Ke manaʻo nei ʻoe i kekahi manawa i kahi ʻeha ʻē ma kou puʻupuʻu, ʻo ia hoʻi, ma ke kua haʻahaʻa? Ke hoʻonui nei anei kēia ʻeha ke noho ʻoe i lalo a kū paha i luna? A laila he mea nui paha kēia iā ʻoe. Kāhea mākou i kēia coccydynia.
He aha ʻo Coccydynia? Aia i hea ka Coccyx?
ʻO Coccydynia ka inoa lapaʻau no ka ʻeha ma ka iwi liʻiliʻi ma ka hopena o nā puʻupuʻu i kapa ʻia ʻo coccyx. ʻO 'Coccyx' ke ʻano o kēlā coccyx. ʻO 'Dynia' ke ʻano o ka ʻeha. I ka ʻōlelo maʻalahi, ʻo ka coccyx ka ʻāpana iwi liʻiliʻi ma lalo o kou iwi kuamoʻo. Hana ʻia ia me ʻekolu a ʻelima mau vertebrae liʻiliʻi i hui pū ʻia. Wahi a kekahi he iwi liʻiliʻi ia i koe mai kahi i noho ai ma mua, e like me ka huelo.
He hana koʻikoʻi ko kēia iwi liʻiliʻi. E noʻonoʻo wale, ke noho ʻoe, kōkua ia i ke kākoʻo ʻana i ke kaumaha o kou kino a mālama iā ʻoe i ke kūpaʻa. Eia kekahi, he nui nā tendon, nā ligaments, a me nā ʻiʻo i loko o ko kākou kino e pili ana i kēia iwi liʻiliʻi. No laila, inā he ʻeha ma kēia coccyx, he mea paʻakikī loa ia e hoʻomanawanui. Hiki iā ia ke hoʻopilikia i kou hiki ke hana i nā hana o kēlā me kēia lā a hauʻoli hoʻi i ke ola.
Pehea ka maʻamau o kēia ʻano?
He mea maʻamau ka ʻeha o ka coccyx. Hiki i nā poʻe he nui ke ʻike iā ia. ʻOi aku ka nui o nā wahine i ʻike i kēia ʻano ma mua o nā kāne. Eia kekahi, ʻoi aku ka maʻamau o kēia ʻeha i nā poʻe ʻōpio a me nā pākeke ma mua o nā keiki liʻiliʻi.
He aha nā hōʻailona o Coccydynia?
Hiki i kekahi kanaka me ka coccydynia ke ʻike i nā hōʻailona e like me:
- Hiki paha iā ʻoe ke manaʻo i kahi ʻeha ʻoi ma ka ʻaoʻao o ka puhaka, ʻo ia hoʻi, ka iwi pubic, a i ʻole kahi ʻeha palupalu a ʻūmiʻi .
- Hiki ke ʻoi aku ka ʻino o kēia ʻeha ke kū ʻoe mai kahi noho. He hōʻailona nui kēia a ka poʻe he nui e hōʻike nei.
- Hiki ke loaʻa ka ʻeha i ka wā e kahe ai ke koko.
- Hiki paha iā ʻoe ke ʻeha i ka wā o ka moekolohe.
Aia kekahi mau hōʻailona ʻē aʻe e hiki ke hele pū me kēia ʻeha?
ʻAe, hiki i ka poʻe me ka ʻeha coccyx ke loaʻa i kekahi mau hōʻailona ʻē aʻe e like me:
- ʻEha hope.
- ʻO ka ʻeha Sciatica kahi ʻeha e like me ka uila e holo ana i lalo o ka wāwae.
- Nā maʻi hiamoe.
- Kaumaha.
- Hopohopo.
No ke aha e loaʻa ai kēia ʻeha ma ka puʻupuʻu? He aha nā kumu?
Aia kekahi mau kumu e loaʻa ai kēia ʻeha ma ka coccyx. E nānā kākou i kekahi o nā kumu nui:
- Hāʻule:E noʻonoʻo ua hāʻule koke ʻoe ma kou poʻohiwi. ʻO kēlā hāʻule ikaika e hiki ai ke palapū, haki, a hemo paha kou iwi ʻūhā.
- Nā ʻEha Hoʻopaʻa Hou (RSI): ʻO kekahi mau haʻuki, e like me ke kaʻa paikikala a me ka hoe waʻa, pili i ke kūlou ʻana i mua a i hope. Ke hoʻomau ʻoe i ka hana like, hiki i nā ʻiʻo a puni ka vertebrae ke lilo i mea kaumaha a ʻeha.
- Hāpai a hānau keiki paha: I ke kolu o ka trimester o ka hāpai ʻana, hoʻokuʻu ke kino o ka wahine i nā hormones. Hoʻomālielie kēia mau hormones i ka wahi ma waena o ka sacrum a me ka sacrum ma luna. ʻAe kēia i ka sacrum e lilo i mea palupalu i ka wā hānau keiki. He hana kūlohelohe kēia. Eia nō naʻe, i kekahi mau hihia, hiki i kēia ke hoʻolōʻihi i nā ʻiʻo a me nā ligaments a puni ka sacrum ma mua o ka mea e pono ai. Hiki i kēia ke hoʻoulu i ka ʻeha hou aku. ʻO ke kaomi ma luna o kēia mau ʻiʻo palupalu e hiki ai i ka sacrum ke paʻa iā ia iho ma ke kihi kūpono.
- Ke hāpai nei i ke kaumaha keu: Ke piʻi aʻe nei ke kaumaha o ke kino, kau ʻia ke kaomi keu ma ka iwi metatarsal. Hiki i kēia ke hoʻohuli i ka iwi metatarsal i hope, e hōʻeha ai.
- ʻAʻole lawa ke kaumaha: Ke nalowale ka momona ma ka ʻāpana puʻupuʻu, emi iho ka palupalu ma ia wahi. Ke nalowale kēia palupalu, hiki i ka iwi metatarsal ke hamo pololei i nā ʻiʻo, nā ligaments, a me nā tendons. Hiki i kēia ke hana i ka mumū a me ka ʻeha.
- Noho lōʻihi: ʻO ka noho ʻana no ka manawa lōʻihi, ʻoi aku hoʻi ma kahi paʻakikī, hiki ke kau i ke kaomi nui ma luna o ke aʻalolo sciatic.
Hiki i ka coccyx ke ʻeha me ka ʻeha ʻole? He mea weliweli anei ia?
ʻO kaʻoiaʻiʻo, he mea kākaʻikahi loa kēia ʻeha ma ka coccyx he hōʻailona ia o ka maʻi kanesa. ʻO ia hoʻi, hiki ke lilo i maʻi kanesa e pili ana i ka coccyx a i ʻole he ʻeha paha i hoʻokumu ʻia e ka maʻi kanesa i laha i nā iwi (metastatic cancer). Akā he ʻano ʻē loa kēia , no laila mai hopohopo.
Eia kekahi mau ʻano maʻi kanesa e hiki ai ke hōʻeha i nā testicles:
- ʻO Chordoma
- Ka maʻi ʻaʻai prostate
- Ka maʻi ʻaʻai colorectal (colon)
Inā loaʻa kēia ʻeha i kahi maʻi kanesa, hiki ke ʻike ʻia kekahi mau hōʻailona ʻē aʻe:
- ʻO ka maneʻo a i ʻole ke kani ʻana ma nā lima, nā wāwae, a i ʻole ka ʻāpana groin.
- Paʻakikī i ka mimi ʻana a i ʻole ka ʻōpala.
- He puʻu a pehu paha e ʻike ʻia ma ka ʻāpana a puni ka iwi metatarsal.
Pehea e ʻike ai nā kauka i ke kumu o kēia ʻeha?
Ke hele ʻoe e ʻike i ke kauka, ʻo ka mea mua āna e hana ai...E lawe ʻia kahi mōʻaukala lapaʻau piha. E nīnau ʻia ʻoe inā ua loaʻa iā ʻoe kekahi mau ulia ma mua, hāʻule, a i ʻole nā pilikia ma ka ʻāpana puʻupuʻu. A laila, e nānā ke kauka i ka ʻāpana e nānā i nā haki, nā puʻupuʻu, a i ʻole nā maʻi e like me nā abscesses.
He aha nā hoʻokolohua e hiki ai ke hoʻomaopopo pololei i kēia ʻano o ka coccydynia?
No ka nānā ʻana i kahi haki, hiki i kāu kauka ke ʻōlelo i nā hoʻokolohua e like me kēia:
- Hoʻokolokolo X-ray.
- ʻO ke kiʻi CT (CT - scan tomography i helu ʻia).
Inā he kānalua no ka mumū, nā abscesses, a i ʻole nā pūpū, hiki i ke kauka ke kauoha i nā hoʻokolohua e like me:
- MRI scan (kiʻi resonance magnetic).
- He scan iwi.
Pehea e mālama ai i ka ʻeha ma ka coccyx?
ʻO ke ʻano o ka mālama ʻana i ka ʻeha o ka ʻūhā e pili ana i ke kumu o ka ʻeha a me ke koʻikoʻi o kou ʻeha. I kekahi manawa, hiki i nā mea maʻalahi hiki iā ʻoe ke hana ma ka home ke kōkua. Eia nō naʻe, inā ʻaʻole kōkua nā mālama ʻana ma ka home, hiki i kāu kauka ke ʻōlelo aku i nā lāʻau lapaʻau ʻē aʻe ʻaʻole ʻoki kino a i ʻole, i nā hihia kakaikahi, ke ʻoki kino.
He aha nā lāʻau lapaʻau e hiki ke hana ʻia ma ka home?
Ma kahi o 90% o nā hihia, hiki ke hoʻomaha ʻia kēia ʻano ʻeha me nā lāʻau lapaʻau maʻalahi ma ka home. Hiki iā ʻoe ke hoʻāʻo i kēia mau mea:
- E lawe i kahi NSAID (nonsteroidal anti-inflammatory drug) e hōʻemi i ka ʻeha a me ka pehu . Eia kekahi laʻana, ibuprofen.
- E hoʻohana i kahi uluna kūikawā (uluna donut a i ʻole ka uluna gel ʻano wedge) e hōʻemi i ke kaomi ma ka iwi pubic i ka wā e noho ana. Hiki i kēia ke lilo i mau uluna gel ʻano donut a i ʻole wedge me kahi lua ma waenakonu.
- E lawe i kahi ʻauʻau wela e hoʻomaha ai i nā ʻiʻo a hōʻemi i ka ʻeha .
- E hoʻopili i nā ʻeke wela a anu paha i kou kua haʻahaʻa no 20-30 mau minuke, i nā manawa he nui i ka lā.
- Inā loaʻa iā ʻoe ka ʻeha i ka wā e kahe ai ka wai, e lawe i nā lāʻau hoʻomālielie ʻōpala.
He aha nā lāʻau lapaʻau ʻē aʻe i loaʻa ʻole me ke ʻoki ʻana?
Inā ʻaʻole kōkua nā lāʻau lapaʻau ma ka home, a inā hoʻomau ka ʻeha, hiki i kāu kauka ke ʻōlelo i nā lāʻau lapaʻau ʻoki ʻole e like me:
- Poloka nerve coccygeal: Pili kēia i ka hoʻokomo ʻana i kahi inikini e loaʻa ana ka lāʻau lapaʻau a me nā steroid i loko o ka wahi e hōʻemi ai i ka ʻeha a me ka mumū.
- Lomilomi lapaʻau: Hāʻawi pinepine kēia i ka hoʻomaha manawa pōkole.
- Hoʻōla kino: Pili kēia i nā hoʻomaʻamaʻa hoʻolōʻihi a me ke kōkua ʻana i ka hoʻoponopono ʻana i ke kūlana.
- ʻAkipikipi.
- ʻO ka lāʻau lapaʻau TENS (hoʻoulu ʻana i ke aʻalolo uila transcutaneous): Pili kēia i ka hoʻouna ʻana i nā au uila haʻahaʻa ma o ka ʻili e kāohi i ka ʻeha.
Aia kekahi ʻoki kino?
I ka liʻiliʻi loa , hiki i ke kauka ke ʻōlelo i ke ʻoki kino e like me kēia:
- ʻO ka coccygectomy hapa: Wehe ʻana i kahi ʻāpana o ka coccyx .
- ʻO ka coccygectomy holoʻokoʻa: Wehe ʻana i ka coccyx holoʻokoʻa .
Hiki ke hala kekahi mau mahina e ho'ōla ai mai kahi coccygectomy. Eia kekahi, inā e wehe ʻia ka iwi, ʻaʻohe hōʻoia e nalowale loa ka ʻeha. No kēia kumu, paipai wale nā kauka i kēia ʻoki kino ke hāʻule nā lāʻau lapaʻau ʻē aʻe.
Makemake ʻoe e ʻike e pili ana i nā lāʻau lapaʻau hou aʻe?
I kekahi manawa, ʻoiai inā he maʻi mau ka coccydynia, hiki iā ʻoe ke ʻike i nā hōʻailona ʻē aʻe ma waho aʻe o kou ʻeha iwi huelo. Eia kekahi laʻana, ke kaumaha a i ʻole ka hopohopo. Inā loaʻa iā ʻoe kēia mau pilikia, he mea nui e mālama ʻia. Inā ʻoe e hoʻowahāwahā i kēia mau hōʻailona, hiki iā lākou ke hoʻopilikia maikaʻi ʻole i kou ʻano ola.
Hiki ke pale ʻia ka ʻeha o ka coccydynia?
ʻO kaʻoiaʻiʻo, ʻaʻole hiki ke pale ʻia kēia ʻano ʻeha o ka ʻūhā i nā manawa a pau, no ka mea, pinepine ia ma hope o nā ulia a i ʻole he hōʻailona o kahi maʻi ma lalo.
Eia nō naʻe, hiki iā ʻoe ke hana i kekahi mau mea e hōʻemi ai i kēia pilikia:
- E pale i ka noho ʻana no ka manawa lōʻihi, ʻoi aku hoʻi ma nā ʻili paʻakikī.
- E makaʻala i ka holo paikikala a i ʻole ke komo ʻana i nā hana ʻē aʻe e hiki ai ke hōʻeha i ka ʻāpana groin.
Hiki iā ʻoe ke hana i kēia mau mea e pale aku iā ʻoe iho mai ka hāʻule ʻana:
- E mālama i ka papahele a me nā ala hele o kou home i maʻemaʻe a ʻaʻohe mea keakea.
- Inā hiki, e hoʻokomo i nā pale lima ma nā alapiʻi.
- E ho'āʻo e hoʻomālamalama pono i nā alapiʻi.
- Mai nānā i kāu kelepona i kou wā e hele ana.
He aha kaʻu e manaʻo ai e pili ana i kēia ʻeha? Āhea wau e ʻike ai i ke kauka?
ʻO ka hapa nui o ka manawa, e nalo wale kēia ʻano ʻeha i loko o kekahi mau lā, me nā lāʻau lapaʻau maʻalahi ma ka home a me ke ahonui iki. Eia nō naʻe, inā ʻoi aku ka koʻikoʻi o ka ʻeha, hiki ke lōʻihi iki ka manawa e ho'ōla ai.
Eia nō naʻe, inā ʻaʻole e emi iki ka ʻeha o kou coccyx a mau loa (coccydynia mau) , a laila ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka no ka hoʻokolokolo ʻana a ʻike i ke kumu.
ʻOiai hiki ke hoʻonāukiuki kēia ʻeha, ʻaʻole ia he hōʻailona o kahi pilikia olakino koʻikoʻi. Eia nō naʻe, pono ʻoe e ʻike i ke kauka inā:
- Inā ʻaʻole e emi ka ʻeha ma ka coccyx i loko o kekahi mau lā, a inā paha e hoʻomau.
- Inā he ʻeha hou aʻe ma nā wahi ʻē aʻe o ke kino (e.g., ʻūhā, kua haʻahaʻa).
- Inā he kuni kou he 39.4 degere Celsius (103 degere Fahrenheit) a ʻoi aku paha.
Hiki i ke kauka ke hāʻawi iā ʻoe i kahi hōʻike pololei a kōkua iā ʻoe e loaʻa i ka lāʻau kūpono.
He aha nā nīnau āu e nīnau ai i ke kauka?
Ke hele ʻoe e ʻike i ke kauka, he mea kōkua paha ke nīnau iā ʻoe iho i kekahi mau nīnau e like me kēia:
- "No ke aha i loaʻa ai iaʻu kēia ʻeha ma kuʻu ʻōpū lalo?"
- "E ke kauka, pehea ka lōʻihi o kou manaʻo e hoʻōla ai kēia ʻeha?"
- "He aha nā lāʻau ʻeha ʻeha ma luna o ke kauka (OTC) e hiki iaʻu ke kūʻai ma ka hale kūʻai lāʻau lapaʻau?"
- "Aia kekahi ʻano/lama kikoʻī o ka uluna donut āu e paipai nei?"
- "Manaʻo ʻoe e pono iaʻu ke ʻoki kino?"
- "He aha hou aʻe kaʻu e hana ai e hōʻoluʻolu ai i kēia ʻeha?"
Leka Hoʻihoʻi Hope Loa
ʻO ka ʻeha coccyx, i ʻike ʻia hoʻi ʻo coccydynia, e nalo wale ia i loko o kekahi mau lā. Eia nō naʻe, i kekahi manawa hiki ke lilo i mea hoʻonāukiuki. Inā ua mau ka ʻeha o kou iwi huelo no nā pule he nui, a inā paha e hoʻopilikia ana i kāu mau hana o kēlā me kēia lā, he mea nui e ʻike i ke kauka. ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka e aʻo hou e pili ana i ka pehea e hoʻopau ai i kēia ʻeha. Mai hopohopo, me ka mālama kūpono, hiki ke kāohi ʻia kēia kūlana.
ʻO Coccydynia, ʻeha puʻupuʻu, hui sacroiliac, ʻeha hope, iwi kuamoʻo, ʻeha, lāʻau lapaʻau











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