I ētahi wā ka pā mai te mamae kāore e memeha ahakoa te rongoā e tangohia ana e tātou, te whakaora tinana rānei e mahia ana e tātou. He aha te uaua o te noho me tēnei mamae tonu mō ngā marama, mō ngā tau pea? I tēnei rā ka kōrero tātou mō tētahi tikanga hauora motuhake e whakamahia ana mō te mamae mau tonu me ngā āhuatanga e pakari ai ngā uaua (spasticity) e uaua ana ki te whakahaere me ētahi atu maimoatanga.

⚡ Interactive Clinical Tool

⚖️

BMI Calculator

Know your body mass index (BMI) and weight classification

Open Interactive Calculator →

Nā, he aha tēnei rhizotomy?

Ki te kī māmā noa, he tikanga hauora te rhizotomy e kino ai, e whakapōrearea ai hoki te mahi a ngā muka io motuhake e puta ai te mamae mau tonu, te pakari rānei o te uaua.

Whakaarohia tō tātou pūnaha io he pūnaha waea hiko. Ka haria e ēnei waea ngā karere mai i te roro ki ētahi atu wāhanga o te tinana, ā, mai i aua wāhanga ki te roro. Ina pāngia tātou e te mamae, ka tukuna e te mamae he tohu ki te roro mai i te wāhi e pāngia ana, e mea ana, "Koinei te wāhi e mamae ai." Ko te rhizotomy ko te kimi i te io tika e kawe ana i te tohu mamae, te pakaru, me te aukati i te tohu kei haere ki te roro. He rite ki te tapahi i tētahi waea hiko hapa. Mā tēnei ka mutu te mamae.

He maha ngā tikanga e whakamahia ana e ngā tākuta hei whara i ēnei io:

Tikanga	He whakamārama māmā
Te tango pokanga	Te tapahi me te tango i te io e pā ana mā te pokanga tuwhera, te whakamahi rānei i tētahi taputapu iti kei roto he kāmera, pērā i te endoscope, e whakaurua ana mā tētahi tapahi iti.
Te whakamahi i tētahi matū	Te werohanga o tētahi matū pēnei i te glycerin, te glycerol rānei ki te taha o tētahi io ki te ngira, ka kino ai taua io.
Te Whakakorenga Auautanga Reo Irirangi	Ka tukuna ngā ngaru reo irirangi auau-tiketike mā roto i tētahi ngira motuhake, ā, ka 'tahu' te io e pā ana ki te wera e puta mai ana. Koinei te mea e kiia pinepinetia ana e tātou ko te 'whakakorenga io'.

Tērā pea ka rongo koe i te kupu 'neurotomy'. Koia tētahi atu ingoa mō ēnei rhizotomies. He rite tonu te mahi a ēnei katoa, arā, ko te aukati i te io e puta ai te mamae.

He aha ngā āhuatanga ka rongoatia mā te rhizotomy?

Ko te mea nui kia maumahara ko te rhizotomy ehara i te maimoatanga tuatahi. E whakaarohia ana tēnei e ngā tākuta hei huarahi whakamutunga ina kore e angitu ngā maimoatanga ngāwari pēnei i te rongoā whakamamae, te whakaora tinana, me te aukati io.

He maha ngā momo matua o te rhizotomy, ā, he rerekē ngā momo io o te tinana e pā ana ki ia momo io.

Te Rhizotomy o te Ganglion Trigeminal

Ka aro atu tēnei ki te rōpū io trigeminal i ia taha o te mata. Ka whakamahia mō te mamae nui, te mamae mau tonu o te mata.

Trigeminal Neuralgia: He mamae nui, rite ki te ru hiko, i te taha kotahi o te mata.
Ngā ānini tautau kāore e taea te whakahaere mā te maimoatanga.
He mamae kanohi rerekē, kāore hoki e kitea he take.
Neuralgia postherpetic (mamae kanohi e puta ana i muri i te rewharewha).
Te mamae o te kanohi i puta mai i te mate pukupuku.

Rhizotomy o te taha

Ka aro atu tēnei ki ngā pakiaka io e tika ana mā roto i ngā hononga taha i waenganui i ō tātou tuaiwi. He maha ngā wā ka mahia tēnei mō te mamae o te tuara me te mamae o te kaki.

Ki te mahia ki te kaki, ka kiia ko te rhizotomy cervical .
Ki te mahia ki te tuara o raro, ka kiia he lumbar rhizotomy .
He rongoā whai hua tēnei mō te mamae mau tonu i puta mai i te pakaru me te haehae o ngā hononga o te tuaiwi nā ngā mate pēnei i te mate rumatiki.

Te Rhizotomy Tua o te Tūāpapa Whiriwhiri (SDR)

He mea motuhake tēnei hei whakahaere i te koretake o te nekehanga o ētahi tamariki e pāngia ana e te pararutiki roro . Kei roto i tēnei ko te pakaru i ētahi o ngā muka io ira i te taha raro o te taurakira. Heoi, kāore e tika ana kia whakamahia tēnei pokanga mō ngā tamariki katoa e pāngia ana e te pararutiki roro. He mea tēnei nā ngā tākuta e whakatau.

Me pēhea te whakarite mō tēnei maimoatanga?

Nā te mea he mahi pokanga tēnei, me whai whakamātautau koe i mua i te wā kia mōhio ai koe he pai tō tinana mō tēnei mahi, ā, ka tino whai hua hoki koe.

Ngā whakamātautau whakaahua: Ka whakamahia ngā matawai MRI me ngā hihi-X hei tirotiro mārire i te io e pāngia ana me te rohe e karapoti ana.
Te aukati io: Hei whakatau tika mēnā kei roto i tēnei io te raruraru, ka werohia he werohanga hei whakangoioi i te io mō te wā poto. Mēnā ka whakaitihia te mamae, ka nui ake te tūponotanga ka angitu te rhizotomy.
Ngā whakamātautau toto me te mimi: Tirohia te hauora whānui o te tinana.

Mena kei raro i te whakamoe whānui te pokanga, me toro atu koe ki tētahi tohunga whakamoe. Waihoki, ki te mea kei te tango koe i ētahi rongoā, pērā i ngā rongoā whakaiti toto, me mutu te tango i aua rongoā i mua i te pokanga. Kaua rawa e mutu te tango i ō rongoā me te kore he tohutohu a tō tākuta. Mā tō rōpū hauora koe e whakamārama i ngā mea katoa.

He aha ngā mea ka tupu i te wā e rongoatia ana?

Ka rerekē tēnei tukanga i runga i te momo rhizotomy, engari i te nuinga o te wā, koinei ētahi o ngā mahi e whai wāhi ana:

1. Whakamoemoe: I te nuinga o te wā, ka whakamoea rawatia koe (whakamoemoe whānui). I ētahi tikanga māmā, ka moe māmā pea koe (whakamoemoe) ka whakamoea rānei te wāhi anake (ka whakangoikore).

2. Aratohu whakaahua: I te wā o te pokanga, ka whakamahia he tikanga e kiia nei ko te fluoroscopy, he rite ki ngā hihi-X, hei whakarite kia tū tika te ngira, te taputapu rānei ki te taha tika o te io. I ētahi wā, ka werohia he wai motuhake (tae rerekē) ki roto i te uaua kia mārama ake ai te kitea o ngā io.

3. Te whakamātautau i te io: I mua i te whara i te io, ka tukuna he tohu hiko iti ki te io hei whakarite ko te io tika. Ka taea tēnei mā te whakamahi i tētahi whakamātautau pēnei i te EMG (Electromyography).

4. Te kino o te io: Hei whakamutunga, ka whakamahia tētahi o ngā tikanga e toru i kōrerohia i mua ake nei (te tapahi, ngā matū, te wera auau irirangi rānei) hei aukati i te mahi a te io e meinga ana te mamae.

He pēhea te angitu o tēnei? He aha ngā mōrearea?

He maha ngā tāngata e mahi ana i te rhizotomy ka whakamamaetia te mamae mō te wā roa . Heoi, kāore e rite ngā hua mō te katoa. Tērā pea ētahi tāngata kāore e whakamamaetia te mamae. Ka taea e koe te kōrero ki tō tākuta mō te whai huatanga o tēnei mō tō āhua.

He rerekē ngā mōrearea me ngā raruraru i runga i te momo rhizotomy e mahia ana.

I te nuinga o te wā, he mea noa te pāngia e te mamae, te marutanga, me te toto i te wāhi i werohia ai te ngira, i te wāhi rānei i tapahia ai te pokanga. Ka memeha haere tēnei i roto i ētahi rā.
He tino onge te pānga o te mate ki aua wāhi.
Me tumanako ka pā mai ētahi pānga taha. Hei tauira, i muri i te tango i te trigeminal rhizotomy mō te mamae o te kanohi, ka ngaro pea tō wairua i taua taha o tō kanohi. Ka kōrerohia ēnei mea katoa e tō tākuta ki a koe i mua i te pokanga.

Ina hiahia koe ki te toro wawe ki te tākuta

I muri i te maimoatanga, ki te pupuhi te wāhi i pokanga, ki te whero, ki te kī rānei i te pūkahukahu (he tohu o te mate), ki te puta rānei he raruraru io hou ki a koe, pērā i te māuiui, te ngau rānei i te waewae kotahi, i te ringa rānei, waea atu ki tō tākuta tonu.

Karere Tangohia ki te Kāinga

Ko te Rhizotomy he tikanga e rongoā ana i te mamae mau tonu me te pakari o ngā uaua mā te whakakore i ngā io e kawe ana i ngā tohu mamae.
Ehara tēnei i te maimoatanga tuatahi. He kōwhiringa tēnei hei whakaaroaro ina kore e whai hua ngā mahi pēnei i te rongoā me te whakaora tinana.
Ahakoa kua whai hua tēnei maimoatanga i te whakamamae i te mamae o te tini tāngata, kāore i te rite ngā hua e whiwhihia ana e te katoa.
Pērā i ngā pokanga katoa, he tūponotanga kei roto. Nō reira, he mea nui kia kōrerohia ngā painga me ngā huakore o tēnei tikanga ki tō tākuta i mua i te whakatau.