ʻEha pū kou kua? He herniated disc anei? (Herniated Disk) - E ʻike kākou e pili ana i kēia!

I kekahi manawa, ʻaʻole mākou e noʻonoʻo i ia mea. E noʻonoʻo e hoʻāʻo ana e ala aʻe mai kahi noho i mua o ke TV a ʻike i kahi ʻeha ʻoi a hou e hoʻomaka ana ma ke kua a iho i lalo i ka wāwae... Nui ka poʻe e makaʻu nei i kēia manawa, me ka noʻonoʻo ʻana, "Auē, ke paheʻe nei kekahi o kaʻu mau diski?" ʻOiaʻiʻo, hiki loa ia. I kēia lā, e kamaʻilio kākou e pili ana i kēia ʻano i kapa ʻia ʻo ' Herniated Disc ' a i ʻole 'Slipped Disc' e hoʻopilikia nei i nā poʻe he nui.

He aha maoli ke ʻano o ka lele ʻana i kahi diski?

I mea e hoʻomaopopo ai i kēia, e aʻo mua kākou e pili ana i ke ʻano o ko kākou iwi kuamoʻo. Hana ʻia ko kākou iwi kuamoʻo i 33 mau iwi liʻiliʻi i hoʻopaʻa ʻia ma luna o kekahi. Kāhea mākou i kēia mau vertebrae . Ma waena o kēlā me kēia vertebrae he uluna palupalu, e like me ka jelly. ʻO ia ka mea a mākou e kapa ai ʻo ka disc intervertebral, a i ʻole 'disk.'

ʻO ka hana nui o kēia diski ka hana ma ke ʻano he 'mea hoʻopūhoihoi' ma ka hoʻopūhoihoi ʻana i ka haʻalulu e hiki mai ana i ka iwi kuamoʻo ke kūlou mākou i mua a i mua me ka maʻalahi, hāpai i nā mea kaumaha, a hele.

ʻElua papa o kēia diski.

1. ʻOkoʻa o loko (Nucl EUS Pulposus): ʻO kēia ka ʻāpana palupalu e like me ka jelly i loko.

2. Uhi Waho (Annulus Fibrosus): ʻO kēia ke apo waho ikaika iki a fibrous e hoʻopuni ana i ka ʻāpana e like me ka jelly.

No kekahi kumu, no ka laʻana, i ka wā e hāpai koke ai i kahi kaumaha, kūlou hewa, a i ʻole ma muli o nā loli me ka makahiki, haehae a māwae paha kēia uhi waho ikaika, a puka i waho ka mea e like me ka jelly. ʻO ia ka mea a mākou e kapa nei he 'disc herniated.' ʻO kēia mea e like me ka jelly e puka ana i waho e kaomi ana i ke kaulahao spinal kokoke a i ʻole nā ​​​​aʻalolo e puka mai ana mai loko mai. ʻO ia ka manawa e hoʻomaka ai ka ʻeha hiki ʻole ke hoʻomanawanui, ka mae ʻana, a me nā hōʻailona ʻē aʻe.

He like nā ʻano o ka herniated disk a me ka bulging disk?

He nui ka poʻe e huikau nei i nā kūlana ʻelua. ʻOiai ua like nā hōʻailona, ​​​​aia kahi ʻokoʻa maopopo ma waena o nā mea ʻelua. I ka ʻōlelo maʻalahi, ʻo ka disc bulging ka wā ʻaʻole e haehae ka uhi waho o ka disc, akā e loli me ka makahiki a puʻupuʻu i waho e like me ka huila palahalaha. I loko o kahi disc herniated , haehae ka uhi waho a kahe ka jelly i loko.

E nānā kākou i kēia ʻokoʻa ma kahi papa.

He aha nā hōʻailona nui o kēia?

I kekahi manawa, ʻaʻole paha e hōʻike kahi disc herniated i kekahi mau hōʻailona. Eia nō naʻe, nui ka poʻe e loaʻa nā hōʻailona. Pili kēia mau hōʻailona i kahi o ka disc herniated (ma ke kua a i ʻole ka ʻāʻī) a me ke ʻano o ke kaomi ʻana i kahi aʻalolo.

ʻO nā hōʻailona maʻamau:

• ʻŌhūhū a ʻūlū paha: He ʻano ʻūlū ma ka lima a i ʻole ka wāwae kahi i ʻūlū ʻia ai ke aʻalolo ma kona ala.
• ʻOi, ʻeha wela: Hiki iā ʻoe ke loaʻa i ka ʻeha pana, e like me ka haʻalulu uila.
• Nāwaliwali o nā ʻiʻo : Hiki ke loaʻa ka nāwaliwali o nā ʻiʻo ma kahi o ka ʻeha. Eia kekahi laʻana, ka paʻakikī i ka hāpai ʻana i ka wāwae.
• Aia nā hōʻailona ma kekahi ʻaoʻao o ke kino: ʻO ka hapa nui o ka manawa, aia kēia ʻeha a me ka mae ʻana ma ka ʻaoʻao ʻākau a hema paha.

Inā ua paheʻe kahi diski ma ke kua haʻahaʻa (Lumbar Spine):

Hiki i ka ʻeha ke hoʻomaka ma ke kua a hele ma waena o nā puʻupuʻu, nā ʻūhā, a me nā puʻupuʻu a hiki i ka wāwae . Ua kapa ʻia hoʻi kēia ʻo 'sciatica'.

Inā ua paheʻe kahi diski ma ka ʻāʻī (cervical spine):

Hiki i ka ʻeha ke hoʻomaka ma ka ʻāʻī a hele i lalo ma ka poʻohiwi a hiki i ka lima a me nā manamana lima .

I ka wā e pono ai ʻoe e ʻike koke i ke kauka!

ʻOiai hiki ke mālama ʻia kēia maʻi ma ka home, aia kekahi mau hihia kahi e pono ai ke kōkua koke ʻia e ke kauka. Manaʻo mākou he mau hōʻailona hae ʻulaʻula kēia.

Inā ʻike ʻoe i hoʻokahi a ʻoi aku paha o nā hōʻailona ma hope o kahi ʻeha, e hele koke i ka haukapila kokoke loa i ka Emergency Department (ETU).

• Ka nāwaliwali nui ma ka lima a i ʻole ka wāwae .
• Loaʻa i ke kuni a i ʻole ka maʻi .
• Ka nalowale ʻana o ka ʻike ma ka rectum a i ʻole ka genital area.
• Ka hana ʻino o ka ʻōpū mimi a i ʻole ka ʻōpū. He maʻi koʻikoʻi loa kēia.

ʻO nā hōʻailona e like me kēia e hōʻike ana ua hōʻino nui ʻia ke kaula iwi kuamoʻo. No laila, he mea nui e ʻike i ke kauka me ka hoʻonele ʻole i ka manawa .

Pehea lā e ʻike ai ke kauka i kēia?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i ke kauka. ʻO ka mea mua āna e hana ai, ʻo ia ke hāʻawi iā ʻoe i kahi hoʻokolokolo kino piha.

• Ke nīnau aku nei au iā ʻoe e pili ana i ka ʻeha.
• E kaomi lākou ma nā wahi ʻeha o kou kua a i ʻole kou ʻāʻī.
• E hoʻomoe ʻia ʻoe ma luna o kahi moe a e neʻe kou mau wāwae a lima paha i nā ʻaoʻao like ʻole.
• Hoʻāʻo i nā reflexes kuli a me nā kuʻekuʻe wāwae.
• Hoʻāʻo ia i ka ikaika o nā ʻiʻo ma kou mau wāwae a me kou mau lima.
• I kekahi manawa ʻōlelo lākou e hele ma luna o nā kapuwaʻi o kou mau wāwae a ma luna o kou mau kuʻekuʻe wāwae.

I ka hapanui o nā hihia, hiki ke ʻike ʻia ke kūlana me kēia hoʻokolohua kino wale nō. Eia nō naʻe, hiki i kāu kauka ke kauoha i kekahi mau hoʻokolohua e kāpae i nā kumu ʻē aʻe o ka ʻeha (e like me ka haki a i ʻole ka puʻupuʻu) a i ʻole e kuhikuhi i ke aʻalolo pololei e ʻoki ʻia ana.

Nā hoʻokolohua hou aʻe

• X-ray: ʻAʻole e hōʻike kahi X-ray maʻamau i kahi disc herniated, akā hiki iā ia ke nānā i nā pilikia ʻē aʻe ma ka iwi kuamoʻo, e like me nā haki.
• CT scan: Hiki i kēia ke hāʻawi i kahi kiʻi maopopo o ka iwi kuamoʻo a me nā hale a puni ma mua o kahi X-ray.
• Nānā MRI:ʻO ka hoʻāʻo maikaʻi loa a pololei hoʻi no ka ʻike ʻana i kahi disc herniated ʻo ia ka MRI. Hiki iā ia ke ʻike maopopo i kahi o ka disc, kona ʻano kūloko, a me nā aʻalolo e hoʻopaʻa ʻia ana.
• Nā hoʻāʻo EMG a me NCS: Hoʻohana ʻia kēia mau hoʻāʻo e ʻike inā he pōʻino i nā aʻalolo a pehea lākou paʻa. I loko o kahi "Electromyogram (EMG)", hoʻokomo ʻia kahi mea liʻiliʻi e like me ke nila i loko o ka ʻiʻo a ana ʻia kāna hana uila. I loko o nā "Nerve Conduction Studies (NCS)", hoʻouna ʻia kahi hōʻailona uila liʻiliʻi i ke aʻalolo a ana ʻia ka wikiwiki o kona hele ʻana. Hiki i kēia ke haʻi pololei iā ʻoe inā he pōʻino aʻalolo.

E ola anei kēia? Pehea e hiki ai iaʻu ke ola koke?

ʻAe, ʻo ka nūhou maikaʻi , no ka hapa nui o nā kānaka, e hoʻopau wale ʻia kahi kūlana herniated disk i loko o kekahi mau pule a i ʻole hoʻokahi a ʻelua paha mahina. Loaʻa i ke kino ka hiki ke ho'ōla iā ia iho.

E kōkua kēia mau mea iā ʻoe e ho'ōla koke:

1. Hoʻomaha: E hōʻalo loa i nā hana e hoʻonui ai i ka ʻeha (ka hāpai kaumaha, nā hana hoʻoluhi kua). Eia naʻe, mai noho ma kahi moe i ka lā a pau. He maikaʻi nā hana maʻalahi e like me ka hele wāwae pōkole.

2. Lāʻau lapaʻau: E lawe i nā lāʻau ʻeha a me nā lāʻau anti-inflammatory i kuhikuhi ʻia e kāu kauka e like me ke kuhikuhi ʻana.

3. Nā ʻūmiʻi anu a me ka wela: Hiki iā ʻoe ke kau i nā ʻeke hau e hōʻemi i ka ʻeha a me ka pehu no nā lā ʻelua mua. Ma hope o kēlā, he manaʻo maikaʻi e kau i kahi ʻōmole wai wela e hoʻomaha ai i nā ʻiʻo.

4. Physiotherapy: He mea nui loa ka hana ʻana i nā hoʻoikaika kino e hoʻoikaika i nā ʻiʻo o ke kua a me ka ʻōpū ma lalo o ke alakaʻi ʻana a kahi physiotherapist, e like me ka ʻōlelo a kāu kauka. Hiki i kēia ke pale aku i kēia ʻano mai ka hoʻi hou ʻana i ka wā e hiki mai ana. E hoʻomanaʻo, pono ʻoe e hoʻoikaika kino inā e emi ana ka ʻeha. Inā piʻi ka ʻeha, e hoʻōki koke.

Inā hoʻomau ka ʻeha, hiki i kāu kauka ke hāʻawi iā ʻoe i kahi inikini steroid a kuhikuhi paha iā ʻoe i nā lāʻau lapaʻau ʻē aʻe. Manaʻo ʻia ke ʻoki ʻana i nā hihia koʻikoʻi loa a inā ʻaʻohe lāʻau lapaʻau ʻē aʻe i kōkua.