Ina piko tō tuke, ka pupuri mō tētahi wā, ka tīmata te ahua ngoikore o tō ringa, tika? Engari ina whakatikatika anō koe i tō ringa, ka memeha haere te ngoikore. Engari whakaarohia, me pēhea mēnā ka mau tonu te ngoikore? Koinei te mea ka tupu i roto i tētahi āhuatanga e kiia nei ko te Myelopathy. He mea tēnei hei āwangawanga mā tātou. Me kōrero noa iho tātou mō tēnei.
He aha te Myelopathy? Kia mārama tātou.
Ki te whakarapopoto, ko te Myelopathy te wā e pēhia ana te taura tuaiwi i roto i tō tātou tuaiwi mō tētahi take. Whakaarohia tō tātou taura tuaiwi hei 'taura' matua e kawe ana i ngā karere mai i tō tātou roro ki ngā wāhanga katoa o tō tātou tinana. Ka rere haumaru i roto i tō tātou tuaiwi.
Nā, he aha te mea ka tupu mēnā ka pēhia tēnei 'taura' tino nui, te taura tuaiwi, ki tētahi wāhi? Ka motuhia taua karere. Ko te wā tēnā ka tīmata ai ngā āhuatanga pēnei i te mamae, te ngoikore, te ahua ngoikore i ngā wāhanga o te tinana, me te kore e taea te neke tika . Ahakoa ngā mahi o ia rā pēnei i te pupuri tika i te pene, te pātene rānei i te hāte, ka uaua pea.
He momo matua o te myelopathy?
Ae, e toru ngā momo matua o te myelopathy, i runga i te wāhi e pēhia ana te taurakira.
| Momo Myelopathy | Whakaahuatanga |
|---|---|
| Te Myelopathy o te Cervical | Koinei te momo tino noa. Ka puta ina pēhia te taurakira ki roto i te tuaiwi kaki . He maha ngā wā ka puta tēnei āhuatanga i ngā huringa pirau o te tuaiwi i te kaumātuatanga. |
| Te Myelopathy o te Uma | I konei, ka puta te pēhanga i waenganui o te tuara, arā, i te tuaiwi uma i muri i te uma . |
| Te Myelopathy Lumbar | I tēnei wā, kei te tuara o raro (te tuaiwi lumbar) te pēhanga. |
Kia pēhea te nui o te whakaaro ki tēnei āhuatanga?
Ehara tēnei i te āhuatanga hei wareware noa iho. Ki te kore e rongoatia, ka kino haere te āhua i roto i te wā.
Ki te haere tonu te pēhanga o te taurakira, ka pā he kino tuturu ki ngā io. Ki te pērā, kāore pea e taea te whakakore i ngā tohu. I ētahi wā kino rawa atu, ka taea e tēnei āhuatanga te arahi ki ngā raruraru nui pērā i te pararutiki .
Nō reira, ki te whakaaro koe kei a koe tētahi o ēnei tohu, ko te mea pai ko te toro atu ki te tākuta tonu mō ētahi tohutohu. Ko te wawe o te tautuhi i tō mate, ko te nui ake o te tūponotanga ka whiwhi koe i ngā hua pai o te maimoatanga.
He aha ngā tohu matua o te myelopathy?
Nā te mea he rerekē ngā wāhanga o te taurakira e whakahaere ana i ngā wāhanga rerekē o te tinana, ka rerekē pea ngā tohu i runga i te wāhi e puta ai te pēhanga. Heoi, he iti noa ngā tohu e kitea ana.
| Tohu | Whakaahuatanga |
|---|---|
| Mamae | Mamae kaki, mamae tuara rānei. |
| Te ngoikore, te kore ora | Te ngenge, te mākūkū, te ngoikore rānei o ngā ringa, ngā ringaringa, ngā waewae, ngā waewae rānei. |
| Te uaua ki ngā mahi uaua | He uaua ki te whakamahi i ngā pūkenga nekeneke pai pērā i te pātene i te hāte, te tuhituhi ki te pene, te whakamahi rānei i te kī. |
| Ngā raruraru ki te hikoi me te taurite | Te ahua o te ngaro o te taurite, te mangere i te wa e hikoi ana. |
| Ngā raruraru ki te whakahaere i te puku | I ētahi wā tino kino, tera pea he uaua ki te whakahaere i te mahi o te puku me te mimi. |
He aha ngā take o te myelopathy?
He maha ngā mea ka pā te pēhanga o te taurakira.
- Kōpae herniated: Ka taea e te kōpae rite ki te tiēre i waenganui i ngā vertebrae e rua te pupuhi me te pēhi i te taurakira .
- Te Spondylosis: Nā te pakaru me te haehae taiao me ngā huringa e puta ana i roto i te tuaiwi i a tātou e kaumātuatia ana.
- Te whakatōtōtanga o te tuaiwi: Te whaiti o te awa tuaiwi nā ngā take maha.
- Whara whara: He whara ki te tuaiwi i puta mai i tētahi mea pēnei i te hinganga, i tētahi aituā motuka rānei.
- Mate urutā me te mumura: Ngā āhuatanga mate urutā e pā ana ki te tuaiwi.
- Puku: He puku matepukupuku, he puku rānei e puta ana i roto, i te taha rānei o te tuaiwi.
- Ngā mate neurodegenerative: Ngā āhuatanga pēnei i te mate a Parkinson, te ALS rānei.
Ko wai te mea tino mōrearea ki te whakawhanake i tēnei?
Ka taea te pā te myelopathy i ngā tau katoa. Heoi, ko te momo e pā ana ki ngā huringa e pā ana ki te koroheketanga o te tuaiwi he mea tino noa i roto i te hunga neke atu i te 40 tau te pakeke . Waihoki, kua whakaatuhia e ngā rangahau he nui ake te tūponotanga o te pāngia o ngā tāne e tēnei mate i ngā wāhine.
Me pēhea te kitenga a te tākuta i tēnei?
Ina haere koe ki te tākuta, ka pātai atu ia ki a koe mō ō tohumate, me pēhea te tīmatanga, me te roa o te wā e pāngia ana koe e ēnei tohumate. Kātahi ka tirotirohia koe e ia.
- Whakamātautau tinana: Ka tirohia ngā nekehanga o tō tinana me ngā wāhi mamae.
- Whakamātautau roro: Mā tēnei ka tirohia ō urupare, kaha o te uaua, me ō kare ā-roto.
I muri i ēnei whakamātautau, e taunakitia ana kia whakahaerehia ētahi whakamātautau hei whakaū i te mate me te whakatau i te tino pūtake o te ponana.
- Ngā whakamātautau whakaahua: Ngā whakamātautau e tango pikitia ana i te tuaiwi. Hei tauira, he matawai X-ray, he matawai MRI, he matawai CT rānei . Ka taea e ēnei te kite mārama i te āhua o te tuaiwi, ngā kōpae, me te taurakira.
- Myelogram:Ka werohia he matū motuhake (he tae rerekē) ki roto i te tuaiwi, ā, ka tangohia he karapa X-ray, he karapa CT rānei. Mā tēnei ka taea te tautuhi mārama i ngā wāhi e pēhia ana te taurakira me ngā io.
- Ngā whakamātautau mahi io: Ngā whakamātautau e ine ana i te tere o te rere o ngā karere i waenga i te roro me te tinana. Ko te Electromyography (EMG) tētahi o aua whakamātautau.
He aha ngā maimoatanga mō te myelopathy?
Ko te maimoatanga e whakawhirinaki ana ki te kaha o ō tohu, te wāhi i pēhia ai te taurakira, me te take. Ko te mea e pai ana mō tētahi tangata, kāore pea e pai mō tētahi atu. E rua ngā momo maimoatanga matua: ko te kore-pokanga me te pokanga.
Ngā maimoatanga kore-pokanga
Ka whakahaere noa iho ēnei maimoatanga i ngā tohumate. Kāore e whakaiti i te pēhanga ki te taurakira. Mena kāore ō tohumate i te kino, i a koe rānei e tatari ana mō te pokanga, ka tūtohu pea tō tākuta i ēnei maimoatanga.
- Te mau i te whitiki tautoko: Ka taea e te whitiki tautoko e mau ana ki te kaki, ki te tuara rānei te whakawhāiti i te nekehanga i taua wāhi, me te whakaiti i te mamae.
- Whakaora tinana: E taunakihia ana ngā mahi whakakori tinana me ngā maimoatanga motuhake hei whakapakari i ngā uaua, hei whakanui ake i te ngāwari, hei whakaiti hoki i te mamae.
- Ngā rongoā: Ka taea e ngā rongoā pēnei i ngā rongoā whakamamae mamae me ngā rongoā ārai-mumura (corticosteroids) te āwhina i te whakahaere i ngā tohumate.
Pokanga
I roto i te myelopathy, ko te pokanga te huarahi pai ki te whakamama i te pēhanga ki runga i te taurakira me te tuku i a ia kia wātea.
Mena he kino rawa ngā tohu, ka kino haere i ia rā, i ia rā, ki te kore rānei e āwhina ngā maimoatanga kore-pokanga, ka tūtohu pea tō tākuta kia pokanga koe.
Ka mahia tēnei mā te whakamahi i tētahi momo pokanga e kiia nei ko te pokanga whakangāwari i te pēhanga tuaiwi . I runga i te pūtake o te pēhanga, ka whakamahia e te taote pokanga ngā tikanga rerekē. Ko ētahi tauira ko:
- Pokanga ACDF
- Te tango i te kōpae (diskectomy)
- Te whakakapinga kōpae (te whakaurunga o tētahi kōpae horihori)
- Te tango i te rongoā
- Te mahi laminoplasty
- Te hononga tuaiwi
I mua i te pokanga, ka whakamārama mārama tō taote pokanga i ngā painga, ngā huakore, me ngā mōrearea ki a koe.
He ara hei ārai i te myelopathy?
Kāore e taea te ārai i tēnei i ngā wā katoa, inā koa ka puta mai ngā āhuatanga e pā ana i a tātou e kaumātuatia ana.
Heoi, mā te tiaki i tō tātou tuaiwi ka taea te whakaiti i te mōrearea o ētahi take.
- Ina hiki i te kawenga, hikihia kia tika: Ina hiki i te kawenga, whakaharatauhia te hiki me ō turi piko, me tō tuara tika, kaua e piko tō tuara.
- Kia mau ki te tū tika:Kia tika tō tuara i a koe e noho ana, e tū ana rānei.
- Whakakorikori tinana i ngā wā katoa: Me mahi i ngā whakakorikori tinana hei whakapakari i ngā uaua o tō tuara me tō puku.
Āhea ahau me toro atu ki te tākuta?
Mena kei a koe ngā tohu e whai ake nei, kaua e warewarehia, me toro atu ki te tākuta tonu.
| Rapua he tohutohu hauora tonu. | |
|---|---|
| He panoni i te ara e hikoi ai koe, he ngaronga o te taurite, he āhua tūtuki rānei | |
| He mamae hou, he mamae kino rānei i te kaki, i te tuara rānei | |
| Te ngenge, te mākūkū, te ngoikore rānei o ngā ringa, ngā maihao, ngā waewae, ngā matimati rānei | |
Ngā pātai hei pātai atu ki tō tākuta
Ina kitea e koe kei a koe tēnei mate, tera pea he maha ngā pātai kei roto i tō hinengaro. Pātai atu ki tō tākuta mō ēnei mea.
- He aha i pēhia ai taku taurakira?
- He aha te maimoatanga pai rawa atu e taunaki ana koe māku?
- He pānga taha kei roto i ēnei maimoatanga?
- Me pokanga ahau?
- Kia pēhea te roa o te wā e ora katoa ai i muri i te pokanga?
- He aha ngā mea kāore e tika kia mahia e au, kia karohia rānei?
He wāhanga tino nui te taurakira o te tinana. Ahakoa he pēhanga iti noa iho ki runga, ka pāngia pea te mahi a te tinana katoa. Nō reira, he mea nui kia mōhio ki ngā tohumate, ā, me rapu tohutohu hauora wawe tonu mēnā e tika ana.
Karere Tangohia ki te Kāinga
- He mate kino te myelopathy e puta mai ana i te pēhanga o te taurakira. Kaua tēnei e warewaretia.
- Mena ka puta ngā tohu pēnei i te ngoikore o ō waewae, te ngoikore rānei, te uaua rānei ki te hikoi me te mamae o te kaki, o te tuara rānei, me toro atu ki te tākuta tonu.
- Mā te tautuhi me te maimoatanga wawe ka ārai i te kino tuturu o te io.
- He maha ngā kōwhiringa maimoatanga (pokanga me te kore-pokanga), ā, mā tō tākuta e whakatau te maimoatanga tino tika māu.
- Mā te tiaki i tō tuara i a koe e hiki ana i ngā taumaha, me ngā mahi o ia rā, ka taea te whakaiti i ētahi o ngā mōrearea.
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