Kei te pēhia koe e te āhua o te kikī o ō uaua i ngā wāhi pēnei i tō kaki, pakihiwi, tuara rānei? Tērā pea kei te whakaaro koe, "He aha tēnei?" mō ēnei wāhi e rite ana ki te puku iti ina pā atu koe, ā, ka puta he mamae e kore e taea te tāea ina pēhia. Mō ētahi tāngata, he tino whakarihariha tēnei, ā, ka tino kaha te mamae, kāore e taea e rātou te mahi tika i ā rātou mahi o ia rā. Koinei ngā mea e kiia nei e tātou i roto i te rongoā he 'pūwāhi whakaoho'. I tēnei rā, ka kōrero tātou mō tētahi maimoatanga werohanga motuhake e whakamahia ana hei whakamamae i taua mamae.
He aha te 'Pūwāhi Whakaoho'? He aha ngā mea ka pā ki tēnei kano ārai mate?
Āe, me mārama tātou ki te tikanga o te 'pūwāhi whakaoho'. Whakaarohia ō tātou uaua he rite ki te paihere rapa e kumea ana kia kotahi. I te nuinga o te wā, ka totoro, ka whakawhāiti. Engari i ētahi wā, ahakoa nā te whara ohorere, nā te taumahatanga tonu rānei o ngā uaua i te ara kotahi (hei tauira, ko ngā uaua o te kaki i te wā e titiro ana ki te rorohiko), ka whiria ētahi o ngā muka angiangi o ēnei uaua, ka whakawhāiti, ka piri, ā, kāore e taea te totoro anō. Ko taua wāhi piri, rite ki te pona, koinei te mea e kiia nei e tātou he pūwāhi whakaoho .
He tino mamae ēnei wāhi ina pēhia ki te ringa. I ētahi wā, kāore te mamae e mutu ki taua wāhi anake, engari ka horapa ki ngā wāhi tawhiti. Hei tauira, ka pā te mamae o te upoko ki tētahi pūwāhi i te pakihiwi.
Nā, me titiro tātou ki te tikanga o te Werohanga Pūwāhi Whakaoho (TPI) . He māmā noa iho, ko te werohanga i tētahi rongoā ki roto i tētahi uaua piripono, mā te whakamahi i tētahi ngira angiangi. Mā te werohanga ka whakangāwari i ngā muka uaua piripono, ka whakahokia mai te rere o te toto, ka whakamamae i te mamae.
Ka taea te whakamahi i tēnei kano ārai mate mō tētahi o ēnei e whai ake nei:
- Whakamamae ā-Rohe: He rongoā e whakamahia ana hei whakamamae i te mamae.
- Corticosteroids: Ka āwhina ki te whakaiti i te pupuhi me te mumura i roto i ngā uaua.
- Te paitini Botulinum: Ka whakamahia hoki tēnei i ētahi wā hei whakangāwari i ngā uaua.
- Kāore he rongoā (Te werohanga maroke): I ētahi wā ka werohia noa e ngā tākuta he ngira angiangi ki roto i te puku ka wetekina. Ka kiia tēnei he 'ngira maroke'.
He aha te momo mamae e whakamahia ana ēnei werohanga?
Ko te nuinga o ēnei werohanga he rongoā mō te mate e kiia nei ko te Myofascial Pain Syndrome . Ko te tikanga o te 'Myo' ko te uaua, ā, ko te tikanga o te 'Fascia' ko te kiriuhi angiangi mā e karapoti ana i te uaua. Nō reira, e pā ana tēnei ingoa ki te mamae e puta ana i roto i ēnei uaua me ngā kiriuhi e karapoti ana i a rātou. Ko te tino take o tēnei mamae ko ngā pūwāhi whakaoho i kōrerohia e tātou i mua ake nei.
Ahakoa ka puta ngā pūwāhi whakaoho i roto i tētahi uaua o te tinana, he iti noa ngā uaua e rongoatia ana ki tēnei weronga.
| Ingoa Uaua | Te wāhi me te mamae e pā ana |
|---|---|
| Trapezius | Te tuara o te kaki me ngā taha e rua o ngā pakihiwi. He maha ngā wā ka puta te ānini taumaha i ngā pona e puta mai ana i konei. |
| Ngā Āwhata o te Revator | I ngā taha e rua o te kaki. Nā ngā pona o ēnei uaua ka pakari te kaki, ā, kāore e taea te huri. |
| Quadratus Lumborum | He uaua kei roto i te tuara o raro. Koinei te take o te mamae o te tuara mō te tini o te tangata. |
| Gluteus Waenga | I te papa. Ka mamae pea te hope me te papa i tēnei pona. |
| Masseter | Te uaua kei roto i te kauae. He mamae tēnei mō te hunga e kuru ana i ō rātou niho i te pō. |
| Te sternocleidomastoid | Te taha mua o te kaki. Ka pāngia te upoko me te taringa e ngā pukupuku e puta mai ana i konei. |
Ko te mea nui, i ētahi wā, ka rite te mamae i puta mai i ēnei pūwāhi whakaoho ki te mamae o tētahi atu mate kino. Hei tauira, ki te puta he pona i roto i te uaua piriformis i te rohe papa, ka taea e ia te whakararuraru i te io sciatic me te mamae nui ki raro i te waewae (piriformis syndrome).
Ko wai e hiahia ana ki te Werohanga Pūwāhi Whakaoho?
Ehara tēnei maimoatanga i te mea mā te katoa. Mena kei te mamae koe i ngā pūwāhi whakaoho, ka tūtohu tō tākuta i ētahi atu maimoatanga māmā i te tuatahi.
- Ngā rongoā whakamamae
- Te whakamahi i te wera ki te wāhi mamae
- Mirimiri Whakaora
- Te whakaora tinana me ngā mahi totoro
Ki te kore tō mamae e memeha i muri i ēnei maimoatanga, ka whakaarohia e tō tākuta tēnei maimoatanga werohanga hei taahiraa e whai ake nei.
I ētahi wā, ka tino kaha te mamae, ā, kāore e taea e te tangata te mahi i ngā mahi whakakori tinana. I ēnei wā, ka werohia tuatahitia tēnei hei whakaiti i te mamae, kātahi ka tīmata te maimoatanga whakaora tinana. Kātahi ka tino angitu ngā hua.
Ngā mea tuatahi ka tirohia e te tākuta
I mua i te werohanga i tēnei, me whakarite e tō tākuta kāore he take kē atu mō tō mamae. Nō reira, ka tirotirohia koe e ia me te tirotiro mō ētahi atu āhuatanga, pēnei i:
- Te taumahatanga o te uaua
- Ngā raruraru tuaiwi: Hei tauira, te mate rumatiki degenerative, ngā kōpae herniated, te stenosis tuaiwi rānei.
- Te mamae i puta mai i te piko o te io (Radiculopathy)
Ka whakaarohia te werohanga pūwāhi whakaoho ina whakaūtia kāore he take kē atu.
Ka aha koe ina whiwhi koe i te kano ārai mate?
Āe, kia tirohia tātou me pēhea te werohanga a te tākuta. He mea māmā noa iho tēnei, he torutoru meneti pea te roa.
1. Tūnga: I runga i te wāhi e puta ai te mamae, ka tonoa pea koe kia noho, kia takoto rānei ki te moenga.
2. Te horoi: Horoia pai te wāhi i werohia ki te waipiro.
3. Te kimi i te wāhi: Ka whakamahia e te tākuta ōna maihao ki te kimi i te wāhi tika o te puku mamae. Tērā pea ka tohua e ia te wāhi ki te pene.
4. Te hopu i te pona: Muri iho, ka hopukina e te tākuta te pona ki ngā maihao e rua, ka whakau kia kore ai e nekeneke ngā kiko e karapoti ana. Tērā pea ka pāngia koe e te mamae, e te kore whakamarie rānei i tēnei wā.
5. Te whakauru i te pine:Kātahi ka werohia he ngira angiangi ki roto i te pona. Kātahi, me te kore e tangohia katoatia te ngira, ka nekehia e te tākuta te ngira ki roto, ki waho hoki i te pona i ētahi wā.
6. Te wiri o te uaua: Ina pā te pito o te ngira ki te pūwāhi wero, ka rongo koe i te kōpeketanga o te uaua, te wiri rānei. Tērā pea he ahua whakamā tēnei, engari koinei te tohu pai rawa atu! Ko te tikanga kei te wāhi tika te ngira.
7. Te werohanga i te rongoā: Ka nekehia e te tākuta te ngira kia mutu rā anō te wiri o te uaua, kia tino wātea rānei te uaua, kātahi ka werohanga i te rongoā.
8. Mutunga: Koia rā. Ka taea e koe te hoki ki te kāinga.
He mamae tēnei?
Ki te pono, tera pea ka pāngia koe e te mamae iti. Nā te mea he wāhi tino pāngia te pūwāhi werohanga e te pā. Ka pāngia koe e te mamae ahakoa ka pāngia e te tākuta te wāhi ki ōna maihao. Tērā pea ka pāngia koe e te werawera ina werohia te ngira, ina werohia te rongoā. Ina koa ka pā te ngira ki te pūwāhi werohanga, ka piki tonu te mamae. Engari kaua e mataku, ko te mamae te tohu kei te tika te wāhi e mahia ai te maimoatanga.
He aha ngā mea ka tupu i muri i te werohanga?
I muri i te werohanga, ka taea e koe te hoki ki te kāinga. Ka taea e koe te whakamahi i te wāhi i werohangahia pērā i ngā wā katoa. Heoi , he pai ake te karo i ngā mahi uaua me te whakakori tinana taumaha mō ngā rā tuatahi e rua, e toru rānei.
Nā, kia tirohia tātou he aha ngā painga me ngā mōrearea o tēnei maimoatanga.
| Ngā Painga | Ngā Pānga me ngā Tūponotanga o te Taha |
|---|---|
| He maimoatanga tino haumaru tēnei i te nuinga o te wā. Ko ngā pānga taha e tino kitea ana ko:
Ngā raruraru tino onge :
|
Kia pēhea te roa o te whakaora? Āhea te wā me toro atu ahau ki te tākuta?
Mō te nuinga o te tangata , ka tīmata te mamae ki te memeha i roto i ngā haora 24 ki te 72 i muri i te werohanga. Ko te tikanga ka roa te mamae mō te marama . Ko ētahi tāngata ka roa ake te mamae. Mena kei te mamae tonu koe i muri i taua wā, ka tūtohu pea tō tākuta kia werohanga anō koe.
I muri i te whiwhinga o te kano kano, ki te puta he tohu o te mate urutā, pērā i te kirika, te whero, te mahana rānei i te wāhi i werohia ai, waea atu ki tō tākuta tonu atu.
He tino whai hua, he haumaru hoki ngā werohanga pūwāhi whakakā mō te mamae myofascial. Ahakoa ka pāngia pea koe e te mamae i te wā e rongoatia ana, he pai te hua o te whakaora. Mena kei a koe ēnei pona uaua kāore e memeha mā te whakamahi i ngā rongoā whakamamae ka hokona noa, kōrero ki tō tākuta mō te Werohanga Pūwāhi Whakakā. Ka taea e ia te whakautu i ō pātai katoa.
Karere Tangohia ki te Kāinga
- Ko ngā pūwāhi whakaoho he pona mamae, he pona piri i roto i ngā uaua, ka mamae ai ehara i te mea i taua wāhi anake, engari i ētahi atu wāhi anō hoki.
- Ki te kore e whai hua ngā maimoatanga ngāwari pēnei i te rongoā whakamamae mamae me te mirimiri, he otinga tino whai hua te maimoatanga e kīia nei ko te Trigger Point Werohanga (TPI).
- He tino haumaru tēnei maimoatanga, ā, he iti noa iho ngā pānga taha ka pā mai. Ko te mea tino kitea ko te mamae rangitahi i te wāhi i werohia ai.
- He mea noa te rongo i te ngau me te mamae iti i te wā e rongoatia ana, ko te tikanga kei te tūranga tika te ngira.
- Mena kei te pāngia koe e tēnei momo mamae, he mea tino nui kia toro atu koe ki tētahi tākuta whai tohu hei āwhina i a koe ki te tautuhi me te rongoā tika, kaua e mahi i a koe anō hei rongoā.
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