Kei te mamae tonu tō tuara, tō kaki rānei i ētahi wā, me te korekore, te mākūkū rānei o ō ringaringa me ō waewae? I ngā wā pēnei, tera pea ka whakaaro noa koe, "He aha te mea e pā ana ki ahau?" He maha ngā wā ka puta mai ēnei tohu i tētahi āhuatanga e kōrerohia ana e tātou i tēnei rā: he 'disc herniated' (Herniated Disk), e mōhiotia whānuitia ana ko te 'slipped disc' (Slipped Disk). Me titiro tātou he aha tēnei āhuatanga, he aha i puta ai, me pēhea te ārai, me te wā me rapu tohutohu hauora ngaio.
He aha te Kōpae Herniated?
Hei whakarāpopototanga, he mea hanga tō tuaiwi i tētahi raupapa o ngā wheua iti, takitahi e whakatakotoria ana tetahi ki runga i tetahi, e kiia nei e tātou he vertebrae '(vertebrae)'. I waenganui i ēnei tuaiwi, he urunga ngohengohe, he rapa e mahi ana hei ātete ru tūturu. Koinei te mea e kiia nei e tātou he kōpae '(disk)'. Pērā i ngā ātete ru o te waka e whakaiti ana i ngā pānga ohorere, ka ātetehia e ēnei kōpae tō tuaiwi ina piko koe, ina hiki, ina hikoi, ina oma rānei, hei tiaki i tō tuaiwi katoa.
Whakaarohia tō kōpae tuaiwi he rite ki te tōnati iti kua whakakiia ki te tiēre. He mowhiti o waho pakari, muka e tiaki ana i te pokapū ngohengohe, rite ki te tiēre. I roto i te wā, nā te pakaru me te haehae tūturu, te tū kino, te whara ohorere rānei, ka ngoikore, ka pakaru rānei tēnei anga o waho pakari. Ina tupu tēnei, ka pana te tiēre ngohengohe o roto ki waho. Koinei te mea e kiia nei e tātou he kōpae herniated `(Herniated Disc)`, he kōpae pupuhi `(Bulging Disc)`, he kōpae pakaru `(Ruptured Disc)` rānei.
Ina turuturu te tiēre o roto, ka pēhi pea ki te taurakira e tata ana, ki ngā io rānei o te taurakira e peka atu ana i reira. Ko te pēhitanga o te io te mea e puta ai te mamae, te ngoikore, te mānumanu, te ngoikore rānei o ō ringaringa, o ō waewae rānei.
Ahakoa ka puta he hernia i ngā wāhi katoa o tō tuaiwi, ko te nuinga o te wā ka puta ki te tuara o raro (e mōhiotia ana ko te `(tuārai hope)`) me te kaki (te `(tuārai hope)`). He iti ake te kitea i te tuara o runga me waenganui (tuārai hope)`.
He rongo pai tēnei: ka ora te nuinga o te tangata i te hernia o te kōpae mā te whakamahi i ngā maimoatanga āta, kāore he pokanga. Heoi, ki te roa atu i te torutoru wiki te roa o ō tohumate, he mea nui kia toro atu koe ki tētahi tohunga hauora.
He aha ngā tohu noa?
He rerekē ngā tohu o te kōpae herniated i runga i te wāhi kei reira te kōpae me te pēhi rānei ki te io.
Mena kei roto i tō tuara o raro (tuara tuara) te kōpae herniated
He maha ngā wā ka puta te sciatica `(sciatica)` i te kōpae herniated i te tuara o raro. He mamae koi tēnei e tīmata ana i tō papa, ka heke iho i te waewae kotahi, ā, i ētahi wā ka tae ki tō waewae. Ka rite ki te ru hiko, ki te werohanga koi rānei, rite ki te ngira. Ko ētahi atu tohu ko:
- Te mamae o te tuara o raro.
- Te ngenge, te mākūkū, te ngaro rānei o te rongo i ō waewae me/ngā waewae rānei.
- Te ngoikore o te uaua o te waewae e pāngia ana.
Mena kei roto i tō kaki (tuarā o te kaki) te kōpae herniated
Ina pakaru te kōpae i roto i tō kaki, ka pāngia pea koe e ngā tohu e whai ake nei:
- Te mamae o te kaki, inā koa ki te tuara me ngā taha o te kaki.
- Te ngenge, te mākūkū, te ngaro rānei o te kare ā-roto o ō ringaringa, o ō ringaringa rānei.
- Te mamae e tata ana ki ō pokohiwi, e waenganui rānei i ō pokohiwi.
- Te mamae e horapa ana ki tō pakihiwi, ki tō ringa, ā, i ētahi wā ki ō maihao.
- Te mamae nui ake i te wā e tahuri ana, e piko ana rānei tō kaki.
He aha te take e pakaru ai te kōpae?
E ai ki te kōrero i mua ake nei, he pakari te anga o waho o ō kōpae tuaiwi, ā, he ngohengohe te pokapū, he rite ki te tiēre. I roto i te wā, i te pēhanga ohorere rānei, ka ngoikore, ka haehae rānei tēnei anga o waho, ka taea ai e te pokapū ngohengohe te puta me te pēhi i ō io. He maha ngā āhuatanga e whai wāhi ana ki tēnei mate:
- Te koroheketanga tūturu:I a tātou e pakeke haere ana, ka memeha haere te wai o roto i ō tātou kōpae tuaiwi, ā, ka maroke, ka kore e ngāwari, ka ngawari hoki te haehae.
- Ngā Aituā, Ngā Whara Ohorere rānei: Mā te hinganga, te patunga ohorere, te hiki rānei i tētahi mea taumaha me te koretake ka nui rawa te taumahatanga ki tō tuara, ka pakaru ai te kōpae.
- Te Tū Kino me te Taumahatanga Auau: Mā te piko, te takahuri, te piko rānei i ngā wā katoa mō te wā roa ka pēhi i tō tuaiwi, ka ngoikore ai ō kōpae i te roanga o te wā.
- Ngā Tikanga Hiki Hē: He tokomaha te hunga e piko ana mai i ō rātou hope ki te hiki i ngā mea taumaha. Engari, me piko tonu ō turi, me te pupuri i tō tuara kia tika kia taea ai e ō waewae te hiki i ngā mea taumaha.
Ko wai te mea tino mōrearea ki te paheke o te kōpae?
Ka taea e ētahi kōwhiringa āhua noho me ngā āhuatanga koiora te whakanui ake i tō tupono ki te whakawhanake i te kōpae herniated:
- Ngā tāngata i waenga i te 30 ki te 50 tau te pakeke: Ko tēnei rōpū tau te hunga e tino pāngia ana e te hernia o ngā kōpae nā te ngoikore wawe o te kōpae me te noho pukumahi hoki.
- Ira Tangata: E tata ana ki te rua te nui ake o te tūponotanga o te tāne ki te pāngia e te hernia o te kōpae i ngā wāhine.
- Hītori Whānau : He pānga tō ngā ira; mēnā he hernia te kōpae o tētahi whanaunga tata, tera pea he mate ira kei a koe.
- Te momi hikareti : Ka whakawhāitihia e te nikotīni te rere o te toto ki ngā kōpae tuaiwi, ka tere ake te maroke me te pirau o ngā kōpae.
- Te Āhua Noho: Ko te noho roa ki raro, inā koa he tū tika i roto i ngā mahi tari, ka nui te taumahatanga ki tō tuara o raro.
- Te Momona Nui Rawa, te Piki Taumaha rānei: Mā te pikau i te taumaha tinana tāpiri ka nui ake te taumaha me te pēhanga ki ngā kōpae o tō tuara o raro.
- Mate huka ( Diabetes Mellitus): He nui ake te mōrearea o te hunga mate huka ki ngā raruraru tuaiwi nā ngā huringa o te pākia o te tinana.
- Ka taea e ētahi mate hononga kiko te "(Connective tissue disorder)" te whakaiti i te hanganga o ō kōpae.
Me pēhea te tautuhi a ngā tākuta i te kōpae herniated?
Ina toro atu koe ki tētahi tākuta, ka tīmata rātou mā te tango i tētahi hītori hauora taipitopito me te matapaki i ō tohumate. Muri iho, ka whakahaerehia e rātou he whakamātautau tinana hōhonu. Ko te tikanga, ka tirohia ō urupare, te kaha o te uaua, te whānuitanga o te nekehanga, me te pai o te rongo i ngā kare ā-roto pēnei i te pā māmā, i ngā wero rānei.
Tērā pea ka whakahaerehia e rātou he Whakamātautau Hiki Waewae Tūtika . I tēnei whakamātautau, ka takoto papatahi koe ki tō tuara, ā, ka hiki mārire tō waewae ki runga. Ki te rongo koe i te mamae e horapa ana ki raro i tō waewae i raro i te turi i tēnei nekehanga, he tohu kaha tēnei kei te pēhia he kōpae hernia ki te io.
Haunga te whakamātautau tairongo ā-pūnaha `(whakamātautau ā-pūnaha)`, ka tono pea tō tākuta i ngā whakamātautau whakaahua tātaritanga hei tautuhi i te raruraru. Kei roto i ēnei ko:
- Matawai Whakaahua Āhua Aukume `(Whakaahua Āhua Aukume – MRI)`.
- Ngā hihi-X `(ngā hihi-X)` hei whakakore i ētahi atu tino take o te mamae o te tuara, pērā i te whati wheua.
- Matawai Tomography Rorohiko `(Tomography Rorohiko – CT)`.
- Myelogram `(Myelogram)`.
- Te hiko-miokaramu `(Electromyokaramu – EMG)`.
- Te rangahau i te kawe io `(Te rangahau i te kawe io)`.
Kia maumahara, ehara i te mea e hiahiatia ana ēnei whakamātautau katoa e te katoa. Mā tō tākuta e whakatau ko tēhea te huarahi tātaritanga pai rawa atu māu i runga i ō tohu me ngā hua o te whakamātautau tinana.
Ngā Rongoā Kāinga Whai Hua mō te Whakahaere i te Mamae o te Kōpae Herniated
I te nuinga o te wā, ka memeha haere te mamae nui o te kōpae hernia i roto i te wā. I a koe e ora ana tō tinana, ka taea e koe te whakahaere i te mamae mā te whakamahi i ēnei mahi ngāwari i te kāinga:
- Whakarerekētia tō Mahi: Ki te tino kino te mamae, okioki mō te kotahi ki te toru rā. Heoi, kaua e roa te takoto i runga i te moenga. Ki te kore e mahi i tetahi mea mō te wā roa, ka whakapakeketia ō uaua, ā, ka kino ake te mamae ina ngana koe ki te neke.
- Whakamahia ngā rongoā mamae kāore i te tūtohutia: Ka taea e ngā rongoā kore-tohutohu pērā i te ibuprofen `(ibuprofen)` me te acetaminophen `(acetaminophen)` te āwhina ki te whakamamae i te mumura me te mamae. He mea whakaaro nui tonu te kōrero ki tō tākuta i mua i te tīmatanga o tētahi rongoā.
- Whakamahia he rongoā wera, he rongoā makariri rānei: Whakamahia he putea hukapapa hei whakangāwari i te mamae nui me te whakaiti i te mumura, whakamahia rānei he papa whakamahana hei whakangāwari i ngā uaua piri, ngāwari ki te mamae. Kōwhiria te tikanga e tino whakamarie ana i a koe.
Ngā Maimoatanga Hauora Ngaio
Mena kāore e ranea ngā rongoā kāinga ātaahua, ka taea e tō tākuta te taunaki i ētahi atu maimoatanga hauora motuhake:
- Ngā Rongoā Tohutohu: Ka tohua pea e tō tākuta he rongoā mamae kaha ake, he rongoā anti-inflammatory kore-steroidal '(anti-inflammatory)', he rongoā whakangāwari uaua rānei '(muscle relaxant)' hei whakamama i ngā mamae nui.
- Whakaora Tinana: Ka taea e te kaiwhakaora tinana ngaio '(kaiwhakaora tinana)' te hanga i tētahi kaupapa whakakori tinana whaiaro hei whakamama i ō io, hei whakapakari i tō uho, hei whakapai ake i te ngāwari, me te whakanui ake i te tohanga toto hei tere ake te whakaora.
- Werohanga Tuaiwi: E kiia ana ko ngā werohanga steroid epidural `(epidural)`, ko ngā aukati io rānei `(nerve block)`, ko te werohanga o tētahi rongoā corticosteroid `(steroid)` tika ki roto i te āputa huri noa i ō io tuaiwi hei pehi wawe i te mamae nui me te mumura.
Āhea te wā e tūtohutia ai te pokanga?
Ko te pono whakamarie ko te tata ki te iwa i roto i te tekau tāngata ka ora mai i te hernia o te kōpae me te kore e hiahiatia he pokanga. Heoi, ki te kore e taea e ngā huarahi tiaki te whakaora i muri i ētahi wiki, ā, ka tino whakararuraru te mamae i ō mahi o ia rā, ka whakaarohia pea te pokanga `(pokanga)`.
I ngā āhuatanga onge, ohorere hoki, ka taea e te kōpae hernia nui te pēhi i ngā io e whakahaere ana i tō pūkahukahu, i tō puku rānei. Mēnā ka ngaro tō pūkahukahu, tō puku rānei, he āhuatanga ohorere hauora tēnei e hiahia ana kia pokanga tonutia te tango i te pēhanga kia kore ai e pakaru tonu. Ki te kore, ko te pokanga whiriwhiri te huarahi whakamutunga hei whakamama i te pēhanga io tonu, he tukanga e mōhiotia ana ko te pokanga tango pēhanga tuaiwi `(pokanga tango pēhanga tuaiwi)`.
Ko te tikanga pokanga tino noa ko te tango i te kōpae iti (microdiskectomy) . He pokanga tuaiwi iti rawa te whakaekenga tēnei, arā, ka tapahia he iti e te taote pokanga, ka whakamahia he karu hiko hei tango i te wāhanga e pupū ake ana o te kōpae e pēhi ana i te io.
Ko ētahi atu kōwhiringa pokanga ko:
- Te tango i te kōpae `(Te tango i te kōpae)`
- Te Whakatōtōmi `(Te Whakatōtōmi)`
- Te Whakakorenga o te Ramine `(Te Whakakorenga o te Ramine)`
- Te Whakakapinga Kōpae Horihori `(Pokanga Kōpae Horihori)`
- Te Hononga Tuaiwi `(Te Hononga Tuaiwi)`
Me pēhea te ārai i te hernia o te kōpae?
Ahakoa kāore e taea te karo i ētahi take (pēnei i te āheinga ira, te koroheketanga tūturu rānei), ka taea e koe te whakaiti i tō mōrearea mā te mahi i ngā mahi matatau:
- Whakaharatauhia te Hiki Haumaru: Kaua rawa e piko mai i te hope ki te hiki i ngā mea. Engari, pikohia ō turi, kia tika tō tuaiwi, ā, whakamahia ngā uaua kaha o ō waewae hei hiki i te mea nui.
- Kia mau tonu te taumaha hauora:Ka tāpirihia e te taumaha nui rawa te taumaha hanganga ki tō tuara o raro, ka piki ake te pēhanga ki runga i ō kōpae.
- Kia mau ki te tū tika: Kia arotahi ki te pupuri i tō tuaiwi kia tika ahakoa kei te noho koe, kei te tū, kei te hikoi, kei te moe rānei.
- Whakangāwari ki te Totoro Tinana: Ki te mahi koe i runga i te tēpu, tū ake, nekeneke haere, ka totoro i tō tinana i te iti rawa i te kotahi i te haora.
- Āraia te mau rekereke teitei: Ka nekehia te pokapū o te taumahatanga e te mau rekereke teitei, ka kore pea e tika te tūnga o tō tuaiwi.
- Whakakorikori Tinana i Ngā Wā Katoa: Arotahi ki te whakapakari i ō uaua uho me tō tuara. He tino pai te tautoko a ngā uaua puku me te tuara kaha mō tō tuaiwi.
- Kati te Momi hikareti: Nā te mea ka whakawhāitihia e te momi hikareti te rere o te toto ki ō kōpae tuaiwi, ko te whakamutu i te momi hikareti tētahi o ngā mea pai rawa atu ka taea e koe te mahi hei tiaki i a rātou.
Kia pēhea te roa o te whakaora?
Mō te nuinga o te tangata, ka tino pai ake te mamae nui i roto i te marama kotahi mā te whakamahi i ngā tikanga tiaki kāinga, i ngā maimoatanga hauora taketake rānei. Ki te kore koe e kite i ngā whakapainga i roto i tēnei wā, whakapā atu ki tō tākuta. Tērā pea ka hiahia ētahi tāngata ki ngā maimoatanga matatau, ki ngā werohanga tuaiwi motuhake, ki ngā whiringa pokanga rānei kia ora katoa ai.
Ka kino rawa atu rānei te āhua mēnā kāore e rongoatia?
Ae, mā te kore aro ki ngā tohu, mā te haere tonu rānei i ngā tikanga i puta ai te whara (pērā i te hapai tika i te waewae) ka kino haere te āhua. Ka puta pea he mamae mau tonu `(mamae mau tonu)` , he kino rānei ki ngā io tuturu, ka ngaro ai te rongo me te mana whakahaere i te peka e pāngia ana. Ki te kore ō tohu e tīmata te pai ake i muri i te 4 ki te 6 wiki o te maimoatanga matawhānui, he mea nui kia rapu aromatawai hauora.
Āhea koe me rapu awhina hauora tonu?
Ahakoa ka taea e koe te whakahaere i te mamae ngawari i te kāinga, me toro atu ki te tākuta tonu mēnā ka pāngia koe e tētahi o ēnei e whai ake nei:
- He kino rawa te mamae, ā, kāore e taea e koe te mahi i ngā mahi o ia rā, te haere rānei ki te mahi.
- Kāore ō tohu e pai ake i muri i ngā wiki e 4 ki te 6.
- Kei te kino haere haere ō tohumate.
- Ka pāngia koe e te ngaronga ohorere o te mana whakahaere o te puku, o te pūhā rānei. (He āhuatanga ohorere hauora tēnei!)
- Ka pāngia koe e te ngoikore haere, te māuiui haere, te ngaro rānei o te kare ā-roto o ō ringaringa, o ō waewae, o ō ringaringa, o ō waewae rānei.
- He tino uaua ki a koe te tū, te hikoi rānei.
Ngā Pātai Hira hei Pātai atu ki tō Tākuta
Ina toro atu koe ki tō tākuta, kaua e mangere ki te pātai i ēnei pātai matua kia pai ake ai tō mārama ki tō mahere tiaki:
- Kia pēhea te roa me whakarerekē taku mahi, taku okioki rānei?
- He mahi whakakori tinana, he mahi ā-tinana rānei me karo e au?
- Ko ēhea ngā rongoā whakamamae mamae e tino haumaru ana, e tino whai hua ana hoki mō tōku āhua?
- Me whakamahi ahau i te rongoā hukapapa, i te rongoā wera rānei mō te mamae?
- (Mēnā kei te kōrerohia te pokanga) He aha ngā mōrearea me ngā painga o aku kōwhiringa pokanga?
Tā Mātou Karere hei Tango ki te Kāinga māu
He mea tino noa te manukanuka me te mataku ki te neke i te wā e pāngia ana koe e te herniated disc. Heoi, kaua e noho noa ki tō moenga. Mā te kore mahi roa ka whakapakeke i ō uaua, ka whakanui hoki i tō mamae ina ngana koe ki te whakatika. Engari, me mahi i ngā totoro māmā me ngā nekehanga ngawari e ai ki ngā tohutohu a tō kaiwhakarato hauora. Mō te nuinga o te tangata, mā te whakakotahi i ngā rongoā whakamamae ka taea te hoko mai i waho o te tākuta me te mahi ngawari ka tino whakamarie i roto i ētahi wiki. Heoi anō, kaua rawa e warewarehia te mamae nui, te ngoikore tonu, te huringa rānei o te mana o te whekau/pūkahukahu. Rapua tonu te awhina hauora mēnā ka puta ēnei tohu whakatūpato. He mea nui kia tiakina tō hauora tuaiwi!
