Tērā ētahi momo mamae i te puku o raro, i te hope rānei, kāore e ngawari te memeha ahakoa te rongoā. I ētahi wā, kāore e taea te whakamanawanui i tēnei mamae. Mena kei te pāngia koe e tēnei raruraru, i tēnei rā ka kōrero tātou mō tētahi maimoatanga motuhake mōna. Ko te 'Hypogastric Plexus Block' te ingoa.
He aha te Poraka Plexus Hypogastric?
He werohanga motuhake tēnei mō te whakamamae mamae. Whakaarohia he rite ki te pūnaha io kei a koe e kawe ana i ngā karere mamae mai i tō puku o raro ki tō roro. Ko tāu mahi i roto i tēnei maimoatanga he werohanga i tētahi rongoā ki roto i tēnei paihere io kei raro i tō tuaiwi (e kiia ana ko te Hypogastric Plexus) .
Ina tukuna tēnei werohanga, ka āraia ngā mōhiohio mamae mai i aua io ki te roro mō te wā poto, mō te wā roa rānei . He rite ki te whakaweto i te pana mamae. Ka tino whakaitihia te mamae i roto i tō puku o raro me te rohe hope. I ētahi wā ka whakaorahia e te werohanga kotahi, i ētahi wā ka taea te hoatu i ētahi werohanga ina hiahiatia.
He aha ngā momo matua o tēnei maimoatanga?
I runga i te pūtake o tō mamae, mā tō tākuta e whakatau te wāhi hei werohanga. E rua ngā momo matua.
| Momo maimoatanga | Te wāhi me te whakamārama |
|---|---|
| Poraka Plexus Hypogastric Pai Rawa | I tēnei mahi, ka werohia te pito o runga o te pakiaka io i tō tuara o raro. |
| Poraka Plexus Hypogastric o Raro | Ka tukuna te kano kano ki te wāhanga o raro o te taurakira e tata ana ki tō wheua hiku. |
He aha te momo mamae ka rongoāhia e tēnei kano kano?
Ko te nuinga o tēnei maimoatanga he whakahaere i te mamae tonu i roto i tō puku o raro me te rohe hope. Kei roto i tēnei ko te mamae i roto i ō whekau e whai ake nei:
- tōngāmimi
- Koroni
- Ngā whekau o raro
- Te repeure, ngā testicle rānei
- Te kōpū, ngā ovaries rānei
Ko tēnei maimoatanga e taunakitia ana mō te mamae roa e uaua ana ki te whakahaere mā te rongoā whakamamae waha. He otinga tino whai hua tēnei mō te mamae e puta mai ana i ngā āhuatanga hauora e whai ake nei:
| He āhuatanga hauora ka pā te mamae |
|---|
| Matepukupuku |
| Te endometriosis |
| Ngā kino i puta mai i ngā mea pēnei i te pokanga, te rongoā irahiko rānei |
| Interstitial Cystitis - he mate mamae o te pūkahukahu |
| Te Mate Puku Whakararuraru (IBS) |
| Te Mate Mamae Rohe Matatini Pelvic |
| Te Mate Mumura o te Pelvic (PID) |
Me pēhea taku whakarite i mua i te maimoatanga?
Ka hoatu e tō tākuta ētahi tohutohu hei whai māu i mua i tēnei maimoatanga. Ko ngā tohutohu matua ko:
- Kaua e kai, e inu rānei i te nuinga o te wā mō ētahi haora i mua i te maimoatanga .
- Me mutu pea te tango i ētahi rongoā kua tangohia e koe (ina koa ko ngā rongoā whakaiti toto) i runga i te tohutohu a tō tākuta. Kaua rawa e tīmata, e mutu rānei te tango i tētahi rongoā me te kore e kōrero tuatahi ki tō tākuta.
- Nā te mea kāore e taea e koe te taraiwa i muri i te maimoatanga, he mea nui kia whakaritea he tangata hei kawe i a koe ki reira, ki te hoki ki te kāinga.
- Mā ngā Tākuta Whakahaere Mamae Wawao tēnei maimoatanga e whakahaere, nō reira ka taea e koe te pātai atu ki a rātou i ō pātai katoa.
Kia ako tātou i ia taahiraa me pēhea te mahi a te maimoatanga.
He maimoatanga ā-waho tēnei, arā, kāore koe e hiahia ki te noho ki te hōhipera. Koinei te tikanga o te tukanga katoa.
| Ngā Hipanga | He aha te mea e tupu ana? |
|---|---|
| 1. Whakamarie | Ka hoatu he rongoā whakamoe mā roto i tētahi cannula e whakanohoia ana ki roto i tētahi uaua i tō ringa. Kāore koe e moe, engari ka marino koe. |
| 2. Tū tika | Ka hurihia koe, ka meinga kia takoto ki runga i tō puku i runga i tētahi moenga motuhake kua whakamaua ki tētahi mīhini hihi-X. |
| 3. Te ngoikore o te rohe | Ka horoia pai te wāhi o raro o te tuara e werohia ai, ā, ka werohia he rongoā whakamoe iti hei whakangāwari i te kiri. |
| 4. Arataki hihi-X | I a ia e titiro ana ki te mata X-ray, ka tino āta whakaurua e te tākuta ngā ngira e rua ki te wāhi tika o te pakiaka io. |
| 5. Whakaū i te tauwāhi | Hei whakaū kei te wāhi tika ngā ngira, ka werohia he tae motuhake (tae rerekē) ā, ka tirohia mā te hihi-X. |
| 6. Te werohanga i te rongoā | Kia whakaūtia te wāhi, ka werohia he rongoā mamae (he rongoā whakangote me/he steroid rānei). |
| 7. (Mēnā e tika ana anake) | Mō te mamae nui i puta mai i ngā āhuatanga pēnei i te mate pukupuku, ka taea te werohanga i tētahi matū pēnei i te waipiro, i te phenol rānei hei whakangaro katoa i ngā io, hei whakaora hoki mō te wā roa. |
E 30 meneti pea te roa o te tukanga katoa. Whai muri i tēnā, ka tirotirohia koe mō te 30 meneti pea, ā, ka taea e koe te hoki ki te kāinga i roto i te haora pea.
He aha ngā mea hei tumanakohia i muri i te maimoatanga?
I muri i te maimoatanga, tera pea ka paku mahana, ka "rerekē" rānei tō hope. He mea noa tēnei. Ka tīmata te nuinga o te tangata ki te rongo i te hekenga o te mamae i roto i te 30 meneti i muri i te werohanga.
Tērā pea ka puta he marō, he mamae iti rānei i te wāhi i werohia ai mō ngā rā e rua, e toru rānei. He mea noa tēnei. Heoi, ki te pāngia koe e te mamae e kore e taea te tohe, whakamōhio atu ki tō tākuta tonu.
He aha ngā painga me ngā mōrearea?
Ko te painga matua ko te whakamamae i te mamae o tō puku o raro, o tō hope rānei. Ka āwhina hoki ki te whakaiti i te auau o te whakamahi i ngā rongoā whakamamae ā-waha.
Kia maumahara, he tino iti te mōrearea o ngā raruraru mai i tēnei maimoatanga. Heoi, pērā i ngā maimoatanga hauora katoa, tera pea he iti noa ngā mōrearea.
I roto i ngā raruraru ka taea:
- Te uruparenga mate pāwera ki ngā rongoā e whakamahia ana.
- Te toto.
- Te mate urutā (te kirika, te pupuhi nui, te mamae nui rānei i te wāhi i werohia).
- Te kino ki ngā whekau e karapoti ana, ki ngā oko toto rānei.
- Te kino ki ētahi atu io i waho o te pakiaka io.
Te wā whakaora me te wā whakamamae mamae
I muri i te maimoatanga, me hoki koe ki te kāinga ka okioki pai. Kaua e mahi i ngā mahi uaua mō ngā haora 24. Ka taea e koe te hoki anō ki ō mahi o ia rā i te rā e whai ake nei. Tīmata anō i ngā rongoā katoa i mutu i tangohia e koe i runga i ngā tohutohu a tō tākuta.
Ko te roa o te whakamamae i te mamae e whakawhirinaki ana ki te rongoā e whakamahia ana.
- Mena he rongoā whakangote anake te mea e whakamahia ana, ka roa te whakaora mō ētahi haora, mō ētahi rā rānei .
- Mena ka whakamahia he rongoā steroid, ka roa pea te whakaora mai i ētahi wiki ki ētahi marama .
I runga i tō āhua, me werohanga pea koe kia maha ngā wā kia puta ai ngā hua pai rawa atu. Mā tō tākuta tēnei e whakamārama ki a koe.
Āhea koe me kōrero ki te tākuta?
Waea atu ki tō tākuta tonu mēnā ka puta ngā tohu e whai ake nei:
- Mena ka piki ake te mamae, kaua e heke iho, kāore rānei e heke iho.
- Mena ka pāngia koe e ngā pānga taha pēnei i te kirika, te pupuhi nui i te wāhi i werohia ai, te mamae nui rānei e kore e taea te pupuri .
- Ki te mea kei te ngoikore koe i ō waewae .
Ka pā nui te noho me te mamae tonu ki tō hauora hinengaro me tō hauora tinana. Nō reira, kāore he take e "manawanui ai" koe ki te mamae. Ki te kore koe e whiwhi whakaoranga mai i ngā maimoatanga auau, kōrero ki tō tākuta mō ēnei momo maimoatanga motuhake, ā, whiriwhiria te otinga e tika ana māu.
Karere Tangohia ki te Kāinga
- Ko te Poraka Plexus Hypogastric he maimoatanga werohanga motuhake e whakamahia ana hei rongoā i te mamae nui o te puku o raro me te rohe hope e uaua ana ki te whakahaere mā ētahi atu maimoatanga.
- He maimoatanga tino haumaru tēnei ka taea te whakaoti i roto i te 30 meneti noa iho, ā, kāore e hiahiatia kia noho ki te hōhipera.
- He mea tino nui kia whai i ngā tohutohu a te tākuta (pēnei i te karo i te kai me te inu, te whakarite i te kawe waka) i mua i te maimoatanga.
- Ka rerekē pea te roa o te whakamamae i te mamae i runga i te tangata me te rongoā e whakamahia ana.
- Ki te piki ake te mamae i muri i te maimoatanga, ki te puta rānei ngā tohu rerekē pēnei i te kirika, te pupuhi rānei, me whakamōhio tonu atu ki tō tākuta.
- Kaua e noho puku noa i te mamae tonu. Kōrero ki tō tākuta mō ngā kōwhiringa whakahaere mamae e wātea ana.
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