Me pēhea te rongoā i ngā mate hopuhopu i roto i ngā kurī
He āhuatanga e mataku ai ngā rangatira i ngā mate hopuhopu i roto i ngā kurī, nā te mea ka puta ohorere mai, ā, ka āhua whakamataku. Ka hinga pea ngā kurī, ka whakakeke, ka wiri rānei, ka pahuka te waha, ka nui te mimi, ā, ka ngaro te māramatanga. Heoi, ehara i te mea he ōrite ngā mate hopuhopu katoa—he rerekē ngā take, mai i te ngawari ki te kino. Ka matapakihia e tēnei tuhinga te rongoā i ngā mate hopuhopu i roto i ngā kurī, te āwhina tuatahi haumaru, ngā take pea, me ngā mahi ārai hei whakaiti i ngā aituā rite.
He aha ngā mate hopuhopu i roto i ngā kurī?
Ko te hopuhopu he raruraru i roto i te mahi hiko o te roro e puta ai ngā huringa whanonga, ngā nekehanga uaua kāore e taea te whakahaere, tae atu ki te ngaronga o te māramatanga. He rerekē ngā hopuhopu i ngā "wiri," te wiri noa rānei. Ko te nuinga o te wā ka puta ngā wiri ina tino mārama te kurī, ā, kei te taea tonu e ia te whakautu ki ngā karanga, engari ko ngā hopuhopu ka whakaiti i te aro.
Ka taea hoki te wehewehe i ngā mate pāwera ki ētahi momo, hei tauira:
– Te haurangi whānui: he pakari te tinana katoa, he wiri, ā, he maha ngā wā ka ngaro te māramatanga.
– Ngā mate hopu wāhanga (ngā mate hopu arotahi): ko tētahi wāhanga o te tinana anake ka pāngia, hei tauira te wiri o te mata, te waewae kotahi, te ngaungau rānei.
– Ngā haurangi taupū: ngā haurangi ka hoki mai anō i roto i ngā haora 24.
– Te āhua o te mate haurangi: ngā haurangi e neke atu i te 5 meneti te roa, e puta ana rānei i muri i te wā, me te kore e mōhio i waenganui i tēnā – he āhuatanga ohorere tēnei.
Ngā Take Noa o ngā Hopu i roto i ngā Kurī
Mā te mōhio ki te pūtake ka āwhina i te whakatau i te maimoatanga tika. Ko ētahi o ngā tino take o ngā mate haurangi ko:
1. Mate haurangi idiopathic (tuku iho/ira): he maha ngā wā ka pā ki ngā kurī taitamariki ki ngā kurī pakeke (tata ki te 6 marama ki te 6 tau). Kāore i te mārama te pūtake i ngā wā katoa, engari ka puta anō.
2. Te paitini: hei tauira te pānga ki ngā patu pepeke, te paitini kiore, te tiakarete, ngā matū o te whare, ētahi rongoā tangata, ngā tipu paitini rānei.
3. Ngā raruraru pākia o te pūnaha io: te hypoglycemia (te huka toto iti), ngā mate ate (te encephalopathy hepatic), ngā mate tākihi, te kore taurite o ngā electrolytes.
4. Ngā mate urutā me te mumura: te mate pāwera, te meningitis, te encephalitis.
5. Te whara o te upoko: te pānga kaha, te hinganga, ngā aituā.
6. Ngā pukupuku roro: he nui ake te kitea i roto i ngā kurī pakeke.
7. Te whiu wera: ka taea e te pikinga nui o te pāmahana tinana te whakaoho i ngā haurangi.
Nā te mea he maha ngā take, kaua e whakahaweatia ngā haurangi, inā koa mēnā ko te wā tuatahi tēnei e pā mai ai.
Ngā Tohu e Tata Ana te Mate Hūpī o tō Kurī
Ko ētahi kurī e whakaatu ana i te wā "aura" i mua i te hopukanga, hei tauira:
– te kore e marino, te hikoi haere, te āhua mataku rānei,
– e rapu ana i te rangatira, e noho tonu ana,
– e tangi ana, e titiro kau ana,
– e huna ana, e āhua pōhēhē ana rānei.
I muri i te mate haurangi, ka puta he wā "muri i te haurangi" ka roa pea mō ngā meneti ki ngā hāora: te āhua nei ka ngenge te kurī, ka pōhēhē, ka taupatupatu, ko ētahi ka tino hiakai, ka matewai rānei.
Āwhina Tuatahi mō ngā Mate Huaki Kurī
Ko te mea nui ko te tiaki i te kurī me te rangatira. Anei ngā mahi āwhina tuatahi ka taea e koe te mahi:
1. Kia marino, kia mōhio hoki ki te wā
Mātakihia te karaka me te wā i puta ai te hopuhopu. He mea nui tēnei mōhiohio mā tō tākuta kararehe. He āhuatanga ohorere te roa o te hopuhopu neke atu i te 5 meneti.
2. Puritia ngā mea morearea ki te taha o te kurī
Tangohia ngā tūru, ngā tēpu iti, ngā mea koi rānei hei ārai i tō kurī kei tukinga ki a rātou. Mēnā ka puta te mate pāwera i te taha o ngā arawhata, ngana ki te ārai i te urunga kia kore ai e hinga.
3. Kaua e kuhua tō ringa ki roto i te waha o te kurī
He pūrākau morearea te kōrero "ka horomia te arero." Kāore ngā kurī e horomia ō rātou arero, engari ka ngau pea ngā rangatira i a rātou nā te mea ka kuiti te kauae.
4. Whakaitihia te whakaohooho
Whakaitihia ngā rama, whakaitihia te reo o te pouaka whakaata, ā, me pupuri ngā tamariki me ētahi atu kararehe kia matara atu. Ka taea e te nui rawa o te whakaohooho te whakanui ake i ngā mate haurangi.
5. Whakanohoia kia haumaru
Ki te taea, me te kore e tūpono, tahurihia te kurī ki tōna taha kia rere te huware, kia wātea ai te ara manawa. Kaua e akiaki mēnā he uaua.
6. Kia mau tonu te pāmahana o te tinana
I te wā e pāngia ana te kuri e te mate hopuhopu, ka piki ake te pāmahana o te tinana. Mēnā ka roa te mate hopuhopu, ka werawera rānei tō kuri, tāpirihia he kōpeke makariri ki ngā waewae, ki te rohe o te hope rānei i muri i te mutunga o te mate hopuhopu. Kaua e ringihia he wai hukapapa ki runga i te kuri, nā te mea ka pāngia e te ohorere.
7. Tuhia te ataata ina haumaru
Mā te ataata 10–30 hēkona te roa e āwhina i te tākuta kararehe ki te wehewehe i ngā momo mate haurangi mai i ētahi atu mate.
8. Haere tonu ki te rata kararehe i raro i ētahi tikanga
Kawea ki te whare hauora ohorere mēnā:
– ngā haurangi > 5 meneti,
– ka puta pinepine ngā hopukanga (rōpū),
– he uaua ki ngā kurī te hoki anō ki te māramatanga i muri i te mate haurangi,
– koinei te hopukanga tuatahi,
– kei te whakapaetia he paitini,
– kei te hapu te kurī, he kurī tonu, he kaumātua rawa rānei.
Me aha i muri i te hopukanga?
Kia mutu te mate hopuhopu, tukua tō kurī kia okioki ki tētahi wāhi marino. He maha ngā kurī ka āhua pōhēhē, ā, ka tūtaki pea ki ngā mea. Tukua mārire te wai ina pumau te mate hopuhopu, engari kaua e whāngai mā te kaha. Tirohia mēnā ka hoki te kurī ki tōna āhua noa i roto i te 30–60 meneti.
Kātahi ka tuhia ngā mōhiohio e whai ake nei hei kawe ki te tākuta:
- te roa me te roa o ngā hopukanga,
– ngā tohu i mua i te mate hopuhopu (te kore okiokinga, te ruaki, te ngoikore),
– ngā momo haurangi (te pakari, te takahurihuri o ngā waewae, te wiri o te rohe),
– te noho mai/te kore mimi, te tūtae rānei i te wā e haurangi ana,
– te pānga pea ki te kai, ki te rongoā, ki ngā matū rānei.
Maimoatanga Hauora: Whakamātautau me te Rongoā
Tērā pea ka whakahaerehia e tō tākuta kararehe he whakamātautau tinana me te whakamātautau pūnaha io, kātahi ka tūtohu i ngā whakamātautau toto hei tirotiro i te huka toto, te mahi ate me te whatukuhu, me ngā irahiko. Mēnā e tika ana, ka tūtohu pea tō tākuta kararehe i tētahi hihi-X, i tētahi ultrasound, i tētahi matawai CT, i tētahi MRI rānei hei tirotiro i ngā pukupuku roro, i ngā āhuatanga rerekē rānei, ahakoa he mea onge noa iho tēnei.
Mena kua tāpaetia tō kuri he mate haurangi, he mate hopuhopu rānei, ka tohua pea e tō tākuta kararehe ngā rongoā ārai-hopu pēnei i:
– Phenobarbital,
– Te pāhare pākawa waro,
– Levetiracetam,
– Zonisamide, me ētahi atu e ai ki ngā āhuatanga.
He mea nui: Kaua e mutu ohorere te tango i ngā rongoā ārai-ohorere, nā te mea ka kaha ake ngā hopukanga. Me piri ki te horopeta me te wātaka, ā, me tirotirohia tonutia te mahi ate me ngā taumata rongoā i roto i te toto.
Te Ārai me te Tiaki Mō Te Wā Roa
Kāore e taea te ārai i ngā mate hopuhopu katoa, engari ka taea te whakaiti i te mōrearea me te auau o te mate mā te whai i ēnei mahi:
1. Āta karohia ngā mea whakaoho
I ētahi kurī, ka puta ngā mate haurangi i te ahotea, te kore moe, te haruru nui, te huringa rānei o te mahinga o ia rā. Mātakitaki i te tauira o ngā putanga mai hei tautuhi i ngā mea pea e whakaoho ana.
2. Kia tino haumaru te taiao mai i ngā paitini
Puritia ngā rongoā tangata, ngā patupatu, ngā paitini kiore, me ngā matū o te whare ki roto i te whare. Kaua e hoatu ki tāu mōkai he kai kino pērā i te tiakarete, te xylitol (he mea reka hangai), te karepe/raihi maroke, te riki, te waipiro rānei.
3. Kia mau ki te kai me te wātaka rongoā
Whāngaihia he kai taurite, ā, kaua e whakaroa i te whāngai i ngā kurī iti e pāngia ana e te hypoglycemia. Ki te tango koe i te rongoā ārai-hōhā, whakatakotoria he whakamaumahara hei maumahara.
4. Ngā tirotiro auau me te rata kararehe
Mā te aroturukitanga auau ka āwhina i te aromatawai i te whai huatanga o te rongoā me te kite wawe i ngā pānga taha.
5. Whakahaerehia te pāmahana tinana
Āta karohia ngā mahi uaua i te rangi wera. Whakaratohia he nui te wai inu me te atarangi, nā te mea ka taea e te werawera te whakaoho i ngā mate haurangi.
Whakamutunga
Ko te rongoā i ngā mate hopuhopu i roto i ngā kurī ka tīmata mā te āwhina tuatahi haumaru: noho marino, tangohia ngā mea morearea, kaua e pā ki te waha o te kurī, tuhia te roa, me te rapu awhina hauora tonu mēnā ka roa, ka hoki anō rānei te hopuhopu. Ka taea te whakaputa i ngā mate hopuhopu i ngā momo āhuatanga - mai i te mate haurangi ki te paihana - nō reira he mea nui te aromatawai i te rata kararehe, inā koa i muri i te hopuhopu tuatahi. Mēnā he tika te maimoatanga, ka taea e te nuinga o ngā kurī kua pāngia e te hopuhopu te noho tonu i te oranga whakamarie me te ora kaha.
Ki te hiahia koe, ka taea e au te āwhina i a koe ki te waihanga i tētahi putanga motuhake ake o tēnei tuhinga i runga i: te tau o tō kurī, tōna momo, tōna hītori mate hopuhopu (te maha o ngā wā, te roa), me te whakapae kei te paitini koe, kei te mate rānei koe.
