He aha te Dexmedetomidine (Ara Oromucosal): Ngā Whakamahinga, Inenga, Ngā Pānga Taha me Ētahi Atu

Ko te Dexmedetomidine oromucosal he rongoā whakamaarama motuhake e uru ana mā ngā kiko i roto i tō waha, e hoatu ana i te nuinga o te wā hei kiriata, hei hārearea rānei e rewa ana i waenga i ō kapua me tō pāpāringa. Mā tēnei huarahi ngawari ki te whakamaarama ka āwhina i te whakamārie i te āwangawanga me te whakarato i te whakangāwari me te kore e hiahiatia he werohanga, he rārangi IV rānei.

Ka tūtaki pea koe ki tēnei rongoā mēnā e hiahia ana koe, tētahi rānei e arohaina ana e koe, ki te whakamaarama mō ngā tikanga rongoā, ina koa i ngā wāhi tamariki kei hea ngā tikanga tuku iho ka pōhēhē ai te taumahatanga. Ko te ara oromucosal te tikanga ka mahi te rongoā mā te uru tika mā ngā kiko ngawari i roto i tō waha, e whai hua ana mō ngā āhuatanga kāore e taea te whakamahi, e pai ana rānei ētahi atu momo whakamaarama.

He aha te Dexmedetomidine?

Ko te Dexmedetomidine he rongoā whiriwhiri nui e whai ana i ngā tohu whakamārie tūturu o tō tinana i roto i te roro me te pūnaha io. No te akomanga o ngā rongoā e kīia ana ko te alpha-2 adrenergic agonists, ko te tikanga ka mahi mā te whakahohe i ngā kaiwhiwhi motuhake e āwhina ana i tō tinana ki te whakangāwari me te pōuri.

Ko te mea e motuhake ai tēnei rongoā ko tōna kaha ki te whakarato i te whakamaarama i te wā e taea ai e koe te noho paku whakautu ki ō tūruhi. Kāore i rite ki ētahi atu whakamaarama ka taea te kore e mōhio, ka waihanga te dexmedetomidine i tētahi āhua tūturu, rite moe, kei hea e taea tonu ai koe te ara mā te ngawari mēnā e hiahiatia ana.

He mea auaha te hanganga oromucosal nā te mea ka karo katoa i te pūnaha keri. Kāore i te horomia he pire e hiahia ana kia pakaru i roto i tō puku, ka uru tika te rongoā mā te nui o te toto i roto i ō kiko waha, e arahi ana ki ngā pānga tere me te matapae.

He aha te Dexmedetomidine e Whakamahia Ana?

Ko te dexmedetomidine oromucosal te mea nui e whakamahia ana hei āwhina i te whakaiti i te āwangawanga me te whakarato i te rongoā i mua i ngā tikanga rongoā, ina koa ki ngā tamariki me ngā tūroro e uaua ana ki ngā tikanga rongoā tuku iho. He mea nui rawa atu i roto i te rongoā tamariki i te wā e hangaia ana he taiao marino, kore-pāwera he mea nui mō te tamaiti me te rōpū rongoā.

He tino whai hua te rongoā i roto i ētahi wā motuhake. Ka tūtaki pea koe ki tēnei rongoā mēnā kei te whakarite koe mō ngā tikanga niho, ngā pokanga iti, ngā whakamātautau tātaritanga pēnei i te MRI i te wā e nui ana te noho pūmau me te whakangāwari. Ka whakamahia hoki i roto i ngā wāhi tiaki kaha hei āwhina i ngā tūroro e whakamahi ana i ngā mīhini manawa kia noho pai me te kore e tino rongoā.

He maha ngā wā ka whiriwhiria e ngā kaiwhakarato hauora tēnei ara mēnā he uaua te horo i ngā pire, mēnā he uaua te uru ki te IV, mēnā rānei e pai ana te tīmatanga haere o te rongoā. He tino whai hua te ara oromucosal mō ngā tamariki e mataku ana i ngā ngira, mō ngā tūroro kaumātua rānei e ngawari ana ngā uaua.

I ētahi wā, ka whakamahia pea te dexmedetomidine oromucosal hei wāhanga o te mahere rongoā whānui, e mahi tahi ana me ētahi atu rongoā hei hanga i te wheako tino pai rawa atu. Ka whakatau tō rōpū rongoā mēnā he tika tēnei huarahi mō tō āhuatanga motuhake i runga i tō hītori hauora me te tikanga e pā ana ki a koe.

Me pēhea te mahi a Dexmedetomidine?

Ka mahi a Dexmedetomidine mā te whai i ngā kaiwhiwhi motuhake i tō roro e kiia ana ko ngā kaiwhiwhi alpha-2 adrenergic, he rite ki ngā huri iti e whakahaere ana i te urupare pāwera me ngā tauira moe o tō tinana. I te wā e herea ana te rongoā ki ēnei kaiwhiwhi, ka tukuna ngā tohu e āwhina ana i tō pūnaha io ki te neke ki tētahi āhua whakangāwari, marino.

Whakaarohia me te mea e whakaiti ana koe i te rōrahi o te pūnaha whakaoho tūturu o tō tinana. Ka whakaputa noa tō roro i ngā matū pēnei i te norepinephrine e noho mataara ana koe, e rite ana ki te whakautu ki tō taiao. Ka āwhina a Dexmedetomidine ki te whakaiti i te tukunga o ēnei matū whakahihiri, e āhei ana tō hinengaro me tō tinana ki te noho i roto i te āhua rangimārie, moe.

E whakaarohia ana tēnei rongoā he kaha ngawari i roto i ōna pānga whakangāwari, e whakarato ana i te whakangāwari nui me te kore o ngā pānga kaha o te rongoā whānui. Ka waihanga i te mea e kīia ana e ngā tākuta ko te "whakangāwari mārama," kei te mōhio tonu koe engari e tino whakangāwari ana, e pai ana. Mā tēnei ka noho haumaru ake i ngā rongoā whakangāwari kaha ake nā te mea ka taea tonu e koe te hā i a koe anō, me te whakautu ki ngā tohutohu nui.

Ka āhei te ara oromucosal i te rongoā ki te uru tika ki roto i ō toto mā te whatunga whai rawa o ngā oko toto i tō waha. Mā tēnei ka karo i tō pūnaha kūnatu, ko te tikanga ka tīmata ngā pānga i te tere me te mōhiotia atu i te horomitanga i te pire. Ka tīmata te nuinga o te tangata ki te rongo i ngā pānga whakamārie i roto i te 30 ki te 60 meneti i muri i te whakahaerenga.

Me pēhea taku tango i te Dexmedetomidine?

Ka whakahaerehia te Dexmedetomidine oromucosal e ngā tāngata hauora whakangungu anake i roto i ngā wāhi rongoā, nā reira e kore koe e tango i tēnei rongoā i te kāinga. E hiahia ana te whakarite me te whakahaere i te whakangungu motuhake hei whakarite i te haumaru me te whai huatanga.

I te wā e whiwhi ana koe i tēnei rongoā, ka whakatakoto tō kaiwhakarato hauora i tētahi kiriata iti, ka tono rānei i tētahi hāmana i waenga i ō kaponga me tō pāpāringa, te tikanga i roto i tō ngutu o raro, i te taha rānei o ō kaponga. Ka tohutohutia koe ki te kati i tō waha, me te karo i te horomi, te kōrero, te inu rānei mō tētahi wā motuhake kia āhei ai te urunga tika mā ngā kiko o te waha.

I mua i te whiwhinga i te rongoā, ka tono pea tō rōpū hauora kia karo koe i te kai, i te inu rānei mō tētahi wā, te nuinga 2-4 haora i mua. Mā tēnei e āwhina kia tika te uru o te rongoā, me te whakaiti i te tūponotanga o ngā raruraru. Mēnā he niho tō, he patunga rānei tō waha, he wharanga rānei, me mōhio ki tō tākuta, nā te mea ka pā tēnei ki te āhua o te whakahaere i te rongoā.

I te wā o te whakahaere, ka tono pea koe kia noho i tētahi tūnga pai, me te ngana ki te whakangāwari. Ka pōturi te reka o ētahi tāngata, he mea noa tēnei. Ka aroturuki tata tō rōpū hauora i a koe puta noa i te tukanga katoa, te tirotiro i tō manawa, te tere o te ngākau, me te taumata o te māramatanga kia mōhio kei te pai tō urupare ki te rongoā.

Kia Pēhea te Roa e Tango Ana au i te Dexmedetomidine?

Ko te Dexmedetomidine oromucosal te tikanga he horopeta kotahi anake e hoatu ana mō tētahi tukanga kotahi, mō tētahi wawaotanga rānei. Kāore i rite ki ngā rongoā ka tango pea koe i ia rā i te kāinga, ka whakahaerehia tēnei i te wā e hiahiatia ana mō te whakangāwari i ngā wāhi hauora.

Ko ngā pānga o te horopeta kotahi te tikanga ka roa i waenga i te 2 ki te 6 haora, i runga i tō urupare takitahi, te horopeta i hoatu, me tō hauora whānui. E kitea ana e te nuinga o te tāngata ko ngā pānga whakangāwari kaha rawa atu ka puta i roto i ngā haora tuatahi e 1-2 i muri i te whakahaere, me te mārama haere i ngā haora e whai ake nei.

Ka haere tonu tō rōpū hauora ki te aroturuki i a koe kia ngaro rawa ngā pānga, ā, ka mārama koe ki te wehe marie i te whare hauora. Ko te tikanga pea tēnei kia noho mō te mātakitaki mō ētahi haora i muri i tō tukanga, ina koa i te wā i whiwhi koe i tētahi horopeta teitei ake, i te wā rānei e tino tairongo ana koe ki te rongoā.

I ētahi wāhi tiaki kaha, ka whakamahia pea te dexmedetomidine i ngā rā maha, engari ka pēnei anake i raro i te tirotiro a te tākuta i te hōhipera. Ko te whakatau mō te roa e whakawhirinaki ana ki ō hiahia rongoā me te pai o tō urupare ki te rongoā.

He aha ngā pānga taha o te Dexmedetomidine?

Pērā i ngā rongoā katoa, ka pānga taha te dexmedetomidine, ahakoa te nuinga o te tangata e pai ana ki te whakamahi tika. Ko ngā pānga taha tino noa he ngawari, ā, e pā ana ki ngā āhuatanga whakangāwari o te rongoā.

Ko ngā pānga taha ka pā ki a koe ka taea te whakarōpū ki ngā mea noa, ngawari te whakahaere me ngā mea onge engari he nui ake te kino e hiahia ana ki te āwhina rongoā. Mā te māramatanga ki ēnei ka mōhio koe ki te aha e tūmanako ana me te wā hei māharahara.

Ngā pānga taha noa ka kitea e koe:

• Te moe me te pōuri mō ngā hāora maha i muri i te whakahaere
• Te waha maroke, ka taea te roa mō ētahi hāora
• Te whakapairuaki ngawari, te puku rānei
• Te whanoke, te mōrearea rānei i te tū
• Ngā huringa wā poto i te pēhanga toto, te nuinga he whakaheke
• Te puhoi o te ngākau i te tikanga
• Te mamae mahunga ngawari i te wa e ngaro ana te rongoā

Ko ēnei pānga noa he wā poto noa iho, ā, ka ngaro i te wā e tukatuka ana tō tinana i te rongoā. E tūmanako ana tō rōpū hauora ki ēnei, ā, ka aroturuki i a koe.

Ngā pānga taha onge engari he nui ake te kino e hiahia ana ki te āwhina rongoā tonu:

• Te uaua nui ki te manawa, te manawa puhoi rānei
• Te whakaheke nui i te pēhanga toto e pā ana ki te ngaro
• Te puhoi rawa, te rānei o te manawa
• Ngā urupare pānga ki te kiri, te pupuhi, te uaua rānei ki te manawa
• Te whakangāwari roa e roa ana i te mea e tūmanakohia ana
• Te raruraru nui, te riri rānei i te wa e ngaro ana te rongoā

Kua whakangungua tō rōpū hauora ki te mōhio me te whakahaere i ēnei pānga kino ake, koinei te take e hoatu ana tēnei rongoā i roto i ngā wāhi hauora e āta tirotirohia ana.

Ngā raruraru onge engari he nui pea:

• Ngā pānga ngākau me ngā uaua e hiahia ana kia wawao tonu
• Te moe roa e kore e tatarihia ana e hiahia ana kia roa te aroturuki
• Ngā tauhohenga mate pāwera onge e hiahia ana kia rongoā ohorere
• Ngā pānga ki ētahi atu rongoā e pā ana ki ngā pānga e kore e tatarihia ana

He iti rawa te tūponotanga o ngā raruraru nui ina whakamahia ana te rongoā i te tika, engari ka rite tō rōpū hauora ki te whakahaere i ngā āhuatanga ka puta.

Ko wai kāore e tika kia tango Dexmedetomidine?

Kāore e tika kia whiwhi dexmedetomidine oromucosal ētahi tāngata nā te pikinga o ngā tūponotanga o ngā raruraru. Ka āta arotake tō kaiwhakarato hauora i tō hītori hauora kia mōhio ai mēnā he haumaru tēnei rongoā mōu.

Kāore pea ngā tāngata e pā ana ki ngā āhuatanga ngākau motuhake i te pai ki tēnei rongoā. Mēnā he raruraru nui tō ngākau, he toto iti rawa, he momo aukati ngākau rānei, ka taea e dexmedetomidine te whakapōrearea i ēnei āhuatanga. Me mōhio tō tākuta ki ngā raruraru ngākau i pā ki a koe, tae atu ki ngā wā i ngaro ai te mōhio, i ngā ngākau rānei e rere ana.

Me whakamōhio koe i tō kaiwhakarato hauora mēnā he āhuatanga tō:

• Ngā raruraru nui o te manawa, te aukati ngākau rānei
• He toto iti rawa, he hītori rānei o te ngaro mōhio
• Ngā raruraru ate nui e pā ana ki te tukatuka rongoā
• Ngā mate pāwera mō dexmedetomidine, ētahi atu rongoā rānei
• Ngā raruraru manawa nui, te moe apnea rānei
• He wharanga pūpū tata, te pēhanga rānei i roto i te roro
• Te hapū, te whāngai ū rānei

He mea nui hoki te pakeke i te whakatau i te haumaru. Ahakoa e whakamahia ana tenei rongoa i roto i nga tamariki, tera pea ka hiahia nga kohungahunga iti rawa me nga turoro kaumātua ki nga whakaaro motuhake, ki te whakatika ranei i te horopeta. Ka whai whakaaro to roopu hauora ki to pakeke me to hauora whānui.

Ko etahi rongoa ka taea te taunekeneke kino ki te dexmedetomidine, tae atu ki:

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• Nga rongoa toto toto, ina koa etahi momo
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• Nga rongoa manawa
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• Ētahi atu rongoa whakamaarama, rongoa moe ranei
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• Ētahi antidepressants
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• Nga rongoa e pā ana ki te mahi ate
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Me hoatu tonu e koe ki to roopu hauora he rarangi katoa o nga rongoa katoa, nga taapiri, me nga hua otaota e inu ana koe, ahakoa te ahua karekau e pa ana ki to maimoatanga o naianei.

Ingoa Waitohu Dexmedetomidine

Kei te wātea te dexmedetomidine oromucosal i raro i te ingoa waitohu Igalmi, i hangaia motuhake mo te whakahaere ma nga kiko o te waha. He rerekē tenei i te ahua IV o te dexmedetomidine e haere ana i nga ingoa waitohu penei i te Precedex.

Ka tae mai a Igalmi hei kiri angiangi e rewa ana i waenga i ou kapia me ou paparinga, he mea tino whai hua mo nga ahuatanga uaua te uru IV, ki te pai ranei te huarahi iti ake te whakaeke ki te whakamaarama. Kua hangaia te hanganga motuhake hei whakarato i te ngongo pono ma nga kiko o te waha.

Ka taea hoki e to kaiwhakarato hauora te korero ki tenei rongoa ma tona ingoa whanui, dexmedetomidine, ka whai i te

He maha ngā rongoā kē atu ka taea te whai pānga rite ki te whakamaimoa, ahakoa he pai me ōna ake whakaaro. Mā tō kaiwhakarato hauora e whiriwhiri te kōwhiringa pai rawa atu i runga i tō āhuatanga motuhake, te hītori rongoā, me te momo tikanga e mahia ana e koe.

Ko ngā rongoā waha pēnei i te midazolam (Versed) rānei te lorazepam (Ativan) he kōwhiringa e whakamahia ana, ka horomia e koe i roto i te wai, i te puka papa rānei. He rerekē te mahi a ēnei rongoā i te dexmedetomidine engari ka taea te whakarato i te āwhina mō te āwangawanga me te whakamaimoa. Heoi, ka roa pea te mahi, ā, i ētahi wā ka nui ake ngā pānga e kore e taea te matapae.

Ko ētahi atu kōwhiringa ka whakaarohia e tō kaiwhakarato hauora ko:

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• Te waikura hauota (hau kata) mō te whakamaimoa ngawari i ngā tikanga
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• Te whakamaimoa IV me ngā rongoā pēnei i te propofol, te midazolam rānei
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• Ngā rongoā waha ka tangohia i mua i te taenga atu ki te whare rongoā
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• Ngā rongoā i roto i te ihu mō ngā tamariki e kore e taea te horomia i ngā pire
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• Ngā rongoā rongoā ā-rohe i honoa ki ngā rongoā waha ngawari
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He rerekē te wā tīmatanga, te roa, me ngā āhuatanga pānga taha o ia kōwhiringa. Ko te ara oromucosal o te dexmedetomidine e whakarato ana i ngā painga ahurei i te mea e karo ana i ngā ngira i te wā e whakarato tonu ana i ngā pānga pono, e taea te matapae, e taea te aroturuki tata.

Ka kōrero tō rōpū hauora i ngā painga me ngā ngoikoretanga o ngā kōwhiringa rerekē ki a koe, me te whakaaro ki tō taumata whakamarie, te hītori rongoā, me ngā whakaritenga motuhake o tō tikanga kia whakatau i te kōwhiringa e tika ana.

He Pai Ake Te Dexmedetomidine I Te Midazolam?

He whai hua te dexmedetomidine me te midazolam, engari he rerekē te mahi, ā, he rerekē ngā painga i runga i tō āhuatanga motuhake. Kāore tētahi i te

He maha ngā painga ahurei a Dexmedetomidine e pai ai i ētahi wā. He iti ake te pēhi i te manawa, arā, he iti ake te tūponotanga ka puhoi te manawa. Nō reira he pai ake mō te hunga e raru ana i te manawa, i te moe apinīa rānei. Hei tāpiritanga, he maha ngā tūroro e pōhēhē ana he moe tūturu, he moe rite tonu te āhua, e taea ai te oho māmā ina hiahiatia.

Ko Midazolam, i tērā taha, ka tere ake te mahi i te nuinga o ngā wā, ā, he tino whai hua te whakaiti i te āwangawanga. Kua whakamahia marie mō ngā tau tekau, ā, e wātea ana i roto i ngā momo maha tae atu ki te waha, te IV, me ngā ara i roto i te ihu. He maha ngā kaiwhakarato hauora e mōhio ana ki ōna pānga me te pēhea te whakahaere i ngā pānga taha ka puta.

Ka pai ake pea a Dexmedetomidine i te wā:

• E raru ana koe i te manawa, i te moe apinīa rānei
• E hiahiatia ana he moe tūturu, he moe ngāwari te whakawātea
• Me noho ōrite tonu koe i te wā o te mahi
• He hītori tō koe mō ngā urupare rerekē ki ētahi atu rongoā moe
• E hiahiatia ana he moe roa ake

Ka whiriwhiria pea a Midazolam i te wā:

• E hiahiatia ana te tīmatanga tere o te moe
• He poto noa te mahi
• E hiahiatia ana ngā pānga mō te warewaretanga
• He mea nui te utu
• He nui te wheako o te rōpū hauora ki tēnei rongoā

Ka whakaarohia e tō kaiwhakarato hauora ngā āhuatanga pēnei i tō hītori hauora, te momo mahi, te roa e tūmanakohia ana, me ō wheako o mua ki te moe kia whakatau ko tēhea rongoā te mea tika mō tō āhuatanga.

Ngā Pātai Auau mō Dexmedetomidine

He Haumaru a Dexmedetomidine mō ngā Tūroro Ngākau?

Ka taea te whakamahi marie i te dexmedetomidine ki te hunga mate ngakau, engari me ata arotake me te aroturuki. Ka taea e te rongoa te pa ki te tere o te ngakau me te toto toto, no reira me mahi tahi to tohunga ngakau me te roopu rongoa e whakahaere ana i te whakamomori kia mohio ai he pai mo to mate ngakau.

Mena he mate ngakau pumau koe kaore he raru o te manawataki, he toto toto iti ranei, tera pea he pai ake te dexmedetomidine i etahi atu rongoa whakamomori na te mea he iti ake te tupono ka heke nui te toto toto. Heoi, ko nga tangata e pa ana ki etahi momo aukati ngakau, he puhoi rawa te tere o te ngakau, he mate ngakau kore ranei, me whakamahi pea i etahi atu tikanga whakamomori.

Ka arotakehia e to roopu hauora o whakamatautau ngakau tata nei, nga rongoa o naianei, me te pumau o te ngakau i mua i te whakatau i tenei whakatau. Ka taea hoki e ratou te whakamahere mo te aroturuki atu i te wa me muri i te whakamomori kia pai ai te urupare o to ngakau ki te rongoa.

Me aha ahau ki te whakamahi pohehe ahau i te nui rawa o te Dexmedetomidine?

I te mea ko te dexmedetomidine oromucosal e whakahaerehia ana e nga tohunga hauora i roto i nga waahi rongoa, he iti noa te tupono ka nui rawa te horopeta e nga turoro. Ka ata ine te rongoa, ka hoatu i raro i te tirotiro tika, ka tata kore e taea te nui rawa te horopeta.

Mena he nui rawa te rongoa i hoatu pohehe, ka mohio tonu to roopu hauora ki nga tohu, tera pea ko te nui o te whakamomori, te puhoi rawa o te manawa, te heke nui ranei o te toto toto me te tere o te ngakau. Ko nga waahi rongoa e whakamahia ana tenei rongoa he taputapu rongoa ohorere me nga taputapu hei whakatika i enei paanga ki te tika.

Ka whakawhiwhia e te rōpū hauora he manaaki tautoko, tera pea ka uru ki te awhina i te manawa, te wai IV hei tautoko i te pēhanga toto, me nga rongoā hei aukati i te nui o te moe. Kua rite nga whare whakaora mo enei ahuatanga onge, he tikanga kei te waahi hei whakarite i te haumaru o te manawanui.

Koinei tetahi o nga take nui e whakamahia ana te dexmedetomidine oromucosal i roto i nga waahi hauora e tirotirohia ana – ko te waatea tonu o nga tohunga whakangungu me nga taputapu ohorere ka nui ake te haumaru o te rongoā i te mea ka whakamahia i te kainga.

Me aha ahau ki te ngaro ahau i te horopeta o Dexmedetomidine?

Ko te ariā o te

Kāore koe e whakatau ki te whakamutu i te dexmedetomidine i a koe anō, nā te mea ka whakahaerehia, ka aroturukihia katoa e ngā tākuta. Ka ngaro noa te pānga o te rongoā i roto i ngā hāora maha, ā, ka aroturukihia koe e tō rōpū hauora kia makona rātou kua iti rawa ngā pānga kia taea e koe te haere marie i te whare hauora.

I te nuinga o ngā wā, ka tirotirohia koe mō te 2-6 hāora i muri i te whiwhinga i te rongoā, i runga i te horopeta me tō urupare takitahi. Ka tirohia e tō rōpū hauora tō mātau, tō manawa, tō pēhanga toto, me tō tere o te ngākau i ngā wā katoa hei whakatau i te wā kua tino ngaro te rongoā.

Ka rite koe ki te haere ki te kāinga i te wā e taea ana e koe te hikoi tika, te whakaaro mārama, ā, kua hoki ō tohu nui ki ngā awhe noa. Heoi, me whai tangata koe hei taraiwa i a koe ki te kāinga, ā, me karo koe i te whakatau i ngā whakatau nui, i te whakahaere rānei i ngā mīhini mō te toenga o te rā.

I ngā wāhi tiaki kaha e whakamahia ai te rongoā mō ngā rā maha, ka whakatau te rōpū hauora i ngā whakatau katoa mō te wā hei whakamutu i runga i tō āhua hauora me te ahunga whakamua o te whakaora. Ka whakaiti haere rātou i te nui, ka mutu rānei i te katoa i te wā kāore anō e hiahiatia te whakamātau mō tō tiaki.

Ka taea e au te taraiwa i muri i te whiwhinga i te Dexmedetomidine?

Kāore, kāore koe e taraiwa mō te 24 hāora i muri i te whiwhinga i te dexmedetomidine oromucosal, ahakoa e tino noa ana koe. Ka pā te rongoā ki tō wā urupare, te whakawā, me te ruruku, kāore pea koe e kite engari ka pā ki tō haumaru taraiwa.

I mua i tō tukanga, whakaritea tētahi pakeke haepapa hei taraiwa i a koe ki te kāinga, me te noho tahi me koe mō ngā hāora maha. Ko tēnei tangata me waiho ko tētahi e āwhina ana i a koe mēnā ka pā ki a koe ētahi pānga roa mai i te rongoā, ā, ka āwhina i ngā hiahia katoa e pā ana ki te whakaora.

Ahakoa ka tūpato koe, ka hoki ano ki te āhua noa, ka roa pea te pānga ngawari ki ō urupare me ō kaha ki te whakatau whakatau i te roa atu i te whakangāwari e kitea ana. He tokomaha ngā tāngata e whakaiti ana i te roa o ēnei pānga, koinei te take he mea nui te ture 24-haora mō te haumaru o te katoa.

Kāore hoki i te tūtohutia ngā waka tūmatanui, ngā ratonga tiritiri waka, ngā ratonga tākehi rānei i muri tonu i te whakangāwari, nā te mea e hiahia ana koe ki tētahi hei āwhina i a koe mēnā ka whaiwhai koe, ka pōrangi rānei i te haerenga ki te kāinga. Whakaritea i mua kia mōhio kei a koe ngā waka me te tautoko e tika ana mō tō wā whakaora.