Kua whakaarohia e koe te hiranga o te manawa mō tātou? He mea nui tēnei tukanga e mahia ana e tātou, kāore e mutu mō tētahi wā poto, ki ō tātou oranga. Ina koa i te mate urutā Corona, he tokomaha kua tīmata ki te kōrero mō te "taumata hāora", he mīhini e rite ana ki tētahi topenga iti ka whakanohoia ki tō maihao. Nō reira, he aha rawa te taumata hāora o te toto? He aha te pānga ki tō tātou hauora? I tēnei rā ka kōrerohia e tātou i roto i tētahi huarahi māmā, i tētahi huarahi ka taea e koe te mārama.
He aha te taumata hāora i roto i te toto?
Ki te kī ngāwari, ko te nui o te hāora i roto i tō toto te mea e kiia nei e tātou ko te taumata hāora o tō toto.
Hei whakamārama i tēnei, whakaarohia tō tātou tinana he waka. Me whai wahie te waka hei whakahaere. Waihoki, me whai pūngao ia pūtau o tō tātou tinana, tae noa ki te wāhanga iti rawa, hei mahi. Ko te "wahie" e hiahiatia ana e ngā pūtau hei whakaputa i tēnei pūngao ko te hāora .
Ina manawa tātou mā roto i te ihu, mā roto rānei i te waha, ka haere tēnei hāora ki ō tātou pukahukahu. Mai i reira, ka mimitihia ki roto i te toto. Kātahi ka tohatohahia e te toto tēnei hāora ki ngā pūtau katoa puta noa i te tinana. I muri i te whakamahinga a ngā pūtau i tēnei hāora hei hanga pūngao, ka tukuna e rātou te hauhā waro hei para. Ka haria anō tēnei hauhā waro ki ngā pukahukahu e te toto. Ina manawa tātou, ka puta atu tēnei hauhā waro i te tinana.
He tino pai ō tātou tinana ki te whakahaere i te nui o te hāora i roto i ō tātou toto. Ko te iti o te hāora i roto i te toto, he āhuatanga e kiia nei ko te hypoxemia , ka tino morearea mō ō tātou tinana. Ka tino kino pea tēnei ki ō tātou roro me te ngākau . Ko te iti o te hāora i roto i te toto he tohu pea kāore ō tātou pukahukahu, tō tātou pūnaha tohanga toto rānei e mahi tika ana.
Me pēhea te ine i ngā taumata hāora?
E rua ngā huarahi matua hei ine i ngā taumata hāora i roto i te toto. Ko tētahi mā te tango tauira toto, ko tētahi mā te whakamahi i tētahi mīhini iti e mōhiotia ana e te nuinga o te tangata, ā, e piri ana ki tētahi maihao.
1. Whakamātautau Hau Toto Arterial (ABG)
Koinei te tikanga tino tika, tino taipitopito hoki . I te nuinga o te wā, ina koha toto tātou, ka tangohia te toto mai i te uaua. Engari mō tēnei whakamātautau, ka tangohia te toto mai i te uaua toto. Nā te mea ko te toto i roto i ngā uaua toto te mea kei a ia te nui rawa o te hāora.
Ka taea e tēnei whakamātautau ABG te ine i te taumata hāora anake, engari he maha atu anō hoki ngā mōhiohio nui pērā i te nui o te hauhā waro i roto i te toto me te taurite waikawa-pūtake (taurite pH) o te toto.
2. Ine Pūwero
Koinei te taputapu iti, rite ki te topenga, e mōhiotia ana e tātou katoa, ka taea te tāpiri ki tō maihao, ki tō taringa, ki tō matimati rānei. Mā tēnei ka taea e koe te tere me te kore mamae te whakatau i te nui o te hāora i roto i ō toto.
Ka kiia e mātou te taumata i inehia e tēnei ko te taumata SpO2.E whakaatu ana tēnei i te nui o te hāora kei roto i tō toto. E whakaatu ana hoki i te tere o tō manawa. Haunga te whakamahinga i roto i ngā hōhipera, he tokomaha te hunga e whakamahi ana i tēnei taputapu i te kāinga.
He aha te take e tirohia ai e te tākuta ō taumata hāora?
Ka whakatau pea tō tākuta ki te tirotiro i ō taumata hāora mēnā kei a koe ētahi tohu.
| Ngā āhuatanga e arahi ana ki te whakamātautau | Ngā tauira |
|---|---|
| I roto i ngā āhuatanga ohorere me ngā āhuatanga nui |
|
| Hei aroturuki i ngā mate pūmau |
|
| Hei ine i te angitu o ngā maimoatanga | Mena kei te whiwhi koe i te rongoā hāora i roto i te hōhipera, ka tirohia e ngā tākuta ō taumata hāora i ia wā, kia mōhio ai kei te whiwhi koe i te nui tika o te hāora. |
He aha te taumata hāora noa?
Ko te mea nui ko te kōrero ki tō tākuta kia mōhio ai koe ki tō taumata noa.
Mō te tangata hauora whānui, ki te mea kei waenga i te 95% me te 100% te mākū o te hāora e inehia ana e te pulse oximeter, he taumata tino pai tēnā.
Heoi, ki te mea he mate pūkahukahu mau tonu tōu pērā i te COPD, tera pea he iti iho ō taumata hāora noa i tēnei. Mā tō tākuta koe e whakamārama ki te taumata e tika ana mōu i taua wā. Waihoki, ko te tangata e noho ana i te teitei teitei, tera pea he iti iho te taumata hāora.
Ko tētahi atu mea hei maumahara, kāore ngā mita oximeters o te kāinga e tino tika i ngā wā katoa. I ētahi wā, ko te taumata hāora tuturu o tō tinana he 2% - 4% teitei ake, he iti iho rānei i te mea e whakaaturia ana. Nō reira, ki te mea he ruarua āu, he pai ake kia tirohia koe e te tākuta.
He aha te iti o te hāora (Hypoxemia)? He aha ngā take?
Ko te hypoxemia he mate hauora e heke ai te taumata hāora i roto i te toto i raro i ngā taumata noa. He mate tēnei e tika ana kia arohia, nā te mea ka iti ake te taumata hāora, ka nui ake te tūponotanga ka pakaru ngā whekau o te tinana.
Ngā take matua e heke ai ngā taumata hāora
- Mate manawa: Ina ngoikore te mahi a te manawa, kāore e taea te pupuhi tika i te toto puta noa i te tinana, ka whakararu i te tuku hāora.
- Ngā mate pūkahukahu: Ka whakaitihia e ngā mate pēnei i te huango, te emphysema, me te bronchitis te kaha o ngā pūkahukahu ki te mimiti i te hāora.
- Te mate moe pōrearea: Mā te maha o ngā wā okioki i te wā moe ka heke te taumata o te hāora i te pō.
- Ētahi rongoā whakamamae mamae: Ka taea e ngā rongoā whakamamae mamae kaha me ētahi rongoā te whakaroa i te manawa me te whakaheke i ngā taumata hāora.
- Te kino ki te kiko o te pukahukahu: Ka taea e te mumura, te whara rānei i roto i ngā pukahukahu te whakararuraru i te whakawhiti hāora.
- Ngā wāhi teitei: I te pikinga ake o te teitei, ka heke te nui o te hāora e whiwhi ana te tinana nā te mea ka heke te kukū o te hāora i te hau.
Ngā tohu o te iti o te taumata hāora
Ina iti te hāora i roto i tō toto, ka pāngia pea koe e ēnei tohu e whai ake nei. Ka rerekē pea ēnei i ia tangata, i ia tangata, ā, i runga anō i te kaha o te mate.
| Tohu | Whakaahuatanga |
|---|---|
| Te uaua ki te manawa | Te uaua ki te manawa, te ahua o te hemo o te manawa. |
| Ngā tere o te ngakau | Ka tīmata te ngākau ki te mahi tere ake ki te whakarato i te hāora e hiahiatia ana e te tinana. |
| Ānini | Tērā pea ka puta mai i te kore e whiwhi te roro i te nui o te hāora. |
| Maremare me te ngenge | Te maremare pinepine me te mamae o te uma. |
| Pōhēhētanga | Te hekenga o te mahara nā te mea ka pā ki te mahi a te roro. |
| Kiri kikorangi, ngutu, me ngā maikuku | He tohu kino tēnei. Ka puta mai ina he nui te hekenga o te hāora i roto i te toto. |
Me pēhea te whakanui ake i ngā taumata hāora i roto i te taiao?
Mena he iti te taumata o tō hāora, he hiahia noa rānei kia noho hauora koe, ka taea e ēnei mea te āwhina i a koe.
- Mānuhia te hau hou: Kia tuwhera tonu ngā matapihi i te kāinga. Haere ki waho mō te hikoi poto i te awatea. Mā tēnei ka nui ake te hāora e whiwhi ana tō tinana.
- Kaua e kai paipa: Ki te mea he kai paipa koe, kati i tēnei rā tonu. I roto i ngā wiki e rua, e toru rānei o te whakamutu, ka tino pai ake te rere o tō toto. I roto i ngā marama torutoru, ka tino heke te poto o tō manawa. Ka whakanui ake ēnei i te kaha o te tinana ki te whiwhi hāora.
- Mahihia ngā mahi manawa:Ka taea e ngā mahi manawa māmā te whakatuwhera i ō ara manawa me te whakanui ake i te nui o te hāora e tomo ana ki roto i tō toto.
Engari kia maumahara ki tēnei! Mena he mate kino tōu pēnei i te niumōnia, he tohu kino rānei tōu pēnei i te uaua ki te manawa, te kikorangi rānei o ngā ngutu, kāore e ranea ēnei rongoā taiao anake. Mēnā he pēnei, haere tonu ki te Tari Urupare o te hōhipera (ETU).
Āhea koe me toro atu ki te tākuta?
Mena kei te whakamahi koe i te Pulse Oximeter i te kāinga, kia maumahara ki ēnei mea:
- Mena kei raro iho i te 92% tō taumata hāora, waea atu ki tō tākuta .
- Mena kei raro iho i te 88% te taumata hāora, me haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera tata .
Mena he mate pūmau tōu pērā i te COPD, te mate huango rānei, he mea nui kia whai i ngā tohutohu a tō tākuta. Mena ka puta he tohu hou, ka kino rānei ō tohu, me toro atu ki te tākuta tonu.
Karere Tangohia ki te Kāinga
- He tohu nui te taumata o te hāora i roto i te toto mō te hauora o tō tātou tinana.
- Ko te mākū o te hāora (SpO2) noa o te tangata hauora kei waenga i te 95% - 100%.
- He taputapu whai hua te ine ine hāora mō te ine i te taumata o te hāora i te kāinga, engari ka pāngia tōna tika e ngā mea pēnei i te peita whao, te mārama kanapa, me te nekehanga.
- He mate kino te iti o te hāora i roto i te toto (Hypoxemia). Ko ētahi o ngā tohu kino ko te uaua ki te manawa, te pōhēhē, me te kiri/ngutu kikorangi.
- Mena kei raro iho i te 92% tō taumata hāora, waea atu ki te tākuta. Mena kei raro iho i te 88%, haere tonu ki te ETU.
- Mena he āwangawanga āu mō tō hauora, me rapu tohutohu i tētahi tohunga hauora whai tohu, kaua e whakapae noa.
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