I ētahi wā, ka tino kaha rawa te mamae e pā ana ki a tātou, ā, kāore e taea e ngā rongoā whakamamae noa te whakahaere. Whakaarohia te uaua o te noho me te mamae roa, uaua hoki i muri i ētahi pokanga, i roto i ngā āhuatanga pēnei i te mate pukupuku, i ētahi atu take rānei. I roto i ēnei āhuatanga, ina kore e angitu ngā rongoā katoa, ina kore rānei e taea e te tinana te aro atu ki tēnā, i tēnei rā ka kōrero tātou mō tētahi rongoā motuhake, kaha e whakamahia ana e ngā tākuta. Ko te werohanga Clonidine tēnā.
He aha te clonidine?
He rongoā motuhake te Clonidine e whakamahia ana hei whakahaere i te mamae nui. Mā te aukati i ngā tohu mamae ki tō tātou roro ka mahi. He tika ake, ka whakahaere i te mahi a te pūnaha io e rongo ana i te mamae, ka whakaiti i te kare o te mamae.
Ko te mea nui, ehara tēnei i te rongoā e taea te hoko mai i te whare rongoā noa, ā, ka taea te whakamahi ki te kāinga. Ka hoatu noa i roto i te hōhipera, i te whare rongoā rānei, i raro i te tirotiro tino a ngā tākuta tohunga.
Me pēhea te whakamahi i tēnei rongoā?
Ehara tēnei i te werohanga e tukuna ana ki te ringa. He maha ngā wā ka tukuna tika te Clonidine ki roto i te wāhi huri noa i te tuaiwi (te werohanga ki roto i te tuaiwi). Ka kiia tēnei tikanga he werohanga epidural. Mō tēnei, ka whakanohoia he ngongo angiangi (catheter) ki te rohe tuaiwi, ā, ka werohia mārire te rongoā ki roto i te tinana mā roto. Ka puta tēnei tukanga katoa i roto i te hōhipera, me te aroturuki tonu i a koe.
Me tino tupato te hoatutanga o tēnei rongoā ki ngā tamariki. Nō reira, ki te mea kua tohua tēnei rongoā ki tāu tamaiti, me kōrero marie ki te tākuta mō tēnei rongoā, kia mārama hoki koe ki ngā mea katoa.
Me aha koe mēnā ka nui rawa te horopeta?
Ka tukuna tēnei i roto i te hōhipera, nō reira he iti rawa te tūponotanga ka puta tēnei. Heoi, ki te whakaaro koe kua nui rawa te rongoā i riro i a koe, he mea nui kia whakamōhio tonu atu koe ki te National Poisons Information Centre i te Colombo National Hospital , kia haere rānei ki te Emergency Treatment Unit (ETU) o te hōhipera tata.
Ngā mea me kōrero e koe ki tō tākuta i mua i te tīmatanga o te maimoatanga
I mua i te tīmatanga o te maimoatanga clonidine, he mea nui kia kōrerotia ēnei mōhiohio ki tō tākuta, he mea tino nui hoki mō te angitu o te maimoatanga me tō haumaru.
| Āhuatanga hei pūrongo | He aha te hiranga o tēnā? |
|---|---|
| Te mate ngakau, te mate toto rānei | Ka taea e te Clonidine te whakaheke i te toto toto me te tere o te ngakau, nō reira, ki te mea kua pāngia koe e te mate ngakau, me mōhio tō tākuta ki tēnei. |
| mate whatukuhu | Ko ngā whatukuhu te huarahi o te tinana ki te whakakore i te rongoā. Mēnā kāore ō whatukuhu e mahi tika ana, me whakarerekē pea tō horopeta. |
| Mena kua pāngia koe e te mate ngakau, e te whiu rānei i ngā wā tata nei | I te mea he mea nui te pumau o te ngākau me te pūnaha tohanga toto i roto i ēnei āhuatanga, he mea nui kia mōhiotia tēnei. |
| Mate pāwera ki te clonidine, ki ētahi atu rongoā, kai, tae rānei | Mena kua pāngia koe e te mate pāwera ki tētahi mea i mua, mā te kōrero mō taua mea ka āwhina i te ārai i tētahi tauhohenga mate pāwera nui. |
| Mena kei te hapu koe, kei te ngana kia hapu, kei te whāngai u rānei koe | Tērā pea ka pāngia te pēpi kāore anō kia whānau, te pēpi rānei e whāngai ana i tēnei rongoā, nō reira me kōrero koe ki tō tākuta mō tēnei. |
| Te mate i te wāhi i werohia ai | Mena he mate kiri kei te tuara, kāore e taea te whakauru i te catheter ki reira. |
Ētahi atu rongoā ka taunekeneke pea me tēnei rongoā (Ngā Taunekeneke Rongoā)
He mea tino nui kia kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe (tae atu ki ngā huaora me ngā rongoā otaota), nā te mea ka taea e ētahi rongoā te taunekeneke me te clonidine, ā, ka pā mai ngā pānga kino.
Ina koa, kaua rawa e tangohia ngā rongoā pōuriuri nō te akomanga MAOI (Monoamine Oxidase Inhibitors) (hei tauira, Carbex, Eldepryl, Marplan) me tēnei rongoā.
Hei tāpiri, ka taunekeneke pea ēnei rongoā me te clonidine:
- Ngā rongoā momo barbiturate e whakamahia ana mō te moe, mō te mate haurangi rānei.
- Ko ētahi rongoā mō te toto toto tiketike, te mate ngakau, te ngakau pākiki rānei.
- Ngā rongoā mō te pouri, te manukanuka, ngā mate hinengaro rānei.
- Ko ētahi atu rongoā mamae kaha kua tohua e te tākuta.
Mena kei te kai paipa koe, kei te inu waipiro, kei te whakamahi rānei i ētahi atu raau taero, me whakamōhio atu ki tō tākuta.
Ngā mea hei whakaaroaro i te wā e rongoatia ana
Ka tirotirohia tonutia koe e ngā kaimahi hauora i a koe e whiwhi ana i tēnei maimoatanga, engari he mea nui kia mōhio koe ki ēnei mea.
- Te hiamoe me te whanoke: Tērā pea ka hiamoe koe, ka whanoke, ka pōuri rānei te mahunga . Kaua e taraiwa, e whakahaere mīhini rānei kia mōhio rā anō koe ki te pānga o tēnei rongoā ki a koe.
- Kaua e ara wawe rawa: Kaua e ara ohorere mai i te tūnga noho, i te moenga rānei. Ina koa kua pakeke koe, ara āta haere. Mā tēnei ka whakaiti i te tūponotanga o te whanoke me te hinga.
- Āraia te waipiro: Ka taea e te inu waipiro te whakararu i a koe, te whakapōuri hoki. Nō reira, me karo rawa i te waipiro i te wā e rongoatia ana.
- Waha maroke: He mea noa te waha maroke. Ka taea te whakahaere i tēnei mā te ngaungau i te kapia kore huka, te ngaungau i te kapia, te inu wai rānei. Mēnā ka mau tonu tēnei āhuatanga, ka kino rawa atu rānei, whakamōhio atu ki tō kaiwhakarato hauora.
- Wāhi i whakauruhia ai te katitere: Mena ka mamae koe, ka whero, ka pupuhi rānei i te wāhi i whakaurua ai tō katitere epidural ki tō tuara, me kōrero wawe tonu ki tō tākuta, ki tō nēhi rānei.
Ngā pānga taha o te rongoā
Pērā i ngā rongoā katoa, ka pā mai pea ngā pānga taha o te clonidine. He kino ētahi o ēnei, ko ētahi he mea noa.
| Ngā pānga taha me pūrongo tonu ki te tākuta | |
|---|---|
| Ngā uruparenga mate pāwera | He ponana kiri, he mākūkū, he pupuhi o te mata, o ngā ngutu, o te arero, o te korokoro rānei. |
| Te toto toto iti | Pōuriuri, ngoikore, tirohanga pōuri. |
| Te puhoi o te manawa | Pōuriuri, ngoikore, māuiui, uaua ki te manawa, ngenge rawa. |
| Te huringa o te āhua hinengaro | Te pouri, te manukanuka rānei. |
| Ngā mea kāore i te tino kino, engari me ripoata ki te tākuta mēnā ka mau tonu | |
| Te kōroke | Te uaua ki te haere ki te wharepaku. |
| Pōuriuri | Te pōuriuri. |
| Te hiamoe | Te moe tonu. |
| Waha maroke | Te āhua nei kei te piri te huware ki roto i te waha. |
Karere Tangohia ki te Kāinga
- He rongoā motuhake te Clonidine e hoatu ana i roto i te hōhipera anake mō te mamae nui e kore e taea te whakahaere mā te whakamahi i ngā rongoā whakamamae mamae noa.
- Ka hoatu tēnei mā te werohanga tuaiwi , i raro i te tirotiro a te tākuta.
- I mua i te tīmatanga o te maimoatanga, me whakamōhio koe ki tō tākuta mō ō mate hauora katoa me ētahi atu rongoā e tangohia ana e koe.
- Āta karohia ngā mahi e hiahia ana kia mataara, i te mea ka pā mai te hiamoe me te whanoke i te wā e rongoatia ana.
- Ki te pāngia koe e ngā pānga kino pēnei i te mate pāwera, te heke rānei o te tere o te ngakau, rapua tonutia he tohutohu hauora.
- Mena he āwangawanga āu mō tēnei rongoā, kaua e mangere ki te kōrero ki tō tākuta.
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