Tuatahi, me titiro tātou ki te hanganga o tō tātou tuaiwi.
, (spine) (pelvis) , . (`vertebrae`) . 33 . , (spinal cord) .
, ? (`intervertebral disk`) . `shock absorber` , .
Ka taea te wehewehe i tō tātou tuaiwi ki ngā wāhanga matua:
- Ngā tuaiwi o te kaki: Ngā tuaiwi e 7 o te kaki.
- Ngā tuaiwi o te uma: Ko ngā tuaiwi e 12 kei waenganui i te kaki me te tuara o raro.
- Ngā tuaiwi Lumbar: Ko ngā tuaiwi e 5 tino kaha, tino nui hoki o te tuara o raro.
- Sacrum me Coccyx: Ko ngā wheua kei te pito o raro o te tuaiwi.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ina haere koe ki te tākuta mō te mamae o te tuara, ka pātai tuatahi ia i ngā pātai (hītori hauora) ka tirotirohia koe kia mōhio ai koe ki te āhua o te mate. Kātahi, ki te tika, ka tonoa pea e ia ētahi whakamātautau pēnei hei kimi i te tino take.
- Whakamātautau hihi-X: Ko te nuinga o tēnei ka tirohia te hanganga o ngā wheua o te tuaiwi, tōna kore pumau (pēnei i te paheke), ngā pukupuku, ngā whati rānei.
- Matawai CT: Ka taea e tēnei te tautuhi i ngā āhuatanga motuhake pēnei i te kōpae herniated te stenosis tuaiwi rānei.
- Matawai MRI:Koinei te whakamātautau pai rawa atu hei tirotiro i ngā kōpae me ngā pakiaka io me te tino taipitopito. He maha ngā wā ka whakamahia hei whakamahere i mua i te pokanga.
Me tautuhi tātou i ngā momo mamae tuara e rua.
Ahakoa he maha ngā tino take o te mamae o te tuara, i tēnei rā ka kōrero tātou mō ētahi āhuatanga e rua e tino motuhake ake ana, ā, e hiahia ana kia rongoatia e te rata .
1. Te paheke o ngā tuaiwi (te paheke o ngā wheua tuarā)
He ahua whakamataku te ahua o tēnei ingoa, kāore? Engari he māmā noa iho te mārama. Ko te mea ka tupu ko te paheke whakamua, te paheke whakamuri rānei o tētahi tuaiwi ('tuaiwi') i runga i te tuaiwi i raro iho. Whakaarohia he rite ki tētahi pereki i roto i te rarangi pereki e paheke whakamua ana. Ko te nuinga o te wā ka puta tēnei āhuatanga i te tuara o raro (tuara hope).
Tērā pea ka puta mai tēnei i te ngoikore whānau mai o te tuaiwi, i te whati taumahatanga i puta mai i tētahi aituā, i te wā e takaro ana rānei i ngā hākinakina, i te ngoikore rānei o ngā tuaiwi nā te mate urutā.
He aha ngā tohu o tēnei mate?
| Tohu | Whakaahuatanga |
|---|---|
| Mamae o raro o te tuara | Ka kaha ake pea te mamae, ina koa ka hikoi, ka tū rānei mō te wā roa. |
| Te pūmau me te pakari o te uaua | Te ahua o te kikī o ngā uaua o te tuara me ngā uaua o te hope. |
| Te mamae i te rohe o te papa | Tērā pea ka horapa te mamae ki te papa. |
| Te mamae e horapa ana ki raro i ngā waewae | Nā te mea ka pēhi te tuaiwi paheke ki ngā pakiaka io, ka taea e te mamae te heke ki ngā waewae. |
| ngoikore o te uaua | Tērā pea ka ngoikore ō waewae. |
Te maimoatanga o te spondylolisthesis
Ko tētahi o ngā maimoatanga pai rawa atu mō tēnei ko te whakaora tinana . Ka whakapakari i ngā uaua e tautoko ana i te tuara me te puku. Ka tohua pea e tō tākuta ngā rongoā anti-inflammatory kore-steroidal (NSAID) pērā i te acetaminophen, te ibuprofen rānei hei rongoā mō te mamae. Mena he nui te mamae, ka taea te werohanga steroid epidural.
Hei tāpiritanga, ka whakaarohia pea e tō tākuta ngā rongoā motuhake mō te mamae neuropathic me ngā rongoā whakangāwari uaua. Heoi, ki te mea he mate hauora tōu pērā i te mate huka, me tūpato koe i te tango i ngā steroids, nā te mea ka taea e rātou te whakanui ake i ō taumata huka toto mō te wā poto. Nō reira, kōrerohia ngā mea katoa ki tō tākuta. Ki te kore ēnei maimoatanga e āwhina, ka whakaarohia pea te pokanga hei whakarato i te wāhi nui ake mō ngā io (laminectomy decompressive) te hononga tuaiwi rānei (whakakotahi tuaiwi).
2. Te Radiculopathy o te Cervical (te werohanga o te io i te kaki)
He āhuatanga tēnei e puta ana ina pēhia te pakiaka io e puta mai ana i ngā tuaiwi kaki i te kaki . Pērā i te takahi a te tangata i tētahi paipa wai, ā, ka puhoi te rere o te wai, ina pēhia te io, ka motuhia ngā tohu e haere ana mā roto.
Ko te tino take o tēnei āhuatanga i roto i te hunga rangatahi ko te pakaru o te kōpae i te kaki, ka pēhia te io e te rauemi e puta mai ana i roto. I roto i te hunga kaumātua, ka pēhia te io nā ngā huringa pirau noa, nā te rumatiki rānei e puta mai ana i te koroheketanga.
Ngā Tohu o te Radiculopathy Cervical
- Ko te tohu matua ko te mamae e horapa ana ki te kaki, ki te uma, ki ngā pakihiwi me ngā ringa .
- Tērā pea ka rongo koe i te mākūkū , i te wiri rānei i ō ringaringa, i ō maihao rānei.
- Tērā pea ka rongo koe i te ngoikore o ngā uaua o tō ringaringa.
- Tērā pea ka pāngia ētahi tāngata e te ngaronga o te taurite me te taunga o ngā nekehanga , inā koa i ngā ringaringa.
Te Maimoatanga mō te Radiculopathy Cervical
Ko ngā rongoā mamae me te whakaora tinana ngā maimoatanga matua mō tēnei. Ko te whakaora tinana he whakamahi i te tōia mārie o te kaki, ngā mahi whakakori tinana, me ētahi atu tikanga hei āwhina i te whakaiti i te mamae. Tērā pea ka tūtohu tō tākuta i ngā werohanga steroid, i te epidural rānei.
Ko te mea nui, mēnā kua nui te ngoikore o te ringa i te pēhanga o te io, me mahi pokanga pea hei whakamama i te pēhanga.
Karere Tangohia ki te Kāinga
- Ehara te mamae o te tuara i te mea māmā noa iho. He maha ngā take, nō reira he mea nui kia kitea te take tika.
- Mena he nui te mamae, ka heke ki raro i ngā waewae, ka haere tahi rānei me te ngoikore, te ngoikore rānei o ngā waewae, me toro atu koe ki te tākuta, kaua e ngana ki te rongoā i a koe anō.
- He mea tino nui ngā whakamātautau pēnei i
X-raymeMRIkua whakaritea e tō tākuta hei tautuhi i ngā mate. Kaua e mahue. - He tino whai hua, he tino haumaru hoki te whakaora tinana mō te mamae o te tuara. Mā te whakapakari i ngā uaua huri noa i te tuaiwi mā te whakamahi i ngā mahi whakakori tinana tika ka āwhina i te whakatutuki i te whakaoranga mō te wā roa.
- Mena kei a koe ētahi atu mate hauora, pērā i te mate huka, te toto toto tiketike rānei, me whakamōhio atu ki tō tākuta i mua i te whakamahi i tētahi rongoā mō te mamae o te tuara.
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