I ētahi wā ka pā mai te mamae ki a tātou, ahakoa te nui o te rongoā e tangohia ana, te whakaora tinana rānei. He tino uaua ki te noho me tēnei mamae e kore e taea te pehi e whakamamae ana i a tātou mō ngā marama, mō ngā tau pea, kāore? Nō reira, i roto i tēnei āhuatanga, kua rongo koe i tētahi maimoatanga motuhake hei whakamutu i te mamae? I tēnei rā kei te kōrero tātou mō tētahi o aua maimoatanga, ko te Neurolysis.
He aha te tikanga o te Neurolysis?
He māmā noa iho, he tikanga hauora motuhake te Neurolysis e whakamahia ana hei whakahaere i te mamae. Ko te werohanga o tētahi matū ki te taha o tētahi io e mamae ana, e whakangaro ana, e whakakore ana rānei i taua io. Ko te tikanga ka mahia tēnei mā te whakamahi i te waipiro `(ethanol)`, te phenol `(phenol)`, te glycerol `(glycerol) rānei.
Whakaarohia pēnei: he rite ngā io o roto i tō tātou tinana ki ngā waea hiko. Ka haria e rātou ngā karere mai i te roro ki te toenga o te tinana. Ko ēnei karere te mea e mamae ai tātou, e pā ai hoki. Ko te neurolysis he whiriwhiri i te io e kawe ana i te karere mamae, ka whakakore i taua karere , ka aukati i taua karere kia kore e haere ki te roro.
Ka taea te whakamahi whānui i te kupu "neurolysis" hei tohu i tētahi tikanga e whakamahia ana e ngā tākuta hei whakakore i te io. Nō reira, he maha atu anō ngā tikanga hei tāpiri atu ki te werohanga matū.
- Te tango i te aho irirangi ( RFA ): Ka whakamahia ngā ngaru irirangi hei whakaputa wera, hei whakangaro hoki i tētahi wāhanga iti o te io.
- Cryoablation: Ko te tikanga tēnei ko te whakangaro i te io mā te whakamahi i te makariri rawa (cryotherapy).
- Neurolysis pokanga (neurectomy): Pokanga hei tango i tētahi wāhanga o te io, hei tango rānei i te kiko kāore e hiahiatia i te taha o te io hei whakaiti i te mamae.
Pērā i te nuinga o ēnei maimoatanga, ka rerekē ngā hua o te Neurolysis i ia tangata, i ia tangata. He take uaua te mamae mau tonu , nō reira he mea nui kia mahi tahi koe me tō tākuta ki te whakatau mēnā he tika tēnei maimoatanga māu.
Ko wai e hiahia ana ki tēnei maimoatanga?
Mena he mamae nui, he mamae roa rānei tōu, kāore e taea te whakahaere e ngā maimoatanga tuku iho, pērā i te whakaora tinana, i ngā rongoā mamae rānei, ka tūtohu pea tō tākuta i te Neurolysis. He mea tino whakamahia mō ngā momo mamae e whai ake nei:
- Mamae neuropathic
- Mamae mate pukupuku
- Te mamae e ahu mai ana i ngā whekau o roto (mamae visceral)
Hei tāpiritanga, ka taea hoki te whakamahi i tēnei maimoatanga hei rongoā i te mate waewae e kiia nei ko te 'Morton's neuroma', ā, i ētahi wā hei whakahaere i te pakari rawa o te uaua (spasticity).
He rerekē te Neurolysis me te Neuroblock?
Ahakoa he rite te ahua o ēnei ingoa e rua, he rerekē ngā maimoatanga e rua. Ahakoa ko te whāinga o ēnei e rua he whakaiti i te mamae, he rerekē te āhua o tā rāua mahi me te roa o ō rāua pānga. Kia mārama tātou ki tēnei rerekētanga.
| Āhuatanga | Poraka Io | Neurolysis |
|---|---|---|
| Whāinga matua | Hei whakamamae i te mamae mō te wā poto , hei whakaora anō hoki i te io. | Te whakangaro, te whakakore rānei i te io hei whakakore i te mamae mō te wā roa . |
| Te wā hua | Mai i ētahi rā ki ētahi marama. | Mai i ētahi wiki ki ētahi marama, neke atu rānei. |
| Ngā rongoā i whakamahia | Ngā rongoā whakamoe me/ranei ngā steroids. | Ngā matū pēnei i te waipiro me te phenol. |
Me pēhea te whakarite i mua i te maimoatanga?
Tērā pea ka rerekē te āhua o tāu whakarite mō tēnei maimoatanga i runga i te take o tō maimoatanga me te wāhi i werohia ai. Ka hoatu e tō tākuta he tohutohu motuhake ki a koe. Hei tauira, ka tonoa pea koe kia mutu te tango i ētahi rongoā mō te wā poto. He mea tino nui kia tino whai i ēnei tohutohu.
I ētahi wā, ka hoatu pea he rongoā whakamoe hei āwhina i a koe kia marino, kia moe hoki i te wā o tēnei maimoatanga. Mēnā ka oti tēnei, ka tonoa koe kia nohopuku (kaua e kai, kaua e inu i tetahi mea) mō ngā hāora 6-8 i mua i te maimoatanga. Me kawe mai hoki koe i tētahi hei kawe i a koe ki te kāinga i muri i te maimoatanga.
Te āhua o te mahi a te maimoatanga neurolysis
I te mea he maha ngā momo neurolysis e aro ana ki ngā io rerekē o te tinana, he iti noa ngā rerekētanga o te tukanga, engari ko te tikanga he penei:
1. Te Tūnga: Ka tonoa koe kia takoto ki tētahi tūranga motuhake i runga i te tēpu whakamātautau kia māmā ake ai te werohanga a te tākuta i te kano ārai mate.
2. Whakamarie : Ki te tika, ka hoatu he rongoā ki a koe mā te raina IV hei whakangā i a koe.
3. Te horoi: Ka horoia pai te wāhi i werohia ki te wai patu huakita.
4. Te ngoikore: Muri iho, ka werohia he iti o te rongoā whakamoe ā-rohe hei whakamoe i te wāhi i werohia ai te Neurolysis. I tēnei wā, tera pea ka rongo koe i te ngau iti ina pā te ngira.
5. Te whakaū i te wāhi: Ka whakamahia pea e te tākuta he tikanga matawai pēnei i te ultrasound , te fluoroscopy (X-ray), te CT rānei hei tirotiro i te wāhi tika o te io. Ka āwhina tēnei ki te whakatau i te wāhi tika o te werohanga.
6. Te hoatutanga o te kano ārai mate: Muri iho, ka werohia te matū kia tata rawa ki te io.
7. Tirotiro: Whai muri i te maimoatanga, ka tirotirohia koe e te tākuta mō tētahi wā kia kore ai he pānga taha ohorere.
8. Te hoki ki te kāinga: Ki te pai ngā mea katoa, ka whakaaetia koe kia hoki ki te kāinga.
He aha ngā painga me ngā ngoikoretanga o tēnei maimoatanga?
Ngā Painga
Ko te painga matua o tēnei maimoatanga ko te whakamamae i te mamae . Ka taea te noho rangitahi, te noho pumau rānei. Ka taea e tēnei whakamamae te āwhina nui i a koe ki te mahi i ō mahi o ia rā me te whakapai ake i te kounga o tō oranga .
Heoi anō, me mahara anō hoki tātou kāore tēnei maimoatanga e tino whai hua mō te katoa. Tērā pea kāore ētahi tāngata e whiwhi i te nui o te whakamamae mamae e ai ki tā rātou e tumanako ana.
Ngā Tūponotanga me ngā Whakararuraru
Pērā i ngā tikanga hauora katoa, he mōrearea me ngā pānga taha anō hoki tō te maimoatanga Neurolysis.Ka rerekē tēnei mōrearea i runga i te wāhi i werohia ai me te io e arohia ana. Nā te mea he wai te matū i werohia, he iti noa te tūponotanga ka horapa ki ngā kiko tata, ki ngā io, ki ngā uaua toto rānei.
Ko ētahi o ngā pānga taha ka pā mai:
- Te mate urutā, te toto rānei i te wāhi i werohia ai.
- Ki te pakaru tetahi io nekeneke e tata ana e whakahaere ana i te nekehanga, ka pāngia pea te pararutiki .
- Neuritis: Ki te tīmata anō te tipu o te io e rongoatia ana, ka puta pea te hyperesthesia (te tairongo nui rawa atu ki te pā).
- Te uaua ki te whakahaere i te mimi, i te tūtae rānei.
- Te ngoikore o te moepuku.
Kaua e wehi. Mā tō tākuta e whakamārama ngā mōrearea katoa e pā ana ki te momo Neurolysis ka pā ki a koe. Nō reira, kia mahara ki te pātai i ō pātai, i ō āwangawanga rānei i taua wā.
Kia pēhea te roa o te pānga o te maimoatanga?
He rerekē te roa o te whakamamae i te mamae mai i te Neurolysis i ia tangata, i ia tangata. Ka roa pea mō ētahi rā, mō ētahi wiki, mō ētahi marama, tae noa ki ngā tau. Ko te tikanga, ka whakaora te maimoatanga phenol mō ngā wiki e 8-12. Ka roa ake te maimoatanga waipiro, tata ki te 12-24 wiki.
Mā tō tākuta koe e hoatu ki a koe te whakaaro pai rawa atu mō ngā hua ka taea e koe te tumanako i runga i tō āhua, me te aha e whai ake ai mēnā kāore te maimoatanga e angitu.
Karere Tangohia ki te Kāinga
- He maimoatanga motuhake te neurolysis mō te mamae nui, mau tonu kāore anō kia whakahaerea e ētahi atu maimoatanga. Ko te tikanga he whakakore i te io e tuku ana i te mamae.
- He tikanga tēnei e whai ana kia roa ngā hua e puta ana, he rerekē i te maimoatanga Nerve Block, e whakaora ana i te mamae mō te wā poto.
- Tērā pea ka rerekē ngā hua o te maimoatanga i ia tangata, i ia tangata, ā, kāore pea e ōrite te angitu mō te katoa.
- Haunga ngā painga o tēnei maimoatanga, kei reira anō ētahi mōrearea me te tūponotanga o ngā pānga taha.
- Nō reira, i mua i te whakatau i tēnei maimoatanga, he mea nui kia kōrero whānuitia me tō tākuta mō ōna painga, ōna huakore, me tōna pai mōu.
👩🏽⚕️ Ngā Pātai Auau (FAQ) mai i te Tākuta
💬 He aha te Neurolysis?
He māmā noa iho, he tikanga hauora motuhake te Neurolysis e whakamahia ana hei whakahaere i te mamae roa kāore e whakaorangia e ētahi atu maimoatanga. Ko te tikanga he tautuhi i te io e kawe ana i te mamae ki te roro, ā, ka whakakorea mō te wā poto, mō te wā roa rānei mā te werohanga i tētahi matū, i tētahi atu tikanga rānei.
💬 He pēhea te mahi a te maimoatanga Neurolysis?
He rite ngā io o tō tātou tinana ki ngā waea hiko e kawe ana i ngā karere ki te roro. Koinei te āhua o te mamae. I roto i te neurolysis, ka arotahihia te io motuhake e kawe ana i te karere mamae, ā, ka whakakorengia. Mā tēnei ka mutu te tohu mamae ki te tae atu ki te roro, ā, ka mutu te rongo mamae.
💬 He rerekē ngā momo maimoatanga Neurolysis?
Ae, he maha ngā tikanga matua mō te mahi neurolysis. Kei roto i ēnei ko te werohanga o ngā matū (pērā i te waipiro, te phenol), te tango i te io i roto i te manawa irirangi, te cryoablation, me te tango pokanga i te io.











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