Kaitiaki Uma: Me ako tātou i ngā mea katoa mō tō Kēke Ripeka!

Kua whakaaro koe me pēhea te tiaki i tō ngākau me ō pūkahukahu, he tino okana nui i roto i tō uma? He rite ki te kōhanga manu, engari he kaha ake te hipoki o tō tātou uma. I tēnei rā ka kōrero tātou mō tēnei hanganga whakamiharo i roto i tō tātou tinana, te whare rara. He rite ki te kaitiaki o tō tātou uma.

He aha te mahi a te kete rara?

Nā, he aha i whai ai tātou i tēnei whare rara? Whakaarohia, i roto i tō uma, arā, i roto i te kōhao uma, e rua ngā whekau tino tairongo, tino nui hoki: te ngākau me ngā pukahukahu. He rite ēnei ki ngā kohatu utu nui. Nō reira, ko tēnei whare rara, he rite ki te pouaka haumaru , ka tiaki i ēnei whekau. Ki te hinga koe, ki te pā rānei ki tētahi mea, koinei te mea tuatahi ka āwhina ki te whakaora i ēnei whekau mai i te kino.

Ehara i te mea koinā anake, engari ina manawa koe, ka pupuhi ō pūkahukahu, tika? I taua wā, ka whānui hoki tō anga rara, arā, ka nui haere. Mā tēnei ka pai ake te whakakī o ō pūkahukahu ki te hau.

Ko tētahi atu mea, he wāhanga anō hoki ia o te pūnaha angaiwi matua "Angaiwi Tuai" e hanga ana i te wāhanga waenga o tō tātou tinana, arā, te "Trunk". Waihoki, ka hono atu ō tātou uaua nui, hei tauira, te diaphragm, ki tēnei rara. Nō reira, ka kite koe, ehara tēnei i te torutoru noa iho o ngā wheua, he mea e mahi ana i tētahi mahi tino nui.

He aha ngā wāhanga o roto i tō tātou kete rara?

Nā, kia tirohia tātou he aha ngā wāhanga o tēnei anga rara. He wāhanga tēnei o tō tātou pūnaha angaiwi, ko te nuinga o tēnei pūnaha he wheua me ngā hononga e hono ana i a rātou tetahi ki tetahi.

He aha ngā wheua i roto i te kete rara?

E toru ngā momo wheua matua hei kōrero mā tātou i konei.

• 24 ngā rara (12 i ia taha): He wheua piko, whakapae ēnei. He rite ki ngā rara o te whare herehere. Ka hono atu ki te wheua papatahi i waenganui o te uma (e kiia nei ko te sternum) i mua, me ngā wheua o te tuaiwi i muri.
• 12 Ngā Tuaiwi Uma (T1 – T12): Ko ngā tuaiwi he hanganga rite ki te wheua e hanga ana i tō tātou tuaiwi. Ko ngā tuaiwi uma te wāhanga o te tuaiwi i muri i tō tātou uma. Koinei te wāhi e piri ai ngā rara mai i muri.
• Sternum: Koinei te wheua papatahi, roa e rere ana mai i runga ki raro i waenganui o tō uma. E kiia ana hoki e ētahi ko te 'wheua uma'. Koinei te wāhi e puta mai ai ngā rara ki mua, e piri ai.

Nō reira, ki te kī māmā noa iho, ko ngā rara e 24, ko ngā tuaiwi uma e 12 i te tuara, me te sternum i mua ka hanga i te anga o te kete rara.

He aha ngā hononga i roto i te kete rara?

Kāore e ranea te whai wheua anake, tika? Me hono ngā hononga tetahi ki tetahi, kia taea ai hoki te neke. He maha ngā hononga pēnei i roto i te anga rara.

• 20 ngā kiriuhi o te hope:Koinei ngā pito o te kiriuhi (he kiko rite ki te rapa, engari he kaha ake). Ka tīmata i ngā pito o ngā rara tuatahi e 10 i ia taha, ā, ka āwhina ki te hono i a rātou ki te sternum. Mā tēnei kiriuhi ka ngāwari te anga o te rara.
• 20 Ngā Hononga Costochondral: Ka hangaia tēnei hononga ki te wāhi e hono ai ia rara ki te pito o tōna kiriuhi costal.
• 10 Ngā Hononga i waenganui i ngā Tīwae: Ka hono ēnei hononga i ngā pito o te kiriuhi costal o ngā rara (te 6 ki te 10 i ia taha) i waenganui.
• 24 Ngā Hononga Costovertebral: Ka hono te 'upoko' o ia rara ki te tuaiwi e rite ana i tēnei hononga.
• 24 Ngā Hononga Whakawhitiwhiti: Koinei te tuarua o ngā hononga i waenganui i ngā rara me ngā tuaiwi. Ka hono i ngā rara ki tētahi wheua e puta mai ana i te taha o te tuaiwi (e kiia nei ko te tukanga whakawhiti).

Whakaarohia ēnei hononga katoa e huihui mai ana, ka hanga he kēhi kaha kua piri pai, engari ka taea tonu te nekeneke paku ina manawa koe.

He rerekē ngā momo rara?

Ae, ka whakamahia e ā mātou tākuta ētahi ingoa motuhake ina kōrero ana mō ngā rara. Kia mōhio tātou ki a rātou.

• Ngā Ripeka Tuturu / Ngā Ripeka Tuaiwi: Koinei ngā rara tuatahi e whitu (1-7) i ia taha. Ka kiia ēnei he rara 'tuturu' nā te mea e piri tika ana ki te sternum e ō rātou kiriuhi costal.
• Ngā Ripeka Hē / Ngā Ripeka Tuaiwi: Ko ngā ripeka tuawaru, tuaiwa, me te tekau (8-10) o ia taha e kiia ana he ripeka 'hē'. Ko te take, kāore e hono tika ki te sternum. Engari, ka honoa ki te whare ripeka i mua mā roto i ngā hononga i waenga i ngā ripeka. Ko te tikanga o tēnei, ko ia ripeka i raro nei ka honoa ki te ripeka i runga ake.
• Ngā Ripe Mānu / Ngā Ripe Tuarā, Ngā Ripe Koreutu rānei: Ko ō rara 11 me te 12, te mea o raro rawa o ō rara, ka kiia he rara 'mānu'. Kāore he hononga i waenganui i ngā korokoro, he hononga rānei i waenganui i ngā korokoro. Ko te tikanga, kāore e honoa ki te whare rara i mua. Engari, ka mutu ki roto i ngā uaua o te puku.
• Ngā Ripeka Noa: He āhua motuhake, he āhua noa ēnei ripeka. He pane porowhita tō rātou, he kaki (he pūwero wheua tōna), ā, he kakau piko. Ko ngā ripeka tuatoru ki te tuaiwa ka taka ki te wāhanga 'noa'.
• Ngā Ripe Kore-Taurite: He rerekē te āhua o ēnei rara i ētahi atu, ā, he āhuatanga motuhake anō hoki ō rātou. Ko ngā rara tuatahi, tuarua, me te tekau ki te tekau mā rua e kiia ana he 'kore-taurite'.
• Ripeka o te kaki:Ehara tēnei i te wāhanga o tō whare rara. He wheua tāpiri tēnei e whānau mai ana i roto i te kaki o ētahi tāngata. Ka tīmata i te tuaiwi o raro o te kaki (te tuaiwi o te kaki) ā, i ētahi wā ka toro atu ki te rara o runga.

I ētahi wā, ka āwhina ēnei whakarōpūtanga i ngā tākuta ki te tautuhi i ngā mate me te whakamahere maimoatanga.

He aha ngā mate e pāngia ai te pūkahukahu e te mate noa?

Ahakoa he pakari tō tātou rara, i ētahi wā ka pāngia e ngā mate me ngā aituā. Kia titiro tātou he aha ēnei āhuatanga.

• Ngā whati rara: Ka whati pea te rara i te hinganga, i te aituā, i te whiunga kaha rānei.
• Ngā whara o te rara: Ahakoa kāore te wheua i whati, ka taea tonu te tino maru.
• Te Mate Paheke o te Ripeka: He āhuatanga e kore ai ētahi o ngā rara o raro e tau tika, e neke haere ana, ka mamae.
• Osteoporosis: He āhuatanga tēnei e ngoikore ai ngā wheua, ā, ka ngawari te whati. Ka pā anō hoki ki ngā rara.
• Costochondritis: Te mumura o te kiriuhi e hono ana i ngā rara ki te sternum. Ka mamae pea te uma i tēnei.
• Te Mate Tietze: He rite tēnei ki te Costochondritis, engari he pupuhi anō hoki.
• Te Pūnaha Tūkino o te Iwi: He momo mate rumatiki tēnei e pā ana ki ngā hononga o te tuaiwi. I roto i te wā, ka taea te whakawhāiti i te nekehanga o te rara.
• Te Rūmātiki Rūmatoid: He mate anō hoki tēnei e mumura ai ngā hononga, ā, ka pā hoki ki ngā hononga o te rara.
• Pectus Excavatum: Koinei te wā e totohu ai te sternum me ngā rara ki roto i te uma, me te mea kua keria te uma ki waho.
• Pectus Carinatum: I tēnei, ka puta whakamua te sternum me ngā rara. Ka kiia hoki ko te 'uma manu'.
• Ngā Puku o te Pakitara o te Uma: Ka taea e ngā puku matepukupuku te puta i roto i ngā rara, i ngā kiko rānei e karapoti ana.
• Te Whewhe o te Uma: He mate tino kino tēnei. Ina whati ētahi rara i ngā wāhi maha, kāore tetahi wāhanga o te pakitara o te uma e neke ngātahi me te toenga o te tinana, ka neke haere i te āhua rerekē ina manawa koe.

Mena ka puta mai ēnei āhuatanga, he mea nui kia rapu tohutohu hauora tonu .

He aha ngā tohu o te raruraru o te rara?

Mena he raruraru tōu ki tōu uma, ka pāngia pea koe e ēnei tohu:

• Mamae o te Uma o ngā Uaua me ngā Angaanga:Kāore tēnei mamae i rite ki te mamae o te uma o te ngākau, ki te angina rānei. Arā, he iti ake te mamae, he pēhi, he kōpiripiri, he taumaha rānei i roto i te uma. Engari, ka kino ake pea te mamae ina neke tō rara, pērā i te wā e maremare ana koe, e manawa kaha ana rānei (ka whānui ake te rara). He rite ki te mamae koi ina neke koe .
• Te Āhua Kino e Kitea Ana: Nā te aituā, nā te mate whānau rānei, ka āhua hē te tūnga o ngā wheua i roto i te rara, ā, ka hē te tūnga. He tohu tēnei me toro atu koe ki te tākuta . Ka tirotirohia koe e te tākuta, ā, ki te tika, ka tonoa he whakamātautau whakaahua (pēnei i ngā hihi-X).

Kia maumahara, ki te pāngia koe e te mamae o te uma, kaua e ngana ki te tautuhi i a koe anō. He mea whakaaro nui kia rapu tohutohu hauora tonu, he tohu pea tēnei o te mate manawa.

He aha ngā whakamātautau e mahia ana hei tirotiro i te uma o te pēpi?

Mena kei te whakapae tō tākuta he raruraru kei roto i tō uma, ka tono pea ia i ngā whakamātautau whakaahua pēnei i:

• X-ray o te uma: Koinei te whakamātautau tino noa, tino māmā hoki. Ka taea te rapu i ngā mea pēnei i te whati o ngā rara me ngā huringa o ngā pukahukahu.
• Ultrasound: Mā tēnei ka taea e koe te kite pai ake i ngā mea pēnei i te kiko ngohengohe me te kiriuhi.
• Matawai CT (Matawai Tomography Rorohiko): Ka taea e tēnei te whakaputa whakaahua whakawhiti taipitopito atu i te hihi-X. Ka taea e ia te āwhina ki te kite i ngā mea pēnei i ngā whati wheua iti me ngā mate pukupuku.
• MRI (Whakaahua Āhua Aukume): Mā tēnei ka taea e koe te kite mārama i ngā mea pēnei i ngā kiko ngohengohe, ngā hononga, te kiriuhi, ngā uaua me ngā io.
• Matawai DXA: Ka mahia tēnei hei tirotiro i te kiato o te wheua. Ka āwhina tēnei ki te whakatau mēnā he mate pēnei i te osteoporosis ōu.

Ka whakaarohia e te tākuta ō tohu, tō tau, me ētahi atu āhuatanga hei whakatau ko tēhea o ēnei whakamātautau te mea tika māu.

Me pēhea te rongoā i ngā mate o te rara?

He rerekē te maimoatanga mō ngā mate pūkahukahu i runga i te momo me te pūtake o te mate .

Ko te mea pēnei i te whati rara noa ka ora i roto i te wā, ka okioki pai, ka rongoā mamae. Heoi, ki te kitea he hapa, me mahi pokanga pea .

Mō ngā āhuatanga pēnei i te rumatiki, kei reira ngā maimoatanga pēnei i te rongoā, ngā werohanga whakaora, me te whakaora tinana. I ētahi wā tino kino, me mahi pokanga pea.

Ko te mea nui rawa atu,Rapua he tohutohu me he maimoatanga i tētahi tākuta whai tohu, kaua e rongoā i a koe anō.

Hei whakamutunga, kia mahara ki tēnei.

Āe, kua maha ngā kōrero mō te anga rara i tēnei rā, kāore? Kua mārama pea koe ki te hiranga o tēnei ki tō tātou tinana.

He tino kaha tō whare rara i tetahi taha, ā, he tino ngāwari i tetahi taha.

Ara, nā te mea he puranga wheua tōna, he pai te hanganga o te kōhao uma, ā, e tiaki ana i ngā whekau nui pēnei i te ngākau me ngā pukahukahu. I taua wā anō, nā te mea he maha ngā hononga, ka taea te hanga i tēnei hanganga kia rite ki te hiahia, ā, ka taea hoki te neke i runga i te āhua ina manawa koe, ina nekehia tō tinana.

Heoi anō, ka taea hoki ēnei painga te huri hei ngoikoretanga nā te mate me ngā aituā. Mēnā ka whati, ka neke rānei te rara, ka kino pea ngā kiko ngohengohe o roto, ā, ka whakararu i ngā whekau. Mēnā ka pakaru, ka mumura rānei te hononga, ka mamae, ka pakari, ka pupuhi, ā, ka uaua te neke, te manawa rānei.

Koinā te wā e rongoatia ai tō pūkahu rara e ngā tākuta.

Nō reira, kia tiakina tō uma . Kia tūpato ki ngā aituā. Ki te kite koe i tētahi mamae rerekē, i tētahi panoni rānei i roto i tō uma, kaua e warewaretia, engari me rapu tohutohu hauora. Nā te mea he mea tino nui te pupuri i tēnei parepare mō tō hauora whānui.

` Te rara o te uma, te wheua, te uma o te uma, te ngākau, ngā pukahukahu, ngā wheua, ngā hononga