He mea tika rawa te pokanga mō te mamae o te tuara? (Herniated Disc)

Kei te mamae hoki tō tuara e kore e taea te whakamanawanui? Tērā pea ka tīmata te mamae i tō tuara ka heke ki raro i tō waewae. E ai ki ētahi he rite ki te 'oho hiko '. Tērā pea nā te mea kua paheke tetahi kōpae i waenganui i ō tuaiwi, ā, kei te pēhia he io. I roto i ngā kupu hauora, ka kiia tēnei āhuatanga he kōpae herniated. Ina rongo tātou i tēnei ingoa, ka mataku ētahi, ka whakaaro, "Āe, me pokanga ahau inaianei." Engari kāore e hiahiatia ana te pokanga mō te katoa. Me kōrero tātou mō tēnei mea katoa i tēnei rā.

He kupu ngāwari, he aha te kōpae herniated?

Whakaarohia tō tuaiwi he huinga wheua iti (e kiia ana ko ngā vertebrae) e whakatakotoria ana tetahi ki runga i a tetahi. Hei aukati i ēnei wheua kei mirimiri tetahi ki tetahi, pērā i ngā 'ārai ru' i roto i te motuka, he urunga kī tonu i te mea rite ki te tiēre i waenganui i ia o ēnei wheua. Koinei te mea e kiia nei e tātou he 'kōpae'. Mā tēnei kōpae ka taea e tātou te piko whakamua, whakamuri, me te huri ngāwari i tō tātou tuaiwi.

Engari i ētahi wā, ina hapai hē koe i tētahi mea, i roto i tētahi aituā, i a tātou e pakeke haere ana rānei, ka ngoikore te uhi o waho o tēnei kōpae, ā, ka pupuhi te wāhanga rite ki te tiēre i roto. He rite ki te pēhi i tētahi tōnati kī tonu i te tiēre, ā, ka puta te tiēre. Ka tīmata te raruraru ina pēhia e te kōpae e pupuhi ana tētahi io tata . Koinā te wā ka puta ai ngā tohu pēnei i te mamae e kore e taea te manawanui, te ngoikore, me te ngoikore o ngā waewae.

Āhea te wā e tika ai te pokanga?

Koinei te mea tino nui. Kāore e hiahiatia he pokanga mō te katoa e pāngia ana e te hernia o te kōpae. Inaa, ka ora te nuinga o te tangata i roto i ētahi marama mā te okioki, te rongoā mamae, me te whakaora tinana. Ka whakamātau tuatahi tō tākuta i ēnei maimoatanga kore-pokanga.

Heoi anō, tera ētahi āhuatanga motuhake e tika ana kia whakaarohia te pokanga. Me titiro tātou ki ērā.

Ko te mea nui, ehara tēnei i te whakatau māu anake. Ka arotakehia e tō tākuta ō tohumate, ngā hua o te matawai MRI, ā, ka hoatu ki a koe ngā tohutohu pai rawa atu mō te hiahia ki te pokanga.

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He aha ngā momo pokanga matua e mahia ana mō tēnei?

Ko te whāinga matua o te pokanga he tango i te kōpae hernia e whakawhāiti ana i te io, me te whakawātea i te io. He maha ngā momo pokanga matua mō tēnei.

Te tango i te kōpae

Koinei te pokanga tino noa. I konei, ka tangohia e te taote pokanga te wāhanga pakaru o te kōpae ka tukuna te io. E rua ngā huarahi e taea ai tēnei.

• Te tango kōpae tuwhera: Ka tapahia he wahi iti ki te tuara, ki te kaki rānei, ā, ka tangohia tika te kōpae kua pakaru.
• Te tango i te kōpae iti: Ko te tikanga he tapahi iti noa iho, he whakauru i tētahi ngongo angiangi me te kāmera e piri ana, ā, ko te wāhanga pakaru anake o te kōpae te mea e tangohia ana. He poto ake te wā whakaora mō tēnei tikanga.

Te tango i te lamina / Te tango i te lamina

I ētahi wā, kia tae atu ai ki te kōpae, me tango he wāhanga iti o te wheua o te tuaiwi e kiia nei ko te lamina. He uhi tiaki tēnei lamina e tiaki ana i te taurakira. Mā te tango i tētahi wāhanga iti o tēnei ka whakaitihia te pēhanga ki te io.

• Te tango i te LAM :Ka tangohia he wāhanga iti o te lamina.
• Laminectomy: Ka tangohia te nuinga, te katoa rānei o te lamina.

Te Hononga Tuaiwi

Koinei te ingoa i hoatu ki te tukanga honohono i ngā tuaiwi e rua i ia taha o te kōpae i muri i te tangohanga. Ko te tikanga o tēnei ko te whakamahi i ngā tīwiri iti me ngā tokotoko whakarewa hei pupuri i ngā wheua e rua. Ka whakapiki ake tēnei i te pumau o te tuaiwi, ā, ka ārai i te mamae anō a muri ake nei.

Pokanga Kōpae Horihori

Ehara tēnei i te pokanga e taea ana e te nuinga o te tangata, nā te mea ka taea anake te mahi i ētahi kōpae i te tuara o raro. I roto i tēnei tikanga, ka tangohia katoatia te kōpae kua pakaru, ka whakakapia ki tētahi kōpae horihori i hangaia ki te kirihou, ki te konganuku rānei.

He pēhea te roa o te wā whakaora i muri i te pokanga?

Ko te rongo pai ko te nuinga o ngā pokanga kōpae hernia he tino angitu. Ka tere ake te memeha o ngā tohu pēnei i te mamae me te māuiui i ērā atu maimoatanga. Ka rongo koe i te rerekētanga nui i roto i ētahi wiki o te pokanga.

Engari me whakapau kaha anō hoki koe kia tere ai te ora.

• Whakaora tinana: He mea nui tēnei. E ai ki ngā tohutohu a tō tākuta, mā ngā mahi whakakori tinana e whakapakari ngā uaua huri noa i tō tuara ka tere ake te ora.
• Te hikoi: Mā te tīmata haere mārire ka āwhina i te whakaora i te nekenekehanga o te tuara.
• Āta karohia ēnei mea i ngā wiki tuatahi i muri i te pokanga:
• Te hiki taumaha
• Te noho roa
• Te piko, te tō rānei i te wā kotahi

Mā tō tākuta e whakatau te wā ka taea e koe te hoki ki te mahi, me te wā ka taea e koe te taraiwa. I te nuinga o te wā, ka taea e koe te hoki ki tētahi mahi tari i roto i te 2-4 wiki. Heoi, ki te mea he mahi tāu e hiahia ana ki te hiki taumaha, ki te whakahaere mīhini rānei, me tatari pea koe mō te 6-8 wiki pea.

He tūponotanga kei reira? He aha ngā hua?

Pērā i ngā pokanga katoa, he tūponotanga kei reira. Ahakoa he tino haumaru te pokanga mō te hernia o te kōpae, he iti noa ngā mea ka tino onge te tupu:

• Mate pāwera
• Te kino ki ngā io, ki ngā oko toto rānei
• Te toto
• Te turuturu o te wai tuaiwi
• Ngā raruraru ki ngā wāhanga kua whakatōkia

Waihoki, he tokoiti noa iho ngā tāngata (tata ki te 5%) ka pāngia anō e te hernia o te kōpae i muri i te pokanga. I ētahi wā, kāore pea te pokanga e whakakore katoa i te mamae.