Ina pāngia koe e te patunga, i ētahi wā ka puta he wai mārama e rite ana ki te wai, tika? He mea noa iho. Ko te huarahi tēnei a te tinana ki te whakaora i te patunga. Engari kua kite koe i ētahi wā ka puta mai he wai matotoru, he miraka, he kōwhai, he kakariki, he kakara kino i te patunga? Koinei te mea e kiia nei e tātou ko te 'pupu'. I roto i te rongoā, ko te Purulent Drainage tēnei āhuatanga. Ehara i te mea noa te puta mai o te pupu pēnei. He tohu mārama tēnei kua pangia tō patunga. Nō reira, me kōrero tātou mō tēnei i tēnei rā.
He aha rawa tēnei 'para'?
Ki te kī ngāwari, ko te hua o te pakanga kei roto i tō patunga te pūkahukahu. Whakaarohia, ina pakaru tō kiri, ka taea e ngā iroriki (te nuinga o te wā he huakita) te tomo ki roto i tō tinana. Ina tupu tēnā, ka haere mai ngā toto mā, e mahi ana pērā i ngā 'hōia' i roto i tō tātou tinana, ki reira ki te whawhai ki ēnei iroriki whakaeke.
Ko tēnei ranunga matotoru o ngā iroriki mate, ngā toto toto mā, me ngā pūtau kiri kua pakaru e puta mai ana i tēnei pakanga ka kiia he pūhā. Koia te take he rerekē tōna tae, tōna kakano, me tōna kakara i te wai e puta mai ana i te patunga noa.
Ko te mea nui, ki te kite koe i te pūkahukahu, ko te tikanga kei te whawhai te pūnaha ārai mate o tō tinana ki ngā iroriki, engari me āwhina anō hoki kia toa ai i taua pakanga.
He wai katoa te wai o te patunga? Kia mōhio tātou ki te rerekētanga.
Kāo. He rerekētanga nui i waenga i te wai noa e puta mai ana i te patunga ina ora (te rerenga wai mai i te toto) me te wai e puta mai ana i te mate (te rerenga wai mai i te pūkahukahu). He mea tino nui kia mōhio ki tēnei rerekētanga.
| Āhuatanga | Te rerenga wai mai i te patunga e ora tonu ana | He rerenga waikura mai i te patunga pangia |
|---|---|---|
| Pūāhua | He wai, pērā i te wai. | He matotoru, pērā i te miraka, i te kirīmi rānei. |
| Tae | Mārama, he paku māwhero/kōwhai pea. | Ka taea te mā, te kōwhai, te kakariki, te parauri, te māwhero rānei. |
| Kakara | Tata kore he kakara. | He kakara kino, he kakara kino. |
| Rahi | He iti noa te nui e tae mai ana. | Tērā pea ka nui ake ngā mea e puta mai ana, tera pea ka rere tonu mai. |
Mena kei te turuturu te wai i tō patunga, he rite ki te whakaahuatanga i te pou i te taha matau, he tohu pea tēnei nō te mate urutā.
Ko wai kei te nui ake te mōrearea ki te mate pukupuku?
Ka pāngia te tangata katoa e te patunga pangia, ā, ka puta he pūkahukahu. Ehara i te mea nāu ake te he. Heoi, he nui ake te mōrearea o ētahi tāngata.
- Ngā tāngata ngoikore te pūnaha ārai mate: Ko te hunga whai mate pēnei i te mate huka, te mate pukupuku, te hunga rānei e tango ana i ngā rongoā e pehi ana i ō rātou pūnaha ārai mate, ka uaua ake te whawhai ki ngā iroriki.
- Ngā kaipaipa: Ka whakararu te kaipaipa i te rere o te toto, ka whakaroa i te tukunga o te hāora me ngā matūkai ki te patunga, e hiahiatia ana mō te whakaora o te patunga.
- Te hunga momona: Ka roa pea te whakaora o te patunga nā te korenga o te rere o te toto ki ngā kiko he nui te ngako.
- He patunga nui, hōhonu, taratara rānei: Ka nui ake te patunga, ka nui ake te tūponotanga ka uru mai ngā iroriki.
- Te whara i tētahi mea paru: Ina whara koe i tētahi mea pēnei i te whao waikura, i tētahi mea paru rānei, he tino teitei te mōrearea o te urunga mai o ngā iroriki.
- Ngau a te kararehe, a te tangata rānei: Ka tere te pangia o ēnei momo patunga e te huakita i roto i te waha.
He aha te momo maimoatanga e tukuna ana e te tākuta mō tēnei?
Ina kite koe i tētahi tākuta he patunga kī tonu i te pūkahukahu, ka tirohia tuatahitia e ia te patunga. Kātahi ka whakaarohia te momo patunga, tōna wāhi, me tō hauora whānui hei whakatau i te maimoatanga pai rawa atu.
E rua ngā whāinga matua:
1. Whakakorea te pūtake o te mate, ā, āraia te puta o te pupuhi anō.
2. Te whakahaere i te makuku huri noa i te patunga, me te āwhina i te tipu o te kiri hou.
Anei ētahi o ngā maimoatanga noa mō tēnei:
- Paturopi: Mena he huakita te take o te mate, ka hoatu pea he paturopi hei whawhai. I ētahi wā, ka whakamatautauria he tauira o te pūkahukahu hei whakatau i te rongoā tika mō ngā huakita motuhake e pā ana.
- Te horoi me te takai i te patunga: Ka horoia pai te patunga e te tākuta, ka pania he 'takai' motuhake ka taea te mimiti i te pūkahukahu. Mā tēnei ka āwhina i te pupuri i te taiao makuku kia ora ai te patunga.
- Te Tapahi me te Waipuke (I&D): Mena he nui te pupuhi kua kohia ki roto i te patunga, ā, ka puta he whewhe, ka hoatu e te tākuta he rongoā whakamoe iti, ka tapahia he wahi iti ki te wāhi, ā, ka ringihia te waipuke katoa i roto, ka horoia.
- Te Whakaora i te Whara Pēhanga Kino: He tikanga tēnei e whakamahia ana mō ngā patunga uaua ake. I konei, ka whakatakotoria he 'takai' motuhake ki runga i te patunga, ā, ka honoa he mīhini iti ('papu') ki reira hei tango tonu i te wai me te pūkahukahu mai i te patunga. Mā tēnei ka tere ake te ora o te patunga.
He aha te mea ka tupu mēnā kāore i rongoatia te patunga kī tonu i te pupuhi?
Koinei te wāhanga tino nui. He tino morearea te noho noa iho me te whakaaro, "Kāore he aha" me te patunga kua ki tonu i te pupuhi. He maha ngā mea ka pā mai mēnā kāore e rongoatia:
- Te patunga mau tonu: Kāore pea te patunga e ora mō ngā wiki, mō ngā marama rānei.
- Te horapa o te mate:
- Pūkahukahu: Ka horapa te mate ki te kiri e karapoti ana i te patunga, ka whero, ka pupuhi, ka wera, ka mamae hoki te wāhi.
- Osteomyelitis: Ka horapa te mate ki roto rawa i ngā wheua. He mate kino tēnei, he tino uaua ki te rongoā.
- Te mate pāwera: Ka taea e ngā iroriki te tomo ki roto i te toto, ka pāngia e te paihana toto.
- Sepsis: Koinei te āhua tino morearea. Hei whakautu ki te mate, ka kaha rawa te mahi a te tinana, ā, ka tīmata te kino i ōna ake whekau. He āhuatanga ohorere hauora tēnei ka tūpono ki te ora .
Nō reira, ki te kite koe i te pūhā e puta mai ana i te patunga, kaua e warewaretia he mea iti noa iho. He whakatūpato nui tēnei mai i tō tinana!
Āhea koe me tino kite i te tākuta?
Mena he ruarua āu mō tētahi whara, he pai ake te toro atu ki te tākuta. Rapua he tohutohu hauora i runga i te wā tonu , inā koa mēnā kei a koe tētahi o ngā tohu i raro nei.
| Mena kei a koe ēnei tohu... | Me aha? |
|---|---|
| Mena kei te turuturu te patunga i te pirau matotoru, he rite ki te miraka, he tae. | Me toro atu ki te tākuta tonu. |
| Mena he haunga kino e puta mai ana i te patunga. | Me toro atu ki te tākuta tonu. |
| Mena ka whero te kiri huri noa i te patunga, ka pupuhi, ka wera, ka mamae rānei. | Me toro atu ki te tākuta tonu. |
| Mena kei te pāngia koe e te kirika, e te kore rānei e pai te āhua. | Tirohia tonutia te tākuta. (Tērā pea he mea tika te haere ki te Tari Whakaora Mate (ETU). |
| Mena kua maha ngā rā e ora ana te patunga, ā, kāore he tohu e ora ana. | Tirohia he tākuta. |
Ka hoatu e tō tākuta he tohutohu mārama ki a koe mō te tiaki i tō patunga. He mea nui te whai i aua tohutohu kia tere ai te ora.
Karere Tangohia ki te Kāinga
- He tohu mārama te maringi o te pūkahukahu mai i te patunga o te mate, ehara i te mea he wāhanga o te tukanga whakaora noa.
- Ko te panoni o te tae, te matotoru, te kakara rānei o te pūkahukahu e tohu ana kei te kino haere te mate.
- Ki te kite koe i tētahi āhuatanga pēnei, kaua e aro ki te whakaaro "ka pai ake i a ia anō" ka toro atu ki te tākuta tonu . Kaua e rongoā i a koe anō.
- Ki te kore e rongoatia te mate, ka horapa ki te kiri, ki ngā wheua, tae noa ki te toto, ka puta he mate morearea pēnei i te sepsis .
- Ko te pupuri i te patunga kia tino ma te mea pai rawa atu hei aukati i te puta o te palu.
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