Kei te ngoikore, kei te kore ora rānei ō ringaringa me ō waewae i ētahi wā, me te mamae o te kaki, o te tuara rānei? Kei te ngaro tō taurite i a koe e hikoi ana, kei te uaua rānei koe ki te mahi i ngā mahi uaua, pērā i te pātene i te hāte? Mena kei a koe ēnei tohu, tera pea he nui ake te kino o te take i tō whakaaro. I tēnei rā kei te kōrero tātou mō tētahi āhuatanga e kiia nei ko te ' myelopathy ' e puta ai ēnei tohu.
He aha te Myelopathy?
Ki te kī ngāwari, ko te myelopathy he mate e puta ana ina pēhia tō tātou taura tuaiwi . Whakaarohia, he taura io tino nui te taura tuaiwi e rere ana mai i tō tātou roro tae noa ki raro i tō tātou tuaiwi. He rite ki te 'taura' matua o tō tātou tinana. Ka haria ngā karere mai i te roro ki te tinana katoa, tae atu ki ngā peka, ā, ka haria ngā kare ā-tinana ki te roro mā roto i tēnei taura tuaiwi. Hei tiaki i tēnei 'taura' utu nui, he hipoki kei te taha o ngā wheua, te kiriuhi, me te kiko e karapoti ana, e kiia nei ko te awa tuaiwi .
Ina, mō tētahi take, ka whaiti te wāhi i roto i tēnei awa tuaiwi, ā, ka tīmata te pēhi o te taura tuaiwi, ka pakaru te whakawhitiwhiti kōrero. Koinei te mea e kīia nei e tātou ko te myelopathy.
He tokomaha te hunga e whakapoauau ana i ngā āhuatanga e rua, arā, ko te myelopathy me te myopathy . Engari he rerekē rawa ngā āhuatanga e rua. Ko te myelopathy he āhuatanga e pā ana ki ngā io o te taurakira . Ko te myopathy he āhuatanga e pā ana ki ngā uaua .
E wehea ana te myelopathy ki ētahi momo matua, i runga i te wāhi o te taurakira e pāngia ana.
| Momo myelopathy | Te rohe e pāngia ana |
|---|---|
| Te Myelopathy o te Cervical | Ka pā ki te taurakira i te rohe kaki. (Koinei te momo tino noa.) |
| Te Myelopathy o te Uma | Kei te taumata uma, ko te tikanga ka pāngia te taurakira o waenganui me te tuara o runga. |
| Te Myelopathy Lumbar | Ka pā ki te tuara o raro. He tino onge tēnei mate nā te mea kāore te taurakira e rere ki raro pēnei i te nuinga o te wā. |
He aha ngā take o te myelopathy?
He maha ngā take e pēhia ai te taurakira. Ko ngā tino take e rua ko ngā mate e kiia nei ko te mate rumatiki me te mate spondylosis . Nā te memeha haere o te tuaiwi, o ngā wheua rānei, i a tātou e pakeke haere ana ēnei mate. Ka taea e tēnei memeha te whakarerekē i te āhua o ngā wheua, me te whakawhāiti i te awa tuaiwi. Ko te mate e tino pā ana ki te kaki e kiia nei ko te Cervical Spondylotic Myelopathy .
Hei tāpiritanga, kei reira ētahi atu take:
- Te Wheua Wiwi: Ka puta mai he wahi iti o te wheua i te tuaiwi ka pēhi i te taurakira , i ngā io rānei e peka atu ana i reira.
- Ngā Aituā: Ka puta ohorere te myelopathy nā te whara o te tuaiwi, pērā i te hinganga, i te aituā motuka rānei. Ka kiia tēnei ko te myelopathy whakapeka .
- Ētahi atu āhuatanga hauora: Ka taea hoki e ngā mate neurodegenerative pērā i te rheumatoid arthritis , ngā pukupuku tuaiwi, te mate a Parkinson te whakawhanake haere i te myelopathy i roto i te wā. Ka kiia tēnei ko te myelopathy mau tonu .
He aha ngā tohu o te myelopathy?
Ka āta puta haere ngā tohu o te myelopathy. Ahakoa he ngawari pea i te tīmatanga, ka piki haere pea i roto i te wā. Ko ngā tohu matua ka kitea pea e koe ko:
- Te mamae i te kaki, i te tuara, i ngā ringa, i ngā waewae rānei.
- Te āhua o te ngoikore, te wera, te ngaro rānei o te kare ā- roto o ngā peka.
- Te ngaro o te taurite i a koe e hikoi ana, me te mea kei te nekeneke haere koe.
- He uaua ki te whakarite i ngā nekehanga o te tinana.
- He uaua ki te mahi i ngā mahi ā-ringa pai , pērā i te tuhituhi, te pātene i te hāte, te here rānei i ngā here hū.
- Te ngoikore me te māuiui o ngā ringa me ngā waewae.
- I te haere whakamua o te mate, ka pāngia pea koe e te mimi me te tūtae kāore e taea te whakahaere .
Ki te pā mai ēnei tohu, kaua e warewaretia . He mea nui kia rapu tohutohu hauora tonu atu.
Me pēhea te tautuhi tika i te myelopathy?
Ina haere koe ki te kite i tō tākuta, ko te mea tuatahi ka mahia e ia ko te whakarongo ki ō tohumate, ka whakahaere i tētahi whakamātautau tinana. Whai muri i tēnā, ka tūtohu pea rātou i ētahi whakamātautau hei whakaū i te mate me te whakakore i ētahi atu mate.
| Whakamātautau hauora | He aha te mea e tumanakohia ana mai i a ia? |
|---|---|
| Whakamātautau hihi-X | Tirohia mēnā he raruraru kē atu pērā i te whati, te whati rānei o te tuaiwi. |
| Matawai MRI (Whakaahua Āhua Aukume) | Koinei te whakamātautau pai rawa atu. Ka taea e koe te kite mārama i ngā mea katoa, tae atu ki te taurakira, ngā io, me ngā kōpae i waenganui i ngā tuaiwi. Ka taea e koe te kimi tika i te wāhi kei reira te taurakira me te nui o tōna pēhanga. |
| Te whakamātautau mielography | Ka mahia tēnei whakamātautau mō te hunga kāore e taea te uru ki te mīhini MRI (hei tauira, te hunga whai taputapu whakaterenga manawa). Ka werohia he wai motuhake (tae) ki roto i te tuaiwi, ā, ka whakamahia ngā hihi-X tūturu (fluoroscopy) hei tautuhi i ngā wāhi raruraru o te taurakira. |
| Ngā Whakamātautau Hiko | Mā ngā whakamātautau pēnei i te electromyogram (EMG) ka tirohia te mahi a ngā io me te urupare a ngā uaua ki aua mea. |
He aha ngā maimoatanga mō te myelopathy?
Ko te maimoatanga e whakawhirinaki ana ki te momo myelopathy kei a koe, tōna pūtake, me te kaha o ō tohu.
Ngā Maimoatanga Kore-Pokanga
I ngā wā tōmua, i te kore rānei e tino kino ngā tohu, ka tūtohu pea tō tākuta i ngā maimoatanga kore-pokanga.
- Whakaora Tinana: Ka āwhina ēnei mahi whakakori tinana ki te whakapakari i ngā uaua o te tuara me te kaki, me te whakaiti i te pēhanga ki runga i te taurakira.
- Taupoki kaki: Ka āwhina tēnei ki te whakawhāiti i te nekehanga o te kaki, te whakaiti i te mamae, me te ārai i te kino haere o te āhua.
- Rongoā: Ka hoatu ngā rongoā mamae pēnei i te NSAID (Non-steroidal anti-inflammatory drugs) hei whakaiti i te mamae me te pupuhi. I ētahi wā, ki te tino mamae, ka hoatu tika ngā werohanga steroid ki te wāhi e pāngia ana.
Ngā Maimoatanga Pokanga
Mena he kino ngā tohu, inā koa mēnā ka ngaro te mana whakahaere o te pūkahukahu, o te puku rānei, mēnā rānei me tango tetahi mea pēnei i te pukupuku, i te kongakonga wheua rānei, ko te pokanga te otinga pai rawa atu. Ka taea e te pokanga te whakamama i te pēhanga ki te taurakira me te whakarato i te whakaoranga pumau.
| Ingoa o te pokanga | He aha te mea ka tupu noa |
|---|---|
| Te tango i te rongoā | Ka tangohia tētahi wāhanga o te wheua tuaiwi (lamina) e pēhi ana i te taurakira, kia noho wātea ai te taurakira. |
| Te mahi laminoplasty | Ki te kore e tangohia katoatia te wheua, ka hangaia he hononga ki tetahi taha, ka hangaia he wāhi pēnei i te whakatuwhera i te tatau. Ka mahia tēnei mō ngā wheua kaki anake. |
| Te Hononga Tuaiwi | E rua, neke atu rānei ngā tuaiwi e honoa ana, hei whakau i te tuaiwi. Mā tēnei ka tino whakaiti i te mamae. |
Te whakaoranga i muri i te maimoatanga
Ko te mea nui rawa atu i roto i te myelopathy ko te kite wawe i te mate me te tīmata i te maimoatanga . Nā te mea ki te tino pēhia te taurakira, ka pā he kino kino ki ngā io.Tērā pea ka tupu. Nō reira, tera pea ka ngaro rawa atu te nekehanga o ngā peka me ngā waewae. Nō reira, ki te mea kei a koe ngā tohu kua whakahuatia i roto i tēnei tuhinga, kaua e mataku, me toro atu ki te tākuta kia mōhio ai koe. Mā te maimoatanga tere, ka taea te pupuri i te kounga o tō oranga.
Karere Tangohia ki te Kāinga
- Ehara te myelopathy i te raruraru uaua, engari he raruraru io e puta mai ana i te pēhanga o te taurakira.
- Kaua e warewarehia ngā tohu pēnei i te mamae o te kaki, o te tuara rānei, e haere tahi ana me te māuiui, te ngoikore, te uaua ki te hikoi, te uaua rānei ki te mahi i ngā mahi ā-ringa pai.
- Mena kei a koe tētahi, ētahi rānei o ēnei tohu, me toro atu ki te tākuta i te wā e taea ai, kia whiwhi tohutohu ai.
- Mā te tautuhi me te maimoatanga wawe ka ārai i te kino tuturu o te io.
- Kei runga i te pūtake me te kaha o te mate, he maha ngā maimoatanga whai hua mai i te whakakori tinana me te rongoā ki te pokanga.
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