Kuku Nasal
Toka Te Manawa
- He aha te puku nasal?
- Hei aha te whakamahi?
- He aha i hiahia ai ahau ki te tarai ihu?
- Ka ahatia i te wa e mau ana te ihu?
- Me mahi e au tetahi mea hei whakareri mo te whakamatautau?
- He raru pea mo te whakamatautau?
- He aha te tikanga o nga hua?
- Tohutoro
He aha te puku nasal?
Ko te whaaihu ihu, he whakamatautau e tirotiro ana nga wheori me nga kitakitae puta ai nga mate manawa.
He maha nga momo mate manawa. Ma te whakamatau i te whiu nasal koe e awhina ki to kaiwhakarato kia tohu i to momo mate ka pa ki a koe, me tehea maimoatanga pai mo koe. Ka mahia pea te whakamatautau ma te tango i tetahi tauira o nga pūtau mai i o pongaponga, mai i te nasopharynx ranei. Ko te nasopharynx te pito o runga o to ihu me to korokoro.
Othertahi atu ingoa: te whakamatautau nares o mua, te puku o waenga-turbinate nasal, te NMT swab nasopharyngeal ahurea, te nasopharyngeal swab
Hei aha te whakamahi?
Ka whakamahia te kopae ihu hei tohu i etahi mate o te punaha manawa. Kei roto i enei:
- Te rewharewha
- COVID-19
- Huaketo syncytial respiratory (RSV). He mate manawa noa tenei, he ngawari te mate. Engari he morearea pea ki nga kohungahunga me nga pakeke.
- Ko te mare o te rewharewha, he mate kitakita e kaha ana ki te mare me te raru ki te manawa
- Meningitis, he mate na te mumura o nga kiriuhi e karapoti ana i te roro me te taura tuaiwi
- Ko te MRSA (Staphylococcus aureus-aukati he methicillin), he momo kino o te mate kitakita e tino uaua ana ki te hamani
He aha i hiahia ai ahau ki te tarai ihu?
Akene ka hiahiatia e koe tenei whakamatautau mena ka kitea e koe nga tohu o te mate manawa. Kei roto i enei:
- Moro
- Fever
- Ko te ihu koretake, kohe ranei
- Te korokoro mamae
- Ānini
- Ngenge
- Ka mamae te uaua
Ka ahatia i te wa e mau ana te ihu?
I tangohia mai he kopae ihu mai i te:
- Te taha ki mua o ou pongaponga (nga ihu o mua)
- Hoki o o pongaponga, i roto i te tikanga e mohiotia ana ko te nasal mid-turbinate (NMT) swab.
- Nasopharynx (runga rawa o to ihu me to korokoro)
I etahi wa, ka tono atu tetahi kaiwhakarato ratonga hauora ki a koe ki te whakamatautau i nga tohu tawhito, ki te whakakapi ranei i te NMT ki a koe.
I te wa o te whakamatautau nares o mua, ka tiimata koe ma te huri i to mahunga ki tua. Ana ko koe, ko te kaiwhakarato ranei ka:
- Whakauruhia kia ngawari te taatai ki roto i to pongaponga.
- Hurihia te peera ka waiho kia tuu mo te 10-15 hēkona.
· Tangohia te papaa ka whakauru ki to pongaponga tuarua.
- Kapohia te pongaponga tuarua ma te whakamahi i taua tikanga.
- Tangohia te pupuhi.
Mena kei te mahi koe i te whakamatautau, ma te kaiwhakarato koe e korero ki te hiiri i to tauira.
I te wa e whakakakahu ana koe i te NMT, ka tiimata koe ki te hoki i to mahunga. Ana ko koe, ko to kaiwhakarato ranei ka:
- Whakauruhia kia ngawari te taatai ki raro o te pongaponga, ka peke kia kitea ra ano ka mutu.
- Hurihia te tahuna mo te 15 hēkona.
- Tangohia te papa me te whakauru ki to pongaponga tuarua.
- Kapohia te pongaponga tuarua ma te whakamahi i taua tikanga.
- Tangohia te pupuhi.
Mena kei te mahi koe i te whakamatautau, ma te kaiwhakarato koe e whakaatu ki te hiiri i to tauira.
I te wa e whakakakahu ai te nasopharyngeal:
- Ka peke ano to mahunga.
- Ka whakauruhia e to kaitautoko hauora tetahi waa ki to pongaponga kia tae atu ra ano ki to nasopharynx (te taha o runga o to korokoro).
- Ka hurihia e to kaiwhakarato te papu ka tangohia atu.
Me mahi e au tetahi mea hei whakareri mo te whakamatautau?
Kaore koe e hiahia i etahi whakaritenga motuhake mo te pupuhi nasal.
He raru pea mo te whakamatautau?
Ko te whakamatautau ka tiimata to korokoro ka mate koe i te mare. Kaore pea i te pai te taatai nasopharyngeal ka mate te mare, ka puta ranei te waimarie. He wa poto enei paanga katoa.
He aha te tikanga o nga hua?
I runga i o tohu tohu, i whakamatautauria pea koe mo tetahi atu momo mate ranei.
Ko te hua kino kaore he huakita kino, huakita ranei i kitea i roto i to tauira.
Ko te hua pai ko te mea i kitea i roto i tetahi tauira tetahi momo momo huakita kino huakita kino ranei. He tohu he momo mate koe. Mena kua tohua koe he mate, kia kaha ki te whai i nga tohutohu a to kaiwhakarato mo te whakaora i to mate. Ka uru pea ki nga rongoa me nga huarahi hei aarai i te horapa o te mate ki etahi atu.
Mena kua tohua koe ki te COVID-19, kia kaha ki te hono atu ki to kaiwhakarato kia mohio he aha te huarahi pai hei tiaki i a koe ano hei tiaki i etahi atu mai i nga mate. Hei ako atu, tirohia nga paetukutuku o te CDC me to tari hauora o to rohe.
Ako atu mo nga whakamatautau taiwhanga, awhe tohutoro, me te maarama ki nga hua.
Tohutoro
- Hauora Allina [Ipurangi]. Minneapolis: Hauora Allina; Ahurea Nasopharyngeal; [whakahua 2020 Jun 8]; [tata ki te 3 nga mata]. Wātea mai i: https://account.allinahealth.org/library/content/49/150402
- American Lung Association [Ipurangi]. Chicago: American Lung Association; c2020. COVID-19 Tohu me te Tohu; [whakahua 2020 Jun 8]; [tata ki te 3 nga mata]. Wātea mai i: https://www.lung.org/lung-health-diseases/lung-disease-lookup/COVID-19/symptoms-diagnosis
- Nga Pokapū mo te Whakahaere Mate me te Aukati [Ipurangi]. Atlanta: Te Tari Hauora me nga Ratonga Tangata a U.S. Ma'i Coronavirus 2019 (COVID-19): He Aratohu Rangatiratanga mo te Kohikohi, Te Whakahaere me te Tohu i Nga Tauira Haumanu mo te COVID-19; [whakahua 2020 Jun 8]; [tata ki te 5 o nga mata]. Wātea mai i: https://www.cdc.gov/coronavirus/2019-nCoV/lab/guidelines-clinical-specimens.html
- Nga Pokapū mo te Whakahaere Mate me te Aukati [Ipurangi]. Atlanta: Te Tari Hauora me nga Ratonga Tangata a U.S. Ma'i Coronavirus 2019 (COVID-19): Tohumate o Coronavirus; [whakahua 2020 Jun 8]; [tata ki te 3 nga mata]. Wātea mai i: https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html
- Nga Pokapū mo te Whakahaere Mate me te Aukati [Ipurangi]. Atlanta: Te Tari Hauora me nga Ratonga Tangata a U.S. Ma'i Coronavirus 2019 (COVID-19): Whakamatau mo te COVID-19; [whakahua 2020 Jun 8]; [tata ki te 5 o nga mata]. Wātea mai i: https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/testing.html
- Nga Pokapū mo te Whakahaere Mate me te Aukati [Ipurangi]. Atlanta: Te Tari Hauora me nga Ratonga Tangata a U.S. Ma'i Coronavirus 2019 (COVID-19): Me aha koe mena e mate ana koe; [whakahua 2020 Jun 8]; [tata ki te 6 o nga mata]. Wātea mai i: https://www.cdc.gov/coronavirus/2019-ncov/if-you-are-sick/steps-when-sick.html
- Ginocchio CC, McAdam AJ. Nga Mahi Pai o Naianei mo te Whakamatau Virus Respiratory. J Clin Microbiol [Ipurangi]. 2011 Sep [whakahua 2020 Jul 1]; 49 (9 Whakarato). Wātea mai i: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3185851
- Nga Pokapū mo te Whakahaere Mate me te Aukati [Ipurangi]. Atlanta: Te Tari Hauora me nga Ratonga Tangata a U.S. SARS- CoV-2 (Covid-19) Pepa Tika; [whakahua 2020 Nov 9]; [e 4 pea nga mata]. Wātea mai i: https://www.cdc.gov/coronavirus/2019-ncov/downloads/OASH-nasal-specimen-collection-fact-sheet.pdf
- Hinkle J, Cheever K. Brunner & Suddarth's Handbook of Laboratory and Diagnostic Test. 2nd Ed, Rama. Philadelphia: Wolters Kluwer Hauora, Lippincott Williams & Wilkins; c2014. Ahurea Nasopharyngeal; wh. 386.
- Nga Whakamatautau Reipa Aipurangi [Ipurangi]. Washington D.C .: American Association mo te Haumanu Haumanu; c2001–2020. Coronavirus (COVID-19) Whakamatau; [whakahoutia 2020 Jun 1; whakahuahia 2020 Jun 8]; [tata ki te 2 nga mata]. Wātea mai i: https://labtestsonline.org/tests/coronavirus-COVID-19-testing
- Nga Whakamatautau Reipa Aipurangi [Ipurangi]. Washington D.C .: American Association mo te Haumanu Haumanu; c2001–2020. Kapu Nasopharyngeal; [whakahoutia 2020 Pepuere 18; whakahuahia 2020 Jun 8]; [tata ki te 3 nga mata]. Wātea mai i: https://labtestsonline.org/glossary/nasopharyngeal-swab
- Nga Whakamatautau Reipa Aipurangi [Ipurangi]. Washington D.C .: American Association mo te Haumanu Haumanu; c2001–2020. Virus Syncytial Respiratory (RSV) Whakamatau; [whakahoutia 2020 Pepuere 18; whakahuahia 2020 Jun 8]; [tata ki te 2 nga mata]. Wātea mai i: https://labtestsonline.org/tests/respiratory-syncytial-virus-rsv-testing
- Marty FM, Chen K, Verrill KA. Me pehea te tiki i tetahi Tauira Swab Nasofaryngeal. N Engl J Med [Ipurangi]. 2020 Mei 29 [whakahua 2020 Jun 8]; 382 (10): 1056. Wātea mai:
- Rush [Ipurangi]. Chicago: Rush University Medical Center, Rush Copley Medical Center ranei Rush Oak Park Hospital; c2020. Te rereketanga o te Swab mo te Whakamatau POC me te COVID Paerewa; [whakahua 2020 Nov 9]; [tata ki te 3 nga mata]. Wātea mai i: https://www.rush.edu/site/default/files/2020-09/coronavirus-swab-differences.pdf
- Meerhoff TJ, Houben ML, Coenjaerts FE, Kimpen JL, Hofland RW, Schellevis F, Bont LJ. Te kitenga i te maha o nga mate manawa manawa i te wa o te mate manawa tuatahi: te pupuhi o te ihu me te wawata o te nasopharyngeal ma te whakamahi i te wa-roa o te mekameka polymerase Eur J Clin Microbiol Infect Dis [Ipurangi]. 2010 Hanuere 29 [whakahua 2020 Jul 1]; 29 (4): 365-71. Wātea mai i: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2840676
- Hauora UF: Te Whare Waananga o Florida Hauora [Ipurangi]. Gainesville (FL): Te Whare Waananga o Florida Hauora; c2020. Ahurea Nasopharyngeal: Tirohanga; [whakahoutia 2020 Jun 8; whakahuahia 2020 Jun 8]; [tata ki te 2 nga mata]. Wātea mai i: https://ufhealth.org/nasopharyngeal-cultural
- Hauora UF: Te Whare Waananga o Florida Hauora [Ipurangi]. Gainesville (FL): Te Whare Waananga o Florida Hauora; c2020. Pertussis: Tirohanga; [whakahoutia 2020 Jun 8; whakahuahia 2020 Jun 8]; [tata ki te 2 nga mata]. Wātea mai i: https://ufhealth.org/pertussis
- Whare Wananga o Rochester Medical Center [Ipurangi]. Rochester (NY): Whare Wananga o Rochester Medical Center; c2020. Encyclopedia Hauora: COVID-19 Tukanga Kete Koura; [whakahoutia 2020 Maehe 24; whakahuahia 2020 Jun 8]; [tata ki te 2 nga mata]. Wātea mai i: https://www.urmc.rochester.edu/quality/nasopharyngeal-and-oropharyngeal-swab-collection-p.aspx
- Whare Wananga o Rochester Medical Center [Ipurangi]. Rochester (NY): Whare Wananga o Rochester Medical Center; c2020. Encyclopedia Hauora: Meningitis; [whakahua 2020 Jun 8]; [tata ki te 2 nga mata]. Wātea mai i: https://www.urmc.rochester.edu/encyclopedia/content.aspx?ContentTypeID=85&ContentID=P00789
- Hauora UW [Ipurangi]. Madison (WI): Te Whare Waananga o Wisconsin Whare Hauora me te Mana Haumanu; c2020. Korero Hauora: Methicillin-Resistant Staphylococcus Aureus (MRSA): Tirohanga; [whakahoutia 2020 Hanuere 26; whakahuahia 2020 Jun 8]; [tata ki te 2 nga mata]. Wātea mai i: https://www.uwhealth.org/health/topic/special/methicillin-resistant-staphylococcus-aureus-mrsa/tp23379spec.html
- Hauora UW [Ipurangi]. Madison (WI): Te Whare Waananga o Wisconsin Whare Hauora me te Mana Haumanu; c2020. He Korero Hauora: Nga Raru Hau, 12 Tau me te Tawhito: Kaupapa Tirohanga; [whakahoutia 2019 Jun 26; whakahuahia 2020 Jun 8]; [tata ki te 2 nga mata]. Wātea mai i: https://www.uwhealth.org/health/topic/symptom/respiratory-problems-age-12-and-older/rsp11.html#hw81690
- Te Tari Hauora o Vermont [Ipurangi]. Burlington (VT): Tikanga mo te Kohikohi i tetahi Kahu Nares o mua; 2020 Jun 22 [whakahua 2020 Nov 9]; [tata ki te 3 nga mata]. Wātea mai i: https://www.healthvermont.gov/site/default/files/DEPRIP.EMSNasalNares%20Procedure%20for%20Anterior%20Nares%20Nasal%20Swab.pdf
- Tino Hauora [Ipurangi]. New York: About, Inc. c2020. He aha te mate whakapouritanga o runga; [whakahoutia 2020 Mei 10; whakahuahia 2020 Jun 8]; [tata ki te 3 nga mata]. Wātea mai i: https://www.verywellhealth.com/upper-respiratory-infection-overview-4582263
- Te Tari Hauora o Washington State [Ipurangi] .Whakaahurutanga Tohutohu Mid-turbinate self-swab kohinga tauira nasal; [whakahua 2020 Nov 9] [tata ki te 3 nga mata]. Wātea mai i: https://www.doh.wa.gov/Portals/1/Documents/1600/coronavirus/Self-SwabMid-turbinateCollectionInstructions.pdf
Ko nga korero kei tenei papaanga kaua e whakamahia hei whakakapi mo te tiaki ngaio ngaio, tohutohu ranei. Whakapa atu ki te kaiwhakarato hauora mena he paatai taau mo to hauora.