He maha ngā wā ka mamae tō tuara? Tērā pea ka rongo koe i te ngau kino i ō waewae. Engari whakaarohia, me tēnei mamae tuara, ka raru pea koe ki te mimi , ki te tūtae rānei, kāore rānei e taea e koe te whakahaere i aua mamae? Ehara tēnei i te mea e taea te wareware noa. He mate hauora tino kino tēnei, he mate ohorere e hiahia ana ki te pokanga ohorere. Koinei te mea e kōrerohia ana i tēnei rā.
He aha te mate Cauda Equina?
He kupu ngāwari noa iho, he tino onge tēnei mate engari he tino kino. Kei raro i tō tātou tuaiwi, i te taurakira rānei, he paihere pakiaka io. He rite te āhua o tēnei paihere io ki te hiku hōiho, nō reira i huaina ai ko "Cauda Equina" i te reo Latina. Ka tukuna, ka whiwhi karere hoki ēnei io ki ngā whekau o roto i ō tātou waewae, waewae, me ngā whekau hope.
Ka puta te mate Cauda Equina (CES) ina pēhia tēnei paihere io mō tētahi take. E kiia ana tēnei he āhuatanga ohorere pokanga . Ki te whakaroa te maimoatanga, kāore pea e taea te whakaora i te kino o ngā io. Ko te tikanga o tēnei ka pararutiki tonu ngā waewae e rua , ā, tera pea ka ngaro tonu te mana whakahaere o te pūkahukahu me te puku.
Ka puta ohorere pea tēnei āhuatanga (whakapeka) ka puta rānei i roto i te wā (mau tonu). Heoi, he mea nui kia toro atu ki te tākuta i te wā tonu ka puta mai ngā tohu.
He aha ngā take o te mate Cauda Equina?
Ahakoa he mea noa tēnei mate i roto i ngā pakeke, ka pā anō hoki ki ngā tamariki whānau mai he hapa, kua whara kino rānei ō rātou tuaiwi. Ko ngā tino take ko:
- Ko te kōpae herniated i te tuara o raro, e pēhi ana i te io, te tino take.
- Te whakatōtōtanga o te tuaiwi .
- He pukupuku, he mate pukupuku rānei i roto i te tuaiwi.
- Ngā mate urutā, te pupuhi, te toto, ngā whati rānei o te tuaiwi.
- Te whara o te tuaiwi i puta mai i tētahi aituā kino (hei tauira, te aituā motuka, te hinganga mai i te teitei, te patunga pū).
- Ngā hapa whānau, hei tauira, te arteriovenous malformation (AVM).
- He raruraru i muri i te pokanga tuara.
- He raruraru o te rongoā whakamoe tuaiwi.
Ngā Tohu Whero o tēnei Mate
He uaua pea te kite i ēnei tohu, he rite tonu ki ērā o ētahi atu mate. Engari, ki te mea kei a koe tētahi, ētahi rānei o ngā "Tohu Whero" i raro nei, haere ki te Tari Whawhati Tata o te hōhipera (ETU) me te toro atu rānei ki te tākuta tonu.
Kaua e noho ki te kāinga me te whakaaro he mamae tuara noa iho tēnei. He mea nui te wā ki konei.
| Tohu | Whakaahuatanga me te whakamārama |
|---|---|
| Te Whakamamae Nohoanga | Koinei te tohu matua, te tohu tino morearea hoki . Whakaarohia i a koe e eke hōiho ana, ko ngā wāhanga o tō tinana e pēhia ana ki te nohoanga hōiho ka iti ake, ka kore rānei e mārō rawa ō papa, ō huha o roto, me te rohe huri noa i ō ira tangata. Me te mea kua whakamoea aua wāhi. |
| Ngā raruraru ki te whakahaere mimi me te puku | Tērā pea ka pā mai te hiahia ki te mimi, ki te tūtae rānei, ā, kāore e taea te mutu (incontinence). Tērā pea ka pā mai te hiahia ki te mimi, ki te tūtae rānei ahakoa kei te ngana koe ki te mimi, ki te tūtae rānei (containing). Tērā pea ka ngaro te hiahia ki te mimi. |
| Te mamae nui o te tuara me te mamae o te waewae | He momo mamae te sciatica e rite ana ki te ru hiko e heke iho ana i te waewae, he kino atu i te mamae tuara noa. Ka pā pea tēnei mamae ki ngā waewae e rua. |
| Te ngoikore, te ngoikore rānei o ngā waewae | Tērā pea ka rongo koe i te āhua ngoikore o ō waewae, o tētahi rānei o aua waewae. Tērā pea ka uaua ki a koe te ara ake i te tūru, ka tūtuki rānei koe i a koe e hikoi ana. Tērā pea ka rongo koe i te werawera o ō waewae me ō waewae, i te ngau kino rānei (paresthesia) e rite ana ki te hikoi a ngā pōpokorua. |
| Ngā raruraru mahi ā-ira tangata | Te korenga o te āheinga moepuku, te ngaronga rānei o te kare ā-ira tangata. |
Me pēhea te kitenga a te tākuta i tēnei?
Ina haere koe ki te hōhipera, ka whakarongo pai te tākuta ki ō tohumate. Kātahi ka tirotirohia e ia tō tinana, inā koa te kaha, ngā urupare, me ngā kare ā-roto o ō waewae.
Engari hei whakaū i tēnei mate, me whai i tētahi matawai MRI . Ka taea e te MRI te tiki whakaahua toru-ahu (3D) o te tuaiwi me ngā io. Mā tēnei ka taea te tautuhi i te wāhi tika o te pēhanga io. Mēnā kāore e wātea ana te MRI, ka taea hoki te mahi i tētahi matawai X-ray, CT rānei e kiia nei ko te myelogram .
Me pēhea te rongoā? Me tere koe?
Mena ka kitea tēnei mate, ko te maimoatanga he mahi pokanga tonu hei tuku i te io kua kopikopiko. Ka kiia tēnei pokanga he laminectomy lumbar .
Kia maumahara, ko te pokanga i roto i ngā haora 48 i muri i te tīmatanga o ngā tohu ka homai te tūponotanga pai rawa atu ki te ārai i te kino tuturu me te ora ake.
Haunga te pokanga, ka taea te hoatu i ētahi atu maimoatanga i runga i te take:
- Ngā rongoā steroids nui-hohenga (corticosteroids) hei whakaiti i te pupuhi.
- Ngā rongoā paturopi mēnā he mate pāwera te take.
- Mena he pukupuku matepukupuku te pūtake, ka taea te hoatu i te rongoā irahiko, i te rongoā chemotherapy rānei i muri i te pokanga.
Ahakoa i muri i te pokanga, i runga i te nui o te kino o te io, kāore pea e tino ora. Heoi, tera pea ka roa ngā tau ka hoki anō ngā mahi pēnei i te whakahaere i te pūkahukahu me te puku ki te āhua noa.
Te noho tahi me CES - He aha ngā mea me mōhio koe?
Mena he kino tuturu kei muri i te pokanga, me ako koe ki te noho tahi me ngā huringa. He mea tino nui te tautoko tinana me te tautoko kare ā-roto māu i tēnei haerenga.
Whakamōhiotia tēnei e tō whānau, ā, me tono āwhina mai i a rātou. Ka taea hoki e koe te rapu āwhina mai i ngā tohunga ngaio, pērā i:
- Kaiwhakaora Tinana
- Kaiwhakaora Mahi
- Kaiwhakaora Ira Tangata
- Kaitohutohu, Kaimātai Hinengaro rānei
Mena he raruraru tōu ki te whakahaere i tō mimi, i tō tūtae rānei, ka taea e ēnei mea te āwhina:
- Whakawāteahia tō pūkahukahu mā te whakamahi i tētahi catheter e toru ki te whā ngā wā i te rā.
- Inumia he nui te wai, kia noho ma hoki hei ārai i ngā mate pukupuku o te ara mimi.
- Mena e tika ana, whakamahia ngā suppositories glycerin , ngā enemas rānei hei āwhina i te haere o te tūtae.
- Mauria ngā papa tiaki.
Kōrerotia whānuitia ki tō tākuta mō ēnei mea katoa. Māna koe e hoatu ki te tohutohu e hiahiatia ana e koe.
Karere Tangohia ki te Kāinga
- Ehara te Cauda Equina Syndrome (CES) i te mamae tuara noa iho, he āhuatanga ohorere hauora hoki .
- Ki te pāngia koe e ngā tohu pēnei i te ngoikore o te papa me ngā ira tangata (te rongoā whakangote nohoanga), te korenga o te mana whakahaere mimi/paru, te korenga rānei o te kaha o te waewae, haere tonu ki te hōhipera .
- Ko te maimoatanga matua ko te pokanga ohorere i roto i ngā hāora 48. Mēnā ka roa te whakaroa, ka nui ake te tūponotanga ka pāngia tuturu.
- Ahakoa i muri i te pokanga, ka roa pea te wā e ora ai. He mea nui te tohutohu hauora me te tautoko a te whānau.
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