He whaea, he pāpā rānei kei roto i tō whānau e pāngia ana e te mamae o te turi? Tērā pea kei te pāngia koe e tēnei mamae? E mōhio ana te hunga e mōhio ana ki te whakarihariha o te mamae o te turi e uaua ai te piki i ngā arawhata, te hikoi poto, te haere rānei ki te temepara. Ahakoa te tango i ngā rongoā me te pani i ngā hinu, i ētahi wā kāore tēnei mamae e memeha. I roto i ēnei āhuatanga, ka kōrero tātou mō tētahi tikanga maimoatanga motuhake e taunakihia ana e ngā tākuta.
He aha te Genicular Nerve Block?
He tino māmā noa iho. Ko te aukati io matua ko te werohanga i tētahi rongoā mamae tata ki ētahi io e tuku mamae ana ki tō turi. Pērā i te whakaweto i tētahi pana rama, ka whakawetohia e tēnei werohanga ngā "waea io" e kawe ana i te mamae mai i tō turi ki tō roro mō te wā poto. Mā tēnei ka whakaora koe i te mamae mō te wā poto. I ētahi wā ka roa pea tēnei whakaora.
Nā, me titiro tātou ki ngā io e karapoti ana i tēnei turi. Kua wehea te hononga o tō tātou turi ki ngā peka e ahu mai ana i ētahi io matua hei mahi tika. Ko aua io matua ko:
- io femur
- Te io peroneal noa
- te io Saphenous
- Te io tibial
- Te io obturator
Ko ngā manga iti e puta mai ana i ēnei io huri noa i te turi e kiia ana ko ngā "Ngā Io Matua." Ko te tikanga o te kupu "Ngā Io Matua" ko "e pā ana ki te turi." Ko ēnei io e tuku ana i ngā kare ā-roto o te turi, inā koa te mamae, ki te roro. Ko ēnei io Matua e aro ana ngā tākuta ki ēnei io Matua e whā ina hoatu ana tēnei werohanga.
1. Te io matua o runga o te taha (SLGN)
2. Te io matua o te pūtau (SMGN)
3. Te io inferomedial genicular (IMGN)
4. Te io inferolateral genicular (ILGN)
Engari he mea iti tēnei. E toru noa iho o ēnei e whā ka werohia e ngā tākuta. Kāore rātou e werohia te mea whakamutunga , arā, te io Inferolateral genicular (ILGN) . Ko te take o tēnā, he tata rawa te io ki te io Common peroneal, he mea nui mō te nekehanga o ō tātou waewae. Ki te werohia hē, ka puta he āhuatanga e kore ai e taea te hiki ake i te waewae, arā, he mea pēnei i te (Foot Drop) , nō reira ka karohia taua io hei haumaru.
Mā wai tēnei maimoatanga e tino tika?
E rua ngā take matua mō te whakamahi i te aukati io genicular.
1. Whakaora i te mamae o te turi mō te wā roa
Mena kua roa koe e mamae ana i te turi, he āhuatanga tēnei e kīia nei e tātou ko te (mamae turi mau tonu) . Tērā pea nā te whara o te turi tēnei, i ētahi wā rānei, ko te (Osteoarthritis Turi) , arā, ko te pakaru me te haehae o te hononga turi. Mena kua whakamātau koe i te whakaora tinana, kua tango i ngā rongoā whakamamae mamae (NSAID), ā, kua werohia tō turi ki ngā werohanga steroid, engari kāore anō kia memeha te mamae, ka tūtohu pea tō tākuta i tēnei aukati io Genicular.
Whakaarohia kua ngenge ngā turi o tō whaea, kāore e taea e ia te moe pai i te pō, ka hamama ia i te mamae. He poto noa te wā e āwhina ai te tango rongoā. Ka taea e tēnei werohanga te whakarato i te whakamarie nui ki tēnei tangata.
2. Whakahaerehia te mamae i muri i te pokanga turi
Me mahi ētahi tāngata i te Total Knee Arthroplasty , he pokanga hei whakakapi i te hononga turi katoa. Hei whakahaere i te mamae nui e puta ana i muri i tētahi pokanga nui pēnei, ka werohia tēnei e te kaiwhakamoe, e te taote pokanga rānei i mua i te pokanga. Ka hoatu tēnei hei tāpiritanga ki te whakamoe whānui.
Me aha koe i mua i te werohanga?
Kāore e nui te whakarite e hiahiatia ana mō tēnei. Heoi, i ētahi wā, ka whakatau pea tō tākuta ki te hoatu i ētahi rongoā whakamoe (he rongoā whakamoe ngawari) ki a koe. Ki te mahi koe i tēnei, ka tonoa koe kia nohopuku mō te 6 ki te 8 hāora. Ka tonoa hoki koe kia taraiwahia koe e tetahi ki te kāinga , nā te mea kāore e taea e koe te taraiwa i taua rā.
Heoi, mā tō tākuta ēnei mea katoa e whakamārama mārama ki a koe. Me whai i aua tohutohu kia tika. Kaua e wehi ki te pātai mēnā he pātai āu.
He aha ngā mea ka tupu i te wā e werohia ana? Me titiro tātou ki tēnei mahi i ia taahiraa.
Ko te tikanga, ka mahia tēnei maimoatanga i waho o te hōhipera. Ko te tikanga, kāore koe e hiahia ki te noho ki te hōhipera, ā, ka taea e koe te hoki ki te kāinga ina oti te mahi. E 5 ki te 10 meneti te roa.
| Ngā Hipanga | He aha te mea e tupu ana? |
|---|---|
| 1. Te Whakarite | Ka whakatakotoria koe ki runga i tētahi moenga motuhake me tō ringa e ara ake ana. Ka whakatakotoria he urunga iti ki raro i te turi e mamae ana, ā, ka piko paku tō turi. Ki te tika, ka werohia pea he wai tote ki roto i tō ringa hei hoatu i tētahi rongoā whakamoe. |
| 2. Te horoi kiri | Ka horoia pai te kiri huri noa i te turi ki te rongoā paturopi. |
| 3. Te ngoikore o te kiri | I mua i te werohanga matua, ka tukuna he werohanga iti (whakamamae ā-rohe) hei whakangāwari i te wāhi. I tēnei wā, tera pea ka rongo koe i te ngau iti, pērā i te ngau a te pōpokorua. |
| 4. Te kimi i te wāhi tika | Ka whakamahia e te tākuta ngā taputapu motuhake hei kimi i te wāhi tika o te io. Ka taea tēnei mā te whakamahi i te matawai ultrasound , i tētahi momo hihi-X rānei e kiia nei ko te fluoroscopy . He rite tēnei ki te titiro ki roto i tō turi mā te mata pouaka whakaata. Mā tēnei ka taea te werohanga ki te wāhi tika. |
| 5. Te werohanga matua | Kia kitea te wāhi tika, ka werohia e te tākuta ngā rongoā whakamamae tata ki ngā io. |
| 6. Te Aroturuki | I muri i te werohanga, ka tirotirohia koe mō te 15-30 meneti pea hei tirotiro mēnā kei te mahi te rongoā, ā, kāore he pānga kino atu ki a koe. Whai muri i tēnā, ka whakaaetia koe kia hoki ki te kāinga. |
He aha ngā painga o tēnei kano ārai mate?
He maha ngā painga ka puta mai i te aukati i te io matua.
- Whakamamae mamae: Ka ngaro te mamae mō te wā poto, ka ngaro rānei mō ake tonu atu, ā, ka taea e koe te mahi i ngā mahi o ia rā me te ngāwari ake .
- Te pupuhi kua whakaitihia: Ka whakaitihia te pupuhi o ngā io, ka āwhina i a rātou ki te whakaora.
- Rongoā mō te mamae i muri i te pokanga: He rongoā pai mō te mamae i muri i te pokanga turi.
- He kōwhiringa kē atu mō te hunga kāore e taea te pokanga: Mō te hunga kāore e taea te pokanga turi nā ētahi atu raruraru hauora, he kōwhiringa pai tēnei mō te whakahaere mamae.
Ko te mea nui, kāore e rite ngā hua mō te katoa. Ka kitea te whakamarie i roto i ētahi haora. Mō ētahi atu, e rua wiki pea te roa ka tino mahi te steroid. He iti noa te tūponotanga kāore ētahi e whiwhi i te whakamarie.
Mena kua tino heke tō mamae i muri i tēnei weronga, ka tūtohu pea tō tākuta i te Genicular Nerve Ablation (GNA) hei mahi e whai ake nei.Ka taea te whakaaro he maimoatanga e kiia nei ko te GNA. Ka whakamahia te auau irirangi hei whakakore i ēnei io mō te wā roa. Ko te tikanga ka taea e te maimoatanga GNA te whakaora i te mamae mō te 18 marama pea.
He tūponotanga, he raruraru rānei kei roto i tēnei?
Tērā pea ka puta he marō, he mamae rānei i te wāhi i werohia ai, engari ka memeha haere i roto i ngā rā e rua.
He onge ngā raruraru nui, engari pērā i ngā werohanga katoa, he tūponotanga kei reira me mōhio koe.
- Te mate i te wāhi i werohia ai.
- Te toto e puta mai ana i te wāhi i werohia ai.
- Te werohanga tūpono o te rongoā ki roto i te uaua toto .
- Te werohanga tūpono o te rongoā ki roto i te hononga turi .
- Ka puta te taka o te waewae (te kore e taea te hapai i te waewae) ina pakaru te io peroneal noa, i kōrerotia e tātou i mua ake nei.
He tino iti te tūponotanga o ēnei mea e puta ana nā te mea ka whakamahia e ngā tākuta ngā hangarau pēnei i ngā matawai, ā, ka tino tupato hoki te mahi i tēnei maimoatanga.
Ka taea e au te hikoi i muri i te werohanga?
Āe, ka taea e koe. Ka taea e koe te haere ki waho i te rūma i muri i te otinga o te maimoatanga. Engari he pai ake te okioki mō tētahi wā i taua rā. Kātahi ka taea e koe te hoki ki ō mahi o ia rā.
Kia pēhea te roa o tēnei whakaora mamae?
He rerekē rawa tēnei i ia tangata, i ia tangata. Tērā pea ka roa te whakamamae mamae mō ētahi rā, mō ētahi wiki, mō ētahi marama, tae noa ki ngā tau. Heoi, ko te tikanga ka roa te whakamamae mō te 3 marama pea .
Āhea ahau me waea atu ki te tākuta?
Ki te puta he tohu hou, he raruraru rānei i muri i te aukati io , waea atu ki tō tākuta tonu . Kia tūpato ki ēnei e whai ake nei:
- Mena he whero, he pupuhi, he mahana rānei te wāhi i werohia ai (he tohu mate pāwera tēnei).
- Mena ka haere tonu te toto mai i te wāhi i werohia.
- Mena ka rongo koe i te wera, te ngoikore, te ngoikore rawa rānei o ō waewae.
He otinga pai pea tēnei maimoatanga mō te mamae o tō turi. Heoi, he rerekē ngā hua i ia tangata, i ia tangata. Mena he āwangawanga, he ruarua rānei āu mō tēnei weronga, kōrero noa atu ki tō tākuta. Ka taea e ia te whakautu i ō pātai katoa.
Karere Tangohia ki te Kāinga
- Ko te Genicular Nerve Block he maimoatanga werohanga e whakaora ana i te mamae o te turi mau tonu, e tata ana ki ngā io e karapoti ana i te turi.
- He mea tino pai tēnei mō te hunga kāore anō kia whakaorangia ō rātou mamae e ētahi atu maimoatanga (rongoā, whakaora tinana) me te mamae e pā ana i muri i te pokanga turi.
- He maimoatanga māmā noa iho tēnei ka taea te whakaoti i roto i te 10 meneti noa iho, ā, ka taea e koe te hoki ki te kāinga me te kore e noho ki te hōhipera.
- Ka rerekē pea ngā hua i ia tangata, i ia tangata, ā, i te toharite, e toru marama pea ka taea te tumanako kia memeha te mamae.
- He tino iti te mōrearea o ngā raruraru, engari ki te pā mai ētahi tohu rerekē i muri i te whiwhinga o te kano ārai mate, me whakamōhio tonu atu ki tō tākuta.
- Mena he ruarua āu, kōrero ki tō tākuta i mua i te maimoatanga, kia whakatauhia ai ngā āwangawanga katoa.
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