Ahakoa ka rongo tātou i te kupu mate pukupuku, ka pā mai te wehi ki te tini o tātou. Ko tētahi atu pātai nui e pā mai ana ko te mamae. "Ka tino mamae ahau mēnā ka pāngia ahau e te mate pukupuku?", "Ka mamae ahau i te wā e rongoatia ana?" Tērā pea kei roto i tō hinengaro ēnei pātai. Inaa, ehara i te mea ko te katoa e whawhai ana ki te mate pukupuku ka pāngia e te mamae. Engari he tokomaha te hunga e pāngia ana e te mamae. Ko te mea pai rawa atu, kāore koe e mamae ko koe anake i roto i tēnei mamae. He maha ngā tikanga matatau o ēnei rā hei whakahaere i tēnei mamae.
He aha te mamae o te mate pukupuku?
Ko te mamae o te mate pukupuku he mamae e puta mai ana nā te mea he mate pukupuku tōu, nā ngā maimoatanga rānei e whiwhi ana koe mōna (hei tauira, te chemotherapy, te radiation, te pokanga). Ka rerekē te ahua o tēnei mamae. I ētahi wā ka koi, ka wero, ka puhoi rānei, ka wera, ka kore e kaha, ka oho rānei.
Ko te mea nui ko te mamae he wāhanga o te maimoatanga matepukupuku . Nō reira, he rite te hiranga o te kōrero ki tō tākuta mō te mamae ki te rongoā i te matepukupuku. Kaua e whakaaro, "Me manawanui noa ahau ki tēnei."
He rerekē ngā momo mamae o te mate pukupuku?
Āe, kāore te mamae o te mate pukupuku e puta mai i te āhua kotahi. He maha ngā momo matua o tēnei mamae. Me titiro tātou ki ērā momo mamae.
| Momo mamae | He whakamārama māmā |
|---|---|
| Mamae nui | He mamae tēnei e puta ana i muri i te pokanga, i te wā rānei e rongoatia ana, ā, ka memeha haere i muri i ētahi rā. Ka rerekē pea mai i te ngawari ki te kino. |
| Mamae Mau tonu | Kāore tēnei mamae e memeha pērā i te mamae nui. He mamae pumau. Ka puta pea tēnei momo mamae ina pakaru ngā io e te mate pukupuku, e te maimoatanga rānei. |
| Mamae Pakari | He mamae ohorere, he mamae nui e puta ohorere mai ana, ahakoa kei te tango tonu koe i ngā rongoā whakamamae mamae. Ka puta pea tēnei ina memeha haere ngā rongoā whakamamae mamae. |
| Mamae Pīrori | I muri i te tango pokanga i tētahi wāhanga o te tinana (hei tauira, he waewae, he ringa) nā te mate pukupuku, ko te mamae o te wāhanga i tangohia nā ngā tohu mai i te roro. |
| Mamae i Tukuna | Kei tētahi wāhi te mamae, engari kei tētahi atu wāhi te take. Hei tauira, ki te pupuhi te ate nā te mate pukupuku o te ate, ā, ka pēhi i tētahi io, ka pāngia pea te pakihiwi matau e te mamae. |
He pēhea te āhua o te mamae?
Kāore e rite te mamae o te katoa, ā, ka rerekē anō hoki te āhua e pāngia ai te katoa i runga i te pūtake o te mamae.
- Mamae wheua: He mamae puhoi, he mamae e puta mai ana i roto i ngā wheua.
- Mamae hononga: Tērā pea ka mamae, ka pakari te tinana.
- Mamae io: Ka rite ki te wera, te ngoikore, te ru hiko, te mamae wero rānei.
- Mamae kiko ngohengohe: Ko tēnei mamae, e puta ana i roto i te peka, i te uaua rānei, ka ahua koi, ka rite ki te kōpiri, ka pupuhi, ka mamae rānei.
Koia te mea nui kia mārama te kōrero ki te tākuta mēnā kei te mamae koe , kei hea te mamae, me pēhea te āhua .
Me pēhea te rongoā i te mamae?
He rite te hiranga o te whakahaere i te mamae o te mate pukupuku ki te rongoā i te mate pukupuku tonu. Ka pātai atu tō tākuta ki a koe i ētahi pātai hei āwhina i a koe ki tēnei.
- E hia te mamae?: I runga i te tauine mai i te kore (0) ki te tekau (10), ka pātaihia koe kei hea tō mamae (ko te 10 te mamae tino kore e taea te manawanui).
- He aha te āhua?: E ai ki te kōrero i mua ake nei, whakaahuahia he mura, he werowero, he koi rānei.
- Kei hea te mamae?: Ina mōhio koe ki te wāhi e mamae ana, ka māmā ake te kimi i te pūtake.
- He aha te pānga ki te oranga o ia rā?: Kei te aukati te mamae i a koe kia moe? He uaua ki te kai? Kei te kore e taea te mahi? He tino āwhina te mōhio ki ēnei mea i roto i te whakamahere maimoatanga.
Tērā pea ka tonoa koe kia pupuri i tētahi "rātaka mamae." Ko te tikanga tēnei me tuhi te roa o te mamae, te wā i tangohia ai e koe tō rongoā, me te roa o te wā i pau ai te mahi a te rongoā. Mā tēnei ka āwhina i tō tīma maimoatanga ki te whakawhanake i tētahi mahere maimoatanga e tino pai ana mōu.
He aha ngā maimoatanga?
He maha ngā kōwhiringa maimoatanga. Ko te maimoatanga e whakawhirinaki ana ki te pūtake o te mamae. Hei tauira, mēnā he pukupuku matepukupuku e pēhi ana i te io te take o te mamae, ka taea te hoatu i te chemotherapy hei whakaiti i te pukupuku. Hei tāpiri, ka mahia hoki ētahi atu maimoatanga.
1. Rongoā
He maha ngā momo rongoā e whakamahia ana hei whakahaere i te mamae.
- Ngā rongoā kore-opioid: Ko ngā rongoā whakamamae mamae e whakamahia whānuitia ana pērā i te Paracetamol me ngā NSAID (ngā rongoā anti-inflammatory kore-steroidal).
- Ngā Opioid: He momo rongoā mamae kaha e tohua ana mō te mamae o te mate pukupuku. Kei roto i tēnei kāwai ngā rongoā pēnei i te Morphine, Fentanyl, Oxycodone, me Tramadol.
He tokomaha te hunga e mataku ana kei waranga ki ēnei momo rongoā "(Opioid)". He wehi tika tēnā. Heoi, ina tangohia ēnei i raro i te tirotiro a te tākuta, i roto i te horopeta kua whakaritea, me te wā kua whakaritea, he tino iti te mōrearea. Kōrerohia marietia ki tō tākuta mō ō wehi.
2. Ētahi atu rongoā āwhina
Haunga te rongoā matua mō te mamae, ka taea hoki te hoatu rongoā mō ētahi atu raruraru.
| Momo rongoā | He aha te whakamahinga? |
|---|---|
| Ngā rongoā ārai i te haurangi (hei tauira, Gabapentin, Pregabalin) | Hei whakahaere i te mamae pērā i te mumura me te māuiui i puta mai i te kino o ngā io. |
| Ngā corticosteroids (hei tauira, Dexamethasone, Prednisone) | Hei whakaiti i te pupuhi me te whakamamae i te mamae o te wheua. |
| Ngā rongoā ārai pouri | Ka āwhina i ētahi mamae io, ā, ka whakaiti i te ahotea i puta mai i te mamae. |
| Ngā rongoā whakangāwari | Ka puta te mate puku mārō i ētahi rongoā mamae kaha (Opioids). Hei whakahaere i tēnei. |
3. Ngā tikanga hauora e aukati ana i ngā tohu mamae
- Te Ārai i te Io: Te werohanga i tētahi rongoā ki te taha o te io e kawe ana i te mamae, hei aukati i te tohu mamae kia tae atu ki te roro mō tētahi wā poto.
- Ngā Papu Mamae (Ngā Catheter Intrathecal): Mā tētahi taputapu iti i whakatōkia ki roto i te tuaiwi ka tukuna tika te rongoā mamae ki roto i te wai e karapoti ana i te taurakira.
- Te Whakakorenga Auautanga Reo Irirangi: Mā te whakamahi i ngā ngaru reo irirangi, ka whakamahanahia he wāhanga iti o te io e kawe ana i te mamae, ā, ka whakakorengia.
Ka aha mēnā kāore te mamae e rongoātia?
Ka pā te mamae pumau ki ngā āhuatanga katoa o tō koiora.
- Kāore e taea e au te moe pai.
- Kua ngaro taku hiahia kai.
- Ka ngoikore te tinana, ā, kāore e taea te mahi i ngā mahi o ia rā.
- I roto i te wā, ka taea e tēnei mamae te arahi ki ngā āhuatanga pēnei i te manukanuka me te pouri.
He maha ngā take e wehi ai ētahi tāngata ki te kōrero mō te mamae:
- "Ki taku whakaaro ka nekehia e te tākuta te arotahi mai i te maimoatanga matepukupuku ki te mamae."
- "Mēnā ka nui haere te mamae, ka nui haere rānei te mate pukupuku?" E mataku ana ahau.
E mārama ana tō tākuta ki ēnei mea katoa. Kia maumahara, he wāhanga nui o te maimoatanga matepukupuku te whakahaere mamae. Nō reira kaua e wehi ki te kōrero mō te mamae.
Āhea koe me kōrero ki te tākuta?
I ngā wā e whai ake nei, me whakamōhio atu ki tō tīma hauora.
- Mena ka pāngia koe e te 'mamae pakarukaru' (he mamae nui ka puta ohorere mai, ahakoa i muri i te tango rongoā).
- Mena kāore e taea te whakahaere i te mamae mā ngā rongoā e tangohia ana e koe i tēnei wā, mena rānei kei te kino haere te mamae .
- Mena he nui rawa ngā pānga taha o ngā rongoā whakamamae mamae, pērā i te whanoke, te hiamoe, me te ruaki .
Ka taea e au te tiki āwhina mō te whakahaere mamae i te kāinga?
Āe, hei tāpiritanga ki te tango i te rongoā kia rite ki te whakahaunga a te tākuta, ka taea hoki e ēnei mea te āwhina.
- Ngā putea mahana: Ka āwhina ki te whakaiti i te mamae me te pakari o ngā uaua. Whakamahia mō te 10-20 meneti. Heoi, kaua e whakamahia te wera ki ngā wāhi kei reira ngā pukupuku matepukupuku, ki ngā wāhi rānei kua whiwhi i te rongoā irahiko.
- Ngā pōkai makariri: Mā te paninga o te pōkai hukapapa kua takaihia ki te kakahu ka āwhina i te whakaiti i te pupuhi me te mamae o ngā io. Waiho mō te 10-20 meneti.
He pai ake te pātai atu ki tō tākuta i mua i te mahi i tētahi o ēnei mea.
Karere Tangohia ki te Kāinga
- Ehara i te katoa e pāngia e te mamae nā te mate pukupuku. Engari ki te puta te mamae, ka taea te whakahaere.
- Kaua e aro ki te mamae. Ka pā kino pea ki te kounga o tō oranga. Ko te whakahaere mamae he wāhanga o te maimoatanga mate pukupuku.
- Kōrerohia mahorahora, pono hoki ki tō tākuta mō te mamae e pā ana ki a koe - te kaha o te mamae, te āhua o te mamae, te wāhi e mamae ai, me ētahi atu.
- Ki te mea kei te āwangawanga koe kei waranga koe ki ngā rongoā whakamamae mamae, kōrero atu ki tō tākuta mō tēnā. Ka taea e rātou te ako i a koe me pēhea te whakamahi haumaru i te rongoā.
- Kāore koe i te mokemoke i tēnei pakanga ki te mate pukupuku. He rōpū tākuta katoa kei reira hei āwhina i a koe ki te whakahaere i tō mamae.
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