Whakaarohia he whara iti tō ringa. He whara rānei tō waewae. I te nuinga o te wā, ka memeha haere tēnei mamae i roto i ētahi rā. Engari, me pēhea mēnā ka kino haere te mamae, ā, ka kore e taea te whakamanawanui? Me pēhea mēnā ka pāngia koe e te mamae e kore e taea te whakamanawanui ahakoa kei te mau koe i tētahi kākahu? Koinei tā tātou e kōrero nei i tēnei rā. Ka puta pea tēnei i ētahi wā i muri i tētahi whara iti, i tētahi mate manawa , i tētahi whiu rānei.
He aha te RSD?
Ki te whakarapopototanga, ko te RSD, ko te Reflex Sympathetic Dystrophy Syndrome rānei, he kupu tawhito kua kore e whakamahia e ngā tākuta. Ko te ingoa mana mō tēnei mate ināianei ko te Complex Regional Pain Syndrome , ko te CRPS rānei hei whakarapopototanga. Ko te RSD tētahi momo CRPS (Momo I). I tēnei take, ka puta tēnei mamae nui i te whara o ngā kiko o te tinana, kāore he kino o te io.
Ko te mea nui ko te mamae he kino rawa atu, he uaua hoki te whakataurite atu i te whara tuatahi. He rite ki te mamae e kore e taea te whakamanawanui mō ngā marama maha i puta mai i tētahi rakuraku iti noa.
He aha tēnei e tupu nei? He aha te take?
Ahakoa kāore anō kia mōhiotia te tino take o tēnei, e whakapono ana ngā tākuta nā te raruraru o te pūnaha io o te tinana i puta ai.
Whakaarohia tēnei pūnaha io hei pūnaha parepare i roto i tō tātou tinana. Ina whara koe, ka tukuna e tēnei pūnaha he tohu ki ngā oko toto kia whakawhāiti. Ka whakaitihia te nui o te toto e rere ana mai i te wāhi whara. Kātahi ka tukuna he tohu ki ngā oko toto kia tuwhera anō hei whakarato i ngā matūkai e hiahiatia ana hei whakaora i te patunga.
Engari ko te mea e pā ana ki te tangata whai RSD, ka paku 'pōhēhē' tēnei pūnaha parepare. Ina pāngia he whara, ka whakawhāitihia ngā uaua toto, engari kāore e whiwhi i te tohu kia tuwhera tika. Ko te tikanga kua 'whakakāhia' te pūnaha, kāore i 'whakawetohia' anō . Koinā te wā ka pupuhi te wāhi whara me te mamae nui.
He paku noa ake te kitea o tēnei mate i waenga i ngā wāhine . Ahakoa ka taea hoki te whanake i roto i ngā tamariki, he mea tino noa i waenga i te hunga i waenga i te 30 me te 60 tau te pakeke.
He aha ngā tohu o tēnei mate?
Kāore ngā tohumate RSD e puta ohorere mai, engari ka puta mārire. Ka piki haere pea te mamae tuatahi i roto i te wā. I ētahi wā, kāore pea koe e mōhio he mamae rerekē tēnei i te tīmatanga.
Ngā aituā iti ka pā mai pea me te RSD:
- Ngā whati
- Ngā whāwhā
- Ngā marō
- Ngā wera (Bu RNS )
- Pokanga iti
- Ngā rākau ngira
- Te rongoā irahiko
He maha ngā wā ka puta tēnei āhuatanga i ngā wāhi pērā i te ringa, te pakihiwi, te waewae, te hope rānei. Tērā pea ka horapa te mamae ki tua atu i te wāhi i whara ai.
| Kāwai tohu | Ngā mea hei tiro |
|---|---|
| Te āhua o te mamae | He wera, he ngau, he mamae hōhonu, he orooro. He mamae tonu. |
| Ngā huringa kiri | Ka whero te wāhi i whara, ka pupuhi, ā, ka mahana ki te pā atu. Ka huri te kiri hei mā, hei kikorangi, hei whero rānei. |
| Te tairongo nui | Te mamae nui ahakoa i ngā mea kāore e mamae (te maturuturunga o te wai, te mirimiri o te kākahu ki te tinana). |
| Ngā raruraru ki te nekehanga | Te ngoikore o ngā uaua, te wiri rānei, te pakari o ngā hononga, te uaua ki te neke i te ringa/waewae nā te mamae. |
| Ētahi atu āhuatanga | Te werawera nui anake i te wāhi e pāngia ana. Ngā panonitanga ki te tipu o te makawe, o ngā maikuku rānei. |
Me pēhea e kitea ai tēnei e koe, e Tākuta?
He maha ngā wā, he uaua ki te tohu tonu i te RSD hei pūtake o tō mamae. Tērā pea ka whakapae tō tākuta ina pūrongo koe he kino atu tō mamae i te whara, ā, kāore e memeha.
Kāore he whakamātautau kotahi hei whakaū mēnā he RSD tēnei.
Engari, ka tautuhia e tō tākuta he mate i runga i te tirotiro hōhonu i a koe me tō hītori hauora. Hei tāpiri, ka whakahaerehia pea e rātou ētahi whakamātautau hei whakarato i ētahi atu tohu mō te mate.
- Matawai Wheua: Mā tēnei whakamātautau ka kitea mēnā kua tawhito ngā pito o ngā wheua, me mēnā he raruraru kei roto i te tohanga toto.
- MRI (Whakaahua Āhua Aukume): Ka taea te mahi i te MRI hei tirotiro i ngā huringa ngawari i roto i te tinana, inā koa i roto i ngā kiko.
- Whakamātautau werawera: Mā tēnei ka tirohia mēnā he nui ake te werawera o tētahi taha o te tinana i tētahi taha.
- Whakamātautau whakamahana: Ka tirotiro mēnā he rerekē te pāmahana, te rere rānei o te toto o te wāhi e pāngia ana i ērā atu wāhanga o te tinana.
- Ngā hihi-X: I ngā āhuatanga kua tino whanake, ka mahia he hihi-X hei tirotiro mēnā kua ngaro ngā kohuke i roto i ngā wheua.
He aha ngā maimoatanga?
Ko te mea nui rawa atu i tēnei mate ko te tautuhi i te mate me te tīmata wawe i te maimoatanga . Ko te wawe o te tīmatanga, ko te pai ake o te putanga. Ahakoa kāore he rongoā motuhake mō te RSD, he maha ngā tohu ka taea te whakahaere me te whakaora.
Ko te tikanga ka whakamahia he huinga o ngā tikanga maimoatanga maha.
| Tikanga maimoatanga | Whakaahuatanga |
|---|---|
| Ngā rongoā | Ngā rongoā whakamamae mamae (hei tauira, Ibuprofen, Naproxen), ngā rongoā ārai-ohorere, ngā rongoā pōuriuri (āwhina ki te whakahaere i te mamae), ngā hinu pēnei i te Lidocaine, ngā rehu ihu hei whakapakari i ngā wheua. |
| Ngā werohanga aukati io | He werohanga tata ki te io e mamae ai, hei aukati i ngā tohu mamae kia tae atu ki te roro mō te wā poto. |
| Te Whakaora Tinana | Ko tētahi o ngā maimoatanga tino nui. Mā te neke mārire i te ringa/waewae e pāngia ana ka āwhina i te whakapakari i ngā uaua me te whakaiti i te mamae. |
| Hinengaro Whakaora | Mā te ako i ngā tikanga whakangā ka āwhina i a koe ki te whakahaere i te ahotea me te manukanuka e pā mai ana me te noho tahi me te mamae mau tonu. |
| Ētahi atu maimoatanga | Ka whakatakotoria ngā hikohiko ki te taurakira, ka tukuna ngā tohu hiko hei whakaiti i te mamae, ā, ka mauhia ngā whitiki whakapiri hei ārai i te mamae o te ringa. |
| Pokanga | Mena kāore he maimoatanga kē atu e whakaora i te mamae, ka tūtohu pea tō tākuta i tētahi pokanga e kiia nei ko te Sympathectomy hei huarahi whakamutunga. |
Ngā rongoā tino rongonui
Kāore i te tino onge te whakamahinga o ngā rongoā whakamamae kaha pērā i te corticosteroids (hei tauira, te Prednisolone) me ngā Opioids (hei tauira, te Morphine, te Fentanyl), ā, me mātua tirotirohia anake e te tākuta nā te mea he pānga taha tō rātou, he mōrearea hoki ki te waranga.
Karere Tangohia ki te Kāinga
- Ehara te RSD, te CRPS rānei i te mea e whakaarohia ana e koe, he mate tūturu, he mate mamae.
- He kino rawa atu tēnei mamae i te aituā, i te whara rānei i puta tuatahi mai. Koinei te tohu matua.
- Mā te tātaritanga wawe me te maimoatanga ka pai ake ngā hua. Nō reira, kaua e warewarehia te mamae rerekē.
- Nā te mea he mate uaua tēnei, ko te maimoatanga he whakakotahi i ngā rongoā, te whakaora tinana, me te tohutohu hinengaro.
- Me kōrero tonu ki tō tākuta mō ngā mamae tonu, rerekē rānei o tō tinana.
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