Kua mutu kē koe ki te whakaaro ki te mīharo o tō tuaiwi (e kiia nei ko tō "tuara")? Ehara i te mea he puranga wheua noa iho. He pūnaha miihini tino uaua, he kanapa hoki e hoatu ana ki tō tinana te kaha matua, e āhei ai koe ki te tū, ki te hikoi, ki te piko, ki te takahuri, me te whakarite i ngā nekehanga katoa. I tēnei rā, me tūhura tātou i tēnei toa o tō tinana.
He aha te Tuaiwi, ā, he aha tāna mahi?
He whakarāpopototanga noa iho, he hanganga kaha, he wheua tō tuaiwi e mahi ana hei pūnaha tautoko matua mō tō tinana — he rite tonu ki te pou hanganga matua o tētahi whare. Ka hono i ngā wāhanga rerekē o tō pūnaha uaua me te uaua, ka hoatu ki a koe te herekoretanga ki te noho, ki te tū, ki te hikoi, ki te piko, me te takahuri me te ngāwari.
Anei ngā mahi nui a tō tuaiwi māu i ia rā, i ia rā:
- Te whakarato hanganga me te āhua: Mā tō tuaiwi e whakarato te hanganga poutū o tō tinana, ā, ka mau tonu tō āhua tūturu.
- Te tautoko i tō tū: Ka āwhina i a koe ki te tū tika me te noho tika, kia mau tonu te tū tika o tō tinana.
- Te tiaki i tō tuaiwi: Ko tō tuaiwi te whare tiaki, te parepare hoki i tō tuaiwi—te ara matua o tō pūnaha io e kawe ana i ngā karere mai i tō roro ki te toenga o tō tinana. Whakaarohia he ara tiaki mō ngā waea hiko ngawari.
- Te whakahohe i te ngāwari me te nekehanga: Nā te ngāwari o te tuaiwi, ka taea e koe te piko, te takai, te tahuri, me te neke haere noa.
Kei hea te Tuaiwi, ā, he aha tōna āhua?
He pou wheua tō tuaiwi e toro atu ana i te pūtake o tō angaanga ki raro ki tō hope. Ka tīmata i raro tonu i tō angaanga, ā, ka rere ki tō wheua hiku (coccyx), he wāhanga tēnei o te hanganga o tō hope.
Ina tirohia he tuaiwi hauora mai i te taha, ka kite koe e toru ōna piko tūturu e hanga ana i te āhua 'S'. Ka mahi ēnei piko hei ātete ru tūturu, hei tiaki i tō tuaiwi mai i ngā pānga ohorere, te ahotea, me te whara i ngā mahi o ia rā.
He mea hanga te tuaiwi i tētahi raupapa o ngā wheua me ngā kiko ngohengohe e hono tahi ana. He rite tonu te whakarārangi ki ngā pereki i roto i tētahi pakitara tautoko, ā, ka tautokohia tō tinana e ēnei hanganga maha-ahu me te pumau.
He aha ngā wāhanga matua o tō tuaiwi?
Me wetewete tātou i tēnei mahi toi uaua o te hanganga tinana, me te titiro ki ngā wāhanga matua e hanga ana i tō tuaiwi.
- Tuarā: E 33 ngā wheua takitahi kua whakarārangihia e te iwi tuarā, e mōhiotia ana i roto i te rongoā ko ngā tuarā . Mā ēnei wheua ka hanga te awa tuaiwi — he kauhanga tiaki e pupuri ana, e tiaki ana hoki i tō taura tuaiwi me ōna io peka. Ahakoa he ngāwari te nuinga o ēnei tuarā, ā, e āhei ai te nekeneke, ko ngā mea kei raro rawa (pērā i te sacrum me te coccyx) ka honoa ngātahi, ā, ka noho pūmau tonu.
- Ngā Hononga Ā-Wāhanga: Koinei ngā hononga ririki e hono ana i ō tuaiwi. He kiko hono maeneene, pahekeheke kei roto, e kiia nei ko te kiriuhi wheua `( Cartilage )`, e āhei ai ngā tuaiwi ki te nekeneke māeneene tetahi ki tetahi. Mā ēnei hononga ka taea e koe te takahuri me te huri, me te whakarato hoki i te ngāwari me te pumau ki tō tuaiwi.
- Ngā Kōpae o te Iwi Tuarā: He papatahi, porowhita, he rite ki te urunga ēnei kei waenganui i ia iwi tuarā. Ko ia kōpae he mea mahi hei ātete i ngā wiri o te tuaiwi, ā, he pokapū ngohengohe, rite ki te tiēre e kiia nei ko te nucleus pulposus , e karapotia ana e te mowhiti o waho pakari, ngāwari e kiia nei ko te annulus fibrosus . Ka mau tonu te pēhanga o ēnei kōpae. Ki te nui rawa te taumahatanga, ka paheke, ka pakaru rānei te tiēre o roto, ka pēhi i ngā io tata, ā, ka puta ngā tohu pēnei i te sciatica .
- Te Taura Tuaiwi me ngā Io: Ko te taura tuaiwi te paihere matua o ngā io e rere ana i roto i te awa tuaiwi, e toro atu ana mai i te pūtake o tō roro ki tō tuara o raro. Tata ki te 31 ngā takirua io e peka mai ana i te taura tuaiwi, e puta ana i roto i ngā pūaha iti i waenganui i ngā tuaiwi e kiia nei ko ngā foramina neural. He pūnaha whakawhitiwhiti kōrero rua-ara ēnei io, e kawe ana i ngā tohu nekeneke mai i tō roro ki ō uaua me ngā tohu pānga ki tō roro.
- Ngā kiko ngohengohe: Ko ngā hononga he here kiko kaha e hono ana i ō tuaiwi, e pupuri ana i tō tuaiwi kia mau tonu. Ka tautoko ngā uaua i tō tuaiwi, ā, ka taea te neke. Ka honoa ēnei uaua e ngā uaua ki ngā wheua, hei whakaū i te ārai i ngā whara i te wā e mahi ana i te korikori tinana.
He aha ngā Rohe Matua (Ngā Wāhanga) o te Tuaiwi?
E rima ngā rohe motuhake o ngā tuaiwi e 33 o tō tuaiwi. Me titiro tātou ki ēnei wāhanga, mai i tō kaki ka heke ki raro:
Te Tuaiwi o te Kākano (Te Kaki)
Koinei te wāhanga o runga rawa o tō tuaiwi, e whitu ngā tuaiwi (e kīia ana ko C1 ki C7). He tino nekeneke tō tuaiwi kaki, e āhei ai koe ki te tahuri, ki te whakatītaha, me te pōkaikaha i tō mahunga. Ka piko noa iho ki roto, ka hanga he āhua e kiia nei ko te piko lordotic.
Te Tuara Uma (Te Waenga-Tuara)
Kei te taumata o te uma, e 12 ngā tuaiwi o waenganui o tō tuara (e tapaina ana ko T1 ki T12). Ka piri ō rara ki tēnei wāhanga o te tuaiwi. Ka piko paku ki waho, ka hanga he piko kyphotic.
Te Tuarā o Raro (Te Tuara o Raro)
Ko tō tuara raro tēnei, e rima ngā tuaiwi nui (kua tapaina ko L1 ki L5). Ko tō tuaiwi hope te kawenga mō te nuinga o te taumaha o tō tinana o runga, ā, e hono ana ki tō hope. Nā te mea koia te kawenga nui ina hiki koe, ina kawe rānei i ngā taonga, he maha ngā wā ka pāngia e te taumahatanga nui. Pērā i te kaki, ka piko ki roto i te piko lordotic.
Te Hakaramu
He wheua tapatoru tēnei e hono ana ki ō wheua hope. E rima ngā wheua tuarā (S1 ki S5) e hono tahi ana i te wā e whanake ana, arā, kāore e neke. Ka hanga ngātahitia ngā wheua sacrum me te hope hei mowhiti pakari e kiia nei ko te whitiki pelvis.
Te Iwi Hiku (Coccyx)
Kei te pito rawa o tō tuaiwi tēnei wheua iti, he mea hanga mai i ngā tuaiwi iti e whā kua honoa. E mōhiotia whānuitia ana ko te wheua hiku, ā, he wāhi hono tēnei mō ngā uaua me ngā hononga o te papa pelvic.
Ngā Mate Tuaiwi Noa Me Mōhio Koe
Nā te kaha o te mahi a tō tuaiwi i ia rā, he tino ngāwari ki te pakaru, ki te haehae, ki te whara hoki. Ko ētahi o ngā āhuatanga e pā ana ki te hauora o te tuaiwi ko:
- Te mate rumatiki tuaiwi (Arthritis) me ngā mate mumura e pā ana (hei tauira, Ankylosing spondylitis )
- Ngā whara me ngā whāwhā o te tuara
- Ngā mate whānau pēnei i te Spina bifida
- Ngā whēkau wheua (Ngā whēkau wheua)
- Ngā piko o te tuaiwi (pērā i te Scoliosis me te Kyphosis )
- Ngā kōpae paheke, hernia rānei
Ko ētahi atu āhuatanga ko:
- Ngā mate neuromuscular, pērā i te Amyotrophic lateral sclerosis (ALS)
- Ngā mate io, tae atu ki te Spinal stenosis (te whaiti o te awa tuaiwi), te Sciatica , me ngā io pinched
- Te angiangi o te wheua, e mōhiotia ana ko te Osteoporosis
- Ngā whara o te taurakira, ngā whati o te taurakira , me te pararutiki
- Ngā pukupuku tuaiwi me te mate pukupuku
- Ngā mate urutā o te tuaiwi, pērā i te Meningitis me te Osteomyelitis (mate wheua)
He aha ngā tohu noa o ngā raruraru tuaiwi?
Ko te tohu tino kitea o te raruraru tuaiwi ko te mamae o te tuara, o te kaki rānei. Inaa, e whakaatu ana ngā tatauranga tata ki te 80% o te tangata ka pāngia e te mamae o te tuara i tētahi wā o ō rātou oranga.
Ko ētahi atu tohu ko:
- Ngā uaua e mārō ana, e pakari ana hoki
- Te ngaronga o te mana whakahaere o te puku, o te pūkahukahu rānei (te kore e taea te pupuri i te mimi)
- Te ngoikore, te ngau, te ngoikore rānei i roto i ō ringaringa, i ō waewae rānei
- Pararutiki
Me pēhea te tātaritanga o ngā mate tuaiwi?
Hei aromatawai tika i te hauora o tō tuaiwi, ka tūtohu pea tō tākuta i tētahi, i ētahi rānei o ngā whakamātautau tātaritanga e whai ake nei:
- Ngā whakamātautau whakaahua: Ngā hihi-X , ngā karapa CT , me ngā MRI
- Ngā whakamātautau toto
- Electromyography (EMG) (he whakamātautau hei ine i te mahi a te uaua me te io)
- Ngā whakamātautau kiato wheua (matawai DEXA / DXA)
- Te tātaritanga wai tuaiwi (Te pokanga tuaiwi / Te weronga o te lumbar)
Me pēhea te rongoā i ngā mate tuaiwi?
He rerekē ngā mahere maimoatanga i runga i tō āhua. Heoi, ko ngā rautaki maimoatanga noa mō ngā mate tuaiwi ko:
- Ngā whakaora tinana, tae atu ki te whakaora tinana , te wero ngira , te mirimiri , me ngā whakatikatika Chiropractic
- Ngā rongoā (pēnei i ngā rongoā ārai-mumura hei whakaiti i te pupuhi me ngā rongoā whakangāwari uaua )
- Ngā werohanga rongoā (pērā i ngā werohanga steroid Epidural me ngā aukati io )
- Ngā tikanga pokanga (pēnei i te Discectomy hei tango i te kōpae kua pakaru, te Foraminotomy hei whakawhānui i ngā whakatuwheratanga io, te whakakotahitanga tuaiwi rānei hei hono tuturu i ngā tuaiwi)
Me pēhea te pupuri i te hauora o tō tuaiwi?
Ko te hanga i ngā uaua o te puku me te tuara kia kaha te parepare pai rawa atu ki ngā whara o te tuaiwi me te mamae mau tonu. Kia kaha ki te mahi i ngā mahi totoro me te whakapakari i te iti rawa kia rua ngā wā i te wiki. Ka whakapakari ngā mahi pēnei i te papa rakau i tō puku (ngā uaua puku, uaua whakarara, me te tuara), ā, ka tautoko pai i tō tuaiwi.
Ko ētahi atu mahi tiaki ka taea e koe te mahi ko:
- Hiki ake mā ō waewae, kaua mā tō tuara: Pikohia ō turi me te pupuri i tō tuara kia tika ina hiki ana i ngā mea taumaha.
- Kia mau ki te taumaha tinana hauora: Ka taumaha rawa tō tuara o raro i te nui o te taumaha.
- Whakaharatauhia te tū tika: Noho tika, kaua e piko, ā, whakaritea tō wāhi mahi kia tika te ergonomics.
Kōrero ki tō kaiwhakarato hauora mō ngā huarahi whaiaro hei pupuri i te kaha me te hauora o tō tuaiwi me ō wheua.
Āhea koe me toro atu ki tētahi tākuta?
Me rapu wawe koe i te awhina hauora mēnā ka pā mai tētahi o ngā tohu whakatūpato e whai ake nei ki a koe:
- Te mamae o te tuara e haere tahi ana me te kirika.
- He uauatanga ohorere ki te whakahaere i tō pūkahukahu, i tō puku rānei.
- Te ngoikore haere o ō waewae, te mamae rānei e horapa ana mai i tō tuara ki raro i ō waewae.
- Te ngenge, te ahua rānei o te "pine me te ngira" i roto i ō ringaringa, i ō waewae rānei.
- Ka kino haere te mamae i te roanga o te wā, ka whakapairuaki, ka whakararuraru i tō moe, ka pā kino rānei ki ō mahi o ia rā.
He Tuhipoka Hira: Kaua rawa e whakakorekore i te mamae tuara nui, pumau rānei, hei "mamae noa iho." I ētahi wā, he tohu pea tēnei nō tētahi mate hauora nui e hiahia ana kia awhina wawetia. Ko te kōrero ki tētahi tohunga hauora te huarahi mahi haumaru tonu.
Te Karere Kawe-ki-te-Kāinga
He mea whakamiharo tino uaua, tino ataahua hoki tō tuaiwi o te taiao, e whakakotahi ana i ngā wheua, i ngā kōpae tautoko, i ngā io tairongo, i ngā hononga, i ngā hononga me ngā uaua. Nā te mea he tino uaua, ka ngāwari ki te pakaru, ki te mate rumatiki, ki ngā kōpae paheke, me ngā io kōpeke. Ki te kore e āraihia, ka taea e te mamae tuaiwi te aukati i tō herekoretanga, te aukati i a koe ki te mahi i ngā mea e arohaina ana e koe.
Kia kaha te tiaki i tō tuaiwi. Kia mau ki te tū tika, hiki haumaru i ngā kawenga taumaha, kia kaha tonu te mahi me ngā mahi whakakori tinana kua tohua. Ki te pāngia koe e te mamae, e ngā tohu rerekē rānei, kaua e mangere ki te rapu tohutohu hauora. Ka taea e tō tākuta, e tō kaiwhakaora tinana rānei te āwhina i a koe ki te kimi i te whakamarie, te ārahi i a koe ki te whakapakari i ngā uaua e tautoko ana i tō tuaiwi, me te ārai i ngā whara a muri ake nei. Kia maumahara, ko te tuaiwi hauora te pou tuarā o te oranga hauora, kaha!
Kupumatua: Tuaiwi, hauora o te tuara, mamae o te tuara, wheua tuarā, taurakira, io, wheua, kōpae intervertebral
