Kua roa koe e mamae ana i te tuara? Tērā pea kua kite koe i tētahi tākuta, ā, kua whai whakamātautau pēnei i te hihi-X, te matawai CT, te matawai MRI rānei. Engari i ētahi wā, ahakoa ēnei whakamātautau, kāore e taea te tautuhi i te tino take o tō mamae. I roto i ēnei āhuatanga, ka tūtohu pea tō tākuta i tētahi whakamātautau motuhake hei tirotiro hohonu ake i te take. Koinā te mea ka kōrerohia e tātou i roto i tēnei tuhinga i tēnei rā. Ka kiia ko te myelogram .
He aha te myelogram?
Whakaarohia pēnei: he rite te hihi-X noa ki te whakaahua pango-mā o ō tātou wheua. E whakaatu mārama ana i ngā mea pēnei i ngā whati me ngā whati o ngā wheua. Engari kāore e whakaatu mārama ana i ngā mea tino ngawari pēnei i ngā io me te taurakira i roto i te tuaiwi.
He tikanga te myelogram e whakaatu ana i ēnei taipitopito ngawari. Ka whakamahia he tae motuhake, he rauemi rerekē rānei, hei mahi i tēnei. Ina werohia tēnei tae ki roto i te taurakira, ka tiaho mā i runga i te hihi-X, i te karapa CT rānei. Pērā i te whiti i te rama ki roto i tētahi rūma pōuri, ka taea e te tākuta te kite i ngā mea katoa i roto i te taurakira, tae atu ki te taurakira, ngā ara o ngā io, me ngā hononga i waenga i ngā tuaiwi.
I tēnei whakamātautau, ka taea e te tākuta te mātakitaki i te neke o te tae i roto i tō tuaiwi i runga i te mata, pērā i te ataata. Ka kiia tēnei tikanga he fluoroscopy .
Tērā pea kua rongo koe i tētahi tākuta e kī ana i ngā mea pēnei i te 'cervical myelogram' me te 'lumbar myelogram'. Kaua e mataku ki tēnā. Ehara i te mea he rerekē ngā whakamātautau e rua. E pā ana ki te wāhi o tō tuaiwi e mahia ana te whakamātautau. Hei tauira, ki te mea kei te whakamātautauhia te wāhanga o tō kaki (tuara cervical), he 'cervical myelogram'. Ki te mea kei te whakamātautauhia te wāhanga o tō tuara o raro (tuara lumbar), he 'lumbar myelogram'.
He aha te take e tono ai te tākuta i tētahi myelogram?
I te nuinga o te wā, ina mamae tō tuara, ka tūtohu tuatahi te tākuta i tētahi matawai CT, i tētahi matawai MRI rānei. I te nuinga o te wā, ka āwhina ēnei whakamātautau ki te whakatau i te take. Heoi, ki te kore tētahi o aua whakamātautau e tino whai hua, ka tonoa he myelogram hei rapu atu i ētahi atu mōhiohio.
He tino āwhina tēnei whakamātautau mō te tautuhi i ngā āhuatanga e whai ake nei.
| Āhuatanga hauora | He whakamārama māmā |
|---|---|
| Kōpae herniated | Ko te kōpae herniated he mate e pupuhi ana te wāhanga rite ki te tiēre o te tuaiwi i waenganui i ngā tuaiwi e rua, ka pēhi i ngā io. He mate tēnei e pā ana ki te tini o te tangata. |
| Te rumatiki i roto i ngā hononga tuaiwi | I te kaumātuatanga, i ētahi atu take rānei, ka tawhito haere ngā hononga i waenganui i te tuaiwi, ka pupuhi, ka mamae. |
| Te whakatōtōtanga o te tuaiwi | Ka whaiti te wāhanga rite ki te 'ngongo' o te tuaiwi e haere ai te taurakira me ngā io, ka pēhi i ngā io. |
| Ngā wheua tītaha / Osteophytes | Haunga ngā tuaiwi, ka puta mai ngā kongakonga wheua iti, ka mirimiri ki ngā io, ka mamae. |
| Ngā pukupuku tuaiwi | He pukupuku matepukupuku, he pukupuku kore-matepukupuku rānei e puta mai ana i te tuaiwi, ka pēhi i ngā io. |
Hei tāpiri, ki te mea kua oti kē te pokanga tuara i a koe, ā, kua pā mai he mamae hou, he ngoikore rānei i ō waewae, ka tūtohu pea tō tākuta i tētahi myelogram hei kimi i te take.
Me pēhea taku whakarite i mua i te myelogram?
Ka hoatu e tō tākuta he huinga tohutohu mārama ki a koe mō ngā mea me mahi e koe i mua i tēnei whakamātautau. Engari i te nuinga o te wā, me titiro tātou me pēhea te whakarite. He mea tino nui te whai i ēnei mahi kia angitu ai te whakamātautau, tika?
| Me aha? | Ngā kōrero nui |
|---|---|
| Whakaritea he waka. | Kāore e taea e koe te taraiwa ko koe anake i muri i te whakamātautau nā te mea ka hoatu pea he rongoā whakamoe ki a koe hei whakamoe i a koe. Nō reira, me waea atu pea koe ki tētahi hoa, ki tētahi mema rānei o te whānau kia taraiwa koe ki te kāinga. |
| Inuhia he nui te wai. | Mai i te rā i mua i te whakamātautau, tīmata ki te inu i tētahi karāhe wai (4-8 hekere) i ia rua hāora. He mea nui kia kore ai e matewai. |
| Te nohopuku | Kaua e kai i tetahi kai totoka mō ngā haora e ono i mua i te whakamātautau. |
| Ngā inu wai | Ka taea e koe te inu wai mārama tae atu ki te ono hāora i mua i te whakamātautau. Hei tauira, ko te wai, te tī kāore he miraka/kirīmi, te kawhe pango, te houra mārama, te wai hua kāore i te huka, me te hupa. |
| Mena he mate huka tōu: | |
| Iniurinī | Tangohia te horopeta o te insulin e hiahiatia ana, engari me kōrero ki tō tākuta i te tuatahi. |
| Te mōhiotanga | Whakamaumaharatia ngā kaimahi kei te mate huka koe i te wā tonu ka haere koe ki te hōhipera mō te whakamātautau. |
I te nuinga o te wā, kāore e hiahiatia he whakamātautau toto i mua i tēnei whakamātautau. Heoi, ki te mea he mate toto tōu, pērā i te matewai, te mate tākihi mau tonu rānei (CKD), ka tonoa pea e tō tākuta ngā whakamātautau e tika ana.
He aha ngā mea ka tupu i te wā o te whakamātautau?
Kāore koe e tino ngaro i te mōhio i tēnei wā, engari tera pea ka hoatu he rongoā ki a koe hei āwhina i a koe kia marino. Ka noho tahi te tohunga hihi-X me te tohunga hangarau ki roto i te rūma me koe puta noa i te whakamātautau, nō reira kāore he take e mataku ai koe.
Anei tētahi whakamārama taahiraa-i-te-taahiraa o ngā mea ka tupu i te wā o te whakamātautau:
1. Te Whakarite: Tuatahi, ka whakatakotoria koe ki runga i te tēpu whakamātautau, me takoto koe ki tō puku, ki tō taha rānei.
2. Te horoi: Ka horoia pai tō tuara o raro ki te wai patu paturopi.
3. Te ngoikore: Muri iho, ka werohia he iti o te rongoā whakamoe ā-rohe hei whakamoe i te wāhi e werohia ana te ngira, kia kore ai koe e rongo i te mamae.
4. Te werohanga i te tae: Koinei te wāhanga tino nui. Ka werohanga āta te tohunga hihi-X i tētahi tae motuhake (he rauemi rerekē) ki roto i te pēke kī tonu i te wai e karapoti ana i tō taurakira. Tērā pea ka paku pēhia koe i tēnei wā.
5. Te whakatītaha o te moenga: Hei āwhina i te rere o te tae ki te wāhi tika o tō tuaiwi, ka whakatītaha te kaitirotiro i te moenga e takoto ana koe. Tērā pea ka tonoa koe kia huri mārire tō mahunga.
6. Te tango whakaahua: Kia tae te tae ki ngā wāhi tika, ka tangohia he raupapa whakaahua o te hihi-X me te karapa CT.
E tata ana ki te haora te roa o te tukanga katoa. Tērā pea ka pāngia koe e te mamae, e te mamae pōuri rānei.
He aha ngā mea ka tupu i muri i te whakamātautau? Kia pēhea te roa o te wā e ora ai?
Kia oti te whakamātautau, ka tirotirohia koe i te hōhipera mō te haora pea. Ka whakaaetia koe kia hoki ki te kāinga i muri i te whakaūnga kei te pai ngā mea katoa. Ka hoatu he huinga tohutohu tuhituhi hei whai māu i muri i tō hokinga ki te kāinga. Ka tukuna e te tohunga hihi-X te pūrongo whakamātautau ki tō tākuta tiaki tuatahi (PCP).
I roto i ngā haora 24 ka hoki anō koe ki te āhua noa. He mea nui te okioki i tēnei wā nā te mea ka taea te whakaiti i te mōrearea o te turuturu o te wai o te roro me te wai o te tuaiwi (CSF). Ka taea e koe te hoki ki ngā mahi o ia rā.
Kia tino mahi koe i ēnei mea i a koe e whakaora ana i te kāinga:
- Kia teitei tō mahunga: Kia teitei tō mahunga i runga ake i te toenga o tō tinana i ngā wā katoa e taea ana. Whakamahia kia rua, kia toru rānei ngā urunga i a koe e takoto ana.
- Takoto papatahi ki runga i tō tuara: Ngāna kia takoto papatahi ki runga i te moenga i ngā wā katoa e taea ana.
- Inumia he nui ngā wai: Inumia he nui te wai me ētahi atu wai. Mā tēnei ka āwhina i te tango i te tae i roto i tō tinana, ka whakaiti hoki i te mamae o te upoko. Engari kaua e inu waipiro.
- Kaua e hiki i ngā taumaha taimaha:Kaua e hiki i ngā taumaha, kaua hoki e mahi i tētahi mahi whakakori tinana uaua mō te rā kotahi, e rua rānei.
- Ngā rongoā mō te ānini: Ki te pāngia koe e te ānini, ka taea e koe te pātai ki tō tākuta mō te tango i tētahi rongoā mamae pērā i te paracetamol. Waihoki, ko te inu i ngā inu kei roto te kawheine (kawhe, tī) ka āwhina i ētahi wā ki te whakamamae i te ānini.
Ngā pānga taha me te wā hei kōrero ki tō tākuta
Tata ki te 10% o te hunga whai myelogram ka pāngia pea e ngā pānga taha iti. Ka memeha katoa ēnei i roto i te rā kotahi, e rua rānei. Heoi, he mea nui kia mōhio ki ngā mea noa me ngā mea kino.
| Momo pānga taha | Ngā Āhuatanga |
|---|---|
| Ngā pānga taha e kitea whānuitia ana, ā, ka memeha haere i roto i te rā kotahi, e rua rānei | |
| Ānini | Koinei te pānga taha tino kitea. |
| Whakapairuaki me te ruaki | Tērā pea ka pāngia ētahi tāngata e te whakapairuaki, te ruaki rānei. |
| Ngā tohu kino me whakamōhio tonu atu ki tō tākuta | |
| Te ānini tonu | He ānini nui e kore e taea te whakahaere mā te rongoā whakamamae noa, mā te okioki rānei. |
| Kirika | Neke atu i te 38.3 Celsius te pāmahana o te tinana. |
| Kaki maro | Te pakari o te kaki me te mamae e kore ai e taea te piko. |
| Te ngenge/te pupuhi o ngā waewae | Te ngenge, te wera, te ahua kore ora rānei o ngā waewae. |
| Ētahi atu āhuatanga | He wai, he mamae rānei i te wāhi i werohia ai te ngira, he uaua ki te mimi, he hemo te ngākau. |
Ki te pāngia koe e tētahi o ēnei tohu kino, kaua e whakaroa. Waea atu ki tō tākuta tonu , haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera tata.
He tino mamae tēnei whakamātautau?
Kāore tēnei e rite te āhua mō te katoa. Engari ehara i te whakamātautau mamae rawa. Heoi anō, tera pea ka pāngia koe e ētahi mamae iti.
- Tērā pea ka rongo koe i te haruru ina werohia te mata.
- Ina werohia te ngira, tera pea ka rongo koe i te ru hiko i raro i tō papa, i tō waewae rānei mō te hēkona kotahi.
- Ina uru te tae ki te tinana, ka pāngia pea koe e te mahana mō te wā poto, te reka whakarewa i roto i tō waha, te whakapairuaki rānei.
Kia maumahara, ka whakapau kaha te tīma hauora ki te whakamarie i a koe, me te whakaoti i te whakamātautau i te wā e taea ai.
Hei whakamutunga, he taputapu whai hua te myelogram hei kimi i te tino take o te mamae o te tuara kua roa nei e whakararuraru ana i a koe, ā, kāore anō kia kitea e ngā whakamātautau auau. Mā ngā mōhiotanga mārama e homai ana, ka taea e tō tākuta te tīmata i te mahere maimoatanga e tika ana māu. Nō reira, ki te taunaki te tākuta i tēnei whakamātautau, kaua e wehi ki te haere tonu me te tiki i ngā meka.
Karere Tangohia ki te Kāinga
- He whakamātautau whakaahua te myelogram e whakamahi ana i tētahi tae motuhake hei whakaputa whakaahua tino mārama o te taurakira me ōna io e pā ana.
- Ko te tikanga ka tūtohutia tēnei whakamātautau ina kore e taea te tautuhi mārama i te pūtake o te mamae o te tuara mā te matawai CT, MRI rānei.
- He mea tino nui kia tino whai i ngā tohutohu a te tākuta i mua i te whakamātautau (te nohopuku, te inu wai) me muri i te whakamātautau (te okioki, te karo i te whakakori tinana taumaha).
- Ahakoa he mea noa ngā pānga taha iti pēnei i te ānini me te whakapairuaki, me whakamōhio tonu atu ki tō tākuta mēnā ka pāngia koe e ngā tohu kino pēnei i te kirika nui, te kaki maro, te ngoikore rānei o ō waewae.
- Mena he āwangawanga, he mataku rānei āu mō te whakamātautau, kōrerotia marietia ki tō tākuta.
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