He maha ngā wā ka mamae tō tuara? Ina ara ake koe i te moenga i te ata, ka mārō tō tuara, ā, kāore e taea te piko tika mō tētahi wā? He tokomaha o tātou e kī ana i ēnei mea he "ngoikore mahi" he "mamae tuara pakupaku rānei." Heoi, i ētahi wā, ko ēnei tohu, inā koa ka tīmata i te tamarikitanga, he nui atu i te mamae tuara noa iho. I tēnei rā ka kōrero tātou mō tētahi o aua mate, ko te Ankylosing Spondylitis, ko te AS rānei hei whakarapopototanga.
He aha i uaua ai te tautuhi i te AS?
Ina hoki, he maha ngā take he uaua ai te tautuhi wawe i te ankylosing spondylitis (AS).
Ko te mea tuatahi, ko ngā tohu matua o tēnei mate, pērā i te mamae me te kōpiko o te tuara, me te ngenge nui , ka kitea anō hoki i roto i te maha atu o ngā mate. Nō reira, he uaua ki te tākuta te kī tonu atu he AS tēnei.
Ko te tuarua, ko te nuinga o te wā ka tīmata tēnei mate i te wā taitamariki . Whakaarohia, ina kī mai tetahi kei roto i ō rātou tau 20, 30 rānei he mamae tuara tōna, kāore tetahi o tātou e whakaaro he mate rumatiki, tika? He tokomaha e whakaaro ana ka puta noa te mate rumatiki ina pakeke haere. Koia te take kāore te hunga rangatahi e aro nui ana ki tēnei mate.
Tuatoru, e rima ngā wā ka nui ake te tūponotanga o te tāne ki te pāngia e te AS i ngā wāhine. Mā tēnei ka uaua ake te tautuhi i te AS i roto i ngā wāhine, nā te mea he rerekē ngā tohu e pā ana ki ngā wāhine i ētahi wā. Hei tauira, ka pāngia pea ētahi wāhine e te mamae kaki i mua i te mamae o te tuara .
Ko te mea nui, kāore he whakamātautau kotahi hei whakaū i te AS. Nō reira, me whakamahi e tō tākuta ētahi atu tikanga, pērā i te whakaoti rapanga, kia tae atu ai ki te tautuhi mate.
Ki te whakapae tō tākuta tiaki tuatahi kei a koe te AS, tera pea ka tukuna koe e ia ki tētahi tohunga. He tākuta rumatiki tēnei. He māmā noa iho, ko ēnei ngā tākuta e tohunga ana ki ngā mate hononga me ngā mate mumura pēnei i te AS.
He aha ngā whakamātautau tātaritanga?
Ka tīmata te tākuta i te tātaritanga mā te tirotiro i a koe. Kātahi, i runga i te hiahia, ka tukuna koe e ia mō ngā whakamātautau maha. Kia tirohia tātou he aha ēnei mahi.
1. Whakamātautau Tinana
Tuatahi, ka tirotirohia tō tinana e te tākuta.
- Ka tonoa koe kia piko ki ngā taha rerekē. Mā tēnei koe e āwhina ki te mārama ki te nui o te nekehanga o tō tuara e herea ana, me te wāhi e mamae ana.
- He kikī ētahi wāhi o tō tuara me tō hope.Ka taea e koe te kite mēnā he mamae kei roto.
- Ka ngana rātou ki te neke i ō waewae ki ngā tūranga rerekē .
- Ka inehia te whānui o tō uma mā te tono kia manawa hōhonu koe. Nā te mea i te haere whakamua o te AS, ka pāngia hoki ngā hononga o te uma, ka whakawhāiti i te kaha o te uma ki te whānui i te wā e manawa ana.
Hei tāpiritanga, ka pātai atu te tākuta ki a koe i ētahi pātai. He mea tino nui tō hītori mō te tautuhi i tō mate.
- Nōnahea i tīmata ai tēnei mamae?
- Kia pēhea te roa o te mamae? (I te ata anake? I te rā katoa?)
- Ko tēhea te wā o te rā e tino kaha ana te mamae? (Nā te mea ka kino ake te mamae i te ata, i te wā hoki e okioki ana.)
- Ka iti haere te mamae ina whakakorikori tinana koe, ina hikoi rānei? (He āhuatanga motuhake tēnei o te AS.)
- He mate tuara, he mate rumatiki rānei tō tētahi o tō whānau pēnei? (Nā te mea he hononga tuku iho)
- He tohu kē atu anō kei reira? (hei tauira, he whero ngā kanohi, he mate kiri, he mate puku)
2. Ngā Whakamātautau Whakaahua me ngā Whakamātautau Toto
I muri i tō whakamātautau tinana, ki te hiahia te tākuta i ētahi atu kōrero, ka tūtohu pea ia i ngā whakamātautau pēnei i te hihi-X, te MRI, me ētahi whakamātautau toto.
| Momo whakamātautau | Ngā mea hei tumanako atu me ngā mea hei mōhio |
|---|---|
| X-ray | Ka taea e tēnei te whakaatu i ngā huringa o tō hononga tuaiwi me tō hononga hope (ngā hononga sacroiliac). Heoi, i ngā wāhanga tōmua o te AS, kāore pea he huringa e kitea i runga i te hihi-X. Tērā pea he maha ngā tau i muri i te tīmatanga o te mate ka tīmata te puta o ngā huringa. |
| Matawai MRI | Ka taea e te matawai MRI te tango pikitia mārama o ō wheua me ō kiko ngohengohe. Nā tēnei ka tino āwhina i te kimi i te mumura i roto i ngā hononga i ngā wāhanga tōmua o te mate. Heoi, he nui ake te utu o te matawai MRI i te hihi-X. |
| Ngā Whakamātautau Toto |
|
Me pēhea te whakatau i te mate whakamutunga?
E kite ana koe, ehara tēnei i te mea ka taea te whakatau mā te whakamātautau kotahi. I ētahi wā, ka roa pea ngā tau hei whakaū i te AS, nā te mea kāore e taea e ngā whakamātautau whakaahua me te toto te whakarato taunakitanga mārama i ngā wāhanga tōmua.
Ka whakaū te tākuta i te tātaritanga o te AS mēnā ka tutuki tētahi, ētahi rānei o ngā paearu e whai ake nei:
1. Mena ka kitea mārama i roto i te whakamātautau whakaahua (X-ray, MRI rānei) ngā huringa e pā ana ki te AS i roto i ngā hononga tuaiwi, hope rānei, ā, hei tāpiritanga, kei a koe tētahi o ngā tohu e whai ake nei:
- Te mamae o te tuara kua neke atu i te 3 marama te roa, ina koa ka kino ake te mamae i te wā e okioki ana, ā, ka memeha haere i te nekenekehanga.
- Mena he iti te kaha ki te piko i te tuara o raro.
- Mena he iti iho te whānui o tō uma i te mea e tumanakohia ana mō tō tau me tō ira tangata.
I ētahi wā, ahakoa kāore ngā whakamātautau whakaahua e whakaatu i tētahi huringa mārama, ki te mea kei a koe ngā tohu e toru o runga ake nei (mamae tuara, he iti te nekehanga, me te iti o te whānui o te uma), ka taea e tō tākuta te tātaritanga kei a koe he "ankylosing spondylitis pea".
Nō reira, ka tutuki te whakatau whakamutunga mā te whakakotahi i ō tohumate katoa, te whakamātautau tinana a te tākuta, me ētahi atu pūrongo whakamātautau.
Karere Tangohia ki te Kāinga
- He mate uaua te Ankylosing Spondylitis (AS) ka roa pea te wā hei tautuhi i tōna āhua, nō reira kia manawanui.
- Kaua rawa e whakaititia te mamae o te tuara, ina koa i a koe e tamariki ana, ka kino haere i te wā e okioki ana koe, ā, ka pai ake i te wā e whakakori tinana ana. Ehara pea i te "mamae tuara noa".
- Kāore he whakamātautau "makutu" kotahi hei whakaū i te AS. Ko te tautuhi mate he whakatau i mahia i runga i tō kōrero, i tō whakamātautau tinana, me ētahi atu hua o te whakamātautau.
- Ki te pā mai ēnei tohu ki a koe, kaua e wehi ki te toro atu ki tō tākuta , me te kōrero tonu mō tēnei mea. Ko te tere o te tautuhi i te mate, ko te pai ake o te maimoatanga me ngā hua ka puta.
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