He maha ngā wā ka mamae tō tuara? He ngau kino rānei tō ringa, ā, ka mamae hoki tō kaki? I te nuinga o te wā, ka wareware tātou ki ēnei mea, me te whakaaro "koinei te mea ka tupu ina kaumātuatia koe" me te "nā te mahi me te ngenge." Engari i ētahi wā, tera pea he take hauora kei muri i tēnei mamae me aro atu tātou. I tēnei rā ka kōrero tātou mō tēnei āhuatanga, arā, ko te Neural foraminal stenosis (Foraminal Stenosis te whakarapopototanga). Ahakoa he ahua uaua te ingoa, kia mārama noa tātou ki te take.
He aha te Foraminal Stenosis?
Whakaarohia tō tuaiwi. He rite ki tētahi huinga wheua iti (e kiia nei ko ngā vertebrae) e whakatakotoria ana tetahi ki runga i a rātou. Ko te tuaiwi, e whakahaere ana i tō tinana katoa, e tiakina ana i roto i te tuaiwi. Ko te tuaiwi tēnei e manga ana ki ō ringaringa, ki ō waewae, me ngā wāhanga katoa o tō tinana.
Ko te mea nui, he kōhao iti kei waenganui i ngā tuaiwi, pērā i ngā kauhanga iti, hei putanga mai i ēnei io. Ko ēnei kōhao te mea e kiia nei e te rongoā ko ngā foramina neural. He aha te mea ka tupu mēnā ka whaiti, ka āraia rānei ēnei kōhao mō tētahi take? Kātahi ka tīmata te pēhi i te io e puta mai ana i taua kōhao. He rite ki te takahi a te tangata i tētahi paipa wai, ā, ka mutu te rere o te wai. Ko tēnei āhua o te pēhi i te io te mea e kiia nei e tātou ko te Foraminal Stenosis .
Kei hea i roto i te tuaiwi ka puta ai tēnei āhuatanga?
Ka puta te Foraminal Stenosis i ngā wāhi katoa o te tuaiwi. Ka rerekē ngā tohu i runga i te wāhi e puta ai. E toru ngā momo matua.
1. Te Stenosis Foraminal Cervical
Koinei te āhua e puta ana i waenganui i ngā tuaiwi kaki o te kaki. Nā te mea he wāhanga o te tinana te kaki e neke haere ana, e pikau ana i te taumaha o te upoko, he nui te tūponotanga ka pāngia tēnei wāhi e te stenosis. Ka pā tēnei āhua ki te hunga e roa ana te titiro ki te rorohiko, e moe ana rānei i te tūranga hē.
2. Te Stenosis Foraminal o te Uma (waenganui-tuara)
He iti ake te kitea o tēnei āhuatanga. Ka puta pea tēnei āhuatanga i te tuara o runga o te tinana, arā, i te tuaiwi uma i muri i te uma. Ka pā pea tēnei ki ngā pakihiwi me te uma.
3. Te Tūmomo Tuara o te Tua o Raro (Lumbar Foraminal Stenosis)
He momo tino noa hoki tēnei. Ko tō tātou tuara o raro te wāhanga o te tinana e pikau ana i te taumaha nui rawa atu, ā, ko te mea nui ko te piko me te totoro. Nō reira, ko ngā io o tēnei wāhi ka nui ake te tūponotanga kia kōpiria. Koinei te take matua o te " mamae tuara " e pāngia ana e te tini o te tangata.
He aha ngā take o te Foraminal Stenosis?
I te nuinga o te wā, ka puta tēnei mate i ngā huringa pirau o te tuaiwi e puta ana i te kaumātuatanga. Ko te tikanga ehara i te mea ka puta i te pō kotahi, engari he mea ka whanake haere. Haunga tēnā, tera pea ētahi atu take.
| Take | He whakamārama ngāwari noa iho |
|---|---|
| Matepukupuku | I a tātou e pakeke haere ana, ka memeha haere ngā hononga, ā, ka puta mai ngā wheua hou. Ka mau ēnei wheua ki te ara io, ka kōpiri. |
| Ngā kōpae herniated | Ka pupuhi pea ngā 'urunga' (ngā kōpae) rite ki te tiēre i waenganui i ngā tuaiwi, ka pēhi i te io. |
| Ngā hononga matotoru | Ka matotoru haere ngā hononga e pupuri ana i te tuaiwi i roto i te wā, ka takahi ki te ara o ngā io, ka pītiti. |
| Ngā Whara Tuaiwi | Mena ka whati, ka nekehia rānei te taurakira tuaiwi i roto i tētahi aituā, ka kōpiri pea ngā pakiaka io. |
| Ētahi atu āhuatanga hauora | Ka taea hoki tēnei te puta mai i ngā āhuatanga pēnei i ngā mate tipu wheua pēnei i te mate a Paget, i ngā pukupuku rānei (he tino onge ēnei). |
He aha ngā tohumate ka pā mai pea ki a koe?
Ehara i te katoa ngā tohumate e pāngia ana. Tērā pea ka kitea noatia e ētahi i roto i te matawai. Mēnā ka puta ngā tohumate, ka haere mai, ka ngaro atu, ā, he ngawari noa iho. Ka whakawhirinaki ngā tohumate ki te wāhi i pēhia ai te io.
| Te rohe e pāngia ana | Ngā tohu noa |
|---|---|
| Kaki (Te kaki) |
|
| Tua o raro (Lumbar) |
|
| Ngā tohu kino e hiahia ana kia aro wawe atu! | |
Ki te pāngia koe e tētahi o ngā tohu o runga ake nei, tae atu ki te korenga o te mana whakahaere o te pūkahukahu , te korenga o te mahi moepuku, te ngoikore rānei o ō waewae, he āhuatanga ohorere hauora tēnei . Haere tonu ki te tari ohorere o te hōhipera tata (ETU) . | |
Me pēhea te tātaritanga a te tākuta i tēnei?
Mena kei a koe ēnei tohu, ko te mea pai ko te toro atu ki te tākuta . Ka pātai tuatahi te tākuta mō tō hītori hauora, ā, ka tirotirohia koe. Ka tirohia e rātou tō whānuitanga o te nekehanga, ngā wāhi e mamae ana, me te mahi a ngā io (ngā whakaata).
I muri i tēnā, ka tūtohutia pea ētahi whakamātautau hei whakaū i te mate me te whakatau i tōna kaha:
- X-ray: Ka taea te rapu mō ngā whati, ngā wheua pakaru, ētahi atu āhuatanga rerekē rānei o te tuaiwi.
- Matawai MRI: Koinei te huarahi tino tika ki te kite i te āhua o ngā kiko ngohengohe pēnei i ngā io, ngā kōpae i waenganui i ngā tuaiwi, me ngā hononga. Ka taea e ia te whakaatu tika mēnā kua kōpeketia te io.
- Matawai CT: Ka taea hoki e tēnei te whakaputa whakaahua taipitopito o te tuaiwi me ngā hanganga huri noa.
- Myelogram: He whakamātautau motuhake tēnei. Ka werohia he tae motuhake ki roto i te taurakira, ā, ka mahia he matawai CT, MRI rānei. Mā tēnei ka kitea mārama te rere o te wai taurakira me te wāhi i pēhia ai ngā io.
He aha ngā kōwhiringa maimoatanga kei reira?
Ko te maimoatanga e whakawhirinaki ana ki te kaha o ō tohu me te whānuitanga o te kino o te io. He maha ngā wā, ka whakamātau tuatahi tō tākuta i ngā maimoatanga kore-pokanga.
Ngā maimoatanga kore-pokanga
- Ngā Rongoā: Ka tohua pea e tō tākuta ngā rongoā whakamamae mamae me ngā rongoā ārai-mumura (NSAID), ngā rongoā whakangāwari uaua, me ngā werohanga steroids pea.
- Whakaora Tinana: He mea tino nui tēnei. Mā te kaiwhakaora tinana koe e ako i ngā mahi whakakori tinana hei whakapakari i ngā uaua o tō tuara me tō puku, hei whakanui ake i te ngāwari, hei whakaiti hoki i te mamae.
- Te Whakatikatika i te Tū: Ki te hē tō tū i a koe e tū ana, e noho ana, e mahi ana rānei, ka pāngia tō tuara me tō kaki e te taumahatanga koretake. He mea tino nui kia ako koe mō te tū tika.
- Te Mau i ngā Rōhi Ārai: I ētahi wā, ka tūtohu pea tō tākuta kia mau i te rōhi tuara, i te rōhi kaki rānei.
Pokanga
Ki te kore e āwhina ngā maimoatanga o runga ake nei, ki te kore e taea te manawanui te mamae, ā, he nui te pānga ki tō oranga o ia rā, ka tūtohu pea tō tākuta kia pokangahia. Ka kiia tēnei pokanga he foraminotomy .
Ko tēnei pokanga he tango i ngā pī o te wheua, i ngā maramara kōpae, i ētahi atu kiko rānei e pēhi ana i te io, kia taea ai e te io te neke noa. Ko te tikanga ka mahia tēnei e te taote pokanga roro.
Karere Tangohia ki te Kāinga
- He mate noa te Foraminal Stenosis e puta ana i te kaumātuatanga. Nō reira kaua e warewarehia te mamae o te tuara me te kaki.
- Ko te mamae, te ngoikore rānei o ngā peka, ngā ringaringa rānei, ngā tohu matua pea o tēnei mate.
- Mena kei a koe ēnei tohu, me toro atu ki te tākuta me te kimi i te tātaritanga tika.
- He tokomaha te hunga ka ora pai mā roto i ngā maimoatanga kore-pokanga (whakaora tinana, whakakori tinana, rongoā).
- Ki te puta he tohu kino, pērā i te korenga o te mana whakahaere i te mimi, i te korenga rānei o te mana whakahaere i te puku, haere tonu ki te Tari Ohotata (ETU) o te hōhipera.
- Mā te pupuri i te taumaha hauora me te tū tika ka āwhina nui ki te ārai me te whakahaere i tēnei mate.
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