Ka pāngia koe e te mamae o te tuara i ētahi wā, me te ngau o ō waewae? Ka piki ake tēnei mamae ina hikoi poto koe, ina tū rānei, ā, ka heke iho ina noho koe, ina piko whakamua rānei? He raruraru noa tēnei mō te tini o te tangata. I tēnei rā ka kōrero tātou mō tētahi āhuatanga e kiia nei ko te ' spinal stenosis ' ka taea te whakaputa i tēnei, inā koa i a tātou e pakeke haere ana.
He aha te Spinal Stenosis?
Whakaarohia tō tuaiwi he paipa wai. Ko te taurakira, te pūtake io matua e puta mai ana i tō tātou roro, me ngā io e peka mai ana i reira, ka haere mā roto i tēnei paipa. I roto i te wā, nā runga i ngā take maha, ka iti haere te wāhi i roto i tēnei paipa, ā, ka tīmata te whaiti. Kātahi ka tīmata te pēhi i ēnei io ngawari o roto. Koinei te mea e kīia nei e tātou ko te Spinal Stenosis .
Ka taea e tēnei pēhanga te puta ki ngā wāhi katoa o te tuaiwi. Ka whakawhirinaki ngā tohu ki te wāhi e puta ai te pēhanga. Kāore e puta ohorere mai, engari ka tupu mārire haere i roto i ngā tau.
E rua ngā momo matua o te stenosis tuaiwi:
Ka taea te wehewehe i tēnei āhuatanga kia rua ngā momo matua i runga i te wāhi e puta ai:
1. Te whakatōtōtanga o te tuaiwi o te kaki: Koinei te wā ka whaiti te ara io i roto i tō kaki .
2. Te pēhanga o te tuaiwi lumbar: Koinei te momo tino noa. Ka puta ina pēhia te pakiaka io i tō tuara o raro, te tuaiwi lumbar.
Ka pāngia ētahi tāngata e ngā momo e rua i te wā kotahi. Tērā pea ka pā tēnei mate ki waenganui o te tuara, ahakoa he onge noa iho.
Ko te tino take e pāngia ai te tini o te tangata e te mate wheua o te tuaiwi ko te osteoarthritis , he mate e pā mai ana i te kaumātuatanga.
Kei a koe anō ēnei tohu?
Kāore e pāngia te katoa e ngā tohu. Tērā pea ka kitea te mate i roto i te matawai engari kāore e pāngia e te mamae, te kore whakamarie rānei. Heoi, ki te puta ngā tohu, ka kitea i ēnei ara e whai ake nei:
| Tohu | Whakaahuatanga |
|---|---|
| Te mamae o te tuara, o te kaki rānei, me te pakari | Ka piki ake te mamae i te tū me te hikoi, ā, ka heke iho i te piko whakamua me te noho. |
| Te ngenge, te wiri, te ngoikore rānei o ngā waewae, o ngā ringa rānei | Ka raru ngā kare ā-roto o ngā ringa me ngā waewae i te pēhanga o ngā io. |
| Mamae sciatica | He mamae koi, pērā i te ru hiko, e tīmata ana i te hope, ā, ka heke ki raro i te waewae. |
| Te uaua ki te hikoi me te ngaro o te taurite | Ka taea e te ngoikore o ngā waewae te meinga kia rite ki te tōia o ngā waewae ki runga i te whenua i te wā e hikoi ana (te taka o te waewae). Ka taea e te hikoi mō te tawhiti poto te whakanui ake i te mamae o te tuara, ka akiaki i a koe kia mutu. |
| He uaua ki te whakahaere i te mimi, i te tūtae rānei | Ka pā pea tēnei ki ngā āhuatanga kino o te mate. Ka puta tēnei āhuatanga i te pēhanga nui o ngā io e hono ana i te pūkahukahu me ngā whekau. |
| Te mate Cauda equina | He āhuatanga ohorere hauora tēnei nā te pēhanga o te paihere io i te pūtake o te tuaiwi. Ko ngā tohu ko te ngoikore o te tinana, te koretake o te pūkahukahu me te kore e taea te whakahaere i te puku. Ki te pāngia koe e ēnei tohu, me haere tonu koe ki te tari ohorere o te hōhipera (ETU). |
He aha ngā take o te Spinal Stenosis?
E ai ki tā tātou i kōrero ai i mua ake nei, ko te mate rumatiki te tino take, e pā mai ana i te kaumātuatanga.Te āhua. Ina memeha te kiriuhi tautoko i waenganui i ō tātou tuaiwi, ka mirimiri ngā wheua tetahi ki tetahi. Kātahi, i a te tinana e ngana ana ki te whakaora, ka tupu he wheua hou. Ka whakawhāitihia e ēnei wero wheua hou te ara mō te io.
Hei tāpiritanga, he maha atu anō ngā take .
| Take | Whakaahuatanga |
|---|---|
| Ngā kōpae herniated | Ka pakaru pea tētahi kōpae rite ki te tiēre i waenganui i ngā tuaiwi, ka turuturu te rauemi o roto, ka pēhi i te taurakira, i ngā io rānei. |
| Ngā whara o te tuaiwi | Ka taea e te tuaiwi whati, maru rānei te whakararu i te io. |
| Ngā pukupuku | Ka pēhia pea ngā io e ngā pukupuku, e ētahi atu pukupuku rānei i roto i te tuaiwi. |
| Ngā hononga matotoru | Ka taea e ngā hononga e hono ana i tō tātou tuaiwi te matotoru haere i roto i te wā, te piko ki roto, me te aukati i ngā ara io. |
Ngā āhuatanga mōrearea
Ko te tino take mō te whakawhanaketanga o tēnei mate ko te hunga neke atu i te 50 tau te pakeke . He nui ake te mōrearea mō ngā wāhine me te hunga kua pokangahia ō rātou tuara i mua. Waihoki, ko te hunga i whānau mai me te mate pēnei i te scoliosis, i whara kino rānei ō rātou tuara i te wā taitamariki, ka pāngia pea rātou e tēnei mate i mua ake.
Me pēhea te tautuhi i te mate?
Mena ka puta mai ēnei tohu, ko te mea tuatahi me mahi ko te toro atu ki tētahi tākuta whai tohu.
1. Te kōrero ki te tākuta: TākutaTuatahi, ka pātaihia koe mō ō tohumate, te tīmatanga me te wā ka kino haere.
2. Whakamātautau tinana: Muri iho, ka tirotirohia koe, ka rapua ngā wāhi e mamae ana te tuara, te ngoikore o ō waewae, me te kaha o ngā uaua.
3. Ngā whakamātautau whakaahua: Tērā pea ka tonoa he matawai hei whakaū i te tautuhi mate me te whakatau i te kaha o te mate.
- Matawai MRI : Mā tēnei ka taea e koe te kite i te āhua o te tuaiwi, ngā kōpae, ngā hononga, me ngā io i roto i tētahi whakaahua toru-ahu tino mārama.
- Matawai CT: Ka taea te whakamahi i tēnei hei tirotiro i te āhua o te tuaiwi. I ētahi wā, ka taea e te CT myelogram, e whakamahi ana i tētahi tae motuhake, te tohu i te wāhi tika o te pēhanga io.
He aha ngā maimoatanga?
Ahakoa kāore he rongoā mō tēnei mate, he maha ngā maimoatanga hei āwhina i te whakahaere i ngā tohu, te whakaiti i te mamae, me te āwhina i a koe kia ora ake. Mā tō tākuta e whakatau te maimoatanga pai rawa atu māu.
- Rongoā: He maha ngā rongoā e wātea ana hei whakaiti i te mamae me te pupuhi. Tērā pea ka tohua e tō tākuta he rongoā whakamamae mamae whānui, he rongoā mamae io, me he rongoā whakangāwari uaua. I ētahi wā, mā te werohanga corticosteroid ki te wāhi e pāngia ana ka taea te whakaora mō te wā poto.
- Whakaora tinana: He kōwhiringa maimoatanga tino nui tēnei. Mā te kaiwhakaora tinana koe e ako ki ngā mahi whakakori tinana e tika ana māu. Ka taea e ēnei mahi whakakori tinana te whakapakari i ngā uaua o tō tuara me tō puku, te whakaiti i te pēhanga ki tō tuaiwi, me te ako i a koe me pēhea te mahi i ngā mahi o ia rā me te iti o te mamae.
- Pokanga: Mena kāore i angitu ngā maimoatanga katoa, kāore e taea te manawanui te mamae, kua ngoikore rawa ngā waewae ki te hikoi, kua ngaro rānei te mana whakahaere o te pūkahukahu/puku o te tūroro, ka tūtohu pea te tākuta kia pokanga. Ko te tikanga o tēnei ko te whakanui ake i te wāhi e pēhia ana te io. He rerekē ngā momo pokanga, pērā i te "Laminectomy" me te "Laminoplasty". Nā te mea he whakatau nui tēnei, he mea nui kia kōrerohia ngā painga me ngā huakore me tō tākuta.
Ngā huringa hei mahi i te kāinga me te āhua o te noho
Haunga te maimoatanga hauora, ka taea e ngā huringa iti ki tō momo noho te whakarato i te oranga nui.
- Te korikori tinana tika: Pātai atu ki tō tākuta, ki tō kaiwhakaora tinana rānei, he aha ngā korikori tinana e tika ana māu, ā, me mahi i ia rā. He pai ngā mahi pēnei i te hikoi me te kaukau.
- Kia mau ki te tū tika: Tū tika ina tū, ina noho rānei. Ina hiki, pikohia ngā turi, kaua te tuara.
- Te whakahaere i te taumaha: I te pikinga o te taumaha o te tinana, ka piki ake te pēhanga ki te tuaiwi. Nō reira, he mea tino nui te pupuri i te taumaha hauora.
- Ngā taputapu āwhina: I ētahi wā, ka tūtohu pea tō tākuta kia whakamahia he whitiki tautoko motuhake, he taputapu hikoi rānei hei whakaiti i te mamae, hei whakangāwari hoki i te hikoi.
- Ngā mea hei karo: Āta karohia te hiki taumaha, ngā hākinakina taumaha pēnei i te oma me te pekepeke, me te noho tonu i te tūranga kotahi mō te wā roa (hei tauira, i mua i te rorohiko).
Karere Tangohia ki te Kāinga
- Ko te spinal stenosis he āhuatanga e puta mai ana i te pēhanga o ngā io nā te whaiti o te awa tuaiwi.
- Ko te mamae o te tuara, o te kaki rānei, te ngoikore me te ngoikore o ngā ringa me ngā waewae, inā koa i te wā e hikoi ana, koinei ngā tohu matua.
- Ko te tino take o tēnei ko te mate rumatiki, e pā mai ana i te kaumātuatanga.
- Ki te pāngia koe e te ngaronga ohorere o te mana whakahaere o te pūkahukahu, o te puku rānei, me te ngoikore o te ira tangata, he āhuatanga ohorere tēnei. Haere tonu ki te Tari Ohorere o te hōhipera (ETU).
- Ka taea te whakahaere pai i ngā tohu mā te rongoā, te whakaora tinana, me ngā huringa āhua noho. Me mahi te pokanga i ngā wā tino kino anake. Kōrero ki tō tākuta mō ngā kōwhiringa maimoatanga katoa.










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