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

ataata_whakaahua

NGĀ PŪRONGOTANGA

Te whakaae a ngā tohunga mō te aroturukitanga o te hauhā waro i te wā ohorere me te mutunga o te manawa

TŪWHIRIA:

Ko te aroturuki i te hauhā waro mutunga tai (EtCO₂) he taupū aroturuki mahi kore-whakaeke, māmā, wā-tūturu, me te haere tonu. Nā te whakaitiiti i ngā taputapu aroturuki, te kanorau o ngā tikanga tauira me te tika o ngā hua aroturuki, kua whānui haere te whakamahinga o te EtCO₂ i roto i ngā mahi haumanu o ngā tari ohorere. Ko tōna tono haumanu penei: 

1. Whakatauhia te tūranga o te whakaurunga ngongo

Te tūnga o te ara manawa horihori, i muri i te whakaurunga o te ngongo endotracheal, whakamahia te aroturuki EtCO₂ hei aromatawai i te tūnga o te ngongo. Te tūnga o te ngongo nasogastric: i muri i te whakaurunga o te ngongo nasogastric, whakamahia te aroturuki bypass EtCO₂ hei āwhina i te tūnga o te paipa hei aromatawai mēnā ka uru hē ki te ara manawa. Mā te aroturuki i te EtCO₂ i te wā e whakawhitihia ana ngā tūroro me te whakaurunga o te ngongo endotracheal hei aromatawai i te ectopic o te ara manawa horihori ka taea te kimi i te tukunga ectopic o te whakaurunga o te ngongo endotracheal me te whakaiti i te mōrearea o te whakawhiti.

2. Aromatawai mahi hauhautanga

Mā te aroturuki i te āhua o te hauhautanga iti me te aroturuki wā-tūturu o te EtCO₂ i te wā e iti ana te hauhautanga ka kitea wawe te pupuri o te hauhā me te whakaiti i te auau o te tirotiro hau toto uaua. Te aroturuki i ngā tūroro mōrearea nui me te ngoikore o te hauhautanga me te EtCO₂ i roto i ngā tūroro e whai ana i te whakamoe hohonu, te whakamamae i te mamae, te mate moepuku rānei. Te aromatawai i te aukati ara manawa: whakamahia te aroturuki EtCO₂ hei aromatawai i te aukati ara manawa iti. Mā te arotau i ngā āhuatanga o te hauhautanga me te aroturuki tonu i te EtCO₂ ka kitea wawe te hauhautanga nui, te kore rānei o te hauhautanga, me te ārahi i te arotau i ngā āhuatanga o te hauhautanga.

KAPŌNITA MIRIMIRI

3. Aromatawai i te mahi tohanga toto

Arotakehia te whakaoranga o te tohanga toto ā-roto. Aroturukihia te EtCO₂ i te wā whakaora manawa hei āwhina i te arotake i te whakaoranga o te tohanga toto ā-roto. Arotakehia te matapae o te whakaora, ā, aroturukihia te EtCO₂ hei āwhina i te arotake i te matapae o te whakaora. Arotakehia te tauhohenga kaha, ā, arotakehia ngātahi te tauhohenga kaha mā te whakamahi i te EtCO₂.

KAPŌNITA MIRIMIRI

4. Tātaritanga āwhina

I te wā o te tirotiro i te embolism pūkahukahu, i aroturukitia te EtCO₂. Te waikawa pūkahukahu. Mā te aroturuki i te EtCO₂ i roto i ngā tūroro e pangia ana e te waikawa pūkahukahu ka whakakapia te tātaritanga hau toto.

5. Aromatawai āhua

Aroturukihia te EtCO₂ hei āwhina i te aromatawai i te āhua. Ko ngā uara EtCO₂ rerekē e tohu ana i te mate kino.

He ngāwari te whakamahi i te taputapu tirotiro EtCO₂, ā, ka taea te whakamahi hei tohutoro mō te aromatawai ohorere hei whakapai ake i te haumaru me te tika o te aromatawai ohorere.

KAPŌNITA MIRIMIRI

Kei a MedLinket te whānuitanga katoa o ngā taputapu aroturuki hauhā waro mutunga me ngā taonga tautoko, tae atu ki ngā pūoko rere taha me te taha o te hauhā waro mutunga, te aroturuki hauhā waro mutunga, te ngongo tauira, te ngongo hāora ihu, te kapu kohikohi wai me ētahi atu taputapu, e whakamahia ana hei aroturuki i te EtCO₂. He maha ngā kōwhiringa me te rēhitatanga katoa. Mena kei te hiahia koe ki te mōhio atu mō te pūoko hauhā waro mutunga a MedLinket, whakapā mai ki a mātou~

Pūoko matua me te pūoko taha EtCO₂ (3)


Wā tuku: Hepetema-26-2021

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.