Kei te pāngia koe e te kōpeketanga o ngā io i tō tuara? Me kōrero tātou mō te Foraminal Stenosis!

Ko te nuinga o tātou kua pāngia e te mamae o te tuara, te mamae nui o ngā waewae, te ngoikore rānei o ō tātou peka me ngā waewae i tētahi wā o ō tātou oranga. I ētahi wā ka whakaaro tātou he māmā noa iho ngā take, engari tera pea he kōrero hohonu kei muri. Ko te Foraminal Stenosis he mate ka puta i roto i tō tātou tuaiwi, engari he tokomaha kāore e mōhio ana. Nō reira, me kōrero tātou mō tēnei mea i tētahi ara māmā i tēnei rā, i tētahi ara e mārama ai koe.

He aha te whakarapopototanga o te foraminal?

Whakaarohia tō tuaiwi he ngongo nui. Ka rere tō tātou taurakira mā roto i tēnei ngongo. He io iti e puta mai ana i tēnei taurakira, e kawe ana i ngā karere ki tō tātou tinana katoa, ā, e mahi ana i ngā mea pēnei i te neke i ō tātou waewae me te homai i ngā kare ā-roto ki a tātou. Nō reira, ka puta mai ēnei io i te taurakira mā roto i ngā kōhao iti e kiia nei ko te foramen . Hei tika, ko ngā kōhao e kiia nei ko te neural foramen . Ko te foraminal stenosis te wā ka āraia, ka whaiti rānei aua kōhao mō ngā take maha. Pērā i te wā ka āraia he paipa wai, ka uaua te rere o te wai, ina āraia ēnei kōhao, ka pēhia te io.

Whakaarohia te mea ka tupu ina mau te waea hiko ki roto i te tatau. Ka pakaru te waea, ā, ka mutu pea te rere tika o te hiko . Koinei te āhua o te pēhanga o te io . Ka taea te whakakore i ngā karere e haere ana i roto i te io, ka mamae, ā, i ētahi wā ka pakaru tonu te io.

Kei hea i tō tātou tuara tēnei mate e tino kitea whānuitia ana?

Kua wehea tō tātou tuaiwi kia maha ngā wāhanga. Ka taea e tēnei āhuatanga, e kiia nei ko te foraminal stenosis, te puta i tētahi o ēnei wāhanga.

• Tuarā o te kaki : Koinei te tuarua o ngā wāhi e kitea whānuitia ana tēnei mate.
• Tuarā Uma: He iti ake tēnei wāhi.
• Tuarā Lumbar: Koinei te wāhi e tino kitea ai te stenosis foraminal.
• Tuarā Sacral: Kei raro tonu i te tuaiwi.
• Tuarā coccygeal: Ka kiia e mātou ko te wāhanga kei reira te wheua hiku.

He mate tēnei e pāngia ana e te tini tāngata?

Ina hoki, he nui ake te kitea o tēnei mate i tō whakaaro, inā koa i waenga i te hunga neke atu i te 55 tau te pakeke. Ka piki ake te auau i a koe e pakeke haere ana. Engari he mea miharo, he maha ngā tāngata e pāngia ana e te foraminal stenosis kāore e whakaatu i ngā tohu. E kī ana ētahi rangahau, i te 60 tau te pakeke, tata ki te 40% o te hunga he lumbar stenosis ngawari. Ka taea e tēnei te piki ki te 75% i te 80 tau te pakeke. Heoi, ahakoa he kino rawa ngā take, tata ki te 17.5% anake o te hunga e whakaatu ana i ngā tohu.

He aha ngā tohu o te stenosis foraminal?

He rite ngā tohu ki ērā o te io kua kopikopiko . Ka kiia hoki tēnei āhuatanga ko te Radiculopathy . Tērā pea ka puta tētahi, neke atu rānei o ēnei tohu:

• Mamae: Koinei te tohu matua, te tohu tino kitea. Ehara i te mea ko te mamae anake kei te tuara me te kaki, engari ka taea hoki e te mamae te horapa ki raro i te io ki te ringa, ki te waewae rānei.
• Te ngenge, te mākūkū rānei (`Paresthesia`): Tērā pea ka rite ki te "oho hiko" te ahua, ki te mea rānei kei te oma haere ngā pōpokorua.
• Māuiui: He māuiui te wāhi kua pāngia, ā, kāore e taea te pā atu .
• Te ngoikore o te uaua, te ngaro rānei o te mana whakahaere: Tērā pea ka rongo koe kei te ngoikore te ringa, te waewae rānei, ka uaua rānei ki te hiki i te taumaha.

He mea nui te tūnga o ngā tohu!

He mea tino nui kia mōhio te tākuta ki te wāhi o te tinana e pāngia ana e ēnei tohu, kia taea ai e ia te tātaritanga me te rongoā i te mate. Whakaarohia tō tātou taurakira he 'ara tere', ā, ko ngā io e puta mai ana i reira he rite ki ngā 'ara piki'. Me haere ngā karere mai i te roro, ngā karere rānei mai i ngā wāhanga rerekē o te tinana ki te roro, mā tēnei 'ara'. Nō reira, ki te pāngia koe e tētahi tohu pēnei i tō waewae, i tō ringa, i tētahi atu wāhi rānei, ka taea e te tākuta te kimi i te taumata o te io taurakira e hono ana ki taua wāhanga o te kiri ('dermatome') . He āwhina nui tēnei ki te tautuhi i te wāhi tika o te raruraru.

Āhea, me pēhea hoki te puta mai o ngā tohu

He mea nui anō hoki kia mōhio tō tākuta ki te wā e puta ai ō tohu me te aha e mahia ana e koe. Hei tauira, ko te tangata e pāngia ana e te lumbar foraminal stenosis, tera pea ka pāngia e te mamae ka kino haere ina tū, ā, ka pai ake ina noho. Mā te pupuri i tētahi pukapuka rātaka o ō tohu (hei tauira, te wā i tīmata ai, te āhua o aua tohu, me te roa o te wā e pāngia ana) ka āwhina i tō tākuta kia mārama ake ki tō āhua me te rongoā.

He aha te take e puta ai te stenosis foraminal? He aha ngā take?

He maha ngā take pea mō tēnei. Mō ētahi tāngata, kotahi pea te take, mō ētahi atu, he huinga pea o ngā take maha.

• Ngā whara : Ngā whara o te tuara, pērā i ngā whara i puta mai i te hingangaKa taea te pēhi i ēnei kōhao io e ngā mea pēnei i te kiko whara , ngā kōpae hernia, ngā kōpae pupuhi rānei (e kiia ana ēnei he "kōpae paheke"), me ngā whati o te tuaiwi.
• Te koroheketanga : I a tātou e pakeke haere ana, ka memeha haere ō tātou wheua, hononga, me ngā hononga. Ka piki ake hoki te mōrearea o te whakawhanake i te foraminal stenosis.
• Ngā āhuatanga o te angaanga uaua, te mumura rānei : Ka taea hoki tēnei te puta mai i ngā āhuatanga pēnei i te mate kōpae pirau , te ankylosing spondylitis (ka mumura ngā hononga o te tuaiwi, ka honoa), me te mate a Paget o te wheua .
• Pokanga tuaiwi: Ka puta anō hoki tēnei āhuatanga i muri i ētahi pokanga tuaiwi. I ētahi wā, ka puta anō hoki tētahi āhuatanga e kiia nei ko te Persistent Spinal Pain Syndrome (PSPS) ina kore e angitu te pokanga mamae tuara.
• Ngā tipu, ngā pukupuku rānei: Ka taea e ngā tipu, ngā pukupuku, ngā pukupuku rānei (pai, kino rānei) i roto i te tuaiwi te pēhi i ngā io. Ka taea hoki e ngā wheua whakapū (osteophytes) (e kiia ana e mātou ko ngā "wheua whakapū") te aukati i ēnei whakatuwheratanga.
• Te hanganga tūturu o te tuaiwi: Ka paku whaiti te awa tuaiwi i a ia e neke ana ki raro i te tuaiwi. Koinei tētahi o ngā take e kitea whānuitia ai tēnei mate i te rohe hope .
• Ngā rerekētanga o te hanganga tinana: Ka whānau mai ētahi tāngata me te hanganga tuaiwi paku rerekē. Ehara i te mea he mate rātou, engari ka nui ake te tūponotanga ka pāngia rātou e te foraminal stenosis. Kei te mōrearea hoki te hunga e pāngia ana e te scoliosis ( te piko o te tuaiwi).

Ka taea e tēnei te whakararuraru?

I te nuinga o te wā, kāore te foraminal stenosis e puta he raruraru nui. Heoi, i ētahi wā ka puta pea ēnei e whai ake nei:

• Mamae mau tonu: Mamae e mau tonu ana, e uaua ana ki te whakahaere.
• Mamae io motuhake, pērā i te sciatica: he mamae koi e toro atu ana ki raro i te waewae.
• Te kino o te io: Ka taea e te kino o te io te pumau tonu.
• Te ngoikore, te pararutiki rānei o ngā uaua e whakahaerehia ana e te io e pā ana: Tērā pea kua pararutiki tetahi peka.
• Te kore e taea te pupuri i te mimi me te puku:Nā te pēhanga o ngā io e whakahaere ana i te pūkahukahu me ngā whekau i puta ai tēnei. Mēnā ka puta tēnei, me toro atu koe ki te tākuta tonu.
• Ngā raruraru hinengaro i puta mai i te mamae: Manukanuka , pouri, me ētahi atu.
• Te mamae me te heke o te ngāwari o ngā waewae tae noa ki te wāhi kāore e taea te mahi tinana, te mahi rānei i ngā mahi o ia rā.

Me pēhea te kite a ngā tākuta i tēnei?

Ka pātai tuatahi te tākuta ki a koe mō ō tohumate, ā, ka tirotirohia e ia te tinana. Kātahi ka tonoa pea he matawai MRI (Magnetic Resonance Imaging) hei whakaū i te mate. Ka taea e te matawai MRI te whakaatu mārama i ngā wheua, ngā io, me ngā uaua. Heoi, kia maumahara ka kitea te stenosis foraminal i runga i te MRI, engari he maha ngā tāngata kāore he tohumate, nō reira kāore e hiahiatia he MRI i ngā wā katoa. Mō te hunga kāore e taea te whiwhi MRI (hei tauira, ko te hunga he pacemaker), ko te matawai CT (Computed Tomography) me te myelogram ngā kōwhiringa pai rawa atu. I ētahi wā ka taea hoki te mahi i ētahi atu whakamātautau e rapu ana i ngā raruraru io. Hei tauira, ko te electromyography (EMG) me ngā rangahau kawe io . Ka kī atu tō tākuta ki a koe mēnā e hiahiatia ana ētahi atu whakamātautau i runga i tō hītori hauora me ō hiahia.

He aha ngā maimoatanga? Ka taea te whakaora i tēnei?

Ka taea te rongoā i te stenosis foraminal, ā, mō ētahi tāngata ka taea te whakatika katoa. He maha ngā kōwhiringa maimoatanga. Heoi, ko te maimoatanga e tika ana māu ka rerekē pea i runga i tō āhua hauora, te take o te stenosis, me ētahi atu āhuatanga. Ko tō tākuta te tangata pai rawa atu hei tohutohu i a koe mō tēnei. Ki te kore he tohu āu, i te nuinga o te wā, kāore he maimoatanga e hiahiatia ana. Ko ngā maimoatanga matawhānui ka whakaarohia i te nuinga o te wā ina puta ngā tohu tōmua, pērā i te mamae. Ki te puta he raruraru, pērā i te ngaronga o te mana whakahaere mimi, te ngoikore rānei o te uaua, me whai maimoatanga wawao , pokanga rānei. Ka taea te wehewehe i ngā maimoatanga kia toru ngā momo matua:

1. Ngā Maimoatanga Matatapu

Koinei ngā maimoatanga tuatahi hei tīmatanga. Ko te tikanga, ko te tango rongoā me te whakarerekē i ngā mahi.

• Okiokinga whanaunga: Mena he whara me te pupuhi te take o te mate, he pai pea te whakaiti i te nekehanga. Heoi, kāore i te tūtohutia kia okioki katoa i runga i te moenga.
• Whakaora tinana: Ka taea e tēnei te whakanui ake i te kaha me te ngāwari o te tinana, me te whakaiti i te pānga o ngā tohu.
• Ngā rongoā ā-waha mō te mumura: Ka taea e ngā rongoā pēnei i te NSAID (Nonsteroidal anti-inflammatory drugs) te whakaiti i te pupuhi i te taha o te io me te whakamamae i ngā tohu.
• Ngā rongoā steroid ā-waha: Ka hoatu hoki ēnei hei whakaiti i te pupuhi.
• Ngā rongoā opioid ā-waha: Ka hoatu ēnei mō te mamae nui mō te wā poto. Heoi, kāore e hoatu tonutia nā te mea kei te tūpono te waranga.

2. Ngā Maimoatanga Wawao

He nui atu ēnei i ngā maimoatanga ātaahua noa iho. I ētahi wā ka taea e ngā werohanga rongoā, pērā i ngā steroids, te āwhina. Ka mahia ēnei werohanga i raro i te hihi-X hei whakarite kei te haere te rongoā ki te wāhi tika. I ētahi wā ka taea e ēnei werohanga te whakaroa i te hiahia mō te pokanga.

3. Ngā Maimoatanga Pokanga

I ēnei rā, he maha ngā wā ka mahia te pokanga whakaiti i te pēhanga o te tuaiwi mā te whakamahi i tētahi huarahi iti rawa te whakaekenga . Ko te tikanga o tēnei he tapahi iti te whakamahia, ka whakaiti i te toto, te mamae, me te wā whakaora. He maha ngā momo pokanga ka taea te mahi:

• Pokanga foramen: Ko te foraminotomy he pokanga hei whakanui i te kōhao (foramen neural) e puta atu ai te io. He rite tonu te foraminectomy , engari ka tangohia hoki ētahi o ngā kiko e karapoti ana kia nui ake ai te kōhao.
• Pokanga hononga mata: Ko te tango i te hononga mata katoa ko te tango i te hononga mata hei whakamama i te pēhanga ki runga i te taurakira me ngā io.
• Pokanga lamina: Ko te laminotomy te tango i tētahi wahi iti o te wheua me te kiko ngohengohe mai i te tuaiwi hei whakamama i te pēhanga ki te taurakira, ki ngā io rānei. Ko te laminectomy te tango i tētahi wāhanga nui o waenganui o te tuaiwi.
• Te tango i te wheua werowero: Mena kei te pēhi ngā wheua werowero (osteophytes) i ngā io, ka whakaitihia hoki te pēhanga e te tango i aua wheua.
• Whakaoho i te Taura Tuaiwi: Ko te whakaurunga o tētahi whakaoho hiko ki roto i tētahi wāhanga o te taura tuaiwi. Ka tukuna e tēnei whakaoho he iahiko iti ki ngā pūtau o te taura tuaiwi. Ka āraihia e tēnei iahiko aua pūtau ki te tuku tohu mamae. He āwhina pea tēnei mēnā kāore te pokanga e angitu, e kore rānei e taea te mahi.

He aha ngā raruraru/ngā pānga taha o te maimoatanga?

Nā te maha o ngā maimoatanga, ka rerekē ngā raruraru me ngā pānga taha. Waihoki, ka rerekē te roa o te whakaoranga me ngā mea ka tumanakohia i muri i te maimoatanga i ia tangata, i ia tangata. Ka taea e tō tākuta te whakamārama pai i ngā pānga taha ka pā ki a koe me te roa o te whakaoranga.

Ka taea e au te whakaiti, te ārai rānei i te putanga mai o te foraminal stenosis?

Ko te stenosis foraminal he mea e puta mai ana i ngā huarahi ohorere, ā, i ētahi wā kāore e whakaatu i tetahi tohu. Nō reira,Kāore he huarahi i tēnei wā hei ārai i tēnei, hei whakaiti rānei i te mōrearea.

He aha taku e tumanako atu ai mēnā he foraminal stenosis tōku?

He maha ngā wā, kāore he tohu o tēnei mate. Ka kitea ētahi tāngata kei te pāngia e tēnei mate i te wā o te matawai mō tētahi atu take. Ko ētahi kāore e mōhio kei a rātou. Ka taea e te foraminal stenosis te mamae o te tuara i mua i te putanga mai o ngā tohu io. Mena he roa atu i te torutoru wiki te mamae o te tuara, tirohia he tākuta. Kātahi ka taea e tō tākuta te whakatau mena nā te foraminal stenosis, nā tētahi atu mea rānei tō mamae, ka taea rānei te tuku i a koe ki tētahi tohunga. Mena he nui ngā tohu pēnei i te ngoikore, te mākūkū, te ngoikore rānei o te uaua – ina koa ka pā ki ō ringaringa, ki ō waewae rānei – tirohia he tākuta i te wā e taea ai. Mena he nui rawa te kino o tō foraminal stenosis hei whakaputa i ēnei tohu, ka taea e ia te arahi ki te kino o te io me ētahi atu raruraru nui.

Kia pēhea te roa o te stenosis foraminal?

He wā poto noa iho tēnei, he wā pumau rānei. Mena he mea poto noa iho te take, pērā i te pupuhi mai i tētahi whara iti, ka memeha noa iho pea. Heoi, ki te mea he mate mau tonu, ka puta rānei i muri i te pokanga, nā te āhua tūturu rānei o tō tuaiwi, tera pea ka mau tonu.

He aha te tirohanga mō te stenosis foraminal?

Ko te nuinga o ngā take o te stenosis foraminal kāore e puta he tohu. Ahakoa he stenosis kino, tata ki te 17.5% noa iho o te tangata ka puta he tohu. Mena kāore he tohu, kāore he take e manukanuka ai (mā tō tākuta koe e kī atu ki te mea tika hei mahi). Mena ka puta he tohu, ka rerekē pea te tirohanga. Ka taea te whakahaere i ngā tohu ngawari mā te maimoatanga. Mō ētahi tāngata, ka taea e te maimoatanga te āwhina ki te whakahaere i te kino haere o ngā tohu. Mena he kino te stenosis foraminal, me tere tonu te maimoatanga, pērā i te pokanga, hei ārai i te kino haere o te mate, me/ranei te aukati i te pakaru o te io tuturu, i ētahi atu raruraru rānei.

Me pēhea taku tiaki i ahau anō mēnā he foraminal stenosis tōku?

Mena he foraminal stenosis tōu, kāore koe e hiahia ki te mahi i tētahi mea motuhake, ki te hanga rānei i tētahi huringa kia tīmata rā anō koe ki te rongo i ngā tohu. Mena he mamae tō tuara, ka taea e koe te ngana ki te whakahaere i a koe anō i te tuatahi. Heoi, ki te mau tonu i muri i ētahi wiki, tirohia he tākuta.

Kia mōhio: He tohu te mamae, kaua e warewaretia, kaua hoki e ngana ki te rongoā i a koe anō mēnā kua roa atu i te torutoru wiki. Ka taea e te mamae mau tonu te whakarerekē i te huarahi e tukatuka ai tō tinana me tō roro i ngā tohu mamae, ka hua ake ai ngā āhuatanga pēnei i te Central Pain Syndrome.

Ki te tātaritatia koe e tō tākuta he foraminal stenosis tōu, māna koe e ārahi ki te tiaki i a koe anō, ā, māna koe e āwhina ki te whiriwhiri i ngā kōwhiringa maimoatanga e wātea ana.

Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Ki te pāngia koe e te mamae tuara ohorere, nui rawa atu, inā koa kua whara koe, ki te puta ohorere rānei ngā tohu kei a koe he raruraru ki tō tuaiwi, ki ō io rānei, haere ki te rūma whawhati tata. Ko ēnei tohu ko:

• Te ngoikore ohorere o ngā uaua o tētahi waewae, o ngā waewae e rua rānei.
• Kāore e taea e koe te whakahaere i te rere o te mimi, o te paru rānei.
• Te mamae nui, kāore e taea e koe te mahi i ngā mahi o ia rā.

He pēhea te kino o te stenosis foraminal?

Ehara tēnei i te mate kino rawa atu. He tokomaha te hunga kāore e mōhio kei a rātou tēnei mate nā te mea kāore he tohu. Ka kino noa iho mēnā he nui te pēhanga o te io ka ngoikore ai te uaua, ka ngoikore ai te ngākau, ka ngaro rānei te rongo.

He aha te rerekētanga i waenga i te Spinal Stenosis me te Foraminal Stenosis?

Ko te stenosis foraminal he momo stenosis tuaiwi . Ka pā ki tētahi wāhi motuhake o te tuaiwi, te whakatuwheratanga e puta ai ngā io i te tuaiwi ki ētahi atu wāhanga o te tinana (te foramen neural). Ka taea e te stenosis tuaiwi te whaiti i tētahi wāhanga o te tuaiwi, ehara i te foramen neural anake. Ka taea hoki te whakakotahi i ngā mea e rua.

Ko tēhea te rongoā pai rawa atu mō te Foraminal Stenosis?

Ka rerekē pea te maimoatanga pai rawa atu mō tēnei i ia tangata, i ia tangata. Ko ngā maimoatanga e āwhina ana i tētahi tangata, kāore pea e āwhina i tētahi atu. Ka taea e tō tākuta te whakamārama pai ake i ngā maimoatanga e wātea ana ki a koe, inā koa ko ērā e tino āwhina ana i a koe, ā, e rite ana ki ō whāinga me ō hiahia.

(Karere hei kawe ki te kāinga)

Nō reira, ko te mea nui rawa atu ka taea e koe te ako mō te Foraminal Stenosis ko te mea mēnā kei a koe ngā tohu pēnei i te mamae o te tuara, te ngoikore, te ngau, te ngaronga rānei o te kare ā-roto i ō ringaringa me ō waewae, kaua e wareware noa. Ko te mea nui ko te toro atu ki te tākuta me te kimi i te take o te raruraru. I te nuinga o te wā, he pai ngā maimoatanga mō tēnei āhuatanga e kiia nei ko te Foraminal Stenosis. Ki te mōhio wawe koe, he nui te tūponotanga ka taea e koe te whakahaere me te whakaora i mua i te puta mai o ngā raruraru nui me te kino o ngā io tuturu. Kātahi ka taea e koe te mahi i ngā mea e pai ana koe me te kore e whakawhāiti i tō oranga. Foraminal stenosis, mamae o te tuara, te pēhanga io, te ngoikore, te tuaiwi, te MRI, te whakaora tinana