E aʻo kākou e pili ana i ke kaomi ʻana o ke kaula iwi kuamoʻo cervical (Cervical Myelopathy)

Ke ala aʻe nei ʻoe i ke kakahiaka me ka ʻāʻī ʻoʻoleʻa a me ka ʻeha e paʻakikī ai ke hoʻohuli i kou poʻo? A i ʻole ke manaʻo nei ʻoe e like me ke ʻūlū ʻana a nāwaliwali paha kou mau lima? I kekahi manawa e mau kēia mau mea no hoʻokahi a ʻelua paha lā a laila nalo. Akā inā hoʻomau kēia mau hōʻailona, ​​​​hiki ke lilo i hōʻailona o kahi maʻi i kapa ʻia ʻo Cervical Myelopathy. Mai hopohopo, e kamaʻilio maʻalahi kākou e pili ana i kēia.

He aha ka Cervical Myelopathy?

I ka ʻōlelo maʻalahi, ʻo Cervical Myelopathy ka wā e ʻomi ʻia ai ke kaula iwi kuamoʻo ma kou ʻāʻī. E like me ka ʻomi ʻia ʻana o kahi paipu wai a pau ke kahe ʻana o ka wai, ke ʻomi ʻia ko mākou kaula iwi kuamoʻo, ua hoʻopau ʻia nā leka aʻalolo e hele ana ma o ia mea. Hiki ke hana ʻia kēia ʻomi no nā kumu like ʻole. Hiki ke hana ʻia ma muli o kahi ʻeha i ka ʻāʻī, kahi puʻupuʻu, a i ʻole kahi disk herniated.

Aia kekahi ʻano maʻamau o kēia, i kapa ʻia ʻo Cervical Spondylotic Myelopathy . Hana pinepine kēia i ko kākou ʻelemakule ʻana. E like me ke koena o ko kākou kino, nāwaliwali mālie nā iwi, nā discs, a me nā ligaments ma ka ʻāʻī a nalowale ko lākou palupalu. ʻO kēia mau loli ke kumu o kēia ʻano. Ua like ia me nā paia o kahi hale kahiko e nāwaliwali iki ana.

Pehea ka maʻamau o kēia ʻano?

ʻOiaʻiʻo, ʻo kēia ka mea i kapa ʻia ʻo Cervical Spondylotic Myelopathy. Inā ʻoe e nānā i nā helu helu o kekahi mau ʻāina o ka honua, ua hoʻokomo ʻia nā tausani o ka poʻe i ka haukapila me kēia mau hōʻailona i kēlā me kēia makahiki. ʻAʻole i nele kēia ʻano ma Sri Lanka. He mea maʻamau kēia i waena o ka poʻe ma luna o 40-50 mau makahiki.

He aha nā hōʻailona o kēia?

ʻAe, i kēia manawa e nānā kākou i nā hōʻailona āu e ʻike ai me ka cervical myelopathy. Hiki ke ʻokoʻa iki kēia mai kēlā kanaka a kēia kanaka, akā aia kekahi mau hōʻailona maʻamau:

• ʻEha a ʻoʻoleʻa paha ka ʻāʻī: ʻO kēia ka mea mua a ka hapa nui o ka poʻe e ʻike ai. ʻAʻole like me ka ʻāʻī wale nō i haki, akā, he ʻeha mau, a i kekahi manawa e hoʻonui ana.
• ʻO ka maneʻo a i ʻole ke ʻūlū ʻana ma nā lima a me nā manamana lima: Hiki ke like me ka manaʻo ʻūlū, a i ʻole me he mea lā e kolo ana nā ʻanuʻu. Hiki ke hana ʻia kēia ma ka lima hoʻokahi a i ʻole ma nā lima ʻelua.
• Ka nāwaliwali o nā ʻiʻo o nā lima a me nā lima: E paʻakikī paha iā ʻoe ke hana i nā mea i maʻalahi ma mua. Eia kekahi laʻana, e nāwaliwali paha kou mau lima i ka wehe ʻana i kahi ʻōmole wai a i ʻole ka hāpai ʻana i kahi mea kaumaha.
• Ka nalowale o ke kaulike i ka wā e hele ana, ka paʻakikī i ka hele ʻana: Manaʻo paha ʻoe me he mea lā ʻaʻole ʻoe e hehi pono ana ma ka honua, a i ʻole manaʻo paha ʻoe e paheʻe ana a hāʻule ana. No kekahi poʻe, hiki ke loli ko lākou ʻano hele wāwae.
• Ka paʻakikī me nā mākau motika maikaʻi:ʻO ke ʻano o kēia, no ka laʻana, lilo ia i mea paʻakikī ke hana i nā hana liʻiliʻi a palupalu, e like me ke pihi ʻana i ka pālule, ke kākau ʻana me ka peni, ka hoʻohana ʻana i nā mea ʻokiʻoki, a i ʻole ke kau ʻana i ke kī i loko o ka puka. Me he mea lā e hāʻule wale ana nā mea ma kou lima i ka papahele.

No ke aha e pili ai kēia i nā wāwae?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, 'Inā he pilikia ma ka ʻāʻī, no ke aha e hoʻopilikia ai i nā wāwae?' Penei. Ua like ko kākou iwi kuamoʻo me ke alanui nui i loko o ka ʻōnaehana nerve e holo ana ma ko kākou kino. Ma kēia alanui e hele ai nā leka mai ka lolo i nā lima, nā wāwae, a me nā wahi ʻē aʻe o ke kino. No laila, ke paʻa kēia alanui nui i ka ʻāʻī, hiki iā ia ke hoʻopilikia i nā leka e iho ana i nā wāwae. Ua like ia me ka haki ʻana o ka uea kelepona ma kahi hoʻokahi, a ua pau ka hana ʻana o ke kaula holoʻokoʻa.

He aha ke kumu o kēia?

ʻAe, e nānā kākou i ke kumu o ke kaomi ʻana o ke kaula iwi kuamoʻo. Eia kekahi mau mea e hiki ke hoʻopilikia i kēia:

• Nā Kukui Iwi: I ko kākou ʻelemakule ʻana, hiki i nā kukui iwi liʻiliʻi (e like me nā iwi kuamoʻo) ke ulu aʻe ma ko kākou mau iwi kuamoʻo. Hiki i kēia mau mea ke ʻūmiʻi i ke kaula kuamoʻo.
• Herniated Disk: ʻO ka disc ma waena o ko kākou mau iwi kuamoʻo he uluna e like me ka jelly. I kekahi manawa hiki iā ia ke puʻupuʻu i waho a kaomi i ke kaula kuamoʻo.
• ʻO ka hāiki ʻana o ke kahawai kuamoʻo ma ka ʻāʻī (Narrow Cervical Canal): Hiki i kekahi poʻe ke hānau ʻia me kēia kahawai he hāiki iki. I kēlā hihia, ʻoiai kahi loli iki hiki ke hoʻoulu maʻalahi i ke kaomi.
• ʻO ka Rheumatoid Arthritis: He ʻano mumū kēia e hoʻopilikia ai i nā hono. Hiki iā ia ke hoʻopilikia i nā hono ma ka ʻāʻī a hoʻopaʻa i ke kaula spinal.
• Spondylolisthesis: ʻO kēia ka wā e paheʻe ai kekahi vertebra i mua ma luna o kekahi. Hiki i kēia ke ʻūmiʻi i ke kaula spinal.
• ʻO ka Degeneration Spinal: ʻO kēia ke kumu nui o ka Cervical Spondylotic Myelopathy i ʻōlelo ʻia ma mua. Hiki ke loli i ka iwi kuamoʻo me ka ʻelemakule.
• Spinal Stenosis: Ka haiki ʻana o ke kahawai o ka iwi kuamoʻo ma muli o nā kumu like ʻole.
• ʻEha Traumatic: Hiki ke hana ʻia kēia ʻano ma muli o kahi ʻeha nui i ka ʻāʻī, e like me kahi ulia kaʻa a i ʻole ka hāʻule ʻana.
• Puʻupuʻu: ʻO kahi puʻupuʻu e hana ana ma luna a kokoke paha i ke kaula kuamoʻo hiki ke hoʻopaʻa i ke kaula kuamoʻo.

ʻO ka Cervical Spondylotic Myelopathy, ʻo ia hoʻi, ua hoʻokumu ʻia e nā loli kūlohelohe i loko o ka iwi kuamoʻo i ko kākou ʻāʻī i ko kākou ʻelemakule ʻana. E like me ka hōʻino ʻana o nā puka a me nā puka makani o ko kākou hale i ka hala ʻana o ka manawa, e loli pū ana ka hana a me ke ʻano o nā ʻāpana o ko kākou iwi kuamoʻo. Hoʻohaiki kēia i ke ala no ke kaula kuamoʻo, e kau ana i ke kaomi ma luna. He ʻāpana kūlohelohe kēia o ka ʻelemakule ʻana.

ʻO wai ka mea i ʻoi aku ka paʻakikī ke hoʻomohala i kēia?

Hiki ke loaʻa kēia maʻi, i kapa ʻia ʻo Cervical Myelopathy, i kēlā me kēia makahiki, akā ua hōʻike kekahi mau noiʻi he mea maʻamau ia i ka poʻe ma luna o 30 mau makahiki, ʻoiai ka poʻe o ka hanauna ʻAsia.

Hiki i ka Cervical Spondylotic Myelopathy ke hoʻopilikia i kekahi, akā ʻoi aku ka maʻamau i nā kāne a me nā poʻe ma luna o 40 mau makahiki. ʻO ka awelika o ka makahiki i ʻike ʻia ai ka maʻi ma kahi o 64 mau makahiki.

He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia?

Inā ʻaʻole mālama pono ʻia kēia maʻi, hiki i nā hōʻailona ke ʻoi aku ka ʻino. Inā hana ʻia kēia, hiki mai nā pilikia e like me:

• ʻEha nui loa.
• Ka Hana ʻole o ka ʻōpū a me ka ʻōpū mimi: ʻO ke ʻano kēia o ka paʻakikī o ka neʻe ʻana i ka wai, ka mimi ʻana, a me ka nalowale ʻana o ke kaohi.
• Ka pōʻino o nā aʻalolo: Hiki ke mau loa kēia.
• Paʻakikī ke hele wāwae: Ka nalowale o ke kaulike, hāʻule pinepine, a me ka nāwaliwali loa e hele.
• Hoʻohana palena ʻia o nā manamana lima, nā lima, a me nā mea kaua: Hiki paha iā ʻoe ke hana i nā hana me kou mau lima.
• Maʻi lolo: I nā hihia koʻikoʻi, hiki i nā ʻāpana o ke kino ke lilo i maʻi lolo.

No laila, inā loaʻa iā ʻoe nā hōʻailona e like me kēia, he mea nui loa ia e hoʻowahāwahā iā lākou a e ʻimi koke i ke kōkua lapaʻau.

Pehea ʻoe e ʻike ai i kēia?

ʻAe, i kēia manawa inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​pehea e ʻike ai ke kauka i ka myelopathy cervical?

ʻO ka mea mua, e nīnau ke kauka iā ʻoe e pili ana i kāu mau hōʻailona a lawe i kahi mōʻaukala olakino. A laila, e hana lākou i kahi hoʻokolohua kino a me kahi hoʻokolohua neurological. I loko o kēia manawa, e hoʻāʻo paha lākou i kou kaulike, nā reflexes, a me nā mākau kaʻa maikaʻi. Inā hiki, e nānā paha lākou i kou hele ʻana e ʻike pehea e hoʻopilikia ai kāu mau hōʻailona iā ʻoe.

Eia kekahi, loaʻa paha iā ʻoe kekahi mau hoʻokolohua kiʻi kūikawā e nānā i loko o kou iwi kuamoʻo. ʻO kēia mau mea:

• X-ray: Hiki ke hoʻohana ʻia kēia e nānā i nā loli i nā iwi, e like me nā iwi spurs.
• MRI Scan: Hiki iā ʻoe ke ʻike maopopo i ke kūlana o nā ʻiʻo palupalu e like me ke kaula kuamoʻo, nā discs, a me nā aʻa nerve. Hiki iā ʻoe ke ʻike pono i kahi o ka ʻomi a me kona nui.
• CT scan: Hiki i kēia ke hāʻawi i kahi kiʻi kikoʻī o ke ʻano o nā iwi.
• Hoʻāʻo Myelogram:I loko o kēia, hoʻokomo ʻia kahi mea kūikawā i loko o ke kahawai kuamoʻo a hana ʻia kahi X-ray a i ʻole CT scan. ʻAe kēia i nā wahi i hoʻopaʻa ʻia ai ke kaula kuamoʻo e ʻike maopopo ʻia.

Hiki ke ho'ōla loa ʻia?

ʻO kahi nīnau a ka poʻe he nui e nīnau nei, hiki ke ho'ōla loa ʻia? ʻO ka ʻoiaʻiʻo, ʻaʻohe lāʻau lapaʻau piha no nā kumu āpau o ka myelopathy cervical. Eia nō naʻe, hiki i ke ʻoki kino ke hōʻemi nui i nā hōʻailona, ​​​​kāohi i ke kūlana mai ka ʻino ʻana, a pale i nā pilikia. Eia nō naʻe, ma hope o ka mālama ʻana, ma muli o nā loli me ka makahiki, hiki ke hoʻopilikia ʻia nā ʻāpana ʻē aʻe o ka iwi kuamoʻo i ka wā e hiki mai ana. ʻO ke ʻano kēia, inā hoʻoponopono ʻia kekahi ʻāpana, aia kahi manawa e loaʻa ai kahi pilikia i kekahi ʻāpana, ʻoiai ke ʻelemakule ʻoe.

He aha nā lāʻau lapaʻau?

ʻAe, e nānā kākou i nā lāʻau lapaʻau e loaʻa ana no kēia. ʻElua mau lāʻau lapaʻau nui:

1. Hoʻokele ʻokiʻoki ʻole

2. Lapaʻau ʻoki kino

ʻO ka maʻamau, e hoʻāʻo mua ke kauka i nā ʻano hana ʻoki ʻole e kāohi i nā hōʻailona. Eia nō naʻe, hiki ke loli kēia ma muli o ke koʻikoʻi o kāu mau hōʻailona a me ke kumu o ia mau mea.

Hoʻokele ʻokiʻoki ʻole

No nā poʻe me ka myelopathy cervical liʻiliʻi, hiki i nā kauka ke ʻōlelo i kēia mau mea:

• Ke Kau ʻana i ke Kāʻei ʻĀʻī: Hāʻawi kēia i ka hōʻoluʻolu i ka ʻāʻī a kāohi pū i ka neʻe ʻana o ka ʻāʻī pono ʻole.
• Hoʻōla Kino: He mea nui loa kēia. E aʻo aku kahi mea hoʻōla kino iā ʻoe i nā hoʻomaʻamaʻa e hoʻoikaika i nā ʻiʻo o kou ʻāʻī, hoʻonui i ka maʻalahi, a me ke kūlana pololei.
• Ke lawe nei i nā lāʻau lapaʻau:
• Nā Lāʻau Anti-inflammatory Nonsteroidal (NSAID): No ka laʻana, ibuprofen a me naproxen. Hoʻemi kēia i ka ʻeha a me ka pehu.
• Corticosteroids: He mau lāʻau anti-inflammatory ikaika kēia. Hiki ke hāʻawi ʻia no kahi manawa pōkole.
• Nā Lāʻau Hoʻopau ʻEha: Hiki iā ʻoe ke hāʻawi i nā lāʻau hoʻopau ʻeha maʻamau e like me ka paracetamol a i ʻole nā ​​​​mea ikaika aʻe.

Akā e hoʻomanaʻo, ʻoiai hiki i kēia mau lāʻau lapaʻau ʻoki ʻole ke hāʻawi koke i ka hōʻoluʻolu mai nā hōʻailona, ​​​​ʻaʻole lākou e hāʻawi i ka hōʻoluʻolu lōʻihi a hoʻonui paha i ke kahawai kuamoʻo i haiki.

Lapaʻau ʻoki kino

Inā koʻikoʻi ke kūlana o Cervical Myelopathy, ʻo ia hoʻi:

• Inā he ʻeha nui,
• Inā nāwaliwali nā ʻiʻo,
• Inā hoʻomau ka mae ʻana o nā lālā,
• Inā loaʻa iā ʻoe nā pilikia me ka hele wāwae a me ke kaulike,
• Inā paʻakikī ke hana i nā hana noʻonoʻo pono,

Hiki i kāu kauka ke ʻōlelo aku i ke ʻoki ʻana e hoʻomaha ai i ke kaula spinal.

ʻOkoʻa paha ke ʻano o ke ʻoki kino a kāu kauka lapaʻau e ʻōlelo ai ma muli o kou mau hōʻailona, ​​​​ke olakino laulā, a me ka makahiki. ʻO kekahi o nā koho:

• Diskectomy: Pili kēia i ka wehe ʻana i kahi ʻāpana a i ʻole nā ​​​​​​mea āpau o ka disc e hana ai i ka herniation.
• Hoʻololi Pā: Hoʻokomo ʻia kahi pā hana e pani ai i ka pā i wehe ʻia.
• Laminectomy: Ua wehe ʻia kahi ʻāpana o ka vertebra i kapa ʻia ʻo 'lamina' e hana i kahi ākea no ke kaula spinal.
• Laminoplasty: Me ka wehe ʻole ʻana i ka 'lamina', ua hoʻoponopono hou ʻia e hana i kahi no ke kaula spinal.
• Spinal Fusion: He hana kēia e hoʻopaʻa ai i hoʻokahi a ʻoi aku paha vertebrae ma ka hoʻohui ʻana iā lākou . Hana pinepine ʻia kēia me ka discectomy.

Ma mua o ke ʻoki ʻana, e wehewehe ke kauka ʻoki i nā pilikia e pili ana iā ʻoe i hiki iā ʻoe ke hoʻoholo i kahi hoʻoholo naʻauao.

Ma hope o ke ʻoki kino, pono ʻoe e hoʻomaha no kekahi manawa. Pono ʻoe e pale i ka hāpai ʻana i nā mea kaumaha a i ʻole ka hana ʻana i nā hana ikaika a hiki i ka wā e ʻōlelo ai kāu kauka iā ʻoe. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ka mālama ʻana iā ʻoe iho a me ka wā e hoʻi mai ai no kahi nānā.

He aha ka mea e hiki mai ana? (Outlook)

ʻO kou manaʻo no ka myelopathy cervical e pili ana i ke kumu o ke kūlana. Hiki ke mālama ʻia nā hihia liʻiliʻi me nā lāʻau lapaʻau ʻoki ʻole, a ʻo ke ʻoki ʻana he hopena maikaʻi ka hopena.

Eia nō naʻe, inā ʻaʻole mālama ʻia, hiki i ka myelopathy cervical ke ʻoi aku ka ʻino. I nā hihia koʻikoʻi, hiki iā ia ke alakaʻi i ka hōʻino mau loa ʻana o ke aʻalolo. Hiki i kēia ke alakaʻi i nā pilikia e like me ka ʻeha nui a me ka paʻakikī i ka neʻe ʻana.

No laila, inā loaʻa iā ʻoe nā hōʻailona o ka myelopathy cervical, e ʻike koke i ke kauka. E kōkua lākou iā ʻoe e ʻike i nā koho lapaʻau maikaʻi loa nāu.

ʻEhia ka lōʻihi e hiki ai iā ʻoe ke ola me kēia maʻi? Pehea ka wikiwiki o kona holomua ʻana?

Nīnau kekahi poʻe i ka lōʻihi o kou ola ʻana me kēia maʻi, a pehea ka wikiwiki o kona holomua ʻana. ʻAʻole hoʻopilikia nā hihia liʻiliʻi i kou ola, akā hiki i nā hōʻailona ke hoʻopilikia i kou ʻano ola. I nā hihia koʻikoʻi, hiki ke loaʻa nā pilikia e like me ka hōʻino mau ʻana o ke aʻalolo a i ʻole ka lolo. No laila, e ʻokoʻa ka wānana o kēlā me kēia kanaka ma muli o nā kumu he nui, me ko lākou olakino holoʻokoʻa a me ka makahiki. ʻO kāu kauka ke kanaka maikaʻi loa e kamaʻilio pū me ʻoe e pili ana i kou kūlana.

ʻOkoʻa nō hoʻi ka wikiwiki o ka lilo ʻana o kēia i mea ʻino ma muli o ke kumu.Eia kekahi laʻana, hiki ke ulu koke ke ʻano ma hope o kahi ulia, a i ʻole hiki ke ulu mālie i kou wā ʻelemakule. E nānā kāu kauka i kāu mau hōʻailona a me nā hoʻokolohua kiʻi e hāʻawi iā ʻoe i kahi "Wānana" e pili ana i ka wikiwiki o ka ʻino a me kou pilikia o nā pilikia.

Hiki ke pale ʻia kēia?

ʻAʻole hiki ke pale aku i nā kumu āpau o ka myelopathy cervical. He mea paʻakikī loa ka pale ʻana i ke kaomi ʻana o ke kaula spinal i hoʻokumu ʻia e nā loli kūlohelohe i ke kino i ko kākou ʻelemakule ʻana, e like me ka cervical spondylotic myelopathy. Eia nō naʻe, hiki iā ʻoe ke hōʻemi i kou pilikia o ka hōʻeha ʻia mai nā ulia. He mea nui e hahai i nā hana palekana a pale i nā hana kiʻekiʻe a weliweli.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona o ka myelopathy cervical, e like me ka ʻeha ʻāʻī i ʻōlelo ʻia ma luna, ka mae ʻana o ka ʻiʻo, ka nāwaliwali, a me ka paʻakikī i ka hele wāwae, pono ʻoe e ʻike i ke kauka. A laila e hana lākou i nā hoʻokolohua e ʻike ai inā he ʻūlū ʻia kou kaula iwi kuamoʻo.

Inā ʻike mua ʻoe he cervical myelopathy kou, inā e ʻoi aku ka ʻino o kāu mau hōʻailona, ​​​​a inā ʻike ʻoe i nā hopena ʻaoʻao mai ka lāʻau lapaʻau, e haʻi i kāu kauka.

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

Ke hele ʻoe e ʻike i ke kauka, he mea maikaʻi ke nīnau ʻana i kēia mau nīnau:

• Ma hea ma kuʻu ʻāʻī kēia e hana nei?
• He aha ke ʻano o ka lāʻau lapaʻau āu e paipai nei?
• He aha nā hopena ʻaoʻao o ka lāʻau lapaʻau?
• Pono maoli anei au i ke ʻoki kino?
• ʻEhia ka lōʻihi e hoʻōla ai ma hope o ke ʻoki kino?

ʻO ka leka koʻikoʻi loa e lawe i ka home nou

He kuleana koʻikoʻi ko ko kākou iwi kuamoʻo i loko o ke kino. Me ka manaʻo ʻole, ma muli o kahi ulia a i ʻole ma muli o nā loli kūlohelohe i ko kākou ʻelemakule ʻana, hiki ke kau ʻia kēia iwi kuamoʻo ma lalo o ke kaomi. E like me ke alanui a i ʻole ke alahaka i hoʻohana pinepine ʻia, lilo ia i mea ʻino i ka hala ʻana o ka manawa. Pono nō hoʻi lākou i ka mālama a me ka mālama pono e hana pono ai. Pēlā nō hoʻi no ko kākou kino. He mea nui loa kēia mālama, ʻoiai ma kēia hihia o Cervical Myelopathy.

Hiki i ke kauka ke kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona a hōʻoluʻolu i ke kaomi ma kou iwi kuamoʻo. Pono paha kēia i ke ʻoki ʻana. Hiki ke hopohopo ka manaʻo o ka hana ʻoki ʻāʻī, akā e hana kāu hui lapaʻau i nā mea āpau e hiki ai iā lākou ke pale aku iā ʻoe a pale i nā pilikia. No laila, inā loaʻa iā ʻoe nā hōʻailona, ​​​​mai hoʻowahāwahā iā lākou a e ʻike koke i ke kauka. Hiki i ka mālama mua ke alakaʻi i nā hopena maikaʻi aʻe.

ʻEha ʻāʻī, Cervical Spondylotic Myelopathy, Spinal Cord Compression, Manuahi i nā lima, Spine, Neuropathy, ʻEha ʻāʻī, Cervical Spondylotic Myelopathy, Spinal Cord Compression