He maha ngā wā ka kitea i roto i ngā kiriata me ngā whakaari pouaka whakaata, ina inu paitini te tangata, ina horomia rānei e ia he nui o ngā pire, ka haria ia ki te hōhipera, ā, ka mahia he 'horoi puku'. Ka whakauruhia he ngongo ka tangohia ngā mea o roto o te puku. Koinei te mea e kiia nei e tātou i roto i te rongoā ko te 'Gastric Lavage' ko te 'Stomach Pumping' rānei. He ngāwari noa iho, ko te horoi i te puku. Engari he māmā noa iho tēnei pērā i te āhua o roto i ngā kiriata? Ka mahia tēnei i roto i ngā take katoa o te paitini? Me kōrero tātou mō tēnei i tēnei rā.
He aha tonu te tikanga o te Gastric Lavage?
He whakarāpopototanga noa iho tēnei, he tikanga hauora tēnei e tangohia ai ngā mea o roto i tō puku mā te whakamahi i tētahi ngongo. Ko te whakauru i tētahi ngongo angiangi mā roto i tō ihu, i tō waha rānei ki roto i tō puku, ka tukuna he wai iti, he wai tote rānei mā roto, kātahi ka momihia ngā mea o roto i tō puku me te wai. Ko te tikanga o tēnei kei te horoia te puku, ā, i te wā anō ka tangohia ngā mea o roto.
I roto i ēhea āhuatanga e hiahiatia ai te 'Papu Puku'?
He tokomaha te hunga e mōhio ana he maimoatanga ohorere tēnei. Ae, he pono. Ahakoa he inu paitini te tangata, he nui rawa rānei te rongoā e tangohia ana e ia , ka whakamahia tēnei tikanga hei whakaora i te ora mā te tango i te paitini mai i te puku i mua i te mimiti ki roto i te tinana.
Engari kāore tēnei maimoatanga e whakamahia ana mō ngā āhuatanga ohorere anake, engari mō ētahi atu take anō hoki.
- Whakaitihia te pēhanga i roto i te puku ina kī ana i te kai, i te wai, i te hau rānei.
- Horoia te toto nui rawa i roto i te puku.
- Whakawāteahia tō puku, ā, horoia i mua i te pokanga nui. Mā tēnei ka āwhina i te ārai i ngā mea o te puku kei uru ki roto i tō korokoro i te wā pokanga.
| Ngā āhuatanga e tika ai te horoi i te puku | Ngā tikanga hauora e whakamahi ana i te horoinga puku |
|---|---|
| Te horomitanga/te paitini | Pokanga puku |
| Ngā āhuatanga e whakaroa ana i te whakawātea o te puku (Gastroparesis) | Āwhina whakapūngao |
| Te aukati i te whekau iti | Whakamātautau waikawa puku |
| Whakapairuaki me te ruaki tonu | I mua i te endoscopy (Upper Endoscopy) |
| Te toto i roto i te ara kai o runga |
He mea noa te horoi i te puku i ngā wā ohorere i ēnei rā?
Ki te pono, kāore i te tino noa pērā i mua. Ina koa hei rongoā mō te paitini. Nō nā tata nei, kua tūtohu ngā rōpū paitini matua o te ao kia kaua te horoi puku anake te rongoā mō ngā paitini katoa, engari me whakaaro ki ētahi atu maimoatanga. I ētahi wā, ka taea e ngā maimoatanga pēnei i te waro whakahohe te haumaru ake, te whai hua ake hoki. Nō reira, ka whakatauhia e ngā tākuta te rongoā tino tika i runga i ngā āhuatanga maha, tae atu ki te āhua o te tūroro, te momo paitini i horomia, me te wā kua pahure.
He pēhea rawa te mahi a tēnei maimoatanga?
E toru ngā wāhanga matua o tēnei tukanga.
1. Te Whakarite: Ina tae koe ki te hōhipera, ka tirohia e ngā tākuta me ngā nēhi ō tohu ora - pērā i tō tere o te manawa, tō toto toto, me te tere o te manawa. Mena kei te mōhio koe, ka whakamāramahia e rātou te tikanga, ā, ka whiwhi hoki i tō whakaaetanga. Mena e tika ana, ka whakauruhia pea he ngongo manawa hei ārai i ngā ihirangi o te puku kia kore e uru ki roto i ō pukahukahu i te wā o te tikanga.
2. Te whakaurunga ngongo: Ko te whakaurunga o tētahi ngongo ki roto i tō puku, me te hono atu ki tētahi papu i waho. Mēnā ka whakaurua tēnei ngongo mā roto i tō ihu, ka kiia ko te "ngongo nasogastric", ā, ki te whakaurua mā roto i tō waha, ka kiia ko te "ngongo orogastric". He ngongo whānui ake, ka whakaurua mā roto i tō waha, ka whakamahia hei horoi i tō puku.
- Ka taea tēnei mā te takoto tika, te tahuri rānei ki maui me te tuku iho i tō mahunga kia paku piko.
- Ka rehu ahau i tētahi rongoā hei whakangote i tōku korokoro. Mā tēnei ka tino whakaiti i te mamae me te kore whakamarie.
- He ārai iti kei roto i te waha hei ārai i te ngaungau i te ngongo.
- Inehia te roa o te ngongo e hiahiatia ana mō tō puku, ka tohua.
- Ka pania te pito o te ngongo ki te hinu whakahinuhinu pai, ā, ka tukuna mārire ki raro i tō korokoro ki roto i tō puku. Mēnā kei te mōhio koe i tēnei wā, ka tonoa koe kia inu wai. Mā tēnei ka ngāwari ake te uru o te ngongo.
- Me tino whakarite kei roto te ngongo i te puku.Ka whakahaerehia he whakamātautau hihi-X, ka tangohia rānei he tauira wai iti mai i te ngongo, ā, ka tirohia tōna waikawa (pH).
3. Te Momi/Te Horoi i te Puku: Whai muri i te whakaū kei te tū te ngongo, ka tukuna he wai iti (wai, tote rānei) mā roto i te ngongo ki roto i te puku. I muri i te meneti, e rua rānei, ka tangohia te wai me ngā mea o roto o te puku. Ka mahia tēnei i ētahi wā kia tino ma te wai e hoki mai ana. I ētahi wā, ka tāpirihia te waro whakahohe ki te wai whakamutunga. Ka āwhina tēnei ki te hopu i ngā paitini e toe ana kua uru ki roto i ngā whekau, ā, ka horoia atu me te paru.
He mamae rānei ina mahi koe i tēnei? Ki te pono, tera pea ka pāngia koe e te mamae iti, me te ahua o te mea e heke iho ana i tō korokoro ina whakaurua te ngongo ki roto, ka tangohia mai. Engari ka whakapau kaha ngā kaimahi hauora ki te whakaiti i tēnā. Kāore he mamae ina tangohia ngā mea mai i te puku.
Āhea koe me whakatau ai ki te horoi i te puku mēnā he paitini?
He mea tino nui tēnei. Kāore tēnei e whai hua mō ngā paitini katoa. Ka whakatau te tākuta i tēnei i muri i te whai whakaaro ki ētahi āhuatanga.
| Te whakatau i ngā whakatau mō te pupuhi o te puku | |
|---|---|
| He maha ngā wā ka whakamahia tēnei maimoatanga ina: | |
| Mena kāore te paitini i horomia mō te wā roa (i roto i te haora te nuinga). | |
| Mena he tino kino te paitini i horomia, ā, he momo morearea ki te ora . | |
| Mena kāore e ranea ētahi atu maimoatanga (pēnei i te Waro Whakahohe), kāore rānei e taea te hoatu. | |
| Ngā āhuatanga kāore e tika ana tēnei maimoatanga, e mōrearea ana rānei: | |
| Ina horomia ngā matū e puta ai te mumura (hei tauira, te waikawa, te hinu). (Tērā pea ka piki ake te kino mēnā ka whakaurua te ngongo). | |
| Mena kei te kore e mōhio te tūroro, kei te kore rānei e mōhio (me te kore e mau te ara manawa). | |
| Mena kei te pāngia te tūroro e te mate haurangi (hauā) . | |
| Mena kua pahure ngā hāora maha mai i te wā i horomia ai te paitini (nā te mea kua mimiti kētia te paitini i taua wā). |
Āhea te rapu tohutohu hauora tonu
Ki te whakapae koe, tetahi rānei e tiaki ana koe kei te nui rawa te tarukino, kei te kai paitini, kei te paihana waipiro rānei, me rapu tonu koe i te awhina hauora i te wā tonu . Kia tūpato ki ngā tohu e whai ake nei:
Ko te mea nui: Kaua rawa e ngana ki te whakapūmau i te ruaki, ki ētahi atu maimoatanga rānei i te kāinga. He mea nui te tohutohu hauora. Mena kei te ruarua koe, ka taea hoki e koe te waea atu ki te National Poisons Information Centre i te Colombo National Hospital mō ētahi tohutohu.
| Ngā tohu whakatūpato ohorere o te paitini | |
|---|---|
| Pōuriuri | Whakapairuaki me te ruaki |
| Ngā tere o te ngakau | Te uaua ki te manawa |
| Ka wera i roto, i te taha hoki o te waha | Te kakara matū i te manawa |
| Ngā mate hopuhopu | Te kore okiokinga |
| Te hiamoe, te ngaro rānei o te māramatanga | Pōrearea hinengaro |
| Ki te pā mai ēnei tohu, haere tonu ki te Tari Ohotata (ETU) tata atu! | |
Karere Tangohia ki te Kāinga
- Ehara te 'Pumping Stomach' i te mea ngāwari pērā i te mea e whakaaturia ana i roto i ngā kiriata; he maimoatanga e mahia ana e ngā kaimahi whakangungua mō ngā take hauora motuhake.
- Ko te nuinga o te wā ka whakamahia tēnei maimoatanga mō ngā take o te paihana kino (i roto i te wā poto i muri i tōna putanga mai) me ētahi atu hiahia hauora.
- Kāore e tika ana te horoi puku mō ngā paihana katoa. Mā tō tākuta e whakatau te maimoatanga tino tika me te haumaru mō te tūroro.
- Mena he iti noa te whakapae kei te paitini koe, kaua e ngana ki te rongoā i te kāinga, engari me haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
- Mena he āwangawanga, he pātai rānei āu mō tēnei mea, kaua e wehi ki te kōrero tuwhera ki tō tākuta.
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