He otinga mō te mamae i puta mai i te whati o te tuaiwi: Akohia te pokanga Kyphoplasty

I ētahi wā, i a tātou e pakeke haere ana, i te mea rānei he mate angiangi wheua pērā i te osteoporosis, ka taea e ngā wheua o te tuaiwi te pēhi, te kuru, me te whati. I roto i te rongoā, ka kiia tēnei he 'whati pēhi tuaiwi'. Ko te mamae o te tuara i puta mai i tēnei ka kore e taea te manawanui. I tua atu i tēnei mamae, ka taea e te tuaiwi te piko ki mua, ka piko. Nō reira, i tēnei rā kei te kōrero tātou mō tētahi maimoatanga tino whai hua, ngāwari hoki mō tēnei mate.

He aha tonu te Kyphoplasty?

He kupu ngāwari noa iho, ko te 'Kyphoplasty' he pokanga māmā e rongoā ana i ngā wheua whati (vertebrae) i roto i tō tuaiwi, me te kore e tapahia nui. Ko tētahi atu ingoa mō tēnei ko te 'Balloon Kyphoplasty'.

Ina pakaru, ina pakaru hoki ēnei wheua o te tuaiwi, ka hinga ngā wahi wheua ki roto. Ina tupu tēnā, ka piko whakamua te tuaiwi. Ka kiia tēnei ko te 'Kyphosis', ko tōna tikanga ko te 'piko'. Ina piki ake tēnei piko, ka taea te pēhi i ngā mea pēnei i te korenga o te wāhi o ngā pukahukahu ki te manawa tika, me ngā okana o te puku. Nō reira, mā te pokanga 'Kyphoplasty' ka mutu te piko o te tuaiwi i taua ara.

Mā wai tēnei pokanga? He pai tēnei mōu?

Mā tō tākuta e whakatau mēnā me mahi tēnei pokanga. Ko ngā tāngata e whai ake nei e tika ana mō tēnei tikanga:

• Mena he nui te mamae o tō tuara e kino haere ana i ia rā, i ia rā, nā te whati o te wheua i te tuaiwi i pēhia ai.
• Mena kei te tino uaua tēnei mamae ki a koe, ā, kāore e taea e koe te mahi i ō mahi o ia rā .

Engari, kia maumahara koe, ko te whati wheua te pūtake o te mamae o tō tuara. Kāore tēnei maimoatanga e rongoā i te mamae i puta mai i ētahi atu take, pērā i te 'Disk herniation' (he herniated disc i waenganui i ngā tuaiwi), te 'Arthritis' (mumura o ngā hononga), te 'Stenosis' rānei (te whaiti o te awa tuaiwi).

Ka mahi tuatahi tō tākuta i tētahi matawai X-ray, CT (computered tomography), MRI rānei (magnetic resonance imaging) hei whakaū mēnā he whati kei roto i tō tuaiwi. Mēnā e whakapae ana rātou he osteoporosis tōu, ka mahi pea rātou i tētahi matawai motuhake e kiia nei ko te matawai DXA.

Me pēhea te whakarite i mua i te pokanga?

I mua i tō whakaritenga i tō pokanga, ka tirotirohia koe e tō tākuta, ka hoatu hoki i ngā tohutohu e tika ana. Ko te tikanga, ko ēnei ngā mea ka puta:

• Ka whakahaerehia he whakamātautau tinana katoa.
• Kei te kōrero koe mō ngā mate i pāngia ai koe i ngā wā tata nei.
• Te pātai atu mō ō mate pāwera.
• Ka pātai atu ahau ki a koe mō ngā rongoā katoa e tangohia ana e koe i tēnei wā.
• Ka tukuna atu e rātou ētahi whakamātautau toto e tika ana ki a koe.

Kātahi, anei ētahi tohutohu hei āwhina i a koe ki te whakarite mō te rā o te pokanga:

• Ko ētahi rongoā, pērā i ngā rongoā whakaiti toto, me mutu pea te tango i aua rongoā mō ētahi rā. Engari kia maumahara, kaua rawa e mutu te tango i tētahi rongoā me te kore whakaaetanga a tō tākuta.
• Ka tonoa koe kia kaua e kai, e inu rānei mō ētahi haora i mua i te pokanga.
• Kaua e mau i ngā whakapaipai i te rā o te pokanga. Kia mau ki ngā kākahu whakamarie, ngāwari hoki.
• Ki te mea he kaipaipa koe, ngana ki te whakaiti, ki te whakamutu rānei i tēnei. Pātai atu ki tō tākuta mō te āwhina.

Me pēhea te mahi i te pokanga?

He tino māmā noa iho tēnei mahi. Kāore he take e mataku ai koe.

Tuatahi, ka whakamoea koe e te tohunga whakamoe. Tērā pea kei te moe katoa koe, tērā pea ka whakamoea koe kia kore ai koe e mamae.

I te wā o te pokanga, ka hurihia koe ki runga i tō puku, ka meinga kia takoto. Kātahi ka werohia e te taote pokanga he ngira motuhake e kīia nei ko te 'trocar' mā roto i tō kiri, ā, ki roto i te wheua whati. Ka whakamahia he mīhini hihi-X motuhake e kīia nei ko te 'fluoroscopy' hei tirotiro kei te tika te urunga o te ngira.

Kia tae te ngira ki te wāhi tika, ka whakaurua he taputapu iti rite ki te poihau ki roto i te wheua. Kātahi ka pupuhihia te poihau. Mā tēnei ka ara ake anō te wheua kua hinga, ka hangaia he āputa iti ki roto. Kātahi ka werohia e te tākuta he momo sima wheua motuhake ki roto i taua āputa. Ka whakapakeketia tēnei sima i roto i te wā, ā, ka whakapakari i te wheua. Mā tēnei ka ārai i te hinganga anō o te wheua.

He iti iho i te haora te roa o te tukanga katoa. Ehara hoki i te tukanga hauora o waho, arā, ka taea e koe te hoki ki te kāinga i taua rā anō.

He aha ngā mea ka tupu i muri i te pokanga? He aha ngā tūponotanga?

Ka hoatu e te tākuta he tohutohu mārama ki a koe mō te tiaki i a koe anō i muri i te pokanga. Nā te mea ka taea e koe te hoki ki te kāinga i taua rā anō, he mea pai kia mauria mai he tangata hei kawe i a koe ki te kāinga.

Ka tāpirihia he takai iti ki te wāhi i mahia ai te pokanga. Me waiho tēnei mō te rua rā pea. Kia memeha te rongoā whakamoe, tera pea ka paku mamae te patunga. Mā te paninga hukapapa ki te wāhi ka āwhina i te whakamamae i te mamae. I te nuinga o te wā ka memeha katoa te mamae i roto i ngā rā e rua, e toru rānei. I te nuinga o te wā ka memeha te mamae i roto i ngā hāora 48. Mō ētahi tāngata, ka memeha tonu te mamae i muri i te pokanga.

Ahakoa ka taea e koe te hoki anō ki ngā mahi o ia rā a mua tata nei, me karo e koe ngā mahi uaua pēnei i te hiki taumaha mō ētahi wiki.

Ngā raruraru pea

Ahakoa he tino haumaru tēnei pokanga, pērā i ngā tikanga hauora katoa, he iti noa iho ngā mōrearea. He tino onge te puta o ēnei.

• Te mate urutā, te toto rānei i te wāhi i pokangahia.
• Te nui haere o te mamae, te ngoikore, te ngenge rānei.
• Te pakaru o te io.
• Mena he osteoporosis tōu, kei te tūpono koe ki te whati i ētahi atu wheua.
• He tino onge te turuturu o ētahi o te sima kua werohia ki roto i te wheua. Ka puta pea ngā āhuatanga pēnei i te 'pulmonary embolism' (he aukati i roto i ngā pukahukahu) te 'spinal stenosis' rānei (he whaiti o te awa tuaiwi).

Ka whakapau kaha tō tākuta ki te ārai i ēnei tūponotanga. Ka tohua e ia he rongoā hei whakapakari i ō wheua, inā koa mēnā he osteoporosis tōu.

Āhea koe me kōrero ki te tākuta?

Mena ka puta mai tētahi o ēnei tohu i muri i te pokanga, me waea atu tonu koe ki tō tākuta .

• Ki te kite koe i ngā tohu o te mate (hei tauira, te pupuhi, te whero, te rerekētanga o te kiri, te kirika i te wāhi i pokaina).
• Mena he nui rawa te toto e puta mai ana i te wāhi i pokanga ai.
• Ki te mea ka rongo koe i tētahi āhua ngoikore hou, i tētahi āhua mākūkū rānei.
• Ki te kino haere te mamae, kaua e heke iho.