He aha te Radiofrequency Neurotomy? Te Whāinga, te Hātepe & ngā Hua

Ko te radiofrequency neurotomy he hātepe iti nei te pākia e whakamahi ana i te wera whakahaere hei whakakore i ngā muka io e tuku ana i ngā tohu mamae mau tonu ki tō roro. Whakaarohia he huarahi ngawari ki te "whakangohe" i ngā io e kaha rawa ana te mahi, e pōuri ana i a koe mō ngā marama, tau rānei.

Ka taea e tēnei maimoatanga waho-pāpā i te mamae te whai hua nui mō ngā āhuatanga pēnei i te mamae tuara mau tonu, te mamae kaki, me te mamae tahi e pā ana ki te mate rūmātiki. E whāia ana e te hātepe ngā manga io motuhake i te wā e waiho ana te mahi io matua kia ora tonu, e āhei ana koe ki te wheako i te whakamaunga me te kore e ngaro te rongo noa, te neke rānei.

He aha te radiofrequency neurotomy?

Ko te radiofrequency neurotomy, e kīia ana ko te radiofrequency ablation, ko te RFA rānei, he hātepe e whakamahi ana i te wera i hangaia e ngā ngaru irirangi hei waihanga i tētahi wharanga iti, whakahaere i runga i ngā muka io motuhake. Ko tēnei whakakorenga wā-poto ka aukati i ēnei io mai i te tuku tohu mamae ki tō roro.

E whāia ana e te hātepe ngā manga io rongo e kawe ana i ngā karere mamae, ehara i ngā io motuka e whakahaere ana i te nekehanga uaua. Ka whakamahi tō tākuta i tētahi ngira angiangi me tētahi pito hiko motuhake hei tuku i te kaha wera tika ki te kiko io raruraru.

Ka waihanga te wera i tētahi wharanga iti e aukati ana i te kaha o te io ki te tuku tohu mamae mō ētahi marama ki ētahi tau. I te mutunga, ka whakahou pea te io, engari he maha ngā tāngata e wheako ana i te whakamaunga roa e whakapai ake ana i te kounga o tō rātou oranga.

He aha te take i mahia ai te radiofrequency neurotomy?

E taunakitia ana te radiofrequency neurotomy ina he mamae mau tonu tō, kāore i pai te urupare ki ētahi atu maimoatanga pēnei i ngā rongoā, te rongoā tinana, ngā werohanga rānei. Ko te tikanga ka whakaaro tō tākuta ki tēnei kōwhiringa ina kua mau tonu tō mamae mō te toru ki te ono marama, ā, he nui te pānga ki āu mahi o ia rā.

Ko te tikanga nei e whakamahia nuitia ana mō te rongoā i te mamae o te hononga facet i te tuarā, e pūtake ana i te mamae tuarā, mamae kaki rānei. He whai hua hoki mō te whakahaere i te mamae mai i te mate rūmātiki, ētahi momo ānini, me ngā āhuatanga mamae e pā ana ki ngā io.

I mua i te tūtohu i te RFA, ka whakamahi tō tākuta i ngā poraka io tātaritanga hei whakaū he pono ko ngā io e whāia ana te pūtake o tō mamae. Ki te whai hua ēnei werohanga whakamātautau ki te whakaiti i te mamae mō tētahi wā, he pai pea koe ki te rongoā auau irirangi e roa ana te pānga.

He aha te tikanga mō te neurotomy auau irirangi?

Ko te tikanga neurotomy auau irirangi te nuinga ka 30 ki te 90 meneti te roa, ā, ka mahia i runga i te tūāpapa tūroro waho. Ka takoto koe i runga i te tēpu whakamātau i te wā e whakamahi ana tō tākuta i te ārahi hihi-X hei whakarite i te whakatakoto tika o te ngira.

Tuatahi, ka horoi tō tākuta i te wāhi rongoā, ka werohia he rongoā rāpoi rohe hei whakapōkae i tō kiri. Ka pākia pea tētahi pōkae iti i te wā o tēnei werohanga, engari ka pōkae wawe te wāhi, ka pai hoki.

Muri iho, ka whakauru tō tākuta i tētahi ngira angiangi me te pito hiko ki te io e whāia ana. I roto i tēnei tukanga, ka noho mātau koe kia taea ai e koe te kōrero ki tō tākuta mō te mea e pākia ana e koe. Ka āwhina te mīhini hihi-X i te ārahi i te ngira ki te wāhi tika.

I mua i te whakamahi i te wera, ka whakamātau tō tākuta i te tūnga o te ngira mā te tuku i tētahi ia hiko iti mā roto. Ka pākia pea tētahi ngāwari, tētahi wiri uaua rānei, e āwhina ana ki te whakaū kei te wāhi tika te ngira me te kore e pā ki ngā io motika nui.

Kia whakaūngia te tūnga, ka werohia e tō tākuta he rongoā rāpoi rohe anō a tawhio noa i te wāhi io. Muri iho, ka tukuna te pūngao auau irirangi mā te ngira mō te 60 ki te 90 hēkona, e hanga ana i tētahi whara wera i whakahaerehia e raru ana i ngā tohu mamae o te io.

Ka taea te tukurua te tikanga ki ngā wāhi io maha i te wā kotahi mena he mamae koe i ngā wāhi maha. Ko te nuinga o te tangata he iti noa te raruraru i te wā o te tono radiofrequency.

Me pēhea te whakarite mō tō neurotomy radiofrequency?

Ko te whakarite mō te neurotomy radiofrequency e whai ana i ētahi mahi nui hei whakarite i tō haumaru me te hua pai rawa atu. Ka hoatu e tō tākuta ngā tohutohu motuhake i hangaia mō tō āhuatanga takitahi me te hītori hauora.

Me whakarite koe i tētahi tangata hei taraiwa i a koe ki te kāinga i muri i te tikanga, nā te mea ka pōuri pea koe, ka raru rānei i te ngoikore rangitahi i te wāhi i rongoatia. Whakarite kia noho i te toenga o te rā mai i te mahi, me te karo i ngā mahi kaha mō te 24 ki te 48 haora.

Anei ngā mahi whakarite matua ka hiahia pea koe ki te whai:

• Kati te tango i ngā rongoā whakaheke toto i ngā rā maha i mua i te tikanga, engari mehemea ka tohutohu motuhake tō tākuta ki a koe ki te mahi pera
• Kaua e kai, e inu rānei i tētahi mea mō te 6 ki te 8 haora i mua i te tikanga mena ka whiwhi koe i te whakamaarama
• Mau i ngā kākahu pai, ngā kākahu wātea e taea ai te uru ngāwari ki te wāhi rongoā
• Tangohia ngā whakapaipai, ngā arotahi whakapā, me ētahi mea whakarewa ka raru pea i ngā taputapu X-ray
• Tangohia ō rongoā auau mena kāore i tohutohutia ētahi atu e tō tākuta
• Whakamōhio atu ki tō tākuta mō ētahi mate pāwera, ina koa ki ngā rongoā whakamomori rohe, ki ngā tae rerekē rānei

Mena he mate huka tōu, ka hoatu pea e tō tākuta ngā tohutohu motuhake mō te whakahaere i ō taumata huka toto i mua, i muri hoki i te tikanga. He mea nui hoki kia whakamōhio atu ki tō rōpū hauora mena he tohu mate koe, pēnei i te kirika, i te mate rānei, nā te mea ka hiahia pea ki te whakatā i te rongoā.

Me pēhea te pānui i ō hua neurotomy radiofrequency?

Ko te māramatanga ki ngā hua o tō neurotomy auau irirangi e whai pānga ana ki te aroturuki i ō taumata mamae me ngā whakapainga mahi i roto i ngā wiki ki ngā marama i muri i te tikanga. Kāore i rite ki ētahi whakamātautau rongoā e whai hua tonu ana, ka mārama haere ngā hua o te RFA i te wā e ora ana tō tinana.

Tērā pea ka pōturi te piki ake o te mamae, te pāwera rānei i te wāhi rongoā mō ngā rā ki ngā wiki tuatahi. He mea noa tēnei, ā, kāore e tohu ana i te kore angitu o te tikanga. E hiahiatia ana te wā e te pūngao wera kia tino pakaru te kaha o te io ki te tuku tohu mamae.

Te nuinga o te tangata ka tīmata ki te kite i te whakaiti mamae whai tikanga i roto i ngā wiki 2 ki te 8 i muri i te tikanga. Tērā pea ka tono tō tākuta ki a koe kia pūmau i tētahi rārangi mamae hei aroturuki i ō ahunga whakamua, me te whakatau i tō mamae i runga i te tauine mai i te 0 ki te 10 me te whakanui i te pai o ō mahi o ia rā.

Ko te neurotomy auau irirangi angitu te tikanga ka whakaiti i te mamae i waenga i te 50% ki te 80% ka taea te roa mai i te 6 marama ki te 2 tau, ā, tae noa atu. Ko ētahi tangata ka pātata te whakaiti mamae, i te wā e kite ana ētahi atu i te whakapainga nui i ō rātou kaha ki te mahi i ngā mahi o ia rā me te iti o te mamae.

Ka whakarite tō tākuta i ngā hui whai muri hei aromatawai i ō ahunga whakamua me te whakatau mēnā he pai ake ētahi atu rongoā. Mēnā ka hoki mai tō mamae i muri i ngā marama maha, ka taea te whakahoki i te tikanga me te haumaru me ngā reiti angitu rite tonu.

Me pēhea te whakanui i ō hua neurotomy auau irirangi?

Ko te whakanui i ō hua neurotomy auau irirangi e whai pānga ana ki te whai i ngā tohutohu i muri i te tikanga a tō tākuta me te whai i ngā tikanga noho hauora e tautoko ana i te whakahaere mamae wā roa. Ko ngā wiki i muri i tō rongoā he mea nui ki te whakatutuki i te hua pai rawa atu.

I muri tonu i te tikanga, me okioki koe, me te karo i nga mahi kaha mo te 24 ki te 48 haora. Whakamahia te huka ki te waahi rongoa mo te 15 ki te 20 meneti i ia wa hei whakaiti i te pupuhi me te kore e pai. Ka taea e koe te hoki ki nga mahi ngawari i roto i te ra kotahi, e rua ranei.

Anei nga mahi nui hei whakapai ake i to whakaora me nga hua:

• Whaia to waarangi rongoa i whakaritea, tae atu ki nga rongoa mamae, rongoa anti-inflammatory ranei
• Whakanuia haere to taumata mahi i runga i te manawanui, timata mai i te hikoi ngawari me nga mahi o ia ra
• Whai wāhi ki te rongoa tinana mena ka tohutohuhia e to taakuta hei whakakaha i nga uaua tautoko
• Whakamahia te tu tika me te miihini tinana hei aukati i te taumahatanga atu ki nga waahi rongoa
• Kia mau ki te taumaha hauora hei whakaiti i te taumahatanga ki o hononga me to tuaiwi
• Kia waiwai, me te kai i nga kai totika hei tautoko i te tukanga whakaora o to tinana
• Kaua e paowa, na te mea ka raru pea te whakaora me te whakahaere mamae

Ko te korikori tinana ngawari i nga wa katoa, ina whakaaetia e to taakuta, ka awhina i te pupuri i nga painga o to maimoatanga auau irirangi. He maha nga tangata e kite ana ko te whakakotahi i te RFA me te rongoa tinana haere tonu me nga whakarereketanga o te oranga ka pai ake te whakamaarama mamae me te roa.

He aha nga mea morearea mo nga raruraru neurotomy auau irirangi?

Ahakoa he tino haumaru te neurotomy auau irirangi, ko etahi mea ka nui ake to tupono ki nga raruraru, ka pa ranei ki te pai o te mahi o te tikanga mo koe. Ko te mohio ki enei mea morearea ka awhina i a koe me to taakuta ki te whakatau i nga whakatau maimoatanga pai.

Ko te nuinga o nga raruraru mai i te RFA he iti noa, he wa poto, engari ko etahi tangata ka nui ake te tupono ki nga raru. Ka ata arotakehia e to taakuta to ahuatanga takitahi i mua i te taunaki i te tikanga.

Ko nga mea morearea noa ka pa ki to maimoatanga ko:

• Ngā mate pūhui toto, te whakamahi rānei i ngā rongoā whakaheke toto
• He mate pāwera e kaha ana kei te wāhi e rongoatia ana, tata rānei ki reira
• Ngā mate ngākau, pūkahukahu rānei e kaha ana, e uaua ai te tūnga
• Te hapū, nā te mea kāore anō kia mōhiotia katoatia ngā pānga o te pūngao auau irirangi ki ngā pēpi e whanake ana
• He pokanga o mua, he kiko kiko rānei kei te wāhi e rongoatia ana, tera pea e uaua ai te tūnga o te ngira
• Ētahi rongoā ka raru pea i te mahi o te io, i te whakaora rānei

Ko ngā āhuatanga tūpono e kore e pāhorahia, engari he nui ake te tūponotanga, ko te whai i te pacemaker, i ētahi atu taputapu hiko i roto i te tinana, ngā hē o te tuarā, ētahi mate io rānei. Ka kōrero tō tākuta i ēnei āwangawanga ki a koe, ā, ka tūtohu pea i ētahi atu rongoā mēnā he nui ō āhuatanga tūpono.

Kāore te pakeke anake e ārai i tētahi tangata kia kaua e whai neurotomy auau irirangi, engari me mātakitaki anō ngā pakeke i te wā o te mahi me muri i te mahi. Ko tō hauora whānui me te kaha ki te tūnga e hiahiatia ana mō te rongoā, he mea nui ake.

He aha ngā raruraru ka puta mai i te neurotomy auau irirangi?

He iti noa iho ngā raruraru o te neurotomy auau irirangi, ā, he ngawari noa iho te nuinga o ngā wā. Ko te nuinga o te tangata e pā ana ki ngā pānga taha iti, rangitahi noa iho, ka ngaro noa iho i roto i ngā rā, wiki rānei.

Ko ngā pānga taha e pā ana ki a koe ko te mamae rangitahi, te ngaro rānei o te rongo ki te wāhi i tū ai te ngira, te pūhihi iti, te piki rangitahi rānei o tō mamae tuatahi. Ka pai ake ēnei pānga i roto i ngā rā, ā, kāore e hiahiatia he rongoā motuhake i tua atu i te okiokinga me ngā rongoā mamae e hokona ana.

Koinei ngā raruraru ka puta mai, mai i te mea noa ki te mea onge:

• Te piki ake o te mamae, te ngau ranei i te wāhi e rongoa ana (he tino noa)
• He iti te toto, te pāpā rānei i te wāhi i werohia ai te ngira (he noa)
• He mōmona, he ngoikore rānei i te wāhi e rongoa ana (kāore i te noa)
• Te pā o te kiri, te mōmona tūturu rānei i te wāhi i werohia ai te ngira (he onge)
• Te mate i te wāhi i werohia ai (he onge)
• Te kino o te io e pā ana ki te ngoikore tūturu, te ngaro rānei o te rongo (he tino onge)
• Te tauhohenga mate pāwera ki ngā rongoā i whakamahia i te wā o te tukanga (he tino onge)

Ko ngā raruraru nui pēnei i te kino tūturu o te io, te mate nui rānei, ka puta i roto i te iti iho i te 1% o ngā tūāhua ina mahia te tukanga e ngā tākuta mōhiotia. Ka aroturukihia koe e tō rōpū hauora i te wā o te rongoā, i muri hoki, kia tere te whakatika i ngā āwangawanga ka puta.

He mea nui kia whakapā atu ki tō tākuta tonu mēnā ka pā ki a koe ngā tohu o te mate pēnei i te kirika, te whero haere, te mahana rānei i te wāhi e rongoa ana, te wai rānei e puta mai ana i te wāhi i werohia ai te ngira. Waihoki, me pūrongo tonu te mamae nui ohorere, te ngoikore nui, te ngaro rānei o te rongo.

Āhea ahau tūpono ai ki te kite i te tākuta mō te whai i te radiofrequency neurotomy?

Ko te whai i tō tākuta i muri i te radiofrequency neurotomy he mea nui mō te aroturuki i tō ahunga whakamua me te whakarite i te putanga pai rawa atu. Ko tō wā whakarite tuatahi ka whakaritea i roto i te 2 ki te 4 wiki i muri i te tukanga.

I te wā o tēnei haerenga tuatahi, ka tirohia e tō tākuta te wāhi e rongoa ana mō te whakaora tika, ka pātai hoki mō ō taumata mamae me ngā pānga taha i pā ki a koe. He wā pai hoki tēnei ki te kōrero mō ngā āwangawanga, ngā pātai rānei e pā ana ki tō whakaora.

Me whakapā atu koe ki tō tākuta i mua i tō wā whakarite mēnā ka pā ki a koe ēnei tohu e pā ana:

• Ngā tohu o te mate, pērā i te kirika, te mākākā, te whero haere me te mahana i te wāhi rongoā
• Te mamae nui, te mamae rānei e kore e aro ki ngā rongoā kua whakaritea
• He rere ke, he toto, he pūpū rānei i te wāhi kuhu ngira
• He ngoikore hou, he ngū, he kore rānei o te mahi i te wāhi i rongoatia
• Ngā tauhohenga pāwera pērā i te pāwera, te uaua ki te manawa, te pūpū rānei o te mata, o te korokoro rānei
• Tetahi tohu e ahua ke ana, e mōhio ana rānei ki a koe

Ka hiahia anō tō tākuta ki te kite i a koe mō ngā haerenga whai muri i te wā roa ki te aromatawai i te pai o te mahi o te rongoā auau irirangi mō tō whakahaere mamae. Mā ēnei whakaritenga e āwhina ki te whakatau mēnā he pai ake anō ngā rongoā, mēnā rānei e tika ana ngā whakatikatika ki tō mahere whakahaere mamae whānui.

Kia mahara, ka roa pea te wiki, te marama rānei ki te arotake katoa i te angitu o tō neurotomy auau irirangi, nō reira he mea nui te manawanui i te wā o te whakaora. Kei reira tō tākuta hei tautoko i a koe i tēnei haerenga, hei whakautu i ngā pātai ka puta.

Ngā pātai e pātai pinepine ana mō te neurotomy auau irirangi

Q.1 He pai te neurotomy auau irirangi mō te mamae tuarā mau tonu?

Āe, ka whai hua te neurotomy auau irirangi mō ētahi momo mamae tuarā mau tonu, inā rā te mamae e puta mai ana i ngā hononga facet i te tuarā. E whakaatu ana ngā rangahau e 70% ki te 80% o te hunga e mamae ana i ngā hononga facet e tino pai ana te mamae mō te 6 marama ki te 2 tau, neke atu rānei.

Ko te tikanga e pai ana mō te mamae tuarā kua roa kē i te marama, kāore i pai te aro ki ētahi atu rongoā pērā i te rongoā tinana, ngā rongoā, ngā werohanga rānei. Ka mahi tō tākuta i ngā poraka io tātaritanga i te tuatahi ki te whakapūmau ko ngā io hononga facet te pūtake o tō mamae i mua i te tūtohu i te RFA.

Q.2 Ka pā te neurotomy auau irirangi i te kino o te io mō ake tonu atu?

Kāore, i hangaia te neurotomy auau irirangi kia whakapōrearea noa i te mahi o te io, kāore i te whara tonu. Ko te tikanga e aro ana ki ngā manga io rongo iti e kawe ana i ngā tohu mamae, kāore ki ngā io matua e whakahaere ana i te nekehanga uaua, i ētahi atu mahi nui rānei.

Ko ngā io i rongoatia ka whakahou anō i te wā, koinei te take he wā poto noa te whakawātea i te mamae, kaua i te tūmau. I ngā wā tino onge (iti iho i te 1%), ka pāngia e ētahi tāngata te ngū, te ngoikore rānei e roa ana, engari he tino onge te whara io tūmau ina mahia te tikanga e ngā tākuta mōhiotia.

Q.3 Kia pēhea te roa o te whakawātea mamae i te neurotomy auau irirangi?

Ko te whakawātea mamae mai i te neurotomy auau irirangi te tikanga ka roa i waenga i te 6 marama ki te 2 tau, he maha ngā tāngata e pāngia ana te whakawātea mō te 12 ki te 18 marama. He rerekē te roa mai i te tangata ki te tangata i runga i ngā āhuatanga pēnei i te āhua motuhake e rongoatia ana, ngā reiti whakaora takitahi, me te tere o te whakahou i ngā io.

Ka pāngia e ētahi tāngata te whakawātea mō ngā wā roa ake, i te mea ka kite ētahi i te hokinga mai o te mamae i muri i ētahi marama. Ko te rongo pai, ki te hoki mai tō mamae, ka taea te whakahoki i te tikanga me ngā reiti angitu rite tonu.

Q.4 Ka taea e au te whai neurotomy auau irirangi neke atu i te kotahi?

Āe, ka taea te whakahoki i te neurotomy auau irirangi i ngā wā maha me te haumaru ki te hiahiatia. He maha ngā tāngata i pāngia te whakawātea mamae angitu i te tīmatanga ka whiriwhiri ki te whai i te tikanga i te hokinga mai o te mamae i ngā marama, i ngā tau rānei i muri mai.

Ko ngā tikanga whakahoki te tikanga he rite ngā reiti angitu ki te rongoā tuatahi, ā, kāore he rohe ki te maha o ngā wā ka taea te mahi RFA. Ka arotake tō tākuta i tō urupare ki ngā rongoā o mua me te āhua o tō hauora whānui ki te whakatau i te wā pai mō ngā tikanga whakahoki.

Q.5 Ka hipokina te neurotomy auau irirangi e te inihua?

Ko te nuinga o ngā mahere inihua nui, tae atu ki a Medicare, e hipoki ana i te radiofrequency neurotomy ina hiahiatia ana e te rongoā, ā, ka mahia mō ngā āhuatanga kua whakaaetia. Heoi anō, he rerekē ngā whakaritenga hipoki i waenga i ngā kamupene inihua me ngā mahere takitahi.

Ko te tari o tō tākuta te tikanga ka whakamana i tō hipoki inihua, ā, ka whiwhi i ngā whakaaetanga i mua i te whakarite i te tikanga. He mea nui kia tirohia ki tō kaiwhakarato inihua mō tō hipoki motuhake, tae atu ki ngā utu tahi, ngā tangohanga rānei ka pā ki te maimoatanga.