Me ako tātou mō te werohanga mō te mamae o te tuara me te kaki? Ngā mea katoa mō te Werohanga Steroid Epidural (ESI)

Kei te rongo koe i te ngau kino mai i tō tuara ki raro i tō waewae? Kua roa rānei koe e mamae ana i te mamae mai i tō kaki ki raro i tō ringa? Tērā pea kāore koe i kaha ki te mahi i ō mahi o ia rā me tēnei momo mamae, tika? I tēnei rā ka kōrero tātou mō tētahi tikanga werohanga motuhake e whakamahia ana e ngā tākuta hei whakahaere i taua mamae. Ka kiia tēnei he Werohanga Epidural Steroid, he ESI rānei te whakarapopototanga.

He aha te Werohanga Steroid Epidural (ESI)?

Ehara tēnei i te mea nui rawa atu e ai ki te whakaaro. Ko te werohanga steroid epidural (ESI) he werohanga o tētahi rongoā e kiia nei ko te steroid , corticosteroid rānei ki roto i te wāhi huri noa i ngā io o tō tuaiwi. Ko te mahi a tēnei rongoā mā te whakaiti i te pupuhi o ngā pakiaka io, e mumura ana, e mumura ana, ā, mā reira ka whakamama i te mamae.

Whakaarohia tō tuaiwi he huarahi nui. Koinei te ara e haere ai ngā karere mai i tō roro puta noa i tō tinana. Ka peka mai ngā io i tēnei huarahi nui. I ētahi wā, ka pupuhi te kōpae i waenganui i ngā tuaiwi e rua, ka pēhia, ka kōpeketia rānei te io kei tēnei taha o te huarahi, nā tētahi atu take rānei. Koinā te wā e puta ai te mamae e kore e taea te whakamanawanui.

Ko tā te werohanga ESI he tika tonu ki te io kua kōpeke, kua pupuhi, ka werohanga i ētahi rongoā. Mā tēnei ka whakaiti i te pupuhi o te io, ka whakaiti i te pēhanga, ka whakaiti hoki i te mamae. Ka roa pea te whakamamae mamae mō ētahi tāngata mō ētahi rā, mō ētahi atu mō ngā marama. Waihoki, i ētahi wā ka āwhina tēnei werohanga ki te kimi ko tēhea io te tino pūtake o te mamae.

He aha ngā āhuatanga e hoatu ana te kano ārai mate ESI?

Kāore tō tākuta e tūtohu tonu i tēnei werohanga. Ka whakaarohia tēnei momo werohanga mēnā kāore ētahi atu maimoatanga, pērā i te whakaora tinana me ngā rongoā whakamamae mamae, i āwhina i tō mamae.

Anei ētahi o ngā āhuatanga e whai hua ai tēnei kano ārai mate:

• Kōpae Herniated: E mōhio ana tātou katoa, he āhuatanga tēnei e kiia ana ko te "disc herniated." Koinei te wāhi e pupuhi ai te kōpae i waenganui i ngā tuaiwi o te tuaiwi ka pēhi i te io.
• Te Stenosis Tuaiwi: Te pēhanga o ngā io nā te whaiti o te ara mō te taurakira i roto i te tuaiwi.
• Ngā Wāhi o te Iwi Tuarā:Ngā tupu wheua (pērā i ngā tuaiwi) i waho o te tuaiwi ka pā ki ngā io.
• Te Mate Pokanga Tuara Kāore i Rahua: Mō te hunga e mamae tonu ana i muri i te pokanga tuara.
• Scoliosis: Ina pēhia ngā io nā te piko o te tuaiwi.
• Spondylolysis: Te mamae e puta mai ana i te pirau o te tuaiwi i te pakeketanga.
• Mēnā kua pakaru ngā io o te tuaiwi nā ētahi atu aituā.

He momo kano ārai mate ESI kei reira?

Āe, ka taea te wehewehe i ēnei kano ārai mate ki ētahi momo, i runga i te wāhi i werohia ai, me te tikanga i werohia ai te ngira. He mea nui kia mōhio koe ki tēnei.

Ngā momo werohanga tuaiwi i runga i te wāhi i werohia ai

Ngā momo ngira werohanga e ai ki te ara werohanga

He āhua hangarau tēnei, engari kia māmā noa iho te whakamārama.

• ESI Interlaminar: I konei, ka whakaurua te ngira ki waenganui i ngā laminae e rua, arā, ngā hanganga wheua kei muri o ngā tuaiwi e rua.
• ESI Whakawhiti-foraminal: Ka werohia he ngira mā roto i ngā kōhao (foramina) e puta ai ngā io i te tuaiwi, ka werohia tika te rongoā ki roto i te io mamae.
• ESI o te hiku:I tēnei mahi, ka werohia he ngira mā roto i tētahi kōhao iti (sacral hiatus) kei te pūtake o te tuaiwi, i runga ake i te papa, ā, ka werohia he rongoā ki roto i ngā io kei te pūtake.

Me pēhea taku whakarite i mua i tēnei kano kano?

Āe, me kī atu kua whakatau te tākuta ki te wero i tēnei werohanga ki a koe. He iti noa ngā mea hei whakarite māu i mua i tēnā. Mā tō tākuta koe e hoatu ki a ia ngā tohutohu mārama mō tēnei.

• Mena kei te hapu koe, kei te whakaaro rānei koe kia hapu, me whakamōhio atu ki tō tākuta.
• Kōrerotia ki tō tākuta ngā rongoā katoa e tangohia ana e koe (tae atu ki ngā huaora me ngā rongoā otaota) . Mēnā kei te tango koe i ngā rongoā whakaiti toto , pātai atu mēnā me mutu te tango i aua rongoā i ētahi rā i mua i te werohanga.
• Tērā pea ka tonoa koe kia nohopuku mō ētahi haora i mua i te werohanga.
• He maha ngā wā ka tonoa he matawai MRI, CT rānei hei whakatau i te tino pūtake o te mamae.
• Ka tonoa koe kia kawe mai i tētahi hei taraiwa i a koe ki te kāinga i te rā o te werohanga, nā te mea he uaua pea ki a koe te taraiwa i muri i te werohanga.

He aha ngā mea ka tupu i te wā e werohia ana?

I te nuinga o te wā ka mahia tēnei tikanga i roto i te hōhipera, i te tari hauora rānei. E 15-30 meneti te roa o te tikanga katoa.

1. Tuatahi, ka hoatu he kākahu whakawhiti ki a koe, ā, ka tonoa kia takoto puku koe i runga i te tēpu.

2. Kātahi ka horoia rawatia te wāhi i werohia, ka patua hoki.

3. Muri iho, hei whakaiti i te mamae o te werohanga o te ngira nui, ka whakamahia he ngira iti hei wero i te rongoā whakangote ki te wāhi. I ētahi wā, ka hoatu pea he rongoā whakangote iti hei āwhina i te whakaiti i tō mataku.

4. Kia mārō te wāhi, ka whakamahia e te tākuta tētahi mea pērā i te mīhini hihi-X (fluoroscopy) hei tirotiro kua tika te werohanga o te ngira. He mea tino nui kia kaua e nekehia tō tinana i tēnei wā.

5. Kia tae te ngira ki te wāhi epidural tika, ka werohia he iti noa te tae (he rauemi whakawhiti) hei tirotiro i tōna horapa. Mā tēnei ka āwhina kia mōhio kei te haere te rongoā ki te io tika.

6. Hei whakamutunga, ka werohia mārire te rongoā steroid.

7. Whai muri i te werohanga, ka whakakīkīhia te wāhi, ka horoia, ka tāpirihia he pāreti. Kātahi ka whakaaetia koe kia okioki mō te 30 meneti ki te kotahi hāora, ā, i muri i te whakarite kia kore he pānga taha, ka whakaaetia koe kia hoki ki te kāinga.

Tērā pea ka pāngia koe e te mamae, te ngoikore, te wera rānei ina werohia. Heoi, ki te pāngia koe e te mamae e kore e taea te pupuri, me kōrero tonu atu ki tō tākuta.

He aha ngā mea ka tupu i muri i te werohanga? He pānga taha anō kei reira?

I muri i te whiwhinga o te kano kano, ā, ka hoki ki te kāinga, he pai ake te okioki mō te rā. Tērā pea he mamae iti, he maru rānei te wāhi i hoatu ai te kano kano. He mea noa tēnei.

Pērā i ngā maimoatanga hauora katoa, tera pea ētahi mōrearea me ngā pānga taha. Heoi, he iti noa iho ēnei, ā, he tino onge ngā raruraru nui.

He aha ngā āhuatanga ohorere e hiahia ana kia toro atu ki te tākuta?

Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te whiwhinga o te kano ārai mate me te hoki ki te kāinga, me whakamōhio tonu atu ki tō tākuta, me haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera tata.

• He mamae nui te upoko e pā mai ana ina noho koe, ina tū rānei koe, ā, ka mama ake ina takoto koe.
• Te kirika.
• Te kore e taea te whakahaere i te mimi, i te tūtae rānei.
• Te ngoikore, te māuiui rānei o ngā waewae.

He mea tino nui kia mōhio koe ki ēnei, nā te mea he tohu pea ēnei o ngā mate tino onge, tino kino hoki.