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

ataata_whakaahua

NGĀ PŪRONGOTANGA

Ka pāngia rānei te kiri o ngā pēpi hou e te pūoko SpO₂ i te wā e aroturukitia ana te SpO₂?

TŪWHIRIA:

He tukanga waikura koiora te tukanga pākia o te tinana tangata, ā, ko te hāora e hiahiatia ana i roto i te tukanga pākia ka uru ki te toto tangata mā te pūnaha manawa, ka honoa ki te hemoglobin (Hb) i roto i ngā toto whero hei hanga i te oxyhemoglobin (HbO₂), kātahi ka haria ki te tinana tangata. I roto i te toto katoa, ko te ōrau o te kaha HbO₂ e herea ana e te hāora ki te kaha here katoa e kiia ana ko te toto toto mātotoru SpO₂.

2

Hei tūhura i te mahi a te aroturuki SpO₂ i roto i te tirotiro me te tautuhi i te mate ngakau whānau hou o te pēpi. E ai ki ngā hua o te Rōpū Mahi Tahi a te National Pediatric Pathology, he pai te aroturuki SpO₂ mō te tirotiro wawe i ngā tamariki he mate ngakau whānau. He hangarau kimi haumaru, kāore e pokanoa, ka taea te whakamahi, ā, he tika hoki te aro nui, he mea tika kia whakatairangahia, kia whakamahia hoki i roto i ngā mahi whānau haumanu.

I tēnei wā, kua whānuitia te whakamahi i te aro turuki i te manawa o te SpO₂ i roto i ngā mahi haumanu. Kua whakamahia te SpO₂ hei aro turuki auau i te tohu ora tuarima i roto i te rongoā tamariki. Ka taea anake te tohu he noa te SpO₂ o ngā pēpi hou ina neke atu i te 95%. Mā te kitenga o te SpO₂ o te toto o ngā pēpi hou ka āwhina i ngā nēhi ki te kite i ngā huringa o te āhua o ngā tamariki i te wā tika, me te ārahi i te pūtake mō te rongoā hāora haumanu.

Heoi, i roto i te aroturukitanga SpO₂ pēpi hou, ahakoa e kiia ana he aroturukitanga kore-whakaekenga, i roto i te whakamahinga haumanu, kei reira tonu ngā take whara o ngā maihao i puta mai i te aroturukitanga SpO₂ tonu. I roto i te tātaritanga o ngā take e 6 o te aroturukitanga SpO₂ I roto i ngā raraunga o ngā whara kiri o ngā maihao, kua whakarāpopototia ngā take matua penei:

1. Kāore i te pai te rere o te toto i te wāhi ine a te tūroro, ā, kāore e taea te tango i te pāmahana o te pūoko mā te rere noa o te toto;

2. He matotoru rawa te wāhi ine; (hei tauira, he matotoru rawa ngā kapu o ngā pēpi hou he nui ake i te 3.5KG ō rātou waewae, kāore e pai mō te ine waewae takai)

3. Te korenga e tirotiro i te pūwero i ia wā, me te kore hoki e whakarerekē i te tūnga.

3

Nō reira, i whakawhanakehia e MedLinket tētahi pūoko SpO₂ tiaki pāmahana nui rawa atu i runga i te hiahia o te mākete. He pūoko pāmahana kei tēnei pūoko. Whai muri i te taunga ki tētahi taura urutau motuhake me tētahi aroturuki, ka whai mahi aroturuki pāmahana nui rawa atu ā-rohe. Ina neke atu te pāmahana kiri o te wāhanga aroturuki o te tūroro i te 41℃, ka mutu tonu te mahi a te pūoko. I taua wā anō, ka tukuna e te rama tohu o te taura urutau SpO₂ he rama whero, ā, ka tukuna e te aroturuki he tangi whakaoho, ka akiaki i ngā kaimahi hauora ki te mahi i ngā mahi i te wā tika hei karo i ngā wera. Ina heke te pāmahana kiri o te wāhi aroturuki o te tūroro ki raro iho i te 41°C, ka tīmata anō te tirotiro ka haere tonu ki te aroturuki i ngā raraunga SpO₂. Whakaitihia te mōrearea o ngā wera me te whakaiti i te taumahatanga o ngā tirotiro auau o ngā kaimahi hauora.

1

Ngā painga o te hua:

1. Te aroturuki i te pāmahana nui: He pūoko pāmahana kei te pito o te taputapu tirotiro. I muri i te hono atu ki te taura urutau me te aroturuki motuhake, ka whai mahi aroturuki pāmahana nui ā-rohe, e whakaiti ana i te tūponotanga o te wera me te taumahatanga o ngā tirotiro auau o ngā kaimahi hauora;

2. He pai ake te whakamahi: he iti ake te wāhi o te takai o te pūwero, ā, he pai te uruhanga o te hau;

3. Whai hua, whai hua hoki: He hoahoa tirotiro āhua-V, he tere te whakanoho i te tūranga aroturuki, he hoahoa kakau hononga, he māmā ake te hononga;

4. Te taurangi haumaru: he pai te hototahitanga koiora, kāore he rapa;


Wā tuku: 30 o Ākuhata-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.