Kua tae pea koe ki te kite i tētahi i roto i te wāhanga tiaki nui (ICU). Kua mātakitaki rānei koe i tētahi kiriata e hono ana tētahi tūroro ki tētahi mīhini me te ngongo i roto i tōna waha. Tērā pea i mataku koe, i hiahia rānei koe ki te mōhio i tō kitenga i tēnā. Ko tētahi o ngā mīhini tino nui ko te mīhini manawa. Ahakoa he tokomaha te hunga e mataku ana ki tēnei mīhini, he taputapu whakaora ora tonu. Nō reira, i tēnei rā, me kōrero tātou mō te mea he mīhini manawa, arā, te "Mānawa Ā-ringa", he aha i hiahiatia ai, me ngā mea katoa e pā ana ki tēnei mīhini i roto i tētahi huarahi tino māmā.
He aha te mea he mīhini manawa?
He mīhini te mīhini manawa hei āwhina i a koe ki te manawa, hei tango rānei i te mahi katoa, ina kore e taea e koe te manawa ko koe anake. Pērā i te tautoko a ngā tokotoko i tō taumaha ina whati tō waewae, ka tautokona hoki ō pukahukahu e te mīhini manawa.
E toru ngā mahi matua a tēnei mīhini:
- Ka hoatu ki ō pūkahukahu te hāora e hiahiatia ana e rātou.
- Ka āwhina i ō pukahukahu ki te tango i te hauhā waro kāore e hiahiatia ana e kohia ana i roto i tō tinana.
- Ko ngā pēke hau ririki (alveoli) i roto i ō pukahukahu ka whakarato i te pēhanga e hiahiatia ana kia tuwhera tonu ai, kia kore ai e hinga.
Ka taea e ngā tākuta te whakarerekē i ngā tautuhinga o tēnei mīhini kia rite ki tō āhua, me te whakarato hoki i te tautoko e hiahiatia ana e koe.
Ko te mea nui , ehara te mīhini manawa i te rongoā mō te mate. Ka pupuri noa i tō manawa kia taurite tae noa ki te wā e whawhai ai tō tinana ki te mate, ā, kia ora ai. I taua wā tonu, ka taea e ō tākuta te whakarato i ētahi atu maimoatanga mō tō āhua.
He rerekē ngā kupu "Intubation" me te "Ventilation"?
Āe, ahakoa e puta tahi ana ēnei e rua, e pā ana tēnei ki ngā tukanga e rua.
- Te whakaurunga ngongo: Koinei te wā e whakauru ai te tākuta i tētahi ngongo mā roto i tō waha, i tō ihu rānei, ka heke ki raro i tō puku manawa (trachea) ka uru ki roto i ō pukahukahu. Ka kiia hoki tēnei he "ngā ngongo endotracheal" he ngongo ET rānei.
- Te Whakahauora Ā-Mīhini: E pā ana tēnei ki te tukanga hono i te ngongo i whakaurua i mua ki te mīhini whakahauora, hei āwhina i a koe ki te manawa.
I ētahi wā, hei utu mō te whakauru i tētahi ngongo pēnei, ka taea e koe te hono atu ki te pūwero manawa mā te whakamahi i tētahi kopare kanohi e piri pūmau ana ki tō mata. Ka kōrerohia e tātou tēnā ā muri ake nei.
He aha ngā momo matua o te whakaora manawa?
Ka whakamahia e ngā mīhini whakapūhauhau e whakamahia ana i ēnei rā te pēhanga pai hei pana i te hau ki roto i ngā pukahukahu. E rua ngā huarahi matua e taea ai tēnei.
| Momo maimoatanga | Hei whakarāpopototanga... |
|---|---|
| Te Whakahaunga Ā-Mīhini Urupare | Ko te whakauru i tētahi ngongo ki roto i tō ara manawa, me te hono atu ki tētahi taputapu whakapūnga manawa. Ka taea te whakauru i tēnei ngongo mā roto i tō waha (intubation) mā roto rānei i tētahi tapahi iti i tō kaki (tracheostomy) . |
| Te Whakahauora Kore-Whakaekenga | He kopare tēnei e piri pai ana ki te mata. Ka herea tēnei kopare ki te māhunga mā roto i ngā whitiki. Ka uru te hau mai i te mīhini manawa ki roto i ngā pukahukahu mā roto i tēnei kopare. Ko ngā taputapu pēnei i te (CPAP) me te (BiPAP®) e whakamahia ana i te kāinga, nō tēnei momo anō hoki. |
Āhea te wā e hiahiatia ai he mīhini manawa?
Tērā pea ka hiahia koe ki te āwhina o te mīhini manawa i roto i tētahi āhuatanga nui e kore ai e taea e koe te manawa tika ko koe anake. Hei tauira:
- I te wā pokanga nui: Ina kei raro koe i te rongoā whakamoe whānui, ka heke tō kaha ki te manawa. Nō reira, ka āwhinahia koe e te mīhini manawa i te wā o te pokanga.
- Ngā mate pukupuku kino, ngā āhuatanga rānei o te pūkahukahu: Pneumonia, COVID-19, Acute Respiratory Distress Syndrome (ARDS), me te Chronic Obstructive Pulmonary Disease (COPD) ina kino haere te āhua.
- Ngā āhuatanga ohorere, ngā āhuatanga hauora rānei: Ngā āhuatanga ohorere katoa e aukati ana i te ara manawa, e uaua ai te manawa. Hei tauira, he mate pāwera kino (anaphylaxis).
- Te kino o te roro, te mate rānei: I roto i ngā take pēnei i te whiu me te whara o te roro, kāore e taea e te roro te tuku tohu tika ki ngā pukahukahu kia manawa.
- Ngā panonitanga o te taurite hau toto: Mena ka piki te nui o te hauhā waro i roto i te toto (hypercapnia) ka heke rānei te nui o te hāora (hypoxemia), me whakamahi he mīhini manawa hei whakahaere i tēnei āhuatanga.
- Tiakina tō ara manawa:Ki te ruaki te tangata i roto i te koma i te huware, i te kai rānei i roto i tōna waha, ka taea e taua mea te uru ki roto i ōna pukahukahu. Hei ārai i tēnei, ka whakauruhia he ngongo mimiti hei tiaki i te ara manawa.
Kia pēhea te roa e noho ai koe i runga i te mīhini manawa?
Kei te āhua o te mate i hiahia ai koe ki te whakamahi i te mīhini manawa tēnei. Tērā pea he torutoru hāora, he torutoru rā, he torutoru wiki. I ētahi wā tino onge, me noho pea koe mō ngā marama, mō ngā tau rānei. Ko te whāinga a te tīma hauora kia tere, kia haumaru hoki te tango i a koe i te mīhini manawa. Kia tae rā anō ki taua wā, ka aroturukihia tonutia tō āhua.
I te nuinga o te wā, ki te mea me whakamahi koe i te mīhini manawa mō ngā wiki e rua neke atu, ka tangohia e ngā tākuta te ngongo i roto i tō waha ka whakauruhia he ngongo mā roto i tētahi tapahi iti i tō kaki (tracheostomy). He tikanga whakamarie ake tēnei, ā, he roa ake te wā mō te tūroro.
Ka ahatia ina honoa ki tētahi mīhini whakaea manawa?
Ka tū tēnei tukanga i roto i te wāhanga tiaki nui (ICU).
1. Tuatahi, ka hoatu he rongoā whakamoe ki a koe hei āwhina i a koe kia marino, kia hiamoe hoki. I taua wā anō, ka hoatu he rongoā pararutiki ki a koe hei pupuri i tō tinana kia kaua e nekeneke i te wā e whakaurua ana te ngongo.
2. Kātahi ka whakaurua e te tākuta he ngongo (ngoi ET) mā roto i tō waha ki roto i tō pūhā.
3. Hei whakamutunga, ka honoa te ngongo ki te mīhini manawa. Kātahi ka tīmata te mīhini ki te manawa māu.
Mēnā he āhuatanga ohorere, me mahi pea tēnei i tētahi huarahi rerekē, engari me tere tonu.
He aha atu anō ngā mea ka tupu ina kei runga koe i te mīhini manawa?
I a koe e whakamahi ana i te mīhini manawa, ka tiakina koe e tētahi rōpū tākuta kua whakangungua motuhake. Tērā atu anō ētahi mea ka puta i tēnei wā.
Aroturuki tata
Ka honoa koe ki ētahi atu aroturuki hei aroturuki i ngā mahi a tō tinana.
- Te toto totoka
- Te tere o te manawa
- Te tere o te manawa
- Ngā taumata hāora i roto i te toto
Ka aro turukihia ēnei mea i ia wā, i ia wā. Ka mahia hoki he hihi-X o te uma hei tirotiro i te āhua o ngā pukahukahu, ā, ka mahia hoki he whakamātautau toto hei tirotiro i ngā taumata hāora i roto i te toto.
Te momi
Ka taea e te ngongo manawa te hanga i te hūpē ki roto i tō ara manawa. Nō reira, he maha ngā wā ka whakauruhia e ngā nēhi tētahi atu ngongo angiangi (catheter) ki roto i te ngongo hei tango i te hūpē e hangai ana. Tērā pea ka maremare koe, ā, ka kore e pai te āhua i tēnei wā. Tērā pea ka ahua kore pai tēnei mō te hunga mātakitaki, engari he mea nui kia noho mārama tō ara manawa.
Kai Totika
Kāore e taea e koe te kai, te inu rānei nā te mea he ngongo kei roto i tō waha. Nō reira, ka hoatu he kai wai māu mā roto i tētahi ngongo angiangi e haere ana mai i tō ihu ki tō puku. Ko ētahi atu wai ka hoatu mā roto i te wai tote ki roto i tētahi uaua.
Te Whakaohooho
Nā te mea ehara i te mea pai te noho tonu i te moenga, mā te tīma hauora koe e āwhina kia nekeneke haere. I ētahi wā, ki te taea e koe, ka ngana rātou ki te āwhina i a koe kia hikoi haere.
Kei te mōhio koe i a koe e whakamahi ana i te mīhini manawa?
He pātai tēnei e pātaihia ana e te tini tāngata. Ka ngana ngā tākuta ki te pupuri i a koe kia marino, kia marino hoki, me te pupuri hoki i a koe kia mataara tonu. Heoi, ki te kino rawa tō mate, me "whakamarie rawa" pea koe kia whai wā ai tō tinana ki te okioki me te whakaora. I ētahi wā, ka "herea" pea ō ringa kia kore ai koe e whakauru pōhēhē i tētahi ngongo. Hei tiaki i a koe anō tēnei.
He aha ngā painga me ngā mōrearea?
Pērā i ngā maimoatanga hauora katoa, he painga, he mōrearea hoki ō te maimoatanga manawa.
| Ngā Painga | Ngā Tūponotanga |
|---|---|
| Kāore koe e hiahia ki te mahi uaua ki te manawa. Nō reira, whakamahia te kaha katoa o tō tinana ki te whakaora i te mate. | Ka taea e ngā huakita te haere mā roto i ngā ara manawa ki ngā pukahukahu, ā, ka pāngia rātou e ngā mate (hei tauira, te niumōnia). |
| Ka tino whiwhi koe i te nui o te hāora e hiahiatia ana e koe, ā, ka tangohia te hauhā waro. | I ētahi wā ka kino pea ngā pukahukahu i te pēhanga o te mīhini manawa. |
| Ka ārai i te aukati o ngā pēke hau i roto i ngā pukahukahu. | Ka taea te poka i tētahi wāhi ngoikore o te pukahukahu, ka hinga te pukahukahu (pneumothorax) . |
| Ka pupuri i te ara manawa kia tuwhera, kia haumaru hoki. | Tērā pea ka pāngia te mahi a te ngākau me te toto toto tiketike. |
Kotahi te kōrero nui. I ētahi wā, ka tino kino rawa te āhua o te tūroro, ā, kāore e taea te ora. I roto i tēnei āhuatanga, mā te hono atu ki tētahi mīhini manawa ka roa ake te wā e mate ana. Ka pā mai pea tēnei ki te tūroro me te whānau he mamae koretake. I roto i tēnei āhuatanga, ka kōrerohia tēnei e tō tākuta ki a koe, ā, ka ārahi i a koe ki te whakatau i te whakatau pai rawa atu.
He aha ngā mea e pā ana ki te PEEP me te CPAP?
Kua rongo pea koe i ēnei kupu e rua.
- PEEP (Te Pēhanga Pai o te Mutunga o te Whakaputa): He tautuhinga tēnei i runga i te mīhini whakapūngao manawa. I ētahi āhuatanga hauora, ina whakapūngao tātou, ka kati rawa ngā pēke hau i roto i ngā pukahukahu (alveoli). Mā te tautuhinga PEEP ka noho tuwhera aua pēke hau mā te pēhi iti ahakoa ka whakapūngao koe. Ka whakanui ake tēnei i te nui o te hāora e uru ana ki te toto.
- CPAP (Te Pēhanga Āhua Pai Tonu): Ko te tikanga o tēnei ko te tuku tonu i te nui o te pēhanga pai ki ngā ara manawa i a koe e manawa ana ki roto, ki waho hoki. He maha ngā wā ka whakamahia mō ngā āhuatanga pēnei i te moe pōrearea, hei tikanga whakapūngahau kore-whakaeke (mā te kopare).
Ki te whakarapopototanga, ko te PEEP te pēhanga e pā ana ki te tūroro i runga i te mīhini manawa i a ia e whakaputa ana i te manawa. Ko te CPAP he pēhanga tonu e pā ana i te wā e manawa ana, e whakaputa ana hoki i te manawa.
He taputapu nui te mīhini manawa hei whakaora i a koe mēnā ka pā mai he mate kino, he āhuatanga ohorere rānei. Ahakoa kāore e whakaora i te mate, ka hoatu e ia ki tō tinana te wā me te tautoko e hiahiatia ana hei whawhai i te mate me te ora anō.
Karere Tangohia ki te Kāinga
- He mīhini whakaora ora te manawa e āwhina ana i a koe ki te manawa ina kore e taea e koe te manawa ko koe anake.
- Kāore tēnei e whakaora i te mate, engari ka hoatu ki te tinana te wā me te pumau e hiahiatia ana hei whawhai i te mate me te whakaora.
- Tērā pea ka honoa koe ki tētahi mīhini manawa mā te ngongo manawa (whakauru) mā te kopare rānei (kāore e urutomo).
- I a koe e whakamahi ana i te mīhini manawa, ka tino tiakihia koe e te tīma tākuta motuhake i te Wāhanga Tiaki Kaha (ICU).
- Ahakoa he mōrearea tēnei maimoatanga, i ētahi wā koinei anake te huarahi hei whakaora i te ora.
- Mena he pātai, he āwangawanga rānei āu, he āwangawanga rānei nō tētahi o tō whānau mō tēnei mea, kōrero mārire atu ki tō tākuta.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment