Ke nānā nei ʻoe i ke TV a kokoke ʻoe e ala aʻe, a ua pana mai kahi ʻeha ʻoi i lalo i kou iwi kuamoʻo e like me ka uila. A i ʻole lohe ʻoe i kahi 'kaomi' ma kou kua i kou hāpai ʻana i kahi ʻeke o nā mea kūʻai mai ka papahele, a mai laila aku, manaʻo ʻoe i kahi ʻeha e hiki ʻole ai iā ʻoe ke neʻe. Ua loaʻa anei iā ʻoe kahi ʻike e like me kēia? He nui ka poʻe e kapa nei i kēia he "slipped disc." Ma ke ʻano lapaʻau, kapa mākou i kēia ʻano he herniated disc . E nānā kākou i ke ʻano maoli, no ke aha e hana ai, a me nā mea hiki ke hana ʻia e pili ana i ia mea.
I ka ʻōlelo maʻalahi, he aha kahi disc herniated?
I mea e hoʻomaopopo ai i kēia, pono mua kākou e ʻike iki e pili ana i ko kākou iwi kuamoʻo. Hana ʻia ko kākou iwi kuamoʻo i 24 mau iwi liʻiliʻi i kapa ʻia he vertebrae, i hoʻopaʻa ʻia ma luna o kekahi. Ma waena o kēia mau iwi, e like me ka mea hoʻopau haʻalulu i loko o ke kaʻa, aia kahi uluna palupalu i kapa ʻia he disc intervertebral.
ʻElua ʻāpana o kēia diski:
1. ʻĀpana o loko: Palupalu loa e like me ka jelly. Ua kapa ʻia kēia ʻo `(Nucl EUS Pulposus)`.
2. ʻĀpana waho: Ua hoʻopuni ʻia kēia jelly e kahi uhi paʻa a ikaika i kapa ʻia ʻo "Annulus Fibrosus".
ʻO ka herniated disc ka wā, no kekahi kumu (no ka laʻana, he ulia, hāpai i kahi mea kaumaha), haehae ka uhi paʻakikī o waho o ka disc a kahe ka jelly i loko. E noʻonoʻo e like me ke kaomi ʻana i kahi donut piha i ka jam a ninini ʻia ka jam. Ke ʻomi ka jelly e puka ana i waho i ke kaula spinal kokoke a i ʻole nā aʻalolo e puka ana i waho, hoʻomaka nā hōʻailona e like me ka ʻeha hiki ʻole ke hoʻomanawanui, ka mae ʻole, a me ka nāwaliwali.
He ʻelua mau mea like ʻole ʻo 'Herniated Disk' a me 'Bulging Disk'?
ʻAe, aia kahi ʻokoʻa iki ma waena o kēia mau kūlana ʻelua. ʻOiai he nui ka poʻe e huikau i nā mea ʻelua, ʻokoʻa ke kumu a me ke ʻano o ko lākou hiki ʻana mai. Hiki ke like loa nā hōʻailona .
I ka ʻōlelo maʻalahi, i loko o kahi disk herniated, haehae ka uhi o ka disk a puka mai ka jelly. I loko o kahi disk puʻupuʻu, ʻaʻole haehae ka disk, akā palahalaha ma muli o ka ʻelemakule a i ʻole nā kumu ʻē aʻe, a puka loa.
E hoʻomaopopo pono kākou i kēia ʻokoʻa mai ka papa ma lalo nei.
| Wehewehena | Disk Herniated | Pākuʻi Puʻupuʻu |
|---|---|---|
| Kumu | I ka manawa pinepine ma muli o kahi ulia a i ʻole ke kaumaha nui. | He ʻano degenerative e kū mālie ana me ka ʻelemakule. |
| Pehea e hana ai | Nahae ka uhi o waho o ka diski, a ninini ʻia ka jelly i loko. | Ua palahalaha ka diski a puka loa i waho (ʻaʻohe haehae). |
| Helu o nā disks i hoʻopilikia ʻia | Hoʻopilikia pinepine ia i hoʻokahi disk i ka manawa. | Hiki ke hoʻopilikia ʻia nā disks he nui i ka manawa like. |
| Makahiki maʻamau loa | Ma waena o 30-50 mau makahiki (ʻoi aku ka maʻamau i waena o nā kāne). | ʻO ka hapa nui ma hope o 40 mau makahiki. |
He aha nā hōʻailona o kēia?
I kekahi manawa hiki ke lilo kahi disc herniated i mea hōʻike ʻole . Eia nō naʻe, ʻoi aku ka pinepine ma mua o ka ʻole, e ʻike ʻia nā hōʻailona. Pili kēia mau hōʻailona i kahi o ka disc herniated a me ka nui o ke kaomi ʻana o ke aʻalolo.
ʻO nā hōʻailona maʻamau:
- ʻEha ʻoi, ʻā, a i ʻole ʻeha e like me ke kuʻi uila.
- ʻO ka numbness a i ʻole ke kani ʻana ma kahi o ka ʻeha a me ka lima a i ʻole ka wāwae e pili ana.
- Ka nāwaliwali o nā ʻiʻo a puni ka ʻeha.
- ʻIke pinepine ʻia kēia mau hōʻailona ma kekahi ʻaoʻao o ke kino.
Ma muli o ka wahi o ka ʻeha
- ʻO ka iwi kuamoʻo Lumbar: ʻO kēia ke ʻano maʻamau o ka ʻeha iwi kuamoʻo . Hoʻomaka ka ʻeha ma ke kua haʻahaʻa,Hiki iā ia ke hoʻolaha i lalo i nā puʻupuʻu, i lalo i ke kua o ka ʻūhā, a i kekahi manawa a hiki i ka wāwae. Manaʻo ia e like me ka haʻalulu uila . Kāhea pū mākou i kēia ʻeha kikoʻī ʻo 'Sciatica'.
- Ma ka ʻāʻī (Cervical Spine): Hoʻomaka paha ka ʻeha ma ka ʻāʻī a laha i lalo ma ka poʻohiwi a hiki i ka lima, a i kekahi manawa a hiki i nā manamana lima .
Hoʻonui ʻia kēia ʻeha i ka wā e hana ana, kū ana, noho ana, ʻoiai hoʻi i ka wā e ʻū ana a i ʻole e ʻūhā ana. ʻO kēia no ka mea e hoʻonui ʻia ke kaomi ma luna o ke aʻalolo i ʻoki ʻia i kēlā manawa. Hoʻomaha iki ka ʻeha ke hoʻomaha ʻoe.
Nā Hōʻailona Pōpilikia
ʻOiai hiki ke mālama ʻia kēia ʻano ma ka home, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, hiki ke lilo i mau hōʻailona o kahi pilikia . I ia mau hihia, pono ʻoe e hele koke i ka Emergency Department (ETU) o ka haukapila.
- ʻEha ma ka lima a i ʻole ka wāwae, e hele pū ana me ka nāwaliwali nui ma ia wahi.
- Loaʻa i ke kuni a i ʻole ka maʻi.
- Ka nalowale ʻana o ka manaʻo ma ka ʻāpana genital a i ʻole a puni ka anus.
- ʻAʻole hiki ke kāohi i ka hana o ka ʻōpū a i ʻole ka ʻōpū mimi (Bladder a i ʻole bowel dysfunction).
Hiki i kēia ke lilo i mau hōʻailona o ka hōʻeha nui ʻana i ke kaula kuamoʻo, no laila mai hoʻowahāwahā iā lākou.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike ʻana i ke kauka.
1. Hoʻokolohua Kino
ʻO ka mea mua, e nīnau ke kauka iā ʻoe e pili ana i kou ʻeha a nānā iā ʻoe. I loko o kēia hoʻokolokolo ʻana,
- Hoʻopili lākou i nā wahi ʻeha o ke kua a i ʻole ka ʻāʻī.
- E haʻi ʻia iā ʻoe e moe i lalo ma luna o kahi moe a hana i nā mea e like me ke hoʻopololei ʻana i kou mau wāwae a kūlou iā lākou.
- Hoʻāʻo i ka hana o nā aʻalolo (reflexes) ma ke kuli a me ka kuʻekuʻe wāwae.
- Hoʻāʻo ʻia ka ikaika o nā ʻiʻo ma nā lima a me nā wāwae.
- Ua ʻōlelo ʻo ia iā lākou e hele ma ko lākou mau kuʻekuʻe wāwae a me nā manamana wāwae.
I ka hapanui o nā hihia, hiki ke ʻike pololei ʻia ka maʻi me kēia hoʻokolokolo kino.
2. Nā hoʻokolohua ʻē aʻe inā pono
I kekahi manawa, hiki i kāu kauka ke ʻōlelo aku i nā hoʻokolohua hou aʻe e hoʻopau i nā kūlana olakino ʻē aʻe a i ʻole e kuhikuhi i ke aʻalolo pololei e ʻoki ʻia nei.
- X-ray: ʻAʻole hiki ke ʻike ʻia kahi disk herniated ma kahi X-ray maʻamau, akā hiki iā ia ke kōkua i ka hoʻoholo ʻana inā he kumu ʻē aʻe ka ʻeha, e like me ka haki a i ʻole ka puʻupuʻu.
- MRI Scan: ʻO ka `(Magnetic Resonance Imaging)` he hoʻāʻo ia e hoʻohana ana i kahi kahua magnetic e hana i nā kiʻi 3D maopopo loa o ka iwi kuamoʻo a me nā disc. ʻO kēia ke ala maikaʻi loa e ʻike pono ai i kahi o kahi disc herniated a me nā aʻalolo e kaomi nei.
- Nānā CT:ʻO ka Tomography Kamepiula (CT) kahi ʻano hana e hana ai i nā kiʻi ʻokiʻoki o ka iwi kuamoʻo ma ka hōʻiliʻili ʻana i kahi nui o nā kukuna X-ray.
- EMG/NCS: ʻO nā hoʻokolohua `(Electromyogram and Nerve Conduction Studies)` he mau hoʻokolohua ia e hoʻohana ʻia e hoʻoholo ai inā ua hōʻino ʻia a huhū paha kekahi aʻalolo. Pili kēia i ka hoʻouna ʻana i nā hōʻailona uila liʻiliʻi loa i nā ʻiʻo a me nā aʻalolo a me ke ana ʻana i kā lākou hana.
Pehea ka lōʻihi e ho'ōla ai? He aha nā lāʻau lapaʻau?
ʻOiai paha he mea weliweli kēia, ʻo ka nūhou maikaʻi, ʻo ka hapa nui o nā maʻi disc herniated e ho'ōla iā lākou iho i loko o kekahi mau pule a i ʻole mau mahina, me ka ʻole o ke koi ʻana i ke ʻoki ʻana.
Nā mea hiki iā ʻoe ke hana no ka hoʻōla wikiwiki:
1. Hoʻomaha: E pale i nā mea e hoʻonui ai i ka ʻeha, e like me ka hāpai ʻana i nā mea kaumaha, ke kūlou ʻana, a me ka noho ʻana ma ke kūlana like no ka manawa lōʻihi.
2. Lāʻau lapaʻau: Hiki iā ʻoe ke lawe i nā lāʻau ʻeha a me nā lāʻau anti-inflammatory e like me ke kauoha a kāu kauka.
3. Nā ʻeke anu a me nā ʻeke wela: He maikaʻi nā ʻeke hau no ka hōʻemi ʻana i ka ʻeha a me ka pehu ʻana i nā lā ʻelua mua. Ma hope o ʻelua lā, hiki iā ʻoe ke hoʻohana i nā ʻeke wela e hoʻomaha ai i nā ʻiʻo.
4. Hoʻōla Kino: Ke pau ka ʻeha, e kuhikuhi aku kāu kauka iā ʻoe i kahi mea hoʻōla kino. ʻO nā hoʻomaʻamaʻa e hoʻoikaika ai i nā ʻiʻo o ke kua a me ka ʻōpū a aʻo iā ʻoe i ke kūlana kūpono e hiki ke kōkua i ka pale ʻana i ka hoʻi hou ʻana o ke ʻano.
Inā ʻaʻole hāʻawi kēia mau lāʻau maʻalahi i ka hōʻoluʻolu, hiki i ke kauka ke ʻōlelo aku i nā inikini steroid a i ʻole, he mea kākaʻikahi loa, ke ʻoki ʻana.
Leka Lawe-Home
- Inā loaʻa koke iā ʻoe ka ʻeha nui ma ke kua a i ʻole ka ʻāʻī e hele pū me ka ʻeha pana a i ʻole ka ʻeha ʻā e hoʻolaha ana i lalo i kou lima / wāwae, hiki paha he disc herniated.
- I ka manawa pinepine, ua ho'ōla loa ʻia kēia maʻi me ka hoʻomaha, nā mea hōʻeha ʻeha maʻalahi, a me ka hoʻoikaika kino.
- Inā ʻike ʻoe i ka maneʻo ʻana i kou mau wāwae/lima, ka nalowale ʻana o ka mana o ka ʻōpū/ʻōpū, a i ʻole ka nalowale ʻana o ka ʻike ma kou wahi genital, he mau pilikia kēia a pono ʻoe e hele koke i ka Emergency Department (ETU) o ka haukapila.
- E ʻike mau i ke kauka no ka ʻōlelo aʻo kūpono a me ka mālama ʻana, ma kahi o ka nānā ʻana iā ʻoe iho ma ka pūnaewele.
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