I whakauruhia he paipa pokanga ki a koe i muri i te pokanga? Me kōrero tāua mō tēnei!

Tērā pea kua kite koe i tētahi paipa iti e whakaurua ana ki roto i tō tinana i muri i te pokanga, i kite rānei koe i tētahi. Tērā pea ka ahua kore whakamarie, tika? Kaua e manukanuka, he mea tino nui tēnei hei āwhina i te tere o te whakaora o tō patunga, hei whakaiti hoki i ngā raruraru. Nō reira, i tēnei rā, me kōrero tātou mō tēnei paipa pokanga.

He aha te paipa pokanga?

He māmā noa iho, he taputapu iti te paipa pokanga hei tango i ngā wai mai i te wāhi i pokangahia ai, arā, tō patunga. I muri i te pokanga, i te wā e ora ana te patunga, ka turuturu mai ngā wai pērā i ngā para pūtau, ētahi toto, me te wai. Mēnā ka kohia ēnei ki roto i te patunga, ka taea te whakaroa i te whakaora, ā, i ētahi wā ka pāngia e ngā mate. Nō reira, ka whakatakotoria tēnei paipa hei tango i aua wai, hei āwhina hoki i te tere o te ora o te patunga. Mēnā ka tiakina pai, ka taea hoki te whakaiti i te mōrearea o te mate.

I a koe e pupuri ana i tēnei ngongo, me pupuri e koe he rekoata mō te nui o te wai e puta mai ana i ia rā me tōna tae. Mā ēnei mōhiohio ka āwhina i tō tākuta kia mārama ki te āhua o te whakaora o te patunga me te wā me tango te ngongo. Ka taea hoki e ia te āwhina ki te kite wawe i ngā raruraru, pērā i te mate pāwera.

Ae, ka ahua rerekē, ka ahua koretake hoki te noho o tēnei ngongo ki roto i tō waha. Ka roa pea te wā e taunga ai koe ki tēnei. Engari kia mahara, he wāhanga tino nui tēnei o tō tukanga whakaora, ā, he wā poto noa iho. Ahakoa kāore e āhua pērā i nāianei, mā tēnei ngongo pokanga koe e tere ake ai te whakaora.

Āhea e hiahiatia ai he paipa pokanga?

Ka whakauruhia ēnei ngongo e ngā taote pokanga i muri i ngā momo pokanga rerekē. I runga i te pokanga i mahia ki a koe, ka taea te whakauru i tētahi ngongo mō ēnei take:

• Āraia te kohikohinga o te wai i roto i te patunga.
• Ringihia te wai kua pangia, te wai rānei kua pangia.
• Ārai i te toto kei kohia ki roto i te patunga (hematoma).
• Ārai i te kohikohinga o te wai mārama (seroma).

Ka whakaurua e te tākuta tēnei ngongo i a koe e kore e mōhio, arā, i raro i te rongoā whakamoe. Nō reira, kāore koe e rongo i te mea ka whakaurua.

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Me pēhea te mahi a ēnei paipa pokanga?

Ka ringihia e ngā ngongo katoa ngā wai mai i te patunga, pērā i te toto me te wai rēmana, ki waho o te tinana. Heoi, he rerekē te huarahi e mahia ai tēnei i runga i te momo ngongo.

• Ngā pūnaha rerenga wai tuwhera: He ngongo tuwhera kei tētahi taha o ēnei. Ka whakanohoia tētahi pito o te ngongo ki roto i te patunga, ā, ko te wai e puta mai ana i tētahi pito ka kohia ki roto i tētahi wahi kākahu ka pania ki tō kiri. Ka tōia te wai e te kaha ā-papa i roto i te patunga ki roto i te kākahu. Ko te 'Penrose drain' tētahi o aua pūnaha tuwhera.

• Ngā pūnaha waikeri/momi kua kati:Kei roto i te patunga tetahi pito o ēnei, ā, ko tetahi pito e hono ana ki tētahi ipu iti i hangaia hei kohi wai. Mā te pēhanga hau e hangaia ana mā te pēhi i tēnei ipu ka āta kume haere te wai mai i te patunga ka kohia ki roto i te ipu. He pūnaha kati ngā 'waikeri Jackson-Pratt (JP)' me ngā 'waikeri Hemovac'.

He aha ngā momo matua o ngā paipa pokanga?

He maha ngā waitohu me ngā tauira o ngā taputapu pokanga, engari e toru ngā momo matua e whakamahia ana e te nuinga o ngā taote pokanga:

1. Ngongo Jackson-Pratt (JP): He ngongo roa, ngāwari tēnei. Kei tētahi pito he ipu kohi iti, āhua porowhita. Ka whakaurua tētahi atu pito o te ngongo ki roto i te patunga. Ka anga atu te taha porowhita ki tua atu i te tinana. Ina pēhia tēnei porowhita, ka kukumea te wai mai i te patunga. Ko tēnei 'JP drain' te momo ngongo pokanga e whakamahia whānuitia ana.

2. Ngongo Penrose: He ngongo ngohengohe, ngāwari te ngongo Penrose, e rua ngā pito. Ina whakaurua tētahi pito ki roto i te patunga, ka rere te wai ki roto. Nā te mea kei te puea ake tetahi pito i te patunga, ka rere te wai ki waho. Ka kohia tēnei wai ki runga i tētahi wahi kākahu kua whakatakotoria ki te kiri.

3. Ngongo Hemovac: He rite te mahi a te 'Hemovac drain' ki te 'JP drain'. Heoi, ehara i te mea he pūangi i roto i te ipu e kohia ai te wai, engari he ngongo porotaka ngāwari. Ka kukumehia te wai ina pēhia. Ka taea e ia te kohi wai nui atu i te 'JP drain'.

He aha ngā raruraru ka puta mai i ngā paipa pokanga?

He nui ake ngā painga o te whakaurunga o tētahi katitere pokanga i ngā raruraru ka pā mai. Heoi anō, he iti noa ngā mea me mōhio koe ki:

• He tūponotanga kei pangia koe e te mate.
• Tērā pea ka mākūkū, ka whero hoki te wāhi e uru ana te ngongo ki roto i te kiri.
• Tērā pea ka marere noa te ngongo, ka turuturu te wai, ka aukati rānei .

Kaua e manukanuka! Ka taea te ārai i te nuinga o ēnei raruraru mā te pupuri i te patunga kia ma, me te whai i ngā tohutohu a tō tākuta. Mena he pātai āu mō te tiaki i tō ngongo, me pātai atu ki tō tākuta, ki tō nēhi rānei.

Me pēhea taku tiaki i taku waikeri?

Mā tō tīma hauora koe e tohutohu mō te tiaki i tō patunga me ngā ngongo i whakaurua e koe. Tērā pea ka rerekē ēnei tohutohu i runga i te momo pokanga i mahia ki a koe me te momo ngongo i whakaurua e koe. Me āta whai koe i ēnei tohutohu.

Ko te tikanga, ko te tiaki i te patunga he pupuri i te ma, kia kore hoki e pangia e te mate. Me whakawhiti tonu te takai, me tango te wai e kohia ana i roto i ngā paipa waikeri kua kati te pūnaha, me te tuhi i te wai e puta mai ana.

Me pēhea te huri i te takai i roto i te pūnaha waikeri tuwhera

Mā tō tākuta koe e kī atu ki te auau o te whakawhiti i te takai (he mea hanga ki te kākahu) me te aha hoki me horoi te patunga. He pai ake te tiaki i te patunga i te taha o te totohu hei horoi i ō ringaringa. Horoia rawatia ō ringaringa, ā, horoia i mua i te pā atu ki te takai, i mua hoki i te pā atu ki te patunga.

1. Horoia ō ringaringa kia tino horoia ki te hopi me te wai (me whakamahi rānei i te wai horoi kei roto he waipiro). Whakamahia he tauera hei whakaweto i te puna wai.

2. Tangohia te takai tawhito ka maka atu.

3. Horoia anō ō ringaringa, kātahi ka mau i ētahi karapu ma (kāore i te parakore).

4. Horoia te patunga i ngā wā katoa ki te hopi me te wai, ki te wai horoi patunga rānei.

5. Whakamarokehia te kiri ki te tauera ma.

6. Whakatakotoria te takai hou ki runga i te patunga. Tērā pea ka rerekē te huarahi e mahi ai koe i tēnei i runga i te momo ngongo kei a koe.

Me pēhea te tango i te wai mai i ngā waikeri pūnaha kua kati

I roto i ngā pūnaha kati, i te mea ka kī te ipu e pupuri ana i te wai, ka heke te nui o te wai ka taea te tango mai i roto. Koia te take me tango tonu te wai i roto. Ringihia te wai i roto i te ipu ina tata ki te haurua te kī.

1. Horoia ō ringaringa kia tino mārie.

2. Ki tō ringa kāore i te matua, pupurihia te ngongo kia tata ki te maihao te roa mai i te wāhi e tomo ana ki te patunga. Puritia kia mau. Mā tēnei ka ārai i te ngongo kei kukume i te patunga i te taahiraa e whai ake nei, ā, ka mamae.

3. Ki tō ringa matua, hopukia te ngongo i raro i te pūwāhi e pupurihia ana e koe, ka pana i te wai i roto i te ngongo ki roto i te ipu.

4. Tangohia te taupoki i te ipu kohikohi ka ringihia te wai ki roto i tētahi kapu ine.

5. Kia takoto kau, pēhia te ipu me te whakahoki anō i te taupoki. Mā tēnei mahi whakamutunga ka puta he pēhanga hau i roto i te ngongo, ka kumea mai te wai ki waho.

Te pupuri i ngā kōrero mō ngā wai (tae me te rahinga)

Me aroturuki hoki koe i te wai e puta mai ana, arā, tōna āhua. I te wa e ora ana te patunga, ka huri te tae o te wai. Ka taea te tae toto (sanguineous), te wai toto-mārama (serosanguineous), ā, i te mutunga ka mārama (serous - he maha ngā wā ka kōwhai). Ko tēnei huringa tae he tohu kei te ora koe:

• Whero pouri (he nui te toto)
• He whero mārama, he māwhero rānei (he mea whakaranu ki te toto me te wai mārama)
• He kōwhai mārama (he rite ki te kakau witi) he mārama rānei (he wai tino mārama)

Me tuhi hoki e koe te nui o te wai e ngaro ana i a koe. Ko te hekenga o te wai e ngaro ana i ia rā, i ia rā, he tohu anō hoki kei te pai haere koe.

• Mena he paipa Penrose, tuhia te wā i whakawhitia ai te takai me te mākū o te tauera.
• Mena he JP drain, he Hemovac rānei, tuhia te wā i ringihia ai te ngongo me te nui o te wai i roto i te ipu kohi. Tirohia te nui i roto i te kapu ine, ka tuhia te nui.

Kia pēhea te roa e tika ai kia waiho ngā paipa pokanga ki tōna tūranga tika?

Kei te momo pokanga i mahia ki a koe, te nui o te wai e ringihia ana e koe, me ētahi atu mea anō hoki. Tērā pea me noho ētahi tāngata ki roto i te ngongo mō ngā haora 24, iti iho rānei, ko ētahi ia me noho ki roto i te ngongo mō te rima wiki pea.

I te ora haere o te patunga, me heke haere te nui o te wai e puta mai ana. Mā te aroturuki i te nui o te wai e ngaro ana i a koe ka āwhina i tō tākuta ki te mōhio ko tehea te wā pai hei tango i te ngongo.

I mua i tō wehenga atu i te hōhipera, pātai atu ki tō tākuta kia pēhea te roa e hiahia ana koe ki te noho ki runga i te ngongo.

Me pēhea te tango i te paipa pokanga

Tērā pea ka pāngia koe e te mamae, e te tō rānei ina tangohia te ngongo pokanga e te tākuta. Ko te tikanga ka tangohia penei:

1. Ka horoia e te tākuta te wāhi ki te rongoā paturopi.

2. Tapahia te tuitui e piri ana ki te patunga.

3. Ka unuhia e te tohunga te ngongo. I tēnei wā, tera pea ka rongo koe i te tōia, i te pēhi rānei.

4. Hei whakamutunga, ki te puta he toto, taupokina ki te takai hei aukati.

Ka puta he kōhao iti ki tō kiri i te wāhi i takoto ai te ngongo. Tērā pea ka roa pea ētahi wiki kia ora rawa, ā, tērā pea ka puta he koha iti ki te wāhi i takoto ai te ngongo.

Āhea ahau me toro atu ki taku tākuta?

Ki te kite koe i ēnei tohu o te mate, me toro atu ki tō tākuta tonu:

• Mena he 100.4 nekehanga Fahrenheit (38 Celsius) neke atu rānei te pāmahana o te kirika.
• Mena he whero te wāhi i patungatia, he pupuhi, he mahana, he mamae rānei .
• Ki te kite koe i ngā ira whero i te wāhi i whara ai.
• Mena he kakara kino te wai e puta mai ana i te patunga, he kakariki, he matotoru rānei .

Waihoki, ki te kore te ngongo e mahi ana, ki te kite rānei koe i ētahi atu tohu o ngā raruraru, waea atu tonu:

• Mena kua wetekina ō tuitui.
• Ki te puta te ngongo i te patunga.
• Mena ka piki haere tonu te nui o te wai e puta mai ana mō ngā rā e rua (me whakaiti).
• Mena he māwhero, he kōwhai mārama, he mārama rānei te wai, kātahi ka whero anō (he tohu tēnei o te toto).
• Mena he paipa wai kua kati, kua tīmata te puta mai o te wai i te patunga kua tapahia.
• I roto i tētahi pūnaha kati, mēnā ka mutu whakarere te tangohanga o te wai mai i te paipa.

Ki te mea kei te ruarua koe mō te tiaki tika i tō patunga, i tō ngongo rānei, me pātai atu ki tō tākuta. He pai ake te noho haumaru i te pouri, me te karo hoki i te pangia e te mate.

Hei whakamutunga, kia maumahara (Karere Tangohia ki te Kāinga)

Ahakoa he ahua koretake, he ahua koretake hoki i ētahi wā, he taahiraa noa iho te pokanga waikeri ki tō oranga katoa. I mua i tō wehenga atu i te hōhipera, ka whakamāramahia e tō rōpū hauora me pēhea te tiaki i te waikeri. Ina pērā rātou, kaua e mangere ki te pātai. Kia tae koe ki te kāinga, me waiho te tiaki i te waikeri me te patunga hei wāhanga o tō mahi o ia rā. Hoatu ki tō tākuta, ā, kia mau ki te tuhi i te wai e puta mai ana. Kia tere tō oranga!