Nga mate o te raina pokapū - nga hohipera
He raina nui to ki a koe. He ngongo roa tenei (katote) ka uru ki roto ki te uaua i roto i to uma, ringaringa, to tuaa ranei ka mutu ki to ngakau, ki roto ranei i te uaua nui i te nuinga o te wa i te taha o to ngakau.
Ko to raina matua e kawe ana i nga matūkai me nga rongoa ki to tinana. Ka taea hoki te whakamahi ki te tango toto ina hiahia koe kia whai i nga whakamatautau toto.
Ko nga mate raina pokapū he tino kino. Ka taea e ratau te mate me te whakanui i to roa i te hohipera. Ko to raina pokapū e hiahia ana kia tupato kia kore e pangia e te mate.
Akene he rarangi matua to mena kei:
- Me mate paturopi etahi atu rongoa ranei mo nga wiki, marama ranei
- Me hiahia ki te kai totika na te mea kaore i te tika te mahi o ou whekau kaare e ngongo i te nui o nga matūkai me nga kaata
- Me tere wawe te whakaheke i te toto, te inu wai ranei
- Kia nui ake te tango i nga tauira toto i te ra kotahi
- Me mate i te mate pukupuku
Ko te tangata he raina nui tona ka pangia e te mate kino. Ka nui ake to tuponotanga ki te koe:
- Kei roto i te whare manaaki (ICU)
- Kia ngoikore te punaha aarai mate, kia mate ranei koe
- Kei te whakawhitingahia te wheua wheua, te chemotherapy ranei
- Kia roa te raina
- Me whai raina pokapū i roto i to kopae
Ka whakamahia e nga kaimahi o te hohipera he tikanga aseptic ka hoatu he raina pokapū ki roto i to uma, ki to ringa ranei. Ko te tikanga Aseptic te tikanga kia noho poke nga mea katoa (kaore he miihini) ka taea. Ka:
- Horoihia o raatau ringaringa
- Whakauruhia he arai kanohi, he koti, he potae me nga karapu koretake
- Whakapai i te papaanga ka tuu te raina pokapū
- Whakamahia he uhi horomata mo to tinana
- Kia mahara ki nga mea katoa e pa ana ki a ratou i te wa o te whakahaere he koretake
- Taupokina te catheter ki te miihini te taatai kirihou maamaa ranei kia tika ana
Me tirotiro nga kaimahi o te hohipera i to raina pokapū ia ra kia mohio kei te waahi tika me te rapu tohu mate. Me whakarereke te whāriki, te riipene ranei kei runga i te papanga mena he paru.
Kia mahara ki te pa ki to raina matua ki te kore koe e horoi i o ringaringa.
Korerohia ki to tapuhi mena kei te raina matua koe:
- Ka poke
- Kei te puta mai i to mana
- Kei te turuturu, ka tapahia ranei te katote ka pakaru ranei
Ka taea e koe te horoi kaukau ina kii mai to taakuta he pai ki te pena. Ma to tapuhi koe e awhina ki te uhi i to raina pokapū ina kaukau koe kia ma, kia maroke hoki.
Mena kua kite koe i tetahi o enei tohu mate, korero atu ki to taakuta, ki to tapuhi ranei:
- Whero i te papanga, he riu whero ranei huri noa i te papaanga
- Te pupuhi, te mahana ranei o te waahi
- Kōwaiwai kōwhai, kōwaiwai rānei
- Te mamae, te raru ranei
- Fever
Mate toto-e pa ana ki te raina toto; CLABSI; Kua whakauruhia katoatia te katote pokapū - mate; PICC - mate; Catheter venous pokapū - mate; CVC - mate; Taputapu venous pokapū - mate; Te whakahaere mate - te mate o te raina pokapū; Te mate Nosocomial - mate raina pokapū; I whiwhi te hohipera i te mate - mate raina pokapū; Haumaru ahuru - mate raina pokapū
Pokapū mo te Rangahau Hauora me te paetukutuku Kounga. Taapiri 2. Te Raina Tuturu-e Pa ana ki nga Maakiri Toto Momo. ahrq.gov/hai/clabsi-tools/appendix-2.html Whakahoutia Poutu-te-rangi 2018. He mea totohu i te Poutu-te-rangi 18, 2020.
Beekman SE, Henderson DK. Nga mate e pa ana ki nga taputapu koretake o te kino. I roto i: Bennett JE, Dolin R, Blaser MJ, eds. Ko Mandell, Douglas, me nga Maataapono a Bennett me te Mahi i nga Mate Ngongo. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 300.
Bell T, O'Grady NP. Te aukati i nga mate toto toto-whai-a-whanui. Whakakino Dis Clin North Am. 2017; 31 (3): 551-559. PMID: 28687213 pubmed.ncbi.nlm.nih.gov/28687213/.
Calfee DP. Te aukati me te whakahaere i nga mate e pa ana ki te tiaki hauora. I roto i: Goldman L, Schafer AI, eds. Te rongoa Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 266.
- Whakato mate