He mea tino noa te pōuri, te manukanuka, te mataku rānei ina rongo koe kua whakanohoia tētahi o ō whanaunga ki te Wāhanga Tiaki Kaha (ICU) ki runga i tētahi 'pūnaha manawa'. Ko te nuinga o tēnei mataku he mea kāore i te mōhiotia. Ko te pono, he taputapu tino nui tēnei mīhini i roto i te pakanga ki te whakaora i te ora. I Nirogi Lanka, e hiahia ana mātou ki te āwhina i a koe ki te mārama he aha te 'pūnaha manawa'—te mea rānei e kiia nei e ngā tohunga hauora ko te 'Mīhini Manawa'—me pēhea te mahi, me te whakamārama i roto i ngā kupu māmā, mārama hoki.
He aha te mea he mīhini manawa?
He mīhini te mīhini manawa e tautoko ana i tō manawa ina kore e taea e koe te manawa tika ko koe anake. Whakaarohia he rite ki te whakamahi i te tokotoko mō te waewae whati; pērā i te tautoko a te tokotoko i tō taumaha hei āwhina i a koe ki te neke, ka tangohia e te mīhini manawa tetahi wāhanga, te katoa rānei o te mahi manawa mō ō pukahukahu.
Ko te mea nui, ehara te mīhini manawa i te rongoā mō te mate. He momo tautoko ora . Ka mahi hei whakaū i tō mahi manawa, i te wā e āwhina ana ētahi atu maimoatanga me ngā rongoā i tō tinana kia ora.
Ko ngā mahi matua a te mīhini manawa ko ēnei e whai ake nei:
- Ka tukuna te hāora e hiahiatia ana e tō tinana ki roto i ō pukahukahu.
- Ka āwhina ki te tango i te hauhā waro nui rawa, he hau para, mai i tō pūnaha.
- Ka whakarato i te pēhanga e tika ana kia noho tuwhera tonu ngā pēke hau ririki i roto i ō pukahukahu (alveoli) kia mahi tika ai.
Ka taea e ō tākuta te whakarerekē i ngā tautuhinga o te mīhini i runga i ō hiahia hauora.
He rite tonu te whakaurunga ngongo me te whakaurunga manawa?
Kāo. He āhuatanga whakapoauau noa tēnei. Ahakoa e puta tahi ana ēnei āhuatanga, e rua ngā tukanga rerekē.
- Te whakaurunga ngongo: Koinei te tikanga hauora e tukuna ai e te tākuta he ngongo mā roto i tō waha ki roto i tō puku manawa (trachea).
- Te Whakahauora Ā-Mīhini: E pā ana tēnei ki te mahi hono i taua ngongo ki te mīhini whakahauora hei āwhina i tō manawa.
I ētahi wā, ka taea hoki te whakarato hau mā te whakamahi i tētahi kopare kanohi piripono, me te kore e hiahiatia he ngongo urutomo.
He aha ngā momo whakapūhautanga?
Mā te whakamahi i te mīhini manawa ka āwhina i tō manawa mā te pana i te hau ki roto i ō pukahukahu mā te whakamahi i te pēhanga pai. E rua ngā huarahi matua e taea ai tēnei. Kua whakarāpopototia e mātou tēnei i raro nei kia māmā ai tō mārama.
| Momo Whakahaurangi | Whakamārama Māmā |
|---|---|
| Te Whakahaunga Ā-Mīhini Urupare | Ko te tikanga o tēnei tikanga ko te whakauru i tētahi ngongo ki roto i tō ara manawa. Ka tukuna tēnei ngongo mā roto i tō waha (intubation) mā roto rānei i tētahi tapahi pokanga iti i te kaki (tracheostomy) ka honoa ki te mīhini manawa. |
| Te Whakahauora Kore-Whakaekenga | I tēnei tikanga, ka whakamaua he kopare ki runga i tō mata, ā, ka honoa ki te mīhini manawa hei pana i te hau ki roto i ō pukahukahu. Ko ngā taputapu pēnei i te CPAP, BiPAP® rānei, e whakamahia ana i te kāinga, ka taka ki tēnei kāwai. |
Ko wai e hiahia ana ki te tautoko mai i te mīhini manawa?
Tērā pea ka hiahiatia he mīhini manawa ina kore e taea e koe te manawa pai ko koe anake. Ko ngā āhuatanga noa ko:
- I te wā pokanga: Ka taea e ngā rongoā whakangote whānui te pehi i tō manawa. Ka āwhina te mīhini manawa ki te pupuri i te manawa pumau, haumaru hoki puta noa i tō pokanga.
- Ngā Mate Puku, Ngā Mate Pūkahukahu Kino rānei: Ngā āhuatanga pēnei i te niumōnia, te COVID-19, te Acute Respiratory Distress Syndrome (ARDS), ngā āhuatanga pūkahukahu mau tonu pēnei i te COPD.
- Ngā Āhuatanga Ohotata: Mena kua aukatihia tō ara manawa, kua kore rānei e taea te manawa nā te whara, nā ngā āhuatanga ohorere hauora rānei, pērā i te anaphylaxis kino.
- Whara o te Roro: Ka pāngia pea ngā tohu o te roro e ngā āhuatanga pēnei i te whiu, te koma rānei e te ngoikore o te roro e kī ana ki ō pukahukahu kia manawa.
- Te Tauritekore o te Hau: Ina he taumata morearea o te hauhā waro (hypercapnia) he iti rānei te hāora (hypoxemia) i roto i tō toto.
- Te Ārai i te Moenga: Hei ārai i te kai, te huware, te wai rānei kei uru ki roto i ō pukahukahu ina nui rawa tō moe, ā, kāore e taea e koe te tiaki i tō ake ara manawa.
He aha ngā mea ka tupu i a koe e whakamahi ana i te mīhini manawa?
Nā te mea me tirotirohia tonutia koe, ka tiakina koe i roto i te Wāhanga Tiaki Kaha (ICU) e tētahi rōpū tohunga o ngā tākuta, ngā nēhi, me ngā kaiwhakaora manawa.
Aroturuki
Tērā pea ka kite koe i ētahi mīhini e piri ana ki a koe. Ka aroturuki tonu ēnei i tō toto toto, tō tere o te manawa, tō tere o te manawa, me te mākū o te hāora. Ka whiwhi hoki koe i ngā hihi-X o te uma me ngā whakamātautau toto.
Te momi
Hei pupuri i te ara manawa māhorahora, ka whakamahia e tō tīma nēhi he ngongo angiangi (catheter) hei tango i te hūpē nui. Tērā pea ka maremare koe. Ahakoa he āhua koretake tēnei ki te hunga e arohaina ana, he mea nui kia noho mā ai tō ara manawa, kia ārai hoki i te mate.
Rongoā, Kai, me te Akuaku
Tērā pea ka tukuna tika ētahi rongoā ki ō pukahukahu mā te ngongo manawa (whakakorikorihia ki te hau). Nā te mea kāore e taea e koe te kai, ka whiwhi koe i te kai wai mā te ngongo nasogastric (he ngongo e tukuna ana mā te ihu ki te puku). Ka tukuna ngā wai e tika ana mā te uaua.
Kei te ara koe?
Ko tā mātou whāinga he pupuri i a koe kia noho whakamarie, kia marino, kia mataara hoki. Heoi, i runga i tō āhua, me noho pea koe i roto i te āhua whakangāwari kia taea ai e tō tinana te okiokinga e tika ana kia ora ai. I ētahi wā, hei ārai i ngā whara tūpono - pērā i te tango i tō ngongo manawa - me āta pupuri pea i ō ringaringa. He mea tēnei hei tiaki i a koe.
He aha ngā painga me ngā mōrearea?
Pērā i ngā wawaotanga hauora katoa, he pai ngā painga me ngā mōrearea o te whakamahinga o te mīhini manawa.
| Ngā Painga | Ngā Tūponotanga |
|---|---|
| Ka whakakore i te kaha o te manawa, ka taea e te tinana te arotahi i te kaha ki te whawhai ki ngā mate me te whakaora. | Ka taea e ngā huakita te haere i roto i te ngongo manawa ki roto i ngā pukahukahu, ka pāngia pea e ngā mate pērā i te niumōnia e pā ana ki te manawa. |
| Ka whakarite kia whiwhi tō tinana i te hāora e tika ana, ā, ka tangohia te hauhā waro nui. | Ko te pēhanga e hiahiatia ana hei pupuhi i ngā pukahukahu, i ētahi wā, ka pā he whara o ngā pukahukahu e pā ana ki te pēhanga. |
| Ka pupuri i ngā pēke hau ririki (alveoli) i roto i ō pukahukahu kia tuwhera, kia mahi tonu. | Te tūponotanga o te turuturu o te hau ki roto i te āputa huri noa i te pukahukahu, ka hinga ai (Pneumothorax). |
| Ka pupuri i tētahi ara manawa haumaru, tuwhera hoki i ngā wā katoa. | Ka pā pea ki te mahi a te ngākau, me te toto toto tiketike. |
I ētahi wā tino kino, ka ngaro pea te kaha o te tūroro ki te manawa motuhake. Hei tāpiri, mā te whakanoho i te tūroro me te kore e tumanako kia ora i runga i te mīhini manawa ka roa ake te tukanga mate. I roto i ēnei āhuatanga tairongo, he mea nui kia kōrero tuwhera koe ki tō tākuta kia taea ai e koe te whakatau pai rawa atu mō tō hoa aroha.
Me pēhea te tango i te tūroro mai i te mīhini manawa?
Kia pai ake te āhua o tō whanaunga, kia whakaūngia hoki e ngā tākuta kua rite rātou ki te manawa takitahi, ka tīmata te tukanga "whakaiti i te whāngai". Ka whakaitihia mārire e mātou te tautoko a te mīhini hei whakamātautau mēnā ka taea e te tūroro te pupuri i tōna ake manawa. Ki te pai te haere o ngā mea katoa, ka tangohia marietia te ngongo endotracheal (ET).
Kia mōhio mai he mea noa iho te mamae o te korokoro, te pāorooro rānei o te reo o te tūroro mō ētahi rā i muri i te tangohanga o te ngongo.
Ngā Akoranga Hira mai i Nirogi Lanka
- Ehara te whakamahi i te manawa ā-ringa i te rongoā mō te mate; he pūnaha tautoko ora e āwhina ana i te manawa i a te tinana e ora ana.
- Kāore he take e mataku ai. Kei te tirotirohia tatatia tō hoa aroha e tētahi rōpū tohunga motuhake i te Wāhanga Tiaki Kaha (ICU).
- Pērā i ngā tikanga hauora katoa, he tūponotanga kei reira, engari e whakapau kaha ana tā mātou tīma hauora ki te whakaiti i aua tūponotanga i ia taahiraa.
- Mena he pātai, he āwangawanga rānei āu, tēnā kōrero mārire ki tō tākuta. Kei reira rātou hei whakamārama i ngā āhuatanga katoa ki a koe.
- Hei whakamutunga, ka akiaki mātou i te katoa kia kōrero ki te whānau mō ō rātou ake hiahia mō te maimoatanga hauora i a koe e ora pai ana, kia mōhiotia ai ō koutou hiahia mēnā ka puta he āhuatanga hauora nui.
Pūwero manawa, pūwero manawa ā-ringa, tautoko ora, ICU, wāhanga tiaki nui, manawa, intubation, tracheostomy, ARDS, niumōnia, raruraru manawa, tiaki ohorere
