Kei te rongo koe i ētahi wā i te mamae koi, i te ngoikore rānei e horapa ana mai i tō kaki ki ō pakihiwi me ō ringa? Tērā pea kei te tino mamae koe i tēnei mamae, ā, kāore e taea e koe te mahi tika i ō mahi o ia rā. I tēnei rā, ka kōrero tātou mō tētahi maimoatanga mō tēnei momo mamae kaki kino. He werohanga steroid motuhake tēnei e hoatu ana ki te tuaiwi kaki.
He whakarāpopototanga, he aha tēnei werohanga?
Koinei te mea e kīia ana e mātou i roto i te rongoā he werohanga steroid epidural cervical (ESI) . Ahakoa he ahua uaua te ahua o te ingoa, he tino māmā noa iho te mahi. Ko te werohanga he rongoā (he momo steroid) e whakaiti ana i te pupuhi me te mumura ki roto i te wāhi epidural , arā, te wāhi huri noa i te taurakira i roto i tō kaki.
Ko te whāinga matua o tēnei he whakahaere i te mamae mau tonu i puta mai i te pēhanga, i te mumura rānei o ngā pakiaka io tuaiwi i te kaki. Ka kiia tēnei mamae ko te Cervical Radiculopathy . Ka tīmata pea tēnei mamae i tō kaki ka horapa ki tō pakihiwi, ringa, ā, i ētahi wā tae noa ki ō maihao.
He whakamārama iti: Ko te tikanga o te kupu "cervical" i konei ko te "kaki." I ētahi wā ka whakamahia tēnei kupu hei tohu mō te kōpū, ka puta he pōhēhētanga. Engari kia mahara ko te kupu "cervical" i roto i tēnei weronga e tohu ana i te kaki.
Me pēhea te whakaiti i te mamae e tēnei werohanga?
Whakaarohia tō tātou tuaiwi hei huarahi e kawe ana i ngā kōrero. Ka haere ngā karere mai i te roro puta noa i te tinana, ā, ka haere ngā kōrero mai i te tinana ki te roro mā roto i tēnei tuaiwi. E tiakina ana tēnei tuaiwi e tētahi raupapa o ngā wheua (vertebrae) e whakatakotoria ana tetahi ki runga i tetahi. E whitu o ēnei tuaiwi kei te rohe kaki.
I ētahi wā, ka pupuhi ngā wāhanga rite ki te tiēre i waenganui i ēnei tuaiwi (e kiia ana e mātou he kōpae) ki waho, ka pēhi i ngā io e puta mai ana i reira. Nā ngā huringa rānei e pā ana ki te kaumātuatanga, ka whaiti ngā ara io, ka pupuhi hoki ngā io. Koinā te wā e puta mai ai te mamae nui.
Ka werohia e tēnei werohanga he steroid huri noa i te io mumura, kua kōpeke . Ka whakaitihia te pupuhi me te mumura o te io. Ka whakaitihia te pēhanga ki runga i te io, ā, ka whakaitihia te mamae. Ka hoatu hoki he wā ki te io kia ora. Heoi, he wā poto noa iho te whakamamae mamae e tukuna ana e ia. Tērā pea ētahi tāngata kāore e whiwhi i tētahi whakamarie.
He aha ngā āhuatanga e whakamahia ai tēnei werohanga?
He maha ngā āhuatanga hauora nui ka pāngia ai te kaki e ngā io. Ko tēnei werohanga te mea e whakamahia ana mō ēnei momo āhuatanga. Me titiro tātou ki ēnei āhuatanga.
| Āhua | Hei whakarāpopototanga... |
|---|---|
| Kōpae Herniated Cervical | Koinei te mea e kīia nei e tātou he "kōpae paheke." Ka pupū ake te rauemi rite ki te tiēre i roto i te urunga i waenganui i ngā tuaiwi e rua, ka pēhi i te io e tata ana. |
| Te Mate Kōpae Whakaheke o te Uha | I a tātou e pakeke haere ana, ka memeha haere te urunga (kōpae) i waenganui i ngā tuaiwi. Ka taea hoki e tēnei te mumura o ngā io. |
| Te Mate Pūkahukahu o te Uha (Cervical Spondylosis) | Ka puta ngā panoni ki ngā wheua, ngā kōpae, me ngā hononga o te kaki i te koroheketanga noa. Ka taea e tēnei te whakawhāiti i ngā ara mō ngā io, ā, ka pēhia. |
| Te Stenosis Tuaiwi o te Cervical | Ka whaiti te wāhi (te ara mō ngā io) i roto i te tuaiwi kaki. Ka pēhia, ka pupuhi hoki ngā io. |
Ka aha te mea ka tupu ina tukuna te werohanga?
Ka mahia tēnei i roto i te hōhipera, i te whare rongoā rānei e tētahi tākuta kua tino whakangungua. E 15-30 meneti te roa. He mea tino nui kia kaua e nekeneke nui rawa i tēnei wā.
Koinei ngā mahi e mahia ana i te nuinga o te wā:
- Tuatahi, ka whakakakahuria koe ki te kākahu hōhipera, ā, ka meinga kia takoto puku koe i runga i te tēpu.
- Muri iho, ka horoia rawatia e te tākuta te rohe o te kaki ka werohia hei ārai i te mate.
- Kātahi ka haere ki taua wāhiKa tukuna he werohanga iti o te rongoā whakamoe ā-rohe hei whakangāwari i te wāhi . Mā tēnei ka iti ake te mamae ina werohia te ngira nui. I ētahi wā ka hoatu pea he rongoā whakamoe hei āwhina i a koe kia marino.
- I muri i te whakangoikoretanga, ka whakamahia e te tākuta tētahi mīhini hihi-X motuhake e kiia nei ko te fluoroscopy hei ārahi i te ngira ki te wāhi tika.
- Kia tae te ngira ki te wāhi epidural tika, ka werohia he momo tae e kiia nei ko te contrast. Mā tēnei ka kitea ake te wāhi i runga i te hihi-X. (Mēnā he mate pāwera koe ki te tae, pekehia tēnei taahiraa.)
- Hei whakamutunga, ka ata werohia te rongoā steroid ki roto i te wāhi.
- Kia oti te werohanga, ka pēhia te wāhi hei whakamutu i te toto, ka horoia, kātahi ka pania he pāreti.
- Kātahi ka tukuna koe kia okioki mō tētahi wā kia kite ai mēnā he pānga taha. Ki te pai ngā mea katoa, ka tukuna koe kia hoki ki te kāinga.
He tino mamae te hoatutanga o tēnei?
Ina whiwhi koe i te rongoā whakangā, kāore koe e tino mamae. I ētahi wā ka rongo koe i te ngau kino, i te wera, i te ngau rānei. Ka memeha haere tēnei ina mutu te werohanga. Heoi, ki te pāngia koe e te mamae e kore e taea te mau i te wā e werohanga ana, i muri rānei i te werohanga, me kōrero tonu atu koe ki tō tākuta.
He aha ngā mea hei tumanakohia i muri i te werohanga?
I muri i tō hokinga ki te kāinga i muri i te werohanga, tera pea ka mamae koe i te wāhi i werohia ai te ngira mō ētahi haora. He mea noa tēnei.
Ki te hoatu he rongoā whakangāwari ki a koe, tera pea ka taumaha, ka ngāwari rānei tō kaki, ō pakihiwi, me ō ringaringa. Ka memeha haere tēnei i muri i tētahi wā. Ko te mea nui, kia piki ake te mamae mō ngā rā tuatahi e rua, e toru rānei i muri i te werohanga . Kaua e manukanuka. He mea noa tēnei. Ka tīmata te mamae ki te memeha i roto i ngā rā e rua ki te whitu. Ka roa pea tēnei whakaora mai i ētahi rā ki ētahi marama.
He aha ngā painga me ngā mōrearea o tēnei?
Pērā i ngā maimoatanga hauora katoa, he painga, he mōrearea anō hoki. He mea nui kia kōrerohia ngā mea e rua ki tō tākuta.
| Ngā Painga | Ngā Tūponotanga me ngā Āhuatanga Whakararuraru |
|---|---|
| Te whakaora i te mamae mō te wā poto. | Te toto toto iti, te whanoke. |
| Te āhei ki te mahi tika i ngā mahi whakapakari tinana nā te iti o te mamae. | Te ānini nui i puta mai i te turuturu o te wai cerebrospinal. |
| Te āheinga ki te mahi i ngā mahi o ia rā me te ngāwari. | Te mate i te wāhi i werohia ai (he tino onge). |
| Kāore pea e hiahiatia he maimoatanga nui pēnei i te pokanga. | Te pakaru o te uaua toto, ka puta ai te toto, te hanganga toto totoka rānei. |
| Te pakaru o ngā io nā te werohanga o te ngira (he tino onge). | |
| Te ngoikore o ngā wheua o te tuaiwi nā te maha o ngā werohanga. |
He mea nui: He tino onge te nuinga o ēnei mōrearea, inā koa ka mahia e te tākuta kua tino whakangungua ki tēnei mahi.
Āhea ahau me toro atu ki te tākuta i te wā e taea ai?
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te werohanga me te hoki ki te kāinga, waea atu ki tō tākuta tonu atu, haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
- Mena he nui te mamae o te upoko e puta mai ana ina tū ake koe, engari ka memeha ina takoto koe .
- Mena kei te pāngia koe e te kirika (he tohu pea tēnei nō te mate urutā).
- Ki te pāngia koe e te ngoikore, te māuiui rānei o ō ringaringa (he tohu pea tēnei kua pakaru ngā io).
Karere Tangohia ki te Kāinga
- He maimoatanga tēnei werohanga mō te mamae e horapa ana ki te ringa, e hua mai ana i te pēhanga o te io i te kaki.
- Kāore tēnei e whakaora tuturu i te mamae, engari he whakaora rangitahi .
- Ko te whāinga matua he whakaiti i te mamae, kia taea ai e koe te mahi tika i ngā mahi whakapakari tinana. Mā te whakapakari i ngā uaua huri noa i tō kaki ka taea te whakaora mō te wā roa.
- Ahakoa he maimoatanga haumaru tēnei i te nuinga o te wā, he iti noa ngā tūponotanga, nō reira kia tino kōrero koe ki tō tākuta i mua i te tīmatanga o te maimoatanga.
- Kia tūpato ki ngā tohu kino ka puta i muri i te maimoatanga. Mēnā ka puta he raruraru, rapua tonutia he tohutohu hauora.
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