Kua "werohia koe e te tuaiwi" i a koe e whānau ana, i tētahi atu whakamātautau rānei, ā, kātahi ka pāngia koe e te mamae nui o te upoko, kāore i taea e koe te manawanui? Ina koa ka tū ake koe, ka noho rānei, ka ahua piki haere, ka heke rānei tēnei mamae ina takoto koe? Kātahi ka kōrero tātou mō tētahi momo mamae motuhake ka pāngia pea koe. Ka kiia tēnei he 'mamae tuaiwi'. Kaua e manukanuka, he mate tēnei e pāngia ana e te tini o te tangata, ā, ka taea te whakaora. Me kōrero noa iho tātou.
He aha te mamae o te tuarā?
Hei mārama ki tēnei, me mārama tuatahi tātou ki te āhua o te tiakitanga o tō tātou roro me te tuaiwi. Whakaarohia ko tō tātou roro me te tuaiwi he rite ki ngā taonga utu nui, e mānu ana i roto i tētahi wai tiaki. I roto i ngā kupu hauora, ko tēnei wai e kiia ana ko te wai cerebrospinal (CSF) . Ka whāngai tēnei wai i te roro me te tuaiwi, ā, ka tiaki i a rātou mai i te ru me te pānga.
Nā, ina pāngia koe e te werohanga tuaiwi, arā, ina werohia e te tākuta he ngira ki roto i tō awa tuaiwi ka werohia he rongoā (e kiia ana tēnei he epidural ), ina tangohia rānei he iti o taua wai CSF hei whakamātautau (e kiia ana tēnei he werohanga lumbar ), ka hangaia he kōhao iti ki te wāhi i werohia ai te ngira. I ētahi wā, ka tīmata te turuturu haere o taua wai CSF utu nui mā roto i tēnei kōhao.
Ina turuturu te CSF, ka heke te nui o te wai e karapoti ana i te roro. Ka ngaro te paparanga tiaki o te roro, ā, ka tīmata te roro ki te piko. Ka kukume ngā io me ngā kiko e hono ana ki te roro. Ko taua kukume ka kitea he ānini nui.
I te kīanga māmā noa, ko te ānini o te tuaiwi he ānini e puta mai ana i te hekenga o te wai CSF e karapoti ana i te roro.
He aha ngā tohu o tēnei mamae upoko? Me pēhea e mōhio ai koe ki tēnei?
Ko te tikanga ka puta ēnei tohu i roto i ngā rā e rua, e toru rānei i muri i te whara o te tuaiwi. Heoi, ka puta pea i ētahi wā i muri i ngā marama. Ko te tohu tino nui, ā, he māmā hoki te kite ko te ānini.
| Tohu | Whakaahuatanga |
|---|---|
| Te ānini nui | Ka tīmata pea i mua, i muri rānei o te māhunga. Ka rite ki te mea e pāngia ana tetahi mea e tetahi mea pakari, ki te mea rānei e pāngia ana te māhunga e te mea i roto. |
| Hurihia te tū (āhuatanga matua) | Ka kino haere te mamae ina noho koe, ina tū rānei koe. Engari ina takoto koe (ina takoto rānei koe) ki te moenga, ka pai ake te mamae , ka memeha rawa atu rānei. |
| Ngā mea e whakanui ana i te whakapairuaki | Ka kino haere te ānini ina maremare koe, ina tihe, ina pēhia rānei (hei tauira, ina tūtae koe). |
| Ētahi atu āhuatanga |
|
Kia pēhea te roa o tēnei mamae o te upoko?
I te nuinga o te wā, ka roa pea ēnei mamae upoko mai i ētahi hāora ki ētahi rā. Heoi , ki te roa atu i te 24 hāora karapīpiti ēnei tohu, me whakamōhio atu ki tō tākuta.
He aha ngā āhuatanga mōrearea e pā ana ki te whanaketanga o te mamae o te tuaiwi?
Ahakoa ka pā tēnei ki te katoa, he nui ake te tūponotanga ka pāngia ētahi tāngata e tēnei mate.
- Tau: Ka kitea i roto i te hunga i waenga i te 20-40 tau te pakeke, inā koa ko ngā wāhine e whiwhi ana i te epidural i te wā e whānau ana.
- Te matewai: Ka nui ake te mōrearea mēnā kua matewai te tinana.
- Ngā ānini o mua: Ki te pāngia pinepine koe e te ānini, he iti noa te tūponotanga ka pā mai tēnei.
- He iti te taupū papatipu tinana (BMI): He nui ake te tūponotanga ka pāngia te hunga kikokore e tēnei.
- Momo ngira i whakamahia: Tērā pea ka rerekē anō hoki tēnei mōrearea i runga i te rahi me te momo ngira i whakamahia e te tākuta.
Me pēhea te rongoā mō tēnei?
Ko te rongo pai, i te nuinga o te wā, ka memeha haere ēnei mamae o te tuaiwi me te kore he maimoatanga motuhake. Engari he mea nui tō tautoko mō tēnā.
Ngā mea ka taea e koe te mahi i te kāinga
Tuatahi, ka tohutohu te tākuta kia mahia e koe ēnei mahi māmā.
1. Kia marino: Noho ki te moenga, takoto noa. Whakatika, noho ki runga, nā te mea ka kino haere te ānini, nō reira okioki kia nui rawa te wā e taea ai.
2. Inuhia he nui ngā wai: Inuhia he nui te wai me ngā inu hua. Ka āwhina tēnei ki te whakakī anō i te wai CSF o te tinana.
3. Inuhia ngā inu kei roto te kawheine: Ka taea e te inu i ngā mea pēnei i te tī me te kawhe te whakaora i te ānini. Ka whakawhāiti te kawheine i ngā uaua toto i roto i te roro, ā, ka āwhina ki te whakaiti i te mamae.
4. Ngā rongoā whakamamae: Ka taea e koe te tango i ngā rongoā whakamamae whānui pērā i te paracetamol e ai ki ngā tohutohu a tō tākuta.
Ko te mea nui, i mua i te mahi i tētahi o ēnei mea, inā koa he whaea whāngai u koe, me kōrero koe ki tō tākuta.
Te maimoatanga a te tākuta
Ki te kore te mamae o te upoko e memeha mā roto i ngā rongoā kāinga, ā, ka roa te mamae mō ētahi rā, ka tūtohu pea te tākuta i tētahi atu maimoatanga.
Ko tōna ingoa he Pātaki Toto Epidural . Kaua e mataku ina rongo koe i tēnei. He tino māmā noa iho.
- He aha te mahi a tēnei? Ka tangohia e te tākuta tētahi wāhanga iti o ō toto ake (tata ki te 10-20 miririta) mai i tētahi uaua i tō ringa.
- Kātahi ka werohia anō te toto ki te wāhi i werohia ai i mua ki te tuara.
- Ko te mea ka tupu ko te pupū o te toto i reira, ka kati i te kōhao e turuturu ana te wai o te csf, me te mea kua tāpirihia he "pāreti" ki runga.
- Ko te nuinga o te tangata ka tino ora te upoko i roto i ngā haora 24 o tēnei maimoatanga.
He tino onge, ki te kore ēnei tikanga e āwhina, me mahi pokanga pea hei kati i te kōhao.
Āhea tātou me rapu tohutohu hauora tonu?
Ahakoa kāore i te tino mōrearea te ānini o te tuaiwi, ka puta pea ētahi raruraru onge engari he nui. Nō reira, ki te pāngia koe e ētahi o ngā tohu e whai ake nei, me toro atu ki te tākuta tonu, me haere rānei ki te Tari Ohotata o te hōhipera (ETU).
- Te uaua ki te mimi me te mamae o te upoko.
- Te ngaronga o te rongo, te ngoikore rānei o te tuara, o ngā waewae rānei.
- Te ruaki nui, te haurangi, te ngaronga rānei o te māramatanga.
- Te mamae nui o te kaki me te kirika.
Ahakoa he tino onge ēnei tohu, he mea tino nui kia mōhiotia.
Karere Tangohia ki te Kāinga
- Ko te ānini o te tuaiwi he ānini e puta mai ana i te turuturu o te wai CSF e karapoti ana i te roro i muri i te pokanga lumbar/epidural.
- Ko te tohu matua ko te kino haere o te ānini ina tū ake koe, ā, ka heke haere ina takoto koe.
- I te nuinga o te wā ka ea tēnei i roto i ngā rā torutoru mā te whakamahi i ngā mahi māmā (okiokinga, wai, rongoā whakamamae).
- Mena ka roa ake te mamae o te upoko i te 24 hāora, ka kino rānei, me whakamōhio atu ki tō tākuta.
- Mena ka pāngia koe e ngā tohu kino pēnei i te uaua ki te mimi me te ngoikore o ō waewae me te mamae o te upoko, me haere tonu koe ki te hōhipera.
- I te mea he mate ka taea te rongoā, kaua e mataku noa, engari me whai i ngā tohutohu hauora tika.
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