Kia ako tātou i ngā mea katoa e pā ana ki te werohanga motuhake mō te mamae o te huha (Poraka io femoral)

Kei te tata koe ki te pokanga i tō hope, i tō turi rānei? Kei te mamae rawa rānei koe nā te aituā pēnei i te whati o te waewae? Kātahi pea kua kōrero mai tō tākuta ki a koe mō te "Poraka io Femoral." Ahakoa he ahua whakamataku te ingoa, he tikanga tino whai hua, he tikanga haumaru hoki tēnei mō te whakahaere mamae. Me kōrero noa tātou i tēnei rā.

He aha te Ārai i te Io Femur?

He whakarāpopototanga noa iho, ko te Poraka Nerve Femoral he werohanga i tētahi rongoā whakamamae mamae e tata ana ki tētahi io nui i roto i tō huha. Ka kiia tēnei io ko te 'nerve femoral'. Ko tētahi tēnei o ngā io nui rawa atu i roto i tō waewae. Pērā i ngā waea hiko i roto i ō tātou kāinga, ka haria e tēnei io ngā karere mai i tō waewae ki tō roro, ā, hoki atu ki tō waewae.

E rua ngā mahi matua a tēnei io:

1. Mahi nekeneke: Āwhina i a koe ki te neke i ō hope, ō waewae, ō pona waewae, me ō waewae.

2. Te mahi a te pūoro: Te āheinga ki te rongo i ngā mea pēnei i te pā, te mamae, te wera, me te makariri.

Whakaarohia inaianei ka werohia e te tākuta he rongoā whakangote tata ki tēnei io. Ko te mea ka tupu, pērā i te whakaweto i te pana hiko , ka mutu ngā tohu mamae e haere ana i roto i taua io ki te roro mō te wā poto. Koinei te mea e kiia nei e tātou ko te "analgesia" me te "anesthesia rohe". Kāore koe e rongo i te mamae i te wā e pā ana te rongoā. Waihoki, ka ngoikore pea ngā uaua o taua wāhi mō te wā poto.

Kei hea tēnei kano ārai mate e tukuna ana?

Ko te tikanga ka tukuna tēnei werohanga ki waenganui o tō huha o runga, e tata ana ki tō hope. Nō tētahi rōpū io tō uaua femur e tīmata ana i tō tuara o raro (te 'lumbar plexus'). Nō reira, ka hoatu e tō tākuta tēnei werohanga mā te rapu i te wāhi tika i te ara e heke iho ai te io i tō huha.

He aha ngā whakamahinga o te Poraka Io Femoral?

E rua ngā āhuatanga e whakamahia ai tēnei tikanga. Ko tētahi hei whakangāwari i te mamae mō te pokanga, ā, ko tētahi hei whakahaere i te mamae mēnā ka pā mai he aituā.

Whakaarohia te hinganga o tētahi, ā, whati ana tōna hope. Ina haria rātou ki te Tari Urutā (ETU) o te hōhipera, ka tangohia he hihi-X, ā, mā te neke i tōna waewae ka mamae rawa. I roto i ēnei āhuatanga, ka whakamahia e ngā tākuta tēnei aukati io hei whakangāwari ake i te tirotiro i te tūroro me te whakahoki anō i te wheua whati.

Me pēhea te whakarite mō tēnei?

Ka rerekē te āhua o tāu whakarite mō tēnei mea, i runga i te take i tukuna ai tēnei aukati io ki a koe.

• Mena he āhuatanga ohorere: Kāore koe e hiahia ki te whakarite i tetahi mea motuhake. Mā te tīma hauora o te ETU e tiaki ngā mea katoa e hiahiatia ana e koe.
• Mō te pokanga kua whakaritea: Ka hoatu e tō tākuta he tohutohu motuhake ki a koe. Hei tauira, ka tonoa pea koe kia nohopuku (kaua e kai, kaua e inu i tetahi mea engari ko te wai anake) mō ētahi haora i mua i te pokanga. Ka tonoa pea koe kia mutu te tango i ētahi rongoā mō te wā poto. He mea tino nui kia whai tika koe i ēnei tohutohu.

Ka aha ina tukuna tēnei aukati io?

Māku e whakamārama atu ki a koe te āhua o tēnei tukanga.

1. Tuatahi, ka meinga koe kia takoto pai ki runga i te moenga.

2. Hei whakaiti i tō wehi me tō manukanuka, hei āwhina hoki i a koe kia marino, ka taea te hoatu he iti o te rongoā whakamoe (`sedative`) mā te cannula saline (`IV line`) i roto i tō ringa.

3. I roto i tēnei wā, ka aroturukihia tō hauora e te tīma hauora. Ka haere tonu tā rātou ine i ngā mea pēnei i te taumata hāora o tō toto (pulse oximeter), te tere o te manawa (EKG), me te toto toto.

4. Muri iho, ka kitea e te tākuta te wāhi tika o te io femoral. He maha ngā wā ka mahia tēnei mā te whakamahi i tētahi mīhini ultrasound . Pērā i te matawai pēpi, ka taea e tēnei mīhini te kite mārama i te io i roto i tō waewae. I ētahi wā ka whakamahia he whakaoho io.Ka whakamahia hoki e rātou tētahi taputapu e kiia nei ko te whakaohooho. Ko te mea e tupu ana i konei ko te tuku i ngā tohu hiko iti rawa ki te io mā roto i tētahi ngira iti. Kātahi ka nekeneke ngā uaua o tō turi. Mā tēnā ka taea e te tākuta te whakaū ko te io tika.

5. Kia kitea te wāhi tika, ka werohia tuatahitia he rongoā iti hei whakangāwari i te wāhi e werohia ai te ngira ārai io. Mā tēnei ka ārai i a koe i te mamae nui. Tērā pea ka rite ki te werohanga iti.

6. Hei whakamutunga, ka werohia te rongoā matua ki te taha tonu o te io. I ētahi wā, kotahi noa te werohanga. Engari ki te hiahia koe ki te whakahaere tonu i te mamae i muri i te pokanga, ka whakauruhia he ngongo angiangi, ngāwari hoki e kiia nei ko te catheter ki roto i te wāhi, ā, ka whakapirihia ki te kiri mā te whakamahi i te pāreti. Kātahi ka taea e te ngongo te tuku haere i te rongoā ki roto i te tinana mā te iti haere.

He aha ngā painga o tēnei?

Ko te painga matua o te aukati io femoral ko tōna kaha ki te whakahaere i te mamae me te tino whai hua.

Hei tāpiritanga, tētahi atu painga nui. Arā, ka taea te whakaiti i te whakamahinga o ngā rongoā mamae kaha i roto i te rōpū 'opioid' (hei tauira, morphine, tramadol). Nā te mea he tūponotanga ka waranga ēnei rongoā 'opioid', ā, ka pāngia pea e ngā pānga taha pērā i te whakapairuaki, te ruaki, me te mate puku, he mea tino pai te whakaiti i te whakamahinga. Nā te aukati io nei, tera pea ka taea e koe te hoki wawe atu ki te kāinga i te hōhipera.

He tūponotanga, he raruraru rānei kei reira?

Pērā i ngā maimoatanga hauora katoa, he iti noa iho ngā mōrearea. Engari he tino onge ēnei. Arā, kāore e tino puta pinepine. Engari he mea nui kia tūpato.

• Te pakaru o ngā io: Ka noho rangitahi pea tēnei, ka noho pumau rānei, he onge noa iho.
• Te uruparenga mate pāwera ki te rongoā.
• Hematoma: Ka kohia he toto iti i raro i te kiri i te wāhi i uru ai te ngira.
• Te mate urutā.
• Te Paitini Pūnaha Whakamamae ā-Rohe: He tino onge tēnei tauhohenga engari he kino ki ngā rongoā whakamamae ā-rohe. Kaua e manukanuka, kei te rite tō tīma hauora ki te rongoā i ngā wā katoa.

Kia pēhea te roa o tēnei ngoikore?

Ka rerekē te roa o tēnei ngoikore i ia tangata, i ia tangata. He maha ngā āhuatanga e pā ana ki tēnei. Ka whakatauhia tēnei wā e ngā mea pēnei i te momo rongoā e whakamahia ana, tōna nui, me tōna kukū. I te nuinga o te wā ka roa mai i ētahi haora ki te 24 haora pea. I runga i tō āhua, ka taea e koe te pātai atu ki tō tākuta mō ētahi atu kōrero mō tēnei.

Ahea te wā me waea atu ahau ki te tākuta?

I muri i tō hokinga atu i te hōhipera, ki te puta he tohu hou, he raruraru rānei e pā ana ki te aukati io , waea atu ki tō tākuta tonu atu.

Kia tino tupato ki ēnei mea:

• Mena he pupuhi, he whero, he pūhā rānei kei te wāhi i werohia ai (he tohu mate pea ēnei).
• Mena kei te mamae tonu tō waewae, kei te ngoikore rānei, pērā i te werawera .

He huarahi tino pai, he huarahi haumaru hoki te aukati i te io femur hei whakahaere i te mamae. Mena kei a koe tonu ētahi āwangawanga, ētahi ruarua rānei mō tēnei mea, kōrero noa ki tō tākuta. Māna e whakautu ō pātai katoa.