Kua kīia atu ki a koe, ki tētahi rānei o tō whānau me pokanga koe? He mea noa te māharahara, te manukanuka rānei ina rongo koe i te kupu "whakamamae whānui". Ahakoa te āhua whakamataku o te whakaaro "ka ngaro te rongoā", he tikanga hauora tino matatau, he tino haumaru hoki. I Nirogi Lanka, e hiahia ana mātou ki te whakamārama i ō pātai katoa mō te ' Whakamamae Whānui ' kia noho rite ai koe, kia marino ai hoki.
He aha te Anesthesia Whānui?
Ko te rongoā whakamoe whānui he āhua e whakahaeretia ana e te rata, e whakanoho ana i a koe ki roto i te āhua moe hohonu, me te mea he moe i mua i te pokanga nui. I tēnei āhua, kāore koe e rongo i te mamae, ā, kāore koe e mahara ki tetahi mea i tupu i te wā o te pokanga . He rite tonu ki te moe hohonu, te moe marino, ā, ka oho ake i te mutunga o te mahi.
Ka whakahaerehia tēnei e tētahi tohunga tino whakangungua e kiia nei ko te Kaiwhakaora Matepukupuku. Mai i te tīmatanga o tō pokanga tae noa ki tōna mutunga, ka noho tonu tēnei tākuta ki tō taha, ka aroturuki i ngā mahi nui katoa—pēnei i tō manawa me tō tere o te ngakau —kia noho haumaru ai koe i te moe, kia ara ake ai hoki koe i te wā e oti ai te mahi.
Ko te mea nui kia mōhio koe, ehara tēnei i te moe noa iho. He moe hauora tēnei, he moe āta whakahaeretia, ā, ko tō haumaru te mea nui rawa atu.
Te Mārama ki ngā Momo Rerekē o te Anesthesia
He rerekē ngā momo rongoā whakamoe, kei runga i ō hiahia. He mea nui kia mōhio koe ki te rerekētanga:
| Momo Whakamamae | He aha te mea | Ngā Tauira Noa |
|---|---|---|
| Whakamamae Whānui | Ka moe hōhonu te tinana katoa. Kāore koe e rongo i tetahi mea, ā, kāore he maharatanga mō te kaupapa. | Pokanga ngākau, pokanga roro, pokanga puku nui. |
| Te Whakamamae ā-Rohe | Ka whakangāwari i tētahi wāhanga nui o te tinana (hei tauira, mai i te hope ki raro). Tērā pea ka noho mataara tonu koe. | Ngā pokanga c-section, ngā whakakapinga hope, turi rānei. |
| Te Whakangote ā-Rohe | Ka whakangāwari noa i tētahi wāhi iti rawa, motuhake hoki. | Te mahi niho, te tuitui i tētahi patunga iti. |
| Whakamarie | Ka meinga koe kia marino, kia hiamoe, engari kāore koe i te tino mōhio. | Ngā koroni, ētahi koiora. |
He aha ngā mea ka tupu i te wā o te tukanga?
Whakaarohia kua tae atu koe ki te rūma pokanga. Anei ngā mea ka tupu:
1. Rongoā: Ka whakauruhia e te tohunga whakamoe he aho IV ki roto i tō uaua hei tuku rongoā. I ētahi wā, ka tonoa pea koe kia manawa i te hau mā te kopare. I roto i ētahi meneti, ka moe wawe koe.
2. Tautoko Manawa: Kia moe koe, ka hoatu e te tākuta he rongoā hei whakangāwari i ō uaua , ka whakaurua hoki he ngongo iti ki roto i tō puku. Mā tēnei ka whiwhi koe i te nui o te hāora puta noa i te pokanga. Nā te mea kei te moe hōhonu koe, kāore koe e rongo i tetahi mea.
3. Te Aroturukitanga Tonu: I te roanga o te pokanga, ka aro turukihia e te tīma ō:
- Te manawa
- Te pāmahana tinana
- Te tere o te manawa
- Te toto totoka
- Ngā taumata hāora
- Ngā taumata wai
I runga i ēnei pānui, ka whakarerekētia e rātou tō rongoā, ka whakaratohia rānei he wai hei pupuri i te pumau o ngā mea katoa.
4. Te Oho Ake: Kia oti te pokanga, ka mutu te rongoā i te tākuta whakamoe. Kātahi ka nekehia koe ki te Rūma Whakaora, ka tīmata mārire te oho ake. Ka tirohia koe e ngā tākuta me ngā nēhi kia mōhio ai kei te pai koe, ā, kāore he mamae.
He aha ngā rongoā e whakamahia ana?
Ko te huinga o ngā rongoā IV me ngā rongoā manawa e whakamahia ana mō te mate whakamoe whānui.
Ngā Rongoā Matua IV:
- Propofol: Ko te rongoā tino noa e whakamahia ana hei whakaoho me te pupuri i te moe hohonu.
- Ketamine: I ētahi wā ka whakamahia mō ngā pokanga poto, hei whakamamae rānei i te mamae.
- Etomidate: He rongoā mahi poto e whakamahia ana hei tīmatanga i te tukanga whakamoe.
Ngā Rongoā i Manuhia:
- Sevoflurane: He hau e whakamahia whānuitia ana mō te tīmatanga me te pupuri i te rongoā whakamoe.
- Isoflurane: Kua iti ake te whakamahinga ināianei nā tōna kakara kaha.
- Desflurane: Whakamahia hei pupuri i te rongoā whakamoe.
- Waikura hauota: E kiia ana ko te "hau kata." Kāore i te kaha te kaha i a ia anō, ā, ka konatunatua ki ētahi atu rongoā.
Me pēhea tāu whakarite?
I mua i tō pokanga, ka kōrero tō taote pokanga me te tohunga whakamoe ki a koe. Me mōhio rātou ki:
- He mate hauora anō ōu? (hei tauira, te mate huka, te toto toto tiketike, ngā raruraru ngākau)
- He aha ngā rongoā e tangohia ana e koe? (Whakaurua ngā rongoā katoa, ngā huaora, me ngā tāpiringa otaota)
- He mate pāwera koe? (Ngā raau taero, te rapa, te kai, me ētahi atu)
- Kei te momi hikareti koe, kei te inu waipiro, kei te whakamahi rānei i ngā raau taero whakangahau?
- I pāngia koe e tētahi tauhohenga kino ki te rongoā whakamoe i mua?
Kia pono rawa te whakautu i ēnei pātai. He mea nui tēnei mō tō haumaru.
Ka tohutohu anō tō tākuta i a koe kia kaua e kai me te inumō te 8 hāora pea i mua i te pokanga. Nā te mea ka whakangāwari te rongoā whakamoe i ō uaua, ka uru pea ngā ihirangi o te puku ki roto i ō pukahukahu—he raruraru kino tēnei. Tērā pea ka tonoa koe kia mutu te tango i ngā rongoā whakaiti toto pērā i te Aspirin i te wiki pea i mua i tō pokanga.
He Pānga Taha kei reira?
He mea noa te ahua o te hiamoe, te ngenge rānei i muri i te oho ake. Tērā pea ka pāngia koe e ēnei pānga taha rangitahi:
- Whakapairuaki me te ruaki
- Waha maroke
- Korokoro mamae, reo pāorooro rānei (mai i te ngongo manawa)
- Te hiamoe
- Te wiri
- Ngā mamae uaua
- Te mākūkū
- Te pōhēhētanga rangitahi, ngā raruraru mahara rānei (he mea noa ake i roto i ngā tūroro kaumātua) – ka memeha haere tēnei i roto i te wiki kotahi.
He aha ngā tūponotanga?
He tino haumaru te rongoā whakamoe whānui mō te tangata hauora. Heoi anō, tera pea he teitei ake ngā taumata mōrearea mō ētahi rōpū:
- Ngā tāngata whai momona
- Ngā tūroro kaumātua
- Te hunga whai mate pūmau (hei tauira, te toto toto tiketike, te mate huka, te mate ngākau/pūkahukahu/mate whatukuhu)
- Te hunga e pāngia ana e te Apnea Moe Ārai
- Ngā kaipaipa
- Te hunga e tango ana i ngā rongoā whakaheke toto
Me tino tupato te hunga inu waipiro. Ka pā pea te inu waipiro i ia rā ki te horopeta o te rongoā whakamoe me tō wā whakaora. Kōrerohia tēnei ki tō tākuta. I ngā wā tino onge, ka puta pea te "mōhiotanga ki te rongoā whakamoe" (te mōhiotanga iti i te wā pokanga), engari nā ngā taputapu aroturuki hou, he tino onge tēnei.
Karere Tangohia ki te Kāinga
- He tikanga hauora hou, he tino haumaru hoki te whakamoe whānui. Kaua e tukua kia meinga koe e ia kia mataku koretake.
- Ka aroturukihia koe e te tohunga whakamoe i te wā katoa hei whakarite i tō haumaru.
- Kia pono ki tō tīma hauora mō tō hauora, ngā rongoā, me ngā tikanga (momi hikareti/waipiro). Hei tiaki i a koe tēnei.
- Me whai pūmau i ngā tohutohu a tō tākuta i mua i te pokanga, inā koa mō te nohopuku.
- He rangitahi noa iho te nuinga o ngā pānga taha. Mēnā he āwangawanga tonu āu, whakapā atu ki tō rōpū hauora, rapua rānei he ratonga hauora ohorere mēnā ka pāngia koe e ngā tohu kino.
Whakamamae, Whakamamae Whānui, Pokanga, Tātaritanga, Tohunga Whakamamae
