Created at:1/13/2025
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Ko ngā anesthetiki kaupapa-a-rohe he rongoā whakamomori e whakamahia tika ana ki tō waha, ngā kapia, rānei, te korokoro rānei hei aukati i ngā tohu mamae i taua wāhi. E mahi ana ēnei rongoā mā te aukati i ngā pito o te io kia kaua e tuku karere mamae ki tō roro, e whai ana koe i te whakawātea i te mamae niho, te korokoro mamae, ngā wharanga waha rānei.
Ka mōhio pea koe ki ēnei hua hei hāte whakamomori, rehu, horoi waha rānei kei roto ngā kaihoko pēnei i te benzocaine, lidocaine, chlorhexidine rānei. I hangaia ēnei hei whakarato i te whakawātea mamae i te wāhi e hiahia ana koe.
Ko te anesthetiki kaupapa-a-rohe he rongoā whakawātea mamae e whakamomori ana i te wāhi e whakamahia ana e koe. Kāore i rite ki te anesthesia whānui e pā ana ki tō tinana katoa, e mahi ana ēnei rongoā ki ngā kiko o te mata o tō waha, kapia, korokoro rānei.
Ko te wāhanga
Ka uaua pea te kōrero mārama, te horo rānei i te wā poto. Ko ētahi tāngata e kī ana me te mea kua "moe" tō rātou waha - pērā i te āhua o tō ringa i te wā i takoto ai koe ki runga.
Ko te nuinga o ngā rongoā whakamomori e whakarato ana i te āwhina mō te 15 meneti ki te maha haora, i runga i te kaha me te momo rongoā e whakamahia ana e koe.
Ka puta mai te mamae niho me te mamae waha i ngā momo take rerekē, ā, ka āwhina ngā rongoā whakamomori ki te whakahaere i te āputa i te wā e whakatika ana koe i te take i raro.
Ngā take noa e whakamahia ana e te tāngata ēnei hua whakamomori ko ngā take niho o ia rā me ngā wharanga iti e pā ana ki te mamae i tētahi wāhi.
Ko ngā āhuatanga kāore i te noa engari he nui ake te kino ka whai hua pea i te āwhina mamae whakamomori. Kei roto i ēnei ko te korokoro waha (he mate harore), te arero ā-rohe (he āhuatanga kore kino engari he āputa), i te whakaora rānei i te pokanga waha.
I ētahi wā ka whakamahia ēnei hua e te tāngata i mua i ngā mahi niho hei whakaiti i te āwangawanga mō ngā werohanga, hei whakamarie rānei i ngā horoi niho.
He maha ngā wā ka tohu te mamae waha me whai whakaaro tētahi mea i roto i tō waha, ahakoa kāore i te take mō te āwangawanga tonu.
Ko te nuinga o te mamae waha ka puta mai i ngā āhuatanga noa, ka taea te rongoā, e pai ana ki te manaaki tika, i ētahi wā ka āwhina te whakamomori.
I te nuinga o te wā, ko te mamae waha tonu pea e tohu ana i ngā āhuatanga autoimmune pērā i te oral lichen planus, ngā pānga taha o ētahi rongoā, i ngā wā tino onge, te mate pukupuku waha. Ko ēnei āhuatanga nui te nuinga ka haere tahi me ētahi atu tohumate, me te hiahia ki te arotake ngaio.
Mena ka roa te mamae o tō waha neke atu i te rā torutoru, ka haere tahi rānei me te kirika, te uaua ki te horo, te whero e horapa ana, he pai ki te titiro atu ki tētahi kaiwhakarato hauora.
He maha ngā momo mamae waha ka ngaro noa iho i te wā e rongoa ana tō tinana i a ia anō, ina koa ka puta te mamae mai i ngā wharanga iti, i ngā mate huaketo rānei.
Ko ngā tapahi iti i roto i tō waha, ngā patito ngawari, me te riri kapia iti ka pai ake i roto i ngā rā torutoru ki te wiki me te akuaku waha pai, me te atawhai ngawari. Ka tere te rongoa o ngā kiko o tō waha nā te mea he pai te tuku toto.
Ko ngā korokoro mamae huaketo te nuinga ka pai ake i a rātou anō i roto i te 5-7 rā i te wā e whawhai ana tō pūnaha ārai mate i te mate. Waihoki, ko ngā patito waha mai i te ahotea, i te wharanga iti rānei, te nuinga ka rongoa me te kore he rongoā motuhake.
Heoi, ko te mamae mai i te pirau niho, te mate kapia nui, i ngā mate huakita rānei, te nuinga e kore e ngaro me te kore he rongoā tika. Ko ēnei āhuatanga te nuinga ka kino ake i te wā e noho ana, ka puta pea ki ngā raruraru nui ake.
He maha ngā rongoā kāinga ngawari, whai hua ka āwhina i te whakahaere i te mamae o te waha i a koe e whakatau ana mehemea e hiahiatia ana he manaakitanga ngaio.
Ko te mea nui ko te whiriwhiri i ngā tikanga e whakamarie ana i ngā kiko riri, me te kore e whara atu, e whakaroa rānei i te rongoā e tika ana.
Mō ngā korokoro pāwera, ko ngā inu mahana pēnei i te tī rākau me te honi ka whai wāhi ki te whakamarie. Ko te ngote i ngā maramara huka, i ngā pōpōkē rānei ka āwhina pea ki te whakapōuri i te mamae mō tētahi wā.
Kia mahara ko ngā rongoā kāinga te mea pai mō te mamae ngawari, i puta tata nei. Mēnā he kaha, he mau tonu rānei ō tohu, me whakakapi ēnei rongoā i te manaakitanga ngaio.
Ko te rongoā hauora mō te mamae o te waha e whakawhirinaki ana ki te take o tō āharawhaka, ā, he maha ngā kōwhiringa whai hua e wātea ana ki ngā kaiwhakarato hauora.
Mō ngā mate huakita, ka tohutohu pea tō tākuta, tō niho rānei i ngā paturopi hei whakawātea i te mate, hei whakaiti i te mumura. Ko ēnei pea he pire ka tango koe mā te waha, i ētahi wā rānei he hāora paturopi ka whakamahia tika ki ngā wāhi kua pā.
Ko ngā raruraru niho pēnei i ngā poka niho e hiahia ana ki ngā rongoā niho motuhake pēnei i ngā whakakī, ngā karauna, ngā awa pūtake rānei. Ka whakamahia e tō niho ngā werohanga whakapōuri kaha ake, roa ake i ēnei tikanga hei whakarite i tō whakamarie.
Mō ngā āhuatanga tawhito pēnei i ngā patito mangai e hoki mai ana, ka tūtohu pea ngā tākuta i ngā rongoā ā-rohe kaha-ā-rongoā, ngā rongoā waha e whakaiti ana i te mumura, i ētahi wā, ngā rongoā hei āwhina i te whakahaere i tō pūnaha ārai mate.
Ka āwhina ngā rongoā ā-wairakau ki ētahi mate wairakau, ahakoa he maha ngā āhuatanga waha e whakahaeretia ana mā te manaaki tautoko me te whakaiti i ngā tohu.
Ahakoa he maha ngā wāhanga mamae o te mangai e whakatau ana mā te manaaki i te kāinga, e tika ana kia whai whakaaro ngā āhuatanga ki te āwhina hauora ngaio i mua atu i muri mai.
Me whakapā atu koe ki tētahi kaiwhakarato hauora mēnā he nui rawa tō mamae ki te whakararu i te kai, te inu, te moe rānei, mēnā rānei e haere tahi ana me ngā tohu e pā ana.
Mō te mamae e pā ana ki te niho, me kite koe i te tākuta niho i te wā tonu mēnā he tairongo tō niho ki te wera, ki te makariri rānei e mau tonu ana, ngā rua e kitea ana, ngā wāhi pouri rānei i runga i ngā niho, i te mamae rānei i te wā e ngau ana.
Kaua e tatari mēnā kei te raru koe i te manawa, i te horo rānei, nā te mea ka tohu pea ēnei i te tauhohenga mate pāwera nui, i te horapa tere rānei o te mate e hiahia ana ki te manaaki hauora tonu.
He maha ngā āhuatanga ka whakanui i tō tūponotanga ki te pā ki te mamae o te mangai, ahakoa ko te whai i ēnei āhuatanga mōrearea kāore e taurangi ka whakawhanake koe i ngā raruraru.
He nui te mahi a ō tikanga o ia rā, me te āhua o tō hauora whānui i te whakamarie me te hauora o tō mangai.
He mea nui hoki ngā āhuatanga e pā ana ki te pakeke – he nui ake te tūponotanga o ngā tamariki nohinohi ki te mamae niho me ngā mate huaketo, i te wā e pā ana ki ngā pakeke, ka nui ake pea ngā raruraru niho me ngā raruraru waha e pā ana ki ngā rongoā.
Ko ngā tāngata e ngoikore ana te pūnaha ārai mate, ahakoa nā te mate, nā ngā rongoā rānei, ka nui ake te tūponotanga ki te mate waha, ā, me nui ake pea te manaaki kia kore ai e puta ngā raruraru.
Ko te nuinga o te mamae waha ka ngaro me te kore raruraru nui, engari ko ngā raruraru hauora niho me te waha kāore i rongoatia i ētahi wā ka puta ki ngā raruraru nui ake.
Ko te āwangawanga nui ki te kore e aro ki te mamae waha tonu, ko te kino haere o ngā mate i raro iho, i ngā raruraru niho rānei, ka horapa ki ētahi atu wāhi.
I ngā wā onge, ka horapa ngā mate niho nui ki ētahi atu wāhi o te upoko me te kaki, ka pā pea ki te manawa, ki te horomia rānei. Koinei te take me arotake wawe te mamae tonu, te mamae rānei e kino haere ana.
Mō ngā tāngata e whai ana i ētahi āhuatanga hauora pēnei i te mate huka, i te mate ngākau rānei, ka nui ake pea ngā mate waha, ā, ka raru pea te whakahaere i tō rātou āhuatanga hauora tuatahi.
He tino whai hua pea ngā rongoā whakamoe i te wāhi ki te whakahaere i te mamae o te waha ina whakamahia tika ana, engari kāore e tika ana mō ngā āhuatanga katoa.
He pai te mahi a ēnei hua mō te whakamāmā i te mamae ngawari ki te pōturi, ina koa me kai koe, inu, moe rānei i te pai ake i te wā e tatari ana koe kia mahi ētahi atu rongoā.
Ko ngā painga nui ko te whakamāmā tere, te whakamoe i te wāhi e tika ana, me te kaha ki te mahi noa i te wā o te whakamoe. He tino whai hua rātou mō te mamae o ngā niho o ngā tamariki, ngā wharanga iti o te waha, me te mamae mai i ngā mahi niho.
Heoi, he iti noa ngā here o ngā rongoā whakamoe i te wāhi. Ka whakamāmā noa rātou i te wā poto, kāore hoki e rongoā i te take o tō mamae. Ko te whakamahi nui i a rātou i ētahi wā ka riri i ngā kiko, ka huna rānei i ngā raru e kino haere ana e hiahia ana ki te āwhina ngaio.
Ka pā mai pea ngā pānga pāwera ki ētahi tāngata ki ngā kai pēnei i te benzocaine, ahakoa he mea kāore i te nuinga. Ki te kite koe i te pūhi nui ake, te pāwera, te uaua rānei ki te hā i muri i te whakamahi i tētahi rongoā whakamoe i te wāhi, kati te whakamahi tonu, ā, rapua te āwhina hauora.
I ētahi wā ka pōhēhē te mamae o te waha ki ētahi atu momo mamae, ka puta he rongoā hē, he whakaroa rānei i te manaakitanga tika.
Ko te wāhi me te kounga o te mamae i roto i tō waha ka uaua ki te tautuhi i te puna tika, ina koa ka pā ki ngā wāhi maha.
I ētahi wā ka pōhēhē te tangata i ngā tohumate o te whakaeke ngākau mō te mamae kauae nui, inā koa i ngā wāhine e pā ana ki ngā tohumate whakaeke ngākau kāore i te rite. Mēnā ka puta te mamae kauae me te pēhanga i te uma, te poto o te manawa, te mamae rānei o te ringa, me rapu tonu i te āwhina hauora.
Ka taea e te trigeminal neuralgia, he āhua o te io, te whakaputa i te mamae nui o te kanohi ka pōhēhēhia mō ngā raruraru niho. Ko tēnei āhua te tikanga ka whakaputa i te mamae ohorere, rite tonu ki te ru hiko, kaua ki te mamae tonu o ngā take niho.
Ko te nuinga o ngā anesthetics topical e whakarato ana i te whakamaarama mō te 15 meneti ki te 2 hāora, i runga i te hua me te kaha e whakamahia ana e koe. Ko ngā hua e hokona ana i runga i te porotiti te tikanga e noho ana mō te 30-60 meneti, ā, ko ngā hanganga kaha-ā-tākuta pea ka roa ake te whakamaarama.
Ka whakawhirinaki hoki te roa ki te nui o te huware e whakaputaina ana e koe, me te kai, te inu rānei i te wā e kaha ana te rongoā. Ko te horoi i tō waha, te kai rānei ka whakaiti i te pānga whakamaarama.
Āe, he maha ngā tāngata e kite ana i ngā anesthetics topical he āwhina mō te whakaiti i te āwangawanga mō ngā werohanga niho, te whakangāwari rānei i ngā horoi niho. Heoi, me kōrero tonu koe ki tō tākuta niho mō ngā hua i whakamahia e koe i mua i tō pōhiri.
Me mōhio tō tākuta niho mō ngā rongoā whakamaarama i whakamahia e koe kia taea ai e rātou te aromatawai tika i tō urupare ki ā rātou maimoatanga, me te whakatika i ā rātou tikanga ki te hiahiatia.
He haumaru te nuinga o ngā anesthetics topical mō ngā tamariki ina whakamahia ana i runga i ngā tohutohu o te pōkai, engari he mea nui ngā hua me ngā inenga e tika ana mō te tau. He here tau motuhake ētahi whakauru pēnei i te benzocaine.
Me whiriwhiri tonu ngā hua kua tapaina mō te whakamahi a ngā tamariki, me te whai i ngā tohutohu inenga. Mēnā kāore koe i te mōhio ki te whakamahi i tētahi rongoā whakamāui i runga i te kiri o te tamaiti, kōrero tuatahi ki tō tākuta tamariki, ki te tākuta niho rānei.
Ahakoa he mea kāore i te pōturi ngā pānga mate pāwera ki ngā rongoā whakamāui i runga i te kiri, ka taea te puta. Ko ngā tohu o te pānga mate pāwera ko te whero nui, te pūhi, te pūwha, te uaua rānei ki te hā i muri i te whakamahinga.
Mēnā kua pā koe i ngā pānga mate pāwera ki ngā rongoā whakamāui i te wā o te mahi niho, me karo koe i ngā kai rite i roto i ngā hua whakamāui i runga i te kiri e hokona ana i te tātahi, me te kōrero i ngā huarahi kē ki tō kaiwhakarato hauora.
Whaia ngā tohutohu motuhake i runga i te pōkai o tō hua, i te mea he rerekē ngā whakatakotoranga i ngā auau whakamahi e tūtohutia ana. Ka taea te whakamahi i te nuinga o ngā hua i ngā 4-6 hāora i te wā e hiahiatia ana, engari he rohe rānei ētahi.
Mēnā ka kite koe e hiahia ana koe i te rongoā whakamāui i runga i te kiri i te auau, mō te nui ake rānei i ētahi rā, he mea pai kia arotakehia e tētahi kaiwhakarato hauora te take i raro i te mamae.