Āue! I mau tō maihao ki te tatau! I taka rānei tētahi mea taumaha ki tō māhunga waewae! Kua pā mai tēnei wheako ki a tātou katoa i te iti rawa i te kotahi i roto i ō tātou oranga, tika? Haunga te mamae e pā mai ana, i muri i tētahi wā ka kite koe i te toto kikorangi-pango e putu ana i raro i tō maikuku. Ka tīmata koe ki te rongo i te mamae koi e pupuhi ana. Koinei te mea e kiia nei e mātou ko te (Subungual Hematoma) i roto i te rongoā. Nā, me aha koe i roto i tētahi āhuatanga pēnei? Me kōrero tātou mō tēnei.
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He aha te Whakaiti i ngā Whao?
He māmā noa iho, he tikanga hauora tino māmā, he haumaru hoki te Nail Trephination hei tango i te toto kua mau i raro i tō whao. Ko te tikanga he poka iti kei runga ake i te whao, kei te wāhi tonu i kohia ai te toto. Ko te tikanga, ka mahia tēnei e te tākuta i te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera, e te tari rongoā rānei.
Ko te mea nui, kaua e ngana ki te mahi i tēnei i te kāinga mō tētahi take . Mā te whakamahi i ngā mea pēnei i te titi me te ngira ka arahi pea ki ngā mate kino, ā, ka kino ake te patunga.
Whakaarohia kua pāngia tō maihao e te mate kino. Ko te mea pai rawa atu māu ko te pani i ētahi poraka hukapapa kua takaihia ki te tauera ki te wāhi. I ētahi wā ka āwhina tēnei ki te whakaiti i te mamae. Heoi, ki te nui haere te toto i raro i te maikuku, ā, kāore e taea te manawanui te mamae, me toro atu koe ki te tākuta. Kātahi ka whakatau te tākuta mēnā me whakamahi koe i tēnei maimoatanga Nail Trephination. Ka tirohia hoki e rātou mēnā he kino kē atu kei te maihao, pērā i te whati wheua.
Mō ēhea āhuatanga e tika ana tēnei maimoatanga?
Ko te tikanga, ka mahia tēnei maimoatanga mō ngā hematoma subungual māmā anake. Arā, ina whati te whao, engari kei te piri tonu te wāhanga tino mārō o te whao (te pereti whao) ki ngā kiko ngawari i raro (te moenga whao). Heoi, i ētahi wā, kāore pea e ranea tēnei maimoatanga anake.
| Tūnga | Te maimoatanga |
|---|---|
| He marutanga ngawari (Kāore anō kia tangohia te whao, ko te mamae me te toto anake e pupū ana) | He rawaka te maimoatanga mō te tango i ngā whao. |
| Wehenga whao (Te wehenga o te pereti whao) | Tērā pea ka hiahiatia he maimoatanga uaua ake, tae atu ki te tango i te whao. |
| He motu hohonu, he motu pakaru rānei i te whao (Te wehenga, te tapahi hōhonu rānei) | Ka tirohia e te tākuta te patunga, ā, ka whakatauhia te maimoatanga tino tika. |
He pai ake te rapu tohutohu hauora i te wā tonu ka puta te whara. Ka tino whai hua tēnei maimoatanga ina tukuna i roto i ngā haora 24 ki te 48 tuatahi o te whara .
Me pēhea te whakahaere i tēnei maimoatanga? He mea hei wehi māu?
Kāore rawa. He māmā ake tēnei, he tere ake hoki i tō whakaaro. Kāore koe e hiahia ki tētahi whakaritenga motuhake. Mā te tākuta koe e whakamārama me pēhea te mahi i tēnei.
1. Te horoi: Tuatahi, ka horoia rawatia tō whao me te wāhi e karapoti ana e te tākuta ki te hopi me te wai. Kātahi ka horoia te patunga ki te wai patu paturopi (hei tauira, Chlorhexidine).
2. Te hanga i tētahi kōhao iti: Muri iho, ka whakamahia e te tākuta tētahi ngira tino angiangi, tētahi taputapu motuhake he pito wera (pūrere electrocautery), tētahi taputapu rānei i hangaia mō te hanga i tētahi kōhao iti ki te whao i runga ake i te wāhi kua kohia te toto. Ka werohia noa te wāhanga mārō o te whao, ka waiho te kiri i raro kia kore e whara.
3. Te Toto: Ina oti te wero, ka tīmata te rere o te toto i mau i raro. I taua wā anō, ka memeha haere te pēhanga me te mamae o tō maihao.
4. Te takai: Hei whakamutunga, ka tāpirihia e te tākuta he takai ma ki te wāhi ka tohutohu i a koe me pēhea te tiaki i te kāinga.
He torutoru hēkona noa iho te roa o te tukanga katoa. Ahakoa he ahua kore whakamarie pea, ka tino marino koe ina oti.
He aha te mea ka tupu i muri i te maimoatanga?
Ka taea e koe te hoki ki te kāinga i muri tonu i te maimoatanga. Mō ngā haora 24-36 e whai ake nei, tera pea ka kite koe i te toto iti, i te wai rānei e turuturu ana mai i te kōhao o tō maikuku. He mea noa tēnei, kaua e manukanuka. Ko te mea nui ko te pupuri i te wāhi kia ma, kia maroke hoki , me te whakawhiti i te takai kia rite ki tā tō tākuta e tohutohu ai.
He aha te mea ka tupu mēnā kāore te toto e tangohia?
Kāore e hiahiatia ana tēnei maimoatanga mō ngā maru katoa. Heoi, ki te mamae tonu koe, ko te tikanga he tino teitei rawa te toto i roto. Ki te kore taua toto e tukuna, ka pā mai ēnei āhuatanga:
- Te mamae e pupuhi tonu ana.
- Te tairongo nui rawa atu ina pā ki te maihao.
- Te kino tuturu ki te whao (ngā kita, ngā kapiti, ngā panonitanga o te āhua o te whao).
- Tērā pea ka tangohia rawatia te whao.
Ka mangu te āhua o te maikuku mō ētahi wiki i muri i te maimoatanga. He mea noa tēnei. Ka taka te wāhi kua ngaro te tae i te tipu o te maikuku hou. I te nuinga o te wā, ki te mea he maru noa iho, ka tupu pai te maikuku.
Ngā tohu whakatūpato me toro atu anō koe ki te tākuta
Mena ka puta mai tētahi o ngā tohu mate e whai ake nei i muri i te maimoatanga, me toro atu ki tō tākuta tonu atu.
| Ngā Tohu o te Mate | |
|---|---|
| 🔴 | He whero hou, he whero nui haere rānei o te kiri huri noa i te whao. |
| ringa pupuhi | Te pupuhi nui ake. |
| pūhā | He pūhā matotoru, miraka e turuturu ana mai i te patunga. |
| 🌡️ | Te kirika. |
He mea noa te mataku ina rongo koe mō te poka i tō whao. Engari kia maumahara, he tikanga tino haumaru, he whai hua hoki te Nail Trephination e whakamahia ana e ngā tākuta hei whakamamae i te mamae. Nō reira, ki te whati tō whao, kaua e wehi ki te toro atu ki te tākuta me te kore e mamae. Mā tēnei maimoatanga iti koe e whakaora nui.
Karere Tangohia ki te Kāinga
- Ka tino mamae te whao maru e kohi toto ana i raro iho (hematoma subungual).
- Mena he nui te mamae, ā, he nui te toto i roto, he pai ake te toro atu ki te tākuta i roto i ngā hāora 48.
- He tikanga tino māmā, haumaru hoki te Nail Trephination e mahia ana e te tākuta e whakaora wawe ana i te mamae me te pēhanga.
- Kaua rawa e werohia ō whao ki te kāinga mā te whakamahi i ngā pine, ngā ngira, me ērā atu. Ka arahi pea tēnei ki ngā mate kino.
- Ki te pāngia koe e ngā tohu pēnei i te whero, te pupuhi, te pupuhi, te kirika rānei i muri i te maimoatanga, rapua tonutia he tohutohu hauora.
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