Ina noho tātou, ina tū, ina hikoi, ina piko, ina hiki i te taumaha... kei reira tetahi hei āwhina i a tātou ki ēnei mea katoa. Ko tō tātou tuaiwi tēnā, ko te pou tuaiwi rānei. He rite tēnei ki te pou i roto i tō tātou tinana. Inaa, he maha ngā wāhanga o te pūnaha angaanga me te pūnaha uaua i roto i tō tātou tinana e honoa ana e te tuaiwi. Nō reira, i tēnei rā ka kōrerohia e tātou he taipitopito ake mō tēnei tuaiwi, he mea tino nui mō tō tātou tinana.
He aha te tuaiwi? He aha tāna mahi?
He whakarāpopototanga noa iho, he hanganga wheua te tuaiwi e tautoko ana i te tinana. Pērā i ngā pou i runga i te tuanui o te whare, he maha ngā painga mō te tinana.
- Ka homai he āhua ki te tinana: Ka whiwhi te tinana i tētahi āhua me tētahi hanganga motuhake nā te tuaiwi.
- Tautoko i te tinana: Ina tū tika tātou, ka āwhina te tuaiwi ki te pupuri i tō tātou tū tika.
- Tiaki i te Taura Tuaiwi: Ko te taura tuaiwi , te taura io matua mai i te roro, ka rere mā roto i te taura tuaiwi. He rite ki tētahi waea iti kua takaihia ki tētahi ngongo tiaki. Ka tiaki te taura tuaiwi i ēnei io utu nui.
- Āwhina i te nekehanga me te ngāwari: Mā te ngāwari o te tuaiwi ka āwhina i a tātou ki te mahi i ngā nekehanga pēnei i te piko whakamua, whakamuri, me te huri mai i tetahi taha ki tetahi taha.
Kei hea te tuaiwi? He aha tōna āhua?
Ka rere te tuaiwi mai i tō tātou kaki ki raro ki te wāhanga o raro rawa o tō tātou tuaiwi. Hei whakamārama, ka tīmata i te pūtake o tō tātou angaanga ka toro atu ki te hope, te wheua i waenganui i ngā wheua o ō tātou hope.
Ki te titiro koe ki tētahi tuaiwi hauora mai i te taha, kāore i te tino tika. E toru ōna piko tūturu. He rite ki te āhua o te reta 'S'. He rite ēnei piko ki ngā ārai ru i roto i te motuka. Arā, ka mimiti i ngā ru e pā ana ki te tuaiwi ina oma, ina peke, ina hikoi tātou, ā, ka ārai i te kino o te tuaiwi.
He aha ngā wāhanga matua o te tuaiwi?
Ehara te tuaiwi i te wheua roa kotahi anake. He hanganga matatini e titoa ana e ngā wāhanga maha. He rite ki te pakitara i titoa ki ngā pereki e whakarārangihia ana tetahi ki runga i tetahi. Kia tirohia tātou he aha ēnei wāhanga.
| Wāhanga | Hei whakarāpopototanga... |
|---|---|
| Tuarā | Koinei ngā wheua ririki e hanga ana i te tuaiwi. E 33 ngā wheua o te tuaiwi, pērā i ēnei, tetahi i runga i tetahi. Ka rere te taurakira mā roto i te ngongo e hangaia ai ēnei wheua. |
| Ngā Hononga Āhua | Koinei ngā hononga e hono ai ngā tuaiwi tetahi ki tetahi. Mā ēnei hononga ka taea e tātou te piko me te takai i tō tātou tuaiwi mai i tētahi taha ki tētahi taha. Pērā i ngā inihi o te tatau. |
| Ngā Kōpae Intervertebral | He rite ēnei ki te urunga i waenganui i ngā tuaiwi e rua. Ka mimiti i te ru. He rite te pokapū o tēnei kōpae ki te tiēre (nucleus pulposus) me te mowhiti pakari (annulus fibrosus) e karapoti ana. I ētahi wā ka pēhia tēnei kōpae, ā, ka turuturu te tiēre i waenganui, ka pēhia te io. Ka kiia tēnei he 'kōpae herniated'. Koinei tētahi o ngā take o te mamae pērā i te sciatica . |
| Te Taura Tuaiwi me ngā Io | Ko te taura io matua e puta mai ana i te roro ko te taura tuaiwi. Ko ngā io iti e puta mai ana i tēnei, mā roto i ngā tuaiwi, ka haere ki ngā ringa, ki ngā waewae, me ētahi atu wāhanga o te tinana. Ka haria e ēnei io ngā karere mai i te roro ki te tinana, me ngā kōrero mai i te tinana ki te roro. |
| Ngā kiko ngohengohe | Kei roto i tēnei ko ngā hononga e pupuri ana i ngā tuaiwi, ngā uaua e tautoko ana i te tuaiwi, me ngā uaua e hono ana i ngā uaua ki ngā wheua. |
Ngā rohe matua e 5 o te tuaiwi
E ai ki tā mātou i kōrero ai i mua ake nei, ahakoa e 33 ngā tuaiwi, e rima ngā wāhanga matua o ēnei. Me ako anō tātou mō tēnā.
| Wāhanga | Ngā Tohu Hira |
|---|---|
| Tuarā o te kaki - Kaki | Koinei te wāhanga o runga o te tuaiwi. E whitu ōna wheua tuarā (C1-C7). Koinei te wāhanga ka taea e tātou te huri i ō tātou mahunga, ki runga, ki raro. He piko tō tēnei. |
| Tuarā Uma - Waenganui o te tuara | Tekau mā rua ngā tuaiwi (T1-T12) i tēnei wāhanga. E hono ana ō tātou rara ki ēnei tuaiwi. He paku piko whakamuri tēnei wāhanga (piko kyphotic). |
| Tuarā Lumbar - Tuara o raro | Koinei te tuara o raro. E rima ngā tuaiwi (L1-L5). Ko tēnei wāhanga o te tinana te mea e pikau ana i te taumaha nui rawa atu. Koia hoki te mea e pēhia ana i te wā e hiki ana i ngā taumaha. He piko lordotic anō hoki tōna. |
| Hakaramu | E hono ana tēnei wheua tapatoru ki ō tātou wheua hope. He mea hanga mai i ngā tuaiwi e rima kua honoa (S1-S5). Nō reira, kāore tēnei wāhanga e nekeneke. |
| Kokiwi - wheua hiku | Koinei te wheua iti rawa kei raro i te tuaiwi. E whā ngā tuaiwi kua honoa ngātahitia. |
Ngā mate noa ka puta i roto i te tuaiwi
He okana tino whakamahia te tuaiwi, ā, he okana e pikau ana i te taumaha i roto i ō tātou oranga o ia rā. Nā reira, ka ngāwari ake te pakaru me te whara.
- Te mate rumatiki me ngā mate e pā ana, hei tauira (Ankylosing Spondylitis) .
- Ngā whara me ngā whāwhā o te tuara.
- Ngā mate whānau, hei tauira (Spina Bifida) .
- Ngā wero wheua.
- Ko te Scoliosis, arā, ko te piko o te tuaiwi (Scoliosis me te Kyphosis) .
- Kōpae Herniated .
- Ngā mate io me ngā uaua(Ngā mate io-uaua).
- Ko te kino o ngā io, hei tauira , te uaua o te tuaiwi , te sciatica, me ngā io kua kopikopiko.
- Te osteoporosis .
- Ngā whara o te taurakira, ngā whati, me te pararutiki .
- Ngā pukupuku tuaiwi me ngā mate pukupuku.
- Ngā mate urutā o te tuaiwi, hei tauira , te meningitis me te osteomyelitis .
He aha ngā tohu e taea ai te tautuhi i tētahi raruraru tuara?
Ko te tohu tino kitea o ngā mate tuaiwi ko te mamae o te tuara, te mamae rānei o te kaki. He uaua ki te kimi i tētahi tangata kāore anō kia pāngia e te mamae o te tuara i tētahi wā o tōna oranga.
Ehara i te mea he kino te mamae tuara katoa, engari he tohu anō kei reira hei āwangawanga mā tātou.
Anei ētahi atu tohu pērā i tēnā:
- Ngā uaua e pupuhi ana.
- Te kore e taea te whakahaere i te mahi o te puku me te mimi.
- Te ngoikore, te ngoikore rānei o ngā ringa me ngā waewae.
- Pararutiki.
Ngā whakamātautau me ngā maimoatanga
Mena he raruraru tuara tōu, ka tohua pea e tō tākuta ngā whakamātautau me ngā maimoatanga maha hei kimi i te pūtake.
Me pēhea te tirotiro i te hauora o tō tuara?
- Ngā whakamātautau whakaahua: Kei roto i ēnei ko ngā matawai pēnei i te (X-ray) , te (CT scan) , me te (MRI) .
- Ngā whakamātautau toto .
- He whakamātautau Electromyography (EMG) e ine ana i te mahi a ngā io.
- Te ine i te mātotoru o te wheua (whakamātautau mātotoru o te wheua DEXA) .
- Te Wero i te Tuaiwi / Te Wero i te Lumbar .
He aha tāu e mahi nei hei maimoatanga?
He rerekē ngā tikanga maimoatanga i runga i te āhua o te mate.
- Te whakaora tinana , te mirimiri, te wero ngira.
- Ngā rongoā pērā i ngā rongoā whakamamae mamae me ngā rongoā whakangāwari uaua.
- Hei tauira, ngā werohanga ki te tuaiwi (ngā werohanga Epidural Steroid) .
- Ko te pokanga tuaiwi , hei tauira, te discectomy me te fusion .
Ki te pā mai ēnei tohu ki a koe, me toro atu ki te tākuta tonu!
E rua, e toru rānei ngā rā ka memeha haere te mamae tuara noa. Heoi, ki te pā mai ētahi o ngā tohu i raro nei, he mea nui kia tere tonu te toro atu ki te tākuta, kaua e warewaretia.
| Ngā tohu whakatūpato hei tirotiro māu | |
|---|---|
| - Ki te mea he kirika tōu me te mamae o te tuara. | |
| - Mena kāore e taea e koe te whakahaere i tō puku, i tō mimi rānei . | |
| - Ki te pāngia koe e te mamae e horapa ana mai i tō tuara ki raro i ō waewae, e te ngoikore rānei o ō waewae . | |
| - Mena he ngoikore ō ringaringa, ō waewae rānei . | |
| - Mena kei te piki haere te mamae i ia rā, i ia rā, ki te whakapairuaki koe, ki te kore e taea e koe te moe tika, ki te pāngia rānei koe e te mamae tae noa ki te wāhi e kore ai e taea e koe te mahi i ngā mahi o ia rā. | |
Me pēhea tātou e pupuri ai i te hauora o ō tātou tuara?
He maha ngā mea ngāwari ka taea e tātou te mahi hei tiaki i ō tātou tuara, hei ārai hoki i te mamae o te tuara. Mā te kaha o ngā uaua o te tuara ka tiakina pai te tuara.
- Whakakorikori tinana: Me mahi ngā mahi whakapakari tuara me te totoro i te iti rawa i ngā rā e rua i te wiki. Mā ngā mahi whakakorikori tinana pēnei i te papa rakau ka whakapakari i ō uaua matua, ka tautoko pai hoki i tō tuara.
- Kia tūpato i te wā e hiki ana: Ina hiki ana i ngā mea taumaha mai i te papa, pikohia ō turi, ka hiki ake, kaua e pikohia tō tuara . Kia tika tonu tō tuara.
- Kia mau tonu te taumaha hauora: I te pikinga o te taumaha o te tinana, ka piki ake hoki te pēhanga ki te tuaiwi. Nō reira, he mea tino nui te pupuri i te taumaha hauora.
- Kia mau ki te tū tika: Noho, tū tika . Kaua e piko.
Ki te hiahia koe ki te mōhio atu mō tēnei mea, kōrero ki tō tākuta.
Karere Tangohia ki te Kāinga
- Ko tō tuaiwi te pou tautoko matua o tō tinana. Ka āwhina i a koe ki te tū, ki te hikoi, me te neke.
- He maha ngā wāhanga o roto, pērā i ngā tuaiwi, ngā kōpae, ngā io, me ngā hononga.
- He mea noa te mamae o te tuara, engari ehara i te mea pai kia warewarehia i ngā wā katoa.
- Mena ka puta ngā tohu pēnei i te kirika, te kore e taea te whakahaere i te puku/mimi, te mamae rānei i ō waewae, rapua tonutia he tohutohu hauora.
- Mā te whakakori tinana tika, te tū tika, me te oranga hauora, ka taea e koe te pupuri i te hauora o tō tuara puta noa i tō oranga.
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