Ki te mea kei te tata koe ki te pokanga, ko tētahi o ō mataku nui ko te mamae ka puta mai i muri mai. "Āe, e te tākuta, ka tino mamae i muri mai?" Ka pātai katoa tātou, tika? He tika taua mataku. Engari, waimarie, i tēnei rā, nā te whanaketanga o te pūtaiao hauora, he maha ngā huarahi pai hei whakahaere i te mamae e puta ana i muri i te pokanga. Nō reira, i tēnei rā ka kōrero tātou mō tētahi rongoā motuhake e whakamahia ana e ngā tākuta hei whakahaere i tēnei mamae. Ko Bupivacaine te ingoa.
He aha tēnei Bupivacaine?
He māmā noa iho, he rongoā whakangāwari te Bupivacaine e hoatu ana hei whakangāwari i te wāhi e karapoti ana i te patunga pokanga i te wā, i muri rānei i te pokanga. He rite ki te rongoā whakangāwari e hoatu ana ki ō kapia i mua i te tangohanga niho, engari he momo motuhake, he kaha ake e whakamahia ana mō ngā patunga pokanga.
Ka werohia tika tēnei ki te wāhi i mahia ai te pokanga, arā, ki roto i ngā kiko e karapoti ana i te patunga. Ka whakangāwari tēnei i ngā io o taua wāhi mō te wā poto, ā, ka aukati i ngā tohu mamae kei haere ki te roro. Ko te tikanga o tēnei ka iti ake te mamae mō ētahi haora i muri i te pokanga. Ko te tikanga o tēnei ka nui ake tō marino i a koe e ora ana.
Ngā mea me kōrero e koe ki tō tākuta i mua i te hoatutanga o tēnei rongoā
I mua i te hoatutanga o tēnei rongoā ki a koe, me mōhio tō tākuta ki tō hītori hauora katoa. Nā te mea he nui te aro ki ētahi āhuatanga hauora ina whakamahia tēnei rongoā. Nō reira, ki te pāngia koe e tētahi o ngā āhuatanga kua whakarārangihia i raro nei, me whakamōhio atu ki tō tākuta. Kaua e warewaretia, nā te mea ko tō haumaru te mea nui.
| Te mate, te āhua rānei | He aha koe me whakamōhio ai? |
|---|---|
| Mate pāwera ki te Bupivacaine, ki tētahi atu rongoā whakangoikore rānei (hei tauira, Lidocaine) | Hei karo i te puta o tētahi mate pāwera nui. |
| Mate ngakau | Me aro nui ki te hunga whai mate manawa nā te mea he rerekē pea ngā pānga o tēnei rongoā. |
| Mate ate, mate whatukuhu rānei | Nā te mea ka pā ki te tukanga tango i ngā rongoā mai i te tinana. |
| Te toto toto iti | Nā te mea ka taea e tēnei rongoā te whakaheke i te toto totoka. |
| Ngā mate pūkahukahu (hei tauira, te mate huango, te COPD) | Kia mōhio ki te mōrearea o ngā raruraru manawa. |
| Te ngoikore o te G6PD | He mate toto onge tēnei e hiahia ana kia tino tiakina. |
| Te hapu, te ngana ki te hapu, te whāngai u rānei | Hei whakaaroaro i ngā pānga ka pā ki te tamaiti, me te whakatau i te whakatau pai rawa atu. |
Me pēhea te whakamahi i tēnei rongoā?
Ko te mea nui, ehara tēnei i te rongoā ka taea te kawe ki te kāinga. Ka tukuna noa ngā werohanga Bupivacaine i roto i te hōhipera, i te whare hauora rānei e te tākuta, e te nēhi rānei kua whakangungua.
I te nuinga o te wā ka werohia ki roto i te kiko huri noa i te patunga pokanga i te wā pokanga, i muri rānei i te pokanga, nō reira kāore koe e manukanuka kei ngaro tetahi horopeta.
Mena ka puta he raruraru ohorere o te nui rawa o te horopeta o tēnei rongoā, ka puta i te hōhipera, ā, ka mahi tonu ngā kaimahi hauora. Mēnā he pēnei, ka taea hoki e rātou te waea atu ki te National Poisons Information Centre i te Colombo National Hospital me te tiki i ngā tohutohu e tika ana. Waihoki, ka whakaurua tonutia te tūroro ki te Emergency Treatment Unit (ETU) ā, ka tukuna te maimoatanga e tika ana.
Ētahi atu rongoā ka taunekeneke pea me te Bupivacaine
Mena kei te tango koe i ētahi atu rongoā, he mea nui kia kōrero atu koe ki tō tākuta mō ēnei. Ka taea e ētahi rongoā te taunekeneke me te Bupivacaine, ā, ka pā mai ngā pānga kino. Kōrero atu ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe, kaua ko ngā mea anake i tohua e tō tākuta, engari me ngā rongoā whakamamae mamae, ngā huaora, me ngā rongoā otaota ka hokona e koe mai i te whare rongoā.
He aha ngā pānga taha ka puta?
Pērā i ngā rongoā katoa, ka pāngia ētahi tāngata e te Bupivacaine. Heoi, kāore e pāngia te katoa. Ko ētahi he tino kino, me whakamōhio tonu. Ko ētahi he mea noa, ā, ka memeha haere i muri i tētahi wā. Kia kite tātou he aha ēnei.
| Pānga taha | Whakaahuatanga |
|---|---|
| Ngā pānga taha me whakamōhio tonu koe ki tō tākuta, ki tō nēhi rānei: | |
| Ngā uruparenga mate pāwera nui | He ponana kiri, he mākūkū, he pupuhi o te mata, o ngā ngutu, o te arero, o te korokoro rānei, he uaua ki te manawa. |
| Ngā huringa o te tere o te ngakau | Te āhua nei kei te tere te patu o tō ngākau, kei te hē rānei te patu, te whanoke, te mamae o te uma. |
| Te pouri o te pūnaha io matua (te pouri o te pūnaha io matua) | Te manawa puhoi, te manawa pāpaku rānei, te hiamoe nui, me te pōhēhē. |
| Ngā mate hopuhopu | E wiri ana te tinana, e wiri ana. |
| Methemoglobinemia | Te uaua ki te manawa, te tae kikorangi/hina o te waha, o ngā maikuku, o te kiri rānei, te ngenge nui, te ānini. (He mate onge tēnei engari he kino rawa). |
| Ngā mea kāore i te tino kino, engari me ripoata ki te tākuta mēnā ka mau tonu | |
| Pōuriuri, ānini | He rangitahi pea, engari mēnā ka mau tonu, whakamōhio mai. |
| Te ruaki, te whakapairuaki | Ka taea hoki tēnei te puta i muri i te pokanga. |
| Te huringa o te reka i roto i te mangai | Te rongo i te reka whakarewa i roto i te mangai. |
| Te tangi i roto i ngā taringa | Te rongonga i te tangi e haruru ana i roto i ngā taringa. |
Kia tiakina te wāhi ngenge!
He mea tino nui tēnei. Nā te mea kua ngenge te wāhi i mahia ai tō pokanga i te werohanga Bupivacaine, kāore koe e mamae i taua wāhi. Nō reira, he nui te tūponotanga ka whara, ka pāngia rānei koe e te aituā. Hei tauira, kāore pea koe e mamae mēnā ka pāngia koe, ka motuhia, ka wera rānei i tētahi wāhi o taua wāhi. Nō reira, me tino tupato koe ki taua wāhi kia ngaro rawa te ngenge. Kia tupato ki tēnā.
Karere Tangohia ki te Kāinga
- He werohanga whakangote te Bupivacaine ka hoatu noa i te hōhipera hei whakaiti i te mamae i muri i te pokanga.
- Kia tino kōrero koe ki tō tākuta mō ō mate hauora katoa (ina koa ko te mate ngākau, te mate ate, me te mate tākihi) me ngā rongoā katoa e tangohia ana e koe.
- Āraia te wāhi e māuiui ana i ngā pānga o te rongoā. Kia tino tupato, nā te mea kāore koe e rongo i te mamae.
- Whakamōhio tonu atu ki ngā kaimahi hauora mēnā ka kite koe i ētahi pānga kino pēnei i te uaua ki te manawa, te mamae o te uma, te pupuhi rānei o te mata.
- Mena he pātai, he āwangawanga rānei āu mō tēnei rongoā, mō tō āhua rānei, kaua e wehi ki te kōrero ki tō tākuta, ki tō nēhi rānei.
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