He tangata anō hoki koe e pāngia ana e te mamae tuara mau tonu? I ētahi wā, ahakoa te nui o ngā rongoā, te whakakori tinana rānei e tangohia ana e tātou, kāore e memeha te mamae tuara, tika? I roto i ēnei āhuatanga, i tēnei rā ka kōrero tātou mō tētahi whakamātautau motuhake e whakamahia ana e ngā tākuta hei kimi i te tino take o tō mamae tuara. Ka kiia tēnei he discogram, he discography rānei.
He aha te discogram? He aha te tikanga o tēnei?
He whakarāpopototanga noa iho, he whakamātautau whakaahua motuhake te discogram hei āwhina i te tautuhi i te pūtake o te mamae tuara mau tonu . Mā tēnei whakamātautau ka taea e tō tākuta te kite mēnā kua tawhito, kua pakaru rānei te kōpae tuaiwi, kei waenganui i ngā wheua o tō tuaiwi e kiia nei ko te vertebrae.
Whakaarohia, he mea hanga tō tātou tuaiwi i ngā wheua iti, e kiia nei ko ngā tuaiwi, e whakatakotoria ana tetahi ki runga i a rātou. He ngohengohe ēnei tuaiwi, he rite ki te tiēre, e mahi ana pērā i ngā mea mimiti ru i roto i te motuka, pērā i ngā hautai, kaua ki te mirimiri tetahi ki tetahi. Ko tā rātou mahi matua he mimiti i te ru ina neke haere tātou, ina hiki rānei i ngā taumaha. Mena ka pā he kino ki tētahi o ēnei kōpae, ka waiho hei tino take o te mamae o te tuara.
I te nuinga o te wā, ka whakahaerehia e ngā tākuta ngā whakamātautau pēnei i te ``(CT scan)`` (Computed Tomography scans) ``(MRI scan)`` (Magnetic Resonance Imaging) rānei hei kimi i te pūtake o te mamae o te tuara. Heoi, i ētahi wā, ka hiahiatia pea he discogram. Āhea tēnā?
- Mena e hiahiatia ana ētahi atu kōrero hei tautuhi i te take i muri i ētahi atu matawai.
- Mena kei te mamae tonu tō tuara i muri i te tango rongoā me te whai i te whakaora tinana.
- I ētahi wā, i mua i te mahi pokanga tuaiwi, pērā i te whakakotahitanga tuaiwi, ka whakamahia e ngā taote pokanga tēnei whakamātautau discogram hei whakaū ko tēhea kōpae te raruraru, ā, ko tēhea kōpae me tango .
Tērā pea kua rongo koe i ngā tākuta e kī ana he 'diskogram cervical' he 'diskogram lumbar' rānei. He rite tonu ēnei whakamātautau, engari he rerekē te ingoa i runga i te wāhi o te tuaiwi e mahia ana. Mena he mamae tō kaki, tō tuara rānei o runga, ka whai diskogram cervical koe. Mena he mamae tō tuara o raro, ka whai diskogram lumbar koe.
Anei tētahi mea nui hei maumahara. Ahakoa kua pakaru te kōpae tuaiwi, kāore e mamae tonu te tuara . Nā tēnei, he tautohetohe kei roto i te ao hauora mō te whakamātautau discogram. Heoi, he maha ngā tākuta e whakapono ana ka taea e te discogram te āwhina ki te whakaū i tētahi mea whakapae i kitea i runga i te matawai `(CT)` me te `(MRI)` rānei.
Me pēhea te whakahaere i tētahi whakamātautau discogram?
Ka whakamahia e te discogram tētahi tikanga e kīia nei ko te fluoroscopy hei tirotiro i te nekehanga o ō tuaiwi me ō kōpae. He rite te fluoroscopy ki tētahi whakaahua hihi-X e neke ana , i roto i ngā kupu māmā noa iho. Arā, ka taea e koe te mātaki me te mea he ataata i te wā tūturu.
I tēnei whakamātautau, ka werohia e te tākuta tētahi matū motuhake, e kiia nei ko te 'rauemi/tae rerekē', ki roto i tētahi o ngā kōpae i roto i tō tuaiwi. Mā tēnei tae ka kitea mārama te wāhi kei reira te raruraru.
Whakaarohia, ki te noho tonu tēnei tae ki roto i te kōpae, ko te tikanga he ora te kōpae. Heoi, ki te horapa te tae ki tua atu i ngā rohe o waho o te kōpae, e whakaatu ana kua pakaru, kua tawhito rānei te kōpae.
Me pēhea taku whakarite mō tēnei whakamātautau?
Ka hoatu e tō tākuta ētahi tohutohu hei whai māu i mua i te whakaaturanga o te discogram. Koinei ngā mea me mahi e koe i te nuinga o te wā:
- Me kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe – tae atu ki ngā rongoā me ngā tāpiringa ka taea te hoko kore utu. Me whakamōhio atu hoki ki tō tākuta mō ngā mate pāwera katoa e pā ana ki a koe.
- Me kōrero hoki ki tō tākuta mēnā kei te hapu koe, kei te whakaaro rānei koe kei te hapu koe .
- Tonoa he hoa, he mema rānei o te whānau kia haere tahi māua ki te whakamātautau, ki te hoki mai hoki. Nā te mea ka whakamoea koe i tēnei whakamātautau, kāore e taea e koe te taraiwa.
He aha ngā mea ka tupu i te wā o te whakamātautau discogram?
Ina tae koe ki te wā kua whakaritea mō te whakamātautau, ka haria koe e tētahi mema o te rōpū hauora ki tētahi rūma hihi-X. I reira, ka meinga koe kia takoto ki runga i tētahi tēpu whakamātautau. I te nuinga o te wā, ka meinga koe kia takoto ki tō taha, ā, ka whakaratohia he urunga hei whakamarie i a koe.
I te nuinga o te wā, ka mahia he discogram mā te werohanga whakamoe ā-uaua (IV). Ko te tikanga o tēnei ka tukuna he IV ki roto i tētahi uaua i roto i tō ringa, i tō ringaringa rānei, ā, ka hoatu he rongoā ki a koe hei āwhina i a koe kia marino. Ka aroturukitia hoki ō taumata hāora, tō toto toto, me tō tere o te ngakau puta noa i te whakamātautau.
Kia pai tō noho, ka mahia e te tākuta ēnei mahi:
1. Ka werohia he rongoā whakamoe ā-rohe hei whakangā i tētahi wāhi iti o tō tuara.
2. I raro i te arataki a te hihi-X (Fluoroscopy), ka werohia he ngira mā roto i tō kiri ki roto i tētahi kōpae i roto i tō tuaiwi.
3. Ka werohia te kōpae ki te 'tae ārai' kua whakahuatia ake nei, kātahi ka tangohia te ngira . (I tēnei wā, ki te pakaru te kōpae, tera pea ka pāngia koe e te mamae e rite ana ki tō mamae tuara noa. I tēnei wā, tera pea ka pātai atu te tākuta ki a koe mō te mamae, pērā i te wāhi e mamae ana.)
4. Ki te tika, tāruatia ngā taahiraa tuatahi ki te tuatoru mō ētahi atu kōpae .
5. Tāpirihia he pāreti hei aukati i te toto mai i ngā patunga i werohia.
I te wā o te whakaaturanga whakaahua, ka tangohia e te tākuta ngā whakaahua mā te whakamahi i te fluoroscopy. Kātahi ka mahia pea e rātou he matawai CT, he matawai MRI rānei. Mā te whai i ngā whakamātautau whakaahua neke atu i te kotahi ka āwhina i te tākuta ki te whakatau tika i te mate .
Mai i te tīmatanga ki te mutunga, ko te roa o te whakamātautau discogram he tata ki te haora .
He aha te mea ka tupu i muri i te whakamātautau?
I muri i te whakaaturanga whakaahua, tera pea ka pāngia koe e te mamae me te kore whakamarie i te wāhi i werohia ai mō ētahi haora. Ka taea e koe te whakaiti i tēnei mamae i te kāinga. Tākaihia he putea hukapapa ki roto i te tauera ka whakatakotoria ki te wāhi mamae mō te 20 meneti, kātahi ka tangohia mō te 20 meneti. Me mahi i tēnei i ngā wā e tika ana. Ka taea hoki e koe te tango i ngā rongoā whakamamae pēnei i te paracetamol (hei tauira, Tylenol®) ibuprofen rānei (hei tauira, Motrin®).
He tūponotanga kei roto?
He onge ngā raruraru mai i tētahi discogram, engari he iti noa ngā mea ka pā mai:
- Te mate urutā.
- Te toto.
- Ka kino haere te mamae o te tuara i mua i te pai haere.
- Te kino ki ngā oko toto, ki ngā io rānei.
- Te ngoikore, te māuiui rānei mō te wā poto.
- Ngā mamae o te upoko.
- Whakapairuaki.
- He mate pāwera ki te tae rerekē.
- Te pararutiki (he tino onge tēnei).
Kia pēhea te roa o te wā e ora ai i muri i te discogram?
Ka taea e te nuinga o te tangata te hoki ki te mahi, ki te kura, me ētahi atu mahi o ia rā i roto i te 24 hāora . Heoi, ka roa pea ētahi rā ka memeha rawa te mamae o te wāhi i werohia ai te ngira.
He aha ngā kōrero a ngā hua o taku whakamātautau?
Ka tirohia e te tohunga hihi-X ngā hua o tō discogram, ka kī atu mēnā kei roto tonu i te kōpae te tae rerekē, kua turuturu rānei ki waho.
- Mena kei roto tonu te mata i te kōpae , he hua noa/kino. Ko te tikanga he pai te kōpae.
- Mena kua turuturu te tae i roto i te kōpae , he tohu tēnei kua pakaru te kōpae i te wā e whakamahia ana (he hua pai tēnei).
Āhea ahau ka mōhio ai ki ngā hua?
Kia oti te tirotiro a te tohunga hihi-X i tō kōpae oro, ka tukuna atu e rātou ngā hua ki tō tākuta. Kia tae mai ngā hua, ka kōrero tō tākuta ki a koe mō ēnei hua. I te nuinga o te wā, ka puta ngā hua i roto i te wiki kotahi .
Mena he rerekē ngā hua, he aha tāu e mahi ai i muri mai?
Kei tō āhuatanga. Tērā pea ka tūtohu tō tākuta i ētahi atu whakamātautau whakaahua i mua i te whakatau i tētahi mahere maimoatanga. Tērā pea ka tūtohu rātou i tētahi hononga tuaiwi, arā, ko te tango i te kōpae kua pakaru me te whakakotahi i ngā tuaiwi. Ka āwhina tēnei ki te whakaiti i te mamae o te tuara.
Āhea ahau me kite anō i te tākuta?
I muri i te whakaaturanga o te whakaaturanga, ki te pāngia koe e tētahi o ngā tohu e whai ake nei , waea atu ki tō tākuta tonu atu :
- Mena he nui ake te kirika i te 38.3 nekehanga Celsius (101 nekehanga Fahrenheit).
- Mena he rerekē te tae, he pupuhi, he mahana, he pupuhi rānei e puta mai ana i te wāhi i werohia.
- Ki te tīmata koe i te mamae tuara hou.
- Ki te kino haere tō mamae tuara.
He pēhea te mamae o te whakamātautau discogram?
Mena he kōpae hernia tōu i roto i tō tuaiwi, tera pea ka pāngia koe e te mamae ina werohia e te tākuta te tae whakahāngai. He tokomaha te hunga e kī ana he rite tonu te mamae ki te mamae o te tuara e pāngia ana e rātou i ia rā . Ahakoa he kore whakamarie pea i taua wā, ka āwhina tēnei mamae i te tākuta ki te tautuhi ko tēhea kōpae hernia, pakaru rānei.
Tērā pea ka pāngia koe e te mamae, te kore rānei e pai mō ētahi rā i muri i te whakamātautau. Mēnā ka puta tēnei, tangohia he rongoā mamae ka taea te hoko mai i te tākuta, ā, pania he hukapapa kia maha ngā wā i te rā.
He aha te rerekētanga i waenga i te discogram me te matawai MRI?
He whakamātautau whakaahua ēnei e rua hei āwhina i te kimi i te pūtake o te mamae o te tuara. Heoi, he rerekē ngā āhuatanga o rāua:
Ko te tikanga ka tono tuatahi ngā tākuta i tētahi matawai CT, i tētahi matawai MRI rānei. Ka tono rātou i tētahi whakaahua whakaahua mēnā e hiahiatia ana ētahi atu whakamātautau whakaahua, ā, e hiahiatia ana ētahi atu kōrero. Ka homai e te MRI he pikitia pai o te hanganga o te kōpae, ā, ka whakamahia he whakaahua whakaahua hei whakatau mēnā ko taua kōpae te take o te mamae .
Hei whakamutunga...
Ka pā kino te mamae tuara mau tonu ki te kounga o tō oranga. Ina kua whakamātauria e koe ngā momo maimoatanga katoa, ā, kāore he hua e puta, he mea noa te whakaaro, "He otinga anō tēnei mō tēnei?"
Ehara i te mea ko te katoa e mamae ana te tuara e hiahia ana ki tētahi discogram. Heoi, i ētahi wā, ka taea e tēnei whakamātautau whakaahua te āwhina ki te whakaū mēnā kua tawhito te kōpae tuaiwi, me te whakakore i ētahi atu āhuatanga. Mena kei te mamae koe i te tuara kāore e pai ake, pātai atu ki tō tākuta mēnā ka taea e tētahi discogram te āwhina i tō tautuhi mate.
Mamae tuara, whakaahua, tuaiwi, tuaiwi, tātaritanga, hihi-X, mamae tuara











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