Kei te mamae hoki tō tuara, te mamae o ngā waewae, te ngoikore rānei ina tū koe, ina hikoi rānei mō tētahi wā? I ētahi wā, kāore pea te take o tēnei i te tino māmā pērā i tō whakaaro. I tēnei rā kei te kōrero tātou mō tētahi āhuatanga e kiia nei ko te ' spinal stenosis ', he mea noa i waenga i te tini o te tangata, engari kāore i te tino mōhiotia. Ina rongo koe i tēnei, tera pea he rite ki tētahi mate nui, engari kaua e mataku. Me kōrero tātou mō tēnei mea me te ngāwari me te mārama.
He aha te tikanga māmā o te Spinal Stenosis?
Whakaarohia tō tātou tuaiwi he ngongo. Ko te taurakira, te io matua e kawe ana i ngā karere mai i tō tātou roro ki te toenga o tō tātou tinana, e rere ana mā roto i tēnei ngongo. Ka tīmata te whaiti o tēnei ngongo, te awa tuaiwi, i roto i te wā nā ngā take maha. I roto i ngā kupu hauora, ko tēnei whaiti o te awa tuaiwi ka kiia ko te spinal stenosis .
Ina whakaitihia te wāhi i roto i tēnei ara, ka tīmata te pēhi me te kōpeke i te taura io tino nui (te taurakira) me ngā io kē atu e peka mai ana i reira. Ko te wā tēnā ka puta ai ngā tohu pēnei i te mamae o te tuara, te ngoikore o ngā waewae, me te ahua o te kore e taea te whakahaere i ngā waewae.
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 i roto i te tuaiwi.
- Te whakatōtōtanga o te kaki : He whaiti tēnei o te awaawa tuaiwi i roto i tō tātou kaki.
- Te Tūmomo Tutuki o te Tuarā: He whaiti tēnei o te awa tuaiwi i te tuatoru o raro o te tuaiwi. Koinei te momo tino noa.
I te nuinga o te wā, ko te tino take o tēnei mate ko te osteoarthritis, he mate hononga pirau e puta ana i te kaumātuatanga. I te memeha haere o te kiriuhi tautoko i waenganui i ō tātou tuaiwi, ka mirimiri ngā tuaiwi tetahi ki tetahi. Hei whakautu, ka hangaia e te tinana he wheua hou. Ka taea e tēnei wheua tāpiri te whakawhāiti ake i te wāhi.
He aha ngā tohu noa o tēnei?
Kāore e pāngia te katoa e ngā tohu. Engari ki te pāngia, he maha ngā wā ka pāngia e te mamae o te tuara , te pakari o te tinana, me te ngoikore o te tinana. Me titiro tātou ki ētahi atu tohu motuhake ka puta mai i tēnei.
| Tohu | Whakaahuatanga |
|---|---|
| Sciatica | He mamae nui e tīmata ana i te tuara o raro, i te papa rānei, ka heke ki raro i te waewae me te mea he ru hiko. |
| Te uaua ki te hikoi (Te taka o te waewae) | Te mamae me te ngoikore o ngā waewae, ka rite pea ki te mea kei te pa ō waewae ki te whenua ina hikoi koe. Tērā pea ka kino ake te mamae ina tū koe, ina hikoi rānei. |
| Te Ngaronga o te Mana Puku/Pū | (Te Mate Pukupuku o te Waewae) - He mate tino kino tēnei. Ka puta tēnei mate nā te pēhanga nui o ngā io e hono ana i te pūkahukahu me te whekau. He āhuatanga ohorere hauora tēnei. Me haere tonu koe ki te Tari Ohorere o te hōhipera (ETU). |
| Te pēhanga o te pakiaka io (Radiculopathy) | Te mamae, te ngoikore rānei o ngā ringa me ngā waewae nā te pēhanga o ngā pakiaka io e puta mai ana i te tuaiwi. |
| Te pēhanga o te taura tuaiwi (Myelopathy) | Te ngoikore me te ngenge o ngā ringa me ngā waewae nā te pēhanga o te taurakira. |
He aha ngā tino take o te stenosis o te tuaiwi?
E ai ki tā tātou i kōrero ai i mua ake nei, ko te mate rumatiki te tino take. Haunga tēnā, tera pea ētahi atu take.
| Take | He aha te mea ka tupu |
|---|---|
| Ngā Kōpae Herniated | Ka pakū te kōpae i waenganui i ngā tuaiwi, ka turuturu te mea rite ki te tiēre i roto, ka pēhi i ngā io. |
| Ngā whara | He whati, he whāwhā rānei o te tuaiwi nā tētahi aituā. |
| Ngā pukupuku | He pukupuku matepukupuku, he momo pukupuku rānei e tipu ana i roto i te awa tuaiwi. |
| Ngā hononga matotoru | Ka matotoru haere ngā hononga e hono ana i ō tātou wheua i roto i te wā, ā, ka puta ki roto i te kōhao. |
He aha ngā āhuatanga mōrearea?
- Ko te pakeke neke atu i te 50 tau te tino take mōrearea.
- He nui ake te tūponotanga ka pāngia ngā wāhine e tēnei mate.
- Mena kua pokangahia tō tuara i mua.
- Mō ētahi tāngata, ka pā mai pea tēnei mate i te wā taitamariki, i waenga i te 30-50 tau te pakeke, nā ētahi mate whānau o te tuaiwi (hei tauira, te scoliosis ).
Me pēhea e kitea ai tēnei e koe, e Tākuta?
Ina haere koe ki te kite i tētahi tākuta me ēnei tohu, ka pātai tuatahi ia ki a koe mō tō āhua. Kātahi ka tirotirohia koe e ia. Tērā pea ka pēhia e ia ngā wāhi o tō tuara e mamae ana, ā, tērā pea ka tirohia e ia tō haere me tō tū.
Hei whakaū tika i tēnei āhuatanga, me whakahaere ngā whakamātautau whakaahua.
- Matawai MRI : Ka taea e tēnei te tango i tētahi whakaahua tino mārama o te tuaiwi, arā, he whakaahua toru-ahu (3D). Ka taea te kite mārama i ngā mea pēnei i te uaua kua kopikopiko, te pakaru o te kōpae, me ngā pukupuku.
- Matawai CT: He tikanga hihi-X anō hoki tēnei e whakaputa ana i ngā whakaahua toru-ahu. I ētahi wā ka werohia he tae ki roto i te tinana. Ka āwhina tēnei ki te kimi raruraru ehara i te mea ko ngā wheua anake engari ko ngā kiko ngohengohe hoki.
He aha ngā maimoatanga mō tēnei?
Ko te mea tuatahi, ko te mea nui hoki hei kī, kāore anō kia kitea he rongoā mō te stenosis tuaiwi.Heoi anō, 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 noa. Mā tō tākuta e whakatau te maimoatanga pai rawa atu māu.
- Ngā rongoā whakamamae mamae: Mō te mamae whānui, ka taea e koe te whakamahi i ngā rongoā poto pēnei i te paracetamol me te ibuprofen. Mō te mamae roa, ka tūtohu pea tō tākuta i ētahi rongoā ārai pouri me ētahi atu rongoā mō te mamae io.
- Werohanga Corticosteroid: Ka werohia tika te steroid ki te wāhi e mamae ana, e pupuhi ana hoki. Mā tēnei ka tere te whakaora i te mamae, engari kāore e taea i ngā wā katoa nā te mea he pānga taha.
- Whakaora Tinana: He maimoatanga tino nui tēnei. Ka hangaia e te kaiwhakaora tinana he raupapa o 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, me te whakaiti i te pēhanga ki tō tuaiwi.
- Pokanga: Ka whakaarohia te pokanga i ngā wā tino kino, pērā i te wā kāore he maimoatanga kē atu i āwhina, ina uaua te hikoi, ina ngaro rānei te mana whakahaere mimi. He maha ngā momo pokanga (hei tauira, Laminectomy) e hanga ana i te wāhi e pēhia ai te io. Ko te pokanga te huarahi whakamutunga. Me kōrero koe ki tō tākuta i mua i te whakatau.
Ngā mea ka taea e koe te mahi i te kāinga me ngā mea me karo e koe
Haunga te maimoatanga e tukuna ana e tō tākuta, ka taea e koe te whiwhi i te oranga nui mai i ngā huringa iti ki tō momo noho.
- Whakakorikori Tinana: Me te whakaae a tō tākuta, me mahi ngā mahi whakakorikori tinana mārie pērā i te hikoi me te kaukau.
- Ngā kōpeke wera me ngā kōpeke makariri: Ka whakangāwari ngā uaua i ngā kōpeke wera. Ka whakaitihia te pupuhi e ngā pēke hukapapa. Tirohia ko tēhea tikanga ka whakaora i a koe.
- Tū tika: Tū tika i a koe e tū ana, e noho ana rānei. Ki te hiki koe i tētahi mea taumaha, pikohia ō turi, kaua te tuara.
- Whakaitihia te taumaha: Ka nui ake te pēhanga o tō tuara i te taumaha rawa. Mā te whakaiti i te taumaha ka tino whakamama i te mamae.
- Kaua e kai paipa: He tino kino te kai paipa ki te hauora o te tuaiwi.
Karere Tangohia ki te Kāinga
- Ko te stenosis o te tuaiwi he whakawhāiti i te wāhi i roto i te tuaiwi. Ka taea e tēnei te whakawhāiti i ngā io, te mamae, me te ngoikore.
- Ko te koroheketanga me te mate rumatiki ngā tino take, engari ka pā anō hoki ki te hunga rangatahi.
- Ko te mamae o te tuara, te mamae e horapa ana ki ngā waewae (sciatica), me te uaua ki te hikoi, he tohu noa ēnei.
- Ki te ngaro whakarere tō mana whakahaere i tō mimi, i tō tūtae rānei, he āhuatanga ohorere hauora tēnā. Haere tonu ki te Tari Ohorere (ETU) o te hōhipera.
- Ahakoa kāore e taea te whakaora katoa i tēnei mate, ka taea te whakahaere pai i ngā tohu mā te rongoā, te whakaora tinana, me ngā huringa āhua noho. Me whai tonu i ngā tohutohu a tō tākuta.
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