Ke manaʻo nei hoʻi ʻoe i ka ʻeha nui ma kou kua i lalo ke ala ʻoe mai kahi noho? Ma hope paha o ka holo paikikala, a i ʻole ma hope o ka noho ʻana ma kahi noho no nā hola? He ʻeha hoʻonāukiuki loa kēia e paʻakikī ai ka hana ʻana i nā hana o kēlā me kēia lā. I ka lāʻau lapaʻau, kapa mākou i kēia pilikia he nui ka poʻe i loaʻa iā Coccydynia. E nānā maʻalahi kākou, i hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka Coccydynia?
ʻO Coccydynia ka ʻeha ma ka iwi liʻiliʻi ma lalo o kou iwi kuamoʻo, ʻo ia hoʻi ka iwi huelo. Kāhea mākou i kēia iwi ʻo 'coccyx'. Akā i ka wā e kamaʻilio ai mākou, kapa pinepine mākou iā ia ʻo 'iwi huelo' . ʻO kēia ka hopena o ko mākou iwi kuamoʻo.
E noʻonoʻo wale, he hana nui ko kēia iwi liʻiliʻi. Kōkua ia i ke kākoʻo ʻana i ke kaumaha o ko mākou kino a mālama iā mākou i ka paʻa i ko mākou noho ʻana. Eia kekahi, ua pili nā ʻiʻo, nā tendon, a me nā ligaments ma ko mākou ʻāpana pelvic i kēia iwi liʻiliʻi. No laila, inā ʻeha, ʻaʻole ia he mea maʻamau, he mea hoʻonāukiuki maoli ia.
ʻOi aku ka ʻeha o kēia ʻeha ma kahi o ʻelima manawa i ʻoi aku ka maʻamau i nā wahine ma mua o nā kāne, a hiki ke ʻike ʻia i loko o ka poʻe ʻelemakule a me ka poʻe ʻōpio.
Pehea ke ʻano o kēia ʻeha? He aha nā hōʻailona?
Hiki ke ʻokoʻa kēia ʻeha mai kēlā kanaka a kēia kanaka. Loaʻa i kekahi poʻe kahi ʻeha palupalu, e like me ka ʻeha palupalu. Hiki i kekahi ke loaʻa kahi ʻeha ʻoi, e like me ka hou ʻana. E nānā kākou i nā hōʻailona nui.
| Hōʻailona | Wehewehena |
|---|---|
| ʻEha i ke ala ʻana mai ka noho ʻana | ʻO kēia ka hōʻailona maʻamau. Hoʻonui koke ka ʻeha ke kū ʻoe mai kahi kūlana noho. |
| ʻEha i ka wā e noho ana | Hiki ke hoʻonui ʻia ka ʻeha, ʻoiai ke noho ʻana ma luna o kahi ʻili paʻakikī. |
| ʻEha i ka wā o ka neʻe ʻana o ka ʻōpū | Hiki paha i kekahi poʻe ke ʻeha i kēia ʻeha i ka wā e kahe ai ka wai. |
| ʻEha i ka wā o ka moekolohe | He mea kēia e pono ai kekahi poʻe e ʻike. |
Ma waho aʻe o kēia mau hōʻailona nui, hiki i kekahi poʻe ke loaʻa nā pilikia ʻē aʻe me kēia ʻeha.
- ʻEha ma kahi ʻē aʻe ma ke kua
- ʻEha e holo ana i lalo o ka ʻūhā (Sciatica)
- ʻAʻole hiki ke hiamoe
- Kaumaha
- Hopohopo
No ke aha e loaʻa ai kēia ʻeha? He aha nā kumu?
Aia paha he nui nā kumu no kēia. E nānā kākou i ke ʻano o ia mau mea.
- Hāʻule: ʻO kēia ke kumu nui. ʻO kahi hahau pololei i ka puhaka, e like me ka paheʻe a me ka hāʻule ʻana i loko o ka lumipaku a i ʻole ka hāʻule ʻana i lalo o ke alapiʻi, hiki ke pahū, haki, a hemo paha kēia iwi.
- Ka Hoʻopaʻa Hou ʻana: Hiki ke loaʻa kēia ʻano ke noho ʻoe ma ke kūlana like no ka manawa lōʻihi, ʻoiai hoʻi i nā poʻe holo paikikala a me nā poʻe holo waʻa. Kūlou mau lākou i mua a i hope, kahi e hoʻoulu ai i ke kaumaha ma nā ʻiʻo a puni.
- Hāpai a me ka hānau keiki ʻana: I ke kolu o ka trimester o ka hāpai ʻana, hana ke kino i nā hormones e maʻalahi ai ka hānau keiki ʻana. Hoʻoulu kēia mau hormones i ka wahi ma waena o ka coccyx a me ka sacrum ma luna e palupalu a palupalu. He mea maʻamau kēia. Eia nō naʻe, i kekahi manawa i loko o kēia kaʻina hana, hiki ke kīkoʻo a huki ʻia nā ʻiʻo a me nā ligaments a puni ia mea, e hōʻeha ai.
- Ke hāpai nei i ke kaumaha keu: Ke hāpai nei mākou i ke kaumaha hou aʻe, hoʻokau kēia iwi liʻiliʻi i ke kaomi nui ma luna o ia mea ke noho mākou. Hiki i kēia ke kumu e hilinaʻi ai i hope a hōʻeha.
- ʻAʻole lawa ke kaumaha: Mai kahaha, ʻo ka emi ʻana o ke kaumaha kekahi kumu. Ke emi ka momona ma ka ʻāpana puʻupuʻu, nalowale ka palupalu o ka iwi. A laila hiki i ka iwi ke hamo pololei i nā ʻiʻo a me nā ligaments, e hoʻoulu ai iā lākou e pehu (muhū).
- Noho lōʻihi: ʻO ka poʻe e noho ana no nā hola i ka manawa, e like me kekahi e hana ana ma ke keʻena, kahi keiki e aʻo ana no kahi hoʻokolohua, a i ʻole he mea hoʻokele, ʻoi aku ka nui o ka ʻeha e loaʻa iā lākou, ʻoiai inā noho lākou ma kahi noho paʻakikī.
ʻO ka mea nui, i nā manawa he nui, ʻaʻole paha e loaʻa ke kumu o kēia ʻeha. He mea maʻamau nō hoʻi kēlā.
He mea koʻikoʻi anei ka hiki ʻana mai o ka ʻeha me ka ʻole o kahi ulia?
Mai makaʻu ʻoe ke heluhelu ʻoe i kēia. No ka mea, ʻaʻole hiki pinepine ka mea āu e ʻōlelo nei.I kekahi manawa, hiki ke hana ʻia kēia ʻeha e ka maʻi kanesa e ulu ana ma ka coccyx a i ʻole e ka maʻi kanesa i pālahalaha i nā iwi (ka maʻi kanesa metastatic). Akā he mea kākaʻikahi loa kēia.
Inā loaʻa ka ʻeha ma muli o ke kanesa, hiki ke loaʻa nā hōʻailona ʻē aʻe, e like me:
- Ka maneʻo a nalowale paha o ka ʻike ma nā lima, nā wāwae, a i ʻole ka ʻāpana groin.
- Paʻakikī i ka hoʻohaʻahaʻa ʻana a i ʻole ka mimi ʻana.
- Ua like ka ʻāpana coccyx me kahi puʻu i hiki ke hoʻopaʻa ʻia i ka lima.
Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke aku i ke kauka .
Pehea e ʻike ai ke kauka i kēia?
Ke ʻike ʻoe i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kou mōʻaukala olakino. E nīnau ʻo ia iā ʻoe e pili ana i nā hāʻule mua a i ʻole nā hānau keiki paʻakikī. A laila e nānā ʻo ia i ka wahi e ʻike ai inā he haki, he puʻupuʻu, a i ʻole he maʻi (abscess).
Ma hope o kēlā, inā pono, hiki iā mākou ke ʻōlelo i kekahi mau hoʻokolohua e like me kēia.
- X-ray: No ka ʻike ʻana inā ua haki ka iwi.
- Hoʻāʻo CT scan (Computed Tomography): No ka ʻike pono ʻana i ke kūlana o ka iwi.
- MRI scan (Magnetic Resonance Imaging): No ka nānā ʻana no ka pehu ʻana, ka maʻi, a i ʻole ke kanesa.
- Nānā iwi: E nānā i nā pilikia iwi ʻē aʻe.
He aha ka mea hiki ke hana ʻia e mālama ai i kēia ʻeha?
Aia ka lāʻau lapaʻau i ke kumu o ka ʻeha a me kona koʻikoʻi. I ka hapanui o nā hihia, ma kahi o 90% o nā hihia, hiki ke hoʻomalu ʻia kēia ʻeha me nā mea maʻalahi hiki iā ʻoe ke hana ma ka home.
Nā mea hiki iā ʻoe ke hana ma ka home
- Nā lāʻau hoʻopau ʻeha a me nā lāʻau anti-inflammatory (NSAID): E noi i kāu kauka no kahi lāʻau hoʻopau ʻeha kūpono.
- E hoʻohana i kahi uluna kūikawā: Aia nā uluna kūikawā hiki iā ʻoe ke hoʻohana i kou wā e noho ana. Kāhea mākou i kēia mau 'uluna donut' a i ʻole 'nā uluna gel ʻano wedge'. ʻO ka hoʻohana ʻana i kēia mau mea, ʻaʻole ia e kau i ke kaomi ma luna o kēlā iwi ʻeha.
- Ke komo ʻana i ka wai wela: ʻO ke komo ʻana i loko o ka ʻauʻau wai wela no kekahi manawa hiki ke hoʻomaha i nā ʻiʻo a hōʻemi i ka ʻeha.
- Nā ʻeke wela a anu paha: E kau i kahi ʻōmole wai wela a i ʻole kahi ʻeke hau i ka wahi ʻeha no 20-30 mau minuke i kekahi mau manawa i ka lā.
- Nā mea palupalu o ka noho: Inā ʻeha ʻoe i ka wā o ka neʻe ʻana o ka ʻōpū, hiki iā ʻoe ke lawe i kēia mau mea ma ke ʻōlelo aʻo a kāu kauka.
Lapaʻau lapaʻau
Inā ʻaʻole e emi ka ʻeha me nā lāʻau lapaʻau home, hiki i kāu kauka ke kuhikuhi iā ʻoe i nā lāʻau lapaʻau ʻē aʻe e like me kēia.
- ʻO ka inikini no ke ālai ʻana i ke aʻalolo coccygeal:He inikini me nā steroids a me nā anesthetics i hāʻawi ʻia i ka wahi e hōʻemi i ka ʻeha a me ka pehu.
- Lomilomi lapaʻau: Hiki i kēia ke hāʻawi i ka hoʻomaha manawa pōkole.
- Hoʻōla kino: Hāʻawi ʻia nā hoʻomaʻamaʻa kino e hoʻolōʻihi i nā ʻiʻo a hoʻoponopono i ke kūlana.
- ʻAkipikipi:
- Hoʻōla ʻana o TENS (Transcutaneous Electrical Alerve Stimulation):
ʻoki kino
Hana kākaʻikahi loa kēia, inā ʻaʻohe lāʻau ʻē aʻe i holo pono. Pili kēia i ka wehe ʻana i kahi hapa a i ʻole ka coccyx āpau. ʻAʻohe hōʻoia e nalowale loa ka ʻeha ma hope o kēia ʻoki ʻana. No laila, ua manaʻo ʻia kēia he koho hope loa.
Aia kekahi mau ala e pale aku ai i ka ʻeha?
ʻOiai ke kumu ʻia nei kēia ʻeha e nā ulia pōpilikia i kekahi manawa, he paʻakikī ke pale mau iā ia. Akā aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia.
- Mai noho no nā hola i ka manawa, ʻoi aku hoʻi ma nā ʻili paʻakikī.
- E pale iā ʻoe iho mai ka hāʻule ʻana.
- Mai waiho i nā mea pono ʻole ma ka papahele a me nā ala hele wāwae o kou hale.
- E hoʻouka i nā pale lima ma nā alapiʻi.
- E hoʻomālamalama pono i nā alapiʻi.
- Mai nānā i kāu kelepona i kou wā e hele ana.
Āhea wau e ʻike ai i ke kauka?
I ka hapa nui o ka manawa, ʻaʻole koʻikoʻi kēia ʻeha. Akā inā loaʻa iā ʻoe kēia mau hōʻailona, pono ʻoe e ʻike i ke kauka.
| I ka manawa e ʻimi koke ai i ke aʻo lapaʻau | |
|---|---|
| ʻEha e mau ana ma mua o kekahi mau lā | Inā ʻaʻole e emi ka ʻeha ma hope o kekahi mau lā o ka mālama ʻana ma ka home. |
| ʻEha ma kahi ʻē | Inā ʻoe e ʻeha nei ma ka ʻūhā a i ʻole nā ʻāpana ʻē aʻe o ke kua. |
| kuni | Inā he kuni kou he 39.4 degere Celsius (103 Fahrenheit) a ʻoi aku paha. |
| ʻO ka mae a i ʻole ke kani ʻana | Inā ʻike ʻoe i ka mae ʻana o kou mau lālā, ka paʻakikī o ka mimi ʻana a i ʻole kahi puʻupuʻu ma kahi ʻeha, |
ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i ke kauka, e loaʻa i kahi hōʻailona pololei, a e loaʻa i ka lāʻau lapaʻau e kūpono loa iā ʻoe.
Leka Lawe-Home
- He maʻi maʻamau ka coccydynia. I ka hapa nui o ka manawa, ʻaʻole ia he mea koʻikoʻi.
- Hiki ke hana ʻia kēia e ka hāʻule ʻana, ka noho lōʻihi ʻana, a me ka hāpai ʻana.
- I 90% o nā hihia, hiki ke ho'ōla ʻia kēia ʻeha me nā lāʻau lapaʻau maʻalahi hiki ke hana ʻia ma ka home (nā ʻūlū mahana, me ka hoʻohana ʻana i nā uluna kūikawā).
- Inā ʻaʻole e emi ka ʻeha i loko o kekahi mau lā, a inā he mau hōʻailona ʻē aʻe e like me ke kuni a i ʻole ka mae ʻana o ka hanu, e ʻike pono i ke kauka.
- Mai hoʻowahāwahā i kēia ʻeha. Hiki iā ia ke hoʻopilikia i kou ʻano ola. No laila e kiʻi i ka ʻōlelo aʻoaʻo e pono ai.











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