Kua kite pea koe i tēnei i roto i ngā kiriata, ina horomia e te tangata he nui rawa ngā pire, nā tētahi take rānei, ka haria ki te hōhipera, ka whakauruhia he ngongo ki roto, ka ringihia ngā mea o roto o tōna puku. Koinei te mea e kiia nei e tātou ko te 'horoi puku' ko te 'pumping puku' rānei. Ahakoa he āhua whakamataku, he tikanga hauora tino nui tēnei ka taea te whakaora i te ora. Engari he mea tēnei e mahia tonutia ana? Me pēhea te mahi? He mamae? Me kōrero tātou mō tēnei i tēnei rā tonu, me te kore wehi.
He aha te tikanga o te horoi puku?
Ko te horoi puku te tukanga momi i ngā mea o roto i tō puku (ngā mea o roto i tō puku). Ko te tikanga hauora o tēnei ko te horoi puku . Ko te tikanga o te 'Lavage' ko te 'horoi'. Nō reira, i roto i tēnei tukanga, e rua ngā mea ka puta. Ka whakauruhia e te tākuta, e te kaimahi hauora rānei he ngongo ki roto i tō puku, ka horoia ki te wai, ki te tote rānei, kātahi ka momi i ngā mea o roto i tō puku me te wai. Ko te tikanga ka tukuna tēnei ngongo mā roto i tō ihu (ngā ngongo nasogastric) mā roto rānei i tō waha (ngā ngongo orogastric) ki roto i tō puku.
He aha i tika ai kia horoia te puku?
E mōhiotia ana e te nuinga o te tangata, ka mahia tēnei i roto i te āhuatanga ohorere. Hei whakamārama, ki te inu paitini tetahi, ki te nui rawa rānei te horomia o tētahi mea pērā i te pire , ka whakamahia tēnei tikanga hei whakaora i te ora mā te tango wawe i te paitini mai i te puku i mua i te mimiti ki roto i te tinana.
Engari i mōhio koe ehara i te mea ko te horoi puku anake te mahi ina horomia te paitini? He tino whai hua hoki i ngā āhuatanga kāore i te tino kino.
Hei tauira:
- Ka pāngia ētahi tāngata e te nui o te pēhanga me te kore whakamarie i roto i ō rātou puku nā te kai, te wai, te hau rānei. I aua wā, ka whakamahia tēnei tikanga hei whakamama i taua pēhanga.
- Mena he nui te toto (hemorrhagic) nā te mate puku, ka āwhina hoki tēnei ki te horoi me te tango i te toto taikaha.
- I te wā o te pokanga nui, i raro i te rongoā whakamoe, he nui te tūponotanga ka hoki ake ngā mea o roto o te puku ki roto i te korokoro, ka mau ki roto i te pūhā (te mimiti). Whakaarohia te mōrearea o tēnā. Hei ārai i ēnei āhuatanga, ka whakamahia hoki tēnei tikanga hei tango i ngā wai e kohia ana i roto i te puku i te wā o te pokanga.
| Ngā āhuatanga e tika ai te horoi i te puku | Whakaahuatanga |
|---|---|
| Te horomitanga paitini | Hei tango i ngā matū paitini pēnei i ngā rongoā me ngā matū mai i te tinana i mua i te mimiti. |
| Te ngoikore o te puku | Hei tango i te kai kua kī i ngā āhuatanga e whakaroa ana te takoto kau o te puku (hei tauira, te gastroparesis). |
| Te aukati i te puku | Hei whakamama i te pēhanga mā te tango i te wai me te hau e kohia ana i roto i te puku nā te aukati o te puku. |
| Te ruaki tonu | Ina he ruaki me te whakapairuaki tonu e kore e taea te whakahaere e ētahi atu maimoatanga. |
| Te toto o te puku o runga | Hei tango i te toto mai i te puku, tautuhia te pūtake tuturu o te toto, ka horoia te puku i mua i te whakahaere i tētahi whakamātautau pēnei i te endoscopy. |
| Te pokanga me ētahi atu tikanga hauora | I ngā wā pokanga nui, i te wā e whakaratohia ana te manawa horihori (āwhina whakapūngao), me te horoi i te puku i mua i te endoscopy. |
Kāore ianei i te tino noa te horoi puku i ēnei rā i roto i ngā āhuatanga ohorere?
Āe, he pono taua kōrero. Kāore i rite ki ngā wā o mua, ehara i te mea me horoi te puku o te hunga katoa kua horomia te paitini. I ngā tekau tau tata nei, tae noa ki ngā rōpū paitini nui o te ao kua tūtohu kia kaua e mahia tēnei i ia wā.
Ko te take mō tēnei, i ētahi wā, he tikanga anō kei te haumaru ake, kei te whai hua ake hoki i te horoi puku. Hei tauira, ko tētahi tikanga ko te hoatu waro whakahohe . He paura pango tēnei. Ina uru ki te puku, ka mimitihia ngā paitini o te puku ki runga i tōna mata. Kātahi, me ngā paitini, ka tukuna ki roto i te tūtae. Ko tētahi atu tikanga koTe Whakamakuku i te Pīkau Katoa (WBO) . Ko te tikanga tēnei he horoi i te ara kai katoa ki te nui o te wai motuhake. Nō reira, ka whakatauhia e te tākuta te maimoatanga tino tika i runga i ngā āhuatanga maha, pēnei i te āhua o te tūroro, te momo paitini i horomia, me te roa o tōna noho.
Āe, kia kite tātou me pēhea te mahi a tēnei maimoatanga.
Ka taea te wehewehe i tēnei tukanga katoa kia toru ngā taahiraa matua.
1. Te Whakarite
2. Te whakaurunga o te ngongo
3. Te Momi/Te Horoi i te Puku
Te whakarite
I mua i te tīmatanga o tēnei, ka aro turukihia e te hunga hauora ō tohu ora, pērā i te toto totoka, te tere o te manawa, me te tere o te manawa . Mena kei te mōhio koe, ka whakamāramahia e rātou te maimoatanga ki a koe, ā, ka whiwhi hoki i tō whakaaetanga whai whakaaro. Ka tirohia e rātou tō pūkahukahu. I ētahi wā, ka whakauruhia pea he ngongo manawa hei āwhina i te pupuri i tō ara manawa kia tuwhera i te wā o tēnei tikanga.
Te whakaurunga ngongo
Ka taea te whakauru i te ngongo hei horoi i te puku mā te ihu (ngongo nasogastric) mā te waha rānei (ngongo orogastric), e ai ki te kōrero i mua ake nei. Hei whakawātea wawe i ngā mea o roto i te puku, ka whakamahia he ngongo whānui ake, ka whakaurua mā te waha.
Anei te huarahi ki te mahi i tēnei:
- Tuatahi, ka whakanohoia koe ki tētahi tūranga poutū pakupaku, ka whakatakotoria rānei koe ki runga i tō tuara me tō māhunga e piko pakupaku ana, ka tahuri ki te taha maui.
- Kātahi ka pania he rehu rongoā whakangote ki te korokoro. Mā tēnei ka whakaitihia te mamae pērā i te whakapairuaki me te mamae o te korokoro.
- Ki te mea kei te whakamahi koe i te waha, he ārai iti kei roto i tō waha hei ārai i a koe kei ngaungau pōhēhē i te waha.
- Muri iho, ka ine te tākuta, ka tohu hoki i te roa o te ngongo e hiahiatia ana hei tae atu ki tō puku.
- Ka pania he hinu whakahinuhinu ki te pito o te ngongo, ā, ka tukuna marietia ki raro i te korokoro.
- Ki te mea kei te mōhio koe, ka taea e koe te tono awhina mō te horomi i te ngongo, te tono rānei kia inu wai mā te whakamahi i te ngongo.
- Kia whakauruhia te ngongo ki te rahi kua tohua, ka whakamaua ki te kiri mā te whakamahi i te pāreti hei ārai i te nekeneke haere.
Ko te mea nui, ki te pāngia koe e te maremare, e te uaua rānei ki te manawa i a koe e whakauru ana i te ngongo, kati tonu te whakauru i te ngongo, tangohia mai mō tētahi wā, tatari mō tētahi wā, kātahi ka ngana anō. Ka taea te whakaū mēnā kua uru te ngongo ki roto i te puku, kua uru hē rānei ki roto i te puku manawa mā te hihi-X , mā te tango rānei i tētahi tauira wai iti mai i te ngongo me te whakamātautau i tōna pH .
Te horoi i te puku me te tango i ngā wai
Kia mau te ngongo ki roto i te puku, ka tīmata te horoi. Ka taea tēnei mā te wai māori, mā te wai tote rānei. Ka whakamahia te tote, inā koa mō ngā tamariki nohinohi me te hunga e matewai ana i te ruaki, hei pupuri i te taurite tote me te electrolyte o te tinana. I ētahi wā, ka tāpirihia he rongoā e tika ana mō te momo paitini i horomia ki tēnei wai.
- Tuatahi, ka tukuna he iti o te wai (tata ki te 300 mL mō te pakeke, tata ki te 10 mL mō te tamaiti) mā te ngongo ki roto i te puku.
- I muri i te waihotanga mō te meneti, e rua rānei, ka kumea anō te wai mā te ngongo (momi).
- E maha ngā wā ka whakahokia tēnei tukanga kia ma rā anō te wai e hoki mai ana, arā, kua tangohia katoatia ngā mea o roto i te puku.
- Ki te tika, ka tāpirihia te waro whakahohe ki te wai whakamutunga. Mā tēnei ka mau i ngā matūriki paitini e toe ana i roto i te puku, ka taea ai e rātou te haere mā roto i ngā whekau, ka tukuna atu me te paru.
He nui te mamae ina mahi koe i tēnei? He aha te āhua o te tinana?
He raruraru tēnei e pā ana ki te tini o te tangata. Ina hoki, kāore e mamae te pupuhi. Heoi, he mea whakararuraru te whai ngongo i roto i tō korokoro. Tērā pea ka mamae tō korokoro, inā koa ka whakauruhia, ka tangohia te ngongo. Heoi anō, ka taea e ngā tākuta te āwhina ki te whakaiti i tēnei whakararuraru mā te whakamahi i te rehu whakangote, te whakahinuhinu rānei i te ngongo, he mea ka taea te whakahaere.
He aha ngā mōrearea me ngā raruraru o tēnei maimoatanga?
Ki te tika te whakahaere a te tākuta whai mātauranga i tēnei tikanga, he tino iti te mōrearea o ngā raruraru. Heoi, pērā i ngā tikanga hauora katoa, he iti noa te mōrearea.
- He whara iti ki te korokoro, ki te puku rānei ina whakaurua te ngongo.
- Ki te ruaki koe i te wā e rongoatia ana, ka uru pea ngā mea o roto ki roto i tō ara manawa (te mimiti) . He mea morearea tēnei.
- Ka tomo pōrearea te ngongo ki roto i te ara manawa. (Koia te take i whakaūngia ai te wāhi tuturu)
- Ina tae te ngongo ki roto i te korokoro, ka whakaohokia he io (io vagus), ka puta ai ngā arrhythmias o te ngakau .
He iti rawa te tūponotanga o tēnei mea. Heoi, kei te mataara tonu ngā kaimahi hauora, ā, kei te mahi i ngā mahi e tika ana.
Mena ka horomia te paitini, me horoi te puku? Me pēhea tāu whakatau?
He pātai tino nui tēnei. Ka tino whai hua te horoi puku mēnā ka mahia i te tīmatanga o te tukanga paihana. I roto i te wā, ka tīmata te mimiti haere o te paihana ki roto i te tinana mai i ngā whekau. I taua wā, kāore e nui te whai hua o te horoi puku. Nō reira, ka whakaarohia e te tākuta ētahi āhuatanga i te wā e whakatau ana mēnā me mahi tēnei maimoatanga.
| Ngā wā e tika ana mō te horoi puku | Āhea te wā kāore e tika, e mōrearea rānei te horoi puku? |
|---|---|
| Ka tae ki te hōhipera i roto i te haora kotahi i muri i te paitini. | Mena kua kai koe i tētahi mea he tino kawa, he waikura rānei (hei tauira, te waikawa, te wai mākū). (Tērā pea ka pakaru anō te ngongo ina whakaurua). |
| He tino morearea te momo paitini ka horomia, ā, ka mōrearea hoki ki te ora . | Mena kua inu koe i tētahi hauwaiwai pērā i te penehīni, te hinu rānei (ka uru ngāwari ēnei ki te ara manawa, ā, ka pā kino). |
| Kāore e ranea, kāore rānei e taea te whakarato i ētahi atu maimoatanga (hei tauira, te Waro Whakahohe). | He kaha te ātete o te tūroro ki te maimoatanga , he whakararuraru rānei āna whanonga. |
| Ko te momo paitini e horomia ana ko tētahi e whakaroa ana i te whakawātea o te puku. | Kei te pāngia te tūroro e ngā mate haurangi . |
| Kua whiwhi te tīma hauora e whakahaere ana i te maimoatanga i ngā whakangungu motuhake mō te maimoatanga. | Kāore te tūroro i te mōhio, i te hiamoe rānei , ā, kāore te ara manawa e tiakina ana. |
Me pēhea te mōhio ki tētahi āhuatanga ohorere? He aha ngā tohu e whakaatu ana me toro atu koe ki te tākuta tonu?
Mena kua nui rawa te rongoā i tangohia e koe, e tetahi rānei e tiaki ana koe, kua horomia rānei he paitini, kei te pāngia rānei koe e te paitini waipiro, rapua tonutia he tohutohu hauora. Kaua e tatari kia puta rā anō ngā tohu. Ki te ruarua koe, haere tonu ki te hōhipera tata.Kawea ki te Wāhanga Maimoatanga Ohotata (ETU).
Anei ētahi tohu noa o te paihana:
- Pōuriuri
- Whakapairuaki me te ruaki
- Ngā tere o te ngakau
- Te uaua ki te manawa
- Ngā wera i roto, i te taha rānei o te waha
- Te kakara matū i te manawa
- Ngā mate hopuhopu
- Te kore okiokinga, te oho rānei
- Ngaronga o te māramatanga
- Te hiamoe nui, te ngaro rānei o te māramatanga
He mea nui: Ki te whakapae koe kei te paitini koe, kaua rawa e ngana ki te rongoā, ki te ruaki rānei i te kāinga. Ki te hiahia tohutohu koe, ka taea e koe te waea atu ki te National Poisons Information Centre i te Colombo National Hospital i Sri Lanka. Heoi, ki te kino te āhua o te tūroro, he mea nui kia haria te tūroro ki te hōhipera i runga i te wā poto.
Karere Tangohia ki te Kāinga
- He maimoatanga nui te pupuhi puku hei whakaora i ngā oranga i roto i ētahi āhuatanga ohorere, engari kāore pea koinei te maimoatanga tuatahi mō ngā paitini katoa i ēnei rā.
- Ahakoa he kore whakamarie te whakauru i te ngongo ki roto i tō korokoro i tēnei maimoatanga, kāore i te tino mamae. Ka mahi ngā tākuta i ngā mahi hei whakaiti i te mamae.
- Ki te horomia e koe, e tetahi rānei e mōhio ana koe tētahi paitini, rongoā, matū rānei, kaua rawa e ngana ki te rongoā i te kāinga. Haere tonu ki te Tari Whawhati Tata o te hōhipera (ETU) tata.
- Mā te tākuta e tirotiro ana i te tūroro e whakatau mēnā me horoi te puku o te tangata. He maha ngā mea e whakaarohia ana, pērā i te āhua o te tūroro, te matū i horomia, me te wā kua pahure.
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