Kua pāngia koe e te mamae nui e rite ana ki te ru hiko mai i tō tuara, i roto i ō papa, i raro i tō waewae? Kei te rongo rānei koe kei te ngau tō waewae, kei te werohia rānei koe e tetahi mea? He raruraru tēnei e pā ana ki te tini o te tangata. I tēnei rā kei te kōrero tātou mō tēnei mate e kiia nei ko te sciatica, e pāngia ana e te tini o te tangata. Kaua e manukanuka, ki te mōhio tika koe ki tēnei, ka taea te whakaora.
Ki te kī ngāwari, he aha te sciatica?
Ko te Sciatica he mamae io e puta mai ana i te whara, te pakaru, te mumura rānei o tō io sciatic. Ehara i te mamae tuara anake.
Whakaarohia, ko te io sciatic te io roa rawa atu, nui rawa atu hoki o tō tātou tinana. He rite te rahi ki te rahi o tō tātou maihao iti. Ehara i te io kotahi, engari he paihere io e ahu mai ana i tō tātou taurakira.
E rua ngā io sciatic kei ia taha o te tinana, tētahi kei te taha matau, tētahi kei te taha maui. Ka rere tēnei io mai i te tuara o raro, mā roto i te papa, ka heke ki raro i te waewae, kātahi ka wehea hei io iti iho i raro iho i te turi. Ka hono ēnei io iti ki tō tātou waewae o raro, ki te waewae, me ngā māikuku.
Nō reira, ki te mea he pēhanga, he kōpeketanga rānei kei tēnei io roa, ka pāngia koe e ngā tohu pēnei i te mamae, te ngoikore, me te ngaronga o te kare ā-roto i taua ara katoa.
He aha ngā tohu o te sciatica?
Ka rerekē ngā tohu o te sciatica i ia tangata, i ia tangata. Tērā pea ka pāngia ētahi e te mamae iti noa iho, ko ētahi ia ka pāngia e te mamae e kore e taea te whakamanawanui. Me titiro tātou ki ngā tohu matua.
| Tohu | He aha te āhua o tēnā? |
|---|---|
| Mamae | Koinei te tohu matua. He tokomaha e whakaahua ana i tēnei he mamae wera, he mamae rite ki te ru hiko. Ka haere tēnei mamae mai i te tuara ki raro i te waewae. Ka piki ake pea tēnei mamae ina maremare, ina tihe, ina piko whakamua rānei . |
| Te ngau, te werowero rānei (Paresthesia) | He rite ki te ngau o tō waewae. Ka rite ki te oma haere a ngā pōpokorua, me te mea kua werohia e ngā ngira. |
| te ngoikore | Ka iti haere te rongo i ētahi wāhanga o te waewae, o te tuara rānei. Nā te mea kāore ngā tohu mai i ngā io ki te roro e haere tika ana tēnei. |
| ngoikore o te uaua | He tohu tino kino tēnei. E ahua ngoikore ana tō waewae. Tērā pea he uaua ki te hikoi, ki te tū rānei. |
| Te ngaronga o te mana whakahaere o te puku, o te pūkahukahu rānei | He āhuatanga tino nui, he āhuatanga tere hoki tēnei. Mēnā kei te turuturu tō tūtae, tō mimi rānei, kāore koe i te mōhio, ko te tikanga kei te whakararuraruhia ngā tohu io e whakahaere ana i te pūkahukahu me ngā whekau. Mēnā kei a koe ēnei tohu, haere tonu ki te Tari Ohotata o te hōhipera (ETU). |
He aha tātou ka pāngia ai e te sciatica? He aha ngā take?
Kāore he take kotahi o te sciatica. Ko ngā mea katoa e pā ana ki te io sciatic, ki ngā pakiaka io rānei e whāngai ana i a ia, ka taea te whakaputa i te sciatica. Anei ētahi o ngā tino take:
- Ngā kōpae herniated: Koinei te tino take. Ki te kī māmā, ka pupuhi te wāhanga rite ki te tiēre o tō tātou tuaiwi (he kōpae) kei waenganui i ngā tuaiwi, ka pēhi i te io tata.
- Mate kōpae pirau / Te stenosis tuaiwi: I a tātou e pakeke haere ana, ka puta ngā huringa ki te tuaiwi, ka whakawhāiti i te ara mō ngā io, ka pēhia ai.
- Spondylolisthesis: Ka paheke tetahi wheua tuaiwi (vertebra) ki runga i tetahi atu, ka raru pea te io.
- Osteoarthritis: Ka taea e te pirau o ngā hononga te whakaputa huringa ki ngā wheua o te tuaiwi me te wero i ngā io.
- Whara: Ka puta pea tēnei āhuatanga nā te aituā, nā te whara rānei o te tuaiwi.
- Te Hapūtanga: I te wā e hapū ana, ka pāngia pea ngā io e ngā huringa homoni o te tinana me te taumaha o te pēpi.
- Ngā puku, ngā pupuhi rānei: He tino onge, ka taea hoki e te puku i roto i te tuaiwi te whakawhāiti i te io.
Ko wai kei te nui ake te mōrearea ki te whakawhanake i te sciatica?
He maha ngā āhuatanga mōrearea ka taea te whai wāhi ki te whanaketanga o te sciatica.
- Tau: Ka piki ake te mōrearea i te huringa o te tuaiwi i te kaumātuatanga. He tino onge te pāngia o te tangata kei raro iho i te 20 tau te pakeke e te sciatica me te kore he aituā.
- Te taumaha rawa, te momona rānei: He rite tō tātou tuaiwi ki te kerēne. Ka nui ake te taumaha e pikauhia ana e tātou, ka nui ake te pēhanga e pā ana ki tō tātou tuaiwi. Ka piki ake te tūponotanga o te pāngia e ngā raruraru tuara me te sciatica.
- Te Mahi: Ko te hunga e mahi ana i ngā mahi e hiki ana i ngā mea taumaha, e piko pinepine ana, e mahi ana rānei i ngā tūranga tauhou, he nui ake te mōrearea. Waihoki, ko te hunga e mahi ana i te tūranga kotahi mō ngā wā roa, he nui ake te mōrearea.
- Te kore whakakori tinana: Ina kore e mahi te tinana, ka heke te tautoko e whakaratohia ana ki te tuaiwi, ina koa ka ngoikore ngā uaua o te tuara me te puku.
- Mate huka: Ka pā kino pea ngā io i te mate huka. Ka kiia tēnei ko te "Peripheral Neuropathy". Ka pā hoki pea tēnei kino ki te io sciatic.
- Te Momi hikareti: Ka whakararu te momi hikareti i te rere o te toto. Kāore hoki tēnei i te pai mō te hauora o te tuaiwi.
E te tākuta, me pēhea koe i mōhio ai he sciatica tēnei?
Ina haere koe ki te tākuta, ka pātai tuatahi ia ki a koe mō ō tohu. Me pēhea te puta mai o te mamae, nō hea, ā, nō hea hoki. Kātahi ka tirotirohia e ia te tinana.
I tēnei whakamātautau,
- Ka kite ahau i tō ara e haere ana koe.
- Ka meinga koe kia takoto ki runga i te moenga, ā, ka hikitia ō waewae kia tika, kia tirohia mēnā he mamae. Ka kiia tēnei ko te "whakamātautau hiki waewae tika".
- Ka whakamātauria te kaha me te kare ā-roto o ngā uaua o ngā waewae.
I te nuinga o te wā, ka taea e tēnei whakamātautau te tautuhi i te mate. Heoi, hei whakatau i te tino take, hei whakakore rānei i tētahi atu āhuatanga, ka tukuna pea koe mō ngā whakamātautau pēnei i:
- Ngā hihi-X, ngā matawai CT rānei o te tuaiwi
- Ngā matawai MRI
- Ngā rangahau mō te kawe io
He aha ngā maimoatanga mō te sciatica?
E rua ngā whāinga matua o te rongoā i te sciatica. Ko tētahi he whakaiti i te mamae . Ko tētahi he whakanui ake i te nekehanga me te mahi . He maha ngā maimoatanga ka taea te mahi i te kāinga.
Ngā mea ka taea e koe te mahi i a koe anō i te kāinga
He maha ngā wā ka whakaorahia ngā mate sciatica ngawari, ngā mate pāwera rānei e ēnei mea ngāwari.
1. Ngā pēke hukapapa: Mō ngā rā tuatahi e rua, e toru rānei i muri i te tīmatanga o te mamae, tāpirihia he pēke hukapapa ki te wāhi mamae mō te 20 meneti pea. Mā tēnei ka whakaiti i te pupuhi me te mamae.
2. Ngā pēke wera: I muri i ētahi rā, tāpirihia he pounamu wai wera, he tauera wera rānei mō te 20 meneti pea. Mā tēnei ka whakangāwari i ngā uaua, ka whakaiti hoki i te mamae. Ka kitea e ētahi te whakamarie mā te whakawhiti i waenga i te makariri me te wera.
3. Ngā rongoā mamae: Ka taea te whakamahi i ngā rongoā anti-inflammatory kore-steroidal (NSAID) (hei tauira, ibuprofen, diclofenac) hei whakaora i te mamae mō te wā poto, me te kore he whakahaunga. Heoi, he mea nui kia rapu tohutohu hauora i mua i te whakamahi tonu.
4.Te totoro me te mahi tinana: Mā te takoto noa i runga i te moenga ka nui ake te mamae. Nō reira, he mea nui kia hikoi poto me te totoro mārie i te taumata e taea ai te manawanui mō te mamae.
Engari kia maumahara, ki te tino mamae te tinana, ki te ngau kino ō waewae, ki te ngaro rānei tō taurite, kaua e noho noa ki te kāinga me te mahi i ēnei mea. Me toro atu ki te tākuta.
Te maimoatanga me te awhina a te taote
Mena kāore ngā rongoā kāinga e āwhina, ki te kaha rānei te mamae, ka tūtohu pea tō tākuta i ngā maimoatanga pēnei i:
- Ngā rongoā kua tohua: Ka tohua pea he rongoā mamae kaha ake, he rongoā whakangāwari uaua, he rongoā motuhake rānei mō te mamae io.
- Te whakaora tinana: He maimoatanga tino nui tēnei. Mā te kaiwhakaora tinana koe e ako ki ngā mahi whakakori tinana me ngā totoro tika. Ka āwhina ēnei ki te whakaiti i te pēhanga ki te io, ki te whakapakari i ngā uaua o te tuara, ā, ka āwhina ki te ārai i te hokinga mai o te mate ā muri ake nei.
- Werohanga tuaiwi: Hei whakahaere i te mamae nui, ka werohia he rongoā steroid e kiia nei ko te corticosteroid ki te wāhi e mamae ana. Ka taea e tēnei te whakaora i te mamae mō ētahi marama.
- Ngā maimoatanga rerekē: Ka kitea e ētahi te whakaoranga mai i te yoga, te wero ngira, te mirimiri rānei.
Pokanga
He tokoiti noa iho ngā tāngata e tika ana kia pokanga. Ka whakaarohia te pokanga ina kāore he maimoatanga kē atu i āwhina, ina mamae rawa, ina kino rawa rānei ngā io me te ngoikore o ngā uaua.
E rua ngā momo pokanga matua:
- Diskectomy: Te tango pokanga i te wāhanga e pēhi ana i te io o te kōpae herniated.
- Laminectomy: Mena ka whaiti te ara io, ka tangohia he wāhanga iti o te tuaiwi hei hanga wāhi mō te io.
Tērā pea kei a koe anō ēnei pātai.
Ka taea te sciatica i ngā waewae e rua?
I te nuinga o te wā, kotahi anake te waewae e pāngia ana e te sciatica. Heoi, he tino onge, ki te mea he raruraru kei te ara e haere ai ngā io tuaiwi i ngā taha e rua, ka pā pea ki ngā waewae e rua.
He aha te take e puta ai te sciatica i te wa e hapu ana?
I te wā e hapu ana, ka wetekina ngā hononga o te tuaiwi nā ngā huringa homoni o te tinana. Waihoki, ka pēhia pea te io e te taumaha me te tūnga o te pēpi. Engari ko te rongo pai ko te maha o ngā wā ka memeha haere tēnei mamae i muri i te whānautanga o te pēpi.
Me pēhea koe e mōhio ai mēnā he mamae tuara tēnei, he raruraru hope rānei?
Ko te tikanga, ko te mamae o tētahi raruraru pēnei i te mate rumatiki hope ka pā ki te hope. Heoi, ki te tīmata te mamae i te tuara ka heke ki raro i te waewae mā te papa, ā, ka haere tahi me te ngoikore, te ngaro rānei o te rongo, he sciatica pea.
Āhea koe me toro atu ki te tākuta, ā, me haere tonu atu ki te hōhipera?
He mea tino nui tēnei. Kāore e tika kia wehingia ngā mamae tuara katoa. Engari kia tūpato ki ēnei tohu.
| Tūnga | Me aha? |
|---|---|
| Tirohia tō tākuta. | |
| Mena he mamae ngawari, he nui rānei | Ahakoa e rua wiki pea te roa o te maimoatanga ki te kāinga, kāore he whakapainga e puta. |
| Mena he ngau kino, he ngaro rānei te kare o ō waewae | He mea nui kia rapu tohutohu i te mea he tohu pea ēnei nō te pakaru o te io. |
| Haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU). | |
| Ki te rongo koe i te ngaronga o te kaha (ngoikoretanga o te uaua) i ō waewae | He tohu pea tēnei kei te pāngia te io e te kino nui. |
| Ki te ngaro tō mana whakahaere i tō puku, i tō mimi rānei | He mate tino kino tēnei, ā, me tere tonu te rongoā. |
| Mena ka pāngia koe e te mamae nui, te kōpiko rānei i muri i tētahi aituā (hinga, aituā motuka) | Me tirotiro tonu i te mea kei te whara pea te taurakira. |
Karere Tangohia ki te Kāinga
- Ehara i te mea ko te mamae tuara anake te mamae o te sciatica, engari he mamae e puta mai ana i te pēhanga o te nerve sciatic.
- I te nuinga o te wā, ka ea tēnei āhuatanga i roto i ētahi wiki mā te whakamahi i ngā maimoatanga kāinga ngāwari. Kaua e manukanuka.
- Mā te pupuri i te tū tika, te whakahaere i te taumaha tinana, me te whakakori tinana i ia wā, ka āwhina i te ārai i te sciatica.
- Mena ka pāngia koe e ngā tohu kino pēnei i te ngoikore o ō waewae, te kore e taea te whakahaere i te puku, te pūkahukahu rānei, he āhuatanga ohorere tēnei. Haere tonu ki te Tari Ohorere o te hōhipera (ETU) i taua wā tonu, kaua e whakaroa.
- Ki te mea he ruarua āu mō tō mamae, kaua e mamae ko koe anake, engari me toro atu ki te tākuta mō ētahi tohutohu.
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