He otinga mō te mamae mau tonu e kore e taea te whakamanawanui: Akohia te Whakaoho i te Taura Tuaiwi

I ētahi wā ka pā mai te mamae kāore e memeha ahakoa te rongoā, te whakaora tinana rānei. He aha te uaua o te noho me tēnei momo mamae e roa ana i ia rā, i ia marama? Mena he tangata koe e pāngia ana e te mamae nui, roa hoki, he mea nui tēnei tuhinga māu. I tēnei rā kei te kōrero tātou mō tētahi taputapu motuhake ka werohia ki roto i te tinana mā te pokanga hei whakahaere i taua mamae. He pai tēnei hei whakakapi i ngā rongoā whakamamae kaha pērā i ngā opioid, ka taea te whakawara i ētahi tāngata.

He aha te mea he Whakaoho i te Taura Tuaiwi?

Āe, me mārama tātou ki te mahi a tēnei. Me mārama tātou ki tō tātou pūnaha io me te mamae.

He aha te mamae?

He tikanga tiaki te mamae i roto i tō tātou tinana. Ina whara koe, ina wera, ina tata rānei koe te whara, koinei te mea e kī ana ki te roro, "He hē kei konei, kia tūpato." He tohu matua anō hoki te mamae mō te maha o ngā mate.

Heoi, kāore te mamae e tiaki i a tātou i ngā wā katoa. Kāore e taea te manawanui ki te mamae e puta mai ana i ētahi mate hauora. Waihoki, kāore ētahi mamae e memeha, ā, ka haere tonu. Ka kiia tēnei he mamae mau tonu . Ina noho koe me tēnei momo mamae, kāore e taea e koe te moe tika, te mahi rānei i tētahi mea. Ina noho koe pēnei mō te wā roa, ka tino taumaha.

Ka puta he panoni i roto i tō tātou roro me te pūnaha io i te mamae mau tonu. Nō reira, ahakoa he mamae ngawari, ka taea te rongo i te mamae kaha ake (hyperalgesia). I ētahi wā, ko ngā mea kāore e tika kia mamae ka puta te mamae (allodynia). Ko te tikanga tēnei he hapa kei roto i tō tātou pūnaha tohu mamae.

Me pēhea te mahi a te pūnaha io?

Whakaarohia tō pūnaha io hei whatunga o ngā raina waea. Ka haria ngā mōhiohio ki waenganui i te roro me te toenga o te tinana mā roto i ēnei raina. He rite ngā tohu mamae ki ngā 'karanga' i runga i ēnei raina.

Ko te Whakaoho i te Taura Tuaiwi he tikanga whakaoho i ētahi muka io i roto i te taura tuaiwi mā te whakamahi i tētahi iahiko hiko tino pai . I mua i te taenga o te 'karanga' mamae ki te roro, ka karanga anō tēnei taputapu i te aho. Kātahi ka pukumahi te aho, ka ārai i te tohu mamae kia tae atu ki te roro. Koinei te huarahi e whakahaeretia ai te kare o te mamae.

Ko wai e hiahia ana ki tēnei maimoatanga? Mō ēhea āhuatanga?

Ehara tēnei i te rongoā mō te katoa. E whakaarohia ana he kōwhiringa tēnei mō te mamae nui, te mamae mau tonu kāore anō kia rongoatia pai ki ētahi atu maimoatanga (pēnei i ngā rongoā, ngā werohanga, me te whakaora tinana). Ahakoa ko tēnei pokanga te nuinga o te wā e mahia ana i roto i ngā pakeke, ka taea hoki te whakamahi mō ētahi āhuatanga o ngā tamariki nohinohi.

Kei raro nei ētahi āhuatanga ka whai hua ai tēnei maimoatanga.

He aha ngā mea ka mahia i mua i tēnei pokanga? Me pēhea taku whakarite?

Nā te mea ehara tēnei i te maimoatanga tuatahi, ka whakahaerehia ngā whakamātautau maha (pēnei i ngā taiwhanga me ngā matawai) i mua i te pokanga hei whakarite kei te ora koe, hei tirotiro hoki mēnā he take hei kore e mahi i tēnei pokanga.

Me toro atu hoki koe ki ētahi tohunga.

• Tohunga roro: Ko rātou te hunga ka taea te tautuhi tika i te mate e puta ai tō mamae.
• Tohunga whakahaere mamae: Mā tēnei tākuta e whakatau mēnā kua angitu ētahi atu maimoatanga i mua i te pokanga, mēnā rānei he take kāore e taea ai te whakahaere i taua maimoatanga.
• Taote Pokanga Niho: Mā rātou e mahi te pokanga hei whakauru i tēnei taputapu.
• Tākuta hinengaro, tākuta hinengaro rānei: Ka pā kino te mamae mau tonu ki tō hauora hinengaro. He mea nui kia tirohia, kia rongoāhia hoki ngā mate pēnei i te manukanuka, te pouri rānei, nā te mea ka kore e whai hua te maimoatanga nei i ētahi mate hauora hinengaro.
• Tohunga Whakamoemiti: Ka mahia tēnei pokanga i raro i te whakamoemiti whānui. Nō reira, ka tirohia koe e te tohunga whakamoemiti, ka kōrero mō tō hītori hauora, ā, ka hoatu ki a koe ngā tohutohu e tika ana.

I muri i ēnei mea katoa, ki te whakatauhia he pai koe mō te pokanga, ka whiwhi koe i ngā tohutohu mō te whakarite mōna.

• Ngā rongoā e tangohia ana e koe: Me kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā huaora me ngā tāpiringa. Tērā pea me mutu, me whakarerekē rānei ētahi rongoā (pēnei i ngā rongoā whakaiti toto ) i mua i te pokanga. Kaua e mutu te tango i tētahi rongoā me te kore he tohutohu a tō tākuta.
• Te horoi: Ngā tohutohu mō te kaukau i mua i te pokanga me te momo hopi hei whakamahi.
• Nohopuku: Ka tohutohuhia koe kia kaua e kai i ngā kai mārō mō te 8 hāora, me te inu wai mō te 2 hāora i mua i te pokanga.

He aha ngā mea ka tupu i te wā o te pokanga?

E rua ngā wāhanga o tēnei tukanga. Ko te tuatahi he "whakamātautau". Ki te angitu, ka tāutahia te taputapu ki te wāhanga tuarua.

E rua ngā wāhanga matua o tēnei taputapu. Ko tētahi ko ngā waea hiko (ngā taura). Ka whakaurua ēnei ki roto i tētahi wāhi e kiia nei ko te wāhi epidural e tata ana ki te taurakira. Ka honoa ēnei waea ki tētahi kaihanga pātere hiko. Koinei te wāhanga e mahi ana pērā i te pākahiko, ā, ka whakaputa i te iahiko hiko.

Taumata tuatahi: "Tukanga whakamātautau"

Ko te tikanga o tēnei ko te whakauru wā poto i tētahi waea hei whakamātautau mēnā he tika te taputapu māu, ā, mēnā ka whakaiti i te mamae. I te nuinga o te wā ka mahia tēnei i raro i te whakamoe kia paku hiamoe ai koe. Ka whakamahi te tākuta i tētahi tikanga hihi-X motuhake e kiia nei ko te fluoroscopy (he rite ki te ataata hihi-X), ka tapahia he wahi iti ki te kiri, ā, ka whakauru i te waea wā poto mā te ngira ki te wāhi tika i roto i te tuaiwi.

Kātahi ka tāpirihia te wāhanga e kitea ana o ngā waea ki te kiri, ka honoa ki tētahi pūhiko whakaputa manawa rangitahi i waho o te tinana. Ināianei, ka tahurihia, ka tirohia mēnā ka whakamama i tō mamae.

Ki te angitu te whakamātautau, ko te mahi e whai ake nei ko te pokanga hei whakatō tūturu i te taputapu.

Wāhanga tuarua: Te tāutanga tūturu o te taputapu (Pokanga whakatō)

Ka mahia tēnei pokanga i raro i te mate whakamoe whānui. I konei, ka whakanoho te taote pokanga, pērā i te whakamātautau, i ngā taura hiko tuturu ki te wāhi tika i roto i te taurakira.

Kātahi ka tangohia te pito kē atu o te waea i raro i te kiri, ka honoa ki te pūhiko whakaputa pātere, ki te pākahiko rānei, e whakanohoia ana ki tētahi wāhi e ngāwari ana te whakahaere. Hei tauira, ka hangaia he 'pōkete' iti i raro i te kiri i te taha o te puku, o te papa rānei, ka tuia ki roto.

He maha ngā momo pākahiko nei. Ko ētahi me whakakā/whakaweto mā te mana mamao. Ko ētahi ka taea te whakakī anō. Ka whakakī anōtia ki te mata o te kiri, mā te whakatakoto i tētahi rihi motuhake ki te wāhi kei reira te pākahiko.

Hei whakamutunga, ka katihia ngā tapahi ki ngā tuitui, ki ngā here rānei.

He aha ngā mea ka tupu i muri i te pokanga? Kia pēhea te roa o te wā e ora ai?

I muri i te whakamātautau, ka taea e koe te hoki ki te kāinga i taua rā anō, i te rā e whai ake nei rānei. I muri i te tāutanga o te taputapu tūturu, me noho koe ki te hōhipera mō te rā kotahi, e rua rānei.

I muri i te pokanga, inā koa i muri i te whakaurunga o te taputapu tuturu, ka tonoa koe kia whakawhāiti i te korikori tinana mō te 4 ki te 6 wiki . Me karo koe i te piko, te hiki, te mahi rānei i ngā mahi whakakori tinana uaua kia ora ra ano te wāhi i whakaurua ai te taputapu, kia taunga ra ano hoki tō tinana ki taua mea.

Ka tonoa koe kia hoki mai ki te whare hauora i muri i te rua wiki pea kia tangohia ngā tuitui/pine tāpiri.

He aha ngā painga me ngā mōrearea o tēnei maimoatanga?

Pērā i ngā maimoatanga hauora katoa, he painga, he mōrearea anō hoki. He mea nui kia mōhio pai koe ki ngā mea e rua i mua i te whakatau.

Āhea koe me toro atu ki tō tākuta?

I muri i te pokanga, me haere koe ki te whare hauora i ngā rā kua whakaritea. Waihoki, ki te puta he raruraru, me rapu tohutohu hauora tonu koe.

He pēhea te angitu o tēnei maimoatanga? Ka taea e au te noho i tētahi oranga noa?

I te nuinga o te wā, tata ki te haurua o te hunga e whiwhi ana i tēnei maimoatanga ka nui ake i te 50% te whakamamae i te mamae . Heoi, ko tēnei reiti angitu e whakawhirinaki ana ki ngā āhuatanga maha, tae atu ki te āhua o te tūroro me te momo taputapu e whakamahia ana. Ko tō tākuta te tangata pai rawa atu hei kī atu ki a koe me pēhea te tūponotanga ka angitu i runga i tō āhua.

Me whakarerekē pea tō āhua noho i muri i te tāutanga o tēnei taputapu. Āta karohia te piko, te takahuri rānei, nā te mea ka kino pea te taputapu.

Heoi, he tokomaha te hunga kua taunga ki te noho noa me tēnei taputapu. Kia maumahara, ko te whāinga matua he whakaiti i tō mamae me te whakapai ake i te kounga o tō oranga.