Kei te hiahia koe ki te mōhio mō te whakaurunga ngongo, ka taea te āwhina i a koe mēnā he uaua ki te manawa?

Kua whakaaro koe me pēhea tātou e āwhina ai i a tātou anō ki te manawa mēnā ka mutu ohorere tā tātou manawa, mēnā rānei kei te whakahaerehia he pokanga nui? Koinei te wā ka whakamahia e ngā tākuta he tikanga e kiia nei ko te "Intubation." Ahakoa he kupu whakamataku tēnei, he āwhina nui ki te whakaora i te tini o ngā oranga. Kia titiro tātou he aha tēnei, me pēhea te mahi, me te take he māmā noa iho te mahi.

He aha te tikanga o te kupu "(Intubation)"?

I te whakarapopototanga, ko te `(Intubation)` (intubation) he whakaurunga ngongo iti e te tākuta ki roto i tō pūkahukahu (`(trachea)`) mā roto i tō waha, mā roto rānei i tō ihu i ētahi wā. Mā tēnei ngongo ka noho tuwhera tō pūkahukahu, kia ngāwari ai te uru mai o te hau. Kātahi ka taea te hono atu i tēnei ngongo ki tētahi mīhini. Ka tukuna e tēnei mīhini te hāora, te hau rānei i raro i te pēhanga ki roto i ō pukahukahu. Ka kiia tēnei ko te `(Mīhini Whakahaunga)`.

He ingoa anō tō tēnei ``(Intubation)``:

• Te whakaurunga o te ngongo ara manawa
• Te whakaurunga o te ngongo endotracheal (ETT)
• Te whakaurunga o te ngongo tracheal

He ingoa katoa ēnei mō te mea kotahi.

He aha koe me mahi ai i tēnei `(Intubation)`?

Me whakauru pea he ngongo ki roto i tō manawa mēnā kāore e taea e koe te manawa tika nā te mea kua aukatia, kua āraia rānei, kua whara rānei tō ara manawa. Whakaarohia, i te wā ohorere, ka pāngia koe e tētahi aituā kino, ā, kua whara tō uma me tō kaki, ka uaua ai te manawa. Ki te ngaro rānei tō māramatanga, kāore e taea e koe te whakahaere i tō manawa. Koinei te wā e tika ana tēnei.

He maha atu anō ngā take hei mahi i te `(Intubation)`:

• Mena kua pāngia tō ara manawa e te whara o tō puku, o tō uma, o tō kaki rānei.
• Te ngaronga o te māramatanga (pērā i te hemonga) te hekenga rānei o te māramatanga. Tērā pea ka ngaro tō mana whakahaere i tō manawa.
• Ki te mea me mahi koe i tētahi pokanga nui, ā, kāore e taea e koe te manawa ko koe anake. I te nuinga o te wā, ina tukuna he rongoā whakamoe ki a tātou, he uaua ki a tātou te manawa ko tātou anake.
• Te ngoikore o te manawa. Ko te tikanga o tēnei ka mutu te mahi tika o ō pukahukahu.
• Tērā te mōrearea o te manawa i ngā mea pēnei i te kai, te ruaki, me te toto, ka tomo ki roto i ngā pukahukahu (Aspiration) .
• Ki te mau tetahi mea ki roto i te ara manawa, ā, ka aukati i te rere o te hau, ka kiia tēnei he "ārai i te ara manawa".
• Ka puta te hopukanga o te manawa ina mutu whakarere te mahi a te manawa.
• Mena ka mutu te manawa mō te wā poto (Apnea).

Tērā pea e hiahiatia ana te whakaurunga o te ngongo mō tētahi o ēnei take.

He pēhea te noa o tēnei?

Ina hoki, he tikanga tino noa te "(Intubation)", he tikanga whakaora ora. I te Hononga o Amerika anake, tata ki te 15 miriona o ēnei tikanga e mahia ana i roto i ngā rūma pokanga i ia tau. Hei tāpiri, he rau mano o ēnei e mahia ana i roto i ngā āhuatanga ohorere. Nō reira, ka taea e koe te whakaaro ki te auau o tēnei mahi. He mahi auau hoki i Sri Lanka.

He aha tonu te mea ka tupu ina whakahaerehia te Endotracheal Intubation?

I te nuinga o te wā, ka mahia tēnei `(Intubation)` i roto i te hōhipera. Heoi, i ētahi wā, ka mahia e ngā ratonga hauora ohorere (`(EMS)` ngā kaimahi) i waho o te hōhipera.

Koinei te tikanga o tēnei mahi:

1. Tuatahi, ka werohia he ngongo iti (ngira IV) ki roto i te uaua i roto i tō ringa , ā, ka tukuna he rongoā whakamoe mā roto kia hiamoe ai koe, kia kore ai hoki e mamae.

2. Kātahi ka whakatakotoria he kopare hāora ki runga i tō ihu me tō waha hei whakarato hāora tāpiri ki tō tinana.

3. Ka piko whakamuri tō mahunga, ā, ka whakaurua he taputapu e kiia nei ko te "laryngoscope" ki roto i tō waha (ā, i ētahi wā mā roto i tō ihu mēnā e tika ana). He kakau tō te "laryngoscope", he rama, he mata pūmau hoki. Mā tēnei ka āwhina i te tākuta ki te kite i te tūnga tika o te "ngā ngongo tracheal".

4. Muri iho, ka tangohia te ``(laryngoscope)`` mai i roto i te waha ki te tuara, me te tūpato kei pā ki ngā niho.

5. Ka ara ake te papa o te kiko (te epiglottis) e iri ana i muri o tō waha hei tiaki i tō pouaka reo (te larynx).

6. Ka tukuna te pito o te `(Laryngoscope)` mā roto i tō `(Larynx)` ki roto i tō `(Trachea)` (paipa manawa).

7. Kātahi ka pupuhihia he taputapu iti rite ki te poihau huri noa i te ngongo endotracheal. Mā tēnei ka kore te ngongo e neke i roto i te trachea, ā, ko te hau katoa e tukuna ana mā roto i te ngongo ka haere tika ki roto i ngā pukahukahu.

8. Tangohia te `(Laryngoscope)` ināianei.

9. Hei ārai i te nekeneke haere o te ngongo manawa ki mua, ki muri, ka whakatakotoria he pāreti ki ngā taha e rua o te waha, ka whakatakotoria rānei he whitiki huri noa i te māhunga.

10. Hei whakamutunga, ka tangohia he hihi-X hei tirotiro kei te tika te tūnga o te ngongo, ka whakamahia rānei he putea hei pupuhi i te hau ki roto i te ngongo, hei whakarongo ki ngā oro e puta mai ana i ngā pukahukahu.

Kia pēhea te roa o tēnei?

I roto i tētahi āhuatanga ohorere, ka taea e te tākuta te mahi i tēnei "(Intubation)" i roto i te iti iho i te meneti. He mea tēnei ka taea te mahi tere.

Ka taea e au te kōrero, te kai, me te inu i te mea kei te mau tonu te ngongo?

Kāo. Kāore e taea e koe te kōrero. Nā te mea ka uru tēnei ngongo manawa mā roto i ō taura reo. Nō reira, ahakoa ka ngana koe ki te kōrero, kāore he oro e puta mai.

Kāore hoki e taea te horomi i te mea kei te tū te ngongo. Nō reira, kāore e taea te kai, te inu rānei. I runga i te roa o tō noho pēnei, ka hoatu e ngā tākuta he kai enteral (kai intravenous) he saline rānei (wai IV). I ētahi wā ka whakaurua he ngongo angiangi motuhake mā tō waha, mā tō ihu rānei hei hoatu kai ki roto i tō puku, ki tō whekau iti rānei.

Me pēhea te tango i te ngongo? (He aha te "(Extubation)"?)

Kia kitea e ngā tākuta he haumaru te tango i te ngongo, ka tangohia e rātou. Ko te "Extubation" te ingoa o tēnei. Anei te mahi:

• Ka tangohia te pāreti, te rīpene rānei e pupuri ana i te ngongo kia mau.
• Ka tangohia e te taputapu momi te hūpē me ētahi atu paru i ō ara manawa.
• Kua keto te poihau i pupuhihia i roto i te puku o te waha.
• Kātahi ka kīia atu kia manawa hōhonu koe, kia maremare, kia whakaputa rānei i te manawa i a rātou e kukume ana i te ngongo ki waho.

Tērā pea ka mamae tō korokoro (`(Pharynx)`) mō ētahi rā i muri i te `(Extubation)`. Tērā pea ka uaua ki te kōrero. He mea noa tēnei, kaua e manukanuka.

He aha ngā painga o te whakaurunga ngongo?

He tikanga noa te whakaurunga ngongo, he tikanga haumaru hoki , ā, ka āwhina i a koe ki te whakaora i tō ora.

Ko te painga nui o tēnei ko te whakaora i te ora o te tangata e uaua ana ki te manawa. Nō reira, ki te whakaritea ki ngā mōrearea iti kē atu, he mea tino whai hua tēnei.

He aha ngā tūponotanga ka ora mēnā ka tāutahia he ngongo?

He rerekē tēnei i ia tangata, i ia tangata. He maha ngā mea e whakawhirinaki ana ki tēnei, pērā i te take o te whakaurunga o te ngongo, tō tau, tō hauora whānui, me ētahi atu. Engari i kitea i roto i tētahi rangahau e whitu i roto i te tekau o ngā tāngata kua whakauruhia he ngongo ki roto i te rūma ohorere ka ora . Nō reira, e whakaatu ana tēnā i te nui o te whakaora ora.

He aha ngā mōrearea o te whakaurunga ngongo?

Ahakoa he haumaru te whakaurunga o te ngongo, tera ano etahi tūponotanga. Engari kia maumahara, he nui ake te uara o te whakaora i te ora i enei tūponotanga.

• Te manawa : I te wā e whakauruhia ana te ngongo, ka uru pea te ruaki, te toto, ētahi atu wai rānei ki roto i ngā pukahukahu.
• Te whakaurunga ngongo endobronchial: He ngongo ka whakaurua ki roto i te puha manawa (trachea) ki roto i tētahi o ngā ara manawa matua e rua (bronchi) e peka atu ana i te puha manawa ki roto i ngā pukahukahu.
• Te whakaurunga o te ngongo manawa ki roto i te pūhā kai (esophagus) kaua ki roto i te pūhā manawa (trachea), ka pā he kino ki te roro, ka mate rānei mēnā kāore e tere te rongoā e te tākuta.
• Te korenga e mau te ara manawa: Ki te kore e taea te mahi tika i te whakaurunga ngongo, kāore pea e taea e ngā tākuta te rongoā i a koe.
• Ngā mate urutā: Ka puta pea ngā mate kitakita, pērā i ngā mate sinus, i muri i te whakaurunga o te ngongo.
• Ngā whara: Ka taea e te whakaurunga o te ngongo te whara i te waha, i ngā niho, i te arero, i ngā taura reo, i te ara manawa rānei. Ka taea e ēnei whara te whakaheke toto me te pupuhi.
• Ngā raruraru ina puta mai i te rongoā whakamoe: Ka ora pai te nuinga o te tangata i te rongoā whakamoe. Heoi, tera pea ētahi e uaua ki te oho ake, ka pāngia rānei e ētahi atu raruraru pēnei i te kirika, te wiri o te uaua (malignant hyperthermia), te kino rānei o te io mō te wā poto, mō te wā tuturu rānei.
• Te pneumothorax whakauaua (te hinganga o te pūkahukahu): Ka taea e te hau e mau ana i roto i te uma te hinga i ngā pūkahukahu.

Ahakoa ka taea ēnei mea te tupu, e tino āwangawanga ana ngā tākuta mō ēnei mea katoa.

Ko wai kāore e whakauruhia ana te ngongo?

I ētahi wā, ka whakatau ngā tākuta kāore i te haumaru te whakauru i te ngongo. Ka tupu pea tēnei mena he whara nui ki te ara manawa, he ārai rānei e kore ai e taea te whakauru haumaru i te ngongo.

I roto i ēnei āhuatanga, ka whakatau pea ngā tākuta ki te mahi pokanga i tō kaki o raro hei whakatuwhera i tō ara manawa. Ka kiia tēnei he " tracheostomy." He maha ngā wā ka mahia tēnei mēnā me whai ngongo manawa koe mō ngā rā maha, mēnā rānei e whakaaro ana koe me whai ngongo manawa koe mō ngā wiki maha.

Kia pēhea te roa o te wā e ora ai?

Ka ora ake te nuinga o te tangata i roto i ētahi hāora, i ētahi rā rānei i muri i te whakaurunga o te ngongo. Heoi, ki te uaua ki a koe te maremare, te horomi, te kōrero rānei ahakoa i muri i ētahi wiki, tirohia he tākuta. Tērā pea ka tukuna koe e rātou ki tētahi tohunga taringa, ihu, me te korokoro (otolaryngologist).

Āhea koe me toro atu ki te tākuta i muri i te whakaurunga o te ngongo?

Ki te pāngia koe e tētahi o ēnei tohu i muri i te whakaurunga o te ngongo , me toro atu ki te tākuta tonu:

• Mamae o te uma
• He uaua ki te manawa, pērā i te poto o te manawa
• He uaua, he kore rānei e taea te kōrero, te horomi rānei
• Korokoro mamae nui
• Pupuhi kanohi

Mena kei a koe tētahi o ēnei mea, me tino kōrero ki te tākuta.

He pēhea te kino o te whakaurunga ngongo?

Kei te take e hiahiatia ai he `(Intubation)` tēnei. I ētahi wā ka whakamahia e ngā tākuta te `(Intubation)` i ngā wā e whakaritea ana ngā pokanga. Ehara i te mea nui. Engari i roto i tētahi āhuatanga ohorere, ina kore e taea e koe te manawa ko koe anake, ina mahia te `(Intubation)` hei mahi whakaora ora, he āhuatanga tino kino tēnei.

He rerekē te "whakaurunga ngongo" me te "whakahau manawa"?

He hononga te ``(Whakaurunga ngongo)`` me te ``(Whakahauātanga ā-ringa)``. Engari, kāore i te tino ōrite.

• Ko te whakaurunga o te ngongo he tukanga whakauru i tētahi ngongo manawa ki roto i te ara manawa.
• Kātahi ka hono te tākuta i te ngongo ki tētahi taputapu hei manawa. Tērā pea he putea ringaringa tēnei taputapu hei pupuhi i te hau, he taputapu whakapūngao rānei.
• He mīhini te mīhini manawa e pupuhi ana i te hāora ki roto i ō ara manawa me ō pukahukahu. I ētahi wā ka tukuna te hau e te mīhini manawa mā roto i te kopare e taupoki ana i tō mata, kaua mā roto i te ngongo.

Kei te mārama koe? I te nuinga o te wā, ka honoa te mīhini manawa i muri i te "Intubation".

He aha te `(Whakaurunga ngongo nasotracheal)`?

Koinei te wāhi e whakauru ai ngā tākuta i tētahi ngongo manawa mā roto i tō ihu. He mea whakamahi pinepine tēnei mēnā kei te pokanga koe i tō mahunga, i tō waha, i tō kaki rānei. Ka āwhina hoki ki te ārai i ngā whara atu ki tō kaki, ki tō puku rānei.

Hei whakamutunga, ngā mea hei maumahara

He mea whakamataku te whakaaro ka tākuta he ngongo e whakauru ana i tō korokoro. Engari he tikanga hauora te intubation e mahia ana i roto i ngā rūma pokanga me ngā rūma ohorere hei āwhina i a koe ki te whakaora i tō ora mēnā kāore e taea e koe te manawa. He maha ngā tāngata e pāngia ana e te mamae o te korokoro, e te uaua rānei ki te kōrero i muri mai. Engari ko aua pānga taha ka ngaro i roto i te wiki. Nō reira, whakawhirinaki ki ō tākuta. Kei te ngana tonu rātou ki te mahi i te mea pai mōu.

` Te whakaurunga ngongo, te manawa, te tiaki ohorere, te tautoko manawa, te whakapūnga manawa, te pokanga, te tracheostomy