Kei a koe anō ngā raruraru pēnei i te mamae nui o te kaki me te ngoikore o te ngākau e pā ana ki tō ringa? Tērā pea kua kōrero mai tō tākuta kua paheke tētahi kōpae i roto i tō kaki, ā, kei te werohia tētahi io. Nō reira, ina kōrero tātou mō tētahi pokanga hei whakakapi i tētahi kōpae horihori hei otinga, he mea noa te mataku. Engari kaua e manukanuka. Ka kōrero tātou mō tēnei pokanga, me pēhea te mahi, he aha ngā painga, me te mea he tūponotanga kei reira, i roto i tētahi huarahi tino māmā ka taea e koe te mārama.
He aha tēnei pokanga whakakapinga kōpae horihori (CDR)?
He whakarāpopototanga noa iho, ko te tango i tētahi kōpae pakaru, tawhito i waenganui i ngā tuaiwi o tō kaki (e mōhiotia ana i roto i te rongoā ko te "tuara kaki"), kātahi ka whakakapia ki tētahi kōpae hanga-rua.
Whakaarohia kei waenganui i ngā tuaiwi o tō tātou tuaiwi, he urunga rapa e mahi ana pērā i ngā ārai ru i roto i te motuka. Ka karangatia ēnei kōpae ko ngā kōpae i waenganui i ngā tuaiwi . Koinei ngā mea e āhei ai tātou ki te piko, ki te takahuri, ki te neke hoki i ō tātou kaki me ō tātou tuara. I roto i te wā, i te mea ka memeha haere ēnei kōpae, ka ngaro te teitei o ō tātou tuaiwi, ka tīmata te mirimiri o ngā tuaiwi tetahi ki tetahi, ā, ka pēhia ngā io e rere tata ana.
Nō reira, ko te whāinga matua o tēnei pokanga he whakahoki mai i te wāhi i nohoia e te kōpae kua tawhito. Mā tēnei ka taea e te kaki te neke tika, ā, ka whakaora anō hoki i ngā tohu pēnei i te mamae me te ngoikore mā te wetewete i ngā io kua kopikopiko. Ko ēnei kōpae horihori he mea hanga i ngā konganuku pēnei i te cobalt, te titanium, te kowiri tira rānei.
He mea noa te mataku ina rongo koe i te kupu pokanga kaki. Engari ko tēnei pokanga, e kiia nei ko te "Whakakapinga Kōpae Cervical", ahakoa he tikanga hou, kua oti pai te mahi ināianei puta noa i te ao. Ma tō tākuta e whakamārama ki a koe ngā mea katoa e pā ana ki tēnei pokanga.
Ko wai rā te tangata e hiahia ana ki tēnei pokanga?
Ko te tikanga o tēnei pokanga he mea tino taunaki mā te hunga e pāngia ana e te mate kōpae pirau o te kaki. He otinga pai pea tēnei, inā koa mā te hunga e pāngia ana e te radiculopathy (hei tauira, te mamae, te ngoikore, te ngoikore e horapa ana ki raro i te ringa) te myelopathy rānei (hei tauira, te pēhanga o te taurakira) .
I te nuinga o te wā, ka tūtohu noa te tākuta i tēnei pokanga mēnā kāore anō kia pai ake ngā tohu i muri i te ono wiki neke atu rānei o ngā maimoatanga kore-pokanga pērā i te rongoā me te whakaora tinana.
Waihoki, kāore e taea e te katoa te mahi i tēnei pokanga. Tērā ētahi āhuatanga e kore ai koe e pai mō tēnei pokanga. Kia kite tātou he aha ēnei.
| Ngā āhuatanga e kore ai e tika te pokanga | Hei whakarāpopototanga... |
|---|---|
| Mate hohe | Te pāngia e te mate urutā i ngā wāhi katoa o te tinana kāore anō kia rongoatia. |
| Mate pāwera ki te konganuku | He mate pāwera tō tinana ki te mea whakarewa i hangaia ai te kōpae horihori. |
| Osteoporosis | He ngoikore rawa ngā wheua, ā, he pakarukaru. |
| Te tuaiwi kaki kāore i te pumau | Kāore e pumau ana ngā tuaiwi o te kaki, ā, ka paheke. |
| Te whara o te taha taha kino | Te pakaru nui o ngā hononga iti i waenganui i ngā tuaiwi i te tuara. |
Me kōrero koe ki tō tākuta, ā, māu anō e whakatau mēnā he tika tēnei pokanga māu.
Me pēhea te whakarite i mua i te pokanga?
I muri i te whakaritenga o tō pokanga, me tūtaki anō koe ki tō taote pokanga (tērā pea he taote pokanga wheua, he taote pokanga roro rānei). Anei ētahi mea ka pā mai pea:
- Ka tukuna atu he whakamātautau tinana katoa ki a koe.
- Ka pātai mātou mō tō hītori hauora me ngā tohumate o nāianei.
- Ka tonoa e rātou he whakamātautau pēnei i te hihi-X o te kaki me te matawai MRI.
- Ka pātai rātou mō ngā rongoā me ngā huaora e tangohia ana e koe i tēnei wā.
- Tērā pea ka tonoa koe kia mutu te tango i ētahi rongoā, kia tīmata rānei i ētahi rongoā hou i mua i te pokanga. Kaua e mutu te tango i tētahi rongoā māu ake ki te kore e tohutohuhia e tō tākuta.
- Ki te whakamahi koe i ngā hua tupeka (hikareti, tupeka ngaungau), kōrerotia ki tō tākuta.Ka whakaroa te nikotīni i roto i te tupeka i te whakaora o te patunga, nō reira me mutu te whakamahi i te nikotīni i te iti rawa i te whā wiki i mua i te pokanga.
I tēnei wā, kei a koe te tika ki te pātai atu ki te tākuta i ō pātai, i ō mataku, i ō ruarua rānei mō te pokanga. Nāu tēnā tika.
Me pēhea te mahi i te pokanga?
I te rā o tō pokanga, ka hoatu e te tohunga whakamoe te rongoā whakamoe whānui ki a koe. Ko te tikanga ka moe katoa koe i te wā o te pokanga. Kāore koe e rongo i te mamae. Kātahi ka whai te taote pokanga i ēnei mahi:
1. Te tapahi iti: Ka tapahia he tapahi iti i te taha o te kiri i mua o tō kaki. Tērā pea ka rerekē te roa me te wāhi o te tapahi i runga i tō āhua.
2. Te tae atu ki te tuaiwi: Kātahi ka nekehia te trachea me te esophagus ki te taha me te tino āta tupato kia kore ai e kino ngā whekau, ka tae atu te taote pokanga ki ngā tuaiwi o te kaki.
3. Te tango i te kōpae pakaru: I te roanga o te pokanga, ka whakamahia he hangarau hihi-X motuhake e kiia nei ko te "fluoroscopy" hei tirotiro i te wāhi tika, hei tango katoa i te kōpae pakaru, kua tawhito.
4. Te whakatōnga kōpae horihori: Ka whakatōngia he kōpae horihori o te rahi e tika ana ki te wāhi i tangohia ai te kōpae.
5. Te tuitui i te tapahi: Kātahi ka whakahokia te okana i nekehia ki tahaki ki tōna tūranga taketake, ā, ka āta kati te tapahi, ka tuituia kia kati rawa.
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, ka haria koe ki te rūma whakaora. Ka aroturukihia e te tīma hauora tō tere o te manawa me tō toto toto tae noa ki tō oho ake i te rongoā whakamoe.
Tērā pea me noho koe i te hōhipera mō te pō. Mā te tākuta koe e whakamōhio atu āhea koe e hoki ai ki te kāinga. Kāore e taea e koe te taraiwa ki te kāinga, nō reira me whai tangata koe hei taraiwa i a koe ki te kāinga.
Ka hoatu e tō tākuta he raupapa tohutohu hei āwhina i te tere o te whakaora o tō patunga i muri i tō hokinga ki te kāinga. Kei roto i ēnei ko:
- Te tango i te rongoā mamae i te wā tika.
- Te nui o te okiokinga me te whakawhāiti i ngā mahi ā-tinana mō ētahi rā (hei tauira, te karo i te hiki taumaha, te oma, me te pekepeke).
- Te pupuri i te ma o te wāhi i tapahia ai, me pēhea te tiaki.
- Te whai wāhi atu ki te whakaora tinana.
He aha ngā painga me ngā mōrearea o tēnei pokanga?
Pērā i ngā pokanga katoa, he pai ngā painga o tēnei pokanga, engari he iti anō hoki ngā mōrearea.
Ngā Painga me te Angitū
Kua whakaatuhia e ngā rangahau ko te nuinga o te hunga e mahi ana i tēnei pokangaHe whakaora nui tēnei i te mamae i te wā poto me te wā roa. Ka āwhina hoki ki te pupuri i te nekehanga pai o te kaki me te kore here. Ka taea e te nuinga o te tangata te hoki katoa ki ā rātou mahi o ia rā i muri i te ono marama pea.
Ngā tūponotanga me ngā raruraru
He tino onge ngā raruraru i muri i tēnei pokanga, engari he mea nui kia mōhio ki ēnei.
| Momo raruraru | Whakaahuatanga |
|---|---|
| Ngā raruraru poto (ka tere pea te puta) | |
| Mate pāwera | Te whakapūkara o te wāhi i tapahia. |
| Te uaua ki te horomi (Dysphagia) | He uaua ki te horomi kai, wai rānei. He wā poto noa iho tēnei. |
| Te pāorooro o te reo | He panonitanga o te reo. He wā poto noa iho hoki tēnei. |
| Ngā raruraru roa (tērā pea ka puta i roto i te wā) | |
| Te whakahekenga wāhanga tata (ASD) | Ka memeha haere ngā kōpae i runga ake, i raro iho rānei i te kōpae horihori i roto i te wā. |
| Ngā raruraru kōpae horihori | He tino onge te wā ka wetekina, ka pakaru rānei te kōpae. |
| Te tipu o te wheua i te wāhi hē (Heterotopic ossification - HO) | Tērā pea ka whakawhāitihia te nekehanga o te kaki e te tupu o te wheua hou huri noa i te kōpae horihori. |
Kia pēhea te roa o te wā e ora katoa ai?
E ono marama pea te roa hei whakaora katoa. Engari ka taea e koe te hoki mārire ki ō mahi o ia rā. Ko te wā whakaora noa koia tēnei:
- E rua ngā rā i muri i te pokanga: Ka taea e koe te mahi i ngā mahi o ia rā, pērā i te horoi i tō mata me te hanga tī.
- Wiki rua ki te toru: Ka taea e koe te whai wāhi ki ngā mahi māmā noa.
- Wiki tuawhā ki te ono: Ka taea e koe te hoki ki te nuinga o ngā hākinakina kore-pā.
Ka rerekē pea ēnei wā i ia tangata, i ia tangata, nō reira he mea nui kia pātai atu koe ki tō tākuta mō ngā mea ka taea e koe te mahi, me ngā mea kāore e taea e koe te mahi, me te whai tika i āna tohutohu.
Āhea koe me toro atu ki te tākuta kia tere tonu ai?
Ki te pā mai tētahi o ngā tohu e whai ake nei ki a koe i muri i te hokinga ki te kāinga i muri i te pokanga, waea atu ki tō tākuta, haere rānei ki te hōhipera tonu atu .
- Mena kei te toto tonu te wāhi i tapahia.
- Mena kei te puta mai he wai rite ki te pupuhi kōwhai, kakariki rānei i te patunga.
- Mena he mamae nui tōu.
- Ki te pāngia koe e te kirika .
- Mena kei te piki haere te uaua ki te horomi i te kai.
- Mena ka pā mai he ngoikore hou, he ngoikore rānei i te waewae, i te ringa rānei .
I muri i te pokanga, me toro atu koe ki tō tākuta mō ētahi wā tirotiro hei tirotiro i te āhua o te whakaora o tō patunga, me te mea kei te mahi tika te kōpae horihori. Mā tō tākuta koe e whakamōhio atu āhea ēnei wā tirotiro.
Karere Tangohia ki te Kāinga
- He maimoatanga haumaru, whai hua hoki te pokanga whakakapinga kōpae o te kaki (CDR) mō te mamae nui me te pēhanga io i puta mai i ngā kōpae pirau i roto i te kaki.
- Ka taea e tēnei pokanga te whakaiti i te mamae me te pupuri i te nekehanga pai o te kaki.
- E hia ngā marama ka roa hei whakaora tino pai, ā, he mea tino nui kia tino whai i ngā tohutohu a te tākuta.
- Mena he pātai āu mō te pokanga, te wā whakaora, me ētahi atu mea rānei, kaua e mangere ki te pātai ki tō tākuta.
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