He aha ngā wheua koikoi? Ngā tohu, ngā take, me te rongoā

Ko ngā wheua koikoi he iti, he tipu wheua e tupu ana i ngā taha o ō wheua, te nuinga i ngā wāhi e tutaki ana ngā wheua ki ngā hononga. Whakaarohia he whakaora tēnei a tō tinana i ngā hononga ka pakaru, ka whakaheke i te wā.

Ko ēnei tipu, e kiia ana ko ngā osteophytes, ka tupu ngāwari, kāore pea e puta he tohu. He tokomaha ngā tangata kei a rātou ngā wheua koikoi, kāore rātou e mōhio. Engari, ki te puta he raruraru, ka pāngia e te mamae, te ngoikore, me te ngoikore o te nekehanga i te wāhi e pā ana.

He aha ngā tohu o ngā wheua koikoi?

Kāore ngā wheua koikoi e puta he tohu, koia te take i kitea ai e te nuinga o ngā tāngata i te wā e mahi ana i ngā X-rays mō ētahi take. Ki te puta ngā tohu, ka tupu haere te tipu o te wheua koikoi, ka pēhi ki ngā kiko e tata ana.

Ko ngā tohu tino noa ka pāngia e koe:

• Te mamae me te ngawari o te hononga e pā ana, ina koa i te wā e neke ana
• Te ngoikore e uaua ai te nekehanga o te hononga
• Te pupuhi i te wāhi hononga
• He oro ngāwari, he āhua rāpoi i te wā e neke ana te hononga
• Te ngoikore o te nekehanga i te wāhi e pā ana
• Te ngoikore o te uaua ki te pēhi te wheua ki ngā io e tata ana

I ētahi wā, ka kite koe i te pūngāwerewere i raro i tō kiri i te wāhi i hanga ai te wheua koikoi. Ka rerekē ngā tohu i runga i te wāhi e tupu ana te wheua koikoi, me te āhua o te pānga ki ngā uaua, ngā uaua, ngā io e tata ana.

He aha ngā momo wheua koikoi?

Ka whakarōpūtia ngā wheua koikoi i runga i tō tinana. Ka rerekē te pānga o ia momo ki a koe i runga i te hononga, te wāhi.

Ko ngā momo tino noa:

• Ngā wheua koikoi o te tuaiwi: Ka hanga i ngā vertebrae, ka pēhi i ngā io, ka puta te mamae o te tuaiwi, te ngāngā
• Ngā wheua koikoi o te turi: Ka tupu i te taha o tō turi, te mata hononga, ka mamae te hikoi
• Ngā wheua koikoi o te hope: Ka whakaiti i te nekehanga o tō hope, ka puta te mamae o te hope, te huha
• Ngā wheua koikoi o te pokohiwi: Ka mau ki ngā uaua i te wā e neke ana te ringa, ka puta te mamae, te ngoikore
• Ngā wheua koikoi o te turi: Ka hono atu ki te plantar fasciitis, ka puta te mamae o te turi i te wā e hikoi ana
• Ngā wheua koikoi o te kaki: Ka puta te mamae o te mahunga, te kaki, te ngāngā o te ringa ki te pēhi ki ngā io

Kāore i te noa, ka tupu ngā wheua koikoi i ō ringa, waewae, ētahi atu hononga. Ko te wāhi te tikanga o ngā tohu, te huarahi rongoā pai mō tō āhua.

He aha ngā take o ngā wheua koikoi?

Ka tupu ngā wheua koikoi ina ngana tō tinana ki te whakaora i ngā pakaru, te whakaheke i ō hononga mā te tipu atu o ngā kiko wheua. Ka tupu tenei i roto i ngā marama, ngā tau, i te wā e whakautu ana tō tinana ki te ahotea, te whara.

Ko ngā take matua e āhei ana te hanga i ngā wheua koikoi:

• Osteoarthritis: Ko te take tino noa, ka pakaru te cartilage, ka wiri ngā wheua
• Te whakaheke i te pakeke: Ngā tukanga pakeke e pā ana ki te hauora o ngā hononga
• Te ahotea auau: Ngā mahi e tukuna tonu ana te pehanga ki ngā hononga motuhake
• Te tuunga kino: Ngā raruraru tuunga roa e hanga ana i te pehanga hononga kore rite
• Ngā whara o mua: Ngā pakaru tawhito, ngā whakakorikori, ngā pakaru uaua kāore i ora pai
• Te whakaheke o te pūtau o te tuaiwi: Ina whakaheke ngā pūtau o te tuaiwi, ka puta te kore tūturu

I ētahi wā, ka tupu ngā wheua koikoi i ngā āhuatanga mumura pēnei i te rheumatoid arthritis, te ankylosing spondylitis. I ētahi wā, ka nui ake te tūponotanga o te whanau ki te whanau i ngā wheua koikoi, ina koa ki te whanau he raruraru hononga.

Nōhea te haere ki te taote mō ngā wheua koikoi?

Me whakaaro koe ki te haere ki te taote ki te pāngia koe e te mamae o te hononga, te ngoikore, te ngoikore o te nekehanga e āwangawanga ana i ō mahi o ia rā. Ka āhei te aromatawai wawe ki te aukati i te kino o ngā tohu, ki te kimi i te huarahi rongoā pai.

Rapua te tiaki hauora ki te kite koe:

• Te mamae o te hononga e roa atu ana i ngā rā torutoru kāore e pai ake
• Te ngoikore e uaua ai te mahi i ngā mahi noa
• Te pupuhi kāore e heke i te okioki, te hukapapa
• He oro ngāwari, he oro ke i te wā e neke ana ngā hononga
• Te ngāngā, te wiri i ō ringa, waewae
• Te ngoikore o ngā uaua e tata ana ki te hononga e pā ana

Me rapu wawe koe i te tiaki hauora ki te pāngia koe e te mamae nui, te ngaro o te nekehanga, ngā tohu o te pēhinga io pēnei i te ngāngā, te ngoikore. Ka taea e ēnei tohu te tohu kei te pēhi te wheua koikoi ki ngā io, ngā oko toto nui.

He aha ngā take tūponotanga mō ngā wheua koikoi?

He maha ngā take ka nui ake te tūponotanga o te whanau i ngā wheua koikoi, ahakoa kāore te whai i ngā take tūponotanga e whakaatu ana ka whanau koe. Ka āhei te mōhiotanga ki ēnei take ki te awhina i a koe ki te tango i ngā mahi aukati.

Ko ngā take tūponotanga noa:

• Te pakeke neke atu i te 40: Ka nui ake te tūponotanga i te wā e whakaheke ana te cartilage
• Te hītori whānau: Te whakaaro o te whānau ki ngā raruraru hononga, te mate pukupuku
• Te momona: Ko te taumaha atu ka nui ake te ahotea ki ngā hononga e mau ana i te taumaha
• Ngā mahi auau: Ngā mahi, ngā hākinakina e whakawhiwhi ana i ngā hononga kotahi
• Te tuunga kino: Ka hangaia te tohatoha kore rite o te taumaha puta noa i ngā hononga
• Ngā whara hononga o mua: Ngā trauma tawhito kāore pea i ora pai
• Ngā āhuatanga mumura: Te mate pukupuku, ētahi atu mate mumura

Ko ngā take tūponotanga kāore i te noa ko ētahi mahi e hiahiatia ana te kawe taumaha, te noho roa, ngā nekehanga auau. Ko ngā kaitākaro hākinakina kaha pea ka nui ake te tūponotanga, ina koa i ngā hononga e āwangawanga ana i te ahotea.

He aha ngā raruraru pea o ngā wheua koikoi?

Ahakoa he maha ngā wheua koikoi kāore e puta he raruraru, ka puta ngā raruraru ina nui rawa te tipu ki te āwangawanga i ngā hanganga e tata ana. Ka tupu haere ngā raruraru, ka pā nui ki tō kounga ora ki te kore e rongoā.

Ko ngā raruraru pea:

• Te pēhinga io: Ka pēhi ngā wheua ki ngā io, ka puta te mamae, te ngāngā, te ngoikore
• Te ngoikore o te nekehanga hononga: Ka taea e ngā wheua nui te whakaiti i tō whānuitanga o te nekehanga
• Te pakaru o te uaua, te uaua: Ka taea e ngā wheua koi te pakaru i ngā kiko ngawari i te wā e neke ana
• Te mamae roa: Te kore ngāwari e pā ana ki ngā mahi o ia rā
• Te āhua kē o te hononga: Ka taea e ngā take nui te huri i te āhua o ngā hononga e pā ana
• Te ngoikore o te uaua: Ka taea e te pēhinga io roa te arahi ki te ngoikore o te uaua

I ētahi wā, ka taea e ngā wheua koikoi o te tuaiwi te puta he raruraru nui pēnei i te stenosis o te tuaiwi, ka whakaiti te kauwhata o te tuaiwi, ka pēhi i te roro o te tuaiwi. Ka taea e tenei te arahi ki ngā tohu neurological nui, ka hiahiatia pea te pokanga hei aukati i te kino mau tonu.

Me pēhea te aukati i ngā wheua koikoi?

Ahakoa kāore e taea te aukati katoa i ngā wheua koikoi, ina koa ngā mea e pā ana ki te pakeke noa, ka taea e koe te tango i ngā mahi hei whakaiti i tō tūponotanga, te whakaheke i te tipu. Ko te aukati te aro ki te pupuri i te hauora o ngā hononga, te whakaiti i te ahotea kore e tika ana ki ō wheua, ō hononga.

Ko ngā rautaki aukati whai hua:

• Pupuri i te taumaha hauora: Ka whakaiti i te pehanga ki ngā hononga e mau ana i te taumaha
• Te whakakori tinana auau: Ka pupuri i ngā hononga ngawari, ngā uaua kaha
• Te mahi i te tuunga pai: Ka tohatoha te taumaha puta noa i tō tuaiwi, ngā hononga
• Te whakamahi i ngā tikanga tinana tika: Akohia ngā tikanga kawe, nekehanga tika
• Te inu wai: Ka awhina i te pupuri i te cartilage hauora, te hinu hononga
• Kai kai tōtika: Ka whakarato i ngā matūkai e hiahiatia ana mō te hauora o ngā wheua, ngā hononga
• Te karo i te ahotea auau: Tangohia ngā okioki i ngā mahi e whakawhiwhi ana i ngā hononga kotahi

Ki te whai koe i ngā take tūponotanga pēnei i te hītori whānau, ngā whara o mua, te mahi tahi me te kaiwhakarato hauora, te kaiwhakaora tinana ka awhina i a koe ki te whakawhanake i te mahere aukati whaiaro. Ka taea e rātou te whakaako i a koe i ngā whakakori, ngā tikanga motuhake hei tiaki i ō hononga tino ngoikore.

Me pēhea te whakatau i ngā wheua koikoi?

Ko te whakatau i ngā wheua koikoi te timatanga mā tō taote e ui ki ō tohu, e tirotiro i te wāhi e pā ana. Ka hiahia rātou ki te mōhio ki te wā i tīmata ai ō tohu, he aha te mea e pai ake ai, te kino ake, me te āhua o te pānga ki ō mahi o ia rā.

Ko te tukanga whakatau:

• Te tirotiro tinana: Ka tirotiro tō taote i te mamae, te pupuhi, te whānuitanga o te nekehanga
• Te arotake i te hītori hauora: Te kōrero mō ngā whara o mua, te hītori whānau, ngā tohu o nāianei
• Ngā X-rays: Ko te whakamātautau whakaahua matua e whakaatu ana i ngā wheua koikoi
• Ngā tātaritanga MRI, CT: Ka tono pea ki te kite i te kino o ngā kiko ngawari, te pēhinga io
• Ngā whakamātautau toto: Ka whakamahia pea hei whakakore i ngā āhuatanga mumura

Ko ngā X-rays te tikanga hei whakatau i ngā wheua koikoi, no te mea ka kitea mārama i ēnei whakaahua. Engari, ka tono pea tō taote i ētahi atu whakamātautau ki te whakaaro he pānga io, ki te hiahia ki te kite me pēhea te pānga o ngā wheua ki ngā kiko e tata ana. Ka āhei te tukanga whakatau ki te whakatau mehemea kei a koe ngā wheua koikoi, kei te puta rātou i ō tohu.

He aha te rongoā mō ngā wheua koikoi?

Ko te rongoā mō ngā wheua koikoi te aro ki te whakaora i ngā tohu, te aukati i te kino atu o ngā hononga, no te mea kāore ngā wheua e hiahiatia te tango. Ka tīmata tō taote ki ngā rongoā māori, ka whakaaro noa ki te pokanga ki te kore ngā huarahi atu e whakarato i te whakaora.

Ko ngā whiringa rongoā noa:

• Ngā rongoā mamae: Ngā rongoā i te toa rongoā, ngā rongoā rongoā hei whakaiti i te mamae, te mumura
• Te whakaora tinana: Ngā whakakori hei whakapai ake i te ngawari, te kaha, te mahi hononga
• Ngā whakauru corticosteroid: Te whakauru tika ki te hononga hei whakaiti i te mumura
• Te whakarerekē i ngā mahi: Te whakarerekē i ngā mahi o ia rā hei whakaiti i te ahotea hononga
• Te rongoā wera, te hukapapa: Ngā tono hei whakaiti i te mamae, te ngoikore
• Te whakahaere taumaha: Te ngaro o te taumaha nui hei whakaiti i te pehanga hononga

Ko te pokanga te tikanga mō ngā take e puta ana ngā tohu nui kāore e whakautu ki te rongoā māori. Ko ngā whiringa pokanga pea ko te tango i te wheua koikoi, te whakaora i ngā kiko pakaru, i ētahi wā, te whakakapi hononga. Ka kōrero tō taote i ngā tūponotanga, ngā painga o te pokanga i runga i tō āhua.

Me pēhea te whakahaere i ngā wheua koikoi i te kāinga?

Ka taea te whakahaere i te kāinga mō ngā tohu wheua koikoi ngawari ki te reo, ka mahi pai me te rongoā hauora. Ko te matua ko te mau tonu ki ngā mahi tiaki whaiaro, te mōhio ki te rapu atu i te awhina.

Ko ngā rautaki whakahaere kāinga whai hua:

• Tonohia ngā putea hukapapa: Whakamahia mō ngā meneti 15-20 i ngā wā e pupuhi ana hei whakaiti i te mumura
• Whakamahia te rongoā wera: Ka taea e ngā kaukau wera, ngā papa wera te whakaora i te ngoikore
• Te whakatete ngawari: Ngā whakatete o ia rā hei pupuri i te ngawari o ngā hononga
• Te whakakori iti-pānga: Te hikoi, te kauhoe, te hikoi paipa hei pupuri i ngā hononga e neke ana
• Ngā kaiwhakaora mamae i te toa rongoā: Whai i ngā tohutohu mō te whakamahinga haumaru
• Ngā tikanga mahi tika: Whakarerekē tō wāhi mahi, ngā mahi o ia rā
• Te okioki tika: Whakatūpato i te mahi me ngā wā okioki mō ngā hononga e pā ana

He mea nui te whakarongo ki tō tinana, te karo i ngā mahi e kino ake ai ō tohu. Pupuri i te puka tohu hei aroturuki i te mea e awhina ana, te mea kāore, te whakapā atu ki tō kaiwhakarato hauora i ngā haerenga whai muri.

Me pēhea te whakarite mō tō hui taote?

Ko te whakarite mō tō hui ka āhei te whakarite kia whiwhi koe i te whakatau tino tika, te mahere rongoā whai hua. Ka āhei te whakarite pai ki te whakamahi i tō wā me te taote, te whakarite kāore e warewarehia ngā kōrero nui.

I mua i tō hui:

• Tuhia ō tohu: Kei roto te wā i tīmata ai, he aha te mea e whakaputa ana i a rātou, he aha te mea e whakaora ana
• Rārangihia ngā rongoā katoa: Kei roto ngā rongoā rongoā, ngā rongoā i te toa rongoā, ngā taapiri
• Whakaritea tō hītori hauora: Tuhia ngā whara o mua, ngā pokanga, te hītori whānau o ngā raruraru hononga
• Tuhia ngā whakatautau o ia rā: Whakaatuhia me pēhea te pānga o ngā tohu ki tō mahi, te whakakori, ngā mahi o ia rā
• Kawe mai ngā whakaahua o mua: Kei roto ngā X-rays hou, ngā tātaritanga MRI, ētahi atu hua whakamātautau
• Tuhia ngā pūrongo: Whakaritea ngā pūrongo motuhake mō ngā whiringa rongoā, te whakatau

Whakaarohia te kawe mai i te mema whānau, te hoa hei awhina i a koe ki te mahara ki ngā kōrero nui i te wā o te hui. Kaua e whakaroa ki te tono ki tō taote ki te whakamārama i tetahi mea kāore koe e mōhio, te tono i ngā kōrero tuhituhi mō tō āhua, te mahere rongoā.

He aha te mea nui mō ngā wheua koikoi?

Ko ngā wheua koikoi he āhuatanga noa e tupu ana hei wāhanga o te tukanga pakeke noa, he tokomaha ngā tāngata kei a rātou, kāore e puta he tohu. Ki te puta he raruraru, he rongoā whai hua kei reira hei awhina i te whakahaere i te mamae, te pupuri i tō kounga ora.

Ko te mea nui hei mahara ko te whai i ngā wheua koikoi kāore e tikanga kei te tūpono koe ki te oranga mamae, te ngoikore o te nekehanga. Mā te tiaki hauora tika, ngā whakarerekētanga oranga, te whakahaere whaiaro tonu, ka taea e te nuinga o ngā tāngata e whai ana i ngā wheua koikoi te noho tonu i te oranga kaha, whai hua.

Ko te whakauru wawe te tikanga pai rawa, na kaua e whakaroa ki te rapu i te tiaki hauora ki te pāngia koe e te mamae o te hononga, te ngoikore. Ka taea e tō kaiwhakarato hauora te awhina i a koe ki te whakawhanake i te mahere rongoā whaiaro e whakautu ana ki ō tohu motuhake, ngā hiahia oranga.

Ngā pūrongo e ui pinepinetia ana mō ngā wheua koikoi

U1: Ka taea e ngā wheua koikoi te ngaro ake?

Kāore ngā wheua koikoi e ngaro ake i te wā kua hanga, no te mea he tipu wheua. Engari, ka taea te whakahaere pai i ngā tohu e puta ana mā te rongoā, ka kite ētahi i te pai ake o ō rātou tohu i te wā mā te tiaki tika, ngā whakarerekētanga oranga.

U2: He mamae tonu ngā wheua koikoi?

Kāo, he maha ngā wheua koikoi kāore e puta he tohu. Ko te mamae anake te wā e pēhi ana te wheua koikoi ki ngā io, ngā uaua, ētahi atu kiko ngawari, te wā e āwangawanga ana i te nekehanga hononga. Ka kite ētahi i te whai i ngā wheua koikoi i ngā X-rays mō ngā take kore e hono.

U3: Ka taea e te whakakori te kino ake i ngā wheua koikoi?

Ko te whakakori tika te tikanga pai mō ngā wheua koikoi, no te mea ka awhina i te pupuri i te ngawari o ngā hononga, te kaha o ngā uaua. Engari, me karo i ngā mahi kaha, ngā whakakori e whakaputa ana i ō tohu motuhake. Ko ngā mahi iti-pānga pēnei i te kauhoe, te hikoi, te whakatete ngawari te tikanga.

U4: He hiahiatia tonu te pokanga mō ngā wheua koikoi?

Kāo, ko te pokanga anake te wā e kore ai ngā rongoā māori e whakarato i te whakaora, ka pā nui ngā tohu ki tō kounga ora. Ka taea e te nuinga o ngā tāngata e whai ana i ngā wheua koikoi te whakahaere i ō rātou tohu mā ngā rongoā kore-pokanga pēnei i te rongoā, te whakaora tinana, ngā whakarerekētanga oranga.

U5: Ka taea e te kai te awhina i ngā wheua koikoi?

Ahakoa kāore te kai anake e whakakore i ngā wheua koikoi, ka taea te tautoko i te hauora hononga whānui, te whakahaere i te mumura. Ko ngā kai e whai ana i ngā waikawa momona omega-3, ngā antioxidants, te konupūrua pea he pai. Ko te pupuri i te taumaha hauora mā te kai tika ka whakaiti i te ahotea ki ngā hononga e mau ana i te taumaha.