Kua pupuhi, kua whero, kua mamae rānei tō turi, tō tuke, tō hononga rānei? I ētahi wā ka tino uaua ki te piko, ki te whakatika rānei i taua hononga. Ka tino āwangawanga tātou i ēnei wā. Inaa, ko te tino take o tēnei pupuhi me te mamae ko te kohikohinga o te wai koretake i roto i te hononga. Nō reira, i tēnei rā ka kōrero tātou mō tētahi maimoatanga māmā, tino whai hua hoki mō tēnei.
He aha te Arthrocentesis (Te Moe Hononga)?
Ahakoa te ahua nui o tēnei ingoa, he tino māmā noa iho. Ki te whakarāpopototanga, ko te arthrocentesis he wero i tētahi ngira iti ki roto i tētahi hononga mumura, ā, ka tangohia te wai nui (te wai hononga). Ka kiia hoki tēnei ko te "Joint Aspiration".
Whakaarohia mēnā ka whakakīia e koe tētahi ipu ki te wai, ka pupuhi, ka mārō. Ina kī te wai, ka piki ake te pēhanga i roto i te ipu, ā, ka puta tēnei mamae nui. Nō reira, ina tangohia e koe taua wai tāpiri, ka nui te whakamarie i roto i te ipu, ā, ka heke te mamae me te pupuhi. Mā te whakamātautau anō hoki i tēnei wai kua tangohia (whakamātautau taiwhanga), ka kitea e koe te take e pupuhi ai te ipu.
Me pēhea te whakahaere i tēnei maimoatanga? He tino māmā noa iho!
Ehara tēnei i te pokanga nui. Ka taea te mahi i te tari o tō tākuta (OPD) i te whare hauora rānei. Kāore e hiahiatia he whakarite nui i mua. Koinei ngā mahi e whaihia ana i te nuinga o te wā:
1. Te horoi: Tuatahi, ka horoia pai e te tākuta te kiri ka werohia te ngira ki te wai patu paturopi.
2. Whakangoikore: Muri iho, ka pania he kirimi whakangoikore ki te wāhi, ka werohia rānei he iti hei whakangoikore i te wāhi. Mā tēnei ka āwhina i a koe kia kore ai e nui te mamae.
3. Te kimi i te wāhi tika: I ētahi wā ka whakamahia pea e te tākuta he taputapu matawai pēnei i te ultrasound, te fluoroscopy rānei hei kimi i te wāhi tika o te hononga.
4. Te tango i te wai: Kātahi ka werohia he ngira e piri ana ki te werohanga ki te hononga, ā, ka ata tangohia e te tohunga te nuinga o te wai kua kohia. Mena he nui te wai, ka taea te whakawhiti me te tango i te werohanga.
5. Te werohanga rongoā (mēnā e tika ana): I muri i te ringihanga o te wai, i ētahi wā ka werohanga pea te tākuta i ngā rongoā whakamamae mamae, i ētahi atu rongoā rānei (pērā i te "werohanga cortisone") ki roto i te hononga mā te ngira kotahi.
6. Te tukunga mō te whakamātautau: Ko te tauira wai i tangohia, mēnā e tika ana, ka tukuna ki te taiwhanga hei kimi i te pūtake.
E 10 meneti te roa o te tukanga katoa, nō reira kāore he take e manukanuka ai.
He aha ngā painga o tēnei?
He rite te mahi a te arthrocentesis ki te patu i ngā manu e rua ki te kōhatu kotahi. E rua ngā painga e puta mai ana i te wā kotahi. Ko tētahi he rongoā , ko tētahi he tātaritanga.
Ngā painga hei maimoatanga
- Te whakaiti tonu i te mamae me te pupuhi: Ina tangohia te wai tāpiri i roto i te hononga, ka heke te pēhanga i roto i te hononga, ka tino whakamarie koe. Ka tino heke te mamae.
- Te whakarite i te wāhi werohanga: Ki te werohia te hononga, mā te tango tuatahi i te wai nui i tēnei ara ka pai ake te uru o te rongoā i werohia, ā, ka pai ake te mahi. Ko ngā momo werohanga e whai ake nei ka hoatu:
- Ngā werohanga cortisone / ngā werohanga steroid
- Ngā werohanga plasma whai-pereti (PRP)
- Ngā werohanga kiri `(Viscosupplementation)`
Me pēhea te āwhina i te tautuhi i tētahi mate
Ina tukuna te wai synovial i tangohia ki te taiwhanga hei whakamātautau, ka taea te whakatau i te tino take o te pupuhi o te hononga.
| He aha ngā mea e whakamatautauria ana i roto i te wai | Ngā mate ka taea te kitea |
|---|---|
| Ngā iroriki (huakita, tau o ngā pūtau toto mā) | Ka taea e koe te kimi mēnā he mate kei te hononga. |
| Toto (ngā toto whero) | Ka taea e koe te kimi mēnā kua pā mai he aituā, he whara rānei ki te hononga, ā, kei te toto. |
| Ngā tioata | Ka taea e koe te mōhio mēnā he putunga tioata kei a koe i puta mai i ngā mate pēnei i te kauti, te pseudogout rānei. |
He pānga taha, he raruraru rānei kei reira?
He maimoatanga tino haumaru tēnei. He onge ngā raruraru. Koinei ngā mea ka pā mai:
- Te putanga mai o te mate urutā:Ka taea e te iroriki te uru ki te wāhi wero, engari he iti ake tēnei mōrearea mēnā ka horoia tika te kiri.
- Te toto: Ki te pā te tataramoa ki tētahi uaua toto iti, tera pea ka puta he toto.
- Te uruparenga mate pāwera: Tērā pea ka pāngia ētahi tāngata e te rongoā whakangoikore, e te werohanga rānei. He tino onge hoki tēnei.
- Te kaha o te mamae i muri i te werohanga: Tērā pea ka piki ake te mamae me te pupuhi o te hononga mō ētahi haora i muri i te werohanga. Heoi, ka memeha haere i roto i ētahi rā.
Āhea ahau ka rongo i te whakamarie i muri i te maimoatanga?
I muri i te ringihanga o te wai, ka tīmata koe ki te pai ake i te aonga ake, me te iti haere o te mamae me te pupuhi. Heoi, ki te mea he mate pūmau tōu pērā i te mate rumatiki, ka piki anō pea te wai i roto i te wā. Kātahi ka whakatau tō tākuta mēnā me whiwhi anō koe i tēnei maimoatanga.
I muri i te maimoatanga, ka tāpirihia e te tākuta he takai iti ki te wāhi. Ka kī atu hoki ia kia okioki te hononga mō te rā kotahi, e rua rānei, kaua e pēhi rawa. Ina tae mai te pūrongo mō te tauira wai i tukuna ki te taiwhanga, ka whakamōhio atu te tākuta ki a koe.
Ki te pāngia koe e ēnei tohu, waea atu ki tō tākuta tonu!
Kāore he raruraru nui i muri i te maimoatanga. Heoi, ki te pāngia koe e tētahi o ngā tohu rerekē i raro nei, whakamōhio atu ki tō tākuta tonu.
| Āhuatanga hei aro atu | Whakaahuatanga |
|---|---|
| Mamae nui | Ki te kore te mamae e memeha ahakoa kua tangohia ngā rongoā whakamamae, ka kino haere tonu. |
| Te whero, te mahana, te pupuhi rānei | Mena he whero te wāhi e karapoti ana i te wero, he werawera rānei ina pā atu, he ponana rānei. |
| Te toto, te rerenga rānei | Mena ka rere tonu te toto, tetahi atu wai rānei mai i te wāhi i werohia ai. |
| Te kirika, te makariri rānei | Ki te pāngia koe e te kirika, e te makariri rānei, e te wiri rānei, he tohu pea tēnei nō te mate urutā. |
Karere Tangohia ki te Kāinga
- He tino māmā te Arthrocentesis, he maimoatanga 10-meneti te roa mō te pupuhi me te mamae o ngā hononga.
- Mā tēnei ka tangohia te wai nui kua kohia i te hononga, ā, ka tere te whakaora i a koe.
- Ehara i te mea ka whakaiti noa i te mamae tēnei maimoatanga, engari ka āwhina hoki ki te tautuhi i te tino pūtake o te pupuhi.
- He tino iti te mōrearea o tēnei. Heoi, ki te puta mai ngā tohu pēnei i te kirika, te mamae nui, te whero rānei i muri i te maimoatanga, me toro atu ki tō tākuta tonu.
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