Ke ʻeha mau nei kou ʻāʻī? Ke pilikia nei ʻoe i nā pilikia ʻāʻī? E aʻo kākou e pili ana i ka Cervical Spondylosis!

Ke manaʻo nei ʻoe i kekahi manawa i ka ʻeha o ka ʻāʻī, ka ʻoʻoleʻa, a i ʻole ka paʻakikī i ka hoʻohuli ʻana i kou ʻāʻī ke ala ʻoe i ke kakahiaka? Malia paha ua hana ʻoe i mua o kahi kamepiula i ka lā a pau a i ʻole e hāpai ana i nā mea kaumaha a ua "paʻa" kou ʻāʻī. Mai hoʻokuke i kēia mau mea me he mea maʻamau lā. I kēia lā, e kamaʻilio mākou e pili ana i kahi kūlana i hiki ke lilo i kumu nui o ka ʻeha o ka ʻāʻī.

He aha ka Cervical Spondylosis?

I ka ʻōlelo maʻalahi, ʻo Cervical Spondylosis kahi inoa maʻamau no ka degeneration o nā vertebrae i loko o ko mākou ʻāʻī, nā hono iwi ma ka piko o ko mākou iwi kuamoʻo. ʻO "Cervical" e pili ana i nā iwi ʻehiku o luna o ko mākou ʻāʻī. ʻO "Spondylosis" e pili ana i ka degeneration o nā ʻāpana o ka iwi kuamoʻo. I kekahi manawa kapa pū nā kauka iā ia he "arthritis of the neck." E like me ka palaho ʻana o nā lako kahiko i loko o ko mākou mau hale i ka hala ʻana o ka manawa, palaho pū nā ʻāpana o ko mākou kino me ka ʻelemakule.

Inā loaʻa iā ʻoe kēia maʻi, hiki iā ʻoe ke ʻeha i ka ʻāʻī, nā ʻehaʻeha, a i ʻole ka manaʻo o ka paʻa ʻana o kou ʻāʻī. ʻOiai ʻaʻole hiki ke ho'ōla loa ʻia, aia nā lāʻau lapaʻau kūpono e pale aku ai i ka ʻino ʻana o ke ʻano a e hōʻemi i ka ʻeha. No laila, ʻaʻohe mea e hopohopo ai.

Pehea ka maʻamau o kēia ʻano?

He mea maʻamau loa kēia. He mea kēia e hana maoli ʻia i nā kānaka he nui i ko lākou wā ʻelemakule. I ko kākou wā ʻelemakule, loli ko kākou iwi kuamoʻo a hoʻomaka nā ʻāpana e mae. I ka hapanui o nā hihia, hiki ke hoʻomaka kēia i ka wā he 30. E noʻonoʻo, i ka makahiki 60, ma kahi o ʻeiwa o ka ʻumi o ka poʻe i loaʻa i kēia maʻi i kapa ʻia ʻo Cervical Spondylosis. No laila, ʻaʻole kēia he maʻi e hoʻopilikia wale iā ʻoe, he nui ka poʻe i loko o ke kaiāulu e loaʻa paha i kēia maʻi.

He aha nā hōʻailona o ka Cervical Spondylosis?

ʻAʻole paha e loaʻa i kekahi poʻe kekahi mau hōʻailona, ​​​​akā inā loaʻa, hiki iā lākou ke ʻike i kēia mau mea:

• ʻEha ʻāʻī: ʻO kēia ka hōʻailona nui. No kekahi poʻe, hoʻomaka paha ia me he ʻeha palupalu lā a ʻoi mālie aʻe. I kekahi manawa, hiki ke lilo i ʻeha koke a koʻikoʻi. Hiki ke manaʻo ʻia e like me kahi puʻupuʻu ma ka ʻāʻī a i ʻole e like me ke kui e hoʻokomo ʻia ana i loko.
• ʻĀʻī ʻoʻoleʻa: He mea paʻakikī paha iā ʻoe ke hoʻohuli i kou ʻāʻī ke ala ʻoe i ke kakahiaka. A i ʻole e manaʻo paha kou ʻāʻī he ʻoʻoleʻa a paʻa i ka lā a pau.
• He puʻupuʻu a pehu paha ma ka ʻāʻī: Hiki i kekahi poʻe ke manaʻo i kahi puʻupuʻu ma ke kua o ko lākou ʻāʻī e like me kahi puʻupuʻu.
• ʻO nā ʻiʻo spasms: Hoʻopaʻa koke nā ʻiʻo ma ka ʻāʻī a me nā poʻohiwi, e hōʻeha ana.
• He kani "nahā" i ka wā e hoʻohuli ai i ka ʻāʻī: Ke hoʻohuli nei i ka ʻāʻī mai kēlā ʻaoʻao a i kēia ʻaoʻao, e nānā ana i luna, a i ʻole e nānā ana i lalo, lohe paha ʻoe i kahi kani e like me nā iwi e kuʻi ana kekahi i kekahi.
• Pōʻino:Hiki i kekahi poʻe ke manaʻo i ka poniuniu me ka ʻeha o ka ʻāʻī.
• ʻEha poʻo: I ka manawa pinepine, hoʻomaka kēia ʻeha poʻo ma ke kua o ka ʻāʻī a manaʻo ʻia e piʻi i luna i ke poʻo.

He aha ke kumu o kēia?

ʻO ke kumu maʻamau ka loli e kū mai ana i loko o ko kākou iwi kuamoʻo i ko kākou ʻelemakule ʻana. ʻO ia hoʻi, ʻo nā iwi kuamoʻo ma ko kākou ʻāʻī a me nā ʻāpana e like me ka jelly ma waena o lākou (kapa mākou i kēia mau discs) e pau ana i ka hala ʻana o ka manawa. Hiki i kēia mau loli ke hele pū me nā kūlana ʻē aʻe, hiki ke hana pū i:

• ʻO ka maʻi disk degenerative: Kōkua nā disks ma waena o ko kākou mau iwi kuamoʻo i ka omo ʻana i ka haʻalulu. I ko kākou ʻelemakule ʻana, nalowale kēia mau disks i ko lākou wai, maloʻo, lahilahi, a mae. Ua like ia me nā mea hoʻohemo haʻalulu ma ke kaʻa e mae ana. A laila, ʻoi aku ka maʻalahi o nā iwi kuamoʻo e hamo kekahi i kekahi.
• Disc herniated: I kekahi manawa hiki ke haki ka uhi waho o kahi disc ma waena o nā vertebrae, e ʻae ana i ka mea e like me ka jelly i loko e puka i waho. Hiki i kēia ke kaomi ma luna o nā aʻalolo ma lalo.
• Osteoarthritis: He ʻano maʻi kēia e hōʻeha ai i nā hono me ka ʻelemakule. Hiki ke loaʻa ka ʻeha ke hōʻeha nā hono ma waena o nā vertebrae ma ka ʻāʻī.
• Nā kui iwi (osteophytes): Ke hoʻāʻo ke kino e hoʻoikaika i nā disc a i ʻole nā ​​​​ami i pau, hiki ke hana ʻia nā kui iwi hou. Ua kapa ʻia kēia mau mea he kui iwi. Hiki i kēia mau kui iwi ke kaomi i nā aʻalolo a hōʻeha.
• ʻO ka stenosis spinal: Holo ke kaula spinal ma o kā mākou vertebrae. I kekahi manawa, hiki ke haiki ke alahele no ke kaula spinal, ma muli paha o nā iwi spurs a i ʻole nā ​​​​disc herniated. Hiki i kēia ke kumu o ke kaula spinal e ʻomi ʻia.

He aha nā kumu hoʻoulu/kumu pilikia e hoʻonui ai i ka pilikia o kēia maʻi?

He maʻi holomua ka cervical spondylosis e ulu ana i ka hala ʻana o ka manawa. Aia kekahi mau kumu pilikia e hiki ke kōkua i ia:

• ʻO ke kau ʻana i nā makahiki he 60 a ʻoi paha: E like me kā mākou i ʻōlelo ai ma mua, ʻo ka ʻelemakule ke kumu nui.
• Puhipaka: Hiki i nā diski o ka poʻe puhipaka ke pau koke ka maikaʻi.
• Ke hana nei ma ke ʻano e pono ai ʻoe e nānā i luna a i lalo paha no nā hola he nui: E noʻonoʻo, aia ʻoe ma ke keʻena e nānā ana i kahi kamepiula no nā hola he nui, a aia kou ʻāʻī ma ke kūlana like. A i ʻole, aia kekahi poʻe e pena ana a pena paha i nā kaupaku, a pono lākou e nānā mau i luna. Pēlā nō, kūlou kekahi poʻe i ko lākou ʻāʻī no ka manawa lōʻihi i ka wā e heluhelu ana i nā puke a i ʻole e nānā ana i kā lākou kelepona. ʻO nā mea e like me kēia e kau ana i ke kaomi ma ka ʻāʻī i ka wā lōʻihi.
• Ke hāpai ʻana i nā mea kaupaona e hoʻoluhi ai i ka ʻāʻī: ʻO ka hāpai hewa ʻana i nā mea kaupaona hiki ke hōʻino i nā ʻiʻo o ka ʻāʻī a me nā vertebrae.
• Moʻolelo ʻohana: Inā ua loaʻa i kekahi o kou ʻohana kēia ʻano pilikia ʻāʻī, aia kahi manawa liʻiliʻi e loaʻa pū iā ʻoe.
• Loaʻa kahi ʻeha ʻāʻī ma mua: Inā ua ʻeha kou ʻāʻī i kahi ulia, hiki iā ia ke alakaʻi i kēia ʻano ma hope.

He aha nā pilikia o kēia maʻi?

I ka hapanui o ka manawa, ʻaʻole pilikia nui ka cervical spondylosis. Eia nō naʻe, hiki i kekahi poʻe ke ʻike i nā hōʻailona penei:

• ʻO ka myelopathy cervical: ʻO kēia ka wā e ʻomi ʻia ai ke kaula spinal ma ka ʻāʻī no kekahi kumu. Hiki i nā mea e like me nā spurs iwi a me nā disc herniated ke hana i ke kaomi ʻana o ke kaula spinal. He kūlana koʻikoʻi kēia.
• ʻO ka radiculopathy cervical: ʻO kēia ka wā e ʻomi ʻia ai kahi aʻalolo e holo ana mai ka ʻāʻī a i ka lima. Kāhea pū mākou i kēia he "aʻalolo pinched." Hiki i kēia ke hōʻeha, ka mae ʻana, a me ka nalowale o ka ikaika ma ka lima.

He mea nui: ʻAʻole e ʻike nā kānaka a pau i kēia mau pilikia, akā inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha o ka ʻāʻī, ka mae ʻana o kou mau lima, a i ʻole ka nalowale o ka hoʻonohonoho ʻana, e ʻike koke i ke kauka.

Ke hoʻopilikia nei anei ka Cervical Spondylosis i ka lolo?

ʻAʻole. ʻAʻole ia e hoʻopilikia i kou lolo. Hoʻopilikia wale ka cervical spondylosis i nā vertebrae a me nā discs i kou ʻāʻī. ʻO ia ke kumu e ʻeha ai kou ʻāʻī a paʻakikī hoʻi.

Pehea e ʻike ʻia ai kēia?

Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona. A laila e hana lākou i kahi hoʻokolokolo kino. Hiki i kēia ke komo pū me ka nānā ʻana i nā mea e like me:

• ʻO ke kūlou o ka ʻāʻī: Hoʻāʻo kēia i ka mamao e hiki ai iā ʻoe ke hoʻohuli i kou ʻāʻī mai kēlā ʻaoʻao a i kēia ʻaoʻao, i luna a i lalo.
• Ka ikaika o nā ʻiʻo a me nā reflexes i kou mau lima a me kou mau wāwae: Ke ana kēia hoʻokolohua i ka ikaika o kou mau lima a me kou mau wāwae, a me kāu mau reflexes, e like me ke kuʻi ʻana i kahi mea me ka hāmare.
• Gait: Hiki iā ʻoe ke ʻike i kou hele ʻana a me kou kaulike.
• Nānā pū lākou i nā puʻupuʻu a me ka pehu ʻana ma ka ʻāʻī.

Eia kekahi, inā makemake ke kauka , hiki iā ia ke hana i nā hoʻokolohua e like me kēia e loiloi pololei i ke kūlana i loko o ka cervix:

• X-ray: Hiki i kēia ke nānā i nā mea e like me nā haki iwi a me nā kui iwi.
• CT scan: Hiki i kēia ke lawe i nā kiʻi ʻoi aku ka maopopo, ʻoi aku ka ʻoki ʻana ma mua o kahi X-ray.
• MRI scan: ʻAe kēia i kahi nānā maopopo loa i nā ʻiʻo palupalu e like me nā disks, ke kaula spinal, a me nā aʻalolo.
• Myelogram: Ma kēia, ua hoʻokomo ʻia kahi wai kūikawā i loko o ke kahawai kuamoʻo a hana ʻia kahi X-ray a i ʻole CT scan. ʻAe kēia i nā wahi o ke kaomi ʻana o ke kaula kuamoʻo e ʻike maopopo ʻia.
• ʻO ke aʻo ʻana i ka electromyography (EMG) a me ke aʻo ʻana i ke alakaʻi ʻana o nā aʻalolo:Hiki i kēia mau hoʻokolohua ke nānā i ka hana maikaʻi ʻana o nā aʻalolo a inā paha e hoʻouna pono ʻia nā leka aʻalolo i nā ʻiʻo.

He aha ka lāʻau lapaʻau maikaʻi loa no kēia?

ʻO ka lāʻau lapaʻau maikaʻi loa ka mea e hōʻemi ana i kou mau hōʻailona a lawe mai iā ʻoe i ka hōʻoluʻolu. Hoʻomaka pinepine nā kauka me nā lāʻau lapaʻau maʻalahi a ʻaʻole invasive. Eia kekahi laʻana:

• 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 aʻo iā ʻoe i ke kūlana kūpono.
• Nā lāʻau hoʻopau ʻeha ma luna o ke kauka: Nā lāʻau hoʻopau ʻeha hiki ke kūʻai ʻia ma ka hale kūʻai lāʻau lapaʻau, e like me ka paracetamol a me ka ibuprofen.
• Nā ʻūmiʻi wela a anu paha: ʻO ka hoʻopili ʻana i kahi ʻeke hau a i ʻole kahi ʻōmole wai wela i kou ʻāʻī no kahi o 15 mau minuke i kekahi mau manawa i ka lā e hiki ke kōkua i ka hōʻemi ʻana i ka ʻeha.
• He kola palupalu a i ʻole ke kāʻei: Hiki i kāu kauka ke ʻōlelo aku e ʻaʻahu i kēia no kahi manawa pōkole e kākoʻo i kou ʻāʻī. Eia naʻe, ʻaʻole ia e ʻōlelo ʻia e ʻaʻahu mau ia mea, no ka mea hiki ke hoʻonāwaliwali i nā ʻiʻo o kou ʻāʻī.

Inā koʻikoʻi loa ka ʻeha o kou ʻāʻī, hiki i ke kauka ke ʻōlelo i nā lāʻau lapaʻau e like me:

• ʻO ka inikini steroid epidural cervical: Ma kēia, ua hoʻokomo ʻia kahi lāʻau lapaʻau steroid i loko o ka ʻeha, kokoke i nā aʻa o ke aʻalolo.
• ʻO ka hoʻopau ʻana o ke alapine radio: Hoʻohana kēia i nā nalu lekiō e hōʻemi i ka hana o nā aʻalolo e hōʻeha ai i ka ʻeha.

Inā ʻaʻole hāʻawi kēia mau lāʻau i ka hōʻoluʻolu, a inā paʻakikī kou kūlana e ka myelopathy cervical a i ʻole ka radiculopathy cervical a mākou i kūkākūkā ai ma mua, hiki i ke kauka ke ʻōlelo aku i kahi mea e like me ke ʻoki ʻana o ka spinal fusion .

Aia kekahi mau hopena ʻaoʻao o nā lāʻau lapaʻau?

ʻAʻole pinepine nā lāʻau lapaʻau maʻalahi i ʻōlelo ʻia ma mua (e like me ka hoʻōla kino a me nā lāʻau ʻeha) i nā hopena ʻaoʻao koʻikoʻi. Eia nō naʻe, hiki i nā lāʻau lapaʻau e like me ke ʻoki ʻana, nā inikini steroid, a me ka ablation radiofrequency ke loaʻa nā hopena ʻaoʻao like ʻole. E wehewehe kāu kauka i kēia mau mea āpau iā ʻoe, me nā hopena ʻaoʻao a me nā pilikia o nā lāʻau lapaʻau.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka spondylosis cervical?

He maʻi mau loa kēia. ʻO ia hoʻi, ʻaʻole hiki ke ho'ōla loa ʻia. Akā, mai hopohopo. Hiki ke mālama maikaʻi ʻia, me ka kaohi ʻana i nā hōʻailona, ​​a me ka ʻole o ka hopena nui i kou ola maikaʻi. Hiki i ka hapa nui o ka poʻe ke ola maikaʻi me ka lāʻau lapaʻau.

Pehea e mālama ai iaʻu iho? (Mālama ponoʻī)

ʻO ka spondylosis cervical he hopena pinepine ia o ka ʻelemakule, akā hiki iā ʻoe ke hana i kēia mau mea e mālama ai i kou ʻāʻī:

• E hoʻomaha mau i nā hana e hoʻoluhi ai i kou ʻāʻī: Inā hoʻolilo ʻoe i nā hola e kūlou ana i lalo, e nānā ana i lalo, a i ʻole e hana ana i nā hana ʻē aʻe e pono ai kou ʻāʻī e noho i kahi kūlana ʻē, e hoʻomaha iki ma ka liʻiliʻi i kēlā me kēia hapalua hola e hoʻoneʻe i kou ʻāʻī i mua a i mua a kīkoʻo.
• E nīnau i kāu kauka e pili ana i nā hoʻomaʻamaʻa e hoʻoikaika a hoʻolōʻihi i kou mau ʻiʻo ʻāʻī: Hiki i nā hoʻomaʻamaʻa kūpono ke hoʻoikaika i kou mau ʻiʻo ʻāʻī a hoʻonui i ka maʻalahi.
• No ka ʻeha iki o ka ʻāʻī, e hoʻohana i ka hoʻomaha, ka hau a i ʻole ka wela, a me nā lāʻau hoʻopau ʻeha ma luna o ke kauka.

Āhea wau e ʻike ai i ke kauka?

E ʻike i ke kauka inā loaʻa iā ʻoe ka ʻeha ʻāʻī a i ʻole ka ʻoʻoleʻa ʻaʻole e nalowale ma hope o kekahi mau lā. Eia kekahi, inā e mālama ʻia nei ʻoe no ka cervical spondylosis, akā ʻaʻole i hoʻomaikaʻi a i ʻole e ʻoi aku ka ʻino o kāu mau hōʻailona, ​​e hōʻoia e haʻi i kāu kauka .

Āhea wau e hele ai i ka haukapila (ETU) i ka hikiwawe loa?

I kekahi manawa, inā hele pū ka ʻāʻī ʻoʻoleʻa me kēia mau hōʻailona, ​​​​hiki ke lilo i hōʻailona o kahi maʻi koʻikoʻi. E ʻimi koke i ke kōkua lapaʻau:

• Inā e ʻoi aku ka ʻeha o ka ʻāʻī.
• Inā ʻoe e manaʻo ana i ka mae a i ʻole ke ʻano ʻūlū i loko o kou mau lima.
• Inā pilikia ʻoe me ka hoʻonohonoho ʻana a i ʻole ka hele wāwae.
• Inā ʻoe e manaʻo i ka nāwaliwali o nā ʻiʻo a i ʻole ke kaumaha ma kou mau lima a i ʻole kou mau wāwae.
• Inā ʻaʻole hiki iā ʻoe ke kaohi i kou mimi a i ʻole ka ʻōpala (Nalowale o ka ʻōpū mimi a i ʻole ka mana o ka ʻōpū).

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Ke ʻike ʻoe i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia:

• No ke aha i ʻeha ai koʻu ʻāʻī?
• He hōʻailona anei koʻu ʻeha ʻāʻī no kahi maʻi koʻikoʻi?
• He aha nā lāʻau lapaʻau no ka ʻeha ʻāʻī?
• E pono anei iaʻu ke ʻoki kino?
• E nalo loa anei koʻu ʻeha ʻāʻī?

ʻO ka mea hope loa, e hoʻomanaʻo (Leka Lawe-Home)

I ko kākou ʻelemakule ʻana, hele ko kākou kino i nā loli like ʻole. ʻO ka Cervical Spondylosis kekahi o ia mau loli. Hiki i kēia ke hōʻeha i kou ʻāʻī, ʻeha, a paʻakikī. Hiki ke hana i kekahi mea. He kiʻekiʻe loa kēia pilikia no ka poʻe e hana ana i nā hola lōʻihi e nānā ana i luna a i lalo. ʻOiai ʻaʻole hiki i nā kauka ke ho'ōla loa i ka Cervical Spondylosis, aia nā lāʻau lapaʻau kūpono e hōʻemi i ka paʻakikī a me ka ʻeha ma kou ʻāʻī. No laila, inā ʻeha kou ʻāʻī a paʻakikī paha no nā lā he nui, e ʻike pono i ke kauka a loaʻa ka ʻōlelo aʻo. ʻO ka wā mua āu e ʻike ai, ʻoi aku ka maʻalahi o ka mālama ʻana!

ʻEha ʻāʻī, ʻEha ʻāʻī, Spondylosis cervical, ʻO ka ʻāʻī cervical, Ke kaomi ʻana o ke aʻalolo