Ina mamae tō tuara, tō kaki rānei, ka hiahia koe ki te tango i tētahi rongoā mamae hei whakakore tonu i te mamae, tika? Inaa, he maha ngā tāngata o tō tātou whenua e mahi ana i tēnā. I ētahi wā, ina kore he rongoā mamae noa e āwhina, ka whakamatautauria ētahi tāngata ki te whakamahi i tētahi rongoā mamae kaha ake, "kaha ake". Engari i mōhio koe kua kitea i roto i tētahi rangahau tata nei kāore e tino whai hua te whakamahi i ēnei rongoā mamae kaha mō te mamae ohorere o te tuara me te kaki?
He aha ēnei rongoā whakamamae mamae kaha (Opioids)?
He kupu ngāwari noa iho, he rōpū motuhake ēnei o ngā rongoā whakamamae mamae e tohua ana e ngā tākuta hei whakahaere i te mamae tino kino, tino kino. Hei tauira, kua rongo pea koe i ngā ingoa pēnei i a Tramadol, Morphine, me Pethidine. Koinei ngā mea e kiia nei e mātou he opioids. Ko te tikanga ka hoatu ēnei mō te mamae nui i muri i te pokanga, te mamae mate pukupuku, me ētahi atu. Ka pāngia te roro me te pūnaha io, ā, ka whakaiti i te kare o te mamae. Heoi, ka tino waranga rātou, nō reira kaua rawa e whakamahia me te kore he tirotiro a te tākuta.
He aha tā te rangahau hou e kī ana?
I whakaputaina tētahi rangahau nā tētahi rōpū kairangahau i Ahitereiria i roto i te pukapuka hauora rongonui o te ao, *The Lancet*. I tino miharo te tini o te tangata ki tēnei rangahau.
Whakaarohia, neke atu i te 340 ngā tūroro i pāngia e te mamae o te tuara, o te kaki rānei, arā, kāore i neke atu i te 12 wiki te roa o te mamae i roto i a rātou, kia rua ngā rōpū .
1. Ko te rōpū tuatahi: i hoatu ki a rātou te rongoā opioid.
2. Ko te rōpū tuarua: i hoatu he rongoā placebo. Arā, he mea e āhua rite ana ki te rongoā, engari kāore he rongoā hohe kei roto. Heoi, kāore te tūroro e mōhio ana mēnā kei te whiwhi ia i te rongoā tūturu, i te rongoā rūpahu rānei.
He tino miharo ngā hua o tēnei rangahau e ono tau te roa.
I muri i ngā wiki e 6 , kāore he rerekētanga nui i roto i ngā taumata mamae o ngā tūroro i roto i tētahi o ngā rōpū. Ā, he rite tonu ngā hua i muri i ngā wiki 12. Ara, kāore he rerekētanga nui i roto i te whakaiti i te mamae i waenga i te tangata i tango i te rongoā mamae kaha me te tangata i tango noa i te pire.
E ai ki ngā kairangahau, "E kī ana ēnei hua me whakaaro anō tātou ki te whakahau i ngā opioids mō te mamae o te tuara me te kaki, nā te mea kāore i kitea he rerekētanga nui i roto i te whakamamae mamae ki te whakataurite ki te placebo."
He aha te hiranga o tēnei?
He mea nui tēnei nā te mea he maha ngā aratohu hauora huri noa i te ao e taunaki tonu ana i ngā opioids mō tēnei momo mamae. E whakaatu ana tēnei rangahau kāore he painga o te hoatu i ēnei rongoā kaha mō te mea e kīia nei e tātou ko te " mamae tuara ," he mamae kei raro iho i te toru marama te pakeke.
Ngā tūponotanga tūturu o ngā opioids
I kitea e te rangahau tētahi mea nui atu i te korenga o te whakamamae mamae: ko te hunga i tango i ngā opioids he nui ake te mōrearea ki te waranga, ki te whakamahi kino rānei i te tarukino i te tau i muri mai.
Koinei te raruraru nui rawa atu. He pēhea te mōrearea o te tapahi noa i te ara ki te waranga me te kore he whakamamae mamae? Anei ētahi o ngā mea ka pā mai me te waranga opioid:
- Manawanui: I muri i tētahi wā, kāore te mamae e memeha haere i te horopeta o mua. Kātahi ka hiahia koe ki te tango i tētahi horopeta nui ake.
- Te Whakawhirinakitanga Tinana: Ki te mutu te tango i te tarukino, ka tīmata koe ki te pāngia e ngā tohu whakatārewatanga, pērā i te werawera, te mamae o te tinana, te whakapairuaki, me te mamae o te puku.
- Te nui rawa o te horomanga: Ka taea e te horomanga manawa te aukati i te nui rawa, tae atu ki te mate.
- Ētahi atu pānga taha: He mea noa anō hoki te koretake o te kai, te hiamoe , te whakapairuaki, te ruaki, me te pōhēhē.
Nā, he aha te mea tika kia mahia mō te mamae o te tuara/kaki?
Inaianei kei te whakaaro pea koe, "Nō reira me manawanui noa koe ki tēnei mamae?" Kāore rawa. He maha atu ngā huarahi haumaru ake, whai hua ake hoki hei whakahaere i ēnei momo mamae ohorere i ngā opioids.
1. Nekeneke: I mua, ki te mamae tō tuara, me noho tonu koe ki te moenga. Engari ināianei, me mahi tonu koe i tāu mahi, me hikoi pakupaku. Mā te noho marino ka pakari ake ō uaua.
2. Ngā Kete Wera/Mātao: Mā te paninga o tētahi pounamu wai wera, he kete huka rānei ki te wāhi mamae ka pai te whakaora.
3. Whakaora tinana: Koinei te otinga pai rawa atu, ā, he otinga roa hoki. Mā te kaiwhakaora tinana koe e ako ki ngā mahi whakakori tinana me ngā tikanga whakapakari uaua e tika ana mō tō āhua.
4. Ētahi atu rongoā whakamamae mamae: Tērā pea he pai ake te Paracetamol, ngā NSAID rānei (Non-Steroidal Anti-Inflammatory Drugs) pērā i te ibuprofen me te diclofenac mō tēnei momo mamae i ngā opioids. Engari kia maumahara, me kōrero tonu koe ki tō tākuta i mua i te whakamahi i tētahi o ēnei rongoā.
Āhea koe me tino kite i te tākuta?
Ka memeha haere te mamae o te tuara/kaki i roto i ētahi rā, i ētahi wiki rānei e rua, e toru rānei. Heoi anō, kei reira ētahi tohu e tika ana kia tere te rapu awhina hauora . Ki tā mātou whakaaro he "tohu kino" ēnei.
| Tohu | He aha te tikanga o tēnei? |
|---|---|
| Te ngenge o ngā waewae, o te wāhi ira tangata rānei, te kore e taea te whakahaere i te mimi, i te tūtae rānei. | Tērā pea kua pāngia te taurakira. Haere tonu ki te Tari Ohotata (ETU) o te hōhipera. |
| Te mamae nui i muri i te aituā, i te hinganga rānei. | Tērā pea ka whati te wheua, ka whara kino rānei. |
| Te mamae e haere tahi ana me te kirika, te makariri, me te hekenga o te taumaha. | He tohu pea tēnei nō te mate pāwera, nō tētahi atu mate hauora nui rānei. |
| Ka kino ake te mamae i te pō, ā, ka mau tonu ahakoa te okiokinga. | Tērā pea he āhuatanga e hiahia ana kia tirotirohia hōhonu atu. |
Ki te pā mai ēnei tohu ki a koe, kaua e noho ki te kāinga, me toro atu ki tō tākuta tonu atu.
Karere Tangohia ki te Kāinga
- Kua whakaūtia e ngā rangahau tata nei kāore te whakamahinga o ngā rongoā whakamamae mamae kaha (Opioids) e whakaora nui i te mamae o te tuara me te kaki ohorere, poto noa iho.
- Ehara i te mea kāore ēnei rongoā e whakaora i te mamae anake, engari he nui anō hoki te mōrearea o te waranga me ētahi atu pānga kino kino.
- Ko te rongoā pai mō te mamae o te tuara/kaki ko te nekehanga tika, te whakaora tinana, me te tango i ngā rongoā whakamamae haumaru e ai ki ngā tohutohu a te tākuta.
- Kaua rawa e whakamahi i ngā rongoā whakamamae mamae kaha, inā koa ngā opioid, me te kore he whakahaunga a te tākuta.
- Mena kei te haere tahi mai tō mamae me ngā tohu pēnei i te kirika, te ngoikore, te kore rānei e taea te whakahaere i te mimi/paru, rapua tonutia he tohutohu hauora.
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