Kei te pāngia koe e te mamae nui, pumau tonu, e kore e memeha ahakoa ngā rongoā me ngā maimoatanga katoa? E mōhio ana mātou ki te uaua o te noho me tēnei momo mamae, inā koa ki te tuara, ki ngā waewae, me ngā ringa. Nō reira, i tēnei rā ka kōrero mātou mō tētahi taputapu hauora motuhake ka taea te āwhina ki te whakahaere i tēnei momo mamae nui.
He aha te mea nei hei whakaoho i te uaua tuaiwi?
He taputapu hauora iti te whakaoho i te taurakira ka taea e tō tākuta te whakatō ki roto i tō tinana mā te pokanga. Ka whakamahia hei whakahaere i te mamae nui, roa hoki. Ka whakamahia hoki hei whakakapi pai mō ngā rongoā whakamamae mamae kaha, pērā i ngā opioid, ka taea te whakawara i ētahi wā.
Me pēhea te whakaiti i te mamae e tēnei taputapu?
Hei mārama ki te mahi a tēnei, me mārama koe ki te mamae me tō tātou pūnaha io.
He aha te mamae?
He tikanga tiaki te mamae. Mā te mamae tātou e mōhio ai ina whara koe, ina puta rānei tētahi mea. He tohu nui anō hoki te mamae mō ngā mate maha.
Heoi, kāore te mamae e tiaki i a tātou i ngā wā katoa. Ka taea e ētahi āhuatanga hauora te whakararu i te mamae e kore e taea te whakamanawanui, he mamae pumau rānei e kore e memeha. Ka kiia tēnei he mamae mau tonu . Mā te noho tahi me tēnei momo mamae ka uaua te moe, ka uaua rānei te mahi i tetahi mea whai hua. I roto i te wā, ka pā nui hoki tēnei ki tō hauora hinengaro.
Te mahi a te pūnaha io
Whakaarohia tō pūnaha io he whatunga waea e rere ana puta noa i tō tinana. Koinei te mea e kawe ana i ngā mōhiohio ki waenganui i tō roro me te toenga o tō tinana. He rite te mamae ki tētahi "karanga" e puta mai ana i tēnei raina waea ki tō roro.
Ko tēnei tikanga, e kiia nei ko te neuromodulation, ka whakamahi i tētahi iahiko tino pai hei whakaoho i ētahi muka io i roto i tō taurakira. Arā, he rite ki te "waea" anō ki te raina waea kotahi e whiwhi ana i te "waea" mamae, ā, ka pukumahi te raina . Ka ārai tēnei i te tohu mamae kia kore e tae atu ki te roro. Koinei te huarahi e whakaitihia ai te kare o te mamae.
Ko wai te mea e tino hiahia ana ki tēnei maimoatanga?
Ko te tikanga, ka whakamahia tēnei maimoatanga ina kore e angitu ētahi atu maimoatanga, pērā i ngā pire, ngā werohanga, me te whakaora tinana. Ahakoa he nui ake te kitea o ēnei āhuatanga i waenga i ngā pakeke, tera pea ka hiahiatia anō hoki tēnei maimoatanga e ngā tamariki nohinohi.
Kei te ripanga i raro nei ētahi o ngā āhuatanga matua e rongoatia ana ki tēnei taputapu.
| Āhuatanga hauora | Whakaahuatanga |
|---|---|
| Mamae tuara | Te mamae tuara mau tonu kāore anō kia ora mā ētahi atu tikanga. |
| Te mamae i muri i te pokanga tuara | Te mamae tuākiri pumau (PSPS), inā koa te mamae ka mau tonu i muri i te pokanga pēnei i te laminectomy. |
| Ngā raruraru io e pā ana ki te mate huka | Te mamae i puta mai i te pakaru o ngā io i te mate huka (Diabetic Neuropathy). |
| Mamae Neuropathic | Te mamae e puta mai ana i tētahi hapa i roto i te pūnaha io tonu. |
| Te Mate Mamae Rohe Matatini (CRPS) | Te mamae nui, te mamae roa rānei i te ringa, i te waewae rānei i muri i te whara. |
Hei tāpiritanga, kei te haere tonu ngā rangahau kia kitea ai mēnā ka whai hua tēnei tikanga mō ētahi atu āhuatanga, pērā i te mamae o te uma (angina), ngā whara o te tuaiwi, me te mamae o ngā io i muri i te herpes zoster (shingles).
He aha ngā mea ka tupu i mua i te pokanga?
Ehara tēnei i te maimoatanga tuatahi. Ko te tikanga ka whakaarohia tēnei ina kore e angitu ngā maimoatanga katoa. I mua i te pokanga, me mahi e koe ētahi mea, pēnei i ngā whakamātautau toto me ngā karapa, kia kitea ai mēnā he pai koe mō tēnei.
Me toro atu hoki koe ki ētahi tohunga.
- Tohunga roro: Tāutuhia te āhua tonu e tino pā ana ki tō mamae.
- Tohunga Whakahaere Mamae:Me whakarite kia kore e whai hua ētahi atu maimoatanga.
- Taote Pokanga Niho: Ko ia te tangata e mahi ana i te pokanga hei whakauru i tēnei taputapu.
- Tākuta Hinengaro/Tohunga Hinengaro: Ka pā nui te mamae mau tonu ki tō hauora hinengaro, nō reira he mea nui kia aro atu koe ki tō hauora hinengaro anō hoki.
- Tohunga whakamoe: Kōrerohia tēnei nā te mea ka mahia te pokanga i raro i te whakamoe.
Kia oti ngā mea katoa te whakarite, ka whiwhi koe i ngā tohutohu mō te whakarite mō te pokanga. Kei roto i tēnei ko te kōrero ki te tākuta mō ngā rongoā e tangohia ana e koe me te nohopuku 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 tukanga "whakamātautau". Ki te angitu, ko te tuarua o ngā wāhanga ko te whakaurunga tūturu o te taputapu (te kaihanga pātītī/te pākahiko) ki roto i te tinana.
Ki te whakarapopoto, e rua ngā wāhanga o tēnei taputapu: ngā irahiko (ngā taura) e whakanohoia ana ki te taha o te tuaiwi me te pākahiko e whakaputa ana i ngā pāorooro hiko (te kaihanga pāorooro). Ka honoa ngā mea e rua e te waea e rere ana i raro i te kiri.
1. Te Tukanga Whakamātautau
I tēnei tikanga, ka hoatu he rongoā whakamoe hei whakamoe i a koe. Kātahi, mā te whakamahi i tētahi tikanga rite ki te hihi-X (fluoroscopy), ka werohia he ngira mā roto i te kiri ki te wāhi tika o tō tuaiwi (te wāhi epidural). Ka tangohia te pito kē atu o te hiko i waho o te kiri ka honoa ki tētahi pākahiko rangitahi i waho.
E rua, e toru rānei ngā rā e roa ana tēnei whakamātautau. Mēnā kua heke tō mamae neke atu i te 50% i tēnei wā, ka kiia te whakamātautau he angitu. Mēnā koinā, ko te mahi e whai ake nei ko te pokanga hei whakauru i tētahi taputapu tūturu.
2. Te whakaurunga taputapu tuturu (Pokanga Whakauru)
Ka mahia tēnei tikanga i raro i te rongoā whakamoe whānui. I konei, ka whakanohoia ngā hikohiko tuturu ki te wāhi kotahi i roto i te whakamātautau. Kātahi ka hangaia he āputa iti i raro i te kiri, ā, ka whakanohoia he pākahiko (kaiwhakaputa pātere) . Ko te tikanga ka whakanohoia tēnei pākahiko ki te wāhi ka taea e koe te whakahaere ngāwari, hei tauira, ki te taha o te puku, ki roto rānei i te papa.
Ka taea te whakakā/whakaweto i ētahi pākahiko mā te mana mamao. Ka taea te utu i ētahi. Mā tō tākuta ēnei mea katoa e whakamārama ki a koe.
He aha ngā painga me ngā ngoikoretanga o tēnei maimoatanga?
Pērā i tētahi atu tikanga hauora, he painga, he ngoikoretanga hoki tō tēnei.
| Ngā Painga | Ngā tūponotanga me ngā raruraru |
|---|---|
| Te āheinga ki te rongoā i te mamae kāore anō kia ora i ētahi atu tikanga. | Te tūponotanga o te mate: Mena ka puta he mate huri noa i te taputapu, me mahi pea ētahi atu pokanga hei tango. |
| Te āheinga ki te whakaiti i te whakawhirinaki ki ngā rongoā whakamamae. | Te nekenga o te hiko: Ina neke te tinana, ka neke pea te hiko mai i tōna tūranga taketake. |
| Ka taea te whakahaere i tētahi whakamātautau i mua i te pokanga tuturu. | Ngā hapa o te taputapu: Tērā pea ka pakaru ngā hikohiko, ka pakaru rānei te pākahiko. Me whakakapi pea ngā pākahiko i ia tau torutoru. |
| Te āheinga ki te rongoā i ngā momo mamae o te io. | Te hokinga mai o te mamae: Ka heke pea te kaha ki te whakahaere i te mamae i roto i te wā. |
Āhea koe me toro atu ki te tākuta kia tere tonu ai?
Ka tukuna atu he wā tirotiro i muri i te pokanga. Kia mahara ki te haere ki aua wā tirotiro. Heoi, ki te pāngia koe e tētahi o ngā tohu whakatūpato e whai ake nei, me haere tonu koe ki te hōhipera, ki te Tari Whawhati Tata rānei (ETU) .
- He mamae upoko pumau e puta ana i te tū, i te noho rānei, ā, e memeha ana i te takoto: He tohu pea tēnei nō te turuturu o te wai cerebrospinal (CSF).
- Ngā tohu o te mate i te wāhi i pokaina: whero, pupuhi, mamae, te rerenga mai rānei o te wai kakara kino mai i te patunga.
- Te tīmatanga ohorere o te ngoikore, te ngaronga o te rongo, te ngoikore rānei o te uaua o raro o te tinana: He tohu pea tēnei nō te kino o te taurakira i puta mai i te nekehanga poutū mai i te wāhi irahiko.
- Ngā tohu o te sepsis: Te kirika nui, te makariri, te uaua ki te manawa, me te pōhēhē. He āhuatanga ohorere tēnei e morearea ana ki te ora.
I te nuinga o te wā, e 4-6 wiki te roa ka ora katoa te taputapu tuturu, ka hoki anō ki ngā mahi o ia rā. Ka tohutohu tō tākuta kia kaua e hiki taumaha, e piko kaha hoki i tēnei wā.
Karere Tangohia ki te Kāinga
- Ko te Whakaoho i te Taura Tuaiwi he tikanga hou e whakamahia ana mō te mamae mau tonu kāore anō kia whakaorangia e ētahi atu maimoatanga.
- Ka mahi tēnei mā te aukati i te tuku o ngā tohu mamae ki te roro mā te iahiko hiko ngawari.
- I mua i te whakaurunga tūturu o te taputapu, ka whakahaerehia he whakamātautau rangitahi kia kitea ai mēnā e pai ana ki a koe.
- Nā te mea he painga, he mōrearea hoki tēnei tikanga maimoatanga, he mea nui kia kōrerohia pai tēnei tikanga ki tō tākuta i mua i te whakatau.
- Mena ka puta mai ētahi tohu whakatūpato i muri i te pokanga, me rapu tohutohu hauora tonu.
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