Ke ala aʻe nei ʻoe i ke kakahiaka i kekahi manawa a ʻeha loa kou kuʻekuʻe wāwae a hiki ʻole iā ʻoe ke kau ma ka honua? A i ʻole ke manaʻo nei ʻoe i kahi puʻupuʻu liʻiliʻi kokoke i ka hono o kekahi o kou mau manamana lima? Malia paha ke manaʻo nei ʻoe i kahi ʻeha iki a i ʻole ka paʻa i kou hoʻohuli ʻana i kou ʻāʻī? ʻO ke kumu o kēia mau mea he mea paha āu e noʻonoʻo ʻole ai. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi mea maʻamau i waena o nā poʻe he nui, akā ʻaʻole i ʻike maopopo ʻia. ʻO ia ka iwi spurs, a i ʻole e like me ke kāhea ʻana o nā kauka iā lākou, osteophytes. ʻOiai he mea weliweli paha kēia inoa, ʻaʻole ia he mea e makaʻu ai i ka hapa nui o nā hihia.
He aha maoli kēia mau iwi kuʻi (osteophytes)?
I ka ʻōlelo maʻalahi, ʻo ka iwi spur, a i ʻole osteophyte, he ʻāpana iwi liʻiliʻi e ulu ana mai loko mai o ka iwi i loko o ko kākou kino. Ua like ia me kahi ʻāpana iwi liʻiliʻi e ulu ana mai loko mai o kou iwi. ʻIke pinepine lākou e like me nā puʻupuʻu laumania.
E noʻonoʻo i ka wā e loaʻa ai kahi ʻeha i kou kino, ho'ōla ia a waiho i kahi ʻeha, ʻeā? Pēlā nō, i ka wā e hōʻino ʻia ai ko mākou kino i loko o ka iwi a i ʻole kona ʻiʻo e hoʻopuni ana, ma ke ʻano he hopena ʻaoʻao o ka hoʻāʻo ʻana e hoʻoponopono iā ia, hana ʻia kēia mau ʻāpana iwi keu. Ua like ia me ka "bone spur." I ka lāʻau lapaʻau, kapa mākou i kēia kaʻina hana he osteophytosis.
ʻO ka mea nui, he nui ka poʻe i loaʻa i kēia ʻano iwi spurs i loko o ko lākou kino a ʻaʻole lākou i ʻike e pili ana iā lākou . No ka mea, ʻaʻole lākou e hōʻeha a pilikia paha. ʻO ka manawa wale nō e loaʻa ai ka pilikia inā ʻoki ka iwi spur i kahi aʻalolo, hoʻopilikia i ka pelu pono a me ka hoʻolōʻihi ʻana o kahi hui, a hoʻomaka paha e hoʻonāukiuki i nā ʻiʻo palupalu a puni.
No ke aha mākou e ulu ai i kēia ʻano ʻōpū i loko o ko mākou kino?
ʻAʻohe kumu hoʻokahi no kēia. ʻO ke kumu nui, ua hōʻino kekahi mea i ko kākou mau iwi a i ʻole nā ʻiʻo a puni lākou, a ke hoʻāʻo nei ke kino e hoʻoponopono iā ia. Hiki ke nui nā kumu no kēia hōʻino.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Ka ʻelemakule a me ka ʻeha hui | ʻO kēia ke kumu maʻamau. I ko kākou ʻelemakule ʻana, nāwaliwali ko kākou mau hono. ʻOi loa aku hoʻi i nā kūlana e like me ka osteoarthritis, i ka wā e nāwaliwali ai nā hono, hana ʻia nā iwi spurs i ka wā e hoʻāʻo ai ke kino e hoʻoponopono i ka pōʻino. |
| Nā ʻano ʻē aʻe o ka arthritis | Hiki iā lākou ke hana ʻia e nā kūlana e hoʻoulu ai i ka mumū o nā hono, e like me ka rheumatoid arthritis a me ka ankylosing spondylitis. |
| ʻEha hope | Hiki ke hana ʻia nā iwi spurs i nā kūlana e like me ka maʻi disk degenerative a i ʻole ka spinal stenosis. |
| ʻEha | Ke hōʻeha ʻia kahi hono a iwi paha i ka wā e pāʻani ana i nā haʻuki a i ʻole i kahi ulia ʻē aʻe, hiki ke hana ʻia nā iwi kuʻi i ka wā o ke kaʻina hana ho'ōla. |
| Ke neʻe pinepine nei ma ke ala like | I kekahi mau hana a i ʻole nā haʻuki, hoʻohana pinepine ʻia ka hui like. Hiki i kēia ʻeha hana hou ke hōʻino i nā ʻiʻo a hana i ka tendonitis. Nā hiʻohiʻona o nā kūlana e kū mai ana ma ka poʻohiwi (Shoulder impingement) a i ʻole ka wāwae (Foot tendonitis). |
Pehea ʻoe e ʻike ai inā he puʻupuʻu iwi kou? He aha nā hōʻailona?
E like me kaʻu i ʻōlelo ai ma mua, ʻo ka hapa nui o ka manawa ʻaʻohe hōʻailona . Loaʻa paha iā ʻoe nā puʻupuʻu he nui i loko o kou kino a ʻaʻole ʻoe i ʻike. Eia nō naʻe, inā loaʻa nā hōʻailona, hiki iā lākou ke:
- ʻEha: Loaʻa ka ʻeha ke hoʻoneʻe ʻia a hana ʻia paha ke ami a i ʻole ka wahi i hoʻopilikia ʻia. Eia kekahi laʻana, inā he iwi spur ma ke kuʻekuʻe wāwae, ʻeha ia i ka wā e hele ana.
- ʻOʻoleʻa: Paʻakikī ke kulou a i ʻole ka hoʻolōʻihi ʻana i ke ami. Hiki ke ʻoi aku ka ʻino o kēia ʻoʻoleʻa i ke kakahiaka nui.
- Neʻe palena: ʻAʻole hiki iā ʻoe ke huli a kūlou paha i kou mau lima, nā wāwae, a i ʻole ka ʻāʻī e like me ka wā ma mua.
- Nā hōʻailona o ke kaomi ʻana o ke aʻalolo: Inā e hoʻopili ana ka puʻupuʻu i kahi aʻalolo, hiki iā ʻoe ke manaʻo i ke kani ʻana, ke kuni ʻana, a i ʻole ka nāwaliwali ma kahi e holo ai kēlā aʻalolo.
- ʻAno: Inā ulu kahi puʻupuʻu iwi kokoke i ka ʻili, e like me nā puʻupuʻu a i ʻole nā kuli, hiki ke hoʻopā ʻia ma ka lima e like me kahi puʻupuʻu liʻiliʻi a hiki ke ʻike ʻia me ka maka ʻōlohelohe.
Eia nā wahi i loaʻa pinepine ai lākou:
- Nā wāwae, ʻoiai ma lalo o nā kuʻekuʻe wāwae.
- Nā lima, ʻoi aku hoʻi nā puʻupuʻu lima.
- Nā hono poʻohiwi, ʻūhā a me ke kuli .
- ʻĀʻīA me ke kuamoʻo (kuʻiwi).
Hiki i kēia mau hua ke hoʻoulu i nā pilikia koʻikoʻi?
ʻAʻole maʻamau. Eia nō naʻe, hiki i nā ʻōpū iwi e hana ʻia ma ka iwi kuamoʻo ke hana i nā pilikia koʻikoʻi i kekahi manawa. Akā, he mea kākaʻikahi loa ia.
E noʻonoʻo i ka iwi kuamoʻo e like me kahi ʻōmole e lawe ana i kahi ʻāpana o ka ʻōnaehana nerve nui o ko mākou kino. Aia nā aʻalolo liʻiliʻi e lālā ana mai kēia iwi kuamoʻo. Hiki i kahi iwi spur i hana ʻia i loko o ka iwi kuamoʻo ke ulu kokoke i nā lua (foramina) kahi e puka ai kēia mau aʻalolo, e kaomi ana i kēlā aʻalolo. A i ʻole hiki ke ulu i loko, e kaomi ana i ke kaula spinal ponoʻī.
Ua kapa ʻia kēia ʻano ʻūmiʻi aʻalolo he radiculopathy. Hiki i kēia ke hana i ka ʻeha nui a me nā hōʻailona ʻē aʻe.
I kēlā mau manawa, hiki ke ʻike ʻia nā hōʻailona e like me kēia:
- ʻO ke kani ʻana, ke kani ʻana (Paresthesia): Loaʻa kēia ʻano manaʻo ma nā lima a me nā wāwae.
- Ka nāwaliwali o nā ʻiʻo: Ke manaʻo nei i ka nāwaliwali, ʻoiai ma nā wāwae, a me ka paʻakikī i ka hele wāwae.
- ʻAʻole hiki ke hoʻomanawanui i ka mimi a i ʻole ka ʻōpala. He pilikia olakino kēia.
ʻO kekahi maʻi kakaikahi loa, ʻo ia ka ulu ʻana o kahi puʻupuʻu iwi ma ka ʻāʻī (cervical spine) a nui loa a kaomi i ko kākou esophagus. Hiki i kēia ke pilikia i ka ale ʻana, ka ʻū pinepine ʻana, a me ka ʻū ʻana.
Akā e hoʻomanaʻo, he mea kakaikahi loa nā maʻi koʻikoʻi e like me kēia, no laila mai hopohopo pono ʻole ma hope o ka heluhelu ʻana e pili ana i kēia.
Pehea e ʻike ai ke kauka i kēia?
ʻO ka hapa nui o ka manawa, ʻike ʻia nā iwi spurs ma ka ulia. Ke loaʻa iā ʻoe kahi X-ray no kekahi kumu ʻē aʻe, ʻike paha ʻoe i ka iwi spur.
Inā loaʻa iā ʻoe nā hōʻailona, ke hele ʻoe e ʻike i ke kauka, e nānā mua ʻo ia iā ʻoe. E nānā ʻo ia i nā mea e like me kahi o ka ʻeha a me ka nui o kou hiki ke hoʻoneʻe i ke hono. A laila, hiki iā ia ke kauoha i nā hoʻokolohua e like me kēia e hōʻoia i ka hōʻailona:
- X-ray: Hiki i kēia ke ʻike maopopo i nā loli i nā iwi a me nā puʻupuʻu iwi.
- CT scan: Hiki i kēia ke hana i nā kiʻi kikoʻī ʻekolu-dimensional o nā iwi.
- MRI scan (MRI): Hiki i kēia ke nānā i ke kūlana o nā iwi, a me nā ʻiʻo palupalu a puni, nā aʻalolo, a me nā diski. He mea nui loa kēia inā he kānalua no ka ʻūmiʻi ʻana o ke aʻalolo.
Inā loaʻa iā ʻoe nā hōʻailona e pili ana i ke aʻalolo, hiki ke hana ʻia nā hoʻokolohua aʻalolo kūikawā e like me EMG (electromyography) a i ʻole NCS (nā haʻawina hoʻoili aʻalolo) e hoʻoholo ai inā he hōʻino ʻia ke aʻalolo a inā he puʻupuʻu iwi ke kumu.
He aha nā lāʻau lapaʻau no nā puʻupuʻu iwi?
ʻO ka mea mua, ʻaʻole pono ka hapa nui o nā puʻupuʻu iwi i kekahi lāʻau lapaʻau . Pono wale ka lāʻau lapaʻau inā loaʻa iā lākou ka ʻeha, ka paʻa ʻana, a i ʻole nā pilikia ʻē aʻe. Hiki ke hoʻokaʻawale ʻia nā ʻano lapaʻau i ʻelua mau māhele.
| Nā mea maʻalahi hiki iā ʻoe ke hana ma ka home | Nā lāʻau lapaʻau i kuhikuhi ʻia e ke kauka |
|---|---|
| Hoʻopili hau: ʻO ka hoʻopili ʻana i kahi ʻeke hau i wahī ʻia i loko o ke kāwele i kahi o ka ʻeha a me ka pehu no 15-20 mau minuke e hāʻawi i ka hōʻoluʻolu. | Hoʻōla kino: Hiki i ka hoʻoikaika kino kūpono ke hoʻoikaika i nā ʻiʻo a hōʻemi i ke kaomi ma nā hono. |
| Nā lāʻau hoʻopau ʻeha: ʻOiai me ka ʻole o ke aʻo ʻana a ke kauka, hiki iā ʻoe ke hoʻohana i nā lāʻau hoʻopau ʻeha ma luna o ke kauka e like me ka paracetamol a i ʻole NSAID (e.g., Ibuprofen, Diclofenac) no ka hōʻoluʻolu pōkole. Eia nō naʻe, e ʻimi i ke aʻo lapaʻau ma mua o ka lawe mau ʻana iā lākou. | Lāʻau lapaʻau: Hiki i kāu kauka ke kuhikuhi i nā lāʻau ʻeha ikaika a i ʻole nā lāʻau hoʻomaha ʻiʻo. |
| Hoʻomaha: He mea nui e hoʻomaha iki mai nā hana e hoʻonui ai i ka ʻeha. | Injection: ʻO ke kau ʻana i kahi lāʻau lapaʻau e like me ka cortisone pololei i loko o kahi o ka ʻeha a me ka mumū hiki ke hāʻawi i ka hoʻomaha wikiwiki. |
| Nā mea kōkua: ʻO ka hoʻohana ʻana i nā kāmaʻa kūikawā a i ʻole nā mea hoʻokomo kāmaʻa no ka ʻeha kuʻekuʻe wāwae, a i ʻole ka hoʻohana ʻana i kahi uluna kūikawā no ka ʻeha kua hiki ke kōkua i ka hoʻēmi ʻana i ke kaomi. | ʻO ke ʻoki kino: ʻO kēia ke ala hope loa. Inā wale nō he maʻi koʻikoʻi, e like me ka ʻeha nui a i ʻole ke kaomi ʻana o ke aʻalolo i hiki ʻole ke kāohi ʻia e nā lāʻau ʻē aʻe, hiki i kāu kauka ke hoʻoholo e hana i ke ʻoki kino e wehe i ka puʻupuʻu iwi. |
ʻAʻole anei hiki ke hoʻoheheʻe ʻia kēia mau iwi me ka lāʻau lapaʻau?
He nīnau kēia a ka poʻe he nui e nīnau ai. ʻAʻole, ʻaʻole hiki ke "hoʻoheheʻe ʻia" kahi puʻupuʻu iwi me kekahi lāʻau lapaʻau, decoction, a i ʻole ka lāʻau lapaʻau kūlohelohe. E hoʻomanaʻo, he ʻāpana ia o ka ʻiʻo iwi maʻamau. Inā he mea hiki ke hoʻoheheʻe iā ia, e hōʻino paha ia i nā iwi ʻē aʻe i loko o ko kākou kino.
ʻOiai aia kekahi mau mea ma ka pūnaewele e ʻōlelo ana "ʻaila e hoʻoheheʻe i nā cysts," ʻo ka mea maoli a lākou e hana ai, ʻo ia ka hōʻemi ʻana i ka pehu a me ka ʻeha i loko o nā ʻiʻo a puni ka cyst. ʻAʻole e nalowale ka cyst. ʻO ke ala wale nō e wehe loa ai i kahi cyst ma o ke ʻoki kino.
Aia kekahi ala e pale ai i ka hoʻokumu ʻia ʻana o nā puʻupuʻu iwi?
He mea hiki ʻole ke pale loa iā lākou, no ka mea, ʻaʻole hiki iā mākou ke hoʻōki i ka ʻelemakule. Eia nō naʻe, ma ka mālama ʻana i ke olakino o ko mākou mau hono a me nā iwi, hiki iā mākou ke hoʻopaneʻe i ko lākou ulu ʻana a hōʻemi paha i ka pilikia.
- E kiʻi i ka meaʻai maikaʻi: E ʻai i nā meaʻai waiwai i ka calcium a me ka wikamina D. E ʻai i ka ʻai kaulike. Inā he kānalua kou e pili ana i kāu meaʻai, e nīnau i ke kauka.
- E hoʻoikaika kino mau: E hana i nā hoʻoikaika kino haʻahaʻa e like me ka ʻauʻau a me ke kaʻa paikikala. Ke hoʻoikaika ʻoe i kou mau ʻiʻo, emi ke kaumaha ma kou mau hono.
- E kāohi i kou kaumaha: ʻO ka momona nui e hoʻonui i ke kaumaha ma kou mau hono, e like me kou mau kuli, nā pūhaka, a me ka iwi kuamoʻo. E ho'āʻo e mālama i kahi kaumaha olakino (BMI) no kou kiʻekiʻe.
- E mālama i ke kūlana maikaʻi: Inā ʻoe e hana ana e noho ana i lalo a kū paha i luna, e makaʻala i kou kūlana. E pale i ka noho ʻana ma ke kūlana like no ka manawa lōʻihi. Hiki i kēia ke hōʻemi i ke kaumaha pinepine.
Inā loaʻa iā ʻoe ka ʻeha a me ka ʻoʻoleʻa, mai hoʻōki i ka hoʻoikaika kino. Akā, e pale i nā mea e hoʻonui ai i ka ʻeha. E hele ma kahi o ka holo ʻana. E ʻaʻahu i nā kāmaʻa ʻoluʻolu. E hoʻomehana maikaʻi ma mua o ka hoʻoikaika kino.
Leka Lawe-Home
- He ulu iwi maʻamau nā Osteophytes i ulu a nā kānaka he nui i ko lākou wā ʻelemakule, a ʻaʻohe mea ʻino. No laila, mai hopohopo i ka inoa.
- Hoʻokumu ʻia kēia mau mea ma ke ʻano he hopena ʻaoʻao o ko mākou kino e hoʻāʻo nei e hoʻoponopono i nā hōʻino i nā hono a me nā iwi.
- ʻOiai ʻaʻohe hōʻailona o ka hapa nui o ka poʻe, hiki i kekahi poʻe ke ʻike i ka ʻeha, ka ʻoʻoleʻa, a i ʻole nā hōʻailona o ke kaomi ʻana o ke aʻalolo.
- ʻO ka pahuhopu nui o ka mālama ʻana ʻaʻole ia e wehe i ka puʻupuʻu, akā, e kāohi i nā hōʻailona i hoʻokumu ʻia.
- ʻAʻohe lāʻau lapaʻau a mea hoʻōla kūlohelohe paha e hiki ke "hoʻoheheʻe" a wehe i nā cysts.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha mau o nā hono, ka ʻoʻoleʻa, a i ʻole ke kani ʻana, e ʻike pono i kāu kauka no ka ʻōlelo aʻo.
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