Te Maimoatanga Whai Hua mō te Pupuhi Kōpae hei Whakaora i te Mamae o te Tuaiwi
Ka taea e te kōpae pupuhi te huri i ngā mahi o ia rā hei wero mamae, engari ka taea e te maimoatanga pupuhi kōpae whai hua te whakahoki mai i tō whakamarie me tō nekehanga. Ka puta tēnei mate tuaiwi noa ina pana te pokapū ngohengohe, rite ki te tiēre o te kōpae tuaiwi ki tōna paparanga o waho, ka pupuhi te kōpae ki waho. Ahakoa he maha ngā wā e whakamahia ana ngā kupu, he rerekē te kōpae pupuhi i te kōpae herniated—ā, mā te mārama ki tēnei rerekētanga ka āwhina i te ārahi i tō ara maimoatanga.
I Madison Medical, he tohunga mātou ki te tiaki tuaiwi whānui e aro ana ki ngā raruraru kōpae i tōna pūtake. Ko tā mātou huarahi ki te maimoatanga kōpae pupuhi e whakakotahi ana i te tautuhi tika me ngā mahere maimoatanga whaiaro, hei āwhina i a koe ki te karo i ngā pokanga kore e hiahiatia, me te whakatutuki i te whakamamae mamae whai tikanga. Mai i ngā maimoatanga matawhānui ki ngā tikanga wawaotanga matatau, ka tukuna e mātou te whānuitanga katoa o te tiaki e hiahiatia ana e tō tuaiwi.
Te Mārama ki te Pupuhi Kōpae me te Herniation
He rite ngā kōpae tuaiwi ki te urunga i waenganui i ō tuaiwi, he paparanga pakari o waho (annulus fibrosus) me te pokapū rite ki te tiēre (nucleus pulposus). Ka puta he kōpae pupuhi ina toro atu te kōpae ki tua atu i tōna rohe noa, ka pā ki te wāhanga nui ake o te porowhita kōpae—whakaarohia he hāmipeka he nui rawa mō tōna parāoa.
He raruraru kino ake te kōpae hernia, ka pakaru te paparanga o waho, ka pana te rauemi o roto. He mea nui tēnei rerekētanga nā te mea he nui ake te tūponotanga ka pēhia ngā io e ngā kōpae hernia, ā, me rerekē pea ngā huarahi maimoatanga. Heoi, ka taea e ngā āhuatanga e rua te whakararu i te mamae nui me te kore mahi tika.
He maha ngā wā ka puta ngā pupuhi kōpae i te tuaiwi o raro (lumbar), te wāhi e nui ai te kawenga me te nekehanga. He maha hoki ngā pupuhi kōpae o te kaki, inā koa i roto i te hunga e roa ana te wā e titiro ana ki ngā mata. He onge ngā pupuhi kōpae o te uma nā te pānga whakaū o te rara.
Ngā Tohu e Tohu Ana Me Maimoa Koe
He maha ngā puku o te kōpae kāore he tohu e puta mai ana—he maha ngā wā ka kitea noa iho i roto i te whakaahua mō ētahi atu take. Ina puta ngā tohu, ka whakawhirinaki ki te wāhi me te pānga o ngā io. He mea noa te mamae o te tuara, o te kaki rānei e tata ana ki te kōpae e pāngia ana, ā, ka kino haere i ētahi nekehanga, i ētahi tūnga rānei.
Ina pēhia e te kōpae pupuhi ngā io tata, ka horapa ngā tohu ki ngā ringaringa, ki ngā waewae rānei. Ka puta pea te sciatica i ngā pupuhi o te kōpae lumbar—te mamae e pā ana ki te waewae, ā, he maha ngā wā ka haere tahi me te ngoikore, te mākūkū, te ngoikore rānei. Ka puta pea ngā tohu rite i ngā ringaringa me ngā ringaringa i ngā pupuhi o te kōpae cervical. Ko te ngoikore o te uaua e tohu ana i te nui ake o te pānga o te io.
Ko ngā tohu whero e hiahia ana kia arohia tonutia ko te ngoikore haere o te tinana, te ngoikore o te hope, te ngaronga rānei o te mana whakahaere o te pūkahukahu, o te puku rānei. Tērā pea ēnei e tohu ana i te mate cauda equina, he mate ohorere i roto i te pokanga. Ahakoa he onge, me arotake wawe tēnei mate.
He aha ngā take o te pupuhi o te kōpae?
Ko te pirau o ngā kōpae e pā ana ki te koroheketanga te tino take. I a tātou e pakeke haere ana, ka ngaro te wai o ngā kōpae, ā, ka iti ake te ngāwari, ka ngawari ake te pupuhi i te taumahatanga noa. Ko te tikanga ka tīmata tēnei tukanga i roto i ō tātou tau 30, ā, ka haere mārire haere, ahakoa he rerekē te tere i waenga i ngā tāngata takitahi.
Ka tere ake te pakaru o ngā kōpae i te taumahatanga auau. Ka nui te taumahatanga ki ngā kōpae tuaiwi nā ngā mahi e hiahia ana kia piko, kia hiki, kia takahuri rānei i ngā wā katoa. Ka piki ake te pēhanga o ngā kōpae i te noho roa, inā koa he tūnga kino, ā, ka whai wāhi atu ki te pirau. Ka taumaha anō hoki ngā kōpae i te wiri, pērā i te taraiwa, te whakahaere rānei i ngā taputapu taumaha.
Ka taea e ngā whara ohorere te whakaputa i te pupuhi ohorere o te kōpae, ahakoa he iti ake te kitea i te whanaketanga āta haere. Mā te hiki i tētahi mea taumaha rawa, inā koa he ngoikore te āhua, ka taea te pana i te rauemi kōpae ki waho. Ka taea e ngā hinganga, ngā aituā waka rānei te whakaputa i te whara kino o te kōpae.
Ngā Take Tūpono mō ngā Pupuhi Kōpae
- Age: Ka piki ake te ngoikore o te kōpae i muri i te 30 tau
- Mahi: Ngā mahi e hiahia ana kia piko tonu, kia hiki, kia noho roa rānei
- Te nui: Ka whakanui te taumaha nui i te taumaha tuaiwi me te ahotea o te kōpae
- Tūnga kino: Ka piki ake te pēhanga o te kōpae i te wā roa e tū ana te kōpae i te koretake.
- Smoking: Ka whakaiti i te kai o te kōpae, ka tere ake te pirau
- Genetics: Ko te hītori whānau o ngā raruraru kōpae e tohu ana i te pikinga o te mōrearea
Aromatawai Tātaritanga
Ka tīmata te tātaritanga tika mā te hītori whānui me te whakamātautau tinana. Ka aromatawaihia e tō kaiwhakarato tō tauira mamae, te mahi io, te whānuitanga o te nekehanga, me ngā nekehanga e whakaputa ana i ō tohu. Ka aromatawaihia e ngā whakamātautau motuhake mēnā kei te pēhia ngā io.
Mā te MRI ka kitea ngā kōpae tuaiwi, ngā pupuhi, ngā hernia, me te pēhanga io. E whakaatu ana tēnei whakaahua kore-whakaeke i ngā hanganga kiko ngohengohe e kore e taea te kite i ngā hihi-X. Me hono ngā kitenga MRI ki ngā tohu, nā te mea he maha ngā tāngata he rerekētanga kōpae kāore he tohu.
Ka taea te tono hihi-X hei aromatawai i te hanganga o te wheua, te tūnga, me te teitei o te mokowā kōpae. Ka whakaratohia e ngā karapa CT he taipitopito koi o te wheua, ā, ka taea te whakamahi ina kore e taea te MRI. Ka taea e ngā rangahau kawe io me te EMG te ine i te mahi io ina puta ngā tohu neurological.
Ngā Kōwhiringa Maimoatanga Tūpato
He pai te urupare a te nuinga o ngā pupuhi kōpae ki te maimoatanga āta, kāore e hiahiatia he pokanga. Ko te whakahaere tuatahi ko te whakarerekē i ngā mahi - te karo i ngā nekehanga e kino ake ai ngā tohu, me te pupuri tonu i ngā mahi ngawari hei ārai i te ngoikore o te tinana. Tērā pea ka āwhina te okiokinga poto i te mamae nui, engari he koretake te okiokinga roa i runga i te moenga.
Ko te whakaora tinana te tūāpapa o te maimoatanga matatika. Mā te whakapakari i te uho ka whakau te tuaiwi, ka whakaiti hoki i te taumahatanga o te kōpae. Mā ngā mahi whakakori tinana motuhake i runga i ō tohu ka āwhina i te whakapūmau i te mamae me te whakaiti i te riri o ngā io. Mā te whakaora ā-ringa, tae atu ki te whakarerekē i te tuaiwi i ngā wā e tika ana, ka taea te whakaiti i te mamae me te whakapai ake i te nekenekehanga.
Ka whakahaerea e ngā rongoā te mamae i te wā e ora ana. Ka whakaitihia te mamae me te mumura e ngā rongoā anti-inflammatory ka hokona kore-tohu. Tērā pea ka āwhina ngā rongoā whakangāwari uaua mēnā ka haere tahi mai ngā tohu o te uaua me te mamae o te kōpae. Ka taea e ngā wā poto o ngā steroids waha te whakaiti i te mumura o ngā io i ētahi wā.
Ngā Kōwhiringa Maimoatanga Wawao
Ina kore e ranea te whakaora i te maimoatanga matawhānui, ka tukuna tika ngā rongoā ārai-mumura e ngā werohanga steroid epidural ki te wāhi e pāngia ana. Mā te whakamahi i te arataki fluoroscopic kia tika ai te mahi, ka taea e ēnei werohanga te whakaiti i te mamae me te mumura huri noa i ngā io kua pukuriri, ā, he maha ngā wiki ki ngā marama e whakaora ai.
Ka aro atu ngā werohanga epidural transforaminal ki ngā pūtake io motuhake, he mea tino whai hua ina kitea ngā tohu i te tohatoha io kotahi. Ka taea e ngā aukati pūtake io whiriwhiri te tautuhi me te rongoā i te pēhanga io, ā, ka āwhina ki te whakaū ko tēhea taumata te take o ngā tohu.
Mā ngā huarahi rongoā whakaora, tae atu ki te rongoā plasma whai-pereti, ka taea te whakatairanga i te whakaora kōpae i ngā kaitono e tika ana. Ahakoa kei te haere tonu ngā rangahau, ka kite ētahi tūroro i te whakapainga nui me ēnei maimoatanga.
Ina hiahiatia te pokanga
Kāore e hiahiatia ana te pokanga mō ngā pupuhi kōpae, ā, i te nuinga o te wā ka waiho noa mō ngā take e pāngia ana e ngā ngoikoretanga pūnaha io, te mate cauda equina, ngā tohumate pumau rānei ahakoa te maimoatanga ā-pūmau. Ko te nuinga o ngā pupuhi kōpae ka pai ake me te kore he pokanga.
Mēnā e hiahiatia ana te pokanga, ka whakaitihia te wā whakaora me ngā raruraru e ngā tikanga iti rawa te whakaekenga. Ka tangohia e te microdiscectomy te wāhanga o te rauemi kōpae e pēhi ana i ngā io. Ka tukuna e ngā tikanga endoscopic he kōwhiringa iti ake te whakaekenga mō ngā kaitono e tika ana.
He aha i whiriwhiria ai a Madison Medical hei rongoā mō te pupuhi o te kōpae?
He tohungatanga whānui ā mātou tohunga tuaiwi ki ngā raruraru kōpae. Neke atu i te 1,200 ngā tūroro e toro atu ana ki Madison Medical ia wiki, e whakarato ana i ngā wheako whānui ki te tiaki tuaiwi ā-pūmau me te wawaotanga. Ka aro nui mātou ki te maimoatanga kore-pokanga i te tuatahi, ka waiho te pokanga mō ngā take e tino hiahiatia ana.
Kei roto i tā mātou huarahi whakauru te whakaora tinana, te whakahaere mamae, me te pokanga tuaiwi wheua i raro i te tuanui kotahi. Mā tēnei mahi tahi ka whakarite kia pai te tiaki i a koe e whanake ana ō hiahia. Ko te nuinga o ngā mahere inihua nui e whakaaetia ana i ō mātou wāhi watea i New Jersey.
Mātakihia kia nui ake ai te mōhio
Tīmatahia tō Ara ki te Hauora o te Tuaiwi
Kāore te kōpae pupuhi e tohu ana i te mamae mau tonu, i te hauātanga rānei. Mēnā ka tika te tātaritanga me te maimoatanga, ka nui te whakapainga o te nuinga o ngā tūroro, ā, ka hoki anō ki ā rātou mahi o ia rā. He maha ngā wā ka āraihia te whanaketanga o te mate e te maimoatanga wawe, ā, ka pai ake ngā putanga.
Whakapā atu ki a Madison Medical ki te whakarite i tō aromatawai tuaiwi. Ka aromatawaihia e ā mātou tohunga tō āhua, ka whakamārama i ō kōwhiringa, ka whakawhanake i tētahi mahere maimoatanga whaiaro. Ahakoa e hiahia ana koe ki te whakaora tinana, ki te werohanga, ki te wawaotanga matatau rānei, kei a mātou te tohungatanga hei āwhina i a koe ki te whakaora.