Kua rongo katoa tātou i te iwi e kī ana, "Me hoatu e au he tote ki a koe," "Me hoatu e au he huka ki a koe," ina mate tetahi, ina ruaki, ina korere rānei, i muri rānei i tētahi pokanga nui. Ko ētahi e kī ana ka hoatu he pūngao ki a koe. Nō reira, he aha rawa ēnei wai e hoatu ana ki te tinana mā roto i te uaua, e kiia nei rānei he wai IV i roto i ngā kupu hauora? He aha i hoatu ai? He haumaru? I tēnei rā, ka kōrerohia e tātou ēnei mea katoa i roto i te huarahi māmā noa iho, i roto i tētahi huarahi e mārama ai koe.
He aha tātou e hiahia ai ki ngā wai werohanga (tote)?
He whakarāpopototanga noa iho, e hiahiatia ana ngā wai IV ina tino iti te nui o te wai i roto i tō tātou tinana, arā, ina matewai tātou. Whakaarohia he rite ki te miihini o te motuka. Pērā i te miihini e hiahia ana ki te wai me te hinu kia pai ai te oma, he mea nui te wai kia pai ai te mahi a ia pūtau me ia okana i roto i tō tātou tinana. Inaa, 60% o tō tātou tinana he wai. Nō reira, ina heke te nui o te wai, ka ngoikore te mahi a te tinana katoa.
I te nuinga o te wā, ka taea e koe te whakatutuki i tēnei hiahia wai mā te inu wai mā te waha. Heoi, i ētahi wā ka ngoikore rawa te tinana ki te tango wai mā te waha, ka nui rawa atu rānei te nui o te wai e puta mai ana i te tinana i te nui e tangohia ana e te waha. I ēnei wā, me hoatu tika tēnei wai ki roto i te toto mā roto i te uaua.
He aha ēnei āhuatanga?
- Ngā mate: Ki te nui tō ruaki, ki te pāngia rānei koe e te mate korere , ka ngaro te nui o te wai i roto i tō tinana. I ēnei wā, ahakoa ka inu wai koe mā roto i tō waha, tērā pea kāore e noho ki roto i tō tinana, ā, ka puta mai anō.
- Korikori tinana me te wera nui: Ina nui te werawera i muri i te tākaro i te rā, i te mahi uaua rānei, ka ngaro te wai me te tote i roto i tō tinana. Ki te kore koe e inu i te nui o te wai i taua wā, ka matewai pea koe.
- Ngā whara nui, ngā wera rānei: Ka taea e tētahi aituā nui, whara, wera kiri rānei te ngaro wawe i te nui o te wai mai i te tinana.
- Pokanga: I mua atu, ā, i muri i te pokanga nui, ka hoatu he wai IV hei pupuri i ngā taumata wai o te tinana nā te mea kei raro koe i te mate whakamoe, ā, kāore pea e taea e koe te kai, te inu rānei.
He aha ngā raruraru ka puta mai ina ngaro te wai i te tinana (matewai)?
Ehara i te mea ko te matewai anake te take o te matewai. He maha ngā pānga ki roto i te tinana.
- Te kore taurite o ngā kohuke: Ko ngā kohuke e kiia nei ko ngā electrolytes, pērā i te konutai me te pāhare pāporo, he mea nui mō te mahi tika o ngā io me ngā uaua o tō tātou tinana. Ka kore taurite ēnei i te wā e maroke ana te wai.
- Te mahi hinengaro: He mea nui hoki te wai mō te mahi a te roro. Ina kore e ranea te wai , ka uaua te arotahi , ā, ka heke te kaha ki te whakaaro.
- Te ngaronga o te kaha: te ngenge, te ngengeKo te ngenge tetahi tohu matua o te matewai.
- Pūnaha nakunaku: He mea nui te wai mō te tukanga nakunaku, tae atu ki te whakaputa i te paru me te mimi.
- Te ānini: Ka taea e te matewai te whai wāhi ki te ānini pinepine me tōna kaha.
- Ngā pānga ki ngā whekau o roto: Ka tino pāngia te mahi a ngā whekau nui, inā koa ngā whatukuhu, te ngākau, me te roro .
- Hauora kiri: Ka maroke, ka miro te kiri.
Kia maumahara, he āhuatanga ohorere hauora te matewai nui, nō reira he mea nui kia tūpato ki ngā tohu e whai ake nei.
| Ngā Tohu o te Matewai Nui | |
|---|---|
| Tohu | He whakamārama māmā |
| Pōuriuri | Te pōuriuri, te kikorangi o ngā kanohi. |
| Ngā kanohi maroke, ngā ngutu, me te arero | Ngā kanohi maroke, tino maroke, kāore e puta mai ngā roimata i te tangi, ā, ka maroke ngā ngutu me te arero me te mea kua ngatata. |
| Te maroke me te rerekētanga o te kiri | Ka maroke te kiri, ka miro, ā, i ētahi wā ka puta he ira ki te kiri. |
| Ngenge | Te āhua ngoikore, kāore e taea e koe te mahi i tetahi mea. |
| Te manawa tere | Te tere o te manawa i te mea noa. |
| Ngā ringa me ngā waewae makariri | Te mātao ina pā ki ngā ringaringa me ngā waewae. |
| Te whakahekenga o te mimi | E mimi ana i raro i te whā wā i te rā, ā, he kōwhai pouri te tae o te mimi e puta ana, ā, he kakara kaha. |
He momo wai IV kei reira?
Ae, ahakoa e kīia ana ko "saline", he maha ngā momo wai IV. Mā tō tākuta e whakatau ko tēhea momo e hiahiatia ana e koe, i runga i tō āhua. E rua ngā momo matua.
1. Ngā wairewa tioataroiti: Koinei ngā momo wai IV e whakamahia whānuitia ana. He iti rawa ngā matūriki kei roto, ā, he mea rewa ki te wai. Ka taea e ēnei matūriki te uru mā roto i te toto ki roto i ngā kiko me ngā pūtau o te tinana.
- Te tote noa: Koinei te mea e kīia nei e tātou ko te "wai tote." Ka hangaia mā te whakarewa i te konutai pūhaumāota (tote) ki roto i te wai.
- D5W (Teketoro i roto i te wai): Koinei te mea e kiia nei ko te "kurukose" ko te "wai huka" rānei. Ka hangaia mā te whakarewa i te teketoro, he momo huka, ki roto i te wai.
- Ringer Lactated: Kei roto i tēnei otinga te konutai, te pūhaumāota, te pāhare pākawa, te konupūmā, me te lactate. Ka whakamahia hei whakakapi wawe i te nui o te wai i ngaro i te tinana.
2. Ngā korōiti: He nui ngā matūriki kei roto i ēnei. Kāore e taea e ēnei matūriki te haere mā roto i ngā pakitara pūtau. Nō reira, ka noho roa ki roto i ngā oko toto. Hei tauira, ko te albumin me te hetastarch .
He aha ngā mahi hei hoatu i te rongoā tote IV?
Mēnā me hoatu he wai IV ki roto i te ipu, ka whai te tākuta, te nēhi rānei i ēnei mahi. Mā te mōhio ki tēnei ka āwhina i a koe ki te karo i te mataku koretake.
1. Tuatahi, ka whakaarohia e te tākuta ngā mea maha, pēnei i tō taumaha, tō tau, me tō āhua hauora, hei whakatau i te momo wai IV e hiahiatia ana e koe, te nui hei hoatu, me te tere o te hoatu.
2. Muri iho, ka tīpakohia e te nēhi he uaua pai i roto i tō ringa (i te nuinga o te wā kei roto i tō tuke, kei te ringa o runga rānei).
3. Ka horoia pai te wāhi kua tīpakohia ki te wai patu huakita.
4. Kātahi ka whakatakotoria he here, pērā i te here rapa, ki te ringa o runga, ā, ka whakakīkīhia kia paku. Mā tēnei ka kitea mārama ngā uaua.
5. Kātahi ka āta werohia he ngira kua whakahoromatatia ki roto i te uaua. Tērā pea ka rongo koe i te ngau iti i tēnei wā. Ka waihohia he ngongo kirihou iti (cannula) e piri ana ki te ngira ki roto i te uaua, ā, ka tangohia te ngira.
6. Tangohia te tourniquet, ka whakaū kua whakaurua katoatia te cannula ki roto i te uaua.
7. Whakamaua te cannula ki tō ringa mā te whakamahi i te takai paraikete hei ārai i te nekeneke.
8. Kātahi ka honoa he ngongo roa ki te cannula, ā, ko tetahi pito o te ngongo ka honoa ki te putea wai IV.
9. Ka whakairihia te putea wai IV ki runga i tētahi tūnga teitei, i ētahi wā mā roto i tētahi mīhini papu, e taea ai te rere o te wai ki roto i tō tinana i tētahi tere kua whakaritea.
10. Ka haere mai ngā nēhi i ia wā, i ia wā, ki te tirotiro mēnā kei te pai te mahi, ā, mēnā kei te pāngia koe e tētahi mamae.
He aha ngā painga me ngā mōrearea tino onge o tēnei?
He tikanga tino māmā, he tikanga haumaru hoki te hoatu wai IV, e whakamahia whānuitia ana puta noa i te ao. Ka taea e ia te āwhina i a koe kia tere te ora, ā, i ētahi wā ka taea te whakaora i te ora.
Heoi, pērā i ngā maimoatanga hauora katoa, he tino onge ētahi raruraru ka puta. He mea pai kia mōhio ki ēnei, engari kaua e mataku rawa atu.
| Ngā raruraru | He aha te tikanga o tēnā? (He māmā noa iho) |
|---|---|
| Te pupuhi hau | Te nui rawa o te hau e tomo ana ki te uaua mā te raina IV. He tino onge tēnei, engari ka taea te kino mēnā ka puta. |
| Uaua kua hinga | Tērā pea ka piri te uaua ina werohia te ngira, mēnā rānei kei te mau tonu te cannula mō te wā roa. Mēnā ka tupu tēnei, ka whakamahia e te hunga hauora tētahi atu uaua. |
| Te nui rawa o te wai | Ki te nui rawa te wai e horomia ana e koe i te wā tere rawa, ka pāngia pea koe e te ānini, te toto toto tiketike, me te uaua ki te manawa. Ka tere te memeha o tēnei āhuatanga ina whakatikatikaina e koe te nui o te wai. |
| Hematoma | Te toto e rere ana mai i tētahi uaua toto ki roto i ngā kiko e karapoti ana. He rite tēnei ki tētahi marō mārō, ā, ka ora ake i roto i ētahi wiki. |
| Mate pāwera | Ki te kore e horoia tika te wāhi werohanga, ka pā mai he mate. Ka taea te rongoā i ēnei ki ngā paturopi. |
| Te whakaurunga | Tērā pea ka puta te cannula i roto i te uaua ka turuturu te wai ki roto i ngā kiko e karapoti ana. Ka puta te mumura me te marō i tēnei, engari he ngāwari noa iho te whakaora. |
| Te mate pūkahukahu | Ka pupuhi te uaua mā te IV. He mea noa tēnei, engari he ngāwari noa te rongoā mā te tango i te IV me te tāpiri i tētahi kōpeke mahana. |
He aha taku e kōrero ai ki te tākuta , ki te nēhi rānei i te wā e werohia ana te tote?
Ki te pāngia koe e te mamae i te wā e tango ana i te wai tote, me ripoata tonu atu. Mā tēnei ka ārai i te raru nui ake.
- Mena he puhoi rawa, he tere rawa rānei te rere o te wai i roto i te putea tote .
- Mena he mamae, he pupuhi, he whero, he mura rānei te wāhi i werohia ai te cannula .
- Mena kei te ahua wetekina te cannula.
- Ki te pāngia koe e te mamae o te upoko, e te uaua rānei ki te manawa .
Ki te pā mai tētahi mea pēnei ki a koe, kaua e wehi ki te kōrero ki tētahi nēhi, ki tētahi tākuta rānei i reira. He mea tino nui tēnei mō tō haumaru.
Karere Tangohia ki te Kāinga
- Ko ngā wai IV, arā, ko te "saline" me te "glucose" te ingoa, he momo wai motuhake e tukuna ana mā roto i te uaua hei whakakī anō i te wai me ngā kohuke o te tinana ina kore e wai (maroke).
- He mea noa te whakamahi mō te ruaki, te korere, te werawera nui, ngā aituā, me ngā pokanga.
- He tikanga hauora tino noa, he haumaru hoki tēnei, engari he tino onge te puta mai o ngā raruraru.
- Mena ka pāngia koe e te mamae, te pupuhi, tetahi atu mamae tinana rānei i te wāhi o te cannula i a koe e whiwhi ana i te wai IV, whakamōhio atu ki tō tākuta, ki tō nēhi rānei i taua wā tonu.
- Mā tō tākuta e whakatau te momo me te nui o te wai IV e pai ana mō tō āhua, nō reira me whai tonu i ngā tohutohu a tō tākuta.
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