He aha te Anesthesia Whānui? Ngā tohumate, ngā take, me te rongoā i te kāinga

Ko te anesthesia whānui he tikanga rongoā e waiho ana koe ki roto i te moe hōhonu, i te moe whakahaere i te wā o te pokanga, i ngā tikanga rongoā rānei. He āhua tōtika tēnei e kore ai koe e mōhio, e kore ai e rongo i te mamae, e kore ai e mahara ki te tikanga, e kore ai e neke i te wā o te mahi.

Whakaarohia he okiokinga rangitahi, he okiokinga hoki mō tō māramatanga i te wā e mahi ana ngā tākuta. Ka whakamahi tō tākuta rongoā i ngā rongoā motuhake e tukuna ana mā ngā ara rerekē kia pai ai koe, kia haumaru ai hoki i te wā o tō tikanga.

He aha te Anesthesia Whānui?

Ko te anesthesia whānui he huinga rongoā e waiho ana koe kia kore e mōhio i te wā o ngā tikanga rongoā. Kāore i rite ki te anesthesia ā-rohe e whakapōka ana i tētahi wāhi anake, ka pā te anesthesia whānui ki tō tinana katoa me tō roro.

I te wā o te anesthesia whānui, ka noho koe i roto i te āhua hōhonu atu i te moe. Ka puhoi te mahi o tō roro, ā, e kore koe e aro ki te mamae, ki ngā oro, ki te pā rānei. Ka aroturuki tētahi tākuta rongoā i ō tohu nui, ā, ka whakatika i ngā rongoā i te wā o te tikanga kia noho haumaru ai koe.

He tino huri te tikanga. Kia mutu te tikanga, ka ngaro haere ngā rongoā, ā, ka oho koe i roto i te wāhi whakaora i raro i te tirotiro rongoā.

He pēhea te Anesthesia Whānui?

Ko te nuinga o te tangata e whakaahua ana i te wheako ko te "moe" noa iho, ā, ka oho ake me te kore mahara ki te wā i waenganui. Kāore koe e mahara ki te wā i moe ai koe, ki te tikanga rānei.

I mua i te tīmatanga o te anesthesia, ka pōuri pea koe, ka okioki rānei i te rongoā i mua. Ko te tīmatanga tonu ka puta i roto i ngā hēkona ki ngā meneti, i runga i te tikanga tuku. Ka ngaro marie koe, pērā i te moe hōhonu.

I te oho ake, tera pea ka pōrangi koe, ka māharahara, ka paku whakapairuaki rānei. He mea noa ēnei pānga, ka ngaro i te wā e ngaro ana ngā rongoā i tō tinana. Ko ētahi tāngata ka makariri, he waha maroke rānei i te tīmatanga.

He aha te take e hiahiatia ai te Anesthesia Whānui?

Ka whai pānga te anesthesia whānui ina hiahia koe ki te pokanga, ki ngā tikanga rānei e tino mamae ana, e roa ana, e uaua ana rānei ki te mahi i te wā e oho ana koe. E whakarite ana kia noho tonu koe, kia pai hoki i te wā o te mahi.

He maha ngā āhuatanga e whakatau ana i te wā e pai ana te anesthesia whānui mō tō atawhai:

• Ngā pokanga nui e pā ana ki te uma, te puku, te roro rānei
• Ngā tikanga roa e roa ana i ngā hāora
• Ngā mahi e hiahia ana kia tika te tūnga, te whakangāwari rānei i ngā uaua
• Ngā tikanga e kore ai te anesthesia ā-rohe e whai mana ki te whakahaere i te mamae
• Ngā pokanga ohorere i te wā e nui ana te wā
• Te āwangawanga o te tūroro, ngā āhuatanga rānei o te hauora e uaua ai te noho oho

Ka whakaarohia e tō rōpū pokanga tō hauora whānui, te uaua o te tikanga, me tō whakamarie i te wā e whakatau ana i te momo anesthesia. I ētahi wā ko te anesthesia whānui te kōwhiringa haumaru me te tangata.

He aha ngā huarahi rerekē o te whakahaere i te Anesthesia Whānui?

Ka taea te tuku anesthesia whānui mā ētahi huarahi rerekē ki tō tinana. He painga motuhake tō ia tikanga i runga i tō tikanga me ngā hiahia hauora.

Ka whiriwhiria e tō tohunga anesthesia te huarahi e tika ana i runga i ngā āhuatanga pēnei i te roa o tō pokanga, tō āhua hauora, me te momo tikanga e mahia ana e koe.

Huarahi Whakauru

Ko te anesthesia whakauru ko te hā i ngā hau anesthetic mā te kanohi, te ngongo rānei. Mā tēnei tikanga e taea ai te whakahaere tika i te hōhonu o te anesthesia puta noa i tō tikanga.

Ko ngā rongoā rongoā mō te rāngi ko te sevoflurane, desflurane, me te isoflurane. Ka whakaranuhia ēnei hau ki te hāora, ka tukuna mā ngā taputapu motuhake e aroturuki ana i te nui e whiwhi ana koe.

Ko te painga o te rongoā rāngi ko te mea ka taea te whakatika i ia wā i te wā o te pokanga. Ki te hiahia koe i te rongoā hōhonu ake, i te rongoā māmā ake rānei, ka taea e tō tākuta rongoā te whakarerekē i te kukume hau tonu.

Ara Parenteral (I roto i te uaua)

Ko te rongoā parenteral ko te tikanga ka tukuna ngā rongoā ki roto i tō toto mā te raina IV. He tere rawa tēnei tikanga i te mea kāore ngā rongoā e hiahia kia uru mā tō pūnaha keri.

Ko ngā rongoā IV noa ko te propofol, etomidate, me te ketamine. Ko ēnei rongoā te tikanga ka ngaro koe i te mōhiotanga i roto i te 30 ki te 60 hēkona i muri i te werohanga.

He maha ngā wā ka whakamahia te rongoā IV hei tīmata i te tukanga rongoā i mua i te huri ki ngā tikanga rāngi. Koinei hoki te tikanga tuatahi mō ngā tukanga poto ake, i te wā rānei kāore e tika ana te whakatakoto i te ngongo manawa.

Ara Rerekē

Ko te rongoā rerekē ko te whakauru i te rongoā ki roto i te rerekē, kei reira ka uru ki roto i te toto. Kāore i te whakamahia nuitia tēnei ara, engari ka whai hua i roto i ngā āhuatanga motuhake.

I ētahi wā ka whiriwhiria tēnei tikanga mō ngā tamariki nohinohi e māharahara ana ki ngā ngira, ki ngā kanohi rānei. Ka whakamahia hoki i te wā e uaua ana te uru IV, i te wā rānei e whai ana te tūroru i ētahi āhuatanga hauora e pā ana ki ētahi atu ara.

Ko te rongoā rerekē te tikanga ka roa ake te mahi i ngā tikanga IV, te tikanga 10 ki te 30 meneti. He ngawari ake, he pōturi ake te tīmatanga i te whakahaere i roto i te uaua.

He aha te Rongoā Whānui he Tohu, he Wāhi rānei?

Kāore te rongoā whānui i te wāhi o tētahi āhuatanga. Engari, he rongoā hauora e tika ana i te wā e hiahia ana koe i te pokanga, i ngā tukanga rānei e hiahia ana kia kore koe e mōhio.

Ko te hiahia mō te rongoā whānui e tohu ana kei te whai koe i tētahi tikanga rongoā e uru ana ki ētahi momo. Ka tūtohu tō tākuta i runga i te uaua me te pōhēhē o ngā mea e tika ana kia mahia.

I ētahi wā ko te hiahia mō te rongoā whānui e whakaatu ana i te nui o tō āhua hauora. Ko ngā take hauora uaua ake e hiahia ana ki ngā wawaotanga hāparapara nui ake e hiahia ana ki te rongoā hōhonu ake.

Ka taea e koe te ora mai i te rongoā whānui anake?

Ka tukatuka noa tō tinana, ka whakakore i ngā rongoā rongoā i te wā, engari ka hiahia koe ki te tirotiro rongoā i te wā whakaora. Ka ngaro noa te rongoā, engari ka aroturuki ngā kaiwhakarato hauora i a koe kia mōhio ai kei te pai ngā mea katoa.

Ko te nuinga o ngā rongoā rongoā i hangaia kia whakakorea mai i tō pūnaha i roto i ngā hāora. Ka mahi tahi tō ate me ō tākihi ki te wawahi me te tango i ēnei rongoā mai i tō tinana.

Ka puta te whakaora i ngā wāhanga, ka tīmata ki te whakahoki i te māramatanga me te hoki haere ki te māramatanga noa. Ka taea e tēnei tukanga te tango i ngā wā mai i te 30 meneti ki te maha o ngā hāora, i runga i te momo me te nui o te rongoā i whakamahia.

Me pēhea te whakarite mō te rongoā whānui i te kāinga?

Ko te whakarite tika i te kāinga ka āwhina i te whakarite kia pai te haere o tō wheako rongoā. Ko te whai i ngā tohutohu a tō rōpū rongoā he mea nui mō tō haumaru.

Ka tīmata te whakarite i a koe i ētahi rā i mua i tō tikanga, ā, ka uru ki ngā mahi motuhake hei whakapai ake i tō hauora:

• Kati te kai me te inu i nga wa i tohua i mua i te pokanga
• Tangohia, whakamutua ranei nga rongoa i runga i nga tohutohu a to taakuta
• Whakaritea tetahi tangata hei taraiwa i a koe ki te kainga i muri i te tikanga
• Tangohia te whao whao, nga whakapaipai, me nga arotahi
• Horoi ki te hopi antibacterial mena ka tohutohuhia
• Kia nui te okiokinga i te po i mua i to tikanga
• Whaia nga tohutohu motuhake mo nga mate rongoa tawhito

Ma enei whakaritenga e awhina ki te whakaiti i nga tupono me te whakarite kia pai te mahi o te rongoa. E hiahia ana to tohunga rongoa i to tinana i te ahua pai rawa atu kia pai ai te manaaki.

He aha te Tikanga Hauora mo te Anesthesia Whanui?

Ka whai te anesthesia whanui i te tikanga tupato, i te taahiraa i te taahiraa e whakahaerehia ana e to tohunga rongoa. E toru nga wahanga matua o te maimoatanga: te whakauru, te tiaki, me te puta.

I te wa o te whakaurunga, ka whiwhi koe i nga rongoa hei kore mohio i a koe. Ko te tikanga ka puta tenei i roto i te ruma whakahaere, ka whakanoho to tohunga rongoa i nga aroturuki me te timata i nga rongoa rongoa.

Ko te wahanga tiaki e pupuri ana i a koe kia kore mohio puta noa i to pokanga. Ka aroturuki tonu to tohunga rongoa i o tohu nui me te whakatika i nga rongoa kia mau tonu te taumata tika o te rongoa mo to tikanga.

Ko te puta ko te tukanga o te oho ake ka timata i te wa e mutu ai to pokanga. Ka whakamutua e to tohunga rongoa nga rongoa rongoa me te awhina i a koe kia oho haere i runga i te tikanga whakahaere.

Ahea koe whakapā atu ai ki to taakuta mo te Anesthesia Whanui?

Me whakapā atu koe ki to roopu rongoa i te wa tonu mena ka pa ki a koe etahi tohu i muri i te anesthesia whanui. Ahakoa he ngawari, he wa poto noa nga paanga taha, me aro tonu etahi ahuatanga ki te rongoa.

Waea atu ki to taakuta i tenei wa tonu mena ka whakawhanake koe i etahi o enei tohu e pa ana ki te anesthesia:

• Te whakapairuaki kino, te ruaki rānei e kore ai e taea e koe te pupuri wai
• Te uaua ki te manawa, te poto rānei o te manawa
• Te mamae o te uma, te ngākau rānei e rere ke ana
• Te whanoke kino, te ngaro rānei o te mahara
• Ngā tohu o te pānga mate pāwera pērā i te pāwera, te pūhi, te uaua rānei ki te manawa
• Te raruraru tonu, ngā raruraru rānei o te mahara e roa ana neke atu i te 24 haora
• Te kirika nui ake i te 101°F (38.3°C)

Ka tohu pea ēnei tohu i ngā raruraru e hiahia ana kia arotakea tonutia e te tākuta. Ko te nuinga o te tangata ka ora mai i te rongoā whakawairangi me te kore raruraru, engari he mea nui kia mōhio koe ki te wā ki te rapu awhina.

He aha ngā āhuatanga tūpono mō ngā raruraru o te rongoā whakawairangi whānui?

Ka taea e ētahi āhuatanga te whakanui i tō tūponotanga ki ngā raruraru mai i te rongoā whakawairangi whānui. Mā te māramatanga ki ēnei tūponotanga ka āwhina i tō rōpū hauora ki te whakarato i te manaakitanga haumaru rawa atu.

Ka arotakehia e tō tākuta rongoā whakawairangi tō hītori hauora me tō āhua hauora o nāianei kia tautuhia ngā āhuatanga ka pā ki tō wheako rongoā whakawairangi:

• Te pakeke haere (nui ake i te 65 tau)
• Te mate ngākau, te manawataki rānei e rere ke ana
• Ngā āhuatanga o te pūkahukahu pērā i te huango, te COPD rānei
• Te mate tākihi, te mate ate rānei
• Te mate huka, ngā raruraru rānei o te whakahaere huka toto
• Te momomo, te moe rānei
• Ngā pānga kino o mua ki te rongoā whakawairangi
• Te kai paipa, te inu waipiro nui rānei
• Ētahi rongoā, taapiri rānei

Ko te whai i ngā āhuatanga tūpono kāore i te kī e kore e taea e koe te rongoā whakawairangi whānui i runga i te haumaru. Ko te tikanga noa iho ka whai ngā tō rōpū hauora i ngā tūpato anō, ā, ka mātakitaki i a koe i te wā o te mahi, i muri hoki.

He aha ngā raruraru ka puta mai i te rongoā whakawairangi whānui?

Ahakoa he tino haumaru te rongoā whakawairangi whānui, pērā i ētahi atu mahi rongoā, ka taea e ia te whai raruraru. Ko te nuinga o ngā pānga taha he ngawari, he wā poto, engari mā te māramatanga ki ngā mea ka puta ka āwhina i a koe ki te whakatau whakatau mā te mōhio.

Ngā raruraru noa, iti ake te kino e whakatau ana i a rātou anō ko:

• Te whakapairuaki me te ruaki
• Te korokoro mamae mai i te ngongo manawa
• Te hiamoe me te rangirua
• Te wiri, te makariri rānei
• Ngā raruraru mahara māmā mō ētahi hāora
• Te waha maroke, te reo rānei e ngongoro ana

Ko te tikanga ka pai ake ēnei pānga i roto i ngā hāora, i ngā rā rānei i muri i tō tukanga. Ka taea e tō rōpū hauora te whakarato i ngā rongoā hei āwhina i te whakahaere i ngā mamae.

He onge ngā raruraru nui ake, engari ka uru pea ki ngā raruraru manawa, ngā huringa o te manawa, ngā tauhohenga pāwera rānei. Kua whakangungua tō tākuta tākuta rongoā ki te ārai me te whakahaere i ēnei āhuatanga mēnā ka puta.

He pai, he kino rānei te rongoā whānui mō ngā āhuatanga hauora rerekē?

He rerekē te pānga o te rongoā whānui ki ngā tāngata i runga i ō rātou āhuatanga hauora. Mō te nuinga o ngā tāngata, he wāhanga haumaru, he mea tika hoki o te tiaki pokanga, engari me whai whakaaro motuhake ētahi āhuatanga.

Mēnā he mate tō ngākau, ka āta aroturukihia e tō tākuta tākuta rongoā tō manawa me tō pēhanga toto i te wā o te tukanga. Ko ngā tikanga rongoā hou he haumaru mō te hunga whai āhuatanga ngākau pūmau.

Ko te hunga whai raruraru pūkahukahu pērā i te huango, te COPD rānei, me whai whakaaro motuhake ki tō rātou manawa i te wā o te rongoā. Ka whakatikatikahia e tō rōpū hauora ngā tautuhinga hauora me ngā rongoā hei tautoko i tō mahi pūkahukahu.

Mēnā he mate huka tō, ka āta aroturukihia ō taumata huka toto i te wā o te rongoā. Ka taea e te ahotea o te pokanga me ētahi rongoā te pā ki te huka toto, nō reira he mea nui te whakahaere tupato.

He aha te mea ka pohehehia te rongoā whānui?

Ko te rongoā whānui tonu kāore i te pohehehia mō ētahi atu āhuatanga, engari ko ētahi o ōna pānga i muri mai ka pohehehia ki ētahi atu take hauora. Mā te māramatanga ki ēnei ōrite ka mōhio koe ki ngā mea e tūmanakohia ana.

Ka pohehe pea te rangirua, te pōrangi rānei i muri i te aniana hei whiu, hei raruraru roro rānei, inā koa ki ngā kaumātua. He mea noa tēnei rangirua rangitahi, ā, ka ngaro i roto i ngā hāora.

Ka pohehe pea te whakapairuaki me te ruaki i muri i te aniana hei paitini kai, hei rewharewha puku rānei. Heoi, ka pai ake te whakapairuaki i muri i te aniana i ngā wā katoa i ēnei atu āhuatanga.

Ka pā te huringa o te ngākau, te tairongo aronganui rānei ki ētahi tāngata i muri i te aniana, ā, ka pohehe pea tēnei ki te pōuri, ki ngā raruraru āwangawanga rānei. He rangitahi noa ēnei kare-ā-roto, ā, e pā ana ki te pēhanga o te pokanga me te aniana.

Ngā Pātai Auau mō te Aniana Whānui

Kia pēhea te roa ka oho ake i te aniana whānui?

Ka tīmata te nuinga o ngā tāngata ki te oho ake i roto i te 5 ki te 15 meneti i muri i te whakamutunga o te aniana. Heoi, ka roa pea te hāora kia tino mārama, kia noa hoki. E pā ana te wā tika ki te momo me te nui o te aniana i whakamahia, tō tau, me tō hauora whānui.

Ka puta tō whakaora i roto i ngā wāhanga, ka tīmata ki te whakatuwhera i ō kanohi me te whakautu ki ngā reo, ka piki haere te mārama me te whakatika. Ka roa te 6 ki te 24 hāora kia tino ora ai tō āhua hinengaro noa.

Ka kōrero au i ngā mea whakama i te wā e oho ake ana i te aniana?

Ahakoa e māharahara ana ētahi tāngata ki te kōrero i ngā mea hē i te wā e ora ana, he mea onge tēnei. Ko te nuinga o ngā tāngata he moe noa, he rangirua rānei, kaua ki te kore e ārai i te wā e oho ake ana i te aniana.

Mēnā ka kōrero koe i te wā o te whakaora wawe, he kupu rangirua, he kupu kore tikanga noa iho, kaua ki te whakaatu i ngā mea ngaro. He ngaio tō rōpū hauora, ā, e mōhio ana ki ngā tūroro i ngā āhua rerekē o te māramatanga i te wā o te whakaora.

Ka taea e koe te moe i te wā o te aniana whānui?

He mea tino noa te moemoea tūturu i te wā e whakahaere tika ana te rongoā whānui. I te wā e rongoā whānui ana koe, ka pēhia ngā mahi o tō roro ki ngā taumata e kore ai e taea te hanga moemoea.

E kī ana ētahi tāngata i ngā wheako pērā i te moemoea, engari ko te nuinga o ēnei ka puta i ngā wā o te haere ki raro, te ara ake rānei. He mea noa ake ngā moemoea mārama i ngā rā i muri i te pokanga i te wā e hoki ana ō tauira moe ki te tikanga.

Me pēhea te mōhio o ngā tākuta kei te pai te mahi o te rongoā?

E whakamahi ana tō tākuta rongoā i ngā tikanga aroturuki maha hei whakarite kia rongoā tika koe i te wā o tō mahi. Kei roto i ēnei ko te tirotiro i ngā mahi ngaru o tō roro, te tere o te ngākau, te pēhanga toto, me ngā tauira manawa.

Ka taea e ngā aroturuki hou te kite i ngā huringa iti i roto i ngā urupare o tō tinana e tohu ana kāore koe i te hōhonu i raro i te rongoā. Ka whakatika tonu tō tākuta rongoā i ngā rongoā i runga i ēnei ine.

Ka taea e te rongoā whānui te pā ki te ngaro mahara tūturu?

He mea tino onge te ngaro mahara tūturu mai i te rongoā whānui i roto i ngā tāngata hauora. Ko te nuinga o ngā tāngata ka pā ki te rangirua, te pōhēhē rānei i te wā poto, ka ngaro i roto i ngā hāora ki ngā rā i muri i te pokanga.

I roto i ētahi pakeke, i ngā tāngata rānei e pā ana ki ngā take mātai hinengaro, ka puta pea ngā pānga roa ake, engari ko te nuinga o ēnei e pā ana ki te pēhanga o te pokanga, kaua ki te rongoā tonu. Ka kōrero tō rōpū hauora i ngā tūponotanga motuhake i runga i tō āhuatanga takitahi.