Kua pāngia koe e tēnei momo āhua? Ina piko tō mahunga ki te hiki i tētahi mea i taka ki te papa, ina piko noa rānei tō kaki ki mua, ka pāngia koe e te mamae koi e rite ana ki te wiri hiko e rere ana i raro i tō tuaiwi. He rite ki te ru hiko. Ahakoa ka memeha i roto i ētahi hēkona, he ahua whakamataku te āhua. Koinei tā tātou e kōrero ai i tēnei rā. I roto i ngā kupu hauora, ko te ingoa o tēnei tohu ko te Tohu Lhermitte.
He aha tonu te Tohu a Lhermitte?
He māmā noa iho, ko te Tohu Lhermitte he mamae koi, he rite ki te hiko e pā whakarere ana ki raro i tō tuaiwi, i ētahi wā ki ō ringaringa me ō waewae, ina piko tō kaki ki mua. Ka pā pea tēnei ina maremare, ina tihe rānei koe. Ka puta whakarere mai te mamae, ā, ka memeha haere i roto i ngā hēkona. Engari ka pā pea i ētahi wā i te rā.
I ētahi wā ka kiia tēnei e tō tākuta ko te "āhuatanga tūru kutikuti." Ko te take o tēnei, i ngā wā o mua, i pāngia ētahi tāngata e tēnei momo mamae i te wā e piko ana ō rātou mahunga ki mua i roto i ngā tūru kutikuti i a rātou e horoia ana ō rātou makawe.
Engari kia maumahara, ko tēnei tohu e kiia nei ko te Tohu a Lhermitte ehara i te mea morearea, ehara hoki i te mea whakamataku ki te ora. Heoi, he tohu nui tēnei e whakaatu mai ana kei te hē tetahi mea i roto i tō tātou tinana.
He aha tātou i pēnei ai ngā whakaaro? He aha te take?
Ko te take matua mō tēnei he kino kei ngā io o tō tātou taurakira. I roto i te rongoā, ka kiia tēnei kino he "whara" he "koha" rānei. Ka taea e te tākuta te kimi mēnā he koha pēnei kei roto i tō tuaiwi kaki mā te matawai "MRI".
Whakaarohia ō tātou io he waea hiko. He hipoki tiaki (whakamātao) ēnei waea. Ko tēnei hipoki tiaki e karapoti ana i ō tātou io e kiia ana ko te myelin. Mā tēnei hipoki myelin ka taea te tuku karere mai i te roro kia tere, kia tika hoki ki ētahi atu wāhanga o te tinana.
Ki te pakaru tēnei pūkahu myelin mō tētahi take, he āhuatanga e kiia nei ko te "demyelination," ka kitea te io. I taua wā, ina piko koe i tētahi wāhi pēnei i tō kaki, ka whakaohokia te io kua pakaru, ka tukuna he tohu mamae teka ki te roro. Koinei te mea e rite ana ki te mea kei te hikohia tātou.
He aha ngā āhuatanga hauora ka puta ai te Tohu a Lhermitte?
Ko te tino take o tēnei tohu ko te mate maha-mate urutā (MS). Kua kitea e ngā rangahau tata ki te kotahi i roto i te toru o ngā tāngata whai MS ka pāngia e te tohu a Lhermitte i te iti rawa kotahi i roto i ō rātou oranga.
Haunga tēnā, he maha atu anō ngā take e pā ana ki tēnei. Mā te ripanga i raro nei e whakamārama atu tēnei.
| Āhua/Pūtake | He whakamārama māmā |
|---|---|
| Te Mate Pukupuku Maha (MS) | He mate tēnei e pā ana ki te pūnaha io. I tēnei wā, ka pakaru te pūnaha ārai mate o te tinana i te pūkahukahu myelin e karapoti ana i ngā io. Koinei te tino take. |
| Te korenga o te huaora B12 | He mea nui te Huaora B12 mō te pūnaha io hauora. Ina iti rawa ngā taumata B12 i roto i te tinana, ka pāngia pea ngā io. |
| Kōpae herniated | Ka pupuhi mai tētahi kōpae rite ki te tiēre i waenganui i ngā tuaiwi (wheua) o te tuaiwi, ka pēhi i te taurakira, i ngā io rānei. E kīia ana ko te "kōpae herniated". |
| Te mate pukupuku o te kaki | Te pēhanga o ngā io nā te pakaru me te haehae o ngā tuaiwi me ngā hononga o te kaki i te kaumātuatanga. |
| Te pēhanga o te taurakira | Te pēhanga ki te taurakira nā te pukupuku, te aituā, tētahi atu take rānei. |
| Te huaketo rewharewha (Shingles) | I ētahi wā, ka taea e te huaketo e hua ai te rewharewha te whakahohe anō me te pā ki ngā io. |
| Te irahiko, te rongoā matepukupuku rānei (Te irahiko/Te rongoā matepukupuku) | Ka puta pea tēnei hei pānga taha o te rongoā irahiko mō te mate pukupuku, inā koa ki te kaki. |
He aha ngā mea e whakaoho ana i tēnei mamae?
Ka puta ohorere mai pea tēnei mamae nā ētahi mahi me ētahi āhuatanga.
- Te piko i te kaki ki mua: Koinei te take matua.
- Maremare
- Te hopu mokowā
- Te hamama
I tua atu, he nui ake te tūponotanga o te puta o tēnei tohu i roto i ngā take e whai ake nei:
- Ina ngenge koe (ngenge)
- Ina pāngia koe e te ahotea
- I te wā e whakakorikori tinana ana
- I te wā e wera ana te taiao
Me pēhea te tautuhi a te tākuta i tēnei mate, ā, he aha ngā maimoatanga?
Kāore he whakamātautau motuhake hei tirotiro i te tohu a Lhermitte. Ka kitea e te tākuta i te wā tonu e whakahuatia ai e koe. Ko te whāinga matua a te tākuta he kimi i te pūtake o te tohu, arā, te mate hauora kei raro.
Mō tēnā,
- Ka pātai atu te tākuta ki a koe me te āta whakaaro mō ō tohumate.
- Ka whakahaerehia he whakamātautau tinana. Tērā pea ka whakahaerehia he whakamātautau pēnei i te whakamātautau Spurling hei tirotiro mēnā he pēhanga io e puta ai te mamae o te kaki.
- Tērā pea ka tukuna koe mō tētahi whakamātautau whakaahua, pērā i te matawai MRI . Mā tēnei ka taea te whakaatu mārama mēnā he whara, he kōpae hernia, he kino rānei ki te taurakira.
Mō te maimoatanga, ko tēnei mamae, he torutoru hēkona noa iho te roa, kāore pea e hiahiatia he maimoatanga motuhake. Ko te mea nui ko te rongoā i te tino take.
Hei tauira:
- Mena ko MS te pūtake, mā te maimoatanga e whakaiti te putanga mai o te Tohu a Lhermitte.
- Mena ko te korenga o te huaora B12 te take, mā te hoatu i te huaora B12 ka taea te whakaora katoa i tēnei mate.
- Mena kua pakaru te kōpae, me mahi pea te rongoā tinana, te pokanga rānei.
Hei tāpiri, ka tūtohu pea tō tākuta i ngā mea e whai ake nei hei āwhina i te whakahaere i tēnei mamae:
- Ngā rongoā mō te mamae o ngā io, hei tauira ko te `(Gabapentin)`.
- Ka mauhia he whitiki kaki hei whakawhāiti i te nekehanga o te kaki.
- Te tuku ki tētahi kaiwhakaora tinana mō ngā mahi whakangā uaua me te totoro.
Āhea ahau me toro atu ki te tākuta?
Ki te pāngia koe e te mamae e rite ana ki te ru hiko kua whakaahuatia i runga ake nei, inā koa ka piko tō kaki, kaua e warewaretia.
- Ki a koeKi te mea ka pāngia koe e tētahi mea pēnei mō te wā tuatahi i roto i tōu ao, me toro atu koe ki tētahi tākuta.
- Mena kei a koe tētahi mate pēnei i te MS, ā, he mea hou te āhua o ēnei tohu, he mea kino rānei, me whakamōhio atu ki tō tākuta.
- Mena kei te haere tahi mai tēnei mamae me ētahi atu tohu (hei tauira, te ngoikore o ngā waewae, te uaua ki te hikoi, te panoni o te tirohanga), rapua tonutia he tohutohu hauora.
Ahakoa ehara tēnei i te mea mōrearea ki te ora, he tohu nui tēnei nō tō tinana. Nō reira kaua e warewaretia, kaua hoki e tukua kia nui rawa te take matua.
Karere Tangohia ki te Kāinga
- Ko te Tohu a Lhermitte he mamae poto, he rite ki te hiko, e pāngia ana e te mamae o te tuaiwi ina piko te kaki ki mua.
- Ahakoa ehara tēnei tohu i te mea mōrearea, he tohu nui ia mō te pakaru o ngā io i roto i te taurakira.
- Ahakoa ko te Multiple Sclerosis (MS) te tino take o tēnei, tera pea ētahi atu take pēnei i te korenga o te huaora B12 me te hernia o te kōpae tuaiwi he pānga anō hoki.
- Ki te pā mai tētahi o ēnei tohu ki a koe, kaua e warewarehia, me toro atu ki tō tākuta tonu kia kitea ai te tino take, kia whiwhi ai hoki i te maimoatanga tika.
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