He maha ngā mamae o tō tuara? Koinei pea te take (Spondylolysis)

He maha ngā wā ka pāngia koe e te mamae o te tuara o raro? Ka kino haere rānei ina whakakorikori tinana koe, ina tū roa, ina hiki taumaha rānei? He tokomaha e whakaaro ana he whara uaua noa iho tēnei, he whāwhā rānei. Engari ehara i te mea he māmā noa iho ngā mamae o te tuara katoa. I ētahi wā he hohonu ake te take, ā, me aro atu tātou ki tēnā. Koinei tā tātou e kōrero ai i tēnei rā, inā koa i waenga i ngā rangatahi hihiko.

He aha te Spondylolysis?

Ki te whakarapopoto, ko te spondylolysis he kapiti iti, he whati rānei i waenganui i ngā tuaiwi e rua o tō tātou tuaiwi. Tērā pea kei te whakaaro koe he aha ēnei tuaiwi. Whakaarohia, he rite tō tātou tuaiwi ki tētahi pourewa i hangaia ki ngā wheua iti e whakarārangihia ana tetahi ki runga i tetahi. Koinei te mea e kiia nei e tātou he tuaiwi. Ka huihui ēnei tuaiwi e 33 hei hanga i te tuaiwi katoa.

Anei tētahi wahi wheua iti, tino ātaahua, e hono ana ēnei tuaiwi tetahi ki tetahi. Ka kiia tēnei e ngā tākuta ko te 'pars interarticularis'. He rite ki te wahi iti e hono ana i ngā hononga e rua o te mekameka. Ko te whati o taua wahi ka kiia e mātou ko te spondylolysis . I ētahi wā ka kiia tēnei e ngā tākuta he 'pars defect' he 'pars fracture' rānei.

Ko te wāhanga o raro o te tuara, arā, te tuaiwi hope, te mea e tino kitea ana tēnei mate. Nā te mea koia te mea e pikau ana i te taumaha nui rawa atu, ā, koia hoki te mea e tino piko ana, e tino takahuri ana hoki o te tinana. Heoi, i ētahi wā ka puta pea i te tuaiwi kaki, i te tuaiwi uma rānei.

He aha ngā tohu o te spondylolysis?

Ko te tohu matua, ko te tohu tino kitea o tēnei mate ko te mamae i te tuara o raro. Engari he maha ngā āhuatanga motuhake o tēnei mamae. Kia titiro tātou he aha ēnei.

He aha tēnei e tupu nei? He aha ngā take?

Ahakoa kāore anō kia kitea te tino pūtake o tēnei mate e kiia nei ko te Spondylolysis, he maha ngā tino pūtake kua tautuhia.

• Te whakamahi nui me te ahotea: Koinei te tino take. Te mahi i ngā mea e pēhi ana i te tuaiwi i ngā wā katoa. Whakaarohia tētahi e pōro ana i te pōro tere i te kirikiti, tētahi e hiki ana i ngā taumaha i te whare takaro, tētahi e mahi ana i ngā mahi whakapakari tinana, tētahi rānei e hiahia ana kia piko rātou ki raro, kia hiki hoki i ngā taumaha. I roto i te wā, ka ngoikore te wāhanga ngawari o te tuaiwi e kiia nei ko te 'pars interarticularis' ka puta he whati ahotea.

• Te tere o te tipu: He wā tēnei ka tere te tipu o ngā tamariki nohinohi. I tēnei wā, ka tere hoki te tipu o ngā wheua o te tinana. Ka puta anō hoki tēnei āhuatanga nā te pēhanga ki te tuaiwi i tēnei wā. Koia te take e kitea whānuitia ana i waenga i ngā kaitākaro taitamariki.

• Ira: Ka whānau mai ētahi tāngata me te tuaiwi angiangi ake. Ko te tikanga o tēnei, tera pea ka ngoikore ake te 'pars interarticularis' i te mea noa. He nui ake te tūponotanga ka pāngia ēnei tāngata e tēnei momo whati i ētahi atu.

Ka aha mēnā kāore e tukuna he maimoatanga? (Ngā raruraru)

He tokomaha te hunga e whakaaro ana he raruraru noa iho te mamae o te tuara, ka memeha noa iho i roto i ētahi rā. Heoi, ki te kore e rongoatia, ka taea e te spondylolysis te arahi ki tētahi mate kino ake.

Ko te ingoa o tēnei mate ko te spondylolisthesis . Mēnā ka pēhia e te wheua paheke te io e tika ana mā roto, ka pā mai he mamae nui, he ngoikore te ngākau, he sciatica rānei ka horapa ki ngā waewae. Mēnā he pēnei, me mahi pea he pokanga. Nō reira, ehara i te mea pai kia kaua e aro ki te mamae o te tuara.

Me pēhea e kitea ai tēnei e koe, e Tākuta?

Ina haere koe ki te tākuta mō te mamae o te tuara, ka pātai tuatahi ia ki a koe mō ō tohu. Nōnahea i tīmata ai te mamae o tō tuara, he aha te mea e kino ake ai, kei te takaro hākinakina koe, he aha tāu mahi, me ētahi atu mea maha. Kātahi ka tirotirohia e ia tō tuara.

Kātahi, hei whakaū i te āhua, ka whakaritea e te tākuta ētahi whakamātautau whakaahua.

• Whakamātautau hihi-X: Ka taea e tēnei te kite i ngā whati o ngā wheua.
• Matawai MRI (Whakaahua Āhua-Mate): Mā tēnei ka taea e koe te kite mārama i ngā wheua o te tuaiwi, tae atu ki ngā kiko ngohengohe me ngā io e karapoti ana.
• Matawai CT (Tomography Rorohiko): Ka taea e tēnei te kite mārama me te taipitopito i ngā whati iti o ngā wheua.

He aha ngā maimoatanga mō tēnei?

Ahakoa te āhua whakamataku o te ingoa, he mate te spondylolysis ka taea te whakaora katoa me te kore pokanga, mā te whakamahi i ngā maimoatanga māmā noa iho. Ko te whāinga matua ko te whakahaere i te mamae me te hoatu i te okiokinga me te tautoko e hiahiatia ana e te tuaiwi hei whakaora.

E hiahiatia ana te pokanga?

Kāore e hiahiatia he pokanga. Neke atu i te 90% o te tangata ka ora i tēnei mate mā te whakamahi i ētahi atu maimoatanga. Heoi, i ngā wā tino kino, pērā i te paheke o ngā tuaiwi, me te pēhi i ngā io, ki te kore rānei te mamae e memeha i muri i ngā marama o te maimoatanga, ka whakaarohia pea e tō tākuta te pokanga.

Āhea ahau me toro atu ki te tākuta?

Ko te tere o te tautuhi i te pūtake, ko te māmā ake o te rongoā me te whakaora. Nō reira,

• Mena he mamae tō tuara e roa ana i ngā rā torutoru ,
• Mena he uaua ki a koe te mahi i ō mahi o ia rā nā te mamae (te haere ki te kura, te haere ki te mahi, te tākaro hākinakina) ,

Me toro atu ki te tākuta tonu.

Āhea koe me haere ki te Wāhanga Maimoatanga Ohotata (ETU)?

• Mena ka mamae tō tuara i muri i tētahi aituā (hinga, aituā motuka).
• Mena kei te haere tahi te mamae o te tuara me te ngoikore o tētahi wāhanga o te tinana, te kore rānei e taea te neke i taua wāhanga .
• Mena kei a koe tētahi āhuatanga e kore e taea e koe te whakahaere i tō mimi, i tō tūtae rānei .

I roto i tēnei āhuatanga, kaua e moumou taima , engari me haere tonu ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera tata.

Ētahi atu raruraru tuara he rite ngā ingoa

Spondylolysis, Spondylolisthesis, Spondylosis... Ahakoa he rite te tangi o ēnei ingoa e toru, e pā ana ki ngā āhuatanga rerekē e toru e puta ana i roto i te tuaiwi. He maha ngā tāngata e pōhēhē ana. Kia kite tātou he aha te rerekētanga.