He raruraru noa te mamae o te tuara i roto i tō tātou whenua. I ētahi wā, ina okioki koe, ina kore koe e piko, e mahi i tetahi mea, ka memeha. Engari i ētahi wā, ka kore e taea te manawanui te mamae, ā, me toro atu tātou ki te tākuta. Nō reira, ina haere koe ki te tākuta, ka puta he pātai nui i roto i tō hinengaro, 'Āe, ka kīia mai kia tangohia he hihi-X ināianei? Me mahi rānei he MRI?' He maha ngā tāngata e mataku ana ki ēnei whakamātautau. I roto i tēnei tuhinga, ka kōrerohia e tātou ngā momo whakamātautau e mahia ana e te tākuta hei kimi i te take o tō mamae o te tuara, me te mea e hiahiatia ana ēnei whakamātautau e te katoa.
Ko te mea tuatahi ka pātaihia e te tākuta ki a koe (tō hītori hauora)
Ina haere koe ki te tākuta, ko te mea tuatahi e mahia ana e ia ehara i te whakahau rongoā māu, i te whakahau whakamātautau rānei. Ka kōrero tuatahi ia ki a koe, ka pātai atu i ētahi pātai, ā, ka ngana ki te rapu i ngā mōhiotanga katoa e taea ana. Tērā pea kei te whakaaro koe, "He aha koe i pātai mai ai ki ahau mō taku maremare, kirika, me te mamae o te puku i ahau e mamae ana te upoko?" Engari he mea tino nui ēnei pātai katoa hei kimi i te take o tō mamae tuara.
Whakaarohia, e Tākuta, ka pātaihia pea koe i ēnei mea:
- I pēhea te tīmatanga o te mamae? I puta ohorere mai rānei te ahua kua "pakaru" tō tuara i te wā i hiki ai koe i tētahi mea taumaha? I kino haere rānei te mamae i ia rā, i ia rā?
- He aha te mea e kino ake ai te mamae? He aha te mamae ina piko whakamua, ina noho, ina tū, ina moe rānei i te pō? Mā te mahi i tētahi mea ka kino ake te mamae?
- Kua pā mai tēnei mamae i mua?
- Kua pāngia koe e ētahi atu mate i ēnei rā tata nei? Hei tauira, te mare, te kirika, te uaua ki te mimi, te mamae o te puku , me ētahi atu. I ētahi wā, ka puta te mamae o te tuara i te mate i ētahi atu wāhanga o te tinana.
- Mena he wahine koe, tera pea ka rongo koe i te toto rerekē, te mamae, te rerenga mai rānei i te tara. Nā te mea ka taea e ētahi mate pelvis te whakararu i te tuara.
Hei whakarāpopototanga, mā ēnei whakautu ka āwhina i te tākuta kia mārama ake ai ki tō āhua. Nō reira , he mea tino nui kia kōrerotia te pono me te kore e huna i tetahi mea.
Muri iho, ko te whakamātautau tinana.
Whai muri i te pātai atu ki a koe, ka tirotirohia koe e te tākuta. Ka kiia tēnei he whakamātautau tinana . Ko te mea nui i konei ko te tirotiro mēnā he kino, he pēhanga rānei ki ngā io e rere ana i tō tuara ki ō waewae.
- Whakamātautau hikoi: Ka tonoa koe kia hikoi i runga i ō rekereke mō tētahi tawhiti poto, kātahi ka hikoi i runga i ō māikuku. Mā tēnei ka taea e koe te whakaaro ki te kaha o ō uaua me te mahi a ō io.
- Whakamātautau aro: Ka pā te tākuta ki te tuara o tō turi me tō pona waewae ki te hama rapa. Mena kei te mahi tika ngā io, ka oho aunoa tō waewae i tēnei wā.
- Whakamātautau hiki waewae: Ka tonoa koe kia takoto ki runga i te moenga, ka hiki ake i tētahi waewae kia tika. Tērā pea ka tonoa koe kia mahi i tēnei me te āwhina a te tākuta, kāore rānei. Ko te nuinga o tēnei ka tirotiro i te pēhanga ki te io sciatic , he io nui e rere ana mai i te tuara ki raro i te waewae.
- Whakamātautau kare ā-roto: Ka whakamahia he mea iti, pērā i te pine, i te topenga pepa rānei, hei pā atu ki ngā wāhi rerekē o ō waewae, ka pātai atu, "Kei te kare ā-roto koe?" Ka āwhina tēnei ki te whakatau mēnā he kino kei ngā io e kawe ana i ngā kare ā-roto ki ō waewae.
- Ētahi atu whakamātautau: Mena kei te whakapae tō tākuta he mate kino, ka tirotirohia pea e rātou tō puku, tō hope, tō tōku rānei. Ko te ngaronga o te mana whakahaere o te pūkahukahu me te puku, inā koa kua pakaru ngā io i te tuaiwi o raro, te take pea. Tērā pea ka hiahiatia ēnei whakamātautau hei whakakore i tētahi mate kino ake.
Me whai hihi-X, MRI rānei te katoa? - Ngā whakamātautau whakaahua
Koinei te mea e tino whakaarohia ana e te nuinga o te tangata. Me whai hihi-X, MRI rānei koe ina whara tō tuara?
Ko te whakautu, kāore . Kāore e hiahiatia ana tēnei momo whakamātautau motuhake e te katoa ina tīmata te mamae o te tuara. Inaa, tata ki te 90% o te hunga e mamae ana te tuara ka ora ake i roto i te marama kotahi. Nō reira, ki te kore he tohu whakatūpato motuhake (ngā haki whero), kāore he painga o te mahi i ēnei momo whakamātautau i roto i ngā wiki tuatahi e 4-6.
Āe, kia titiro tātou he aha ēnei whakamātautau, me ngā āhuatanga e whakamahia ai.
| Ingoa o te whakamātautau | I roto i ēhea āhuatanga ka whakamahia? | Ngā mea nui hei mōhio |
|---|---|---|
| X-ray noa | Kāore tēnei e tino whai hua i ngā wāhanga tōmua o te mamae tuara noa. Heoi, ki te mea kua pāngia koe e te whara, neke atu i te 50 tau te pakeke, kei a koe tētahi mate angiangi wheua pērā i te osteoporosis, kua roa rānei koe e tango ana i ngā steroids, tera pea e hiahiatia he hihi-X. | Ko ngā wheua anake e whakaatuhia ana e ngā hihi-X. Kāore e whakaatuhia ngā kiko ngohengohe, pērā i ngā kōpae i waenganui i ngā tuaiwi, i ngā io rānei. |
| Matawai MRI | He whakamātautau tino matatau tēnei, he whakamātautau utu nui hoki. Kāore i te tūtohutia mō te mamae tuara whānui. Heoi, ka mahia mēnā he whakapae kei te pāngia koe e tētahi mate kino e hiahiatia ana he pokanga (hei tauira, he mate tuaiwi, he mate pukupuku, he whati wheua, he āhuatanga ohorere rānei pērā i te Cauda Equina Syndrome). He maha ngā wā ka whakaarohia hei kimi i te take mēnā kua roa te mamae mō te neke atu i te 12 wiki. | He raruraru anō hoki kei roto i ngā matawai MRI. Ahakoa i roto i te hunga hauora kāore he mamae tuara, ka taea e ngā matawai MRI te whakaatu i ngā kōpae pupuhi i waenganui i ngā tuaiwi. Mā te kitenga i tētahi mea pēnei ka whakaaro pea koe koinei te take o te mamae, ā, ka tahuri koe ki te rongoā koretake. Nō reira, he mea tino nui kia whakaaturia te pūrongo MRI ki tō tākuta, kia rapu tohutohu ai koe, kaua e ngana ki te whakamārama i a koe anō. |
| Te karapa myelogram me te karapa CT | He whakamātautau tēnei e whakamahia ana i ngā wā tino motuhake anake, i te nuinga o te wā i te wā e whakamahere ana i te pokanga. Ko te werohanga he tae motuhake ki roto i te tuaiwi me te mahi i te matawai CT. | Nā te taenga mai o te MRI, kua tino heke te whakamahinga o tēnei whakamātautau. |
He aha ngā "Haki Whero"?
Ka karangahia e ngā tākuta he "haki whero" hei tohu whakatūpato e tohu ana i tētahi mate hauora nui. Mēnā kei a koe ēnei tohu, ka tukuna tonutia koe e tō tākuta mō ngā whakamātautau whakaahua.
- He hinganga, he aituā kino rānei.
- Te whakahekenga taumaha me te kirika kāore i te mārama.
- Te kore e taea te whakahaere i te mimi, i te tūtae rānei (He āhuatanga tino kino tēnei. Me haere tonu koe ki te Tari Ohorere o te hōhipera (ETU).
- Ka piki haere te ngaronga o te kare ā-roto, te ngoikore rānei o ngā waewae.
- He hītori o mua mō te mate pukupuku.
Ngā Whakamātautau Io
I ētahi wā, mēnā ka roa te mamae, ka mahia tētahi atu whakamātautau hei kimi i te nui o te kino kua pā ki te io.
Ko tōna ingoa he Electromyogram (EMG) . I roto i tēnei whakamātautau, ka whakauruhia ngā irahiko iti rite ki te ngira ki roto i ngā uaua, ā, ka aroturukitia te mahi hiko i runga i te mata rorohiko. Tērā pea he mamae paku tēnei whakamātautau. Engari ka āwhina i te tākuta ki te whakatau mēnā kua pakaru te io, mēnā rānei kei roto i ngā uaua te raruraru, ā, ka taea hoki te āwhina i te ine i te nui o te kino o te io.
Karere Tangohia ki te Kāinga
- He tino noa te mamae o te tuara, ā, i te nuinga o te wā, ka memeha i roto i ētahi wiki mā te okioki tika me te rongoā māmā noa iho.
- Ehara i te mea me tirotirohia he hihi-X, he hihi-MRI rānei i ngā wā katoa e mamae ana tō tuara. Ki te kore e tika te whakamahi i ēnei, ka moumou moni pea, ā, ka pā mai he ahotea koretake.
- Ko te mea tuatahi ka mahia e tō tākuta ko te whakarongo ki a koe me te tirotiro i a koe. Koinei te taahiraa tino nui o te tautuhi mate.
- Whakawhirinaki ki ngā tohutohu a tō tākuta. Mēnā e hiahiatia ana he whakamātautau, ka tino tukuna koe e ia mō taua whakamātautau.
- Mena kei te puta he tohu "tohu whero" pēnei i te ngaronga o te mana whakahaere mimi/paru, te ngaronga ohorere o te kaha o ō waewae, haere tonu ki te Tari Ohotata o te hōhipera (ETU).
- Kaua e whakaaro kei a koe te mate kotahi mā te titiro noa ki te pūrongo MRI a tō hoa, a tō whanaunga rānei. He rerekē te āhua o ia tangata, o ia tangata. Me kōrero tonu ki tō tākuta ngā hua o tō whakamātautau.
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