Kei te paheke tetahi tuaiwi i roto i tō tuaiwi? Me ako tātou mō te spondylolisthesis!

He raruraru noa te mamae o te tuara e pāngia ana e te tini o te tangata i ēnei rā. I ētahi wā he mamae tuara noa iho i puta mai i te whakapau kaha. Heoi, ki te mea he koi te mamae i ētahi rā, ki te mea rānei he tohu kē atu, tera pea he take motuhake mōna. Arā, he āhuatanga e puta ana i te tuaiwi (Spondylolisthesis) . Ahakoa he ahua uaua te ingoa, kia mārama noa tātou.

He aha te Spondylolisthesis? He māmā noa iho...

Whakaarohia tō tuaiwi he puranga wheua iti (e kiia nei ko te vertebrae) e whakatakotoria ana tetahi ki runga i tetahi. E 33 ngā vertebrae, kia tika. Ahakoa e hono ana ēnei vertebrae tetahi ki tetahi, ka taea e rātou te neke haere i te wā e piko ana, e nekehia ana rānei ō tātou tinana. Ināianei, i roto i te āhuatanga e kiia nei ko te spondylolisthesis, ka paheke tetahi o ēnei vertebrae i tōna tūranga ka pana i te vertebra i raro iho. He rite ki te hononga whati i roto i te mekameka. Ina tupu tēnei, ka taea te pēhi i ngā io i taua wāhi. Koinei te wā ka puta ai ngā tohu pēnei i te mamae o te tuara me te mamae o te waewae. Ka taea te puta te spondylolisthesis ki ngā wāhi katoa o te tuaiwi, engari he mea noa i te tuara o raro (lumbar spine) . Waihoki, ka taea tēnei āhuatanga te puta i te kaki (cervical spine) mai i te kaki ki te pito o ngā rara (thoracic spine). He rite te tuaiwi ki te mekameka e tautoko tonu ana i tō tātou tinana. Nō reira, ka paku whakamataku pea ina paheke te hononga. Engari, ehara i te mea kua pōrearea te mekameka katoa. He maha ngā maimoatanga pai mō te āhuatanga e kiia nei ko te spondylolisthesis. Mena kei te pā mai he mamae hou ki tō tuara, ki ō waewae rānei, ā, kei te uaua koe ki te mahi i ngā mahi o ia rā, me toro atu ki te tākuta.

He aha ngā tino take o te spondylolisthesis?

He maha ngā huarahi matua ka puta ai tēnei āhuatanga:

1. E pā ana ki te pakeketanga (Degenerative Spondylolisthesis)

Koinei te momo tino noa. I a tātou e pakeke haere ana, ka memeha haere ngā wāhanga rite ki te urunga i waenganui i ō tātou tuaiwi (e kiia nei ko ngā kōpae ). I te angiangi o ēnei kōpae, ka nui haere te āputa i waenganui i ngā tuaiwi, ā, ka nui ake te tūponotanga ka paheke tetahi. He momo mate kōpae pirau anō hoki tēnei.

2. Te Spondylolisthesis whānau

I ētahi wā, ka puta tēnei āhuatanga nā te mea kāore i te tika te hanganga o te tuaiwi o te pēpi i a ia e noho ana i roto i te kōpū. Ina tupu tēnei, ka puta pea ngā raruraru i te tīmatanga o te oranga, i te wā roa rānei i muri mai i te oranga.

3. Nā te whati i te wāhi e tūtaki ai ngā tuaiwi (Isthmic Spondylolisthesis)

Ina whati tetahi wahi iti o te wheua e hono ana i ngā tuaiwi e rua (e kiia nei ko te pars interarticularis ), kāore e taea e ia te pupuri tika i a rāua. Kātahi ka paheke te tuaiwi. Ka pā pea tēnei ki ngā kaitākaro, inā koa ko te hunga e mahi ana i ngā mahi pekepeke me te tō .

Ētahi atu momo kāore i te tino kitea:

• (Te Spondylolisthesis Whara):Ka paheke pea te tuaiwi nā te kino o te whara o te tuaiwi i tētahi aituā nui, i tētahi hinganga rānei.
• Te Spondylolisthesis Matepukupuku: Ka puta anō hoki tēnei nā ngā āhuatanga e ngoikore ai ngā wheua (hei tauira , te osteoporosis , te pukupuku rānei i roto i ngā wheua).
• (Te Spondylolisthesis i muri i te pokanga): He tino onge, ka puta tēnei āhuatanga hei pānga taha o te pokanga tuaiwi.

He aha ngā tohu o te spondylolisthesis?

He mea whakamiharo, ko ētahi tāngata he spondylolisthesis, ā, kāore he tohu. Mena he iti rawa te vertebra paheke (iti te taumata), kāore pea e puta he tohu nā te mea kāore e nui te pēhanga ki ētahi atu wāhanga o te tuaiwi, o ngā io rānei. Heoi, ki te puta ngā tohu, ko ēnei pea:

• Te mamae o te tuara o raro.
• Te mamae e heke ana ki ngā waewae (e kiia ana ko te sciatica ).
• He kare ā-roto o te piri me te mārō o te tuara.
• He uaua ki te hikoi, ki te tū rānei mō ngā meneti maha.
• Te ngenge, te ngoikore, te ahua ngenge rānei o ngā waewae.

I runga anō i te wāhi i paheke ai ngā tuaiwi, ka pāngia pea ētahi atu wāhanga o te tuara e te mamae. Ka horapa pea tēnei mamae ki te papa, ki ngā huha rānei.

He aha ngā take o te spondylolisthesis?

He rerekē te take o te paheke o te tuaiwi i runga i te momo spondylolisthesis kei a koe. Ko ētahi o ngā take noa ko:

• Ka memeha haere ngā kōpae tuaiwi i te kaumātuatanga.
• Ngā tuaiwi he kikokore ake i te āhua noa i te whānautanga.
• Ngā aituā i te wā e takaro ana i ngā hākinakina.
• Ka tere te tipu o ngā tamariki me ngā taiohi.
• Ngā aituā pēnei i te hinganga me ngā aituā motuka.

Ko wai te mea tino mōrearea ki te whakawhanake i tēnei mate?

Ahakoa ka taea e te tangata katoa te pāngia e te spondylolisthesis, he nui ake te mōrearea o ētahi tāngata:

• Ngā tāngata neke atu i te 50 tau te pakeke.
• Ngā wāhine.
• Ngā kaitākaro (tērā ko te hunga e takaro ana i ngā hākinakina kaha, e pekepeke ana, e totoro ana hoki).
• Ngā tāngata he hītori whānau tō rātou mō te spondylolisthesis, ngā mate rānei e pā ana ki te wheua.

He aha ngā mea ka pā mai mēnā kāore te spondylolisthesis e rongoatia? (Ngā raruraru)

Mena kāore tēnei mate i te tika te tātaritanga me te rongoā, ka pā pea ēnei ki a koe:

• Te mamae tuara mau tonu.
• Te rumatiki tuaiwi.
• Te pakaru o te io.
• Te kore e taea te whakahaere i te mimi (Urinary incontinence) te kore rānei e taea te whakahaere i te mimi (Bowel incontinence) .

Me pēhea te tautuhi a ngā tākuta i te spondylolisthesis?

Mā te tākuta e tātari te spondylolisthesis mā te whakamātautau tinana me ngā whakamātautau whakaahua motuhake. Ka āta tirohia e ia tō tuara me tō tuaiwi. Me kōrero koe ki tō tākuta i te wā i tīmata ai koe ki te mamae, ki ētahi atu tohu rānei, he aha ngā mahi e kino ake ai te mamae, me ngā mea i mahia e koe i mua i te tīmatanga o ō tohu, inā koa mēnā i roto koe i tētahi aituā. Kātahi ka tangohia e tō tākuta he hihi-X o te tuaiwi hei tango pikitia o ō tuaiwi. Tērā pea me whai matawai CT , MRI rānei koe hei rapu i ngā pakaru o ō kōpae, o ō io rānei.

Ngā momo o te Spondylolisthesis

Ka hoatu e tō tākuta he tohu mō tō āhua, i runga i te nui o te paheke o ō tuaiwi. Tērā pea he tau tēnei, "iti te taumata" "tiketike rānei":

• Te Spondylolisthesis iti-taumata - Taumata I me te Taumata II: Koinei te momo tino noa. He maha ngā tamariki nohinohi e pāngia ana e te isthmic spondylolisthesis me ngā pakeke e pāngia ana e te degenerative spondylolisthesis, kāore i te tino kino tēnei mate.
• Te Spondylolisthesis taumata-tiketike (Taumata III me te Taumata IV): I ēnei āhuatanga, he nui ake te hiahia ki te pokanga, ina koa mēnā he mamae nui tōu, he tohu rānei.

He aha ngā maimoatanga mō te spondylolisthesis?

He tokomaha te hunga ka taea te whakahaere i ō rātou tohu mā te whakamahi i ngā maimoatanga kore-pokanga, tae atu ki:

• Okiokinga : Mā te okioki i ngā hākinakina me ngā mahi uaua mō tētahi wā ka whakaiti i te pēhanga ki te tuaiwi.
• Ngā Rongoā: Ka taea e koe te whakamahi i ngā NSAID e hokona kore utu ana (hei tauira, Ibuprofen, Diclofenac) me te Acetaminophen (hei tauira, Panadol) hei whakaiti i te mamae me te pupuhi. Heoi, kaua e tango i ēnei rongoā mō ngā rā neke atu i te 10 me te kore he tohutohu hauora. Kōrero ki tō tākuta i mua i te tīmatanga o tētahi rongoā, kia taea ai e ia te kī atu ki a koe ko tēhea rongoā te mea tika māu.
• Corticosteroids: He rongoā kaha ēnei e tohua ana e te tākuta hei whakaiti i te mumura. Ka taea te hoatu mā te waha, te werohanga rānei ki te wāhi mamae (he werohanga cortisone) .
• Te whakaora tinana:Mā te kaiwhakaora tinana koe e ako ki ngā mahi whakakori tinana hei whakapakari i ngā uaua huri noa i tō tuaiwi (ina koa ko ngā uaua o tō tuara me tō puku). Mā tēnei ka whakaiti i te pēhanga ki tō tuaiwi, ā, ka ngāwari ake tō nekeneke.
• Te mau i te whitiki tautoko: Mena he whati tō tuaiwi, ka tūtohu pea tō tākuta kia mau koe i te whitiki tautoko hei pupuri i te pumau o tō tuaiwi. Māna hoki e kī atu ki a koe te roa me mau koe.

Āhea te wā e hiahiatia ai te pokanga mō te spondylolisthesis?

Ehara i te mea ka hiahiatia he pokanga mō te spondylolisthesis mō te katoa. Mena kāore ngā wheua paheke e puta ai ngā tohu kino, kāore rānei e pāngia e ētahi atu raruraru, ka taea e koe te noho me te mate iti. Mā tō tākuta koe e kī atu āhea te wā hei whakaaro ki te pokanga. Tērā pea ka hiahiatia he pokanga i ngā wā e whai ake nei:

• Mena he mate tino kino tōu (spondylolisthesis) .
• Mena he mamae nui tōu, he tohu rānei e kore ai e taea te tū, te hikoi, te nekeneke rānei.
• Mena kāore anō kia memeha ngā tohu ahakoa ētahi atu maimoatanga kore-pokanga .

Tērā pea ka whakahaerehia e te taote pokanga tētahi tikanga e kiia nei ko te whakakotahitanga tuaiwi . Kei roto i tēnei ko te whakatikatika i ō tuaiwi me te whakapakari i te wāhi. Me mahi pea hoki koe i tētahi tikanga e kiia nei ko te decompression tuaiwi hei whakamama i te pēhanga ki tō io sciatic. Ma tō tākuta, ma tō taote pokanga rānei e whakamārama ki a koe te pokanga e hiahiatia ana e koe me ngā mea hei tumanako atu māu.

Ngā pānga taha pea i muri i te pokanga

Tērā pea ka paku heke te whānuitanga o te nekehanga o ētahi tāngata kua pokangahia te tuaiwi i muri i te pokanga. Nā te mea ka honoa ngā tuaiwi e rua ki te hanga i te wheua kotahi. Heoi, mō te nuinga o te tangata, he iti rawa te mamae, ā, ka taea e rātou te aro atu ki tēnei mamae iti. Heoi, kaua e wehi ki te kōrero ki tō taote pokanga mō tēnei i mua i tō whakatau ki te pokanga. Ka taea e ia te whakamārama i ngā mōrearea ki a koe, me te āwhina i a koe ki te whakatakoto i ngā tumanakohanga pono.

Ka taea te ārai i te spondylolisthesis?

I ētahi wā, kāore e taea te ārai katoa i te spondylolisthesis, inā koa mēnā ka puta mai i tētahi aituā, i te āhua rānei o te hanganga o tō tuaiwi i te whānautanga mai. Heoi, ka taea e koe te whakaiti i tō mōrearea mā te whai i ēnei tohutohu:

• Mahia ngā mahi whakakori tinana hei whakapakari i ngā uaua o tō tuara me tō puku .
• Whāia he kai hauora e pai ana ki a koe. Ka taea e tēnei te tiaki i ō wheua me tō hauora whānui.
• Kōrero ki tō tākuta mō te hauora o tō wheua. Māna koe e kī atu mēnā me whai whakamātautau kiato wheua koe, ā, āhea hoki.

He aha ngā mea ka taea e koe te tumanako mēnā he spondylolisthesis tōu?

Mena he spondylolisthesis tōu, me pai ake ō tohu mā te whakamahi i ngā maimoatanga kore-pokanga pērā i te okioki, te rongoā, me te whakaora tinana. Kia tīmata te maimoatanga, ka tangohia e tō tākuta ētahi atu hihi-X hei tirotiro mena kei te paheke haere ō tuaiwi. Ka tirotirohia e tō tākuta te tuaiwi paheke. Mena ka nui rawa te paheke, me pokanga pea koe.

Kāore e taea e ngā maimoatanga kore-pokanga te whakahoki i te tuaiwi kua paheke ki tōna tūranga taketake, engari ka taea e rātou te āwhina i a koe ki te mahi i ō mahi o ia rā me te kore mamae. Ko te pokanga anake ka taea te whakahoki i te tūnga taketake o te tuaiwi.

Ka roa pea te ora katoa mai i te pokanga tuaiwi, mai i ētahi wiki ki ētahi marama. Mā tō taote pokanga koe e whakarite he wā whakaora e tika ana māu, e ai ki ō hiahia.

Āhea ahau ka tīmata anō ki te tākaro?

Ka taea e te nuinga o te hunga whai spondylolisthesis te hoki ki ngā hākinakina me ētahi atu mahi ā-tinana i muri i ētahi wiki o te maimoatanga. I te nuinga o te wā, me tatari koe kia taea e koe te neke haere me te haumaru me te kore mamae. Kōrero ki tō tākuta, ki tō taote pokanga rānei i mua i te tīmata anō i tētahi mahi ā-tinana. Ka taea e rātou te whakaaro i ngā huarahi haumaru hei pupuri i a koe kia kaha tonu me te kore e whakanui ake i tō tūponotanga ki ngā raruraru.

He aha ngā mea me karo e koe ina pāngia koe e te spondylolisthesis?

Mā tō tākuta koe e kī atu ki ngā mahi haumaru māu. Me mutu pea te tākaro i ngā hākinakina pā, te mahi rānei i ngā mahi whakakori tinana e pēhi nui ana i tō tuaiwi, e totoro nui ana rānei.

Āhea koe me toro atu ki te tākuta?

Ko te tere o tō haerenga ki te tākuta, ko te pai ake o tā rātou tātaritanga me te rongoā i te spondylolisthesis. Mena he mamae tuara tōu e roa ana i te torutoru rā, he nui rawa rānei te mamae kāore e taea e koe te mahi i ō mahi o ia rā, me toro atu ki te tākuta i te wā e taea ai.

Āhea koe me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Ki te pāngia koe e tētahi aituā, pērā i te hinganga, i tētahi aituā motuka rānei, haere ki te rūma whawhati tata. Ki te pāngia koe e te ngoikore o ō waewae, ki te kore rānei e taea e koe te whakahaere i tō mimi, i tō puku rānei, haere tonu ki te rūma whawhati tata.

He aha ngā pātai me pātai atu koe ki te tākuta?

Ka taea e koe te pātai atu ki tō tākuta i ēnei pātai:

• He spondylolisthesis tōku, he raruraru tuara rānei?
• He aha te momo maimoatanga e hiahiatia ana e au?
• Me pokanga ahau?
• Āhea ahau ka taea ai te hoki ki ngā mahi ā-tinana pēnei i te hākinakina?

He aha te rerekētanga i waenganui i te (Spondylolisthesis) me te (Spondylolysis)?

He rite ngā ingoa o te Spondylolisthesis me te Spondylolysis, ā, ka taea te whakapoauau. Ko te rerekētanga i waenganui i ngā mea e rua ko te pānga ki tō tuaiwi.

• Ko te spondylolisthesis te wā e paheke ana te tuaiwi ka pana ki te tuaiwi i raro iho i a ia.
• (Te Pūnaha Whakapūngao)He whati wheua iti noa iho tēnei e puta ana i roto i tētahi wahi iti o te wheua (pars interarticularis) i waenganui i ngā tuaiwi e rua. Ko tēnei āhuatanga, e kiia nei ko te spondylolysis, te tino take o te isthmic spondylolisthesis. Nā te mea ka taea e taua whati te paheke o ngā tuaiwi.

Hei whakamutunga, he mea hei whakaaroaro.

He mea noa ki te tangata te mataku ina rongo i te kupu "spondylolisthesis." Ina rongo koe i te kupu "spondylolisthesis," ka paheke te wheua ki roto i tētahi wāhanga nui o te tinana, ka puta ake ngā momo mea katoa ki te hinengaro. He mea noa te ohorere me te maha o ngā pātai. Mānu hōhonu. He uaua pea te kī me te tuhi i te spondylolisthesis, engari he waimarie, ehara i te mea ko ngā mate katoa he uaua ngā ingoa e hiahia ana ki te maimoatanga uaua. E hiahia ana pea koe ki ētahi wiki okiokinga, ētahi rongoā ka taea te hoko, me te whakaora tinana. Ahakoa ka pokanga koe, i muri i te hoatutanga o te wā ki tō tinana kia ora ai, ka taea e koe te hoki ki ō mahi noa. spondylolisthesis, mamae tuara, spondylolisthesis, tuaiwi, pēhanga io, whakaora tinana, pokanga tuara