He aha te Kūhā? Ngā Tohutohu, Ngā Take, me te Maimoatanga

Ko te kūhā he mate huaketo tuku ikaika e pā ana ki te mate tākuhu nui, e mau tonu ana, e whai ana i te tangi ‘kūhā’ motuhake ina ngana koe ki te manawa. E mohiotia ana hoki ko te pertussis, ka pā tēnei mate manawa ki te tangata o te tau katoa, engari ka tino kino ki ngā pēpi me ngā tamariki iti.

Ko te ingoa o te mate nei i puta mai i te tangi ‘kūhā’ teitei e puta ana ina manawa poto tetahi i muri i te roa o te kōhinga. Ahakoa ka rongo pea he wehi, ko te mārama ki te kūhā ka āhei te awhina i a koe ki te kite wawe i ngā tohu, ā, ki te rapu i te tiaki tika.

He aha ngā tohu o te kūhā?

Ko ngā tohu o te kūhā ka whanaketia i roto i ngā wāhanga e toru, e roa ana ia wāhanga i ngā wiki. Ko ngā tohu o te tīmatanga ka rite tonu ki te mate huaketo noa, ka uaua pea te tautuhi i te tīmatanga.

I te wāhanga tuatahi, e kiia ana ko te wāhanga catarrhal, ka pā pea koe ki ngā tohu ngawari e rite ana ki te mate huaketo noa. Ko tēnei wāhanga ka roa pea i te 1-2 wiki, ā, kei roto he ihu rere, he kirika iti, me te kōhinga ngawari i etahi wā. He tokomaha kaore e mohio kei te pā te kūhā ki a rātou i tēnei wā, no te mea he noa ngā tohu.

Ko te wāhanga tuarua ka kawea mai ngā kōhinga kōhinga nui e homai ana te ingoa ki te kūhā. Ko ēnei ngā mea ka kite pea koe i tēnei wāhanga paroxysmal:

• Ngā kōhinga kōhinga kaha e roa ana pea i ngā meneti
• Te tangi ‘kūhā’ motuhake ina manawa poto i muri i te kōhinga
• Te ruaki i te wā kōhinga, i muri rānei
• Te ngenge i ngā wāhanga kōhinga kaha
• Te uaua ki te kai, ki te inu, ki te moe rānei nā te maha o ngā wero kōhinga
• Te whero, te kikorangi rānei o te mata i ngā wero kōhinga kaha

Ko te wāhanga kaha tēnei e roa ana i te 2-6 wiki, ā, ka tino whakamamae te tinana me te ngākau. Ko ngā wero o te kōhure e tupu ana te nuinga i te pō, ā, ka raru ai tō moe, ka ngenge hoki koe.

Ko te wāhanga whakaora whakamutunga e whakaiti haere ana i ngā tohu o te kōhure i roto i ngā wiki maha ki ngā marama. Heoi, āta kōhure tonu koe, ina koa ka mau koe ki ētahi atu mate manawa i tēnei wā whakaora.

He aha te take o te kōhure?

Ko te kōhure te mate e puta mai ana i te huakita e kiia nei ko te Bordetella pertussis. Ko tēnei mea iti ka piri ki ngā huruhuru iti (cilia) e takoto ana i tō pūnaha manawa o runga, ka tukuna ngā poizon e whakarawe ana i ēnei hanganga tiaki.

Ka horapa ngā huakita i waenga i te tangata mā ngā matū waiora ina kōhure, tīhoro, kōrero rānei te tangata kua pangia. Ka taea e koe te hopu i te kōhure mā te manawa i ēnei matū waiora poke, mā te pā atu rānei ki ngā papa i tau te huakita ki runga, ka pā atu ki tō waha, ihu, kanohi rānei.

Ko te mea e tino wero ai te kōhure, ko te tino pāngia o te tangata i te tīmatanga o te mate huka, i te wā ka iti rawa te mōhio kei a rātou.

I roto i tēnei wiki tuatahi, rua rānei, ko te nui o ngā huakita i roto i tō pūnaha manawa kei te teitei rawa, ka nui ake te horapa.

Ka ora ngā huakita i runga i ngā papa mō ngā wā poto, ahakoa ko te hononga tika i waenga i te tangata te huarahi matua e horapa ai te mate. Ko ngā whānau tata, ngā hoa kura, me ngā hoa mahi te hunga e tino pāngia ana e te kōhure mai i te tangata kua pangia.

Nōhea te haere ki te taote mō te kōhure?

Me whakapiri atu koe ki tō kaiwhakarato hauora mēnā ka whanake koe, koutou rānei, i te kōhure roa e neke atu ana i ngā rā torutoru, ina koa ki te haere tahi me te tangi ‘kōhure’. Ka taea e te tiaki hauora wawe te whakau i te whakatau, me te tīmata i te rongoā hei whakaiti i te kaha o ngā tohu.

Rapua te tiaki hauora tūturu mena ka kite koe i ētahi o ēnei tohu āwangawanga i te wā e kōhutia ana:

• Te uaua ki te manawa, ki te poto o te manawa i waenganui i ngā wā e kōhutia ana
• Te huri o te kiri, ngutu, rānei, māngai ki te kikorangi, ki te hina (cyanosis)
• Te ruaki pinepine i muri i te kōhutia, ā, ka arahi ki te ngaungaumanga
• Ngā tohu o te ngaungaumanga pēnei i te matewai nui, te waha maroke, te iti rānei o te mimi
• Te kirika nui (neke atu i te 101°F, 38.3°C rānei)
• Ngā āwangawanga, te ngaro rānei o te wairua

Mō ngā pēpi kei raro iho i te 6 marama, ka mate pea te kōhutia, ā, me whakawātea tonu te tiaki hauora. Ka kore pea e puta te ‘whoop’ noa ki ngā pēpi, engari ka uaua pea te manawa, ngā raruraru kai, ngā wā rānei e mutu ana te manawa mō te wā poto (apnea).

Mena kua pā atu koe ki tētahi kua whakamāramahia he kōhutia tōna, whakapiri atu ki tō tākuta ahakoa kāhore anō koe e pangia.

Ka taea e te rongoā whakamātautau wātea te aukati i te mate, te whakaiti rānei i tōna kaha.

He aha ngā take morearea mō te kōhutia?

He maha ngā take ka piki ake ai tō tūponotanga ki te hopu i te kōhutia, ki te pangia rānei e ngā tohu kaha ake. Ka āwhina te mōhiotanga ki ēnei ki te tango i ngā whakamaramatanga tika, ki te mohio hoki ina piki ake ai tō tūponotanga.

He tino wāhi te pakeke ki te tūponotanga me te kaha o te kōhutia. Ko ngā pēpi kei raro iho i te 6 marama te tino tūponotanga, nā te mea kāhore anō ō rātou pūnaha ārai mate i whānuitia, kāhore hoki i oti ō rātou kaupapa inokorā.

Ko ngā pakeke pakeke ake i te 65 he tūponotanga nui hoki, nā te heke haere o te ārai mate i te wā.

He tino pānga tō tūāhua inokorā ki tō taumata tūponotanga. He nui ake te tūponotanga o te hunga kāhore i inokora, kāhore rānei i inokora katoa ki te hopu i te kōhutia. Ahakoa i inokora koe i te wā tamariki, ka ngāwari te ārai mate i te wā, koia te take e tūtohutia ana ngā inokorā whakahou.

Ka taea e ētahi āhuatanga hauora te whakaiti i tō ārai ki te kōhutia kaha:

• Ngā mate pūkahukahu roa penei i te hūhae rānei te COPD
• Te pūnaha ārai mate kua ngoikore nā te mate rānei nā ngā rongoā
• Ngā āhuatanga o te ngakau e pā ana ki te manawa
• Te hapu, ā, tērā tonu i te toru o ngā marama
• Ngā mate manawa hou kua whakawaiho i ō tiaki kia ngoikore

He mea nui hoki ngā take taiao me te whānau. Ko te hononga tata ki ngā tāngata kua pangia i roto i ngā whare, i ngā kura, i ngā wāhi mahi ka nui ake te tūponotanga o te hora. Ka nui ake te tūponotanga o ngā kaimahi hauora me ngā kaiwhakahaere nā ō rātou mahi.

Ko te noho i ngā wāhi he iti te rerenga o te werohanga ka hanga he tūponotanga whānui, i te mea ka taea te hora o te kōhū teitei atu ina iti ake te tokomaha o te iwi he ārai mate.

Ko te haere ki te motu ki ngā rohe kei reira ngā mate ka nui ake te tūponotanga o te pānga.

He aha ngā raruraru pea o te kōhū teitei?

Ahakoa ka ora te nuinga o te iwi i te kōhū teitei kahore he pānga roa, ka taea e te āhuatanga te arahi ki ngā raruraru nui, ina koa i ētahi tau. Ko te mōhiotanga ki ēnei take pea ka āwhina i a koe ki te mohio ki te wā hei kimi atu i te tiaki hauora.

Ko ngā raruraru o te manawa kei roto i ngā raruraru tino noa ka puta. Ka tino kaha te wero o te kōhū ka pakaru ngā uaua toto iti i roto i ō kanohi, ka puta he tae whero, he toto.

Ka puta he hernia ki ētahi i te kōhū kaha, ā, ka pāngia ētahi ki te whati iwi nā te kaha o te wero.

Ko ētahi atu raruraru manawa nui ake ka uru ki:

• Te manawa (te mate pūkahukahu), e puta ana ki te tata ki te haurua o ngā pēpi kua pangia i raro i te 1 tau
• Te pūkahukahu kua hinga (pneumothorax) mai i te pehanga o te kōhū kaha
• Ngā raruraru o te manawa e hiahia ana ki te whare hauora
• Te moe kore e arahi ana ki te ngenge me te ngoikore o te ārai mate

Ko ngā pēpi te hunga e pōhara rawa ana, ā, ko rātou te nuinga o te hunga e whakauru ana ki te whare hauora me te mate i te mate kōhū. Ka pā pea ngā pēpi ki te apnea (te mutu o te manawa mō te wā poto), ā, ka āhei te arahi i te pakaru o te roro nā te kore o te hau. He nui ake te tūponotanga kia whanakehia e rātou ngā mate huaketo tuarua me ngā raruraru kai e hua ai te ngaungaumanga me te ngaro o te taumaha.

Ahakoa kaore i te noa, ka kaha te kino o ngā raruraru neurological ina puta. Ka uru pea ēnei ki ngā āwangawanga nā te kore o te hau, te pupū o te roro (encephalitis), rānei, i etahi wā, te pakaru o te roro mō ake tonu atu. Ko te tikanga ka pā ngā raruraru ngāwari ake ki ngā pakeke me ngā taitamariki, ahakoa ka pā kino te kōhū roa ki te kounga o te ora mō ngā wiki, rānei ngā marama.

Me arotahi motuhake ki ngā raruraru e pā ana ki te hapu. Ka pā pea ngā wāhine hāpu e pangia ana e te mate kōhū ki te whānau wawe, ā, ka taea te pangia ngā pēpi i te wā e whānau ana, ā, ka waiho rātou i te tūponotanga tonu mō te mate kino.

Me pēhea te aukati i te mate kōhū?

Ko te kaupapa matua o te aukati i te mate kōhū ko te inopēnē, ā, koia tonu te huarahi tino whai hua hei tiaki i a koe me tō hapori i tēnei mate kaha te horapa. Ko te rongo pai ko ngā inopēnē he tino whai hua, ā, he ngāwari te wātea mō te iwi katoa.

Ka tīmata te kaupapa inopēnē noa i te wā pēpi me te inopēnē DTaP (diphtheria, tetanus, me te pertussis). Ko te tikanga ka whiwhi ngā tamariki ki ngā rāpoi e rima: i te 2, 4, me te 6 marama, katahi i waenganui i te 15-18 marama, ā, whakamutunga i waenganui i te 4-6 tau. Ka whakarato tēnei raupapa i te tiaki kaha i ngā tau tuatahi tino ngoikore.

Me ngā whakahōu ngā pakeke me ngā taitamariki, nā te mea ka heke te ātete i te wā. E tūtohutia ana te inopēnē Tdap (he putanga kei roto ngā rāpoi iti o ngā wāhanga diphtheria me pertussis) kotahi anō mō ngā pakeke katoa, ko te mea pai i waenganui i ngā tau 11-12 ki te kore i whiwhi i mua. Me whiwhi hoki ngā pakeke i te whakahōu Td, rānei Tdap i ngā tau 10 katoa.

Me pēnei te wāhine hapu kia whiwhi i te werohinga Tdap i ia whakahaputanga, pai ake i waenganui i te wiki 27-36. Ka taea e tēnei wā te tuku i ngā anitēreti ki te pēpi, ā, ka tiaki i ngā marama tuatahi nui i mua i te tīmatanga o te pēpi i tōna ake raupapa werohinga.

I tua atu i te werohinga, ka taea e koe te tango i ētahi atu mahi aukati:

• Whakamahia te horoi pai o ngā ringa mā te horoi pinepine me te hopi me te wai
• Kaua e whakatata atu ki te hunga e pangia ana e te mare e mau tonu ana, te kōroheke rānei
• Hipokina tō waha me tō ihu ina koe e kohukohu ana, e taea ana rānei
• Noho ki te kāinga ina māuiui koe hei aukati i te hora o te mate ki ētahi atu
• Kia mamao atu ngā pēpi i ngā mano tangata me ngā tangata māuiui ina taea

Mēnā kua pā atu koe ki tētahi kua whakaukia te mate huhu, ka taea e tō tākuta te tūtohutia ngā rongoā aukati ahakoa kāo e whai tohu tonu koe. Ka taea e tēnei huarahi te aukati i te mate, te whakaiti rānei i te kaha o ngā tohu mena ka tīmata wawe.

Pehea te whakatau i te mate huhu?

He uaua pea te whakatau i te mate huhu, ina koa i ngā tīmatanga o mua ka rite tonu ngā tohu ki ngā tohu o te mate huango noa, te mate manawa rānei. Ka whakamahi tō tākuta i te whakakotahitanga o te tirohanga hauora, te hītori hauora, me ngā whakamātautau taiwhanga hei whakatutuki i te whakatau tika.

I te wā o tō hui, ka whakarongo marie tō kaiwhakarato hauora ki ō tohu kohukohu me ngā tauira manawa. Ko te tangi ‘huhu’ āhua i muri i ngā wero kohukohu he tohu kaha, ahakoa ehara i te katoa o te hunga e pangia ana e te mate huhu e whānau mai ana i tēnei haruru motuhake, ina koa ngā pēpi iti rawa me ngā pakeke.

Ka ui tō tākuta i ngā pātai taipitopito mō ō tohu, tae atu ki te wā i tīmata ai rātou, me pēhea te whakawhānui, me te mea kua pā atu koe ki tetahi kua pangia e te mate rite. Ka arotakehia e rātou hoki tō hītori werohinga me ngā haerenga tata nei, i te mea ka pā ana enei take ki tō tūponotanga me te āhei o te mate huhu.

He maha ngā whakamātau whare taiwhanga ka āwhina i te whakau i te whakamārama:

• Whakamātau tākai ihu-waha: Ka kohia tētahi tauira i te hohonu o tō ihu me tō korokoro hei whakamātau i ngā pūtau mate
• Whakamātau PCR (polymerase chain reaction): Ka taea e tēnei whakamātau tino mārō te kimi i te DNA o ngā pūtau mate ahakoa he iti te nui
• Ngā whakamātau toto: Ka taea e ēnei te whakaatu i ngā anitobo kua hanga e tō tinana hei whakautu ki te mate
• X-ray uma: Ka taea pea te mahi i tēnei hei tirotiro i te mumura o ngā pūkahukahu, i ētahi atu raruraru o ngā pūkahukahu rānei

He mea nui te wā o te whakamātautau. He pai ake te mahi a ngā whakawhanaketanga pūtau mate me ngā whakamātautau PCR i ngā wiki tuatahi o te mate, ina teitei rawa te nui o ngā pūtau mate. Ka nui ake te whakamahi i ngā whakamātautau anitobo toto i muri mai i te mate, ina kua whai wā tō pūnaha ārai kia whakaputa i ngā anitobo e kitea ana.

I ētahi wā, ka tīmata pea tō tākuta i te rongoā i runga i ngā tohu hauora me te hītori whakaū, ahakoa kiano i wātea ngā hua whakamātautau. Ka āwhina tēnei huarahi ki te whakaiti i te nui o ngā tohu me te ārai i te horapa atu ki ētahi atu.

He aha te rongoā mō te kōhūhū?

Ka arotahi te rongoā mō te kōhūhū ki te whakaiti i ngā tohu, ki te ārai i ngā raruraru, ā, ki te mutu te horapa o te mate ki ētahi atu. Ka rerekē te huarahi i runga i te wā i mahia ai te whakamārama me te nui o ō tohu.

Ko ngā rongoā mate koiora te rongoā hauora matua, engari ka whakawhirinaki nui tōna whai hua ki te wā. Ka tīmatahia i te wāhanga tuatahi (te wāhanga rite ki te mate huka), ka taea e ngā rongoā mate koiora te whakaiti nui i te nui o ngā tohu me te whakapoto i te roa o te mate. Ko ngā rongoā mate koiora e whakamahia ana ko te azithromycin, te clarithromycin, te erythromycin rānei, e tangohia ana i te nuinga mō ngā rā 5-14.

Mēnā ka tīmatahia ngā rongoā mate koiora i muri mai i te mate, ka kore pea e pai ake ō tohu, engari he mea nui tonu nā te mea ka iti ake te pāheketanga ki ētahi atu. Kāore koe e pāhekeheke i muri i te tango i ngā rongoā mate koiora mō ngā rā 5, i te whakatau ki ngā wiki 3 kahore he rongoā.

Mō ngā keehi kino,inā rātou ko ngā pēpi me ngā tamariki iti, pea ka hiahiatia te noho whare hauora. Ko te rongoā whare hauora ka uru ki:

• Te rongoā hāora hei āwhina i ngā raruraru manawa
• Ngā wai IV hei ārai i te ngaungaue mai i te ruaki
• Te tirotiro mō ngā raruraru penei i te mate huango, te mate manawa rānei
• Te tautoko kai mehemea ka uaua te kai
• Te mimiti māngai ngawari hei whakakore i ngā ara hau i te kōrū

Āe, kāore ngā rongoā whakangū ngākau me ētahi atu rongoā kore-tūtohu e āwhina nui ana ki ngā tohu o te mate kōhū. Ko te tikanga, pea kāore ngā rongoā kōhū e tūtohutia, nā te mea ka āwhina te kōhū ki te whakakore i ō ara hau i ngā wai mātotoru.

Ko te tukanga ora e hiahia ana ki te manawanui, i te mea ka roa pea te kōhū mō ngā wiki, ngā marama rānei ahakoa kua angitu te rongoā mate huaketo. E hiahia ana tō pūnaha matekōre ki te wā hei whakatika i te kino i puta mai i ngā pokanoa huaketo, ā, he tukanga atawhai te ora katoa.

Me pēhea te whakahaere i te mate kōhū ki te kāinga?

Ko te whakahaere i te mate kōhū ki te kāinga e pā ana ki te hanga i te taiao tautoko e āwhina ana ki te whakaiti i ngā mea whakaoho kōhū me te whakapiki i te whakamarie me te ora. Ka taea e ēnei rautaki te whakakī atu ki tō rongoā hauora, ā, ka āwhina koe ki te pai ake i te wā o te tukanga ora.

Ko te hanga i te taiao tika i tō kāinga ka taea te whakaiti nui i ngā wāhanga kōhū. Kia ma, kia makuku te hau i roto i ō wāhi noho mā te whakamahi i te whakamakuku hau makariri,inā rātou ko ngā ruma moe. Ārai i te whakaū ki te paowa, ki ngā kakara kaha, ki ngā matū horoi, ki ētahi atu mea whakaoho hau e āhei ana te whakaoho i ngā wāhanga kōhū.

Ko te kai me te inu wai e tino nui ana ina uaua te kai me te inu i te kōhū me te ruaki maha. Hoatu ngā kai iti, maha atu i ngā kai nui, ā, tīpakohia ngā kai ngawari, ngāwari ki te horomia. Ka taea e ngā wai mā, ngā mīti, me ngā pōpō huka te whakarato kai me te whakamarie i te korokoro.

Ko ēnei ngā rautaki whai hua hei āwhina i te whakahaere i ngā tohu ki te kāinga:

• Whakahaumaru i te okiokinga me te moe ki te taea, i te mea ka kaha ake te mate i te ngenge
• Inumia ngā wai mahana penei i te tii otaota, i te wai mahana me te honi (kāore mō ngā tamariki kei raro i te 1 tau)
• Noho tika i te wā e kai ana, me muri mai hoki kia iti te rerenga o te ruaki
• Whakamahia ētahi ururua atu hei whakaara i tō ǔpoko i te wā e moe ana
• Whakamahia ngā mahi manawa ngawari ina kāore e kōhutia
• Tangohia ngā rongoā i tohua kia rite tonu ki te aratohu a tō tākua

He mea nui ano te whakahaere i te whare i te wā e mate ana. Kia wehe ketia ngā mema o te whānau kua pangia i ētahi atu,inā hoki ngā pēpi me ngā kaumātua, kia mutu ra ano te rongoā antibiotic i te iti rawa i te 5 rā. Me mahi pai te horoi ringa i te kāinga katoa, me te whakaaro ki te kakahu i ngā pūeru ina tiaki i te tangata māuiui.

Aroturukihia ngā tohu whakatūpato e hiahia ana ki te tiaki hauora tonu, penei i te uaua o te manawa, te tae kikorangi o ngā ngutu, te mata rānei, te ruaki tonu e ārai ana i te pupuri i ngā wai, i ngā tohu o te maroke rānei. Whakawhirinaki ki ō tūmanako, ā, kaua e whakaroa ki te whakapiri atu ki tō kaiwhakarato hauora mēnā kei te manukanuka koe mō ngā tohu e kino haere ana.

Me pēhea te whakarite mō tō whakatau ki te taakuta?

Ko te whakarite mō tō whakatau ki te taakuta ina whakaaro koe he kōhutia te kōhū, ka āwhina i te whakatutuki i te whakatau tino tika me te maimoatanga tika. Ko te whakarite pai ka āwhina hoki i tō kaiwhakarato hauora ki te mohio tere ki tō āhuatanga me te whakatau whakamārama mō tō tiaki.

I mua i tō whakatau, kia tuhia he rēhita taipitopito o ō tohu, tae atu ki te wā i tīmata ai, te āhua o te huringa i te wā, me te mea e pai ake ai, e kino ake rānei. Tākina te auau me te wā o ngā wero kōhutia, mēnā kua rongo koe i te tangi ‘kōhū’ ātaahua, me ētahi atu tohu penei i te kirika, te ruaki, i te uaua ki te moe.

Kohikohia ngā korero hauora nui e hiahia ana tō tākuta ki te mohio. Kei roto i ēnei ngā rārangi o ngā inokara (inā te wā whakamutunga i whiwhi ai koe i te inokara e whakauru ana i te pertussis), tetahi whakawhitinga tata ki tētahi tangata he kōhū hou tonu, te hītori haerenga tata nei, me ngā rongoā rānei, ngā taapiri rānei e inu ana koe i tēnei wā.

Whakamahia ngā korero motuhake hei whakamōhio ki tō kaiwhakarato hauora:

• Ngā rā tika i tīmata ai ngā tohu me te āhua o te whakaheke
• Whakaahuatanga o tō kōhū, tae atu ki ngā āhuatanga motuhake
• Ngā wā o te rā e kino rawa ana ngā tohu
• Ngā rongoā kua whakamātau koe me te āhua o te awhina
• Te hononga ki ētahi atu i pangia e ngā tohu rite
• Te pānga ki ō mahi o ia rā, moe, me te kai

Mēnā e taea ana, ngana ki te tuhi i te ataata o te kōhū i runga i tō waea, i te mea ka taea e tēnei te āwhina i tō tākuta ki te whakarongo ki ngā āhuatanga ahurei ahakoa kaore koe e kōhū i te wā o te whakaritenga. He tino whai hua tēnei, nā te mea kaore te ‘whoop’ motuhake e puta tonu i ngā toro poto ki te taote.

Whakaarohia te kawe mai i tētahi mema o te whānau, hoa rānei ki te whakaritenga, inā koa kei te tino mōrearea koe. Ka taea e rātou te awhina ki te maumahara ki ngā korero nui, ki te ui ki ngā pātai ka wareware pea koe, me te whakarato tautoko i te wā e taea ai te toro hauora whakawātea.

Tuhia ngā pātai e hiahia ana koe ki te ui ki tō tākuta, pēnei i te roa o tō mate, te wā e taea ai e koe te hoki ki te mahi, ki te kura rānei, ngā raruraru hei tiaki, me te āhua o te aukati i te hora o te mate ki ētahi atu i roto i tō whare.

He aha te mea nui mō te kōhū wīwī?

He mate huaketo kino engari ka taea te aukati te kōhū wīwī, ka pā ki te tangata katoa, ahakoa he nui rawa te tūponotanga ki ngā pēpi me ngā tamariki iti. Ko te mea nui rawa ki te mahara ko te inokara tonu te tiaki pai rawa atu i tēnei mate tuku i te tere.

He mea nui te mohiotanga wawe me te rongoā mō te whakaiti i te kino o ngā tohu, ā, hei ārai hoki i te horapa atu ki ētahi atu. Ki te puta mai tētahi kōhure roa,inā, tētahi kōhure e rangona ana te tangi ‘whooping’, kaua e tatari ki te rapu rongoā. Ka pai ake te mahi a ngā rongoā mate huaketo mehemea ka tīmata wawe, ā, ka awhina te rongoā wawe i te tiaki i tō whānau me tō hapori.

Ahakoa he wehi te kōhure whooping,inā, ina pā ki ngā tamariki nohinohi, ka ora katoa te nuinga o te iwi me te tiaki hauora tika me te rongoā tautoko i te kāinga. Ko te mea nui ko te noho mohio ki te aukati mā te werohanga, te mohiotanga wawe ki ngā tohu, me te mahi ngātahi me tō kaiwhakarato hauora i te mate katoa.

Kia mahara ka maroke te ātete i te wā, no reira ko te noho hou ki ngā werohanga whakahou ka tiaki i a koe, me ngā mema tino ngoikore o tō hapori, tae atu ki ngā pēpi kahore anō kia oti te werohanga.

Pātai maha e ui ana mō te kōhure whooping

E hōea ana te kōhure whooping?

Ko te kōhure whooping te tikanga ka roa 6-10 wiki katoa, ka haere tonu i ngā wahanga e toru. Ko te wahanga tuatahi o te mate makariri ka roa 1-2 wiki, ka whai ake te wahanga kōhure nui ka roa 2-6 wiki, ā, ka mutu te wā ora haere māmā ka roa atu etahi wiki. Ahakoa muri i te rongoā, ka kite etahi i ngā kōhure wawe mo ngā marama,inā, ina hopukina ētahi atu mate manawa.

Ka taea e ngā pakeke te whiwhi kōhure whooping ahakoa i werohangatia rātou i a rātou tamariki?

Ae, ka taea tonu e ngā pakeke te whiwhi kōhure whooping no te mea ka heke te ātete mai i ngā werohanga tamariki i te wā. Koia te take e tūtohutia ana e te CDC kia werohangatia ngā pakeke katoa ki te werohanga whakahou a Tdap, me werohangatia ngā wāhine hāpai i ia hāpai. Ko ngā keehi pakeke te nuinga he ngawari atu i ngā keehi tamariki engari ka taea tonu te kino me te tuku nui.

He mate tuku te kōhure whooping, ā, kia hōea?

Ko te kōhūhū he mate ka tere te hora, ina koa i ngā wiki tuatahi 1-2, ina rite ngā tohu ki te mate huka noa. Ki te kore te rongoā antibiotika, ka noho ngā tāngata hei kaipāho mo te toru wiki pea i muri i te tīmatanga o ngā tohu. Mā te rongoā antibiotika tika, ka mutu te pāho i te nuinga o te wā i muri i te inu rongoā mō ngā rā 5, ahakoa me whakaoti te rongoā antibiotika katoa.

Ka mate rānei te kōhūhū?

Ahakoa ka kino te kōhūhū, he iti ngā mate, ā, ka puta te nuinga ki ngā pēpi kei raro iho i te 6 marama te pakeke. Ka ora katoa te nuinga o te iwi mā te rongoā tika. Heoi, ka puta mai ētahi raruraru pēnei i te niumonia, ngā raruraru manawa, te raru o te roro nā te kore o te hau, ina koa ki ngā tamariki iti rawa, koia tēnei te take nui o te tiaki hauora wawe.

He aha te rerekētanga i waenganui i te kōhūhū me te kōhūhū noa?

Ko ngā kōhūhū noa mai i te mate huka, te mate pāwera rānei, he poto ake te roa, kāore hoki i te kino rawa. Ko te kōhūhū e pā ana ki ngā wero kōhūhū kaha ka roa pea ngā meneti, ka whai muri mai i te tangi ‘kōhūhū’ āhua ina manawa poto. Ko te kōhūhū he maroke, he mau tonu, ā, ka pāngia pea te ruaki. Kāore i rite ki te nuinga o ngā kōhūhū, ka kaha ake te kōhūhū i te wā, kāore i te pai haere.