Ke manaʻo nei ʻoe i kekahi manawa i kahi ʻeha ʻoi a i ʻole ka mae ʻana e pālahalaha ana mai kou ʻāʻī a i lalo o kou lima? Me he mea lā ua uila ʻia ʻoe. Loaʻa paha iā ʻoe kahi aʻalolo i ʻoki ʻia ma kou ʻāʻī. Mai hopohopo, he maʻi maʻamau kēia. I kēia lā, e kamaʻilio mākou e pili ana i ia mea me nā kikoʻī hou aku.
I ka ʻōlelo maʻalahi, he aha ka radiculopathy cervical?
ʻO kēia ka mea a mākou e kapa pinepine ai he "aʻalolo pinched ma ka ʻāʻī." I ka pololei, he kūlana kēia kahi e hoʻopaʻa ʻia ai a pehu kekahi a ʻoi aku paha o nā aʻa aʻalolo e holo ana ma o nā vertebrae i kou ʻāʻī (e kapa aku kākou iā lākou ʻo kou iwi kuamoʻo cervical ). Ke hoʻopaʻa ʻia kēia mau aʻalolo, hoʻomaka ʻoe e ʻike i nā ʻano pilikia aʻalolo like ʻole, e like me ka ʻeha e hele ana mai kou ʻāʻī a i lalo i kou mau lima, ka mae ʻana o kou mau lima, a i ʻole ka nalowale iki o ka ikaika i kou mau lima.
ʻO ka huaʻōlelo "cervical" mai kahi huaʻōlelo Latina ʻo ia hoʻi "ʻāʻī." No laila, i kēia hihia (Cervical Radiculopathy), aia ka pilikia ma kou ʻāʻī, ʻaʻole ka cervix, he ala haiki e like me ka "ʻāʻī." ʻO ia ke kumu i kapa ʻia ai pēlā.
E aʻo iki kākou e pili ana i ko kākou iwi kuamoʻo.
He kolamu palupalu kou iwi kuamoʻo o nā iwi i hoʻopili ʻia (i kapa ʻia he vertebrae ) e holo ana mai ke kua o kou poʻo a i kou mau puʻupuʻu. Mālama ia i kou kaula kuamoʻo . ʻO ka ʻāpana o kēia iwi kuamoʻo ma kou ʻāʻī ua kapa ʻia ʻo ka iwi kuamoʻo cervical. He ʻehiku ona vertebrae (C1-C7).
ʻO kēia mau iwi kuamoʻo ka mea e pale ai i kou iwi kuamoʻo mai ka ʻeha. Ma waena o kēia mau iwi kuamoʻo, e like me ka doughnut jelly, he mau uluna poepoe me kahi kikowaena e like me ka jelly palupalu a me kahi pūpū waho paʻakikī iki. Kāhea mākou i kēia mau "disks." ʻO kēia mau disks ka mea e hāʻawi i kāu mau iwi kuamoʻo i ka cushion maikaʻi a hāʻawi iā ʻoe i ka maʻalahi e hoʻohuli i kou ʻāʻī i mua a i hope.
Ua like kou iwi kuamoʻo me ke alaloa. Hoʻohui ia i nā aʻalolo ma kou kino holoʻokoʻa i kou lolo. Hiki i kou lolo ke hoʻouna i nā hōʻailona a kamaʻilio ma kou kino holoʻokoʻa. ʻO ke aʻa aʻalolo ka ʻāpana mua o ke aʻalolo e puka mai ana mai kou iwi kuamoʻo. ʻO kēia mau aʻa aʻalolo nā mea e hoʻouna i nā aʻalolo i nā ʻāpana ʻē aʻe o kou kino. Hoʻopili nā aʻa aʻalolo like ʻole ma kou iwi kuamoʻo i nā ʻāpana like ʻole o kou kino. No laila, inā paʻa kekahi aʻa aʻalolo, hoʻopilikia ia i nā aʻalolo ʻē aʻe e pili ana iā ia. ʻO ia ke kumu i ka wā e paʻa ai kahi aʻalolo ma kou ʻāʻī (cervical radiculopathy), ua like ka ʻeha me he mea lā e iho ana i lalo o kou lima.
ʻO wai ka mea i loaʻa pinepine i kēia maʻi?
ʻO kaʻoiaʻiʻo, hiki i kekahi ke loaʻa ka radiculopathy cervical. Eia naʻe,He mea maʻamau kēia i waena o nā mākua.
ʻO ka maʻamau, ʻo kēia ʻano, i hoʻokumu ʻia e kahi disc herniated, ka mea maʻamau i nā poʻe ma lalo o 50 mau makahiki. Pēlā nō, ʻo kēia ʻano, i hoʻokumu ʻia e ka disc degeneration, hoʻopilikia pinepine i nā poʻe ma waena o 50 a me 60 mau makahiki.
ʻO ke kumu nui o kēia ʻano i nā kānaka he 70 makahiki a ʻoi aku, ʻo ia ka hoʻohaiki ʻana o ka foraminal ma muli o ka arthritis . ʻO "Foramen" nā puka iwi ma waena o nā vertebrae kahi e hele ai nā aʻa nerve. Ke haiki kēia mau aʻalolo, hiki ke hoʻopaʻa ʻia nā aʻalolo.
Pehea ka maʻamau o kēia kūlana?
He mea maʻamau kēia ʻano (Cervical Radiculopathy). Ma ke ʻano helu, hoʻopilikia ia ma kahi o 85 o kēlā me kēia 100,000 poʻe. ʻOi aku ma mua o ka hapalua o kēia mau hihia e hoʻopilikia i ke aʻa aʻalolo C7. Eia kekahi, ma kahi o ka hapahā o nā hihia e hoʻopilikia i ke aʻa aʻalolo C6.
He aha nā hōʻailona o kēia?
ʻO nā aʻalolo e pili ana i kou iwi kuamoʻo e hoʻolōʻihi i kou mau poʻohiwi, nā lima, ka umauma o luna, a me ke kua o luna. No laila, hiki i nā hōʻailona o ke aʻalolo i hoʻokumu ʻia e kahi aʻalolo i ʻoki ʻia i ka ʻāʻī (cervical radiculopathy) ke pālahalaha mai ka ʻāʻī a i hoʻokahi a ʻoi aku paha o kēia mau ʻāpana kino, ma muli o ke aʻa aʻalolo i ʻoki ʻia.
ʻO ka maʻamau, hoʻopilikia ka Cervical Radiculopathy i hoʻokahi ʻaoʻao o ke kino. No ka laʻana, he mea kakaikahi ka hoʻopilikia ʻia ʻana o nā lima ʻelua i ka manawa like, ma mua o kou lima ʻākau wale nō.
ʻO nā hōʻailona o nā pilikia nerve e hoʻonui ana mai ka ʻāʻī i lalo:
- ʻEha: ʻO kēia ka hōʻailona nui.
- ʻŌhūhū: Hiki ke manaʻo ʻia ka lima he ʻōhūhū.
- He manaʻo kui a me nā nila: E like me ka manaʻo āu e loaʻa ai i ka wā e hiamoe ai kou mau lālā.
- Nāwaliwali o nā ʻiʻo: Hiki iā ʻoe ke manaʻo nāwaliwali i kou mau lima a he mea paʻakikī ke hāpai i nā mea kaumaha.
- Nā reflexes nāwaliwali: Hiki ke ʻike ʻia kēia i ka wā o ka hoʻokolokolo ʻana e ke kauka.
ʻOkoʻa ke ʻano o ka hopena o kēia maʻi (Cervical Radiculopathy) i kēlā me kēia kanaka. Loaʻa paha iā ʻoe kekahi, kekahi, a i ʻole hoʻokahi wale nō o kēia mau hōʻailona.
Pehea ke ʻano o kēia ʻeha?
ʻO ka poʻe me ka radiculopathy cervical e wehewehe pinepine i ka ʻeha me he ʻoi a wela paha. Hiki ke hoʻonui ʻia ka ʻeha ke neʻe ʻoe i kou ʻāʻī i nā ʻaoʻao like ʻole, ʻoiai ke kulou ʻoe i kou ʻāʻī i hope (hoʻolōʻihi), a i ʻole ke hoʻoluhi ʻoe i kou ʻāʻī (straining).
Akā ʻo ka mea kupanaha, no kekahi poʻe , ua emi iki ka ʻeha ke kau lākou i ko lākou mau lima ma luna o ko lākou mau poʻo.Me he mea lā. ʻO ke kumu o kēia, ke hana ʻoe i kēlā, ua emi iki ke kaomi ma luna o ke aʻa aʻalolo i hoʻopaʻa ʻia.
He aha nā kumu nui no kēia?
ʻO kēia kūlana (Cervical Radiculopathy) e like me ka mea i ʻōlelo ʻia ma mua, ke hoʻopaʻa ʻia a pehu ke aʻa aʻalolo i loko o kou iwi kuamoʻo cervical. ʻElua mau kumu nui o kēia paʻa ʻana:
- ʻO ka degeneration a me nā loli i kou iwi kuamoʻo i kou wā ʻelemakule: ʻO kēia ka mea a mākou e kapa nei ʻo "Cervical Spondylosis." I ka ʻōlelo maʻalahi, ka degeneration o ka vertebrae ma ka ʻāʻī.
- He diski herniated a puʻupuʻu paha ma ka ʻāʻī.
Nā loli e pili ana i ka makahiki (Cervical Spondylosis) a me ke kaomi ʻana o ke aʻalolo
ʻO ka hapa pinepine, ʻo ke kumu o ka radiculopathy cervical kahi kūlana i kapa ʻia ʻo "Cervical Spondylosis." Pili kēia i ka ʻaʻahu a me ka waimaka a me nā loli e kū mai ana i loko o ko mākou iwi kuamoʻo cervical i ko mākou wā ʻelemakule . Hiki i kēia ke hana i nā hōʻailona e like me ka ʻeha ʻāʻī a me ka ʻoʻoleʻa. I kekahi manawa ua kapa ʻia kēia he arthritis o ka ʻāʻī.
I kou wā ʻelemakule, e emi ana ke kiʻekiʻe o nā diski ma waena o kou mau iwi kuamoʻo a hoʻomaka e puʻupuʻu. E nalowale ana hoʻi ko lākou ʻano like me ka jelly a lilo i mea paʻakikī. ʻO kēia ke kumu o ka emi ʻana o nā hakahaka ma waena o nā diski a me ka emi ʻana o ke kiʻekiʻe o nā diski.
Ke emi ke kiʻekiʻe o nā diski, neʻe kokoke aku kou mau iwi kuamoʻo. Pane ke kino ma ka ulu ʻana o ka iwi hou a puni ka diski e hoʻoikaika iā ia. Ua kapa ʻia kēia mau mea he "bone spurs" a i ʻole "osteophytes." Ma ka ʻōlelo Sinhala, ua like lākou me nā iwi kuamoʻo . Hiki i kēia mau iwi kuamoʻo ke hoʻohaiki i nā lua liʻiliʻi i kapa ʻia ʻo "foramen" kahi e puka mai ai nā aʻa aʻalolo. Ua kapa ʻia kēia he "foraminal stenosis." ʻO ia ka manawa e paʻa ai ke aʻa aʻalolo (cervical radiculopathy).
ʻO ka Herniated Disc a me ke kaomi ʻana o ke aʻalolo
Inā paha ma muli o ka ʻelemakule a i ʻole kahi ulia paha, hiki i ka uhi waho o kekahi o nā diski ma waena o kou mau iwi kuamoʻo ke hoʻonāwaliwali a hoʻomohala i kahi diski herniated. ʻO kahi "disc herniated" ʻo ia ka wā e puka ai ka "jelly" i loko o ka diski ma waho o ka hakahaka.
Hana ʻia ka radiculopathy cervical i ka wā e kaomi ai nā mea i puka mai i waho o kahi disc ma ka ʻāʻī ma nā aʻalolo spinal kokoke.
Aia kekahi mau kumu e puka mai ai kahi disc cervical ma kēia ʻano (cervical herniated disc). Eia kēia mau mea:
- Ka ʻelemakule ʻana.
- Ke hana nei i kahi hana e pono ai ka neʻe pinepine ʻana o ka ʻāʻī (e laʻa, ma kekahi mau hana)
- ʻAʻole hoʻoikaika kino mau.
- Kūlana maikaʻi ʻole: Ke ʻano o kou paʻa ʻana i kou ʻāʻī, ʻoiai ke hana nei me ka kamepiula a i ʻole ke hoʻohana ʻana i kāu kelepona.
- Ke hāpai ʻana a wili hewa paha: Hiki i kēia ke kau i ke kaomi hou ma ka ʻāʻī.
- Nā ʻeha ʻāʻī.
E like me ka mea i ʻōlelo ʻia ma mua, ʻo kēia ʻano (Cervical Radiculopathy), i hoʻokumu ʻia e kahi disc herniated, ʻike pinepine ʻia i nā poʻe ma lalo o 50 mau makahiki.
Pehea e ʻike ai ke kauka i kēia?
Inā ʻaʻole e emi ka ʻeha o kou ʻāʻī a me ka maneʻo o kou lima me nā lāʻau lapaʻau maʻalahi ma ka home (e.g., hoʻomaha, lawe ʻana i ka lāʻau ʻeha), pono ʻoe e ʻike i ke kauka.
E nīnau mua ke kauka iā ʻoe e pili ana i kēia mau mea:
- Kou mōʻaukala lapaʻau.
- Kou olakino laulā.
- E pili ana i kekahi mau ulia a i ʻole nā ʻeha i loaʻa iā ʻoe ma mua.
- He aha kāu mau hōʻailona o kēia manawa?
ʻO ka mea aʻe, e nānā ke kauka i kou ʻāʻī, poʻohiwi, lima, a me nā lima. E nānā lākou i ka nāwaliwali o nā ʻiʻo, nā loli i nā reflexes, a nīnau e pili ana i nā manaʻo āu e ʻike nei (manoʻino, ʻeha). No ka mea, ʻo kēia ʻano (cervical radiculopathy) e hoʻopilikia pinepine i hoʻokahi ʻaoʻao o kou kino (he unilateral ia), e hoʻohālikelike ke kauka i kou manaʻo ma kekahi ʻaoʻao o kou kino me kou manaʻo ma kekahi ʻaoʻao.
Eia kekahi, hiki i ke kauka ke noi iā ʻoe e hoʻoneʻe i kou ʻāʻī a me kou mau lima i nā ʻano like ʻole e ʻike ai inā e ʻike hou ʻia a emi iho paha kāu mau hōʻailona.
ʻO kaʻoiaʻiʻo, hiki i kekahi manawa ke paʻakikī iki ka ʻike ʻana i kēia maʻi (Cervical Radiculopathy). ʻO kēia no ka mea he nui nā maʻi pili i ke aʻalolo, e like me ka "neuropathy", hiki ke hana i kēia ʻano ʻeha a me ka numbness. No laila, e noi paha kāu kauka iā ʻoe e hana i kekahi mau hoʻokolohua kiʻi kūikawā e hōʻoia inā he Cervical Radiculopathy maoli kēia.
He aha nā hoʻokolohua e hana ʻia nei no kēia?
Ma waho aʻe o ka hoʻokolokolo kino, hoʻohana nā kauka i kēia mau hoʻokolohua e ʻike i ka radiculopathy cervical a i ʻole e hoʻoholo i nā kumu ʻē aʻe o kāu mau hōʻailona:
- Nā kukuna X-ray o ke kuamoʻo: ʻO kēia ka hoʻāʻo maʻamau i hana ʻia no ka ʻeha o ka ʻāʻī a me ka lima luna. Ma ka lawe ʻana i nā kukuna X-ray mai nā kihi like ʻole (nā hiʻohiʻona), hiki iā lākou ke ʻike i nā mea e like me ka emi ʻana o ka hakahaka disc a me ka hāiki ʻana o nā puka foraminal (stenosis).
- MRI (Magnetic Resonance Imaging): Hoʻohana kēia i kahi magnet nui, nā nalu lekiō, a me kahi kamepiula e kiʻi i nā kiʻi kikoʻī o loko o kou kino. ʻO ka MRI scan ke ʻano kiʻi maikaʻi loa e ʻike ai i ka radiculopathy. Hiki i kāu kauka keHiki ke ʻike maopopo ʻia nā ʻano ʻino o nā ʻiʻo palupalu, e like me nā disks herniated a me nā aʻalolo i hoʻopaʻa ʻia.
- CT scan (Computed Tomography): Hoʻohana ka CT scan i nā kukuna X a me kahi kamepiula e kiʻi i nā kiʻi o nā ʻano i loko o ke kino. Hoʻohana pinepine nā kauka i ka CT scan e hōʻoia i nā hōʻailona o ka radiculopathy cervical ma hope o kahi ʻeha traumatic.
- EMG (Electromyography): Ke ana nei kahi hoʻāʻo EMG i ka pane, a i ʻole ka hana uila, o kahi ʻiʻo ke hoʻoulu ʻia e kahi aʻalolo. Kōkua kēia hoʻāʻo e hoʻoholo inā e hana pono ana kahi aʻalolo.
He aha nā lāʻau lapaʻau no kēia? (Lāʻau lapaʻau)
He nūhou maikaʻi kēia! ʻOi aku ma mua o 85% o kēia mau kūlana (Cervical Radiculopathy) e hoʻopau ʻia i loko o 8 a 12 mau pule me ka ʻole o kekahi lāʻau lapaʻau kikoʻī. ʻO ke ʻano kēia, ʻo ka hapa nui o ka manawa, e hoʻomaikaʻi lākou iā lākou iho.
Eia nō naʻe, inā hoʻomau kāu mau hōʻailona, aia kekahi mau koho lapaʻau no kēia kūlana (Cervical Radiculopathy). Ma muli o ka hoʻopilikia ʻana i kēlā me kēia kanaka i nā ʻano like ʻole, ʻo ka hoʻolālā lapaʻau āu e loaʻa ai e pili pono i kou kūlana.
Eia nā koho lapaʻau hiki ke hana ʻia:
- Ka hoʻopaʻa ʻana i ka ʻāʻī: ʻO ia hoʻi ka hoʻohana ʻana i nā mea hana e kōkua ai e noho mālie ka ʻāʻī.
- Lāʻau lapaʻau.
- Hoʻōla kino.
- ʻO ka inikini steroid epidural cervical.
- ʻOki kino.
Hoʻomaka mau nā kauka me nā lāʻau lapaʻau ʻoki ʻole e mālama i kēia kūlana (Cervical Radiculopathy). Ma kahi o 90% o ka poʻe me kēia kūlana e loaʻa nā hopena maikaʻi a maikaʻi loa paha me nā lāʻau lapaʻau ʻoki ʻole.
Inā wale nō e holo pono ʻole nā lāʻau lapaʻau ʻaʻole me ke ʻoki ʻana, a laila e kuhikuhi ke kauka i ke ʻoki ʻana.
Hoʻopaʻa ʻāʻī (Hoʻopaʻa ʻana)
No ka hoʻomalu a me ka hōʻemi ʻana i nā hōʻailona i ka wā pōkole, hiki i kāu kauka ke ʻōlelo aku iā ʻoe e ʻaʻahu i kahi kola cervical palupalu (e like me ke kāʻei). Kōkua kēia i ka hōʻemi ʻana i ka nui o ka neʻe ʻana i kou ʻāʻī, e hōʻemi ana i ke kaomi a me ka huhū ma ke aʻa nerve. ʻO kahi kola cervical palupalu he apo i hoʻopaʻa ʻia e hoʻopuni ana a puni kou ʻāʻī a hoʻopaʻa ʻia me Velcro.
ʻAʻole ʻōlelo pinepine nā kauka e ʻaʻahu i kēia "kolela cervical" no hoʻokahi a ʻelua paha pule, no ka mea hiki i kēia ke hana i ka atrophy muscle, ʻo ia hoʻi ka nalowale ʻana o ka ikaika o nā mākala i kou ʻāʻī.
Lāʻau lapaʻau
I kekahi mau hihia, hiki i kekahi mau lāʻau lapaʻau ke kōkua i ka hōʻemi ʻana i nā hōʻailona o ka Cervical Radiculopathy. ʻO kekahi o lākou:
- Nā lāʻau anti-inflammatory nonsteroidal (NSAIDs): Kōkua nā NSAID, e like me ka aspirin, ibuprofen, a me ka naproxen, i ka hōʻemi ʻana i ka ʻeha a me ka mumū, a i ʻole ka pehu ʻana. Hāʻawi lākou i ka hōʻoluʻolu ma ka hōʻemi ʻana i ka pehu ʻana i ke aʻa nerve i hoʻopilikia ʻia. Hiki iā ʻoe ke loaʻa i kēia mau lāʻau lapaʻau ma ke kūʻai aku ma kahi hale kūʻai lāʻau me ka ʻole o ke kauoha.
- ʻO nā corticosteroids waha: Ke lawe ʻia i ka wā pōkole, hiki i nā corticosteroids waha ke kōkua i ka hōʻemi ʻana i ka pehu a me ka mumū a puni ke aʻalolo i ʻoki ʻia a hōʻoluʻolu i ka ʻeha. Pono ʻoe i kahi kauoha mai ke kauka e loaʻa ai kēia mau lāʻau.
Hoʻōla kino
Hiki i ka hoʻōla kino a me nā hoʻomaʻamaʻa kikoʻī e hoʻoikaika a hoʻolōʻihi i nā ʻiʻo ma kou ʻāʻī ke kōkua nui i ka mālama ʻana i kēia maʻi (Cervical Radiculopathy). Akā e hoʻomanaʻo, ʻo ke ʻano hoʻōla kino āu e loaʻa ai e pili pono iā ʻoe. E hilinaʻi ia i kekahi mau mea, e like me ka ʻāpana o kou ʻāʻī i hoʻopilikia ʻia, kou olakino kino holoʻokoʻa, a me kou mau hiki.
ʻO ka maʻamau, ʻo kahi papahana hoʻōla kino no kēia kūlana (Cervical Radiculopathy) e lawe iā ʻoe ma o nā pae like ʻole i ka wā e emi ana kou ʻeha. E hoʻomaka ʻoe me nā hoʻomaʻamaʻa mālie. A laila, i ka wā e emi ai nā hōʻailona koʻikoʻi, hoʻohui ʻia nā hoʻomaʻamaʻa ikaika a me ke kūlana.
Hiki i kāu hoʻoikaika kino ke komo pū me ke aʻo ʻana pehea e mālama ai i ke kūlana maikaʻi a me nā ala e hana ai i kāu hana me ka palekana a me ka ʻoluʻolu.
Nā inikini Steroid Epidural Cervical
ʻO ka "Cervical Epidural Steroid Injection" (Cervical ESI) he inikini o kahi lāʻau anti-inflammatory - he steroid a he corticosteroid paha - i loko o ka "epidural space" a puni nā aʻalolo spinal i kou ʻāʻī. ʻO ke kumu nui o kēia inikini, ʻo ia ke kōkua i ka hoʻomalu ʻana i ka ʻeha i hoʻokumu ʻia e ka huhū a me ka pehu ʻana o nā aʻalolo spinal i kou ʻāʻī.
ʻAʻole hōʻoluʻolu kēia mau inikini (Cervical ESI) i ke kaomi ma ke aʻalolo, inā paha i hana ʻia e kahi foramen haiki a i ʻole kahi disk bulging a herniated paha. Eia nō naʻe, hiki iā lākou ke hōʻemi i ka pehu a hāʻawi i ka hōʻoluʻolu ʻeha ʻoiai ka manawa o ke aʻalolo i hoʻopilikia ʻia e ho'ōla.
Ma waena o 40% a me 84% o ka poʻe i loaʻa i kēia lāʻau pale (Cervical ESI) e ʻike i kekahi pae o ka hōʻoluʻolu ʻana i ka ʻeha.Akā, ʻaʻole paha e loaʻa i kekahi poʻe kekahi hoʻomaha ʻeha.
He mea nui: Hiki i kēia lāʻau pale (Cervical ESI) ke hana i nā hopena ʻaoʻao koʻikoʻi a me nā pilikia. No laila, he mea nui loa e kūkākūkā pono i nā pono a me nā pōʻino o ka loaʻa ʻana o kēia lāʻau pale me kāu kauka.
ʻoki kino
Inā ua hoʻāʻo ʻoe i ka lāʻau lapaʻau nonsurgical no 6 a 12 mau pule, akā loaʻa mau iā ʻoe ka ʻeha koʻikoʻi a mau loa, a inā paha e koʻikoʻi nā pilikia neurological i hoʻokumu ʻia e Cervical Radiculopathy, hiki i kāu kauka ke ʻōlelo i ke ʻoki ʻana.
Aia kekahi mau ʻano hana ʻoki kino like ʻole e mālama ai i kēia maʻi (Cervical Radiculopathy). ʻO ke ʻano o ke ʻoki kino a kāu kauka e ʻōlelo ai e hilinaʻi ia i nā kumu he nui, me kāu mau hōʻailona, kou olakino holoʻokoʻa, a me kahi o ke aʻa nerve i hoʻopilikia ʻia.
Hiki ke ho'ōla loa ʻia kēia? (Hiki ke ho'ōla ʻia?)
ʻOiai hiki i nā koho lapaʻau ʻoki ʻole ke kāohi pono i nā hōʻailona o ka Cervical Radiculopathy, ʻaʻohe lāʻau ola mau loa no nā loli degenerative e kū mai ana me ka ʻelemakule i loko o kou iwi kuamoʻo cervical e hoʻokumu ai. ʻO ke ʻano kēia, ʻaʻole hiki ke hoʻopau loa ʻia ke kumu kumu, akā hiki ke kāohi ʻia nā hōʻailona a hiki iā ʻoe ke ola i kahi ola maʻamau.
Pehea ʻoe e hoʻāʻo ai e pale aku i kēia kūlana? (Ka pale ʻana)
ʻOiai ʻaʻole hiki ke pale ʻia kēia ʻano (Cervical Radiculopathy), aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia o ka loaʻa ʻana. ʻO kēia mau mea:
- Ka mālama ʻana i ke kaumaha olakino.
- Ke olakino kino.
- E hoʻomaʻamaʻa i ke kūlana maikaʻi: E hoʻomanaʻo i ke ʻano o kou paʻa ʻana i kou ʻāʻī, ʻoiai i ka wā e noho ana a e hana ana.
- E hana i nā hoʻoikaika kino e ikaika a palupalu hoʻi kou mau ʻiʻo.
Eia kekahi mau mea pilikia kikoʻī e hiki ke kōkua i ka ulu ʻana o kēia kūlana (Cervical Radiculopathy):
- Hana lima e pili ana i ka hāpai ʻana i nā mea kaupaona a/a i ʻole ka hoʻohana ʻana i nā lako haʻalulu.
- He moʻolelo o ka puhipaka mau loa.
- Loaʻa kahi radiculopathy lumbar ma mua.
- Ke pāʻani nei i ka kolepa. (He mea kupanaha paha kēia i kekahi poʻe, akā ua manaʻo ʻia hoʻi ka kolepa he mea pilikia no ka mea e kau ana i kekahi kaomi ma ka ʻāʻī.)
Inā pili kekahi o kēia mau mea pilikia iā ʻoe, he mea nui loa e kamaʻilio me kāu kauka e pili ana i nā mea kikoʻī hiki iā ʻoe ke hana e pale aku iā ʻoe iho mai kēia maʻi (Cervical Radiculopathy).
He aha ka mea e hiki mai ana? (Wānana/Manaʻo)
ʻO ka wānana o kēia kūlana (Cervical Radiculopathy), ʻo ia hoʻi, pehea ia e like ai i ka wā e hiki mai ana, e hilinaʻi ʻia ana i kekahi mau kumu. Eia kēia mau mea:
- ʻO wai ke aʻalolo kuamoʻo i hoʻopilikia ʻia?
- He aha ke kumu o kēia kūlana (Cervical Radiculopathy).
- Pehea ka koʻikoʻi o kou mau hōʻailona.
- Kou olakino holoʻokoʻa.
I ka hapanui o nā hihia, ʻoi aku ka maikaʻi o ka prognosis o ka poʻe i loaʻa i ka lāʻau lapaʻau ʻole a hoʻopau ʻia nā hōʻailona. ʻO kaʻoiaʻiʻo, hiki i ka nui o ka poʻe me ka radiculopathy cervical ke hoʻōla ma ka home me ka manawa a me ka hoʻomaha.
Eia nō naʻe, ma hope o ka hoʻōla mua ʻana, ma kahi o hoʻokahi hapakolu o ka poʻe e ʻike hou paha i nā hōʻailona o ka radiculopathy cervical. Inā hoʻi hou kāu mau hōʻailona, pono ʻoe e kamaʻilio me kāu kauka.
Āhea mākou e ʻike pono ai i ke kauka?
Inā loaʻa iā ʻoe nā hōʻailona o kēia (Cervical Radiculopathy), ʻo ia hoʻi ka ʻeha e pālahalaha ana mai ka ʻāʻī a i lalo o ka lima, a ʻaʻole e emi ma hope o hoʻokahi pule o ka hoʻomaha, pono ʻoe e ʻike i ke kauka.
Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi, no ka laʻana, inā manaʻo ʻoe e nāwaliwali ana nā ʻiʻo o kou lima a nāwaliwali paha kou mau reflexes lima, e ʻike koke i ke kauka.
Eia kekahi, inā ʻeha kou ʻāʻī ma hope o kahi ulia, e like me ka hāʻule ʻana, pono ʻoe e ʻike koke i ke kauka a i ʻole e hele i ka haukapila kokoke loa.
ʻO ka mea hope loa, nā mea nui e pono ai ʻoe e hoʻomanaʻo (Leka Lawe-Home)
Hiki i kēia kūlana i kapa ʻia ʻo "Cervical Radiculopathy / Pinched Nerve" ke lilo i mea ʻoluʻolu ʻole a hoʻonāukiuki hoʻi. Akā ʻo ka mea maikaʻi loa, ʻo ka hapa nui o ka manawa, e hoʻomaikaʻi kēia kūlana me ka hoʻomaha ma ka home a i ka hala ʻana o ka manawa.
Inā hoʻomau kāu mau hōʻailona no ka ʻoi aku ma mua o hoʻokahi pule, e kamaʻilio me ke kauka. Aia kekahi mau lāʻau lapaʻau ʻoki ʻole i loaʻa e mālama ai i kēia maʻi (Cervical Radiculopathy).
E nīnau i kāu kauka e pili ana i nā ala e pale aku ai i kēia mau kūlana i ka hiki a mālama i ke olakino o kou iwi kuamoʻo. E hoʻomanaʻo, he waiwai nui kou ʻāʻī iā ʻoe! No laila e mālama pono iā ia.
Mai hopohopo, hiki ke hoʻomalu maikaʻi ʻia kēia kūlana me ka hoʻomaopopo kūpono a me ka mālama ʻana.
ʻO ka Radiculopathy Cervical, ke aʻalolo i ʻūmiʻi ʻia, ʻeha ʻāʻī, ka mae ʻana o ka lima, ka Spondylosis Cervical, ka Disc Herniated











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