Whakaarohia, ka ngaro whakarere te mārama o tētahi e mōhiotia ana e koe, e tētahi rānei e pā atu ana koe, ka hinga ki te whenua. Kāore rātou e manawa, kāore hoki e rongo i te pao o tōna ngākau... I tēnei rā kei te kōrero tātou mō tētahi taputapu whakamiharo ka taea te whakaora i te ora i roto i tētahi āhuatanga ohorere pēnei, he pakanga i waenganui i te ora me te mate. Ahakoa he tokomaha kua kite i roto i ngā kiriata, he tokoiti noa iho e mōhio ana ki tana mahi. Koinei te defibrillator.
He aha te tikanga o te defibrillator?
He taputapu hauora te defibrillator e whakamahia ana hei whakaora i te manawataki o te ngakau morearea, koretake mā te tuku i te ru hiko kua whakahaeretia ki te ngakau. He tika ake, ka mutu te mahi hiko o te ngakau mō te wā poto, ka hoatu he whai wāhi ki te tīmata anō i te manawataki tika.
Ko te mea nui ko tēnei mēnā e rua ngā manawataki ngakau rerekē (arrhythmias) e puta ana i ngā rūma o raro o te ngakau, arā, ko ngā ventricles, ā, ka tere tonu te mate.
1. Te Tachycardia Ventricular (VT) (ki te kore he pā o te manawa) - ka tere rawa te pā o te manawa, engari kāore e whai hua.
2. Te Whakapūpū o te Puku o te Ngākau (VF) - Ina he rerekē te kōpeketanga o te uaua o te ngākau, ā, kāore he taunga, me te mea nei kei te wiri. I tēnei wā, kāore te ngākau e pupuhi toto ki te tinana.
Ka taea e ēnei āhuatanga e rua te arahi ki te hopukanga ohorere o te ngakau, te wā e mutu katoa ai te patu o te ngakau.
Ko wai e hiahia ana ki tēnei taputapu?
E rua ngā momo matua o tēnei e kitea ana. Ko tētahi ko ngā mea e whakamahia ana i ngā wā ohorere i roto i ngā hōhipera me ngā wāhi tūmatanui pērā i ngā taunga rererangi me ngā toa hokohoko. Ko tētahi ko ngā taputapu e hoatu ana ki ngā tūroro e tino mōrearea ana ki te pāngia e te manawataki o te ngakau mōrearea hei whakamahi whaiaro.
Whakaarohia, mēnā ka pāngia tetahi e te mate manawa ohorere, he mea nui ia hēkona e pahemo ana tae noa ki te taenga mai o te waka tūroro, tae noa ki te haria o te tangata ki te hōhipera. I taua wā , he nui ake te tūponotanga o te whakaora i te ora i tētahi AED (Automated External Defibrillator) i tētahi wāhi tūmatanui.
He maha ngā momo taputapu whakaiti i te fibrillation whaiaro. Kāore e kitea te ru hiko o ēnei i ētahi wā, kāore rānei e rite ki te whiunga kaha ki te uma.
| Momo taputapu | Whakaahuatanga |
|---|---|
| Pūrere Whakaiti Fibrota Cardioverter Kakahu (WCD) | He taputapu tēnei e mau ana i raro i ngā kākahu pērā i te koti. Ka aro turuki tonu ngā pūoko e piri ana ki te kiri i te tere o te manawa. Mēnā ka kitea he manawataki morearea, ka tukuna aunoatia he ru hiko. |
| Pūwhakaiti i te Fibrillator Cardioverter Whakatō (ICD) | He taputapu iti tēnei e whakatōngia ana ki raro i te kiri o te uma mā te pokanga. He rite ki te taputapu whakatere. Engari ko te mea motuhake o tēnei, ehara i te mea ka whakahaere noa i te tere o te ngakau mēnā ka puhoi, engari ka kitea hoki he tere e morearea ana ki te ora, ā, ka tukuna he ru hiko hei whakahoki i te ngakau ki te noho noa. |
Me pēhea te mahi a te defibrillator?
Ki te kore e mōhiotia te tangata, ko te mea tuatahi me mahi e koe ko te waea atu ki te 1990 me te whakamōhio atu ki te ratonga waka tūroro. Kātahi, ki te mea kua whakangungua koe, me tīmata te CPR (Cardiopulmonary Resuscitation) . Ka taea e te CPR te āwhina ki te pupuri i te tuku hāora ki te roro me ētahi atu okana tae noa ki te wā e wātea mai ai he defibrillator.
Kia whiwhi koe i te defibrillator (ina koa he AED), anei te whakahaere:
1. Whakakāhia te pūrere: Ina pēhi koe i te pātene i te nuinga o ngā AED, ka tahuri, ka homai he tohutohu reo mārama mō te mahi e whai ake nei.
2. Te Whakapiri i ngā Papa: Me tango ngā papa piri e rua e piri ana ki te mīhini i ngā kākahu o te tūroro, ka whakapiri atu ki te uma tahanga. Me whakapiri tētahi ki raro i te pakihiwi matau, me tētahi ki raro i te uma maui. Kei roto i tētahi hoahoa i runga i ngā papa tonu ngā wāhi e tika ana kia whakapiria ai ngā papa.
3. Tātaritanga o te manawataki: Whai muri i te tāpiritanga o te papa, ka tātari aunoa te mīhini i te manawataki o te ngākau. Kāore i te tūtohutia kia pā atu ki te tūroro i tēnei wā. Ka tukuna e te mīhini he whakatūpato pēnei i te "Kei te tātari i te manawataki o te ngākau, kaua e pā atu ki te tūroro".
4. Te tuku ru hiko: Ki te whakatau te mīhini me tuku ru hiko, ka utu aunoa, ka tuku tohu hei tuku i te ru. I te nuinga o te wā, ka tohutohuhia koe kia pēhi i tētahi pātene nui.
He mea tino nui: I mua i te pēhi i te pātene ru, me karanga "Kia mawehe katoa!" me te tino mohio kei te pā tetahi ki te tūroro, ki te moenga rānei e takoto ana rātou. Ki te kore, ka pāngia pea rātou e te hiko.
Nā te ru hiko nei ka mutu te uaua o te ngākau mō tētahi wā poto, ka taea ai e te taputapu whakateretere tūturu o te ngākau te whakahaere anō me te tīmata i tētahi manawataki noa.
He aha te mea ka tupu i muri i te ohorere?
I muri i te tukunga o te ohorere, me tīmata anō te CPR mō ngā meneti e rua. Kātahi anō ka tirohia te pā o te manawa me te manawa. Mena kāore anō kia hoki mai te manawa o te ngākau, ka tukuna pea e ngā tīma hauora ētahi atu ohorere me ngā rongoā pēnei i te epinephrine , te amiodarone rānei.
I ētahi wā, ka noho tonu te tūroro ki te kore e mōhio ahakoa kua hoki te tere o te manawa ki te āhua noa. I ēnei wā, ka taea te whakahaere i te hypothermia rongoā i te hōhipera hei whakaiti i te tūponotanga o te kino o te roro.
Ngā painga, ngā mōrearea, me te whakaoranga
| Wāhanga | Ngā mea hei mōhio |
|---|---|
| Ngā Painga | Ki te whakamahia he defibrillator mō te tere o te manawa (VF/VT) tika, ā, i te wā tika (i roto i te 10 meneti), he nui te pūmanawa hei whakaora i te ora. |
| Ngā Tūponotanga | Ki te whakamahia he defibrillator mō te manawataki o te ngākau kāore i te ōrite, ka puta he manawataki morearea (ventricular fibrillation) ka mutu ai te ngākau. Kua hangaia ngā AED hei whakakore i tēnei mōrearea. Nā te mea ko te taputapu tonu e tātari ana i te manawataki, ā, ka whakatau mēnā e hiahiatia ana he ru, kāore rānei. |
| Whakaora | He haerenga roa te whakaoranga mai i te hopukanga ohorere o te ngakau me te defibrillation, ā, ka roa pea ngā marama, ngā tau rānei. Tērā pea ka puta he raruraru pēnei i te ngenge, te pakaru pea o ngā rara i te wā o te CPR, me te uaua ki te hikoi. Tērā pea e hiahiatia ana ngā maimoatanga pēnei i te whakaora tinana me te whakaora mahi. |
Tirohia tō tākuta.
Mena he taputapu ICD tāu, he mea tino nui kia toro atu koe ki tō tākuta i ngā wā katoa kia mōhio ai kei te pai te mahi. I te nuinga o te wā me pokanga hei whakakapi i te pākahiko i ia 5-7 tau. Kaua rawa e mutu te tango i ngā rongoā kua tohua e tō tākuta. Mena he āwangawanga āu, kōrero ki tō tākuta mō ēnei mea.
Karere Tangohia ki te Kāinga
- He taputapu whakaora ora nui te defibrillator mēnā ka pāngia ohorere te ngākau.
- Ka taea te whakamahi i ngā AED i ngā wāhi tūmatanui ahakoa e te tangata kāore anō kia whakangungua mā te whai i ngā tohutohu reo.
- Kaua e pā ki te tūroro, ki te moenga rānei e takoto ana i a rātou i te wā e tukuna ana te ru hiko. He mahi haumaru tino nui tēnei.
- 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.
- Ki te kite koe i tētahi e hinga whakarere ana, ko tāu mahi tuatahi ko te waea atu ki te 1990 me te karanga i te ratonga waka tūroro ohorere.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment