Kua tae atu koe ki te hōhipera? Kua tae atu rānei koe ki te kite i tētahi? Kua kite pea koe i tētahi pounamu tote e piri ana ki tō ringa i taua wā, tika? He tokomaha o tātou e whakaaro ana he rite tonu te mea kei roto i ngā pounamu tote katoa e tukuna ana ki te tinana i tēnei ara. Engari i te ao tūturu, ehara i te mea pērā. He rerekē ngā momo wai IV e whakamahia ana mō ngā āhuatanga hauora rerekē me ngā āhuatanga rerekē. Nō reira, i tēnei rā, me kōrero tātou mō ngā wai IV e rua e whakamahia whānuitia ana i tō tātou whenua, arā, ko te Lactated Ringers me te Normal
Saline .
He aha te hiranga o te wai mō ō tātou tinana?
Tuatahi, me titiro tātou he aha i tino hira ai te wai i roto i ō tātou tinana. Whakaarohia,
e 60% o ō tātou tinana he wai. He mea nui tēnei wai mō te mahi hauora o ngā okana katoa o roto i tō tātou tinana, tae atu ki tō tātou roro,
te ngākau , ngā pukahukahu, me ngā whatukuhu. He māmā noa iho, he maha ngā mahi nui a te wai i roto i ō tātou tinana, tae atu ki:
- Āwhina i ngā pūtau ki te mahi tika i ā rātou mahi.
- Ka whakahinuhinu i ō tātou hononga .
- Whakahaere i te pāmahana o te tinana.
- Ka haria ngā matūkai puta noa i te tinana.
- Ka puta te para mā te mimi me te paru.
- Ka tiaki i te roro me te taurakira mai i te kino.
Kua mārama koe ki te hiranga o te wai? Hei tauira, ina nui
te ruaki , ina nui te toto e ngaro ana i roto i tētahi aituā nui, ina pāngia rānei tātou e te weranga, ka tangohia he nui te wai mai i te tinana. Ka kiia tēnei
he matewai . Ina tupu tēnei, ka kore e taurite te nui o ngā irahiko i roto i te tinana, ka matotoru te toto, ā, me kaha ake te mahi a te ngākau. Koinei te wā e tukuna ai ngā wai mā roto i te uaua (IV) hei whakaora i ngā mahi a te tinana.
He aha ngā Ringers Lactated me te Saline Normal?
Koinei ngā wai werohanga e rua e whakamahia whānuitia ana i ngā hōhipera. Ka karangatia ēnei e mātou
he wai tioata . Ko te tikanga he iti rawa ngā matūriki o ēnei wai. Nō reira, ka taea e rātou te uru mā roto i ngā kiriuhi pūtau, ka mimiti ki roto i te tinana. Waihoki,
he isotonic ēnei wai e rua. Ko te tikanga he rite tonu te kukū o ēnei wai ki te kukū o te toto toto. Nō reira, ina hoatu ki te tinana, kāore e kino ki ngā pūtau. Engari he rerekētanga nui kei waenganui i ngā mea e rua. Nā ēnei rerekētanga, ka whiriwhiria e ngā tākuta te momo wai e tika ana mō ia tūroro.
| Momo Wai | Ngā Kai | Motuhaketanga |
|---|
| Tote Noa (0.9% konutai pūhaumāota) | Ko te tote me te wai anake te konutai pūhaumāota (konutai hauota). | Ko te wai IV taketake e whakamahia whānuitia ana. |
| Ngā Ringers Lactated (LR) | Te konutai pūhaumāota, te konutai lactate, te pāhare pākawa waro, te konupūmā pūhaumāota me te wai. | He otinga taurite, he rite tonu ki te parāoa toto i roto i ō tātou toto. |
E kite ana koe, he wai tote noa te Normal Saline. Engari kei roto i te Lactated Ringers ētahi atu tote (electrolytes) e hiahiatia ana e ō tātou tinana. Nō reira, he tata ake te hanganga o te Lactated Ringers ki te hanganga o ō tātou toto.
Me pēhea te whiriwhiri a ngā tākuta i ēnei?
Āe, ko te mea nui rawa atu tēnei. Āhea me hoatu te Normal Saline? Āhea me hoatu te Lactated Ringers? Mā te tākuta e rongoā ana i a koe tēnei whakatau. He maha ngā āhuatanga e pā ana ki tēnei.
Ko te mea nui , ehara i te mea mā te tūroro te whakatau ko tēhea momo wai IV e hiahiatia ana e rātou. He whakatau tēnei ka mahia e te tākuta i runga i te āhua o te tūroro, ngā hua o te whakamātautau toto , me ētahi atu āhuatanga hauora.
Me whakamārama ake tēnei i roto i te ripanga i raro nei.
| Momo wai IV | Ngā wā pai hei whakamahi | Ngā āhuatanga hei karo/kia tūpato mō te whakamahi |
|---|
| Tote Noa | - Mō te nuinga o ngā āhuatanga matewai (ruaki/korere).
- Mēnā ka totohu.
- I roto i te āhua ohorere .
- Mēnā he iti te konutai i roto i te toto.
- Koinei anake te wai ka taea te hoatu me te whakawhiti toto.
| - Ngā tūroro e mate ana te ngākau .
- Ngā tūroro e mate ana i te whatukuhu.
- Ngā tāngata e mōrearea ana ki te nui rawa o te wai.
- Te mōrearea o te pikinga o ngā taumata pūhaumāota i roto i te toto (Hyperchloremia).
|
| Ngā Ringers Lacted | - Mēnā he weranga , he aituā kino rānei (Whara).
- Mēnā ka puta he toto ohorere.
- I te wā o te pokanga, ā, i muri hoki i te pokanga.
- Ina ngaro ngā electrolytes i te tinana.
- I roto i ngā āhuatanga pērā i te waikawa metabolic.
| - Ngā tūroro e mate ana i te ate.
- Te ngoikore nui o te whatukuhu.
- Mēnā he waikawa lactic (te nui haere o te waikawa lactic i roto i te toto).
- Ina neke ake te pH o te toto i te 7.5.
|
He mōrearea kei roto i ngā wai IV?
He tino haumaru te tuku wai IV i raro i te tirotiro a te tākuta. Heoi, pērā i ngā maimoatanga katoa, he tūponotanga anō kei reira. Ko ngā tūponotanga matua ko te tuku
i te momo wai hē, te tuku nui rawa, te tuku iti rawa rānei, te tuku iti rawa rānei .
Mena ka nui ake te wai i tō hiahia:
- Te pupuhi o ngā waewae me ngā ringa.
- Te toto toto tiketike.
- Te uaua ki te manawa.
- Te whakaroa i te whakaora o te patunga.
Ki te kore e nui ngā wai e whiwhihia ana e koe (ki te haere tonu te matewai):
- Te pikinga o te tere o te ngakau.
- Te toto toto iti.
- Te ngoikore o te whatukuhu.
- Te ohorere me te ngoikore o ngā okana.
Koia te take ina hoatu he wai IV ki a koe i te hōhipera, ka haere mai ngā nēhi ki te tirotiro i te tere o te rere me tō āhua.
Karere Tangohia ki te Kāinga
- Ahakoa e kī ana mātou ko te "saline," he maha ngā momo wai IV e whakamahia ana i ngā hōhipera. Ko te Normal Saline me te Lactated Ringers ngā momo matua e rua.
- He rerekē te hanganga o ia wai o ēnei wai, nō reira he rerekē te mahi i roto i te tinana.
- Mā tō tākuta e whiriwhiri te momo wai IV e tika ana hei hoatu ki a koe, me te whai whakaaro ki tō āhua hauora, tō tau, ētahi atu āhuatanga hauora, me ngā hua o te whakamātautau toto.
- He tino haumaru ngā wai werohanga ā-wha ina hoatu tika i raro i ngā tohutohu a te tākuta, nō reira kaua e mataku noa i a rātou.
- Mena he pātai, he āwangawanga rānei āu mō tēnei mea, kaua e mangere ki te pātai atu ki te tākuta, ki te nēhi rānei e rongoā ana i a koe.
Ngā wai IV, tote, Tote Noa, Ngā Ringers Lacted, te matewai, Te matewai, Ngā wai IV Sinhala, ngā momo tote
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