"Neke atu i te 20 Tau o te Kaihanga Taura Hauora Ngaio i Haina"

ataata_whakaahua

NGĀ PŪRONGOTANGA

Te hiranga haumanu o te whakahaere pāmahana i te wā e tata ana ki te pokanga

TŪWHIRIA:

Ko te pāmahana o te tinana tētahi o ngā tohu matua o te ora. Me pupuri tonu te tinana tangata i te pāmahana tinana kia mau tonu ai te pākia o te tinana. Ka pupuri te tinana i te taurite hihiri o te whakaputanga wera me te tohatoha wera mā te pūnaha whakahaere pāmahana tinana, kia mau tonu ai te pāmahana o te tinana matua ki te 37.0℃-04℃. Heoi, i te wā o te pokanga, ka aukatia te whakahaere pāmahana o te tinana e ngā rongoā whakangote, ā, ka roa te wā e pāngia ai te tūroro e te taiao makariri. Ka heke te whakahaere pāmahana o te tinana, ā, ka noho te tūroro i roto i te āhua pāmahana iti, arā, ko te pāmahana o te tinana matua he iti iho i te 35°C, e kiia ana ko te hypothermia.

E 50% ki te 70% o ngā tūroro e pāngia ana e te hauhautanga ngawari i te wā pokanga. Mō ngā tūroro e mate kino ana, e ngoikore ana rānei te tinana, ka pāngia pea rātou e te hauhautanga ohorere i te wā e tata ana ki te pokanga. Nō reira, he raruraru noa te hauhautanga i te wā pokanga. Kua whakaatuhia e ngā rangahau he teitei ake te reiti mate o ngā tūroro hauhautanga i te pāmahana tinana noa, inā koa ko te hunga e whara kino ana. I roto i tētahi rangahau i mahia i roto i te ICU, 24% o ngā tūroro i mate i te hauhautanga mō ngā haora e 2, ko te reiti mate o ngā tūroro he pāmahana tinana noa i raro i ngā āhuatanga ōrite he 4%; ka taea hoki e te hauhautanga te arahi ki te whakaheke i te toto totoka, te whakaroa i te whakaoranga mai i te rongoā whakamoe, me te pikinga o ngā reiti mate patunga.

He maha ngā pānga kino o te hypothermia ki te tinana, nō reira he mea tino nui kia mau tonu te pāmahana tinana i te wā e pokanga ana. Mā te pupuri i te pāmahana tinana o te tūroro i te wā e pokanga ana ka taea te whakaiti i te ngaronga toto me te whakawhiti toto, ā, he mea pai tēnei mō te whakaoranga i muri i te pokanga. I roto i te tukanga tiaki pokanga, me mau tonu te pāmahana tinana o te tūroro, ā, me whakahaere te pāmahana tinana o te tūroro ki runga ake i te 36°C.

Nō reira, i te wā e pokangahia ana, me aro turuki whānuitia te pāmahana tinana o te tūroro kia pai ake ai te haumaru o ngā tūroro i te wā pokanga, kia whakaitihia ai hoki ngā raruraru me te mate i muri i te pokanga. I te wā e tata ana ki te pokanga, me whakaoho te mate pāwera i te aro o ngā kaimahi hauora. Hei whakatutuki i ngā hiahia o te haumaru o te tūroro, te whai huatanga me te utu iti i te wā e tata ana ki te pokanga, kua whakarewahia e ngā hua raupapa whakahaere pāmahana tinana a MedLinket he ine pāmahana whakakorekore, ka taea te aro turuki pai i ngā huringa o te pāmahana tinana o te tūroro i te wā pokanga, kia taea ai e ngā kaimahi hauora te haere ki ngā rongoā whakamātao e tika ana i te wā tika.

Ngā whakamātautau pāmahana whakakorekore

Ngā whakamātautau pāmahana kiri-mata e taea te whakakore

ngā whakamātautau pāmahana-whakakore

Ngā ine pāmahana mō te rectum/esophagus

ngā whakamātautau pāmahana-whakakore

Ngā painga o te hua

1. Mā te tūroro kotahi e whakamahi, kāore he mate whakawhiti;

2. Mā te whakamahi i te thermistor tino tika, ko te tika tae atu ki te 0.1;

3. He maha ngā momo taura urutau, e hototahi ana ki ngā momo aroturuki matua;

4. Mā te pai o te parenga ārai ka ārai i te tūponotanga o te ru hiko, ā, he haumaru ake; ka ārai i te wai kei rere ki roto i te hononga kia tika ai te pānui;

5. Ka taea e te pahuka matotoru kua paahitia te aromatawai hototahi koiora te whakatika i te tūranga ine pāmahana, he whakamarie ki te mau, ā, kāore he mumura ki te kiri, ā, ka wehea pai e te rīpene whakaata pahuka te pāmahana taiao me te mārama hihi; (momo mata kiri)

6. He maeneene, he ātete-wai te anga PVC hauora kikorangi; mā te mata porowhita, maeneene hoki o te anga ka taea te hanga i tēnei hua me te kore e whakaurua, e tangohia rānei. (Ngā ine pāmahana o te repe/Esophagus)


Wā tuku: Hepetema-09-2021

TŪHIRO:

1. Kāore ngā hua i hangaia, kāore hoki i whakamanahia e te kaihanga taputapu taketake. Ko te hototahitanga e hangai ana ki ngā whakaritenga hangarau e wātea ana ki te marea, ā, ka rerekē pea i runga i te tauira taputapu me te whirihoranga. Me manatoko takitahi ngā kaiwhakamahi i te hototahitanga. Mō te rārangi o ngā taputapu hototahi, whakapā atu ki tā mātou tīma ratonga kiritaki.
2. Tērā pea ka kōrero te paetukutuku mō ngā kamupene me ngā waitohu tuatoru kāore e hono ana ki a mātou i tētahi ara. Hei whakaahua noa iho ngā whakaahua o te hua, ā, ka rerekē pea i ngā taonga tūturu (hei tauira, ngā rerekētanga o te āhua o te hononga, te tae rānei). Mēnā he rerekētanga, ko te hua tūturu ka mana.