Kua pokangahia koe? Kua pokangahia rānei tētahi o tō whānau? Kātahi ka whai rōpū tohunga hei whakamoe i a koe kia kore ai koe e mamae, kia kore ai rānei e whakangāwari i tētahi wāhanga o tō tinana, tika? I tēnei rā, ka kōrero tātou mō tētahi mara e whakarato ana i taua ratonga nui, engari kāore tātou e kōrero nui mōna. Ina koa, ka kōrero tātou mō ngā "Nurse Anaesthetists", e whiwhi whakangungu motuhake ana mō tēnei i ētahi whenua.
Ko wai te Nēhi Whakamoemiti?
He kupu ngāwari noa iho, he tohunga hauora tēnei kua whakangungua motuhake ki te tuku rongoā whakamoe ki ngā tūroro kia kore ai rātou e mamae i te wā pokanga, i ētahi atu tikanga hauora rānei. E mōhiotia ana hoki rātou ko ngā Kaiwhakamoe Nēhi Rehitatia Tiwhikete (CRNA).
I Sri Lanka, ko ngā tohunga whakamoe te nuinga o te wā e mahi ana i tēnei mahi. Arā, ko ngā tākuta kua ako i te whakamoe mō ngā tau maha i muri i tā rātou tohu hauora, ā, kua whiwhi mātauranga motuhake. Heoi, i ngā whenua pēnei i te Hononga o Amerika, ka whakaaetia hoki ngā nēhi kua whakangungua motuhake ki te mahi i tēnei mahi. Kua whakaatuhia e ngā rangahau he rite tonu te haumaru, te kounga me ngā hua o ngā ratonga whakamoe e whakaratohia ana e ngā taha e rua . Nō reira, ko te tangata e mahi ana i tēnei mahi, he mea nui kia tutuki i a ia te taumata whakangungu me ngā tohu mātauranga teitei rawa atu.
He aha rawa te mahi a ēnei tāngata?
He uaua ake te mahi a te tohunga whakamoe i tō whakaaro. Ehara i te mea ko te "hoatu noa i te rongoā whakamoe" anake. Ko tā rātou kawenga he pupuri i a koe kia haumaru, kia whakamarie hoki i te roanga o tō pokanga.
I mua i te pokanga, ka tūtaki te tohunga whakamoe ki a koe, ka pātai atu ki a koe mō tō hauora, mō ētahi atu rongoā e tangohia ana e koe, me ō mate pāwera. Ka whakamāramahia hoki e rātou te momo whakamoe ka hoatu ki a koe, ōna mōrearea, me ngā pānga taha.
I te wā o te pokanga, ka aroturuki tonu rātou i ō tohu ora , pērā i te tere o tō manawa, te pāmahana o tō tinana, te toto toto, me te manawa . Ka whakarerekētia e rātou te horopeta o te rongoā whakamoe kia noho pumau ai koe. Whai muri i te pokanga, ka tiaki rātou i a koe kia hoki mai anō tō māramatanga, kia pai ake ai tō āhua.
He maha ngā momo matua o te rongoā whakamoe. Ko te tikanga tino tika ka whakawhirinaki ki te āhua o tō pokanga me tō āhua hauora.
| Momo Whakamamae | Ka ahatia? |
|---|---|
| Whakamamae Whānui | I roto i tēnei, ka moe rawa koe. Kāore koe e rongo, e mahara rānei ki tetahi mea i te wā o te pokanga. Mō tēnei, ka hoatu te rongoā ki a koe mā te manawa (mā te kopare) mā te cannula rānei e whakanohoia ana ki roto i te uaua (IV - Intravenous). |
| Te Whakamamae ā-Rohe | I tēnei, ko te wāhanga tinana anake e pokaina ana ka whakangā. Hei tauira, ki te mea kei te pokaina tō ringa, ko tō ringa anake pea ka whakangā, ki te mea rānei kei te pokaina tō waewae, ko tō tuara o raro anake pea ka whakangā. Kei roto hoki i tēnei wāhanga te epidural e hoatu ana i te wā e whānau ana. Kei te mōhio koe, engari kāore koe e rongo i te mamae. |
| Whakamarie | Mā tēnei ka moe māmā koe, ka moe whakangāwari rānei. Ka whakaiti i tō wehi me tō manukanuka, ā, ka noho marino koe. He tikanga tēnei e whakamahia whānuitia ana i roto i ngā whakamātautau pēnei i te Endoscopy me te Colonoscopy. He maha ngā taumata i konei: - Whakamarie Ngāwari: Ka marino koe, ka hiamoe hoki. - Whakamarie Āhua: Tērā pea ka hiamoe koe, engari ka taea te whakaara ake mēnā e tika ana. - Whakamarie Hōhonu: Ka moe hōhonu koe, ā, kāore koe e mahara ki te maimoatanga. |
Āhea e hiahiatia ai ngā ratonga whakamoe?
He wāhi tino nui te rongoā whakamoe, e āhei ai tātou ki te whiwhi maimoatanga hauora me te haumaru, me te kore mamae.
He maha ngā āhuatanga matua e hiahiatia ai ēnei ratonga.
Mō ngā pokanga me ngā whakamātautau hauora
Mai i ngā pokanga iti pēnei i ngā ngongo taringa ki ngā pokanga nui pēnei i te whakakapinga hope, he mea nui te rongoā whakamoe mō ngā mahi pokanga katoa. Ka whakamahia hoki mō ngā mahi pēnei i te tango niho me te pokanga kirihou. Ka whakamahia hoki te rongoā whakamoe hei whakaiti i te mamae i ngā wā mahi pēnei i te endoscopy, te colonoscopy rānei.
I te wā e whānau ana
He tino āwhina te rongoā whakamoe ā-rohe mō te whakahaere i te mamae i te wā e whānau ana. Ko te epidural te mea e whakamahia whānuitia ana.I tēnei tikanga, ka tukuna tonutia ngā rongoā whakamamae mamae mā roto i tētahi ngongo angiangi rawa (catheter) e whakaurua ana ki roto i te awa tuaiwi. Mā tēnei ka taea e te whaea te whai wāhi atu ki te whānautanga me te mōhio me te kore mamae. Mena e hiahiatia ana he pokanga whakawhānau, ka taea hoki te whakamahi i tēnei tikanga mō tēnā. Waihoki, ka mahia he pokanga whakawhānau mā te whakamahi i te werohanga kotahi o ngā rongoā whakamamae mamae ki roto i te tuaiwi (anesthesia spinal). Mēnā he āhuatanga ohorere, kua rite hoki ēnei tohunga ki te tuku wawe i te whaea ki raro i te mate whakawhānau whānui.
Te Whakahaere Mamae Mau tonu
Ka āwhina hoki ētahi tohunga whakamoe ki te waihanga i ngā mahere whakahaere mamae mō ngā tūroro e pāngia ana e te mamae mau tonu, tae atu ki ngā werohanga, ngā rongoā, me te whakaora tinana.
Karere Tangohia ki te Kāinga
- He tikanga hauora tino haumaru te whakamoe, ā, ka āwhina i a koe ki te mahi pokanga me ētahi atu maimoatanga me te kore mamae.
- Ka whakaratohia tēnei ratonga e ngā tohunga tino tohunga pēnei i ngā Tohunga Whakamoe, ngā Nēhi Whakamoe rānei kua whakangungua motuhaketia.
- Mā rātou e whiriwhiri te tikanga whakamoe (whānui, ā-rohe, whakamoe rānei) e tino tika ana māu, i runga i tō āhua hauora me te maimoatanga e mahia ana.
- Ka tino aroturukihia koe e rātou i mua, i te wā e rongoatia ana, me muri i te maimoatanga hei whakarite i tō haumaru.
- Mena he wehi, he ruarua, he pātai rānei āu mō te rongoā whakamoe, kaua e mangere ki te kōrero ki tō tākuta, ki te tohunga rongoā whakamoe rānei. E whakapau kaha ana rātou ki te whakautu i ō pātai katoa.
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