Tērā pea ka pā mai he aituā ki a tātou i tētahi wā ohorere. I taua wā, he nui te tūponotanga ka huripokitia e tētahi whara kino tō tātou ao katoa. I roto i ngā kupu hauora, ka kiia ēnei whara he '(Whara Traumatic)'. He āhuatanga tino kino tēnei, ā, he mate morearea hoki. Nō reira, he mea tino nui kia mōhio te katoa ki tēnei mea.
He aha te tikanga o te whara kino?
I te whakarapopototanga, ko te "Whara Tūkino" he whara tinana e puta mai ana i tētahi aituā, ā, ka pā kino pea ki te tinana, i ētahi wā ka mate pea. Hei tauira, ko tētahi whara e puta ai te toto nui, te whara nui rānei o te upoko, ka taka ki tēnei wāhanga.
Ina hoki, he tino noa ēnei whara i Sri Lanka. He nui te wāhanga o ngā tūroro e whakaurua ana ki ngā tari ohorere o te hōhipera (ETU) i tētahi rā kua pāngia e ēnei whara. Ka pā pea ēnei whara ki te kāinga, ki te mahi, i te wā e taraiwa ana, e hikoi ana rānei i te rori.
Ko ngā hinganga me ngā aituā motuka te tino take o ēnei whara kino. Ka taea hoki te puta mai i ngā mahi tutu pērā i te whakaeke, te wero, te pupuhi rānei.
Ko te mea nui ko te whara kino pēnei he āhuatanga ohorere hauora . Ki te whakaaro koe kua whara kino koe, kua whara rānei tētahi atu, haria tonutia ia ki te Tari Ohorere o te hōhipera (ETU).
He āhuatanga whakarerekē oranga tēnei. Ehara i te mea ko koe anake ka pā ki tēnei aituā, engari ko ō whānau hoki e manaaki ana i a koe. He roa te wā e ora ai i tēnei whara. Tērā pea ka puhoi te tukanga whakaora. Nō reira, he mea nui kia manawanui koe ki a koe anō me te hunga e karapoti ana i a koe.
He momo whara kino kei reira?
Ae, ka whakarōpūhia ēnei whara e ngā tākuta i runga i te āhua o te puta me te pānga ki te tinana. E toru ngā momo matua. Me titiro tātou ki tēnei kia māmā ake ai te mārama.
| Momo whara | He whakamārama māmā |
|---|---|
| Te whara o te kaha pūmau | Koinei te momo tino noa. Ka puta ina pā te tinana ki te tinana me te kaha rawa. Hei tauira, te taka mai i te teitei, te pāngia e te waka, te pāngia rānei e te kaha o te mea. Ka whati pea ngā wheua, ka totohu ā-roto, ka whara hohonu, ka whara nui te mahunga (he whara nui te roro). |
| Ngā whara i puta mai i te whakahekenga ohorere (Te whara whakahekenga) | Whakaarohia kei roto koe i tētahi motuka e tere ana i te tere nui, ā, ka tukinga ohorere ki tētahi mea. Kei te neke whakamua hoki tō tinana i te tere kotahi, ā, ka pāngia koe. Ki te pā tō upoko ki te urungi, ka taea e te roro i roto i tō upoko te peke whakamuri, whakamuri ki tō angaanga. Ka taea e tēnei te whakararu nui i te roro. |
| Te whara o roto | Ka puta tēnei ina uru tetahi mea koi ki te kiri, ka uru ki te tinana. Hei tauira, ko te werohanga maripi, ko te patunga pū rānei. Ka puta anō hoki tēnei momo whara ina tōia ki raro, ina taka rānei ki runga i tētahi mea koi (pērā i te waea), ina pakaru rānei i te kongakonga i roto i tētahi pahūtanga. |
Me pēhea te whakatau a te tākuta he "whara nui, kino hoki" tēnei?
I te nuinga o te wā, ki te puta ngā whara maha e morearea ana ki te ora i te wā kotahi i ngā wāhi maha o te tinana, ka kiia he "whara nui, kino hoki." Ka whakamahia e ngā tākuta tētahi tikanga paerewa hei ine i te kaha o ēnei whara. Ka kiia ko te Kaute Kaha o te Whara (ISS) .
Mā tēnei pūnaha ka āwhina ngā tākuta ki te whakatau maimoatanga mā te titiro ki ia tūroro i te huarahi kotahi. Hei tauira, mā tēnei pūnaha whakatauranga ka āwhina rātou ki te whakatau mēnā ka puritia te tūroro ki te hōhipera, ka nekehia rānei ki tētahi atu hōhipera mō te maimoatanga motuhake.
Me pēhea te hoatu i ēnei tohu?
E rua ngā āhuatanga matua e whakaarohia ana e ngā tākuta:
- Te maha o ngā patunga: Tuhia te maha o ngā patunga kei roto i ētahi wāhanga nui o te tinana (upoko me te kaki, mata, korokoro, puku me te hope, ringa me ngā waewae, me te kiri).
- Te kaha o te whara: Ka aromatawaihia te whara he iti, he āhua rite, he kino, he tino kino, he tino kino, he kore e taea te whakaora. Ka nui ake te kino o te whara, ka teitei ake te kaute.
I runga i ēnei āhuatanga, ka tautuhia ngā wāhanga matua e toru o te tinana e whara kino rawa ana, ka tātaihia, ā, hei whakamutunga ka tatauhia he kaute ISS. Ko te kaute ISS o te 15, neke atu rānei, e kiia ana he whara kino nui.
He aha atu ngā āhuatanga hauora ka puta mai i ēnei whara?
Ka taea e te whara kino te arahi ki ngā momo mate hauora. Ko ētahi o ēnei ko:
- Ngā wheua whati, tae atu ki ngā whati o te tuaiwi.
- Puku pūkahukahu kua hinga.
- Ngā tapahi hōhonu.
- Te ru hiko.
- Uma whiu.
- Ko te whara roro whara (TBI) he whara kino ki te upoko, pērā i te whati o te angaanga, te toto rānei ki roto i te roro.
- Te toto nui rawa (Hemorrhage).
- Ko te ohorere hypovolemic he āhuatanga e hua mai ana i te hekenga o te toto toto.
- Ngā whara o te taurakira .
- Te toto o roto nā te kino o ngā whekau o roto (hei tauira, te repe taiaki, te whēkau).
- Ko te tapahi whara ko te ngaronga o tētahi peka, pērā i te ringa, i te waewae rānei, nā tētahi aituā.
- Ka pakaru te aorta, he oko toto nui.
Me pēhea te whakarato maimoatanga i roto i te Wāhanga Maimoatanga Ohotata (ETU)?
Kia kawea mai te tūroro ki te rūma whawhati tata, ka tere te mahi a te tīma hauora, ka mahi i ngā mahi matua e tika ana hei whakaora i te ora. E mōhiotia ana tēnei tukanga ko te tikanga ABCDE.
| Ngā Hipanga | He aha te mea e mahia ana |
|---|---|
| A - Ara Rererangi | Ko te mea tuatahi me mahi ko te tirotiro mēnā ka taea e te tūroro te manawa tika, me te mea kua āraia te ara manawa. |
| B - Te Manawa | Ka tirohia te manawa. Ka tirohia tētahi āhuatanga pēnei i te pūkahukahu kua hinga (pneumothorax). Ka tirohia te ngongo endotracheal kia tika ai tōna tūnga. |
| C - Te Tohanga | Mena he patunga e toto ana i waho, ka rongoatia tonutia. Ka tirohia hoki mēnā he tohu toto o roto, me te mea kei te pāngia te tūroro e te ohorere. |
| D - Hauātanga (Mate Io) | Kei te whakahaerehia ngā whakamātautau e tika ana hei whakatau mēnā he kino kei te pūnaha io, kei te taurakira rānei. |
| E - Te Whakamārama (whakamātautau katoa) | Tangohia ngā kākahu katoa o te tūroro, ā, tirohia te tinana katoa kia tino mōhio ai kāore he patunga e kore e kitea i ngaro. |
Ko ngā whara tino morearea ka rongoatia i te tuatahi e ngā tākuta. He maha ngā wā, ka whakahaerehia e te taote pokanga motuhake te pokanga ohorere hei whakahaere i ngā whara, i ngā āhuatanga rānei e morearea ana ki te ora.
Ka whakawhirinaki te maimoatanga ka whiwhi koe ki te āhua o ō whara. Me rapu āwhina pea koe i ngā tohunga wheua me ngā taote roro.
Me haere tonu te maimoatanga puta noa i te wā whakaora. Hei tauira:
- Te whakaora tinana
- Te rongoā mahi
- Te whakarato tautoko hinengaro - hei āwhina i ngā āhuatanga pēnei i te pouri, te manukanuka, me te mate ahotea muri-trauma (PTSD).
Kāore e taea te ārai i ngā aituā pēnei?
Kāore e taea te ārai i ngā aituā i te 100% o te wā. Heoi anō, kei reira ētahi mea ka taea e tātou te mahi hei whakaiti i te tūponotanga o te uru atu ki tētahi aituā. Hei tauira, ko ngā aituā motuka tētahi o ngā tino take o ngā whara kino.
Me mau tonu he whitiki nohoanga ina eke waka koe. Kaua rawa e taraiwa i raro i te mana o te waipiro, o ngā raau taero rānei, i raro rānei i te mana o tētahi rongoā e hiamoe ai koe, ahakoa kua tohua e te tākuta. Mā ēnei mea ngāwari ka ora ai koe.
Ka puta he whara kino i roto i te wā poto noa iho. Engari ka roa pea ngā marama, tae atu ki ngā tau, kia tino ora ai. Ahakoa ka ora ngā whara tinana, ka roa te wā e ora ai ngā patunga kare ā-roto. Mena kei te raru koe i ngā pānga o tētahi aituā pēnei, rapua he āwhina mai i tō tākuta.
Karere Tangohia ki te Kāinga
- Ko te Whara Tūkino e pā ana ki ngā whara kino ka mōrearea ai te ora, ka mate rānei.
- Ko ngā hinganga me ngā aituā motuka ngā tino take o ēnei.
- He āhuatanga ohorere hauora tēnei whara. Kawea tonutia te tūroro ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
- He roa te wā e pau ana ki te whakaora. He rite tonu te hiranga o te hauora hinengaro ki te hauora tinana.
- Mā te whai i ngā mahi haumaru (hei tauira, te mau whitiki nohoanga, te karo i te inu waipiro me te taraiwa), ka taea e koe te whakaiti i te mōrearea o ngā aituā.
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