Kei te rongo koe i ētahi wā i tētahi mamae rerekē i te wāhi kotahi o tō kaki, pakihiwi, tuara rānei? He rite ki tētahi wāhi piri, he rite ki tētahi pona, ā, ka kaha ake te mamae ina pēhia e koe? Kāore pea tēnei i te mamae uaua noa iho. I tēnei rā kei te kōrero tātou mō tētahi āhuatanga e pāngia ana e te tini o te tangata, engari kāore i te tino mōhio. Ko te Myofascial Pain Syndrome tēnā.
He aha te Myofascial Pain Syndrome?
Ahakoa te ahua uaua o te ingoa, he tino māmā noa iho te kōrero. Ko te "Myo" e pā ana ki ngā uaua. Ko te "Fascial" e pā ana ki te kiriuhi angiangi e karapoti ana i ēnei uaua, e kiia nei ko te fascia . Nō reira, ka kiia e mātou ko te Myofascial Pain Syndrome he mate mamae roa e puta mai ana i te mumura o ēnei uaua me te kiriuhi e karapoti ana i a rātou.
Whakaarohia tō tinana he rite ki te karaka.
- Ko te kiri o te karaka ko tō kiri.
- Ko te kiri karaka i roto ko ō uaua.
- Nā, ko te kiri angiangi mā e karapoti ana i te kiri karaka e kiia ana ko te fascia .
Ko tēnei fascia, he kiriuhi, e karapoti ana i ngā muka uaua katoa, i ngā rōpū uaua, me ngā rōpū uaua o tō tātou tinana, ā, e mahi ana hei tautoko i a rātou. Ina piri te kiriuhi fascia me te uaua mō tētahi take, ka puta he pona mamae, arā, ko ngā pūwāhi whakaoho e kīia ana e te rongoā. Kāore tēnei mamae e herea noa ki taua wāhi, engari ka horapa atu ki ētahi atu wāhi anō hoki.
He maha ngā tāngata e pāngia ana e tēnei mamae i te wāhi kotahi. Heoi, ka pāngia pea ētahi e tēnei mamae i ētahi wāhi. Heoi, ko te nuinga o te wā ka pāngia taua taha.
He pēhea te noa o tēnei āhuatanga?
He tino noa ake te mate Myofascial Pain Syndrome i tō whakaaro. E ai ki ngā tohunga, tata ki te 85% o te taupori whānui kei te mōrearea ki te whakawhanake i tēnei mate i tētahi wā o ō rātou oranga. Ko te tikanga, e waru i roto i te tekau o ngā tāngata e karapoti ana i a koe ka pāngia pea e tēnei mate.
He aha te āhua o te mamae? He aha ngā tohu?
Ka rerekē te mamae e pā ana ki tēnei āhuatanga i ia tangata, i ia tangata. I ētahi wā ka puta ohorere te mamae, ā, i ētahi wā anō, ka rite ki te mamae pumau, ngoikore .
Kia mārama te wehewehe i ngā tohu matua.
| Tohu | Whakaahuatanga |
|---|---|
| Te āhua o te mamae | He mamae wero, he kōpiri, he kikī, he whakawhāiti rānei i roto i te tinana. |
| Ngā Pūwāhi Whakaoho | He puku iti, he pona, he pona rānei ka taea te rongo i roto i ngā uaua. He mamae ēnei ki te pā atu. I ētahi wā, ka taea te rongo i te mamae ahakoa kāore e pā atu. |
| Te mamae me te pakari o te uaua | Te mamae ina pā ki te uaua e pāngia ana. |
| ngoikore o te uaua | Te whakaaro kāore te uaua e kōrerotia ana i te kaha rite ki o mua. |
| Te whakaiti i te whānuitanga o te nekehanga | Hei tauira, ki te mamae tō pakihiwi, kāore pea e taea e koe te huri katoa i tō ringa. |
Haunga ēnei tohu matua, ka pā mai pea ētahi atu raruraru hauora me tēnei mate.
- Ānini
- Te kore moe, te raruraru moe rānei
- ahotea
- Manukanuka me te pouri
- Ngenge
He momo pūwāhi whakaoho kei reira?
Ae, e whā ngā momo matua o ēnei pona mamae, arā, ngā pūwāhi whakaoho.
- Pūwāhi Whakaoho Kaha: Koinei te pona mamae matua. Kei roto i te uaua. Ina pēhia taua wāhi, ka mamae pea i reira, ka horapa rānei puta noa i te uaua.
- Pūwāhi Whakaoho Huna: He pona "moe" tēnei. Ko te tikanga, kāore e mamae, engari ka kaha ake i tētahi wā.
- Pūwāhi Whakaoho Tuarua: Ka puta tēnei i roto i tētahi uaua ehara i te mea kei a ia te pūwāhi whakaoho matua, engari i roto i tētahi atu uaua e pā ana. I ētahi wā ka taea e ngā uaua e rua te whakaoho i te wā kotahi.
- Pūwāhi Whakaoho Amiorangi: He pona tēnei ka kore e mahi nā te mea ka hangaia i te wāhi kotahi me tētahi atu Pūwāhi Whakaoho.
He aha i puta ai tēnei āhuatanga?
Kei te ngana tonu ngā tohunga ki te rapu i te take e nui ake ai te tūponotanga o ētahi tāngata ki te pāngia e te mate i ētahi atu, engari he maha ngā āhuatanga matua kua tautuhia.
- Ngā whara uaua: He whara ki te uaua i puta mai i tētahi aituā, i te wā rānei e takaro ana i ngā hākinakina.
- Ngā nekehanga auau: Hei tauira, tētahi e patu tonu ana ki te hama, tētahi rānei e pato tonu ana ki te rorohiko.
- Tūnga kino: Te noho, te tū rānei i te tūranga kotahi mō te wā roa, inā koa i roto i te tūnga kino.
Haunga ēnei take matua, kei reira anō ētahi atu āhuatanga mōrearea e whakanui ake ana i te mōrearea o tēnei mate:
- Te ngoikore o te uaua.
- Te korenga o te uaua e mahi mō te wā roa (hei tauira, te whakauru i te rapa ki te waewae).
- Te mahi, te noho rānei i tētahi taiao makariri.
- Te ahotea nui (ka puta te pēhanga o ngā uaua).
- Ngā io kua kōpikopiko.
- Ngā raruraru homoni, ngā raruraru pākia rānei pērā i te mate tairoi, me te neuropathy e pā ana ki te mate huka.
- Ngā ngoikoretanga o ngā huaora pērā i te huaora D me te folate.
- Ngā mate pāwera mau tonu.
Me pēhea te tautuhi a te tākuta i tēnei mate?
Ko te Myofascial Pain Syndrome he mate e he ana te tautuhi, e ngaro ana hoki nā te mea he rite tonu ōna tohu ki ērā o ētahi atu mate e pā ana ki ngā io, ngā wheua, ngā hononga, ngā uaua rānei.
Nō reira, ko te huarahi pai rawa atu, ko te huarahi anake hoki hei tautuhi i tēnei mate, ko te tirotiro tinana e te tākuta mātau.
Ka tirohia ō uaua e tō tākuta. Ka rapua e rātou ngā here pūmau me ngā pūwāhi whakaoho. Mena ka kitea he pūwāhi whakaoho, ā, ka pēhia, ā, ka rongo koe i te mamae e tukuna ana ki reira, ki tawhiti rānei, he tohu matua tēnā ki te tautuhi mate.
Kāore he whakamātautau toto, he matawai rānei (X-ray, MRI) mō tēnei. Kāore hoki he whero e kitea ana, he pupuhi, he mahana rerekē rānei i roto i tēnei āhuatanga.
Tērā pea ka tūtohu tō tākuta i ētahi atu whakamātautau hei whakakore i ētahi atu mate hauora. Tērā pea ka pātai atu ia ki a koe i ētahi pātai pēnei i:
- Kei hea koe e rongo ana i te mamae?
- Ka taea e koe te whakaahua i te mamae (pēnei i te mamae, te oho)?
- E hia ngā wā ka puta te mamae?
- He aha tāu e taea ai te mahi hei whakaiti i te mamae?
- He aha te mea e kino ake ai te mamae?
- I puta mai tētahi aituā i ngā wā tata nei?
- He aha te momo mahi e mahia ana e koe? He aha ngā momo nekehanga me mahi e koe?
He aha ngā maimoatanga mō tēnei?
Waimarie, he maha ngā huarahi maimoatanga hei whakahaere i tēnei mate. Ko te huarahi pai ki te whakatutuki i ngā hua tino angitu ko te toro atu ki te tākuta i te wā e taea ai, i mua i te kaha o te mamae, me te puta o ngā pūwāhi whakaoho.
Ka taea te wehewehe i te maimoatanga kia toru ngā wāhanga matua:
1. Ngā maimoatanga i roto i te tari
2. Rongoā
3. Ngā rongoā kāinga
Te maimoatanga i raro i te tirotiro a te tākuta
Ka tūtohu pea tō tākuta i tētahi, i tētahi huinga rānei o ēnei maimoatanga.
- Whakaora tinana: Te whakamahi i ngā momo mahi whakakori tinana me ngā tikanga hei whakapakari, hei totoro, hei whakangāwari hoki i ngā uaua.
- Te werohanga o ngā ngira maroke: Te werohanga o ngā ngira tino angiangi ki ngā pūwāhi werohanga hei whakaiti i te kukū o ngā uaua, hei whakanui ake i te rere o te toto, hei whakamamae hoki i te mamae.
- Werohanga pūwāhi whakaoho: Te werohanga i tētahi rongoā mamae (hei tauira, Lidocaine ) ki roto i te pūwāhi whakaoho mā te whakamahi i tētahi ngira hei whakamamae i te mamae.
- Tikanga "Rehuhia, totorohia": Rehuhia he wai whakamatao ki te pūwāhi whakaoho, ka totoro āta te uaua.
- Whakaoraorooro: Ka whakamahia ngā ngaru oro hei uru ki roto i ngā uaua me te whakamamae i te mamae.
- TENS (Whakaohooho hiko ā-kiri): Te whakahaere mamae mā te tāpiri i ngā papa ki te kiri me te tuku tohu hiko ngaohiko iti ki ngā pūwāhi whakaoho.
- Ka taea hoki e ngā mahi pēnei i te wero ngira me ngā rongoā whakangā te whakapai ake i te moe me te whakaiti i te manukanuka.
Te maimoatanga me te rongoā
Ka tohua pea e tō tākuta ēnei momo rongoā:
- Ngā rongoā whakamamae
- Ngā rongoā ārai-mumura ( NSAID )
- Ngā rongoā whakangāwari uaua
- Ngā momo Steroids
- Ngā rongoā ārai pouri (Ka āwhina hoki ēnei ki te whakahaere i te mamae)
- Ngā rongoā whakamarie hei whakapai ake i te kounga o te moe
Ko te mea nui rawa: Me whakamahi noa i ēnei rongoā i raro i te tohutohu a te taote . Kaua e tangohia i te whare rongoā ko koe anake.
Ngā mea ka taea e koe te mahi i te kāinga
Ka taea e ēnei mahi te mahi ki te kāinga te whakaora nui i te mamae.
- Ngā kōpeke makariri me ngā kōpeke wera: Whakamahia ngā kōpeke hukapapa hei whakaiti i te mumura, me ngā kōpeke wera hei whakangāwari i ngā uaua.
- Korikori Tinana: He mea tino nui ngā korikori tinana e whakapakari ana i ngā uaua, e totoro ana i ngā uaua, e whakanui ana hoki i te tuku hāora.
- Ngā tikanga whakangā:Ko ngā mahi pēnei i te yoga, ngā mahi manawa hōhonu, me te whakaaroaro ka whakangāwari i ngā uaua me te whakaiti i te ahotea.
- Ngā huringa kai: He mea tino nui kia karohia ngā kai ka whakanui ake i te mumura i roto i te tinana.
- Te kaukau ki te wai mahana.
- Mirimiri mārie.
He rite tonu te mamae o te uaua o te ngākau (myofascial pain syndrome) me te mamae o te uaua o te ngākau (fibromyalgia)?
He pātai tēnei e pātaihia ana e te tini tāngata nā te mea he rite tonu te mamae me ngā pūtake o te mamae i roto i ngā āhuatanga e rua. Heoi, he rerekē rawa ēnei āhuatanga hauora e rua .
Me mārama noa tātou ki tēnei rerekētanga mai i te ripanga i raro nei.
| Āhuatanga | Te Mate Mamae Myofascial | Te mate pukupuku |
|---|---|---|
| Wāhi mamae | I te nuinga o te wā ka puta te mamae i tētahi wāhanga motuhake o te tinana (hei tauira, te kaki, te pakihiwi). | Kei te horapa te mamae puta noa i te tinana . |
| Te āhua o te mamae | Te mamae i puta mai i ngā pona uaua (ngā pūwāhi whakaoho). | He mamae whānui, he ngenge hoki ngā wāhi e ngawari ana puta noa i te tinana. |
| Ngā tohu tāpiri | Ko te mamae uaua me te uaua ki te neke te nuinga. | He whānuitia ngā tohu, tae atu ki te ngenge rawa, ngā raruraru moe, te ānini, te Mate Puku Irritable (IBS) , te pupuhi, me te mumura. |
Ka taea te ārai i tēnei āhuatanga?
Ahakoa e kore e taea te ārai i tēnei āhuatanga i ngā wā katoa, he maha ngā mea ka taea e koe te mahi hei whakaiti i te mōrearea.
- Moe pai: Kia nui te moe, kia okioki hoki i ia rā.
- Whakaitihia te ahotea: Whakamahi i ngā mahi pēnei i te whakaaroaro me te yoga.
- Whakakorikori tinana i ia wā, i ia wā.
- Āraia ngā whara uaua: Hei tauira, he taumaha rawa te putea e amohia ana e koe i runga i tō pakihiwi? Tirohia mēnā kei te pēhia ngā uaua o tō pakihiwi.
- Kai i te kai taurite.
- Inuhia he wai kia nui.
Tērā atu, me noho tawhiti atu i ēnei kai!
Ka whakanui ake ētahi kai i te mumura o te tinana. Ina piki ake te mumura, ka piki ake hoki te mamae o te Myofascial Pain Syndrome. Whakaitihia ēnei kai i te mea e taea ana.
- Ngā kai parai: (hei tauira, parai parai, rīwai parai)
- Ngā kai miraka me ngā kai miraka: (miraka, tīhi, miraka kawa)
- Ngā kai kei roto ngā warowaihā kua parakore me te paraoa: (taro, rimurapa, keke, piza)
- Mākarini, pata, hinu huawhenua
- Ngā kai me ngā inu he nui te huka: (ngā inu huka, ngā kai reka)
- Mīti whero: (pī, tītī)
- Ngā Kakara Hanga me ngā Tāpiringa: (Ngā Kai Tukatuka)
- Mīti kua oti te taka: (sōsisi, hot dog)
He uaua pea te whakamutu i ēnei katoa i te wā kotahi, engari ngana ki te tango takitahi i aua mea mai i tāu kai.
Karere Tangohia ki te Kāinga
- Ehara te Myofascial Pain Syndrome i te mea he wiri noa iho ngā uaua. He mate mau tonu tēnei e tohuhia ana e ngā pona mamae (ngā pūwāhi whakaoho) i roto i ngā uaua me ngā kiko e karapoti ana i a rātou.
- Ahakoa he mate tino noa tēnei, he maha ngā wā ka pohehetia ai he mate hauora anō hoki.
- He mea nui te tirotiro tinana e te tākuta hei tautuhi i te mate. Kāore he whakamātautau toto, he matawai rānei mō tēnei.
- Ka whakamahia te huinga o te whakaora tinana, ngā rongoā, ngā werohanga, me ngā rongoā kāinga hei rongoā mā te maimoatanga.
- Ki te mau tonu te mamae, kaua e warewarehia, me toro atu ki tō tākuta tonu mō ētahi tohutohu. Mā te maimoatanga tere ka ārai i te kino haere o te mate.
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