Kua whakaaro kē koe he aha i ētahi wā ka nui haere ngā oko toto i roto i tō tinana, ā, i ētahi wā ka iti haere? Ko te whānui haere o ngā oko toto tēnei e kiia nei e tātou ko te `(Vasodilation)` i roto i te pūtaiao hauora. Ahakoa he mea noa tēnei e tupu ana i roto i tō tātou tinana i ngā wā katoa, i ētahi wā ka puta he raruraru nui. Nō reira, me ako tātou he aha te `(Vasodilation)` i ēnei rā, me pēhea?
He aha rawa te tikanga o te `(Vasodilation)`? Me pēhea tēnei e puta ai?
Ki te whakarapopoto, ko te "Vasodilation" te whānui haere o ngā uaua toto i roto i tō tinana. Ina whānui haere ēnei uaua toto, ka nui ake te toto e rere ana mā roto i a rātou. Ka heke iho tō toto toto. He mea tēnei e tupu tonu ana i roto i tō tinana, ahakoa kāore koe e mōhio.
Nā, tirohia te mahi a te toto i roto i tō tātou tinana. Ko te toto te kaikawe i te hāora me ngā matūkai ki te tinana, ā, ka āwhina anō hoki ki te whakahaere i te pāmahana o te tinana.
Nō reira, ehara ēnei oko toto i te ngongo noa iho. He paparanga uaua kei roto. Mā ēnei uaua ka whakatau i te wā e whānui ai ngā oko toto, me te wā e whaiti ai. Ina whānui pēnei ngā oko toto, ka kiia e tātou ko te `(Vasodilation).` Ko te taha kē atu o tēnei, ina whaiti ngā oko toto, ka kiia ko te `(Vasoconstriction). Kei te mārama koe?
Āhea te wā ka puta noa mai ai tēnei `(Vasodilation)`?
Tērā pea kua pā mai ēnei mea ki a koe anō hoki, tirohia ēnei tauira:
- Ina whakama koe, ka whero tō mata, tika? I taua wā, ka paku wera tō mata, nā te mea ka "whakanuia" ngā oko toto iti i raro i tō kiri, e kiia nei e tātou ko ngā "capillaries", kātahi ka "whakanuia te toto." Kātahi ka piki ake te rere o te toto ki tō mata. He rite ki te tamaiti e whero ana i te whakama.
- Ina tomo koe ki roto i te kaukau wera: Ina tomo koe ki roto i te wai wera, ka tīmata te whānui o ngā uaua toto i roto i tō tinana. Hei āwhina tēnei ki te whakahaere i te wera ohorere i roto i tō tinana, hei āwhina hoki i a koe kia noho mahana. Heoi, koinei anō te take kāore e pai te noho roa ki roto i te wai wera. Ki te pērā koe, ka heke rawa tō toto toto, ā, ka hemo pea koe. Nō reira kia tūpato!
- Ina whakakorikori tinana koe: Ina kaha koe ki te whakakorikori tinana, ina oma, ina pekepeke rānei, ka hiahia wawe ngā pūtau o tō tinana, inā koa ngā pūtau uaua, ki te hāora me ngā matūkai. Kātahi ka whānui ake ngā uaua toto ka tuku atu i te toto hei whakatutuki i taua hiahia.
- Ina puta he mate urutā ki te tinana: Whakaarohia he patunga kei tō tinana kua tīmata te pirau. Ina puta he mate urutā pēnei, ka urupare te tinana mā te whakanui ake i te rere o te toto ki te wāhi kua pangia. Mā tēnei ka māmā ake te whawhai a te tinana ki te mate urutā me te whakatika i ngā kino i puta mai.
Ka taea e ngā mea e kainga ana e tātou, e inuhia ana hoki te whakaputa i te "whakarahi i te toto"?
Ae, tera pea. Ko ētahi o ngā mea e kainga ana e tātou, e inuhia ana e tātou, ka whānui ake ngā oko toto, ka heke iho hoki te toto toto. Tirohia:
- Ngā kai he nui te nitrates:He nui ngā nitrates i roto i ngā rau matomato pēnei i te pīnihi, te rētihi, te rātiti, me te bok choy. Ka hurihia e ō tātou tinana ngā nitrates hei matū e kiia nei ko te hauota waikura. He huarahi pai te hauota waikura hei whakawhanui i ngā oko toto.
- Waipiro: Ina inu koe i te waipiro iti, ka puta te "whakawhanui i te toto" i roto i te tinana. Koia te take ka whero te kiri o ētahi tāngata ina inu waipiro rātou. Engari he wā poto noa iho tēnei. I muri i tētahi wā, ka hoki te toto ki te āhua noa. Engari kia mahara, ki te nui rawa te waipiro e inuhia ana e koe, ka piki ake tō toto. Koinei te take matua e kī ana ngā tākuta kia kaua e inu nui rawa.
He rongoā kei reira hei "whakanui i te toto"?
He maha, he maha. Ko ētahi rongoā he mea hanga hei "whakarahi i te toto." Ka puta anō hoki tēnei hei pānga taha o ētahi rongoā.
- Ngā rongoā mō te toto toto tiketike: Ko te nuinga o ngā rongoā mō te toto toto tiketike he whānui ake i ngā oko toto. Koinei te mahi matua a aua rongoā.
- Nitroglycerin: He rongoā rongonui anō hoki tēnei hei whakanui i te toto. E whakamahia ana hei rongoā i ngā whakaeke ngakau me te mamae o te uma, e mōhiotia ana ko te angina.
- Ngā rongoā mō te ngoikore o te ure: Ka mahi ngā rongoā pēnei i a Sildenafil (e mōhiotia ana ko Viagra®) mā te whakawhānui i te toto. Ka whakanui ake ēnei i te rere o te toto ki te ure.
Me aha mēnā ka tino heke te toto toto nā te `(Vasodilation)`?
Ki te tino heke te toto toto nā te whānui o ngā uaua toto, e kiia nei ko te hypotension, he maha ngā huarahi hei rongoā. I te nuinga o te wā ka puta tēnei i te hōhipera.
- Te whakaora wai: Ko te tikanga o tēnei ko te hoatu wai, pērā i te tote, ki roto i te uaua (ngā wai IV). Ka whakanui ake tēnei i te nui o te wai i roto i te tinana, ā, ka āwhina ki te whakapiki i te toto toto.
- Ngā rongoā mō te toto toto tiketike: E rua ngā momo rongoā, arā, ko ngā "Vasoconstrictors" me ngā "Vasopressors", e whakamahia ana hei rongoā i te toto toto iti. Mā te mahi a ēnei rongoā ka whakawhāitihia ngā oko toto kua whānui (vasoconstriction), ka whakahokia te toto toto ki te noho noa.
He mea mōrearea te `(Vasodilation)`?
Ae, i ētahi wā ka mōrearea pea tēnei. Kei te pūtake o te "Vasodilation", te wā e puta ai, me tōna kaha. I ētahi wā tino kino, ka taea e te whānui haere o ngā uaua toto (me ngā tohu e pā ana ki tēnā) te whakararu i te ora.
Whakaarohia tēnei: I roto i ngā āhuatanga mōrearea pēnei, ko te `(Vasodilation)` tētahi atu take:
- Ngā uruparenga mate pāwera kino:Ka kiia hoki tēnei ko te `(Anaphylaxis)`. Koinei te wā ka tino kaha te urupare a te pūnaha ārai mate o te tinana ki tētahi mea (hei tauira, te kai, te rongoā, te ngau a te pepeke) ā, ka mate pea. Ina puta te `(Anaphylaxis)`, ka pāngia te tangata e te `(oho)`, ka heke te `(toto toto)` ki te mōrearea, ā, ka kati ngā ara manawa, ka uaua ai te manawa. Ko te rongoā `(Epinephrine)` e hoatu ana i roto i tēnei āhuatanga ohorere he `(vasoconstrictor)` kaha. Arā, ka whakaara ake anō i te `(toto toto)`, ka āwhina ki te whakangāwari i te manawa, ā, ka whakawhāiti i te urupare ārai mate.
- Te ohorere toto: He mate morearea te Sepsis, ā, he tino kaha te urupare a te tinana ki tētahi mate, ā, ka morearea pea. Ko te ohorere toto te momo tino kino (ā, ka mate pea). I roto i tēnei mate, ka tino heke te toto nā te whānui o ngā oko toto puta noa i te tinana. I roto i tēnei āhuatanga tino kino, he mea nui ngā wai IV me ngā rongoā hei whakanui ake i te toto hei whakaora i te ora o te tangata.
Āhea koe me toro atu ki te tākuta mō te `(Vasodilation)`?
I te nuinga o te wā, kāore he mea hei manukanuka mō te `(Vasodilation)`. Inaa, kāore pea koe e mōhio kei a koe te `(Vasodilation)` nā te mea kāore e taea e koe te kite. Heoi, ka taea e koe te kite i ōna pānga. Hei tauira, ki te hemo koe, tera pea nā te iti o te `(blood pressure)`. Ki te tino heke tō toto, ā, ka uru koe ki te `(shock)`, ka tūpono pea te ora.
Ko ngā tohu o te ohorere ko:
- Ngā panonitanga o te āhua hinengaro: te ohorere, te kore okiokinga, te pōhēhē rānei, me te mea kua ngaro.
- Te tae kikorangi o ngā ngutu me ngā matimati.
- Pōuriuri, māuiui, ngoikore rānei.
- Ka mātao te kiri, ka werawera, ka mā rānei. Me te mea kua ngaro te toto.
- Te werawera nui.
- Ka pāpaku, ka tere rānei te manawa.
- Te tere me te ngoikore o te pā o te manawa.
Ki te hemo te tangata, ā, e whakaaro ana koe kei te pāngia ia e te "ohorere", me mahi koe i ēnei mea:
- Kia marino, kaua e mataku. Waea atu ki te 1990 (te ratonga waka tūroro ohorere o Sri Lanka) tonu. Kaua e tatari kia kino rawa ngā tohu. He mea nui ia hēkona.
- Tirohia mēnā kei te wātea te ara manawa o te tangata. Kei te manawa ia? Ahakoa kei te manawa ia, tirohia i ia rima meneti tae noa ki te taenga mai o te waka tūroro. Wetekina ngā kākahu, ngā whitiki rānei e mau ana.
- Tirohia mēnā he pā. Ki te kore he pā, tīmata tonu te whakaora manawa (CPR) ka haere tonu kia tae mai rā anō te āwhina.
- Mena kāore he whara kino o te tangata ki te upoko, ki te kaki, ki ngā waewae, ki te tuara rānei,Whakatakotoria he urunga, he mea rānei ki raro i ōna waewae, ka hiki ake i a ia kia tata ki te 12 inihi te teitei. Ka kiia tēnei ko te "tūnga ru". Kaua e hiki ake tōna māhunga ahakoa he aha te take.
- Mena ka taea, ā, ki te tika hoki, me hoatu te āwhina tuatahi ki ētahi atu whara e kitea ana.
- Kia mahana te tangata. He pai ake mēnā ka taea te hipoki i a ia ki te paraikete.
- Kaua e hoatu he kai, he inu rānei ki a rātou.
- Mena kei te ruaki te tangata, kei te puta mai rānei te hūpē i tōna waha, ā, kāore he whakapae mō te whara o te māhunga, te kaki, te tuara rānei, tahurihia tōna māhunga ki tetahi taha kia kore ai e kōrohia.
Hei whakamutunga, ngā mea hei maumahara
He tukanga taiao te whakanui i te rere o te toto i roto i te tinana, e whakanui ana i te rere o te toto, e whakaheke ana hoki i te toto toto. I te nuinga o te wā, he pai tēnei ki a tātou. Nā te mea ka āwhina i te kawe i te hāora me ngā matūkai puta noa i te tinana. Heoi, i ētahi wā, ka kino te whakanui i te toto toto. Ka taea e ia te whakararu i te toto (te toto toto iti).
Nō reira, kia tūpato ki ngā tohu o te "ohorere": ngā panonitanga o te āhua hinengaro, te kiri mākūkū, me te manawa papaku, tere rānei. Mēnā ka pāngia koe, tētahi rānei e mōhio ana koe, me rapu tonu i te awhina hauora. Koinei te mea pai hei mahi.
` whakawhanui i te toto, ngā uaua toto, te toto toto tiketike, te tohanga toto, te anaphylaxis, te ru septic, te āwhina tuatahi, te whakaheke toto, te ru











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