Kua tae atu koe ki tētahi wāhanga tiaki nui ( ICU )? Kua mātakitaki pea koe i roto i tētahi kiriata, e honoa ana ngā tūroro tino mate ki tētahi mīhini hei āwhina i a rātou ki te manawa. He maha ngā tāngata e mataku ana ina kite i tēnei mīhini, engari he taputapu hauora tino nui tēnei e taea ai te whakaora i te tini o ngā oranga. Ka kiia e mātou he mīhini manawa. Nō reira, i tēnei rā ka kōrero tātou mō ngā mea e pā ana ki tēnei mīhini manawa me te take e hiahiatia ai.
He aha te mea he mīhini manawa, i te whakarapopototanga?
He māmā noa iho te mīhini manawa e āwhina ana i a koe ki te manawa ina uaua koe ki te manawa ko koe anake. Ka kiia hoki ko te mīhini manawa .
Whakaarohia ō tātou pūkahukahu he rite ki ngā poihau iti e rua. Ina manawa tātou ki roto, ka pupuhi ēnei poihau ki te hāora , ā, ina manawa tātou ki waho, ka whakawhāitihia e te hauhā waro , kāore e hiahiatia ana e te tinana. I roto i ētahi āhuatanga hauora nui, i ngā aituā, i te wā rānei e noho ana tātou i raro i te mate whakamoe mō ngā pokanga nui, kāore e taea e tō tātou tinana te mahi tika i tēnei tukanga manawa. Koinā te wā ka tae mai ai he mīhini manawa hei awhina i a tātou.
E rua ngā mahi matua o tēnei:
1. Ka pupuhihia te hau whai hāora ki roto i ō pukahukahu.
2. Ka āwhina i te pana i te hau waro hauhā, he mea kino ki te tinana, mai i ngā pukahukahu.
He tokomaha te hunga e whakapoauau ana i te whakaaro he whakapūnga manawa te whakatō ngongo. Engari he rerekē ēnei mea e rua. Ko te whakapūnga manawa te tukanga e whakauru ai te tākuta i tētahi ngongo ki roto i tō ara manawa. Ko te whakapūnga manawa te mīhini e hono ana ki taua ngongo, ā, e āwhina ana i a koe ki te manawa.
He rerekē ngā momo mīhini whakapūngao?
Ae, he maha ngā momo me ngā tikanga mō ngā mīhini manawa e whakamahia ana, i runga i te āhua o te tūroro. Mā tō tākuta e whakatau ko tēhea tikanga te mea pai mōu.
| Pūnaha/momo pūwero hau | He whakamārama māmā |
|---|---|
| Te Whakahauora Kore-Whakaekenga | Kāore e hiahiatia he ngongo hei whakauru ki roto i te tinana. Engari, ka mauria he kopare kanohi ki te mahunga me ngā whitiki, ā, ka honoa he mīhini manawa ki reira. Ko ngā mīhini CPAP me BiPAP, e whakamahia ana hei rongoā i te apnea moe, he tauira pai tēnei. |
| Te Whakahaunga Urupare | I roto i tēnei, ka whakauruhia he ngongo ki roto i te ara manawa. Ka whakauruhia te ngongo mā te waha (intubation) mā te pokanga iti rānei i te kaki (tracheostomy) ā, ka honoa ki te mīhini manawa. |
| Pēke Whakaora ā-ringa | Ka kiia hoki tēnei he 'pēke Ambu'. Ka taea te papu ā-ringa hei hoatu manawa ki te tūroro. Ka whakamahia i ngā wā ohorere ina kore e wātea he mīhini manawa, ina pakaru rānei te mīhini. |
I roto i ēhea āhuatanga e hiahiatia ana he mīhini manawa?
He maha ngā take e hiahia ai te tangata ki tētahi mīhini manawa, mō te wā poto, mō te wā roa rānei.
- Mō te pokanga : I te wā o te pokanga nui, ka ngoikore pea te manawa i te wā e tukuna ana te rongoā whakamoe whānui. Nō reira, ka āwhina te mīhini manawa tae noa ki te oho ake i te rongoā whakamoe.
- Te ngoikore o te manawa: Koinei te ingoa e hoatu ana ki tētahi āhuatanga e kore ai e taea e koe te manawa ko koe anake. Ka puta ohorere tēnei, ka puta āta rānei nā tētahi mate mau tonu.
- Ngā mate urutā pēnei i te COVID-19: E mahara ana pea koe, i te wā o te mate urutā COVID-19, ko ngā tūroro i pakaru kino ō rātou pukahukahu i te huaketo , i kī tonu i te wai, ā, kāore i kaha ki te manawa i a rātou anō, i hiahiatia he tautoko manawa.
- Ētahi atu āhuatanga hauora:
- Te pakaru o te roro, te whiu rānei
- Pūkahukahu kino
- Ngā mate pūkahukahu mau tonu pērā i te COPD ( Mate Pūkahukahu Ārai Mau )
- ARDS (Acute Respiratory Distress Syndrome) - he āhuatanga e kī ana ngā pukahukahu i te wai
- Te uruparenga mate pāwera nui (Anaphylaxis)
- Ngā mate e pā ana ki ngā io me ngā uaua (hei tauira, te mate Guillain-Barré)
- Āhua koma
He aha ngā mea ka tupu ina honoa koe ki tētahi mīhini manawa?
Ki te pono, ehara i te mea tino whakamarie. Tērā pea ka kore koe e pai ki te ngongo kei roto i tō waha. Engari kāore koe e mamae. Nā te mea ka hoatu e ngā tākuta he rongoā whakangāwari hei pupuri i a koe kia marino, kia whakamarie hoki. I ētahi wā, ahakoa kei te ara koe, kāore pea koe i te tino mōhio. Mēnā he kino te mate, ka whakatau pea ngā tākuta kia moe rawa koe kia tere ake ai te ora o tō tinana.
Ka aroturuki tonu ngā kaimahi hauora i tō āhua. Ka ine tonu rātou i ngā mea pēnei i tō toto toto, tō tere o te manawa , me ngā taumata hāora. Ka whakamahia hoki e te kaiwhakaora manawa he ngongo momi hei tango i te hūpē mai i ō pukahukahu.
Ki te mea he ngongo kei roto i tō waha, e kore e taea e koe te kōrero, te kai, te inu rānei. Ka hoatu he kai totika ki a koe mā te IV (saline) mā tētahi atu ngongo rānei e whakanohoia ana ki roto i tō puku.
Mena kei runga i te mīhini manawa tetahi e mōhiotia ana e koe...
He wā uaua tēnei mō te tūroro me te whānau. Mena kei roto tō hoa aroha i tēnei āhuatanga, anei ētahi mea ka taea e koe te mahi hei āwhina:
- Kia mau ki te whakaaro pai: He kaha nui tōu kaha ki a ia.
- Kōrero pinepine: Ka rongo ia i a koe. Mā tō reo ia e whakamarie.
- Puritia ō ringaringa: Ka rongo ia i tō pā.
- Āwhina ki te kōrero: Ki te ara ia, āwhina i a ia ki te kōrero mā te whakamahi i ngā tohu, te tuhituhi, me te tohu.
- Mauria mai tētahi mea e mōhiotia ana e ia i te kāinga: tētahi mea i whakamahia e ia, pērā i te urunga, i te kākahu rānei, hei whakamarie i a ia.
He aha ngā raruraru ka pā mai i te whakamahi i te mīhini manawa?
Ahakoa he taputapu whakaora ora te mīhini manawa, ka pā mai hoki ētahi raruraru. E mōhio ana ngā tākuta me ngā nēhi ki ēnei tūponotanga, ā, e mahi ana rātou i ngā mahi e tika ana hei ārai i aua tūponotanga.
| Ngā raruraru | He aha te mea ka taea te tupu? |
|---|---|
| Ngā mate urutā | Ka taea e ngā iroriki te tomo ki roto i ngā pukahukahu mā te ngongo manawa, ā, ka puta te niumōnia. Ka kiia tēnei ko te ventilator-associated pneumonia (VAP) . |
| Te kino o te pūkahukahu | Ki te piki ake te pēhanga, te nui rānei o te hāora e tukuna ana e te mīhini manawa, ka kino pea ngā pūkahukahu ngoikore. Ka taea e tēnei te arahi ki te hinganga o te pūkahukahu (pneumothorax) te pupū wai rānei i roto i ngā pūkahukahu (pulmonary edema). |
| Ētahi atu mōrearea | Mā te noho roa i te tūranga kotahi ka pā mai he mate moenga me te toto totoka . Waihoki, i muri i te hokinga mai o te māramatanga, tera pea ka pōhēhē koe (pōrangi) me te ngoikore o tō mahara. Tērā pea ka rerekē tō reo i muri i te tango i te ngongo. |
Me pēhea te tango i a koe i te mīhini manawa?
Ehara tēnei i te mea ka puta katoa i te wā kotahi. Kia tino mōhio ngā tākuta ka taea e koe te manawa pai ko koe anake, ka āta whakaitihia e rātou te tautoko mai i te mīhini manawa, ā, ka mutu ka tangohia te ngongo. Ka kiia tēnei tukanga ko te 'weaning' .
He mea noa te rongo i te korokoro mamae me te reo pārū i te tīmatanga i muri i te tangohanga o te ngongo. Tērā pea ētahi tāngata ka pōhēhē, ka ngoikore hoki te tinana. Ka pai haere haere ēnei āhuatanga katoa i roto i te wā.
Kia maumahara, he rerekē te roa o te wā whakaora i ia tangata, i ia tangata. E kīia ana mō ia rā i runga i te mīhini manawa, e rua wiki pea te roa kia tino ora ai. Nō reira, he mea nui kia manawanui.
Karere Tangohia ki te Kāinga
- Ehara te mīhini manawa i te mea hei wehi, he taputapu hauora nui tēnei hei whakaora i ngā oranga.
- Ka whakamahia hei āwhina i ngā pukahukahu ina kore e taea e te tūroro te manawa ko ia anake.
- Ahakoa kāore e taea e koe te kōrero, te kai rānei i a koe e mau ana he ngongo i roto i tō waha, i te nuinga o te wā kāore koe e rongo i te mamae.
- Ahakoa ētahi raruraru ka pā mai, ka tūpato tonu tō tākuta me tō rōpū hauora ki ēnei.
- He wā roa te roa hei whakaora katoa i muri i te tangohanga mai i te mīhini manawa. He mea noa tēnei, nō reira kia manawanui, kia haere tonu tō maimoatanga.
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