I ētahi wā ka pā mai te mamae, kāore e memeha ahakoa kua tangohia he rongoā, kua mahia rānei tetahi mea. Kua roa koe e mamae ana, inā koa i te mahunga, i te kaki, i te uma o runga, i ngā ringaringa rānei? Tērā pea ko te take o tēnei he raruraru kei roto i tō pūnaha io. I tēnei rā ka kōrero tātou mō tētahi tikanga maimoatanga motuhake e whakamahia ana e ngā tākuta i roto i ēnei momo take. Ko te ingoa o tēnei ko te Stellate Ganglion Block, ko te SGB rānei te poto.
He aha te aukati i te stellate ganglion block (SGB)?
He whakarāpopototanga noa iho tēnei, he werohanga mamae tēnei. Engari, ehara tēnei i te rite ki te werohanga noa. Ka werohangahia tēnei werohanga ki roto i tētahi paihere io motuhake kei roto i tō tātou kaki, kei ia taha o tō tātou pouaka reo. Ko te 'Stellate Ganglion' te ingoa o tēnei paihere io.
Whakaarohia tō tātou pūnaha io he whatunga waea e kawe ana i ngā karere. I ētahi wā, ka taea te tuku karere kāore e hiahiatia (ngā tohu mamae) ki ētahi wāhanga o tēnei whatunga. I ēnei wā, ko te mahi a tēnei kano ārai mate SGB he "whakamoe" i taua paihere io (ganglion) mō te wā poto. He rite ki te whakaweto i tētahi pana. Kātahi ka mutu ngā tohu mamae kāore e hiahiatia mai i aua io ki te roro. Ka taea e tēnei te whakamamae i te mamae o te mahunga, te kaki, ngā ringa, me te uma o runga. Waihoki, ka āwhina tēnei maimoatanga ki te whakanui ake i te rere o te toto ki ngā ringa.
Nā, he aha tēnei ganglion whetu?
He rōpū io tēnei e tata ana ki ngā rara tuatahi e rua, i raro noa iho i te wheua kaki, i mua o tō tātou kaki. Kei ia taha o tō tātou kaki tētahi o ēnei. Ko te tikanga o te kupu 'stellate' he 'rite ki te whetu'. Nō reira i tapaina ai tēnei paihere io nā te mea he rite tōna āhua ki te whetu.
Ko te pūnaha io pukuaroha te wāhanga o te pūnaha io ā-roto e whakahaere ana i ngā mahi a tō tātou tinana kāore e whakaarohia ana e tātou (hei tauira, te tere o te manawa, te toto totoka, te werawera). Nō reira, ko te nuinga o ngā tohu io pukuaroha ki te mahunga, ki te kaki, ki ngā ringa, me te uma o runga e ahu mai ana i tēnei ganglion whetu.
He mea whakamere: E 80% anake o te taupori o te ao kua tino hangaia tēnei ganglion whetu. I ētahi atu wāhi, kāore te ganglion cervical o raro me te ganglion thoracic tuatahi i te kaki e hono ana. Engari kāore he rerekētanga nui o tēnā.
He aha ngā āhuatanga e whakamahia ai te maimoatanga SGB?
Ko te tikanga, ka whakamahia tēnei maimoatanga e ngā tākuta hei tātaritanga me te rongoā i te mamae roa e ahu mai ana i te pūnaha io (te mamae e pāngia ana e te aroha) kāore e kitea te take. Hei tāpiri, ka taea te whakamahi i tēnei maimoatanga mō ngā momo mate me ngā āhuatanga mamae.
| Āhuatanga hauora | Whakaahuatanga |
|---|---|
| Te Mate Mamae Rohe Matatini (CRPS) | Te mamae nui, te pupuhi hoki mō te wā roa i te ringa, i te waewae rānei i muri i te whara. |
| Mamae o te Waewae Phantom | Te mamae o te ringa, o te waewae rānei i tangohia mā te pokanga. |
| Neuralgia muri i te herpes | Te mamae o ngā io i muri i te rewharewha (herpes zoster). |
| Te Mate o Raynaud | Te hekenga o te rere o te toto ki ngā maihao i te makariri, i te ahotea rānei. |
| Te werawera nui (Hyperhidrosis) | Te werawera nui i ngā wāhi pēnei i ngā nikau me ngā kapu o ngā waewae. |
| Ētahi atu āhuatanga | E whakamahia ana hoki mō te ānini pōkaikaha, te mamae o te mata, te mamae o te uma kāore e pā ana ki te mate ngakau, me ētahi raruraru manawataki o te ngakau (ngā arrhythmias o te ngākau). |
Te whakamahinga o te SGB mō ngā raruraru hauora hinengaro
Nō nā tata nei, kua whakahaerehia he rangahau mō ngā pānga o te maimoatanga SGB mō ngā āhuatanga hauora hinengaro pēnei i te Mate Ahotea Muri-Whara (PTSD). Ahakoa kua whakaatuhia e ētahi he whakahekenga o ngā tohu PTSD, kāore ētahi. Nō reira, kei roto tonu i te wāhanga rangahau tēnei, ā, ka whakamahia noa i raro i te tirotiro tata a te tākuta ina kore e angitu ētahi atu maimoatanga.
Me pēhea te whakahaere i tēnei maimoatanga?
Āe, kia kite tātou i te aha ka puta ina tukuna tēnei werohanga. Kāore he mea hei manukanuka, he iti iho i te 30 meneti te roa o tēnei.
1. Te Whakarite: Tuatahi, ka tukuna pea he rongoā iti ki a koe (whakamoemiti IV) ki roto i tētahi uaua i tō ringa hei āwhina i a koe kia marino. Kātahi ka meinga koe kia takoto ki runga i tō tuara i runga i tētahi tēpu motuhake.
2. Te horoi: Ka tino horoia e te tākuta te kaki ka werohia, ka patua hoki.
3. Te ngoikore: Muri iho, ka whakamahia he ngira tino angiangi hei wero i te rongoā whakamoe ki te wāhi e pāngia ana o tō kaki. Mā tēnei ka ngoikore koe i te mamae.
4. Werohanga matua: Kātahi ka werohia e te tākuta tētahi ngira tuarua mā te whakamahi i ngā hangarau matatau pērā i te ultrasound, te fluoroscopic rānei , ka werohia te rongoā mamae matua mā te whakamahi i te hangarau matatau pērā i te ultrasound, te fluoroscopic rānei.
I muri i te maimoatanga, ka tirotirohia koe e te hunga hauora mō te haora pea. Kia whakaūtia kei te pai ngā mea katoa, ka taea e koe te hoki ki te kāinga. Heoi anō, me whai tangata hei kawe i a koe ki te kāinga, nā te mea kāore e taea e koe te taraiwa i taua rā.
Kei te pēhea ngā hua? Kia pēhea te roa o tēnei?
He raruraru tēnei mō te katoa. He rerekē ngā hua i ia tangata, i ia tangata. Mō ētahi tāngata, ka memeha tonu te mamae i muri i te werohanga, engari ka hoki mai anō te mamae i roto i ētahi haora i muri i te memeha o te rongoā whakangote. Mō ētahi atu, ka roa pea mō ngā wiki, mō ngā marama rānei, me te kore mamae.
Ko te mea nui, me werohanga kia puta ai ngā hua pai rawa atu. I ētahi wā ka puta ngā hua mā te rua noa iho o ngā werohanga, ā, ko ētahi tāngata, neke atu i te tekau pea ngā werohanga e hiahiatia ana. Ko te rongo pai, ka roa ake te wā kore mamae ina werohangahia tetahi i muri i tetahi.
He pānga taha, he mōrearea rānei kei reira?
Pērā i ngā maimoatanga hauora katoa, he iti noa ngā pānga taha o te SGB, ā, he tino onge ngā raruraru nui.
| Momo mate | Ngā mea pea |
|---|---|
| Ngā pānga taha noa, rangitahi (ka memeha i roto i ētahi haora) | |
| Te wāhi werohanga | He marō, he mamae iti rānei. |
| Ngā kanohi me te ihu | Ngā kamo e piko ana, ngā kanohi whero, ngā kanohi waiwai, me te ihu pupū. |
| Korokoro me te reo | Te pāorooro o te reo, te āhua kei te mau tetahi mea i roto i te korokoro, te uaua ki te horomi. |
| Ringa | Te māhana, te ngoikore rānei o te ringa. |
| Ngā raruraru nui kāore e tino onge te puta | |
| Ngā mōrearea matua | Te mate urutā, te toto mai i te uaua toto kua pakaru, te kino o te io, te kino o te pukahukahu (pneumothorax), te mate a Horner (he mate rangitahi). |
He tino iti te tūponotanga o ēnei raruraru nui, nā te mea ka tino tupato ngā tākuta ki te whakahaere i tēnei maimoatanga mā te whakamahi i ngā hangarau pēnei i te ultrasound.
Āhea koe me toro atu ki te tākuta?
I muri i te maimoatanga, ki te puta he tohu hou, hei tauira , he tohu mate i te wāhi i werohia (pupuhi, whero, mamae nui, kirika), ki te uaua tonu rānei te horomi, waea atu ki tō tākuta tonu atu.
He maimoatanga whai hua te SGB hei whakaora i te mamae roa. Heoi, kāore e pai mō te katoa. Mena he āwangawanga, he ruarua rānei āu mō tēnei maimoatanga, kaua e huna tetahi mea, kōrero noa ki tō tākuta. Māna e whakautu ō pātai katoa.
Karere Tangohia ki te Kāinga
- Ko te Stellate Ganglion Block (SGB) he werohanga whakamamae mamae ki roto i tētahi paihere io motuhake i te kaki.
- Mā tēnei ka whakaora i te mamae mau tonu, te nuinga ki te mahunga, ki te kaki, ki ngā ringa, me te uma o runga.
- He maimoatanga tēnei ka taea te mahi tere rawa (iti iho i te 30 meneti) ā, he tino haumaru hoki nā te mea e whakamahi ana i ngā hangarau pēnei i te ultrasound.
- Tērā pea ka puta ngā pānga taha iti ka memeha i roto i ētahi haora, engari he tino onge ngā raruraru nui.
- Tērā pea e hiahiatia he raupapa o ngā werohanga mō ngā hua pai rawa atu.
- Me kōrero tonu ki tō tākuta mēnā he tika tēnei maimoatanga māu, me ōna painga me ōna huakore.
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