Mena kua pokangahia koe, kua rongo pea koe i te kupu "anesthesia" i mua atu. He maha ngā tāngata e mataku ana ki tēnei. He mea noa te pātai pēnei i te "Ka ara ake ahau?" me te "He aha te mea ka puta mēnā ka pangia ahau e te anesthesia?" Engari he tikanga tino haumaru tēnei, e mahia ana i raro i te tirotiro katoa a ngā tākuta. Nō reira, i tēnei rā, me kōrero tātou mō te anesthesia whānui, ngā mea katoa rānei e hiahia ana koe ki te mōhio mō tēnei mea.
He aha te tikanga o te mate whakamoe whānui?
Ko te whakamoe whānui he rite ki te moe hōhonu i te wā e pokanga ana. Ko te tikanga, ehara i te moe noa iho tēnei, engari he āhua ngaro hohonu, whakahaeretia hoki. I tēnei wā, kāore tō tinana e rongo i te mamae, ā, kāore koe e mahara ki tētahi atu mea i te wā e pokanga ana .
Mā te tohunga whakamoe tēnei mahi e mahi. He tākuta ia he tohunga whakangungu ki te whakamoe , arā, te whakaoho i te moe. Mai i te tīmatanga o te pokanga tae noa ki tōna mutunga, tae noa ki tō ara anō, ka noho tēnei tohunga whakamoe ki tō taha, ka aroturuki i ō nekehanga katoa. Nō reira, kāore he take e mataku ai koe.
Nā, kia tirohia tātou he aha te rerekētanga i waenga i te rongoā whakamoe whānui me ētahi atu tikanga rongoā whakamoe.
| Momo rongoā whakamoe | Ka ahatia? | Ngā horopaki whakamahinga |
|---|---|---|
| Whakamamae Whānui | Ka rite te āhua o te tinana katoa ki te moe hōhonu. Kāore he mamae, kāore hoki he māramatanga. | Ngā pokanga nui (ngākau, roro), ngā pokanga e roa ana ngā hāora. |
| Te Whakamamae ā-Rohe | He nui te wāhanga o tō tinana (hei tauira, i raro i te hope) kua ngoikore. Kei te mārama koe, engari kua hoatu he rongoā ki a koe hei whakangā. | Te pokanga tākihi (C-section), te whakakapinga turi, hope rānei. |
| Te Whakangote ā-Rohe | He iti noa te wāhi e pāngia ana. | Unuhia he niho, tuituihia he patunga. |
| Moe māmā (Whakamarie) | Ka waiho koe ki te āhua marino, hiamoe. Tērā pea ka moe koe. | Ngā whakamātautau koroni, ētahi whakamātautau koiora. |
Me pēhea te tukanga o te ngaronga o te moemoeā?
He mea tēnei e tupu haere mārire ana.
1. Te hoatu rongoā: Ina haere koe ki te whare pokanga, ka whakaurua he cannula (raina IV) ki roto i te uaua i roto i tō ringa, ā, ka tukuna he rongoā wai mā roto. I ētahi wā rānei ka whakatakotoria he kopare ki tō mata, ā, ka hoatu he hau hei manawa māu. I roto i ētahi meneti, ka taka koe ki te āhua e rite ana ki te moe hōhonu.
2. Te whakarite i te manawa : Kia kore rawa koe e mōhio, ka whakauruhia e te tohunga whakamoe he ngongo iti (ngoi endotracheal) mā roto i tō waha ki roto i tō pūhā kia whiwhi ai koe i te nui tika o te hāora puta noa i te pokanga. Kāore koe e rongo i te whakaurunga mai nā te mea ka hoatu he rongoā ki a koe hei whakangāwari i ngā uaua o tō korokoro i mua i te mahi i tēnei.
3. Te aroturuki tonu: I te roanga o te pokanga, ka ine tonu te tīma whakamoe i ngā mea e whai ake nei i roto i tō tinana:
- Te tere o te manawa
- Te pāmahana tinana
- Te tere o te manawa
- Te toto totoka
- Taumata hāora toto
- Ngā taumata wai o te tinana
I runga i ēnei inenga, ka whakatikatika te tohunga whakamoe i te nui o te rongoā ka hoatu ki a koe, ā, ki te tika, ka hoatu he wai tāpiri, he toto rānei ki a koe. Nō reira, he tino haumaru koe.
4. Te Whakaora: Kia mutu te pokanga, ka mutu te hoatutanga o te rongoā whakamoe ki a koe e te tākuta. Kātahi ka haria koe ki te rūma whakaora. I reira ka tīmata koe te ara ake. Ka whakarite ngā tākuta me ngā nēhi kāore koe e mamae ana, e pāngia ana rānei e tētahi atu āhuatanga whakararuraru.
He aha ngā rongoā e whakamahia ana mō tēnei?
E rua ngā momo rongoā matua e whakamahia ana hei whakaoho i te moe: ngā rongoā ā-infus me ngā rongoā manawa.
Ngā Rongoā IV
- Propofol: He rongoā e whakamahia whānuitia ana. Ka tere te whakamoe i a koe, ā, ka āwhina i a koe kia noho tonu i taua āhua puta noa i te pokanga.
- Etomidate: He rongoā poto e hoatu ana hei tīmatanga o te warewaretanga.
- Ketamine: Ka whakamahia ko ia anake, ka whakamahia rānei me ētahi atu rongoā mō ngā pokanga poto.
Ngā Rongoā i Manuhia
- Sevoflurane: He hau e whakamahia whānuitia ana hei whakaoho me te pupuri i te rongoā whakamoe.
- Desflurane: Ka whakamahia hoki tēnei hei pupuri i te rongoā whakamoe.
- Waikura Hauota: E kiia ana hoki ko te "hau kata." Kāore i te kaha ki te whakaoho i te moe hohonu i a ia anō, nō reira ka whakamahia ngātahi me ētahi atu rongoā kaha.
Me pēhea te whakarite i mua i te pokanga?
Ka kōrero tō tākuta me tō kaiwhakamoe mamae ki a koe i mua i te pokanga. Ka pātai atu rātou ki a koe mō ēnei mea. He mea nui rawa atu kia kōrerotia te pono i tēnei wā, kaua hoki e huna i tetahi mea.
- Ētahi atu mate hauora kei a koe (pēnei i te mate huka, te toto toto tiketike, te mate ngakau).
- Ngā rongoā katoa e whakamahia ana e koe (tae atu ki ngā huaora me ngā rongoā tuku iho).
- Ngā mate pāwera kei a koe - ki ngā mea pēnei i ngā rongoā, ngā hua manu, te pīni soya, me ētahi atu.
- Ahakoa he kaipaipa koe, he inu waipiro, he whakamahi rānei i ētahi atu raau taero.
- Mehemea i puta he tauhohenga ki te rongoā whakamoe i te wā o te pokanga o mua.
Ina koa, ka kī atu te tākuta kia kaua e kai, e inu rānei i tetahi mea mō te 8 hāora i mua i te pokanga. Ka kiia tēnei ko te 'nohopuku'. Ko te take o tēnei, ina nohopuku koe, ka whakangāwari ngā uaua o tō tinana. Kātahi ka piki ake te kai i roto i tō puku ki roto i tō korokoro ka uru ki roto i ō pukahukahu. He āhuatanga morearea tēnei. Nō reira, me whai i ngā tohutohu a tō tākuta.
Waihoki, ka tonoa pea koe kia mutu te tango i ētahi rongoā e whakanui ana i te toto, pērā i te aspirin, i te wiki i mua i te pokanga. Kōrerohia hoki tēnei ki tō tākuta.
He aha ngā pānga taha me ngā mōrearea?
Ko te rongoā whakamoe whānui tētahi o ngā mea haumaru rawa atu i roto i te rongoā hou. Heoi, pērā i ngā tikanga hauora katoa, he iti noa ngā pānga taha, ā, he tino onge ngā mōrearea.
Ngā pānga taha noa mō te wā poto
I te nuinga o te wā ka memeha haere ēnei i roto i ētahi haora, i te rā rānei.
- Whakapairuaki me te ruaki
- Waha maroke
- Korokoro mamae, reo pāorooro rānei (nā te pūwero o te manawa)
- Te hiamoe
- Wiri
- Mamae tinana
- Te mākūkū
- Te ngaronga o ētahi mahara (ina koa i roto i te hunga kaumātua)
Te hunga e nui ake ana te mōrearea
He nui ake te mōrearea o ētahi tāngata ki ngā raruraru mai i te rongoā whakamoe.
- Ngā tāngata momona: Me tino tupato te mahi i te rongoā whakamoe me te whakahaere manawa mō te hunga taumaha.
- Kaumātua: Tērā pea ka piki ake te mōrearea i a koe e pakeke haere ana nā te mea kei roto koe i ētahi atu mate hauora.
- Ngā tāngata whai mate kē atu: Ngā tāngata whai mate pēnei i te toto toto tiketike, te mate huka, te mate manawa, te mate pūkahukahu, me te mate tākihi.
- Ngā tāngata e pāngia ana e te mate moe aukati.
- Kaipaipa: He nui ake te mōrearea nā te mea ka pā te kaipaipa ki te pūnaha manawa.
- Te hunga e inu nui ana i te waipiro: Tērā pea ka rerekē te urupare a te hunga e waranga ana ki te waipiro ki ngā rongoā whakangote.
- Ngā tāngata e mate pāwera ana ki ngā rongoā whakangote.
He tino onge, tata ki te kotahi i roto i te mano tāngata, ka mau tonu tō mōhiotanga (mōhiotanga ki te rongoā whakamoe) ahakoa kua whakamoea. Ahakoa he tino onge tēnei, ka taea e koe te kōrero ki tō tākuta mō tēnei mea.
Karere Tangohia ki te Kāinga
- He tikanga tino haumaru te whakamoe whānui e mahia ana i raro i te tirotiro katoa a te tohunga whakamoe.
- I mua i te pokanga, me kōrero ki tō tākuta ngā mea katoa e mōhio ana koe mō tō hauora, ngā rongoā e tangohia ana e koe, me ngā tikanga (momi hikareti/waipiro).
- Whāia ngā tohutohu hauora, pērā i te nohopuku i mua i te pokanga, kia tino tika. Hei tiaki i a koe anō.
- Ko ngā āhuatanga pēnei i te whakapairuaki me te mamae o te korokoro i muri i te rongoā whakamoe he mea rangitahi noa iho.
- Mena he āwangawanga, he pātai rānei āu mō tēnei mea, kōrero mārire ki tō tākuta i mua i te pokanga. Mā rātou e whakautu ō pātai katoa.
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