Ki te mea ka pokanga koe, tetahi rānei o tō whānau, ka whakamahia e te kaiwhakamoe ngā momo rongoā hei whakamoe i a koe, hei ārai i te mamae, hei whakarite hoki kia haumaru te pokanga. Ko tētahi o ēnei he rongoā motuhake, he rongoā tino nui hoki, ko te Succinylcholine te ingoa. Ka mahi mā te whakangāwari i ō uaua mō te wā poto. Nō reira, me kōrero poto tātou mō tēnei rongoā, āna mahi, me ngā mea me mōhio koe i mua i te whakamahinga.
He aha te Succinylcholine?
He rongoā whakangāwari uaua angaanga te Succinylcholine. Whakaarohia, he rite tēnei ki te ngaronga mō te wā poto o ētahi o ngā uaua o te tinana e whakahaeretia ana e tātou i te hinengaro, pērā i ērā o ō tātou waewae, kaki, me te puku. Engari he wā poto noa iho tēnei.
E rua ngā āhuatanga e whakamahia ai tēnei rongoā:
1. I te wā e pokanga ana: I te wā e pokanga ana, inā koa te pokanga puku, ki te pēhia ngā uaua o te tinana, he uaua ki te taote pokanga te mahi i te pokanga. Nā te mea kua tino wātea ngā uaua ina hoatu tēnei rongoā, ka taea te mahi pokanga me te haumaru. Waihoki, i ētahi wā me whakauru he ngongo mā te kaki (intubation) hei āwhina i te tukanga manawa. Ka whakamahia hoki tēnei rongoā i taua wā.
2. Ina honoa ki te mīhini manawa: Ina uaua te manawa o te tangata takitahi, ā, kei te honoa ki te mīhini manawa, ka taea e ngā uaua o te tinana o taua tangata te whakararuraru i te mahi a te mīhini. I roto i ēnei āhuatanga, ka hoatu tēnei rongoā hei whakangāwari i ngā uaua, hei tuku hoki i te mīhini manawa kia mahi tika.
Ko te mea nui, ehara tēnei i te rongoā ka taea te whakamahi ki te kāinga. Ka whakamahia anake i roto i te hōhipera, i te wāhanga tiaki nui, i te rūma pokanga rānei, i raro i te tirotiro tata a ngā tākuta whakangungu me ngā nēhi.
Ngā mea me kōrero e koe ki tō tākuta i mua i te hoatutanga o tēnei rongoā
He wāhanga tino nui tēnei. Hei oranga mōu, he mea nui kia whakamōhio atu koe ki te tohunga whakamoe mō ētahi āhuatanga o tō tinana i mua i te pokanga. Nā te mea, i runga i aua mōhiohio, ka whakatauhia mēnā ka hoatu tēnei rongoā ki a koe, kāore rānei, mēnā rānei ka hoatu he rongoā rerekē ki a koe.
Mena kei a koe tētahi o ngā āhuatanga i raro nei, me whakamōhio atu ki tō tākuta.
| Tō āhua hauora, tō āhua rānei | He aha koe me whakamōhio ai? |
|---|---|
| Mate pāwera | Mena he mate pāwera koe ki te succinylcholine, ki tētahi atu rongoā, kai, tae rānei. |
| Hītori hauora whānau | Mena kua pāngia tetahi o tō whānau e te raruraru e pā ana ki te whakamoe (hei tauira, te Malignant Hyperthermia). |
| Ngā mate e pā ana ki te uaua | Mena kei a koe tētahi mate ngoikore uaua pērā i te Myasthenia Gravis. |
| Ngā raruraru kanohi | Ngā āhuatanga e piki ake ai te pēhanga kanohi, pērā i te glaucoma. |
| Ngā taumata kohuke i roto i te toto | Mena he tiketike, he iti rānei ngā taumata o te pāhare pāporo, te konupūmā, te konupora rānei i roto i te toto. |
| Ngā whara | Ngā whara nui o te upoko, ngā wera nui, ngā pakaru kiri nui rānei. |
| Te haputanga | Mena kei te hapu koe, kei te ngana rānei kia hapu, kei te whāngai u rānei. |
Ka taea te hoatu i tēnei rongoā ki ngā tamariki nohinohi?
Ae, i ētahi wā motuhake, ka taea te tuku i tēnei rongoā ki ngā tamariki, mai i ngā pēpi hou. Engari me whai i ngā tūpato motuhake. Mā te tākuta tamariki me te tohunga whakamoe tāu tamaiti e whakatau ngātahi tēnei.
He aha mēnā ka piki ake te horopeta ?
Ka tukuna tēnei i roto i te hōhipera, i raro i te tirotiro a te rata, nō reira he iti rawa te tūponotanga ka nui rawa tō horopeta. Ka tatau te hunga hauora i te horopeta tika i runga i tō taumaha me tō āhua, ā, ka hoatu te rongoā. Mēnā ka puta tēnei, kua whakangungua rātou ki te whakarato i te maimoatanga e tika ana. Mēnā e hiahia ana koe ki ētahi atu mōhiohio mō tēnei, ka taea e koe te waea atu ki te National Poisons Information Centre i te Colombo National Hospital mō ētahi atu kōrero. Heoi, i roto i tētahi āhuatanga ohorere, ko te mea pai ko te haere ki te Emergency Treatment Unit (ETU) tata rawa atu.
Ētahi atu rongoā ka taunekeneke pea me tēnei rongoā
He mea tino nui kia kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe (ngā rongoā mō ētahi atu mate, ngā huaora, ngā rongoā tuku iho, ngā tāpiringa). Ka taea e ētahi rongoā te taunekeneke me te Succinylcholine, ka whakarerekē i ōna pānga, ka puta rānei he mate kino.
Kei raro nei ētahi o aua momo rongoā:
- Ētahi paturopi: hei tauira, amikacin, gentamicin, clindamycin.
- Ētahi atu rongoā whakamoe: Ngā rongoā whakamoe hau pērā i te enflurane, isoflurane, halothane.
- Ngā rongoā mō te mate ngakau me te toto toto tiketike.
- Ngā pire ārai whānau.
- Ritiuma: He rongoā e whakamahia ana mō ngā mate hinengaro.
- MAOI: He momo rongoā e hoatu ana mō te pouri.
- Ngā momo steroids: Hei tauira, prednisone, cortisone rānei.
- Ngā rongoā kei roto ko te konupora.
- Kuinina: He rongoā e whakamahia ana mō te malaria.
Kāore tēnei rārangi i te katoa. Nō reira, kia pono ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe, me te mea kei te momi hikareti koe, kei te inu waipiro rānei .
He aha ngā pānga taha ka pā mai i te rongoā?
Pērā i ngā rongoā katoa, ka pā mai pea ngā pānga taha o te Succinylcholine. Ka tirotirohia koe, nō reira, ki te puta he raruraru, ka mahi tonu te tīma hauora.
| Pānga taha | Whakaahuatanga |
|---|---|
| Ngā mea hei kōrero tonu atu ki tō tākuta, ki tō kaimahi nēhi rānei | |
| Ngā uruparenga mate pāwera | He ponana kiri, he mākūkū, he pupuhi o te mata, o ngā ngutu, o te arero rānei. |
| Te uaua ki te manawa | Ki te kore koe e whakamahi ana i te mīhini manawa, ka pōuri koe. |
| Ngā huringa o te tere o te ngakau | He puhoi , he tere rānei, he koretake te pā o te manawa. He mamae o te uma. |
| Ngā tohu o te pāhare pāporo nui | Te ngoikore nui o ngā uaua, te mamae o te uma. |
| Ngā tohu o te pakaru o te uaua | Te mimi pouri, te uaua ki te mimi, te ngenge nui, te mamae o ngā uaua. |
| Ngā tohu o te toto toto iti | Pōuriuri, kanohi kikorangi, ngoikore rawa. |
| Ngā mea kāore i te tino kino, engari me ripoata mēnā ka mau tonu | |
| Mamae uaua | He mea noa te mamae o te tinana me te uaua mō te rā kotahi, e rua rānei i muri i te memeha haere o ngā pānga o te rongoā. |
| ngoikore o te uaua | Te ngoikore o te uaua rangitahi. |
Karere Tangohia ki te Kāinga
- He rongoā whakangāwari uaua kaha te Succinylcholine e whakamahia ana i ngā hōhipera anake, inā koa i ngā wāhanga pokanga me ngā wāhanga tiaki nui.
- I mua i te hoatutanga o tēnei rongoā ki a koe, he mea nui kia kōrero koe ki tō tākuta mō tō hītori hauora katoa, ō mate pāwera, tō hītori hauora whānau, me ngā rongoā katoa e tangohia ana e koe.
- Nā te mea he mea hoatu tēnei e ngā tākuta whai tohu, kāore koe e manukanuka ki te penapena, ki te hoatu rānei.
- Ahakoa tera pea ngā pānga taha, ka taea e te tīma hauora te whakahaere i ēnei mea nā te mea kei raro koe i te tirotiro tata i te hōhipera.
- Mena he āwangawanga, he pātai rānei āu, kaua e wehi ki te pātai ki te tohunga whakamoe, ki tō tākuta rānei e rongoā ana i a koe. Ko tō haumaru te mea nui rawa atu ki a rātou.
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