Tērā pea nā te spondylolysis tō mamae tuara? Me kōrero tāua!

Kei te pāngia hoki koe e te mamae o te tuara? I ētahi wā ka whakaaro koe he mea noa tēnei, engari tera pea ētahi atu take kei muri i ētahi mamae. I tēnei rā ka kōrero tātou mō tētahi āhuatanga ka pā te mamae o te tuara, engari kāore tātou e kōrero nui mōna.

He aha te Spondylolysis?

Ki te whakarāpopototanga, ko te spondylolysis he pakaru iti, he whati rānei i waenganui i ngā tuaiwi e rua o tō tātou tuaiwi. I mōhio koe he 33 ngā wheua iti o tō tātou tuaiwi e tū ana tetahi ki runga ake i tetahi i roto i te rarangi? Ka karangatia e tātou ia wheua he 'tuaiwi'. Ka honoa ēnei tuaiwi hei hanga i tō tātou tuaiwi. I ētahi wā ka karangatia tēnei āhuatanga e ngā tākuta he 'pars defect' he 'pars fracture' rānei. Ko te take o tēnei, nā te mea ka puta tēnei pakaru i te wāhanga wheua iti e kiia nei ko te ' pars interarticularis' e hono ana i ngā tuaiwi. Whakaarohia he piriti iti e hono ana i ngā tuaiwi e rua. Koinei te wāhi ka puta ai te raruraru. I te nuinga o te wā, ka pā te spondylolysis ki te wāhanga o raro o tō tātou tuara (tuaiwi lumbar) . Engari i ētahi wā, ka puta pea tēnei i te tuaiwi cervical, te tuaiwi thoracic, tae noa ki te tuaiwi waenga.

He pēhea te noa o tēnei āhuatanga?

Ahakoa kāore he tatauranga tika i Sri Lanka, e ai ki ngā tohunga o ngā whenua pērā i te Hononga o Amerika, he iti iho i te 10% o te taupori e pāngia ana e tēnei mate (Spondylolysis) i ia tau. Heoi, he mea tino noa i waenga i ngā tamariki nohinohi me ngā pakeke rangatahi , inā koa ko te hunga e takaro ana i ngā hākinakina pā.

He aha ngā tohu o tēnei?

Ko te tohu matua mō te tini o te tangata ko te mamae o te tuara o raro . Ko te tikanga, ka taea te whakaahua i tēnei mamae penei:

• Tērā pea ka tīmata te mamae i tō tuara o raro, ka horapa ki ō huha me ō papa.
• Tērā pea ka rite ki te werohanga o te uaua o te tuara o raro.
• Ka piki ake te mamae ina mahi koe i tētahi mahi ā-tinana , ā, ka heke iho ina okioki koe, ina kore rānei e nekeneke nui.

Engari ko te mea rerekē, kei ētahi tāngata tēnei mate (Spondylolysis) engari kāore he tohu . Ka kitea i muri mai ina mahia he whakamātautau whakaahua , pērā i te matawai, mō tētahi atu take.

He aha tēnei e tupu nei? He aha ngā take?

E ai ki taku kōrero i mua, ko te tino take o te spondylolysis ko te pakaru o te wāhanga o ō tātou tuaiwi e kiia nei ko te (pars interarticularis) . Kia mahara, ko tēnei (pars interarticularis)He wahi iti ēnei o te wheua e hono ana i ngā tuaiwi o runga, o raro hoki, ā, e āwhina ana i tō tātou tuaiwi kia neke ngāwari. Ko ngā mea katoa e kino ana ki ēnei ka whati pea, ka whati rānei ngā wheua o te tuara . He maha ngā take matua e puta pinepine ai ēnei whatinga o te tuara :

1. Te whakamahi nui rawa:

Ina mahi koe i ngā nekehanga auau, taumaha hoki e utaina ana te taumaha ki tō tuara o raro, ka pakaru haere ō tuaiwi. I roto i te wā, ka piki haere tēnei kino, ā, ka puta he whati pars . Hei tauira, mēnā he mahi hiki taumaha tāu, he tākaro hākinakina pā, he maha rānei ō whara i tō tuara o raro, he nui ake te mōrearea.

2. Ngā tere tipu:

Ka pāngia ētahi tamariki me ngā taiohi e ngā wā tipu tere, e kiia nei e mātou he tipu tere . I aua wā, ka pāngia ētahi tāngata e te spondylolysis . Nā te mea ka puta ngā huringa tere i roto i te pūnaha angaanga o te tinana i taua wā.

3. Ngā Ira:

Ka whānau mai ētahi tāngata me te kikokore o ngā tuaiwi . Ko te tikanga he ngoikore ake ō rātou tuaiwi i ētahi atu. He nui ake te tūponotanga ka pāngia ēnei tāngata e te whati pars .

Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei mate?

Ka pā te spondylolysis ki te tangata katoa, engari he nui ake te mōrearea o ētahi rōpū ki te pāngia e te whati pars . Ko ētahi o ēnei ko:

• Ngā tāngata e tākaro ana i ngā hākinakina pā : Hei tauira, ko te hunga e tākaro ana i ngā hākinakina pēnei i te whutupaoro, te whakapakari tinana, me te hiki taumaha .
• Ngā tamariki me ngā taiohi e tere tipu ana, e tere huri ana hoki ō rātou tinana .
• Ngā tāngata nō Alaska : Kua kitea e ētahi rangahau he nui ake te tūponotanga ka whānau mai ēnei tāngata me ngā tuaiwi angiangi.

He aha ngā raruraru ka puta mai i tēnei āhuatanga?

Ka taea e te mamae o te tuara e pā mai ana me te spondylolisthesis te whakaiti i tō nekehanga, arā, te pai me te ngāwari o tō nekehanga . He mea nui ake, ki te kore e rongoatia , ka taea e te spondylolysis te whanake ki tētahi āhuatanga e kiia nei ko te spondylolisthesis . E mōhio ana koe he aha te spondylolisthesis ? Ko tōna tikanga,Ko te Spondylolisthesis he āhuatanga e paheke ai te tuaiwi i tōna tūranga nā te pakaru, te ngoikore rānei o te tuaiwi. Whakaarohia he rite ki te pereki i roto i te rarangi pereki e paheke whakamua ana. Ki te pēhia e te tuaiwi paheke he io, ka pā he mamae nui (sciatica) e rite ana ki te ru hiko i raro i tō waewae. Ko ētahi tāngata e pāngia ana e tēnei āhuatanga (spondylolisthesis) me pokanga pea hei whakaiti i ngā tohu me te hoki ki te mahi noa.

Me pēhea te tautuhi a ngā tākuta i tēnei mate? (Tautuhinga)

Ka tātaritatia e te tākuta te spondylolysis mā te whakamātautau tinana me te mahi whakamātautau whakaahua (matawai) . Ka pātai atu ia ki a koe mō ō tohu me tō hītori hauora. Me kōrero e koe ki te tākuta ngā taipitopito pēnei i te wā i tīmata ai koe ki te mamae o tō tuara me ngā mahi i mahia e koe i mua i te tīmatanga o te mamae.

He aha ngā whakamātautau e mahia ana mō tēnei?

Ka whakamahia e tō tākuta ngā whakamātautau whakaahua hei tango pikitia o ō tuaiwi me ngā kiko e karapoti ana i tō tuaiwi. Ko ngā mea matua ko:

• Ngā whakamātautau hihi-X .
• Ngā whakamātautau matawai MRI (Atahanga Āhua-Mateke - MRI ) .
• Ngā whakamātautau matawai CT (Tomography Rorohiko - CT) .

He aha te rongoā mō tēnei?

Ka ngana tuatahi tō tākuta ki te whakahaere i tō mamae me ētahi atu tohumate, ā, ka hoatu he wā ki te whati pars , te pakaru rānei o te wheua, kia ora ai. I runga i te vertebra e pāngia ana me te kaha o te pakaru, me rongoā pea koe mō ētahi wiki ki ētahi marama. Ko ngā maimoatanga matua mō te spondylolysis ko:

• Okiokinga : Kaua e takaro i ngā hākinakina me ētahi atu mahi tinana uaua e whakararuraru ana i tō tuara mō tētahi wā. Mā tēnei ka whakaiti i te taumahatanga ki tō tuaiwi.
• Ngā Rongoā : Ka taea e ngā rongoā mamae ka taea te hoko kore utu ( NSAID ) (hei tauira, ibuprofen, naproxen) te āwhina ki te whakaiti i te mamae me te pupuhi. Heoi, kaua e tangohia ēnei rongoā mamae mō ngā rā neke atu i te 10 me te kore he tohutohu hauora.
• Corticosteroids : He rongoā kaha ēnei hei whakaiti i te mumura. Tērā pea ka hoatu e tō tākuta he pire hei kai mā te waha, ka hoatu rānei he werohanga tika ki te wāhi e mamae ana.
• Te whakaora tinanaHe tohunga hauora te kaiwhakaora tinana e āwhina ana i a koe ki te neke pai ake i tō tinana. Ka taea e rātou te āwhina i a koe ki te whakahaere i te mamae, te pakari, me ētahi atu tohu e uaua ai te neke. Ka taea e rātou te whakaako i a koe ki ngā mahi whakakori tinana hei whakapakari i ngā uaua huri noa i tō tuaiwi.
• Te Tautoko : Ka tūtohu pea tō tākuta kia mau koe i tētahi tautoko tuara hei pupuri i te pumau o tō tuaiwi kia ora rā anō te whati o te tuara .

Me pokanga te katoa?

Kāore e hiahiatia he pokanga mō te spondylolysis . He maha ngā tāngata ka ora ake mā te maimoatanga kore-pokanga. Tērā pea ētahi tāngata me pokanga hei whakau i ō rātou tuaiwi. I roto i te pokanga whakatika pars , ka taea e te taote pokanga te whakatika i te whati pars me te kore e hiahiatia te whakakotahi i ngā tuaiwi e rua ( te whakakotahitanga tuaiwi ). Mena me pokanga koe, ka whakamāramahia e tō tākuta, e tō taote pokanga rānei ki a koe, ka kī atu hoki kia pēhea te roa o te wā e ora ai.

Kia pēhea te roa ka ora ai tēnei?

E ono marama pea te roa o te ora o ngā whati Pars . Heoi, he tokomaha ngā tāngata e pāngia ana e te spondylolysis ka tīmata te pai ake i muri tata mai i te tīmatanga o te maimoatanga. Ahakoa ka pai ake ō tohu i te wā wawe, me whai tonu i tō mahere maimoatanga kia tae rā anō ki te wā e kīia ai e tō tākuta, e tō kaiwhakaora tinana rānei. He mea nui kia hoatu he wā ki tō tuaiwi kia ora katoa. Pātai atu ki tō tākuta āhea koe ka taea te tīmata anō ki te tākaro hākinakina, ki te hiki taumaha rānei.

Kāore e taea te ārai i tēnei?

He uaua te ārai i te spondylolysis , engari ka taea e koe te whakaiti i tō tupono ki te whati pars mā te whai i ēnei tohutohu haumaru whānui:

• Me mau tonu tō whitiki nohoanga i a koe e taraiwa ana , tae atu ki te whitiki pokohiwi.
• Kia mau ki ngā taputapu haumaru e tika ana mō ia mahi me ia hākinakina.
• Tirohia tō whare me tō wāhi mahi mō ngā taonga kāore e hiahiatia ana hei tūtaki i a koe, i tētahi atu rānei, ā, tangohia atu mēnā he mea kei roto.
• Ina kohia e koe tētahi mea kei te teitei o te whare , me whakamahi tonu i tētahi taputapu e tika ana mō taua mahi . Kaua rawa e piki ki runga i ngā tūru, i ngā tēpu, i ngā papa rānei.
• Whāia he mahere kai me te whakakori tinana hei āwhina i te pupuri i te hauora o te wheua.
• Mena kua neke atu i te 50 tau tō pakeke, mēnā rānei he mate wheua tō tētahi o tō whānau, kōrero ki tō tākuta mō tētahi whakamātautau kiato wheua.
• Mena he uaua ki te hikoi, he nui rānei te tūponotanga o te hinga, whakamahia he tokotoko, he taputapu hikoi rānei.

Ka aha mēnā kei ahau tēnei āhuatanga?

Koe (Spondylolysis)Mena kei te wātea, mā ngā maimoatanga kore-pokanga pēnei i te okiokinga, te rongoā, me te whakaora tinana ka āwhina i ō tohumate kia pai ake. Kāore pea ēnei maimoatanga e whakakore katoa i te whati , engari ka taea e rātou te āwhina i a koe ki te hoki wawe ki ō mahi o ia rā me te kore mamae.

Āhea ahau ka taea te tīmata anō ki te whakakorikori tinana me te tākaro hākinakina?

Kia mahara ki te kōrero ki tō tākuta i mua i tō hokinga atu ki ngā mahi tinana uaua. Ahakoa ka pai ake tō mamae me ētahi atu tohu, me whai wā ō tuaiwi ki te whakaora. Ka aroturukihia e tō tākuta tō ahunga whakamua me te maimoatanga. I te mea ka iti haere tō mamae, ka piki ake hoki tō ngāwari, ka taea e koe te hoki mārire ki ō mahi o ia rā. Ko te hunga e ora ana i te spondylolysis me whai maimoatanga mō ētahi wiki (ā, i ētahi wā he marama) i mua i te taea e rātou te hoki anō ki ngā mahi tinana uaua, pērā i te tākaro hākinakina, te hiki taumaha rānei.

Āhea ahau me toro atu ki te tākuta?

Ko te tere o tō haerenga ki te tākuta, ko te tere hoki o tā rātou tātaritanga me te rongoā i te mate (Spondylolysis) . Mena kei te mamae tō tuara o raro e roa ana i ngā rā torutoru, 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 ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Ki te pāngia koe e tētahi āhuatanga whakamataku, pērā i te hinganga, i tētahi aituā motuka rānei, haere ki te rūma whawhati tata. Waihoki, ki te kore e taea e koe te rongo i tētahi wāhanga o tō tinana, e kore rānei e taea te neke, haere tonu ki te hōhipera.

He aha te rerekētanga i waenga i te Spondylolysis me te Spondylolisthesis?

Ko te Spondylolysis me te Spondylolisthesis he mate e rua e pā ana ki tō tuaiwi.

• Ko te spondylolisthesis ko te paheke o tētahi tuaiwi i roto i tō tuaiwi ki runga i te tuaiwi i raro iho, pērā i te pereki i te rarangi i kōrerotia e au i mua ake nei e paheke whakamua ana.
• Ko te spondylolysis tētahi o ngā tino take o te spondylolisthesis . Ka puta he whati ( pars fracture ) i roto i te tuaiwi i te spondylolysis , ka ngoikore ai, ka paheke atu ai i tōna tūranga, ka puta ai te spondylolisthesis .

Ki te whakarapopoto, ko te tikanga o te (Spondylolysis) he whati. Ko te tikanga o te (Spondylolisthesis) he paheke o te tuaiwi nā taua whati. Kei te mārama koe?

He aha te rerekētanga i waenga i te Spondylolysis me te Spondylosis?

Ahakoa he rite te tangi o ngā ingoa (Spondylolysis) me (Spondylosis) , he rerekētanga kei waenganui i ngā mea e rua, ahakoa he mate e pā ana ki te tuaiwi. Ka taea e ngā mea e rua te whakaputa tohu pēnei i te mamae me te pakari.

• (Te Pūnaha Whakapūngao)Ko tōna tikanga he whara motuhake - arā, he whati i tētahi wāhanga o tō tuaiwi e kiia nei ko te pars interarticularis , arā, he pakaru.
• Ko te spondylosis he kupu whānui e whakamahia ana hei whakaahua i te pirau noa o te tuaiwi i a tātou e pakeke haere ana . He rite tēnei ki te pirau o ētahi atu hononga o ō tātou tinana i a tātou e pakeke haere ana.

Arā, ko te (Spondylolysis) he take (rupture) , ko te (Spondylosis) he mate noa (nā te pakeketanga) .

Ka ora ake tēnei mate (Spondylolysis) i a ia anō?

Ko ngā whati Pars e pā ana ki te spondylolysis ka ora i te nuinga o te wā. Heoi, he mea nui kia tātaritatia, kia rongoatia hoki e te tākuta . Mena he mamae tō tuara o raro e roa ana i te maha o ngā rā, he nui rānei te kino hei whakararuraru i ō mahi o ia rā, kia kite koe i te tākuta. Ka taea e rātou te taunaki i te maimoatanga tika hei āwhina i ō tuaiwi kia ora haumaru, kia tere hoki te ora.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Nō reira, ko te spondylolysis he āhuatanga e puta mai ana ina puta he kapiti iti i roto i ngā hononga o tō tātou tuaiwi. He maha ngā wā ka mamae te tuara o raro. Ko te rongo pai ko te nuinga o te hunga e pāngia ana e te spondylolysis ka taea te hoki ki ngā hākinakina me ngā mahi noa ina ora ō rātou tuaiwi, ā, kua kore te mamae.

Kaua rawa e warewarehia te mamae o te tuara o raro - ina koa ka roa atu i te torutoru ngā rā, ka tino kino rānei, ā, kāore e taea e koe te mahi i ō mahi o ia rā. He pai ake te toro atu ki te tākuta kia kitea ai te tino take o tō mamae, kia whiwhi ai hoki i te maimoatanga hei tiaki i tō tuaiwi, hei āwhina hoki i a ia kia ora.

Mena he pātai anō āu mō tēnei, kaua e wehi ki te pātai ki tō tākuta, ki tō nēhi rānei. Mā rātou koe e āwhina. Mamae tuara, spondylolysis, spondylolisthesis, pars interarticularis, tuaiwi, whara hākinakina, whakaora tinana