Ka tīmata anō hoki koe ki te mamae i ō waewae ina hikoi paku koe? Ka rongo koe i te ngau kino e tīmata ana i tō tuara ka heke iho i ō waewae, ā, e ahua ana kei te ngaro tō mana whakahaere i ō waewae? Tērā pea kua kōrerotia e tō tākuta ki a koe tētahi mate e kiia nei ko te ' spinal stenosis '. Kaua e mataku ina rongo koe i tēnei kupu. He mate tēnei ka pā ki te tini o te tangata, inā koa ko te hunga pakeke me te hunga pakeke ake. Me titiro ngāwari tātou ki tēnei mea, me te mea rānei me pokanga tonu.
He aha te Stenosis Tuaiwi?
He whakarāpopototanga noa iho, he rarangi wheua tonu tō tātou tuaiwi. I roto i ēnei wheua, ka tiakina te taurakira, te wāhanga matua o te pūnaha io o tō tātou tinana, me ngā io e puta mai ana i reira. Ko te ara e haere ai tēnei taurakira, arā, te wāhanga rite ki te awa i roto i te tuaiwi, e kiia nei e tātou ko te awa tuaiwi.
Pērā i te whaiti haere o te paipa wai i te roanga o te wā nā te paru me te waikura, ka whaiti haere hoki te awa tuaiwi i a tātou e pakeke haere ana, nā ngā mate pēnei i te mate rumatiki, nā te hanganga rānei o ngā wheua koiwi. Kātahi ka tīmata te pēhi i te taura tuaiwi me ngā io e rere ana i roto i taua awa. Ka kiia e tātou te kohinga o ngā tohu i puta mai i taua pēhitanga o ngā io he Spinal Stenosis.
Ko ngā tohu matua e hua mai ana i tēnei ko:
- Te mamae o te kaki, te tuara, ngā waewae rānei.
- Te ngenge, te mākūkū, te wiri rānei o ngā uaua o ngā ringa, o ngā waewae rānei.
- Ngā raruraru waewae (hei tauira, ka pā te waewae ki te whenua i te wā e hikoi ana).
- I ētahi wā ka tino kino te mamae o ōku waewae, ā, kāore e taea e au te hikoi mō tētahi tawhiti poto.
Ko te pokanga anake te otinga?
Kāo. Koinei te mea e mataku ai te tini o te tangata. Engari ko te pono, ehara i te mea ko te katoa e pāngia ana e te stenosis tuaiwi e hiahia ana ki te pokanga. Ka whakamātau tonu tō tākuta i ētahi atu maimoatanga i mua i te tuku i a koe ki te pokanga.
Kia maumahara, ko te pokanga te huarahi whakamutunga. Ka whakaarohia e te tākuta te pokanga mēnā kāore i angitu ētahi atu maimoatanga .
Kia tirohia ngā maimoatanga kore-pokanga e wātea ana i te ripanga i raro nei.
| Tikanga maimoatanga | Ka ahatia? |
|---|---|
| Ngā rongoā mamae | Ka taea te whakahaere i te mamae mā te whakamahi i ngā rongoā whakamamae mamae noa pēnei i te Paracetamol me te Ibuprofen. Mō te mamae neuropathic, ka tohua pea e tō tākuta he rongoā motuhake pēnei i te Duloxetine, Gabapentin, Pregabalin (Lyrica). |
| Werohanga (Werohanga Steroid Epidural) | Ko te werohanga o tētahi steroid e kīia nei ko te cortisone ki te wāhi e kōpikopiko ana te taurakira. Ka taea e tēnei te whakaiti i te mamae me te pupuhi mō te wā poto, ā, i ētahi wā ka mau tonu. |
| Te Whakaora Tinana me te Whakakorikori Tinana | He mea tino nui tēnei. Mā te mahi i ngā mahi whakakori tinana hei whakapakari i ngā uaua o te tuara me te puku i raro i te arataki a te kaiwhakaora tinana, ka taea e koe te whakahaere i te mamae me te whakapai ake i tō kaha ki te hikoi. |
Ki te kore ēnei maimoatanga e whakahaere i ō tohumate, ā, ki te whakararuraru te mamae i ō mahi o ia rā tae noa ki te wāhi e kore ai e taea e koe te mahi, ka kōrero tō tākuta ki a koe mō te pokanga.
Me pēhea te whakarite mō tētahi mahi pokanga?
Mena ka tūtohu tō tākuta kia pokanga koe, he iti noa ngā mea me mahi e koe i mua i te mahi.
- Whakakorikori Tinana: Kaua e miharo. Mā te whakakorikori tinana tika me te whakaaetanga a tō tākuta i mua i te pokanga ka āwhina nui i a koe kia tere ake te ora i muri i te pokanga.
- Kati te momi hikareti: Ki te mea he kai momi hikareti koe, me mutu rawa atu. Ka whakaroa te momi hikareti i te tukanga whakaora.
- Kia tūpato ki ō rongoā: Kōrerotia ki tō tākuta ngā rongoā katoa, ngā huaora, me ngā tāpiringa e tangohia ana e koe. Ko ētahi rongoā ka raru pea ki te rongoā whakamoe, me mutu pea i mua i te pokanga.
- Tetahi hei āwhina: Whakaritea kia haria koe e tetahi ki te hōhipera, ka whakahokia koe ki te kāinga.
He aha ngā momo pokanga e mahia ana?
E toru ngā momo pokanga matua mō te stenosis tuaiwi. Mā tō tākuta e whakatau ko tēhea pokanga te mea pai mōu i runga i tō āhua.
| Momo pokanga | He whakamārama māmā |
|---|---|
| Te tango i te rongoā | Koinei te pokanga tino noa. I roto i tēnei tikanga, ka tangohia ngā maramara wheua, ngā pī o te wheua, me ngā hononga e pēhi ana i te io, kia taea ai e ngā io te neke noa. |
| Te Hononga Tuaiwi | I ētahi wā ka mahia tēnei i te taha o te laminectomy. He tikanga tēnei e whakaiti ana i te kore pumau o te tuaiwi mā te whakakotahi i tētahi, i ētahi rānei o ngā tuaiwi. Tērā pea ka whakamahia ngā tīwiri me ngā tokotoko whakarewa mō tēnei kaupapa. |
| Te rongoā mō te foraminotomy | Mena ka whaiti te pūrua e puta atu ai ngā io i te taurakira, ka whakanuia e tēnei pokanga te pūrua, ka whakaitihia te pēhanga ki runga i ngā io. |
He aha ngā mōrearea ka puta mai i te pokanga?
Pērā i ngā pokanga katoa, he mōrearea anō hoki ēnei pokanga. Ina koa, ko te hunga e momi hikareti ana, e kaumātua ana, e momona ana, e pāngia ana rānei e ētahi atu mate hauora pēnei i te mate huka, he nui ake te mōrearea ki ngā raruraru.
- Tērā pea ka puta ngā mate urutā, te toto, te pupuhi rānei o te toto.
- He iti noa te tūponotanga ka pakaru te kiriuhi e hipoki ana i te taurakira.
- He mōrearea kei pakaru te io.
- I ētahi wā, ka roa pea te mamae.
Kaua e wehi i ēnei mōrearea. Mā tō tākuta koe e whakamārama i ngā mea katoa, ā, ka mahi i ngā mahi katoa hei whakaiti i te mōrearea.
Kia pēhea te roa o te wā e ora ai?
Me noho koe ki te hōhipera mō ngā rā e rua, e toru rānei i muri i te pokanga. Whai muri i ētahi pokanga iti, ka taea pea e koe te hoki ki te kāinga i taua rā anō, i te rā e whai ake nei rānei. Kei te momo pokanga i mahia ki a koe me tō hauora te āhua.
I muri i te hokinga ki te kāinga, e toru marama, neke atu rānei , ka tino ora ai. Tērā pea ka roa te wā, inā koa mēnā i whara tō tuaiwi. I tēnei wā, he mea nui kia hikoi koe i runga i ngā tohutohu a tō tākuta, me te mahi i ngā mahi whakakori tinana i tūtohutia e te kaiwhakaora tinana.
He tino pai ngā hua o te nuinga o te tangata i muri i te pokanga. He iti ake te mamae o ō rātou waewae, ā, ka pai ake te hikoi. Engari kotahi te mea hei maumahara. Kāore tēnei pokanga e whakaora i ngā mate pēnei i te rumatiki i puta ai tō uaua tuaiwi. Nō reira, tera pea ka hoki mai ngā tohu ā muri ake nei.
Karere Tangohia ki te Kāinga
- Ko te spinal stenosis he whaiti o te awa tuaiwi e puta pinepine ana i te koroheketanga.
- Kāore e hiahiatia he pokanga i ngā wā katoa. Ko ngā maimoatanga pēnei i ngā rongoā, ngā werohanga, me te whakaora tinana ka whakamātauria tuatahitia.
- Me whakaaro noa ki te pokanga mēnā kāore i angitu ētahi atu maimoatanga, ā, kei te uaua te noho i tō oranga o ia rā nā te mamae. Kōrerohia tēnei ki tō tākuta.
- He nui te wā me te whakapau kaha ki te whakaora i muri i te pokanga. Me whai i ngā tohutohu me ngā mahi whakakori tinana a te tākuta.
- Kia maumahara ahakoa ka taea e te pokanga te whakaora nui i ngā tohumate, kāore e whakaora i te mate pūtake (hei tauira, te rumatiki).
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