He maha hoki ō mamae tuara? He rite tonu te mamae ki te waewae i ētahi wā? He tokomaha te hunga e kī ana i ētahi wā pēnei, "I paheke taku kōpae i hea?" Inaa, mō te tini o te tangata, ka pai ake tēnei mamae mā te rongoā, te okiokinga, me te whakaora tinana. Heoi, i ētahi wā ka kino rawa atu tēnei āhuatanga, ka tūtohu ngā tākuta kia pokanga. Ko te ingoa o taua pokanga ko 'Diskectomy'. Nō reira, i tēnei rā, me kōrero tātou mō tēnei hei whakatau i ngā pātai katoa kei roto i tō hinengaro.
He aha te kīanga māmā noa iho tēnei 'kōpae'?
He puranga wheua ririki kei runga i te tuarā. Hei ārai i te mirimiri o ēnei wheua tetahi ki tetahi, he urunga kei waenganui. Whakaarohia rātou he 'ārai ru' i roto i te motuka. Ko aua urunga te mea e kiia nei e tātou ko ngā kōpae intervertebral.
He mowhiti o waho kaha tō ia kōpae, ā, he wāhanga ngohengohe, he rite ki te tiēre, kei roto. I ētahi wā, ina nui rawa te pēhanga, ka haehae tēnei mowhiti o waho, ā, ka pana te wāhanga o roto, he rite ki te tiēre, ki waho. Koinei te mea e kiia nei e tātou he 'kōpae paheke'. I roto i te rongoā, e kiia ana tēnei he kōpae herniated .
Ko te kōpae e puta mai ana i tēnei momo āhua ka pēhi i tētahi io tata. Koinā te wā ka pā mai ngā tohu pēnei i te mamae me te ngoikore o te tuara, te ringa, te waewae rānei. Ko te diskectomy he tikanga pokanga e tango ana i te kōpae e puta mai ana, e pēhi ana i te io.
He aha ngā tikanga rerekē mō te mahi i tēnei pokanga?
Tērā pea ka rerekē te tikanga pokanga ka whiriwhiria e tō tākuta i runga i tō āhua me te wāhi kei reira te kōpae (tuara, kaki rānei). He maha ngā tikanga matua.
| Tikanga pokanga | Ki te kī ngāwari, me pēhea te mahi |
|---|---|
| Te Whakakorenga Tuwhera o te Kōpae | Koinei te tikanga tuku iho. Ka tapahia kia kotahi, kia rua rānei inihi mai i te kōpae e pāngia ana, ka kumea māriretia ngā uaua ki tahaki, ā, mā te titiro tika atu a te tākuta ki te kōpae ka tangohia te kōpae. |
| Te Whakakorenga Iti/Te Whakakorenga Iti o te Kōpae | I konei, ka tapahia he tapahi iti rawa (iti iho i te inihi) ki te kiri. Kātahi ka whakauruhia he taputapu motuhake me te kāmera (endoscope) ka tangohia te kōpae i raro i te tirotiro a te kaiarataki. He iti noa te kino o ngā uaua ka pā ki tēnei. |
| Pokanga kaki (Anterior Cervical Discectomy and Fusion - ACDF) | Ka mahia tēnei mō te hunga he kōpae herniated kei roto i ō rātou kaki. He mea whakamiharo, ka mahia tēnei pokanga mai i mua o te kaki. Ka tangohia te kōpae, ā, ka whakauruhia he hononga wheua, he mea tāpiri motuhake rānei ki roto i te wāhi hei whakau i te tuaiwi. (Spinal Fusion). |
Me mahi anō hoki ahau i tēnei pokanga?
He pātai tino nui tēnei. Ehara i te mea ko te hunga katoa he herniated disc e hiahia ana ki te pokanga. Tata ki te 90 i roto i te 100 tāngata ka ora mā te maimoatanga kore-pokanga. Ka whakamātau tuatahi tō tākuta i ēnei:
- Te hoatu i ngā rongoā whakamamae mamae me ngā rongoā whakangā uaua.
- Te tuku ki te rongoā tinana.
- Tērā pea ka werohia he werohanga motuhake ki te tuaiwi (Werohanga Epidural Steroid).
Heoi, ki te kore he whakapainga i muri i ētahi marama o ēnei maimoatanga, ā, ki te kitea ngā āhuatanga e whai ake nei, ka whakaarohia pea e te tākuta te pokanga:
- Mena he nui te mamae, te ngoikore rānei o tō ringa, o tō waewae rānei , ā, kāore e taea e koe te mahi i ngā mahi o ia rā.
- Mena kua tino ngoikore ngā uaua o te ringa, o te waewae rānei.
- Ki te mamae nui koe (sciatica) ka rite koe ki te ru hiko e rere ana i raro i tō waewae.
Āhua ohorere!
Ki te mea ka pāngia koe e te ahua o te ngaro o te mana whakahaere o ō waewae e rua, ki te pāngia rānei koe e te mate e kiia nei ko te Cauda Equina Syndrome, he āhuatanga ohorere tino kino tēnei. Ki te puta tēnei , me haere tonu koe ki te Tari Ohorere o te hōhipera (ETU), me te kore e whakaroa.
Me pēhea te whakarite i mua i te pokanga?
Ki te whakatau koe kia pokangahia, ka tūtaki te taote pokanga ki a koe, ka whakamārama i ngā mea katoa.
- Ka tirotirohia koe kia tino mārama.
- Ka whakahaerehia ngā whakamātautau whakaahua, pērā i te matawai MRI.
- Ka pātai atu rātou mō tō hītori hauora katoa me ngā rongoā e tangohia ana e koe.
- Mena he kaipaipa koe, me mutu rawa te kaipaipa i te iti rawa i te 4 wiki i mua i te pokanga, nā te mea ka whakaroa te nikotīni i te whakaora o te patunga.
- Pātai atu ki te tākuta mēnā he pātai āu i tēnei wā.
Kia pēhea te roa o te wā e ora ai i muri i te pokanga?
He rerekē te roa o te wā whakaora i ia tangata, i ia tangata. Kei runga i te kaha o tō mate, tō hauora whānui, me te pai o tō whai i ngā tohutohu a tō tākuta.
Ko te tikanga, ka tīmata te nuinga o te tangata ki te pai ake i roto i te 1 ki te 4 wiki . He poto ake te wā whakaora mō te pokanga tapahi iti.
Ko te mea nui ko te whai i ngā tohutohu a te tākuta i muri i te pokanga.
- Me karo rawa koe i te piko o tō tuara, te hiki taumaha, me te takahurihuri mō ngā wiki e 3 ki te 6. Mā te mahi i ēnei mea ka nui ake te tūponotanga o te hernia o te kōpae.
- Ka taea e koe te tīmata i ngā mahi māmā i roto i te rua wiki pea.
- Ka taea e koe te hoki ki ngā mahi o ia rā i roto i te ono wiki pea.
- Mō ngā mahi uaua, mō ngā hākinakina rānei, me tatari koe mō te toru marama.
Ngā tūponotanga o te pokanga me te wā e tika ai kia kite i te tākuta
Pērā i ngā pokanga katoa, tera pea ētahi mōrearea iti i te tango i te kōpae. Heoi, he tino onge ēnei. He mea nui kia mārama ki tēnei.
| Ngā tūponotanga pea e pā ana ki te pokanga | Ngā tohu e hiahia ana kia aro wawe tonu ki te hauora |
|---|---|
| Mate pāwera ki te rongoā whakamoe, toto, mate pāwera i te patunga. | Te pupuhi, te whero, me te kirika i te wāhi o te patunga. |
| Ngā toto totoka. | Ki te piki ake te mamae, kaua ki te heke iho. |
| Te kino ki te io. | Te ngoikore ohorere o te uaua, te ngoikore rānei o te tinana . |
| Te turuturu o te wai cerebrospinal (CSF). | Te uaua ki te manawa. |
| Tērā pea ka noho tonu te mamae, ka paheke anō rānei te kōpae. | Te uaua ki te mimi, ki te tutae rānei. |
He mate mō te wā katoa te mamae o te tuara. He mea noa te wehi i te pokanga. Engari kia maumahara, he maimoatanga tēnei e angitu ana, ā, ka taea te āwhina i a koe ki te whakahoki i tō oranga ki te huarahi tika.
Karere Tangohia ki te Kāinga
- Ko te diskectomy he tikanga pokanga e mahia ana mō te mate kōpae hernia kāore anō kia ora i ētahi atu maimoatanga, ā, he kino hoki ngā tohu e pā mai ana.
- He rerekē ngā momo tikanga, pērā i te tuwhera me te iti rawa te urutomo. Kōrero ki tō tākuta mō te tikanga e pai ana mōu.
- He mea tino nui te wā whakaora i muri i te pokanga. Kia mahara ki te whai i ngā tohutohu kia kaua e piko, e hapai, e takahuri rānei .
- Ki te pāngia koe e ngā tohu pēnei i te ngaronga ohorere o te kaha o ngā waewae, te ngaronga rānei o te mana whakahaere mimi/paru, haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
- Kāore he mea hei wehi. Kei te rite tonu tō tīma hauora ki te āwhina i a koe. Pātai atu ki a rātou ngā mea katoa e pā ana ki tō hinengaro.
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