Ehara i te mamae tuara anake! Me ako tātou mō te āhuatanga ohorere e kiia nei ko te Cauda Equina Syndrome (CES)?

A, mehemea ka pāngia koe e te mamae nui o te tuara, te ngoikore o ō waewae, me te kore e taea te whakahaere i tētahi kare ā-roto? Tērā pea ka whakaaro koe, 'Ehara tēnei i te mamae tuara noa iho,' tika? I tēnei rā kei te kōrero tātou mō tētahi mate kino e hiahia ana kia arohia tonutia, engari kāore he tangata e kōrero nui ana mōna, ko te Cauda Equina Syndrome (CES) te ingoa. Ahakoa he mate tino onge tēnei, he mea nui kia mōhio koe ki tēnei mate nā te mea ki te puta, ka hiahiatia he pokanga ohorere, nō reira he mea nui kia mōhio koe ki tēnei mate.

He aha te Cauda Equina Syndrome (CES)?

Hei mārama ki tēnei, me titiro tuatahi tātou ki tō tātou tuaiwi. Kei raro rawa o tō tātou tuaiwi, he paihere io e toro atu ana i te taurakira. He rite tōna āhua ki te hiku o te hōiho, nō reira i huaina ai ko te 'Cauda Equina', ko te tikanga Latina mō te "hiku o te hōiho." Ka tukuna, ka whiwhi hoki ēnei io i ngā kare ā-roto ki ō tātou waewae, waewae, me ngā whekau hope.

Ko te Cauda Equina Syndrome (CES) he āhuatanga e pēhia kinotia ai te paihere io, he rite te āhua ki te "hiku o te hōiho", mō tētahi take. Ka pā kino tēnei pēhanga ki ngā io.

He aha tēnei e tupu nei? He aha ngā take o te CES?

Ko tēnei āhuatanga te mea tino kitea i roto i ngā pakeke, engari ka taea hoki te pā ki ngā tamariki he whānautanga hapa o te tuaiwi, ki ngā tamariki rānei kua whara kino ki ō rātou tuaiwi. Ko ngā tino take ko:

• Te pakaru nui o te kōpae i te tuara o raro: Koinei te take tino noa.
• Te whakatōtōtanga o te tuaiwi .
• He pukupuku, he mate pukupuku rānei e puta ana i te tuaiwi.
• He mate urutā, he pupuhi, he toto, he whati rānei i te tuaiwi.
• Hei raruraru o te whara tuaiwi i puta mai i tētahi aituā kino, pērā i te aituā motuka, te hinganga, te patunga pū rānei.
• Ko ētahi āhuatanga e kitea ana i te whānautanga, pērā i te hononga rerekē i waenga i ngā uaua toto ( Arteriovenous Malformation ).
• He raruraru i muri i te pokanga tuara.
• Hei raruraru o te rongoā whakamoe tuaiwi (he tino onge tēnei).

Kia mataara! Koinei ngā tohu whakatūpato o te CES

He uaua te tautuhi i te CES i ētahi wā. He rerekē ngā tohu i ia tangata, i ia tangata, ā, he maha ngā huarahi e puta ai. He rite tonu ngā tohu ki ētahi atu mate, nō reira ka ngāwari te mārama he aha te take. Mena kei a koe tētahi, ētahi rānei o ngā tohu e whai ake nei, tirohia tonutia he tākuta. Ki te taea, haere tika ki te Tari Urupare (ETU) o te hōhipera.

Te rerekētanga i waenga i te CES Katoa me te CES Kāore i Oti

E rua ngā momo o tēnei mate e wehea ana e ngā tākuta, i runga i te nui o tōna pānga ki tō whakahaere mimi me tō puku.

• CES Kāore i Oti: I tēnei wā, ka hiahia koe ki te mimi, engari he uaua. Kāore pea e taea e koe te whakawātea katoa i tō pūkahukahu. Engari kei a koe tonu te mana whakahaere. Ki te pokanga wawe koe i tēnei wā, he nui ake te tūponotanga ka ora katoa koe.
• CES Katoa: I tēnei wā, ka ngaro katoa te mana whakahaere mimi me te paru. Kāore he whakaaro e hiahia ana kia mimi (kia mau tonu). Ahakoa te pokanga i muri i te taenga ki tēnei wāhanga, tera pea he uaua ki te whakatika i te kino o ngā io.

Koia te mea nui kia rapu tohutohu hauora i te tīmatanga o ngā tohu, mō te roanga atu o tō oranga.

Me pēhea te tautuhi i te mate?

Ina tūtaki koe ki tētahi tākuta, ka mahia e ia ēnei mea.

1. Hītori hauora: Ka pātai mō ō tohumate, te tīmatanga, me ētahi atu raruraru hauora.

2. Whakamātautau tinana: Ka whakamātauria ō waewae mō te kaha, te kare ā-roto, me ngā urupare ā-tinana.

3. Matawai MRI: Koinei te huarahi pai ki te tautuhi i te CES. Ka whakamahia he papa aukume hei hanga i ngā whakaahua mārama e toru-ahu (3D) o tō tuaiwi me ō io. Ka taea e tēnei te whakaatu tika i te wāhi e pēhia ana ngā io.

4. Ētahi atu whakamātautau: Mena kāore e wātea he MRI, ka taea hoki te mahi i te Myelogram (he matawai X-ray, CT rānei e werohia ai he wai motuhake ki roto i te taurakira) me ngā whakamātautau rānei e ine ana i te mahi a te io pēnei i te EMG/NCS .

He aha ngā maimoatanga?

Ko te rongoā angitu anake mō te CES ko te pokanga ohorere hei tuku i te io kua pēhia. Ka kiia tēnei pokanga he Lumbar Laminectomy .

Haunga te pokanga, tera pea e hiahiatia ana ētahi atu maimoatanga, i runga i te take:

• Corticosteroids: Ka hoatu ngā rongoā steroid nui hei whakaiti i te pupuhi huri noa i ngā io.
• Paturopi: Mena he mate pāwera te take, ka hoatu he paturopi.
• Te irahiko, te rongoā matepukupuku rānei: Mena he pukupuku matepukupuku te pūtake, tera pea ka hiahiatia ēnei maimoatanga i muri i te pokanga.

Te noho tahi me te CES me te whakaoranga

Ahakoa i muri i te pokanga, ka mau tonu pea te mamae i runga i te kino o ngā io. Koinei te āhua o te CES. Ki te tupu tēnā, ko te mea nui ko te ako ki te noho tahi me ngā huringa. He maha ngā tohunga me ngā tikanga hei āwhina i a koe.

• Kaiwhakaora Tinana: Ka āwhina i te whakapakari anō i ngā waewae me te ako ki te hikoi.
• Kaiwhakaora Mahi: Ka ako i a koe ki ngā tikanga me ngā taputapu e hiahiatia ana hei mahi i ngā mahi o ia rā me te kore e mahi takitahi.
• Kaitohutohu Pupuri Mimi: Ka tohutohu i ngā otinga mō ngā raruraru whakahaere mimi me te puku (hei tauira, te whakamahi i te katitere, ngā papa motuhake).
• Kaitohutohu: Āwhina ki te whakahaere i te ahotea me te pouri e puta ake ana i te wā e pāngia ana e tētahi āhuatanga ohorere, āhuatanga nui rānei pēnei.

He mea tino nui hoki te tautoko a tō whānau i tēnei haerenga. Waihoki, he puna nui te kaha mā te whakauru atu ki tētahi rōpū tautoko me ētahi atu e pāngia ana e tēnei āhuatanga.