I ētahi wā ka pāngia koe e te mamae ohorere, e kore e taea te whakamanawanui i tō tuara, i ō waewae rānei? He rite ki te ru hiko, he mura rānei te kiri? I ētahi wā ka tino kino tēnei mamae, ā, kāore e taea e koe te noho ki te wāhi kotahi, te moe pai rānei. He tokomaha te hunga e whakaaro ana he mamae tuara noa iho tēnei momo mamae. Engari i ētahi wā ko te take o tēnei he mate uaua ake kāore anō kia rongohia e te tokomaha. I tēnei rā, ka kōrero tātou mō tētahi mate onge engari he mate morearea. Ko te Arachnoiditis tēnā.
He aha te Arachnoiditis?
He tino mamae te arachnoiditis nā te mumura o te kiriuhi tiaki e karapoti ana i ngā io o tō tātou tuaiwi. Ahakoa he ahua uaua te ingoa, kia māmā noa iho.
Whakaarohia ko tō tātou roro me tō tātou tuaiwi he okana tino nui, he okana tairongo hoki. Nō reira, hei tiaki i a rātou mai i te kino, kua homai e te taiao ki a tātou ētahi paparanga tiaki e toru. Ka kiia tēnei pūnaha hipoki ko ngā meninges .
1. Dura mater: Koinei te uhi o waho, he kaha ake, he matotoru ake.
2. Arachnoid mater: Kei waenganui tēnei. He kiriuhi tino angiangi, he rite ki te tukutuku pungawerewere. I ahu mai te ingoa arachnoiditis i te ingoa o tēnei kiriuhi.
3. Pia mater: Koinei te uhi angiangi e piri ana ki te taha o roto o te roro me te taurakira.
Ka puta te arachnoiditis ina pakaru te kiriuhi arachnoid i waenganui o te tuaiwi, ā, ka tīmata te pupuhi. Ko te nuinga o te wā ka pā tēnei pupuhi ki ngā io o te tuara o raro (tuara lumbar) me te tuara o waenganui (tuara thoracic). Kāore i te maha ngā wā ka pāngia te tuaiwi katoa e tēnei mate.
He rite tēnei ki ngā paparanga e toru o te takai i tētahi taonga utu nui. Kua pā tētahi mea ki te paparanga waenga o te takai, ā, kua tīmata te pēhi ki ngā waea (ngā io) o roto.
He aha te mea ka tupu i roto i te tinana ina puta te arachnoiditis?
Ina pupuhi te kiriuhi arachnoid, ka tīmata he mekameka o ngā mahi. He tukanga uaua e tīmata ana i te mea kotahi, kātahi ka puta ake he raruraru anō.
- Kikokiko mātā: Ina pupuhi, ina pakaru rānei tetahi wāhi, ka ngana te tinana ki te whakaora. I roto i tēnei tukanga, pērā i te hanga o te mātā ina whara tō tātou kiri, ka tīmata te hanga o te kiko mātā huri noa i tēnei kiri ngohengohe.
- Te pēhanga io: Ka pēhia, ka rarau ngā pakiaka io e tēnei kiko whara. Ina pēhia ngā io e tika ana kia watea ki te neke, ka ngoikore tā rātou mahi.
- Te aukati i te wai roro: Ka mānu ngā io i roto i tō tātou taurakira i roto i tētahi wai motuhake e kiia nei ko te wai roro. Koinei te mea e whāngai ana, e tiaki ana hoki i ngā io. Ina whaiti te wāhi nā te whara i puta mai i te arachnoiditis, ka aukatia te rere o tēnei wai.
- Te hekenga o te rere o te toto: I te pēhanga o ngā io, me te matotoru o ngā kiko e karapoti ana, ka heke te rere o te toto ki ngā io. Ka taea e tēnei te kino i ngā io, ā, ka ngoikore haere (te ngoikore o ngā io).
Ko te mutunga iho o tēnei katoa he mamae mau tonu e kore e taea te manawanui me ngā raruraru e pā ana ki te io.
He aha te Adhesive Arachnoiditis?
I te haere whakamua o te arachnoiditis, ka kino haere. Ko te kiko koha i kōrerotia e tātou i mua ake nei me ngā io e piri tahi ana ka kino haere. Ko te ingoa o tēnei ko te Adhesive Arachnoiditis . Ko te tikanga o te "Adhesive" he "piripiri".
I tēnei āhua, ka mau ngā io, ā, kāore e taea te mahi tika. Ka arahi pea tēnei ki te hauātanga nui mō ētahi tāngata. Tērā ētahi wā ka pararutiki ngā waewae, ā, kāore e taea e te tangata te hikoi me te whakamahi i te tūru wīra . Kāore tēnei e pā ki te katoa. Heoi, he mea nui kia mōhio ki te tūponotanga o tēnei mea.
He aha ngā tohu o te arachnoiditis?
Kāore e rite ngā tohu o tēnei mate ki te katoa. He rerekē i runga i te wāhanga o te taurakira e pāngia ana. He tino ngawari ngā tohu mō ētahi, ā, he tino kino mō ētahi atu. Engari ko te tohu tino kitea, ko te tohu matua ko te mamae.
I te mea he maha ngā pānga ki ngā io o te tuara o raro me ngā waewae, ko taua wāhi te nuinga o te wā ka kitea ai ngā tohu.
| Tohu | He whakamārama māmā |
|---|---|
| Mamae nui, mamae e pupuhi ana | He mamae koi, pērā i te pāngia e te ru hiko, te wero rānei ki te maripi, ka tīmata i te tuara ka heke ki ngā waewae. |
| Mumura me te ngoikore | Tērā pea ka rongo koe i te wera i ō waewae, ka ngoikore rānei ō waewae. |
| Ngā kare ā-roto rerekē | E rite ana ki ngā pōpokorua e oma ana i ō waewae (whakapūtanga) me te mea he pata wai e taka ana. Nā te mea kei te tukuna e ngā io he tohu hē ki te roro, ahakoa kāore he mea e tupu ana. |
| Te ngoikore o ngā waewae | Ka rongo koe i te ngoikore o ō waewae, te uaua ki te hikoi, me te uaua ki te piki arawhata. |
| Te uaua ki te noho i te wāhi kotahi | Ka piki ake te mamae i muri i te noho mō ētahi meneti i ia wā, ā, kāore e taea te noho mō ngā wā roa. |
| Te wiri me te oho o ngā uaua | Ngā mamae o ngā uaua o ngā waewae, te wiri o ngā uaua kāore e taea te whakahaere. |
| Ngā raruraru mimi me te whēkau | Tērā pea ka puta ngā āhuatanga pēnei i te ngaronga o te mana whakahaere o te tōngāmimi (tōngāmimi neurogenic) me te kōroke. |
| Te moepuku | Tērā pea ka pāngia ngā tāne e ngā raruraru o te ure (te ngoikore o te ure) ā, ka pāngia pea ngā wāhine e te maroke o te tara. |
Ka kino haere pea ēnei tohu i roto i te wā, ā, i ētahi wā ka pumau tonu. Nā tēnei mamae mau tonu, kāore e taea e te tini o te tangata te mahi tonu i te āhua noa.
He aha i puta ai tēnei mate Arachnoiditis? He aha ngā take?
He uaua te kimi i te tino pūtake o tēnei mate. Nā te mea he mate onge, ā, he maha ngā take pea, i ētahi wā ka puta noa ngā tohu i muri i te wā roa kua pahure mai i te wā i tīmata ai te mate.
Heoi anō, he maha ngā take matua kua kitea mā roto i ngā rangahau.
| Take | Whakaahuatanga |
|---|---|
| Pokanga tuaiwi | Tata ki te 90% o ngā take o te arachnoiditis ka puta mai i tētahi raruraru o te pokanga tuaiwi. Heoi, ehara tēnei i te kī ka pāngia te hunga katoa e pokangahia ana te tuaiwi e tēnei raruraru. He raruraru tino onge tēnei. Ahakoa he iti noa te toto i te wā o te pokanga, ka pupuhi pea tēnei kiriuhi. |
| Ngā whara o te taurakira | Ka puta pea tēnei āhuatanga nā te whara kino tonu ki te tuaiwi, pērā i te aituā motuka, i te hinganga rānei. |
| Ngā matū | Kua kitea he tae i whakamahia i roto i te whakamātautau myelogram tawhito (kāore e whakamahia ana i ēnei rā) hei take, ā, kei te āwangawangahia anō hoki ko ngā matū tiaki i roto i ētahi werohanga steroid epidural pea hei take. |
| Ngā mate urutā | Ka pā mai pea tēnei āhuatanga i ngā mate kitakita, i ngā mate huaketo rānei, inā koa ngā mate e pā ana ki te taurakira, pērā i te meningitis me te kohi. |
| Te pēhanga io mō te wā roa | Tērā pea ka puta tēnei i te pēhanga roa o ngā io nā te mate kōpae pirau, te whaiti rānei o te awa tuaiwi (spinal stenosis). |
Hei tāpiritanga, ko ētahi atu āhuatanga hauora pēnei i te Ankylosing spondylitis me te Guillain-Barré syndrome ka kore e tino pāngia e te Arachnoiditis.
Me pēhea te tautuhi i tēnei mate?
He uaua te tautuhi i te mate arachnoiditis nā te mea he mate onge, ā, kāore i te katoa ngā tākuta e whai wheako nui ana ki tēnei mate. Kāore he whakamātautau kotahi hei whakaū i tēnei mate.
Ki te whakapae te tākuta he mate tēnei, ka whakarongo pai rātou ki ō tohumate, ka tirotiro i a koe, ā, ka tuku i a koe mō ēnei whakamātautau.
- Matawai MRI (Atahanga Āhua-Mate): Ka taea e tēnei te whakaputa whakaahua tino mārama o te tuaiwi, ngā io, me ngā kiko e karapoti ana. Ka taea e te MRI te tirotiro mō ngā mea pēnei i te matotoru, te piri rānei i roto i ngā pakiaka io.
- CT Myelogram: Ko te werohanga o tētahi tae motuhake ki roto i te taurakira, me te whakahaere i tētahi matawai CT. Mā tēnei ka mārama ake te āhua o ngā io me te wāhi e karapoti ana i a rātou.
- Te Wero i te Lumbar: Ko te werohanga o te ngira ki roto i te tuaiwi me te tango tauira o te wai cerebrospinal hei whakamātautau. He mea nui tēnei whakamātautau hei whakatau mena he mate te take o te mate.
- Whakamātautau EMG (Electromyogram): Ka whakamahia tēnei hei ine i te kaha o te kino o te io. Ka whakamahia ngā tohu hiko hei tirotiro i te mahi a ngā io.
Ka puta te whakatau whakamutunga a te tākuta i muri i te whakaaro ki ngā mōhiohio i puta mai i ēnei whakamātautau me ō tohumate.
He aha ngā maimoatanga mō te arachnoiditis?
Engari, kāore he rongoā mō te arachnoiditis. He mate mau tonu, he mate mō te wā katoa. Nō reira, ko ngā whāinga matua o te maimoatanga he whakahaere i te mamae, te whakahaere i ngā tohu, me te whakapai ake i te kounga o te oranga.
He nui ake te whai huatanga o te huinga o ētahi maimoatanga i te maimoatanga kotahi.
- Te whakahaere mamae: Koinei te mea tino nui. Ka tohua pea e tō tākuta he rongoā mai i ngā rongoā anti-inflammatory kore-steroidal (NSAID) ki ngā rongoā kaha ake pēnei i ngā opioid mō te mamae nui. Hei tāpiri, kei reira ētahi rongoā kua hangaia mō te mamae io. Hei tauira, ko ngā rongoā pēnei i te duloxetine, gabapentin, me te pregabalin . Mena he mamae uaua tōu, ka hoatu pea he rongoā pēnei i te baclofen .
- Whakaora tinana: He mea tino nui ngā mahi whakakori tinana i raro i te arataki a tētahi kaiwhakaora tinana mātau. He tino whai hua te whakaora wai , arā, ngā mahi whakakori tinana e mahia ana i roto i te wai. Nā te mea ka iti ake te taumaha o te tinana i roto i te wai, ka taea e koe te whakakori tinana me te kore e pēhi i tō tuara me ō hononga. Ka taea hoki e te mirimiri mārie me te totoro te āwhina ki te whakaiti i te mamae.
- Te Whakaoho i te Taura Tuaiwi:Ko te tikanga o tēnei ko te pokanga ki te whakauru i tētahi taputapu iti ki roto i te tinana, me te tuku i ngā tohu hiko ngawari ki te taurakira, e ārai ana i ngā tohu mamae kia kore ai e tae ki te roro. Ahakoa kāore tēnei e pai mō te katoa, he huarahi pai tēnei hei whakahaere i te mamae mō ētahi tāngata.
- Hinengaro Whakaora: Mā te noho roa me te mamae mau tonu ka piki ake te mōrearea o te pouri, te manukanuka, me te pouri. Nō reira, mā te kōrero ki tētahi tohunga hinengaro (whakaora kōrero) ka āwhina i a koe ki te ako me pēhea te noho me tēnei mamae hinengaro.
Ko te mea nui ko te kōrero ki tō tākuta, me te whakatakoto i te mahere maimoatanga pai rawa atu māu. Mēnā kāore tētahi rongoā e whai hua, he kōwhiringa kē atu anō kei reira. Nō reira kaua e mutu te tumanako.
Me pēhea te noho me te arachnoiditis?
Ehara i te mea ngāwari te noho tahi me tēnei mate, engari mā te hanga i ngā huringa iti ki tō āhua noho me te tiaki i a koe anō, ka taea e koe te aro atu ki tēnei wero.
- Kaua e kai paipa: Ka whakararu te kai paipa i te rere o te toto i roto i te tinana, ka kino ake pea ngā io.
- Kia mōhio ki ō rohe: Kaua e ngana ki te mahi i ngā mea maha i te rā kotahi. Whakamaheretia ō mahi. Whakaritea he wā mō te okiokinga me te wā mōu ake.
- Kai Hauora: He pai te kai i ngā kai whai kiko mō te hauora whānui.
- Whakakorikori tinana kia rite ki te taea: Tērā pea he uaua ki te whakakorikori tinana nā te mamae. Engari pātai atu ki tō tākuta, ki tō kaiwhakaora tinana rānei, me te mahi i ngā whakakorikori tinana māmā ka taea e koe te mahi.
- Moe pai i te pō: Ka taea e te mamae te whakararuraru i te moe, engari he nui te āwhina o te moe pai i a koe ki te whakatau i te mamae.
- Whakahaerehia te ahotea: Whakamātauria te whakaiti i te ahotea mā te whakaaroaro, te aromatherapy, me te aroātahi.
- Hono atu ki tētahi rōpū tautoko: Mā te whakauru atu ki tētahi rōpū tautoko me te hunga e pāngia ana e te mamae mau tonu pērā i a koe ka āwhina i a koe kia whakaaro kāore koe i te mokemoke. Ka taea hoki e koe te ako mai i ngā wheako o ētahi atu.
- Whakaitihia te waipiro: Ka nui ake ngā raruraru moe me te mamae ka pā mai i te waipiro.
He wero tinana, he wero hinengaro hoki te noho me te mamae mau tonu. Nō reira kaua e wehi ki te tū atu mōu ake, me te tono āwhina e hiahiatia ana e koe. He pai ake te kimi i tētahi tākuta e mōhio ana ki te arachnoiditis, me te mahi tahi me ia.
Karere Tangohia ki te Kāinga
- He mate onge te arachnoiditis e puta ai te mamae nui mau tonu nā te mumura o te kiriuhi e tiaki ana i ngā io i roto i te taurakira.
- He maha ngā wā ka puta mai tēnei i tētahi raruraru o te pokanga tuaiwi, engari ka taea hoki e ētahi atu āhuatanga, pērā i ngā aituā me ngā mate pāwera.
- Ko ngā tohu matua ko te mamae rite ki te ru hiko, te mumura, te ngoikore o ngā waewae, me ngā raruraru mimi.
- Ahakoa kāore e taea te whakaora katoa i tēnei mate, ka taea te whakahaere angitu i te mamae me ngā tohu mā te rongoā, te whakaora tinana, me ētahi atu maimoatanga.
- He mea tino nui kia mahi tahi koe me tō tākuta, kia whai i tētahi mahere maimoatanga e tika ana māu, me te pupuri i tētahi momo noho hauora.

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