Kei te mamae anō hoki tō tuara? He kōpae herniated? (Herniated Disc) - Kia mōhio tātou ki tēnei!

I ētahi wā, kāore tātou e whakaaro ki tēnā. Whakaarohia kei te ngana koe ki te whakatika ake i te tūru i mua i te pouaka whakaata, ā, ka pāngia koe e te mamae koi, e wero ana i te tuara, ka heke ki raro i te waewae... He tokomaha te hunga e mataku ana i tēnei wā, e whakaaro ana, "Āe, kei te paheke tetahi o aku kōpae?" Inaa, he tino taea. I tēnei rā, me kōrero tātou mō tēnei āhuatanga e kiia nei ko te ' Herniated Disc ', ko te 'Slipped Disc' rānei, e pāngia ana e te tini o te tangata.

He aha te tikanga tūturu o te peke i tētahi kōpae?

Hei mārama ki tēnei, me ako tātou i te hanganga o tō tātou tuaiwi. E 33 ngā wheua iti o tō tātou tuaiwi e whakatakotoria ana ki runga i a rātou anō. Ka karangatia ēnei wheua tuarā he wheua tuarā . Kei waenganui i ia wheua tuarā he urunga ngohengohe, he rite ki te tiēre. Koinei te mea e karangatia ana ko te kōpae intervertebral, ko te 'kōpae' rānei.

Ko te mahi matua o tēnei kōpae he mahi hei 'ārai ru' mā te mimiti i te ru e pā ana ki te tuaiwi ina piko tātou ki mua, ki muri me te ngāwari, ina hiki i ngā taumaha, me te hikoi.

E rua ngā paparanga o tēnei kōpae.

1. Te uho o roto (Nucl EUS Pulposus): Koinei te wāhanga ngohengohe, rite ki te tiēre i roto.

2. Uhi o Waho (Annulus Fibrosus): Koinei te mowhiti o waho kaha ake, muka e karapoti ana i te wāhanga rite ki te tiēre.

Hei tauira, mō tētahi take, ina hiki ohorere ana i tētahi taumaha, ina piko hē, nā te pakeketanga rānei, ka pakaru, ka pakaru rānei tēnei uhi kaha o waho, ā, ka panaia te mea rite ki te tiēre i roto. Koinei te mea e kīia nei e tātou he 'kōpae herniated'. Ka pēhi tēnei mea rite ki te tiēre e puta mai ana i te taurakira tata, i ngā io rānei e puta mai ana i reira. Ko te wā tēnā ka tīmata ai te mamae kore e taea te manawanui, te ngoikore, me ētahi atu tohu.

He rite tonu te Herniated Disc me te Bulging Disc?

He tokomaha te hunga e whakapoauau ana i ngā āhuatanga e rua. Ahakoa he rite ngā tohu, he rerekētanga mārama kei waenganui i ngā āhuatanga e rua. Ki te kī māmā noa, ko te kōpae pupuhi ko te korenga o te uhi o waho o te kōpae e haehae, engari ka huri i te pakeketanga, ā, ka pupuhi ki waho pērā i te potae pā. I roto i te kōpae herniated , ka haehae te uhi o waho, ā, ka turuturu te tiēre o roto.

Me titiro tātou ki tēnei rerekētanga i roto i tētahi ripanga.

He aha ngā tohu matua o tēnei?

I ētahi wā, kāore pea he tohu e puta mai i te kōpae hernia. Heoi, he maha ngā tāngata ka puta he tohu. Ka whakawhirinaki ēnei tohu ki te wāhi kei reira te kōpae hernia (i te tuara, i te kaki rānei) me te kaha o te pēhi ki te io.

Ko ngā tohu noa ko:

• Te ngenge, te mākūkū rānei: He kare ā-ngākau mākūkū i te ringa, i te waewae rānei i te wā e pēhia ana te io, i tōna haerenga hoki.
• Mamae koi, mamae wera: Tērā pea ka pāngia koe e te mamae pupuhi, pērā i te ru hiko.
• Ngoikoretanga o te uaua : Tērā pea ka ngoikore te uaua i te wāhi e mamae ana. Hei tauira, he uaua ki te hiki i te waewae.
• Kei te taha kotahi anake o te tinana ngā tohu: I te nuinga o te wā, ka kitea te mamae me te māuiui i te taha matau, i te taha maui rānei.

Mena kua paheke te kōpae i te tuara o raro (Lumbar Spine):

Ka tīmata te mamae i te tuara, ka horapa puta noa i te papa, i ngā huha, me te papa tae noa ki te waewae . Ka kiia hoki tēnei ko te 'sciatica'.

Mena kua paheke te kōpae i te kaki (te tuaiwi o te kaki):

Ka tīmata te mamae i te kaki, ka heke ki raro i te pakihiwi ki te ringa me ngā maihao .

Ina hiahia koe ki te toro atu ki te tākuta i te wā tere!

Ahakoa ka taea te whakahaere i tēnei mate i te kāinga, tera pea ētahi wā e hiahiatia ana he awhina hauora tonu. E whakaaro ana mātou he tohu kino ēnei.

Ki te pāngia koe e tētahi, e ētahi rānei o ngā tohu e whai ake nei i muri i te whara, haere tonu ki te Tari Whawhati Tata (ETU) o te hōhipera tata rawa atu.

• Te ngoikore nui o te ringa, o te waewae rānei .
• Kei te pāngia koe e te kirika, e te mate pāwera rānei .
• Te ngaronga o te rongo i te pūkahukahu, i te rohe ira tangata rānei.
• Te ngoikore o te pūkahukahu, te puku rānei. He mate tino kino tēnei.

Ko ēnei tohu e tohu ana kei te tino pakaru te taurakira. Nō reira, he mea nui kia toro atu ki te tākuta , kaua e moumou taima .

He pēhea rawa te kitenga a te tākuta i tēnei?

Ki te pā mai ēnei tohu ki a koe, ko te mea pai ko te toro atu ki te tākuta. Ko tāna mahi tuatahi ko te tirotiro i tō tinana.

• Kei te pātai atu ahau ki a koe mō te mamae.
• Ka pēhi rātou i ngā wāhi mamae o tō tuara, o tō kaki rānei.
• Ka meinga koe kia takoto ki runga i te moenga, ā, ka nekehia ō waewae, ō ringa rānei ki ngā ahunga rerekē.
• Ka whakamātautau i ngā urupare o te turi me te pona.
• Ka whakamātautau i te kaha o ngā uaua o ō waewae me ō ringa.
• I ētahi wā ka meahia kia hikoi i runga i ngā kapu o ō waewae me ō rekereke.

I te nuinga o te wā, ka taea te tautuhi i te mate mā tēnei whakamātautau tinana anake. Heoi, ka tono pea tō tākuta i ētahi whakamātautau hei whakakore i ētahi atu take o te mamae (hei tauira, he whati, he pukupuku rānei) hei tautuhi rānei i te io tika e pēhia ana.

Ngā whakamātautau anō

• X-ray: Kāore e whakaatuhia he kōpae hernia i te hihi X noa, engari ka taea e ia te tirotiro mō ētahi atu raruraru o te tuaiwi, pērā i te whati.
• Matawai CT: Ka taea e tēnei te whakarato i tētahi whakaahua mārama ake o te tuaiwi me ngā hanganga huri noa i te tinana i te hihi-X.
• Matawai MRI:Ko te whakamātautau pai rawa atu, me te whakamātautau tino tika mō te tautuhi i te kōpae herniated ko te MRI. Ka taea te kite mārama i te wāhi o te kōpae, tōna hanganga o roto, me ēhea io e pēhia ana.
• Ngā whakamātautau EMG me NCS: Ka whakamahia ēnei whakamātautau hei tirotiro mēnā kei te pakaru ngā io, me te piripono o aua io. I roto i te "Electromyogram (EMG)", ka whakauruhia he taputapu iti rite ki te ngira ki roto i te uaua, ā, ka inehia tōna mahi hiko. I roto i te "Nerve Conduction Studies (NCS)", ka tukuna he tohu hiko iti ki te io, ā, ka inehia te tere o tōna haere. Mā tēnei ka taea te kī tika mēnā kei te pakaru ngā io.

Ka ora tēnei? Me pēhea taku whakaora wawe?

Ae, ko te rongo pai , mō te nuinga o te tangata, ka ora noa te mate hernia o te kōpae i roto i ētahi wiki, i tētahi marama, i ētahi rānei. Kei te tinana te kaha ki te whakaora i a ia anō.

Mā ēnei mea ka āwhina i a koe kia tere te ora:

1. Okiokinga: Āta karohia ngā mahi e whakanui ana i te mamae (te hiki taumaha, ngā mahi whakararuraru tuara). Heoi, kaua e noho noa i te moenga mō te rā katoa. He pai ngā mahi māmā pēnei i te hikoi poto.

2. Rongoā: Tangohia ngā rongoā whakamamae mamae me ngā rongoā ārai-mumura kua tohua e tō tākuta kia rite ki ngā tohutohu.

3. Ngā kōpeke makariri me ngā kōpeke wera: Ka taea e koe te tāpiri i ngā kete hukapapa hei whakaiti i te mamae me te pupuhi mō ngā rā tuatahi e rua. Whai muri i tēnā, he mea pai kia tāpirihia he pounamu wai wera hei whakangāwari i ngā uaua.

4. Whakaora tinana: He mea tino nui te mahi i ngā mahi whakakori tinana hei whakapakari i ngā uaua o te tuara me te puku i raro i te arataki a te kaiwhakaora tinana, e ai ki ngā tohutohu a tō tākuta. Mā tēnei ka ārai i te hokinga mai o tēnei āhuatanga ā muri ake nei. Kia mahara, me whakakori tinana anake mēnā ka iti haere te mamae. Mēnā ka piki haere te mamae, kati tonu.

Ki te mau tonu te mamae, ka werohia pea koe e tō tākuta ki te steroid, ka tukuna rānei koe ki ētahi atu maimoatanga. Ka whakaarohia te pokanga i ngā wā tino kino anake, ā, ki te kore he maimoatanga kē atu i āwhina.