E mōhio ana tātou ki te tikanga o te tango i te ngongo?

Kua toro atu koe ki tētahi i roto i te wāhanga tiaki nui (ICU)? Kua whakamāramahia rānei e te tākuta ki a koe te tukanga manawa i a koe e whakarite ana mō te pokanga? Ko tētahi o ngā mea ka rangona e koe i aua wā ko te whakaurunga o tētahi "ngongo manawa." Nō reira, pērā i te whakaurunga o tēnei ngongo, he tukanga tino nui, he tukanga kua whakaritea te tango. I roto i te rongoā, ko te tango i taua ngongo te mea e kiia nei e tātou ko te "extubation." I tēnei rā, me kōrero tātou mō tēnei mea, i roto i tētahi huarahi e mārama ai koe.

Tuatahi, kia kite tātou he aha te intubation?

I mua i tā tātou kōrero mō te tango i te ngongo, me arotake poto tātou i te tango ngongo. He kupu ngāwari tēnei, he mahi tēnei mā te tīma hauora hei whakaora i a koe ina raru koe ki te manawa takitahi mō tētahi take. Ka whakauruhia e rātou he ngongo kirihou ngāwari, e kiia nei ko te ngongo endotracheal (ETT) , mā roto i tō waha ki roto i tō puku manawa (te ara manawa matua).

Whakaarohia pēnei: ​​he rite ō tātou pūkahukahu ki te miihini o te motuka. Me whai hau tonu (hāora) kia mahi ai. Pērā i te motuka e kore e neke mena he waka e noho ana, mena kua aukatihia tō ara manawa, kua ngoikore rānei tō manawa, e kore te hāora e tae atu ki ō pūkahukahu. I taua wā, ka whakauruhia tēnei ngongo, ā, ka honoa he mīhini, he mīhini manawa, ki reira, ā, ka hoatu ki a koe te nui o te hāora e hiahiatia ana e koe. Ka kiia tēnei ko te intubation.

Kua mārama pea koe ki te tikanga o te tango i te ngongo i waho o te ngongo . Arā, ko te tukanga o te tango āta i te ngongo i te wāhi i muri i te whakapono o te tīma hauora ka taea e koe te manawa pai anō ko koe anake, me te kore āwhina.

I roto i ēhea ngā wā ka mahia te tango i te ngongo?

Kāore tēnei e pā ki te katoa i te wā kotahi, i te ara kotahi rānei. Kei te take i whakanohoia ai koe ki te ngongo me te pumau o tō hauora.

I muri i te pokanga

Ina pokanga nui koe, ka whakamoea rawatia koe. Ka kiia tēnei he rongoā whakamoe whānui . Ka whakakorea e ēnei rongoā whakamoe ngā uaua e whakahaere ana i tō manawa mō te wā poto. I taua wā, ka whakauruhia e ngā tākuta tēnei ngongo manawa hei whakarite kia whiwhi koe i te nui tika o te hāora puta noa i te pokanga.

Kia oti pai te pokanga, ka tangohia e te tīma hauora te ngongo ina memeha haere ngā pānga o te rongoā whakamoe, ā, ka taea e koe te manawa anō. I te nuinga o te wā, kua tangohia te ngongo i te wā e hoki mai ai tō māramatanga. Nō reira, kāore pea koe e mahara ki a ia. I tēnei wā, tera pea kua noho te ngongo mō te wā poto noa iho, tae atu ki te haora, e rua rānei.

Nā te mate, nā te aituā rānei

Ina whakauruhia he ngongo ki roto i te tangata nā te mea kāore e taea te manawa nā te aituā, nā te mate kino rānei (pēnei i te niumōnia), nā tētahi atu mate kino rānei, he rerekē te tukanga tango i te ngongo. Kei te wāhanga tiaki nui (ICU) tēnei tangata.

I mua i te tango i te ngongo, me whakarite e ngā tākuta ka taea e koe te manawa ko koe anake. Ka whakahaerehia e rātou he whakamātautau motuhake mō tēnei. Ko te ingoa o tēnei he Whakamātautau Manawa Tūroa (SBT) .

I ētahi wā, kāore pea koe e eke i tēnei whakamātautau i te wā tuatahi. Ka kiia tēnei ko te "korenga o te whāngai ū". He mea noa tēnei. Ki te puta tēnei, ka tatari te tākuta kia pai ake tō āhua, kātahi ka mahi anō i tēnei whakamātautau i roto i te rā, i ngā rā e rua rānei.

He aha ngā take matua mō te whakaurunga o te ngongo?

Hei tango i te ngongo i waho o te ngongo, me tango tuatahi te ngongo. Anei ētahi take noa mō tēnei. Me whakatakoto ēnei ki roto i tētahi ripanga pēnei kia mārama ai.

He aha ngā mahi e whai wāhi ana ki te tukanga tango i te ngongo?

Āe, me titiro tātou me pēhea te tango a te tākuta, te nēhi rānei i tēnei ngongo. Ehara tēnei i te mea ka taea te tango katoa i te wā kotahi. He torutoru ngā mahi hei whakatutuki.

1. Te whakarite i te tūroro: Tuatahi, ka hiki ake te pane o te moenga ki runga. Ka haria koe ki te tūranga noho. Mā tēnei ka āwhina i te rere o te hau ki roto i ngā pukahukahu, ā, ka whakaiti i te tūponotanga o ngā mea pēnei i te huware ki roto i ngā pukahukahu i muri i te tangohanga o te ngongo.

2. Te momi: Muri iho, ka whakamahia he taputapu motuhake (taputapu momi) hei tango i te hūpē, te huware, me ētahi atu matū kāore e hiahiatia ana mai i tō waha, korokoro, me te ngongo manawa. He mea tino nui tēnei, nā te mea ki te kore, ka taea e ēnei matū te uru ki roto i ō pukahukahu ina tangohia te ngongo.

3. Te tuku i te ngongo: Ka tangohia marietia te whitiki, te rīpene rānei e pupuri ana i te ngongo ki tō mata.

4. Te wehenga mai i te pūwero hau: Kua momotu te ngongo mai i te pūwero hau e hono ana ki reira.

5. Te tango i te ngongo: Koinei te wāhanga tino nui. Ka kī atu te tākuta kia "manawa hōhonu koe, ka maremare."I a koe e maremare ana, e whakapūha ana rānei, ka kumea te ngongo ki waho i roto i te nekehanga tere, maeneene. Ka mahi rātou i tēnei ina maremare koe, ka huaki ō taura reo, ka ngāwari ake te puta mai o te ngongo. Ā, ka puta atu hoki i te maremare ngā mea katoa kei roto i tō korokoro.

Kei te mōhio koe ina tangohia te ngongo?

He pātai tēnei nā te tini o te tangata. Ko te whakautu, i ētahi wā he āe, i ētahi wā he kāo.

• I muri i te pokanga: Ka tangohia te ngongo i mua i tō hokinga mai ki te mārama, i a koe e noho ana i raro i te mate whakamoe. Nō reira ka tangohia ina ara ake koe.
• Mena kei roto koe i te wāhanga tiaki nui (ICU): Ka tangohia te ngongo i a koe e mōhio ana, he mea nui hoki kia mōhio koe, kia whakarongo hoki ki ngā mea e kīia ana ki a koe (hei tauira, maremare ina kīia kia "mare").

He aha te mea ka tupu i muri i te tango i te ngongo?

Ahakoa te tango i te ngongo, ehara i te mea kua oti te mahi. He mea tino nui ngā haora e whai ake nei. Ka tino tirotirohia koe e te tīma hauora.

• Hāora: I muri i te tangohanga o te ngongo, ka tukuna he iti o te hāora mā te cannula ihu, mā te kopare hāora rānei hei āwhina i tō tinana ki te urutau ki te āhuatanga hou.
• Aroturukitanga: Ka tirohia tonutia te taumata hāora o tō toto (me te whakamahi i te pulse oximeter), te tere o te manawa, me te toto toto.
• Maremare: Tērā pea ka puea ake te hūpē i roto i tō korokoro nā te ngongo. Nō reira, me maremare tonu koe kia horoia. Ki te tika, me momi anō pea koe kia horoia tō korokoro.

He raruraru pea kei te puta i te wā e tangohia ai te ngongo?

Pērā i ngā tikanga hauora katoa, he iti noa ngā mōrearea e pā ana ki te tango i te ngongo. Engari kia maumahara, kua rite te tīma hauora mō ēnei mea katoa.

He aha ngā painga o te tango i te ngongo?

• He tohu o te ora: Ko te painga nui ko te taea e koe te manawa anō ko koe anake. Ko te tikanga kei te hoki anō ō pukahukahu me tō tinana ki te āhua noa.
• Te āheinga ki te kōrero: Kāore e taea e koe te kōrero i te wā e mau ana te ngongo. Kia tangohia, ka taea e koe te kōrero anō i roto i te wā poto. Ahakoa ka mamae pea tō korokoro i te tīmatanga, ā, ka paku rerekē pea tō reo, ka memeha haere tēnei i roto i ētahi rā. (Ka memeha haere i roto i ētahi rā).
• Te kaha ki te kai me te inu: Waihoki, kāore e taea e koe te kai, te inu rānei mā te waha i te wā e mau ana te ngongo. Kia tangohia te ngongo, ā, kia whakaūtia tō kaha ki te horomi (te whakahokinga waha), ka taea e koe te tīmata anō ki te kai.
• Te karo i ngā mōrearea mō te wā roa: Tērā ētahi mōrearea e pā ana ki te noho roa o te ngongo manawa (hei tauira, te ngoikore o te taura reo, te niumōnia, te tracheomalacia ). Ko te tikanga o te tango i te ngongo ngongo kua kore koe e pāngia e aua mōrearea.

Ki te mea me mahi koe, tetahi rānei o tō whānau i tēnei tikanga, kaua e mataku, kaua hoki e mangere. Pātai atu ki tō tākuta i ngā pātai, i ngā āwangawanga rānei kei a koe. Mā rātou e whakamārama ngā mea katoa ki a koe.