Syndrom Hōra Hāpiro: Ngā Tohu E Hāpai Ana Koe i Tō Puku

Ko te syndrom hōra hāpiro he mate ka noho tonu te kiko o te puku ki te kōkiri, ka hangaia he wāhanga kōiti e puta mai ana i te puku, he rite ki te pūwaha o te hōra hāpiro. Ka puta tēnei ina mau tonu koe ki te pupuri i tō puku, he maha ngā wā kāore koe e mōhio ana, ā, tae noa ki te wareware o aua kiko ki te whakatā noa. Me pēnei te rongo, engari he nui noa atu tēnei i tō whakaaro, otirā i roto i te hunga kua roa nei e ngana ana ki te pupuri i tētahi ahua puku papatahi. Ka puta pea te mamae tūturu me ngā raruraru kūnatu, engari ko te rongo pai ko te whakahoki mai i tēnei mā te huarahi tika me te mōhio.

He Aha Te Tikanga Ka Pā ki Tō Tinana I Te Syndrom Hōra Hāpiro?

Ko ō kiko puku i hangaia kia whakatā me te kōkiri noa puta noa i te rā. A, ka puta te syndrom hōra hāpiro ki a koe, ka noho tonu tētahi ropu kiko huri noa i tō puku ki te kōkiri. Ka hangaia tēnei he wāhanga whakapae he wāhanga rānei ka wehewehe tō puku ki tētahi wāhanga runga me tētahi wāhanga raro, he rite ki te wāhi kōiti o te ahua hōra hāpiro.

Ko ngā kiko e pā ana ko te transverse abdominis me te internal obliques. Ko ēnei kiko o te puku hōhonu ka pāpāho i tō tinana pēnei i tētahi kākahu ātea. A, ka noho tonu rātou ki te kōkiri, ka pēhi rātou i ngā mea katoa kei raro iho, tae atu ki ngā kiko o roto me te pūnaha kūnatu.

Kāore tēnei kōkiri tonu e rite ki te whai kiko puku kaha. Ka taea e ngā kiko kaha te kōkiri ina hiahiatia me te whakatā ka mutu te mahi. Ki te syndrom hōra hāpiro, kua ngaro te kaha o ngā kiko ki te whakaputa katoa. Ka noho rātou ki tētahi āhua o te kōkiri tonu, ka whakaaetia e tō pūnaha nerve tēnei hei mea noa.

A, ka roa ake, ka tino aunoa tēnei tauira ka āhua wareware koe ki tō mahi. Ka uru tō tinana ki tēnei āhuatanga hou, ā, ka noho ngā kiko ki tēnei āhua poto, kōkiri. Koinei te take kāore e taea e te kii noa ki a koe kia whakatā.

He Aha Te Rongo O Te Syndrom Hōra Hāpiro?

He maha ngā tāngata e pangia ana e tēnei mate ka kōrero mo te ahua o te kōkiri me te herehere huri noa i tō puku. Ka taea koe te rongo kāore e taea e koe te manawa hohonu, me te mea e pēhi ana tētahi mea huri noa i tō rara whatiwhati me tō puku runga. Ka taea tēnei ahua kia māmā, kia tino mamae rānei, i runga i te kaha o te kōkiri o ngā kiko.

He tino auau ngā tohu kūnatu ā, he maha ngā wā ko te wāhanga tino raruraru. Ka taea e koe te kite i te pupuhi, otirā i muri i te kai, nā te mea ka iti ake te wāhi mō ngā kiko kūnatu ka kōkiri me te tukatuka kai noa. Ka rongo ētahi tāngata kua tino kiki ahakoa i muri i te kai iti, ka kite rānei etahi kai ka uaua ake te tukatuka.

Ko te wāhanga whakapae e kitea ana te nuinga o te wā ka puta ai te tāngata ki te rapu awhina. Ka taea koe te kite i tētahi raina whakapae he wāhanga rānei i tō puku, ka tino kitea ina tu koe, ina noho rānei koe. Ka taea te hōhonu ake tēnei raina i te wa e manawa ana koe, ka neke rānei koe ki ngā huarahi. Ka kite ētahi tāngata i roto noa i ētahi āhuatanga me ētahi rama.

Kia tukua koe e ahau ki te kōrero i ētahi tohu anō e pā ana ki tēnei mate, nā te mea ka taea te mōhio ki te pikitia katoa te āwhina i a koe ki te mārama ki tō tinana e rongo ana:

• Te mamae me te mamae i tō tuara runga me raro, nā te mea ka ngaro tō tuara ētahi o tō tautoko kiko ātea i te wa e mau ana ngā kiko puku.


• Te uaua ki te whakawhitiwhiti, me te ahua o te kore e tino whakawhiti, nā te mea ka pā te pēhi ki te neke o ngā whekau.


• Te ruaki me te waikawa, otirā i muri i te kai, nā te mea ka iti ake te wāhi o te kiko puku ka taea te pēhi ki runga.


• Te poto o te manawa me ngā tauira manawa poto, nā te mea kāore e taea e te diaphragm te heke ki roto i te puku kua kiki.


• Te kōkiri me te mamae o te papa pelvic, nā te mea ka pā te kōkiri ki raro ki ēnei kiko honohono.


• Te mamae me te ngawari o te rara, otirā i ngā rara raro ka hono ngā kiko.


• Te manawapapa me te ahua o te kore e taea te whakatā katoa, he mea mārama ki te āhua tinana o te kōkiri tonu.

Ka rereke ngā tohu nei i te tāngata ki te tāngata. Ka taea e koe te kite i tētahi, e rua rānei, ka taea rānei e koe te kite i ētahi o tēnei rārangi. Ko te mea nui kia mōhio koe ko ēnei ngā pānga tinana o te kōkiri tonu, ehara i te mea e whakaaro ana koe, e whakawhanui ana rānei koe.

He Aha Te Take Ka Puta Ai Tēnei Mate?

Tata tonu te syndrom hōra hāpiro ka puta mai i te pupuri tonu o tō puku. Ka tīmata noa tēnei mahi, mā te hiahia kia māminga ake koe i roto i ngā kakahu kikī me te ngana rānei ki te pupuri i tō tu noa, kia rite ki tō māramatanga. I roto i ngā marama me ngā tau, ka noho tēnei kaha kia kore koe e mōhio.

Ko ngā pēhanga ā-ahurea mō te ahua o te tinana kei te wāhi nui. He maha ngā tāngata, otirā ngā wāhine, ka tipu ake te rongo i ngā karere mō te pupuri i o rātou puku kia papatahi me te kōkiri i o rātou puku. Ko te mea i tīmata hei kōwhiringa āhua ka huri āta hei tauira neuromuscular ka mau aunoa tō tinana.

Ka taea hoki e ētahi huarahi whakangungu te āwhina ki tēnei tauira. Ki te mahi koe i te maha o ngā whakangungu puku e whakahihiko ana i te kiko puku tonu me te kore e aro nui ki te whakatā me te mahi manawa, ka taea e koe te whakangungu i ō kiko kia noho tonu rātou ki te kōkiri. Ko ētahi tikanga tinana e whakahihiko ana i te pupuri i tō puku kia kōkiri puta noa i te rā, ka taea te hoki mai i muri.

Anei ētahi āhuatanga motuhake me ngā mea ka taea te whakauru ki te puta mai o tēnei mate:

• Te kakahu o ngā kakahu kikī i te wā, pēnei i te tarau kikī, te kakahu āhua, me te whitiki kikī, ka hoatu ki tō tinana he urupare o waho kia noho tonu te pēhi.


• Ngā tauira manawa e pai ake ana te manawa o te uma i te manawa o te puku, ka ārai i tō puku kia kōkiri noa ki ia manawa.


• Te pēhanga me te manawapapa tonu, ka puta ki te kōkiri tinana e taea e koe te pupuri i tō puku.


• Te pokanga puku o mua me te wharanga, ka taea te whakarereke i te āhua o tō whakamahi me te mōhio ki ō kiko puku.


• Te whakangungu kanikani, whakangungu tinana, me te whakangungu whakaari i whakahihiko ai tētahi ahua tinana motuhake.


• Ngā whakarerekē i muri i te whānautanga i te wa e kaha ana koe ki te whakahoki mai i tētahi puku papatahi i muri i te hapūtanga.


• Ngā raruraru kūnatu nā reira koe i pupuri ai, i tiaki ai rānei i tō puku mai i te mamae.

Ko te māramatanga ki tō ara whaiaro ki tēnei mate ka āwhina i a koe ki te whakatika ake. Ko te nuinga o ngā tāngata ka kite i a rātou i roto i tētahi o ēnei āhuatanga. Ko te putanga he āta, ā, kāore he kaupapa, nā reira ka ohorere te tangata i te wa e kii ana te tangata ki a koe tō tinana e mahi ana.

Ka Puta Mai Te Mate Nui Mai I Tēnei Mate?

Ko te syndrom hōra hāpiro ake kāore e mate, hei te mea ka taea e ia te whakatāpu i te whakaaro. Heoi, ko te pēhi tonu me te kōkiri o te kiko ka puta mai ngā tohu mamae me te raruraru ka pā ki te kounga o tō ora. Me aro atu ki tēnei mate me te atawhai, ahakoa ehara i te mea he ohorere.

Ko te pūnaha kūnatu te mea nui rawa atu ka pā mai i te pēhi tonu. Ko tō puku, ngā whekau, me ētahi atu kiko kūnatu ka hiahia wāhi ki te kōkiri, ki te pēhi, me te neke kai kia tika. A, ka hereheretia taua wāhi, ka puta mai pea ki a koe ngā raruraru kūnatu pēnei i te kōpipitanga, te pupuhi, me te kūnatu ka mau tonu ahakoa kua whakarereke koe i te kai.

Ka taea te whakararu i tō manawa i te wā. Ko te diaphragm, te kiko manawa nui, me heke ki roto i te wāhi puku i te wa e manawa ana koe. A, ka noho tonu tēnei wāhi ki te kiki me te pēhi, kāore e taea e te diaphragm te heke katoa. Ka manawa poto koe, ka noho koe i te manawapapa, te ngenge, me te poto o te manawa me te kore he take mārama.

Ko te mamae tonu he tino raru. A, ka noho tonu ngā kiko puku ki te kōkiri, me mahi atu ētahi kiko hei whakakapi. Ka nui pea te mahi a ngā kiko tuara ki te tautoko i tō tuara. Ka taea te kōkiri o ngā hip flexors. Ka taea te kōkiri me te kore mahi o tō papa pelvic. Ka taea e tēnei taahinga o te kōkiri whakakapi te puta mai te mamae whānui.

Kia ata whakarārangitia e ahau ētahi raruraru ka puta mai ki te haere tonu tēnei mate me te kore e whakatika, nā te mea ko te mōhio te āwhina i a koe ki te tango i a ia me te kore e wehi:

• Te kore mahi o te papa pelvic, tae atu ki te hiahia ki te mimi i te wā, te uaua ki te whakawhitiwhiti katoa i te mimi, me te mamae i te wa o te noho tahi.


• Te kōpipitanga tonu ka uaua ake te whakahaere mā te kai me te wai anake.


• Te mate waikawa-kūnatu (GERD) ka puta mai, ka kino rānei i te wa e pēhia ana ngā kiko o te puku ki runga.


• Te mate putanga o te pokohiwi (thoracic outlet syndrome), te wa e pēhia ana ngā nerve me ngā oko toto i tō uma runga ka puta te mate i te ringa me te ngoikore.


• Te kore mahi o te rara me te mamae o te rara (costochondritis), he wāhanga rānei o te mamae i te wa e hono ana ngā rara ki tō papatoihi.


• Ngā mate tauira manawa tuarua ka taea te whakaoho i ngā whakaeke manawapapa me te manawapapa tonu.


• Te whakaiti i te pumau o te puku ahakoa te kōkiri o ngā kiko, ka puta ki te nui ake o te mate o te wharanga i te wa e mahi ana.

Kua puta mai ēnei raruraru hei whakaaro, ā, ka taea e rātou te tino raruraru ki te puta mai. Nā te mea ka puta mai ēnei, ko te nuinga o ngā tāngata whai syndrom hōra hāpiro ka kite i ngā tohu ka taea te whakahaere ka pai ake te kitea mā te atawhai tika. Ko te mōhio wawe me te wawaotanga ka ārai i te nuinga o ēnei raruraru nui kia kaua e mau.

Me Pēhea Te Tātaritanga O Te Syndrom Hōra Hāpiro?

Ko te tātaritanga ka tīmata ki te tirotiro tinana pai me te kōrero taipitopito mō ō tohu me ō mahi. Ka titiro tō tākuta ki tō puku i te wa e tu ana, e noho ana, e takoto ana koe. Ka kite rātou i taua wāhanga whakapae me te aromatawai i te āhua o tō puku ki te neke i te wa e manawa ana koe.

Ka āwhina te kaiwhakarato tohunga ki te tono i a koe kia ngana ki te whakatā i tō puku kia tino whakatā. He maha ngā tāngata whai tēnei mate ka kite i te uaua, ahakoa te kore e taea te whakaputa i te kōkiri i te tuatahi. Ko tēnei kore e taea te whakaputa i te kōkiri te take tātaritanga anō. Ka taea e tō tākuta te whakatakoto i ō rāua ringa ki tō puku me te tono i a koe ki te manawa hohonu ki te kite i te āhua o tō puku ki te kōkiri noa.

Kāore he whakamātautau taiwhanga motuhake, he rangahau whakaahua rānei ka taea te tātaritanga o te syndrom hōra hāpiro. Heoi, ka taea e tō tākuta te tono whakamātautau hei whakakore i ētahi atu mate ka taea te puta mai ngā tohu rite. Ka taea te whakaatu i te ultrasound me te CT scan i ngā raru āhua o ō kiko. Ka tino noa ēnei whakamātautau i te syndrom hōra hāpiro, ā, ka āwhina ki te whakau i te tātaritanga.

I ētahi wā ka taea e te whakamātautau tohunga te hoatu mōhiohio anō. Ko te ultrasound o te nekehanga, te wa e tangohia ana ngā pikitia i te wa e manawa ana koe me te neke, ka taea te whakaatu i ngā tauira kōkiri kiko kore noa. Ka taea te whakamahi i te whakamātautau manometry ki te mamae kino ngā tohu kūnatu, te ine i ngā pēhi i roto i tō puku kūnatu. Ehara ēnei i te mea noa engari ka āwhina i roto i ngā take uaua.

He Aha Ngā Kōwhiringa Atarawa?

Ko te atawhai ka huri ki te whakangungu anō i ō kiko me tō pūnaha nerve kia taea ai te whakatā noa. Ehara tēnei i te mea ki te totoro ngā kiko kōkiri i te tikanga tawhito. Engari, me hanga anō e koe ngā ara nerve e kii ana ki aua kiko ahea ka tukua ai. Ka roa tēnei tukanga me te mahi auau engari he tino whai hua mō te nuinga o ngā tāngata.

Ko te physiotherapy te tino pou o te atawhai. Ka whakaakona koe e tētahi tohunga physiotherapy e mārama ana ki tēnei mate ki ngā mahi manawa motuhake e whakahihiko ana i te kōkiritanga o te puku. Ko te manawa diaphragm, te wā e tukua ana e koe tō puku kia piki ki runga ki ia manawa, he mea nui. Ka āhua raruraru tēnei i te tuatahi ki tō tinana kua ako ki te mahi i te ritenga.

Ka taea e ngā tikanga atarawa te āwhina ki te whakaputa i ngā kiko kua kiki tonu. Ka taea e tō tohunga te whakamahi i te pēhi roa, te whakaputa myofascial, me te whakaputa visceral ki te āwhina i tō pakitara puku kia māmā. Ko ēnei tikanga ringaringa ka tino pai ake te mahi me tō uru kaha ki te manawa me te whakatā.

Anei ngā huarahi matua ka uru ki tō mahere atawhai, ā, he mahi motuhake ia ki te āwhina i tō tinana kia mahara ki te mahi noa:

1. Te whakangungu anō i te manawa diaphragm, ka mahia ia rā, ki te whakatu i ngā tauira manawa aunoa hou.


2. Ngā mahi whakatā roa e whakaako ana koe ki te whakaputa i te kōkiri puku.


3. Te whakangungu mōhio ki te tū, ki te kite me te whakarereke i ngā tūnga e whakaoho ana i te pupuri puku.


4. Te atawhai biofeedback, te wā e whakamahi ana i ngā kaikōrero hei whakaatu i a koe i ngā mōhiohio o te wā tonu mō te mahi kiko.


5. Te whakahihiko puku ngawari e whakahihiko ana i te kiko me te whakaputa, ehara i te kōkiri tonu.


6. Ngā mahi hinengaro me ngā mahi tinana e āwhina ana i a koe ki te whakarongo me te whakarereke i ngā tauira kōkiri kore.


7. Ngā huarahi hinengaro me te whanonga ki te mea ko te manawapapa me ngā whakaaro mō te ahua o te tinana ngā take nui.


8. Ngā whakarerekētanga kakahu me te oranga ki te tango i ngā whakaoho o waho mō te pēhi.

Ko tēnei huinga tikanga ka āta titiro ki te mahi tinana me ngā tauira hinengaro e tautoko ana. Ko te nuinga o ngā tāngata ka hiahia kia maha wiki ki te marama o te mahi auau i mua i te kite i te whakarereketanga nui. Ka hiahia tō pūnaha nerve ki te wā ki te whakaae me te whakauru i ēnei tauira hou hei mea noa.

Kia Pehea Te Roa O Te Whakaora?

Ka rereke te roa o te whakaora i runga i te roa o tō mate me te kaha o ō tohu. Ko te tangata kua pupuri i tō puku mō te rua tekau tau ka nui ake te wā i te tangata i puta mai te tauira i mua tata nei. Ka mārama tēnei ina whakaaro koe ki te āhua o te mau o te tikanga.

He maha ngā tāngata ka tīmata ki te kite i ētahi paihere i roto i ētahi wiki o te tīmatanga o te atawhai. Ka āhua ngāwari ake tō manawa, ka iti ake te pupuhi i muri i te kai. Ko ēnei wikitoria tuatahi he whakahihiko, ka whakaatu hoki te āhua o tō tinana ki te whakarereke. Heoi, ko te whakaora katoa o ngā tohu me te whakahoki katoa o te mahi kiko noa ka puta i roto i ētahi marama.

Ko te rongo pai ko te paihere ka kaha haere tonu. Ka āhua ngāwari ake te wiki o te mahi i te wiki o muri. Ka mahara āta tō tinana ki te ahua o te noa. Ka kite pea koe ka taea e koe te hopu i a koe e mau ana i te kōkiri me te whakaputa, he mea kāore e taea i te tuatahi.

Ko te manawanui te mea nui rawa atu ki konei. I puta mai tēnei tauira ki tō tinana āta, ā, ka puta mai hoki āta. Ko te tere o te tukanga, ko te pouri rānei i te wa e noho ana koe ka taea te whakapiki i te kōkiri me te whakaiti i tō paihere. Ko te kaha ngawari, auau ka kaha ake te mahi i ngā nganatanga kaha ki te kaha te whakarereke.

He Aha Māu E Koe E Puta Ai Ki Te Puta Mai I Tēnei?

Tīmata mā te kite noa i te āhua o tō puku puta noa i te rā. Whakaritea ngā whakamaumahara ngawari ki tō waea kia tirohia tō puku. Kei te kōkiri? Ka taea e koe te āta whakatā? Ko te rongo noa i te tauira he taahiraa tuatahi nui, me te kore he pēhi ki te whakatika i tetahi mea i teie nei.

Whakamātauhia te takoto ki tō tuara me ō turi kua piko me ō waewae papatahi. Whakanohoia tētahi ringa ki tō uma me tētahi ki tō puku. Manawa āta me te kite mehemea ka taea e koe te piki o te ringa i tō puku ki ia manawa. Ko tēnei mahi manawa diaphragm taketake he haumaru me te āwhina ki te nuinga o te tangata. Ahakoa he torutoru meneti ia rā ka taea te tīmata te whakarereke i ō tauira.

Whakaarohia te āhua o tō kakahu. He kikī rawa ō tarau me te whitiki? Ka herehere rānei tō kakahu āhua i tō manawa? Ko te whakarereke iti hei whakarite i tō puku kia nui ake te wātea ka taea te tango i ngā whakaoho e tautoko ana i te tauira pupuri. E tika ana kia noho pai koe i roto i ō kakahu.

Tonoa atu ki tētahi kaiwhakarato hauora e taea te aromatawai tika i ō tohu. Ko tētahi tohunga physiotherapy whai wheako i roto i te hauora pelvic me ngā mate manawa he maha ngā wā te wāhi tīmata tino pai. Ka taea hoki e koe te kōrero ki tō tākuta matua, ka taea te aromatawai i tō hauora katoa me te tuku atu ki ngā tohunga tika ki te hiahiatia.

He Āhuatanga Ea Te Ārai I Te Syndrom Hōra Hāpiro?

Ko te ārai ka hoki ki te pupuri i ngā tauira manawa hauora me te karo i te pupuri puku tonu. Ki te kite koe i a koe e kōkiri ana i tō puku, whakamātauhia kia mahara koe me neke me te kōkiri noa tō puku. Ehara i te mea me noho tō puku kia papatahi me te kōkiri i ngā wā katoa.

Kia aroha mai ki te āhua o tō manawa i te wa e whakangungu ana koe me ngā mahi o ia rā. Me piki āta tō puku i te wa e manawa ana koe me te whakatā i te wa e manawa ana koe. Ki te pupuri koe i tō manawa, me te manawa noa ki tō uma, mahia ngā whakarereke iti. Ko te manawa tika ka tautoko i tō puku kia noa me te kore e hiahiatia he kōkiri tonu.

Kōwhirihia ngā kakahu e taea ai te neke me te manawa. Ehara tēnei i te mea me noho māmā me te whānui ngā kakahu katoa. Āta karohia ngā mea kikī rawa ka ārai i tō kaha ki te manawa katoa, me te āhua ka taea e koe te mau mā te pupuri i tō puku. Ko te noho pai me te mahi te mea nui atu i te ahua i te wa e puta mai ana.

Kia whakaaroaro ki ngā tohutohu whakangungu e whai ana koe. Ko te whakahihiko puku he mea nui, engari me uru ki te kiko me te whakaputa. Ki te whakahihiko tētahi kaupapa tinana kia noho tonu tō puku kia kōkiri i te rā katoa, he tohu whakatūpato tēnā. Ko te taurite me te rerekee ka nui ake te hauora i te kōkiri tonu.

He Aha Me Kia Mahara Koe Ki Tēnei Mate?

Ko te syndrom hōra hāpiro he mate tinana tūturu ka puta mai i ngā tauira kōkiri kiko tonu. Ehara tēnei i te mea e whakaaro ana koe, ā, he tika ngā urupare o ō tohu ki te pēhi tonu. E tika ana kia whakaarohia ō whakaaro me te whiwhi atawhai tika.

Ka taea te whakahoki mai tēnei mate mā te atawhai tika me te mahi auau. Kei te tinana o te kaha ki te ako anō i ngā tauira noa o te kōkiri me te whakatā. Ka roa pea tēnei me te manawanui, engari ka taea te paihere mō te nuinga o te tangata. Kāore koe e mau ki tēnei mō ake tonu atu.

Ko te noho aroha ki a koe i roto i tēnei tukanga te mea nui rawa atu. Kāore koe i puta mai tēnei mate mā te kaupapa, mā te he rānei. I puta mai i ngā urupare mārama ki ngā karere ā-ahurea, ngā kōwhiringa āhua, me ngā nganatanga pai. Ko te whakaputa i te whakawa-whaiaro ka taea e tō tinana te whakatā ake.

Hei whakamutunga, kia mōhio koe ko te rapu awhina he tohu o te mōhio ki a koe anō me te atawhai ki a koe anō. Ko te kite i te ahua kino o tō tinana me te tango i ngā taahiraa ki te whakatika he tohu o te kaha tūturu. Kei te tango koe i tētahi taahiraa nui ki te pai ake o te noho pai tinana me te oranga whānui. Ka mihi tō tinana ki a koe mō te whakarongo.