Kua pāngia koe e te mamae o te upoko nā te whara o te tuaiwi? Kia ako tātou mō tēnei mamae o te tuaiwi!

Kua pāngia koe e te mamae o te upoko e kore e taea te whakamanawanui, inā koa i muri i te werohanga ki tō tuara? Kei te kite rānei koe ka kino haere te mamae ina noho koe, ina tū rānei, ā, ka pai haere ina takoto koe? Mēnā koinā, tera pea he mate kei a koe e kīia nei ko te mamae o te tuaiwi, ā, ka kōrerohia e tātou i tēnei rā. Kaua e manukanuka, me kōrero taipitopito tātou mō tēnei mea.

He aha te mamae o te tuaiwi?

I te whakarapopototanga, he ānini nui te mamae o te tuaiwi i puta mai i te hekenga o te nui o te wai cerebrospinal (CSF) , te wai e karapoti ana i tō roro. Whakaarohia ko tō tātou roro me te taurakira, e rere ana i tō tuaiwi, e tiakina ana pērā i te urunga kua whakakiia ki tēnei wai wai e kiia nei ko te CSF. Ka whāngai tēnei wai i te roro, ka tiaki hoki i te roro me te taurakira mai i ngā nekehanga ohorere.

Nō reira, ki te heke te wai CSF huri noa i te roro, arā, ki te turuturu, ka heke te tautoko mō te roro. Kātahi ka tīmata te roro ki te piko paku. I tēnei wā, ka tīmata te kukume o ngā kiko me ngā io ngawari e hono ana ki te roro. Ko taua kukume ka kitea e tātou he ānini nui.

Ka kiia hoki tēnei:

• Te mamae o te upoko i muri i te pokanga dural
• Te ānini epidural
• Te ānini iti-pēhanga

He aha i puta ai tēnei mamae o te tuaiwi?

Ko te take matua mō tēnei he tikanga hauora e kīia nei e tātou ko te "spinal tap." Arā, he lumbar puncture , he spinal tap rānei.

Ko te Spinal Tap/Lumbar Wero te tino take

He maha ngā take e mahi ai ngā tākuta i ngā pokanga hope. Hei tiki tauira CSF hei tātaritanga i ētahi mate, hei hoatu rānei i te rongoā whakamoe. Tērā pea ka mahara koe ki te rongoā whakamoe epidural i hoatu ki te tuaiwi hei whakaiti i te mamae i te wā e whānau ana. Koinā te take e mahia ai.

I tēnei tikanga, ka werohia e te tākuta he ngira angiangi ki roto i tō awa tuaiwi, mā tō tuara o raro, mā te hoatu rongoā whakamoe, mā te tango tauira rānei o te CSF. Heoi, i ētahi wā, ka turuturu te CSF nā te mea he kōhao iti kei roto i ngā meninges, te kiriuhi e karapoti ana i te taura tuaiwi.

Ina heke te wai o te CSF, ka heke anō hoki te pēhanga huri noa i te roro. Ka kiia tēnei ko te hypotension intracranial . Kātahi ka āhua iri te roro ki raro. Koinei te take o te ānini.

E ai ki ngā rangahau, ka puta pea tēnei momo ānini tuaiwi i roto i te 10% ki te 40% o ngā pokanga hope.

He take anō kei reira?

Āe, ehara i te mea he pā noa iho i te tuaiwi. He onge noa iho, ka puta te turuturu o te CSF nā ētahi atu take, ka puta ai te ānini o te tuaiwi.

• Ka pakū mai he pukupuku e rite ana ki te pupuhi wai e tata ana ki tō taurakira.
• He haehae i roto i ngā kiriuhi tiaki (meninges) e karapoti ana i te taurakira.
• He whara kino ki te upoko, ki te mata rānei, pērā i te whati o te angaanga.

He aha ngā tohu o te mamae o te tuaiwi?

Mō te tangata kua pāngia e te mate tuaiwi, ka tīmata ēnei mamae o te upoko i roto i ngā rā e rua, e toru rānei. Heoi, ka puta pea i ētahi wā i muri i ngā marama.

Ko ngā āhuatanga matua ko ēnei:

• He ānini nui, e pupuhi ana, e tīmata ana i te rae, i te tuara rānei o te māhunga.
• Ka piki ake te mamae ina noho, ina tū rānei, ā, ka iti haere te mamae ina takoto. Koinei te āhuatanga matua, te āhuatanga tino motuhake o tēnei mamae upoko.
• Ka kino haere te ānini ina maremare koe, ina pēhia koe, ina ngana rānei koe ki te tutae.
• Whakapairuaki.
• Te mamae o te kaki, te pakari rānei.
• Pōuriuri.
• Ngā panonitanga o te tirohanga me te aro ki te māramatanga, arā, te photophobia .

Hei tāpiritanga, kāore pea e kitea pinepinetia ngā tohu e whai ake nei:

• Te rongonga i te tangi o ngā taringa (Tinnitus) .
• Te ngaronga o te rongo.
• Ngā tohu pēnei i te māuiui, te ngaro rānei o te kare ā-roto o ngā ringa (ngā tohu o te Radiculopathy) .

Kia pēhea te roa o ēnei tohu?

I te nuinga o te wā, ka roa pea ēnei mamae o te tuaiwi mai i ētahi hāora ki ētahi rā. Engari mō ētahi tāngata, ka roa ake pea. Mena kei a koe ēnei tohu mō te neke atu i te 24 hāora, me toro atu koe ki te tākuta.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e ēnei? (Ngā Take Tūpono)

He nui ake te tūponotanga o ētahi tāngata ki te pāngia e ēnei mamae o te tuaiwi. He maha ngā āhuatanga e whai wāhi ana ki tēnei:

• Te iti o te inu wai (te matewai).
• Ngā āhuatanga e pā ana ki te tinana katoa, pērā i te toto toto tiketike me te kirika.
• He tangata e pāngia pinepine ana e te upoko.
• Mō te hunga he iti te taumaha tinana (Iti te taupū papatipu tinana - BMI).
• Te momo ngira e whakamahia ana mō te werohanga tuaiwi. Ka nui ake tēnei mōrearea ina whakamahia ētahi momo ngira (ngira tapahi, ngira tuaiwi nui ake rānei).

Ko te nuinga o te wā, ka kitea ēnei mamae o te tuaiwi i roto i ngā wāhine i waenga i te 20 me te 40 tau te pakeke e whiwhi ana i te rongoā whakamoe epidural mō ō rātou tuara i te wā e whānau ana.

Me pēhea te mōhio o te tākuta he ānini upoko tēnei nō te tuaiwi?

Mā te tākuta e whakatau mēnā he ānini tuaiwi tēnei i runga i ngā pātai e pātaihia ana e koe (tō hītori hauora) me ō tohumate. Mēnā kua pāngia koe e te mate tuaiwi i ngā rā tata nei, arā, i roto i ngā rā 14, kua tino mārama te tautuhi mate. Mēnā koinā, kāore he whakamātautau anō e hiahiatia ana.

Heoi, ki te kore he tap tuaiwi mōu, ka tono pea tō tākuta i tētahi matawai MRI (Magnetic Resonance Imaging) hei kimi i te pūtake o tō ānini. Mā tēnei ka taea te tirotiro tata atu i tō roro me tō taurakira kia kitea ai mēnā he turuturu o te wai CSF.

He aha ngā maimoatanga mō tēnei?

Hei rongoā mō te mate upoko, ka tūtohu pinepine ngā tākuta i ngā raau taero e whai ake nei:

Ngā mea ka taea e koe te mahi i te kāinga

• Takoto ki runga i te mata papatahi, ka takoto. He pai ake te takoto i ngā wā katoa e taea ana, nā te mea ka nui ake te mamae i te tū me te noho.
• Inumia he nui te wai me ngā wai. Tērā pea ko ngā inu kei roto te kawheine, pērā i te kawhe, te tī, me ētahi inu ngohengohe, ka taea te whakaora.
• Whakamahia ngā rongoā whakamamae mamae/whakamamae mamae ka taea te hoko mai i te whare rongoā.

Te maimoatanga a te tākuta

I ētahi wā, kāore e āwhina ngā maimoatanga o runga ake nei. Mēnā kei te mamae tonu tō upoko i muri i ētahi rā, ka tūtohu pea tō tākuta i tētahi tikanga e kīia nei he pātaki toto epidural . Ko te werohanga tēnei i ētahi o ō toto ake ki roto i te kōhao e turuturu ana te CSF. Ka pūmau te toto, ka hiritia te kōhao. Ka āwhina tēnei i te tini o te tangata kia tere te ora.

He tino onge te hiahia ki te pokanga hei whakatika i te turuturu o te CSF.

Ka taea te ārai i te mamae o te tuaiwi?

Kāore rawa he mea e taea te mahi hei ārai i tēnei. Heoi, ka whakamahia e ngā tākuta tētahi momo ngira motuhake (ngira kore-tapahi) he angiangi rawa atu i te wā e mahi ana i te pato tuaiwi hei whakaiti i tēnei mōrearea.

Kia pēhea te tere o te ora o tēnei? (Te matapae)

Kāore he mea e wehi ai mō ēnei mamae o te tuaiwi. I te nuinga o te wā (tata ki te 85%) ka ngaro atu me te kore he maimoatanga. Mena ka whakamahia e tātou te maimoatanga toto epidural i kōrerohia e tātou i mua ake nei, ka ngaro katoa te mamae o te upoko i roto i ngā haora 24 i roto i te 60% ki te 70% o ngā take.

Heoi, he onge noa iho te puta mai o ngā āhuatanga kino...

Ahakoa he tino onge tēnei, mā te mamae tonu o te tuaiwi, ka taea e ēnei te arahi ki ngā raruraru pēnei i:

• Te totohu toto i roto i ngā oko toto o te roro – He toto totoka kei roto i ngā oko toto o te roro.
• He hematoma subdural – he kohinga toto e karapoti ana i te roro.
• Ngā hopukanga.
• Hypopituitarism - te whakahekenga o te mahi a te repe pituitary.
• Syringomyelia – Te hanganga o ngā kōhao kī tonu i te wai i roto i te taurakira.
• Te hernia o te roro – he putanga mai o tētahi wāhanga o te roro nā te nui rawa o te pēhanga.
• Āhua koma.
• Ka taea tonu te mate (engari he tino onge tēnei).

Ehara i te mea hei whakawehi i a koe tēnei kōrero, engari he mea pai kia mōhio koe ki tēnei momo āhuatanga. Koia mātou e kī nei, ki te kaha rawa tō mamae upoko, ā, ka roa, me toro atu koe ki te tākuta.

Āhea ahau me toro atu ki te tākuta?

Mena ka pāngia koe e te mamae nui o te upoko i muri i te pokanga tuaiwi, ā, neke atu i te 24 hāora te roa, me toro atu koe ki te tākuta.

Waihoki, ki te uaua koe ki te mimi, ki te mea rānei kei te ngaro te rongo i tō tuara, i ō waewae rānei, he tohu pea tēnei mō tētahi raruraru nui. Ki te puta tēnei, me haere tonu koe ki te hōhipera.

Karere Tangohia ki te Kāinga

Ka pāngia tātou katoa e te ānini i ētahi wā, nā ngā take maha. Engari ehara te ānini tuaiwi i te ānini noa. Ki te pāngia koe e te ānini nui i muri i te tāmitanga tuaiwi, i te werohanga epidural rānei, me kōrero ki tō tākuta. I te nuinga o te wā, ka memeha haere ēnei ānini, engari me whai maimoatanga pea koe, pērā i te tāmitanga toto epidural. Nō reira, he mea nui kia rapu tohutohu hauora i mua i te whakatau i a koe anō.

` Mamae upoko o te tuaiwi, te werohanga tuaiwi, te mamae upoko, te pokanga hope, te epidural, te CSF, te wai cerebrospinal