Ko te tūtete o te tuaiwi o te tuara te tupu mai i te iti rawa o te wāhi kei roto i te tuaiwi o te tuara. Ka taea e tēnei te whakapau i te taumaha ki te tūaiwi o te tuara me ngā tūpuna e haere ana i roto i te tuaiwi o te tuara. Ko te nuinga o te wā ka puta te tūtete o te tuaiwi o te tuara ki te taha o raro o te tuara me te kaki. Kāore etahi o te hunga e pangia ana e te tūtete o te tuaiwi o te tuara e whai tohu. Ka rongo pea ētahi atu i te mamae, te wiri, te ngāngā me te ngoikore o ngā uaua. Ka kaha ake ngā tohu i te wā. Ko te take tino nui o te tūtete o te tuaiwi o te tuara ko te kino o te kakahu me te hae i roto i te tuaiwi o te tuara e pā ana ki te mate rewiti. Me mahi rongoā pea ngā tāngata e pangia ana e te tūtete nui o te tuaiwi o te tuara. Ka taea e te rongoā te hanga i te wāhi nui ake kei roto i te tuaiwi o te tuara. Ka taea e tēnei te whakaora i ngā tohu e puta mai ana i te whakapau i te taumaha ki te tūaiwi o te tuara, ki ngā tūpuna rānei. Engari kāore te rongoā e taea te whakaora i te mate rewiti, na reira pea ka mau tonu te mamae o te mate rewiti i roto i te tuaiwi o te tuara.
Ko te stenosis o te tuaiwi te nuinga o te wā kaore e puta he tohu. Ki te puta mai he tohu, ka timata haere māmā, ka kino haere i te wa. Ko ngā tohu e whakawhirinaki ana ki te wāhanga o te tuaiwi e pā ana. Ka taea e te stenosis o te tuaiwi i te tuara o raro te whakaeke i te mamae, te kōtiti rānei i te waewae kotahi, i ngā waewae e rua rānei. Ka puta mai tenei ina tū roa koe, ina haere rānei. Ka pai ake ngā tohu ina pēhi koe ki mua, ina noho rānei. Kei etahi atu ngā mamae o te tuara. Ka taea e te stenosis o te tuaiwi i te kaki te whakaeke i:
Kaore he uara (NaN)
Ko ngā whenua o te tuaiwi e whāngai ana i te pou mai i te angaanga ki te wheua o muri. Ka tiaki ratou i te tūaiwi o te tuaiwi, e rere ana i roto i te wahi e kiia nei ko te awa o te tuaiwi. Ko ētahi o te iwi ka whānau mai me te awa o te tuaiwi iti. Engari ko te nuinga o te ngoikore o te tuaiwi ka puta mai i te mea ka puta mai tetahi mea hei whakaiti i te nui o te waahi tuwhera i roto i te tuaiwi. Ko ngā take o te ngoikore o te tuaiwi ko: Ngā wheua. Ko te kino o te kakahu me te haehae mai i te mate khớp có thể gây ra te tipu o te wheua atu ki runga i te tuaiwi. Ka hanga tēnei i ngā wheua e taea te pehi ki roto i te awa o te tuaiwi. Ka taea hoki e te mate a Paget te whakaiti i te tipu o te wheua ki runga i te tuaiwi. Ngā kōpae herniated. Ko ngā kōpae ko ngā moenga ngawari e mahi ana hei whakaheke i te pakaru i waenganui i ngā wheua o te tuaiwi. Ki te puta mai tetahi wāhanga o te rauemi o roto o te kōpae, ka taea e ia te pēhi i te tūaiwi o te tuaiwi, i ngā io rānei. Ngā hononga mātotoru. Ko ngā aho kaha e āwhina ana ki te pupuri tahi i ngā wheua o te tuaiwi ka taea te pakaru me te mātotoru i te wā. Ka taea e ngā hononga mātotoru te pehi ki roto i te awa o te tuaiwi. Ngā mate pukupuku. Ko te tino iti, ka taea te hanga i ngā mate pukupuku i roto i te awa o te tuaiwi. Ngā whara o te tuaiwi. Ko ngā aituā waka me ētahi atu tūkino ka taea te pakaru i ngā wheua o te tuaiwi, te neke rānei atu i te waahi. Ko te pupuhi o te kiko tata tonu i muri i te pokanga o muri ka taea te whakapēhi i te tūaiwi o te tuaiwi, i ngā io rānei.
Ko te nuinga o te hunga e pangia ana e te stenosis o te tuaiwi he 50 tau te pakeke neke atu rā. Āe pea ka nui ake te tūponotanga o te hunga tamariki ki te stenosis o te tuaiwi ki te mea kei a rātou te scoliosis, te raruraru o te tuaiwi rānei.
Kaore he uauatanga
Kaore he uauatanga
Ka ui pea tō kaimahi hauora ki ōu tohu me tō hītori hauora. Ka taea e koe te whakamātau whakamātau tinana. Ka hiahia pea koe ki te whakamātau whakaahua hei awhina i te kimi i te raruraru. Ngā whakamātau whakaahua Ko ēnei whakamātau pea: Ngā X-rays. Ka taea e te X-ray o te tuara te whakaatu i ngā huringa wheua e āhei ana te whakaiti i te wāhi i roto i te kauae o te tuaiwi. Kei ia X-ray te horopeta iti o te radiation. Magnetic resonance imaging (MRI). Ka whakamahi te MRI i te maheni kaha me ngā ngaru reo hei whakaputa i ngā whakaahua taipitopito o ngā kiko pakeke me ngā kiko ngawari. Ka taea e te whakamātau te kimi i te pakaru o ngā pūtau me ngā hononga. Ka taea hoki te whakaatu mena kei te noho mai ngā mate pukupuku. Computerized tomography (CT). Ki te kore e taea e koe te MRI, ka hiahia pea koe ki te CT scan. Ka whakakotahi tenei whakamātau i ngā whakaahua X-ray i tangohia mai i ngā kōrero maha. I roto i te CT myelogram, ka werohia he tae rerekē hei whakaatu i te tuaiwi o te tuaiwi me ngā io. Ka taea e tenei te whakaatu i ngā pūtau herniated, ngā wheua wheua me ngā mate pukupuku. Te tiaki i te Mayo Clinic Ka taea e to tātau rōpū manaaki o ngā tohunga Mayo Clinic te awhina i a koe ki ōu raruraru hauora e pā ana ki te stenosis o te tuaiwi Tīmata konei Ētahi atu mōhiohio Te tiaki stenosis o te tuaiwi i te Mayo Clinic CT scan MRI X-ray Whakaatu atu ngā mōhiohio e pā ana
Ko te rongoā mō te ngoikore o te tuaiwi o te tuara e whakahaeretia ana e te kaha o ō tohu. Rongoā Āta whakarongo ai tō kaimahi hauora ki ēnei rongoā: Nga rongoā anti-inflammatory kore-steroidal (NSAIDs). Ki te kore e ranea te whakaora i te mamae, ka āwhina pea ngā NSAIDs rongoā. Rongoā whakaiti mamae. Ka taea e ngā rongoā whakaiti mamae, penei i te amitriptyline, te whakaora i te mamae roa. Rongoā anti-seizure. Ka whakamahia etahi rongoā anti-seizure, penei i te gabapentin (Neurontin, Gralise), hei whakaiti i te mamae e puta mai ana i ngā io pakaru. Opioids. Ka taea te whakamahi i ngā rongoā penei i te oxycodone (Oxycontin, Roxicodone, me ētahi atu), engari ka taea te whakawhirinaki. Whakaora tinana Ka taea e te kaiwhakaora tinana te whakaako i a koe i ngā mahi whakakori tinana hei awhina i a koe: Hei hanga i tō kaha me tō manawanui. Hei pupuri i te ngawari me te pumau o tō tuaiwi. Hei whakapai ake i tō toenga. Whakakii Steroid Ka puta pea te mamae me te pupuhi o ō pakiaka io i ngā wāhi e pēhia ana. Ka taea e te whakakii i te rongoā steroid ki te wāhi o te io e pēhia ana te whakaiti i te pupuhi me te whakaora i te mamae. Heoi, ehara pea i te whiringa pai te whakakii steroid mō te ngoikore o te tuaiwi o te tuara. Kua whakaatu etahi rangahau kua kore e pai ake te whakaora i te mamae o te tuara ma te whakakii i ngā steroids me te rongoā whakaiti mamae i te whakakii i te rongoā whakaiti mamae anake. He mea nui tenei, na te mea ka taea e ngā steroids te whakaputa i ngā pānga kino. Ka ngoikore pea ngā wheua, ngā uaua, me ngā hononga e tata ana ki te whakakii anō i ngā steroids. Koia te take me tatari te tangata i te maha o ngā marama i mua i te whakakii anō i te steroid. Tikanga ngātahi mō ngā hononga kīkī I etahi wā, ka nui rawa te māngere o te hononga kei muri o te tuaiwi o raro, e kiia ana hoki ko te tuaiwi lumbar. Ka taea e ngā taputapu rite ki te ngātahi e whakauruhia ana i roto i te kiri te tango i etahi o te hononga. Ka taea e tenei te whakaputa i te waahi nui atu i roto i te kauae o te tuaiwi hei whakaiti i te pehanga ki runga i ngā pakiaka io. Ka hoatu pea ki a koe te rongoā hei awhina i a koe kia mārama i te wā o te tikanga. Ka taea e te tini o te iwi te haere ki te kāinga i taua rā. Taumanutia Laminectomy Whakawhānuihia te whakaahua Kapi Laminectomy Laminectomy Ko te laminectomy lumbar te tango i te wahi o muri o te wheua i tō tuara o raro hei whakaputa i te waahi nui atu i roto i te kauae o te tuaiwi. Laminectomy Cervical Whakawhānuihia te whakaahua Kapi Laminectomy Cervical Laminectomy Cervical Ko te laminectomy cervical te tango i te wahi o muri o te wheua i tō kaki hei whakaputa i te waahi nui atu i roto i te kauae o te tuaiwi. Laminotomy Whakawhānuihia te whakaahua Kapi Laminotomy Laminotomy Ka tangohia e te laminotomy tetahi wāhanga noa o te lamina, te wahi o muri o te wheua o te tuaiwi. Ka keria e ia te rua i te rahi tika hei whakaiti i te pehanga i tetahi wāhi motuhake. Ahakoa kei te whakaaturia mai konei i te kaki, ka taea hoki te mahi i te taumanutia i te tuaiwi lumbar. Laminoplasty Whakawhānuihia te whakaahua Kapi Laminoplasty Laminoplasty Ko te laminoplasty e mahia ana ki ngā wheua o te tuaiwi i te kaki anake. Ka whakanuihia e ia te waahi i roto i te kauae o te tuaiwi ma te hanga i tetahi papa i runga i te lamina, te wahi o muri o te wheua o te tuaiwi. Ka hono te taputapu rino i te waahi tuwhera o te tuaiwi. Ka uru pea ngā taumanutia hei whakaputa i te waahi nui atu i roto i te kauae o te tuaiwi ki: Laminectomy. Ka tangohia e tēnei taumanutia te wahi o muri o te wheua o te tuaiwi e pā ana. Ko te ingoa o tēnei wāhanga o te wheua ko te lamina. Ka whakaitihia e tēnei tukanga te pehanga ki runga i ngā io ma te whakaputa i te waahi nui atu i te taha o rātou. I etahi wā, me hono pea taua wheua ki ngā wheua o te tuaiwi e tata ana me te taputapu rino me te hononga wheua. Laminotomy. Ka tangohia e tēnei taumanutia tetahi wāhanga noa o te lamina. Ka keria e te taote te rua i te rahi tika hei whakaiti i te pehanga i tetahi wāhi motuhake. Laminoplasty. E mahia ana tēnei taumanutia ki ngā wheua o te tuaiwi i te kaki anake. Ka whakanuihia e ia te waahi i roto i te kauae o te tuaiwi ma te hanga i tetahi papa i runga i te lamina. Ka hono te taputapu rino i te waahi tuwhera o te tuaiwi. I te nuinga o ngā take, ka awhina ēnei mahi ki te whakaiti i ngā tohu o te ngoikore o te tuaiwi o te tuara. Engari ka noho tonu pea ngā tohu o ētahi i te rite rānei ka kino ake i muri i te taumanutia. Ko ngā tūponotanga o te taumanutia ko: Te mate. Te toto i roto i te uaua o te waewae. Te haehae i te kiri e hipoki ana i te tuaiwi o te tuara. Mō ētahi atu mōhiohio Te tiaki ngoikore o te tuaiwi o te tuara i te Mayo Clinic Whakakii Cortisone Laminectomy Hononga tuaiwi Whakaatu atu i ngā mōhiohio e pā ana Tono i tetahi whakaritenga He raru kei te mōhiohio i tohuhia i raro nei, ka tukuna anō te puka. Mai i te Mayo Clinic ki tō pouakaroto Rēhita kore utu me noho tonu ki te whakahou i ngā whakamātautau rangahau, ngā tohu hauora, ngā kaupapa hauora o nāianei, me te mātauranga mo te whakahaere hauora. Pāwhiritia konei mō te tirohanga īmēra. Wāhitau Īmēra 1 Hē E hiahiatia ana te mara īmēra Hē Whakauruhia he wāhitau īmēra tika Ako atu mō te whakamahinga raraunga a te Mayo Clinic. Hei whakarato i ngā mōhiohio tino tika me te whai hua ki a koe, me te mārama ki te mōhiohio e whai hua ana, ka taea e mātou te whakakotahi i ō mōhiohio īmēra me te whakamahinga paetukutuku me ētahi atu mōhiohio kei a mātou mōu. Ki te mea he turoro koe o te Mayo Clinic, ka uru pea tenei ki ngā mōhiohio hauora tiaki. Ki te whakakotahitia e mātou ēnei mōhiohio me ō mōhiohio hauora tiaki, ka tukatuka mātou i aua mōhiohio katoa hei mōhiohio hauora tiaki, ā, ka whakamahi noa rānei ka whakapuaki i aua mōhiohio penei i te whakarite i roto i tā mātou panui mō ngā tikanga tūmataiti. Ka taea e koe te whakakore i ngā korero īmēra i tetahi wā ma te pāwhiri i te hononga whakakore i roto i te īmēra. Ohauru! Mauruuru koe mō te ohauru! Ka tīmata wawe koe ki te whiwhi i ngā mōhiohio hauora hou a te Mayo Clinic i tonoa e koe ki tō pouakaroto. Aroha mai, he raru kei te ohauru Tīmata anō i roto i ngā meneti torutoru Whakamātauria anō
Kaore he uauatanga
Ka tono pea koe ki tetahi tākua e mōhio ana ki ngā mate o te pūnaha io, e kiia ana ko te neurologist. Kei te whakawhirinaki ki te kino o ō tohu, ka hiahia pea koe ki te kite i tetahi taote o te tuaiwi, ā, he neurosurgeon pea, he orthopedic surgeon rānei. Ngā mea ka taea e koe I mua i te whakatau, ka hiahia pea koe ki te whakarite i te rārangi o ngā whakautu ki ēnei pātai: Nō hea koe i kite tuatahi ai i tēnei raruraru? Kua kino ake rānei i te wā? Kua pangia rānei ō mātua, ō teina, ō tuakana rānei e ngā tohu rite? He mate hauora ke atu koe? He rongoā, he taapiri ranei e inu ana koe i ia rā? He pokanga tuaiwi, he whakaurunga rānei kua whiwhi koe? Ngā mea e tatari ana koe mai i tō tākua Ka ui pea tō kaimahi hauora ki ētahi o ēnei pātai: Kei te mamae koe? Kei hea? He aha te tūnga e whakaora ana i te mamae, e whakaiti ana rānei? Kei te ngoikore koe, kei te ngenge rānei, kei te wiri rānei? Kei te mōhio koe kua pēhea ake koe i ngā wā tata nei? Kua uaua ki te whakahaere i tō whekau, i tō pūngāwerewere rānei? He aha ngā maimoatanga kua whakamātau koe mō ēnei raruraru? Na te kaimahi o te Kura Hauora o Mayo
Whakakape: He tūāpapa pārongo hauora a Ākuhata ā, ehara ōna whakautu i te tohutohu rongoā. Me kōrero tonu ki tētahi rata whai raihana e pātata ana ki a koe i mua i tētahi whakarerekētanga.
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