He aha te kōpū herniated? Ngā tohu, ngā take, me te rongoā

Ka puta te kōpū herniated ina pēhia te waenganui ngawha, rite ki te kirikiri, o te kōpū o te tuawhenua ki waho i te paparanga o waho e kaha ake ana. Whakaarohia te kirikiri e pehia ana i waho o te keke ina pēhia rawa.

He tino noa tenei āhuatanga, ā, e pā ana ki te mano tini o te iwi ia tau. Ahakoa ka taea e ia te whakaputa i te koretake nui, ko te rongo pai ko te nuinga o ngā kōpū herniated ka ora ake i a rātou ano me te tiaki tika me te wā.

He aha te kōpū herniated?

Kei roto i tō tuawhenua te 23 kōpū e mahi ana hei whakamarumaru i waenganui i ō wheua tuawhenua (ngā wheua o te tuawhenua). Kei ia kōpū he mowhiti o waho e kaha ana e kiia nei ko te annulus, me te waenganui ngawha, rite ki te kirikiri, e kiia nei ko te nucleus.

Ina puta he pakaru, he ngoikore rānei i te mowhiti o waho, ka taea e te mea o roto te pupuhi mai, te rere atu rānei. Ka hangaia tēnei e ngā tākuta e kiia nei he kōpū herniated, he kōpū pakaru rānei.

Ka taea e te mea herniated te pēhi ki ngā io e tata ana, ka puta ai te mamae, te ngenge, te ngoikore rānei. Heoi, he tokomaha ngā tāngata he kōpū herniated kei a rātou kahore he tohu.

He aha ngā tohu o te kōpū herniated?

He rereke ngā tohu o te kōpū herniated, kei te tūnga o te kōpū, me te mea kei te pēhi atu rānei ki te io. Kaore etahi i kite i ngā tohu, engari he koretake nui ētahi.

Ko ēnei ngā tohu tino noa ka kite koe:

• Te mamae koi, e rere ana ki raro i tō waewae (sciatica) te ringa rānei
• Te ngenge, te wiri rānei i te wāhi e pā ana
• Te ngoikore o te uaua i tō waewae, waewae, ringa, ringaringa rānei
• Te mamae wera, te mamae mamae rānei i tō tua, i tō kaki rānei
• Te mamae e kaha ake ana ina noho, ina pēhi, ina mare rānei
• Te ngoikore o tō tua, o tō kaki rānei

Ko ngā tohu kaore e tino kitea, engari he nui ake te kino, ko te ngoikore nui o ngā waewae e rua, te ngaro o te mana o te kopu, te putanga ohorere o te mamae nui rānei. Me kimi wawe te awhina hauora mō ēnei tohu.

Ko te tūnga o tō kōpū herniated te mea e whakatau ana i te wāhi ka kite koe i ngā tohu. Ko ngā herniations o te tua raro te tikanga ka puta te mamae o te waewae, ko ngā herniations o te kaki te tikanga ka pā ki ō ringa me ō ringaringa.

He aha ngā momo kōpū herniated?

Ka whakarōpūhia ngā kōpū herniated e tō rātou tūnga i te roa o tō tuawhenua, me te nui o te herniation. Ka taea e te mārama ki ēnei rerekētanga te awhina i a koe ki te korero pai ake ki tō kaiwhakarato hauora.

I te tūnga, ka puta ngā kōpū herniated i ēnei wāhi matua e toru:

• Ngā kōpū herniated lumbar (tua raro) - te tino noa, e pā ana ki te 90% o ngā take
• Ngā kōpū herniated cervical (kaki) - te tuarua o te tino noa
• Ngā kōpū herniated thoracic (waenganui o te tua) - te iti rawa te noa engari ka taea te nui ake te kino

I te kino, ka whakaahuahia e ngā tākuta ngā herniations hei:

• Te pupuhi o te kōpū - ka pehia te kōpū ki waho engari ka noho tonu i roto i te paparanga o waho
• Te protrusion o te kōpū - ka pakaru etahi mea o roto ki waho engari ka noho tonu te hono
• Te extrusion o te kōpū - ka pakaru te mea o roto ki waho ka wehe atu i te kōpū
• Te sequestration - ka pakaru katoa ngā wahi o te kōpū

Ka taea e ia momo te whakaputa i ngā taumata rerekē o ngā tohu, ahakoa kaore te kino e rite tonu ki te nui o te mamae e kitea ana e koe.

He aha ngā take o te kōpū herniated?

Ka whanake ngā kōpū herniated na te whakakotahitanga o te whakahekenga o te pakeketanga me ngā whakaohooho motuhake. Ka ngaro noa te wai me te ngawha o ō kōpū i a koe e koroheke ana, ka nui ake te pakaru.

He maha ngā take ka taea te whakauru ki te herniation o te kōpū:

• Te whakahekenga o te kōpū e pā ana ki te pakeketanga (te take tino noa)
• Te kawe mamae ohorere me te tikanga kino
• Te hurihuri, te hurihuri rānei i te wa e kawe ana
• Te whara kino mai i ngā hinga, i ngā aituā rānei
• Te ahotea auau mai i ngā mahi, i ngā hākinakina rānei
• Te momona e whakapēhi ana i ngā kōpū o te tuawhenua

I etahi wā, ka taea e ngā āhuatanga irahiko onge te whakaiti i ō kōpū ki te herniation. Kei roto i ēnei ngā mate pūtau hono, ngā raru o te tuawhenua kua oti te whakawhiwhi rānei.

I te nuinga o ngā wā, kahore he take kotahi e taea te whakatau. Ka ngoikore pea tō kōpū i te wa roa tae noa ki te neke ngāwari penei i te matau, te pēhi rānei i runga i te herniation whakamutunga.

Nōhea te haere ki te tākuta mō te kōpū herniated?

Me whakapiri atu koe ki tō kaiwhakarato hauora mena ka raru te mamae o te tua, o te kaki rānei ki ō mahi o ia rā, ki te roa atu rānei i te torutoru rā. Ka taea e te aromatawai wawe te aukati i ngā raruraru, ā, ka awhina i a koe ki te ora tere ake.

Rapua te awhina hauora mō ēnei tohu:

• Te mamae e rere ana ki raro i tō ringa, i tō waewae rānei
• Te ngenge, te wiri, te ngoikore rānei i ō waewae
• Te mamae e kaha ake ana ahakoa te okioki me ngā rongoā kore-tuku
• Te uaua ki te mahi i ngā mahi noa
• Te moe kore i te mamae

Whiwhi awhina hauora wawe tonu mena ka pā atu koe ki:

• Te ngaro o te mana o te kopu
• Te ngoikore e haere ana i ngā waewae e rua
• Te ngenge i tō pūkahukahu, i ō huha o roto rānei
• Te mamae nui e puta mai ana ohorere

Ko ēnei tohu āwangawanga, ahakoa he onge, ka taea te tohu i te pēhinga io nui e hiahia ana ki te rongoā wawe hei aukati i te kino pumau.

He aha ngā take morearea mō te kōpū herniated?

Ka taea e te mārama ki ō take morearea te awhina i a koe ki te tango i ngā mahi hei tiaki i tō hauora o te tuawhenua. Ko etahi take ka taea e koe te whakahaere, ko ētahi ko te wahi noa o te ora.

Ko te pakeketanga te take morearea nui kaore e taea e koe te huri. Ko te nuinga o ngā kōpū herniated ka puta i waenga i ngā tau 30 me te 50, ina tīmata ana ngā kōpū ki te ngaro i te ngawha, engari he tino mahi tonu ngā tāngata.

Ko ngā take morearea ka taea te whakahaere e ngā:

• Te taumaha nui o te tinana e whakapēhi ana i tō tuawhenua
• Te whakakī, e whakaiti ana i te hauota ki ngā kōpū, ā, e tere ana te whakahekenga
• Te tū kino i ngā mahi o ia rā
• Te kore o te whakakori auau e arahina ana ki ngā uaua tautoko ngoikore
• Ngā mahi e hiahia ana ki te kawe mamae, te pēhi, te hurihuri rānei
• Ngā hākinakina, ngā mahi rānei e pā ana ki te pānga nui

Ko ngā take morearea kaore e taea te whakahaere e ngā:

• Te whakawhitinga ira ki ngā raruraru kōpū
• Te ira tane (he iti ake te morearea)
• Ngā whara o mua o te tuawhenua
• Ngā mahi motuhake me te ahotea auau o te tuawhenua

Ko te whai i ngā take morearea kaore e tikanga ka whanake koe i te kōpū herniated. He tokomaha ngā tāngata he maha ngā take morearea kaore e kite i ngā raruraru, ko ētahi atu he iti ngā take morearea.

He aha ngā raruraru pea o te kōpū herniated?

Ko te nuinga o ngā kōpū herniated ka ora kahore he raruraru nui, engari he mea nui kia mārama koe ki te aha ka taea te puta mena ka kino te āhuatanga, kaore rānei i te rongoā. Ka awhina te mohiotanga wawe ki te aukati i ēnei take.

Ko ngā raruraru noa ka taea te whanake e ngā:

• Te mamae roa e roa ana i ngā marama, i ngā tau rānei
• Te kino o te io pumau e puta ana i te ngoikore e haere ana
• Te ngaro o te mārama i ngā wāhi e pā ana
• Te uaua ki te haere, ki te mahi rānei i ngā mahi motuhake
• Te herniation auau o te kōpū kotahi, o ngā kōpū tata rānei

Ko ngā raruraru onge, engari he kino, e ngā:

• Te mate cauda equina - te pēhinga o ngā pakiaka io e puta ana i te ngaro o te mana o te kopu
• Te ngaro katoa o te mahi uaua i ngā waewae e pā ana
• Te ngenge o te nohoanga - te ngenge i ngā wāhi ka pa ki te nohoanga
• Ngā ngoikoretanga neurological e haere ana

He onge ēnei raruraru kino, ā, he maha ngā wā ka taea te aukati me te rongoā tika. Ko te nuinga o ngā tāngata ka ora katoa, tata katoa rānei i tō rātou kōpū herniated me te tiaki tika.

Me pēhea te aukati i te kōpū herniated?

Ahakoa kaore e taea e koe te aukati katoa i ngā kōpū herniated, ina koa ngā mea e pā ana ki te pakeketanga, ka taea e koe te whakaiti nui i tō morearea mā ngā whiringa noho ora hauora. Ko te aukati te arotahi ki te pupuri i tō tuawhenua kia kaha, kia ngawha.

Ko ngā rautaki aukati matua e ngā:

• Te pupuri i te taumaha hauora hei whakaiti i te pēhinga o te tuawhenua
• Te whakakori auau hei whakakaha i ngā uaua matua me ngā uaua o te tua
• Te whakamahi i ngā tikanga kawe tika - pēhia ō turi, kaua ko tō tua
• Te pupuri i te tū tika i te wa e noho ana, e tū ana rānei
• Te mutu i te whakakī hei whakapai ake i te hauora o te kōpū
• Te tango i ngā okioki auau mai i te noho roa
• Te moe i runga i te moenga tautoko

Ko te aukati i te wāhi mahi e ngā:

• Te whakamahi i ngā taonga, i ngā taputapu rānei ergonomic
• Te tango i ngā okioki whakatete auau
• Te tiki awhina ki te kawe mamae
• Te karo i ngā nekehanga hurihuri auau

Ahakoa kaore ēnei mahi e taea te whakamana kaore koe e whanake i te kōpū herniated, ka whakapai ake nui rātou i tō hauora o te tuawhenua, ā, ka whakaiti i tō morearea whānui.

Me pēhea te whakatau i te kōpū herniated?

Ka tīmata tō tākuta me te kōrero tino pai mō ō tohu me te whakamātautau tinana. Ko tenei aromatawai tuatahi te tikanga ka whakarato i ngā korero nui hei hanga i te whakatau tuatahi.

I te whakamātautau tinana, ka tirotirohia e tō tākuta ō whakautu, te kaha o te uaua, te kaha ki te haere, me te mārama. Ka taea e rātou te mahi i ngā whakamātautau motuhake penei i te tono atu ki a koe ki te takoto, ki te kawe ake i tō waewae hei tirotiro mena ka puta mai tō mamae.

Ko ngā whakamātautau whakaahua te tikanga e hiahiatia ana hei whakau i te whakatau:

• Ngā X-rays - ka whakaatu i te hanganga wheua engari ehara i ngā pūtau ngawha penei i ngā kōpū
• MRI - ka whakarato i ngā whakaahua taipitopito o ngā kōpū, io, me ngā pūtau e karapoti ana
• Te karapa CT - he whai hua ina kore e taea te MRI, te whakaahua wheua taipitopito rānei
• Myelogram - CT motuhake, MRI rānei me te tae whakakino mō ngā take uaua

Ko ngā whakamātautau atu mō ngā take uaua pea e ngā:

• Electromyography (EMG) - te ine i te mahi hiko i roto i ngā uaua
• Ngā rangahau arahi io - te whakamātautau i te pai o te tuku tohu e ngā io
• Diskography - te whakangau i te tae whakakino tika ki ngā kōpū

Ka tīpako tō tākuta i ngā whakamātautau tino tika i runga i ō tohu motuhake me ngā kitenga o te whakamātautau.

He aha te rongoā mō te kōpū herniated?

Ko te rongoā mō ngā kōpū herniated te tikanga ka tīmata mā te kore-mātauranga, ka nui ake te kaha mena ka hiahiatia. Ko te nuinga o ngā tāngata ka pai ake te ora ki ngā rongoā kore-mātauranga i roto i ngā wiki 6-12.

Ko ngā rongoā kore-mātauranga tuatahi e ngā:

• Te okioki me te whakarereke i ngā mahi (te karo i ngā mahi e whakaohooho ana)
• Ngā rongoā mamae kore-tuku penei i te ibuprofen, te acetaminophen rānei
• Te rongoā huka mō ngā haora 48 tuatahi, katahi te rongoā wera
• Te whakatete ngawari me te nekehanga kia taea
• Te rongoā tinana hei whakakaha i ngā uaua tautoko

Mena kaore te rongoā kore-mātauranga e awhina i muri i ngā wiki 6-8, ka tūtohutia pea e tō tākuta:

• Ngā rongoā mamae rongoā rānei ngā whakangawari uaua
• Ngā whakangau steroid epidural hei whakaiti i te mumura
• Ngā tikanga rongoā tinana motuhake
• Te tiaki chiropractic (me te whakaae a te hauora)
• Te acupuncture mō te whakahaere mamae

Ko te pokanga ka whakaarohia anake ina:

• Ka kore te rongoā kore-mātauranga e awhina i muri i ngā marama 3-6
• He tohu neurological nui kei a koe
• Ka pā atu koe ki te ngoikore e haere ana
• Ka puta mai ngā tohu āwangawanga penei i te mate cauda equina

Ko ngā whiringa pokanga e ngā microdiskectomy, laminectomy, te whakakapi kōpū rānei i etahi wā onge. Ka kōrero tō taote pokanga mō te whiringa pai mō tō āhuatanga motuhake.

Me pēhea te whakahaere i te kōpū herniated i te kāinga?

He mahi nui te whakahaere i te kāinga ki tō ora mai i te kōpū herniated. Ko te whakakotahitanga tika o te okioki, o te mahi, me te tiaki whaiaro ka taea te tere ake i tō tukanga ora.

Ko ngā rautaki whakahaere mamae ka taea e koe te whakamātau i te kāinga e ngā:

• Whakamahia te huka mō ngā meneti 15-20 i ngā wā maha i ia rā i ngā haora 48 tuatahi
• Huri ki te rongoā wera i muri i te mutu o te mumura tuatahi
• Tangohia ngā rongoā anti-mumura kore-tuku penei i te tohutohu
• Whakamahia ngā urunga tautoko i te wa e moe ana hei pupuri i te tuawhenua
• Whakamātau i ngā whakakorikori whakatete ngawari penei i te tohutohu a tō kaiwhakarato hauora

He rite te nui o te whakarereke mahi:

• Karohia te noho roa, ina koa i roto i ngā tūru ngawha
• Tangohia ngā okioki haere auau i te rā katoa
• Karohia te kawe mamae, te pēhi, te hurihuri rānei
• Moe i tō taha me te urunga i waenganui i ō turi
• Whakaitihia te mahi i te wa e pai ake ana te mamae

Kia mahara ko te okioki moenga katoa mō te 1-2 rā neke atu ka taea te whakaiti i tō ora. Ko te nekehanga ngawari me te hoki whakamāori ki ngā mahi noa te tikanga ka awhina atu i te kore mahi katoa.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō hui te awhina i te whakarite kia whiwhi koe i te whakatau tino tika me te mahere rongoā whai hua. Ka whakaora te whakarite pai i te wā, ā, ka awhina i tō tākuta ki te mārama pai ake ki tō āhuatanga.

I mua i tō hui, tuhia:

• I te wā i tīmata ai ō tohu me te mea i mahi koe
• Te whakaahuatanga taipitopito o tō mamae (tūnga, kaha, kounga)
• He aha te mea e pai ake ai ō tohu, te kino rānei
• Ngā rongoā me ngā taapiri katoa e tangohia ana e koe
• Ngā whara o mua o te tua, ngā rongoā rānei
• Me pēhea te pā o ngā tohu ki ō mahi o ia rā

Mau mai:

• Rārangi o ngā rongoā katoa o nāianei
• Ngā rēkōta hauora o mua e pā ana ki ngā raruraru o te tua
• Ngā kāri inihua me te whakamārama
• Ngā ako whakaahua kua oti i a koe
• Rārangi tuhituhi o ngā pūrongo mō tō tākuta

Ko ngā pūrongo pai hei ui e ngā: te roa o te ora te tikanga, ngā mahi me karo, te wā ka taea e koe te hoki ki te mahi, me ngā tohu whakatūpato e hiahia ana ki te aro nui.

He aha te mea nui mō ngā kōpū herniated?

Ko te mea nui rawa hei mārama mō ngā kōpū herniated ko te tino rongoā, ā, ko te nuinga o ngā tāngata ka ora pai me te tiaki tika. Ahakoa ka taea e te mamae te kaha, te wehi rānei, kaore tenei āhuatanga e tino whakaputa i te kino pumau.

Ko te wā te tikanga ko tō hoa pai ki te ora. Ko te nuinga o ngā kōpū herniated ka pai ake te ora i roto i ngā wiki 6-12 me te rongoā kore-mātauranga, ā, ka hoki te nuinga o ngā tāngata ki ō rātou mahi katoa.

Ko tō whakauru mahi ki te rongoā he rerekētanga nui. Ko te whai i ngā tohutohu a tō kaiwhakarato hauora, te noho mahi tonu, me te pupuri i te tirohanga pai katoa e whakauru ana ki ngā hua pai ake.

Kaua e whakaroa ki te rapu awhina mena kei te raru koe ki ngā tohu. Ko te rongoā wawe te tikanga ka tere ake te ora, ā, ka awhina i te aukati i ngā raruraru. Me te huarahi tika, ka taea e koe te hoki ki te ora i tō oranga katoa.

Ngā pūrongo e ui pinepinetia ana mō ngā kōpū herniated

Ka taea te ora ake te kōpū herniated i a ia ano?

Ae, ko te nuinga o ngā kōpū herniated ka taea te ora ake i a rātou ano ki te wā nui. Kei a tō tinana ngā tikanga ora taiao ka taea te whakahoki mai i te mea kōpū herniated, te whakaiti i te mumura huri noa i ngā io e pā ana.

Ka whakaatu ngā rangahau ko te 80-90% o ngā tāngata he kōpū herniated ka pai ake te ora i roto i ngā wiki 6-12 kahore he pokanga. Heoi, kaore tēnei e tikanga me whakakahore e koe ngā tohu, kaua e karo i te rongoā - ka taea e te tiaki tika te tere o te ora, te aukati i ngā raruraru.

E hia te roa o te ora mō te kōpū herniated?

He rereke te wā ora mai i te tangata ki te tangata, engari ko te nuinga o ngā tāngata ka kite i te pai ake o te ora i roto i ngā wiki 6-12 o te rongoā kore-mātauranga. Ka pai ake te ngāwari o ētahi i roto i ngā wiki torutoru, ko ētahi atu pea ka roa ngā marama.

Ko ngā take e pā ana ki te wā ora e ngā tō pakeketanga, tō hauora whānui, te rahi me te tūnga o te herniation, me te pai o tō whai i ngā tohutohu rongoā. Ko te noho mahi i roto i ō rohe me te whai i ngā tohutohu a tō kaiwhakarato hauora te tikanga ka tere ake te ora.

He haumaru te whakakori me te kōpū herniated?

Ae, ko te whakakori ngawari te tikanga he whai hua, ā, he maha ngā wā ka tūtohutia mō te ora o te kōpū herniated. Ko te matua ko te whiriwhiri i ngā whakakorikori tika me te karo i ngā nekehanga e whakaohooho ana i ō tohu.

Ko te haere, te kauhoe, me ngā whakakorikori whakatete motuhake te tikanga he haumaru, he awhina. Heoi, me karo koe i ngā mahi e pā ana ki te pānga nui, te kawe mamae, me ngā whakakorikori e whakauru ana ki te hurihuri, ki te pēhi rānei tae noa ki te pai ake ō tohu. Tirohia tonu ki tō kaiwhakarato hauora i mua i te tīmatanga o tetahi kaupapa whakakori.

Me pokanga ahau mō taku kōpū herniated?

Ko te nuinga o ngā tāngata he kōpū herniated kaore e hiahia ki te pokanga. Ko te 5-10% anake o ngā tāngata he kōpū herniated ka hiahia ki te rongoā pokanga.

Ko te pokanga te tikanga ka whakaarohia anake ina kore te rongoā kore-mātauranga e awhina i muri i ngā marama maha, he tohu neurological nui kei a koe, kei te whanake rānei koe i ngā raruraru āwangawanga penei i te ngaro o te mana o te kopu. Ahakoa reira, he maha ngā wā he tino whai hua te pokanga ina hiahiatia.

Ka taea te hoki mai ngā kōpū herniated i muri i te rongoā?

Ahakoa he mea pea kia hoki mai ngā kōpū herniated, ko te tango i ngā mahi aukati tika te whakaiti nui i tenei morearea. Ko ētahi tāngata ka pā atu ki te herniation anō o te kōpū kotahi, te herniation rānei o ngā kōpū tata.

Ka taea e koe te whakaiti i tō morearea o te hoki mai mā te pupuri i te taumaha hauora, te whakakori auau hei whakakaha i ō uaua matua, te whakamahi i ngā tikanga kawe tika, me te karo i ngā mahi e whakapēhi ana i tō tuawhenua. Ko te nuinga o ngā tāngata e ora ana i te kōpū herniated kaore e pā atu ki tētahi atu.