Kua pāngia koe e tētahi patunga iti i tō ringa, i tō waewae rānei, ā, ahakoa kua ora, kei te pā tonu te mamae me te wera e kore e taea te tu atu? I ētahi wā ka pupuhi te wāhi patunga, ka huri te tae o te kiri, ā, ka werawera koe i te āhua rerekē? He tokomaha te hunga e whakaaro ana he mea noa tēnei ina pāngia rātou e tēnei. Heoi, he tohu pea tēnei o tētahi mate onge engari he tino mamae e kiia nei ko te 'Complex Regional Pain Syndrome', ko te CRPS rānei. Me kōrero tātou mō tēnei i tēnei rā.
He aha tonu te CRPS?
He māmā noa iho, ko te CRPS he mate e puta ai te mamae nui, roa hoki i tētahi wāhanga motuhake o tō tinana, inā koa he ringa, he waewae, he ringaringa, he waewae rānei . Ka taea e tēnei mamae te haere tahi me ētahi atu tohu, pērā i te hurihanga o te kiri me te pupuhi.
E whakapono ana ngā tākuta ko te tino take o tēnei he panoni i te mahi a tō tātou pūnaha io, arā, te roro, te taurakira, me te pūnaha io puta noa i te tinana (ngā pūnaha io matua me ngā pūnaha io taha). Whakaarohia te pūnaha tohu mamae o tō tātou tinana hei whakaoho e tangi ana ina pakaru mai te tahae ki roto i tō tātou whare. Ina pāngia tātou e te whara iti, ka tangi tēnei whakaoho, ko te tikanga ka pāngia tātou e te mamae. Engari i roto i te CRPS, ka tangi tonu tēnei whakaoho ahakoa kua ora te whara. Ko te tikanga tēnei kāore e taea e tātou te whakahaere i ngā tohu mamae.
E rua ngā momo matua o te CRPS:
| Momo CRPS | He whakamārama māmā |
|---|---|
| Momo I | Ka puta tēnei i muri i tētahi whara, i tētahi mate rānei kāore i te kino tika ki tētahi io. Hei tauira, ka puta pea tēnei āhuatanga i muri i tētahi mea pēnei i te whati o te ringa, o te waewae rānei. I mua ko te 'reflex sympathetic dystrophy' te ingoa. |
| Momo II | Ka puta tēnei ina tino pakaru te io i te whara. I mua ko te 'causalgia' te ingoa o tēnei. |
He nui ake te kitea o tēnei mate i roto i ngā wāhine i ngā tāne. Ahakoa ka taea te whakawhanake i ngā tau katoa, he mea noa i muri i te 40 tau te pakeke.
He aha ngā tohu o te CRPS?
Ka rerekē ngā tohu o te CRPS i ia tangata, i ia tangata, ā, ka rerekē anō hoki tōna kaha. I te nuinga o te wā ka tīmata ngā tohu i roto i ngā wiki e whā ki te ono i muri i te whara, te whati, te pokanga rānei.
Ko te tohu matua, ko te tohu tino kino ko te mamae . Ehara tēnei i te mamae noa iho.
- He mamae e rite ana ki te wera tonu .
- He mamae e rite ana ki te werohanga, te haehae rānei o te ngira .
- He maha ngā wā, ka rite te mamae ki te mea e puta mai ana i roto rawa i te ringa, i te waewae rānei e mamae ana.
Haunga tēnei mamae, he maha atu anō ngā tohu ka kitea i te wāhi e pāngia ana. Hei whakangāwari ake, me titiro tātou ki ēnei i roto i tētahi ripanga .
| Kāwai āhuatanga | Whakamārama |
|---|---|
| Ngā huringa o te aro | - Te mamae e kore e taea te tohe ahakoa he puku iti, he kākahu rānei kei tō tinana. - Te mamae nui i tētahi mea e puta ai te mamae i te nuinga o te wā (hei tauira, he paku pakupaku). - I ētahi wā ka ngoikore te tinana. |
| Ngā huringa kiri | - Pupuhi: Ka puta, ka memeha te pupuhi, ka pumau rānei. - Pāmahana: He wera ake, he makariri ake rānei te ringa/waewae kotahi i tērā atu. - Tae: Ngā panonitanga o te tae kiri. Tērā pea he pōraruraru, he mā, he papura, he whero rānei i ētahi wāhi. - Taiao: Tērā pea ka kanapa, ka angiangi te kiri. Tērā pea ka nui rawa te werawera. |
| Ngā huringa o te mahi | - Te kore e taea te neke tika i te ringa/waewae e mamae ana, me te mārō o ngā hononga. - Te uaua ki te kawe i te taumaha ki taua ringa/waewae. |
| Ngā whao me ngā makawe | Tērā pea ka tere ake te tupu o ngā maikuku, o ngā huruhuru rānei i taua wāhi i te mea noa, kāore rānei e tupu. |
Ko te mea nui ko te toro atu ki te tākuta i te wā e taea ai mēnā kei a koe ēnei tohu, nā te mea he māmā ake te rongoā i tēnei mate mēnā ka kitea wawetia.
He aha te take e whanake ai te CRPS?
Kāore anō kia tino mōhiotia e ngā kairangahau he aha te take e pāngia ai tētahi tangata e te whara kotahi e te CRPS, ā, kāore tētahi atu, engari e whakapono ana rātou nā tētahi tauhohenga rerekē i roto i ō tātou pūnaha ārai mate me te pūnaha io .
Ko te nuinga (neke atu i te 90%) o ngā kēhi CRPS ka puta mai i te pakaru o ngā muka io tino tairongo o te ringa, o te waewae rānei nā te whara.
Ko ētahi o ngā take noa ko:
- Whati: Ko te whati, inā koa i te ringaringa , tētahi o ngā tino take o te CRPS. I ētahi wā, ahakoa he mea whakakikī te muka, ka pēhia pea te io.
- Pokanga: I te wā o te pokanga, ka pakaru pea ngā io nā te tapahi me te tuitui o te kiri.
- Te whāwhā: Ina whāwhā te hononga, ka kōpiri pea ngā io e karapoti ana.
- He wera, he maru, he motu rānei: Ka taea hoki e ēnei momo whara o waho te kino i ngā io i raro i te kiri.
I ētahi wā ka puta te CRPS me te kore e kitea he whara, ā, he nui ake te mōrearea o ētahi tāngata ki te whakawhanake i te mate.
- Ngā mate o te pūnaha io: Ko te hunga whai mate pēnei i te mate huka he iti ake te kaha ki te whakaora i ō rātou io. He uaua ake hoki te whakaora i te hunga momi hikareti.
- Ngā raruraru pūnaha ārai mate: Ko te hunga whai mate pēnei i te mate huango he nui ake ngā taumata o ngā matū mumura (cytokines) i roto i ō rātou tinana, ka nui ake te mōrearea o te CRPS.
- Ngā take ira: Ahakoa he tino onge, kua puta ngā pūrongo mō ētahi mema o te whānau e pāngia ana e te CRPS.
Me pēhea te tātaritanga a te tākuta i te CRPS?
Kāore he whakamātautau motuhake hei tautuhi i te CRPS. Nō reira, ka tautuhia e te tākuta te mate i runga i ō tohu, tō hītori hauora (ngā whara tata nei, ngā pokanga), me te whakamātautau tinana.
Ka arotahi tō tākuta ki ēnei mea:
- He mamae tino kino kei tua atu i te rahi o te patunga?
- He rerekē te āhua, te pāmahana, me te kakano o te kiri i te wāhi e pāngia ana?
- He aha atu anō ngā āhuatanga hauora ka puta ai ēnei tohu?
I ētahi wā ka mahia he matawai ultrasound , he matawai MRI rānei hei tirotiro mēnā he kino kei raro i te io.Ka taea te mahi. Waihoki, ka taea te whakahaere i ngā whakamātautau pēnei i te EMG (Electromyography) hei whakakore i ētahi atu mate pūnaha io e whakaatu ana i ngā tohu rite.
He aha ngā maimoatanga mō te CRPS?
Ko ngā whāinga matua o te maimoatanga CRPS he whakaiti i te mamae, he whakaora i te mahi a te ringa/waewae e pāngia ana, me te pupuri i te kounga o tō oranga. Ko te wawe o te tīmatanga o te maimoatanga, ko te pai ake o te putanga. Ki te kore e rongoatia, ka kino ake te mamae, ka pakari ake te ringa/waewae, ā, kāore pea e taea te neke.
Ko te huinga o ngā tikanga maimoatanga maha te tikanga tino angitu.
Te Whakaora Tinana me te Mahi
He wāhanga nui tēnei o te maimoatanga CRPS.
- Mā te kaiwhakaora tinana koe e ako ki ngā mahi whakakori tinana motuhake hei whakanui ake i te rere o te toto ki te wāhi e mamae ana, hei whakapai ake hoki i te ngāwari me te kaha.
- Ka whakaako te kaiwhakaora mahi i ngā huarahi hou hei mahi i ngā mahi o ia rā (hei tauira, te kakahu, te kai) me te whakaiti i te mamae.
Hei tāpiritanga, kei reira ētahi tikanga motuhake pērā i te 'Whakaora Whakaata'. I roto i tēnei, ka noho koe ki mua i te whakaata, ka huna i te ringa/waewae mamae, ka whakatakoto i te ringa/waewae hauora ki mua i a koe. Kātahi, ka whakaatuhia e te whakaata kei te neke noa te ringa/waewae mamae. Kua whakamātauhia tēnei hei 'tinihanga' i ō tātou roro kia whakaitihia te mamae.
Ngā huringa āhua noho
- Kaua e kai paipa: He arai nui te kai paipa ki te whakaora io.
- Te whakahaere i ētahi atu mate: He mea nui kia pai te whakahaere i ngā mate pēnei i te mate huka.
- Te hiki i te ringa/waewae: Mā te hiki i te ringa/waewae mamae i a koe e moe ana, e okioki ana rānei, pērā i runga i te urunga, ka whakaiti i te pupuhi.
- Whakakorikori Tinana: He tino pai te whakakorikori tinana i ia rā mō te rere o te toto.
- Tōkena kōpeketanga: Ka tūtohu pea tō tākuta kia mau koe i ēnei hei whakahaere i te pupuhi.
Tautoko hauora hinengaro
He mea noa te pouri, te riri, me te manukanuka i te wā e noho tahi ana me te mamae mau tonu. Ka taea e ēnei mea te whakanui ake i te mamae. Nō reira, he tino āwhina te rapu tohutohu hinengaro ki te whakatau i te mamae hinengaro me te kare ā-roto.
Ngā rongoā (tarukino)
Kāore he rongoā motuhake kua whakaaetia mō te CRPS. Heoi anō, ka tohua pea e te tākuta ngā momo rongoā hei āwhina i te whakahaere i ngā tohumate.
- Ngā rongoā mamae ( NSAID )
- Ngā kirimi whakamamae mamae kiri
- Ko ētahi rongoā ārai-pōrearea me ngā rongoā ārai-hopu mō te mamae o te io
- Ngā werohanga Botox
Ētahi atu maimoatanga motuhake mō te whakahaere mamae
Mena he uaua ki te whakahaere i te mamae e ētahi atu maimoatanga, ka huri pea te tākuta ki ngā maimoatanga uaua ake pēnei.
- Ngā aukati io aroha: Te werohanga i tētahi rongoā whakamoe hei 'moe' mō tētahi wā poto i ngā io e kawe ana i ngā tohu mamae ki te roro.
- Te whakaohooho i te taurakira: Ka pokangahia he hiko angiangi ki te taha o te taurakira, ā, ka tukuna ngā tohu hiko ngawari hei aukati i ngā tohu mamae.
- Te werohanga ketamine IV: Ka tukuna he horopeta iti o te rongoā ketamine mā roto i tētahi uaua mō ētahi rā.
He aha ngā mea ka taea e koe te tumanako ina noho tahi koe me te CRPS?
Kāore e rite te wheako o te katoa ki te CRPS. Mō te tini o te tangata, i roto i te wā, me te maimoatanga tika, ka iti haere ngā tohu, ā, ka tata ora katoa rātou.
Heoi, i ētahi wā onge, ka kino rawa te mate, ka horapa rānei ki ētahi atu wāhanga o te tinana. Nō reira, he mea nui kia whakahaeretia te mamae me te pupuri i te mahi a te ringa/waewae. Mā te mahere maimoatanga tika, ka taea e te tini o te tangata te noho ora me te CRPS.
He mate hinengaro te CRPS?
Kāo. Ehara te CRPS i te mate hinengaro. He mate pūnaha io. Heoi, ko te mamae nui me te pānga ki te oranga i puta mai i te CRPS ka taea te whakararu, te whakararu rānei i ngā raruraru hauora hinengaro pēnei i te manukanuka me te pouri.
Karere Tangohia ki te Kāinga
- Ehara te CRPS i te mea tito noa i roto i tō hinengaro. He āhuatanga tūturu, tūturu e puta ai te mamae nui.
- I te nuinga o te wā, i muri i tētahi whara iti, me manukanuka koe mēnā he nui rawa te mumura, te mamae, me ngā panonitanga o te tae me te pāmahana o te kiri kāore i te ōrite ki te whara.
- He mea tino nui te tautuhi i te mate, me te tīmata wawe tonu i te maimoatanga. Mā tēnei ka ārai i ngā raruraru roa.
- Ehara te maimoatanga i te mea kotahi. He mahi tahi tēnei e whakakotahi ana i te whakaora tinana, te rongoā, me te tautoko hinengaro.
- Mena he iti noa iho ō whakaaro mō ēnei tohu, tena koa kōrero ki tō tākuta.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero