He uaua hoki ki a koe te piki arawhata, te hikoi pakupaku, te mahi rānei i ngā mahi o ia rā nā te mamae o te turi? Kua tangohia pea e koe ngā rongoā whakamamae mamae, kua haere ki te whakaora tinana, ā, kua mahia ngā mahi maha, engari kāore anō kia memeha te mamae o tō turi. Mēnā koinā, i tēnei rā ka kōrero tātou mō tētahi maimoatanga motuhake ka tūtohu pea tō tākuta māu. Ka kiia tēnei ko te 'Genicular Nerve Block'.
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He aha te Genicular Nerve Block?
He tino māmā noa iho. Ko te aukati io genicular ko te werohanga i tētahi rongoā mamae ki roto i tētahi io motuhake huri noa i tō turi e kawe ana i te mamae ki tō roro. Mā tēnei werohanga ka whakaora wā poto i te mamae o te turi. I ētahi wā ka roa pea tēnei whakaora. I te nuinga o te wā ka mahia mā te whakakotahi i tētahi rongoā whakamoe ā-rohe me tētahi steroid.
He nui ngā io e āwhinahia ana e te hononga o tō tātou turi. O ēnei, he maha ngā peka io nui e horahia ana huri noa i te turi. Ko ēnei peka io iti e kiia nei e mātou ko ngā 'Nio Matua'. Koinei ngā io e arohia ana e ngā tākuta i roto i tēnei maimoatanga:
- Te io matua o runga-taha (SLGN)
- Te io matua o te io matua (SMGN)
- Te io inferomedial genicular (IMGN)
I tēnei maimoatanga, ahakoa he io anō pēnei (te io Inferolateral genicular - ILGN), kāore e werohia. Nā te mea kei te tata tonu ki tētahi atu io nui (te io Peroneal) he mea nui mō ngā nekehanga o ō tātou waewae, nō reira ka mahia tēnei hei ārai i te tūponotanga o te pakaru.
Āhea ka tukuna tēnei kano ārai mate?
E rua ngā take matua mō te whakamahi i te Poraka Io Matua.
1. Mamae Turi Mau tonu: Mena kua roa koe e mamae ana i te turi, inā koa nā te mate pēnei i te Osteoarthritis Turi, ā, ki te kore te mamae e whakahaeretia e ngā maimoatanga paerewa (pēnei i ngā rongoā whakamamae mamae me te whakaora tinana), ka tūtohu pea tō tākuta i tēnei werohanga.
2. Mō te mamae i muri i te pokanga turi: Ka whakamahia e ngā tākuta whakamoe tēnei werohanga hei whakahaere i te mamae nui i mua atu, ā, i muri hoki i te pokanga turi nui, pērā i te pokanga turi katoa. Ka hoatu tēnei hei tāpiri atu ki te whakamoe whānui.
Ko te mea nui, ehara tēnei i te otinga kotahi mō te katoa. Ko tō tākuta anake hei whakatau mēnā he tika tēnei maimoatanga māu.
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Check Availability →Me aha koe i mua i te maimoatanga?
Kāore e nui te whakarite e hiahiatia ana mō tēnei. Heoi, i ētahi wā, ka whakatau pea tō tākuta ki te hoatu i tētahi rongoā whakangāwari hei āwhina i a koe kia marino, arā, ka hiamoe koe. I tēnei wā, ka tohutohuhia koe kia kaua e kai, e inu rānei i tētahi mea mō ngā haora 6-8 i mua i te maimoatanga. He mea nui anō hoki kia whai tangata hei taraiwa i a koe ki te kāinga i muri i te maimoatanga.
Heoi, ka hoatu e tō tākuta he tohutohu mārama ki a koe mō tēnei. Me whai i aua tohutohu kia tika. Kaua e wehi ki te pātai i ō pātai.
He aha ngā mea ka tupu ina whiwhi koe i te werohanga?
He tikanga iti tēnei e mahia ana i te wāhi tūroro o waho, kaua i te hōhipera. Ko te tikanga ka taea e koe te hoki ki te kāinga i muri tata mai i te werohanga. Anei ngā mea ka tupu i te wā e rongoatia ana:
- Ka meinga koe kia takoto ki runga i tētahi moenga motuhake, me te whakanoho i tētahi urunga iti ki raro i te turi e mamae ana, ā, me piko paku tō turi.
- Tērā pea ka hoatu he rongoā ki a koe mā te raina IV hei āwhina i a koe kia marino.
- Kātahi ka horoia rawatia e te tākuta te kiri o tō turi ki te wai patu paturopi.
- Muri iho, ka werohia he iti o te rongoā whakamoe ā-rohe hei whakangāwari i te wāhi e werohia ana. I tēnei wā, tera pea ka rongo koe i te ngau iti i te wā e werohia ana te ngira.
- Kātahi ka kitea e te tākuta te wāhi tika o te io hei werohanga i te rongoā mā te whakamahi i tētahi mīhini matawai motuhake pērā i te ultrasound, te fluoroscopy rānei .
- Hei whakamutunga, ka werohia te rongoā kia tata rawa atu ki taua io.
E rima ki te tekau meneti noa iho te roa o te tukanga katoa. Whai muri i tēnā, ka taea e koe te okioki mō tētahi wā, ka hoki ki te kāinga.
| Ngā wāhanga o te maimoatanga | Whakaahuatanga |
|---|---|
| Te whakarite | Kāore he whakaritenga motuhake e hiahiatia ana. Mena ka tukuna he rongoā whakamoe māmā ki a koe, me nohopuku koe mō ngā haora 6-8. |
| Te maimoatanga | Ka horoia te turi, ka werohia he werohanga whakangoioi, ā, ka werohia te rongoā mamae tata ki te io tika mā te whakamahi i te hangarau matawai. (5-10 meneti) |
| I muri i te maimoatanga | Okioki mō te 15-30 meneti, kātahi ka hoki ki te kāinga mēnā kāore he pānga taha. He mea tika kia okioki mō te rā. |
He aha ngā painga me ngā mōrearea o tēnei?
Ngā Painga
He maha ngā painga ka taea te whiwhi mai i tēnei maimoatanga:
- He whakaora mamae mō te wā poto, mō te wā roa rānei , kia māmā ake ai te mahi i ngā mahi o ia rā.
- Ka whakaitihia te pupuhi o ngā io e puta ai te mamae, ā, ka āwhina i a rātou ki te ora.
- Te whiwhi i te whakaoranga pai mai i te mamae i muri i te pokanga.
- He kōwhiringa pai tēnei mō te whakahaere mamae mō te hunga kāore e taea te mahi pokanga turi nā ētahi atu raruraru hauora.
Ngā Tūponotanga
Pērā i ngā tikanga hauora katoa, kei reira ētahi mōrearea, engari he onge ngā raruraru nui.
- Tērā pea ka puta he pupuhi, he maru rānei i te wāhi i werohia ai. Ka memeha haere tēnei i roto i te rā kotahi, e rua rānei.
- He onge noa iho ngā mea ka puta:
- Te mate i te wāhi i werohia ai.
- Te toto e puta mai ana i te pae.
- Te werohanga tūpono o te rongoā ki roto i te uaua toto.
- Te werohanga tūpono i te rongoā ki roto i te hononga turi.
- I ētahi wā, mēnā ka pā te rongoā ki tētahi atu io tata (te Io Peroneal Common), ka puta he āhuatanga e kiia nei ko te 'foot drop' , e kore ai e taea te hiki i te waewae mai i te pona.
Kia pēhea te roa o te pānga o te kano kano?
He raruraru tēnei e pāngia ana e te tini tāngata. Ina hoki, he rerekē te whakaoranga mai i tēnei i ia tangata, i ia tangata. Tērā pea ka pāngia ētahi mō ētahi rā, ko ētahi mō ngā wiki, mō ngā marama, mō te tau rānei. I te toharite, e toru marama pea te roa o te whakaoranga. Heoi, tērā pea kāore ētahi e pāngia e te whakaoranga.
He mea nui, ki te pai te whakamamae i te mamae i tēnei werohanga, ka tūtohu pea tō tākuta i tētahi maimoatanga e kiia nei ko te Genicular Nerve Ablation (GNA) hei taahiraa e whai ake nei. Mā tēnei ka aukati i ēnei io i te tuku tohu mamae mō te wā roa. Ka taea e te maimoatanga GNA te whakarato i te whakamarie roa mō te 18 marama.
Āhea ahau me kite i te tākuta?
I muri i te whiwhinga o te kano ārai mate, ki te puta he tohu hou ki a koe, hei tauira, he tohu mate pēnei i te pupuhi, te whero, te pupuhi rānei i te wāhi i werohia ai, ki te pāngia rānei koe e te wera rerekē, te ngoikore, te ngoikore rānei , me whakamōhio tonu atu ki tō tākuta.
Mena he āwangawanga, he ruarua rānei āu mō tēnei maimoatanga, kōrero noa ki tō tākuta. Māna e whakautu ō pātai katoa.
Karere Tangohia ki te Kāinga
- Ko te aukati io genicular he werohanga whakamamae mamae e werohia ana tata ki ngā io huri noa i te turi hei whakahaere i te mamae o te turi.
- Ka whakamahia nuitia tēnei mō te mamae turi mō te wā roa, me te mamae hoki i muri i te pokanga turi.
- He tino tere te maimoatanga (5-10 meneti) ā, kāore e hiahiatia he noho ki te hōhipera.
- He rerekē te roa o te wā e pau ana ki te whakamamae i te mamae i ia tangata, i ia tangata. Tērā pea ētahi tāngata kāore e kite i tētahi whakamarie.
- He tino onge ngā pānga taha kino, engari ki te pāngia koe e ētahi tohu rerekē, whakapā atu ki tō tākuta tonu atu.
- Ko tō tākuta anake te hunga e whakatau ana mēnā he tika tēnei maimoatanga māu.
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