He maha ngā wā ka mamae tō tuara? Ka mamae rānei ina tū roa koe, ina hikoi rānei? I ētahi wā ka rite te mamae ki te heke iho i ō waewae? He maha ngā take mō tēnei, engari tera pea he take kei muri kāore koe e whakaaro. Ko te mea tēnei ina paheke, ina nekehia rānei tētahi o ngā wheua o tō tuara, he tuaiwi, mai i tōna tūranga tika. I roto i te rongoā, ka kiia tēnei mate ko te Spondylolisthesis . Ahakoa he ahua rerekē te ingoa, he kaupapa nui tēnei me kōrero tātou, me mārama hoki.
He aha te Spondylolisthesis?
Whakaarohia tō tuaiwi he rarangi pereki e whakatakotoria ana tetahi ki runga i tetahi. Ko ia o ēnei pereki e kiia ana he tuaiwi . E 33 pea ēnei tuaiwi i roto i tō tātou tuaiwi. Ahakoa e hono ana tetahi ki tetahi, ka taea e rātou te neke haere i a tātou e hikoi ana, e piko ana, e neke ana hoki i ō tātou tinana.
Nā, mō te spondylolisthesis, ka paheke tetahi o ngā pereki o tēnei rarangi, arā, tētahi tuaiwi, ki tua atu i tōna āhua e tika ana, ka pēhi i te tuaiwi i raro iho. He rite ki tētahi pereki i roto i te rarangi pereki e piri mai ana. Ina paheke pēnei, ka pēhia ngā io e karapoti ana. Koinā te wā ka puta ai ngā tohu pēnei i te mamae o te tuara me te mamae e heke ana ki ngā waewae.
Ahakoa ka puta tēnei āhuatanga ki ngā wāhi katoa o te tuaiwi, ka kitea nuitia i te taha o raro o te tuaiwi, arā, te tuaiwi hope . Ka puta anō hoki i ētahi wā ki te kaki (tuawi kaki) me te taha o runga o te tuaiwi (tuawi uma).
Ahakoa te paheke o te tuaiwi, kāore pea koe e mataku i te mea kua hē te tūnga o tō tuaiwi katoa. He mate tēnei ka taea te rongoā me te whakahaere.
He aha ngā momo matua o te Spondylolisthesis?
Ka taea te wehewehe i te spondylolisthesis ki ētahi momo matua i runga i te āhua o tōna putanga mai. Me titiro tātou ki te aha ēnei.
| Momo spondylolisthesis | He whakamārama māmā |
|---|---|
| Te Spondylolisthesis Whakaheke (momo e pā ana ki te koroheketanga) | Koinei te momo tino noa. I a tātou e pakeke haere ana, ka memeha haere ngā kōpae rite ki te urunga i waenganui i ō tātou tuaiwi. I te angiangi o ēnei kōpae, ka nui haere te āputa i waenganui i ngā tuaiwi, ā, ka nui ake te tūponotanga ka paheke tetahi. |
| Te Spondylolisthesis whānau (he hapa whānau) | Ka puta tēnei ina kore e tika te hanganga o te tuaiwi o te pēpi i a ia e whanake ana i roto i te kōpū. Ka taea e tēnei te whakararu i te tūnga o ngā tuaiwi mai i te pūtake. Tērā pea ka puta ngā tohu i te tīmatanga o te oranga, ka puta rānei i muri tata mai i te oranga. |
| Te Spondylolisthesis Isthmic (nā te whati wheua) | Ka puta tēnei āhuatanga ina whati tetahi wahi iti o te wheua e kiia nei ko te pars interarticularis, e hono ana i ngā tuaiwi e rua. Nā tēnei whati ka ngaro te pumau o te tuaiwi, ka paheke. He mea noa tēnei āhuatanga i waenga i ngā kaitākaro. |
| Te Spondylolisthesis Traumatic (nā te aituā) | Ka taea te nekeneke o te tuaiwi nā te kaha nui rawa atu i pā ki te tuaiwi, pērā i te aituā, i te hinganga rānei. |
| Te Spondylolisthesis Pathological (nā tētahi atu mate) | Ka taea hoki tēnei āhuatanga te puta mai i ngā āhuatanga e ngoikore ai ngā wheua, pērā i te osteoporosis, i te pukupuku rānei e puta mai ana i roto i ngā wheua. |
| Te Spondylolisthesis i muri i te pokanga (i muri i te pokanga) | He tino onge tēnei mate, ā, ka puta pea hei pānga taha o te pokanga tuara. |
Me pēhea koe e mōhio ai mēnā kei a koe tēnei mate? He aha ngā tohu?
He mea whakamiharo te āhua o te mate pukupuku o ētahi tāngata engari kāore he tohu e pāngia ana e rātou.Tuatahi. Mena he iti noa te nui o te hernia o te kōpae tuaiwi (iti noa iho), kāore pea e nui te pēhanga ki ngā io, nō reira kāore pea koe e mamae.
Heoi, ki te puta mai ngā tohu, ka penei pea:
- Mamae o te tuara o raro: Koinei te tohu matua me te mea tino kitea.
- Sciatica: He kare mamae tēnei, he ngoikore, he wera rānei e horapa ana ki raro i te waewae. Nā te paheke o te tuaiwi e pēhi ana i te io sciatic.
- Te pakari o te tuara: Ka pakari te tuara ina oho ake koe i te ata, i muri rānei i te noho mō tētahi wā.
- Te uaua ki te hikoi, ki te tū rānei: Te mamae e ahua piki haere ana ina tū, ina hikoi rānei mō ngā meneti maha.
- Te ngenge, te ngoikore, te ngau rānei o ngā kapu o ngā waewae .
Tērā pea ka rerekē te wāhi o te mamae i runga i te wāhi i paheke ai te tuaiwi. I ētahi wā ka horapa te mamae ki te papa, ki ngā huha rānei.
He aha i pēnei ai te paheke o ngā tuaiwi? He aha ngā āhuatanga mōrearea?
Me titiro tātou ki ngā pūtake o te paheke o te tuaiwi, me te hunga e tino mōrearea ana ki tēnei.
Ngā take matua:
- Te koroheketanga: Ko te tino take ko te pakaru me te haehae o ngā kōpae o te tuaiwi i te koroheketanga.
- Ka whānau mai ētahi tāngata he angiangi ō rātou tuaiwi: Nā tēnei ka nui ake te tūponotanga ka whati ō rātou wheua.
- Ngā whara hākinakina: He tino teitei tēnei mōrearea mō te hunga e takaro ana i ngā hākinakina e nui ana te pēhanga, te taumaha rānei ki te tuara (hei tauira, te takahuri tinana, te hiki taumaha, te pōro tere i te kirikiti).
- Te tere o te tipu o ngā tamariki: Ka puta ēnei āhuatanga nā te tere o te tipu o ngā wheua i ngā wā ka piki tere te teitei o ngā tamariki me ngā taiohi.
- Aituā: Ngā whara o te tuara i puta mai i ngā mea pēnei i te hinganga me ngā aituā motuka.
Ko wai kei te mōrearea nui ake?
- Mō te hunga neke atu i te 50 tau te pakeke (ina koa ko te momo pirau).
- Mō ngā wāhine.
- Mō ngā kaitākaro (ina koa ko te hunga e takaro ana i ngā hākinakina e piko pinepine ana ō rātou tuara me te pekepeke).
- Mō te hunga he hītori whānau tō rātou mō tēnei āhuatanga, he mate rānei e pā ana ki te wheua.
Me pēhea te whakatau tika i tēnei āhuatanga?
Ki te pā mai ēnei tohu ki a koe, ko te mea tuatahi me mahi e koe ko te toro atu ki te tākuta . Ka pātai atu te tākuta ki a koe, ka tirotirohia hoki tō tuara.
Me kōrero koe ki tō tākuta mō te wā i tīmata ai te mamae, he aha ngā momo mahi e mahia ana e koe e kino rawa atu ai te mamae, me te mea i pāngia koe e tētahi aituā i mua i te putanga mai o ēnei tohu.
I muri i tēnā, ka tūtohu te tākuta i ētahi whakamātautau hei whakaū i te mate:
- He hihi-X o te tuara: Mā tēnei ka āwhina ki te whakatau mēnā kua paheke te tuaiwi me te nui o tōna paheke.
- Whakamātautau matawai CT (matawai Tomography Rorohiko):Mā tēnei ka taea te whakarato i tētahi pikitia mārama ake mō te hanganga o ngā wheua.
- Matawai MRI (Whakaahua Āhua Aukume): Ka āwhina tēnei ki te tirotiro mēnā he kino ki ngā kōpae me ngā io i waenganui i ngā tuaiwi.
Te nui o te uaua o te tuaiwi (Ngā taumata)
I muri i te mahi X-ray, ka whakarōpūtia e te tākuta ō tuaiwi kia rite ki te nui o tō rātou piko.
- Papa-iti (Papa I me te Papa II): Ko te tikanga he iti noa te paheke. He maha ngā tāngata e pāngia ana e tēnei taumata. Kāore e hiahiatia he pokanga mō tēnei.
- Teitei (Taumata III me te Taumata IV): Ko te tikanga he nui te paheke. I ēnei wā, me mahi pokanga pea, ina koa mēnā he tino kino te mamae.
He aha ngā maimoatanga mō tēnei?
He maha ngā tāngata whai spondylolisthesis ka taea te whakahaere pai i ō rātou tohu mā te maimoatanga kore-pokanga.
| Tikanga maimoatanga | Whakaahuatanga |
|---|---|
| Okiokinga | Mā te karo i ngā hākinakina me ngā mahi tinana uaua e pēhi ana i te tuara mō tētahi wā ka whakaiti i te pēhanga ki te tuaiwi. |
| Ngā rongoā mamae (Rongoā) | Ka taea e koe te tango i ngā NSAID (hei tauira, Ibuprofen, Diclofenac) Paracetamol rānei e ai ki te whakahau a tō tākuta hei whakaiti i te mamae me te pupuhi. Kaua rawa e tango i ngā rongoā whakamamae mamae me te kore kōrero ki te tākuta. |
| Ngā corticosteroids | He rongoā kaha ēnei hei ārai i te mumura. Ka taea te hoatu hei pire, hei werohanga cortisone rānei, ka hoatu tika ki te wāhi e mamae ana. |
| Te whakaora tinana | He maimoatanga tino nui tēnei. Mā te kaiwhakaora tinana koe e ako ki ngā mahi whakakori tinana hei whakapakari i ngā uaua huri noa i tō tuara me tō puku (ngā uaua matua). Ina kaha ēnei uaua, ka whakaitihia te pēhanga ki tō tuaiwi, ā, ka taea e koe te neke ngāwari ake me te kore mamae. |
| Te mau i te whitiki tuara | Mena he whati tō tuaiwi, ka tūtohu pea tō tākuta kia mauria he whitiki pēnei hei pupuri i te pumau o tō tuaiwi. |
Āhea te wā e hiahiatia ai te pokanga?
Ehara i te mea me pokanga te katoa e pāngia ana e te spondylolisthesis. Ina koa he mate iti noa iho, ā, kāore i te kino ngā tohu, tera pea ka taea e koe te ora me te kore pokanga.
Heoi, ka tūtohu pea tō tākuta kia whakaarohia te pokanga i roto i ēnei take:
- Mena he spondylolisthesis kounga teitei tāu.
- Mena he nui rawa te mamae , kāore e taea e koe te tū, te hikoi rānei.
- Ki te kore ngā tohu e pai ake ahakoa ētahi atu maimoatanga (ehara i te pokanga).
Ko te tikanga o te pokanga he tikanga e kiia nei ko te whakakotahitanga o te tuaiwi . Ko te tikanga o tēnei ko te whakakotahi i te tuaiwi kua paheke me te tuaiwi i raro iho hei hanga i te wheua kotahi. Mā tēnei ka nui ake te kaha me te pumau o te rohe. Me mahi pea koe i tētahi pokanga e kiia nei ko te decompression tuaiwi hei whakamama i te pēhanga ki ngā io.
He aha ngā mea me mōhio koe ina noho tahi koe me tēnei mate?
Kia kitea tō mate spondylolisthesis, ka pai ake ō tohu i roto i ētahi wiki, i ētahi marama rānei mā te whakamahi i ngā maimoatanga pēnei i te okiokinga, te rongoā, me te whakaora tinana. Engari kia maumahara, ko te tikanga o ēnei maimoatanga he whakaiti i te mamae me te āwhina i a koe ki te mahi noa, ehara i te whakahoki i te tuaiwi kua paheke ki tōna tūranga. Ko te pokanga anake ka taea te whakahoki i te tuaiwi kua paheke ki tōna tūranga.
Mena he kaitākaro koe, me whai wā okioki pea koe i ngā hākinakina kia taea rā anō e koe te neke haumaru me te kore mamae. Me kōrero koe ki tō tākuta i mua i te tīmatanga anō o te tākaro.
Ko te mea nui ko te karo i ngā mahi e pēhi nui ana i tō tuara, e piko rawa ana hoki i tō tuaiwi. Mā tō tākuta, mā tō kaiwhakaora tinana rānei koe e whakamārama he aha te mea e tika ana māu, me te mea kāore e tika ana māu.
Āhea koe e hiahia ana ki te kite i te tākuta?
Mena he mamae tuara tōu e roa ana i ngā rā torutoru, he nui rānei te mamae ka whakararuraru i ō mahi o ia rā, me toro atu ki te tākuta i te wā e taea ai. Ko te wawe o te tautuhi i te mate, ko te māmā ake o te rongoā me te whakaora.
Āhea te wā e haere ai ki te Wāhanga Maimoatanga Ohotata (ETU):
- Mena kua pāngia koe e tētahi aituā , pērā i te hinganga, i tētahi aituā motuka rānei.
- Ki te kore e rongo ō waewae , ki te uaua rānei ki te whakahaere i tō mimi, i tō tūtae rānei , haere tonu ki te Tari Ohotata (ETU) o te hōhipera. He tino nui rawa ēnei ohotata.
Karere Tangohia ki te Kāinga
- Ko te spondylolisthesis te wā e paheke ana te tuaiwi (vertebra) i roto i te tuaiwi. Koinei pea te tino take o te mamae o te tuara me te mamae e horapa ana ki raro i ngā waewae (sciatica).
- Ka taea tēnei e te koroheketanga, ngā whara hākinakina, me ētahi mate whānautanga.
- Ehara i te mea ka puta ngā tohu ki te katoa e pāngia ana e tēnei mate, ā, ehara i te mea ka hiahiatia he pokanga mō te katoa.
- He tokomaha te hunga ka taea te whakahaere i ngā tohu mā te whakamahi i ngā maimoatanga māmā pēnei i te okiokinga, ngā rongoā whakamamae mamae, me te whakaora tinana.
- Mā te pupuri i te kaha o ngā uaua o tō tuara me tō puku, me te whai i tētahi momo oranga hauora, ka āwhina i te ārai me te whakahaere i tēnei mate.
- Mena ka roa ake i te torutoru ngā rā ka roa te mamae o tō tuara, kaua e warewarehia, me toro atu ki tō tākuta.
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