Kua kite pea koe i tētahi i roto i tētahi kiriata, i te pouaka whakaata rānei e honoa ana ki tētahi huinga mīhini hei āwhina i a rātou ki te manawa. He maha ngā wā ka karangatia tēnei e tātou ko te 'tautoko ora'. Engari he aha rawa tēnei? He mea tēnei hei wehi mā tātou? Ehara te tautoko ora i te tikanga o te mate. I tēnei rā, ka kōrerohia e tātou tēnei mea kia tino māmā, kia mārama ai koe.
He aha rawa te Tautoko Ora?
I roto i ngā kupu māmā, ko te tautoko ora te tukanga o te tautoko ā-waho i tētahi okana (pērā i ngā pukahukahu, ngā whatukuhu, te ngākau rānei) kāore e mahi tika ana, mā te whakamahi i tētahi mīhini, i tētahi atu tikanga hauora rānei, kia taea rā anō e te okana te mahi takitahi. He rite tēnei ki te whakamahi i tētahi tūru wīra mō tētahi wā poto ina kore e taea e te tangata te hikoi. Ka hoatu e ia ki te tinana te wā me te tautoko e hiahiatia ana hei whakaora.
Heoi, i ētahi wā, kāore e taea e te tinana te mahi takitahi anō me te kore he āwhina o aua mīhini. I ēnei wā, me whakatau uaua ngā whakatau mō te tautoko ora. I konei, me titiro tātou ki ngā painga o te maimoatanga me te taumahatanga e pā ana ki tēnā.
Āhea ka tīmata te tautoko ora? Ka taea te whakamutu?
I te nuinga o te wā, ka tīmata ngā tākuta i te tautoko ora ina mōhio rātou e hiahiatia ana e tō tinana. Ka taea tēnei te tupu i ngā wā katoa, pērā i te aituā, i te mate ohorere rānei.
Heoi, kāore e tīmatahia te tautoko ora i roto i ēnei take:
- Ki te mea ko koe anō hei whakakahore: Ki te mea kei te mārama te tūroro, ka taea e rātou te kī kāore rātou e hiahia ki taua maimoatanga.
- Ngā tohutohu ā-mua: Ahakoa kei te ora tonu ētahi tāngata, he tuhinga ture ā-ture tā rātou (ngā tohutohu ā-mua) e kī ana kāore rātou e hiahia ki te maimoatanga oranga tonutanga mēnā ka pāngia rātou e te mate whakamate.
- Mena ko te whānau te kaiwhakatau: Mēnā kāore e taea e te tūroro te whakatau, ka taea e ngā mema o te whānau tata te whakatau i runga i te ingoa o te tūroro.
Te whakamutu i te tautoko ora
Koinei te wāhanga tino tairongo o tēnei kaupapa. Ka roa pea te noho o te tangata ki runga i te tautoko ora. Engari i tētahi wā, ki te kite ngā tākuta kāore he tūponotanga ka ora ake te tūroro, ka ora pai rānei i te oranga me ēnei maimoatanga, ka whakamōhio atu rātou ki a koe, ki tō whānau rānei.
Ko te mea nui kia mārama koe me tō whānau i konei, ehara i te mea ka mutu te maimoatanga te mate o te tangata, engari nā te mate kāore e taea te whakaora. Ko te pupuri i te tautoko ora he tuku noa i te mea ka tupu noa.
He whakatau whaiaro tēnei. He mea tino tika, he mea ture hoki, ā, he mea tika hoki mō ngā tikanga te whakamutu i te maimoatanga hauora kāore e whai hua ana.
He aha ngā momo tautoko ora matua?
Ina whakaaro tātou ki te tautoko ora, he maha ngā wā ka whakaarohia e tātou he mīhini hei āwhina i a tātou ki te manawa, engari he nui atu i tērā. Me titiro tātou ki ngā momo matua.
| Tikanga Tautoko | I te kī ngāwari, koinei te mea ka tupu... |
|---|---|
| Te Whakahaunga Mīhini | Mō te tangata kāore e taea te manawa, ka pupuhihia te hau e te mīhini e kiia nei ko te ventilator ki roto i ngā pukahukahu. Hei mahi i tēnei, ka whakauruhia he ngongo ki roto i te puku mā te waha, mā te ihu rānei (intubation). |
| ECMO (Te Whakahāngaitanga o te Hāora ki te Kiriuhi o Waho) | He tikanga matatau ake tēnei i te mīhini manawa. Ka tangohia te toto mai i te tinana, ka whakamahia he mīhini hei tāpiri i te hāora ki taua toto, ka tangohia te hauhā waro, ka whakahokia ki te tinana. He rite ki te pukahukahu hangai. |
| Whakaora manawa (CPR) | Ki te ngana ki te tīmata anō i te manawa mā te pēhi i te uma, te tango i ngā fibrillation, me te rongoā ki tētahi kua mutu tōna manawa me tōna manawa. |
| Kai Totika me te Wai Whakamakuku | Ko te whakarato kai me ngā wai mā roto i tētahi ngongo ka whakaurua mā te ihu ki roto i te puku (whangai ngongo) ka tukuna tika atu rānei ki roto i tētahi uaua (TPN) mō te tangata kāore e taea te kai, te inu rānei mā te waha. |
| Te Dialysis o te Whatukuhu | Ka tukuna te toto o te tangata kāore e mahi ana ōna whatukuhu mā roto i tētahi mīhini e tango ana i ngā para me te wai tāpiri, ā, ka purea. He rite tēnei ki tētahi whatukuhu horihori. |
He kōrero anō mō ēnei
- He mīhini manawa: Ka taea te whakamahi i tēnei mō ngā raruraru poto, pērā i te niumōnia kino, mō ngā raruraru roa rānei, pērā i te hunga whara te taurakira. Heoi, mō te tangata kei ngā wāhanga whakamutunga o te mate whakamate, ka roa noa te tukanga mate i te mīhini manawa. Kāore e whakaora i te mate pūtake.
- Dialysis: Ehara tēnei i te rongoā mō te ngoikore o te whatukuhu. Ka whakakapia noa te mahi a ngā whatukuhu ki tētahi mīhini. Ki te mutu te dialysis, ka ngoikore anō ngā whatukuhu. Kāore e taea e te tangata te ora me te kore e mahi ngā whatukuhu. Ki ētahi tāngata, he pai te kounga o te oranga e tukuna ana e te maimoatanga dialysis. Engari ki ētahi tāngata, inā koa ko te hunga he mate kore e taea te rongoā, ka nui ake te ahotea o te dialysis i te pai.
He aha te BLS me te ALS?
He mea nui anō hoki tēnei hei mōhio māu mō te tautoko ora.
Tautoko Ora Taketake (BLS)
E pā ana tēnei ki ngā tikanga whakaora ora taketake ka taea e te tangata te whakarato i roto i te āhuatanga ohorere. Hei tauira, ki te pāngia tetahi e te mate manawa i te rori, ā, ka tōia, ka mahi te kaiawhina tuatahi, te kaimahi hauora rānei e tae atu ana ki te wāhi tūroro i te CPR . Ka taea e te tangata katoa te ako i ēnei tikanga.
Tautoko Ora Matatau (ALS)
He tikanga hauora matatau tēnei e neke atu ana i te BLS. Mā ngā tākuta me ngā kaimahi hauora whakangungu anake e mahi. Ka mahia tēnei maimoatanga ALS i roto i te Wāhanga Maimoatanga Ohotata (ETU) i te Wāhanga Tiaki Kaha rānei (ICU) o te hōhipera. Ka whakamahia e ia ngā rongoā, ngā mīhini, me ngā tikanga matatau. Ko tēnei momo maimoatanga mō ngā tamariki nohinohi e kiia ana ko te Pediatric Advanced Life Support (PALS) .
Ko te tautoko ora he mea hei āwhina i a koe, i tō hoa aroha rānei i roto i tētahi āhuatanga ohorere, i te wā rānei e mate ana mō te wā roa. Ka taea e ia te hoatu i te wā ki te tinana kia ora. Engari i ētahi wā, ka whakaroa noa i te tukanga mate.
Ko te mea nui ko te kōrero māhorahora me te pono mō tēnei mea ki tō tākuta me tō whānau. He whakatau whaiaro, he whakatau nui te tīmatanga, te whakakore, me te whakamutu i te tautoko ora.
Karere Tangohia ki te Kāinga
- He āwhina rangitahi te tautoko ora ki tētahi okana o te tinana, ehara i te tohu o te mate.
- Hei hoatu tēnei ki te tinana te wā me te tautoko e hiahiatia ana hei whakaora.
- I ngā wāhanga whakamutunga o te mate whakamate, ka roa pea te tukanga mate mā te tautoko ora.
- He whakatau whaiaro te tīmatanga, te whakamutu rānei i te tautoko ora. He mea nui kia kōrerohia tēnei ki tō tākuta me tō whānau.
- Ko te mea nui rawa: Kāore te tangata e mate nā te mea kua mutu te maimoatanga. Ko te take o te mate ko te mate taketake, te mate kore e taea te rongoā.
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