I ētahi wā, ka puta ētahi mamae i roto i ō tātou ao, ā, e kore e memeha ahakoa te rongoā e tangohia ana e tātou, te whakaora tinana rānei e mahia ana e tātou. Tērā pea he mamae tuara kua roa e pāngia ana tātou e te mamae, he mamae kaki, he mamae kore e taea te mau, e rite ana ki te ru hiko i te taha kotahi o te mata. Ko te hunga kua pāngia e tēnei mamae anake e mōhio ana ki te uaua o te noho me ēnei āhuatanga. Nō reira, ki te kore e taea e ngā mea katoa, ka kōrero tātou i tēnei rā mō tētahi tikanga maimoatanga motuhake e taunakihia ana e ngā tākuta. Ko te ingoa o tēnei ko te Rhizotomy.
He aha te Rhizotomy?
Hei mārama ki tēnei, me whakaaro tuatahi tātou ki te pūnaha io o tō tātou tinana. He rite ngā io e rere ana puta noa i tō tātou tinana ki ngā taura hiko iti. Ko ēnei taura ngā mea e tuku karere ana i waenganui i tō tātou roro me te toenga o tō tātou tinana. Ko ngā mea katoa e pā ana ki a koe, pērā i te pā, te mamae, me te wera, ka tukuna ki te roro mā roto i ēnei io, ā, mā roto i ēnei io ka kī atu te roro kia nekehia ō ringaringa me ō waewae.
Heoi, i ētahi wā, nā te hapa o tēnei pūnaha io, ka tīmata ētahi io ki te tuku tonu i te karere "mamae" ki te roro. Inaa, ka tukuna tonutia tēnei karere ahakoa kāore he mate nui i reira. I roto i te maimoatanga e kiia nei ko te rhizotomy, ko te mahi he tautuhi i ngā muka io raruraru e tuku ana i ngā karere hē, ka pakaru i a rātou, ka aukati i te haere o te karere. He rite ki te momotu i tētahi waea hiko raruraru. Ina mutu te haere o ngā tohu mamae ki te roro i tēnei ara, ka ngaro te mamae e pā ana ki a koe, ka tino heke rānei.
Me pēhea te whara i ēnei io?
He maha ngā tikanga e whakamahia ana e ngā tākuta hei mahi i tēnei:
- Te tango pokanga: I ētahi wā, ka tapahia, ka tangohia ēnei io mā te pokanga. Ka taea tēnei te mahi hei pokanga tuwhera, mā te endoscopic rānei, arā, te whakauru i tētahi kāmera mā roto i tētahi tapahi iti.
- Mā te matū: Ka taea hoki e koe te whara i te io mā te whakamahi i te matū pēnei i te glycerin.
- Te tango i ngā ngaru reo irirangi kaha: Ka arotahihia ngā ngaru reo irirangi kaha-nui, ā, ka whakamahia te wera e puta mai ana hei whara i te io. E kiia ana tēnei tikanga ko te tango i ngā ngaru reo irirangi (RFA) .
Ki te kī māmā noa, he tikanga te Rhizotomy hei whakamutu i ngā mahi a ngā io e puta ai te mamae, te pakari rānei o te uaua kāore e hiahiatia (spasticity).
Rhizotomy, Ablation, Neurotomy... He rite tonu te tikanga o ēnei kupu?
Ae, he āhua pōhēhē pea ēnei kupu, engari he tino māmā noa iho te tikanga.
- Te Rhizotomy:Koinei te ingoa whānui mō tēnei tikanga maimoatanga. Arā, ko tētahi tukanga e pakaru ana i te muka io e raru ana ka taea te kī ko tēnei ingoa.
- Te Whakakorenga o ngā Io: He kupu anō tēnei mō te Rhizotomy. Ko te tikanga o te whakakorenga ko te tango, te whakangaromanga rānei.
- Te Whakakorenga Auautanga Reo Irirangi (RFA): He tikanga motuhake tēnei e whakamahia ana hei mahi i te rhizotomy. Ko te tikanga he whara i te io mā te whakamahi i te wera mai i ngā ngaru reo irirangi.
- Neurotomy: He kupu hauora anō tēnei mō te tapahi, te whakangaro rānei i te io.
Ko te tikanga o tēnā, kotahi tonu te tikanga o ēnei kupu katoa. Nō reira, kaua e manukanuka mēnā ka whakamahia ngātahitia ēnei kupu e tō tākuta.
He aha ngā āhuatanga ka āwhinahia e te maimoatanga Rhizotomy?
He mea tino nui tēnei. Ehara te rhizotomy i te maimoatanga tuatahi mō ngā mamae katoa. Ko te tikanga, ka whakamātau tuatahi ngā tākuta i ngā mea pēnei i te whakaora tinana, ngā rongoā anti-inflammatory kore-steroidal (NSAID), ngā aukati io rānei. Ka whakaarohia tēnei maimoatanga mēnā kāore e angitu ēnei katoa .
He rerekē ngā momo maimoatanga rhizotomy, ā, he rerekē ngā momo io o te tinana e aro ana ki ia momo.
| Momo rhizotomy | Ngā io ūnga | Ngā āhuatanga i rongoatia |
|---|---|---|
| Te Rhizotomy o te Ganglion Trigeminal | Kei ngā taha e rua o te mata ngā paihere o te io trigeminal. |
|
| Rhizotomy o te taha | Ngā pakiaka io e haere ana mā roto i ngā hononga āputa o te tuaiwi. | |
| Te Rhizotomy Tua o te Tūāpapa Whiriwhiri (SDR) | Ko ētahi muka io tairongo kei te pito o raro o te taurakira. |
Me pēhea taku whakarite i mua i tēnei maimoatanga?
Ki te whakatau koe ki te whai i tēnei maimoatanga, ka hoatu e tō tākuta me tō tīma hauora he tohutohu mārama ki a koe mō te whakarite mōna. Kaua e wehi ki te pātai i ō pātai.
I te nuinga o te wā, me whai whakamātautau koe kia maha hei whakaū mēnā ka tino āwhina tēnei maimoatanga i a koe.
- Ngā whakamātautau whakaahua: Ngā mea pēnei i te matawai MRI me te hihi-X.
- Te Ārai i te Io: Hei tautuhi i te io tuturu e puta ai te raruraru, ka werohia he weronga rangitahi ki te io kia kite ai mēnā ka heke te mamae.
- Ngā whakamātautau toto me te mimi: Kia mōhio koe ki tō āhua hauora whānui.
He maha ngā wā ka mahia tēnei maimoatanga i raro i te mate whakamoe whānui. Ko te tikanga kei te moe katoa koe. Nō reira, me tūtaki koe ki tētahi tohunga whakamoe kia mōhio ai koe he haumaru mōu.
Waihoki, ki te mea kei te tango koe i ētahi rongoā, pērā i ngā rongoā whakaiti toto/whakaheke toto, me mutu pea te tango i aua rongoā i mua i te maimoatanga. Heoi anō, kaua rawa e mutu te tango i ō rongoā me te kore he tohutohu a tō tākuta.
He aha te mea e tupu ana i te wā e rongoatia ana?
He mea noa te mataku ina rongo koe i tēnei, engari he tino whakamaheretia, he haumaru hoki tēnei tikanga. Tērā pea he rerekētanga iti i runga i te tikanga maimoatanga, tō āhua, me te io e arohia ana.
Koinei ngā mahi e whaihia ana i te nuinga o te wā:
1. Whakamamae, Whakangāwari rānei
I te nuinga o te wā, ka whakamoea rawatia koe, kia kore ai koe e mamae. I ētahi wā, ka whakamoea mārire pea koe (whakamoe), ka whakangāwari rānei i te wāhi anake (whakamoe ā-rohe).
2. Te kimi i te io tika (Aratohu Whakaahua)
Ka whakamahia e te tākuta tētahi tikanga hihi-X motuhake e kīia nei ko te fluoroscopy hei kimi i te io raruraru. Mā tēnei ka āwhina i a koe ki te kite tika i te wāhi tika hei whakatakoto i te ngira. I ētahi wā, ka werohia he wai motuhake (tae rerekē) ki roto i te uaua kia kitea pai ai te io.
3. Te whakamātautau i te io
I mua i te whara i te io, me whakaū ko te io tika te io e arohia ana. Hei mahi i tēnei, ka tukuna he whakaoho hiko iti mā te ngira. I ētahi wā ka whakamahia hoki he whakamātautau e kiia nei ko te EMG (Electromyography) mō tēnei.
4. Te Whakangaro i te Io
Kia whakaūtia te io tuturu, ka whakamahia tētahi o ngā tikanga i kōrerotia i mua ake nei (ngā ngaru reo irirangi, ngā matū, te tapahi pokanga rānei) hei aukati i te mahi a te io.
He pēhea te whai huatanga o tēnei maimoatanga?
Ko te nuinga o te hunga e tangohia ana te rhizotomy ka mamae mō te wā roa , ka piki ake rānei te pakari o te uaua. Ko ētahi ka mamae mō ngā tau maha.
Heoi, kāore e rite ngā hua mō te katoa. Tērā ētahi wā kāore e tino whakaitihia te mamae mō te hunga tokoiti. Waihoki, i roto i te wā, ka ora ake pea ngā io, ā, ka puta anō te mamae. Mēnā ka tupu tēnei, me mahi anō pea koe i tēnei maimoatanga. Mā tō tākuta koe e whakamārama atu i ētahi atu kōrero mō te angitu o tēnei maimoatanga, i runga i tō āhuatanga.
He pānga taha, he mōrearea rānei kei reira?
Pērā i ngā tikanga hauora katoa, tera pea ētahi mōrearea me ngā pānga taha o te Rhizotomy. Heoi, he iti noa te nuinga o ēnei, ā, he onge ngā raruraru nui. Ka rerekē ēnei mōrearea i runga i te momo tikanga me te io e pāngia ana.
Ko te mea nui kia kōrero tuwhera tō tākuta ki a koe mō ngā tūponotanga katoa i mua i te maimoatanga, nō reira kaua e wehi.
| Ngā pānga taha/ngā raruraru | Whakaahuatanga |
|---|---|
| Ngā āhuatanga noa me ngā āhuatanga e tumanakohia ana | |
| Mamae iti me te maru | Tērā pea ka mamae, ka maru, ka pupuhi rānei te wāhi i werohia ai te ngira, te motu rānei mō ētahi rā. I te nuinga o te wā ka memeha haere tēnei i roto i ētahi rā. |
| te ngoikore | I muri i te tango i te trigeminal rhizotomy, inā koa i ngā io o te mata, tera pea ka pāngia koe e te ngaungau, te māuiui rānei i ētahi wāhi o te mata. He pānga taha tēnei e tumanakohia ana. |
| Ngā āhuatanga me pūrongo tonu ki te tākuta (he onge noa iho te puta) | |
| Ngā tohu o te mate urutā | Ko ngā tohu pēnei i te whero nui, te pupuhi, te turuturu o te wai i te wāhi i rongoatia, me te kirika. |
| Te mamae nui, ngā raruraru io rānei | Te mamae nui, te werawera, te ngoikore o ngā uaua, te ngoikore hou rānei i roto, i te taha rānei o te wāhi i rongoatia. |
| Te toto nui | Mena he toto tonu kei te puta mai i te wāhi i rongoatia. |
I muri i te maimoatanga, ka whiwhi koe i ngā tohutohu mārama mō ngā tohu hei tūpato māu me te wā me hoki atu ki te kite i tō tākuta.
Karere Tangohia ki te Kāinga
- He maimoatanga motuhake te rhizotomy mō te mamae nui, mau tonu, te pakari rānei o te uaua (spasticity) ina kore e angitu ētahi atu maimoatanga, pēnei i te rongoā, te whakaora tinana rānei.
- Ka mutu te mahi a ngā io raruraru e kawe ana i ngā tohu mamae ki te roro, ā, ka whakamama i te mamae.
- Ahakoa he tino whai hua tēnei maimoatanga, kāore pea e rite ngā hua ka puta ki te katoa.
- Pērā i ngā maimoatanga katoa, kei reira ngā mōrearea me ngā pānga taha, ā, ka whakamōhio katoa atu tō tākuta ki a koe.
- Ko tō tākuta anake te mea hei whakatau mēnā he tika tēnei maimoatanga māu. Nō reira, kia tuwhera ki a ia ō whakaaro mō tō mamae, me te pātai atu he aha ngā kōwhiringa kei a koe.
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