I ētahi wā ka uaua te manawa, tika? Kua kite rānei koe i tētahi e raru ana i te hemokai? He mea tino whakamataku, he mea morearea hoki tēnei. I tēnei rā ka kōrero tātou mō te hemokai, te kupu hauora rānei '(Asphyxiation)'. Ki te mārama tika tātou ki tēnei, ka taea e tātou te whakaora i te ora.
He aha te `(Asphyxiation)`? He māmā noa iho...
Ki te kī ngāwari, ko te tikanga o te `(Asphyxiation)` kāore e ranea te hāora o tō tinana. He pānga nui tēnei ki te tukanga manawa. I ētahi wā ka arahi pea ki te kore mohio. I ngā wā kino rawa atu, ka mate pea. Ka kiia e ētahi ko te `(asphyxia)`, ka kiia e ētahi ko te `(suffocation)`. He rite tonu te tikanga o ēnei katoa.
He aha ngā momo matua o te `(Te Āhukahuka)`?
He rerekē ngā momo mate manawa. Me titiro tātou ki ngā mea matua.
`(Te mate pāwera ā-pūnaha)` - Te mate pāwera ā-pūnaha
Koinei te wā kāore e taea e koe te manawa nā te mea he mea tinana, he tūnga tinana rānei. Whakaarohia he rite ki te mea e whakakōkō ana i a koe, he tamaiti nohinohi rānei e mau ana he taonga takaro ki tōna korokoro, me ētahi atu. I ētahi wā ka hē tā tātou tūnga, hei tauira, ka tahuri te pēpi nohinohi, ā, kāore e taea te tahuri, ka mau tōna ihu me tōna waha ki te urunga, ka taka hoki tēnā ki tēnei wāhanga.
Te mate manawa kino - te whakamomori i puta mai i tētahi aituā
He wāhanga anō hoki tēnei o te "aukati mīhini". Ko te mea e tupu ana i konei ko te whakamomori o tō uma, arā, te "kōhao uma" e karapotia ana e te rara, ngā uaua, ngā kiko, me te kiri, nā te kaha nui ("mamae"") e puta mai ana i waho. Whakaarohia kei te pēhia tō uma i roto i tētahi aituā nui. Kātahi ka panaia te toto mai i te ngākau ki muri mā roto i ngā uaua ki te kaki me te roro.
Te mate pāwera i te wā whānautanga
He mea tēnei e pā ana ki ā tātou pēpi nohinohi. Ka puta tēnei āhuatanga ina kore te pēpi e whiwhi i te nui o te hāora e hiahiatia ana i mua tata atu, i te wā e whānau ana, i muri tonu mai rānei i te whānautanga. He mea tēnei hei tino tūpato.
`(Te whakamomori pēhanga)` - te whakamomori nā te pēhanga
He momo "aukati manawa" anō hoki tēnei. Ka puta tēnei ina pēhia tō uma, tō puku rānei e te kaha nui o waho. Hei tauira, mēnā kei te pēhia koe i tētahi wāhi kīkī (whakaarohia he kōnohete), mēnā rānei kei te noho tētahi ki runga i tō uma, kei te tuturi rānei ki runga i tō uma.
He pēhea te noa o te ingoa o tēnei āhuatanga ko te "Āsphyxiation"?
He mea noa ake tēnei i tō whakaaro. Hei tauira, i te Hononga o Amerika anake, tata ki te 19,000 ngā tāngata i mate i te mōmonatanga i te tau 2016.
I tua atu, mai i te tau 2018 ki te tau 2019, ko te whakamomori te tino take o ngā matenga aituā i roto i ngā tamariki kei raro iho i te kotahi tau te pakeke. Nō reira, me tino tupato ngā mātua whai tamariki nohinohi ki tēnei.
He aha te pānga o te Asphyxia ki tōku tinana?
Ka pā tēnei āhuatanga (Asphyxia) ki tō tinana i ngā huarahi maha.
Te aukati i ngā mea ke
Whakaarohia kei te ārai tetahi mea i tō ara manawa. Kātahi ka hangaia e tō tinana te hauhā waro. Ka kiia hoki tēnei he hypercapnia. I taua wā anō, kāore te hāora e tae atu ki ngā kiko o te tinana (hypoxia).
Kātahi ka ngana anō te tinana ki te manawa. He āhua whakamataku pea te kite. Tērā pea ka kite koe i ngā mea pēnei i te nui haere o ngā kanohi, te hurihanga o te tae o te kiri, ngā ringa e hopu ana i tō kaki, me te maremare mārire.
Ka piki ake tō toto toto me tō manawa. Ka heke te pH o tō toto. Ka tukuna e tō tinana ngā homoni e kiia nei ko ngā catecholamines. He homoni nui ēnei catecholamines i roto i te 'tauhohe whawhai-ā-rere' a te tinana.
Ā tōna wā, ka heke tō toto toto, ka pōturi hoki te tere o tō ngakau.
Ki te kore e tangohia te aukati i tēnei wā, ki te kore rānei e rongoatia wawetia, ka mutu pea te manawa (he mate manawa) i roto i ngā meneti e whā ki te rima. He tino morearea tēnei.
Te toremitanga
Mō te 10% pea o ngā toremitanga, ka mutu te mahi a ō taura reo ina uru tuatahi te wai ki roto i tō korokoro. Ka kiia tēnei he "laryngospasm." Kātahi ka mate koe i te "aukati manawa," ahakoa kāore he wai i roto i ō pukahukahu.
I roto i ētahi atu 90% o ngā take, ka whakangāwari ngā uaua i te āputa i waenganui i ō taura reo (ngā 'glottis'), ka kī ō pukahukahu i te wai.
Ka tere te mimiti o te wai māori i tō tinana. Ka whakamāeneene te wai māori i te 'plasma' i roto i tō toto, ā, ka pakaru ngā 'toto toto whero' (hemolysis).
Ka kukume te wai tote i te wai mai i tō pūnaha tohanga toto ki roto i ō pukahukahu, ka whakaiti i te nui o te plasma i roto i ō toto.
He aha ngā tohu o te poto o te manawa?
He maha ngā tohu e puta mai ana i tēnei āhuatanga "Āsphyxiation":
- Te uaua ki te manawa (dyspnea). Kei te ahua o ētahi tāngata kei te whakamomori rātou.
- Te manawa tere, te manawa hōhonu rānei (te manawa nui rawa atu).
- Te ngaronga o te māramatanga.
- Maremare.
- Te pāorooro, te rerekētanga rānei o te reo.
- Te kore e taea te kōrero.
- Te panoni i te tae o te mata, o ngā ngutu rānei (tērā pea ka whero, ka papura, ka kikorangi, ka hina rānei).
- Te uaua ki te horomi, te kore rānei e taea te horomi.
- Te ngaronga o te mahara.
- Te mimi, te tutae rānei ā-ture, me te kore e mōhio.
- Pōuriuri.
- Ngā mamae o te upoko.
He aha ngā take o te `(Asphyxia)`?
He maha ngā take mō tēnei poto o te manawa. Me titiro tātou ki ētahi o aua take:
- Anaphylaxis: He mate pāwera kino tēnei. He maha ngā wā ka puta mai i ngā kai. Ka taea hoki e ia te whakaputa i ngā tohu kino pēnei i te ruaki, te pupuhi o ngā peka me te mata (ina koa ko ngā ngutu).
- Te mate huango:He mate pūkahukahu 'mau tonu' tēnei. Ka taea te whakararuraru ake e ngā mea pēnei i te parahanga o te hau, te whakakori tinana, te kiri o ngā mōkai, me te paowa tupeka.
- `(Te whakamomori tūnga)` - Te whakamomori tūnga: Koinei te wā e āraihia ai tō manawa e te tūnga o tō tinana. He maha ngā wā ka pā tēnei ki ngā pēpi hou, ki ngā tamariki nohinohi rānei kāore i te kaha ki te huri i ō rātou tinana. Hei tauira, ka pā tēnei mēnā kei te moe te pēpi me tōna mata ki raro, ā, kei te mau tōna ihu me tōna waha ki roto i te moenga, ā, kāore e taea te huri.
- Te whakamomori matū: Ka puta tēnei ina tangohia te hāora mai i ō pukahukahu e te matū e manawahia ana e koe, ā, ka whakakīia ki te hāora. Kāore e taea e te hāora te tae atu ki ētahi atu wāhanga o tō tinana. Ka taea tēnei e ngā matū pēnei i te hauota waro, te cyanide, te hauwai sulfide, me ētahi matū kei roto i ngā hua horoi whare.
- Te nui rawa o ngā opioid: He matū ngā opioid e mahi tahi ana me ngā pūtau io hei whakaiti i te mamae. Ki te nui rawa te tango i ēnei, ka pōturi te manawa, ā, ka mutu pea.
- Te toremitanga: He whakamomori tēnei nā te rukutanga ki roto i te wai, ko te wai te nuinga.
- Ārai/whakararu i te ara manawa o tētahi mea ke: Ka āraihia te ara manawa e tētahi mea ke. Ka pā tēnei ina kore e horomia tika te kai, ina rānei ka piri te ruaki ki te korokoro i muri i te inu nui i te waipiro (paitini waipiro).
- Te aukati i te ara manawa mā te takai i te ringa, te taura, te taura, tetahi atu mea rānei ki te kaki.
Me pēhea te mōhio ki te `(Asphyxiation)`?
He "āhua ohorere hauora" tēnei e hiahia ana kia rongoatia tonutia . Mena kei te taha koe o tētahi tamaiti nohinohi, o tētahi pakeke rānei e raru ana te manawa, pātai atu ki a rātou mena kei te "kōkō" rātou. Mena kāore e taea e rātou te whakautu, rapua ēnei tohu:
- Te pupuri i te kaki (koinei te tohu whānui e whakamahia ana hei whakaatu kei te mau koe).
- Te maremare āta haere, me te ngoikore hoki.
- Te tangi whiowhio i te wā e manawa ana (`wheezing`).
- Te kore e taea te kōrero.
- Te ngaronga o te māramatanga.
Ki te mea he uaua te manawa o te pēpi, me tirotiro mēnā he rerekē ngā whanonga o rātou. Hei tauira, he uaua ki te manawa, he ngoikore te tangi, he puhoi rawa rānei te maremare.
He pai te hoatu inu ki te tangata kāore e taea te manawa?
Kāo, ehara i te mea pai. Ki te hoatu e koe he inu ki tētahi e uaua ana ki te manawa, ka ārai pea i te ara manawa.
He aha ngā whakamātautau e whakamahia ana hei tautuhi i te `(Asphyxia)`?
Mena kei te mau tetahi mea i roto i tō ara manawa, ka whakamahia pea e tō tākuta he hihi-X, he bronchoscopy rānei hei kimi i te mea kua aukatia, hei tango atu hoki.
Me pēhea te rongoā mō te `(Asphyxia)`?
Ko te maimoatanga e whakawhirinaki ana ki te take o te poto o te manawa. Ko ngā kōwhiringa maimoatanga ko:
- Whakaora manawa manawa (CPR): Mā te pēhi i te uma ka āwhina i te rere o te toto ki ngā whekau nui tae noa ki te tīmatanga anō o te patu o te manawa. He mea tino nui tēnei hei āwhina tuatahi.
- Te nekehanga Heimlich: Mā ngā pana puku ka āwhina i te pana i ngā mea mai i te ara manawa. He tino whai hua tēnei ina mau tetahi mea, pērā i te kai, ki roto i te ara manawa.
- Ngā Rongoā: I runga i te pūtake o te poto o te manawa, ka whakamahia pea ētahi rongoā. Hei tauira, he inhaler mō te mate huango, epinephrine (EpiPen®) mō ngā mate pāwera, naloxone (Narcan®) rānei mō te nui rawa o te opioid.
- Whakaora manawa waha-ki-waha: Ka āwhina tēnei ki te whakaoho i te manawa. Ka taea te mahi mō te hunga kua toremi, kua uaua rānei te manawa i muri i te nui rawa o ngā opioids i tangohia.
- Whakaora hāora: Ka tukuna te hāora ki te tinana mā roto i te ngongo manawa, te kopare hāora, te ngongo ihu, te mīhini manawa rānei.
Me pēhea te ārai i te `(Asphyxiation)`?
Ko te huarahi pai hei ārai i tēnei momo whakamomori ko te tūpato . Mena kei te uaua te manawa o tētahi i tō rohe, waea atu ki te 1990 (te ratonga waka tūroro ohorere o Sri Lanka) tonu.
- I te wā e kai ana, ngaungau mārire i tāu kai, ā, me kōrero noa i muri i te horomitanga. Kia mataara tonu ki āu tamariki i a rātou e kai ana. Whakatenatenahia rātou kia kai mā te waha iti, me te kī atu kia kaua e kōrero kia horomia rā anō e rātou tā rātou kai.
- Mena he mate pāwera kai tōu, me mau tonu he EpiPen. Tirohia ngā tapanga kai i runga i ngā mea katoa e kainga ana e koe.
- Ina kaukau koe i te wai, haere tahi me tētahi atu tangata. Ki te kore e taea e koe te kaukau, mauria he koti whakaora.
- Mena kei te tūpono koe ki te pāngia e te mate huango, me pupuri tonu he inhaler i te taha.
- Tāutahia ngā taputapu kite hauota waro ki roto i tō whare. Me tirotirohia ngā taputapu e whakamahi ana i te wahie pēnei i te rakau, te hau rānei (hei tauira, ngā oumu, ngā whakamahana wai, ngā oumu) e tētahi tohunga hangarau whakangungu kotahi i te tau.
Ka aha mēnā ka puta te `(Asphyxia)`?
Ki te rongoātia tonutia te pūtake o te poto o te manawa, he nui ake te tūponotanga ka ora ake.
Heoi, ki te kore e rongoatia wawetia te mate manawa, ka pā he pānga roa, he pānga pumau rānei, pērā i te whiu, te whara o te roro, te mate rānei. Nō reira, he mea nui kia tere te mahi.
He aha ngā pātai me pātai atu e au ki taku tākuta?
Mena kua pāngia koe e tēnei wheako, e hiahia ana rānei koe ki te mōhio atu mō tēnei, ka taea e koe te pātai atu ki tō tākuta i ēnei mea:
- Me aha ahau mēnā kāore tetahi e manawa ana?
- Ka pā mai rānei he pānga hauora mō te wā roa, mō te wā tuturu rānei i te kore e taea te manawa?
- He mate pāwera kai tōku? Me toro atu ahau ki tētahi tākuta mate pāwera?
- Me aha ahau hei tiaki i ahau i tēnei mate `(asphyxia)` ā muri ake nei?
Hei whakamutunga, he mea hei maumahara! (Karere hei kawe ki te kāinga)
He tino whakamataku te mate manawa, ina motuhia te hāora i roto i te tinana. Mēnā kei te whakaatu koe, kei te whakaatu rānei tētahi atu i ngā tohu o te manawa mōrearea, ka tino whakamataku pea. Heoi, he mea nui kia noho marino koe. Kia tūpato ki ngā tohu o te uaua ki te manawa, inā koa mēnā kei te pupuri ō ringaringa i tō kaki. Waea atu ki te 911 tonu, ā, whai i ā rātou tohutohu. Ko te tere o te rongoā i te take o te manawa mōrearea, ka nui ake te tūponotanga ki te karo i ngā raruraru hauora roa, pumau rānei. Mā tō mōhio me tō mahi tere ka āwhina i te whakaora i te ora!
Te whakamomori, te hāora, te manawa, te āwhina tuatahi, te āhuatanga ohorere, te whakamomori, te kōroke, te toremitanga, te hauota waro, te CPR, te nekehanga Heimlich

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