Kua pupuhi, kua mamae rānei tētahi hononga pēnei i tō turi, tuke, pakihiwi, hope rānei, ā, ka uaua ai te hikoi? E kīia ana tēnei e ētahi he "wai i roto i te hononga." Inaa, ka uaua pea te mahi i ngā mahi o ia rā nā te pupuhi me te mamae. Nō reira, i tēnei rā ka kōrero tātou mō tētahi maimoatanga māmā engari he tino whai hua ka tūtohu pea tō tākuta ki a koe i tētahi wā pēnei. Ko te ingoa o tēnā ko te 'Arthrocentesis', ko te 'Joint Aspiration' rānei.
He aha te tikanga o te arthrocentesis?
Ahakoa he kupu nui tēnei, he tino māmā noa iho. Ko te Arthrocentesis he tikanga e whakamahi ana i tētahi ngira angiangi rawa hei tango i te wai nui mai i tō hononga pupuhi.
Whakaarohia pēnei: he rite ō tātou hononga ki ngā peera pōro i roto i te mīhini. Kia pai ai te oma, he iti noa te wai kei roto. Ka kiia e mātou he wai synovial. Engari ina mumura te hononga nā te mate pēnei i te rumatiki, te mate pāwera, te aituā rānei, ka tīmata te whakaputa nui o tēnei wai. Ko te wā tēnā ka pupuhi, ka pakari, ka mamae te hononga.
Nō reira, ko tāu mahi ki te 'Arthrocentesis' he tango i taua wai nui, ā, ka whakamarie i a koe. Ka whakaitihia te mamae me te pupuhi. Mā te tirotiro anō hoki i te wai ka tangohia, ka kitea e koe te take o tēnei pupuhi.
Me pēhea te mahi a tēnei maimoatanga?
He tikanga māmā noa iho tēnei ka taea te mahi i te tari o te tākuta (OPD) i te tari rongoā o waho rānei o te hōhipera. Kāore e nui te whakarite e hiahiatia ana. Ina haere koe, ka whai te tākuta i ēnei mahi:
- Tuatahi, ka horoia pai te kiri ka werohia te ngira, ka patua hoki.
- Muri iho, ka pania he kirīmi whakangote (whakamamae ā-papa) ki te wāhi, ki te hiahiatia rānei, ka werohia he iti hei whakangote (whakamamae ā-rohe). Mā tēnei ka kore koe e tino mamae.
- I ētahi wā, hei kimi i te wāhi tika o te wai i roto i te hononga, ka whakamahia pea e te tākuta he mīhini matawai pērā i te ultrasound, te fluoroscopy rānei. Mā tēnei ka āwhina i a koe ki te tae atu ki te ūnga tika.
- Kātahi ka werohia he ngira angiangi e hono ana ki te ngira wero ki roto i te hononga mā te wāhi whakangoioi.
- Ināianei, ka kumea te wai tāpiri i roto i te hononga ki roto i te ngira. Mēnā he nui rawa te wai, ka whakawhitia te ngira kia tangohia te nui o te wai e hiahiatia ana.
- I ētahi wā, i muri i te tangohanga o te wai, ka taea te werohanga i tētahi rongoā whakamamae mamae (hei tauira, he steroid) ki roto i te hononga mā te whakamahi i taua ngira anō.
- Hei whakamutunga, ka tukuna te tauira wai i tangohia ki te taiwhanga hei whakamātautau, mēnā e tika ana, kia kitea ai te take.
E 10 meneti pea te roa o tēnei tukanga katoa.
He aha ngā painga matua o tēnei?
He rite te mahi Arthrocentesis ki te patu i ngā manu e rua ki te kōhatu kotahi. Arā, ka whakaratohia he maimoatanga me te tautuhi mate i te wā kotahi.
Mā tēnei ka tere te whakaora i tō mamae, ā, ka āwhina anō hoki i a koe ki te kimi i te pūtake o te mate.
Kia tirohia tātou he aha aua painga i te ripanga i raro nei.
| Painga | Hei whakarāpopototanga... |
|---|---|
| Whakaora mamae tonu | Kia tangohia te wai tāpiri i roto i te hononga, ka heke te pēhanga ki te hononga, ā, ka tino heke te pupuhi me te mamae. |
| Te whakarite mō te rongoā | I mua i te werohanga o te rongoā ki roto i te hononga, mā te tango i te wai nui i tēnei ara ka pai ake te uru o te rongoā. Ka whakanui ake hoki i te whai huatanga o te rongoā. Hei tauira, ko ngā werohanga pēnei: - Ngā werohanga cortisone/ngā werohanga steroid - Ngā werohanga plasma whai-peretiteti (PRP) - Tāpiringa Whakakīkī (ngā werohanga tiēre) |
| Tātaritanga | Ina tangohia he tauira o te wai (wai synovial) ka tukuna ki te taiwhanga hei whakamātautau, ka taea te whakatau i te tino take o te pupuhi. Hei tauira: - He mate kitakita? - He toto kei roto i te hononga? - He tioata kei te takoto mai nā tētahi mate hauora pēnei i te kauti ? |
He mōrearea kei roto i tēnei?
He maimoatanga tino haumaru tēnei i te nuinga o te wā. He onge ngā raruraru. Heoi, pērā i ngā tikanga hauora katoa, he iti noa ngā mōrearea.
- Te putanga mai o te mate urutā:He iti noa te tūponotanga ka uru te iroriki ki te wāhi i werohia ai te ngira.
- Te toto: Mena ka pakaru he uaua toto tino iti i te wā e werohia ana te ngira, ka puta pea he toto iti.
- Ngā mate pāwera: Ka pāngia ētahi tāngata e te mate pāwera ki te rongoā e whakamahia ana hei whakangāwari i te wāhi, ki te rongoā rānei e whakamahia ana hei wero i te hononga. Heoi, he tino onge te mate pāwera kino pēnei i te "Anaphylaxis".
- Te kaha o te mamae i muri i te werohanga: Tērā pea ka pāngia ētahi tāngata (tata ki te 1 i roto i te 50) e te mamae o ngā hononga me te pupuhi i roto i ētahi haora i muri i te werohanga. Heoi, ka memeha noa iho tēnei i roto i ētahi rā.
He aha ngā mea ka tupu i muri i te maimoatanga, ā, āhea ahau ka rongo i te whakamarie?
I muri i te maimoatanga, ka tāpirihia e te tākuta he takai iti ki te wāhi i werohia ai te ngira , ā, ka tohutohu ia kia kaua e tino taumaha rawa te hononga mō te rā kotahi, e rua rānei.
Ka tīmata koe ki te rongo i te whakamamae i te mamae me te pupuhi i te aonga ake. Ko te roa o tēnei whakamamae kei runga i tō āhua. Mena he mate pūmau tōu pērā i te rumatiki, ka hoki mai pea te pupuhi i roto i te wā. Kātahi pea me mahi anō koe i tēnei maimoatanga. Mā tō tākuta koe e tohutohu me pēhea te mahi.
Āhea ahau me kite anō i te tākuta?
Ki te pāngia koe e tētahi o ngā tohu i raro nei i muri i te maimoatanga, waea atu ki tō tākuta tonu atu.
| Ngā tohu hei tūpato |
|---|
| Mena ka piki haere tonu te mamae ahakoa te tango i ngā rongoā whakamamae. |
| Mena he whero te wāhi i werohia ai te rongoā, he wera rānei, he rite rānei ki te mea kei te werohia . |
| Mena kei te turuturu te toto, te wai rānei i te wāhi i werohia ai. |
| Mena kei te pāngia koe e te kirika, e te makariri rānei . |
Karere Tangohia ki te Kāinga
- He tikanga hauora māmā, haumaru hoki te Arthrocentesis e āwhina ana ki te whakamamae i te mamae me te tautuhi i te pūtake o te hononga pupuhi.
- Ko te tikanga o tēnei ko te tango i te wai nui kua kohia i roto i te hononga mā te whakamahi i tētahi ngira angiangi.
- Ma tenei ka tere te whakaora i to mamae me to pupuhi.
- Mā te tirotiro i te wai ka tangohia, ka taea e te tākuta te whakatau tika mō tō āhua.
- Ki te kaha haere te mamae, ka whero, ka pāngia rānei e te kirika i muri i te maimoatanga, me whakamōhio tonu atu ki tō tākuta.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero