Kua rongo kē koe i te kōrero mō te "tuara whati"? Kua rongo pea tātou i tēnei kōrero i muri i tētahi aituā, i te hinganga rānei i te teitei. Ā, i a tātou e pakeke haere ana, kua kite pea tātou i ētahi koroua me ngā kuia e piko ana ki mua, arā, te tuara piko. E kiia ana ēnei āhuatanga e rua i roto i te rongoā he 'tuara whati'. He ahua whakamataku pea te rongo i tēnei ingoa, engari kaua e mataku. Ehara i te mea he kino katoa ngā whati tuara. I tēnei rā, ka kōrero tātou mō ngā mea katoa, ngā take, ngā tohu, me ngā maimoatanga, i roto i tētahi huarahi tino māmā ka taea e koe te mārama.
He aha tonu te whati o te tuaiwi?
Ki te kī māmā noa iho, ehara tō tātou tuaiwi i te wheua roa kotahi. He rite ki tētahi pourewa i hangaia mai i ngā wahi wheua iti e 33 (e kiia nei e tātou ko ngā 'tuara tuara') e whakatakotoria ana tetahi ki runga i a rātou anō. Mā tēnei pourewa tātou e āhei ai ki te tū, ki te piko, ki te tahuri. Nō reira, ko te whati, te whati rānei o tētahi, o ētahi rānei o ēnei tuaiwi, koia tēnei e kiia nei e tātou he tuaiwi whati . He maha ngā wā ka karangatia tēnei e te tangata he "tuara whati" he "tuara whati" rānei.
Ko ngā tino take o tēnei ko te osteoporosis me te whara, pērā i te hinganga, ngā whara hākinakina, ngā aituā motuka rānei.
Ko te mea pai rawa atu, ko te nuinga o ēnei whati kāore e hiahiatia he pokanga. Me mau pea koe i tētahi whitiki tautoko motuhake mō ētahi marama. Heoi, ko ngā whati kino rawa atu me hiahia pea ki te pokanga hei whakatika.
He aha ngā momo whati o te tuaiwi?
Ka whakarōpūhia e te tākuta tō wheua whati i runga i ētahi āhuatanga. Arā, ko te wāhi i whati ai te wheua, te āhua o te whati o te wheua, me te mea kei waho o te wāhi tika ngā kongakonga wheua whati (he pumau, he kore pumau rānei). Me titiro tātou ki ēnei takitahi.
I runga anō i te wāhi i puta ai te pakaru
E toru ngā wāhanga matua o tō tātou tuaiwi. Ka taea te whati i tētahi o ēnei wāhanga.
- Te whati o te tuaiwi o te kaki: Ka puta tēnei i roto i ngā tuaiwi o tō kaki.
- Te whati o te tuaiwi o te uma: He whati i te tuaiwi o runga, e toro atu ana i te kaki ki te pito o ngā rara.
- Te whati o te tuaiwi lumbar: He whati i te tuaiwi o raro e mamae ai te tuara i roto i te tini o te tangata.
I runga i te pakaru o te wheua
He mea nui tēnei. E toru ngā momo e kitea whānuitia ana.
| Momo whati | He whakamārama ngāwari noa iho |
|---|---|
| Ngā whati pēhanga | He ngatata iti ēnei, he whati rānei i roto i ngā tuaiwi. He rite ki te hautai e mimiti ana ina pēhia. Ko te tino take o tēnei ko te osteoporosis . Ka ngoikore ngā wheua, ā, ka pakaru pea mēnā ka hinga noa. I ētahi wā, ka roa te noho o tēnei āhuatanga, kāore he tohu, ka ngaro te teitei o ētahi inihi, ka piko rānei koe (kyphosis) . |
| Ngā Pakaru Pakaru | Ka puta tēnei ina pāngia te tuaiwi e te kaha ohorere, kaha. Whakaarohia te takanga o tētahi mai i tētahi rākau teitei, ā, ka tau tika ki runga i ōna waewae. Kātahi, nā te kaha o te pēhanga ki te tuaiwi, ka pakaru ngā tuaiwi ka pahū. He āhua kino tēnei. |
| Ngā whati tūponotanga | He rite tēnei ki te taha kē atu o te Pakaru Pakaru kua whakahuatia ake nei. Ko te mea e tupu ana i konei ko te wehe o ngā tuaiwi tetahi i tetahi. Ko te tauira pai rawa atu o tēnei ko ngā aituā motuka. Ki te mau noa koe i te whitiki nohoanga o te whitiki nohoanga, ā, kāore e mau i te whitiki nohoanga, ā, ka tukinga ohorere te waka, ka mau te wāhanga o raro o tō tinana ki te whitiki, ā, ka tere te whiua o te wāhanga o runga ki mua. Kātahi ka taea te totoro i te tuaiwi, ā, ka puta tēnei momo whati. Koia te mea nui kia tika te mau i te whitiki nohoanga. |
Mā te pumau o te pakaru (Pūmau vs Korepūmau)
Koinei te mea e tino āwangawanga ana ngā tākuta.
- Whati Pūmau: I konei ka whati te wheua, engari kāore ngā wahi i nekehia. Kei te wāhi tika rātou. Me rongoa tēnei, engari kāore pea e hiahiatia he pokanga.
- Whati Kore-Pūmau: Koinei te momo whati tino kino. Kua nekehia ngā wahi wheua whati mai i tō rātou wāhi i mua. Ka piki ake te mōrearea o te pakaru o te taurakira, he wāhanga tino nui o te tuaiwi . Me tino pokanga tēnei momo whati.
Ko wai te mea tino tūpono ka pāngia e tēnei mate?
Ina hoki, ka whati te wheua o te tangata i tētahi aituā. Engari he nui ake te mōrearea o ētahi tāngata.
- He nui ake te mōrearea o ngā wāhine me te hunga neke atu i te 50 tau te pakeke.
- Kei a koe te Osteoporosis (te mate ngaro o te wheua).Mena koinā, he tino teitei te mōrearea o te whati tuaiwi (ina koa ko te whati pēhanga). Ko te tangata kua pāngia e tētahi, e rima ngā wā ka nui ake te tūponotanga ka pāngia anō e tētahi atu.
Hei tāpiri, ko te hunga whai mate hauora e whai ake nei ka nui ake te mōrearea:
- Matepukupuku (ina koa kei te whiwhi koe i te chemotherapy, i te radiation therapy rānei)
- Ko te hunga kua roa e whakamahi ana i ngā corticosteroids
- Te mate taiaki toto nui
- Ngā mate wheua (Osteomyelitis)
- mate whatukuhu
- Ngā mate hinengaro e pā ana ki te anorexia (Anorexia Nervosa)
- Te korenga o te huaora D
- He nui ake anō hoki te mōrearea o te hunga e momi hikareti ana, e inu nui ana hoki.
Ka aha te tinana ina whati tō tuara? Ka taea e koe te hikoi?
Ina whati te wheua o tō tuaiwi, ka uaua pea ki a koe te neke haere noa me te mahi i ngā mahi whai hua. Tērā pea nā te mamae tēnei.
He maha ngā wā ka tohua e tō tākuta he whitiki motuhake hei āwhina i te pupuri i tō tuaiwi kia tika. Tērā pea he ahua kore whakamarie tēnei ki te mau, engari he mea nui kia ora pai ai te wheua whati.
Ko te pātai nui rawa atu ko tēnei, "Ka taea e koe te hikoi me te whati o te tuaiwi?" Ko te whakautu, āe, i te nuinga o te wā ka taea e koe. Mēnā he whati pēhanga, inā koa he whati i puta mai i te osteoporosis, ka taea e koe te hikoi, engari ka mamae koe. Heoi, ki te pakaru te taurakira i te whati, ā, ka pāngia e te pararutiki, kāore e taea e koe te hikoi.
Ahakoa he iti noa ngā tohu, ki te kore e memeha te mamae o tō tuara i roto i ētahi rā, ki te kino haere, ki te pupuhi haere rānei, me toro atu koe ki te tākuta. Ki te pāngia koe e te aituā, me haere tika koe ki te ETU (Emergency Treatment Unit).
He aha ngā tohu o te whati o te tuaiwi?
He mea whakamiharo, kāore ētahi whati pēhanga e puta ai he tohu. Tērā pea kāore te osteoporosis e puta ai he mamae i te wā e hikoi ana. Ka kitea noa e ētahi tāngata he whati tawhito kei roto i ō rātou tuaiwi ina tangohia he hihi-X mō tētahi atu mate.
Heoi, ki te puta mai ngā tohu, tera pea e rite ana ki te mea e whakaaturia ana i te ripanga i raro nei.
| Tohu | Whakaahuatanga | ||
|---|---|---|---|
| Mamae tuara | He mamae koi, kino hoki e puta ohorere mai ana. He mamae rānei e piki haere ana i te roanga o te wā. Ka piki ake pea tēnei mamae i te wā e hikoi ana, e tū ana rānei. | ||
| Te pupuhi, te ngawari rānei | Tērā pea ka pupuhi te wāhi whati, ā, ka mamae ki te pā atu. | ||
| Te huringa o te tū | Te huringa o te tū | Ki te piko i tō tuara ki mua i tētahi āhua kāore i rite i mua, arā, ki te huri hei tuara piko. | |
| Te ngoikore, te ngaro rānei o te kare ā-roto | Te wiriwiri, te ngaro rānei o te kare ā-roto mai i te tuara ki ngā ringaringa, ki ngā waewae rānei. He tohu kino tēnei. | ||
| Te ngaronga o te teitei | I roto i te wā, ka taea e te pēhanga o ngā tuaiwi maha te whakaiti i tō teitei (tae atu ki te 6 inihi pea). | ||
| Te mimi kore whakahaere | He āhuatanga e kore ai e taea e koe te whakahaere i tō mimi, i tō tūtae rānei, mō tētahi take kāore anō kia pā ki a koe i mua. He āhuatanga ohorere tino kino tēnei. Me haere tonu koe ki te hōhipera. |
Me pēhea te kitenga a te tākuta i tēnei?
Ina haere koe ki te tākuta, ka pātai tuatahi ia ki a koe, ā, ka tirotirohia hoki tō tuara. Ka tirohia e rātou tō tuara, ka rapua mēnā he mamae, he pupuhi, he rerekētanga rānei o te āhua o tō tuara. He mea nui kia hoatu he kōrero taipitopito mō te wāhi e pā ana te mamae me te wā i tīmata ai.
Kātahi ka tonoa e rātou ētahi whakamātautau hei whakaū i te mate.
- Whakamātautau hihi-X:Mā tēnei ka taea e koe te kite mārama mēnā he whati, mēnā rānei kei te neke haere ngā kongakonga wheua.
- Matawai MRI: Ka taea e tēnei te tirotiro mēnā he kino ki ngā wheua o te tuaiwi, engari ki ngā kiko ngohengohe hoki e karapoti ana, inā koa te taurakira.
- Matawai CT: Mā tēnei ka āwhina i te whiwhi pikitia mārama, taipitopito hoki o te kino o ngā wheua mēnā e hiahiatia ana he pokanga.
Hei tāpiritanga, ka tonoa koe kia whakamātauria he whakamātautau kiato wheua (Bone Density Test, DEXA scan rānei) . Mā tēnei ka taea te whakatau mēnā he osteoporosis tōu, me tōna kaha.
He aha ngā maimoatanga mō tēnei?
Ko te maimoatanga e whakawhirinaki ana ki te take o tō whati, te momo whati, me te wāhi kei roto i tō tuaiwi.
Ngā maimoatanga kore-pokanga
Ko te rongo pai, i te nuinga o te wā, kāore e hiahiatia he pokanga. Ko ngā maimoatanga tino noa ko:
- Te Tautoko: Ka hoatu he tautoko motuhake ki a koe hei pupuri i tō tuaiwi kia tika ra ano te ora o te wheua whati. He maha ngā marama ka roa tēnei.
- Whakaora tinana: Ka hoatu he mahi whakakori tinana motuhake hei whakapakari i ngā uaua huri noa i te tuaiwi. Ka taea e tēnei te whakaiti i te mamae, ā, ka āwhina hoki ki te ārai i ngā whati o te tuarā a muri ake nei.
- Te Maimoatanga mō te Osteoporosis: Mena he osteoporosis tōu, ka tohua pea e tō tākuta he rongoā, he tāpiringa rānei, pērā i te konupūmā, hei whakapakari i ō wheua.
Pokanga
Mena kei te tūpono te whati ki te pakaru i tō taurakira, ki te kore rānei tō mamae e pai ake i muri i ētahi marama o ētahi atu maimoatanga, me mahi pea koe i te pokanga. E rua ngā momo pokanga e tino mahia ana.
- Vertebroplasty: I roto i tēnei tikanga, ka werohia e te taote pokanga he sima wai motuhake ki roto i te tuaiwi whati hei whakapakari i te wheua.
- Kyphoplasty: He rite tēnei ki te mea o mua, engari i mua i te werohanga i te sima, ka whakauruhia e te taote pokanga he poihau iti ki roto i te tuaiwi ka pupuhi. Mā tēnei ka hiki ake te wheua kua pēhia, kua whakaititia hoki ki tōna teitei tika. Kātahi ka werohangahia te sima.
Ko ēnei pokanga e rua ka mahia i te rā kotahi, ā, ka taea e koe te hoki ki te kāinga (ngā mahi hauora o waho). Heoi, ka tohutohuhia koe kia okioki i runga i te moenga mō te 24 hāora i muri i te pokanga, ā, kia kaua e hiki taumaha mō te 6 wiki pea.
Me pēhea te whakaiti i te mōrearea?
He whara kino te whati o te tuaiwi, nō reira me ngana tātou katoa ki te ārai.
- Me mau tonu tō whitiki nohoanga i a koe e eke ana i roto i ngā waka. He mea whakahau te mau i te whitiki hope me te whitiki pakihiwi.
- Kia mau ki ngā taputapu haumaru e tika ana i te wā e takaro ana i ngā hākinakina.
- Kaua e whakatakoto i ngā mea ki tētahi ara e paheke ai, e hinga ai koe i te kāinga, i te mahi rānei. Kia ma, kia tika hoki ngā mea katoa.
- Kaua e piki ki runga i ngā tūru, i ngā tēpu rānei hei toro atu ki tētahi mea i runga ake. Whakamahia he arawhata e tika ana.
- Kia mau ki tētahi kai hauora mō ngā wheua, me te whakakori tinana. Kai i ngā kai e nui ana te konupūmā, ngā huaora C, me te D. Mā ngā whakakori tinana pēnei i te hikoi, te oma tere, me te hiki taumaha ka whakapakari i ngā wheua.
- Mena kua neke atu i te 50 ōu tau, he hītori whānau rānei tōu mō te osteoporosis, kōrero ki tō tākuta mō te whakamātautau kiato o te wheua.
- Mena he uaua ki a koe te hikoi, kei te tūpono rānei koe ki te hinga, kaua e whakamā ki te whakamahi i te tokotoko, i te taputapu hikoi rānei.
Karere Tangohia ki te Kāinga
- He mea ka pā te "tuarā whati" i te aituā, i te osteoporosis rānei.
- Ina koa mēnā kua neke atu i te 50 ōu tau, kaua e warewarehia te mamae o te tuara e kore e memeha i roto i ētahi rā. Me toro atu ki te tākuta.
- Ko te nuinga o ngā whati tuaiwi kāore e hiahiatia he pokanga, engari me rongoā, pērā i te mau i te whitiki tautoko.
- Ko te mamae nui o te tuara i muri i te aituā, i te hinganga rānei, he tohu tēnei me haere tonu koe ki te ETU (Emergency Treatment Unit).
- Ko ngā tohu pēnei i te ngoikore o ngā waewae, te ngoikore rānei, te kore rānei e taea te whakahaere i te whekau me te mimi he mea ohorere, ā, me pūrongo tonu atu ki te hōhipera.
- Mā te kai hauora me te whakakori tinana auau ka kaha tonu ō wheua, ka whakaiti hoki i te mōrearea o ēnei momo whatiwhatinga ā muri ake nei.
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