I ētahi wā, ka pāngia tātou e te mamae e kore e memeha, ahakoa te nui o ngā rongoā e tangohia ana e tātou, te maha rānei o ngā wā whakaora tinana e haere atu ana tātou. He tino uaua te noho me te mamae mau tonu, e kore e taea te whakamanawanui mō ngā marama, mō ngā tau rānei, kāore? Kua rongo kē koe i tētahi maimoatanga motuhake i hangaia hei aukati i aua tohu mamae i tō rātou pūtake? I tēnei rā, kei te kōrero tātou mō tētahi tikanga e kiia nei ko te Neurolysis.
He aha te Neurolysis?
He māmā noa iho, he tikanga hauora motuhake te neurolysis e whakamahia ana hei whakahaere i te mamae. Ko te tikanga he werohanga i tētahi matū ki te taha o tētahi io e ārai ana i te mamae. Ko ngā matū e whakamahia whānuitia ana mō tēnei ko te etanoru (waipiro), te phenol, te glycerol rānei.
Whakaarohia ō io he waea hiko i roto i tō tinana. Ka haria e rātou ngā karere mai i tō roro ki ētahi atu wāhanga o tō tinana. Ka pāngia tātou e te pā, e te mamae rānei nā ēnei tohu. I te wā o te neurolysis, ka tautuhia e tātou te io motuhake e kawe ana i te tohu mamae, ka ārai i taua karere, ka ārai i taua karere kia tae atu ki tō roro.
Ka whakamahia e ngā tākuta te kupu "neurolysis" mō ngā tikanga katoa e āraihia ai te io. Haunga ngā werohanga matū, ko ētahi atu tikanga ko:
- Te tango i ngā ngaru irirangi (RFA): Ka whakamahia e tēnei ngā ngaru irirangi hei whakaputa wera, hei whakangaro i tētahi wāhanga iti o te io.
- Cryoablation: Ko te whakamahi i te makariri nui (cryotherapy) hei whakararuraru i te io.
- Te pokanga neurolysis (neurectomy): He tikanga pokanga tēnei e tangohia ai tētahi wāhanga o te io, e horoia rānei te kiko e karapoti ana hei whakamama i te pēhanga me te mamae.
Pērā i te nuinga o ngā tikanga hauora, ka rerekē ngā hua o te neurolysis i ia tangata, i ia tangata. He uaua te mamae mau tonu , koia te take me whakatau tahi koe me tō kaiwhakarato hauora i Nirogi Lanka mēnā he tika tēnei maimoatanga māu.
Mā wai tēnei maimoatanga?
Mena kei te raru koe i te mamae nui, i te mamae roa rānei, kāore anō kia pai ki ngā maimoatanga paerewa pēnei i te whakaora tinana, i ngā rongoā mamae rānei, ka tūtohu pea tō tākuta i tētahi tikanga e kiia nei ko te Neurolysis. Ka whakamahia motuhaketia tēnei maimoatanga mō ngā āhuatanga pēnei i:
- Mamae neuropathic (mamae e pā ana ki te io)
- Mamae e pā ana ki te mate pukupuku
- Mamae ā-roto (mamae e ahu mai ana i ngā whekau o roto)
Hei tāpiritanga, ka taea te whakamahi i te Neurolysis hei rongoā i ngā āhuatanga pēnei i te neuroma a Morton, ā, i ētahi wā, hei āwhina i te whakahaere i te uaua tino uaua.
He rite tonu te Neurolysis me te Neuroblocks?
Ahakoa he rite te ahua o ngā kupu, ā, ko te whāinga o ēnei e rua he whakaiti i te mamae, he rerekē ngā tikanga me ngā roa o te whakamahinga. Me wehewehe tātou i ngā rerekētanga:
| Āhuatanga | Poraka Io | Neurolysis |
|---|---|---|
| Whāinga Matua | Hei aukati i te mamae mō te wā poto , kia ora ai te io. | Hei whakararuraru, hei whakakore rānei i te io mō te wā roa hei ārai i te horapa o te mamae. |
| Roanga | Mai i ētahi rā ki ētahi marama. | Mai i ētahi wiki ki ētahi marama, neke atu rānei. |
| Ngā Matū i Whakamahia | Ngā rongoā whakamoe ā-rohe me/ranei ngā steroids. | Ngā matū pēnei i te waipiro, te phenol rānei. |
Me pēhea te whakarite mō te tukanga?
Ka rerekē te whakarite i runga i te take o tō tikanga me te wāhi e hiahiatia ana. Ka hoatu e tō tākuta he tohutohu motuhake ki a koe. Hei tauira, ka tonoa pea koe kia whakamutua te tango i ētahi rongoā mō te wā poto, ā, he mea nui kia tino whai koe i ēnei tohutohu.
I ētahi wā, ka hoatu pea he rongoā whakamoe hei āwhina i a koe kia marino. Mena kei te whakamaheretia he rongoā whakamoe, ka tohutohuhia koe kia nohopuku (kāore he kai, he inu rānei) mō ngā haora 6-8 i mua i te tikanga. Hei tāpiri, me whai hoa koe hei kawe i a koe ki te kāinga i muri mai.
He aha ngā mea ka tupu i te wā o te tukanga Neurolysis?
Ahakoa he rerekē ngā tikanga i runga i te io ūnga, ko te tukanga whānui ko ēnei mahi:
1. Te Tūnga: Ka whakanohoia koe e tō tākuta ki runga i tētahi tēpu whakamātautau kia pai ai te urunga atu ki te wāhi i werohia.
2. Whakangāwari: Mena e tika ana, ka taea e koe te whiwhi rongoā mā te raina IV hei āwhina i a koe kia noho marino.
3. Te whakahoromata: Ka horoia pai te wāhi i werohia ki te wai patu paturopi.
4. Rongoā Whakamoe: Ka werohia he rongoā whakamoe ā-rohe hei whakangāwari i te wāhi. Tērā pea ka paku pēhia koe ina uru te ngira.
5. Aratohu: Hei whakarite i te tika o te whakaahua, ka whakamahia pea e tō tākuta ngā whakaahua matatau, pērā i te ultrasound , te fluoroscopy (X-ray), te CT scan rānei.
6. Werohanga: Kātahi ka werohangahia te matū ki te taha tonu o te io e pāngia ana.
7. Te Tirotiro: Whai muri i te tikanga, ka noho tonu koe i raro i te tirotiro hauora mō tētahi wā poto kia kore ai he pānga kino e puta tonu mai.
8. Tukunga: Kia tau tō hauora, ka whakaaetia koe kia hoki ki te kāinga.
He aha ngā painga me ngā mōrearea?
Ngā Painga
Ko te painga matua ko te whakamamae nui i te mamae , ka roa pea, ka pumau rānei. Mā tēnei whakapainga ka āwhina i a koe ki te hoki ki ō mahi o ia rā, me te whakapai ake i te kounga o tō oranga whānui.
Kia maumahara he rerekē ngā hua i waenga i te tangata me te tangata. Kāore e rite te nui o te whakamamae mamae mō te katoa.
Ngā Tūponotanga me ngā Whakararuraru
Pērā i ngā tikanga hauora katoa, tera pea ngā mōrearea me ngā pānga taha . Ka whakawhirinaki ēnei ki te wāhi me te io e pā ana. Nā te mea he wai ngā matū e werohia ana, he iti noa te mōrearea ka heke ki ngā kiko tata, ki ngā io, ki ngā uaua toto rānei.
Ko ngā pānga taha pea ko:
- Te mate urutā, te toto rānei i te wāhi i werohia ai.
- Ki te pāngia tētahi io nekeneke e tata ana, ka arahi pea ki te pararutiki .
- Neuritis: I te tīmatanga o te whakaora anō o te io kua rongoatia, ka pāngia pea koe e te hyperesthesia (te tino pāwera ki te pā).
- He uaua ki te whakahaere i te nekehanga o te pūkahukahu, o te puku rānei.
- Te ngoikore o te moepuku.
Kaua e manukanuka. Ka whakamāramahia e tō tākuta ngā mōrearea katoa e pā ana ki tō momo neurolysis. Kaua e mangere ki te pātai, ki te whakapuaki rānei i ō āwangawanga ki tō rōpū hauora i ngā wā katoa.
Kia pēhea te roa o te whakaora?
He rerekē te roa o te whakamamae i te mamae mai i te neurolysis i ia tangata, i ia tangata. Tērā pea ka roa mai i ētahi rā ki ētahi wiki, marama, tae noa ki ngā tau. I te nuinga o te wā, ka taea e ngā maimoatanga e whakamahi ana i te phenol te whakaora mō te 8-12 wiki, engari ko ngā maimoatanga e ahu mai ana i te waipiro ka roa ake te pānga, mai i te 12-24 wiki.
Mā tō tākuta koe e ārahi pai rawa atu mō ngā mea hei tumanakohia i runga i tō āhua, ā, māna anō hoki e matapaki ngā mahi e whai ake nei mēnā kāore te maimoatanga e puta ai te hua e hiahiatia ana.
Karere Tangohia ki te Kāinga
- He tikanga motuhake te neurolysis mō te mamae nui, mau tonu kāore i pai ki ētahi atu maimoatanga. Mā te whakakore i te io motuhake e kawenga ana mō te mamae.
- He rerekē tēnei i te aukati io noa e tuku ana i te whakaora rangitahi, he mea hanga mō te whakahaere roa ake.
- He rerekē ngā hua mō ia tangata, ā, kāore pea te tikanga e rite te angitu mō te katoa.
- Pērā i ngā wawaotanga hauora katoa, kei reira ngā painga me ngā mōrearea me ngā pānga taha pea.
- I mua i te haere tonu, he mea nui kia kōrero whānuitia me tō tākuta mō ngā painga, ngā huakore, me te whaihua o tēnei maimoatanga mō tō haerenga hauora ki Nirogi Lanka.
Neurolysis, Whakahaere Mamae, Mamae Mau tonu, Mamae Io, Mamae Matepukupuku, Ārai Io, Whakakore Io
👩🏽⚕️ Ngā Pātai Auau (FAQ)
💬 He aha te Neurolysis?
He māmā noa iho, he tikanga hauora motuhake te neurolysis e whakamahia ana hei whakahaere i te mamae roa kāore anō kia aro ki ētahi atu maimoatanga. Ko te tikanga he tautuhi i ngā tohu mamae e kawe ana i te io, me te whakakore i aua tohu—mō te wā poto, mō te wā roa rānei—mā te whakamahi i ngā werohanga matū, i ētahi atu tikanga hauora rānei.
💬 He pēhea te mahi a te Neurolysis?
Whakaarohia ō io he waea hiko e kawe ana i ngā karere mamae ki tō roro. I roto i te tukanga neurolysis, ka aro atu tātou ki te io motuhake e tuku ana i ēnei tohu mamae, ā, ka whakararuraru i tana mahi. Mā tēnei ka ārai i ngā tohu mamae kia tae atu ki tō roro, ka mutu ai te rongo i te mamae.
💬 He rerekē ngā momo Neurolysis?
Ae, he maha ngā tikanga. Kei roto i ēnei ko te neurolysis matū (te whakamahi i ngā matū pēnei i te waipiro, te phenol rānei), te ablation auau irirangi (te whakamahi i te wera i hangaia e ngā ngaru irirangi), te cryoablation (te whakamahi i te makariri rawa), te neurolysis pokanga rānei (te tango tinana, te tapahi rānei i te io).
