Kei te pāngia koe e te māuiui, te mamae rānei i ētahi wāhi o tō tinana? Me kōrero tātou mō ngā kiri kiri!

Kua whakaaro koe he aha koe i ētahi wā ka pāngia ai e te māuiui, te mamae rānei i te wāhanga kotahi o tō tinana? Kāore rānei koe e rongo i tetahi mea i ētahi wāhi? Tērā pea ko te take o ēnei mea he hononga ki ngā kiri o tō tinana. Āe, me kōrero tātou mō tēnei mea me te ngāwari me te ngākau māhaki.

He aha ngā dermatomes?

Ki te whakarāpopototanga, he wāhi kiri motuhake te dermatome o tō tinana. E hono tika ana tēnei wāhi ki tētahi io tuaiwi motuhake i roto i tō tuaiwi. Whakaarohia ko tēnei io tuaiwi te ara whakawhitiwhiti kōrero matua e kawe ana i ngā kōrero mai i taua dermatome ki tō roro, ā, mai i tō roro ki taua wāhi anō hoki.

He rite ki te ara e rua ngā ara. Ka tukuna e tō roro ngā tohu ki ngā kiriuhi, koinei te wāhi ka taea e koe te whakahaere i ō uaua. Ā, ka tukuna ngā tohu e ngā io i roto i ngā kiriuhi ki te roro, koinei te wāhi ka rongo koe i ngā mea pēnei i te pā, te wera, te makariri, me te mamae. Heoi, i roto i ētahi āhuatanga hauora, ka taea tēnei hononga te herea ki tetahi taha, ka motumotu rawa rānei.

He aha te hiranga o ngā kiriuhi kiri ki a koe me tō tākuta?

Ko ngā kiri he momo kiko e hoatu ana ki ngā tākuta he tohu whai hua i te wā e ngana ana ki te tātaritanga, ki te rongoā rānei i ētahi mate. Hei mārama ki tēnei, whakaarohia tō taurakira he huarahi tere. Ko tēnei huarahi nui te wāhi e haere ana te nui o ngā tohu io ki waenganui i tō tinana me tō roro.

He rite ō io tuaiwi ki ngā arawhata e piki ana, e heke ana i tēnei huarahi nui. Koinei te wāhi e puta mai ai, e puta atu ai ngā tohu io. Nō reira, ki te kore e taea e koe te whakahaere i ō uaua i tētahi wāhanga o tō tinana, ki te kore rānei e taea e koe te rongo i te wera, te pā, te mamae rānei, ko te tikanga he hapa kei te io tuaiwi. Me te mea kua āraia ngā arawhata e piki ana, e heke ana, ā, kāore he tohu e puta mai ana, e puta atu ana rānei.

He tohu nui ngā kiriuhi hei āwhina i ngā tākuta ki te whakatau mēnā he raruraru kei ngā wheua o tō tuaiwi, o tō taurakira, o ngā io tuaiwi, o ngā peka io rānei e hono ana ki a rātou. I runga i te kiriuhi, ngā kiriuhi rānei e pāngia ana, ka taea e ngā tākuta te whakakore i ētahi āhuatanga me te tātaritanga i te mea tika hei āwhina i a koe i te wā e taea ai.

Kei hea ngā dermatomes?

Ko ngā kiriuhi he wāhi o tō kiri e whakapūpūngia ana e ngā io e hono ana ki tō taurakira. Ko te tikanga, kua kapi katoa tō tinana i ngā kiriuhi, engari ko tō mata. He rerekē ngā io o tō mata, nā te mea kāore e haere mā roto i tō taurakira.

Nā te hononga anō hoki o ngā io o tō tuara, he rite tonu te hononga o ētahi wāhi, arā, he rite tonu te hononga o ētahi wāhi ki ētahi atu kiri i waenganui i tētahi kiri me tōna kiri tata.Nō reira, ka haere te kare ā-roto e pā ana ki tētahi kiriuhi kiri mā roto i ētahi io tuaiwi i te wā kotahi.

Hei mārama ki te āhua o ngā dermatomes, me mōhio tuatahi koe ki te hanganga o te tuaiwi. He paihere wheua iti (vertebrae) tō tuaiwi e hono ana tetahi ki tetahi. Ka puta ō io tuaiwi, e wehea ana ki te taha matau me te taha maui, mā roto i ngā āputa i waenganui i ēnei tuaiwi.

E rima ngā wāhanga matua o tō tuaiwi:

• Tuarā o te kaki: Kei roto i tō kaki tēnei. E whitu ngā tuaiwi me ngā takirua io tuarā e waru.
• Tuarā uma: Koinei te wāhi e hangaia ai tō tuara o runga me waenganui. Tekau mā rua ngā tuaiwi me ngā takirua io tuaiwi tekau mā rua.
• Tuarā tuara: Kei roto i tō tuara o raro tēnei. E rima ngā tuaiwi me ngā takirua io tuaiwi e rima.
• Tuarā sacral: Koinei te wāhanga o tō tuaiwi e hono ana ki tō wheua hope. E rima ngā tuaiwi i konei (ka honoa ngātahi ēnei i a koe e pakeke haere ana), ā, e rima ngā takirua io tuaiwi.
• Tuarā tuarā: Koinei te wāhi e hangaia ai tō wheua hiku (coccyx). E whā ōna tuaiwi - ka honoa ngātahi ēnei i te pakeketanga - me te takirua io tuarā kotahi.

Ka whakamahia he huinga reta-tau hei whakahua i ngā io tuaiwi e ngā tākuta. Hei tauira, ko te tuawaru o ngā io tuaiwi o te kaki e whakarāpopototia ana ko 'C8'. Ka taea hoki e ēnei huinga reta-tau te tohu i ngā wāhi kei reira ngā kiri kiri.

Ngā kiri e pā ana ki te tuaiwi kaki

Ka hono ngā io o tō tuaiwi kaki ki ngā kiri o tō mahunga, kaki, pakihiwi, ringa, me ō maihao.

• C1: Ko te nuinga o te iwi kāore he io tuaiwi `C1`, arā, kāore he dermatome `C1` i a rātou. Mō te hunga kei roto, kei waenganui o te tuara o te upoko.
• C2 ki C3: Te wāhanga o runga o te kaki, he wāhi iti o te kauae i raro i ngā taringa, me te tuarā o te upoko.
• C3 ki C4: Kaki o raro, uma o runga, me te tuara o runga.
• C4 ki C5: Pakihiwi me te ringa o runga.
• C5 ki C6: Te taha o te koromatua o te ringa me te ringaringa whānui, me te koromatua tonu.
• C6 ki C7: Te taha koromatua o te ringaringa me te maihao tohu, te maihao waenga.
• C6 ki C8: Te taha o te maihao iti o te ringaringa me te ringaringa, tae atu ki te maihao mowhiti me te maihao iti.

Ngā kiri e pā ana ki te tuaiwi uma

Ko te nuinga o ngā kiri o te uma kei roto i tō tinana, arā, tō uma, tō puku, me tō tuara. Haunga ngā kiri `T1` (kei roto katoa i ō ringaringa) me te `T2` (kei roto i ō ringaringa me tō tinana), ko ētahi atu kiri thoracic kei roto i tētahi porowhita huri noa i tō tinana.

• T1 ki T2: Te taha o te maihao iti o te rae me te ringa, te uma me te tuara i runga ake i ngā kēkē.
• T2 ki T3: Te taha o te maihao iti o te ringa o runga, me te uma me te tuara o runga, i runga ake i ngā kēkē me ngā pakihiwi.
• T3 ki T4: Uma me te tuara kei te taumata o te kēkē me waenganui o te pakihiwi.
• T4 ki T5: Ko te taha o raro o ngā uaua uma me te taha o raro o ngā mata o te pakihiwi.
• T6 ki T7: Kei te taumata o te taha raro o te sternum/uma.
• T7 ki T8: Kei te taumata o ngā taha o te wāhanga raro rawa o te whare rara.
• T8 ki te T9: Te wāhanga o runga o te puku, tae atu ki ngā wāhanga o runga o ngā uaua o te puku.
• T9 ki T10: Kei runga ake, kei te taumata o te pito, kei te wāhanga o runga, o waenganui hoki o te tuara.
• T10 ki T11: Kei te taumata o te whare rara, kei raro iho i a ia, ā, kei waenganui tonu o te tuara o waenganui.
• T11 ki T12: Ko te wāhanga o raro rawa o te puku, i runga ake i te taumata o ngā wheua hope (pelvis), me te wāhanga o raro o te tuara waenga.

Ngā kiri e pā ana ki te tuaiwi lumbar

Ka hono ngā kiri o tō tuaiwi hope ki ngā wāhi o ō hope, ō waewae, me ō waewae.

• L1 ki L2: Te tihi o ngā hope, te wāhi tūpāpaku, te iti o tō tuara, me ngā ira tangata (`(ure)`, `(testicles)`, `(vagina)`).
• L2 ki L3: Ngā uaua o te huha o runga me te hope, me te wāhanga waenga o te tuara o raro.
• L3 ki L4: Ngā uaua o mua me waho o te huha (quadriceps), te potae turi, te taha o waho o te waewae i runga ake i te turi, me te tuara waenga ki raro.
• L4 ki L5: Te taupoki turi me te taha mua o te turi, ngā taha o roto o ngā uaua o te kuao kau me te mata waenga-mua o te waewae, tae atu ki te māhunga nui me ngā māhunga tuarua me te tuatoru.

Ngā kiri e pā ana ki ngā tuaiwi sacral me coccygeal

Ko ngā kiri o ō tuaiwi triceps ko ngā wāhi o tō papa me te tuara o ō waewae. Kotahi anake te io tuaiwi o ngā tuaiwi triceps, nō reira kotahi anake te kiri e hono ana ki a rātou.

• S1 ki S2: Te tihi o te papa (tae atu ki te ngatata o te hope), te tuara waenga me waho o te huha me ngā uaua o te kuao kau, te tuara o te pona waewae, me te tuawhā me te tuarima o ngā māikuku.
• S2 ki S3: He wāhi poutū e rere ana i waenganui o te papa, ka toro atu ki raro mā te wāhanga o roto o te tuara o te huha, tae atu ki te wāhanga o runga o ngā uaua o muri.
• S3 me raro iho:Ka honoa ngā io tuaiwi katoa mai i te S3 ki raro (tae atu ki tō io tuaiwi sacral) ki ō ira tangata, ki te nono, me te kiri i waenganui i ngā mea e rua (te perineum).

He aha ngā āhuatanga noa e pā ana ki ngā kiriuhi kiri?

Ahakoa he wāhi kiri ngā kiri mate, ko ngā āhuatanga e pā ana ki a rātou ka puta mai i ngā raruraru hohonu ake i roto i tō tinana. Ka pā ēnei raruraru ki ngā kiri mate nā te mea ka pā ki ngā io tuaiwi motuhake, ki te taura tuaiwi rānei i taua wāhi. I tēnei take, ahakoa he iti noa te wāhi o te kino, ka horapa ngā pānga puta noa i ngā kiri mate e pāngia ana.

Ko ētahi o ngā āhuatanga ka pā mai ai tēnei momo kino, pānga rānei:

• Ngā Whara: Ka pāngia pea tētahi, ētahi rānei o ngā pakiaka io tuaiwi, tētahi, ētahi rānei o ngā kiriuhi kiri, e te whara o tō taurakira. Ko ngā tino take o ēnei whara ko ngā aituā motuka, ngā whara werohanga pērā i ngā patunga wero, ngā patunga pū rānei, me ngā whati tuaiwi i te hinganga. Ka taea hoki tēnei e ngā whara i te whānautanga, i ngā wiki tuatahi rānei o te oranga (hei tauira , te pararutiki roro ).
• Ngā pukupuku tuaiwi, tae atu ki te mate pukupuku: He mate pukupuku tēnei e tupu ana i runga, i te taha rānei o te taurakira, he mate pukupuku rānei e tīmata ana i tētahi atu wāhi o te tinana ka horapa ki te tuaiwi.
• Ngā pūkahukahu, ngā poka wai rānei: Ina puta ēnei i te taha o te taurakira, ka kiia te mate ko te syringomyelia .
• Ngā Mate Pukupuku: Ka taea e ēnei te whakaeke tika i te taurakira me ngā pakiaka io, ka taea rānei te whakapūpū i te mumura me te pupuhi. Nā te mea kāore he wāhi nui mō te pupuhi i te taha o tō taurakira, ka taea e taua pupuhi te pēhi nui rawa atu i ngā io taurakira, i te taurakira tonu rānei.
• Ischemia: Pērā i ngā kiko katoa o te tinana, me toto tō taurakira me ō io tuaiwi. Ka motuhia pea te rere o te toto e te aukati o te oko toto, e te pakaru rānei o te oko toto.
• Ngā āhuatanga whānau: Ko ēnei ngā āhuatanga ka whānau mai koe. Ka pāngia e ētahi āhuatanga whānau te hanganga o tō tuaiwi, tō taurakira, ngā io tuaiwi rānei. Hei tauira, ko ngā āhuatanga pēnei i te myelomeningocele , te spina bifida rānei.

He aha ngā āhuatanga noa o ngā mate e pā ana ki ngā kiriuhi kiri?

Ko ngā mate e pā ana ki ngā kiri kiri ka puta mai i ngā raruraru i roto i ō io, i tō taurakira rānei. Ka taea e ēnei raruraru te whakaputa i ngā tohu maha . Ka taea te wehewehe i ēnei tohu ki ngā wāhanga matua e toru:

• Ngā tohu ā-tinana (e pā ana ki te nekehanga)
• Ngā tohu pānga (e pā ana ki te pā)
• Ngā tohu ā-tinana (e pā ana ki ngā tukanga ā-tinana)

Ngā tohu motuka

• Te ngoikore o te uaua, te pararutiki rānei.
• Ngā nekehanga uaua kāore i te whakahaeretia ( te kore mahi a te uaua, te mahi rānei kāore i te whakahaeretia).
• Te memeha haere o te uaua ( te ngenge me te mimiti o te uaua nā te kore e whakamahia).

Ngā tohu pānga

• Te ngenge (te mākūkū).
• Te ngoikore.
• Mamae.

Ngā tohu ā-motuhake

Ko ngā tukanga ā-tinana he mahi ā-tinana e puta tonu ana, ahakoa e whakaarohia ana e koe, kāore rānei. He mea nui ēnei mahi nā te mea ka āwhina i te pupuri me te whakahaere i tō tinana. Mena ka whakararuraru te kino i ngā mahi ā-tinana e haere ana ki te kiri, ka pāngia pea koe e ngā tohu e tohu ana kāore e taea e tō tinana te whakahaere aunoa i ngā tukanga i taua wāhi. Hei tauira:

• Te werawera nui (Hyperhidrosis) te kore rānei o te werawera (Anhidrosis).
• He raruraru ki te whakahaere i ngā uaua o tō pūkahukahu, arā, kāore e taea te whakahaere i tō mimi (te kore e taea te whakahaere i te mimi) te kore rānei e taea te whakahaere i te tūtae (te kore e taea te whakahaere i te mimi).
• Te ngoikore o te moepuku.

He aha ngā whakamātautau ka taea te whakamahi hei tirotiro i ngā raruraru e pā ana ki ngā kiriuhi kiri?

He maha ngā whakamātautau ka taea te whakamahi hei tātaritanga, hei tātaritanga rānei i ngā raruraru o ō io tuaiwi me ō rātou kiri kiri e pā ana. Ko ngā whakamātautau tino noa ko ngā whakamātautau whakaahua me ngā whakamātautau kawe io. Ko ētahi o ēnei ko:

• Ngā matawai CT (Ngā matawai tomography rorohiko (CT)).
• Ngā matawai MRI (ngā matawai whakaahua aukume (MRI)).
• Matawai Cisternogram.
• Ngā whakamātautau Electromyogram (EMG).

He aha ngā maimoatanga mō ngā mate kiriuhi?

Ko te maimoatanga mō ngā āhuatanga e pā ana ki ngā io tuaiwi me ō rātou kiri e pā ana , ka whakawhirinaki ki te āhuatanga taketake me ngā āhuatanga o taua wā. Nā te mea he rerekē ngā kōwhiringa maimoatanga, ko te tākuta te tangata pai rawa atu hei kī atu ki a koe he aha ngā maimoatanga e wātea ana ki a koe me ēhea ngā mea pai rawa atu. Nō reira, he mea nui kia rapu tohutohu hauora mēnā he āwangawanga āu.

He aha ngā mea ka taea e koe te mahi hei ārai i ngā raruraru e pā ana ki ngā kiriuhi kiri?

He rite ngā kiri ki ngā tohu o te mahi a tō taurakira me ō io tuaiwi. Nō reira, hei tiaki i a rātou, me tiaki tuatahi koe i tō tuaiwi. Kia maumahara ki ēnei mea e pā ana ki te hauora o tō taurakira me ō io tuaiwi:

• Whakamahia ngā taputapu haumaru, pērā i ngā whitiki nohoanga, e ai ki te taunakitanga. Ko ngā aituā motuka te tino take o ngā whara tuaiwi. Ka taea e ngā whitiki nohoanga me ētahi atu taputapu haumaru te āwhina ki te ārai i ngā whara kino.
• Hiki haumaru. Mā te hiki i ō waewae, kaua i tō tuara, ka āwhina i te ārai i ngā whara o tō tuaiwi me ngā io tuaiwi (pērā i te kōpae herniated) . Mena he hītori ō raruraru tuara, inā koa mēnā he mahi e hiahia ana koe ki te hiki, mēnā rānei ka hiki koe i ngā taumaha hei whakakorikori tinana, me mau pea koe i tētahi whitiki tautoko tuara.
• Kia tino tupato i te whakamahi i ngā pū. He tino take noa te pupuhi o ngā pū ki te whara o te taurakira. Me tino tupato koe i te whakamahi i ngā pū ahakoa te take. Ahakoa e tino mohio ana koe kāore i te utaina, me whakaaro me te mea kei te utaina. Waihoki, me penapena ngā pū me te kore utaina, me te raka o te pū, me te kore e taea e ngā tamariki te toro atu. He mea whakaaro nui hoki te pupuri i ngā matā ki tētahi wāhi motuhake, kua raka, kua raka.
• Me mahi i ngā mahi hei ārai i ngā hinganga. He mea nui ngā taputapu haumaru, inā koa ngā whitiki haumaru, ina mahi i te teitei. Me mahi hoki i ngā mahi hei ārai i ngā hinganga i te kāinga, inā koa i runga i ngā arawhata me ngā wharepaku. Hei tauira, ko te tāuta i ngā ringaringa, te whakamahi i ngā hu me ngā papa kore-paheke, me te tango i ngā tūponotanga hinga mai i ngā arawhata.
• Whakatairangahia te hauora o te wheua. Ko ngā āhuatanga e pā ana ki te ngaronga o te wheua, pērā i te osteoporosis me te osteopenia, ka arahi pea ki te whati o te tuaiwi. Ka taea e ēnei whati te whakararu nui i te taurakira me ngā io o te tuaiwi.
• He mea nui te tū tika. Mā te tū kino, ahakoa e noho ana, e tū ana rānei, ka nui rawa te taumahatanga ki tō tuara. Ka pēhia pea tō taurakira me ō io tuaiwi. Hei tauira, he io kua kopikopiko .

Ko te mea tino nui hei maumahara māu i roto i tēnei tuhinga

He rite ngā kiri ki tētahi mapi o tō tuaiwi me ngā io maha e hono ana ki a ia, e kōrero ana mō te hauora me te mahi a tō tinana. Ki te tini o te tangata, he whakaahuatanga noa iho ngā kiri mō te mahi a te tinana, ā, kāore rātou e whakaaro ana ki tēnā i tētahi atu huarahi. Heoi, he huarahi matua ngā kiri mō ngā tākuta ki te tātaritanga i ngā raruraru hauora, inā koa ko ērā e pā ana ki te tuaiwi, te taurakira, me ngā io tuaiwi. Mā te mahi i ngā mahi hei tiaki me te pupuri i te hauora o tō tuaiwi ka āwhina i a koe ki te karo i ngā āhuatanga ka pā ki ngā kiri mō tō tinana. Nō reira, kia mahara ki te tiaki i tō tinana me te rapu tohutohu hauora mēnā ka rongo koe i tētahi mea rerekē.

`Ngā kiri, ngā io tuaiwi, te kare o te kiri, ngā io tuaiwi, ngā mate io, te mamae, te māuiui