Created at:1/13/2025
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Ko te pōkaikaha te āhua e kore ai e nui te hau e uru ana ki ō pūkahukahu, e hiahia ana rānei te manawa kia kaha ake i te tikanga. Āhua nei ka pōuri koe, ka hāpara, ka whakapau kaha rānei ki te manawa noa. Ka puta tēnei āhua ohorere, ka tipu haere rānei i roto i te wā, ā, e pā ana ki miriona tāngata mō ngā take rerekē mai i te whakapau kaha noa ki ngā āhuatanga hauora e huna ana.
Ko te pōkaikaha, e kīia ana ko te dyspnea i roto i te rongoā, ko te huarahi o tō tinana ki te tohu kāore e nui te hāora e whiwhi ana, e uaua ana rānei te neke o te hau ki roto, ki waho hoki o ō pūkahukahu. He rerekē tēnei i te pōkaikaha noa e rongo ana koe i muri i te piki i ngā arawhata, i te whakakori tinana rānei.
Ka taea e tēnei āhuatanga te rerekē mai i te kore pārekareka noa ki te raruraru nui. Ka kite pea koe i tēnei i te wā o te mahi tinana, ka pā rānei ki a koe ahakoa e okioki ana. Ko ētahi tāngata e whakaahua ana i tēnei me te mea e manawa ana rātou mā te kakau witi, me te mea rānei he taumaha kei runga i tō rātou uma.
Ahakoa he whakamataku te pōkaikaha, he mea nui kia mōhio he maha ngā take e taea ana te rongoā. He uaua tō pūnaha manawa, e whai wāhi ana ō pūkahukahu, te ngākau, ngā oko toto, me ō uaua hoki, nō reira he maha ngā take rerekē ka pā ki tēnei tohumate.
He rerekē te āhua o te pōkaikaha mō ia tangata, engari ko te nuinga o te tāngata e whakaahua ana i tēnei he mōhiotanga kore pārekareka o tō rātou manawa. Āhua nei e kore e taea e koe te hopu i tō manawa, me te mea rānei kāore koe e whiwhi manawa pai ahakoa te kaha o tō ngana.
He maha ngā wā ka haere tahi te āhua nei me te āhua o te pūhi i tō uma, me te mea e kōpeke ana tētahi i a koe. Āhua nei ka tere ake tō manawa, ka hōhonu ake rānei i te tikanga. Ko ētahi tāngata e āhua nei e toremi ana, e pōuri ana rānei, ahakoa kāore rātou i te mōrearea tonu.
Ka kite pea koe i ngā mahi i mua i te ngāwari, e whakapōkaia ana koe ināianei. Ko ngā mahi māmā pēnei i te piki i ngā pikitanga, te kawe i ngā kai, tōna kōrero rānei, ka whakapōkaia koe. Ka taea te ngawari noa te āhua, ā, kāore e kitea, engari ka kaha pea te āhua, ka mutu pea te mahi i tō mahi, ka arotahi katoa ki te manawa.
Ka puta te pōkae manawa i te wā kāore te tinana e whiwhi hāora nui, i te wā rānei e pokanoa ana tētahi mea ki tōna manawa. Ka taea te wehe i ngā take ki ngā mea e pā ana ki ō pūkahukahu, te ngākau, te toto, te āhua tinana rānei.
Koinei ngā take tino noa e pā ana ki te uaua o te manawa:
I ētahi wā, ka taea e te pōkae manawa te tohu i ngā āhuatanga nui ake. Ko ngā toto toto i roto i ngā pūkahukahu, ngā tauhohenga mate pāwera nui, ngā pūkahukahu kua hinga rānei, he mea kāore i te noa, engari me āta rongoa tonu.
He tohu pea te poto o te manawa o ngā momo āhuatanga rerekē, mai i ngā take rangitahi ki ngā mate tawhito. Mā te māramatanga ki te aha pea e tohu ana, ka mōhio koe ki te wā ki te rapu āwhina hauora.
Mō ngā āhuatanga o te manawa, ka puta te poto o te manawa me ētahi atu tohu. Ki te huangō, tērā pea ka whai hū, te pōkae o te uma, te mare rānei. Ko te pūkahukahu te tikanga ka mau mai i te kirika, te mākū, me te mamae o te uma. Ko te COPD, kei roto ko te emphysema me te bronchitis tawhito, te tikanga ka pōturi te whakawhanake, ka kino haere i te wā.
Ko ngā take e pā ana ki te ngākau ka tae mai me ētahi atu tohu. Ko te ngoikore o te ngākau ka pū te puku i ō waewae, i ō pūwaha rānei, te ngenge, me te uaua ki te takoto papatahi. Ka taea e te whakaeke ngākau te mau mai i te mamae o te uma, te whakapairuaki, me te werawera. Ko ngā manawataki koretake ka waiho koe i te āhua e tere ana, e peke ana rānei tō ngākau.
Ko ngā āhuatanga kāore i te noa engari he nui te raru ko te pulmonary embolism, kei reira te toto toto e aukati ana i te rere o te toto ki ō pūkahukahu. Ko te tikanga ka puta mai te poto o te manawa ohorere, kaha, me te mamae o te uma, i ētahi wā ka mare toto. Ka taea e ngā tauhohenga mate pāwera nui te whakaputa i ngā uaua ki te manawa me te pūpū, te pū, me te whāwhā.
I ētahi wā, ko te poto o te manawa e tohu ana i ngā raruraru ki te kaha o tō toto ki te kawe i te hāora. Ka whakaiti te anemia i tō tatauranga pūtau toto whero, ka waiho koe i te āhua ngenge me te poto o te manawa i ngā mahi noa. Ko ētahi rongoā, ina koa ko ētahi rongoā toto toto, ka pā ki tō manawa.
Ko te mea ka ngaro noa iho te poto o te manawa, kei runga katoa i te aha e pā ana. Ki te raru koe i te uaua ki te manawa nā te mahi tinana, te āwangawanga, te noho rānei i te teitei, ka pai ake i te wā ka tangohia te mea e pā ana, kua whai wā rānei koe ki te okioki.
Ka pai ake pea ngā take rangitahi pēnei i ngā mate manawa ngawari, ngā mate pāwera o te wā, ngā raruraru manawa rānei e pā ana ki te ahotea i te wā e ora ana tō tinana, e whakatika ana rānei koe i te take i raro. Heoi, ka roa pea tēnei i ngā rā ki ngā wiki, ā, kaua koe e whakawātea i ngā tohumate pūmau e tūmanako ana ka ngaro.
Ko ngā āhuatanga mau tonu pēnei i te huangō, te COPD, te ngoikore o te ngākau, te anemia rānei, kāore i te nuinga o te wā e pai ake me te kore he rongoā tika. Ko ēnei āhuatanga e hiahia ana ki te whakahaere tonu me ngā rongoā, ngā huringa o te oranga, ētahi atu wawaotanga rānei hei pupuri i ngā tohumate i raro i te mana.
He mea nui kia mōhio ahakoa te ahua o te pai ake o te pōturi o te manawa i te wā poto, me aro tonu pea ki te take i raro. Ko te whakawātea i ngā wā o te hokinga mai, te tūmanako rānei ka ngaro, ka puta pea he raruraru nui ake i te wā e haere ake nei.
Mēnā kei te pōturi koe i te manawa ngawari, ā, kāore koe i te pōhēhē tonu, he maha ngā rautaki kāinga ka āwhina i a koe kia pai ake te ngākau. Ko ēnei huarahi e pai ana mō ngā tohumate rangitahi, ngawari rānei, kāore mō ngā tūāhuatanga ohorere.
Anei ētahi tikanga ngawari e kitea ana e te nuinga o te tangata he āwhina:
Heoi anō, he here anō ō ngā rongoā kāinga. Mēnā he nui te pōkae o tō manawa, ka puta ohorere mai, ka haere tahi rānei me te mamae o te uma, te whāwhā, te ngutu kārikikā rānei, ngā maihao rānei, me whai tonu koe i te āwhina hauora, kaua e rongoā i te kāinga.
Ko te rongoā hauora mō te pōkae o te manawa e arotahi ana ki te whakatika i te take i raro iho, me te whakarato i te whakawātea i ngā tohumate. Me whakatau e tō tākuta te mea e pōkae ana i tō manawa mā te tirotiro me ētahi whakamātautau pea.
Mō ngā take e pā ana ki te pūkahukahu, ka uru pea te rongoā ki ngā bronchodilators hei whakatuwhera i ō ara rererangi, ngā corticosteroids hei whakaiti i te mumura, i ngā paturopi rānei mēnā he mate huakita tōu. Ko te hunga e mate hāwhewhe ka whiwhi i ngā inhalers, i te wā e hiahia ana te hunga e mate COPD ki te rongoā hāora, ki te whakahou i te pūkahukahu rānei.
Ko te pōkae o te manawa e pā ana ki te ngākau e hiahia ana ki ngā rongoā hei whakapai ake i te mahi o te ngākau, pērā i ngā ACE inhibitors, beta-blockers, i ngā diuretics rānei hei whakaiti i te wai e kohikohi ana. I ngā wā nui, ka hiahiatia pea ngā tikanga pērā i te angioplasty, i te pokanga rānei hei whakahoki i te rere toto tika.
Ko ētahi atu rongoā e whakawhirinaki ana ki te take motuhake. Ka hiahiatia pea e te anemia ngā tāpiri rino, i te rongoā rānei i ngā āhuatanga i raro iho e pōkae ana i te ngaro toto. Ko ngā toto toto e hiahia ana ki ngā whakaheke toto, i te wā e hiahia ana ngā tauhohenga mate pāwera nui ki te rongoā tonu me te epinephrine me ētahi atu rongoā ohorere.
Ka tūtohu pea tō tākuta i ngā huringa o te noho, pērā i te whakahaere taumaha, te whakamutu i te kai paipa, i ngā hōtaka whakakori tinana haere hei whakapai ake i tō kaha manawa whānui me te whakaiti i ngā wāhanga o muri ake nei.
Me rapu tonu koe i te āwhina ohorere mēnā he nui te pōkae o tō manawa, ka puta ohorere mai, ka puta rānei me ētahi atu tohumate nui. Kaua e tatari, kaua e ngana rānei ki te kaha ki te puta mēnā kei te pā koe i te ohorere manawa.
Waea atu ki te 911, haere rānei ki te rūma ohorere tonu mēnā kei a koe:
Me whakarite e koe tētahi tūpono ki te tākuta mō te wā roa mēnā ka kite koe i ngā huringa haere i tō manawa, pēnei i te poto o te manawa i ngā mahi i mua i te wā i māmā noa iho ki a koe. Kei roto i tēnei ko te pōkaikaha i te wā e piki ana i ngā arawhata, e hīkoi ana i ngā tawhiti poto, e mahi ana rānei i ngā mahi o te whare.
Tirohia hoki tō tākuta mēnā ka pā mai anō ngā wā o te poto o te manawa, ahakoa he ngawari noa iho. Ka taea e ngā tauira o ngā uaua ki te manawa te tohu i ngā āhuatanga kei raro e whai hua ana i te rongoā me te whakahaere wawe.
He maha ngā āhuatanga ka whakanui i tō tūponotanga ki te pā mai o te poto o te manawa, ā, mā te māramatanga ki ēnei ka āwhina i a koe ki te whai i ngā mahi ārai. Ko ētahi āhuatanga tūpono ka taea e koe te whakahaere, i te wā e noho ana ētahi atu hei wāhanga o tō hanganga tūturu, o ngā āhuatanga o te ora rānei.
Koinei ngā āhuatanga matua ka nui ake te tūponotanga o ngā raruraru manawa:
Ka nui ake hoki te tūponotanga o ētahi āhuatanga rongoā, tae atu ki te mate huka, te toto tiketike, me ngā mate ārai-a-tinana. Ka pā mai te manawa ki ētahi rongoā, ina koa ētahi rongoā toto tiketike, rongoā rānei e pupuri ana i te wai.
Ko te rongo pai, he maha ngā āhuatanga tūpono ka taea te whakarerekē mā ngā huringa o te noho, te manaaki rongoā tika, me ngā mahi ārai. Ahakoa he āhuatanga tūpono e kore e taea e koe te whakarerekē, pēnei i te tau, te hītori whānau rānei, ka taea tonu e koe te mahi i ngā mahi hei tiaki i tō hauora manawa.
Ko te pōkaikaha kāore i rongoatia ka hua mai ngā raruraru nui, ina koa ka puta mai i ngā āhuatanga rongoā kei raro. Ko ngā raruraru motuhake ka whakawhirinaki ki te aha te take o ō uaua manawa, me te nui o te kaha.
Ki te kore tō tinana e whiwhi hāora nui i te wā, ka pā mai ki ngā pūnaha okana maha. Me kaha ake pea tō ngākau ki te pōmpu toto, ka hua mai te rahunga ngākau, te manawa rerekē rānei. Kāore pea tō roro me ētahi atu okana e whiwhi hāora tika, ka hua mai te ngenge, te rangirua, ētahi atu raruraru rānei.
Ka taea e ngā raruraru manawa te whakauru i te piki haere o te mate pūkahukahu, te piki ake o te tūponotanga o ngā mate, te korenga manawa rānei i ngā wā tino kino. Ko ngā tāngata e raru ana i te manawa mō te wā roa, he maha ngā wā ka heke te kounga o te oranga, te uaua ki te mahi i ngā mahi o ia rā, me te piki ake o te tūponotanga o te hinga i te ngoikoretanga, te mōteateatanga rānei.
He mea nui anō hoki te whakaaro ki ngā raruraru pāpori me te hinengaro. Ka taea e te pōturi manawa mō te wā roa te ārahi ki te āwangawanga, te pōuri, te wehenga pāpori rānei i te mea ka karo ngā tāngata i ngā mahi e pā ana ki ō rātou tohumate. Ka taea e tēnei te waihanga i tētahi huringa e ārahi ana te hekenga o te mahi ki te ngoikoretanga atu me te pōroiroi o ngā tohumate.
Heoi, ka taea te ārai, te whakahaere rānei i te nuinga o ngā raruraru mā te manaakitanga hauora tika. Ko te tātaritanga wawe me te rongoā i ngā āhuatanga e huna ana, me ngā whakarerekētanga o te noho, ka taea te whakaiti nui i tō tūponotanga ki ngā raruraru nui me te āwhina i te pupuri i tō kounga o te oranga.
I ētahi wā ka pōhēhēhia te pōturi manawa ki ētahi atu āhuatanga, ki ngā āhuatanga rānei, ka roa pea te tātaritanga tika me te rongoā. Mā te māramatanga ki ēnei rite ka taea e koe te whakarato i ngā kōrero pai ake ki tō kaiwhakarato hauora.
He maha ngā wā ka rite te āwangawanga me ngā whakaeke ohorere ki ngā raruraru manawa, e pā ana ki te manawa tere, te pōroiroi o te uma, me te āhua o te kore e nui te hau. Ko te rerekētanga nui ko te mea ko ngā take manawa e pā ana ki te āwangawanga ka pai ake i te whakamahi i ngā tikanga whakangā, ā, kāore e uru ana ki te korenga o te hāora.
I ētahi wā ka pā te mamae o te uma, te waikawa rānei ki te mamae o te uma me te āhua o te pōroiroi e pōhēhēhia ana e ngā tāngata ki ngā raruraru manawa. Heoi, ko ēnei tohumate e pā ana ki te kai, ā, ka pai ake mā te rongoā waikawa.
Ka taea e te uaua o te uma mai i te whakakori tinana, te tū rānei e kore e tika te waihanga i te pōroiroi o te uma e rite ana ki te uaua ki te manawa. Ko tēnei momo o te mamae ka pōroiroi i te neke, ā, ka urupare ki te okiokinga me te totoro ngawari.
I ētahi wā, ka pōraru te tangata i ngā urupare noa ki te whakapau kaha tinana ki te poto o te manawa. He mea noa te hā kaha ake i te wā e whakakorikori ana, engari he mea whakahihiri mēnā ka poto tō manawa i ngā mahi i ngā wā o mua i māmā ki a koe.
Ka taea e te matewai te whakapōuri me te whānui o te korenga e pāngia ana e ētahi tāngata hei raruraru manawa. Heoi, ko te poto o te manawa tūturu ko te uaua ki te neke i te hau ki roto, ki waho hoki o ō pūkahukahu, ehara i te mea e ngenge ana, e ngoikore ana rānei.
Kāore i te mea nui te poto o te manawa katoa, engari me arotake tonu, ina koa he mea hou, he kaha, he hoki mai rānei. Ko te poto o te manawa rangitahi mai i te whakakorikori tinana, i te āwangawanga ngawari rānei, kāore i te mōrearea, engari ko ngā tohumate pūmau, kaha rānei, ka tohu i ngā take hauora kei raro e hiahia ana ki te āwhina hauora.
Āe, ka taea e te pēhanga me te āwangawanga te pā ki te poto o te manawa. I te wā e āwangawanga ana koe, ka huri tō tauira manawa, ka tere ake, ka pāpaku ake, ka waiho koe i te ahua e kore e nui te hau e whiwhi ana koe. Ka hangaia e tēnei he huringa e piki ake ai te āwangawanga i te wā e poto ana te manawa, e kino ake ai ngā uaua manawa.
Ka whakawhirinaki te roa ki te take. Ko te poto o te manawa e pā ana ki te whakakorikori tinana me whakaoti i roto i ngā meneti o te okiokinga, i te wā e roa ana ngā tohumate e pā ana ki te āwangawanga 10-20 meneti. Mēnā ka pūmau te poto o te manawa mō ngā hāora, ngā rā, ka hoki mai tonu rānei, me kite koe i te tākuta mō te arotake.
He maha ngā take o te pōkaikaha ka taea te ārai mā te whiriwhiri i te momo oranga hauora. Ko te whakakori tinana i ngā wā katoa ka whakapai ake i te oranga o te ngākau me ngā uaua, ko te pupuri i te taumaha hauora ka whakaiti i te pēhanga ki ō pūkahukahu me tō ngākau, ā, ko te karo i te kai paipa ka tiaki i tō pūnaha manawa. Ko te whakahaere i ngā āhuatanga mau tonu pēnei i te huangō, te mate ngākau rānei ka āwhina hoki ki te ārai i ngā raruraru manawa.
He maha ngā wā ka whakamahia ēnei kupu hei whakawhitiwhiti, engari ko te pōkaikaha te tikanga e pā ana ki te āhua o te kore e nui te hau e whiwhi ana, i te wā e pā ana te uaua ki te manawa ki ngā raruraru o te mahi manawa, pēnei i te mamae i te manawa, te kore rānei e kaha ki te hōhonu te manawa. Me tātari hauora ngā tohumate e rua nei mēnā he kaha, he mau tonu rānei.