Kua kite koe i tētahi i roto i te wāhanga tiaki nui (ICU) e hono ana ki tētahi mīhini hei āwhina i a rātou ki te manawa? Kua kite rānei koe i tētahi tamaiti nohinohi i haria mai ki te hōhipera he mate huango kino tōna, ā, i hoatu he rongoā mā te nebulizer? I roto i ēnei āhuatanga, he tohunga hauora kua whiwhi whakangungu motuhake ki te āwhina i ō tātou pukahukahu me te tukanga manawa. I tēnei rā ka kōrero tātou mō taua tohunga. Koia te kaiwhakaora manawa, arā, te 'Respiratory Therapist' (RT).
Ko wai tēnei Kaiwhakaora Manawa?
He māmā noa iho, he tohunga hauora te kaiwhakaora manawa, he tohunga whakangungu motuhake tāna e āwhina ana ki te tātaritanga, te rongoā, me te whakahaere i ngā raruraru e pā ana ki ō pukahukahu me te pūnaha manawa.
Whakaarohia pēnei. Mena he mate manawa tōu, kei reira te tohunga ngakau. Mena he raruraru tākihi tōu, kei reira te tohunga roro. Waihoki, ko te kaiwhakaora manawa he tangata whai mātauranga hōhonu me te whakangungu ki te pūnaha manawa, arā, ō tātou pukahukahu me te trachea.
Ko te mea nui, ehara ēnei tāngata i te tākuta. Engari ka mahi tahi rātou me ngā tākuta, ngā nēhi, me ētahi atu tohunga hauora hei hoatu i te mahere maimoatanga pai rawa atu ki a koe. Hei whakamārama, he tohunga pūnaha manawa rātou.
Tērā pea ka tūtaki koe ki ēnei tāngata i roto i te wāhanga hōhipera, i te wāhanga tiaki nui (ICU), i te wāhanga maimoatanga ohorere (ETU), i te whare hauora o waho, i ētahi wā rānei ina haere mai rātou ki tō kāinga mō te maimoatanga.
He aha tonu te mahi a te kaiwhakaora manawa?
He whānui rawa te mahi a ēnei tāngata. Ka rerekē ā rātou mahi i runga i te āhua o te tūroro. Me titiro tātou ki ngā mahi matua a rātou.
| Tūmahi | He whakamārama ngāwari noa iho |
|---|---|
| Whakamātautau Mahi Pūkahukahu | He whakamātautau motuhake hei ine i te pai o te mahi a ō pūkahukahu me te nui o te hau ka taea e koe te mimiti me te pupuhi. He mea tino nui tēnei mō te tautuhi i ngā mate pēnei i te mate huango. |
| Te Whakaora Hāora | Te whakarato i te hāora ki ngā tūroro he iti te taumata hāora i roto i te toto ina hiahiatia, me te aroturuki tonu i ngā taumata. |
| Te Whakahaunga Mīhini | He mahi uaua, he mahi kawenga hoki te whakahaere i ngā mīhini manawa, te whakarerekē i aua mea kia rite ki ngā hiahia o te tūroro, me te aroturuki i te āhua o te tūroro. |
| Whakahaere Huarahi Rererangi | I roto i tētahi āhuatanga ohorere, mēnā ka āraia te ara manawa o te tūroro, me mahi ngā mahi e tika ana hei whakatuwhera anō. Hei tauira, te āwhina i te tākuta ki ngā mahi pēnei i te whakauru i tētahi ngongo (intubation). |
| Te Whakakore i te Huka | Hei āwhina i ngā tūroro he huware kei roto i ō rātou pukahukahu ki te whakaputa i te huware mā te whakamahi i ngā tikanga me ngā taputapu motuhake. Kei roto i tēnei ko ngā mea pēnei i te pēhi i te uma. |
| Te hoatu rongoā | Ka tukuna e rātou ngā rongoā ki te pūnaha manawa, inā koa mā roto i ngā taputapu manawa me ngā nebulizer, i te horopeta tika, ā, ka whakaakona hoki e rātou ngā tūroro ki te whakamahi tika i te taputapu manawa. |
| Te mātauranga me te whakaora i ngā tūroro | Ka akona te hunga whai mate pūmau pēnei i te COPD me te huango ki te noho tahi me te mate, me pēhea te mahi i ngā mahi whakakori manawa, me pēhea hoki te whakahaere i te mate. |
He aha ngā momo mate e whiwhi āwhina ai ēnei tāngata?
Pērā i ngā āhuatanga hauora katoa e pā ana ki te manawa, me rapu āwhina pea koe i tētahi kaiwhakaora manawa. Anei ētahi o aua āhuatanga.
- Te mate huango:Te whakaako i ngā tūroro huango ki te whakamahi tika i ngā taputapu manawa, me te whakarato maimoatanga pēnei i ngā nebulizer mēnā ka pā mai he whakaekenga ohorere.
- Te Mate Pūkahukahu Ārai Mau Tonu (COPD): He mate noa tēnei i waenga i ngā kaipaipa. Ka akona ēnei tūroro ki ngā mahi manawa, te whakaora hāora, me te whakahaere i te mate.
- Pūkahukahu: Mēnā he nui te pūkahukahu, hoatu he hāora ki te tūroro, hono atu ki tētahi taputapu manawa mēnā e tika ana, ā, āwhina ki te tango i te hūpē.
- Te Mate Pōuri Manawa Whakapeka (ARDS): He mate tino kino tēnei, he mate morearea hoki. Kua tino pakaru ngā pukahukahu. He mahi nui mā ēnei tūroro te whiwhi tautoko manawa motuhake mā roto i ngā mīhini manawa.
- Te Pūkahukahu Kirikiri: He mate ira tēnei. I roto i tēnei, ka hangaia he paparanga matotoru o te hūpē i roto i ngā pukahukahu. Ka whakamahia ngā tikanga motuhake hei tango i taua hūpē.
- Apnea Moe: Te whakaako i ngā tūroro e mutu ana te manawa i te wā e moe ana me pēhea te whakamahi tika i ngā mīhini pēnei i te CPAP.
- Whara o te Uma: Te tautoko i te manawa ina kore e taea te manawa nā te whara kino o te uma.
- I muri i te pokanga: I muri i te pokanga nui, ka pā kino pea te mahi a te rongoā whakamoe i te mahi a ngā pukahukahu. I roto i ēnei āhuatanga, he mea nui kia āwhina i te whakaora i ngā pukahukahu.
Haunga tēnei rārangi, he mea nui ngā ratonga a te kaiwhakaora manawa mō te hunga katoa e pāngia ana e ngā raruraru manawa, mai i ngā pēpi whānau hou ki ngā kaumātua.
Āhea koe me toro atu ki tētahi kaiwhakaora manawa?
I te nuinga o te wā, kāore e taea e koe te haere tika ki tētahi kaiwhakaora manawa. Mā te tākuta e tirotiro i a koe e arotake ō tohu me ngā hua o te whakamātautau, ā, ka whakatau me āwhina koe e tētahi kaiwhakaora manawa. Kātahi ka tukuna koe e te tākuta ki a rātou.
He aha ngā tohu ka ārahi pea i a koe e te tākuta ki tētahi kaiwhakaora manawa?
- Te maremare tonu
- Te toto me te hūpē
- Te whee (he tangi whiowhio pērā i te "cheese-cheese") i te wā e manawa ana
- Te uaua ki te manawa, te poto o te manawa
- Te ahua o te kikī, te pēhanga rānei i roto i te uma
- Mamae o te uma
- He rerekē te āhua o te whakamātautau X-ray
- E whakaū ana ngā whakamātautau i te iti o te hāora i roto i te toto
Kia maumahara, ki te pāngia koe e tētahi, e ētahi rānei o ēnei tohu, ko te mea tuatahi me mahi e koe ko te toro atu ki tō tākuta whānau. Kaua e rongoā i a koe anō. Ka whakahaerehia e te tākuta ngā whakamātautau e tika ana, ā, ka tukuna koe ki ngā tohunga e tika ana mēnā e tika ana.
He aha te rerekētanga i waenga i te kaiwhakaora manawa me te nēhi?
He mea tēnei e pōhēhē ai te tini o te tangata. Nā te mea he tata te mahi tahi a ēnei tāngata e rua me ngā tūroro i roto i te hōhipera, he uaua ki te mārama ki te rerekētanga tuturu.
Ko te rerekētanga koia tēnei:
- Nēhi: He whānui rawa te mahi a te nēhi. Ka arotahi rātou ki te hauora whānui o te tūroro. Ka hoatu rongoā, ka horoi i te tinana, ka whāngai i te tūroro, ka tiaki i ngā patunga, ā, ka tirotiro i te oranga hinengaro o te tūroro. He mōhiotanga anō hoki tō rātou mō ngā mate manawa, engari ehara tēnā i te mea he tohungatanga ki a rātou.
- Kaiwhakaora Manawa: He tino tohunga tā rātou mahi. Ko tā rātou arotahi me te tohungatanga katoa kei runga i ngā pukahukahu me te pūnaha manawa. Ka whakahaerehia e rātou ngā taputapu uaua e pā ana ki te pūnaha manawa, ka whakahaerehia ngā whakamātautau motuhake, ā, ka whakaratohia he maimoatanga kua tohua.
Whakaarohia ngā mīhini. Tērā tētahi mīhini whānui e mōhio ana ki ngā mea katoa o roto i te waka. Ā, tērā tētahi e tohunga ana ki te miihini anake o te waka. Koinā te rerekētanga. Ko te nēhi te tangata e tiaki ana i te oranga whānui o te tūroro, ā, ko te kaiwhakaora manawa te tangata e tohunga ana ki ngā raruraru o te pūkahukahu. He ratonga tino nui tā rāua e whakarato ana ki te tūroro.
Karere Tangohia ki te Kāinga
- Ehara te Kaiwhakaora Manawa i te tākuta, engari he tohunga hauora nui kua whai whakangungu motuhake ki ngā raruraru o te pukahukahu me te manawa.
- Ka mahi tahi rātou me ngā tākuta me ngā nēhi hei tiaki i tō hauora manawa.
- He mea tino nui tā rātou ratonga mō ngā mate pēnei i te huango, te COPD, te niumōnia, me te wāhanga tiaki nui.
- Mena ka pā mai ētahi tohu pēnei i te uaua ki te manawa, te maremare tonu, te kirika rānei, ko te mea tuatahi me mahi ko te toro atu ki tō tākuta.
- Ki te tukuna koe e tō tākuta ki tētahi kaiwhakaora manawa, ka whakapau kaha rātou ki te āwhina i a koe ki te whakapai ake i tō āhua. Kaua e wehi ki te pātai atu ki a rātou me te whakapuaki i ō āwangawanga.
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