He uaua ki te kimi i tētahi kāore anō kia werohia i te iti rawa i te kotahi wā i roto i tōna ao, tika? He mea noa te mamae me te mārō o ō tātou ringa mō ētahi rā i muri i te werohanga. I ētahi wā ka whakaarohia he pānga taha tēnei. Inaa, ka puta tēnei mamae ina werohia te rongoā ki roto i ō tātou kiko uaua. Engari i mōhio koe he tikanga motuhake hei whakaiti i tēnei mamae me te kore whakamarie? Ko te tikanga motuhake e whakamahia ana e ngā tākuta me ngā nēhi mō tēnei ko te tikanga Z-Track.
He aha tēnei pūnaha Z-Track?
Ki te whakarāpopototanga, ko te tikanga Z-Track he tikanga e kumea ai te kiri ki tahaki i mua i te werohanga. Whai muri i te werohanga, ka tangohia te ngira, ka tukuna te kiri, ka waiho he ara āhua 'Z' e kati ana mai i roto. He rite tēnei ki te ara zigzag. Ka whakamahia tēnei tikanga mō ngā werohanga uaua, arā, ngā werohanga ki roto i te uaua.
E mōhio ana mātou he maha ngā rongoā nui, pērā i ngā paturopi, ka tukuna ki roto i te uaua i tēnei ara. Waihoki, ko ngā rongoā pērā i te `(Epinephrine)`, e whakamahia ana hei rongoā ohorere mō ngā mate pāwera kino, ka taea te hoatu i tēnei ara.
Ko te whāinga matua o tēnei tikanga kia 'hiritia' tika te rongoā e werohia ana ki roto i te uaua, kia kore ai e turuturu ki waho, kia whakaitihia ai hoki te mamae.
He aha ngā painga o te whakamahi i te tikanga Z-Track?
Ko te tikanga, he pai ake ki ngā tākuta me ngā nēhi te whakamahi i te tikanga Z-Track mō ngā werohanga ā-roto katoa e hoatu ana ki ngā pakeke nā te mea he painga motuhake tēnei i te werohanga tuku iho.
Kia tirohia tātou he aha aua painga.
| Painga | He Whakamārama Māmā |
|---|---|
| Whakamamae mamae | Ka tino heke te mamae me te kore whakamarie i te wāhi i werohia. |
| Te ārai i te turuturu o te rongoā | Ka tata mutu katoa te turuturu o te rongoā i roto i te uaua ki roto i te kiko kiri raro. |
| Te whakaiti i ngā mate kiri | Nā te mea kāore te rongoā e turuturu ki waho, ka ārai i te mumura, te whero, te rerekētanga rānei o te kiri ka puta mai i ētahi rongoā. |
| Te whiwhi i te horopeta katoa o te rongoā | Nā te mea kua 'hiritia' te rongoā i roto tonu i te uaua, ka taea e te tūroro te māia ka whiwhi rātou i te nui katoa o te rongoā kua tohua. |
| He pai mō te hunga he iti te papatipu uaua | Ka taea te whakamahi haumaru i tēnei tikanga ahakoa e te hunga he iti te papatipu uaua nā ngā āhuatanga pēnei i te koroheketanga. |
Ko te mea tino nui o ēnei painga ko te ārai i te turuturu o te rongoā. Nā te mea ki te uru ētahi rongoā ki roto i te kiko o raro i te kiri, ehara i te mea ka puta he mamae nui me te mumura, engari i ētahi wā ka huri tonu te tae o te wāhi, pērā i te koha. Nō reira, ka whakakorea e te tikanga Z-Track taua mōrearea.
Me pēhea te werohanga Z-Track?
Ahakoa he tikanga tēnei e mahia ana e ngā tohunga hauora, tera pea ētahi wā ka hiahia koe ki te werohanga i a koe anō, i tētahi rānei o tō whānau ki te kāinga (pērā i te insulin mō te mate huka). I roto i ēnei āhuatanga, he mea nui kia whiwhi koe i te whakangungu tika mai i tō tākuta, i tētahi nēhi whakangungu rānei. Kei raro nei he aratohu hei āwhina i a koe ki te mārama ki te mahi a te tikanga.
Me whakarite tātou i mua i te werohanga.
Mā te tākuta e whakaū te tuakiri o te tūroro, e whakarite te rongoā kua tohua, ā, ka whakamōhio atu ki te tūroro mō te tikanga.
Mena kei te mahi koe i tēnei i te kāinga (me te tohutohu a te taote anake), whai i ēnei mahi:
1. Tuatahi, horoia ō ringaringa ki te hopi.
2. Puritia ngā mea katoa e hiahiatia ana e koe (ngira werohanga, ngira, pounamu rongoā, ūkui waipiro) ki tētahi wāhi ma, maroke.
3. Tangohia te taupoki kirihou i te tihi o te pounamu rongoā.
4. Horoia rawatia te taupoki rapa o te pounamu rongoā ki te waikura waipiro mō te 10 hēkona pea.
5. Tāpirihia te ngira ki te ngira werohanga, kātahi ka tangohia te taupoki.
6. Tāpirihia he hau ki roto i te weronga kia rite ki te nui o te rongoā e hiahiatia ana e koe.
7. Whakauruhia te ngira mā roto i te taupoki rapa o te pounamu rongoā, ka werohia te hau i roto i te ngira ki roto i te pounamu.
8. Tahurihia te pounamu me te ngira ki raro, ka tāpirihia te nui o te rongoā e hiahiatia ana ki roto i te ngira.
9. Tirohia te ngira mō ngā mirumiru hau. Mēnā he mirumiru, patohia ki tō matihao hei pana ake, kātahi ka werohia anō ki roto i te ipu.
10. Tirohia anō kia tika te nui o te rongoā, kātahi ka tangohia te ngira i te pounamu.
Te whiriwhiri i te wāhi tika mō te werohanga
He mea nui kia whiriwhiria he uaua nui hei werohanga i roto i te uaua. Mā tēnei ka whakaiti i te tūponotanga o te kino o tētahi oko toto nui, o tētahi io rānei.
- Mō ngā pēpi me ngā tamariki nohinohi: Ko te wāhi pai rawa atu ko te taha o waho o te huha (te huha anterolateral).
- Mō ngā pakeke: Ko te uaua e whakamahia whānuitia ana ko te uaua deltoid.
- Mena kei te werohia koe ki a koe anō: Ko te wāhi pai rawa atu, ko te wāhi māmā rawa atu hoki ko waenganui, ko te wāhanga o waho o te huha.
Kia tino mohio kei te wāhi e werohia ana e koe he motu, he maru, he mate rānei. Kaua e werohia kia neke atu i te 3 miririta (3mL) ki te wāhi kotahi. Mena e hiahiatia ana he nui ake, wehea te horopeta kia rua, ka hoatu ki ngā wāhi e rua.
Me pēhea te hoatu i te werohanga Z-Track (taahiraa i te taahiraa)
1. Horoia te wāhi kua tohua ki te waipiro, ka waiho kia maroke.
2. Mā te whakamahi i tō ringa maui (te ringa kāore rānei e mahi), tōia te kiri ki raro, ki te taha rānei, kia kotahi inihi te roa, ka pupuri kia mau. Koinei te āhua o te hanga o te ara-Z.
3. Puritia te ngira ki te koki 90-tohu ka werohia ki roto i te kiri me te nekehanga tere, maeneene.
4. I a koe e pupuri ana i te kiri kia mau, tōia te tuara o te ngira (plunger) kia kite ai mēnā he toto e puta mai ana. Ka kiia tēnei ko te "aspiration". Me mahi tēnei mō te 5-10 hēkona kia tino mohio ai kua werohia e koe te ngira ki roto i te uaua toto. (Mēnā ka puta mai te toto, tangohia te ngira ka tīmata anō.)
5. Ki te kore he toto e puta mai, werohia te rongoā kia āta haere. Te tikanga, tata ki te 10 hēkona mō ia miririta (mL) o te rongoā.
6. Kia oti te werohanga o te rongoā katoa, tatari mō te 10 hēkona, kātahi ka tangohia mārire te ngira ka tukua te kiri kua kumea.
7. Pēhia te wāhi kia kaha ki te whakamahi i tētahi miro maeneene, i tētahi pōro miro maroke rānei, mō te 30-60 hēkona pea.
8. Ko te mea nui: Kaua rawa e mirimiri, e mirimiri rānei i te wāhi i werohia. Mā te mahi pēnei ka turuturu te rongoā, ka kino hoki te kiko.
9. Makahia te ngira me te pūwero kua whakamahia kia haumaru, ka horoia anō ō ringaringa kia tino horoia.
Ahakoa te āhua uaua o tēnei tikanga, he tino māmā noa iho mō te tangata kua whakangungua. Ka whakaratohia hoki he taumata teitei o te whakamarie me te haumaru mō te tūroro.
Karere Tangohia ki te Kāinga
- He tikanga motuhake te tikanga Z-Track e whakaiti ana i te mamae i muri i te werohanga, e ārai ana hoki i te turuturu o te rongoā.
- Ka 'hiritia' e tēnei tikanga te rongoā ki roto rawa i te uaua, kia tino whiwhi te tinana i te horopeta katoa.
- Ko tēnei tikanga te mea tino pai mō te nuinga o ngā werohanga ā-roto e hoatu ana ki ngā pakeke.
- Kaua rawa e mirimiri, e mirimiri kaha rānei i te wāhi i muri i te werohanga.
- Ki te mea me werohanga koe i a koe anō ki te kāinga, me tiki tonu ngā tohutohu me ngā whakangungu tika mai i tō tākuta, i tētahi nēhi whai tohu rānei.











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