Ka pāngia koe e te mamae nui, kāore e taea te whakamārama i roto i tō puku o raro, i tō ira tangata rānei i ētahi wā? Tērā pea ka uaua te noho, te mahi rānei i ngā mahi noa nā tēnei mamae. I tēnei rā ka kōrero tātou mō tētahi tikanga maimoatanga motuhake e whakamahia ana e ngā tākuta i roto i ēnei momo take. Ka kiia ko te Pudendal Nerve Block.
He aha te Pudendal Nerve Block?
He werohanga tēnei. Hei whakamārama ake, ko te werohanga he rongoā whakamamae mamae ki roto i tō rohe hope e tata ana ki te io pudendal. Ka taea e tēnei te whakaora i te mamae mō te wā poto, i ētahi wā he roa rānei.
Whakaarohia, ko tēnei io pudendal he io nui e kawe ana i ngā kare ā-roto mai i muri o tō hope ki ngā uaua me te kiri i ngā wāhi pēnei i ō ira tangata, tō nono, tō tara, me te ure. Mēnā ka pēhia, ka kōpeketia rānei tēnei io, ka pā mai he mamae hope roa . I roto i te rongoā, ka kiia tēnei ko te neuralgia pudendal . Ko te nuinga o te wā ka whakamahia tēnei poraka io hei rongoā i ēnei āhuatanga.
He aha ngā whakamahinga o tēnei kano ārai mate?
E toru ngā kaupapa matua e whakamahia ana tēnei tikanga maimoatanga. Kia tirohia tātou he aha ēnei.
| Te horopaki whakamahinga | He whakamārama māmā |
|---|---|
| Mō te tātaritanga (Tauātanga) | Mena kei te mamae tō hope engari kāore e taea te tohu i te pūtake, ka werohia pea koe e tō tākuta. Mena ka pai ake tō mamae i muri i te werohanga, ka whakaū he raruraru kei te io pudendal te pūtake. Ki te kore te mamae e pai ake, tera pea he take kē atu. Ka āwhina tēnei i a koe ki te whakamahere i tō maimoatanga. |
| Hei maimoatanga | Ka whakamahia tēnei werohanga hei rongoā i te mamae mau tonu i puta mai i ngā āhuatanga pēnei i te pudendal neuralgia. I tēnei werohanga, ka tāpirihia he rongoā whakamoe ā-rohe, ā, i ētahi wā he corticosteroid hei whakaiti i te pupuhi. |
| Hei whakangāwari i tētahi wāhi (Whakamamae ā-Rohe) | Ka whakamahia tēnei werohanga hei whakangāwari i te wāhi anake i ētahi pokanga wahine, whānau, me te pūkahukahu. Hei tauira, ka whakamahia hei whakaiti i te mamae o te tara i te wā e whānau ana, me te pokanga hemorrhoid. He huarahi haumaru ake tēnei hei whakakapi i te rongoā whakamoe katoa. |
Me pēhea te whakarite mō tēnei?
Kāore e nui te whakarite e hiahiatia ana mō tēnei i te nuinga o te wā.
Heoi, i ētahi wā ka whakatau pea tō tākuta ki te whakamoe i a koe (he rongoā whakamoe) i a koe e werohia ana. I tēnei wā, ka tohutohuhia koe kia kaua e kai, e inu rānei mō te 6-8 hāora . He mea nui hoki kia whai tangata hei kawe i a koe ki te kāinga i muri i te maimoatanga.
Heoi, mā tō tākuta tēnei e whakamārama i mua i te wā. Me whai i aua tohutohu kia tika. Kaua e wehi ki te pātai i ō pātai.
Me pēhea te werohanga? He aha ngā tikanga?
E toru ngā huarahi matua e whakamahia ana e te tākuta hei hoatu i tēnei kano ārai mate, i runga i te momo tinana me te kaupapa o te maimoatanga.
Mā roto i te tara (Huarahi transvaginal)
Ko tēnei tikanga te mea tino whakamahia i roto i te rongoā whānau me te rongoā wahine.
- Ka meinga koe kia takoto ki runga i tētahi moenga motuhake, me ō waewae e wherahia ana, ka whakatakotoria ki runga.
- Ka tukuna pea he werohanga iti (rongoā whakamoe) ki roto i tētahi uaua i tō ringa hei whakangā i a koe.
- Kātahi ka kuhu te tākuta i tōna ringa ki roto i te tenetene, ka tautuhia te wāhi kei reira te io.
- Kātahi ka whakamahia he taputapu motuhake hei werohanga i te ngira ki roto i te io, ā, ka werohia te rongoā. I ētahi wā ka mahia tēnei mā te whakamahi i ngā hangarau matawai pērā i te ultrasound , te fluoroscopy rānei.
Mā te rohe i waenganui i ngā ira tangata me te nono (Huarahi Transperineal)
Ka whakamahia tēnei tikanga mō ngā pokanga ana me te mamae o te puku i roto i ngā tāne.
- I tēnei āhuatanga, me takoto tō mata ki runga.
- Ka horoia te kiri e werohia ai te rongoā ki te wai patu huakita.
- Kātahi ka werohia e te tākuta tētahi maihao ki roto i te pūkahukahu, i te tara rānei, kia kitea ai te wāhi tika o te io.
- Kātahi ka werohia te ngira werohanga mā te kiri mai i waho, ā, ka werohia te rongoā.
Huarahi peretikuta
E whakamahia whānuitia ana hoki tēnei tikanga mō ngā pokanga ana me te mamae o te puku.
- I tēnei, ka hurihia koe ki tō taha, ka meinga kia takoto.
- Pērā i ētahi atu tikanga, ka kitea te wāhi tika o te io mā te whakauru i tētahi maihao, mā te whakamahi rānei i tētahi mea whakaoho io .
- Kātahi ka tukuna te kano ārai mate mā te kiri e tata ana ki te nono.
Ko te mea nui, i roto i ēnei tikanga katoa, ka tukuna tuatahitia he werohanga iti hei whakangāwari i te wāhi i werohia ai. Nō reira, kāore koe e tino mamae. Heoi anō, tera pea ka pāngia koe e te mamae iti ina werohia te ngira.
He aha ngā painga o tēnei maimoatanga?
- He whakaora mamae mō te wā poto, mō te wā tuturu rānei: He tino whakaora tēnei hei āwhina i a koe ki te whakahaere i ō mahi o ia rā.
- Ka whakaiti i te pupuhi: Ka whakaiti i te pupuhi o te io, ka āwhina i te whakaora.
- Te tautuhi tika: Mā tēnei ka āwhina koe ki te whakatau mēnā ko te io pudendal te tino take o tō mamae.
- Haumaru: He nui ake te haumaru o tēnei tikanga whakamoe ā-rohe i te whakamoe whānui.
Ka kitea e ētahi tāngata te whakamamae i te mamae i roto i ngā meneti. Mēnā ka werohia koe ki te steroid, tera pea ka roa ētahi rā ka pāngia e te mamae. Heoi, me mahara tātou kāore tēnei e whakamamae i te mamae mō te katoa.
He pēhea te angitu o tēnei? He tūponotanga kei reira?
He rerekē te angitu o tēnei maimoatanga i ia tangata, i ia tangata, i runga i te mate e pā ana ki te mamae me ētahi atu āhuatanga. I te toharite, ka taea e koe te tumanako kia neke atu i te 50% te angitu.
Ina kōrerohia ngā mōrearea, he tino onge ngā raruraru nui.
| Momo mōrearea | Ngā mea ka taea te tupu |
|---|---|
| Ngā pānga taha e kitea whānuitia ana | Tērā pea ka mamae, ka kore rānei e pai te wāhi i werohia ai mō ngā rā e rua. Tērā pea ka puta he toto, he mate pāwera rānei i te wāhi i werohia ai. I ētahi wā, ka pāngia te waewae e te ngoikore, te ngoikore rānei mō te wā poto. |
| Ngā raruraru nui engari onge | Tērā pea ka pā te kino ki te io pudendal, te kino ki ngā whekau tata pērā i te pūkahukahu, te tō rānei, me te paitini o te rongoā whakamoe ā-rohe, engari he tino onge ēnei. |
Āhea koe e hiahia ana ki te kite anō i te tākuta?
Mena ka puta he tohu hou i muri i te maimoatanga, ko te tikanga:
- Mena he nui te pupuhi o te wāhi i werohia, he whero, he pupuhi rānei (he tohu mate tēnei).
- Mena he mamae wera, he ngoikore, he ngoikore tonu rānei .
- Mena he kirika rerekē tōu.
Ki te puta he mea pēnei, waea atu ki tō tākuta tonu.
Karere Tangohia ki te Kāinga
- Ko te Pudendal Nerve Block he maimoatanga werohanga motuhake mō te mamae mau tonu i te hope me te ira tangata.
- Ka whakamahia tēnei hei tātaritanga, hei rongoā, hei whakangāwari hoki i tētahi wāhi.
- Ka tino āta mahia te maimoatanga, me te āwhina o te hangarau matawai i ētahi wā.
- Ka rerekē te whakamarie e puta mai i tēnei me te roa o tōna pumau i ia tangata, i ia tangata.
- Mena he āwangawanga, he ruarua rānei ōu mō tēnei maimoatanga, kōrerotia mā te mahorahora ki tō tākuta.











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