Malamalama i Nerve Blocks: Suʻesuʻeina ma le puleaina o tiga o manuʻa

Mo tagata taʻitoʻatasi o loʻo feagai ma tiga tumau, e mafai e le faia o se faʻalavelave poloka neura e fesoasoani e faʻaitiitia ma pulea faʻamaoniga?

Poloka neura

O le poloka neura ose faiga e fa'alavelave/ poloka ai fa'ailoga tiga ona o le fa'aletonu o le neura po'o le manu'a. E mafai ona fa'aogaina mo fa'ama'i po'o togafitiga, ma o latou a'afiaga e mafai ona pu'upu'u pe umi fo'i, e fa'atatau i le ituaiga o lo'o fa'aaogaina.

• A poloka neura lē tumau e ono a'afia ai le fa'aogaina po'o le tui e taofia ai fa'ailoga tiga mai le fa'asalalauina mo sina taimi pu'upu'u.
• Mo se faʻataʻitaʻiga, i le maitaga, e mafai ona faʻaogaina se tui epidural i le taimi o le galue ma le faʻataga.
• poloka neura tumau e aofia ai le tipiina/motiti pe aveese nisi vaega o le neura e taofi ai faʻailoga tiga.
• O loʻo faʻaaogaina i mataupu e iai ni manuʻa tuga poʻo isi faʻamaʻi tiga masani e leʻi faʻaleleia ma isi togafitiga.

Togafitiga Fa'aaogaina

A maua e le au tausi soifua maloloina se ma'i tiga tumau e mafua mai i manu'a o le neura po'o le fa'aletonu, e mafai ona latou fa'aogaina se poloka neura e su'e ai le vaega e tupu ai fa'ailoga tiga. E mafai ona latou faia le electromyography ma/po'o se su'ega ole saosaoa o neura/NCV e iloa ai le mafuaaga o le tiga masani o neura. E mafai fo'i e poloka neura ona togafitia le tiga masani o le neuropathic, e pei o le tiga e mafua mai i le fa'aleagaina o neura po'o le fa'amalosi. O poloka neura e masani ona faʻaaogaina e togafitia ai le tiga o tua ma le ua e mafua mai i le herniated discs poʻo le tui faʻamaʻi. (Johns Hopkins Medicine. 2024)

ituaiga

E tolu ituaiga e aofia ai:

• i le lotoifale
• Neurolytic
• Totogi

O mea uma e tolu e mafai ona faʻaaogaina mo tulaga e mafua ai le tiga tumau. Ae ui i lea, o poloka neurolytic ma taotoga e tumau ma e naʻo le faʻaaogaina mo tiga ogaoga ua faʻateteleina ma isi togafitiga e le mafai ona maua ai le toomaga.

Poloka le tumau

• O se poloka fa'apitonu'u e faia e ala i le tui po'o le fa'aogaina o vaila'au fa'apitonu'u, pei o le lidocaine, i se vaega patino.
• O le epidural ose poloka neura fa'apitonu'u e tui ai vaila'au fa'ama'i po'o analgesics i totonu o se vaega o lo'o siomia ai le uaea.
• O nei mea e masani ai i le taimi o le maitaga, fanau, ma le fanau mai.
• E mafai fo'i ona fa'aoga epidurals e togafitia ai le ua masani po'o le tiga i tua ona o se neura fa'apipi'i.
• O poloka i le lotoifale e masani ona le tumau, ae i se fuafuaga togafitiga, e mafai ona toe faia i le taimi e pulea ai tiga tumau mai tulaga e pei o le gasegase, sciatica, ma migraines. (NYU Langone Health. 2023)

Poloka Tumau

• O se poloka neurolytic e fa'aogaina ai le ava malosi, phenol, po'o le vevela e togafitia ai tiga masani o neura. (National Institute of Neurological Disorders and Stroke. 2023) O nei faiga e faʻaleagaina ai vaega o le ala neura i le faʻamoemoeina ina ia le mafai ona faʻasalalau faʻailoga tiga. O le neurolytic poloka e masani ona faʻaaogaina mo faʻamaʻi ogaoga tiga, pei o le tiga mai le kanesa poʻo le faʻalavelave faʻaitulagi tiga maʻi / CRPS. O nisi taimi e fa'aaogaina e togafitia ai le tiga faifaipea mai le pancreatitis tumau ma le tiga i le puipui o le fatafata pe a uma le taotoga. (Johns Hopkins Medicine. 2024) (Alberto M. Cappellari et al., 2018)
• E faia e le neurosurgeon se poloka neura tipitipi e aofia ai le tipi ese poʻo le faʻaleagaina o vaega patino o le neura. (National Institute of Neurological Disorders and Stroke. 2023) O se poloka neura tipitipi e na'o le fa'aaogaina o tiga ogaoga, e pei o le tiga o le kanesa po'o le trigeminal neuralgia.
• E ui lava o poloka neura neurolytic ma taotoga o ni faiga tumau, auga tiga, ma lagona e mafai ona toe foi mai pe a mafai e neura ona toe ola ma toe faaleleia i latou lava. (Eun Ji Choi et al., 2016) Peitaʻi, o auga ma lagona atonu e lē toe foʻi mai i ni masina po o ni tausaga pe a uma le faiga.

Vaega Eseese o le Tino

E mafai ona faia i le tele o vaega o le tino, e aofia ai: (Falema'i mo Ta'otoga Fa'apitoa. 2023) (Fomai Stanford. 2024)

• Suʻe
• mata
• ua
• Ivi ivi
• tauau
• auupega
• tua
• fatafata
• Ivika
• Toma
• Pelvis
• Faʻamau
• vae
• tapuvae
• vae

Aafiaga itu

O nei fa'agasologa e mafai ona i ai le lamatiaga o le fa'aleagaina tumau o neura. (Vii Blue Cross. 2023) O neura e ma'ale'ale ma toe fa'afouina lemu, o le mea lea o sina mea sese e mafai ona mafua ai a'afiaga. (D O'Flaherty et al., 2018) O a'afiaga masani e aofia ai:

• Supa musele
• Vaivai
• Fa'alogo soo
• I ni tulaga e le masani ai, o le poloka e ono fa'aita ai le neura ma fa'aopoopoina ai le tiga.
• O foma'i fa'alesoifua maloloina fa'apitoa ma laiseneina e pei o foma'i tipitipi, foma'i e fa'afoeina tiga, foma'i fa'ama'i, ma foma'i nifo ua a'oa'oina e fa'atino ma le fa'aeteete ia faiga.
• E iai lava le lamatiaga o le fa'aleagaina o neura po'o le manu'a, ae o le tele o poloka neura e saogalemu ma manuia e fa'aitiitia ma fesoasoani e pulea le tiga tumau. (Vii Blue Cross. 2023)

Le mea e faamoemoe

• E mafai e tagata ta'ito'atasi ona lagona le fa'avauvau po'o le tiga ma/po'o le iloa o le mumu po'o le ita i tafatafa po'o tafatafa o le vaega e le tumau.
• E mafai foi ona fula, lea e oomi ai le neura ma manaʻomia le taimi e faʻaleleia ai. (Fomai Stanford. 2024)
• E ono talosagaina tagata ta'ito'atasi e malolo mo se taimi patino pe a uma le fa'agasologa.
• Fa'alagolago i le ituaiga fa'agasologa, e ono fa'aalu e tagata ta'ito'atasi ni nai aso ile falema'i.
• O lo'o iai pea nisi tiga, ae e le'o fa'apea e le'i manuia le faiga.

E tatau i tagata ta'ito'atasi ona feutagai ma se tausi soifua maloloina e uiga i tulaga lamatia ma faamanuiaga ina ia mautinoa e sa'o faiga.

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Sciatica, Mafua'aga, Fa'ailoga, ma Fautuaga

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mau faasino

Johns Hopkins Medicine. (2024). poloka neura. (Soifua Maloloina, Mataupu. www.hopkinsmedicine.org/health/conditions-and-diseases/nerve-blocks

NYU Langone Health. (2023). Poloka neura mo migraine (A'oa'oga ma Su'esu'ega, Fa'amatalaga. nyulangone.org/conditions/migraine/treatments/nerve-block-for-migraine

National Institute of Neurological Disorders and Stroke. (2023). tiga. Toe maua mai www.ninds.nih.gov/health-information/disorders/pain#3084_9

Johns Hopkins Medicine. (2024). Togafitiga tumau o le pancreatitis (Soifua Maloloina, Mataupu. www.hopkinsmedicine.org/health/conditions-and-diseases/chronic-pancreatitis/chronic-pancreatitis-treatment

Cappellari, AM, Tiberio, F., Alicandro, G., Spagnoli, D., & Grimoldi, N. (2018). Intercostal Neurolysis mo le Togafitiga o le Postsurgical Thoracic Pain: o se mataupu Faʻasologa. Musu & neura, 58(5), 671–675. doi.org/10.1002/mus.26298

Choi, EJ, Choi, YM, Jang, EJ, Kim, JY, Kim, TK, & Kim, KH (2016). Fa'asa'o o Neural ma Toe Fa'afouina i Fa'ata'ita'iga Fa'a Tiga. O le tusi talaaga Korea o tiga, 29(1), 3–11. doi.org/10.3344/kjp.2016.29.1.3

Falema'i mo Ta'otoga Fa'apitoa. (2023). fa'ama'i fa'aitulagi. www.hss.edu/condition-list_regional-anesthesia.asp

Fomai Stanford. (2024). Ituaiga o poloka neura (Mo ma'i, Fa'amatalaga. med.stanford.edu/ra-apm/for-patients/nerve-block-types.html

Vii Blue Cross. (2023). poloka neura peripheral mo togafitiga o tiga neuropathic. (Fomaʻi Faʻavae, Faʻamatalaga. www.anthem.com/dam/medpolicies/abc/active/policies/mp_pw_c181196.html

O'Flaherty, D., McCartney, CJL, & Ng, SC (2018). Manu'a neura pe a uma poloka neura peripheral-malamalama ma ta'iala i le taimi nei. BJA education, 18(12), 384–390. doi.org/10.1016/j.bjae.2018.09.004

Fomai Stanford. (2024). Fesili masani a le gasegase e uiga i poloka neura. (Mo ma'i, Fa'amatalaga. med.stanford.edu/ra-apm/for-patients/nerve-block-questions.html