He mea hoʻonāukiuki a hoʻonāukiuki loa ka ʻeha hope, ʻeā? I kekahi manawa, manaʻo ʻia ʻaʻole lawa ka nui o kāu lawe ʻana i ka lāʻau lapaʻau, hoʻoikaika kino, a hoʻopili paha i ka ʻaila. I nā manawa e like me kēia, e kamaʻilio paha kāu kauka iā ʻoe e pili ana i nā inikini kūikawā āna e hāʻawi ai iā ʻoe no kou kua. Eia naʻe, ʻaʻole kēia he mea i hāʻawi ʻia no nā ʻeha hope a pau. E nānā kākou i ke ʻano o kēia mau mea, no wai lākou e kūpono ai, a me kā lākou hana maoli.
He aha nā kūlana e hiki ai i kēia mau inikini ke mālama?
Hoʻomaʻamaʻa pinepine nā inikini i loko o ka iwi kuamoʻo i ʻelua mau kūlana nui.
1. Ka ʻūmiʻi a i ʻole ka hōʻino ʻana o ke aʻalolo (Radiculopathy)
I ka ʻōlelo maʻalahi, ua ʻomi ʻia kahi aʻalolo e puka mai ana mai ka iwi kuamoʻo no kekahi kumu. Kāhea mākou i kēia ma ke ʻano lapaʻau he " radiculopathy" . E noʻonoʻo iā ia e like me ke kaula spinal e like me kahi paipu, a ʻo nā aʻalolo nā kaula e puka mai ana mai loko mai. He aha ka mea e hana ai inā ʻūlū ʻia kekahi o kēia mau kaula i kekahi wahi? Pēlā ia.
He ʻeha koʻikoʻi kēia a ʻoi hoʻi e hoʻomaka ana ma ke kua haʻahaʻa a hele i lalo i ka wāwae. Kapa pū kekahi poʻe iā ia he "sciatica." Hiki i kēia ʻeha ke loaʻa i hoʻokahi a i ʻole nā wāwae ʻelua. Eia kekahi, inā loaʻa ka pilikia ma ka vertebrae cervical, hiki i ka ʻeha ke pālahalaha mai ka ʻāʻī a i lalo i ka lima. Hoʻomaka pinepine kēia ʻano i ka wā e puʻupuʻu ai kahi ʻāpana mea e like me ka jelly ma waena o ʻelua vertebrae (kapa mākou iā ia he "Herniated Disk" ) a kaomi i kahi aʻalolo.
2. Stenosis Spinal
ʻO ke ʻano kēia, ua ololi ka hakahaka (canal) e hele ai nā aʻalolo i loko o ka iwi kuamoʻo. Kāhea mākou i kēia he ` (Spinal stenosis) ` . Hiki ke hana ʻia kēia e ka `(Herniated Disk)` i ʻōlelo ʻia ma mua e hōʻemi ana i ka hakahaka, a i ʻole e kahi iwi hou e hana ʻia i kou wā ʻelemakule, e hōʻemi ana i ka hakahaka i loko o ka iwi kuamoʻo a kaomi ʻana i nā aʻalolo.
ʻO ka maʻamau, ʻeha kēia i nā puʻupuʻu a i ʻole nā wāwae. I kekahi manawa hiki ke loaʻa me ka ʻeha hope a i ʻole me ka ʻole. No nā kānaka he nui, hoʻonui ʻia kēia ʻeha i ka wā e hana ana a hele wāwae paha, a emi iki i ka wā e kūlou ana i mua. Inā hana ʻia kēia iā ʻoe pū kekahi, he hōʻailona paha ia o ka `(Spinal Stenosis)`.
ʻO ka mea nui, ʻaʻole like ka hana o kēia mau inikini a pau no nā kānaka a pau. Hiki i kekahi poʻe ke pōmaikaʻi nui, aʻo kekahi poʻe ʻaʻole paha. He mea kēia e pono ai kāu kauka e hoʻoholo.
He aha nā ʻano nui o nā inikini kuamoʻo?
Nā inikini no ka ʻeha hopeAia kekahi mau ʻano. I kekahi manawa hoʻohana nā kauka i kēia mau mea e kōkua i ka loaʻa ʻana o ke kumu pololei o ka ʻeha. E nānā kākou i nā ʻano nui.
| ʻAno hoʻokomo | I ka ʻōlelo maʻalahi... |
|---|---|
| ʻO ka inikini epidural (ʻInu ʻEpidural) | ʻO kēia ke ʻano i kūkākūkā pinepine ʻia. Hoʻokomo ʻia kahi corticosteroid a me kahi anesthetic i loko o ka hakahaka epidural a puni ke kaula spinal. ʻO ka pahuhopu nui ka hōʻemi ʻana i ka pehu a me ka ʻeha. |
| Hoʻokomo ʻana i ke aʻalolo (Palekana Aʻalolo) | ʻO kēia ke komo ʻana i kahi lāʻau hoʻomānoʻo (e like me Lidocaine ) a puni ke aʻalolo e hōʻeha ai. Hāʻawi kēia i ka hōʻoluʻolu wikiwiki, akā he mau hola wale nō ia. |
| Nā Papa Hōʻikeʻike (Nā Hōʻikeʻike Waiwai) | He ʻano hana hōʻoia kēia ma mua o ka lāʻau lapaʻau. Hoʻohana ʻia ia e ʻike i ka 'disc' i loko o kou kua e hoʻoulu ai i ka ʻeha. Ma hope o ka hāʻawi ʻana i ka injection, e nīnau ʻia ʻoe inā ua nalowale ka ʻeha a i ʻole ua ʻoi aku ka ʻino. |
He mea hou aʻe e pili ana i nā inikini epidural
ʻO ke ʻano o ka huaʻōlelo `(Epidural)` ʻo ia hoʻi `a puni ke kaula kuamoʻo.` Aia i loko o kēia inikini kahi lāʻau lapaʻau ʻano steroid (`(corticosteroid)`) e hōʻemi ana i ka pehu ʻana, a me kahi lāʻau hoʻomānoino (`(anesthetic)`) e hōʻoluʻolu ana i ka ʻeha. Hoʻemi kēia i ka pehu ʻana a puni ke aʻalolo a kāohi i ka ʻeha.
Akā, ʻaʻole maopopo i kēia manawa pehea ka hopena o kēia mau mea. ʻO ka hapa nui o ka manawa, he manawa pōkole ka hōʻoluʻolu mai kēia mau mea. Hiki ke hala kekahi mau pule a i ʻole mau mahina e emi ai ka ʻeha. No laila, ʻaʻole kēia ka hopena maikaʻi loa no ka ʻeha hope lōʻihi. Eia kekahi, no ka ʻeha hope koke, e noʻonoʻo mua ke kauka i nā koho lapaʻau ʻē aʻe (lāʻau lapaʻau, hoʻōla kino).
Hoʻokomo ʻana i ke aʻalolo
I kēia hihia, e hoʻokomo ke kauka i kahi lāʻau hoʻomāʻū a puni ke aʻalolo ʻeha, i kapa ʻia ʻo `(Hoʻokomo ʻia kahi lāʻau anesthetic . ʻO ka lāʻau lapaʻau i hoʻohana pinepine ʻia ʻo Lidocaine. Ma hope o ke komo ʻana o kēia , lilo koke ka ʻāpana i mea mae a nalowale loa ka ʻeha. Eia naʻe, ʻo ka hopena o kēia he mau hola wale nō. Hoʻohana ʻia kēia i kekahi manawa e ʻike ai i ke aʻalolo e hoʻoulu nei i ka ʻeha.
Aia kekahi mau hopena ʻaoʻao?
E like me nā lāʻau lapaʻau a pau, hiki i kēia mau inikini ke loaʻa nā hopena liʻiliʻi a kākaʻikahi hoʻi nā hopena ʻaoʻao koʻikoʻi.
Nā mea maʻamau e hiki ke hana:
- Hiki ke loaʻa kahi ʻeha liʻiliʻi a me ka ʻeha ma kahi i hāʻawi ʻia ai ka inikini.
- ʻEha poʻo .
- Ka luaʻi a me ka luaʻi.
- ʻUlaʻula o ka maka.
ʻO ka maʻamau, e nalowale ana kēia mau mea i loko o hoʻokahi a ʻelua paha lā.
Nā maʻi koʻikoʻi kākaʻikahi:
- Ke kahe ʻana o ke koko mai kahi i inikini ʻia.
- Ka maʻi ʻana.
- Ka hōʻino ʻana i kahi aʻalolo.
ʻAʻole pinepine kēia mau mea e hana ʻia. Eia nō naʻe, ma mua o ka hoʻomaka ʻana i kēia lāʻau lapaʻau, he mea nui e kūkākūkā i nā pono, nā pōʻino, a me nā pilikia āpau me kāu kauka a hoʻomaopopo iā lākou. Pono ʻoe e haʻi i kāu kauka e pili ana i nā maʻi ʻē aʻe āu e loaʻa nei a me nā lāʻau lapaʻau āu e lawe nei.
Leka Lawe-Home
- ʻO ka inikini ʻeha hope kahi lāʻau lapaʻau e loaʻa ana ka corticosteroid a me kahi anesthetic , i mālama ʻia e kekahi loea.
- Hoʻohana nui ʻia kēia mau mea e mālama i nā kūlana e like me ka radiculopathy a me ka spinal stenosis .
- He manawa pōkole wale nō nā pōmaikaʻi o kēia mau inikini. ʻAʻole loaʻa nā hopena like i nā kānaka a pau.
- Hiki ke loaʻa nā hopena ʻaoʻao liʻiliʻi e like me ka ʻeha ma kahi i inikini ʻia a me ke poʻo ʻeha. I kekahi manawa, hiki ke loaʻa nā pilikia koʻikoʻi.
- ʻO ka mea nui loa: Na kāu kauka e hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe. No laila, e kamaʻilio ākea me kāu kauka e pili ana i kēia a e ʻimi i kāna ʻōlelo aʻo. Mai hoʻoholo i kāu iho.
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