ʻO kēlā me kēia mea i ʻike i ke ʻano paʻakikī o ke kū ʻana i luna, noho i lalo, a hele paha me ka ʻeha o ke kua, ʻike pono i ke ʻano o ia ʻeha. He aha kēia ʻeha nui e hoʻohihi ai iā ʻoe i ka manaʻo "oh" ʻoiai inā ʻoe e neʻe iki? ʻO ka hapa nui o ka manawa, ʻo ke kumu o kēia he pilikia me ka "disc" i loko o ko kākou iwi kuamoʻo. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia pilikia disc a nā mea a pau e kamaʻilio nei, akā ʻaʻole i ʻike maopopo ʻia.
He aha kēia disc spinal?
I ka ʻōlelo maʻalahi, he puʻu iwi liʻiliʻi ko kākou iwi kuamoʻo i hoʻopaʻa ʻia ma luna o kekahi. Kāhea mākou i kēia mau iwi he vertebrae . E noʻonoʻo i kēia mau vertebrae e like me nā piliki. Ma kahi o ʻelua mau piliki e kuʻi ana kekahi i kekahi, aia kekahi mea e like me ka 'shock absorber' i loko o ke kaʻa e omo i nā haʻalulu e kū mai ana i ka wā e neʻe ai lākou i mua a i mua. ʻO kēlā pad rubber ka mea a mākou e kapa nei ʻo ' intervertebral disk' , a i ʻole 'ka disk' wale nō.
ʻElua ʻāpana o kēia diski:
1. ʻO ka ʻāpana paʻakikī o waho: He uhi fibrous ikaika loa kēia. E like me ka papa waho o kahi huila. Kāhea mākou i kēia "(annulus fibrosus)".
2. ʻO ka ʻāpana palupalu o loko: Ua like kēia me ka gel. Hāʻawi kēia ʻāpana i ka disc i kona palupalu . Ua kapa ʻia kēia ʻo ka "nucleus pulposus".
ʻAʻole kēia disk he mea ola wale nō. Ua hoʻopaʻa paʻa ʻia ma waena o ʻelua mau iwi kuamoʻo a ua paʻa ʻia e nā ligaments a me nā ʻiʻo a puni. No laila, ʻaʻole maʻalahi ka "paheʻe" ʻana o kahi disk.
ʻO ka mea nui loa, ʻo ia ka pale ʻana o kēia diski i ko kākou iwi kuamoʻo, a me ke kaula kuamoʻo a me nā aʻalolo e puka aku ana mai ia mea.
He aha ka mea e hana ʻia i kēia diski i ko kākou wā ʻelemakule? I ko kākou wā ʻōpiopio, ʻoi aku ka wai o loko o kēia diski a like me ka gel. Akā i ko kākou wā ʻelemakule, ʻoiai i ko kākou wā ʻōpiopio, emi iho ka lako koko i kēia diski. A laila hoʻomaka mālie ka ʻāpana palupalu i loko e paʻakikī a maloʻo. I ka wā waena, lilo kēia diski i paʻakikī e like me kahi ʻāpana laholio kahiko. Ma muli o kēia mau loli, lilo ka uhi waho o ka diski i nāwaliwali a hōʻino maʻalahi.
He aha ke ʻano o ka wā e puka mai ai kahi diski? (Herniated Disk)
ʻO kēia ke kūlana a ka poʻe he nui e kapa nei he "slipped disc." ʻO ka mea e hana ʻia ma ʻaneʻi, ʻaʻole ia he paheʻe ka disc, akā, ʻo ia ʻāpana o ka disc e puʻupuʻu ana i waho.
E noʻonoʻo ʻoe e ʻomi ana i kahi donut i piha i ka jam. He aha ka mea e hana ʻia? Puka mai ka jam mai kahi nāwaliwali o ka donut, ʻeā? Pēlā nō hoʻi ka mea e hana ʻia ma ʻaneʻi. Ma muli o kekahi kaomi, nāwaliwali ka uhi paʻakikī o waho o ka disc "annulus fibrosus", haehae, a puka mai ka ʻāpana gel i loko o ka "nucleus pulposus".
ʻO ke diski e puka mai ana e like me kēia e kaomi ana i kahi aʻalolo kokoke. ʻO ia ka manawa e ʻike ʻia ai nā hōʻailona e like me ka ʻeha hiki ʻole ke hoʻomanawanui a me ka mae ʻole. I ka wā mua, e paʻakikī nā ʻiʻo ma ke kua, a ʻaʻole paha ʻoe e hiki ke neʻe pono. A laila, hiki i ka ʻeha ke hele i lalo i ke aʻalolo i hoʻopaʻa ʻia i ka wāwae, a i kekahi manawa hiki i ka lima.
ʻO ka hapa nui o ka manawa, ma kahi o 90% o kēia mau pilikia disc e kū mai ana ma ke kua haʻahaʻa, ʻo ia hoʻi, ma ko mākou ʻāpana lumbar. ʻAʻole pinepine ka pilikia o ka ʻāpana cervical.
| Nā kumu kūpono o ka pilikia disk | Nā Laʻana |
|---|---|
| Ulia a i ʻole ke kūlana kūpono ʻole | Ka hāpai pono ʻole ʻana i kahi mea kaumaha (he pahu kinoea, he bākeke wai), ka wili koke ʻana, a i ʻole ka hāʻule ʻana. |
| Ka ʻelemakule ʻana | Me ka makahiki, nalowale ka nui o ka wai o ka diski, maloʻo, a nāwaliwali. |
| Kaumaha/momona nui | I ka piʻi ʻana o ke kaumaha o ke kino, piʻi pū kekahi ka ukana ma luna o ke kuamoʻo. Hoʻokau kēia i ke kaomi ma luna o nā diski. |
| Ka nele i ka hoʻoikaika kino/noho mālie | Ke nāwaliwali nā ʻiʻo o ke kua a me ka ʻōpū, e emi ana ka ikaika o ka iwi kuamoʻo. |
ʻO wai ka mea i ʻoi aku ka paʻakikī ke loaʻa i kēia?
ʻO ka Herniated Disc ka mea maʻamau i nā wahine a me nā kāne ma waena o 30 a me 50 mau makahiki. Eia nō naʻe, hiki ke loaʻa i nā poʻe ʻōpio hana. ʻO ka mea kupanaha, ʻaʻole maʻamau kēia pilikia i nā poʻe ʻelemakule loa, ka poʻe i nalowale i ka aneane āpau o kā lākou gel a lilo i ʻoʻoleʻa.
ʻO ka nūhou maikaʻi, ʻaʻole nā disc herniated āpau e hōʻeha . Loaʻa i kekahi poʻe nā scan MRI e hōʻike ana i nā pilikia me kā lākou mau disc, akā ʻaʻole lākou e ʻike i kekahi ʻeha a ʻoluʻolu ʻole paha. ʻO kēia no ka mea ʻaʻole ke ʻoki nei ka disc herniated i kahi aʻalolo.
He aha ke ʻano o ka pau ʻana o kahi diski? (Maʻi Disk Degenerative)
He mea kēia a ka poʻe he nui e kamaʻilio nei. He hana kūlohelohe maoli nō ia e kū mai ana me ka ʻelemakule ma mua o kahi maʻi. E like me ko kākou lauoho e hina hina a me ko kākou ʻili e ʻāwiliwili, e mae mālie ana hoʻi ko kākou mau diski, e emi ana, a e maloʻo ana i ka hala ʻana o ka manawa. ʻO kēia ka mea a mākou e kapa nei he Degenerative Disk Disease .
ʻAʻole like kēia uku no kēlā me kēia kanaka. No kekahi poʻe, hana wikiwiki loa ia a koʻikoʻi hoʻi. ʻOi aku hoʻi,
- No ka poʻe me nā ʻiʻo nāwaliwali
- No ka poʻe me ke kūlana maikaʻi ʻole (slouching)
- No ka poʻe momona
Ma muli o ke kaomi mau ʻana o nā iwi kuamoʻo o kēia poʻe, ua pau koke nā diski. Hiki i kēia ʻeha ke hana i ka ʻeha o ke kua, ka ʻoʻoleʻa, a me nā pilikia ʻē aʻe.
Pono anei au e ʻike i ke kauka?
ʻAe loa. Ke loaʻa iā ʻoe ka ʻeha o ke kua, mai hoʻowahāwahā wale iā ia me he hōʻailona lā o ka nāwaliwali. E ʻike koke i kāu kauka , ʻoiai inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona.
- ʻEha nui ke kua, ʻaʻole hiki ke hoʻomanawanui.
- Inā hele ka ʻeha i lalo ma kahi wāwae a lima paha (ʻoi aku hoʻi e like me ka haʻalulu uila).
- Inā he ʻeha kou a i ʻole ka emi ʻana o ka manaʻo ma kou mau wāwae, nā wāwae, a i ʻole nā lima.
- Inā nāwaliwali kou mau ʻiʻo a paʻakikī iā ʻoe ke hele a hāpai paha i nā mea kaumaha.
- ʻO ka mea nui loa: Inā pilikia ʻoe i ka kaohi ʻana i kou mimi a i ʻole kou ʻōpala, a inā paha ʻoe e ʻike i ka mae ʻana o ka ʻōpū ma ia wahi, he pilikia kēia . E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
E nānā kāu kauka iā ʻoe, e kauoha i nā hoʻokolohua e like me ka X-ray a i ʻole MRI scan inā pono, a e ʻōlelo aku i ka lāʻau lapaʻau maikaʻi loa no kou kūlana. Hiki i kēia ke komo pū me ka lāʻau lapaʻau, ka physiotherapy, a i ʻole, i ka kakaikahi loa, ke ʻoki kino.
Leka Lawe-Home
- He ʻāpana laholio ka diski kuamoʻo e omo ana i nā haʻalulu ma waena o nā iwi kuamoʻo o ko kākou iwi kuamoʻo.
- ʻO kahi "disc herniated" ka wā e paʻi ai ka ʻaoʻao palupalu o loko o ka disc ma o kona uhi waho, e kaomi ana i kahi aʻalolo kokoke.
- ʻO ka ʻelemakule, ke kūlana kūpono ʻole, ka hāpai kaumaha, ka momona, a me ka nele o ka hoʻoikaika kino nā kumu nui o nā pilikia disk.
- ʻO ka ʻeha kua, ka ʻeha e pālahalaha ana i lalo i ka wāwae, ka maneʻo, a me ka nāwaliwali o nā ʻiʻo nā hōʻailona nui.
- Mai hoʻowahāwahā i ka ʻeha o ke kua. Inā ʻeha nui ka ʻeha a i ʻole he mau hōʻailona ʻē aʻe kāu, e ʻike pono i kāu kauka .
- Hiki ke pale ʻia nā pilikia he nui o ka disc ma ka hoʻomaʻamaʻa pono ʻana, ka kaohi ʻana i kou kaumaha, a me ka mālama ʻana i ke kūlana kūpono.











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