Kei te mōhio koe ki tēnei kino ki te taurakira o te kaki? (Central Cord Syndrome - CCS) Me kōrero tātou mō tēnei!

Kua pā mai rānei te ahua ohorere me te mea kei te hemo koe? Tērā pea i muri i te hinganga iti, i te whiunga kaha rānei ki te kaki. I tēnei rā ka kōrero tātou mō tētahi āhuatanga ka puta ai ngā tohu rite, inā koa ka puta mai i te pakaru o waenganui o te taurakira i roto i tō tātou kaki . E kiia ana tēnei e ngā tākuta ko te Central Cord Syndrome , ko te CCS rānei. Kaua e manukanuka, me whakamārama noa iho.

He aha rawa te mate o te taura matua?

Ki te kī ngāwari, ko te 'CCS' he pakaru ki te 'taura tuaiwi o te kaki' i roto i tō kaki, te taura io matua e rere ana i roto i tō tuaiwi, i waenganui tonu . Whakaarohia, ka haria e te taura tuaiwi ngā karere mai i te roro ki tō tātou tinana katoa. Nō reira, ina pakaru tēnei wāhanga o waenganui, ka whakararuraruhia te rere o aua karere.

I tēnei, ko ngā io e haere ana ki ngā ringaringa te mea tino pāngia. Nō reira, ka pā te ngoikore me te korekore o ngā ringaringa. I ētahi wā, ka pā pea tēnei pānga ki ngā waewae ki te whānuitanga nui, iti rānei. Engari i te nuinga o te wā, ko ngā ringaringa te mea tino pāngia.

Ka kiia hoki tēnei he whara tuaiwi kāore i oti . Ko te tikanga o tēnei, kāore te katoa e pāngia ana e tēnei mate e pararutiki katoa. Ko te tikanga o tēnei, kāore ngā peka katoa e pararutiki. Tērā pea ka noho tonu ētahi taumata mahi.

Ko wai te mea ka tino pāngia e tēnei āhuatanga?

Ko tēnei āhuatanga e kiia nei ko te 'CCS', he maha ngā wā ka puta mai i tētahi aituā ohorere ki te kaki . Whakaarohia, mēnā ka pakaru ngā wheua iti '(vertebrae)' i roto i tō kaki , ka taea e ia te pēhi nui ki te taurakira, ā, ka puta te 'CCS'.

He tino nui tēnei mōrearea mō te hunga neke atu i te 50 tau te pakeke e pāngia ana e te mate rumatiki i te kaki . Nā te mea pea he whaiti te awa tuaiwi i te kaki (spinal stenosis). He nui ake te tūponotanga ka pāngia ēnei tāngata e te whara o te kaki ahakoa he hinganga iti noa iho.

Whakaarohia, he koroheke nō tō mātou kāinga, kua roa pea ia e pāngia ana e te mamae kaki (mate rumatiki). Mēnā ka paheke ia, ka hinga i a ia e hikoi ana i te marae i tētahi rā, ā, ka pāngia tōna kaki e te kaha, ka puta pea tēnei mea e kiia nei ko te "Central Cord Syndrome".

Hei tāpiritanga, he tino onge te pānga o te CCS i ngā pukupuku i waenganui o te taurakira, i ngā āhuatanga rerekē o ngā oko toto, i ngā kōhao wai rānei i roto i te taurakira (syringomyelia) .

He aha te mate taura matua whakapeka?

Ko te CCS whakapeka he putanga ohorere, he putanga ohorere o te CCS. He maha ngā wā ka puta mai tēnei i te whara totoro nui rawa atu, ina piko whakarere tō kaki ki muri.Pērā i te wā e pēhi ohorere ana koe i tētahi motuka, ā, ka whiua tō kaki ki muri, ka taea e te aituā "whiuwhiu" te kino i te wāhanga waenga o te taurakira.

• Ngā aituā motuka
• Te hinganga (te hinganga mai i te teitei, te paheke)

Ka puta pea tēnei āhuatanga `Acute CCS` i ngā aituā pēnei i. E ai ki te kōrero i mua ake nei, he onge, ahakoa kāore he aituā, ka puta hoki i ngā pukupuku, i ngā raruraru o ngā oko toto, i ngā kōhao rānei i waenganui o te taurakira.

He pēhea te noa o tēnei āhuatanga?

Ina hoki, ko tēnei `CCS` he momo whara tuaiwi kāore i oti, he mea tino noa i ngā whenua pēnei i te Hononga o Amerika. He nui ngā tūroro hou e whara ana i te tuaiwi i ia tau. I Sri Lanka anō hoki, kei te hōhipera ētahi tāngata nā ēnei aituā.

He aha ngā mea ka pā ki a koe me te Central Cord Syndrome (CCS)?

I roto i te āhua `CCS`, ka āraia ngā karere io i waenganui i tō roro me ngā wāhanga o tō tinana i raro i te wāhi whara . He māmā noa iho, kāore ngā karere mai i tō roro pēnei i te "ruru i tō ringa" me te "hiki i tō waewae" e tae ki ngā wāhi tika.

Ka pā tēnei ki te wāhanga o te pūnaha io e whakahaere ana i tō nekehanga, arā, te "ara tuarā cortical". He tino whakarite te pūnaha io e rere ana i raro i tō tātou taurakira. Kei roto i te taurakira ngā io ki ngā ringa, ā, kei waho ngā io ki ngā waewae. Nō reira, ina pakaru te wāhanga waenga o te taurakira, ka nui ake te tūponotanga ka pakaru ngā io ki ngā ringa i ngā io ki ngā waewae.

Nō reira,

• Te ngoikore, te ngoikore o ngā ringa
• te ngoikore
• Tērā pea ka uaua anō hoki tō hikoi.

He aha ngā raruraru ka pā mai i tēnei?

Tērā pea ka pāngia ētahi tāngata e ētahi atu raruraru o te CCS, tae atu ki:

• Ngā raruraru o te pūngāwerewere : Te kore e taea te whakahaere i te mimi, te kore rānei e taea te mimi.
• Ngā raruraru puku : Te kore e taea te whakahaere i ngā nekehanga o te puku.
• Ngā toto totoka i roto i ō rātou uaua : inā koa i ngā waewae.
• Ngā raruraru manawa : Mena kua pakaru te taha whakarunga o te kaki.
• Te toto toto iti .
• Te ngoikore me te ngenge : He tohu matua tēnei.
• Te koretake o te uaua: Ka pakari ngā peka, ka uaua ki te piko, ki te whakatika rānei.
• Te toto toto tiketike ohorere (autonomic dysreflexia) : He āhuatanga morearea tēnei, me rapu awhina hauora tonu.

He aha te take o tēnei?

Ko te tino take o te CCS ko te totoro ohorere o te kaki o te tangata e pāngia ana e te stenosis o te awa tuaiwi o te kaki.He aituā tēnei e puta mai ana. Hei tauira, ina hinga te kaumātua ki raro, ā, ka whati tōna kaki ki muri, ka taea tēnei te tupu i tētahi wā pēnei.

He aha ngā tohu?

I roto i te CCS, ka āraia ngā tohu io i waenga i te roro me te taurakira, ka puta he maha ngā tohu. Ko te āhuatanga matua o tēnei mate ko te korenga o ngā tohu io ki ngā ringaringa me ngā ringaringa .

Ko ngā tohumate ka puta i ngā ringaringa me ngā ringaringa nā te aukati i ngā tohu io, engari ka pā pea ki ngā waewae i ētahi wā. Tērā pea ka pāngia koe e ēnei āhuatanga:

• Mamae nui : i ngā ringa, i ētahi wā i ngā waewae.
• Te mura : Ko ētahi tāngata e hiahia ana ki te mura.
• Mangere : He rite ki te ru hiko mō tētahi wā, koinā te āhua.
• Te kore e taea te mahi i ngā nekehanga iti me ō ringaringa (ngā pūkenga nekeneke pai) : Hei tauira, he uaua ki te pātene i te hāte, te pupuri i te pene, te pupuri rānei i te kapu.
• Te ngenge i ō ringaringa, i ō pūkana rānei .
• Te pararutiki, te ngoikore rānei .
• Te koretake o te uaua .
• Te uaua ki te hikoi .

Ka whakawhirinaki ēnei tohu ki tō āhua, ki te kaha rānei o te whara. Tērā pea ka ngaro te rongo o ētahi tāngata i raro i te wāhi whara, ā, ka pāngia e te kore e taea te pupuri i te mimi. Tērā pea kāore e taea e ētahi te hikoi, te pāngia rānei e ngā mate haere.

Me pēhea te tautuhi a ngā tākuta i tēnei?

Ina kite koe i tētahi tākuta me ēnei tohu, ka tirotirohia tō tinana e ia i te tuatahi. Ka pātai atu hoki ia mō tō hītori hauora me ngā aituā kua pā ki a koe.

Kātahi ka whakahaerehia e ngā tākuta ētahi whakamātautau motuhake hei whakaū i te tautuhi tika o te CCS. Ko ēnei:

• Matawai CT : Ka taea te whakamahi i tēnei hei tirotiro mēnā he pakaru kei ngā wheua o te kaki, me te mea rānei kua whaiti te awa tuaiwi.
• Electromyogram (EMG) : E ine ana tēnei i te huarahi e haere ai ngā karere mā roto i ngā io me te mahi a ngā uaua.
• Matawai MRI : Koinei te huarahi pai ki te kite mārama i ngā pakaru o te taurakira, pērā i ngā puku, ngā whēkau, me ngā poka.
• X-ray : Ka taea hoki te whakamahi i tēnei hei tiro i te tūranga o ngā wheua kaki me ngā whati.

Hei tāpiritanga, ka whakahaerehia pea e ngā tākuta ngā whakamātautau e tono ana kia piko koe me te toro atu i tō kaki kia kite ai i te tawhiti e taea ai e koe te neke.

He aha ngā maimoatanga?

Ko te maimoatanga mō te CCS e whakawhirinaki ana ki te pūtake o te aituā me te āhua o te kino. He maimoatanga kore-pokanga me te pokanga.

Ngā maimoatanga kore-pokanga

Ko te maimoatanga tuatahi hei whakamātau māu ko:

• Te Whakakore i te Nekeneke : Tērā pea ka whakaurua he kara mārō ki tō kaki. Tērā pea ka hoatu he whitiki hei āwhina i a koe kia mau tonu ō ringaringa ki te tūranga tika .
• Ngā Rongoā : Ka taea te hoatu i ngā rongoā pēnei i te steroids hei whakaiti i te mamae me te pupuhi.
• Te whakaora mahi : He mea tino nui tēnei. I roto i tēnei, ka āwhina ngā tohunga i a koe ki te whakahaere i ō mahi o ia rā me tēnei mate. Hei tauira, ki te uaua koe ki te mau i te hāte nā te mea kua werohia te io, ka ako rātou i a koe i ngā huarahi ngāwari ki te mahi, ka ako rānei i a koe mō ngā taputapu urutau ka taea e koe te whakamahi. Ka āwhina rātou i a koe ki te whakahoki i tō oranga ki te āhua noa.
• Te whakaora tinana : Kei roto i tēnei ko ngā mahi whakakori tinana hei whakanui ake i te kaha me te ngāwari o ō waewae. Tērā pea ka hoatu he taputapu ki a koe hei āwhina i a koe ki te hikoi mēnā he uaua ki a koe.

Kia maumahara, ko te wawe o te tīmatanga o ēnei maimoatanga, ko te nui ake o te tūponotanga o te ora.

Me pokanga ahau?

I ētahi wā, me mahi pokanga pea. Kei roto i ēnei ko:

• Mena he "taura tuaiwi kua pēhia" tōu, arā, ki te mea he pēhanga kei runga i te taura tuaiwi, tukuna.
• Mena he rerekē te nekeneke o tō tuaiwi kaki , kāore rānei e kaha ki te pikau i te taumaha (he kore pumau).
• Mena he pukupuku, he rerekētanga o ngā oko toto, he kōhao rānei (cavitation) kei roto i te taurakira.

Mā te tīma hauora koe e whakatau mēnā me pokanga koe, kāore rānei.

Kia pēhea te roa ka ora ake? (Whakaora)

Ko te hunga e whiwhi wawe ana i te maimoatanga i muri i te aituā, he nui ake te tūponotanga ka hoki mai anō te mahi a ngā io. Heoi, tera pea ka puhoi ake te whakaoranga mō te hunga neke atu i te 65 tau te pakeke , ā, kāore pea e tino oti. He rerekē i ia tangata, i ia tangata.

Me pēhea te whakaiti i tēnei mōrearea? (Ārai)

Kāore he huarahi tino tika hei ārai i te CCS whakapeka, e puta ohorere ana i muri i te whara o te upoko. Heoi, kei reira ētahi mea ka taea e koe te mahi hei tiaki i tō tuaiwi mai i te whara:

Hei whakaiti i te mōrearea o te Acute Central Cord Syndrome (Acute CCS):

• Hei whakaiti i te mōrearea o te hinganga , tautuhia ngā wāhi pahekeheke me ngā wāhi morearea o tō whare, ā, tiakina koe i aua wāhi.
• Kia tūpato ki te haumaru ina mahi ana i runga i ngā arawhata me ngā wāhi teitei.
• Mauria ngā taputapu tiaki (hei tauira, te potae) i ngā hākinakina pā me ngā mahi ā-tinana.

Ārai i te Stenosis Tuaiwi o te Cervical:

Ahakoa ka taea tēnei te tupu i te kaumātuatanga, he mea nui kia tiakina pai tō tātou tuaiwi:

• Whakakorikori tinana i ia wā, i ia wā .
• Kia tūpato ki tō nohoanga me tō moe . Kaua e noho ki te tū tika.
• Hei tiaki i tō tuara i te wā e hiki ana i ngā taumaha, hikihia kia tika.
• Kia mau ki te tū hauora .

Āhea ahau me toro atu ki te tākuta?

Mena kua whara kino koe, kua pāngia rānei e tētahi aituā, rapua tonutia he tohutohu hauora .

• Mena he uaua ki te neke i ō ringaringa, i ō waewae rānei,
• Ki te rongo koe i te ngoikore, i te ngoikore rānei,

Haere tonu ki te hōhipera, nā te mea he mea tino nui te maimoatanga tere i roto i ēnei āhuatanga.

He aha ngā mea ka taea e au te tumanako mēnā kei a au te Central Cord Syndrome (CCS)? (Te Matapae)

Ko te nuinga o te hunga whai CCS ka hoki mai anō ki tētahi taumata o te mahi a ngā io. Mena kua pāngia ō waewae me tō pūnaha mimi e te CCS, tera pea ka kite koe i te whakapainga i aua wāhi i te tuatahi. Heoi, tera pea ka roa ake te wā ka hoki anō ngā tohu io ki te āhua noa i roto i ō ringaringa .

Kāore he rongoā mō te CCS, ā, he rerekē ngā hua i ia tangata, i ia tangata. Ka hoki anō ētahi tāngata ki te mahi katoa o ō rātou ringa, ringaringa, me ngā waewae, engari ko ētahi ka uaua ki te mahi i ngā nekehanga ringaringa pai mō te toenga o ō rātou oranga.

Kāore te roa o te wā whakaora e ōrite ana mō te katoa. Kei tō tau me te kaha o te whara, o te āhua rānei . I te nuinga o te wā, ka roa ake te whakaora o te hunga neke atu i te 50 tau i te hunga taitamariki.

Me pēhea taku tiaki i ahau anō? (Te tiaki i ahau anō)

Mena kei a koe te CCS, kōrero ki tō tākuta kia mōhio ai koe ki ngā mea hei tumanako atu me pēhea te whakatau i a koe anō. E ai ki te kōrero i mua ake nei , ka taea e te whakaora mahi me te whakaora tinana te āwhina i a koe kia kaha tonu, me te whakawhanake rautaki hei whakatau i ngā mahi uaua o ia rā.

Ko te mea nui kia kaha tonu, kia whai i ngā tohutohu a te rata, kia whai wāhi katoa hoki ki ngā kaupapa whakaora.

Karere Tangohia ki te Kāinga

Ko te mate o te taura matua (CCS) he mate e puta mai ana i te pakaru o te taura tuaiwi i roto i tō kaki (tuara kaki). Ka pā tēnei ki ngā karere io e haere ana ki ō peka, inā koa ō ringaringa. Ka taea e ngā tākuta te whakamahi i ngā maimoatanga kore-pokanga me te pokanga hei āwhina i te whakaora i te kare ā-roto me te mahi o ō ringaringa, ō ringaringa, me ō waewae. Mā te tātaritanga me te maimoatanga wawe ka nui ake ō tupono ki te ora. Nō reira, ki te pāngia koe e te ngoikore, te ngoikore rānei o ō peka i muri i te whara o te kaki, rapua tonutia he awhina hauora.

` Te Mate o te Taura Matua, CCS, Taura Tuaiwi, Ngā Mate o te Kaki, Te Ngoikore, Ngā Mate Pūnaha Roro, Tuaiwi, Te Ngoikore, Whiplash