Ua hoʻomaka koke anei ʻoe e loaʻa i ka ʻeha o ke kua? ʻAʻole wale i ka wā e kūlou ana, e hāpai ana i kahi mea kaumaha, akā i kekahi manawa ke ʻū ʻoe, ke manaʻo nei ʻoe i ka ʻeha nui ma kou kua? He mea maʻamau paha kēia ʻike i ka poʻe ʻelemakule, ʻoiai ko mākou mau makuahine a me nā kupuna wahine. Manaʻo pinepine mākou he ʻeha wale nō kēia a he ʻeha paha nā ʻiʻo. Akā i kekahi manawa ʻo ke kumu o kēia ʻeha he mea koʻikoʻi iki. ʻO ia ke ʻano o kēia 'Compression Fracture'. E kamaʻilio kākou e pili ana i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka haki compression?
E noʻonoʻo ʻoe ua hana ʻia ko kākou iwi kuamoʻo me kahi puʻu iwi liʻiliʻi i hoʻopaʻa ʻia ma luna o kekahi. Kāhea mākou i kēlā me kēia iwi he vertebra. Ua hana ʻia ko kākou iwi kuamoʻo me kēia mau vertebrae he nui. I ka pololei, ʻo ka haki ʻana o ke kaomi ʻana he māwae liʻiliʻi, pohā, a haki paha i kekahi o kēia mau vertebrae.
ʻO ka maʻamau, loaʻa kēia mau haki ma ke alo o nā iwi kuamoʻo, ma ka ʻāpana mānoanoa a poepoe. Ke haki kekahi a ʻelua paha iwi kuamoʻo ma kēia ʻano, nāwaliwali nā iwi a hoʻomaka e hiolo a lilo i mea palupalu. I ka hala ʻana o ka manawa, hiki i kēia ke hoʻopilikia i ko kākou kūlana. ʻO ia ke kumu e kūlou ai kekahi poʻe.
ʻOiai hiki ke loaʻa kēia ʻano ma nā wahi āpau o ka iwi kuamoʻo, ʻoi aku ka maʻamau ma waena o ka iwi kuamoʻo ma ka pae umauma (Thoracic spine). ʻO ke kumu nui o kēia, ʻo ia ka osteoporosis, kahi maʻi e hoʻonāwaliwali ai nā iwi me ka ʻelemakule. Ma waho aʻe o kēlā, hiki ke hana ʻia e kahi ʻeha i hana ʻia e kahi ulia a i ʻole nā puʻupuʻu e hoʻonāwaliwali ai i nā iwi.
He aha nā ʻano nui o nā haki compression?
Hoʻokaʻawale nā kauka i kēia mau haki i kekahi mau ʻano, ma muli o ke ʻano o ko lākou haki ʻana. He mea maikaʻi iā ʻoe ke loaʻa kahi manaʻo iki e pili ana i kēia.
| ʻAno hoʻomaha | He wehewehe maʻalahi |
|---|---|
| Ka haki ʻana o ka wedge | Ma kēia, ʻo ka ʻaoʻao mua wale nō o ka vertebra i kuʻi ʻia. A laila lilo ka iwi i ʻano triangular (ʻano wedge). ʻO kēia ke ʻano maʻamau. |
| Haʻihaʻi Kuʻi | I kēia hihia, ʻaʻole hoʻokahi wale nō ʻaoʻao o ka iwi i kuʻi ʻia, akā, ʻo ka iwi holoʻokoʻa. Ua like ia me ke hehi ʻana ma luna o kahi kini hakahaka a nahā ia. |
| Haʻihaʻi Pahū | He mea koʻikoʻi iki kēia. Hiki i ka iwi ke haki a hiki i nā ʻāpana ke lele i nā wahi āpau. He kūlana kēia e pono ai ka mālama olakino ulia pōpilikia no ka mea hiki i kēia mau ʻāpana ke hōʻino i nā aʻalolo kokoke. |
Eia kekahi, hiki i kēia mau haki ke "Paʻa" a i ʻole "Paʻa ʻole".
- ʻO ke ʻano o ka haki paʻa , ʻaʻole e neʻe a puni nā ʻāpana iwi haki.
- ʻO ka haki paʻa ʻole kahi kūlana e hiki ai i nā ʻāpana iwi haki ke neʻe a puni a hōʻino i nā aʻalolo a me nā ʻiʻo a puni.
Loaʻa iā ʻoe kēia mau hōʻailona?
Hiki i nā hōʻailona o ka haki ʻana o ke koʻikoʻi ke lilo i mea maʻalahi loa i kekahi manawa. Inā he māwae liʻiliʻi ia, ʻaʻole paha ʻoe e ʻike i kekahi mea. Akā aia kekahi mau hōʻailona maʻamau e makaʻala ai. E nānā inā ua kamaʻāina kēia mau mea iā ʻoe.
- ʻEha kua e hoʻomaka koke ana. Hoʻomaha ʻia kēia ʻeha ke hoʻomaha ʻoe, akā e hoʻonui ʻia ke neʻe ʻoe a hele paha.
- Paʻakikī ke hoʻoneʻe i ke kino. He mea paʻakikī ke kūlou, wili, kū, a hele paha.
- Ka mae ʻana a i ʻole ka nalowale ʻana o ka ʻike ma ke kua. Hiki ke hana ʻia kēia e nā aʻalolo i ʻūmi ʻia mai nā ʻāpana iwi haʻihaʻi.
- Ke ʻeha nui nei i ke kaomi ʻana i ka ʻāpana ʻeha me kou lima.
- Ka nāwaliwali o nā ʻiʻo a i ʻole ka ʻūlū ʻana o nā ʻiʻo.
Ma luna o nā mea a pau, ʻo kekahi o nā hōʻailona nui a ka poʻe e ʻike ai, ʻo ia ka emi ʻana o ke kiʻekiʻe i ka hala ʻana o ka manawa. Hana ʻia kēia no ka mea e emi mālie ana ka iwi kuamoʻo i ka wā e ʻelemakule ai nā iwi.
He aha nā kumu nui no kēia?
Ua haki kēia mau mea ma muli o ke kaomi ʻana ma luna o nā iwi kuamoʻo o ko kākou iwi kuamoʻo. ʻEkolu mau kumu nui no kēia.
1. Osteoporosis: ʻO kēia ke kumu nui a maʻamau. I ko kākou ʻelemakule ʻana, nalowale maoli ko kākou mau iwi i ka ikaika. Lilo lākou i lahilahi a nāwaliwali. Ke nāwaliwali lākou e like me kēia, hiki i ka mea liʻiliʻi loa ke kumu o ka haki ʻana o ka iwi. E noʻonoʻo wale, ʻo ka puka ʻana i waho o ke kaʻa, ka ʻūhū koke ʻana, a i ʻole ka hoʻohuli koke ʻana i kou kino hiki ke hana i kēia ʻano haki.
2. Nā ulia a i ʻole nā ʻeha: Hiki ke hana ʻia kēia ʻano ma muli o ka hōʻino nui ʻana i ka iwi kuamoʻo, e like me ka hāʻule ʻana a i ʻole kahi ulia kaʻa.
3. Ka maʻi ʻaʻai: Hiki i kekahi ʻano maʻi ʻaʻai ke laha i ka iwi kuamoʻo, e hoʻonāwaliwali ana i nā iwi kuamoʻo a me ke kumu e haki ai lākou.
ʻO wai ka mea i ʻoi aku ka pilikia?
Aia ʻoe i ka pilikia kiʻekiʻe o ka hoʻomohala ʻana i kēia ʻano inā:
- Inā he wahine ʻoe i hala i ka menopause.
- Inā loaʻa iā ʻoe kekahi maʻi olakino ʻē aʻe e hoʻopilikia ai i ka ikaika o ka iwi.
- Inā ʻoe ma luna o 50 mau makahiki.
- Inā ua loaʻa iā ʻoe kahi haki ʻūlū ma mua.
Pehea e loaʻa ai iaʻu kēia?
Inā loaʻa iā ʻoe kēia mau hōʻailona, pono ʻoe e ʻike i ke kauka. Na ke kauka e nānā mua iā ʻoe.
- Ua nānā ʻia ke kūlana o kou iwi kuamoʻo, kou kūlana, a me kou kiʻekiʻe.
- Kaomi lākou ma nā ʻāpana like ʻole o ke kua e ʻike pono ai i kahi e puka mai ai ka ʻeha.
- Nānā lākou no ka hōʻino ʻana o ke aʻalolo, ka mae ʻana, a me ka nāwaliwali.
Ma hope o kēlā, e noi ʻia ʻoe e hana i kekahi mau hoʻokolohua kiʻi e nānā i ke kūlana o nā iwi, nā ʻiʻo, a me nā ʻiʻo.
- ʻO kahi X-ray spine, CT scan, a i ʻole MRI: Hiki i kēia ke ʻike maopopo i nā mea e like me nā haki a me nā haki i nā iwi.
- Nānā DEXA: He ʻano X-ray kūikawā kēia. Kōkua ia i ke ana ʻana i ka nāwaliwali o kou mau iwi, ʻo ia hoʻi, ka haʻahaʻa o ka nui o kou iwi.
- Myelogram: Pili kēia i ka hoʻokomo ʻana i kahi wai kūikawā (contrast dye) i loko o ke kaula iwi kuamoʻo a lawe i kahi CT scan a i ʻole X-ray. ʻAe kēia i nā kiʻi e ʻike maopopo ʻia.
He aha ka lāʻau lapaʻau maikaʻi loa no kēia?
Aia ka lāʻau lapaʻau i ke ʻano, ke koʻikoʻi, a me ke kumu o kou haki. ʻO nā pahuhopu nui o ka lāʻau lapaʻau:
- Hoʻemi ʻeha.
- Ka hoʻopaʻa ʻana o ka iwi kuamoʻo.
- Ke pale nei i kahi haʻihaʻi ʻē aʻe.
| ʻAno lapaʻau | Wehewehena |
|---|---|
| Nā lāʻau hoʻopau ʻeha | Hiki i kāu kauka ke kuhikuhi i nā lāʻau ʻeha e like me NSAID, nā mea hoʻomaha ʻiʻo, a i ʻole nā lāʻau lapaʻau ʻē aʻe. E lawe i nā lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka. |
| Kāʻei hope | He kāʻei kūikawā i kau ʻia e kākoʻo i ke kuamoʻo. Kōkua kēia i ka hōʻemi ʻana i ka neʻe ʻana o ke kuamoʻo a me ka kāohi ʻana i ka ʻeha. Hiki ke kau ʻia no kahi o 4 a 12 mau pule. |
| Nā lāʻau hoʻoikaika iwi | Inā loaʻa iā ʻoe ka osteoporosis, e hāʻawi ʻia ʻoe i nā lāʻau lapaʻau e like me bisphosphonates e pale ai i nā iwi mai ka haki hou ʻana. |
| Hoʻōla kino | E aʻo aku kekahi mea hoʻoponopono kino iā ʻoe i nā hoʻomaʻamaʻa kino a me nā kīkoʻo e hoʻoikaika i nā ʻiʻo a puni kou kua. |
| ʻoki kino | ʻAʻole kēia he mau ʻoki kino nui. I nā kaʻina hana i kapa ʻia ʻo "Vertebroplasty" a i ʻole "Kyphoplasty", ua hoʻokomo ʻia kahi ʻano sima kūikawā "Bone cement" i loko o ka vertebra haki e hoʻoikaika a hoʻopaʻa iā ia. |
Hiki i kēia ke ho'ōla iā ia iho ?
ʻAe, hiki i kekahi ʻano haki ʻūlū maʻalahi ke ho'ōla iā lākou iho. Akā hiki ke hala i kekahi mau mahina. I loko o ia manawa, e noi paha kāu kauka iā ʻoe e ʻaʻahu i kahi mea e like me ke kākoʻo e hōʻoia i ka ho'ōla pono ʻana o kou iwi kuamoʻo. Inā ua hoʻonui ʻia kou ʻeha a paʻakikī paha i ka hana ʻana i nā hana o kēlā me kēia lā i kou wā e ho'ōla ana, e hoʻomaopopo i kāu kauka.
Āhea mākou e ʻike ai i ke kauka?
Inā loaʻa koke iā ʻoe ka ʻeha kua a i ʻole nā hōʻailona ʻē aʻe i nalowale ʻole i loko o ʻelua a ʻekolu paha lā, e ʻike pono i ke kauka. He mea nui loa ka ʻike ʻana i ke kauka i ka manawa kūpono inā loaʻa iā ʻoe ka osteoporosis.
Pōpilikia!
Inā loaʻa iā ʻoe ka ʻeha hope koʻikoʻi koke me kekahi o nā hōʻailona ma lalo nei, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
* Ka nāwaliwali a i ʻole ka mae ʻole o ke kino.
* Hiki ʻole ke kāohi i ka mimi a i ʻole ka ʻōpala.
* Kuni.
Leka Lawe-Home
- ʻO nā haki compression he mau māwae liʻiliʻi i loko o nā iwi o ka iwi kuamoʻo (vertebrae). ʻOi aku ka maʻamau o lākou i ko kākou ʻelemakule ʻana.
- ʻO ke kumu nui, ʻo ia ka osteoporosis, kahi kūlana e haki maʻalahi ai nā iwi, a ʻo kahi hopena liʻiliʻi paha e hiki ke kumu i ka haki ʻana o ka iwi.
- ʻO nā hōʻailona nui e komo pū ana me ka ʻeha hope koke, ka paʻakikī ke kūlou, a me ka emi ʻana o ke kiʻekiʻe i ka hala ʻana o ka manawa.
- Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, mai manaʻo wale he ʻeha ia, akā e ʻimi pono i ke kōkua lapaʻau.
- Hiki ke mālama maikaʻi ʻia kēia kūlana me ka mālama kūpono, ka hoʻoikaika kino, a me nā loli o ke ʻano o ka nohona.
- No ka ikaika o kou mau iwi, e ʻai i nā meaʻai waiwai i ka calcium a me ka wikamina D, a pale i ka puhipaka.
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