He tokomaha o tātou, i tētahi wā o ō tātou oranga, ka pāngia e te mamae o te tuara, te pupuhi, te hiko e rere ana i raro i ō tātou waewae, te ngoikore rānei o ō tātou peka. Ahakoa he maha ngā wā ka whakaarohia ēnei he mamae noa iho, he maha ngā wā he kōrero hohonu kei muri i ēnei. Ko tētahi o aua mate, e pā ana ki te tuaiwi engari he maha ngā wā ka hē te mārama, ko te Foraminal Stenosis . Me wehewehe tātou i roto i ngā kupu māmā, ngāwari ki te mārama ki konei i Nirogi Lanka.
He aha te Foraminal Stenosis?
Whakaarohia tō tuaiwi he raupapa paipa kua whakarārangihia. Kei roto i ēnei paipa e rere ana tō Taura Tuaiwi . Ka puta mai ngā io iti mai i tēnei tuaiwi, hei huarahi whakawhitiwhiti kōrero mō tō tinana katoa—e āhei ai te nekehanga, te rongo, me te taunga.
Ka puta atu ēnei io i te tuaiwi mā roto i ngā pūaha iti e mōhiotia ana ko te foramen , inā koa ko te foramen neural . Ka puta te stenosis foraminal ina whaiti, ina āraia rānei ēnei pūaha. Pērā i te paipa wai kua āraia e uaua ai te rere o te wai, ina whaiti ēnei pūaha, ka pēhia te io e tika ana mā roto.
Whakaarohia te mea ka tupu ina piri te taura hiko ki te tatau. Ka pakaru te waea, ā, kāore pea e tika te kawe hiko . Ka pērā anō hoki ina pēhia ō io . Ka whakararuraru i ngā tohu, ka puta te mamae, te kore whakamarie, ā, i ētahi wā, ka pakaru pea ngā io tuturu.
Kei hea te nuinga o te wā e puta ai tēnei āhuatanga i te tuaiwi?
Kua wehea tō tuaiwi kia maha ngā wāhanga, ā, ka taea e te stenosis foraminal te puta i roto i tētahi o aua wāhanga:
- Te Tuaiwi o te Kākī (Kaki): Koinei te tuarua o ngā wāhi e pāngia ana e tēnei mate.
- Tuarā Uma (Waenganui o te tuara): Kāore i te tino pāngia tēnei wāhi.
- Tuarā Lumbar (Tuara o raro): Koinei te wāhi e tino kitea ai te Foraminal Stenosis.
- Tuarā Sacral: Te turanga o te tuaiwi.
- Tuarā coccygeal: E mōhiotia whānuitia ana ko te rohe o te wheua hiku.
He āhuatanga noa tēnei?
Ae, he mea tino noa tēnei, inā koa i waenga i te hunga neke atu i te 55 tau te pakeke. I a koe e pakeke haere ana, ka piki ake te tūponotanga ka pāngia koe e tēnei mate.
Heoi, he mea whakamīharo te kite i te maha o ngā tāngata e pāngia ana e te foraminal stenosis, engari kāore he tohu e kitea ana. E ai ki ngā rangahau, i te 60 tau te pakeke, tata ki te 40% o ngā tāngata he taumata pāngia e te lumbar stenosis ngawari, ā, ka piki ake tēnei ki te 75% i te 80 tau te pakeke. Heoi, tata ki te 17.5% anake o te hunga he tohu ā-tinana o te whaiti ka tino pāngia e ngā tohu nui.
He aha ngā tohu o te Foraminal Stenosis?
He rite tonu ngā tohu ki ērā o te io kua kopikopiko , he āhuatanga e kiia ana i te taha haumanu ko te radiculopathy .
Tērā pea ka pāngia koe e tētahi, e ētahi atu rānei o ēnei e whai ake nei:
- Mamae: Koinei te tohu tino kitea. Ka puta pea hei mamae tuara, hei mamae kaki rānei, hei mamae pupuhi rānei e horapa ana i raro i tō ringa, i tō waewae rānei i te ara o te io e pāngia ana.
- Paresthesia: E whakaahuatia ana tēnei hei kare o te "ngoikoretanga o ngā titi me ngā ngira", he kare o te ru hiko, te kare rānei o ngā pōpokorua e ngokingoki ana i runga i tō kiri.
- Te ngoikore: Tērā pea ka ngaro te kare ā-roto, ka kore rānei e pā te ringa ki te wāhi e pāngia ana.
- Te ngoikore o te uaua, te iti rānei o te mana whakahaere: Tērā pea ka ngoikore tetahi peka, ka taimaha, ka uaua rānei ki te hapai, ki te neke rānei.
He mea nui te tauwāhi!
He mea nui te wāhi motuhake e pāngia ana e ēnei tohu kia taea ai e tō tākuta te tātaritanga me te rongoā i te mate. Whakaarohia tō taurakira hei huarahi nui, me ngā io e puta ana hei arawhata urunga. Ko ngā karere katoa e haere ana mai i te roro ki tō tinana—me te hurihanga—me haere mā roto i ēnei "ara."
Mena ka pāngia koe e ngā tohu i tō waewae, i tō ringa rānei, ka taea e tō tākuta te tautuhi ko tēhea taumata io tuaiwi e pāngia ana i runga i te dermatome (te wāhi kiri motuhake e tukuna ana e taua io). Mā tēnei ka āwhina i te tautuhi i te wāhi tuturu o te raruraru.
Āhea ka puta ngā tohu?
He tohu matua anō hoki te wā me ngā pūtake o ō tohu. Hei tauira, mō te tangata e pāngia ana e te lumbar foraminal stenosis, ka kino ake pea te mamae ina tū, ka pai ake ina noho. Mā te pupuri i tētahi rātaka tohu—te tuhi i te wā i tīmata ai, te āhua o te mamae, me te roa o te mamae—ka tino āwhina i tō tākuta ki te waihanga i tētahi mahere maimoatanga whai hua.
He aha te take o te Foraminal Stenosis?
He maha ngā āhuatanga e whai wāhi ana. He maha ngā wā, he huinga o ēnei take, ehara i te take kotahi.
- Ngā Whara : Ka taea e te whara o te tuara, te hinganga e hua ai te kiko koha , te hernia, te pupuhi rānei o ngā kōpae , te whati rānei o te tuaiwi te whakawhāiti i ngā awa io.
- Te koroheketanga : I a tātou e pakeke haere ana, ka pakaru haere ō tātou wheua, hononga, me ngā hononga, ka nui ake te tūponotanga o te stenosis.
- Ngā āhuatanga uaua-angiwi, mumura rānei: Ko ngā āhuatanga pēnei i te Degenerative Disc Disease , te Ankylosing Spondylitis (ka mumura, ka hanumi ngā hononga tuaiwi), te mate Paget rānei o te wheua, ka whai wāhi pea ki te whaiti.
- Pokanga Tuaiwi: I ētahi wā, ka arahi pea tēnei mate ki ngā raruraru, ki ngā raruraru rānei i muri mai i ngā pokanga tuara o mua, tae atu ki te Persistent Spine Pain Syndrome (PSPS) .
- Ngā tipu, ngā pukupuku rānei: Ka taea e ngā tipu, ngā pukupuku rānei, pai, me ngā pukupuku kino, tae atu ki ngā wheua koiwi (osteophytes) , te pēhi tinana i ngā putanga io.
- Hanganga Tūturu o te Tuaiwi: Ka whaiti noa te awa tuaiwi i a ia e neke ana ki raro, koia te take e tino kitea ai te stenosis lumbar.
- Ngā rerekētanga ā-tinana: Ka whānau mai ētahi tāngata me tētahi hanganga motuhake o te tuaiwi. Ahakoa ehara i te mea he mate, ko ētahi rerekētanga hanganga, ko ētahi āhuatanga rānei pērā i te Scoliosis (te piko o te tuaiwi) ka nui ake te tūponotanga o te stenosis foraminal.
Ka taea e tēnei te arahi ki ngā raruraru?
I te nuinga o te wā, kāore te Foraminal Stenosis e arahi ki ngā raruraru kino. Heoi, i ētahi wā, ka puta pea ēnei raruraru e whai ake nei:
- Mamae mau tonu: He mamae pumau ka uaua ki te whakahaere.
- Mamae e pā ana ki ngā io pērā i te Sciatica: Mamae nui e horapa ana ki raro i tō waewae.
- Te kino o te io: Te tūponotanga o te whara io tuturu.
- Te ngoikore o te uaua, te pararutiki rānei: Te ngaronga o te kaha, te kare ā-roto rānei o ō ringaringa, o ō waewae rānei.
- Te kore e taea te pupuri i te mimi me te puku: Ka puta tēnei mēnā ka pēhia ngā io e whakahaere ana i tō pūkahukahu me ō puku. Mēnā ka pāngia koe e tēnei, me rapu tonu koe i te awhina hauora ohorere.
- Ngā wero hinengaro i puta mai i te mamae: Pēnei i te Manukanuka , i te Pouri rānei .
- Te ngaronga o te nekenekehanga me te ngāwari tae noa ki te wāhi ka tino pāngia ai ō mahi o ia rā.
Me pēhea te tautuhi a ngā tākuta i tēnei?
Ka tīmata tō tākuta mā te matapaki taipitopito i ō tohumate me te whakahaere i tētahi whakamātautau tinana. Hei whakaū i te mate, ka tūtohu pea rātou i tētahi matawai MRI (Magnetic Resonance Imaging) . Mā te MRI ka kitea mārama ō wheua, ō io, me ō uaua.
Heoi, kia maumahara ahakoa ka whakaatuhia e te MRI te Foraminal Stenosis, he maha ngā tāngata kāore he tohu, nō reira kāore i te tino hiahiatia he MRI i ngā wā katoa.
Mō te hunga kāore e taea te mahi MRI (hei tauira, te hunga whai Pacemaker ), ko te whakakotahitanga o te matawai CT (Computed Tomography) me te Myelogram te huarahi pai rawa atu.
I ētahi wā, ka tonoa pea ētahi atu whakamātautau hei aromatawai i te mahi a ngā io, pērā i te Electromyography (EMG) me ngā Rangahau Whakahaere Io . I runga i tō hītori hauora me ō hiahia motuhake, ka tohutohu tō tākuta o Nirogi Lanka i a koe mō ngā whakamātautau e tika ana.
He aha ngā maimoatanga? Ka taea te whakaora i tēnei?
Ka taea te whakahaere i te Foraminal Stenosis, ā, i ētahi wā, ka taea te whakakore katoa i ngā tohu. He maha ngā kōwhiringa maimoatanga e wātea ana. Ko tō mahere maimoatanga motuhake e whakawhirinaki ana ki tō hauora whānui, te take o te stenosis, me ētahi atu āhuatanga whaiaro. Ko tō tākuta te tangata pai rawa atu hei tuku tohutohu whaiaro.
Mena kāore he tohu o te mate, he maha ngā wā kāore e hiahiatia he maimoatanga. Ko ngā maimoatanga matawhānui ka whakaarohia ina puta ngā tohu tuatahi pēnei i te mamae. Mena ka puta he raruraru pēnei i te raruraru pūkahukahu/whekau, te ngoikore rānei o te uaua, tera pea ka hiahiatia he maimoatanga wawao , he pokanga rānei.
Ko ngā maimoatanga e toru ngā wāhanga matua:
1. Ngā Maimoatanga Matatapu
Koinei te rārangi tuatahi o te parepare, tae atu ki ngā rongoā me ngā whakarerekētanga o te momo noho.
- Okiokinga whanaunga: Mena nā te pupuhi i puta mai i te whara te take o te mate, he pai te whakaiti i ngā mahi ā-tinana. Heoi, kāore i te tūtohutia kia okioki rawa i runga i te moenga .
- Whakaora tinana: Ka āwhina tēnei ki te whakapai ake i tō kaha me tō ngāwari, ka whakaiti i te pānga o ō tohumate.
- Ngā rongoā ā-waha mō te mumura: Ka taea e ngā rongoā pēnei i te NSAID (ngā rongoā anti-inflammatory kore-steroidal) te whakaiti i te pupuhi huri noa i te io, me te whakamamae i te mamae.
- Ngā rongoā steroid ā-waha: Ka taea hoki te whakarite i ēnei hei whakaiti i te mumura.
- Ngā rongoā opioid ā-waha: Kua tohua hei whakaora i te mamae nui mō te wā poto. Nā te tūponotanga o te whakawhirinaki ki ēnei rongoā, kāore ēnei e whakamahia mō te whakahaere roa.
2. Ngā Maimoatanga Wawao
He kōwhiringa matatau ake ēnei. He pai pea ngā werohanga rongoā, pērā i ngā steroids, huri noa i te io e pāngia ana. Ka mahia ēnei werohanga i raro i te arataki a te hihi-X hei whakarite i te tika. Mā ēnei wawaotanga ka āwhina i te whakaroa, i te karo rānei i te hiahia mō te pokanga.
3. Ngā Maimoatanga Pokanga
Ko ngā pokanga whakaiti pēhanga hou mō te tuaiwi ka mahia mā te whakamahi i te huarahi iti rawa te whakaekenga . Ka whakamahia he tapahi iti hei whakaiti i te toto e ngaro ana, te mamae, me te wā whakaora. Ko ngā kōwhiringa pokanga ko:
- Pokanga foraminal: Ko te foraminotomy he tikanga hei whakawhānui i te foramen neural (te wāhi e puta ai te io). He rite tonu te foraminectomy engari me tango atu i ngā kiko e karapoti ana hei whakawhānui ake i te wāhi.
- Pokanga hononga mata: Ko te pokanga o te hononga mata ko te tango i te hononga mata hei whakamama i te pēhanga ki te taurakira me ngā io.
- Pokanga lamina: Ko te laminotomy he tango i tētahi wāhanga iti o te wheua, o te kiko rānei mai i ngā tuaiwi hei whakaiti i te pēhanga io. Ko te laminectomy he tango i tētahi wāhanga nui ake o te lamina o waenganui.
- Te tango i ngā wheua tītaha: Te tango i ngā wheua tītaha (Ka taea e ngā osteophytes) e pēhi ana i ngā io te whakaiti i te pēhanga.
- Whakaoho i te Taura Tuaiwi: Ka whakauruhia he taputapu ki roto i te tinana hei tuku i ngā hiko ngawari ki te taura tuaiwi. Ka āraihia e tēnei ngā tohu mamae kei tae atu ki tō roro. He kōwhiringa tēnei mēnā kāore e angitu te pokanga, kāore rānei e taea te mahi.
He aha ngā raruraru/ngā pānga taha o te maimoatanga?
Nā te mea he maha ngā kōwhiringa maimoatanga, ka rerekē ngā pānga taha me ngā raruraru pea. He rerekē hoki ngā wā whakaora me ngā tumanakohanga i muri i te maimoatanga mō ia tangata. Whakawhitiwhiti kōrero ki tō tākuta o Nirogi Lanka mō ngā mōhiohio tino tika e pā ana ki tō haerenga whakaora.
Ka taea e au te ārai i te Foraminal Stenosis?
He maha ngā wā ka puta puku te Foraminal Stenosis, ā, kāore pea e whakaatu i ngā tohu mō te wā roa. I tēnei wā, kāore anō kia kitea he huarahi kua whakamātauhia hei ārai, hei whakaiti rānei i te mōrearea o tōna whanaketanga.
He aha taku e tumanako atu ai mēnā kei a au te Foraminal Stenosis?
He maha ngā wā ka kore e kitea he tohu o tēnei mate. He tokomaha ka kitea he mate tūpono i te wā e tirotirohia ana tētahi atu mate, ko ētahi ia kāore i te mōhio kei te pāngia rātou.
Tērā pea ka tīmata te mamae o te tuara i mua i te puta mai o ngā tohu e pā ana ki te io. Mena kua roa atu i te torutoru wiki te mamae o te tuara, tirohia he tākuta. Ka taea e rātou te whakatau mēnā ko te Foraminal Stenosis te take, he mea kē atu rānei, ka taea rānei te tuku i a koe ki tētahi tohunga.
Ki te pāngia koe e te ngoikore o te tinana, te kore e rongo, te ngoikore rānei o te uaua —ina koa ka pā ki ō ringaringa, ki ō waewae rānei—rapua he awhina hauora i te wā e taea ai. Tērā pea ka tohu ēnei tohu he kino rawa te Foraminal Stenosis, ā, ka arahi pea ki te kino tuturu o ngā io.
Kia pēhea te roa o te Foraminal Stenosis?
He wā poto noa iho tēnei mate, he wā roa rānei. Mena he pupuhi poto noa iho nā te whara iti i puta mai, ka memeha noa iho pea.
Heoi, ki te puta tahi tēnei āhuatanga me tētahi mate mau tonu, whai muri i te pokanga, he hua rānei nō te hanganga tūturu o tō tuaiwi, ka roa pea te wā.
He aha te tirohanga mō te Foraminal Stenosis?
I te nuinga o te wā, kāore he tohu o te Foraminal Stenosis. Ahakoa he nui te stenosis, tata ki te 17.5% noa iho o te hunga ka pāngia e ngā tohu. Mena kāore koe e whakaatu i ngā tohu, kāore he take e mataku ai koe (ka whakaratohia e tō tākuta he aratohu motuhake i runga i tō take).
Ki te puta mai ngā tohu, ka rerekē te āhua. He maha ngā wā ka memeha haere ngā tohu ngawari mā te rongoā. Mō ētahi atu, ka taea e te rongoā te whakahaere pai i te āhua me te ārai i tōna kino haere.
Mena ka kino rawa te Foraminal Stenosis, he maha ngā wā ka hiahiatia ngā wawaotanga tika pēnei i te pokanga hei ārai i te kino haere tonu me te karo i te kino tuturu o te io, me ētahi atu raruraru rānei.
Me pēhea taku whakahaere i tōku āhua mēnā kei a au te Foraminal Stenosis?
Mena kua tāpaetia koe kei te pāngia e te Foraminal Stenosis engari kāore he tohu, kāore koe e hiahia ki te huri i tō momo noho.
Mena kei te pāngia koe e te mamae o te tuara, ka taea e koe te whakahaere i a koe anō i te tuatahi. Heoi, ki te roa atu i te torutoru wiki te mamae, kua tae ki te wā ki te toro atu ki te tākuta.
Kia mōhio: He tohu te mamae, kaua e warewarehia, e rongoātia rānei mēnā he roa ake i te torutoru wiki. Ka taea e te mamae mau tonu te huri i te āhua o te tukatuka a tō tinana me tō roro i ngā tohu mamae, ā, ka arahi pea ki ngā āhuatanga pēnei i te Central Pain Syndrome.
Ki te whakaūtia e tō tākuta te tātaritanga mō te Foraminal Stenosis, ka ārahi rātou i a koe ki te whakahaere i tō hauora, ā, ka āwhina i a koe ki te whiriwhiri i ngā kōwhiringa maimoatanga tino whai hua mō ō hiahia.
Āhea ahau me rapu awhina āwhina ohorere?
Ki te pāngia koe e te mamae tuara ohorere, kino hoki—ina koa i muri i te whara—ki te puta rānei ngā tohu e tohu ana i te mamae ohorere o te tuaiwi, o te io rānei, haere tonu ki te tari whawhati tata. Ko ngā tohu whakatūpato:
- Te ngoikore ohorere o ngā uaua o tētahi waewae, o ngā waewae e rua rānei.
- Te ngaronga o te mana whakahaere o te pūkahukahu, o te puku rānei.
- Te mamae nui, te mamae whakararuraru e kore ai koe e kaha ki te mahi i ngā mahi o ia rā.
He pēhea te kino o te Foraminal Stenosis?
Ko te tikanga, ehara tēnei i te mate mōrearea. He tokomaha te hunga e pāngia ana e tēnei mate, kāore rātou i te mōhio. Ka noho hei āwangawanga nui mēnā he nui te pēhanga o te io, ā, ka ngoikore te uaua, ka ngoikore rānei te ngākau, ka ngaro rānei te rongo.
He aha te rerekētanga i waenga i te Spinal Stenosis me te Foraminal Stenosis?
Ko te Foraminal Stenosis he momo motuhake i roto i te kāwai whānui o te Spinal Stenosis . Ka pā motuhake ki te 'neural foramen,' te whakatuwheratanga e puta ai te pakiaka io i te tuaiwi ki ētahi atu wāhanga o te tinana. Ko te Spinal Stenosis e pā ana ki te whaiti i ngā wāhi katoa o te tuaiwi, ehara i te mea ko te neural foramen anake. Ka taea te pāngia e ngā āhuatanga e rua i te wā kotahi.
Ko tēhea te rongoā pai rawa atu mō te Foraminal Stenosis?
Ko te maimoatanga pai rawa atu he mea takitahi. Ko te mea e pai ana mō tētahi tangata, kāore pea e tino whai hua mō tētahi atu. Ko tō tākuta te tangata pai hei matapaki i te mahere maimoatanga e hangai ana ki ō whāinga me ō hiahia whaiaro.
Karere Tangohia ki te Kāinga
Ko te mea nui e mōhiotia ana mō te Foraminal Stenosis, ki te pāngia koe e te mamae o te tuara, te ngoikore o te tinana, te wiri hiko, te ngoikore rānei o te uaua, kaua e warewarehia. Ko te kōrero ki te tākuta kia whiwhi ai i te tautuhi tika te taahiraa tino nui.
I ngā wā maha, e wātea ana ngā maimoatanga whai hua. Mā te kitenga wawe ka whai wāhi nui ki te whakahaere, ki te whakatika rānei i te āhua i mua i te whanaketanga, i te kino rānei o te io. Mēnā he tika te tiaki, kei konei a Nirogi Lanka hei tautoko i a koe kia taea ai e koe te noho ora tonu me te kore herenga.
te whakatōtōtanga o te uaua o mua, te mamae o te tuara, te pēhanga o ngā io, te ngoikore o te tinana, te tuaiwi, te MRI, te whakaora tinana
