Ka horapa te mamae o tō kaki ki raro i tō pakihiwi, ki tō ringa rānei, ki ō matimati? Ka ngoikore rānei tō ringa i ētahi wā? He mea noa ēnei tohu ki te tini o te tangata. I tēnei rā, ka kōrero tātou mō tētahi werohanga motuhake hei otinga mō tēnei.
He aha te tikanga o te werohanga steroid epidural o te kaki o te waha?
Kaua e mataku ki te ingoa roa. He whakarāpopototanga noa iho tēnei, he werohanga rongoā tēnei (he steroid) e whakaiti ana i te pupuhi ki roto i tētahi wāhi iti e kiia nei ko te 'wāhi epidural' i roto i tō kaki, huri noa i tō taurakira.
Ko te kaupapa matua o tēnei he whakahaere i te mamae mau tonu i puta mai i te pēhanga me te pupuhi o te pakiaka io i roto i tō kaki. E mōhiotia ana tēnei mate i roto i te rongoā ko te 'Cervical Radiculopathy' . Koinei te mamae e haere ana mai i tō kaki ki raro i tō ringa.
Me whakamārama atu ahau. Ko te kupu 'cervical' i roto i te ingoa i ahu mai i te kupu Latina ko te tikanga he 'kaki'. Nō reira, ka werohia tēnei kano ārai mate ki roto i te kaki, ehara i te cervix o ngā wāhine. Nā te rite o ngā kupu e rua ka puta he pōhēhētanga.
Āe, me pēhea te whakaiti i te mamae e tēnei werohanga?
Hei mārama ki tēnei, me titiro tuatahi tātou ki te hanganga o tō tātou kaki.
E whitu ngā wheua iti o tō tuaiwi kaki e kiia nei ko ngā vertebrae . Kei waenganui i ēnei wheua, pērā i ngā mea whakangāwari ru, he kōpae rite ki te tiēre e kiia nei ko ngā kōpae intervertebral . Mā ēnei e tiaki te taura tuaiwi, he rite ki te taura rorohiko nui e rere ana i raro i tō roro.
Nō reira, koinei te wāhi e puta mai ai ngā io e haere ana ki ō ringaringa, ki ō waewae, me tō tinana katoa i tēnei taurakira. I ētahi wā, nā te kōpae herniated, nā ngā huringa rānei e puta ana i a koe e pakeke haere ana, ka pēhia pea tēnei pakiaka io. Ina pēhia he io, ka pupuhi, ka tīmata te mamae.
Ko te wā tēnā e hiranga ai tēnei werohanga. Ka werohia tika e te tākuta tēnei steroid ki roto i te io e pupuhi ana, e riri ana.
- He aha te mahi a te steroid? Ka whakaiti tika i te pupuhi o taua io.
- Ka aha ina heke te pupuhi? Ka heke te pēhanga ki te io.
- Ka aha ina heke te pēhanga? Ka heke haere te mamae me te mānumanu e pā ana ki a koe.
Ki te kī māmā noa iho, ko te kaupapa o tēnei ko te kimi i te pūtake o te raruraru, te whakamahi rongoā, te whakaiti i te pupuhi, me te hoatu i te whai wā ki te io kia ora. Engari kia maumahara, he otinga rangitahi noa iho tēnei.Kāore pea ētahi tāngata e rongo i te mamae e memeha ana i tēnei.
He aha ngā momo raruraru kaki e whakamahia ana tēnei kano ārai mate?
Ko te nuinga o te wā ka whakamahia tēnei kano ārai mate mō te mate i kōrerotia e au i mua ake nei, ko te 'Cervical Radiculopathy'. Arā, mō ngā tohu i puta mai i te uaua kua kopikopiko i te kaki. Ko aua tohu ko:
- Te mamae e horapa ana ki te kaki, ki te pakihiwi, me te ringa
- Te ngenge o ngā ringa me ngā maihao
- Te ngoikore o ngā uaua o te ringa (pērā i te uaua ki te hopu i tētahi mea)
- He ngau kino , pērā i te ru hiko
Kei raro nei ētahi o ngā mate hauora matua ka puta ai ēnei tohu.
| Tūnga mate | He whakamārama ngāwari noa iho |
|---|---|
| Kōpae Herniated Cervical | Ko te kōpae hernia he kōpae hernia e pakaru ana, ka turuturu te mea rite ki te tiēre i roto, ka pēhi i te io tata. Koinei te tino take o te mamae o te kaki. |
| Te Mate Kōpae Whakaheke o te Uha | I a tātou e pakeke haere ana, ka memeha haere ngā kōpae i waenganui i ngā tuaiwi, ka pupuhi ai ngā pakiaka io. |
| Te Matepukupuku o te Uha/Te Spondylosis o te Uha | I a tātou e pakeke haere ana, ka puta ngā huringa ki ngā wheua, ki ngā kōpae, me ngā hononga o te kaki. Ka taea e tēnei te whakaiti i te wāhi i roto i te tuaiwi, ā, ka pēhia ngā io. |
| Te Stenosis Tuaiwi o te Cervical | Ka whaiti te awa tuaiwi e rere ana i roto i te kaki mō ngā take maha. Ina whakaitihia te wāhi, ka nui ake te wāhi hei pēhi i ngā io. |
Me aha koe i mua i te whiwhinga i tēnei kano ārai mate?
Kia whakatau tō tākuta ki te hoatu i tēnei kano ārai mate ki a koe, ka hoatu e ia ētahi tohutohu motuhake ki a koe, me whai atu koe i ēnei.
- Mena kei te hapu koe, kei te whakaaro rānei kia hapu, me kōrero koe ki tō tākuta, nā te mea ka hiahiatia pea he hihi-X mō tēnei tikanga.
- Kōrerotia ki tō tākuta ngā rongoā katoa e tangohia ana e koe (tae atu ki ngā huaora me ngā rongoā otaota). He mea nui rawa kia kōrerotia e koe ki tō tākuta ngā rongoā whakaiti toto . Tērā pea ka tono atu tō tākuta kia mutu te tango i aua rongoā mō ētahi rā.
- Tērā pea ka tonoa koe kia nohopuku mō ētahi haora i mua i te whiwhinga i te kano ārai mate.
- He maha ngā wā ka tonoa he matawai MRI, CT rānei hei tirotiro i te wāhi tika o te raruraru.
- Ka tonoa koe kia mauria mai tētahi hei kawe i a koe ki te kāinga i te rā o te werohanga, nā te mea ka hoatu pea he rongoā whakamoe māmā ki a koe.
Ka aha te mea ka puta ina hoatu te kano ārai mate? He mamae?
E 15 ki te 30 meneti te roa o tēnei tukanga. He mea nui kia noho puku koe i tēnei wā.
Te mahi a te tukanga:
1. Te Whakarite: Ka whakakakahuria koe ki te kākahu hōhipera, ka whakatakotoria ki runga i te tēpu.
2. Te horoi: Ka horoia pai te wāhi o te kaki e werohia ana te kano kano ki te wai patu paturopi. Mā tēnei ka whakaiti i te tūponotanga o te mate.
3. Whakangoikore: Muri iho, ka werohia e te tākuta he rongoā whakangoikore ki te wāhi i werohia mā te whakamahi i tētahi ngira iti. Mā tēnei ka kore koe e tino mamae ina werohia te ngira nui ake.
4. Te whakauru i te ngira: Kātahi, mā te āwhina o tētahi mīhini hihi-X motuhake e kiia nei ko te fluoroscopy , ka ārahi te tākuta i te ngira werohanga ki te wāhi tika, e tata ana ki te io.
5. Werohanga: Kia tae te ngira ki te wāhi tika, ka werohia marietia e te tākuta te steroid. I ētahi wā, ka konatunatua pea he rongoā whakangoikore ki te steroid.
6. Mutunga: Kia oti te werohanga, ka tāpirihia he pāreti iti ki te wāhi i werohia ai te ngira, ā, ka tirotirohia koe mō te 30 meneti pea i mua i te tukunga ki te kāinga.
Kei te pēhea te mamae?
Ka rite te rongo whakangoikore ki te werohanga a te pōpokorua iti. Tērā pea ka pēhia koe, ka ngau , ka wera , ka mamae poto rānei i te wā e werohia ana te werohanga matua. Heoi, ko ngā mea katoa e pā ana ki a koe ka memeha atu ina oti te werohanga.
Ki te pā mai he mamae e kore e taea te tohe, me kōrero tonu atu koe ki tō tākuta.
He aha ngā mea ka tupu i muri i tō werohanga kano ka hoki ki te kāinga?
I muri i tō hokinga ki te kāinga, tera pea ka mamae koe i te wāhi i werohia ai te ngira. He mea noa tēnei. Ka memeha haere i roto i ētahi haora. Mena i hoatu he rongoā whakangoikore ki a koe, tera pea ka mamae, ka ngoingoi rānei tō kaki, tō pakihiwi, tō ringa rānei mō tētahi wā. Ka memeha haere anō hoki tēnā i muri i tētahi wā.
Ka kī atu te tākuta kia okioki koe mō te toenga o te rā , kaua hoki e tino kaha rawa te mahi .
Ko te mea nui , kia paku piki ake tō mamae mō ngā rā tuatahi e rua, e toru rānei i muri i te werohanga. Kaua e manukanuka ki tēnei. He mea noa tēnei. Ka tīmata te mahi a te rongoā steroid i roto i ngā rā e rua ki te whitu . I muri i tēnā, ka tīmata te memeha haere o te mamae.
He aha ngā painga me ngā mōrearea o tēnei kano ārai mate?
Pērā i ngā maimoatanga hauora katoa, he painga, he mōrearea hoki tō tēnei.
| Ngā Painga | Ngā Tūponotanga me ngā Āhuatanga Whakararuraru |
|---|---|
| He whakaora wā poto tēnei i te mamae. | Te toto toto iti, te whanoke. |
| Nā te iti haere o te mamae, ka māmā ake te mahi i ngā mahi whakapakari tinana. | Te mamae nui o te upoko i puta mai i te turuturu o te wai o te tuaiwi. |
| Ka taea te mahi i ngā mahi o ia rā me te ngāwari. | Te mate i te wāhi i werohia ai te ngira (he tino onge). |
| Kāore pea e hiahiatia he maimoatanga nui pēnei i te pokanga. | Te uruparenga mate pāwera ki ngā rongoā. |
| Te toto, te pakaru rānei o ngā io nā te urunga tūpono o te ngira ki roto i te uaua toto (he tino onge). | |
| Ka ngoikore pea ngā wheua, ngā uaua rānei o te tuaiwi i ngā werohanga maha. |
He tino onge te nuinga o ēnei mōrearea. Mā te whakahaere i tēnei maimoatanga e te tākuta mātau, pūkenga hoki, ka taea te whakaiti ake i tēnei mōrearea.
Kia pēhea te roa o ngā hua o tēnei kano ārai mate?
He rerekē tēnei i ia tangata, i ia tangata. Ka pāngia ētahi e te mamae mō ētahi rā ki ētahi marama . Kua whakaatuhia e ētahi rangahau ka roa te mamae mō te 12-24 marama. Heoi, he onge te mutunga o tēnei he whakaora tuturu .
Kāore te nuinga o ngā tākuta e hoatu ana i te neke atu i te rua, i te toru rānei o ēnei werohanga i te tau, nā te mea ehara i te mea pai te werohanga i ngā steroids i ngā wā katoa.
Āhea koe me toro atu ki te tākuta tonu?
Ki te pāngia koe e tētahi o ngā tohu i raro nei i muri i tō werohanga me te hoki ki te kāinga, waea atu ki tō tākuta i te wā e taea ai. Mēnā rānei, haere ki te Tari Whawhati Tata (ETU) o te hōhipera tata ki a koe.
- Te ānini nui: Ina koa ka kino haere te ānini ina tū, ina noho rānei, ā, ka heke ina takoto.
- Te kirika: He tohu pea tēnei nō te mate pāwera.
- Mena ka rongo koe i te ngoikore , i te ngoikore rānei o ō ringaringa.
Hei whakamutunga, ko tēnei werohanga he rongoā kotahi noa iho mō te mamae o te kaki. Ko te whakamahi i te whakaora wā poto e whakaratohia ana e ia, me ngā mahi whakapakari tinana hei whakapakari i ngā uaua huri noa i te kaki, koinei te huarahi pai ki te whakatutuki i te whakaora mō te wā roa. Mena he pātai āu mō tēnei, kaua e mangere ki te pātai ki tō tākuta.
Karere Tangohia ki te Kāinga
- Ko te 'Werohanga Steroid Epidural Cervical' he werohanga motuhake e hoatu ana hei whakaiti i te pupuhi i roto i te io, e whakamahia ana hei rongoā i te mamae me te māuiui e horapa ana mai i te kaki ki raro ki te ringa.
- He maha ngā wā ka puta he whakaora rangitahi i tēnei, ka taea te whakamahi hei neke atu ki ētahi atu maimoatanga, pērā i te whakaora tinana.
- He mea nui kia whakamōhiotia tō tākuta mō ngā rongoā katoa e tangohia ana e koe, me te mea kei te hapu koe i mua i te tīmatanga o te maimoatanga.
- Tērā pea ka paku piki ake te mamae i ngā rā tuatahi i muri i te werohanga, engari he mea noa tēnei.
- Ki te pāngia koe e te mamae nui o te upoko, te kirika, te ngoikore rānei o tō ringa mō te wā roa i muri i te werohanga, rapua tonutia he tohutohu hauora.
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