Kua tīmata koe ki te pāngia e te mamae o te tuara, te ngoikore o ō waewae, te kore rānei e pai te haere i muri i te ekenga ki te 50 tau? Kei te ahua ngoikore ō waewae i muri i te hikoi mō te wā poto, nō reira me noho koe mō tētahi wā, kātahi ka hikoi anō? Mena kei a koe ēnei tohu, ko te take pea he whaiti o ngā ara io i roto i tō tuaiwi. I roto i te rongoā, ka kiia tēnei mate ko te spinal stenosis . Kaua e wehi ki te whakarongo ki tēnei ingoa. Ahakoa kāore e taea te whakaora katoa, he maha ngā maimoatanga hei āwhina i a koe ki te whakahaere tika me te noho ora. Nō reira, me kōrero tātou mō tēnei i tēnei rā.
Ko te mea māmā ko te mea pai rawa atu - Te Whakaora Tinana
I te nuinga o te wā, ka tohutohu tō tākuta kia tīmata koe ki ngā mea māmā i mua i te haerenga ki tētahi mea nui pēnei i te pokanga. He kōwhiringa maimoatanga tino nui te whakaora tinana . Mā te whakamahi i ngā korikori tinana tika, ka taea e koe te whakaiti i ō tohumate.
Whakaarohia pēnei: ki te rite tō tuaiwi ki tētahi pou, ko ngā uaua e karapoti ana i a ia he rite ki ngā taura hei āwhina i te pou kia tū tika. Nō reira, mā te whakapakari i ēnei uaua ka taea te whakaiti i te pēhanga ki tō tuaiwi.
I raro i te arataki a te kaiwhakaora tinana, ka taea e koe te whakapai ake:
- Ngāwari : Mā ngā mahi totoro mō ngā uaua o te tuara me te kaki ka taea te whakaiti i te mamae me te whakapai ake i te nekenekehanga.
- Kaha: Mā te whakangungu whakaū ka whakapakari i ngā uaua e tautoko ana i te tuaiwi. He mahi ngāwari ēnei ka taea te mahi i te kāinga.
- Taurite: Mā ngā mahi taurite ka whakaiti i te tūponotanga o te hinga i a koe e hikoi ana.
- Te Hauora o te Ngākau: Ina mahi koe i ngā mahi whakakori tinana e whakanui ake ana i te tere o tō ngakau, pērā i te kaukau, te eke pahikara rānei, ka tukuna e tō roro ngā matū e kiia nei ko ngā endorphins . Ka mahi ēnei hei whakamamae mamae tūturu, hei āwhina i te whakamamae i tō mamae.
Kia maumahara, kāore he tikanga whakakori tinana kotahi e pai ana mō te katoa. Nō reira , me kōrero koe ki tō tākuta, ki tō kaiwhakaora tinana rānei, kia kitea ai ko ēhea ngā whakakori tinana e pai ana mōu. Kāore hoki i te pai te whakanui rawa i te mahi.
I ētahi wā, ka taea te whakamahi i ngā whitiki motuhake (ngā whitiki korēti, ngā whitiki tautoko rānei) e mau ana ki te puku i te wā e whakakorikori ana. Heoi, ki te mau tonu i ēnei whitiki, ka ngoikore ngā uaua, nō reira me rapu tohutohu hauora anō hoki mō tēnā.
Ngā rongoā hei whakaora i te mamae
Tērā pea ka tohua e tō tākuta ētahi rongoā hei āwhina i a koe ki te whakahaere i te mamae me te whakakori tinana. Ahakoa ka taea te hoko mai i ētahi o ēnei i te toa rongoā, kāore he whakahaunga, kaua rawa koe e tango i tētahi rongoā me te kore e kōrero tuatahi ki tō tākuta. Ka taea e ētahi rongoā te taunekeneke me ētahi atu rongoā e tangohia ana e koe, ā, ka pāngia pea koe e ngā pānga taha.
| Kāwai rongoā | Ngā tauira me ngā mahi | Ngā kōrero nui |
|---|---|---|
| Ngā rongoā whakangāwari | Pērā i te acetaminophen (Tylenol, Panadol). Ka whakaiti noa iho ēnei i te mamae, ehara i te pupuhi. | He haumaru te nuinga, engari he kino ki te ate te tango i te nui atu i te horopeta kua tūtohutia. |
| Ngā NSAID (Nonsteroidal Anti-inflammatory Drugs) | Ka whakaitihia e te Ibuprofen, pērā i te Naproxen, te mamae me te pupuhi. | Ki te nui rawa te kai, ka pāngia te puku e ngā mate pukupuku, ka pāngia hoki ngā whatukuhu. Kāore e pai mō te hunga kaumātua, mō te hunga rānei e mate ana te ngākau. |
| Ngā rongoā mō te mamae o te io | Ka whakamahia a Gabapentin, pērā i a Pregabalin, hei rongoā i te mamae i puta mai i te pēhanga o ngā io, pērā i te māuiui me te mumura. | Tērā pea ka hiamoe me te whanoke. Me tūpato i te wā e taraiwa ana. |
| Ētahi rongoā ārai pouri | Pērā i te amitriptyline. Mēnā ka hoatu i roto i ngā horopeta iti, ka āwhina ēnei ki te whakahaere i te mamae mau tonu. | Tērā pea ka puta ngā pānga taha pēnei i te hiamoe, te waha maroke, me te taumaha. Koia te take e tūtohutia ana kia tangohia i te pō. |
Ki te kore tētahi o ēnei mea e whakahaere i te mamae, he tino onge te hoatu i ngā rongoā whakamamae opioid kaha mō te wā poto. Heoi, kāore ēnei e whakamahia mō te wā roa nā te mea he tūponotanga ka waranga.
Ka taea e ngā werohanga te whakaora?
I ētahi wā ka whakamahia ngā werohanga hei rongoā whai kiko atu i ngā pire. E rua ngā momo matua:
1. Werohanga Corticosteroid Epidural: He werohanga tino āta ki te wāhi o te taurakira e pēhia ana te io. Ka whakaitihia e te corticosteroid i roto i tēnei werohanga te pupuhi i taua wāhi, ā, ka whakaora i te mamae. Ka mahia tēnei e te tohunga pēnei i te tohunga whakamoe.
2. Te Ārai i te Io: Ko te werohanga i tētahi rongoā whakamoe tata ki te io e kawe ana i te mamae, hei "whakangoikore" i taua io mō tētahi wā poto.
Kāore ēnei werohanga e puta ai ngā hua ōrite mō te katoa. Mō ētahi marama ka tino marino. Mō ētahi torutoru noa iho ngā rā ka rongohia. Ko ētahi kāore pea e kite i tētahi rerekētanga.
Āhea te wā e hiahiatia ai te pokanga?
He maha ngā wā ko te pokanga te huarahi whakamutunga, engari ka hiahia pea tō tākuta kia whakaarohia e koe te pokanga i roto i ēnei āhuatanga e whai ake nei:
- Mena he mamae e kore e taea te manawanui .
- Mena he tino uaua ki te hikoi, ki te tū rānei.
- Mena kāore e taea e koe te whakahaere i tō mimi, i tō tūtae rānei (he āhuatanga ohorere tēnei).
Kāore e taea e te pokanga te "whakaora" katoa i tēnei mate. Engari ka taea e ia te whakaiti i te pēhanga ki ngā io, te whakaiti i te mamae, me te āwhina i a koe kia hoki ki te noho noa.
He maha ngā momo pokanga nui
- Laminectomy: Koinei te pokanga tino noa. Ka tangohia te wheua nui, ngā puku, me ngā hononga matotoru o te tuaiwi e pēhi ana i ngā io. He rite ki te tango i tētahi ārai.
- Laminotomy: He tikanga e hanga ana i tētahi kōhao iti hei whakamama i te pēhanga ki runga i te io, me te kore e tangohia te wheua katoa.
- Te Hononga Tuaiwi: I ētahi wā ka mahia tahitia me te laminectomy, ko tēnei tikanga ko te whakakotahi i ngā tuaiwi e rua, neke atu rānei, kia kore ai e neke haere i taua wāhi.
- Te tango i te kōpae i waenganui i te tuaiwi: Mena kua paheke te kōpae i waenganui i te tuaiwi, ā, kei te pēhi i te io, ko te wāhanga anake o te kōpae e pēhi ana ka tangohia.
- Pokanga Whakaiti i te Urunga: He tikanga mahi pokanga me te kore e tapahia he wahi nui, mā te whakauru i tētahi kāmera me ngā taputapu motuhake mā roto i ngā wahi iti rawa, me te kore e kino ki te kiko hauora.
Ko te wā whakaora i muri i te pokanga ka rerekē mai i ētahi rā ki te 2-3 marama, i runga i te momo pokanga me tō hauora whānui.
Karere Tangohia ki te Kāinga
- Ko te Spinal Stenosis he mate e puta pinepine ana i te kaumātuatanga, ka whaiti haere ngā ara io o te tuaiwi. Kāore he mea hei wehi i tēnei, ā, ka taea te whakahaere pai.
- Ko ngā mea tuatahi hei whakamātau ko te whakaora tinana me ngā mahi whakakori tinana i whakaritea e te tākuta. Ka taea e ēnei te āwhina nui ki te whakahaere i te mamae.
- Ahakoa he rongoā whakamamae tēnei ka taea te hoko mai i te whare rongoā, kaua rawa e whakamahia me te kore e pātai atu ki tō tākuta.
- Ko ngā werohanga me te pokanga ngā maimoatanga e whai ake nei hei whakaaroaro. E hiahiatia ana ēnei mō te hunga he nui ngā tohumate.
- Ki te mamae, ki te kōpiko rānei tō tuara, tō waewae rānei, kaua e warewaretia, engari me toro atu ki te tākuta kia kitea ai te take.
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