He maha ngā wā ka pāngia koe e te mamae o te tuara, te ngoikore, te mamae rānei o tō waewae? I ētahi wā ka tino kino tēnei mamae, ā, kāore e taea e koe te mahi tika i ō mahi o ia rā. I roto i tēnei āhuatanga, tera pea kua kōrerotia e tō tākuta he werohanga motuhake ki a koe. Ko taua werohanga, ko te 'Lumbar Epidural Steroid Werohanga', koinei tā tātou e kōrero ai i tēnei rā. Kaua e manukanuka, kia mārama noa tātou ki tēnei.
He aha te Werohanga Steroid Epidural Lumbar?
He whakarāpopototanga noa iho tēnei, he werohanga motuhake tēnei ka tukuna ki roto i tō tuara o raro (rohe hope). Kei roto i tēnei werohanga he rongoā hei whakaiti i te mumura me te pupuhi. I roto i ngā kupu hauora, ka kiia tēnei he steroid, he corticosteroid rānei.
Whakaarohia, ko tō tātou taurakira te wāhi e rere ai te pūnaha io matua e rere ana puta noa i te tinana. Ko te wāhi iti e karapoti ana i ēnei io tuaiwi e kiia ana ko te 'wāhi epidural'. Koinei te wāhi e werohia ai tēnei steroid e te tākuta.
Ko te kaupapa matua o tēnei he whakahaere i te mumura me te mamae mau tonu i puta mai i te pēhanga, i te whara rānei o ngā pakiaka io o te tuaiwi. Ka kiia tēnei mamae ko '(Lumbar Radiculopathy)'. He tokomaha e mōhio ana ki tēnei ko 'Sciatica' .
Me pēhea te whakaiti i te mamae e tēnei werohanga?
Hei mārama ki tēnei, me ako tātou i ētahi kōrero mō tō tātou tuaiwi.
He puranga wheua iti (vertebrae) kei runga i te tuarā, he mea hanga tetahi ki tetahi. Kei waenganui i ēnei wheua, pērā i ngā 'mea ārai ru' i roto i te motuka, he urunga kei reira. Ka karangatia ēnei e tātou he 'kōpae tuarā', he 'kōpae' rānei. Mā ēnei kōpae ka taea e tātou te piko, te totoro, me te takai i ō tātou tuarā.
I ētahi wā, ka pupuhi te rauemi rite ki te tiēre i roto i te kōpae ka pēhi i te io tata. Mēnā rānei, i te kaumātuatanga, ka iti haere te wāhi i roto i te tuaiwi, ā, ka pēhia te io. Koinei te wā ka pupuhi, ka mumura te io, ka puta te mamae nui.
Nā, tirohia, ka werohia tika te werohanga steroid e te tākuta ki roto i te io kua pupuhi, kua mumura. Kātahi ka whakaitihia te pupuhi me te mumura o te io e te mana o taua rongoā. Kātahi ka whakaitihia hoki te pēhanga ki runga i te io. Koinei te mea e whakaora ai i tō mamae.
Ko te mea nui, he wā poto noa te whakamamae i te mamae o tēnei werohanga. Tērā pea ka toru marama, neke atu rānei, ka hoki mai anō te mamae mō ētahi atu.
Mā wai tēnei kano ārai mate e tika ana?
Ko te tikanga, ka tūtohu ngā tākuta i tēnei werohanga mō te sciatica, arā, te mamae i puta mai i te pēhanga o ngā io i roto i te tuaiwi. Arā:
- Te mamae e horapa ana mai i te tuara mā roto i te papa me te waewae
- Te wiri, te māuiui rānei i ngā waewae
- Te ngoikore o ngā uaua o te waewae
He maha ngā tino take o ēnei tohu. Tirohia te ripanga i raro nei.
| Āhuatanga hauora | He whakamārama ngāwari noa iho |
|---|---|
| Kōpae Herniated Lumbar | Ka pupuhi te kōpae i waenganui i ngā tuaiwi, ka pēhi i te io. Ka kiia tēnei he 'kōpae herniated'. |
| Te Stenosis o te Tuaiwi Lumbar | Te whaiti o te awaawa (te ara e haere ai ngā io) i roto i te tuaiwi, ka pā ai te pēhanga o ngā io. |
| Te Osteoarthritis Lumbar | I te kaumātuatanga, ka memeha haere ngā hononga me ngā wheua o te tuaiwi, ka whaiti haere ngā pūaha e haere ai ngā io, ka pēhia ai ngā io. |
| Mate Kōpae Whakaheke | I te pakeketanga, ka memeha haere ngā kōpae i waenganui i ngā tuaiwi, ka mumura ai ngā io. |
He pēhea te mahi a te tukanga werohanga?
He tokomaha te hunga e mataku ana ki tēnei, nā te mea he ahua whakamataku te whakaaro ki te werohanga i te tuara. Engari ka mahia tēnei me te tino tupato, ā, e te tohunga whakangungu (pērā i te tākuta tinana, te tohunga whakamoe, te tohunga hihi rānei). Nō reira, kāore he mea e wehi ai.
Te whakarite i mua i te werohanga
- Me kōrero e koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe (ina koa ko ngā rongoā whakaiti toto).
- Mena kei te hapu koe, kei te whakaaro rānei koe kei te hapu koe, me whakamōhio mai koe ki a mātou, nā te mea ka whakamahia he hihi-X i te wā o tēnei mahi.
- Tērā pea ka tonoa koe kia nohopuku mō ētahi haora i mua i te werohanga.
- Ki te hoatu he rongoā whakamoe ki a koe, ka tonoa koe kia kawe mai i tētahi hei kawe i a koe ki te kāinga.
I te wā o te werohanga
Ko te tikanga ka roa te tukanga mō tēnei 15-30 meneti.
1. Ka takoto koe ki runga i tō puku i runga i tētahi moenga motuhake.
2. Ka horoia rawatia te wāhi i werohia ai, ā, ka patua hoki.
3. Muri iho, ka whakamahia e te tākuta tētahi mīhini hihi-X motuhake e kiia nei ko te fluoroscopy hei tirotiro i te wāhi tika e tika ana kia werohia te ngira. He rite tēnei ki tētahi ataata hihi-X ora.
4. Kātahi ka werohia he iti hei whakangāwari i te wāhi kia kore ai koe e mamae nui ina werohia te ngira nui ake.
5. Kia tae te ngira ki te wāhi tika, arā, ki te wāhi epidural, ka werohia e te tākuta he iti noa te tae rerekē. Mā tēnei ka whakaū kei te wāhi tika te ngira, ehara i te mea kei roto i te uaua toto, i tētahi atu wāhi rānei.
6. Hei whakamutunga, ka ata werohia e te tākuta te rongoā steroid.
7. Kia oti te mahi, ka tonoa koe kia okioki mō tētahi wā, me te tāpiri i tētahi pāreti iti ki te wāhi i werohia. Kia tino mohio kāore koe i te mate pāwera ki te rongoā.
He pānga taha, he mōrearea rānei kei reira?
Pērā i ngā maimoatanga hauora katoa, kei reira ētahi mōrearea me ngā pānga taha, engari he tino onge ēnei.
| Ngā pānga taha iti | Āhea te rapu tohutohu hauora tonu |
|---|---|
|
Ki te pāngia koe e tētahi o ēnei tohu, waea atu ki tō tākuta tonu atu, haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata. |
Nā te mea ka taea e ngā werohanga auau me te haere tonu o ēnei steroids te ngoikore o ngā wheua o te tuaiwi, ko te tikanga kāore ngā tākuta e tūtohu kia neke atu i te rua, i te toru rānei ngā werohanga ia tau.
Karere Tangohia ki te Kāinga
- Ko te Werohanga Steroid Epidural Lumbar he werohanga motuhake e hoatu ana hei whakaiti i te mumura me te mamae e puta mai ana i te pēhanga o te io o te tuaiwi.
- He huarahi tino whai hua tēnei hei whakaora i te mamae mō te wā poto i roto i ngā āhuatanga pēnei i te sciatica.
- Kāore tēnei weronga e 'whakaora' katoa i te mamae. Heoi anō, mā te whakamarie e homai e ia ka āwhina i a koe ki te tīmata i ngā mahi whakaora tinana me te whakahaere i ō mahi o ia rā.
- He tikanga haumaru tēnei e whakahaerehia ana e tētahi tohunga whai tohu.
- Kia ata whai i ngā tohutohu a tō tākuta i mua atu, ā, i muri mai hoki i te werohanga. Mēnā he āwangawanga, he mataku rānei āu, kōrerotia mārire atu ki a ia.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero