A, mehemea kei roto tō pūnaha io i te mōrearea? Me ako tātou mō te 'Neurogenic Shock' morearea!

Kua rongo katoa tātou i te kupu "oho", tika? I ētahi wā ka whakaaro tātou he mea kē atu ina mataku, ina pōuri rānei tātou. Engari i roto i te rongoā, ko te "oho" e pā ana ki tētahi āhuatanga kino rawa atu. I tēnei rā ka kōrero tātou mō tētahi momo "oho" rite tonu, engari he rerekē. Ka kiia tēnei ko te 'oho neurogenic.' Ki te kī ngāwari, ka puta ina whara nui tō tātou pūnaha io, inā koa te taurakira .

He aha rawa te 'Neurogenic Shock'?

Whakaarohia tō pūnaha io he pūnaha waea i roto i tētahi whenua. Ka haria e ēnei io ngā karere mai i te roro ki ngā wāhanga katoa o te tinana. Ināianei, ina whara tēnei pūnaha io, inā koa ki te taurakira, pērā i te whati o te tuaiwi, i te whara rānei, ka pakaru te pūnaha e haria ana ēnei karere.

Ko te ohorere roro he āhuatanga e kore ai e taea te whakahaere i te tere o te manawa, te toto toto, me te pāmahana o te tinana i muri i tētahi aituā. Pērā i ētahi atu momo ohorere, he āhuatanga tino kino tēnei, ā, i ētahi wā ka mate. Ko te take o tēnei he mea whakararuraru te rere o te toto puta noa i te tinana. Ina kore e rere tika te toto, kāore e whiwhi ō tātou pūtau i te hāora me ngā matūkai e hiahiatia ana e rātou. Kātahi ka kore e taea e ngā pūtau te mahi i ā rātou mahi.

Nō reira, he mea nui kia rapua he rongoā mō te ohorere i te wā e taea ai.

He aha te rerekētanga i waenga i te 'Neurogenic Shock' me te 'Spinal Shock'?

Ahakoa e pā ana ēnei e rua ki ngā whara o te taurakira, he iti noa te rerekētanga. I roto i te ru tuaiwi, ka pararutiki ō uaua, ā, ka ngaro ō urupare i muri i te whara o tō taurakira. I roto i te ru neurogenic, ko ngā pānga matua kei runga i tō tere o te ngakau me te toto toto.

He aha te rerekētanga i waenga i te 'Neurogenic Shock' me te 'Hypovolemic Shock'?

Ko te ohorere hypovolemic he āhuatanga e puta mai ana i te ngaronga nui o te wai, inā koa te toto, mai i te tinana. Ko te rerekētanga matua i waenga i ngā mea e rua ko te tere o te manawa.

• He puhoi te tere o te ngakau o te tangata e pāngia ana e te ohorere neurogenic.
• Ka piki ake te tere o te manawa (tachycardia) o te tangata e pāngia ana e te ohorere hypovolemic.

Ko wai te hunga e tino pāngia ana e tēnei mate? He pēhea te noa o tōna pānga?

Ka puta te ohorere neurogenic i roto i te hunga kua whara te taurakira, ā, kua pakaru hoki te pūnaha io.

E ai ki ngā rangahau, i waenga i te 19% me te 31% o te hunga kua whara i te taurakira ka pāngia eKo te 'Neurogenic Shock' te ingoa o tēnei. Ahakoa i roto i tētahi whenua pēnei i a Amerika, kei waenganui i te 8,000 me te 10,000 ngā tāngata e whara ana i te taurakira i ia tau. Ko ngā tino take o tēnei ko ngā aituā motuka me te hinganga mai i ngā teitei. He mea noa anō hoki ēnei aituā i roto i tō tātou whenua, kāore?

He aha te pānga o te 'Neurogenic Shock' ki tōku tinana?

Hei whakarāpopototanga, ina whara te taurakira, kāore e taea e ō tātou io te tuku tohu ki ngā oko toto, me te kī, "Āe, whakawhāitihia te iti." Ina kore tēnei karere e tae tika mai, ka nui rawa ngā oko toto, e kiia nei ko te 'vasodilation' . He rite ki te paipa wai e nui haere ana. Ko te mea ka tupu, ka heke whakarere te toto toto ki te 'hypotension' . Ina heke te toto toto, ka heke hoki te rere o te toto puta noa i te tinana. Ko te tikanga o tēnei, kāore ō tātou whekau nui e whiwhi i te hāora e hiahiatia ana e rātou.

He aha ngā tohu o tēnei?

Ko ngā tohu o te ohorere neurogenic ko:

• Te toto toto iti (hypotension): Koinei te tohu matua.
• Te puhoi o te manawa (Bradyarrhythmia): Ka whakaitihia te maha o ngā pā o te manawa ia meneti.
• Ka whero, ka wera te kiri, kātahi ka mātao, ka werawera, ka piri.
• Ka kikorangi ngā ngutu me ngā maikuku: Nā te kore o te hāora i roto i te toto tēnei.
• Te ngaronga katoa o te māramatanga, te hekenga rānei o te māramatanga: Ka puta pea tēnei nā te hekenga o te rere o te toto ki te roro.

Mena kei te pāngia tetahi, ētahi atu rānei o ēnei tohu e te whara o te tuaiwi, me tere tonu te aro atu ki a ia.

He aha ngā take o te 'Neurogenic Shock'?

He maha ngā take matua mō tēnei āhuatanga:

• Te whara o te taurakira: Koinei te tino take. Ka puta pea i ngā āhuatanga pēnei i te aituā motuka, te hinganga mai i te teitei, te aituā hākinakina rānei.
• Ngā paitini e pā ana ki te pūnaha io motuhake.
• Te mate Guillain-Barré: He mate onge tēnei e pā ana ki te pūnaha io.
• Te rongoā whakamoe tuaiwi: Ka hoatu tēnei rongoā whakamoe mō ētahi pokanga. Kāore e tino kitea he raruraru.
• Te myelitis whakawhiti: He mate pukupuku anō hoki tēnei o ngā io i roto i te taurakira.

Me pēhea te tautuhi a ngā tākuta i tēnei?

Hei tātaritanga mēnā kei a koe te roro ohorere, ka mahia e te tākuta ēnei e whai ake nei:

1. Ka whakahaerehia he whakamātautau tinana: Ka tirohia tō āhua me te āhua o te whara.

2. Ka tirohia ngā tohu ora: ka inehia te toto toto, te tere o te manawa, te tere o te manawa, me te pāmahana.

3. Ka mahia ngā whakamātautau toto:Akohia ngā āhuatanga o roto o te tinana me te mahi a ngā whekau.

4. Ka whakaritea ngā matawai: Hei aromatawai tika i te kino o te tuaiwi.

He aha te momo matawai e mahia ana?

Koinei ngā momo matawai matua e rua:

• Matawai CT (Tomography Rorohiko - matawai CT): Ka kitea mārama te pakaru o ngā wheua.
• Matawai MRI (Whakaahua Āhua-Mateke - Matawai MRI): Mā tēnei ka kitea pai ngā pakaru o ngā kiko ngohengohe o te tuaiwi, arā, te taurakira me ngā io.

Me pēhea te rongoā i te Neurogenic Shock?

He āhuatanga ohorere hauora tēnei, nō reira me tīmata tonu te maimoatanga.

Tuatahi, ka tāpirihia e ngā tākuta he whitiki kaki ki tō kaki. Hei ārai i te kino haere o te taurakira, nā te mea ka kino ake te whara mēnā ka nekehia tō kaki.

Ko te mea nui ko te whakahaere i te toto toto iti (hypotension). Ka mahia tēnei mā te hoatu wai pēnei i te saline mā te IV (intravenous).

Kātahi ka hoatu he rongoā hei whakahaere i te puhoi o te tere o te ngakau (bradyarrhythmia).

I a koe e rongoā ana i tēnei 'Neurogenic Shock', ka rongoātia hoki koe mō ētahi atu whara i pā ki a koe i te aituā.

He aha ngā momo rongoā e whakamahia ana?

Ka whakamahia pea e ngā tākuta ētahi momo rongoā hei whakahaere i te ohorere neurogenic:

• Phenylephrine
• Norepinephrine `(Norepinephrine)`
• Epinephrine
• Atoropine
• Glycopyrrolate `(Glycopyrrolate)`
• Isoproterenol `(Isoproterenol)`
• Teofilina
• Aminophylline

Ka hoatu ēnei rongoā i raro i te tirotiro tino a te tākuta, me te whai whakaaro ki ngā āhuatanga maha pēnei i te āhua o te tūroro, te toto toto, me te tere o te manawa.

He raruraru, he pānga taha rānei kei te rongoā?

Ka pāngia pea te tūroro e ngā pānga taha o tētahi rongoā. Engari ka whiriwhiria noa e ngā tākuta tētahi rongoā mēnā he nui ake te painga ki te tūroro i te mōrearea. Waihoki, mēnā he nui rawa te wai e tukuna ana mā te IV, he iti noa te tūponotanga ka pupuhi te tinana.

Me pēhea taku whakaiti i tēnei mōrearea?

I te mea ko te whara o te taurakira te tino take o te ohorere neurogenic, he mea nui kia āraihia aua whara. He maha ngā mea ka taea e koe te mahi hei āwhina:

• Kaua e taraiwa i raro i te mana o te waipiro, o ngā raau taero rānei. Me taraiwa mā te aro nui, me te tūpato hoki.
• Me mau tonu te whitiki nohoanga ina eke waka. Eke haumaru i runga i ngā waka wira-toru me ngā motopaika.
• Kaua e ruku ki ngā wāhi kāore e mōhiotia, ki ngā wai pāpaku rānei. Ka pā kino pea tēnei ki te kaki.
• Kia tūpato ki te haumaru i te wā e piki rākau ana, e mahi ana hoki i ngā wāhi teitei.

He aha ngā mea ka taea e au te tumanako mēnā ka pāngia ahau e te ohorere neurogenic?

Mena ka puta te ru neurogenic i te whara o te taurakira, ka taea e te toto toto iti (hypotension) te roa mo te rima wiki.

Waihoki, ka puta ake ētahi atu raruraru me tēnei mate. Hei tauira:

• Ngā toto totoka i roto i ngā uaua o ngā waewae (Deep Vein Thrombosis - DVT)
• Ngā mate pukupuku ahotea
• Ko te niumōnia manawa ka puta mai i te kai, i ētahi atu mea rānei e uru ana ki te ara manawa .

Kia pēhea te roa ka roa te ohorere neurogenic?

I te nuinga o te wā, ka roa pea ngā tohu o te ohorere neurogenic mō te whā ki te rima wiki . Heoi, ka rerekē pea tēnei i ia tangata, i ia tangata, ā, i runga anō i te āhua o te aituā.

Ka taea e au te hoki ki te mahi/kura?

Ko te kaha o te whara o tō tuaiwi me te āhua o ētahi atu whara kua pā ki a koe, me pēhea rānei koe e hoki ai ki ō mahi o ia rā, ki te mahi, ki te kura rānei, ka whakawhirinaki ki te kaha o tō whara tuaiwi me te āhua o ētahi atu whara kua pā ki a koe. I ētahi wā, me huri pea koe i tō oranga, inā koa mēnā he uaua ki a koe te hikoi.

He aha te tirohanga mō te ohorere neurogenic?

Ki te kore e rongoatia, ka mate te nuinga o ngā mate ohorere. Heoi, mā te maimoatanga tere me te tika ka taea te whakaora i tō ora. Ko tō hauora ā muri ake nei ka whakawhirinaki ki ētahi āhuatanga, tae atu ki:

• tō tau.
• Te kaha o te aituā.
• Te kino ki ētahi atu okana.
• Ētahi atu mate pūmau kei a koe (ētahi atu raruraru hauora).
• Kia pēhea te roa i pau ki te whiwhi maimoatanga?
• Ētahi atu raruraru pērā i te kore e taea te kōrero me te ngaro o te taurite.
• Te urupare a tō tinana ki te maimoatanga.

Heoi, ko te tangata kua pāngia e te whara o te tuaiwi e rua ki te rima ngā wā ka nui ake te mate wawe i te tangata kāore i pāngia. Ko te mōrearea o te mate ka tino teitei i te tau tuatahi i muri i te whara o te tuaiwi.

Me pēhea taku tiaki i ahau anō?

Mēnā he whara te taurakira, ka nui ake te tūponotanga ka pāngia koe e ētahi atu raruraru hauora, pērā i te Deep Vein Thrombosis (DVT), e ai ki te kōrero i mua ake nei. Waihoki, ko te neurogenic shock, he āhuatanga e heke ai te rere o te toto, ā, e pakaru ana tētahi, neke atu rānei o ngā okana.

He rerekē te āhua o te katoa, engari mō te hunga kua pāngia e te ohorere neurogenic, he mea nui kia āta whai i te whakaora tinana me ngā tohutohu hauora hei ārai i ngā raruraru a meake nei.

Āhea ahau me toro atu ki taku tākuta?

Ki te kite koe i ētahi huringa o tō āhua, pērā i ngā huringa o ngā tohu ora, te mamae rānei, me whakamōhio tonu atu koe ki tō tākuta.

Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Me rapu tonu koe i te awhina hauora ohorere mēnā ka puta ēnei tohu:

• Mamae o te uma
• Pōuriuri
• Whakapairuaki

He tohu pea ēnei nō tētahi atu mate kino.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Ka taea e koe te pātai atu ki te tākuta i ngā pātai penei:

• He aha te tirohanga mō tōku āhuatanga motuhake?
• Kua pakaru rānei ōku whekau i te 'Neurogenic Shock'?
• He aha ngā mea tino nui me mahi e au i runga i tōku āhuatanga?

Whakarāpopototanga me te Karere Tangohia ki te Kāinga

Āe, ko te 'Neurogenic Shock' i kōrerohia e tātou i tēnei rā he āhuatanga tino morearea ka puta mai i te whara kino o te taurakira. I roto i tēnei, ko te kino o te pūnaha io ka ngaro te mana whakahaere o te tinana i ngā mea pēnei i te tere o te manawa me te toto toto.

Ko te mea nui kia noho haumaru koe, kia ngana hoki kia kaua e whara tō tuaiwi. Kia tino tupato i te wā e taraiwa ana, e mahi ana i ngā wāhi teitei, e peke ana ki te wai.

Ki te puta he aituā, mā te rapu awhina hauora tonu ka taea te whakaora i tō ora. Whai muri i tēnā, mā te haere tonu ki te whakaora tinana e ai ki ngā tohutohu a tō tākuta ka āwhina i a koe kia noho hauora tonu. Mā tō rōpū hauora koe e āwhina ki te wikitoria i tēnei wero.

` Te Rua Neurogenic, Te Whara o te Tuaiwi, Te Pēhanga Toto, Te Pūnaha Io, Te Ohorere, Te Totoke Toto, Te Bradyarrhythmia