He aha te Werohanga Cortisone? Te Whāinga, te Hātepe & Ngā Hua

He werohanga cortisone he werohanga whāinga o te rongoā steroid waihanga tika ki roto i te hononga mumura, uaua, wāhi kiko ngawari rānei. Ko tēnei rongoā anti-mumura kaha e whai ana i te homoni cortisol tūturu o tō tinana, e āwhina ana ki te whakaiti i te pupuhi me te mamae i ngā wāhi raruraru motuhake. He maha ngā tākuta e tūtohu ana i ēnei werohanga i te wā kāore anō ētahi atu rongoā i whai hua mai i ngā āhuatanga pēnei i te mate rūmātiki, te tendinitis, te bursitis rānei.

He aha te werohanga cortisone?

He werohanga cortisone e tuku ana i te horopeta kukū o te rongoā corticosteroid tika ki te pūtake o tō mumura. Ko te rongoā he putanga i hangaia i te taiwhanga o te cortisol, he homoni e whakaputaina ana e ō repe adrenal ki te whawhai i te mumura puta noa i tō tinana.

Kāore i rite ki ngā rongoā waha e pā ana ki tō pūnaha katoa, ko ngā werohanga cortisone e whāinga ana ki te wāhi motuhake e pōuri ana i a koe. Ko tēnei huarahi arotahi te tikanga ka whiwhi koe i ngā pānga anti-mumura kaha ake i te wāhi e tino hiahia ana koe, he maha ngā wā me te iti ake o ngā pānga taha i te tango steroid mā te waha.

Kei roto i te werohanga ake te rongoā steroid i konatunatua ki te rongoā rāhuitanga ā-rohe hei āwhina i te whakapōuri i te wāhi i te wā me muri i te hātepe. Ko tēnei huinga e āwhina ana ki te whakarato i te whakamarie tonu me te whakaiti mumura roa ake.

He aha te werohanga cortisone i mahia ai?

E tūtohu ana ngā tākuta i ngā werohanga cortisone i te wā e pōuri ana te mumura i tētahi wāhi motuhake, e aukati ana rānei i ō mahi o ia rā. Ko ēnei werohanga e pai ana mō ngā āhuatanga ko te mumura te raruraru matua, kaua ko te kino hanganga, te mau rānei.

Ka tūtohu pea tō kaiwhakarato hauora i te werohanga cortisone mēnā kei te raru koe i te mamae hononga mai i te mate rūmātiki kāore anō i pai ake mā te okiokinga, te rongoā tinana, ngā rongoā rānei ka hokona i te tākaro. Ka taea e te werohanga te whakarato i te whakamarie e mau ana i ngā wiki ki ngā marama, e hoatu ana ki a koe te wā ki te whakakaha i te wāhi, ki te whakamātau rānei i ētahi atu rongoā.

Ko ngā āhuatanga noa e pai ana te urupare ki ngā werohanga cortisone ko ētahi raruraru mumura. Me whakamārama e au ngā take e tino whakahau ana ngā tākuta i ēnei werohanga:

• Osteoarthritis, rheumatoid arthritis rānei i ngā turi, pakihiwi, hīpoki rānei
• Pāpāringa tēnehi, pāpāringa korowha rānei i te nekehanga auau
• Bursitis i ngā pakihiwi, hīpoki, tuke rānei
• Tendinitis i ngā hononga rerekē
• Carpal tunnel syndrome e pā ana ki te mamae o te ringaringa
• Plantar fasciitis e pā ana ki te mamae o te rekereke
• Maihao, koromatua rānei

He tino whai hua ēnei werohanga i te wā e raru ana te mumura i tō moe, mahi, te kaha rānei ki te pārekareka ki ngā mahi o ia rā. Ka whakaaro tō tākuta ki tō āhuatanga motuhake me ētahi atu kōwhiringa maimoatanga i mua i te whakahau i tētahi werohanga.

He aha te tikanga mō te werohanga cortisone?

Ko te tikanga werohanga cortisone he tere, he tika tonu, ā, e 10-15 meneti noa iho te roa i roto i te tari o tō tākuta. Kāore koe e hiahia ki tētahi whakarite motuhake i mua, ā, ka taea e te nuinga o te tangata te hoki ki ā rātou mahi noa i te rā kotahi.

Ka tīmata tō kaiwhakarato hauora mā te horoi i te wāhi werohanga ki tētahi otinga antiseptic hei ārai i te mate. Ka tohua pea e rātou te wāhi tika e haere ai te ngira, ina koa mō ngā hononga hōhonu e hiahia ana ki te whakatakoto tika.

Koinei te mea ka taea e koe te tūmanako i te wā o te werohanga:

1. Ka whakatakoto tō tākuta i a koe kia pai, he maha ngā wā e takoto ana, e noho ana rānei
2. Ka horoi rātou i te kiri ki te antiseptic
3. Ka kuhu tētahi ngira angiangi ki te wāhi e pā ana
4. Ka pōturi pea koe i te pēhanga, i te mamae ngawari rānei i te wā e werohia ana te rongoā
5. Ka tangohia te ngira, ā, ka whakamahia tētahi rāpaki iti

Mō ngā hononga hōhonu pēnei i te hope, i te pakihiwi rānei, ka whakamahi pea tō tākuta i te ultrasound, i te fluoroscopy (X-ray i te wā tūturu) hei ārahi i te ngira ki te wāhi tika. Mā tēnei whakaahua e āwhina kia tino tika te haere o te rongoā ki te wāhi e tino hiahiatia ana.

Ko te werohanga tonu he hēkona noa iho te roa, ahakoa te 15-30 meneti pea te roa o te hui katoa, tae atu ki te whakarite me ngā tohutohu i muri i te atawhai.

Me pēhea te whakarite mō tō werohanga cortisone?

He māmā noa te whakarite mō te werohanga cortisone, ā, kāore e hiahiatia e te nuinga o te tangata ngā huringa nui ki ā rātou mahi. Ka hoatu e tō tākuta ngā tohutohu motuhake ki a koe, engari i te nuinga o te wā, ka taea e koe te kai noa, me te tango i ō rongoā i mua i te hui.

Mēnā kei te tango koe i ngā rongoā whakaheke toto pēnei i te warfarin, i te clopidogrel rānei, whakamōhio atu ki tō tākuta i mua. Ka tono pea rātou ki a koe kia whakamutu i ēnei rongoā mō te wā poto hei whakaiti i te tūponotanga o te toto, engari kaua rawa e whakamutu i a rātou me te kore he tohutohu hauora.

He torutoru ngā mahi whaihua ka āwhina i te pai o tō hui:

• Mau i ngā kākahu whānui, whakamarie e taea ai te uru ki te wāhi werohanga
• Mau mai he rārangi o ō rongoā me ō tāpiringa katoa
• Kōrero atu ki tō tākuta mō ngā mate pāwera, inā koa ki ngā rongoā whakamoe
• Whakaarohia mēnā he mate huka tōu, nā te mea ka pā te steroids ki te huka toto mō te wā poto
• Tonoa tētahi ki te taraiwa i a koe ki te kāinga mēnā e māharahara ana koe mō te tikanga

Ka noho pai te nuinga o te tangata ki te taraiwa i a rātou anō ki te kāinga i muri i te werohanga cortisone, engari he mea whakahihiri te whai tautoko. He uaua tonu te tikanga nei ki te whakapōrearea i ngā mahi noa.

Me pēhea te pānui i ngā hua o tō werohanga cortisone?

Ko te māramatanga ki tō urupare ki te werohanga cortisone ehara i te pānui i ngā hua taiwhanga, engari ko te mōhio ki te pēhea te huri o ō tohumate i te roanga o te wā. Ka mahi haere te rongoā, nā reira kaua e tatari ki ngā whakapainga nui tonu i muri tonu i te werohanga.

Te nuinga o te tangata ka timata ki te kite i te whakaiti i te mamae i roto i te 24-48 haora, ahakoa ka roa pea te wiki ki te whakawhanake i nga paanga anti-inflammatory katoa. Ko te rongoa rongoa o te rohe i roto i te werohanga ka whai waahi ki te kore ohorere tonu, engari ka ngaro tenei i roto i etahi haora.

Anei nga mea e tumanakohia ana i roto i to waahi whakaora:

• Nga haora tuatahi: He kore ohorere rangitahi mai i te rongoa rongoa o te rohe
• 24-48 haora: Te whakaiti i te mamae tuatahi i te wa e timata ana te mumura ki te heke
• 1 wiki: Me kitea nga paanga anti-inflammatory katoa
• 2-6 marama: Ko te roa o te whakaiti i te mamae ka rereke i te tangata me te ahuatanga

Ko te werohanga cortisone angitu te tikanga ka whakaiti i te mamae nui me te whakapai ake i te mahi e mau ana mo etahi wiki ki nga marama. Me kaha koe ki te neke i te waahi e pa ana ki te pai ake me te mahi i nga mahi o ia ra me te iti o te raruraru.

Ki te kore koe e kite i te whakapai ake i roto i nga wiki e rua, ki te hoki wawe mai to mamae, me whakamohio atu ki to taakuta. Ka tohu pea tenei ehara te mumura i te take nui o ou tohu, me hiahia ranei koe ki tetahi huarahi maimoatanga rereke.

Me pehea te whakahaere i muri i to werohanga cortisone?

Ko te whakahaere i to whakaora i muri i te werohanga cortisone ko te whai i etahi aratohu ngawari hei whakanui i nga painga me te whakaiti i nga raruraru ka puta. Ka taea e te nuinga o te tangata te hoki ki nga mahi noa i roto i te ra kotahi, e rua ranei, engari ko te tiaki i a koe ano ka awhina i te whakarite i te putanga pai rawa atu.

Mo nga haora 24-48 tuatahi i muri i to werohanga, he mea nui ki te okioki i te waahi i rongoatia me te kore e karo katoa i te neke. He pai te mahi ngawari, engari karo i te korikori kaha, i te hiki taumaha ranei ka kaha pea te waahi werohanga.

Ka tohutohu pea to taakuta i enei mahi tiaki i muri i te werohanga:

• Whakanohohia te huka ki te wāhi werohanga mō te 15-20 meneti mēnā ka pā te mamae
• Tangohia ngā rongoā mamae e hokona ana i te hokomaha mēnā e hiahiatia ana, engari karo i ngā rongoā anti-inflammatory
• Kia mā, kia maroke te wāhi werohanga mō te 24 hāora
• Kaua e mahi kaha mō te 24-48 hāora
• Aroturukihia mō ngā tohu o te mate, pēnei i te whero nui ake, te mahana rānei

E pā ana te mamae mō te wā poto ki ētahi tāngata i te rā tuatahi, te rua rā rānei i muri i te werohanga. He mea noa tēnei, ā, te tikanga e tohu ana kei te mahi te rongoā ki te whakaiti i te mumura i te wāhi.

Kia tīmata koe ki te pai ake, hoki haere ki ō mahi noa. Ko te whāinga he whakamahi i te wā kore mamae ki te whakakaha i te wāhi mā te whakakōkiri ngawari, te rongoā tinana rānei, ka āwhina i te ārai i ngā mumura o muri ake nei.

He aha ngā āhuatanga tūpono mō ngā raruraru werohanga cortisone?

Ahakoa te nuinga o te wā he haumaru ngā werohanga cortisone, ka taea e ētahi āhuatanga te whakanui i tō tūponotanga ki ngā raruraru, te kore whai hua rānei te werohanga. Mā te māramatanga ki ēnei āhuatanga tūpono ka āwhina i a koe me tō tākuta ki te whakatau i te whakatau pai mō te tika o tēnei rongoā mōu.

He nui ake te tūponotanga o te pikinga huka toto mō te wā poto i muri i ngā werohanga cortisone ki ngā tāngata e mate huka ana. Ka taea e te rongoā steroid te whakanui i ngā taumata glucose mō ētahi rā, e hiahia ana ki te aroturuki tata atu, me te whakatikatika i ngā rongoā mate huka.

He maha ngā āhuatanga hauora me ngā āhuatanga ka whakanui i tō tūponotanga ki ngā raruraru:

• Te mate kaha i tō tinana
• Ngā mate toto, te whakamahi rānei i ngā rongoā whakaheke toto
• Te mate huka, te pre-diabetes rānei
• Te pūnaha ārai mate ngoikore mai i ngā rongoā, ngā āhuatanga hauora rānei
• Ngā tauhohenga pānga o mua ki ngā steroids, ngā rongoā rānei
• Te hapū (ahakoa ka whakamahia ngā werohanga i ētahi wāhi)

Ka nui ake hoki te tūponotanga ki te whiwhi i ngā werohanga cortisone maha i te wāhi kotahi. Ko te nuinga o ngā tākuta e here ana i ngā werohanga ki te kore e neke atu i te 3-4 i te tau i roto i tētahi hononga kotahi hei ārai i te kino o te kiko, te angiangi rānei.

Kāore i te tika te ārai i a koe i te whiwhi werohanga cortisone i tō tau me tō hauora whānui, engari e pā ana ki te āhua o te tākuta e whakatata ana ki te rongoā me te aroturuki i tō whakaora.

He aha ngā raruraru ka puta mai i ngā werohanga cortisone?

Ko te nuinga o te tangata e pā ana ki ngā werohanga cortisone kāore he raruraru nui, engari pērā i ētahi atu tikanga rongoā, ka puta mai ngā raruraru i ētahi wā. Mā te māramatanga ki ēnei take ka mōhio koe ki ngā mea hei mātakitaki me te wā hei whakapā atu ki tō kaiwhakarato hauora.

Ko ngā pānga taha tino noa he ngawari, he rangitahi. Ka pā pea koe ki te mamae i te wāhi werohanga, pērā i te āhua o tō tū i muri i te whiwhinga kano ārai mate. Ko te tikanga ka ngaro tēnei mamae i roto i te rā, e rua rānei.

Ko ngā raruraru noa, te nuinga he ngawari, ko:

• Te mamae rangitahi, te mamae rānei i te wāhi werohanga
• Te toto iti, te pā rānei i te wāhi i kuhu ai te ngira
• Te pikinga rangitahi o te mamae (cortisone flare) e mau ana mō te 24-48 haora
• Te pūhi iti i te taha o te wāhi werohanga
• Te pikinga rangitahi o te taumata huka toto, ina koa kei a koe te mate huka

Ko te tikanga ka taea te whakahaere i ēnei pānga noa mā te okiokinga, te huka, me ngā rongoā mamae i te tākai. E tohu ana tēnei kei te whakautu noa tō tinana ki te werohanga.

Ko ngā raruraru kāore i te noa engari he nui ake te kino e hiahia ana kia āta tirohia e te rongoā. Ahakoa he onge, ko ēnei ka uru:

• Te mate i te wāhi werohanga me te whero nui, te mahana, te pūhi rānei
• Te urupare pānga mate e pā ana ki te uaua ki te hā, te rāwaho rānei
• Te kino o te io e pā ana ki te ngaro o te rongo, te ngoikore rānei (he tino onge)
• Te pakaru o te uaua ki te werohia tika ki roto i te uaua
• Te huringa tae kiri, te angiangi rānei i te wāhi werohanga

Whakapā atu ki tō tākuta tonu mēnā ka pā mai te kirika, te mamae nui e kaha haere ana, kāore e pai ake, me ētahi tohu o te mate. He mea noa ēnei raruraru nui engari me tirotiro tonu e te tākuta.

Āhea ahau e kite ai i te tākuta mō ngā āwangawanga mō te werohanga cortisone?

Ko te mōhio ki te wā ki te whakapā atu ki tō kaiwhakarato hauora i muri i te werohanga cortisone ka āwhina ki te whakarite kia tere te whakatika i ngā raruraru. Ko te nuinga o te tangata ka ora pai, engari ko ētahi tohu e tika ana kia tirotiro tonu e te tākuta.

Waea atu ki tō tākuta i te wā tonu mēnā ka pā mai ngā tohu o te mate, ka pā mai i roto i ngā rā i muri i te werohanga. Ko ngā tohu o te mate ko te whero haere, te mahana, te pūhi rānei i te wāhi werohanga, ina koa ki te haere tahi me te kirika, te pū rānei.

Anei ngā āhuatanga motuhake e hiahia ana kia tirotiro tonu e te tākuta:

• Kirika i runga ake i te 101°F (38.3°C) i roto i ngā rā i muri i te werohanga
• Te mamae nui e kaha haere ana, kāore e pai ake i muri i te 48 haora
• Te pū, te rere rānei i te wāhi werohanga
• Ngā rārangi whero e toro atu ana i te wāhi werohanga
• Te uaua ki te manawa, te pāpā rānei e tohu ana i te pānga mate pāwera
• Te ngaro o te mānawa, te ngoikore rānei i te wāhi i rongoatia

Me whakapā atu anō koe ki tō tākuta mēnā kāore koe e kite i te pai ake o ō tohu i roto i ngā wiki e rua i muri i te werohanga. Mā tēnei e tohu ai kāore te mumura te take nui o tō raruraru, me hiahia rānei koe i tētahi atu huarahi rongoā.

Mō te hunga mate huka, tirohia ō taumata huka toto i ngā rā i muri i te werohanga. Whakapā atu ki tō kaiwhakarato hauora mēnā ka noho tiketike tonu ō taumata kūkū, mēnā rānei he uaua ki a koe te whakahaere i a rātou me ō rongoā o mua.

Ngā pātai e pātai pinepine ana mō ngā werohanga cortisone

Q.1 He pai te werohanga cortisone mō te rūmātiki?

Āe, he tino whai hua ngā werohanga cortisone mō te mamae o te rūmātiki, ina koa he wāhanga nui te mumura o ō tohu. He pai rawa atu ēnei werohanga mō te osteoarthritis i roto i ngā hononga nui pēnei i ngā turi, hope, me ngā pakihiwi, i te wāhi ka taea e ngā pānga anti-mumura te whakarato i te whakamaunga nui.

Mō te rūmātiki rūmātiki, ka taea e ngā werohanga cortisone te āwhina i te whakahaere i ngā pūhaehae i roto i ngā hononga motuhake i te wā e whakatika ana koe i ētahi atu rongoā. Ko te whakamaunga te tikanga ka roa te 2-6 marama, e whai wāhi ana koe ki te whakakaha i te hononga mā te rongoā tinana, ki te tūhura rānei i ētahi atu kōwhiringa maimoatanga.

Q.2 Ka pūtake te werohanga cortisone i te pikinga o te taumaha?

He uaua te pūtake o te werohanga cortisone i te pikinga o te taumaha nā te mea ka noho te rongoā ki te wāhi e rongoatia ana, kaua ki te huri i tō tinana katoa. Kāore i rite ki ngā steroid waha ka pūtake i te pupuri wai me te pikinga o te hiahia, he iti noa iho ngā pānga pūnaha o ngā steroid i werohia.

Ka kite pea ētahi tāngata i te pupuri wai iti noa iho, engari he mea noa tēnei, ā, ka ngaro i roto i ngā rā torutoru. Ko te āhua o te werohanga e kī ana he iti rawa te tūponotanga ki te pā ki ngā pānga taha e pā ana ki ngā rongoā steroid waha.

Q.3 Kia hia ngā wā ka taea e au te tiki werohanga cortisone?

E tohutohu ana te nuinga o ngā tākuta kia iti noa iho ngā werohanga cortisone ki te kore e neke atu i te 3-4 werohanga i te tau i roto i tētahi hononga, wāhi rānei. Mā tēnei wāhi e āwhina i te ārai i ngā raruraru pea pēnei i te kino o te kiko, te pakaru o te kirikiri, te angiangi rānei o ngā hanganga tata.

Ko te wā tika ka whakawhirinaki ki tō āhuatanga motuhake me te pai o tō urupare ki te maimoatanga. Ka whakaaro tō tākuta ki ngā āhuatanga pēnei i tō tau, te hauora whānui, me te āhuatanga e rongoatia ana i te wā e whakatau ana i te auau tika mō tō āhuatanga.

Q.4 He mamae ngā werohanga cortisone?

Ko te nuinga o te tangata e whakaahua ana i nga werohanga cortisone he ahua kore e pai ana, kaua ki te tino mamae. He rite te ahua ki te whiwhi i te werohanga hohonu, me te pehanga me te ahua ngau poto i te wa e uru ana te ngira, ka werohia te rongoa.

Kei roto i te werohanga he rongoa rongoa o te rohe hei awhina i te waahi, a ko te katoa o te tukanga ka roa noa iho i etahi hēkona. He maha nga tangata e miharo ana he pai ake te tukanga i ta ratou i tumanako ai, ina koa ki te mamae mau tonu i pa ki a ratou i mua.

Q.5 Ka taea e nga werohanga cortisone te rongoa i taku mate mo te wa roa?

Ko nga werohanga Cortisone e whakarato ana i te wa poto, kaua ki te rongoa pumau mo te nuinga o nga mate. Ka mahi ratou ma te whakaiti i te mumura, ka taea te wawahi i te huringa o te mamae me te tuku i to tinana ki te whakaora pai ake, engari kaore ratou e aro ki nga raru hanganga o raro, ka huri katoa ranei i nga huringa whakaheke.

Heoi, ka whai hua te wa whakamaarama mamae mo te whai waahi ki te rongoa tinana, te whakarereke i te oranga, te tuku ranei i nga tukanga whakaora taiao kia puta. Ko etahi tangata e kite ana ko te whakakotahi i nga werohanga cortisone me etahi atu maimoatanga ka roa ake te whakapai ake i o raatau tohu.