Me ako tātou mō tētahi werohanga motuhake mō te mamae o te tuara? (Werohanga Steroid Epidural Transforaminal)

Kua roa koe e mamae ana i te mamae o te tuara? Kei te pāngia rānei koe e te mate e kiia nei ko te 'sciatica', he rite ki te mamae e pupuhi ana i tō waewae? Kua kōrero pea tō tākuta ki a koe mō tētahi werohanga motuhake ki tō tuara, he 'epidural' he 'werohanga steroid' rānei. He mea noa ki te nuinga o tātou te mataku me te manukanuka ina rongo tātou i tētahi ingoa pēnei. "Āe, ahakoa kei te werohanga ahau i a koe ki te tuara, ka pā mai tētahi mea ki tō taurakira?", "Ka tino mamae tēnei?", "Kāore e taea e au te hikoi i muri i tēnei?" He maha pea āu pātai kei roto i tō hinengaro. Nō reira, i tēnei rā kei te kōrero tātou mō te Werohanga Steroid Epidural Transforaminal , he rongoā tino whai hua mō te mamae o te tuara, engari kāore he take e wehi ai koe. Ka kōrerohia e tātou ngā mea katoa mai i A ki Z i roto i tētahi huarahi māmā e taea ai e koe te mārama.

He aha te tikanga o tēnei Werohanga Steroid Epidural Transforaminal?

Kaua e mataku ki tēnei ingoa roa. Me wehewehe kupu i ia kupu. Ko reira koe ka mārama ai ki tōna māmā.

• Transforaminal: Ko tōna tikanga 'mā roto i te pūrua'. Tērā pea koe e pātai ana 'He aha tēnei pūrua?' Whakaarohia kei roto i tō tuaiwi he puranga wheua tuarā, he rite ki ngā pereki e whakatakotoria ana tetahi ki runga i tetahi. I waenganui i ēnei wheua tuarā, i ia taha, he 'tatau' iti, he rite ki ngā kōhao mō ngā io e haere ana ki ētahi atu wāhanga o tō tātou tinana (ngā ringaringa, ngā waewae). Ko taua tatau e puta mai ai aua io ka kiia he "Foramen". Nō reira, ko te tikanga o 'Transforaminal' ko 'mā roto i taua tatau' .

• Epidural: He mea tino nui, he mea tairongo hoki tō tātou taurakira. Koia te take he 'pūkahu tiaki' matotoru kei te taha hei tiaki i a ia. Ka karangatia tēnei e tātou ko '(Dura Mater)'. Ko te 'Epidural' e pā ana ki te wāhi 'i waho o tēnei pūkahu tiaki' .

Ko te mea nui , kaua rawa tēnei werohanga e werohia ki roto i tō taurakira, ki roto rānei i te io. Engari, ka werohia te rongoā ki tētahi wāhi haumaru e karapoti ana i te io mumura e puta ai te mamae. Nō reira, kāore he take e mataku ai koe.

Ko tētahi atu āhuatanga motuhake o tēnei maimoatanga ko te werohanga a te tākuta i tēnei werohanga mā te āwhina o tētahi mīhini hihi-X. Ka karangatia tēnei ko te "(Fluoroscopy)". Ka werohangahia te ngira i a ia e mātaki ana, pērā i te 'ataata ora'. Nō reira, ka taea te werohanga i te rongoā i te taha tonu o te io raruraru, me te kore e nekehia ahakoa he mirimita.

He aha ngā momo raruraru e whai hua ai tēnei werohanga?

Ko te tikanga o tēnei werohanga he whakamamae i te mamae e puta mai ana i te pēhanga, i te pupuhi rānei o te io i roto i te taurakira. Ka kitea e koe tētahi whakaaro pai mō tēnei mai i te ripanga i raro nei.

Kei hea o te tuara tēnei werohanga e tukuna ana?

Ko te wāhi i werohia ai, e whakawhirinaki ana ki te wāhi e pā ana tō mamae. E toru ngā momo matua.

• Werohanga hope: Koinei te momo tino noa. Ka hoatu mō te mamae o te tuara me te sciatica, e puta mai ana i te uaua kua kopikopiko i te tuara o raro (rohe hope).
• Wero uma: Ka hoatu tēnei wero mēnā kei te mamae koe i waenganui o tō tuara, arā, i te taumata o te uma, mēnā rānei ka horapa te mamae ki te uma, ki te puku rānei.
• Werohanga kano ārai mate o te kaki: Ka hoatu tēnei momo werohanga kano mō ngā āhuatanga pēnei i te mamae o te kaki, te mamae e horapa ana i te pakihiwi ki te ringa, te ngoikore rānei o te ringa nā te werohanga o te io i waenganui i ngā tuaiwi o te kaki.

He pēhea te mahi a te tikanga? Me wehi ahau?

Koinei te raruraru nui rawa atu o te tini tāngata. Me titiro tātou ki tēnei tukanga i ia taahiraa.

1. Te Whakarite: Ka meinga koe kia takoto puku i runga i tētahi moenga motuhake me tētahi mīhini hihi-X.

2. Te whakangāwari i te wāhi: I mua i te werohanga, ka horoia te wāhi, ā, ka tukuna he werohanga iti o te "Anestesia ā-Rohe" hei whakangāwari i te kiri. I tēnei wā, tera pea ka rongo koe i te ahua wera iti, me te mea kua ngaua koe e te pōpokorua. Ka memeha haere tēnei i roto i ētahi hēkona ruarua.

3. Whakamarie: Ki te tino mataku koe, ki te āwangawanga rānei, i runga i tāu tono, ka tukuna pea he whakamarie IV ki a koe hei āwhina i a koe kia marino, kia hiamoe hoki. Mā tēnei ka hiamoe koe, engari ka mataara tonu koe ki te kōrero ki tō tākuta. Ka taea e koe te kōrero i tēnei ki tō tākuta i mua i te wā.

4. Werohanga: Kātahi, i a koe e titiro ana ki te mata tirotiro hihi-X, ka āta werohia e te tākuta he ngira angiangi ki te wāhi e mamae ai te io. Tērā pea ka paku pēhia koe i tēnei wā, engari kāore e nui te mamae.

5. Werohanga: Whai muri i te whakaū kei te wāhi tika te ngira, ka werohia e te tākuta he ranunga o tētahi rongoā whakangote e tere whakaiti ana i te mamae me tētahi steroid e whakaiti ana i te pupuhi, e whakarato ana hoki i te whakaora mō te wā roa.

He poto noa te wā e pau ana ki tēnei tukanga katoa, tata ki te 30 meneti .

He aha tāu mahi i muri i te werohanga?

I muri i te maimoatanga, ka tonoa koe kia okioki mō tētahi wā, kātahi ka tukuna koe kia hoki ki te kāinga. Hoki atu ki te kāinga, ā, māu ēnei mea e tiaki.

• Ka taea e koe te tango i tāu kai, inu me ētahi atu rongoā noa pērā i mua.
• Ko te mea nui: Kaua e taraiwa mō ngā haora 12 i muri i te werohanga, i te mea ka pāngia pea koe e te ngoikore, te ngoikore rānei o ō waewae.
• Āta karohia te hiki taumaha me te whakakori tinana kaha i taua rā.
• Ka taea e koe te tīmata anō i ō mahi o ia rā i te rā e whai ake nei.

Kia pēhea te roa o tēnei maimoatanga? E hia ngā wā ka taea te mahi?

He rerekē tēnei i ia tangata, i ia tangata. Ka ora ake ētahi i roto i ētahi wiki , ko ētahi ia ka kore he mamae mō ngā marama . Mena ka angitu tēnei maimoatanga māu, ka taea e koe te tiki anō i te kano kano mena ka hoki anō te mamae, e ai ki ngā tohutohu a tō tākuta.

I te nuinga o te wā, e kiia ana he haumaru te whiwhi i waenga i te 3 me te 6 werohanga ia tau. Heoi, kia maumahara ki te kore tō mamae e pai ake i muri i ngā werohanga e rua, e toru rānei, kāore pea e whai hua ētahi atu werohanga. I roto i ēnei āhuatanga, ka tohutohu tō tākuta i a koe mō ngā maimoatanga rerekē.

He pānga taha kei reira? Me manukanuka ahau?

He tino iti te mōrearea o ngā raruraru nui o tēnei maimoatanga. He tino onge te toto, te mate, te kino rānei o ngā io i te wāhi i werohia.

Heoi anō, tera pea ka puta ētahi pānga taha iti.

• Te ngoikore, te māuiui rānei o ngā waewae, o ngā tapuwae rānei mō te wā poto.
• Te pōuriuri.
• Te mamae o te upoko.

Ko te nuinga o ēnei pānga taha ka memeha rawa atu i roto i ētahi haora, nō reira kāore he take e manukanuka nui ai mō rātou.

Āhea koe me waea ohorere atu ki te tākuta?

Ki te pāngia koe e tētahi o ngā tohu kua whakarārangihia i raro nei, me whakamōhio tonu atu ki tō tākuta. He mea nui kia rapu tohutohu hauora tonu i roto i ēnei āhuatanga.