He aha te Vertebroplasty? Te Whāinga, te Hātepe me ngā Hua

Ko te Vertebroplasty he hātepe iti nei te riri e werohia ai e ngā tākuta te sima rongoā ki roto i te vertebra i whati, i ngoikore rānei i tō tuarā. Mā tēnei rongoā i waho i te hōhipera e āwhina te whakapūmau i te kōiwi, ā, ka tino whakaiti i te mamae o te tuarā i pā mai i ngā whati kōpeketanga. Ko te hātepe nei e pā ana ki te kotahi hāora te roa, ā, ka whai hua ina kāore i whai hua ngā rongoā tuku iho.

He aha te vertebroplasty?

Ko te Vertebroplasty he hātepe tuarā motuhake e whakakaha ana i ngā vertebra kua pakaru mā te whakamahi i te sima kōiwi. Ka whakamahi tō tākuta i te ārahitanga whakaahua hei werohia mārire i tētahi ranunga sima motuhake ki roto tonu i te kōiwi whati mā tētahi ngira iti.

Ka mārō wawe te sima i roto i tō vertebra, e hanga ana i te tautoko o roto e whakapūmau ana i te hanganga kōiwi. He rite tēnei hātepe ki te whakakī i te pārekareka i roto i te raima kia mārō anō. I te tuatahi i whakawhanakehia te hātepe nei i ngā tau 1980, ā, kua āwhina i ngā mano o ngā tāngata ki te whakahoki i te nekeneke me te whakaiti i te mamae.

Ko te nuinga o ngā tāngata e kite ana i te whakawātea mamae tonu, ahakoa ka kite pea ētahi i te pai haere i roto i ngā rā maha. Ka noho tū tonu te sima hei wāhanga o tō tuarā, e whakarato ana i te tautoko hanganga wā-roa hei aukati i te pakaru atu o te vertebra i rongoatia.

He aha te take e mahia ana te vertebroplasty?

Ka mahia te Vertebroplasty i te tuatahi ki te rongoā i ngā whati kōpeketanga mamae i tō tuarā kāore i ora tika mā te rongoā tuku iho. Ko ēnei whati e pā ana ki ngā tāngata e mate ana i te osteoporosis, i reira ka ngoikore ngā kōiwi, ā, ka ngāwari te whati.

Ka tūtohu pea tō tākuta i tēnei hātepe ina kua pā koe i te mamae nui o te tuarā mō ngā wiki, marama rānei kāore i pai ake. Ka kaha ake te mamae ina tū koe, e hīkoi ana, e neke ana rānei, ā, ka tino whakawhāiti pea i āu mahi o ia rā.

I tua atu i ngā whati o te osteoporosis, ka taea hoki e te vertebroplasty te āwhina i ngā whati i puta mai i te mate pukupuku kua horapa ki te tuarā, i ngā puku pai rānei e ngoikore ana i te hanganga o te wheua. I ētahi wā, ka whakamahia e ngā tākuta ki te whakakaha i ngā vertebrae i mua i te whati i roto i ngā tūroro he tino ngoikore ngā wheua.

Ka noho hei kōwhiringa te tikanga ina kore e rawaka te whakamāramatanga o te okiokinga i te moenga, ngā rongoā mamae, me te tautoko i muri i te 6-8 wiki. Ka āta arotakehia e tō rōpū hauora mēnā he tika te vertebroplasty mō tō āhuatanga motuhake.

He aha te tikanga mō te vertebroplasty?

Ko te tikanga, ka mahia te vertebroplasty hei tikanga tūroro waho i te hōhipera, i te whare haumanu rānei. Ka whiwhi koe i te whakamaimoa rongoā me te rongoā ā-rohe hei whakamarie i a koe, ahakoa ka noho mātau koe i te wā o te maimoatanga.

Ka whakatakotohia koe e tō tākuta ki te taha o te tēpu tikanga, me te whakamahi i te whakaahua X-ray tonu hei ārahi i te katoa o te tukanga. Ka horoia, ka whakakorea e rātou te kiri i runga i tō tuara, ka werohia te rongoā whakamātau i te wāhi maimoatanga.

Koinei te mea ka tupu i te wā o te tikanga matua:

1. Ka kuhuna mā te āta tētahi ngira angiangi mā tō kiri me te uaua ki roto i te vertebra whati
2. Ka whakamahia e tō tākuta te whakaahua X-ray i te wā tūturu hei whakarite i te whakatakotoranga tika o te ngira
3. Ka werohia mā te āta te sima rongoā mā te ngira ki roto i te wheua
4. Ka whakakiia e te sima ngā wāhi i roto i te vertebra whati
5. Ka tangohia te ngira ina tīmata te whakapakeke o te sima

Ko te tikanga katoa e 45 meneti ki te hāora mō ia vertebra. Mēnā he maha ngā whati i a koe, ka taea e tō tākuta te rongoā i ētahi vertebrae i te wā kotahi, ka roa ake te wā tikanga.

Me pēhea te whakarite mō tō vertebroplasty?

Ka tīmata te whakarite mō te vertebroplasty i ngā rā i mua i tō tukanga me ngā whakarerekētanga nui ki ngā rongoā me te oranga. Ka hoatu e tō tākuta ngā tohutohu motuhake i hangaia mō ō āhuatanga hauora me ngā rongoā e inu ana koe.

Me whakamutu koe i te tango i ngā rongoā whakaheke toto pēnei i te warfarin, te aspirin, te clopidogrel rānei i ngā rā i mua i te tukanga. Ka kōrero tō rōpū hauora ki a koe i te wā tika hei whakamutu i ia rongoā, mehemea rānei e hiahia ana koe i ētahi atu rongoā hei whakakapi.

Koinei ngā mahi whakarite nui me whai koe:

• Whakaritea tētahi hei taraiwa i a koe ki te kāinga i muri i te tukanga
• Kaua e kai, e inu rānei i tētahi mea mō te 8 hāora i mua i tō tūpono
• Tangohia ō rongoā i te wā tonu me ngā wai iti, ki te kore e tohutohutia ētahi atu
• Mau i ngā kākahu pai, ngā kākahu whānui e ngāwari ana te huri
• Tangohia ngā whakapaipai, ngā arotahi, me ngā niho horihori i mua i te tukanga
• Whakamōhio atu ki tō rōpū mō ngā mate pāwera, ina koa ki te waikano rerekē, ki ngā rongoā rānei

Ka arotake hoki tō rōpū hauora i ō rangahau whakaahua tata nei, ā, ka tono pea i ngā hihi-X, i ngā karapa MRI rānei. Ka āwhina tēnei i a rātou ki te whakamahere i te huarahi tika, me te whakapūmau tonu ko te vertebroplasty te whiringa maimoatanga pai mō tō āhuatanga.

Me pēhea te pānui i ō hua vertebroplasty?

Ko te angitu i muri i te vertebroplasty ka inehia i te tuatahi e te whakaiti i tō mamae me te whakapai ake i te kaha ki te mahi i ngā mahi o ia rā. Ka kite te nuinga o ngā tūroro i te whakaiti nui i te mamae i roto i te 24-48 hāora, ahakoa ka rongo ētahi i te whakamaarama tonu i muri tonu i te tukanga.

Ka whakamahi tō tākuta i ngā rangahau whakaahua hei whakapūmau kua whakakiia tika te sima i te vertebra whati, ā, kua whakapūmau i te kōiwi. Ko ngā hihi-X whai muri i te tikanga e whakaatu ana i te sima hei wāhi māwhero kanapa i roto i te vertebra i rongoatia, e tohu ana i te whakatakoto angitu.

He maha ngā wā ka aromatawaihia ngā taumata mamae mā te whakamahi i te tauine mai i te 0 ki te 10, ko te 0 te tikanga kāore he mamae, ā, ko te 10 e tohu ana i te mamae nui. He maha ngā tūroro e kī ana kua heke ō rātou mamae mai i te 7-8 i mua i te tikanga ki te 2-3 i muri mai. Kāore i te mōhio tonu te whakakorenga katoa i te mamae, engari he pai te whakapai ake.

Ka arotakehia hoki e tō rōpū hauora tō nekehanga me te whakapai ake i te mahi i ngā haerenga whai muri. Ko te kaha ki te hikoi i ngā tawhiti roa ake, te moe pai ake, me te mahi i ngā mahi o te whare i te māmā ake he tohu pai katoa o te maimoatanga angitu.

Me pēhea te whakanui ake i tō whakaora i te vertebroplasty?

Ko te whakanui ake i te whakaora i muri i te vertebroplasty e arotahi ana ki te tuku i te sima kia mārō katoa i te wā e hoki haere ana ki ngā mahi noa. Ko ngā haora 24 tuatahi he mea nui mō te whakaora tika me te whakapumau i te sima.

Me takoto koe ki tō tuara mō te 1-2 haora i muri tonu i te tikanga hei aukati i te rerenga o te sima. I tēnei wā, ka haere tonu te sima rongoā ki te mārō me te hono ki tō kiko wheua.

Koinei tō wāhanga whakaora me ngā aratohu nui:

• Ngā haora 24 tuatahi: Aukati i te hiki i ngā mea taumaha me te whakaiti i ngā nekehanga piko, korokoro rānei
• Ngā rā 2-7: Whakanuia haere te hikoi me ngā mahi o ia rā
• Wiki 2-4: Whakahokia te nuinga o ngā mahi noa engari aukati i ngā mahi whakangungu whai pānga nui
• Mā te 1-3: Hoki haere ki ngā mahi tinana uaua ake i te mea ka taea
• Haere tonu: Whaia ngā tohutohu a tō tākuta mō te maimoatanga osteoporosis

Ko te whakahaere mamae i te wā whakaora ko te tikanga ko ngā rongoā i runga i te kaute pēnei i te acetaminophen, ibuprofen rānei. Ka hoatu e tō tākuta ngā aratohu motuhake mō te wā ki te whakahoki i ngā rongoā whakaheke toto i tangohia e koe i mua i te tikanga.

He aha ngā āhuatanga tūpono mō te hiahia ki te vertebroplasty?

He maha ngā āhuatanga ka whakanui ake i tō tūponotanga ki te whakawhanake i ngā whati kōpeke e hiahia ana kia vertebroplasty. Mā te māramatanga ki ēnei āhuatanga tūpono ka āwhina i a koe ki te whai i ngā mahi ārai me te kōrero i ngā āwangawanga ki tō kaiwhakarato hauora.

Ko te osteoporosis te mea nui rawa atu o ngā āhuatanga tūpono, e pā ana ki ngā wāhine i muri i te menopause me ngā pakeke. Ko tēnei āhuatanga ka pā te kōiwi kia pōrohe, kia ngoikore, e whai ana i ngā hinga iti, i ngā nekehanga rānei ka whai whati.

Koinei ngā āhuatanga tūpono tuatahi e whakanui ana i te tūponotanga whati:

• Te pakeke haere, ina koa i runga ake i te 65 tau te pakeke
• Te ira wahine nā te huringa homoni i muri i te menopause
• Te whakamahi wā-roa i ngā rongoā corticosteroid
• Te hītori o te whānau mō te osteoporosis, te whati rānei
• Te kai paipa me te inu waipiro nui
• Te noho noa me te iti o te whakakōkiri taumaha
• Te kai rawakore, ina koa te kore o te konupūmā me te huaora D

Ko ētahi āhuatanga hauora ka whakanui ake i te tūponotanga whati, tae atu ki te rheumatoid arthritis, te hyperparathyroidism, me ngā mate gastrointestinal e pā ana ki te ngongo matūkai. Ko te mate pukupuku e horapa ana ki ngā kōiwi he āhuatanga tūpono nui mō ngā whati vertebral.

He aha ngā raruraru ka puta mai i te vertebroplasty?

E whakaarohia ana he tikanga haumaru te vertebroplasty, engari pērā i ētahi atu wawaotanga rongoā, he tūponotanga me ngā raruraru ka puta. Ko te nuinga o ngā raruraru he mea onge, he mea whakahaere ina puta mai.

Ko ngā raruraru iti noa ko te mamae o te tuara kua piki ake mō te wā poto, te mamae o te uaua, me te iti o te rerenga sima karekau e puta he tohu. Ko ēnei take ka whakatika i roto i ngā rā torutoru ki ngā wiki me te kore he rongoā atu.

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

• Te piki ake o te mamae mō te wā poto, e 24-48 hāora te roa
• He iti te toto, te pānga rānei i te wāhi i kuhu ai te ngira
• He iti te rerenga o te sima, kāore e puta he tohu
• Te mate i te wāhi i mahia ai te mahi (kāore i te nuinga)
• Te whara o ngā io mai i te rerenga o te sima (kāore rawa i te nuinga)
• Ngā whati hou i ngā wheua o te taha (kāore i te nuinga)
• Ngā tauhohenga mate pāwera ki te waikano rerekē, ki ngā rongoā rānei (kāore i te nuinga)

He tino iti noa iho ngā raruraru nui pērā i te kōpeketanga o te taurakira, te pararutanga rānei, ina mahia te mahi e ngā tākuta mātanga. Ka āta titiro tō rōpū hauora ki a koe i te wā o te mahi, i muri hoki, kia tere te whakatika i ngā āwangawanga ka puta.

Āhea au e kite ai i te tākuta i muri i te vertebroplasty?

He pai te ora o te nuinga o ngā tūroro i muri i te vertebroplasty, engari he mea nui kia mōhio koe āhea koe e whakapā atu ai ki tō kaiwhakarato hauora. Ko ētahi tohu e hiahia ana kia tere te rongoā, ā, ko ētahi e tika ana kia waea atu ki te whai i te rongoā.

Whakapā atu ki tō tākuta tonu mēnā ka pā te mamae nui o te tuara ki a koe, te ngoikore o te waewae, te ngaro o te rongo, te uaua rānei ki te whakahaere i tō pūpū, i tō kōpū rānei. Ko ēnei tohu e tohu ana i ngā raruraru onge engari nui, e hiahia ana kia arotakea wawe.

Ko ēnei ngā āhuatanga e hiahia ana kia whakapā atu wawe koe ki te tākuta:

• Te kirika i runga ake i te 101°F (38.3°C) e tohu ana i te mate
• Te mamae nui atu i mua i te mahi
• Te ngaro o te rongo, te ngau rānei i ō waewae, i ō waewae rānei
• Te pupuhi nui, te whero rānei i te wāhi i werohia ai
• Te uaua ki te haere, ngā raruraru rānei ki te taurite
• Te whakapairuaki, te ruaki rānei e mau tonu ana

Mō ngā āwangawanga kāore i te nui, pērā i te pikinga iti o te mamae, te pānga iti, ngā pātai whānui rānei mō tō ora, ka taea e koe te whakapā atu ki te tari o tō tākuta i ngā hāora pakihi. Ko te nuinga o ngā kaiwhakarato hauora e pai ana kia waea atu koe, kaua e māharahara ki ngā tohu ora noa.

Ngā pātai e pātai pinepine ana mō te vertebroplasty

Q.1 He pai te vertebroplasty mō ngā whati kōpeketanga osteoporosis?

Āe, he tino whai hua te vertebroplasty mō te rongoā i ngā whati kōpeketanga osteoporosis mamae kāore anō i ora mā te rongoā ā-mua. E whakaatu ana ngā rangahau e 70-90% o ngā tūroro e pā ana ki te whakaiti mamae nui i roto i ngā rā i muri i te tikanga.

He pai te mahi o te rongoā i te wā e tata ana ngā whati (i roto i ngā marama 6-12) me te pā mai i te mamae nui e aukati ana i ngā mahi o ia rā. Heoi, ka āta arotake tō tākuta mēnā ka nui ake ngā painga i ngā tūponotanga i runga i tō āhuatanga me tō hauora whānui.

Q.2 Ka aukati te vertebroplasty i ngā whati ā muri ake nei?

Ka whakakaha te vertebroplasty i te vertebra i rongoā, ā, he iti rawa te tūponotanga ka whati anō i te wāhi kotahi. Heoi, kāore e aukati i ngā whati hou mai i te puta i ētahi atu vertebra, ina koa kāore i rongoā te osteoporosis i raro.

E whakaatu ana ētahi rangahau he paku te piki o te tūponotanga o ngā whati i ngā vertebra e tata ana ki te wāhi i rongoā, ahakoa he kaupapa rangahau tonu tēnei. Ko te mea nui ko te rongoā i tō hauora wheua i raro mā te rongoā, te whakakori tinana, me ngā huringa o te noho tahi me te tikanga vertebroplasty.

Q.3 Kia pēhea te roa o te mamae i muri i te vertebroplasty?

Ko te whakaiti mamae mai i te vertebroplasty te nuinga he roa te roa, me te nuinga o ngā tūroro e mau ana i te whakapai ake nui mō ngā tau i muri i te tikanga. Ka noho tōtika te sima hei wāhanga tūturu o tō tuarā, e whakarato ana i te tautoko hanganga tonu.

Heoi, ka rerekē ngā putanga wā-roa i runga i tō hauora tuarā whānui me te puta mai o ngā whati hou i ētahi atu wāhi. Ko te whai i ngā tohutohu a tō tākuta mō te rongoā osteoporosis me te tiaki tuarā ka āwhina i te mau tonu i ngā painga o te vertebroplasty i te roanga o te wā.

Q.4 Ka taea e au te vertebroplasty i runga i ngā vertebra maha?

Āe, ka taea e ngā tākuta te rongoā i ngā momo momo whēkau i te wā kotahi o te tukanga mena he maha ngā whati kōpeke e pā ana ki te mamae. Heoi, ko te rongoā i te maha rawa o ngā whēkau i te wā kotahi ka piki ake pea ngā tūponotanga o te raruraru me te wā whakaora.

Ka whakatau tō rōpū hauora i te huarahi haumaru rawa atu i runga i te maha, te wāhi, me te kaha o ō whati. I ētahi wā ka tūtohu rātou kia wāwāhia ngā rongoā, kia aro atu ki ngā whati tino mamae i te tuatahi, ā, ka rongoā i ētahi atu wāhi i muri mai ki te hiahiatia.

Q.5 He aha te rerekētanga i waenga i te vertebroplasty me te kyphoplasty?

E rua ngā tukanga e whai pānga ana ki te werohanga i te sima ki roto i ngā whēkau whati, engari ko te kyphoplasty kei roto i te taahiraa anō o te pupuhi i tētahi pōro iti i roto i te whēkau i mua i te werohanga sima. Mā tēnei pōro e hanga wāhi mō te wā poto, ā, ka āwhina pea ki te whakahoki mai i tētahi teitei whēkau.

Ko te tikanga ka nui ake te utu o te kyphoplasty, ā, ka roa ake i te vertebroplasty, engari e rua ngā tukanga e whai hua ana ki te whakaiti i te mamae. Ka tūtohu tō tākuta i te kōwhiringa e tika ana i runga i ngā āhuatanga o ō whati, te hauora whānui, me ngā whāinga rongoā.