Kei te pāngia koe e te ngoikore o ō ringaringa me ō waewae, me te mamae hoki o te tuara me te kaki? Me ako tātou mō te Spinal Stenosis!

Ka pāngia koe e te ngau kino i ētahi wā e tīmata ana i tō tuara ka heke iho i ō waewae? Ka ngoikore ō waewae ina hikoi koe mō te wā poto? Ka mamae rānei ō ringa me te mamae o te kaki? Tērā pea koe e whakaaro ana he raruraru tinana noa iho ēnei, engari tera pea ko te take he raruraru kei roto i tō tuaiwi. I tēnei rā kei te kōrero tātou mō te Spinal Stenosis, he āhuatanga e mamae ai te tuaiwi.

He aha te Stenosis Tuaiwi?

Ki te whakarāpopototanga, ko te Spinal Stenosis te whaiti o te awa tuaiwi, te wāhi rite ki te ngongo e haere ai te taura tuaiwi me ngā io mā roto i tō tātou tuaiwi. Whakaarohia mēnā ka mau te paru ki roto i te paipa wai, ka iti haere te wāhi e rere ai te wai.

Ina whaiti tēnei wāhi , ka tīmata te pēhi me te kōpiri o ngā io o roto. Koinei te wā ka tīmata tātou ki te pāngia e ngā tohu pēnei i te mamae me te ngoikore. E rua ngā wāhanga matua o te tuaiwi e pāngia ana e tēnei āhuatanga:

• Te Stenosis Tuaiwi Lumbar: Ka puta i ngā tuaiwi e rima (L1-L5) kei raro i te tuaiwi.
• Te Stenosis o te Tuaiwi o te Cervical: Ka puta i ngā tuaiwi e whitu o tō tātou kaki (C1-C7).

He tino onge te puta o tēnei āhuatanga i te wāhanga waenga o te tuaiwi (Thoracic Spine).

He pēhea te noa o tēnei āhuatanga?

He tino noa ake tēnei mate i tō whakaaro. Ina koa i muri i te 50 tau te pakeke, he maha ngā tāngata ka pāngia e ētahi huringa me ngā hapa o ō rātou tuaiwi. Ko te stenosis tuaiwi tētahi atu huringa noa e puta ana i te kaumātuatanga. Ko te nuinga o te hunga neke atu i te 65 tau te pakeke e pokangahia ana te tuaiwi nā tēnei mate.

He aha ngā tohu o te Spinal Stenosis?

Kāore e ōrite ngā tohu o te stenosis tuaiwi mō te katoa. Kei te wāhi o te tuaiwi e pēhia ana ngā io, me te kaha o te pēhanga. Tērā pea kāore ētahi tāngata e kite i tētahi tohu i te tīmatanga, ahakoa ka taea e rātou te kite i te āhua i runga i te hihi-X.

Kia titiro tātou me pēhea te hurihanga o ngā āhuatanga i ngā wāhanga matua e rua.

He aha te take e puta ai te stenosis o te tuaiwi?

Ka taea te wehewehe i ngā take o te stenosis spinal ki ngā wāhanga matua e rua.

Ngā Take i Whiwhihia

Koinei te mate e tino kitea ana. Ka puta i muri i te whānautanga, i te nuinga o te wā i muri i te 50 tau te pakeke, nā te "kakahu me te haehae" e puta ana i roto i tō tātou tuaiwi.

• Te Tupu Nui o ngā Wheua: I a tātou e pakeke haere ana, ka memeha haere ō tātou hononga, e kiia nei ko te Osteoarthritis. Ina memeha haere ngā hononga o te tuaiwi, ka hangaia e te tinana he hanganga wheua hou hei whakakapi. Ka kiia ēnei he whēkau wheua . Ka tipu ēnei whēkau wheua hou ki te wāhi e haere atu ai ngā io, ka whakaiti i te wāhi.
• Ngā Kōpae Pupuhi, Ngā Kōpae Herniated rānei: Ka taea e te kōpae rite ki te tiēre i waenganui i ngā tuaiwi e rua i roto i te tuaiwi te pakaru, te pupuhi, me te pēhi i ngā io.
• Ngā hononga matotoru: I a tātou e pakeke haere ana, ka taea e ngā hononga, he rite ki ngā here e pupuri ana i te tuaiwi, te matotoru me te piko ki roto, ka whakaiti i te wāhi.
• Ngā whati me ngā whara o te tuaiwi: Ki te whati tetahi wheua o te tuaiwi, pērā i te aituā, ki te hinga rānei koe, ka whaiti te wāhi.
• Ngā Pūmua Tuaiwi: He tino onge, ka puta hoki tēnei āhuatanga i ngā pūmua e hanga ana i te taha o te taurakira.

Ngā Take Whakatupu

He tino onge tēnei. Ko tōna tikanga, ina whānau mai te tangata, he whaiti ake te ara o ngā io i roto i tōna taurakira i te mea noa. Tērā pea nā ngā āhuatanga ira pēnei i te achondroplasia tēnei.

Me pēhea te kitenga a te tākuta i tēnei?

Ina haere koe ki te kite i tētahi tākuta me ēnei tohu, ka whai ia i ēnei mahi.

1. Te pātai mō ngā tohu: Tuatahi, ka pātai atu rātou ki a koe mō te āhua o te mamae, te roa o te mamae, me te aha te mea e kino rawa atu ai.

2. Whakamātautau tinana: Kātahi ka tirotirohia koe. Ka tonoa koe kia titiro ki tō tuara, kia piko whakamua, whakamuri, me te taha.

3. Ngā Whakamātautau Whakaahua: Kātahi pea ka tonoa koe kia mahi i ētahi whakamātautau hei whakaū i tēnei.

• Hiko-X: Ka taea e te hihi-X te tirotiro mēnā he panoni kei roto i ngā wheua, mēnā kua heke te teitei o te kōpae, mēnā rānei he whēkau wheua.
• Matawai MRI: Mā tēnei ka taea e koe te kite mārama i ngā mea pēnei i ngā io, ngā kōpae, me te taurakira. Mā tēnei ka taea e koe te kimi i te wāhi me te nui o te pēhanga o aua mea.
• Matawai CT: I ētahi wā ka tonoa pea koe kia mahi i tētahi Matawai CT. I ētahi wā ka mahia he CT Myelogram mā te werohanga i tētahi wai motuhake (tae rerekē) ki te wāhi. Mā tēnei ka kitea mārama ake ngā io.

He aha ngā maimoatanga?

Ngā Maimoatanga Kore-Pokanga

He tokomaha ngā tāngata ka whai hua mai i ēnei maimoatanga.

• Ngā mea ka taea e koe te mahi i te kāinga:
• Te whakamahana: Mā te whakamahana, pērā i te pounamu wai wera, ki te wāhi mamae ka taea te whakangāwari i ngā uaua me te whakaiti i te mamae.
• Te kōpeke makariri: I ētahi wā, ki te mea he pupuhi, he tika te tāpiri i te kete hukapapa.
• Korikori Tinana: He mea tēnei me pātai atu koe ki tō tākuta, ki tō kaiwhakaora tinana rānei. Ka taea e ngā korikori tinana tika te whakapakari i ngā uaua o tō tuara, me te whakaiti i te mamae.

• Maimoatanga hauora:
• Ngā Rongoā: Tērā pea ka tohua e tō tākuta ngā rongoā whakamamae mamae me ngā rongoā ārai-mumura (NSAID). Tērā pea ka tohua anō hoki e ia ngā rongoā e tika ana mō te mamae o ngā io (hei tauira, Gabapentin).
• Whakaora Tinana: He mea tino nui tēnei. Mā te kaiwhakaora tinana koe e ako ki ngā mahi whakakori tinana hei whakapakari i tō tuara, hei whakanui ake i tō ngāwari, ā, hei ako anō hoki i a koe ki te hikoi hei whakaiti i te pēhanga o ngā io.
• Werohanga Steroid: Mena he nui te mamae me te pupuhi, ka whakatau pea tō tākuta ki te werohanga i te wāhi e pēhia ana te io. Ka taea e tēnei te whakaora i te mamae mō te wā poto.

Pokanga

Ka mahia te pokanga hei whakamama i te pēhanga ki runga i te io. He momo pokanga noa te laminectomy. Ko te tikanga he tango i tētahi wahi wheua e aukati ana i te io, ā, ka hangaia he wāhi. I ētahi wā, ki te kore e pumau te tuaiwi, ka taea te mahi pokanga honohono tuaiwi hei whakakotahi i ngā tuaiwi e rua.

Ka taea te ārai i tēnei āhuatanga?

Kāore e taea te ārai katoa i tēnei mea nā te mea kāore e taea te aukati i te koroheketanga. Heoi, mā te whai i ētahi tikanga hei pupuri i te hauora o tō tātou tuaiwi, ka taea e tātou te whakaiti i te mōrearea o tēnei mea, me te whakahaere i te kino haere o te mate.

• Kai i tētahi kai hauora . Kai i ngā kai he nui te konupūmā hei whakapakari i ngā wheua.
• Kia mau ki te taumaha hauora o te tinana . I a koe e piki haere ana te taumaha, ka piki ake te pēhanga ki tō tuara.
• Kaua e kai hikareti.
• Kia tika te tū. Kia tika tō tuara i a koe e noho ana, e hiki ana hoki i ngā taumaha.
• Whakakorikori tinana i ngā wā katoa. He mea tino nui ngā whakakorikori tinana e whakapakari ana i ō uaua tuara me ō uaua matua.

Āhea ahau me toro atu ki te tākuta?

Ki te pāngia koe e ngā tohu hou pēnei i te mamae o te tuara, o te kaki rānei , te ngoikore o ō ringaringa, o ō waewae rānei, te uaua rānei ki te whakahaere i tō mimi, i tō tūtae rānei , kaua e warewaretia, engari me toro atu ki te tākuta tonu. He tohu pea ēnei mō tētahi mate kino.

Mena kei te whiwhi maimoatanga kē koe, engari kāore te mamae e pai haere ana, kōrero atu ki tō tākuta mō tēnā. Kātahi ka taea e ia te whakatau i ētahi atu huarahi maimoatanga.