I ētahi wā, he tino kino te mamae o te puku o raro me te hope, ā, he uaua ki te kōrero. Kei te raru koe i te mamae tino kino, ā, he uaua ki te mahi i ngā mahi o ia rā ahakoa te rongoā? I tēnei rā ka kōrero tātou mō tētahi tikanga maimoatanga motuhake hei whakahaere i tēnei momo mamae roa. Ko te 'Hypogastric Plexus Block' te ingoa.
He aha te aukati o te plexus hypogastric?
He whakarāpopototanga noa iho tēnei, he werohanga motuhake tēnei hei whakahaere i te mamae. Kei roto i tō tātou tuara o raro, he paihere io, he wāhi e huihui ai ngā io maha e kawe ana i ngā tohu mamae e pā ana ki te puku o raro me te rohe hope ki te roro. Ka kiia tēnei ko te 'Hypogastric Plexus'.
Whakaarohia he rite ki tētahi pou waea nui me ētahi waea e hono ana ki a ia. Ko ngā tohu mamae katoa e puta mai ana i tō puku o raro, i tō kōpū, i tō pūkahukahu, i ngā whekau huri noa rānei ka haere ki tō roro mā roto i tēnei paihere io. Nō reira, ko tāu mahi i roto i tēnei maimoatanga, ka whakamahia e koe he hihi-X hei kimi i te wāhi tika o taua paihere io, ā, ka werohia e koe he rongoā ki roto. Mā tēnei rongoā ka moe ngā io e kawe ana i ngā tohu mamae mō te wā poto, mō te wā roa rānei. Ko te tikanga ka mutu te haere o ngā tohu mamae. Koinei te mea e kiia nei e mātou he 'aukati'.
He aha ngā momo mamae e whakamahia whānuitia ana tēnei maimoatanga?
Ko te tikanga, ka tūtohu ngā tākuta i tēnei maimoatanga mō te hunga e pāngia ana e te mamae pūmau o te hope, he uaua ki te whakahaere mā te whakamahi i ngā rongoā whakamamae waha. He tino whai hua tēnei mō te mamae i ngā wāhi e whai ake nei:
- tōngāmimi
- Koroni
- Te kōpū, ngā ovaries rānei
- Te repeure, ngā testicle rānei
Kei te ripanga i raro nei ētahi āhuatanga hauora e hiahiatia ana tēnei maimoatanga.
| Āhuatanga hauora | Whakaahuatanga |
|---|---|
| Matepukupuku | Te mamae nui i puta mai i te mate pukupuku o te puku. |
| Te endometriosis | Te mamae nui, te mamae mau tonu o te hope i roto i ngā wāhine. |
| Te mate pukupuku o te pokapū | He āhua mamae i roto i te pūkahukahu. |
| Te mamae i muri i te pokanga, i te rongoā irahiko rānei | Te mamae roa i muri i te pokanga puku, i te rongoā irahiko rānei. |
| Ētahi atu mate pūmau | Te mamae i puta mai i ngā āhuatanga pēnei i te Irritable Bowel Syndrome (IBS) me te Pelvic Inflammatory Disease. |
Me pēhea taku whakarite i mua i te maimoatanga?
Ki te whiwhi koe i tēnei maimoatanga, ka hoatu e tō tākuta he huinga tohutohu motuhake ki a koe. Ko ngā tohutohu matua ko:
- Ka tonoa koe kia kaua rawa e kai me te inu mō ētahi haora i mua i te maimoatanga.
- Me mutu pea te tango i ētahi rongoā e tangohia ana e koe (ina koa ko ngā rongoā whakaiti toto pēnei i te Aspirin me te Warfarin) i te rā kotahi, e rua rānei i mua. Heoi, me mahi noa tēnei i raro i te tirotiro a tō tākuta. Kaua rawa e mutu, e tīmata rānei i tētahi rongoā me te kore he tohutohu a tō tākuta.
- I muri i te maimoatanga, ka pōuri rawa tō mahunga, ā, kāore e taea e koe te taraiwa i a koe anō. Nō reira, he mea nui kia whakaritea he tangata hei taraiwa i a koe ki te kāinga, ki te hoki mai.
Me pēhea te mahi a te maimoatanga i te taahiraa i te taahiraa
E 30 meneti te roa o tēnei maimoatanga, ā, ka mahia e te tākuta tohunga ki te whakahaere mamae.
Ko te mea nui kia kaua koe e whakamoea i te wā e rongoatia ana. Ka hoatu noa he rongoā whakamoe (whakamarie) mā roto i te uaua. Nā te mea kei te ara koe, ka taea e te tākuta te kōrero ki a koe me te mahi i te rongoa.
| Ngā Hipanga | He aha te mea e tupu ana? |
|---|---|
| 1. Te Whakarite | Ka tonoa koe kia takoto puku ki runga i tētahi tēpu hihi-X. Kātahi ka whakaurua he cannula ki roto i tētahi uaua i tō ringa, ā, ka hoatu he rongoā hei whakangā i a koe. |
| 2. Te ngoikore o te kiri | Ka horoia te wāhi o raro o te tuara e werohia ai te ngira, ā, ka werohia he rongoā whakangote ki roto. |
| 3. Te whakaurunga ngira | Mā te āwhina o tētahi mīhini hihi-X (fluoroscopy), ka werohia e te tākuta ētahi ngira angiangi e rua ki roto i tō tuara o raro, ka ārahi i aua ngira ki te wāhi tika o te plexus io. |
| 4. Whakaū i te tauwāhi | Hei whakaū kei te wāhi tika ngā ngira, ka werohia he iti o te tae, ā, ka tangohia he hihi-X hei whakaū. |
| 5. Werohanga rongoā | Kia whakaūtia te wāhi, ka werohia he rongoā mamae (he rongoā whakangote me te steroid) huri noa i te paihere io. I roto i ngā take pēnei i te mate pukupuku, ka werohia pea he wairewa whakangaro io o te waipiro, o te phenol rānei hei whakaora mō te wā roa. |
He aha te mea ka tupu i muri i te maimoatanga?
I muri i te maimoatanga, ka tirotirohia koe mō te hawhe haora, kātahi ka tukuna kia hoki ki te kāinga i roto i te haora.
- Whakamamae mamae: Ko te nuinga o te tangata ka tino whakamamae i te mamae i roto i te 30 meneti i muri i te werohanga. He mea noa te ahua mahana, te ahua "rerekē" rānei o te hope.
- Ngā pānga taha: Tērā pea ka paku mamae, ka maru hoki te wāhi i werohia mō ngā rā e rua, e toru rānei. He mea noa tēnei.
- Okiokinga: He mea nui kia okioki mō ngā haora 24 i muri i te hokinga ki te kāinga. Kaua e mahi i tētahi mahi taumaha, kaua hoki e whakakori tinana. Ka taea e koe te tīmata anō i ō mahi o ia rā i te aonga ake.
Kia pēhea te roa o te whakamamae i te mamae?
Kei te momo rongoā tēnei e hoatu ana ki a koe. Mēnā he rongoā whakangoikore anake te mea e hoatu ana ki a koe, ka roa te whakamamae mō ētahi haora, mō ētahi rā rānei. Mēnā he steroid te mea e hoatu ana ki a koe, ka roa pea te whakamamae mamae mō ngā wiki, ki ngā marama rānei. Me werohanga ētahi tāngata kia maha ngā wā kia puta ai ngā hua pai rawa atu.
Āhea ahau me waea atu ki te tākuta?
He tino iti te mōrearea o ngā raruraru nui e pā ana ki tēnei maimoatanga. Heoi, ki te pāngia koe e tētahi o ngā tohu e whai ake nei, me whakapā atu koe ki tō tākuta tonu atu .
- Ki te piki ake te mamae, kaua ki te heke iho.
- Ki te pāngia koe e te kirika .
- Mena he tino mamae te wāhi i werohia ai, he pupuhi, he whero rānei .
- Ki te mea kei te ngoikore koe i ō waewae .
Ka pā nui te noho me te mamae mau 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 rongoā whakamamae mamae auau, kōrero ki tō tākuta mō ngā maimoatanga motuhake pēnei i ēnei.
Karere Tangohia ki te Kāinga
- Ko te Poraka Plexus Hypogastric he maimoatanga werohanga motuhake e whakamahia ana mō te mamae nui o te puku o raro me te rohe hope e kore e taea te whakahaere ki ētahi atu rongoā.
- Ka whakahaere tēnei i te mamae mā te whakakore i te tautau io mō te wā poto, mō te wā roa rānei, e kawe ana i ngā tohu mamae ki te roro.
- He tikanga maimoatanga tēnei e whakahaerehia ana e te tohunga, he iti rawa te mōrearea, ā, ka taea te whakaoti i roto i te wā poto.
- He otinga angitu tēnei mō ngā āhuatanga maha, pērā i te endometriosis, te mamae o te mate pukupuku, me te mamae i muri i te pokanga.
- Mena kei te pāngia koe e te mamae pūmau o te hope, kōrero ki tō tākuta kia kite ai mēnā he tika tēnei tikanga maimoatanga māu.
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