Kei te piko whakamua koe ina tū roa koe, ina hikoi poto rānei nā te mamae o te tuara? He mamae ngū rānei tōu, he mamae rānei e horapa ana mai i tō kaki ki raro i ō ringaringa? He tokomaha te hunga e whakaaro ana he wāhanga noa tēnei o te koroheketanga, engari i ētahi wā ka puta mai i te uaua kua kopikopiko i te tuaiwi. I roto i te rongoā, ka kiia tēnei ko te spinal stenosis. Kaua e manukanuka, i tēnei rā ka kōrerohia e tātou ngā mea katoa i roto i ngā kupu māmā noa iho.
He aha te Stenosis Tuaiwi?
I roto i ngā kupu māmā noa iho, ko te stenosis spinal he whakawhāiti i te wāhi i roto i tō tātou tuaiwi. Whakaarohia tō tātou tuaiwi he raupapa mowhiti (e kiia nei ko ngā vertebrae) e whakatakotoria ana tetahi ki runga i a rātou. He wāhi kei waenganui i ia mowhiti, pērā i te kauhanga. Ko te ingoa o tēnei kauhanga ko te awa tuaiwi . Ko te taura tuaiwi, he wāhanga tino nui o tō tātou tinana, me ngā io e peka mai ana i reira, e haere ana mā roto i tēnei kauhanga.
Whakaarohia, he aha te mea ka puta mēnā ka whaiti tēnei kauhanga mō tētahi take? Pērā i te wā e purua ana te paipa wai, ka iti haere te wāhi e rere ai te wai, ina whaiti tēnei awa tuaiwi, kāore he wāhi e ranea ana mō te taura tuaiwi me ngā io i roto. Kātahi ka tīmata aua io ki te pēhia, ki te kōmiomio, ki te pēhia. Nā taua kōmiomio ka puta mai ngā tohu pēnei i te mamae o te tuara me te mamae e heke ana ki ngā waewae (sciatica).
Ahakoa ka taea tēnei āhuatanga te pā ki ngā tau katoa, he mea tino noa i waenga i te hunga neke atu i te 50 tau te pakeke .
Ko ēhea ngā wāhanga o te tuaiwi e tino pāngia ana e tēnei mate?
Ko te nuinga o te wā ka kitea tēnei pēhanga io i ngā wāhi e rua o te tuaiwi:
- Te Mate Tuara o te Tuara Lumbar: He āhuatanga e pā ana ki ngā tuaiwi e rima o raro (L1-L5) o tō tātou tuaiwi. Koinei te momo mamae tuara e tino kitea ana.
- Te Stenosis o te Tuaiwi Cervical: Ka puta pea tēnei āhuatanga i ngā tuaiwi e whitu (C1-C7) o tō tātou kaki.
Haunga ēnei e rua, ka puta anō hoki tēnei āhuatanga i waenganui o te tuaiwi, arā, i te taumata tuaiwi uma. Heoi, he tino onge.
He aha ngā tohu o tēnei?
He maha ngā wā ka āta haere te whanaketanga o te stenosis tuaiwi i roto i te wā. Nō reira, ahakoa ka kitea i runga i te hihi-X, tera pea kāore he tohu i ngā wāhanga tōmua. Ka rerekē ngā tohu i ia tangata, i ia tangata. I ētahi rā ka kino ake, i ētahi atu rā ka pai ake.
I te nuinga o te wā, i runga i te wāhi e pēhia ana te io, ka pā pea ēnei ki tō kaki, tuara, ringa, waewae, nikau, kapu rānei o ō waewae:
- Mamae
- te ngoikore
- He rite ki te uira(Te wiriwiri / "ngoikore me te ngira")
- ngoikore
Kia tirohia tātou me pēhea te rerekētanga o ngā tohu i roto i ngā take o te stenosis o te tuaiwi me te kaki.
| Momo tohu | Whakaahuatanga |
|---|---|
| Ngā Tohu o te Stenosis Tuaiwi Lumbar | |
| Mamae tuara | Te mamae i te tuara o raro. |
| Te mamae e haere ana ki raro i ngā waewae | He mamae e tīmata ana i te papa, ka heke ki raro i te waewae, i ētahi wā tae noa ki te kapu o te waewae. |
| Te taumaha me te mamae i roto i ngā waewae | Te taumaha o ngā waewae, te āhua ngoikore haere i muri i te hikoi mō te wā poto, me te mamae o te uma. |
| te ngoikore | Te wiriwiri, te kare rānei e oma ana ngā pōpokorua i roto i ngā papa, ngā waewae, ngā kapu rānei o ngā waewae. |
| Ngā wā ka nui haere, ka iti haere te mamae | Ka piki ake te mamae ina tū roa, ina hikoi, ina heke rānei i te puke. Ka heke te mamae ina piko whakamua, ina noho i runga i te tūru, ina piki arawhata/puke rānei. (Hei tauira, mā te piko whakamua, pērā i te pana i te taraka i te hūpermakete ka whakaiti i te mamae o te tuara.) |
| Ngā Tohu o te Stenosis Tuaiwi Cervical | |
| Mamae kaki | Mamae kaki. |
| Te ngoikore me te ngoikore | Te mākūkū, te ngoikore rānei o ngā ringa, ngā ringaringa, ngā waewae, ngā kapu waewae rānei. |
| Ngā raruraru ki te taurite o te tinana | He uaua ki te pupuri i te taurite i te wā e hikoi ana. |
| Ngā raruraru ki ngā pūkenga nekeneke pai o ngā ringaringa | He uaua ki te mahi i ngā mahi pai pēnei i te tuhituhi ā-ringa, te pātene i te hāte, te pupuri kapu rānei. |
He aha te take e puta ai te stenosis o te tuaiwi?
E rua ngā momo take matua mō tēnei.
1. Ngā take i whiwhi: Koinei te tino take. Ka puta tēnei āhuatanga nā ngā huringa o tō tātou tinana ("te pakaru me te haehae") e puta ana i te kaumātuatanga.
2. Ngā take whānau: Ka whānau mai ētahi tāngata me te awa tuaiwi whaiti. He tino onge tēnei.
Ngā take matua e puta ana i te pakeketanga (Ngā Take i Whiwhihia)
- Te Tupu Nui o te Wheua: I a tātou e pakeke haere ana, ka memeha haere ō tātou hononga. Ko te osteoarthritis tēnei. Ina memeha haere ngā hononga o te tuaiwi, ka urupare te tinana mā te whakatipu wheua hou. Ka taea e ēnei whētu wheua hou te tipu ki roto i te awa tuaiwi ka pēhi i ngā io.
- Ngā kōpae pupuhi, ngā kōpae hernia rānei: Kei waenganui i ia tuaiwi o tō tātou tuaiwi, he urunga rite ki te tiēre. Ka karangatia ēnei kōpae e tātou. I a tātou e pakeke haere ana, ka maroke ēnei kōpae, ka papatahi, ā, ka puta he ngatata i roto i ō rātou pakitara. Kātahi ka pupuhi te wāhanga rite ki te tiēre i roto (kōpae pupuhi, kōpae hernia rānei) ka pēhi i ngā io.
- Te matotoru o ngā hononga: Ko ngā hononga he hanganga rite ki te whitiki e hono ana i tō tātou tuaiwi. Nā ngā mate pēnei i te rumatiki, ka matotoru pea ēnei hononga i roto i te wā, ka pupuhi ki roto i te awa tuaiwi, ka whakaiti i te wāhi mō ngā io.
- Ngā whara ki te tuaiwi: Ka taea hoki te whaiti o tēnei awaawa nā te aituā pēnei i te whati, te whāwhā rānei i te tuaiwi.
- Ngā pukupuku: He tino onge, ka taea hoki e te pukupuku i roto, i te taha rānei o te tuaiwi te whakapōrearea i ngā io.
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ina haere koe ki te tākuta me ēnei tohu, ka pātai tuatahi ia ki a koe mō ō tohu. Kātahi ka tirotirohia e ia tō tuarā. Ka pikohia e ia tō tuaiwi ki ngā taha rerekē, ā, ka aro ki te āhua o te mamae.
Hei tāpiri, ka tūtohu pea mātou i ētahi whakamātautau hei tautuhi i te raruraru:
- X-ray o te tuaiwi: Ka taea e tēnei te kite i ngā huringa o ngā wheua, te ngaronga o te teitei o te kōpae, me ngā koiwi wheua.
- Matawai MRI (Whakaahua Āhua Aukume): Koinei te huarahi pai ki te kite mārama i ngā mea tairongo pēnei i ngā io, ngā kōpae, me te taurakira.
- Matawai CT (Tomography Rorohiko): He whakamātautau tēnei e whakarato ana i ngā whakaahua taipitopito atu i te hihi-X. I ētahi wā ka taea hoki te mahi i tētahi myelogram CT, e whakamahi ana i tētahi wai motuhake (tae rerekē).
He aha ngā maimoatanga mō tēnei?
Ina rongo te tangata i te ingoa, ka whakaaro pinepine rātou, "Āe, me pokanga ahau?" Engari ehara i te mea ko te katoa e pāngia ana e te stenosis tuaiwi e hiahia ana ki te pokanga. He maha ngā tāngata ka ora ake mā te maimoatanga kore-pokanga. Ko te maimoatanga pai rawa atu māu ka whakawhirinaki ki te kaha o ō tohu, te wāhi o te raruraru, me te take.
| Tikanga maimoatanga | Whakaahuatanga |
|---|---|
| Ngā Maimoatanga Kore-Pokanga | |
| Ngā mea ka taea e koe te mahi i te kāinga | Ngā pēke wera/mātao, ngā mahi whakakori tinana e tika ana kia rite ki ngā tohutohu a te tākuta. |
| Ngā rongoā | Ngā NSAID hei whakaiti i te mamae me te pupuhi. I ētahi wā, ka whakamahia ngā rongoā pēnei i te gabapentin hei rongoā mō te mamae o ngā io. Engari kia maumahara, me pātai atu koe ki tō tākuta i mua i te whakamahinga o tētahi rongoā. |
| Te Whakaora Tinana | Tautokohia te tuaiwi mā roto i ngā mahi whakakori tinana hei whakapakari i ngā uaua o te tuara me te puku. Whakaharatauhia ngā tū hikoi hei whakaiti i te pēhanga ki ngā io. |
| Ngā Werohanga Steroid | Ngā werohanga e hoatu ana hei whakaiti i te pupuhi me te mamae huri noa i te io kua kopikopiko. |
| Pokanga | |
| Āhea te wā e tūtohutia ai te pokanga? | Ka whakaarohia anake te pokanga ina kore e angitu ngā maimoatanga katoa, ā, he tino kino hoki ngā tohu. |
| Ngā momo pokanga matua | Laminectomy: Te tango i tētahi wāhanga o te tuaiwi kia nui ake ai te wāhi mō ngā io. Te Hononga Tuaiwi: Mena he koretake te tuaiwi, me hono ngā tuaiwi e rua. Koinei te huarahi whakamutunga. |
He huarahi hei karo i tēnei āhuatanga?
Ahakoa kāore e taea te aukati katoa i te koroheketanga, tera ētahi mea ka taea e tātou te mahi hei pupuri i te hauora o tō tātou tuaiwi. Ka taea e ēnei te āwhina ki te whakaiti i te mōrearea o te stenosis tuaiwi, te whakahaere rānei i tōna whanaketanga.
- Kai hauora: Kai i ngā kai he nui te konupūmā hei pupuri i te kaha o ngā wheua.
- Te pupuri i te taumaha hauora: I te pikinga o te taumaha o te tinana, ka piki ake te pēhanga ki te tuaiwi.
- Kaua e kai paipa: Ka kino te kai paipa i ō tātou uaua toto, ka nui ake te mamae o te tuara.
- Kia tika te tū: He mea nui kia tika tonu tō tuara i a koe e noho ana, e tū ana, e hiki ana hoki i ngā taumaha.
- Korikori tinana auau: Mā ngā korikori tinana e whakapakari i ngā uaua o te tuara me te puku, inā koa ngā uaua o te puku, ka āwhina i te hauora o te tuaiwi.
Āhea ahau me toro atu ki te tākuta?
Mena kei te pāngia koe e te mamae o te tuara, o te kaki rānei, me te ngoikore rānei o ō ringaringa, o ō waewae rānei, me toro atu ki te tākuta. Mena kei te tango maimoatanga kē koe, ā, kāore e āwhina ana, me toro atu ki tō tākuta ki te matapaki i ētahi atu kōwhiringa.
Āhua ohorere!
Ki te pāngia koe e te kore e taea te pupuri i te mimi, ki te mea rānei kua ngoikore ō waewae e rua, he āhuatanga ohorere tēnā. Mēnā he pēnei , haere tonu ki te Tari Ohorere o te hōhipera (ETU).
He arai nui te mamae o te tuara me te kaki ki ō tātou oranga o ia rā. Engari ko te rongo pai he maha ngā maimoatanga whai hua mōna. Nō reira, kaua e wareware ki ngā tohu, kōrero ki tō tākuta kia kitea ai te otinga e pai ana mōu.
Karere Tangohia ki te Kāinga
- Ko te stenosis o te tuaiwi he whaiti o te awa tuaiwi e puta ana i te pakeketanga.
- Ko ngā tohu matua ko te mamae, te ngoikore, me te ngoikore o te tuara, te kaki, ngā ringa, ngā waewae rānei.
- Mēnā ka pāngia te tuara o raro e te uaua o te uaua, ko tētahi tohu noa ko te whakaiti i te mamae ina piko whakamua.
- He tokomaha ka taea te whakatutuki i ngā hua pai mā roto i ngā maimoatanga kore-pokanga, pērā i te whakakori tinana, te whakaora tinana, me te rongoā.
- Me mahi te pokanga i ngā wā tino kino kāore i pai ki ētahi atu maimoatanga.
- Mena kei a koe ēnei tohu, me toro atu ki te tākuta kia tika ai te tātaritanga me te maimoatanga.
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