Te Ārai i te Io Femur - Me kōrero tāua mō tēnei?

Whakaarohia kei te tata koe, kei te tata rānei tētahi e mōhio ana koe ki te pokanga i tō waewae, inā koa tō turi, tō huha rānei. Mēnā rānei, he mate ohorere tōu, ā, he whati te wheua huha. I tēnei rā ka kōrero tātou mō tētahi tikanga motuhake e whakamahia ana e ngā tākuta hei whakahaere i te mamae nui e pā ana ki a koe i tētahi wā pēnei. Ka kiia tēnei ko te 'Femoral Nerve Block'. Tērā pea ka mataku koe ina rongo koe mō tēnei, engari he tikanga tino haumaru, ā, he tikanga e whakamahia whānuitia ana.

He aha te mea he aukati io femur i roto i ngā kupu māmā?

He whakarāpopototanga noa iho tēnei, he werohanga tēnei o tētahi rongoā whakamamae mamae ki roto i te rohe o tō huha e kiia nei ko te io femoral. Ka taea e tēnei te whakaora i te mamae mō te wā poto (analgesia) te whakangāwari rānei i te rohe mō te pokanga (anesthesia rohe). Ka taea tēnei te werohanga kotahi noa iho, ka taea rānei te hoatu mō tētahi wā.

Ko tētahi o ngā io nui rawa atu o tō waewae ko te io femoral . Ka rere iho i te taha mua o tō huha. E rua ngā mahi matua o 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 tairongo: e āhei ai koe ki te rongo i ngā mea pēnei i te pā, te mamae, te wera, me te makariri.

Ina āraia te io o te femur, ka āraia ngā tohu mamae ki tō roro mō te wā poto. Heoi anō, tera pea ka pāngia koe e te ngoikore o ō uaua piko o te huha me te hope i te wā e whai hua ana te rongoā.

Āhea te wā e tukuna ai tēnei kano ārai mate?

E rua ngā wā e whakamahia ai tēnei tikanga e ngā tākuta: hei whakangāwari i te wāhi i te wā e pokanga ana, me te whakahaere i te mamae i ngā wā ohorere.

I ētahi pokanga, ka whakatau pea ngā tākuta ki te whakakotahi i tēnei aukati me ētahi atu momo aukati io (hei tauira, te aukati sciatic) me te rongoā whakamoe whānui rānei.

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Me pēhea te puta o tēnei tukanga?

Kāore he mea hei manukanuka, hei wehi rānei. Koinei te āhua o tēnei tukanga.

• Tuatahi, ka meinga koe kia takoto ki runga i te moenga.
• Tērā pea ka hoatu he rongoā whakamoe ki a koe mā te raina IV hei āwhina i a koe kia marino, kia ngawari hoki te moe.
• Ka aroturukihia tō hauora e te tīma hauora puta noa i te tikanga, tae atu ki te aroturuki i ō taumata hāora (me te whakamahi i te pulse oximeter), te tere o te manawa (me te EKG), me te toto totoka.
• Muri iho, ka kitea e te tākuta te wāhi tika hei werohanga. Tērā pea ka mahia tēnei mā te whakamahi i tētahi matawai ultrasound .
• I ētahi wā ka taea te whakamahi i tētahi mīhini iti e kiia nei ko te whakaoho io. Ka whakamahia he ngira iti e whakanohoia ana ki te taha o te io, ka tukuna he tohu hiko, kia taea ai e te tākuta te tohu i te wāhi tika o te io ina wiri ngā uaua o te turi.
• Kātahi, i mua i te werohanga o te aukati io, ka werohia he iti o te rongoā hei whakangāwari i te wāhi . Nō reira, kāore koe e tino mamae, ā, tera pea ka pāngia koe e te mamae ina werohia te ngira.
• Hei whakamutunga, ka werohia te rongoā aukati io ki te wāhi tika kua tohua. Mena e hiahiatia ana te whakahaere tonu, ka whakatakotoria he ngongo angiangi, ngāwari e kiia nei ko te catheter ki te taha o te io, ā, ka herea ki te kiri mā te whakamahi i te pāreti.

He aha ngā painga me ngā mōrearea?

Pērā i ngā maimoatanga hauora katoa, he painga anō kei reira, engari he tino onge hoki ngā tūponotanga.

Ngā Painga Matua

Ko te painga nui o tēnei tikanga ko tōna kaha ki te whakahaere i te mamae nui i puta mai i ngā pokanga me ngā aituā.

• Te iti iho o te whakamahi i ngā rongoā whakamamae kaha:Ka whakaitihia e tēnei tikanga te whakawhirinaki ki ngā rongoā whakamamae mamae kaha pērā i te morphine (Opioids). He āwhina nui tēnei ki te karo i ngā pānga taha o ngā opioids, ka taea hoki te whakawara.
• Te āheinga ki te wehe wawe i te hōhipera: Nā te mea kua pai te whakahaere i te mamae, ka taea pea e koe te hoki wawe ki te kāinga i te hōhipera.

Ngā Mōrearea Onge

He tino onge ēnei mea, engari he mea nui kia mōhio.

• Te kino o te io mō te wā poto, mō te wā tuturu rānei.
• Te uruparenga mate pāwera ki te rongoā.
• Te hanganga o te toto totoka (hematoma) i te wāhi i werohia ai.
• Te mate i te wāhi i werohia ai.
• Mōrearea o te hinganga: He mea tēnei hei tūpato māu. Nā te mea ka ngoikore ngā uaua o te huha i te aukati, he nui ake te mōrearea o te hinganga ina tū ake koe, ina hikoi hoki i muri i te pokanga. Nō reira, mā te tīma hauora koe e ako ki te ārai i te hinganga.
• He tino onge te paitini pūnaha whakangote ā-rohe engari he tino kino pea. Kaua e manukanuka , kua tino rite tō tīma hauora ki te rongoā mēnā ka puta.

Kia pēhea te roa o tēnei ngoikore?

Ka rerekē te roa o te korekore o te ngākau i ia tangata, i ia tangata. He maha ngā āhuatanga e pā ana ki tēnei. Hei tauira, ko te momo rongoā e whakamahia ana, tōna horopeta, me tōna kaha e whakatau ana i te roa o tōna noho. I runga i tō āhuatanga, ka taea e koe te tiki whakaaro mārama mō tēnei mai i tō tākuta.

I ētahi wā, kāore pea tēnei aukati e tino whai hua e ai ki te mea e tumanakohia ana. Mēnā ka tupu tēnei, ka āwhina tō rōpū hauora i a koe ki te kimi huarahi kē atu hei whakahaere i tō mamae.

Ahea te wā me waea atu ahau ki te tākuta?

Ki te puta he tohu hou, he raruraru rānei i muri i te aukati, waea atu ki tō tākuta tonu . Kia tūpato ki ēnei e whai ake nei:

• Ngā tohu o te mate (pupuhi, whero, kirika) i te wāhi i werohia ai.
• Ngā raruraru io (mamae rite ki te wera, ngoikore tonu, ngoikore rānei).