He maha tonu ō mamae o te tuara me te kaki? Tērā pea nā te Mate Kōpae Whakaheke!

Kei te mamae tō tuara, kei te pakari tō kaki, kei te mamae rānei ō ringaringa i ētahi wā? Kei te ahua kino haere tēnei mamae ina noho koe, ina hiki taumaha, ina ara ake rānei i te moenga i te ata? He tokomaha te hunga kāore e aro nui ki ēnei tohu. Heoi anō, he hua pea tēnei o ngā huringa taiao e puta ana i roto i tō tātou tuaiwi i a tātou e pakeke haere ana. I tēnei rā, ka kōrero tātou mō tētahi āhuatanga e kiia nei ko te 'Degenerative Disc Disease'. Ahakoa te ahua o te ingoa he mate, ehara i te mea he mate, engari he ingoa i hoatu ki te pirau o ngā kōpae i roto i tō tātou tuaiwi i roto i te wā.

He aha te Mate Kōpae Whakaheke?

Ki te kī ngāwari, koinei te pakaru me te haehae o ngā kōpae i waenganui i ngā tuaiwi o tō tātou tuaiwi. Whakaarohia tō tātou tuaiwi he puranga wheua iti (vertebrae) e whakatakotoria ana tetahi ki runga i a tetahi. I waenganui i ēnei wheua, pērā i ngā mea ārai ru i roto i te motuka, kei reira ngā urunga. Koinei ngā mea e kiia nei e tātou he kōpae tuaiwi . He rite ki te rapa, he paku mārō, engari he matū rite ki te tiēre kei roto.

Mā ēnei kōpae ka āwhina i tō tātou tuaiwi ki te piko, ki te takahuri, me te hiki ngāwari i ngā taumaha . Ka mimiti hoki i ngā ru me ngā wiri e pā ana ki tō tātou tuaiwi ina oma, ina peke tātou, ka tiaki i tō tātou roro mai i te kino.

Ka memeha haere ngā kōpae o te katoa i a rātou e pakeke haere ana. He mea tino taiao tēnei. He rite tonu ki te miro o tō tātou kiri, ka hina hoki ō tātou makawe. Engari i ētahi wā, nā tēnei memeha, ka tīmata te mirimiri o aua tuaiwi tetahi ki tetahi. Koinā te wā ka tīmata te mamae.

Ka pā mai pea ētahi atu raruraru i tēnei utunga moni tāpua:

• Te scoliosis pakeke : He piko taha o te tuaiwi.
• Kōpae herniated : Ka kiia tēnei e ētahi he kōpae herniated, he pupuhi, he kōpae pakaru rānei.
• Te stenosis o te tuaiwi : He whaiti o te awaawa tuaiwi, te ara e puta ai i roto i te taurakira.
• Spondylolisthesis : Ka paheke tetahi tuaiwi ki runga i tetahi atu.

Ko tēhea wāhanga o te tuaiwi e tino pāngia ana e tēnei mate?

Ko te tuara o raro (tuara lumbar) me te kaki (tuara cervical) te nuinga o te wā ka pāngia e te stenosis spinal.

1. Te Mate Puku Whakaheke o te Lumbar

I te pito rawa o tō tātou tuaiwi, i te mea e kīia nei e tātou ko te rohe hope, e rima ngā tuaiwi nui. Ka karangatia e ngā tākuta ko L1 ki L5. I waenganui i ia o ēnei tuaiwi he kōpae. I te nuinga o te wā (tata ki te 90%) ka puta tēnei hernia o te kōpae i te wāhanga o raro o te tuaiwi. Whakaarohia tētahi e hiki ana i ngā taumaha i ngā wā katoa, tētahi rānei e noho ana i te tūranga kotahi mō te wā roa. He nui ake te tūponotanga ka pāngia rātou e te mamae i tēnei wāhi.

2. Te Mate Kōpae Whakaheke o te Uha

Nā ngā hononga i waenganui i ngā tuaiwi e whitu o tō tātou kaki (te tuaiwi o te kaki) tēnei ka puta. Ka āwhina tēnei hononga i ēnei nekehanga katoa ina huri ake, ina titiro iho te kaki. Ina pakaru ngā hononga o tēnei wāhi, ina tahuri te kaki, ina titiro ake, ka rongo tātou i te mamae koi . I ētahi wā ka tae atu tēnei mamae ki raro i ō tātou ringa.

3. Mate Kōpae Whakaheke Taumata Maha

Ko te tikanga o tēnei, ehara i te mea kotahi anake te wāhi o te tuaiwi, engari he maha ngā tuaiwi, he maha ngā taumata rānei , e pāngia ana. Hei tauira, tera pea he kōpae hernia i te tuara o raro me te kaki.

He pēhea te noa o tēnei āhuatanga?

Ina hoki, tata ki te katoa ka tīmata te pāngia e te mamae tuara i muri i te 40 tau te pakeke. Heoi, kāore te katoa e pāngia e ngā tohu, arā, te mamae. Tata ki te 5% o ngā pakeke ka pāngia e te mamae tuara nā tēnei.

He aha ngā tohu o te whati o te kōpeketanga o te tuaiwi?

Ko ngā tohu tino kitea ko te mamae o te kaki me te mamae o te tuara. Tērā pea ka pāngia koe e te mamae pēnei:

• He mamae e haere mai ana, e haere atu ana, ehara i te mea ka haere katoa i te wā kotahi. Ka roa pea mō ngā wiki, mō ngā marama rānei.
• Te mamae e tīmata ana i te tuara o raro ka heke ki raro ki te papa.
• Ka piki ake te mamae i te wā e noho ana, e piko ana ki mua, e hiki ana rānei i tētahi mea taumaha.

He aha te āhua o tēnei mamae?

Ka taea e tēnei mamae te:

• Ka puta pea i te kaki, i te tuara raro rānei.
• Ka taea te rongo i te ngawari, te āhua ōrite, te kaha rānei .
• Tērā pea ka ahua koi, ka wero, ka whakawhāiti rānei .
• Tērā pea ka puta mai, ka ngaro mō tētahi wā, kātahi ka puta anō.
• Ka piki ake pea te mamae i muri i ētahi mahi, pērā i te piko whakamua, te takahuri, te hiki rānei i tētahi mea taumaha.
• Ka piki haere pea te mamae i roto i te wā.

He aha ngā take o ngā whati o te kōpeketanga o te tuaiwi?

E ai ki tā tātou i kōrero ai i mua, he wāhanga tūturu tēnei momo pupuhi o te koroheketanga. He maha ngā tāngata e pāngia ana e tēnei āhuatanga, inā koa i muri i te 40 tau. Engari kāore te katoa e pāngia e te mamae.

Tērā pea ka pāngia koe e te mamae mō ēnei take:

1. Maroke: He wai te nuinga o ngā kiko ngohengohe i roto i ō tātou tuaiwi. I a tātou e pakeke haere ana, ka heke haere te nui o te wai. Ka angiangi haere ngā kōpae, ā, ka kore e kaha ki te mimiti i ngā ru. Whakaarohia te mea ka tupu ina maroke te hautai. Pērā tonu.

2. Te haehae, te pakaru rānei o te hononga: Ka taea e ngā aituā iti, ngā hinganga, me te hapai i te tinana te hanga i ngā haehae iti, i ngā pakaru rānei o ēnei hononga. He maha ngā wā ka tata ēnei pakaru ki ngā io. Ahakoa he haehae iti tēnei, ka taea e ia te mumura me ngā io e karapoti ana.Ka pā te mamae. I ētahi wā, ki te pakaru te pakitara o waho o te kōpae, ka puta te taha o roto. Koinei te mea e kīia nei e tātou he 'Kōpae Herniated'. Ka taea hoki e tēnei te pēhi i tētahi io tata.

He aha ngā āhuatanga mōrearea e whai wāhi ana ki tēnei āhuatanga?

Ko tēnei mate te mea tino kitea i roto i te hunga neke atu i te 40 tau te pakeke. Heoi anō, tera pea ētahi atu āhuatanga ka whakanui ake i te mōrearea o te whanaketanga:

• Ngā aituā: Ngā mea pēnei i te hinganga.
• Momonatanga: Te taumaha tinana kua piki ake.
• Ira Tangata: He nui ake te tūponotanga o ngā wāhine ki te pāngia e ngā tohumate.
• Te momi hikareti.
• Te mahi i tētahi mahi uaua ki te tinana: Mō te hunga e hiki pinepine ana i ngā mea taumaha, e mahi ana hoki i ngā mahi e whakararuraru ana i ō rātou tuara.

He tūponotanga kei pāngia koe e ētahi atu mate hauora nā te uaua o te tuaiwi?

Āe, ka taea e ngā kōpae kua tawhito te whakanui ake i te mōrearea o ētahi atu raruraru tuaiwi. Ko ētahi o ngā mate e tino kitea ana ko:

• Matepukupuku
• Te korokoro
• Te whakatōtōtanga o te tuaiwi
• Te Spondylolisthesis
• Te mamae i puta mai i te pēhanga o te pakiaka io (Radiculopathy)
• Spondylolysis ( te whati o tetahi wāhanga o te tuaiwi )

Me pēhea te tautuhi a ngā tākuta i tēnei mate?

Hei tātaritanga i tēnei mate, ka pātai tuatahi tō tākuta ki a koe mō ō tohumate. Tērā pea ka pātai mai rātou i ēnei pātai:

• Nōnahea te tīmatanga o te mamae?
• Kei hea koe e rongo ana i te mamae?
• He aha ngā mahi e tino mamae ai koe i te wā e mahi ana koe?
• He aha ngā momo mea hei whakaiti i te mamae?
• I puta he aituā, pērā i te hinganga, i mua i te tīmatanga o te mamae?
• He tohu anō kei reira, pērā i te ngoikore, te ngaro rānei o te māramatanga?
• Kia pēhea te tawhiti ka taea e koe te hikoi?

Kātahi ka tirohia koe e te tākuta. Tērā pea ka tonoa e ia he whakamātautau whakaahua pēnei i te hihi-X, te matawai CT, te matawai MRI rānei . Mā ēnei whakamātautau ka taea e te tākuta te mōhio ki te āhua o ō hononga me te āhua o tō rātou tūnga.

Ka kitea ngā mea e whai ake nei i te wā o te whakamātautau tinana:

• Te mahi a te io: Ka whakamahia he hama iti (hama whakaata) hei pato i te turi. Mēnā he iti noa te urupare, tera pea ka pēhia, ka pakaru rānei te io.
• Ngā taumata mamae: Ka pā atu, ka pēhi i ētahi wāhi o tō tuara me tō kaki kia kite ai i te nui o te mamae e pā ana ki a koe.
• Kaha: Tirohia mēnā he ngoikore te uaua, he memeha rānei. He tohu anō hoki tēnei mō te pakaru, te pirau rānei o ngā io.

He aha ngā wāhanga o te hononga tuaiwi?

E whā ngā wāhanga matua e kōrerohia ana e ngā tākuta ina tātaritangahia ana tēnei mate:

1. Te ngoikore o te mahi:Kei te tīmata te ngoikore o ō tuaiwi. Tērā pea he tohu ngawari kei te pāngia koe.

2. Te matewai: Ka tīmata te maroke o ngā hononga, ka ngaro te teitei me te ngāwari. Tērā pea ka piki ake te mamae o te kaki me te tuara i tēnei wā.

3. Te Whakapūmau: I tēnei wā, ka ngana te tuaiwi ki te whakapūmau i a ia anō. Ka taea e tēnei te arahi ki ngā āhuatanga pēnei i te spinal stenosis (te whaiti o te awa tuaiwi) me te mamae nui.

4. Hinga: Ka pēhia haeretia ngā tuaiwi o te tuaiwi, ā, ka tīmata ngā wheua (tuara) o te tuaiwi ki te mirimiri tetahi ki tetahi. Ka pēhia ngā io e ngā tuaiwi kua pakaru, ka puta te mamae nui.

Me pēhea te rongoā mō tēnei?

I te nuinga o te wā, ka tūtohu tuatahi ngā tākuta i ngā kōwhiringa maimoatanga kore-whakaeke . Tērā pea kei roto i tō maimoatanga:

• Whakaora tinana: Te whai wāhi ki ngā mahi whakapakari me te totoro i raro i te arataki a tētahi kaiwhakaora tinana whai mātauranga. Ka āwhina tēnei ki te whakapakari i ngā uaua huri noa i te tuaiwi me te whakaiti i te mamae.
• Ngā rongoā: Ngā mea pēnei i ngā rongoā mamae me ngā rongoā ārai-mumura (NSAID), acetaminophen, rongoā neuromodulation, steroids rānei.
• Werohanga steroid: Te werohanga rongoā ki roto i tō taurakira, io, hononga rānei hei whakaiti i te mumura me te mamae.
• Te neurotomy auau irirangi: He tikanga e whakamahi ana i ngā ngaru hiko hei tahu i ngā io pūoro e kawe ana i te mamae, hei aukati i ngā tohu mamae kia tae atu ki te roro.

Te tiaki i a koe anō i te kāinga

Ka taea e ētahi tāngata te whakaora i te mamae mā te whakamahi i ngā rongoā kāinga. Ahakoa ka āwhina ēnei ki te whakaora i te mamae i te wā poto, ehara i te otinga mō te wā roa mō te hunga e pāngia ana e te mamae nui. Ka taea e koe te whakamātau i ēnei mea:

• Korikori tinana: Mā ngā mahi whakakori tinana iti pēnei i te hikoi me te kaukau ka whakapakari i ngā uaua o te tuara me te whakaiti i te mamae.
• Whakaora wera me te makariri: Mā te whakamahi i ngā putea hukapapa me ngā papa whakamahana mō te 10-15 meneti e whā ngā wā i te rā ka āwhina i te whakaiti i te pupuhi me te mamae.
• Totoro: Mā te mahi i ngā mahi totoro ngāwari pērā i te yoga i te roanga o te rā ka pai ake te tū me te whakaiti i te ahotea.
• Te kume: I ētahi wā ka āwhina te kume ki te whakaiti i ngā tohu me te whakamamae i te taumahatanga. Heoi, me mahi tēnei i raro i te tohutohu a te taote.

Te pokanga hei whakatika i ngā wheua tuarā

Kāore te nuinga o te tangata e hiahia ki te pokanga mō tēnei mate. Heoi, ki te mea kua whakamātau koe i ētahi maimoatanga kore-pokanga, ā, kei te mamae tonu, kei te ngoikore rānei, he kōwhiringa pai pea te pokanga.

Ka taea e tō taote pokanga te mahi i tētahi o ēnei momo pokanga whakaiti i te pēhanga tuaiwi:

• `Diskectomy`: Te tango i tētahi wāhanga o te tuaiwi hei whakamama i te pēhanga o ngā io.
• Foraminotomy: Te tango i te kiko me te wheua hei whakanui i te kōhao e puta mai ai ngā pakiaka io.
• Laminectomy: Te tango i tētahi wahi iti o te wheua e kiia nei ko te lamina o te vertebra i te tuara o raro.
• Te tango i ngā wheua wheua: Te tango i ngā wheua kikokore (osteophytes ).
• Te hanumitanga o te tuaiwi: Ko te hanumitanga o ngā tuaiwi e rua, neke atu rānei, hei whakapiki i te pumau o te tuaiwi.

Me pēhea tātou e ārai ai i te kino haere o tēnei āhuatanga?

Ka taea e koe te ārai, te whakaroa rānei i te haere whakamua o tēnei pirau tuaiwi mā te hanga i ētahi huringa āhua noho. Ko ētahi o ēnei ko:

• Te pupuri i tō taumaha hauora.
• Āta karohia, kati rānei te kai hikareti. He tino kino te kai hikareti ki tēnei mate.
• Me mahi i ngā mahi whakakori tinana i ia wā, i ia wā, hei whakanui i te kaha me te ngāwari.

Ka taea te whakaora katoa mā te utu mō te pokanga tuaiwi?

He maha ngā tāngata kua pokaina mō tēnei mate ka mamae tonu te mamae mō te wā roa . Heoi anō, me haere tonu te whakakori tinana me te mahi i ngā mahi totoro kia kaha ai, kia ora ai tō tuara ahakoa kua oti te pokanga.

He tokomaha te hunga e whakahaere ana i ō rātou mamae mō te wā roa mā te whakamahi i ngā maimoatanga kāinga, kāore he pokanga. Mena he mamae tuara ngawari ki te mamae pākiki tōu, me haere tonu pea te maimoatanga kia kore ai e pā kino.

Ko te mea nui ko te whai i ngā tohutohu a tō tākuta me te whakakori tinana i ngā wā katoa.

Mena he mate pūkahukahu tōku, he aha ngā mea me karo e au?

Mena kei a koe tēnei āhuatanga, he mea pai kia karohia ēnei mea:

• Te kai hikareti: Ka taea e te kai hikareti te whakanui ake i tō mamae, me te whakaiti i te angitu o tō maimoatanga.
• Te hiki taumaha: Ko te hiki taumaha, ina koa ka mahia i ngā wā katoa, ka nui te taumahatanga ki ngā uaua o tō tuara.
• Te inu waipiro: Mā te inu nui rawa i te waipiro ka nui ake te mōrearea o te mamae o te tuara.
• Te noho roa: Mā te noho roa, ahakoa i runga i te sofa, i mua rānei i te tēpu, ka kaha ake te mamae o te tuara. Nō reira, he mea nui kia ara ake, kia hikoi haere i ngā wā katoa.
• Ngā mahi ā-tinana whai pānga nui:Ka taea e ngā hākinakina me ngā mahi whakakori tinana kaha pēnei i te pekepeke me te oma tere te whakararu i tō tuara. Engari, ngana ki ngā mahi whakakori tinana iti te pānga pēnei i te hikoi me te kaukau.

He aha ngā pātai me pātai atu e au ki taku tākuta?

He mea pai kia pātai atu koe ki tō tākuta i ēnei pātai:

• He aha pea te tino take e memeha ai ngā tuaiwi o te kaki?
• Me pēhea tātou e taea ai te whakaroa i te tere o te kino haere o tēnei āhuatanga?
• He aha ngā maimoatanga pai rawa atu kāore he pokanga hei whakaora i tōku mamae?
• Ka aha mēnā kāore au e pokangahia?
• Me pēhea te ārai i te hokinga mai o te mamae i muri i te pokanga?

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

Ko te Mate Kōpae Whakaheke (DDD) ko te pirau o ngā kōpae o tō tātou tuaiwi. Engari, he wāhanga tūturu tēnei o te koroheketanga. I te pakaru haere o ēnei kōpae, ka mamae te tuara me te pakari. Ka taea e ētahi tāngata te whakaiti i ō rātou mamae mā te whakamahi i ngā rongoā kāinga, pērā i te rongoā wera me te makariri. Mēnā he nui te mamae, he pai pea te werohanga tuaiwi, te pokanga rānei.

Mena kei te mamae tō tuara, tō kaki rānei, he mea nui kia rapu tohutohu hauora koe, kaua e warewarehia. Ka taea e te tohunga tuaiwi te āwhina i a koe ki te whakatau i te maimoatanga pai rawa atu māu. Kia maumahara, ko te wawe o te tātaritanga o tō mate, ko te nui ake o te tūponotanga ka whiwhi maimoatanga koe!

Mamae Tuara, Mamae Kaki, Spondylosis Cervical, Mate Kōpae Whakaheke, Tuaiwi, Mamae Io, Whakaora Tinana