He aha te Sciatica? Tohutohu, Take, me te Maimoatanga

He aha te sciatica?

Ko te sciatica te mamae e haere ana i tōu uaua sciatic, e rere ana i tō tua raro i raro i ō huha me ō hope, ka rere ki ia waewae. Ehara i te mate ia, engari he tohu no tetahi raruraru kei raro e pā ana ki tenei uaua.

Whakaarohia tō uaua sciatic hei huarahi nui e rere ana i tō tuawhenua ki ō waewae. Ki te pehi tetahi mea ki runga, ki te whakaohooho ranei i tenei uaua, ka mamae koe i te ara. Ko te rongo pai, ko te nuinga o ngā keehi o te sciatica ka ora ake i roto i ngā wiki torutoru me te tiaki tika.

Ko tēnei momo mamae uaua e pā ana ki te miriona o te tangata ia tau. Ahakoa he tino awangawanga pea, ko te mārama ki te aha kei te puta i roto i tō tinana ka taea te awhina i a koe ki te whakahaere pai ake, me te mohio ki te wa hei rapu atu awhina.

He aha ngā tohu o te sciatica?

Ko te tohu matua o te sciatica ko te mamae e puta ana i tō tua raro ki raro i tetahi waewae. Ka taea e tenei mamae te whāiti mai i te mamae ngawari ki te mamae koi, te tahuna e whakapakeke ana ki te noho, ki te tū ranei.

Ko ēnei ngā tohu tino noa ka pā atu ki a koe:

• Te mamae koi, e puta ana i tō tua raro ki raro i tō waewae
• Te tahuna, te wiri ranei i tō waewae, i tō waewae ranei
• Te ngenge, te ngoikore ranei i tō waewae e pā ana
• Te mamae e kino ake ana i te noho, te mare ranei
• Te uaua ki te neke i tō waewae, i tō waewae ranei
• Te mamae tonu i tetahi taha o tō hope

Ko te nuinga o te iwi e pā ana te sciatica ki tetahi taha o o rātou tinana. Ka tae mai pea te mamae, ka haere ranei, ka mau tonu, a ka nui ake te mamae i te noho roa koe, i te mahi ranei i ētahi nekehanga.

I roto i ngā keehi onge, ka pā atu koe ki ngā tohu nui ake penei i te ngaro o te mana o te kopu, o te putea ranei, te ngoikore ohorere ranei i tō waewae. Ko ēnei tohu e hiahia ana ki te tiaki hauora tonu, na te mea ka taea e rātou te tohu i tetahi āhuatanga nui e kiia nei ko te cauda equina syndrome.

He aha ngā take o te sciatica?

Ka puta te sciatica ina pehia, ina whakaohooho ranei tetahi mea i tō uaua sciatic. Ko te mea tino noa ko te kōpae herniated i tō tuawhenua raro, engari he maha atu ngā āhuatanga ka taea te whakaohooho i ēnei tohu.

Tā te titiro ki ngā take maha, mā te tīmata i ngā mea tino noa:

• Kōpae herniated, kōpae pakaru ranei e pehi ana i te pakiaka uaua
• Spinal stenosis, te whakaiti o te awa tuawhenua
• Piriformis syndrome, te uaua i tō hope e wiri ana, e whakaohooho ana i te uaua
• Spondylolisthesis, te nekehanga o tetahi wheua ki mua i tetahi atu
• Ngā wheua wheua e puta ana i tō tuawhenua
• Te uaua uaua, te mumura ranei i tō tua raro

Kaore i te noa, ka puta mai te sciatica i ngā mate pukupuku, ngā mate, ngā whara ranei ki tō tuawhenua. Ka taea hoki e te hapu te whakaohooho i te sciatica na te taumaha atu me ngā huringa i tō tū, e pehi ana ki tō uaua sciatic.

I etahi wa, ko te mea e rite ana ki te sciatica, he mamae pea i to hononga huha, i to hononga sacroiliac ranei. Koia te take i nui ai te whiwhi i te tautuhi tika mo te maimoatanga whai hua.

Nōhea koe me haere ki te taakuta mō te sciatica?

Ko te nuinga o ngā keehi o te sciatica ka pai ake i roto i ngā wiki torutoru me te okioki me te tiaki whaiaro. Heoi, he wā motuhake kei reira me rapu wawe atu koe i te awhina hauora.

Whakapa atu ki tō taakuta ki te kaha rawa tō mamae, kāore hoki e pai ake i muri i te wiki o te maimoatanga kāinga. Me whakarite hoki koe i tetahi whakatau ki te āwangawanga te mamae i ō mahi o ia rā, ki te pāngia ranei koe e te ngoikore e haere ana i tō waewae.

Rapua te tiaki hauora tonu ki te pā atu koe ki tetahi o ēnei tohu whakatūpato:

• Te mamae ohorere, kaha i muri i te whara, i te aituā ranei
• Te ngaro o te āhua i tō waewae e pā ana
• Te ngoikore e whakapakeke ana ki te hiki i tō waewae, i ō maihao ranei
• Te ngaro o te mana o te kopu, o te putea ranei
• Te mamae i ngā waewae e rua
• Te kirika me te mamae o te tua

Ka taea e ēnei tohu te tohu i tetahi āhuatanga nui e hiahia ana ki te maimoatanga tere. Kaua e tatari kia pai ake rātou i a rātou anō.

He aha ngā take morearea mō te sciatica?

Ka taea e ētahi take te whakapiki ake i tō tūponotanga ki te whanake i te sciatica. Ko te mārama ki ēnei take morearea ka taea te awhina i a koe ki te tango i ngā kaupae hei tiaki i tō hauora o te tua, ā, hei aukati pea i ngā wāhanga o muri mai.

Ko ēnei ngā take matua e whakapiki ake ana i tō morearea:

• Te tau, inā koa kei waenga i te 30 me te 50 tau
• Ngā mahi e hiahia ana ki te hiki taimaha, te piko ranei, te noho roa ranei
• Te momona, e whakapiki ana i te ahotea ki tō tuawhenua
• Te mate huka, ka taea te whakarahi i ngā uaua puta noa i tō tinana
• Te noho roa, te noho noa ranei
• Ngā whara o mua, ngā pokanga ranei o te tua

Ko ētahi take morearea, penei i te tau me te ira, kei tua atu i tō mana. Heoi, ka taea te whakahaere i te nuinga atu mā ngā huringa noho. Ko te pupuri i te taumaha hauora, te noho mahi, me te whakamahi i ngā tikanga hiki tika ka taea te whakaiti nui i tō morearea.

Ki te maha ngā take morearea, kaua e manukanuka. Ko te whai i ngā take morearea kaore e tikanga ka whanake koe i te sciatica, engari ko te mohio ki a rātou ka taea te awhina i a koe ki te mahi i ngā whakatau whai whakaaro mō tō hauora.

He aha ngā raruraru pea o te sciatica?

Ahakoa ko te nuinga o te iwi ka ora mai i te sciatica kaore he raruraru roa, ka puta mai ētahi raruraru, inā koa ki te kore e whakahaere tika te āhuatanga, ki te kore ranei e whakahaeretia ngā take kei raro.

Ko te raruraru tino noa ko te mamae roa e mau ana mō ngā marama, ngā tau ranei. Ka taea tenei ina kore e ora tika te whara tuatahi, ki te mau tonu te pehi ki te uaua.

Ko ēnei atu raruraru pea:

• Te kino o te uaua e arahi ana ki te ngoikore, ki te ngenge ranei
• Te ngaro o te āhua i te waewae e pā ana
• Te uaua ki ētahi nekehanga, ki te hikoi ranei
• Te mamae roa e pā ana ki tō kounga ora
• Te pouri, te awangawanga ranei e pā ana ki te mamae tonu

I roto i ngā keehi onge rawa, ka taea e te pehi uaua nui te arahi ki te cauda equina syndrome, e arahi ana ki te ngaro o te mana o te kopu me te putea. Koinei te āwangawanga hauora e hiahia ana ki te pokanga tere.

Ko te rongo pai, ko ngā raruraru nui kaore i te noa, inā koa ki te maimoatia tika te sciatica. Ko te nuinga o te iwi e whai ana i tō rātou mahere maimoatanga, e tiaki ana i tō rātou hauora o te tua ka ora katoa.

Me pēhea te aukati i te sciatica?

Ahakoa kaore e taea e koe te aukati i ngā keehi katoa o te sciatica, inā koa ngā mea e pā ana ki te tau, ki ngā take ira ranei, ka taea te karo i te maha o ngā wāhanga mā te tiaki pai i tō tua me te pupuri i ngā tikanga hauora.

Ko te whakakori auau tetahi o ngā huarahi pai ki te pupuri i tō tua kaha, ngawari hoki. Aro atu ki ngā mahi e whakapakari ana i ō uaua matua, e tautoko ana i tō tuawhenua, me te pupuri i te ngawari pai i ō huha me ō waewae.

Ko ēnei ngā rautaki kua whakamāramahia hei whakaiti i tō morearea:

• Pupuri i te tū tika i te noho me te tū
• Whakamahia ngā tikanga hiki tika, te piko i ō turi, ehara i tō tua
• Tangohia ngā okioki auau mai i te noho ki te tū me te totoro
• Moe i runga i te moenga tautoko e pupuri ana i tō tuawhenua
• Pupuri i te taumaha hauora hei whakaiti i te ahotea ki tō tuawhenua
• Noho mahi me te whakakori auau, iti te pānga penei i te hikoi, te kauhoe ranei

Ki te hiahia tō mahi ki te noho roa, whakapaihia he nohoanga mahi, tangohia hoki ngā okioki ia haora hei hikoi. I te hiki i ngā mea taimaha, tono atu ki te awhina i te wa katoa, kaua e whakatūpono ki te whara.

Ka nui ake te hiranga o ēnei tikanga aukati ki te pā atu koe ki te sciatica i mua, na te mea ka nui ake pea tō morearea mō ngā wāhanga o muri mai.

Me pēhea te tautuhi i te sciatica?

Ka tīmata tō taakuta mā te uiui mō ō tohu me tō hītori hauora, ka whakahaere i te whakamātautau tinana hei mārama ki te aha te take o tō mamae. Ka awhina tenei tukanga ki te whakakore i ētahi atu āhuatanga, me te tohu i te take o tō uaua whakaohooho.

I te whakamātautau tinana, ka whakamātautau tō taakuta i tō kaha uaua, ngā whakautu, me te ngawari. Ka ui pea rātou ki a koe kia hikoi i runga i ō maihao, i ō rekereke ranei, mahi ranei i ētahi nekehanga motuhake hei kite i te āhua o te pānga ki tō mamae.

Ki te kaha rawa ō tohu, kāore ranei e pai ake me te maimoatanga tuatahi, ka tono pea tō taakuta i ngā whakamātautau whakaahua:

• Ngā X-rays hei tirotiro i ngā wheua wheua, i ētahi atu raruraru o te tuawhenua ranei
• Te tātaritanga MRI hei whiwhi i ngā whakaahua taipitopito o ngā kiko ngawari penei i ngā kōpae me ngā uaua
• Te tātaritanga CT ki te kore e wātea te MRI, ki te tika ranei mōu
• Electromyography hei whakamātautau i te mahi uaua i roto i ngā keehi onge

Ko te nuinga o ngā keehi o te sciatica ka taea te tautuhi i runga i ō tohu me te whakamātautau tinana anake. Ko ngā whakamātautau whakaahua ka whakaritea noa mō ngā keehi kei reira pea te pokanga, ki te kore ranei e mārama te tautuhi.

Ka ui atu hoki tō taakuta mō ngā tohu tohu whero penei i ngā raruraru o te kopu, o te putea ranei, ka taea te tohu i tetahi āhuatanga nui ake e hiahia ana ki te aro nui.

He aha te maimoatanga mō te sciatica?

Ko te maimoatanga mō te sciatica ka tīmata noa ki ngā huarahi whakahaere e awhina ana ki te whakaiti i te mamae me te mumura i te wa e ora ana tō tinana. Ko te nuinga o te iwi e kite ana i te whakaora nui i roto i ngā wiki torutoru i te tīmatanga o te maimoatanga.

Ko te raina tuatahi o te maimoatanga ko te okioki noa i ngā mahi e whakaiti ana i tō mamae, me ngā rongoā mamae i runga i te kaute penei i te ibuprofen, i te acetaminophen ranei. Ka taea e ēnei rongoā te awhina i te whakaiti i te mamae me te mumura i te taha o te uaua e pā ana.

Ka tūtohu pea tō taakuta i ētahi whiringa maimoatanga:

• Te rongoā tinana hei whakapakari i tō tua me te whakapai ake i te ngawari
• Ngā rongoā rongoā mō te mamae nui, ngā uaua wiri ranei
• Ngā werohanga steroid hei whakaiti i te mumura i te taha o te uaua
• Te maimoatanga wera me te hukapapa hei whakahaere i te mamae me te pupuhi
• Te totoro ngawari me te nekehanga e manawanui ana
• Te maimoatanga mirimiri hei whakaora i te uaua

Kaore i te noa te pokanga mō te sciatica, a ka whakaarohia noa ina kore i awhina ngā maimoatanga whakahaere i muri i ngā marama maha, ki te pāngia ranei koe e ngā tohu nui penei i te ngoikore nui, te ngaro ranei o te mana o te kopu/putea.

Ko ngā tukanga pokanga tino noa ko te discectomy hei tango i tetahi wāhanga o te kōpae herniated, laminectomy ranei hei whakaora i te pehi ki te uaua. Ka korero tō taakuta ki a koe mō ēnei whiringa ki te hiahiatia.

Me pēhea te whakahaere i te sciatica i te kāinga?

Ko te maimoatanga kāinga he mahi nui ki te whakahaere i te sciatica, ka taea te tere ake i tō ora. Ko te matua ko te kimi i te taurite tika i waenga i te okioki me te mahi ngawari hei whakatairanga i te ora kaore e whakaiti i ō tohu.

Tīmata mā te whakamahi i te hukapapa ki te rohe e pā ana mō te 15-20 meneti i ngā wā maha i te rā i ngā rā tuatahi. I muri i tera, ka taea e koe te whakawhiti ki te maimoatanga wera, ka taea te awhina i te whakaora i ngā uaua kaha me te whakapai ake i te rere o te toto ki te rohe.

Ko ēnei ngā rongoā kāinga whai hua ka taea e koe te tamata:

• Tangohia ngā kaiwhakaora mamae i runga i te kaute e ai ki ngā tohutohu i runga i te kete
• Mahia ngā totoro ngawari e kore e whakapiki i tō mamae
• Hikohi mō ngā tawhiti poto e manawanui ana hei pupuri i te nekehanga
• Moe i te tū ātaahua me ngā urunga hei tautoko
• Kaua e noho roa, moe ranei
• Whakamahia te tū tika i te rā katoa

Ahakoa kaore pea e kitea, ko te noho i te moenga mō ngā wā roa ka taea te whakaiti i te sciatica. Ko te nekehanga ngawari me te mahi, e manawanui ana, ka awhina i te whakatairanga i te ora me te aukati i te ngoikore.

Whakarongo ki tō tinana, kaua hoki e pehi i te mamae nui. Ki te kore e awhina ngā maimoatanga kāinga i muri i te wiki, ki te kino ake ranei ō tohu, kua tae ki te wa ki te whakapiri atu ki tō kaiwhakarato hauora.

Me pēhea te whakarite mō tō whakatau taakuta?

Ko te whakarite mō tō whakatau ka taea te awhina i te whakarite kia whiwhi koe i te hua nui rawa atu i tō haerenga, me te whakarato i tō taakuta ki ngā korero e hiahia ana rātou ki te awhina i a koe. Tīmata mā te pupuri i ngā tohu mō ngā rā torutoru i mua i tō haerenga.

Tuhia te wā i tīmata ai tō mamae, te mea pea i whakaohooho ai, me ngā mahi e pai ake ai, e kino ake ranei. Tuhia hoki te momo mamae e pā ana ki a koe, me te wāhi tonu e kitea ai.

Kawe mai i ēnei korero ki tō whakatau:

• Te rārangi o ngā rongoā me ngā taapiri katoa e tangohia ana e koe
• Ngā kōrero mō te wā me te āhua i tīmata ai ō tohu
• Ngā korero mō te mea e pai ake ai, e kino ake ranei tō mamae
• Ngā whara o mua, ngā maimoatanga ranei i whiwhi koe
• Ngā pānui e hiahia ana koe ki te ui ki tō taakuta
• Ō korero inihua me tō whakaaturanga

Whakaarohia te kawe mai i tetahi hoa whakawhirinaki, mema whānau ranei hei awhina i a koe ki te mahara ki te mea e kōrero ana te taakuta, me te whakarato tautoko i tō haerenga.

Kaua e whakaroa ki te uiui mō tō tautuhi, ngā whiringa maimoatanga ranei, te mea pea e tumanakohia ana i te wa e ora ana. E hiahia ana tō taakuta ki te awhina i a koe ki te mārama ki tō āhuatanga, ki te maia hoki mō tō mahere maimoatanga.

He aha te mea nui mō te sciatica?

Ko te sciatica he āhuatanga noa e arahi ana ki te mamae i tō uaua sciatic, engari he mea nui te mahara ko te nuinga o ngā keehi ka ora ake i a rātou anō me te tiaki tika me te wā. Ahakoa ka kaha te mamae, ka awangawanga hoki, kaore i te tohu noa i tetahi mea nui.

Ko te mea tino nui ki te mārama ko te noho mahi, i roto i tō taumata whakamarie, he pai ake i te okioki katoa. Ko te nekehanga ngawari ka awhina i te whakatairanga i te ora me te aukati i te ngoikore e taea te whakaiti i te ora.

Ko te nuinga o te iwi e kite ana i te whakapai ake nui i roto i ngā wiki torutoru i te tīmatanga o te maimoatanga. Heoi, kaua e wareware ki ngā tohu whakatūpato penei i te ngoikore nui, te ngaro o te mana o te putea, ngā tohu ranei e haere tonu ana, na te mea e hiahia ana ēnei ki te tiaki hauora tonu.

Mahara ko ia keehi o te sciatica he rerekē, ko te mea e mahi ana mō tetahi tangata pea kaore e mahi mō tetahi atu. Kia manawanui ki tō tukanga ora, mahi tahi hoki me tō kaiwhakarato hauora ki te kimi i te huarahi maimoatanga e tika ana mōu.

Ngā pānui noa e uihia ana mō te sciatica

E hira te roa o te sciatica?

Ko te nuinga o ngā keehi o te sciatica ka pai ake i roto i ngā wiki 4-6 me te maimoatanga tika me te tiaki whaiaro. Heoi, ka pā atu pea etahi tangata ki ngā tohu mō ngā marama maha, inā koa ki tetahi āhuatanga kei raro penei i te kōpae herniated e hiahia ana ki te wā hei ora. Ka taea te rerekē nui te wa mai i te tangata ki te tangata i runga i te take me te kaha o te pehi uaua.

Ka taea te whakaora tonu i te sciatica?

Ka taea te whakaora katoa i te sciatica, inā koa ina puta mai i ngā āhuatanga tūpono penei i te uaua uaua, i ngā raruraru kōpae ngawari ranei. Heoi, ki te whai koe i ngā āhuatanga o te tuawhenua kei raro penei i te mate wheua, i te mate kōpae ranei, ka pā atu pea koe ki ngā wāhanga e puta mai ana. Ko te rongo pai, me te whakahaere tika, ko te nuinga o te iwi e ora ana i te ora kore mamae ahakoa ēnei āhuatanga.

He pai te hikoi mō te sciatica?

Ae, ko te hikoi ngawari he pai tonu mō te sciatica kia kaua rawa e whakapiki nui i tō mamae. Ko te hikoi ka awhina i te pupuri i te rere o te toto ki te rohe e pā ana, ka aukati i te ngoikore o te uaua, ka taea te awhina i te whakaiti i te mumura. Tīmata ki ngā tawhiti poto ka whakapiki haere i te wa e manawanui ana, engari mutu ki te whakapiki nui te hikoi i ō tohu.

He aha te tū moe pai mō te sciatica?

Ko te tū moe pai ka rerekē i te tangata, engari ko te nuinga e kite ana i te whakaora i te moe i te taha me te urunga i waenga i ō turi hei pupuri i te tuawhenua. Ki te pai koe ki te moe i runga i tō tua, whakatūria he urunga i raro i ō turi hei whakaiti i te pehi ki tō tua raro. Kaua e moe i runga i tō puku, na te mea ka taea e tenei te whakapau i tō tua me tō kaki.

Me whakamahi wera, hukapapa ranei mō te sciatica?

Whakamahia te hukapapa mō ngā haora 48-72 tuatahi i muri i te tīmatanga o ngā tohu, te whakamahi mō te 15-20 meneti i ngā wā maha i te rā hei whakaiti i te mumura. I muri i te wā ohorere tuatahi, whakawhiti ki te maimoatanga wera, ka taea te awhina i te whakaora i ngā uaua kaha me te whakapai ake i te rere o te toto. Ko ētahi tangata e kite ana i te whakawhiti i waenga i te wera me te hukapapa e whakarato ana i te whakaora nui rawa atu, na reira whakamātautau kia kite i te mea e pai ana mōu.