Kei te rongo koe i te mamae koi i roto i tō uma, me te mea he ngira e unuhia ana i roto i ō rara, he rite rānei ki te maripi e werohia ana? He rara whati pea, he mamae roa rānei e puta mai ana i muri i tō oranga mai i tētahi mate pēnei i te shingles. I tēnei rā, ka kōrero tātou mō tētahi maimoatanga motuhake e whakamahia ana e ngā tākuta mō tēnei momo mamae uaua.
He aha te aukati i te io intercostal?
He werohanga motuhake te Ārai io i waenganui i te ihu o te rara, ka tukuna ki raro i tētahi o ō rara, ki te wāhi e mamae ana. Whakaarohia, kei raro i ia rara ngā io e rere ana. Ka kiia ēnei ko ngā io i waenganui i te ihu o te rara. Mēnā ka pēhia, ka pupuhi, ka pakaru rānei tēnei io, ngā kiko rānei e karapoti ana i a ia, ka taea e ia te mamae e kore e taea te whakaroa.
Nō reira, ko tā te werohanga he "whakangoikore" i te io e puta ai te mamae mō te wā poto. E rua ngā momo rongoā kei roto i tēnei werohanga:
1. Steroid: Ka whakaitihia te pupuhi me te mumura huri noa i te io.
2. Whakangote ā-Rohe: Ka whakangote tonu tēnei i te wāhi, he rite ki te whakangote i ngā kapia i mua i te tango niho. Mā tēnei ka tere te whakamamae i te mamae.
I ētahi wā ka whakamahia hoki tēnei werohanga hei tautuhi i te pūtake o te mamae, arā, hei tātaritanga mate.
He aha ngā whakamahinga o tēnei kano ārai mate?
Ko te tikanga maimoatanga tēnei e whakamahia ana hei whakahaere i te mamae o te uma me te puku o runga.
| Te horopaki whakamahinga | He whakamārama māmā |
|---|---|
| Hei rongoā mō te mamae |
|
| Ngā mea e pā ana ki te pokanga |
|
| Mō te tātaritanga | I ētahi wā, ka āwhina tēnei whakamātautau ki te whakatau mēnā kei waho te mamae, pērā i ō uaua, i tō kiri rānei (mamae tinana), kei roto rānei i te okana o roto, pērā i ō pukahukahu, i tō ngākau rānei (mamae whekau). |
Me pēhea taku whakarite mō tēnei kano ārai mate?
Kāore e nui te whakarite e hiahiatia ana mō tēnei. Heoi anō, he mea tino nui ētahi me kōrero e koe ki tō tākuta.
- Kōrero mō ngā rongoā whakaiti toto: Mena kei te tango koe i ngā rongoā whakaheke toto, pērā i te Warfarin, me kōrero koe ki tō tākuta. Ka piki ake pea te mōrearea o te toto i te wāhi i werohia ai. Kaua rawa e mutu te tango i ēnei rongoā me te kore e kōrero tuatahi ki tō tākuta.
- Mena ka hoatu he rongoā whakamoe ki a koe: I ētahi wā ka hoatu pea he rongoā whakamoe ki a koe mā roto i te uaua i mua i te tikanga. Mena ka oti tēnei, ka tonoa koe kia nohopuku mō ngā haora 6-8. Me hiahia hoki koe ki tētahi hei taraiwa i a koe ki te kāinga i muri i te tikanga.
Heoi, mā tō tākuta ēnei mea katoa e whakamārama ki a koe. Kaua e wehi ki te pātai i ō pātai.
He pēhea te mahi a te tukanga werohanga?
He tukanga māmā noa iho tēnei, e torutoru meneti pea te roa.
1. Tūnga: Ka whakatakotoria koe ki runga i te moenga, kia takoto ki tō taha, kia kaua e mamae, kia takoto rānei ki tō puku.
2. Whakamarie (mēnā e tika ana): Mēnā kei te manukanuka koe, ka taea te hoatu he whakamarie mā te cannula e whakanohoia ana ki roto i te uaua i tō ringa.
3. Te horoi: Ka horoia pai te wāhi i werohia ai ki te wai patu huakita.
4. Whakangoikore: Muri iho, ka werohia he rongoā whakangoikore ki te wāhi mā te whakamahi i te ngira iti. I tēnei wā, tera pea ka rite koe ki te ngaua e te pōpokorua iti.
5. Te kimi i te wāhi tika:Ko te mea nui rawa atu tēnei. He maha ngā wā ka whakamahia e te tākuta he taputapu pēnei i te matawai (ultrasound, fluoroscopy rānei) hei tiro i te wāhi tika o te io i runga i te mata. Mā tēnei ka taea te werohanga ki te wāhi tika e tika ana.
6. Te werohanga matua: Kātahi ka werohangahia te rongoā kei roto te steroid me te rongoā whakamoe ki te taha tonu o te io.
7. Okiokinga: Kia oti te werohanga, ka tirotirohia koe mō te 15-30 meneti i mua i te tukunga ki te kāinga.
Ngā raruraru pea me ngā mōrearea i muri i te maimoatanga
Ahakoa he maimoatanga tino haumaru tēnei, pērā i ngā tikanga hauora katoa, tera pea he iti noa te mōrearea.
Tērā pea ka kitea he maru iti, he kikorangi rānei i te wāhi i werohia ai mō ngā rā e rua, e toru rānei. He mea noa tēnei.
Heoi anō, tera ētahi raruraru nui kāore e tino onge te puta mai.
| Mōrearea | Whakaahuatanga |
|---|---|
| Te toto | Ka taea e te ngira te pakaru i tētahi oko toto iti. |
| Mate pāwera | Pērā i ngā kano ārai mate katoa, he iti noa te tūponotanga ka uru mai ngā huakita. |
| Te pūkahukahu kua hinga/Pneumothorax | He tino onge te pānga o te ngira ki te arai o te pukahukahu, ka puta he kōhao iti. He tino iti tēnei mōrearea nā te whakamahinga o ngā matawai. |
| Te pakaru o te io | He mea tino onge anō hoki tēnei e tupu ana. |
Kia pēhea te roa o te whakamamae i te mamae?
He rerekē tēnei i ia tangata, i ia tangata.
- Mō ētahi tāngata, ka memeha te mamae i muri i te werohanga. Engari nā te pānga whakangote o te rongoā te take. Ka memeha pea i roto i ētahi haora.
- Ka tīmata te whakaoranga tūturu mō te wā roa i muri i te tīmatanga o te mahi a te rongoā steroid, arā, i muri i ngā rā e rua, e toru rānei.
- Ka pā te whakamarie ki ētahi tāngata mō ētahi marama . Mēnā ka angitu te maimoatanga māu, ka taea e koe te werohanga anō mēnā ka hoki anō te mamae, e ai ki ngā tohutohu a tō tākuta.
Āhea ahau me toro atu ki te tākuta?
Ki te puta he tohu hou, ki te whakapae rānei koe i tētahi raruraru i muri i te whiwhinga o te kano ārai mate, whakamōhio atu ki tō tākuta tonu . Ina koa:
- Mena he whero te wāhi i werohia, he pupuhi, he pupuhi rānei te wai (he tohu tēnei o te mate).
- Ki te pāngia koe e te kirika.
- Mena kua pāngia koe e te ngoikore, te māuiui rānei o te waewae, o te ringa rānei.
- Mena he uaua ki te manawa.
Karere Tangohia ki te Kāinga
- Ko te Ārai io Intercostal he maimoatanga werohanga motuhake e hoatu ana mō ētahi momo mamae o te uma, o te puku whakarunga rānei.
- He tino haumaru tēnei i te nuinga o te wā, ā, he iti noa ngā raruraru nā te mea ka mahia mā te āwhina o ngā matawai.
- I mua i te maimoatanga, he mea nui kia whakamōhio koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe, inā koa ngā rongoā whakaiti toto.
- Ka rerekē pea te roa o te wā e pau ana ki te whakamamae i te mamae i ia tangata, i ia tangata.
- Mena ka puta he tohu rerekē i muri i te maimoatanga, rapua tonutia he tohutohu hauora.
- Mena he āwangawanga, he ruarua rānei āu mō tēnei maimoatanga, kōrero mārire ki tō tākuta.
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