Ka taea e tēnei werohanga motuhake ki te kaki te whakamamae i te mamae? Me ako tātou mō te Poraka Ganglion Stellate.

He mamae tonu tō kaki, tō mahunga, tō ringa, tō uma rānei o runga, kāore e memeha mā te rongoā? I ētahi wā, ko te take o tēnei momo mamae he raruraru iti i roto i tō tātou pūnaha io. I tēnei rā, ka kōrero tātou mō tētahi tikanga maimoatanga motuhake, he rerekē te āhua, e whakamahia ana e ngā tākuta i roto i ēnei momo take. Ka kiia tēnei ko te 'Stellate Ganglion Block'. Ahakoa he ahua uaua te ingoa, me mārama noa tātou ki te mahi a tēnei.

He aha te Poraka Ganglion Stellate (SGB)?

Ki te whakarāpopototanga, he werohanga rongoā whakangote te Stellate Ganglion Block (SGB). Engari ehara tēnei i te werohanga noa. Ka werohangahia ki roto i tētahi rōpū io motuhake i roto i tō tātou kaki, i ia taha o tō tātou pouaka reo. Ka kiia tēnei rōpū io ko te 'Stellate Ganglion'.

E rua ngā kaupapa matua mō te tuku i tēnei kano ārai mate:

1. Hei whakamamae i ētahi mamae kino, mau tonu i te māhunga, i te kaki, i ngā ringa o runga, me te uma o runga.

2. Te rere o te toto ki ngā ringaringa, arā, te whakapai ake i te rere o te toto.

Āe, he aha tēnei ganglion whetu?

He tautau pūtau io te ganglion e huihui mai ana, he rite ki te hononga i te teihana tereina, he pokapū e tukuna ai ngā karere io ki mua, ki muri.

Ko te stellate ganglion tētahi o aua momo io. Kei mua o tō tātou kaki, i raro noa i te wheua kara, e tata ana ki te rara tuatahi. He rite ngā ganglion ki tēnei kei ngā taha e rua o tō tātou kaki. Ko te tikanga o te kupu 'stellate' he 'rite ki te whetu'. Ko te tikanga o tēnei, ka rite te āhua o tēnei momo io ki te āhua o te whetu.

Nō te 'Pūnaha Io Aroha' tēnei rōpū io, he wāhanga tēnei o tā tātou Pūnaha Io Aroha. He māmā noa iho, koinei te pūnaha 'whawhai, rere rānei' o tō tātou tinana, arā, te pūnaha e whakarite ana i a tātou ki te whawhai, ki te oma atu rānei i roto i tētahi āhuatanga ohorere, ina mataku, ina manukanuka rānei tātou. He maha ngā mea e whakahaerehia ana e tō tātou tinana me te kore e whakaarohia e tātou, pērā i te tere o te manawa, te toto toto, me te werawera. Nō reira, ko te nuinga o ngā karere io aroha e haere ana ki te mahunga, ki te kaki, ki ngā ringa, me te uma o runga ka tukuna mā tēnei ganglion whetu.

Kei te katoa tēnei Stellate Ganglion?

He mea miharo anō hoki tēnei. Ina hoki, kāore tēnei ganglion whetu i roto i te tinana o te katoa. Kia puta ai tēnei ganglion, me hono ngā tautau io e rua i roto i tō tātou kaki, arā, ko te 'ganglion cervical o raro' me te 'ganglion thoracic tuatahi'.

Engari, ko te 80% anake o te tangata o te aoKa honoa ēnei paihere io e rua ki tēnei ara hei hanga i te ganglion whetu. I roto i te 20% o ngā kēhi, he rerekē te whakaritenga o ēnei, he wehe kē tetahi i tetahi.

He aha i mahia ai te aukati i te stellate ganglion? Mō ēhea mate?

E rua ngā take matua e whakamahia ai tēnei maimoatanga e ngā tākuta.

1. Hei tātaritanga: Kimihia mēnā i puta te mamae i te mahi a te pūnaha io atawhai i whakahuatia i mua ake nei. Ka kiia tēnei ko te 'mamae e pāngia ana e te atawhai (SMP)'.

2. Hei rongoā: Whakahaere i ngā momo mamae, ngā mate io, me ngā raruraru tohanga toto.

Kei te ripanga i raro nei ētahi o ngā āhuatanga e whakamahia whānuitia ana tēnei maimoatanga.

Hei tāpiritanga, ka whakamahia hoki tēnei maimoatanga mō ngā āhuatanga pēnei i te `Scleroderma`, te `Orofacial pain`, te `Atypical chest pain`, me te `Ménière’s disease`.

Ka whakamahia anō hoki tēnei mō ngā take hauora hinengaro?

Āe, he kaupapa tēnei e kōrerohia ana e te tini tāngata i tēnei wā. Kei te haere tonu ngā rangahau mai i te tekau tau atu i 1990, inā koa mō te whakamahinga o te SGB hei rongoā mō te mate hinengaro e kiia nei ko te Post-Traumatic Stress Disorder (PTSD) .

Engari he rerekē ngā hua o ēnei rangahau. Kua kite ētahi i te whakahekenga nui o ngā tohu PTSD, ko ētahi kāore i kite i te huringa. Nō reira, kāore anō ngā tari pēnei i te U.S. Food and Drug Administration kia whakaae mana ki te SGB hei rongoā mō te PTSD. Heoi, ki te kore e whai hua ētahi atu maimoatanga (te tohutohu, te rongoā), ka kōrero pea te tākuta ki te tūroro me te tuku atu hei rongoā 'kore-tohutohu'.

Nō nā tata nei, kua tīmata ngā rangahau mō ngā pānga o te SGB ki ētahi atu āhuatanga hinengaro, pērā i te pouri me te manukanuka.

Me pēhea te mahi i tēnei Poraka Ganglion Stellate?

Whakaarohia kua tohua tēnei maimoatanga e te tākuta māu. Kātahi ka puta tētahi mea pēnei i roto i te whare hauora, i te hōhipera rānei:

1. Te Whakarite: Tuatahi, ka tonoa koe kia takoto anga ki runga i te moenga. Hei whakamarie me te whakangā, ka hoatu pea he rongoā whakangāwari ngawari (he rongoā whakangāwari) mā te raina uaua (IV).

2. Te horoi: Ka horoia rawatia e te tākuta te wāhi o tō kaki ka werohia ki te wai patu paturopi.

3. Te werohanga tuatahi (ngoikore):Muri iho, ka werohia he iti o te rongoā whakamoe ā-rohe ki roto i te wāhi mā te whakamahi i tētahi ngira tino angiangi. Mā tēnei ka kore koe e rongo i te mamae o te werohanga e whai ake nei.

4. Werohanga matua: Kātahi ka werohia te rongoā whakangote matua. Engari ehara tēnei i te whakaaro noa iho. Ka whakamahia e te tākuta he matawai 'Ultrasound' , he momo hihi-X motuhake rānei e kiia nei ko te 'Fluoroscopy' , ka mātaki i te ara o te ngira i runga i te mata, ā, ko reira anake ka puta te werohanga ina tata tonu te ngira ki te tautau io e kiia nei ko te stellate ganglion. Mā tēnei ka whakaitihia te tūponotanga o te werohanga ki te wāhi hē.

I raro iho i te 30 meneti te roa o tēnei tukanga katoa.

He aha te mea ka tupu i muri i te werohanga?

I muri i te werohanga, ka puritia koe ki roto i te rūma whakaora mō tētahi wā. I te nuinga o te wā, mō te 40 ki te 60 meneti, ka aroturukihia tō āhua e te nēhi, e te tākuta rānei (te toto toto, te tere o te manawa). Kia whakaūtia ngā mea katoa, ka tukuna atu ngā tohutohu hei whai māu i te kāinga, kātahi ka tukuna kia hoki ki te kāinga.

He pēhea te whai huatanga o tēnei maimoatanga? Kia pēhea te roa o tōna pumau?

Kāore he whakautu kotahi ki tēnei pātai nā te mea he rerekē rawa i ia tangata, i ia tangata.

• Mō ētahi tāngata, ka memeha tonu te mamae i muri i te werohanga, engari ka hoki mai anō pea te mamae i muri i ētahi haora i te memeha haere o te rongoā whakamoe.
• Ko ētahi ka whakamamae i te mamae mō ngā rā, mō ngā wiki rānei. I tēnei wā, ka taea e rātou te whakaiti i te whakamahinga o ā rātou rongoā mamae, me te whai wāhi atu ki ngā mahi pēnei i ngā mahi whakapakari tinana.

I te nuinga o te wā, kāore i te tino whakaorahia te mamae e te werohanga kotahi. Mō te whakaora roa, me whai werohanga maha, arā, me mahi koe i tēnei i ngā wā maha. I ētahi wā ka puta he hua i roto i ngā wā e rua anake, ko ētahi atu me mahi pea i te neke atu i te tekau ngā wā. Engari ko te rongo pai , i ia wā, ka roa ake te mamae .

He pānga taha, he mōrearea rānei kei roto i tēnei?

Pērā i ngā maimoatanga hauora katoa, he iti noa ngā pānga taha, engari he tino onge ngā raruraru nui.

Ko ngā tohu kua whakahuatia ake nei ka memeha katoa i roto i ētahi haora, engari tera anō hoki ngā raruraru nui kāore e tino kitea.

• Ngā āhuatanga pangia
• Te toto i puta mai i te werohanga o te ngira ki roto i te oko toto (hei tauira, te uaua carotid)
• Te kino ki ētahi atu io (io vagus, io laryngeal recurrent)
• Te pakaru o te pukahukahu (Pneumothorax)
• Te kino ki te repe tairoi, te esophagus, te trachea rānei

He tino iti te tūponotanga o ēnei mea, inā koa ka whakamahia e te tākuta mātau tēnei maimoatanga mā te whakamahi i ngā hangarau pēnei i te ultrasound.

I roto i ngā āhuatanga hea me waea atu ahau ki te tākuta?

I muri i tō hokinga ki te kāinga i muri i te werohanga, ki te puta he tohu hou, ki te whakapae rānei koe i tētahi raruraru , waea atu ki tō tākuta tonu. Ina koa:

• Mena ka pupuhi, ka whero, ka kirika rānei te wāhi i werohia (he tohu mate pāwera tēnei).
• Mena ka tonu te uaua ki te horomi i muri i ētahi haora.
• Mena he uaua ki te manawa.

Kaua e wehi, kaua hoki e ruarua mō tēnei maimoatanga. Kōrerohia ki tō tākuta mō tēnei mea me te tuwhera. Ko te mea nui ko te whakarongo ki ō āwangawanga katoa, me te whakatau whai whakaaro.