Created at:1/13/2025
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Ko te anesthesia whānui he āhua rongoā e tino āta whakahaeretia ana, kei te kore koe e mohio, kare hoki koe e rongo i te mamae i te wā o te pokanga, i ngā tikanga rongoā rānei. Whakaarohia he moe hōhonu, e whakahaeretia ana e ārahi ana tō rōpū rongoā i a koe ki roto, ki waho hoki i te haumaru. Mā tēnei āhua rangitahi e taea ai e ngā tākuta pokanga te mahi i ngā mahi uaua, i te wā e noho pai ana koe, e noho pūmau ana i te wā katoa o te tukanga.
Ko te anesthesia whānui he huinga rongoā e waiho ana koe ki tētahi āhua hōhonu, kāore e mohio ana i te wā o ngā tikanga rongoā. Ka whakamahia e tō tākuta anesthesiologist ēnei rongoā hei whakaweto i tō mōhiotanga, te hanga mahara, me te rongo i te mamae. Kāore i rite ki te anesthesia ā-rohe e whakapōkae ana i tētahi wāhi anake, ka pā te anesthesia whānui ki tō tinana katoa me tō hinengaro.
I te wā o tēnei āhua, kāore koe e mahara ki ngā mea katoa e pā ana, kāore koe e rongo i te mamae, ka tino whakangāwari ō uaua. Ka āta aroturukihia e tō tākuta anesthesiologist tō manawa, te tere o te ngākau, te pēhanga toto, me ētahi atu tohu nui i te wā katoa o te tukanga. Ka mahi ngā rongoā mā te pā ki te kaha o tō roro ki te tukatuka i ngā rongo me te pupuri i te mōhiotanga.
He tino haumaru, he matapae hoki te anesthesia whānui o nāianei. Ka taea e tō rōpū rongoā te whakahaere tika i te hōhonu o tō anesthesia me te roa o tōna roa. Ko te nuinga o te tangata e whakaahua ana i te wheako hei moe i roto i te rūma whakahaere, me te oho i roto i te whakaora kāore he mahara ki te wā i waenganui.
Ka whakamahia te anesthesia whānui i te wā e hiahia ana koe kia kore rawa e mohio, kia kore hoki e mamae mō ngā tikanga rongoā. Ka tūtohu tō tākuta i tēnei mō ngā pokanga e hiahia ana koe kia noho pūmau tonu, i te wā e tino mamae rawa ana te tikanga me te anesthesia ā-rohe anake, i te wā rānei e whai pānga ana te pokanga ki ngā wāhi nui o tō tinana. He mea tika hoki mō ngā tikanga e hia haora ana ki te whakaoti.
Ka whiriwhiria e tō rōpū hauora te rongoā whānui hei whakarite i tō haumaru me tō whakamarie i ngā mahi uaua. Ko ētahi o ngā pokanga e hiahia ana kia tino whakangāwarihia ō uaua, ā, ko te rongoā whānui anake e taea ai tēnei. Mā tēnei momo rongoā e ārai hoki i a koe i te hanga mahara mō te mahi, e tiaki ana i a koe i te ahotea hinengaro.
Ko ngā mahi noa e hiahia ana ki te rongoā whānui ko ngā pokanga nui pēnei i ngā mahi ngākau, te pokanga roro, te whakawhitinga okana, me te maha o ngā mahi puku. Ka whakamahia hoki mō ētahi mahi tātaritanga pēnei i te kōronokōpihi ina hiahia koe kia tū tonu. Ka kōrero tō tākuta rongoā ki a koe mō te mea ko te rongoā whānui te kōwhiringa pai mō tō āhuatanga motuhake.
Ka tīmata te tukanga rongoā whānui i mua i tō urunga ki te rūma whakahaere. Ka tūtaki tō tākuta rongoā ki a koe i mua hei arotake i tō hītori hauora, hei kōrero mō ō āwangawanga, me te whakamārama i ngā mea e tūmanakohia ana. Ka pātai rātou mō ō rongoā, ō mate pāwera, me ō wheako o mua ki te rongoā hei waihanga i te mahere haumaru mō koe.
I te rā o tō mahi, ka whiwhi koe i ngā rongoā mā te raina IV i tō ringa, i tō ringa rānei. Ko te tikanga ka tīmata te tākuta rongoā ki ngā rongoā e whakangāwari ana i a koe, e moe ai. I roto i ngā hēkona ki ngā meneti, ka ngaro katoa tō māramatanga. Ka whiwhi ētahi tāngata i te rongoā mā te kanohi ki runga i tō ihu me tō waha, ina koa ngā tamariki e mataku ana ki ngā ngira.
Ina kore koe e mārama, ka waiho pea e tō tākuta rongoā he ngongo manawa ki raro i tō korokoro hei āwhina i a koe ki te manawa i te wā o te mahi. He mea whakamataku tēnei, engari kāore koe e rongo, e mahara rānei ki tōna pānga. I roto i tō pokanga, ka aroturuki tonu tō tākuta rongoā i ō tohu nui me te whakatika i ō rongoā kia noho koe i te taumata tino pai o te rongoā.
Ka oti te pokanga, ka whakaiti haere te tākuta rongoā i ngā rongoā rongoā. Ka ara ake koe i roto i te wāhi whakaora e mātakitaki tata ana ngā nēhi i a koe. Ko te nuinga o te tangata e pōuri ana, e ngaro ana i te tuatahi, he mea noa tēnei. Ka ngaro ngā pānga o te rongoā i roto i ngā hāora maha.
Ko te whakarite mō te rongoā whānui e whai ana i ētahi mahi nui hei āwhina i tō haumaru me te angitu o tō tukanga. Ka hoatu e tō tākuta rongoā ngā tohutohu motuhake i hangaia mō tō āhuatanga, engari ko te nuinga o te whakarite e whai ana i te nohopuku me te whakatika i ō rongoā. Ko te whai i ēnei aratohu i te tata ka āwhina i te aukati i ngā raruraru i te wā o tō rongoā.
Ko te mahi whakarite tino nui ko te whai i ngā tohutohu nohopuku, e tikanga ana kāore he kai, he inu rānei mō te 8-12 hāora i mua i tō tukanga. Kei te noho tēnei ture puku kau nā te mea ka taea e te rongoā te whakapōka, ā, ko te kai i roto i tō puku i te wā e kore e mōhio ana ka mōrearea. Ka kōrero mai tō rōpū hauora ki a koe i te wā tika hei whakamutu i te kai me te inu.
Anei ngā mahi whakarite matua ka ārahi tō rōpū hauora i a koe:
Ka tono pea tō tākuta rongoā ki a koe kia whakamutu i ētahi rongoā mō te wā poto, ina koa ngā whakaheke toto, ngā tāpiringa rānei ka pā ki tō toto, ka pā rānei ki ngā rongoā rongoā. Whaia tonu ngā tohutohu motuhake a tō rōpū hauora, i te mea e mōhio ana rātou ki tō āhuatanga hauora takitahi.
Ka mahi te rongoā whānui mā te whakangū i ngā ara whakawhitiwhiti kōrero noa i tō roro me tō pūnaha io. Ka haere ngā rongoā mā tō toto ki tō roro, kei reira ētahi e aukati ana i ngā tohu e hanga ana i te māramatanga, te rongo mamae, me te hanga mahara. Ka hangaia tēnei he āhua e taea ana te huri, kei reira tō roro e "whakaweto" ana i ōna mahi mō te māramatanga.
Ka pā ngā rongoā rongoā ki ngā wāhi rerekē o tō roro i te wā kotahi. Ko ētahi wāhanga ka aukati i tō roro mai i te tukatuka i ngā tohu mamae, i te wā e aukati ana ētahi atu i te hanga mahara me te pupuri i te kore māramatanga. Ka whakamahia pea ētahi atu rongoā hei whakangāwari i ō uaua katoa, kia māmā ake ai te mahi a ngā tākuta me te manawa mā te āwhina mīhini ki te hiahiatia.
Ka whakamahi tō tākuta rongoā i te huinga o ngā momo rongoā rerekē hei whakatutuki i te taurite tino pai mō tō tukanga. Ka whakarato ngā rongoā i roto i te uaua i te tīmatanga tere me te mana tika, i te wā e taea ana te whakatika ngā rongoā e hāia ana i te wā o tō pokanga. Mā tēnei huarahi rongoā maha ka taea e tō rōpū hauora te whakatika i tō taumata rongoā i ia wā.
I te wā o tō tukanga, ka hiahia pea ngā mahi aunoa o tō tinana pērā i te manawa me te tohanga toto ki te tautoko. Ka whakamahi tō tākuta rongoā i ngā taputapu aroturuki matatau hei aroturuki i tō manawataki, te pēhanga toto, ngā taumata hāora, me te mahi roro. Mā tēnei aroturuki tonu ka whakarite kia noho koe i te taumata rongoā tino pai i te wā e pupuri ana i tō haumaru.
Ka puta te rongoā whānui i roto i ngā wāhanga rerekē e whā e ārahina ana e tō tākuta rongoā. Mā te māramatanga ki ēnei wāhanga ka āwhina i a koe ki te mōhio ki ngā mea e tūmanakohia ana me te noho pai ake ki te tukanga. He whāinga motuhake tō ia wāhanga i te whakarite i tō haumaru me tō whakamarie i te wā o te tukanga.
Ko te wāhanga tuatahi e kīia ana ko te whakauru, kei reira koe e neke mai ana i te māramatanga ki te kore māramatanga. Ko te tikanga ka roa noa iho ngā meneti torutoru i te wā e whai pānga ana ngā rongoā rongoā. Ka pōrangi pea koe, ka mārō te mahunga, ka pā rānei te reka konganuku ki tō waha. Ko te nuinga o te iwi e whakaahua ana i tēnei me te mea e moe ana rātou i te tere.
Anei ngā mea e pā ana i ia wāhanga o te rongoā:
I te wāhanga whakahaere, ka noho koe i te kore māramatanga i te wā e aroturuki tonu ana tō tākuta rongoā, me te whakatika i tō taumata rongoā. Ka tīmata te wāhanga putanga i te otinga o tō pokanga, ā, ka hoki haere te māramatanga i roto i te taiao whakahaere. Ka haere tonu te whakaora i te wā e oho katoa ana koe, me te ngaro o ngā pānga e toe ana o te rongoā i tō pūnaha.
Ko te nuinga o te iwi e pā ana ki ētahi pānga taha rangitahi i te ngaro o te rongoā whānui, ā, ko ēnei pānga te tikanga he ngawari, ka ngaro i roto i ngā hāora ki ngā rā. E hiahia ana tō tinana i te wā ki te whakawātea i ngā rongoā rongoā i tō pūnaha, ka taea e tēnei te pā ki ngā tohumate rangitahi. Mā te māramatanga ki ēnei pānga noa ka āwhina koe ki te pūmau ake, me te iti ake o te māharahara mō tō whakaora.
Ko ngā pānga taha e mōhiotia ana ka pā ki a koe ko te pōrangi, te whakapairuaki, me te korokoro mamae mai i te ngongo manawa. He wā poto noa ēnei pānga, ā, ka pai ake i te wā e ngaro katoa ana te rongoā whakamoe i tō tinana. Ko ētahi tāngata ka pōraru, ka whanoke, ka uaua rānei te arotahi i ngā hāora tuatahi i muri i te oho ake.
Anei ngā pānga taha ka pā ki te nuinga o te tāngata i muri i te rongoā whakamoe whānui:
Ko ēnei pānga taha he tohu e ora ana tō tinana i te rongoā whakamoe. Mā te rōpū hauora e āwhina ki te whakahaere i ngā mamae, me te aroturuki i a koe kia pai ake ai ēnei pānga. Ka pai ake te nuinga o te tāngata i roto i te 24 hāora, ahakoa ka roa te whakaora katoa i ētahi rā.
Ahakoa he tino haumaru te rongoā whakamoe whānui mō te nuinga o te tāngata, ka pā ngā raruraru nui, ahakoa he mea onge. Ka āta arotakehia e tō tākuta rongoā whakamoe ō tūponotanga takitahi, ā, ka whai i ngā whakatūpato nui hei aukati i ēnei raruraru. Mā te māramatanga ki ēnei tūponotanga e āwhina i a koe ki te whakatau whakatau mō tō tiaki, me te mōhio ki ngā tohu whakatūpato hei mātakitaki.
Ko ngā tūponotanga nui ko ngā raruraru ki te manawa, ngā raruraru o te manawa, me ngā tauhohenga mate pāwera nui ki ngā rongoā whakamoe. He mea onge ēnei raruraru, ā, ka taea te rongoā i te wā e pā ana. Kua tino whakangungua tō rōpū hauora ki te mōhio me te whakahaere i ēnei āhuatanga i te wā tonu ka puta.
Anei ngā raruraru nui engari he mea onge ka pā ki te rongoā whakamoe whānui:
E whakawhirinaki ana tō tūponotanga ki te pā mai o ēnei raruraru ki tō hauora whānui, te momo pokanga e pā ana ki a koe, me ō āhuatanga tūpono takitahi. Mā tō tākuta whakamoe e kōrero ki a koe mō tō taumata tūpono motuhake me ngā mahi ka mahia e rātou hei whakaiti i ēnei tūponotanga i te wā o tō tikanga.
Ko ētahi āhuatanga hauora me ngā āhuatanga whaiaro ka taea te whakanui i tō tūponotanga ki te pā mai o ngā raruraru mai i te whakamoe whānui. Mā tō tākuta whakamoe e āta arotake tō hītori hauora me tō tūnga hauora o nāianei hei tautuhi i ngā āhuatanga tūpono e hiahia ana kia aro nui. Ko te whai āhuatanga tūpono kāore i te kī e kore e taea e koe te whiwhi whakamoe whānui i runga i te haumaru, engari e kī ana me whai ngā tākuta i ngā whakatūpato anō.
He wāhi nui te pakeke i roto i te tūponotanga whakamoe, me ngā tamariki tino pōtiki me ngā pakeke neke atu i te 65 tau e hiahia ana kia whakaarohia motuhake. Ko ngā pakeke ake pea he wā whakaora pōturi ake, me te tūponotanga nui ake o te raruraru i muri i te whakamoe. Ko ngā tamariki tino pōtiki pea he tairongo ake ki ngā rongoā whakamoe, ā, me whai huarahi rerekē te inenga.
He maha ngā āhuatanga hauora me ngā āhuatanga noho ka taea te whakanui i tō tūponotanga whakamoe:
Mēnā he āhuatanga ōna, ka mahi tō tākuta rongoā ki a koe kia pai ake tō hauora i mua i te pokanga, me te whakamahere i te huarahi rongoā haumaru rawa atu. Ka tūtohu pea rātou i te aroturuki atu, i ngā rongoā rerekē, i ngā whakatūpato motuhake rānei i hangaia mō tō āhuatanga motuhake.
Ka puta te whakaora mai i te rongoā whānui i roto i ngā wāhanga, ko te nuinga o te tangata ka pai ake i roto i te 24 hāora. Heoi, ka roa pea te whakaora katoa i ngā rā maha, ina koa i muri i te pokanga nui. Kei runga i te momo rongoā i whiwhi koe, te roa o tō tikanga, me ō āhuatanga hauora takitahi te wāhanga whakaora.
I ngā hāora tuatahi i muri i tō tikanga, ka ara ake koe i roto i te wāhi whakaora e aroturukihia ana koe e ngā nēhi. Ka pōrangi pea koe, ka raruraru, ka pā te puku i tēnei wāhanga tuatahi. Ka taea e te nuinga o te tangata te inu wai iti, ā, ka taea pea te kai i ngā kai māmā i roto i ngā hāora torutoru, i runga i te momo pokanga.
Ko te tikanga, ka whai tō whakaora i tēnei wāhanga:
I te wā o tō whakaora, he mea nui kia noho tahi tētahi tangata ki a koe mō te 24 hāora. Kaua koe e taraiwa, e whakahaere i ngā mīhini, e whakatau i ngā whakatau nui, e inu waipiro rānei kia tino ngaro rawa te rongoā whakamoe i tō pūnaha. Ka hoatu e tō rōpū hauora ngā aratohu motuhake ki a koe i runga i tō tikanga me tō āhuatanga takitahi.
Ahakoa he mea noa te kore mārie i muri i te rongoā whakamoe whānui, me āta rongoā tonu ētahi tohumate. Ka hoatu e tō rōpū hauora ngā tohutohu motuhake ki a koe mō ngā mea hei mātakitaki me te wā hei waea atu ki a rātou. Mā te mōhio ki te rerekētanga i waenga i ngā tohumate whakaora noa me ngā tohu e pā ana, ka taea e koe te rapu awhina ina hiahiatia.
Me whakapā atu koe ki tō tākuta tonu mēnā ka pā ki a koe ngā tohumate nui e ahua kino rawa atu ana i te mea e tika ana, mēnā rānei kāore ngā tohumate noa e pai ake ana i te mea e tika ana. Whakapono ki ō pūngao – mēnā he mea tino he, he pai ake tonu te waea atu ki tō rōpū hauora mō te ārahi.
Whakapā atu ki tō tākuta ināianei mēnā ka pā ki a koe ētahi o ēnei tohumate e pā ana:
Mō ngā āwangawanga kāore i te tino nui, pēnei i te whakapairuaki ngawari, te mamae noa i muri i te pokanga, ngā pātai rānei mō tō whakaoranga, ka taea e koe te waea atu ki te tari o tō tākuta i ngā hāora noa. E hiahia ana tō rōpū hauora ki te rongo mai i a koe mēnā he āwangawanga ō mō tō whakaoranga, no reira kaua e whakaroa ki te whakapā atu ina hiahia āwhina koe.
Ka taea e te rongoā whānui te haumaru mō ngā tūroro kaumātua ina āta whakahaeretia e ngā tākuta rongoā whānui mōhio. Ahakoa ka tūpono ngā kaumātua ki ngā tūponotanga nui ake nā te huringa e pā ana ki te pakeke i roto i ō rātou tinana, ka taea te whakaiti i ēnei tūponotanga mā te āta whakamahere me te aroturuki. Ka arotakehia e tō tākuta rongoā whānui tō hauora whānui, ehara i te mea ko tō tau anake, hei whakatau i te huarahi haumaru mō tō āhuatanga.
Ka roa pea te wā whakaora o ngā tūroro kaumātua, me ngā tūponotanga nui ake o te raruraru i muri i te pokanga, engari he wā poto noa iho ēnei pānga. Ka whai ngā tō rōpū hauora i ngā tūpato anō, pēnei i te whakamahi i ngā horopeta iti ake o ngā rongoā, te whakarato i te aroturuki kaha ake, me te whakamahere mō te tukanga whakaora puhoi ake. He maha ngā tūroro kaumātua e pokanga ana i te rongoā whānui i ia rā.
Ko te oho ake i te wa o te rongoa whānui, e kiia ana ko te mohio ki te rongoa, he tino onge, ka puta i roto i te iti iho i te 1-2 keehi i roto i te 1,000 nga tikanga. Ko nga taputapu aroturuki hou e awhina ana i to taote rongoa kia mohio kei te noho koe i te taumata tika o te kore mohio puta noa i to pokanga. Ka aroturukihia e ratou to mahi roro, te tere o te ngakau, me etahi atu tohu nui kia kore ai tenei e puta.
Mena ka puta te mohio ki te rongoa, he poto noa iho, a he maha nga wa kaore he mamae, ahakoa ka raru pea. Ka whakamahia e to taote rongoa nga rongoa maha kia mohio kei te kore koe e mohio, kaua e hanga maharatanga, kaua hoki e pa ki te mamae. He nui ake te tupono i te wa o nga pokanga ohorere, i roto ranei i nga turoro e pa ana ki etahi mate ngakau, engari ka whai nga kaimahi hauora i nga whakatupatotanga motuhake i enei ahuatanga.
Ko te rongoa whānui te tikanga kaore e puta he raruraru mahara pumau i roto i nga tangata hauora. Kare pea koe e mahara ki to tikanga, a tera pea ka raru koe, ka wareware ranei mo etahi haora ki nga ra i muri mai. He mea noa tenei kapua mahara rangitahi, a te nuinga ka ngaro katoa i te wa e marama ana te rongoa mai i to punaha.
I roto i nga keehi onge, ka pa pea etahi pakeke ki nga take mahara roa e kiia ana ko te ngoikoretanga mohio i muri i te mahi. Ka taea e tenei ahuatanga te raruraru mahara, te uaua ki te aro, te raruraru ranei e mau ana i nga wiki ki nga marama i muri i te pokanga. Heoi ano, kei te ako tonu nga kairangahau mena na te rongoa ake ano enei raruraru, mena ranei e pa ana ki te ahotea o te pokanga, nga ahuatanga hauora o raro, etahi atu mea ranei.
Kāore he rohe motuhake e hia ngā wā ka taea e koe te whiwhi i te rongoā whānui i roto i tō oranga. He tokomaha ngā tāngata e haere ana i ngā mahi maha me te rongoā whānui, kāore he pānga tōtahi, he piki rānei o ngā tūponotanga. I ngā wā katoa ka whiwhi koe i te rongoā, ka arotake tō tākuta rongoā i tō hauora o nāianei, ka whakatika i tā rātou huarahi i runga i ō hiahia takitahi i taua wā.
Heoi anō, ko te whai i ngā pokanga maha e tata ana ki a rātou anō, ka piki ake pea ō tūponotanga pokanga katoa, nā te pēhanga ki tō tinana mai i ngā mahi tukurua. Ka whakaaro tō rōpū hauora ki tō hītori pokanga tata nei, te āhua o tō hauora o nāianei, me te ohorere o tō mahi i te wā e whakamahere ana i tō atawhai rongoā. Ka mahi rātou ki te whakaiti i ngā tūponotanga katoa i te wā e whakarite ana ka whiwhi koe i te atawhai haumaru rawa atu.
I ētahi wā, ka whai kē koe i ētahi atu kōwhiringa ki te rongoā whānui, pērā i te rongoā ā-rohe (pērā i te poraka tuarā, i te poraka epidural rānei) i te rongoā ā-rohe me te whakamaheretanga. Ka kōrero tō tākuta rongoā i ēnei kōwhiringa ki a koe i runga i tō mahi motuhake, tō hītori hauora, me ō hiahia whaiaro. Heoi anō, mō te maha o ngā momo pokanga, ko te rongoā whānui te kōwhiringa haumaru me te tika.
Ko ētahi mahi e tino hiahia ana ki te rongoā whānui mō tō haumaru, pērā i te pokanga roro, te pokanga ngākau, i te mahi rānei e hiahia ana koe kia noho pūmau mō ngā wā roa. Ka whakamārama tō rōpū hauora i te aha i tūtohu ai rātou i te rongoā whānui mō tō āhuatanga motuhake, me te whakatika i ngā āwangawanga katoa e pā ana ki te whiwhi. E hiahia ana rātou kia noho koe i te āhua pai me te māia mō tō mahere rongoā.