Ka taea e koe te whakaaro kei te mamae koe i tētahi wāhanga o tō tinana kua kore e ora? He rite ki te tangohia tō ringa, tō waewae rānei mā te pokanga, ā, ka rongo koe i te mamae, te ngoikore, te wera rānei i te ringa, i te waewae rānei kua ngaro. He uaua ki te whakaaro, ā, he ahua rerekē pea, engari he āhuatanga tūturu, he whakamārama hauora. Ka kiia e mātou ko te "Phantom Limb Pain." Ehara tēnei i te mea e whakaaro noa ana koe, he mamae tūturu 100%. Nō reira, i tēnei rā, me kōrero tātou mō tēnei mamae rerekē, engari he tino noa.
He aha ngā momo kare ā-roto e puta mai ana i te kupu "Phantom"?
I muri i te tangohanga o tētahi peka, pērā i te ringa, te waewae, te maihao rānei, ka pā pea ngā kare ā-roto e pā ana ki te wāhanga ngaro. Ehara i te mea he mamae katoa ēnei kare ā-roto. Me titiro poto tātou ki ēnei kare ā-roto.
| He aha te āhua (momo) | Ki te kī ngāwari, ko tōna tikanga |
|---|---|
| Mamae Pīrori | Te mamae i te ringa, i te waewae, i tētahi atu wāhanga rānei i tangohia mā te pokanga. |
| Ngā Kare ā-Phantom | Te āhua nei kei te noho tonu te wāhanga ngaro o te tinana. Kāore he mamae, engari tera pea ētahi kare ā-roto pērā i te pāngia, te mākūkū, te mahana rānei. Tērā pea ka wareware ētahi tāngata kua ngaro te waewae, ā, ka hikoi haere. |
| Te Mate Mamae Phantom | I roto i tēnei, ka pā ngātahi te mamae me ētahi atu kare ā-roto (pēnei i te mākati me te pēhanga). |
| Mamae toenga o te peka | He rerekē tēnei i te Phantom Pain. I tēnei, kāore te mamae e pā ki te wāhanga ngaro, engari ki te wāhanga o te tinana e toe ana i muri i te pokanga (te pūtake). Tērā pea he take hauora tēnei, pērā i te mate pāwera, te kino rānei o te io. |
Ko te mea nui ko te whakaae he tūturu te mamae e pā ana ki a koe. He mate tino noa tēnei. Neke atu i te haurua o te hunga e motu ana tetahi waewae ka pāngia e tēnei mate.
He pēhea te āhua o tēnei mamae?
He rerekē tēnei mamae i ia tangata, i ia tangata. Mō ētahi, ka puta mai, ka ngaro atu i roto i ngā hēkona, mō ētahi atu ia, ka roa pea mō ngā hāora, tae noa ki ngā rā. Anei ētahi tohu noa:
- Mamae mamae
- Pērā i te mura (e mura ana)
- Te Wero
- Te wiri
- Me te mea kei te pupuri pūmau tetahi i a koe (E kōpiripiri ana)
- Te mākūkū
- Te oho
Haunga tēnei mamae, ka pā pea ēnei ki a koe:
- Te āhua nei kei te piri tonu te ringa/waewae ngaro ki te tinana.
- Te āhua nei kua takaitia i tētahi ara rerekē.
- Te āhua nei e rūrū ana ki mua, ki mua.
- Te āhua nei kei te mimiti haere.
Ka tīmata te nuinga o te tangata ki te pāngia e tēnei mamae i roto i ngā marama tuatahi e 6 i muri i te pokanga. Ka heke te kaha me te auau o te mamae i roto i te wā. Heoi, tera pea ka pāngia tonutia ētahi tāngata e tētahi taumata o te mamae i ngā tau e rua i muri mai.
He aha i puta ai tēnei momo mamae?
Ahakoa kāore anō kia tino mōhiotia te tino take o tēnei, ko te ariā matua he "mate whakawhitiwhiti kōrero" e puta ana i roto i tō tātou pūnaha io me te roro.
Hei whakarāpopototanga:
Kei te haere tonu ngā io o ia wāhanga o te tinana ki te tuku tohu ki te roro me te taurakira. Ahakoa kua tapahia te ringa, te waewae rānei, kua ngaro ngā io o taua wāhanga, engari kei reira tonu ngā ara io i hono ai i taua wāhanga i roto i te tinana. Kei te whakaaro tonu te roro kei reira te wāhanga i tangohia.
He whara nui te pokanga ki te tinana. He roa te wā e hiahiatia ana kia urutau te roro ki tēnei huringa. I tēnei wā, ka tīmata ngā pito io e toe ana ki te tuku i ngā tohu hē ki te roro. Ka hē te whakamaoritanga a te roro i ēnei tohu e haere mai ana hei "mamae". He rite ki te tangi haruru e puta mai ana i te raina waea pakaru. Koia te take ka rongo koe i te mamae i te wāhi kāore i te mamae.
Nā, he aha ngā take o te mamae toenga o ngā peka?
Ehara tēnei i te mamae Phantom. Tērā pea he mamae tūturu tēnei e pā ana ki te tinana.
- Marumarutanga
- Ngā mate wheua (Osteomyelitis)
- Te pupuhi o te pito io toenga (Neuroma)
- Kāore i te rawaka te tohatoha toto
- Te pēhanga i puta mai i te taputapu hanga-ā-ringa kāore i te pai te whakanoho
- Ngā mate kiri, ngā mate patunga rānei
- Ngā whara pēhanga
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ka whakarongo pai tō tākuta ki tāu e kōrero ai. Ka pātai atu rātou ki a koe i ngā pātai pēnei i te mamae me te roa o te mamae. Kātahi ka tirohia te pūtake.
- He patunga tuwhera kei reira?
- He tohu kei te pāngia koe e te mate (whero, pupuhi)?
Me whai whakamātautau toto pea koe, me whai whakamātautau whakaahua rānei pēnei i te hihi-X hei tirotiro mēnā he take kē atu.
Ka taea e tēnei āhuatanga te whakararu i ētahi tāngata ki te ahotea hinengaro, te manukanuka, te pouri rānei, nō reira ka tukuna pea koe e tō tākuta ki te whai tohutohu hinengaro. Ka taea e te ahotea te whakanui ake i tēnei mamae.
He aha ngā maimoatanga mō tēnei?
Waimarie, he maha ngā maimoatanga whai hua mō tēnei mamae. Ka taea e tō tākuta te āwhina i a koe ki te kimi i te maimoatanga e tino pai ana mōu. Tērā pea me whakamahi e koe neke atu i te kotahi maimoatanga.
Whakaata Whakaata
He tikanga maimoatanga tino whakamiharo, whai hua hoki tēnei. Ka "tinihanga" i tō roro.
Whakaarohia kua tangohia tō waewae maui. Ina noho koe, he whakaata kei waenganui i ō waewae. Ina titiro koe ki te whakaata, ka kite koe i te whakaata o tō waewae matau. Ara, kei te wāhi e ngaro ana te waewae maui, ka kite koe i tētahi waewae hauora.
Ināianei, ina whakakorikori koe, ina nekehia tō waewae matau e ai ki ngā tohutohu a tō tākuta, ā, ka titiro koe ki te whakaata i roto i te whakaata, ka tukuna e tō roro he tohu e mea ana, "Ā... kei te ora, kei te neke haere ōku waewae e rua." Ina mahi tonu koe i tēnei mō te 20 meneti pea i te rā, ka hoki mārire ngā tohu pōhēhē o te roro ki te āhua noa, ā, ka heke te mamae.
Ngā momo rongoā e whakamahia ana
Ka whakamahia ngā momo rongoā rerekē i runga i te āhua o te mamae.
| Kāwai rongoā | Ngā tauira |
|---|---|
| Ngā rongoā whakamamae noa | Ngā rongoā anti-inflammatory kore-steroidal (NSAID) |
| Ngā rongoā ārai pouri | Ka āwhina ēnei ki te whakahaere i ngā tohu io. |
| Ngā rongoā ārai-hōhā | Gabapentin, Pregabalin (he tino whai hua ēnei mō te mamae o te io) |
| Ngā aukati-beta | Propranolol |
| Ngā Whakamamae ā-Rohe | Lidocaine, Bupivacaine (tērā pea hei werohanga) |
Ētahi atu maimoatanga
- Te whakaoho hiko ā-kiri (TENS): He tikanga e aukati ana i ngā tohu mamae mā te tuku i ngā nekehanga hiko iti puta noa i te kiri.
- Te whakaohooho i te taurakira: Te whakahaere i ngā tohu mamae mā te whakauru i tētahi mea whakaohooho ki roto i te taurakira.
- Te wero ngira: te wero ngira.
- Mirimiri: Mirimiri mārire i te toenga o te wāhi.
- Te rongoā hinengaro whanonga (CBT): He momo rongoā hinengaro e ako ana i a koe me pēhea te aro atu ki te mamae i roto i te hinengaro.
Ina hiahia koe ki te kite i tētahi tākuta
Ahakoa he mea noa tēnei mamae, i ētahi wā he mea nui kia rapu tohutohu hauora.
| I tēnei wā, me tino toro atu koe ki tō tākuta. | |
|---|---|
| Ki te nui rawa te mamae e kore e taea te whakamanawanui. | |
| Mena kāore e taea e koe te mahi i ō mahi o ia rā nā te mamae, kāore rānei e taea e koe te moe tika. | |
| Mena he tohu mate kei te toenga (te tumu) pērā i te kirika, te whero, te pupuhi, me te pupuhi. | |
Ina pāngia koe e tēnei mamae, tera pea ka tino mokemoke koe, ka whakama hoki. Tērā pea ka whakaaro koe, "Ka whakaaro te tangata he porangi ahau mēnā ka kī atu ahau ki a rātou kei te mamae tōku ringa." Engari kaua e whakaaro pēnā. He mate hauora tūturu tēnei, he mate noa. Kōrerohia ki tō tākuta mō tēnei mea. Ka māmā ake mā rātou te āwhina i a koe.
Karere Tangohia ki te Kāinga
- Ehara te mamae o ngā peka o te wairua i te mea e whakaarohia ana e koe. He mamae tūturu.
- Nā te mate whakawhitiwhiti kōrero i roto i te roro me te pūnaha io tēnei.
- He maha ngā tāngata kua motuhia ō rātou waewae e pāngia ana e tēnei āhuatanga. Kāore koe i te mokemoke.
- He maha ngā maimoatanga whai hua hei whakahaere i tēnei mamae, mai i ngā maimoatanga māmā pēnei i te whakaata whakaora ki ngā rongoā.
- Kaua e whakama, kaua hoki e huna i tēnei mamae. Kia tino kōrero koe ki tō tākuta mō tēnei mea.










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