Tērā pea kua paku pēhia tō korokoro, kua kore rānei e pai ki a koe i tō oho ake i muri i te pokanga. Tērā pea kua kite koe i tētahi e tata ana ki a koe i roto i te wāhanga tiaki nui (ICU) me te ngongo i roto i tōna waha. I tēnei rā ka kōrero tātou mō te tango i te ngongo hei āwhina i a rātou ki te manawa. E kiia ana tēnei ko te extubation i roto i ngā kupu hauora. Ahakoa he kupu whakamataku tēnei, he tohu pai rawa atu tēnei mō tō haerenga whakaora.
Tuatahi, kia titiro tātou, he aha te Intubation me te Extubation?
He tino māmā tēnei.
- Te whakaurunga o te ngongo: Whakaarohia kāore e taea e koe te manawa ko koe anake nā te mate, te aituā, te pokanga nui rānei. I taua wā, ka whakauruhia e ngā tākuta he ngongo ngāwari mā roto i tō waha ki roto i tō pūhā. Ka kiia tēnei ngongo he Ngongo Endotracheal (ETT) . Ka honoa tēnei ngongo ki te mīhini manawa, ā, ka tukuna he hāora ki ō pukahukahu. Ko te whakaurunga o te ngongo te tukanga whakauru i tēnei ngongo.
- Te tango i te ngongo: Ina pai ake tō hauora, ā, kua whakapono ngā tākuta ka taea e koe te manawa pai anō, me te kore he āwhina, ka ata tangohia e rātou te ngongo (ETT) i whakaurua i mua. Koinei te tukanga e kīia nei ko te tango i te ngongo .
He aha i hiahia ai te tangata kia whakauruhia he ngongo penei?
He maha ngā take e kore ai e taea e te tangata te manawa ko ia anake. Koinei ētahi o ngā take matua e tika ai te whakauru i te ngongo i mua i te tango i te ngongo.
| Take | He whakamārama māmā |
|---|---|
| Pokanga | Mā te rongoā whakamoe whānui, e hoatu ana i ngā pokanga nui, ka mutu te tukanga manawa mō te wā poto. Nō reira, ka whakauruhia tēnei ngongo hei āwhina i a tātou ki te manawa i te wā pokanga. |
| Te ngoikore o te manawa | Ka taea e ngā mate kino pērā i te niumōnia me te kino o ngā pukahukahu te aukati i te tinana ki te whiwhi i te hāora e hiahiatia ana. |
| Te Ārai i te Ara Rererangi | He mea tika tēnei kia noho tuwhera tonu te ara manawa mēnā ka mau tetahi mea ki te korokoro, ka pupuhi rānei ngā ara manawa nā te mate pāwera nui. |
| Whara | Ka taea e ngā whara kino ki te māhunga , ki te kaki, me te uma te kino o te pūnaha manawa. |
| Te Ngaronga o te Maramaramatanga | Ina ngaro te mārama o te tangata, tērā pea kāore e taea e ia te whakahaere i tōna ara manawa. Tērā anō te mōrearea o ngā mea pēnei i te ruaki ki roto i ngā pukahukahu (te mimiti). |
Me pēhea te tango i te ngongo? He aha te tukanga?
Ehara i te mea he tango noa i te ngongo ka whakahokia ki roto. Ka mahia tēnei e te tīma hauora me te whakamahere nui me te āta tupato.
Me pēhea te whakatau a ngā tākuta i te wā tika hei tango i te ngongo?
He whakamātautau motuhake tā rātou mō tēnei. Ko te Whakamātautau Manawa Tūroa (SBT) te ingoa. He whakamātau tēnei mēnā ka taea e koe te manawa ko koe anake me te iti noa o te āwhina mai i te mīhini manawa. He rite ki te 'whakamātautau taraiwa' i a koe e ako ana ki te taraiwa waka. Ki te puta koe i tēnei whakamātautau, ko te tikanga kua kaha ō pukahukahu ki te mahi anō.
Ka tirohia hoki e rātou tō kaha ki te maremare me te whakawātea i tō korokoro (te ātete waha). He mea nui tēnei kia kore ai e uru ngā mea pēnei i te kai me te inu ki roto i ō pukahukahu.
Ngā taahiraa hei tango i te paipa
Kia oti i a koe te whakamātautau SBT, ka whai te tākuta, te nēhi rānei i ēnei mahi:
1. Te whakarite moenga: Ka whakaarahia koe ki runga i te moenga kia tū tika.
2. Te horoi: Ka whakamahia he taputapu momi motuhake hei tango i te hūpē me ngā paru katoa i tō waha, i tō korokoro, me roto hoki i te ngongo.
3. Te tango i te rīpene: Ka tangohia te pāreti, te rīpene rānei e pupuri ana i te ngongo ki te mata.
4. Te hoatu tohutohu manawa: Ka kī atu te tākuta kia "manawa hōhonu, ka maremare." I a koe e maremare ana, ka tangohia te ngongo i roto i te nekehanga tere, maeneene.
E torutoru hēkona te roa o tēnei tukanga katoa. Tērā pea kāore koe e rongo.
He aha ngā mea ka tupu i muri i te tango i te ngongo? He aha ngā mea hei tumanako atu?
Ko te mea tuatahi ka rongo koe i muri i te tangohanga o te ngongo he tino whakamarie! Heoi anō, tera pea ka pāngia koe e te mamae o tō korokoro me te reo pāorooro mō ētahi rā. He mea noa tēnei. He rite ki te korokoro mamae i te hamama mō te wā roa.
Kia tangohia te ngongo, ka haere tonu te tīma hauora ki te aroturuki i a koe.
- Ka tirohia auautia ngā taumata hāora o tō toto .
- Kia tupato ki te tere o tō manawa me te āhua o tō manawa.
- I ētahi wā, hei āwhina iti i te tīmatanga, ka taea te hoatu he iti o te hāora mā te cannula ihu, mā te kopare hāora rānei.
Kei te mōhio koe i te wā e tangohia ai te ngongo?
Kei te take i whakanohoia ai koe ki te ngongo tēnei.
- Mō te pokanga: He maha ngā wā ka tangohia te ngongo i muri tonu i te pokanga, i mua i tō oho ake i te rongoā whakamoe. Ina oho ake koe, kua kore te ngongo.
- I roto i te Wāhanga Tiaki Kaha (ICU): Mena kei te rongoatia koe mō tētahi mate, mō tētahi aituā rānei, ka tangohia te ngongo i a koe e mōhio ana. Kaua e manukanuka, mā te tīma hauora koe e whakamārama i ngā mea katoa, ā, māna koe e whakamarie.
He mōrearea, he raruraru hoki kei te tango i te ngongo?
Pērā i ngā tikanga hauora katoa, he iti noa iho ngā tūponotanga kei roto. Engari kāore ēnei e tino puta pinepine. E mōhio ana ngā tākuta ki tēnei, nō reira kei te rite tonu rātou ki te aro atu ki ēnei āhuatanga.
Ko te raruraru matua ko te korenga o te tango i te ngongo . Ko te tikanga o tēnei, i muri i te tangohanga o te ngongo, kāore e taea e koe te manawa tika anō, ā, me whakauru anō he ngongo ki roto.
- He iti noa iho te ōrau o te tangata ka pā tēnei ki tēnei, tata ki te 10%-14%, e tangohia ana ā rātou ngongo i runga i te wā kua whakaritea.
- He paku teitei ake tēnei mōrearea mō te hunga neke atu i te 65 tau te pakeke, me te hunga he mate manawa, he mate pūkahukahu mau tonu rānei.
Ētahi atu raruraru iti:
- Ngā panonitanga o te reo me te mamae o te korokoro: He āhuatanga noa tēnei e pāngia ana e te tini o te tangata, ā, ka pai ake i roto i ētahi rā.
- Stridor: I ētahi wā, ka rangona he tangi whiowhio iti i te manawa nā te pupuhi o te korokoro. E mōhio ana ngā tākuta me pēhea te rongoā i tēnei.
- Te maremare nui: Ko te maremare e puta ana ina tangohia te ngongo ka whakawhāiti i ngā uaua o te korokoro (laryngospasm).
Ko te mea nui, he tino onge te puta o ēnei mea katoa. Kua rite tō tākuta mō ēnei mea katoa. Nō reira kaua e manukanuka nui mō tēnei.
Karere Tangohia ki te Kāinga
- He tino pai, he tino pai hoki te tango i te ngongo i roto i tō haerenga whakaora. Ko te tikanga kua kaha tō tinana ki te mahi anō i a ia anō.
- Ka mahia tēnei e ngā tākuta me ngā kaimahi whakangungu, whai muri i te whakarite kia 100 ōrau tō haumaru.
- He mea noa te mamae o te korokoro, me te rerekētanga o te reo mō ētahi rā i muri i te tangohanga o te ngongo. Kaua e manukanuka.
- I muri i te tango i te ngongo, ka wātea koe ki te kōrero, ki te kai, me te inu anō.
- Mena he wehi, he ruarua, he pātai rānei āu mō tēnei tukanga, kōrero noa atu ki tō tākuta . Mā rātou e whakamārama ngā mea katoa ki a koe.
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