Whakaarohia kei te hikoi koe i te tiriti, kei te hokohoko rānei i te hūpermakete, ā, ka ngaro whakarere te mārama o tētahi, ka hinga ki te whenua. Ina oma koe, ka kite koe kāore taua tangata e manawa ana, ā, kāore tōna uma e patupatu ana. Kua kite katoa tātou i tēnei i roto i ngā kiriata, tika? Kātahi ka haere mai ngā tākuta ka maka he mīhini ki roto i tōna uma ka hoatu he ohorere ki a rātou, kātahi ka hoki mai ki te ora. Ko te maimoatanga whakaora ora ka kōrerohia e tātou i tēnei rā ko te defibrillation. Ehara tēnei i te maimoatanga noa iho, engari ko te rerekētanga matua i waenga i te ora me te mate.
He aha te defibrillation i roto i ngā kupu māmā?
Ki te kī māmā noa, ko te defibrillation te tuku i tētahi iahiko hiko tino whakahaeretia, tino tika ki te ngākau. Inaianei pea kei te whakaaro koe, " Āe , he ohorere tēnei?" Ae, he ohorere. Engari ehara tēnei i te mea hei whara i te ngākau, engari hei whakaora i te ngākau.
Whakaarohia ka mutu te mahi a tō rorohiko, ā, kāore e taea te mahi i tetahi mea. Me aha tātou? Ka tīmata anō tātou, tika? Koinei te āhua. Ina kore e mahi te ngākau, ā, kāore e taea te pupuhi tika i te toto, ka tukuna tēnei ru hiko hei whakamutu i te ngākau kore mahi mō tētahi hēkona, kātahi ka hoatu he wā ki a ia kia tīmata anō te mahi i tōna auau noa. He rite ki te "tautuhi anō" i te ngākau.
He mea tino hiahiatia tēnei maimoatanga mō ngā manawataki manawa e rua e pā ana ki ngā rūma o raro o te manawa, arā, ngā ventricles.
1. Te Tachycardia Ventricular - Kore Manawa: Koinei te wā ka tīmata te tere o te patu o ngā rūma o raro o te ngākau, neke atu i te 100 ngā patu ia meneti. Ina tere rawa te patu o te ngākau, kāore he wā ki te whakakī tika i te toto, ki te papu rānei ki te tinana. I muri i tētahi wā, ka kore e kitea te patu.
2. Te Pūwero o te Ventricular: Koinei te tino take o te Pūwero o te Manawa . Ko te mea e tupu ana i konei, i te kore e patu tika, ka tīmata te wiri o te uaua o te manawa me te kore e taea te whakahaere. Ka wiri pērā i te tiēre, ā, kāore he toto e pupuhihia ana. Nā te mea kāore te roro me ētahi atu okana e whiwhi toto, ka mate pea te tangata i roto i ētahi meneti.
I roto i tētahi āhuatanga e morearea ana ki te ora pēnei, ko te huarahi pai ki te whakaora i te ora o te tangata ko te whakahaere i te defibrillation i te wā e taea ai. He mea nui ia hēkona.
Ko wai e hiahia ana ki tēnei maimoatanga?
E rua ngā momo tāngata e hiahiatia ana tēnei maimoatanga. Ko tētahi, e ai ki tā mātou i kōrero ai i mua ake nei, ko te tangata kua pāngia e te mate manawa, ā, ka haria ki te hōhipera, ko tētahi rānei kua tōia ki waho i tētahi wāhi tūmatanui.
Ko tētahi atu rōpū ko te hunga e tino mōrearea ana ki te whakawhanake i tēnei momo manawataki manawa whakamate. Ko te hunga kua pāngia e te mate manawa o mua, he ngoikore te mahi o te manawa, he mate manawa ira rānei kei a rātou, ka noho pea ki te mōrearea. Mō ēnei tāngata, he taputapu whakangāwari manawa whaiaro ka taea e rātou te pupuri tata i ngā wā katoa.
| Momo Pūrere | Te āhua o tana mahi |
|---|---|
| Pūrere Whakaiti Fibrota Cardioverter Ka taea te Mau | He taputapu tēnei ka mau i raro i ō kākahu, pērā i te koti. Ka pā ngā pūoko i runga i tō kiri, ka aroturuki tonu i te manawataki o tō ngakau. Mēnā ka puta he manawataki morearea, ka kitea aunoatia e ia, ā, ka tukuna he ru hiko e tika ana. |
| Pūwhakaiti i te Fibrillator Cardioverter Whakatō (ICD) | He taputapu iti tēnei e whakatōkia ana ki raro i te kiri o te uma i muri i tētahi pokanga iti. Ka honoa ngā waea mai i tēnei taputapu ki te ngākau. He rite ki te taputapu whakatere manawa, engari he matatau ake. Ka taea e ia te whakahaere i te tere o te ngākau mēnā ka puhoi, ā, ka taea e ia te kite me te tuku i tētahi ru hiko whakaora ora mēnā ka puta he manawataki tere rawa atu. |
Kāore e mamae te ru hiko o te ICD i ētahi wā, ā, i ētahi wā ka rite ki te mamae koi, me te mea kei te whana koe i te uma e tetahi. Engari i taua wā tonu, ka taea e ia te whakaora i tō ora.
He aha ngā mahi i mua atu, ā, i te wā e rongoatia ana te defibrillation?
Whakaarohia tētahi ka tōia ohoreretia ka haria ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera. Ka tere tonu te mahi a ngā tākuta me ngā nēhi.
I mua i te maimoatanga
Kia rite rā anō te defibrillator, ka haere tonu te tīma hauora ki te whakarato i te CPR (Cardiopulmonary Resuscitation) , arā, ko te pēhi i te uma me te manawa horihori.Te ngana ki te pupuri i te rere o te toto ki te roro me ētahi atu okana mā te hoatu toto.
Kia rite te mīhini, i mua i te tukunga o te ru hiko, ka karanga nui te kaiwhakahaere, "Kua mārama!" Ko te tikanga "Kua mārama katoa!" I taua wā tonu, kaua tetahi e pā ki te tūroro, ki te moenga rānei e takoto ana te tūroro. Ki te pā atu rātou, ka taea e te hiko te haere mā roto i te tinana o taua tangata, ka puta he aituā.
I te wā o te maimoatanga
I te hōhipera, ka whai te tākuta i ēnei mahi.
| Hipanga | Whakaahuatanga |
|---|---|
| 1. Te Tāpiri i ngā Hoe, i ngā Papa rānei | E rua ngā taputapu whakarewa (ngā hoe) me ngā papa rānei ka taea te tāpiri hei whakapiripiri hei tuku ru hiko, ka whakatakotoria ki te uma o te tūroro i ngā wāhi motuhake e rua. Ka whakatakotoria tētahi ki raro i te pakihiwi matau, ko tētahi ki raro i te uma maui. Hei ārai i te wera o te kiri, ka pania he tiēre hiko ki ēnei. |
| 2. Te tuku ru hiko | Ka utaina te mīhini ki te taumata pūngao e hiahiatia ana, ā, ka pēhi tahi te tākuta i ngā pātene o ngā pētara e rua i te wā kotahi. Ka pēhia he pātene o te mīhini e kiia nei ko te papa. I tēnei wā, ka haere te iahiko hiko mā roto i te uma ka haere ki te ngākau. |
| 3. Whakaora manawa | Mā te ru hiko nei ka mutu te mahi wiriwiri, pōrearea o te ngākau mō tētahi hēkona. Mā tēnei ka whai wāhi te pacemaker tūturu o te ngākau ki te whakahaere anō i te manawataki me te tīmata ki te patu i roto i te manawataki noa. |
Ngā AED i ngā wāhi tūmatanui
Tērā pea kua kite koe i te AED (Automated External Defibrillator) i ngā wāhi tūmatanui pēnei i ngā taunga rererangi, ngā toa nui, me ngā papa tākaro.He pouaka e iri ana i te pakitara. He mīhini whakaiti i te manawa o te manawa tēnei i hangaia mō te katoa. Mēnā ka hinga tetahi, ko tāu noa he kawe mai i tēnei mīhini ka whakapiri i ngā papa e rua ki te uma o te tūroro. Kātahi ka tātarihia e te mīhini te manawataki o te manawa, ka whakatau mēnā ka hoatu he "oho" kāore rānei. Mēnā e tika ana, ka utua aunoatia, ka hoatu he tohutohu reo, "Pēhia te pātene inaianei." Ko te tikanga o tēnei, ahakoa te tangata kāore he mōhiotanga hauora, ka taea e ia te āwhina ki te whakaora i te ora.
He aha te mea ka tupu i muri i te maimoatanga?
Whai muri i te hoatutanga o te ru hiko, kāore i mutu katoa. Muri iho, ka mahi tonu te tīma hauora i te CPR mō ngā meneti e rua . Kātahi ka tirohia te pā o te manawa, me te kite mēnā kua hoki te manawa o te ngākau ki te āhua noa.
Mena kāore anō kia hoki te manawataki o te ngākau ki te āhua noa, ka hoatu pea tētahi, neke atu rānei, o ngā ru, ā, ka hoatu pea ngā rongoā pēnei i te adrenaline (epinephrine) me te amiodarone rānei.
Mena kua tīmata te pao o te ngākau engari kei te ngaro tonu te mōhio o te tūroro, ka taea te whakamahi i te hypothermia rongoā hei whakaiti i te kino o te roro. Kia tau te tūroro, ka taea te whakahaere i ngā whakamātautau pēnei i te catheterization cardiac hei whakatau i te pūtake o te mate.
Kia pēhea te roa o te wā e ora ai?
He haerenga roa te whakaora i te hopukanga ohorere o te ngakau me te maimoatanga defibrillation, ā, ka roa pea ngā marama, i ētahi wā he tau. He wero nui tēnei, ā-tinana, ā-hinengaro hoki.
- Te mamae tinana: He tokomaha te hunga e ngenge ana. I te wā o te CPR, ka whati pea ngā rara o te uma, ka mamae ai. Tērā pea ka uaua ki ētahi te hikoi, ka pāngia rānei e ngā mate haurangi.
- Whakaoraora: Tērā pea he uaua ki te haere ki te mahi, ki te mahi rānei i ngā mahi o ia rā. Nō reira, me whai maimoatanga pēnei i te whakaora mahi, te whakaora tinana, me te whakaora kōrero.
He mea tino nui te wā me te manawanui mō tēnei haerenga. He mea nui hoki te tautoko a te whānau.
Āhea koe me toro atu ki te tākuta?
Ki te kite koe i tētahi e hinga whakarere ana i tētahi wāhi, waea atu ki te 1990 tonu ka waea atu ki te waka tūroro. Koinei te mea nui rawa atu ka taea e koe te mahi.
He nui ake te tūponotanga o te tangata kua ora mai i te mate manawa ki te pāngia anō e te mate manawa. Nō reira, ka rongoā te tākuta i te pūtake o te mate, ā, he maha ngā wā ka tūtohu kia whakatōkia he taputapu ICD hei tiaki i a ia anō.
Mena kei a koe he ICD:
- Tangohia ngā rongoā i whakaritea e te tākuta kia rite ki te whakahau.
- Me haere koe ki ngā wāhi whakangungu kia kite ai mēnā kei te tika te mahi a te ICD.
- Me whakakapi te pākahiko ICD i ia 5-7 tau. Mā tō tākuta koe e whakamōhio atu mō tēnei.
Ahakoa he haerenga roa tēnei, mā te tiaki hauora me te whakaora tika, ka taea e koe te hoki ki te oranga noa.
Karere Tangohia ki te Kāinga
- Ko te defibrillation he maimoatanga ru hiko whakaora ora e hoatu ana hei whakahoki i te manawataki o te ngakau ki te manawataki o te ngakau e morearea ana ki te ora.
- He mea nui te wā i roto i te hopukanga o te ngakau. Mā te mahi CPR kia wātea rā anō he defibrillator ka nui ake te tūponotanga o te whakaora i te ora.
- Kua hangaia ngā AED i ngā wāhi tūmatanui hei whakamahi mā te katoa. Whāia ngā tohutohu kua whakaratohia.
- Ko te tangata kua ora mai i te hopukanga ohorere o te ngakau, he maha ngā wā ka whakauruhia he taputapu ICD hei tiaki i a ia anō. Me tirotirohia tonutia tēnei e te rata.
- Ki te hinga tetahi i mua i a koe, waea atu ki ngā ratonga hauora ohorere tonu. Mā tō mahi tere ka ora pea tetahi.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment