• Moe me tō ulu whakaarahia mā ngā urunga kōpiko
• Whakamahia ngā riipene ihu, ngā kaiwhakawhanui ihu o waho rānei
• Whakamātau i ngā whakakori korokoro me te arero hei whakakaha i ngā uaua
• Whakahaerehia te moe pai mā ngā wā moe noa

Ngā huringa noho roa

• Ngaro taumaha i te mea he taumaha koe
• Whakakori tonu hei whakapai ake i te uaua
• Kaua e inu rongoā moe, waipiro rānei i mua i te moe
• Noho makuku i te rā katoa
• Maimoatia ngā mate pāwera, ngā raruraru sinus rānei

Ka kite pea etahi i te angitu mā ngā taputapu anti-ngunguru penei i ngā waha, ngā here kauae rānei, ahakoa he rerekē ngā hua. Ka āhei pea ngā hinu nui penei i te pepa mīta, te eucalyptus rānei te awhina i te kōtiti ihu, engari kāore i whakamāramahia hei maimoatanga. Kia mahara ko ngā rongoā kāinga te mahi pai hei wāhanga o te huarahi whānui, kaua hei otinga motuhake.

Me pēhea te whakarite mō tō whakatau tākuta?

Ko te whakarite mō tō whakatau ka āhei te awhina i tō tākuta ki te mārama pai ake ki tō ngunguru, ki te whakawhanake i te mahere maimoatanga whai hua. Ko te nui atu o ngā korero ka taea e koe te whakarato, ko te āta ake o tō tiaki.

I mua i tō haerenga:

• Pupuri i te puka moe mō te 1-2 wiki e tohu ana i ngā tauira ngunguru
• Rārangihia ngā rongoā me ngā taapiri katoa e inu ana koe
• Tuhia ngā pātai mō ngā kōwhiringa maimoatanga
• Ui ki tō hoa moe kia tohu i ō tauira manawa
• Kawe mai ngā korero mō ngā maimoatanga o mua kua whakamātau koe

I te whakatau, kia pono koe mō te pānga o te ngunguru ki tō oranga o ia rā. Whakahuahia tetahi ngenge o te awatea, ngā mamae o te upoko i te ata, ngā raruraru whanaungatanga rānei e puta mai ana i tō ngunguru. Kaua e whakama ki te kōrero mō ēnei pānga, i te mea ka āhei te awhina i tō tākuta ki te mārama ki te nui o tō āhuatanga.

Ka ui pea tō tākuta mō tō hītori whānau o te ngunguru, o te apnea moe rānei, na reira ngana ki te kohikohi i ēnei korero i mua atu ki te taea. Ka āhei tēnei whakarite ki te whakarite kia whiwhi koe i te aromatawai me ngā tūtohu maimoatanga tino whānui.

He aha te mea nui mō te ngunguru?

He mea noa te ngunguru, ā, he mea whakahaere i te nuinga o te wā mā te huarahi tika. Ahakoa he mea noa te ngunguru i etahi wā, kaua e warewarehia te ngunguru nui tonu, ina koa ki te pā ki tō kounga moe, ki tō oranga o ia rā rānei.

Ko te mea nui rawa atu hei mahara ko ngā maimoatanga whai hua kei reira mō te momo ngunguru katoa. Ahakoa ko tō otinga he huringa noho ngāwari, he taputapu hauora, he maimoatanga ngaio rānei, kaua e whakaae ki te moe kino hei mea kore e taea te karo.

Tīmatahia mā ngā kaupae taketake penei i te moe i runga i tō taha, te pupuri i te taumaha hauora, te karo rānei i te waipiro i mua i te moe. Mena kaore ēnei e awhina i roto i ngā wiki, kaua e whakaroa ki te kōrero ki tō kaiwhakarato hauora. Ka āhei te awhina i a rātou ki te tautuhi i te take motuhake o tō ngunguru, ka ārahi i a koe ki te maimoatanga tino tika.

Kia mahara ko te whakahaere i te ngunguru ka whakapai ake i tō moe, i tō hauora katoa me ō whanaungatanga hoki. Ko te tango i ngā kaupae hei moe māhorahora he haumi ki tō oranga pai e utu ana i ngā hua i roto i te kaha, i te manawa, me te kounga o te oranga.

Ngā pātai maha e ui ana mō te ngunguru

P1: He tohu tonu rānei te ngunguru mō te apnea moe?

Kāo, kāore te ngunguru i te tohu tonu mō te apnea moe. He tokomaha te ngunguru kaore he āhuatanga. Heoi, ko te ngunguru nui me ngā reo hamama, ngā reo whakakī rānei, ngā wā okioki o te manawa rānei e kitea ana i te wa e moe ana ka taea te tohu i te apnea moe. Mena kei te manukanuka koe, he mea tika te kōrero ki tō tākuta ka āhei te awhina ki te tautuhi mena he hiahia ki te aromatawai atu.

P2: Ka taea e ngā tamariki te ngunguru, ā, nōhea me manukanuka ahau?

Ae, ka taea e ngā tamariki te ngunguru, ahakoa he iti ake i ngā pakeke. Ko te ngunguru mārama i etahi wā he mea noa i te nuinga o te wā, ina koa i ngā mate huka. Heoi, ko te ngunguru nui tonu, te manawa waha i te wa e moe ana, ngā huringa whāinga rānei penei i te uaua ki te aro ka tohu pea i ngā tonsils nui, ngā adenoids rānei. Ui atu ki tō tākuta tamariki mena ka ngunguru tonu tō tamaiti, kei te whakaatu rānei i ngā tohu o te kounga moe kino.

P3: He mahi pono rānei ngā taputapu anti-ngunguru?

Ka taea e ētahi taputapu anti-ngunguru te whai hua, engari he rerekē ngā hua i runga i te take o tō ngunguru. Ko ngā riipene ihu me ngā kaiwhakawhanui te mahi pai mō te ngunguru i runga i te ihu, ā, ka āhei te awhina i ngā taputapu waha ki te ngunguru e pā ana ki te arero, ki te kauae rānei. Heoi, kāore ēnei taputapu e mahi mō te katoa, ā, ko ngā raruraru ngunguru nui te nuinga o te wā e hiahia ana ki te aromatawai me te maimoatanga ngaio.

P4: Ka mutu tonu rānei taku ngunguru mā te ngaro taumaha?

Ka taea e te ngaro taumaha te whakaiti nui i te ngunguru mō te tokomaha o te iwi, ina koa mō te hunga e taumaha nui ana. Ka taea e te kiko nui a tawhio noa i te kaki te whakaiti i ngā ara hau, na te ngaro taumaha te awhina i te nuinga o te wā. Heoi, ka taea hoki e te hunga angiangi te ngunguru nā ētahi atu take penei i te hanganga ara hau, te kōtiti ihu rānei. He mea whai hua te ngaro taumaha, engari kaore pea e whakakore i te ngunguru katoa i roto i ngā take katoa.

P5: He mea noa rānei te kino ake o te ngunguru i te wā?

Ae, ka nui ake te ngunguru i te wā i te mea ka ngāwari haere ngā uaua korokoro, ka ngāwari ake i te wa e moe ana. Ka ngoikore haere hoki ngā kiko i roto i tō ara hau i te wā. Ahakoa he wāhanga noa tēnei o te pakeketanga, kāore tēnei e tikanga me whakaae koe ki te ngunguru raru. He maha ngā kōwhiringa maimoatanga e whai hua tonu ana ahakoa te pakeke, na reira kōrero atu ki tō tākuta mō ngā otinga ka mahi pea mōu.