He tokomaha ngā tāngata o tō tātou whenua kua pāngia e te mamae o te tuara i tētahi wā o ō rātou oranga. Ina hoki, e waru i roto i te tekau ngā tāngata kua pāngia e tēnei. Engari i te nuinga o te wā, ka memeha haere tēnei mamae i roto i ētahi rā, i te wiki, i ngā wiki e rua rānei. Engari ki te mau tonu tō mamae o te tuara mō ngā wiki, mō ngā marama rānei, kāore e memeha, tera pea koe e whakaaro ana, "Āe, me pokanga anō hoki ahau?" Me kōrero tātou mō tēnei i tēnei rā.
He aha te hononga o tēnei 'kōpae' ki te mamae o te tuara?
He maha ngā take o te mamae o te tuara. Engari ko te tino take ko ngā raruraru o ngā 'kōpae' rapa i waenganui i ō tātou tuaiwi. Whakaarohia ēnei kōpae hei 'ārai ru' i roto i te motuka. Ka mimiti i te pēhanga ki runga i ō tātou tuara ina hikoi, ina oma, ina hiki rānei i ngā mea taumaha, hei tiaki i ō tātou tuaiwi.
Nō reira, he maha ngā raruraru ka pā ki tēnei kōpae.
He māmā noa iho, he mārō te anga o waho o tēnei kōpae, ā, he ngawari te anga o roto, he rite ki te tiēre. I ētahi wā, ki te mea he iti noa te haehae o tēnei anga o waho, ka puta te wāhanga rite ki te tiēre ka pēhi i te io tata. Koinei te mea e kiia nei e tātou he " kōpae paheke." E kiia ana tēnei āhuatanga e ngā tākuta he kōpae herniated .
Ki te pēhia tō io sciatic e te kōpae e puta mai ana i tēnei ara, ka pāngia pea koe e te mamae nui e tīmata ana i tō tuara ka heke iho i tō papa me tō waewae. Koinei te mea e kīia ana e te tini he 'mamae sciatica'.
Hei tāpiritanga, i te kaumātuatanga, ka pakaru pea ēnei kōpae. Ka kiia tēnei he "whakaheke". Kātahi ka kore e taea e rātou te tautoko pai i te tuaiwi pērā i mua.
Me pokanga ngā raruraru tuara katoa?
Kāo, kāore rawa! Koinei te mea nui rawa atu me mōhio koe. Ahakoa kua pakaru te kōpae, he maha ngā wā ka taea te rongoā me te kore pokanga.
Ahakoa ngā taote pokanga roro e kī ana "ka ora ake i waenganui i te 80% me te 85% o ngā tūroro he herniated disc i roto i te wā, me te kore e pokanga."
I te nuinga o te wā ka whakamātau tō tākuta i ngā maimoatanga kore-pokanga i te tuatahi.
- Ngā rongoā ārai-mumura: Ngā rongoā e hoatu ana hei whakaiti i te mamae me te pupuhi.
- Whakaora Tinana : He mahi whakapakari i ngā uaua huri noa i te tuaiwi, hei ako hoki i a koe ki te tiaki tika i te tuaiwi.
- Ngā werohanga steroid:He werohanga ki te wāhi e pēhia ana te io. Ka tino whakaitihia te mamae me te pupuhi.
- Okiokinga me te manawanui: He mea tino nui kia okioki, kia wātea hoki te wā mō te maimoatanga kia ora ai.
Nō reira, āhea koe me whakaaro ai ki te pokanga?
Mena kua 6 ki te 12 wiki koe e tango ana i ētahi atu maimoatanga (rongoā, whakaora tinana) ā, kāore anō kia memeha te mamae, ka whakaarohia e tō tākuta te pokanga.
Heoi, i ētahi wā, me tere ake te pokanga. Kia tino mōhio ki ēnei tohu:
- Mena he nui rawa te mamae e pā ana ki a koe, kāore e taea te whakamanawanui .
- Mena he ngoikore rawa ngā uaua o tō tuara, kāore e taea e koe te hikoi tika .
- Ko te mea nui rawa atu: Ki te mea he āhuatanga tōu e kore ai e taea e koe te whakahaere i tō mimi, i tō tūtae rānei nā te mea kei te pēhia he io e te kōpae, he āhuatanga ohorere tēnei. Ki te puta tēnei , me haere tonu koe ki te Tari Ohorere o te hōhipera (ETU) .
Ka tohua e tō tākuta he whakamātautau pēnei i te hihi-X, te matawai MRI, te matawai CT rānei kia kitea ai he aha te mea e tupu ana i roto i tō tuaiwi i tēnei wā.
He aha ngā momo pokanga e mahia ana ki ngā kōpae tuaiwi?
He maha ngā huarahi hei whakatika i te raruraru o te kōpae. Ko te momo pokanga ka mahia ki a koe ka whakawhirinaki ki te nui o te pakaru o tō kōpae. Me titiro tātou ki ngā tikanga matua.
| Te Raru | Te Pokanga me tōna Tikanga |
|---|---|
| Kōpae Herniated/Shelled | Ko te pokanga mō tēnei ka kiia he microdiscectomy . Ko te tango anake i te wahi o te kōpae e pēhi ana i te io. Tikanga tuku iho: Ka tapahia he tapahi iti, kia kotahi inihi te roa, ka tōia ngā uaua ki te taha kotahi, kātahi ka tangohia te wāhanga o te kōpae e pēhi ana i te io. Te Whakatōnga Iti: Ka tapahia he tapahi iti rawa, ka whakaurua he taputapu motuhake (ngā mea whakawhanui) mā roto i te tapahi me te kore e tapahia ngā uaua, kātahi ka tangohia te kongakonga kōpae. He tere ake te wā whakaora o tēnei tikanga. |
| Te Kōpae Kua Ngoikore me te Mate Rumati | I a tātou e pakeke haere ana, ka memeha haere ngā kōpae, ka puta te mate rumatiki i ngā hononga o te tuaiwi, ka whaiti haere ngā ara mō ngā io o te tuaiwi. Ka kiia tēnei e ngā tākuta he stenosis . Ngā mahi e mahia ana: Ko te pokanga he tango i te wheua tāpiri me te whakawhānui i te ara mō ngā io. I ētahi wā, ka whakanohoia he āputa i waenganui i ngā tuaiwi hei whakau i te tuaiwi, ka honoa rānei ētahi tuaiwi. Ka kiia tēnei ko te whakakotahitanga tuaiwi . |
He kupu mō te whakakapinga kōpae...
Tērā anō hoki tētahi pokanga hei whakakapi katoa i tētahi kōpae. Heoi, kāore tēnei i te tino rongonui pērā i mua. Ko te take he pātai tonu mō tōna whai huatanga, ā, kāore ētahi kamupene inihua e utu mōna. He pai noa iho tēnei mēnā ka puta te raruraru kōpae i te wā taitamariki (tata ki te 20-30 tau te pakeke).
He aha ngā mea hei tumanakohia i muri i te pokanga?
Mena ka tangohia tō wheua i roto i te tinana, ka taea e koe te hoki ki te kāinga i taua rā anō. Heoi, ki te mea ka pokangahia koe pērā i te werohanga o te tuaiwi, me noho koe ki te hōhipera mō te rā kotahi, e rua rānei.
He iti noa te mōrearea o ia pokanga, engari he tino haumaru ēnei pokanga. I ētahi wā, ka pakaru te kiriuhi e karapoti ana i te tuaiwi, ka turuturu te wai. Ka pāngia pea te upoko e te mamae o te upoko. Engari ehara i te mea kino, ā, he ngāwari noa te rongoā me te whakaora.
He tino angitu ēnei pokanga. E ai ki ngā tākuta "98% o ngā tūroro kua pokangahia, kāore e hiahiatia kia pokangahia anō ki taua wāhi." Ko te tikanga ka memeha te mamae.
He mea tino tika te whakaora tinana i muri i te pokanga.
He tino tere te whakaoranga i muri i te tango i te microdiscectomy. Ka taea e koe te hikoi i roto i ētahi rā. Heoi, me karo koe i te hiki taumaha me te whakakori tinana uaua mō ngā wiki tuatahi e 4-6 kia kore ai e whara anō.
Ka tukuna e ētahi tākuta ngā tūroro ki tētahi kaupapa e kīia nei ko te "kura tuara". Ka ako rātou i a koe ki te piko, ki te hiki i ngā taumaha, me te mahi i ngā mahi whakakori tinana hei whakapakari i ngā uaua huri noa i tō tuara me te kore e whara tō tuara. Nā te mea ki te mahi koe i ngā mea i mahia e koe i mua i te pokanga, ka nui ake te tūponotanga ka whara anō tō tuara.
Mena he hononga tuaiwi tōu, me mahi koe i te whakaora tinana mō tētahi wā roa ake. I roto i ngā marama e 2-3 ka taea e koe te hoki ki ō mahi o ia rā.
Karere Tangohia ki te Kāinga
- He tino noa te mamae o te tuara. E 80-85% o te tangata ka taea te ora mai i tēnei mamae me te kore pokanga, mā te rongoā me te whakaora tinana.
- Tuatahi, me whakamātau koe i ngā maimoatanga kore-pokanga mō te iti rawa 2-3 marama.
- Ki te pāngia koe e te mamae e kore e taea te tohe, te ngoikore rānei o ō waewae, inā koa mēnā he uaua ki a koe te whakahaere i tō mimi/paru, me toro atu ki te tākuta tonu.
- Mena e tika ana te pokanga, he tino angitu ngā pokanga pēnei i te microdiscectomy me te spinal fusion rānei.
- Hei whakaora katoa i muri i te pokanga, he mea nui kia whai i ngā tohutohu a te tākuta, kia tika hoki te mahi whakaora tinana.
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