He mamae tuara tonu tōu? He mate rānei tōu pērā i te 'Sciatica', he mamae e rere ana mai i te tuara ki ngā waewae, pērā i te au, he mamae rānei e pā mai ana me te ngau? I ētahi wā, he mamae anō hoki e rere ana mai i te kaki ki ngā ringa. Nā te mamae pēnei, me tino kore e pai tō āhua, ā, kāore e taea e koe te mahi tika i ō mahi o ia rā. Nō reira, i tēnei rā ka kōrero tātou mō tētahi tikanga maimoatanga tino matatau, angitu hoki e taea ai e koe te whakahaere i taua mamae.
He aha tēnei Werohanga Steroid Epidural Transforaminal?
Ahakoa te āhua uaua o tēnei ingoa, he tino māmā noa iho tōna tikanga. Me wehewehe tātou i ngā kupu.
- Transforaminal: Ko tōna tikanga "mā roto i te foramen." Whakaarohia, ko te taurakira, te pūtake io matua e puta mai ana i te roro, e rere ana i roto i tō tātou tuaiwi. He kōhao iti kei waenganui i ngā tuaiwi mō ngā io e haere ana ki ngā wāhanga rerekē o te tinana kia puta mai i tēnei taurakira. Ko aua kōhao e kiia ana ko 'foramina.' Nō reira ka tukuna tēnei werohanga mā roto i taua kōhao.
- Epidural: Kei roto i tō tātou taurakira he kiriuhi tiaki matotoru e kiia nei ko te 'dura mater'. Ko te 'Epidural' te ingoa i hoatu ki te wāhi i waho o taua kiriuhi.
He māmā noa iho, ko te Werohanga Steroid Epidural Transforaminal he tikanga e werohia ai he ngira mā roto i te kōhao (foramen) te wāhi e puta mai ai te io tuaiwi, ā, ka werohia he ranunga o te steroid me te rongoā whakangote ki roto i te wāhi tiaki huri noa i te taurakira (wāhi epidural).
Ko te mea nui, ehara tēnei i te werohanga tika ki te taurakira, ki ngā io rānei. Ka werohangahia te rongoā ki tētahi wāhi haumaru e karapoti ana i a rātou. Ko tā tēnei rongoā he whakaiti i te pupuhi me te mumura e karapoti ana i te io e puta ai te mamae.
He aha ngā āhuatanga e tika ana mō tēnei maimoatanga?
He maha ngā take e taunaki ai tō tākuta i tēnei maimoatanga. I te nuinga o te wā, ka whakamahia hei whakahaere i te mamae i puta mai i te uaua kua kopikopiko, kua whara rānei i te tuaiwi.
| Āhuatanga hauora | He whakamārama māmā |
|---|---|
| Mamae o raro o te tuara | Te mamae tuara e maha ana, ā, he mea morearea ki te ora. |
| Sciatica | Te mamae nui, te ngoikore, te wera rānei e toro atu ana i te tuara mā roto i te papa ki raro ki te waewae. |
| Kōpae Herniated | He wāhanga rite ki te tiēre o te taurakira e puta ake ana, e pēhi ana i te io. |
| Te Mate Tuaiwi | Te pēhanga o ngā io nā te whaiti o te awa tuaiwi i te kaumātuatanga. |
| Io kua kōpikopiko | Te mamae me te māuiui i puta mai i te kopikopiko o te io nā te wheua, nā tētahi atu take rānei. |
| Ngā wero wheua | Te pēhanga o ngā io nā te hanganga o te wheua hou i roto i te tuaiwi. |
E rongoatia ana ngā wāhanga rerekē o te tuaiwi e tēnei maimoatanga?
Āe. I runga i te wāhi o te mamae, ka taea te werohanga ki ngā wāhanga rerekē o te tuaiwi.
- Werohanga hope: Ka tukuna tēnei ki te tuara o raro. Koinei te mahi a te tini tāngata mō te mamae o te tuara me te mamae sciatica e pā ana ki ō rātou waewae.
- Werohanga uma: Ka mahia tēnei mō te mamae i puta mai i te io i waenganui o te tuara, hei tauira, te mamae e horapa ana ki te uma, ki te puku rānei.
- Werohanga o te kaki: Ka mahia tēnei i te rohe kaki. He tino whai hua tēnei maimoatanga mō te mamae e horapa ana mai i te kaki ki raro i te pakihiwi ki te ringa.
Me pēhea te whakahaere i tēnei maimoatanga? He tino mamae?
Kāore he take e wehi ai koe i tēnei. Ka pēnei te āhua o tēnei tukanga.
1. Te Whakarite: Ka whakatakotoria koe ki runga i tētahi moenga motuhake me tētahi mīhini hihi-X, ka hurihia ki runga i tō puku.
2. Te ngoikore: I mua i te werohanga, ka werohia e te tākuta he iti o te rongoā whakangote ki roto i tō kiri hei whakangote i te wāhi. Tērā pea ka pāngia koe e te wera iti i tēnei wā, engari ka memeha haere i roto i ētahi hēkona ruarua.
3.Whakamarie: Ki te hiahia koe, ka taea te hoatu he rongoā whakamarie mā roto i tētahi uaua i roto i tō ringa hei āwhina i te whakaiti i te manukanuka me te whakanui ake i te whakamarie. Mā tēnei ka hiamoe koe, engari ka ara tonu koe. Ka taea hoki e koe te kōrero ki tō tākuta.
4. Arataki hihi-X: Ko te mea motuhake o tēnei maimoatanga ko te mahi i raro i te arataki hihi-X (Fluoroscopy) . Ko te tikanga ka taea e te tākuta te kite i te roto o tō tuaiwi me te mea he ataata ora. Nō reira, ka mahia tēnei mā te titiro tika ki te wāhi e werohia ana te ngira.
5. Te werohanga: I a koe e titiro ana ki te hihi-X, ka āta werohia e te tākuta he ngira angiangi, roa ki te rohe o te io e puta ai te mamae. Kātahi ka werohia he ranunga o ngā steroids me te rongoā whakangote.
E 30 meneti pea te roa o te tukanga katoa. Kāore koe e tino mamae nā te whakangoioi, engari tera pea ka paku pēhia koe ina werohia te ngira.
He aha ngā mea hei tūpato māu i muri i te werohanga?
I muri i te maimoatanga, ka taea e koe te kai, te inu, me te tango i ō rongoā pērā i te tikanga. Engari kia tūpato ki ēnei mea.
- Kaua e taraiwa mō ngā haora 12 i muri i te maimoatanga.
- Kaua e mahi i ngā mahi whakakori tinana taumaha, kaua hoki e hiki taumaha mō te rā kotahi.
- Ka taea e koe te hoki ki ō mahi o ia rā i te rā e whai ake nei.
E 24-48 hāora pea ka pā te steroid. E rua wiki pea ka pā te pānga katoa. Ki te kore te mamae e memeha i muri i ngā wiki e rua, me toro atu anō ki tō tākuta ki te kōrero mō te take.
Kia pēhea te roa o te pānga o tēnei maimoatanga?
He rerekē tēnei i ia tangata, i ia tangata. Ka pāngia ētahi e te mamae mō ētahi wiki ki ētahi marama . Mena ka angitu tēnei maimoatanga māu, ka taea e koe te wero i ēnei werohanga i ngā wā e hiahiatia ana hei whakahaere i tō mamae. E kiia ana he haumaru te werohanga i waenga i te 3-6 i te tau. Heoi, ko tō tākuta te tangata pai hei whakatau.
Ngā pānga taha me ngā mea hei tūpato
He tino iti te mōrearea o ngā raruraru nui mai i tēnei maimoatanga. He tino haumaru nā te mea ka mahia i raro i te arataki a te hihi-X. Heoi, tera ētahi pānga taha iti ka puta noa iho.
- He iti te wiri, te ngoikore rānei o ngā waewae, o ngā ringa rānei.
- Pōuriuri.
- Te mamae o te upoko.
Ko te tikanga ka ngaro katoa ēnei i roto i ētahi haora.
| Ki te pā mai ēnei tohu ki a koe, waea atu ki tō tākuta tonu atu. | |
|---|---|
| 1. | Mena ka roa ake i te rā kotahi te ngoikore, te ngoikore rānei o ngā peka. |
| 2. | Mena ka pāngia koe e te mamae hou kāore i kitea i mua i te werohanga. |
| 3. | Mena ka kino haere te mamae. |
| 4. | Mena ka puta he tohu o te mate pēnei i te pupuhi, te whero, te mahana, te kirika rānei i te wāhi i werohia ai. |
He uaua te noho me te mamae mau tonu i puta mai i ngā āhuatanga pēnei i te sciatica me ngā kōpae herniated. Ka taea e tēnei maimoatanga, e kiia nei ko te Transforaminal Epidural Steroid Werohanga, te whakapai ake i te kounga o tō oranga mā te rongoā i te io e puta ai te mamae.
Karere Tangohia ki te Kāinga
- He tikanga maimoatanga tino tika, tino haumaru hoki te Werohanga Steroid Epidural Transforaminal hei whakaiti i te mamae me te pupuhi i puta mai i te pēhanga o te io tuaiwi.
- Nā te mea ka whakahaerehia tēnei maimoatanga i raro i te arataki a te hihi-X, ka taea te tuku i te rongoā ki te wāhi e hiahiatia ana.
- He maimoatanga tēnei e whakaora ana mā te whakahaere i te mamae, e āhei ai koe ki te mahi i ngā mahi o ia rā me te ngāwari ake, kaua ki te whakaora katoa i te mate.
- He rerekē te whakamamae i te mamae i ia tangata, i ia tangata, ā, ka roa pea mai i ētahi wiki ki ētahi marama.
- Kōrero ki tō tākuta mēnā he tika tēnei maimoatanga māu, me ōna painga hoki, kia taea ai e koe te whakatau tika.
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