Kua kite pea koe i tēnei i roto i ngā kiriata, tika? Ina mutu ohorere te manawa o te tangata, ka tere mai ngā tākuta, ka whakauru i tētahi taputapu pērā i ngā tokotoko rino e rua ki roto i tōna uma, ka karanga 'Kāore!' ka hoatu he 'ohorere' ki a rātou. Kātahi ka tīmata te wiri o te tangata, ka tīmata anō te manawa. He aha rawa tēnā? Me pēhea te whakaora i te ora? Koinei te maimoatanga whakaora ora, te defibrillation, koinei tā tātou e kōrero nei i tēnei rā.
He aha te tikanga o te defibrillation?
Ko te defibrillation te tukanga o te tuku ru hiko ki te ngākau hei whakahoki mai i te manawataki noa, te arrhythmia rānei, mēnā ka pā mai he mate manawataki tino morearea, ā, ka mate. He rite ki te tīmata anō i te rorohiko ina "tārewa". Ina pakaru te pūnaha hiko o te ngākau, ā, ka tīmata te wiri o te ngākau, ka mutu te raruraru i tēnei ru hiko mō tētahi wā poto, ā, ka hoatu he whai wāhi ki te ngākau ki te hoki anō ki tōna manawataki noa.
He mea tino tika tēnei maimoatanga mō ngā mate kino e rua:
- Te Tachycardia Ventricular - Kore Pulse: Koinei te wā e tere rawa ai te pā o ngā rūma o raro o te ngākau (ventricles), engari he tino tere rawa, ā, kāore e whai wā te ngākau ki te papu toto ki te tinana.
- Te Pūwero o te Puku o te Manawa: Koinei te tino take o te Pūwero o te Manawa ohorere . Koinei te wā ka mutu te patu tika o te uaua o te manawa, ka tīmata te wiri. Nō reira, kāore te manawa e pupuhi toto.
I ēnei āhuatanga e rua, ko te tere o te whakahaere i te maimoatanga defibrillation, ko te nui ake o te tūponotanga ka whakaorangia te ora o te tūroro.
Ko wai e hiahia ana ki tēnei maimoatanga?
Tērā pea ka hiahia tēnei maimoatanga ki te hunga e pāngia ana e ngā mate manawataki morearea kua whakahuatia ake nei. I roto i te hōhipera, ka mahia tēnei e te tīma hauora. Heoi, ahakoa i waho o te hōhipera, ka taea e te tangata noa te whiwhi i tēnei maimoatanga whakaora ora mā te whakamahi i tētahi taputapu e kiia nei ko te Automated External Defibrillator (AED), e wātea ana i ngā wāhi tūmatanui pērā i ngā taunga rererangi me ngā toa hokohoko nui. Ka whakaratohia e te taputapu tonu ngā tohutohu.
Heoi anō, he nui ake te mōrearea o ētahi tāngata ki te whakawhanake i tēnei manawataki manawa kino. Me mau tonu he taputapu defibrillator mō ēnei tāngata.
Ngā Whakaiti Ira Whaiaro
E rua ngā momo matua o ēnei:
1. Pūrere Whakaiti i te Irama o te Ngākau: He taputapu tēnei e mau ana i raro i ngā kākahu, pērā i te koti. Ka pā ngā pūoko ki te kiri, ka aroturuki tonu i te manawataki o te ngākau. Mena ka kitea he hapa nui, ka tukuna te ru hiko e tika ana i taua wā tonu.
2.Pūwhakaiti i te tere o te ngakau (ICD): He taputapu iti tēnei e whakauruhia ana ki raro i te kiri o te uma mā te pokanga. Ka aroturuki tonu hoki i te manawataki o te ngakau, ā, mēnā he āhuatanga morearea, ka tukuna he ru hiko hei whakahoki i te manawataki ki te āhua noa. He maha ngā tāngata e whakapoauau ana i tēnei ki te taputapu whakatere. Ko te taputapu whakatere anake te mea e whakahaere ana i te tere o te ngakau. Engari , hei tāpiritanga ki te whakahaere i te tere, ka taea hoki e te ICD te tuku ru hei whakamutu i te manawataki morearea.
Me pēhea te mahi i te maimoatanga defibrillation?
Me titiro tātou ki ngā mahi e whai wāhi ana ki tētahi āhuatanga ohorere. Ko te tikanga ka mahia tēnei i roto i te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera, i te Wāhanga Tiaki Kaha rānei.
Ko te mea nui, me hoatu te CPR (Cardiopulmonary Resuscitation) ki te tūroro kia rite rā anō te defibrillator, arā, te pēhi i te uma me te manawa horihori.
I te wā e rongoatia ana, ka karanga te tangata e hoatu ana i te ru hiko "Kāore!" me te whakatūpato i te tūroro kia kaua e pā ki te tūroro, ki te moenga rānei e takoto ana rātou. Mā te mahi pēnei ka pāngia rātou e te hiko.
| Ngā Hipanga | He aha te mea e tupu ana? |
|---|---|
| 1. Te Whakapiri i ngā Papa | E rua ngā papa piri e hono ana ki te defibrillator ka whakatakotoria ki runga i te uma o te tūroro ki ngā wāhi tika. Ka whakatakotoria tētahi ki raro i te pakihiwi matau, ko tētahi ki raro i te uma maui. |
| 2. Tātaritanga o te manawataki | Ka tātarihia e te taputapu te manawataki hiko o te ngākau, ā, ka whakatauhia mēnā he manawataki morearea e hiahia ana kia tukuna he ru. |
| 3. Te hoatu i te ru hiko | Whai muri i te whakatūpato a te tākuta, te tangata rānei kua whakangungua kia tū whakamuri te katoa ("Whakakore!"), ka pēhi te pātene i runga i te taputapu, ā, ka tukuna he ru hiko. |
| 4. I muri i te maimoatanga | I muri i te hoatutanga o te ru, ka tīmata tonu te CPR mō ngā meneti e rua. Kātahi ka tirohia te manawataki me te manawataki o te ngākau. Mena e tika ana, ka hoatu ētahi atu ru me ngā rongoā (hei tauira, epinephrine, amiodarone). |
He aha ngā mea ka tupu i muri i te maimoatanga? Kei te pēhea te whakaoranga?
Ahakoa ka ora ngā tāngata i te maimoatanga defibrillation, he roa te ara ki te whakaoranga, he marama, he tau rānei te roa . I muri i te hopukanga ohorere o te ngakau me te maimoatanga defibrillation, he maha ngā tāngata ka pāngia e te hauātanga.
- Te mamae tinana: Ka whati pea ngā rara o te uma i te wā o te CPR. He mea noa te ngenge nui me te uaua ki te hikoi.
- Ētahi atu raruraru: Tērā pea ka pāngia ētahi tāngata e ngā raruraru ki te mahara me te kōrero.
- Whakaoraora: Me whai whakaora tinana, whakaora mahi, me whakaora kōrero tēnei.
Ki te kite koe i tētahi e ngaro whakarere ana te mārama, e hinga ana, waea atu ki te 1990 tonu atu, ka waea atu ki te waka tūroro! I taua wā tonu, ki te taea e koe, mahia te CPR.
Ko te hunga e ora mai ana i te Ventricular Fibrillation ka nui ake te tūponotanga ka pāngia anō e tēnei mate. Nō reira, ka ngana tō tākuta ki te kimi i te take me te rongoā, ā, ka tūtohu pinepine ia kia whakauruhia he ICD ki roto i a koe. Mena he ICD tōu, he mea nui kia kite koe i tō tākuta mō ngā tirotiro auau me te tango i ō rongoā kia rite ki te whakahaunga.
He tūponotanga kei roto i tēnei?
Ko te mōrearea matua ko te hoatutanga o te rongoā defibrillation ki te manawataki o te ngākau kāore e hiahiatia ana . Hei tauira, ki te hoatu tēnei 'oho' ki tētahi tangata he manawataki tōna, ki tētahi rānei kāore he Ventricular Fibrillation, ka taea e ia te whakararuraru i te ngākau hauora, ā, ka arahi atu ki te hopukanga o te ngākau. Koia te take e whakamahia ana ngā tohunga hauora whakangungu anake, ngā taputapu AED rānei kua hangaia mō tēnei kaupapa.
Karere Tangohia ki te Kāinga
- He maimoatanga whakaora ora te defibrillation e tīmata anō ana te manawa mā te tuku ru hiko mēnā ka pā mai he arrhythmia morearea o te ngakau.
- He rite tēnei ki te 'tīmata anō' i te ngākau.
- Mēnā ka pāngia koe e te mate manawa, he mea nui kia tīmata te CPR me te kawe mai i tētahi taputapu whakaiti i te manawa i te wā e taea ai. Ko te wā te ora.
- Ki te hinga whakarere tetahi, waea atu ki te 1990 tonu atu.
- He tukanga roa te whakaoranga mai i tēnei mate, ā, he mea tino nui te tohutohu hauora, te maimoatanga whakaora, me te manawanui.
- Mena kua whakauruhia he taputapu ICD ki roto i a koe, he mea nui kia mau tonu tō whakapā atu ki tō tākuta me te tirotiro i a koe anō i ia wā.
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