Kei te mamae anō hoki tō tuara? Me kōrero tātou mō tēnei kōpae hernia!

Kei te mātaki koe i te pouaka whakaata, ā, kua tata koe te ara ake, ka pā mai te mamae nui ki tō tuaiwi, pērā i te uira. Ka rongo rānei koe i te 'pāoro' i tō tuara i a koe e tango ana i tētahi putea kai mai i te papa, ā, mai i reira, ka pā mai te mamae e kore ai koe e taea te neke. Kua pā mai tētahi wheako pēnei ki a koe? He tokomaha e kī ana i tēnei he "kōpae paheke." I roto i te rongoā, ka kīia tēnei āhuatanga he kōpae herniated . Me titiro tātou he aha te āhua, he aha i puta ai, me ngā mea ka taea te mahi mōna.

He kupu ngāwari, he aha te kōpae herniated?

Hei mārama ki tēnei, me mōhio tātou ki te iti o te mōhiotanga mō tō tātou tuaiwi. E 24 ngā wheua iti o tō tātou tuaiwi e kiia nei ko ngā vertebrae, e whakatakotoria ana tetahi ki runga i a rātou anō. Kei waenganui i ēnei wheua, pērā i te ārai ru i roto i te motuka, he urunga ngohengohe e kiia nei ko te kōpae intervertebral.

E rua ngā wāhanga o tēnei kōpae:

1. Wāhanga o roto: He tino ngohengohe pērā i te tiēre. Ko te ingoa o tēnei ko te (Nucl EUS Pulposus).

2. Wāhanga o waho: Kei roto i tēnei tiēre he uhi pakari, mārō e kiia nei ko te "Annulus Fibrosus".

Ko te kōpae herniated he wā, mō tētahi take (hei tauira, he aituā, he hiki i tētahi mea taumaha), ka pakaru te uhi mārō o waho o te kōpae, ā, ka turuturu te tiēre i roto. Whakaarohia he rite ki te pēhi i tētahi tōnati kī tonu i te tiēre, ā, ka maringi te tiēre. Ina pēhia te taurakira e piri ana e te tiēre e tata ana, ngā io rānei e puta atu ana i reira, ka tīmata te puta o ngā tohu pēnei i te mamae kore e taea te manawanui, te ngoikore, me te ngoikore.

He rerekē te 'Herniated Disc' me te 'Bulging Disc'?

Ae, he iti noa te rerekētanga i waenganui i ēnei mate e rua. Ahakoa he maha ngā tāngata e whakapoauau ana i ngā mea e rua, he rerekē te take me te āhua o te puta. He tino ōrite ngā tohu .

I roto i te kōpae herniated, ka pakaru te taupoki o te kōpae, ā, ka puta te tiēre. I roto i te kōpae pupuhi, kāore te kōpae e pakaru, engari ka papatahi nā te koroheketanga, nā ētahi atu take rānei, ā, ka puta katoa.

Kia mārama ake tātou ki tēnei rerekētanga mai i te ripanga i raro nei.

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He aha ngā tohu o tēnei?

I ētahi wā, kāore he tohu o te kōpae hernia. Heoi, i te nuinga o te wā, ka puta ngā tohu. Ka whakawhirinaki ēnei tohu ki te wāhi o te kōpae hernia me te nui o te pēhanga o te io.

Ko ngā tohu noa ko:

• He mamae koi, he mamae wera, he mamae hiko rānei.
• Te ngenge , te mākūkū rānei i te wāhi e mamae ana me te ringa, te waewae rānei e pā ana.
• Te ngoikore o ngā uaua huri noa i te wāhi e mamae ana.
• He maha ngā wā ka puta ēnei tohu i te taha kotahi o te tinana.

I runga i te wāhi o te mamae

• Tuaiwi Lumbar: Koinei te momo mamae tuaiwi e tino kitea ana . Ka tīmata te mamae i te tuara o raro,Ka taea te horapa ki raro i te papa, ki raro i te tuara o te huha, ā, i ētahi wā tae noa ki te waewae. He rite ki te ru hiko . Ka karangatia hoki tēnei mamae ko 'Sciatica'.
• I te kaki (Tuaiwi): Ka tīmata te mamae i te kaki ka horapa ki raro i te pakihiwi ki te ringa, ā, i ētahi wā ki ngā maihao .

Ka piki ake tēnei mamae i te wā e mahi ana, e tū ana, e noho ana, inā koa i te wā e maremare ana, e tihe ana rānei. Nā te mea ka piki ake te pēhanga ki te io kua kopikopiko i taua wā. I te nuinga o te wā ka iti haere te mamae i te wā e okioki ana koe.

Ngā Tohumate Āhuatanga ohorere

Ahakoa ka taea te whakahaere i tēnei mate i te kāinga, ki te whai koe i tētahi o ngā tohu e whai ake nei, he tohu pea ēnei mō tētahi āhuatanga ohorere . Mēnā he pēnei, me haere tonu koe ki te Tari Ohorere (ETU) o te hōhipera.

• Te mamae o te ringa, o te waewae rānei, me te ngoikore nui o taua wāhi.
• Kei te pāngia koe e te kirika, e te mate pāwera rānei.
• Te ngaronga o te rongo i te wāhi ira tangata, i te taha rānei o te nono.
• Te kore e taea te whakahaere i te mahi a te puku, te mimi rānei (Te ngoikore o te puku, te whēkau rānei).

He tohu ēnei o te kino nui ki te taurakira, nō reira kaua e warewarehia.

Me pēhea e kitea ai tēnei e koe, e Tākuta?

Mena kei a koe ēnei tohu, ko te mea pai ko te toro atu ki te tākuta.

1. Whakamātautau Tinana

Tuatahi, ka pātai te tākuta ki a koe mō tō mamae, ā, ka tirotirohia koe. I roto i tēnei whakamātautau,

• Ka pēhi rātou i ngā wāhi mamae o te tuara, o te kaki rānei.
• Ka kīia atu ki a koe kia takoto ki runga i te moenga, me te mahi i ngā mahi pēnei i te whakatikatika me te piko i ō waewae.
• Ka whakamātautau i te mahi a ngā io (ngā urupare) i roto i te turi me te pona.
• Ka whakamātauria te kaha o ngā uaua o ngā ringa me ngā waewae.
• Ka mea ia ki a rātou kia haere i runga i ō rātou rekereke me ō rātou māikuku.

I te nuinga o te wā, ka taea te tautuhi tika i te mate mā tēnei whakamātautau tinana.

2. Ētahi atu whakamātautau mēnā e tika ana

I ētahi wā, ka tūtohu pea tō tākuta i ētahi atu whakamātautau hei whakakore i ētahi atu āhuatanga hauora, hei tautuhi rānei i te io tika e mimihia ana.

• X-ray: Kāore e taea te kite i te kōpae herniated i runga i te X-ray noa, engari ka taea e ia te āwhina ki te whakatau mēnā he take kē atu te mamae, pērā i te whati, i te pukupuku rānei.
• Matawai MRI: Ko te (Whakaahua Āhua Aukume) he whakamātautau e whakamahi ana i te papa aukume hei whakaputa i ngā whakaahua 3D tino mārama o te tuaiwi me ngā kōpae. Koinei te huarahi pai ki te kite tika kei hea te kōpae hernia me ngā io e pēhia ana.
• Matawai CT:Ko te Tomography Rorohiko (CT) he tikanga e hanga ana i ngā whakaahua whakawhiti-wāhanga o te tuaiwi mā te kohikohi i te tini o ngā hihi-X.
• EMG/NCS: Ko te (Electromyogram me ngā Rangahau Whakahaere Io) he whakamātautau e whakamahia ana hei whakatau mena kua pakaru, kua riri rānei te io. Kei roto i tēnei ko te tuku tohu hiko iti rawa ki ngā uaua me ngā io, me te ine i tā rātou mahi.

Kia pēhea te roa e ora ai? He aha ngā maimoatanga?

Ahakoa he āhua whakamataku tēnei, ko te rongo pai ko te nuinga o ngā mate kōpae hernia ka ora i roto i ētahi wiki, i ētahi marama rānei, me te kore e hiahiatia he pokanga.

Ngā mea ka taea e koe te mahi hei tere ake te whakaora:

1. Okiokinga: Āta karohia ngā mea e whakanui ana i te mamae, pērā i te hiki taumaha, te piko, me te noho i te tūranga kotahi mō te wā roa.

2. Rongoā: Ka taea e koe te tango i ngā rongoā whakamamae me ngā rongoā ārai-mumura e ai ki te whakahau a tō tākuta.

3. Ngā pēke makariri me ngā pēke wera: He pai ngā pēke hukapapa hei whakaiti i te mamae me te pupuhi i ngā rā tuatahi e rua. I muri i ngā rā e rua, ka taea e koe te whakamahi i ngā pēke wera hei whakangāwari i ngā uaua.

4. Whakaora Tinana: Kia mutu te mamae, ka tukuna koe e tō tākuta ki tētahi kaiwhakaora tinana. Mā ngā mahi whakakori tinana e whakapakari ana i ngā uaua o te tuara me te puku, e ako ana hoki i te tū tika, ka āwhina i te ārai i te hokinga mai o te mate.

Ki te kore ēnei maimoatanga ngāwari e whakaora, ka tūtohu pea te tākuta i ngā werohanga steroids, i te pokanga rānei, he mea tino onge.