Kua roa koe e mamae ana i te tuara? Ka kino haere tēnei mamae i ētahi wā i te pō? He maha ngā wā ka whakaaro tātou he mea noa tēnei momo mamae nā te ngenge me te tū kino. Engari i ētahi wā, tera pea he take nui ake kei muri. I tēnei rā ka kōrero tātou mō tētahi kaupapa he ahua nui, engari me mōhio tātou katoa. Arā, ko ngā pukupuku e tupu ana i roto i te tuaiwi, i te taurakira rānei, i ngā 'Pukupuku Tuaiwi' rānei.
He aha te puku tuaiwi?
He tipu rerekē te pukupuku tuaiwi o ngā pūtau e puta mai ana i roto, i te taha rānei o tō tuaiwi, o tō taurakira rānei. Pērā i ngā pukupuku ka puta mai i ētahi atu wāhanga o ō tātou tinana.
Hei mārama ake ki tēnei, me titiro tātou ki tō tātou tuaiwi.
- Tuarā/Iwi Tuara: Koinei te hanganga rite ki te pourewa i hangaia mai i ngā wheua hono (iwi tuarā) e rere ana mai i te angaanga ki te papa. Koinei te mea e homai ana te kaha ki te tinana kia tū tika.
- Taura Tuaiwi: He wāhanga rite ki te taura tēnei o tō tātou roro e heke iho ana i tō tātou roro, ā, he maha ngā muka io e hangaia ana. E tiakina ana e te taura tuaiwi i kōrerotia i mua ake nei. Mā roto i tēnei taura tuaiwi ka haria ngā karere mai i te roro ki te toenga o te tinana, ā, ka haria ngā karere mai i te tinana ki te roro.
Kua mārama koe ināianei ki te hiranga o ēnei wāhanga e rua, tika? Nō reira, ki te puta he pukupuku i tētahi wāhi tino nui, he mea hei āwangawanga māu.
Ka taea e ēnei pukupuku te noho pai , te noho kino rānei. Heoi, ehara i te mea pai te whakaaro noa ehara i te matepukupuku. Nā te mea, ahakoa ētahi pukupuku ehara i te matepukupuku ka taea te tipu nui me te pēhi i te taurakira, i ngā io rānei, ka puta he raruraru nui.
E rua ngā huarahi e puta ai ēnei pukupuku.
E rua ngā huarahi matua e puta ai ngā pukupuku tuaiwi. He mea nui anō hoki te mārama ki tēnei mō te maimoatanga.
1. Ngā Pūkahu Tuaiwi Tuatahi: Ko ēnei ngā pūkahu ka puta tuatahi i te tuaiwi. Ko te tikanga ka tīmata te pūkahu i te tuaiwi. He tino onge ēnei.
2. Ngā Puku Tuaiwi Kua Metastatic, kua Tuarua rānei: Koinei te momo tino kitea. Ko te mea e tupu ana i konei ko ngā pūtau matepukupuku kua tīmata ki tētahi atu wāhi o te tinana (hei tauira, te pukahukahu, te ū, te repeure) ka haere mā roto i te toto ka noho ki te taurakira, ka tipu hei pukupuku.
He māmā noa iho, he maha ngā pukupuku e kitea ana i te tuaiwi ehara i te mea i tīmata i te tuaiwi, engari he mate pukupuku kua horapa mai i ētahi atu wāhanga o te tinana.
Me pēhea te whakarōpū i ngā pukupuku tuaiwi?
Ka wehea e ngā tākuta ēnei pukupuku kia maha ngā momo. Mā tēnei ka māmā ake te mārama tika ki te mate me te whakatau i te maimoatanga pai rawa atu.
I runga i te tauwāhi i roto i te tuaiwi
Kua wehea tō tātou tuaiwi ki ētahi wāhanga. Ka whakarōpūtia hoki i runga i te wāhi kei reira te pukupuku.
| Te rohe tuaiwi | Hei whakarāpopototanga, |
|---|---|
| Ngā tuaiwi o te kaki | Rohe kaki |
| Uma | Kei te taumata uma, waenganui o te tuara |
| Ngā tuaiwi lumbar (Lumbar) | Tua o raro |
| Hakaramu | Te wāhanga o raro rawa o te tuaiwi, i waenganui i ngā wheua hope |
Ko te nuinga o te wā ka kitea ēnei pukupuku i roto i te uma me te hope.
I runga i te taunga i te taha o te taurakira
He hohonu tēnei, engari he mea nui kia mārama.
- Intramedullary: Ka puta ēnei pukupuku i roto i te taurakira. He onge noa iho ēnei.
- I roto i te dural-extramedullary: He uhi angiangi rite ki te kiriuhi (dura) e karapoti ana i te taurakira . Ka puta ēnei pukupuku i roto i taua uhi, engari i waho o te taurakira.
- I waho o te taurakira: Ka puta ake ēnei i waho o te taurakira. Arā, i roto i ngā wheua o te tuaiwi (vertebrae). Ko te nuinga o ngā pukupuku tuaiwi nō tēnei momo.
Ko te mamae o te tuara te tohu matua!
He maha ngā āhuatanga e whakawhirinaki ana ki ngā tohu o ngā pukupuku tuaiwi. Ka pāngia tēnei e te wāhi, te rahi, me te momo pukupuku. Tērā pea kāore ētahi pukupuku iti e whakaatu i tētahi tohu. Heoi, ka puta pea ngā tohu ina nui haere te pukupuku, ā, ka tīmata te pēhi i ngā io tata.
Kia aro nui ki ēnei tohu:
| Tohu | He whakaahuatanga mōna |
|---|---|
| Mamae tuara | Koinei te tohu tino kitea . He rerekē tēnei mamae i te mamae tuara noa. Ki te kaha ake te mamae, inā koa i te pō , he mea hei āwangawanga māu. Ka kaha ake pea te mamae i te wā e tihe ana, e maremare ana, e whakakori tinana ana rānei. Kāore pea tēnei mamae e whakaorangia e ngā rongoā whakamamae mamae noa. |
| Mamae ā-pūtau | Tērā pea ka pāngia koe e te mamae koi e toro atu ana i tō tuara ki ō hope, ki ō waewae, me ō ringa. Tērā pea ka rite ki te mea kei te werohia koe e tetahi ki te maripi. |
| Te ngoikore me te ngaronga o te kare ā-roto | Te ngenge i ngā wāhi pēnei i ngā ringaringa, ngā waewae, me te uma, te ngaro rānei o te kare ā-roto i te pā, te wera, te makariri rānei i aua wāhi. |
| ngoikore o te uaua | Ka ngaro te kaha o ō waewae me ō waewae. He uaua ki a koe te hikoi, kāore e taea e koe te hapai i ngā mea, ā, ka hinga pea koe i ngā wā maha i a koe e hikoi ana. |
| Te ngaronga o te mana whakahaere o te whekau me te pūhā | Tērā pea ka pāngia koe e te kore e taea te pupuri i te mimi, he tohu kino rawa atu tēnei. |
| Te huringa o te āhua o te tuaiwi | Ka taea e ētahi pukupuku nui te whakaputa i ngā āhuatanga pēnei i te scoliosis. |
Ko te mea nui, ki te mea he mamae tonu tō tuara, ā, kāore e pai ake i te maimoatanga auau, inā koa i te pō, me toro atu koe ki te tākuta . He mea nui rawa tēnei mēnā kua pāngia koe e te mate pukupuku i mua.
Me pēhea te tautuhi i te mate? (Tautuhinga)
Ina haere koe ki te tākuta, ka whakarongo pai ia ki ō tohumate. Kātahi ka tirotirohia koe e ia. Ka tirotirohia e ia te kaha o ō uaua, ō kare ā-roto, me ō urupare.
Hei tāpiri, ka taea te whakahaere i ngā whakamātautau e whai ake nei hei whakaū i te mate:
- Ngā Whakamātautau Whakaahua (matawai):
- Matawai MRI: Koinei te huarahi pai rawa atu, te huarahi tika hoki ki te kimi i te pukupuku tuaiwi. Ka taea e te MRI te whakaputa whakaahua tino mārama o te taurakira, ngā io, me ngā kiko e karapoti ana.
- Matawai CT: Mā tēnei ka pai ake te mārama ki te āhua o ngā wheua o te tuaiwi.
- X-ray: I ētahi wā ka mahia he X-ray hei whakamātautau tuatahi.
- Ko te koiora kiri: Ko te tango i tētahi wāhanga iti rawa o te kiko mai i te pukupuku ka tirotirohia i raro i te karuārai. Mā tēnei ka whakatau mēnā he matepukupuku te pukupuku, me tōna momo.
- Matawai Wheua: Ka taea te mahi i tēnei whakamātautau mēnā kei te whakapaetia kua horapa te mate pukupuku ki ngā wheua mai i ētahi atu wāhanga o te tinana.
- Ngā Whakamātautau Toto: Ka taea e ētahi momo matepukupuku te whakarerekē i ngā taumata o ētahi matū i roto i te toto (hei tauira, te konupūmā). Ka taea hoki e ngā whakamātautau toto te āwhina ki te tirotiro i tēnei.
He aha ngā maimoatanga?
Ka rerekē te mahere maimoatanga i ia tangata, i ia tangata. Kei te momo, te rahi, te wāhi o te pukupuku, me tō hauora whānui. Ko ngā whāinga matua o te maimoatanga ko:
- Te whakaiti i te mamae.
- Te tiaki, te whakapai ake rānei i te mahi a te taurakira me ngā io.
- Te whakanui ake i te kounga o te ora me te roa o te ora.
I te nuinga o te wā ka huihui mai he tīma tākuta mai i ngā tohunga rerekē mō te maimoatanga.
He maha ngā tikanga maimoatanga matua:
1. Pokanga: I ngā wā katoa e taea ai, inā koa mēnā kei te pēhi te pukupuku i ngā io, ka mahia te pokanga hei tango i te katoa, i tētahi wāhanga rānei o te pukupuku. Ka taea te whakaora i ētahi pukupuku kore-matepukupuku mēnā ka tangohia katoatia. Heoi, he uaua ki te tango katoa i ētahi pukupuku kei roto i te taurakira me te kore e kino ki ngā io.
2. Te Whakaora Irahiko:Ko te tikanga o tēnei ko te whakamahi i ngā hihi kaha-nui (pērā i ngā hihi-X) hei whakangaro i ngā pūtau matepukupuku, hei whakaiti rānei i te pukupuku. Ina whakaiti te pukupuku, ka whakaitihia te mamae me ētahi atu tohu.
3. Te rongoā matū: Ko te hoatu i ngā rongoā ki te tinana hei patu i ngā pūtau matepukupuku. Ka taea ēnei te hoatu hei pire, hei werohanga rānei.
4. Pokanga Reo Irirangi Whakairoiro: Ehara tēnei i te pokanga. He tikanga tēnei e tuku ana i tētahi hihi tino tika, whai kiko, nui te horopeta o te hihi ki te puku anake. He iti noa te kino e pā ana ki ngā kiko hauora e karapoti ana.
5. Aroturukitanga: Mena he iti ngā pukupuku kāore i te matepukupuku, kāore he tohu, he koretake, ka whakatau pea tō tākuta kia kaua e rongoātia, engari me tirotiro noa i te tipu o te pukupuku mā te whakamahi i ngā matawai MRI auau.
Ngā āhuatanga e hiahia ana koe ki te haere ki te hōhipera i te wā e hiahiatia ana
Mena kei te rongoatia koe mō te pukupuku tuaiwi, ā, ka puta he tohu hou, ka kino ake rānei ngā tohu o mua, haere tonu ki te Tari Ohotata (ETU) tata.
Ahakoa te tikanga maimoatanga, mā tō tākuta me tō tīma hauora e whakatau. Nō reira, kaua e whakatau i tō ake maimoatanga i runga i tāu i pānui ai i te ipurangi, i tā ētahi atu rānei e kōrero. Kōrerohia ō pātai katoa ki tō tākuta.
Karere Tangohia ki te Kāinga
- Mena he rerekē te mamae o tō tuara i te mamae tuara noa, inā koa i te pō , ā, kāore e pai ki ngā rongoā whakamamae mamae noa, kaua e warewarehia.
- Mena kei te haere tahi te mamae o te tuara me te ngoikore, te uaua rānei ki te whakahaere i te mimi/paru , he āhuatanga ohorere tēnei. Rapua tonutia te awhina hauora.
- Ehara i te mea he mate pukupuku ngā pukupuku katoa e puta mai ana i te tuaiwi. Tērā anō hoki ngā pukupuku pai. Engari ka taea hoki e rātou te whakararu mā te pēhi i ngā io.
- Mena ka pāngia tetahi tangata kua pāngia e te mate pukupuku i tētahi atu wāhanga o te tinana, he mea nui kia whakamōhio tonu atu ia ki tā rātou tākuta , he tohu pea tēnei kua horapa te mate pukupuku.
- He maha ngā wā ka puta he hua pai mā te kitenga wawe me te maimoatanga tika. Nō reira kaua e wehi i ngā tohu, ā, ki te mea he ruarua āu, tirohia he tākuta mō te tirotiro hauora.
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