Mena kua whakatauhia e koe me to taakuta he pai te paanga o te waipiro mo te whakahaere i to mate mamae, ka hiahia pea koe ki te whakaae ki te whakamatautau i mua i te whakauru i te waahi.
Ko te whakamatautau mo te paanga mate mamae - he pounamu pounamu - kua mahia hei whakatikatika i te maimoatanga ki a koe hei kaitautoko takitahi. Mai i te whakamatautau, ka taea e to taakuta te whakautu i nga take nui e rua e tika ana kia haere tonu ki te whakatinana.
- He pai te pai o te maimoatanga o te tukunga maimoatanga (hei tauira, he mate mamae) mo koe?
I muri i te titiro ki to maatauranga hauora, o te hapori, o te taha putea me te hinengaro, ko te whakamatautau ko te mahi i muri mai hei whakatau mehemea me pehea e pai ai koe ki te rongoā ka tukua tika ki te taura.
- E hia te nui o nga rongoā e hiahia ana koe?
I tenei wa, ka whiwhi te taakuta i te raraunga ka taea e ia te whakamahi hei whakatau i te waahanga o te rongoa ka tukuna e te mate mamae. Ko nga korero o te kohinga i kohihia mai i te whakamatautau ko te timatanga tuatahi anake i roto i te tukanga e mohiotia ana ko te titarihanga, te tautuhi ranei i te nui e hiahiatia ana e kawe mai ai te mamae mamae ki nga awangatanga iti iti. Ka taea ano te whakatika ake o to tahua i muri i te waahi kua whakauruhia te taraiwa tuuturu, engari kei te whakamatautau te whakamatautau ki te taakuta i te tahi o nga korero hei timata.
Tuhinga o mua
I runga ano i to ahuatanga, ka mutu i waenganui i te 2 me te 14 nga ra o te whakawa.
Ko te roa o te whakamatautau e whakawhirinaki ana ki to ahua. Mena he hauora koe, ka roa pea. Mena he mate nui tou, he wa poto rawa.
He aha te mea e tupu ana i te wa e whakahaeretia ana?
I te wa o te whakamatautauranga, ka whakanohoia he pungarehu ki roto i te hiku, maha (engari kaore i nga wa katoa) i roto i te waahi taiao .
Ko te kohinga me te pounamu e mau ana i waho o te tinana. Mo te whakauru tonu me etahi momo whakamatautauranga, ka whakanohohia te pungarehu ki roto ki te taurakiraki, ki roto i te rohe e mohiotia ana ko te waahanga mokomoko. Ko te ahua o te whakamatautau e whakauru ana i te pungarehu ki roto i te mokomoko o te mokomoko ka whai hua ki te whakaoti tata i te tukanga whakamutunga me te tuku i te raraunga tika ake. Ko te whakamahinga o te anuhe o waho e whakaara ana i te mate o te mate. I te hunga e mate ana i te mate pukupuku, ka nui ake te painga. Ka tatari pea to taakuta i etahi ra i waenga i te mutunga o te whakamatautau me te tukanga whakauru, hei aroturuki mo nga tohu o te mate.
Ka rite ki te korero i runga ake, i te wa o te whakamatautau, ka timata te taakuta ki te whakauru i te waahanga rongoa hei whakaeke i te painga pai i waenga i te mamae mamae me nga paanga taha. Ka whakatauhia e te tākuta mēnā ka tukuna koe he pere kotahi, he maha, he whakapae tonu.
Ka tukuna nga whakamatautau hei tukanga whakamataku, engari mo te whakauru tonu, ka hiahiahia he tautuhinga hauora ki te whakahaere i nga mate ka taea. I runga ano i te tukanga pumau, kei te whakahaerehia he whakamatautau mate parea e tetahi kaiwhakahaere whakahaere mamae ranei, he neurosurgeon rānei.
Kaupapa:
Dr Sudhir Diwan, te Kaiwhakahaere Pain Medicine Fellowship Program me te Kaiwhakahaere o te Wahanga o te Mate Painui i te Weil-Cornell Medical College o Cornell University. Waea Waea Waea. Haratua 2008.
Berner, B. Dinh, S. (eds) Whakahaere Poari Ratonga Whakahaere Motuhake a te Poari Ratonga: CRC Press 1998
Lipov, E., MD. Ch. 34. Te Whakanoho Tino Ipurangi i roto i te Paanga Paanga Paanga. Te mamae o te mamae: Te whakamatau me te maimoatanga. ASIPP Whakaputa. Kaukawa. Paducah, KY. 2002
Markman, J., MD., Philip, A., MD. Nga Mahi Whakamutunga ki te Whakahaere mamae. Anesthesiology Clinics. Hakihea 2007. Volume 25, Putanga 4. Taimana, He Tuhinga o Elsevier
Krames, E., MD. Ngä Hangarau Whakararuhia: Te Whakauru i te Taura Whiriwhika me te Whakanohonoho Whakamutunga Tae. National Pain Foundation paetukutuku.