Ke paheʻe nei kahi iwi kuamoʻo i loko o kou iwi kuamoʻo? E aʻo kākou e pili ana i ka spondylolisthesis!

ʻO ka ʻeha hope kahi pilikia maʻamau e kū nei i nā poʻe he nui i kēia mau lā. I kekahi manawa hiki ke lilo i ʻeha kua maʻalahi e loaʻa mai ana mai ka hoʻoikaika kino. Eia nō naʻe, inā ʻoi iki kēia ʻeha i kekahi mau lā, a inā hele mai me nā hōʻailona ʻē aʻe, a laila aia paha ke kumu kikoʻī no ia mea. ʻO ia hoʻi, kahi kūlana e kū nei ma ka iwi kuamoʻo (Spondylolisthesis) . ʻOiai paha he paʻakikī iki ka inoa, e hoʻomaopopo maʻalahi kākou.

He aha ka Spondylolisthesis? I ka pōkole...

E noʻonoʻo i kou iwi kuamoʻo e like me kahi puʻu o nā iwi liʻiliʻi (i kapa ʻia he vertebrae) i hoʻopaʻa ʻia ma luna o kekahi. He 33 vertebrae, e pololei. ʻOiai ua pili kēia mau vertebrae kekahi i kekahi, hiki iā lākou ke neʻe iki i ka wā e kūlou ai a hoʻoneʻe paha i ko mākou kino. I kēia manawa, i loko o kahi kūlana i kapa ʻia ʻo spondylolisthesis, e paheʻe kekahi o kēia mau vertebrae mai kahi a paʻi i ka vertebra ma lalo. Ua like ia me kahi loulou i haki i loko o ke kaulahao. Ke hana ʻia kēia, hiki ke hoʻopaʻa ʻia nā aʻalolo ma ia wahi. ʻO ia ka manawa e kū mai ai nā hōʻailona e like me ka ʻeha hope a me ka ʻeha wāwae. Hiki ke loaʻa ka spondylolisthesis ma nā wahi āpau o ka iwi kuamoʻo, akā ʻoi aku ka maʻamau ma ke kua haʻahaʻa (lumbar spine) . Eia kekahi, hiki ke loaʻa kēia kūlana ma ka ʻāʻī (cervical spine) a i ʻole mai ka ʻāʻī a hiki i ka hopena o nā iwi ʻaoʻao (thoracic spine). Ua like ka iwi kuamoʻo me ke kaulahao e kākoʻo mau ana i ko mākou kino. No laila, hiki ke hopohopo iki i ka wā e paheʻe ai kahi loulou. Akā, ʻaʻole ia he manaʻo ua haunaele ke kaulahao holoʻokoʻa. He pinepine nā lāʻau lapaʻau maikaʻi no kahi kūlana i kapa ʻia ʻo spondylolisthesis. Inā loaʻa iā ʻoe ka ʻeha hou ma kou kua a i ʻole nā ​​​​wāwae a ke paʻakikī nei ʻoe i ka hana ʻana i nā hana o kēlā me kēia lā, e ʻike pono i ke kauka.

He aha nā kumu kūpono o ka spondylolisthesis?

Aia kekahi mau ala nui e hiki ai ke hana i kēia kūlana:

1. Pili i ka makahiki (Degenerative Spondylolisthesis)

ʻO kēia ke ʻano maʻamau. I ko kākou ʻelemakule ʻana, e mae ana nā ʻāpana like me ka cushion ma waena o ko kākou vertebrae (i kapa ʻia he discs ). I ka lahilahi ʻana o kēia mau discs, e hoʻonui ʻia ka hakahaka ma waena o nā vertebrae, e ʻoi aku ka maʻalahi o ka paheʻe ʻana o kekahi. He ʻano maʻi disc degenerative nō hoʻi kēia.

2. ʻO ka Spondylolisthesis hānau

I kekahi manawa, hiki ke loaʻa kēia ʻano ma muli o ka hana pono ʻole ʻia o ka iwi kuamoʻo o ka pēpē i loko o ka ʻōpū. Ke hana ʻia kēia, hiki ke kū mai nā pilikia i ka wā mua o ke ola a i ʻole ma hope o ke ola.

3. Ma muli o kahi haki kahi e hui ai nā iwi kuamoʻo (Isthmic Spondylolisthesis)

Ke haki kahi ʻāpana iwi liʻiliʻi e hoʻopili ai i ʻelua vertebrae (i kapa ʻia ʻo pars interarticularis ), ʻaʻole hiki iā ia ke hoʻopaʻa pono iā lākou. A laila paheʻe ka vertebra. Hiki ke hana kēia i nā mea pāʻani, ʻoiai ka poʻe e hana ana i nā hoʻomaʻamaʻa lele a huki .

ʻO nā ʻano ʻē aʻe i maʻamau ʻole ʻia:

• (ʻO ka Spondylolisthesis Traumatic):Hiki i kahi vertebra ke paheʻe ma muli o ka pōʻino nui o ka iwi kuamoʻo mai kahi ulia nui a i ʻole ka hāʻule ʻana.
• ʻO ka Spondylolisthesis Pathological: Hiki ke hana ʻia kēia e nā kūlana e hoʻonāwaliwali ai i nā iwi (e like me ka osteoporosis a i ʻole kahi puʻupuʻu i loko o nā iwi).
• (Postsurgical Spondylolisthesis): He mea kākaʻikahi loa, hiki ke kū mai kēia ʻano ma ke ʻano he hopena ʻaoʻao o ke ʻoki ʻana o ka iwi kuamoʻo.

He aha nā hōʻailona o ka spondylolisthesis?

ʻO ka mea kupanaha, loaʻa i kekahi poʻe ka spondylolisthesis a ʻaʻohe o lākou hōʻailona. Inā liʻiliʻi loa ka vertebra paheʻe (haʻahaʻa), ʻaʻole paha ia e hōʻike i kekahi mau hōʻailona no ka mea ʻaʻole ia e kau nui ana i ke kaomi ma nā ʻāpana ʻē aʻe o ka iwi kuamoʻo a i ʻole nā ​​aʻalolo. Eia nō naʻe, inā loaʻa nā hōʻailona, ​​​​hiki iā lākou ke komo pū me:

• ʻEha hope haʻahaʻa.
• ʻEha e hele ana i lalo i nā wāwae (i kapa ʻia hoʻi ʻo sciatica ).
• He manaʻo o ka paʻa a me ka ʻeha ma ke kua.
• Ke paʻakikī i ka hele ʻana a i ʻole ke kū ʻana no nā mau minuke he nui.
• Ka mae, ka nāwaliwali, a i ʻole ka manaʻo o ka mae ʻana o nā wāwae.

Ma muli o kahi i paheʻe ai nā iwi kuamoʻo, hiki ke ʻike ʻia ka ʻeha ma nā wahi ʻē aʻe o ke kua. Hiki ke laha kēia ʻeha i nā puʻupuʻu a i ʻole nā ​​ʻūhā.

He aha nā kumu o ka spondylolisthesis?

ʻOkoʻa ke kumu o ka paheʻe ʻana o ka vertebra ma muli o ke ʻano o ka spondylolisthesis āu. ʻO kekahi mau kumu maʻamau:

• Pau nā diski kuamoʻo me ka makahiki.
• Nā iwi kuamoʻo i ʻoi aku ka lahilahi ma mua o ka maʻamau i ka wā hānau.
• Nā ulia i ka wā e pāʻani ana i nā haʻuki.
• Hoʻonui ka ulu ʻana o ka ulu ʻana i nā keiki a me nā ʻōpio.
• Nā ulia e like me ka hāʻule ʻana a me nā ulia kaʻa.

ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?

ʻOiai hiki i kekahi ke hoʻomohala i ka spondylolisthesis, ʻoi aku ka nui o ka pilikia o kekahi poʻe:

• Nā kānaka ma luna o 50 mau makahiki.
• Nā wāhine.
• Nā mea pāʻani (ʻoi aku ka poʻe e pāʻani ana i nā haʻuki koʻikoʻi, lele nui, a hana i nā hoʻoikaika kino).
• ʻO nā kānaka me ka moʻolelo ʻohana o ka spondylolisthesis a i ʻole nā ​​maʻi e pili ana i ka iwi.

He aha ka mea e hiki ke hana inā ʻaʻole mālama ʻia ka spondylolisthesis? (Nā pilikia)

Inā ʻaʻole i ʻike pono ʻia kēia maʻi a mālama ʻia, hiki iā ʻoe ke kū i kēia mau pilikia:

• ʻEha hope mau loa.
• ʻO ka ʻāʻī iwi kuamoʻo.
• Ka pōʻino o ke aʻalolo.
• ʻAʻole hiki ke kāohi i ka mimi ʻana (Urinary incontinence) a i ʻole ka incontinence ʻōpū (Bowel incontinence) .

Pehea e ʻike ai nā kauka i ka spondylolisthesis?

E ʻike ke kauka i ka spondylolisthesis ma ka hana ʻana i kahi hoʻokolokolo kino a me nā hoʻokolohua kiʻi kūikawā. E nānā pono ʻo ia i kou kua a me kou iwi kuamoʻo. Pono ʻoe e haʻi i kāu kauka i ka wā i hoʻomaka mua ai ʻoe i ka ʻeha a i ʻole nā ​​​​hōʻailona ʻē aʻe, he aha nā hana e hoʻonui ai i ka ʻeha, a me nā mea āu i hana ai ma mua o ka hoʻomaka ʻana o kāu mau hōʻailona, ​​​​ʻoiai inā ʻoe i loko o kahi ulia. A laila e lawe kāu kauka i kahi X-ray spinal e kiʻi i nā kiʻi o kāu vertebrae. Pono paha ʻoe i kahi CT scan a i ʻole MRI scan e ʻimi i ka hōʻino i kāu mau disc a i ʻole nā ​​​​aʻalolo.

Nā Papa o ka Spondylolisthesis

E hāʻawi kāu kauka iā ʻoe i kahi māka no kou kūlana, ma muli o ka nui o ka paheʻe ʻana o kou mau iwi kuamoʻo. He helu paha kēia, "haʻahaʻa" a i ʻole "kiʻekiʻe":

• ʻO ka Spondylolisthesis haʻahaʻa - Papa I a me Papa II: ʻO kēia ke ʻano maʻamau. He nui nā keiki ʻōpio me ka spondylolisthesis isthmic a me nā pākeke me ka spondylolisthesis degenerative e loaʻa ana kēia maʻi ʻoi aku ka koʻikoʻi.
• ʻO ka Spondylolisthesis kiʻekiʻe (Papa III a me Papa IV): I kēia mau hihia, ʻoi aku ka nui o ke koi ʻana i ke ʻoki ʻana, ʻoiai inā loaʻa iā ʻoe ka ʻeha nui a i ʻole nā ​​​​hōʻailona ʻē aʻe.

He aha nā lāʻau lapaʻau no ka spondylolisthesis?

Hiki i nā poʻe he nui ke kāohi i ko lākou mau hōʻailona me nā lāʻau lapaʻau nonsurgical, e like me:

• Hoʻomaha : ʻO ka hoʻomaha ʻana mai nā haʻuki a me nā hana luhi no kekahi manawa e hōʻemi i ke kaomi ma ka iwi kuamoʻo.
• Nā lāʻau lapaʻau: Hiki iā ʻoe ke hoʻohana i nā NSAID ma luna o ke kūʻai aku (e.g., Ibuprofen, Diclofenac) a i ʻole Acetaminophen (e.g., Panadol) e hōʻemi i ka ʻeha a me ka pehu. Eia naʻe, mai lawe i kēia mau lāʻau lapaʻau no nā lā he 10 a ʻoi me ka ʻole o ke aʻo ʻana a ke kauka. E kamaʻilio me kāu kauka ma mua o ka hoʻomaka ʻana i kekahi lāʻau lapaʻau, i hiki iā ia ke haʻi iā ʻoe i ka lāʻau lapaʻau kūpono iā ʻoe.
• Corticosteroids: He mau lāʻau lapaʻau ikaika kēia i kuhikuhi ʻia e ke kauka e hōʻemi i ka mumū. Hiki ke hāʻawi waha ʻia a i ʻole e hoʻokomo pololei ʻia i loko o ka wahi ʻeha (kahi pana cortisone) .
• Hoʻōla kino:E aʻo aku kekahi mea hoʻōla kino iā ʻoe i nā hoʻomaʻamaʻa e hoʻoikaika i nā ʻiʻo a puni kou iwi kuamoʻo (ʻoi aku hoʻi kou kua a me nā ʻiʻo o ka ʻōpū). E hōʻemi kēia i ke kaomi ma kou iwi kuamoʻo a ʻae iā ʻoe e neʻe maʻalahi.
• Ke kau nei i kahi mea pale: Inā he haki kou iwi kuamoʻo, e ʻōlelo paha kāu kauka e kau ʻoe i kahi mea pale e hoʻopaʻa i kou iwi kuamoʻo. E haʻi pū ʻo ia iā ʻoe i ka lōʻihi o kou kau ʻana.

I ka manawa hea e pono ai ke ʻoki kino no ka spondylolisthesis?

ʻAʻole pono nā kānaka a pau i ke ʻoki kino no ka spondylolisthesis. Inā ʻaʻole nā ​​vertebrae i paheʻe e hoʻoulu i nā hōʻailona koʻikoʻi a ʻaʻole paha i pilikia i nā pilikia ʻē aʻe, hiki iā ʻoe ke noho me kahi maʻi haʻahaʻa. E haʻi aku kāu kauka iā ʻoe i ka wā e noʻonoʻo ai i ke ʻoki kino. Pono paha ke ʻoki kino i nā hihia aʻe:

• Inā loaʻa iā ʻoe kahi kūlana kiʻekiʻe (spondylolisthesis) .
• Inā loaʻa iā ʻoe ka ʻeha nui a i ʻole nā ​​​​hōʻailona ʻē aʻe e hiki ʻole ai ke kū, hele, a neʻe paha.
• Inā ʻaʻole i emi iho nā hōʻailona ma muli o nā lāʻau lapaʻau ʻē aʻe ʻaʻole me ke ʻoki kino .

ʻO ka mea paha, e hana ke kauka lapaʻau i kahi kaʻina hana i kapa ʻia ʻo spinal fusion . Pili kēia i ka hoʻoponopono hou ʻana i kāu vertebrae a me ka hoʻoikaika ʻana i ka wahi. Pono paha ʻoe e hana i kahi kaʻina hana i kapa ʻia ʻo spinal decompression e hōʻoluʻolu i ke kaomi ma kou aʻalolo sciatic. E wehewehe kāu kauka a kauka lapaʻau paha iā ʻoe i ke ʻano o ke ʻoki ʻana āu e pono ai a me ka mea e manaʻo ai.

Nā hopena ʻaoʻao hiki ke hana ʻia ma hope o ke ʻoki ʻana

Hiki i kekahi poʻe i hana ʻia ke ʻoki ʻana i ka iwi kuamoʻo ke ʻike i kahi emi iki o ka neʻe ʻana ma hope o ke ʻoki ʻana. ʻO kēia no ka mea e hoʻohui pū ke ʻoki ʻana i ʻelua vertebrae e hana i hoʻokahi iwi. Eia nō naʻe, no ka hapa nui o ka poʻe, ʻoi aku ka liʻiliʻi o ka ʻeha a hiki iā lākou ke ʻae i kēia ʻoluʻolu iki. Eia nō naʻe, mai makaʻu e kamaʻilio me kāu kauka ʻoki e pili ana i kēia ma mua o kou hoʻoholo ʻana e hana i ke ʻoki ʻana. Hiki iā ia ke wehewehe i nā pilikia iā ʻoe a kōkua iā ʻoe e hoʻonohonoho i nā manaʻolana kūpono.

Hiki ke pale ʻia ka spondylolisthesis?

I kekahi manawa, ʻaʻole hiki ke pale loa ʻia ka spondylolisthesis, ʻoiai inā loaʻa ia ma muli o kahi ulia a i ʻole ma muli o ke ʻano o ka hoʻolālā ʻana o kou iwi kuamoʻo i ka wā hānau. Eia nō naʻe, hiki iā ʻoe ke hōʻemi i kou pilikia ma ka hahai ʻana i kēia mau ʻōlelo aʻoaʻo:

• E hana i nā hoʻomaʻamaʻa kino e hoʻoikaika ai i kou kua a me nā ʻiʻo o ka ʻōpū .
• E hahai i kahi papaʻai olakino e kūpono iā ʻoe. Hiki i kēia ke pale i kou mau iwi a me ke olakino holoʻokoʻa.
• E kamaʻilio me kāu kauka e pili ana i ke olakino o kou iwi. E haʻi aku ʻo ia iā ʻoe inā a i ka manawa hea e pono ai ʻoe e hana i nā hoʻokolohua mānoanoa o ka iwi .

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka spondylolisthesis?

Inā loaʻa iā ʻoe ka spondylolisthesis, pono e hoʻomaikaʻi ʻia kāu mau hōʻailona me nā lāʻau lapaʻau ʻoki ʻole e like me ka hoʻomaha, ka lāʻau lapaʻau, a me ka hoʻōla kino. Ke hoʻomaka ʻoe i ka lāʻau lapaʻau, e lawe hou aku kāu kauka i nā X-ray e ʻike inā e paheʻe hou ana kāu vertebrae. E nānā pono kāu kauka i ka vertebra i paheʻe. Inā paheʻe nui ia, pono paha ʻoe i ke ʻoki ʻana.

ʻAʻole hiki i nā lāʻau lapaʻau ʻoki ʻole ke hoʻihoʻi i kahi vertebra paheʻe i kona kūlana mua, akā hiki iā lākou ke kōkua iā ʻoe e hoʻokō i kāu mau hana o kēlā me kēia lā me ka ʻeha ʻole. ʻO ke ʻoki kino wale nō ke hiki ke hoʻihoʻi i ke kūlana mua o ka iwi kuamoʻo.

Hiki ke hala i kekahi mau pule a i kekahi mau mahina e ho'ōla piha ai mai ke ʻoki ʻana o ka iwi kuamoʻo. E hāʻawi kāu kauka lapaʻau iā ʻoe i kahi papa hana hoʻōla kūpono nou, ma muli o kāu mau pono.

Āhea e hiki ai iaʻu ke hoʻomaka hou e pāʻani?

Hiki i ka hapa nui o ka poʻe me ka spondylolisthesis ke hoʻi i nā haʻuki a me nā hana kino ʻē aʻe ma hope o kekahi mau pule o ka mālama ʻana. ʻO ka maʻamau, pono ʻoe e kali a hiki i kou hiki ke neʻe a puni me ka palekana me ka ʻeha ʻole. E kamaʻilio me kāu kauka a kauka paha ma mua o ka hoʻomaka hou ʻana i kekahi hana kino. Hiki iā lākou ke kuhikuhi i nā ala palekana no ʻoe e noho hana me ka ʻole o ka hoʻonui ʻana i kou pilikia o nā pilikia.

He aha kāu e pono ai ke hana i ka wā e loaʻa ai iā ʻoe ka spondylolisthesis?

E haʻi aku kāu kauka iā ʻoe i nā hana palekana nou e hana ai. Pono paha ʻoe e hoʻōki i ka pāʻani ʻana i nā haʻuki pili a i ʻole ka hana ʻana i nā hoʻoikaika kino e kau nui ana i ke kaomi ma kou iwi kuamoʻo a i ʻole e pili ana i ka nui o ka hoʻolōʻihi ʻana.

Āhea ʻoe e ʻike ai i ke kauka?

ʻO ka wikiwiki o kou ʻike ʻana i ke kauka, ʻo ka maikaʻi o kā lākou hiki ke ʻike a mālama i ka spondylolisthesis. Inā loaʻa iā ʻoe ka ʻeha hope e mau ana ma mua o kekahi mau lā, a inā ʻeha loa ka ʻeha a hiki ʻole iā ʻoe ke hana i kāu mau hana maʻamau, e ʻike koke i ke kauka.

Āhea ʻoe e hele ai i ka Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe kahi ulia pōpilikia, e like me ka hāʻule ʻana a i ʻole kahi ulia kaʻa, e hele i ka lumi pilikia. Inā manaʻo ʻoe he mae wale kou mau wāwae, a inā ʻaʻole hiki iā ʻoe ke kāohi i kou mimi a i ʻole ka neʻe ʻana o ka ʻōpū, e hele koke i ka lumi pilikia.

He aha nā nīnau āu e nīnau ai i ke kauka?

Hiki iā ʻoe ke nīnau i kāu kauka i kēia mau nīnau:

• Loaʻa iaʻu ka spondylolisthesis a i ʻole kekahi pilikia kua ʻē aʻe?
• He aha ke ʻano o ka lāʻau lapaʻau e pono ai iaʻu?
• Pono anei au e hana i ke ʻoki kino?
• Āhea e hiki ai iaʻu ke hoʻi i nā hana kino e like me nā haʻuki?

He aha ka ʻokoʻa ma waena o (Spondylolisthesis) a me (Spondylolysis)?

ʻO Spondylolisthesis a me Spondylolysis ʻelua mau kūlana i like nā inoa a hiki ke huikau. ʻO ka ʻokoʻa ma waena o nā mea ʻelua pehea lākou e hoʻopilikia ai i kou iwi kuamoʻo.

• ʻO ka spondylolisthesis ka wā e paheʻe ai kahi vertebra a paʻi i ka vertebra ma lalo iho.
• (Spondylolysis)He haki iwi liʻiliʻi wale nō ia e kū mai ana ma kahi ʻāpana iwi liʻiliʻi (pars interarticularis) ma waena o ʻelua vertebrae. ʻO kēia kūlana, i kapa ʻia ʻo spondylolysis, ke kumu nui o ka isthmic spondylolisthesis. No ka mea, hiki i kēlā haki ke hoʻoheheʻe i nā vertebrae.

ʻO ka mea hope loa, kahi mea e noʻonoʻo ai.

He mea maʻamau i kekahi ke makaʻu i ka lohe ʻana i ka huaʻōlelo "spondylolisthesis." Ke lohe ʻoe i ka huaʻōlelo "spondylolisthesis," e paheʻe ana kahi iwi i loko o kahi ʻāpana koʻikoʻi o ke kino, e hiki mai ana nā ʻano mea like ʻole i ka noʻonoʻo. He mea maʻamau ke kahaha a loaʻa nā nīnau he nui. E hanu hohonu. He paʻakikī paha ke haʻi a kākau i ka spondylolisthesis, akā ʻo ka mea pōmaikaʻi, ʻaʻole pono nā kūlana āpau me nā inoa paʻakikī i ka lāʻau paʻakikī. Pono paha ʻoe i kekahi mau pule o ka hoʻomaha, kekahi mau lāʻau lapaʻau ma luna o ke kauka, a me ka hoʻōla kino. ʻOiai inā loaʻa iā ʻoe ke ʻoki kino, ma hope o ka hāʻawi ʻana i kou kino i ka manawa e pono ai e ho'ōla, hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau. spondylolisthesis, ʻeha hope, spondylolisthesis, iwi kuamoʻo, kaomi ʻana o ke aʻalolo, hoʻōla kino, ʻoki hope