Whakaarohia tētahi o ō whanaunga e arohaina ana e koe kua whakaurua ki te hōhipera mō tētahi pokanga noa. Ko tā tātou katoa e tumanako ana ka pai ngā mea katoa. Engari, i muri i te hoatutanga o te rongoā whakamoe , ka piki ohorere te pāmahana o te tinana, ka kikī ngā uaua, ā, ka rerekē te tere o te manawa . Koinei tā tātou e kōrero nei i tēnei rā, he mate onge engari he tino morearea, he mate morearea e kiia nei ko te ' malignant hyperthermia '. He mea tino nui kia mōhio ki tēnei.
He aha te Malignant Hyperthermia?
Tuatahi, kia mārama tātou he aha te 'Hyperthermia'. Ko te hyperthermia he pāmahana tinana ka tino teitei rawa, ā, kāore e taea te whakahaere. I te nuinga o te wā, ka pupurihia te pāmahana tinana ki te 37 nekehanga Celsius (98.6 Fahrenheit) mā roto i ngā tukanga pēnei i te werawera . Engari i roto i te hyperthermia, ka ngaro tēnei whakahaere, ā, ka piki te pāmahana ki runga ake i te 40 nekehanga Celsius (104 Fahrenheit). Ehara tēnei i te kirika noa, he tino morearea.
Ko te hyperthermia te take o ngā āhuatanga o waho pēnei i te pāmahana teitei o te taiao me te matewai ( te kore wai i roto i te tinana).
Engari he rerekē te Malignant Hyperthermia (MH) . Ka puta mai ina tauhohe te tinana ki ētahi momo rongoā whakangote . He mea nui ēnei rongoā whakangote kia kore ai e mamae te pokanga . Engari i roto i ētahi tāngata, ka honoa ēnei rongoā ki tētahi hapa ira o te tinana ka puta ai tēnei āhuatanga morearea.
He aha te take o te hyperthermia kino?
Ko ētahi momo rongoā whakangote te take o tēnei mate. I ētahi wā ka puta mai anō hoki i te nui rawa o te whakakori tinana, i ngā āhuatanga taiao tino wera rānei. Ka kiia ko te 'Awake Hyperthermia'.
Ko te mea nui , ahakoa kua tangohia e te tangata ēnei rongoā i mua, kāore he raruraru, tera pea ka pāngia tonutia rātou e tēnei āhuatanga i te wā e whai ake nei . Nō reira, he mea tino nui kia mōhio ki ngā mōrearea.
Me titiro tātou ki ngā tino take e puta ai tēnei āhuatanga.
| Momo Whakaoho | Ngā tauira me ngā whakaahuatanga |
|---|---|
| Ngā Rongoā Whakamamae i Manuhia | Ngā momo hau e whakamahia ana hei whakamoe i te tūroro i te wā e pokanga ana. Tauira: Desflurane, Sevoflurane, Isoflurane, Halothane, Enflurane. |
| Ngā Whakangāwari Uaua | Ina koa, ko te rongoā Succinylcholine tētahi o ngā tino take o tēnei. Ka whakamahia hei whakangāwari i ngā uaua i te wā e pokanga ana. |
| Ētahi atu Whakaoho | He tino onge, ka puta mai hoki tēnei mate i te nui rawa o te korikori tinana, i te pānga rānei ki ngā āhuatanga o te rangi tino wera. |
He aha ngā tohu o tēnei mate?
Ka puta pinepine ēnei tohu i te wā e tukuna ana te rongoā whakamoe, i muri tonu rānei i te hoatutanga, nō reira ka tino aro nui ngā tākuta me ngā kaimahi i roto i te rūma pokanga ki tēnei.
Ko te mea nui, ahakoa kei te mōrearea te tangata ki te Malignant Hyperthermia, ka noho tonu rātou me te kore tohumate puta noa i ō rātou oranga. Ka puta noa ngā tohumate mēnā ka horomia he rongoā whakaohooho.
| Tohu | He aha te mea e tupu ana? |
|---|---|
| Te pakari o te uaua me te wiri | Ka kikī whakarere te kauae me ngā uaua o te tinana me te mea he kōhatu. |
| Te tere o te manawa me te koretake o te ngakau | Ka tino piki haere te tere o te ngakau, ā, ka kore e rite te manawataki. |
| Te pikinga o ngā taumata hauhā waro (CO2) | Ka tere te piki o te nui o te CO2 i roto i te hau e tukuna ana. Koinei tētahi o ngā tohu tuatahi ka kitea e ngā tākuta. |
| Te pikinga tere o te pāmahana tinana | He tohu tēnei e puta mai ana i muri i ētahi atu mate. Ka piki te pāmahana ki ngā taumata morearea. |
| Te pikinga o te waikawa i roto i te toto (Metabolic Acidosis) | Ka waikawa te toto nā ngā mate pāwera o te pūnaha io i roto i te tinana. |
| Ētahi atu āhuatanga | Tērā pea ka puta te werawera nui, ngā ira whero i te kiri, me te uaua ki te manawa. |
He aha te pūtake o te hyperthermia kino?
Ko te take matua mō tēnei he hapa ira . He kupu ngāwari, he hapa kei roto i ngā ira e whakahaere ana i te mahi uaua i roto i tō tātou tinana. Ka taea te tuku iho i tēnei hapa mai i te whānautanga, ka taea rānei te whakahohe i muri mai i te ao.
Neke atu i te 80 ngā hapa ira kua kitea e ngā kaipūtaiao e puta ai tēnei mate. He mate tēnei ka taea te tuku iho i tētahi whakatipuranga ki tētahi whakatipuranga . Ko te tikanga, mēnā kei tō whaea, tō pāpā, tō tungāne, tō tuahine rānei tēnei mate, he nui ake te tūponotanga ka pāngia koe. Waihoki, he paku nui ake te tūponotanga ka pāngia ngā tāne e tēnei mate i ngā wāhine.
Ka taea te mōhio i mua i te wā mēnā kei te noho tēnei mōrearea?
Āe, e rua ngā whakamātautau hauora hei whakaū mēnā kei te noho tēnei mōrearea.
1. Whakamātautau Toto Ira: Ka taea te tango i tētahi tauira o tō toto, ā, ka taea te whakamātautau i ngā ira kei roto hei tirotiro mēnā he hapa ira nui e pā ana ki tēnei. Heoi, kāore ēnei whakamātautau i te 100% tika. Nā te mea ka taea hoki te take o tēnei mate e ngā hapa ira kāore anō kia kitea.
2.Kohikohi Uaua: Koinei te whakamātautau tino tika. I roto i tēnei whakamātautau, ka tangohia e te tākuta tētahi wahi uaua iti rawa mai i tō waewae ka whakamātauria i roto i te taiwhanga kia kite ai me pēhea te urupare ki ngā rongoā e hua ai te MH. Kāore tēnei whakamātautau e mahia mō te katoa. Ka tūtohu noa ngā tākuta i tēnei whakamātautau mēnā kei roto i tō whānau te mate, mēnā rānei kei a koe ētahi tohumate whakapae.
Me pēhea te rongoā i tēnei mate mēnā ka puta ohorere mai?
He āhuatanga ohorere hauora te Malignant Hyperthermia. Arā, me rongoā tonu. Mēnā ka puta he mea pēnei i roto i te rūma pokanga, ka mahi tonu te tīma hauora.
- Ko te mea tuatahi me mahi ko te whakamutu tonu i te hoatutanga o te rongoā whakamoe i puta ai te mate .
- Muri iho, ka werohia he rongoā motuhake e kiia nei ko te ` Dantrolene` ki roto i te uaua. Koinei anake te maimoatanga whakamutunga mō te MH.
- Ka takaihia te tūroro ki tētahi 'paraikete whakamatao' hei whakaiti i te pāmahana o te tinana. Ka whakatakotoria hoki he putea hukapapa ki ngā wāhi pēnei i ngā kēkē me te hope.
- Ka hoatu he wai tote matao (he wai werohanga matao) hei whakamatao i te tinana.
- Ka whakaurua te tūroro ki te Wāhanga Tiaki Kaha (ICU) me te Wāhanga Maimoatanga Ohotata (ETU) hei aroturuki tata i tōna āhua.
Me aha tātou hei tiaki i a tātou i tēnei mōrearea?
Kāore he rongoā mō te koha ira e puta ai tēnei, nō reira ko te mea pai ko te whakahaere i te mōrearea me te ārai i tētahi āhuatanga ohorere.
Mena kua tāpaetia koe, tetahi rānei o tō whānau ki te mate Malignant Hyperthermia, ki te mea rānei kei te whakapaetia koe mō tēnei mate, me whakamōhio e koe te tohunga whakamoe me te taote pokanga i mua i te pokanga.
Koinei te mea nui hei maumahara māu. Ina whakamōhio mai koe ki a mātou, ka whakarite ngā tākuta kia whakamahia noa ngā rongoā whakamoe haumaru e kore e hua ai te MH. Nō reira, he mea tino nui kia mōhio koe ki tō hītori hauora whānau.
Karere Tangohia ki te Kāinga
- He tauhohenga onge te Malignant Hyperthermia (MH), he tauhohenga morearea pea ki ētahi rongoā whakamoe.
- Ko te tino take mō tēnei he hapa ira e tukuna iho ana i roto i ngā whakatipuranga.
- Mena kei roto i tō whānau tēnei mate, tera pea ka noho mōrearea anō hoki koe.
- I mua i tētahi pokanga, he mea nui kia whakamōhiotia tō tākuta mō te hītori whānau o te MH. Mā tēnei pea ka ora ai koe.
- Ko te mōhio ki tēnei mōrearea te huarahi pai rawa atu hei ārai i tētahi āhuatanga ohorere.
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