Ko te hunga kua pāngia e te uaua o te tū ake, te noho, te hikoi rānei me te mamae o te tuara, e mōhio ana rātou he aha te mamae. He aha rawa tēnei mamae nui e meinga ai koe kia "āe" ahakoa he iti noa te nekeneke? I te nuinga o te wā, ko te take o tēnei he raruraru ki te "kōpae" i roto i tō tātou tuaiwi. Nō reira, i tēnei rā, me kōrero tātou mō tēnei raruraru kōpae e kōrerohia ana e te katoa, engari kāore i te tino mōhiotia.
He aha tēnei kōpae tuaiwi?
He māmā noa iho, he paihere wheua ririki tō tātou tuaiwi e whakatakotoria ana tetahi ki runga i tetahi. Ka kiia ēnei wheua he tuaiwi. Whakaarohia ēnei tuaiwi he pereki. Engari ko ngā pereki e rua e pā ana tetahi ki tetahi, he mea kei roto i te motuka hei ngongo i ngā ru e puta ana ina neke whakamua, ina hoki whakamua. Ko taua papa rapa te mea e kiia nei e tātou ko te ' kōpae intervertebral' , ko te 'kōpae' noa iho rānei.
E rua ngā wāhanga o tēnei kōpae:
1. Te wāhanga pakari o waho: He tino kaha tēnei, he muka te uhi. He rite ki te paparanga o waho o te potae. Ka kiia tēnei ko te ``(annulus fibrosus)``.
2. Te wāhanga ngohengohe o roto: He rite tēnei ki te tiēre. Mā tēnei wāhanga ka ngāwari te kōpae. Ka kiia tēnei ko te "nucleus pulposus".
Ehara tēnei kōpae i te mea ora noa iho. He mea piri pūmau i waenganui i ngā tuaiwi e rua, ā, e puritia ana e ngā hononga me ngā uaua e karapoti ana. Nō reira, ehara i te mea ngāwari te "paheke" o te kōpae.
Ko te mea nui ko te tiaki a tēnei kōpae i tō tātou tuaiwi, tae atu ki te taurakira me ngā io e toro atu ana i reira.
Ka pēhea tēnei kōpae i a tātou e pakeke haere ana? I a tātou e tamariki ana, he wai ake te roto o tēnei kōpae, he rite ki te tiēre. Engari i a tātou e pakeke haere ana, ahakoa i roto i tō tātou taitamarikitanga, ka heke te rere o te toto ki tēnei kōpae. Kātahi ka tīmata te wāhanga ngohengohe o roto ki te whakapakeke me te maroke. I te pakeketanga, ka pakeke haere tēnei kōpae, pērā i te rapa tawhito. Nā ēnei huringa, ka ngoikore te uhi o waho o te kōpae, ā, ka ngāwari te pakaru.
He aha te tikanga o te puta o te kōpae? (Herniated Disc)
Koinei te āhua e kiia nei e te tini he "kōpae paheke." Ko te tikanga, ehara i te mea ka paheke te kōpae, engari ko te wāhanga o te kōpae ka pupuhi ki waho.
Whakaarohia kei te pēhia e koe tētahi tōnati kī tonu i te tiamu. Ka ahatia? Ka puta te tiamu i tētahi wāhi ngoikore o te tōnati, tika? Koinā anō hoki te mea e tupu ana i konei. Nā te pēhanga, ka ngoikore te uhi mārō o waho o te kōpae "annulus fibrosus", ka haehae, ā, ka puta te wāhanga rite ki te tiēre i roto i te "nucleus pulposus".
Ko te kōpae e puta ake ana pēnei ka pēhi i tētahi io tata. Koinā te wā ka puta mai ai ngā tohu pēnei i te mamae kore e taea te mau me te ngoikore. I te tuatahi, ka pakari ngā uaua o te tuara, ā, kāore pea e taea e koe te neke tika. Kātahi ka taea e te mamae te heke iho i te io kua pēhia ki te waewae, ā, i ētahi wā tae noa ki te ringa.
I te nuinga o te wā, tata ki te 90% o ēnei raruraru kōpae ka puta ki te tuara o raro, arā, ki te rohe hope. He iti ake te auau o ngā raruraru ki te rohe kaki.
| Ngā take pea o te raruraru kōpae | Ngā tauira |
|---|---|
| He aituā, he tū tika rānei | Te hiki hē i tētahi mea taumaha (he puoto hau, he peere wai), te takahuri ohorere, te hinga rānei. |
| Te koroheketanga | I te pakeketanga, ka ngaro te makuku o te kōpae, ka maroke, ka ngoikore. |
| Taumaha rawa/momona | I te pikinga ake o te taumaha o te tinana, ka piki ake anō hoki te kawenga ki runga i te tuaiwi. Ka pēhia ngā kōpae e tēnei. |
| Te kore whakakori tinana/te noho noa iho | Ina ngoikore ngā uaua o te tuara me te puku, ka heke te kaha o te tuaiwi. |
Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei?
Ko te hernia o te kōpae he mea tino noa i waenga i ngā wāhine me ngā tāne i waenga i te 30 me te 50 tau te pakeke. Heoi, ka taea hoki te pā ki ngā taiohi hihiko. He mea whakamiharo, he iti ake te kitea o tēnei raruraru i roto i ngā kaumātua kua ngaro katoa ō rātou kiriuhi, ā, kua pakari haere.
Ko te rongo pai, ehara i te mea ka mamae katoa ngā kōpae hernia . Ko ētahi tāngata he matawai MRI e whakaatu ana i ngā raruraru o ā rātou kōpae, engari kāore rātou e pāngia e te mamae, e te kore whakamarie rānei. Nā te mea kāore te kōpae hernia e wero ana i te io.
He aha te tikanga o te pakaru o te kōpae? (Te Mate Kōpae Whakaheke)
He mea tēnei e kōrerohia ana e te tini tāngata. He tukanga tūturu tēnei e puta ana i te koroheketanga, ehara i te mate. Pērā i te hina o ō tātou makawe, me te kiri e kitakita ana, ka memeha haere, ka mimiti haere, ka maroke haere hoki ō tātou kōpae i te roanga o te wā. Koinei te mea e kiia nei e tātou ko te Mate Kōpae Whakaheke.
Kāore tēnei utu e rite mō te katoa. Mō ētahi, he tere rawa, he kino hoki te puta. Ina koa,
- Mō te hunga ngoikore ngā uaua
- Mō te hunga he tū pōturi (piko)
- Mō te hunga momona
Nā te mea kei raro tonu i te pēhanga koretake ngā tuaiwi o ēnei tāngata, ka tere te memeha o ngā kōpae. Ka taea hoki e tēnei memeha te whakararu i te tuara, te pakari, me ētahi atu raruraru.
Me haere ahau ki te tākuta?
Ae rawa. Mēnā ka pāngia koe e te mamae o te tuara, kaua e warewaretia hei tohu ngoikore. Me toro atu ki tō tākuta tonu , inā koa mēnā kei a koe tētahi o ēnei tohu.
- Te mamae tuara e kore e taea te whakamanawanui, te mamae nui.
- Mena ka pā te mamae ki te waewae, ki te ringa rānei (inā koa he rite ki te ru hiko).
- Mena he māuiui , he ngoikore rānei ōu waewae, ōu waewae, ōu ringa rānei.
- Mena he ngoikore ō uaua, ā, he uaua ki a koe te hikoi, te hiki rānei i ngā taumaha.
- Ko te mea nui: Ki te uaua koe ki te whakahaere i tō mimi, i tō tūtae rānei, ki te pāngia rānei koe e te māuiui i taua wāhi, he āhuatanga ohorere tēnei . Haere tonu ki te Tari Ohorere o te hōhipera (ETU).
Ka tirohia koe e tō tākuta, ka whakahau i ngā whakamātautau pēnei i te hihi-X, te MRI rānei mēnā e tika ana, ā, ka tūtohu i te maimoatanga pai rawa atu mō tō āhua. Tērā pea ka uru atu ki tēnei he rongoā, he whakaora tinana, he pokanga rānei, he mea tino onge.
Karere Tangohia ki te Kāinga
- He papa rapa te kōpae tuaiwi e mimiti ana i ngā ru i waenganui i ngā tuaiwi o te tuaiwi.
- Ko te "kōpae herniated" ko te pana o te wāhanga ngohengohe o roto o te kōpae mā roto i tōna uhi o waho, ka pēhi i tētahi io tata.
- Ko te koroheketanga, te tū tika, te hiki taumaha, te momona, me te kore whakakori tinana ngā tino take o ngā raruraru kōpae.
- Ko te mamae o te tuara, te mamae e horapa ana ki te waewae, te ngoikore o te uaua, me te ngoikore o te uaua ngā tohu matua.
- Kaua rawa e warewarehia te mamae o te tuara. Mena he nui te mamae, he rerekē rānei ō tohu, me toro atu ki tō tākuta .
- He maha ngā raruraru kōpae ka taea te ārai mā te whakakorikori tinana tika, te whakahaere i tō taumaha, me te pupuri i te tū tika.











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