He mea tino whakarihariha, he mea whakarihariha hoki te mamae o te tuara, kāore? I ētahi wā, ahakoa te nui o te rongoā e tangohia ana, te whakakori tinana, te paninga hinu rānei, kāore tonu i te rawaka. I ēnei wā, ka kōrero pea tō tākuta ki a koe mō ngā werohanga motuhake e hoatu ana e ia ki a koe mō tō tuara. Heoi, ehara tēnei i te mea e hoatu ana mō ngā mamae tuara katoa. Kia kite tātou he aha ēnei, he aha te hunga e tika ana mō rātou, me ā rātou mahi tūturu.
He aha ngā āhuatanga ka taea te rongoā e ēnei werohanga?
E rua ngā mate matua e rongoatia ana e ngā werohanga ki te tuaiwi.
1. Te pēhanga, te pakaru rānei o ngā io (Radiculopathy)
Ki te kī ngāwari, ka pēhia te io e puta mai ana i te tuaiwi mō tētahi take. Ka kiia tēnei e mātou he " radiculopathy" i roto i te rongoā. Whakaarohia he rite te taurakira ki tētahi ngongo, ā, ko ngā io ko ngā waea e puta mai ana i reira. Ka aha mēnā ka pēhia tētahi o ēnei waea ki tētahi wāhi? Koinā te āhua.
He mamae nui, koi tēnei e tīmata ana i te tuara o raro, ka heke iho ki te waewae. E kīia ana hoki e ētahi ko te "sciatica". Tērā pea ka pā tēnei mamae ki tētahi, ki ngā waewae e rua rānei. Waihoki, ki te puta te raruraru ki ngā tuaiwi o te kaki, ka taea e te mamae te horapa mai i te kaki ki raro ki te ringa. He maha ngā wā ka puta tēnei āhuatanga ina pupuhi mai tētahi wahi rauemi rite ki te tiēre i waenganui i ngā tuaiwi e rua (e kīia ana ko te "Herniated Disc" ) ka pēhi i tētahi io.
2. Te Whakaroa o te Tuaiwi
Ko te tikanga o tēnei ka whaiti te wāhi (awaawa) e haere ai ngā io i roto i te tuaiwi. Ka kiia tēnei he ` (Spinal stenosis) ` . Tērā pea nā te `(Herniated Disc)` i whakahuatia i mua ake nei te take o tēnei, nā te mea rānei he koiwi hou e puta mai ana i a koe e pakeke haere ana, e whakaiti ana i te wāhi i roto i te tuaiwi, e pēhi ana hoki i ngā io.
He maha ngā wā ka mamae te papa, te waewae rānei. I ētahi wā ka pā mai te mamae o te tuara, kāore rānei. Mō te tini o te tangata, ka piki ake te mamae i te wā e mahi ana, e hikoi ana rānei, ā, ka iti haere te mamae i te wā e piko ana ki mua. Ki te pā mai tēnei ki a koe anō hoki, he tohu pea tēnei nō te `(Spinal Stenosis)`.
Ko te mea nui, kāore e rite te mahi a ēnei werohanga katoa mō te katoa. Tērā pea ka nui te painga mō ētahi tāngata, engari kāore pea mō ētahi. He mea tēnei mā tō tākuta e whakatau.
He aha ngā momo werohanga matua o te tuaiwi?
Ngā werohanga mō te mamae o te tuaraHe maha ngā momo. I ētahi wā ka whakamahia ēnei e ngā tākuta hei āwhina i te kimi i te tino pūtake o te mamae. Me titiro tātou ki ngā momo matua.
| Momo werohanga | Hei whakarāpopototanga... |
|---|---|
| Werohanga epidural (Werohanga Epidural) | Koinei te momo e kōrerohia whānuitia ana. Ka werohia he corticosteroid me te rongoā whakangote ki roto i te wāhi epidural huri noa i te taurakira. Ko te whāinga matua he whakaiti i te pupuhi me te mamae. |
| Werohanga aukati io (Poraka Io) | Ko te werohanga o tētahi rongoā whakangote (hei tauira, Lidocaine ) ki te taha o te io e mamae ai. Ka tere te whakaora i tēnei, engari he torutoru noa ngā haora e mau ana. |
| Pukaemi Kōrero (Pukapuka Kōrero) | He tikanga tātaritanga tēnei, ehara i te maimoatanga. Ka whakamahia hei kimi ko tēhea 'kōpae' i roto i tō tuara te take o te mamae. Whai muri i te werohanga, ka pātaihia koe mēnā kua kore te mamae, kua kino kē rānei. |
He kōrero anō mō ngā werohanga epidural
Ko te tikanga o te kupu `(Epidural)` ko te `huri noa i te taurakira.' Kei roto i tēnei weronga he rongoā momo-steroid (`(corticosteroid)`) e whakaiti ana i te pupuhi, me te rongoā whakangote (`(anesthesia)`) e whakamamae ana i te mamae. Ka whakaitihia te pupuhi huri noa i te io, ā, ka whakahaere i te mamae.
Engari kāore anō kia mārama te whai huatanga o ēnei. I te nuinga o te wā, he wā poto noa te whakaora i ēnei. Tērā pea ka roa ētahi wiki, ētahi marama rānei kia memeha haere te mamae. Nō reira, ehara tēnei i te otinga pai mō te mamae tuara mō te wā roa. Waihoki, mō te mamae tuara ohorere, ka whakaarohia e te tākuta ētahi atu kōwhiringa maimoatanga (rongoā, whakaora tinana) i te tuatahi.
Werohanga Poraka Io
I tēnei wā, ka werohia e te tākuta he rongoā whakangote huri noa i te io mamae, e kiia nei ko te `(Ka werohia he rongoā whakangote . Ko te Lidocaine te rongoā e whakamahia whānuitia ana. Whai muri i te werohanga , ka ngoikore tonu te wāhi, ā, ka ngaro katoa te mamae. Heoi, he torutoru noa ngā haora e mau ana te pānga o tēnei. I ētahi wā ka whakamahia tēnei hei kimi ko tēhea io te take o te mamae.
He pānga taha anō kei reira?
Pērā i ngā maimoatanga hauora katoa, ka pā mai pea ēnei werohanga he iti noa iho ngā pānga taha, ā, he onge noa iho te pānga kino.
Ngā mea noa ka tupu pea:
- Tērā pea ka puta he patunga iti me te mamae i te wāhi i werohia ai.
- Te mamae o te upoko .
- Whakapairuaki me te ruaki.
- Te whero o te mata.
I te nuinga o te wā ka memeha haere ēnei i roto i te rā kotahi, e rua rānei.
Ngā mate tino kino onge:
- Te toto e puta mai ana i te wāhi i werohia ai.
- Te mate urutā.
- Te kino ki te io.
He tino onge te puta o ēnei mea. Heoi, i mua i te tīmatanga o tēnei maimoatanga, he mea nui kia kōrerohia ngā painga, ngā huakore, me ngā mōrearea katoa ki tō tākuta, kia mārama hoki ki aua mea. Me kōrero koe ki tō tākuta mō ētahi atu mate kei a koe me ngā rongoā e tangohia ana e koe.
Karere Tangohia ki te Kāinga
- Ko te werohanga mamae tuara he maimoatanga kei roto he corticosteroid me he rongoā whakamoe , e tukuna ana e te tohunga.
- Ko te nuinga o ēnei e whakamahia ana hei rongoā i ngā āhuatanga pēnei i te radiculopathy me te spinal stenosis .
- He wā poto noa iho ngā painga o ēnei werohanga. Kāore e rite ngā hua mō te katoa.
- Tērā pea ka puta he pānga taha iti pēnei i te mamae i te wāhi i werohia ai me te ānini. He onge noa iho, ka puta pea he raruraru nui.
- Ko te mea nui: Mā tō tākuta e whakatau mēnā he tika tēnei maimoatanga māu. Nō reira, kōrerotia mārire ki tō tākuta mō tēnei mea, me te rapu i āna tohutohu. Kaua e whakatau i a koe anō.
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