Whakangungu Whakangungu ECMO Whakaako Hauora mō te Whakangungu Werohanga o te Arorangi Femoral me te Uaua Femur e Aratakihia ana e te Ultrasound

✅ Ko te whakaiti rahi tūturu o te pakeke 1:1 e rite ana ki ngā tikanga mahi haumanu. Ko ngā tūranga katoa o ngā oko toto, te hohonutanga me ngā whanaungatanga ā-wāhi e tino ōrite ana ki te hanganga o te tangata pakeke. Ka mau tonu ngā kaiwhakahaere i te tūranga ringa, te whakatau hohonutanga me te arorau tūnga rite tonu ki te pokanga ECMO haumanu tūturu, e tutuki ai te hononga maeneene i waenga i te whakangungu me te mahi haumanu.

✅ Ka whakaata te papu tohanga toto hihiri i te pao o ngā oko toto tūturu. Ka akiaki te papu tohanga toto ōrite i te tohanga wai i roto i te paipa hei whakaata i te pao o ngā uaua me te rere o te toto uaua. Ka taea e ngā ākonga te rongo i te pao o ngā uaua i te wā e pā ana, e pokaia ana, ka tino whakahoki mai i te urupare pa o ngā oko toto tūturu.

✅ He rite te kiri o te huha ki te werohanga matapo haumanu tūturu. He matapo te paparanga huha, kāore e kitea tika ngā uaua toto. Me whakawhirinaki ngā ākonga ki ngā tohu ā-tinana me te pā o te manawa ki te kimi i ngā uaua toto, ka rite tonu ki te tirohanga tukunga matapo haumanu tūturu, ka whakangungu tika i te pūkenga tūnga tika.

✅ Ka whakaitihia te utu whakangungu mō te wā roa e te papa weronga ka taea te whakakapi. Ka taea te whakamahi takitahi i te wāhi weronga o te huha. Mēnā ka pakaru te tinana i te weronga maha, ko te taputapu ā-rohe anake me whakakapi, kaua ko te mīhini katoa, ka tino whakaitihia te utu whakaako katoa o ngā hōhipera me ngā pokapū whakangungu ohorere.

✅ Whakaaturanga tohanga toto pūnaha katoa mō te ako ara. Ko ngā oko toto nui o te uma me te puku e kitea ana me te tauira ngākau e whakaatu ana i te ara tohanga toto katoa o te ECMO arteriovenous extracorporeal bypass, he mea watea mō ngā kaiako ki te whakamārama i te arorau tohanga toto katoa o te maimoatanga ECMO.

✅ Ngā horopaki whānui e tika ana

1. Ngā hōhipera nui, ngā tari ohorere me te ICU: Te whakangungu paerewa mō te cannulation ohorere ECMO mō ngā tākuta tiaki nui;
2. Ngā whare wānanga hauora, ngā kāreti rongoā nui: Te whakaako i ngā pūkenga pokanga toto i waho o te tinana;
3. Ngā pokapū aromatawai pūkenga ohorere: Aromatawai ngaio o te mahi poka ECMO;
4. Ngā whare whakangungu ohorere i mua i te hōhipera: Te whakatūnga urunga ECMO mō te ohorere nui.

✅ He rahi iti, he angiangi, he ngāwari te rokiroki me te kawe. He iti, he māmā hoki te rahinga katoa, he ngāwari te neke i waenga i ngā wāhanga, i ngā akomanga whakangungu me ngā wāhi huihuinga ohorere, he pai mō te whakangungu pokapū me ngā mahi whakaharatau ohorere nekeneke.