I ētahi wā, ka rite ki te mea ka ngana koe ki te neke i tētahi ringa, i tētahi waewae rānei, ka pakari whakarere me te mea kua pāngia e te toka? Kei te rite rānei koe ki te mea kei te wiriwiri ō uaua, kei te mamae hoki ahakoa kei te tū noa koe? He āhuatanga tēnei e pāngia ana e te tini o te tangata, engari kāore i te tino mōhio he aha. I roto i te rongoā, ka kiia tēnei ko te Spasticity. Kaua e manukanuka, i tēnei rā ka kōrerohia e mātou ngā mea katoa i roto i te huarahi tino māmā, i roto i te huarahi e mārama ai koe.
He aha te Spasticity?
Ko te koretake o te uaua he mate o te pūnaha e whakahaere ana i te nekehanga o ō tātou uaua. Whakaarohia, ina piko tātou i te ringa, ka whakakikitia (ka kōpiri) tetahi rōpū uaua, ko tetahi atu rōpū uaua ka whakangāwari. He rite ki te tōia o te pakanga; ina tōia tetahi taha, me whakangāwari te taha kē. Ko tēnei tukanga e whakahaerehia ana e tō tātou pūnaha io matua, arā, ko te roro me te taurakira (te taurakira kei roto i te taurakira) .
Ki te pakaru tēnei pūnaha io matua mō tētahi take, ka raruraru te pūnaha tohu ki aua uaua. Ko te mea ka tupu, ina ngana koe ki te neke i tētahi ringa, ka piri ngā uaua e tika ana kia piri me ngā uaua e tika ana kia wetekina i te wā kotahi. Ka uaua te neke, ka pakari te uaua, ā, ka mamae pea.
Ki ētahi, he ngawari noa iho tēnei āhua, he paku pēhi noa iho ngā uaua. Ki ētahi atu, ka taea te whanake hei āhua ka tino pēhi te peka, ā, kāore e taea te whakahaere, ka nui te mamae.
| Āhuatanga | He whakamārama māmā |
|---|---|
| Te whakanui ake i te oro uaua (Hypertonia) | Ahakoa kei te tū noa koe, he pūmau tonu ō uaua, kāore e wetekina. |
| Ngā mamae o te uaua | He kōpiri me te whakakiki ohorere o ngā uaua kāore e taea te whakahaere. |
| Clonus | He raupapa o ngā oho tere, āhua wiriwiri i ngā wāhi pērā i ngā pona waewae. |
| Tūnga rerekē | Ka piko, ka totoro hoki ngā peka me ngā waewae, pērā i ngā ringa me ngā waewae, i ngā huarahi tauhou. |
| Mamae me te kore whakamarie | Te mamae e puta mai ana i te kōpiko me te māuiui o ngā uaua. |
| Te whakawhāititanga | Ka pakari ngā uaua, ka pēpeke ngā hononga mō ake tonu atu, me te mea he kōhatu, mō tētahi wā. |
| Te whakararuraru i ngā mahi o ia rā | He uaua ki te mahi i ngā mahi māmā pēnei i te kakahu, te kaukau, te kai rānei ko koe anake. |
He aha ngā pūtake o te spasticity?
E ai ki taku kōrero i mua, ko te tino take o tēnei he pakaru o te pūnaha io matua, arā, te roro, te taurakira rānei. He maha ngā take pea mō tēnei pakaru.
- Te whara o te tuaiwi: Te pakaru o te tuaiwi i puta mai i tētahi aituā.
- Te Mate Pukupuku Maha (MS): He mate e pakaru ai ngā pukupuku io.
- Te Pararutiki Hinengaro: He mate e puta mai ana i te pakaru o te roro i te wā tamarikitanga.
- Te whiu: Te pakaru o ngā pūtau roro nā te aukati i te rere o te toto ki te roro.
- Whara o te roro, o te upoko rānei: He pānga ki te upoko i tētahi aituā.
- Amyotrophic Lateral Sclerosis (ALS): He mate e ngoikore haere ana ngā pūtau io e whakahaere ana i te nekehanga.
- Ka taea hoki te puta o te koretake o te kiri e ētahi atu āhuatanga ira.
Me pēhea te rongoā mō te spasticity?
Ko te mea pai rawa atu, he maha ngā huarahi hei rongoā i tēnei mate. Ahakoa kāore e taea te whakaora katoa i te mate pāwera, he maha ngā mea ka taea e koe te mahi hei whakahaere i ngā tohu, hei whakaiti i te mamae, hei whakangāwari ake hoki i tō oranga.
Ko te huarahi tino whai hua ki te rongoā i tēnei ko te mahi tahi me tētahi tīma tākuta maha-mātauranga, kaua ko te tangata kotahi anake. Tērā pea kei roto i tēnei tīma he tākuta roro, he tākuta tinana, he kaiwhakaora tinana, me tētahi kaiwhakaora mahi.
Ngā maimoatanga kore-pokanga
Koinei ngā maimoatanga tuatahi ka whakamahia.
- Whakaora tinana: Ko te nuinga o tēnei ko ngā mahi totoro me te whakapakari i ngā uaua kua kīkī, me te whakangungu hoki ki te hikoi me te tū.
- Te whakaora mahi: Kei roto i tēnei ko te whakakorikori i ngā uaua o ō ringaringa kia taea ai e koe te mahi i ō mahi o ia rā, pēnei i te whakakakahu, te kaukau, me te tunu kai, ko koe anake.
- Whakaora kōrero: Mena ka pāngia ngā uaua o tō mata, o tō waha, me tō korokoro e te mate pāwera, ka taea e tēnei whakaora te āwhina i a koe ki te wikitoria i ngā uauatanga ki te kōrero me te horomi.
- Ngā Rongoā: He rongoā kei reira hei whakangāwari i ngā uaua. Hei tauira, ko ngā rongoā pēnei i te `(Baclofen)`, `(Tizanidine)`, `(Diazepam)`. Heoi, i ētahi wā ka pā mai ngā pānga taha pēnei i te hiamoe me te ngoikore. Nō reira , he mea nui kia whakamahia ēnei rongoā kia rite ki te whakahau a te tākuta.
Te maimoatanga werohanga Botox
Ae, koia tonu te `(Botox®)` kua rongo koe. Ehara i te mea he maimoatanga whakapaipai anake tēnei, engari he maimoatanga tino whai hua anō hoki mō te spasticity. Ko tāu mahi i konei he wero tika i tēnei weronga ki roto i ngā uaua piri. Kātahi ka whakangāwari aua uaua. E toru marama pea te roa o te pānga o tēnei.
Pokanga (pokanga)
Ko te tikanga ka whakamahia ēnei ina tino kaha te mate.
- Whakaora ITB: Ko te pokanga tēnei ko te whakato i tētahi papu iti ki raro i te kiri o te puku, ka tukuna tika atu tētahi horopeta motuhake o tētahi rongoā e kiia nei ko te "(Baclofen)" ki roto i te wai e karapoti ana i ngā io o te tuaiwi. He iti ake ngā pānga taha i te tangohanga mā te waha.
- Te Rhizotomy Tua-ā-Rohe Whiriwhiri (SDR): He pokanga uaua ake tēnei. I tēnei, ko ngā pakiaka io anake e puta ai te raruraru ka tīpakohia, ka tapahia. Ka taea e tēnei te whakaiti i te pakari o te waewae.
- Pokanga Orthopedic: He pokanga hei whakaora i ngā hononga me ngā uaua kua pakari, kua mārō hoki nā te koretake o te hononga.
Āhea koe me tino kite i te tākuta?
He mea tino nui tēnei.
Ki te pāngia koe e te kikī me te wiri o ngā uaua pēnei, kāore he raruraru o mua, he tohu pea tēnei kua pakaru te roro, te tuaiwi rānei, nō reira me toro atu ki te tākuta tonu tonu.Haere ki te Wāhanga Maimoatanga Ohotata (ETU) mēnā e tika ana.
Mena kua mōhio kē koe he spasticity tōu, kōrero ki tō tākuta mēnā ka puta ēnei mea e whai ake nei:
- Mena kei te piki haere te pakari me te kikī i ia rā, i ia rā.
- Mena ka piki ake te mamae.
- Mena kei te piki haere tō uauatanga ki te mahi i ngā mahi o ia rā.
Karere Tangohia ki te Kāinga
- Ko te spasticity he āhuatanga e kikī ai, e nekeneke ai ngā uaua, ā, kāore e taea te whakahaere, nā te kino o te roro, o te taurakira rānei.
- Ko te kaha o tēnei ka rerekē mai i te mamae ngawari ki te mamae nui e kore ai e taea ngā mahi o ia rā.
- Kaua e manukanuka. He maha ngā maimoatanga angitu, mai i te whakaora tinana ki te pokanga.
- Mā te kōrero ki tō tīma hauora, ka taea e koe te whakawhanake i te mahere maimoatanga pai rawa atu māu.
- Ki te pā mai ētahi tohu hou ki a koe, ki te kino haere rānei tō āhua, rapua tonutia he tohutohu hauora.
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