Te Whakahaere Mamae i roto i ngā Tūroro i roto i te Nēhi
Pendahuluan
He kare ā-roto kino te mamae e pāngia ana e ngā tūroro i roto i ngā momo ratonga hauora, ā, ka puta mai i te pakaru o te kiko, i te mate rānei. He wāhanga nui o te mahi nēhi te whakahaere mamae, nā te mea ka pā nui ki te kounga o te oranga o te tūroro. Ka matapakihia e tēnei tuhinga ngā tikanga me ngā rautaki whakahaere mamae e whakamahia ana e ngā nēhi hei whakarato tiaki tūroro.
Te Whakamāramatanga me ngā Momo Mamae
Ka taea te tautuhi i te mamae hei wheako ā-tinana, ā-hinengaro hoki e pā ana ki te kino o te kiko, o te kiko rānei. E rua ngā momo o te mamae i runga i tōna roa: te mamae whakapeka me te mamae mau tonu. He wā poto te mamae whakapeka, ā, he tohu maha o te whara, o te mate rānei, ko te mamae mau tonu ia he roa, ā, ka roa pea mō ngā marama, mō ngā tau rānei.
Aromatawai Mamae i roto i te Nēhi
Ko te taahiraa tuatahi ki te whakahaere mamae ko te whakahaere i tētahi aromatawai mamae whānui. Kei roto i tēnei aromatawai:
1. Tauine Kaha Mamae: Mā te whakamahi i te tauine tau (0-10), te tauine tirohanga ā-ahua (VAS), te tauine kanohi rānei, ka āwhina i te whakaahua i te kaha o te mamae e pā ana ki te tūroro.
2. Ngā Āhuatanga o te Mamae: Tāutuhia te wāhi, te kounga (hei tauira, te puhoi, te koi, te pupuhi), te roa, me ngā āhuatanga e whakararuraru ana, e whakamamae ana rānei i te mamae.
3. Pānga Mamae: Aromatawaihia te pānga o te mamae ki ngā mahi o ia rā a te tūroro, pērā i te moe, te nekenekehanga, me te wairua.
4. Hītori Mamae: Kohia ngā mōhiohio e pā ana ki te hītori mamae o mua, ngā maimoatanga o mua, me te urupare ki aua maimoatanga.
Te Whakahaere Mamae Rongoā
Ko te rongoā mamae ā-rongoā e uru ana ki te whakamahi i ngā rongoā kua hangaia hei whakaiti, hei whakakore rānei i te mamae. Ko ētahi tauira o ngā rongoā e whakamahia whānuitia ana hei whakahaere i te mamae ko:
1. Ngā rongoā mamae kore-opioid: Pērā i te paracetamol me ngā NSAID (hei tauira, ibuprofen, aspirin). He whai hua ēnei rongoā mō te mamae ngawari ki te mamae pōturi, ā, he pānga ārai-mumura anō hoki.
2. Ngā Opioid: Pērā i te morphine, te codeine, me te fentanyl, e whakamahia ana mō te mamae ngawari ki te mamae kino. Ahakoa he whai hua, he mōrearea te whakawhirinaki ki ēnei rongoā me ngā pānga kino nui pērā i te pōuri o te manawa.
3. Ngā rongoā tāpiri: Ngā rongoā tāpiri pēnei i ngā rongoā ārai pouri, ngā rongoā ārai harore, me ngā steroids e whakamahia ana mō ngā mamae mau tonu, mamae neuropathic rānei.
Te Whakahaere Mamae Kore-Rongoā
Haunga te rongoā rongoā, kei reira ētahi atu tikanga kore-rongoā ka taea te whakamahi hei whakahaere i te mamae. Ko ētahi o ēnei ko:
1. Whakaora Tinana: Pēnei i ngā tikanga whakangā, te whakaora tinana, te mirimiri, me ngā whakamahinga wera, makariri rānei. Ka āwhina tēnei whakaora ki te whakaiti i te mamae mā te whakararuraru i te tūroro me te whakapai ake i te rere o te toto me te whakangā o ngā uaua.
2. Ngā Tikanga Hinengaro-Whanoke: Mā ngā rongoā pēnei i te aroātahi, te whakaaroaro, me te urupare koiora ka āwhina i ngā tūroro ki te whakawhanake i ngā pūkenga hei whakahaere i ngā urupare kare ā-roto me te hinengaro ki te mamae.
3. Te wero ngira me te wero ngira: I ahu mai ēnei tikanga i te rongoā tuku iho Hainamana, ā, ko te whakatakoto ngira ki ngā wāhi motuhake o te tinana, te pēhi rānei hei whakamamae i te mamae.
4. Whakararuraru: Te whakamahi i ngā mahi pēnei i te pānui pukapuka, te mātaki pouaka whakaata, te whakarongo waiata rānei hei whakararuraru i te tūroro i te mamae.
Te Tūranga o ngā Nēhi i roto i te Whakahaere Mamae
He mahi nui tā ngā nēhi i roto i te whakahaere mamae o ngā tūroro nā te mea kei te rārangi mua rātou o te hauora. Ko ngā kawenga a ngā nēhi ko:
1. Whakaakoranga Tūroro: Whakaakohia ngā tūroro me ngā whānau mō ngā pūtake o te mamae, ngā kōwhiringa maimoatanga e wātea ana, me ngā huarahi hei whakahaere i te mamae i te kāinga.
2. Tautoko: Te whakarite kia mōhiotia, kia arohia hoki ngā matea mamae o te tūroro e te tīma hauora.
3. Te tukatuka raraunga: Te tuhi i te aromatawai mamae o te tūroro, ngā wawaotanga kua mahia, me te urupare a te tūroro ki te maimoatanga.
4. Whakawhitiwhiti Kōrero: Mahi tahi me ngā tākuta me ētahi atu tohunga hauora ki te whakawhanake i tētahi mahere whakahaere mamae whānui, takitahi hoki.
Ngā Wero i roto i te Whakahaere Mamae
Ahakoa he maha ngā tikanga me ngā tikanga whai hua mō te whakahaere i te mamae, he maha tonu ngā wero e pā ana ki te mahi haumanu, tae atu ki:
1. Ngā Rerekētanga Takitahi: Ka rerekē rawa te urupare ki te mamae me te maimoatanga i waenga i ngā tāngata takitahi, ā, he uaua ki te kimi i tētahi rautaki whai hua mō ia tūroro.
2. Te Whakawhirinaki ki ngā Tarukino: Ka tūpono te whakawhirinaki me te tukino i ngā opioid ki te whakamahinga nui rawa.
3. Ngā mate pāwera: Ko ngā tūroro he maha ngā mate e hiahia ana ki tētahi huarahi uaua ake hei whakahaere i te mamae.
4. Te Wāhi Uru me ngā Rauemi Iti: Kāore e taea e ngā tūroro katoa te uru atu ki te tiaki mamae whānui, ki ngā maimoatanga kore-rongoā rānei, he pai ake pea mō ētahi āhuatanga.
Whakamutunga
He wāhanga nui o te hauora te whakahaere mamae, e hiahia ana kia whakamahia he huarahi maha-mātauranga hei whakarato i te tiaki whai hua me te whānui ki ngā tūroro. He wāhanga nui ngā nēhi o te tīma hauora, ā, he mahi nui tā rātou ki te aromatawai i te mamae, te whakawhanake i te mahere maimoatanga, me te whakaako me te tautoko i ngā tūroro. Me aro tonu ki ngā wero pēnei i te rerekētanga o te urupare maimoatanga takitahi me te mōrearea o te whakawhirinaki ki ngā rongoā mā te whakapai ake i te mōhiotanga me ngā pūkenga haumanu, me te whakamahi i ngā maimoatanga rerekē haumaru me te whai hua. Mā te mahi tahi a ngā momo wawaotanga me te mahi tahi whai hua i waenga i ngā tohunga hauora, ka taea te whakapai ake i te oranga o ngā tūroro e pāngia ana e te mamae.
He mea nui te ako tonu me te rangahau tonu mō te whakahaere mamae kia kitea ai ngā otinga auaha me te whai hua ka taea te whakatinana i roto i ngā mahi nēhi o ia rā. Mā tēnei ka pai ake te whakahaere mamae, ā, ka whai wāhi pai ki te kounga o te oranga o ngā tūroro.
