ʻEha hope? Herniated disc? E ʻike pono kākou i ke ʻano o ia mea (Herniated Disk)

Ua loaʻa anei iā ʻoe kahi ʻeha nui e like me ka uila e holo ana ma kou kua i kou kūlou ʻana e hāpai i kahi mea kaumaha? A i ʻole ua loaʻa anei iā ʻoe kahi ʻeha ʻoi ma kou ʻāʻī i hiki ʻole ai ke hoʻohuli i kou poʻo a i ʻole kahi ʻano ʻūlū e holo ana ma kou lima i kou ala mua ʻana i ke kakahiaka? Ua loaʻa i ka hapa nui o mākou kēia ʻike ma ka liʻiliʻi hoʻokahi i ko mākou ola. ʻO ka hapa nui o ka manawa, kapa mākou ia he "spinal cord sprain" a i ʻole he "slipped disc." No laila i kēia lā e kamaʻilio mākou e pili ana i kahi kūlana e hoʻopilikia ai i nā mea āpau, i kapa ʻia ma ke ʻano lapaʻau he "Herniated Disk". Mai hopohopo, ʻaʻole kēia he mea weliweli e like me kou manaʻo. E hele kākou i ke kumu, maʻalahi a pololei.

I ka ʻōlelo maʻalahi, he aha kahi disk herniated?

E noʻonoʻo i kou iwi kuamoʻo e like me ka puʻu o nā iwi liʻiliʻi (kapa mākou iā lākou he 'vertebrae') i hoʻopaʻa ʻia ma luna o kekahi. I mea e pale ai i kēia mau iwi mai ka hamo ʻana kekahi i kekahi, e like me nā 'shock absorbers' i loko o ke kaʻa, aia nā uluna poepoe e like me ka moena ma waena o nā iwi. ʻO kēia nā mea a mākou e kapa nei he 'disks'. ʻAe kēia mau disc iā mākou e kūlou i mua, i hope, a wili maʻalahi.

Ua like kēia diski me ka donut me ka jam ma luna. He ʻili paʻakikī kona ma waho a he ʻāpana palupalu e like me ka jelly i loko. I ka hala ʻana o ka manawa, i ko kākou ʻelemakule ʻana, ma muli o nā kūlana maikaʻi ʻole a i ʻole kahi ulia pōpilikia, hiki i ka ʻāpana paʻakikī o waho o kēia diski ke nāwaliwali a hiki ke hana ʻia kahi māwae liʻiliʻi. A laila hiki i ka ʻāpana e like me ka jelly i loko ke paheʻe i waho ma o kēlā māwae. ʻO ia ke kumu e kapa ai mākou iā ia he `(Herniated Disk)` a i ʻole `(ruptured disk)`. I waena o mākou, ua ʻike ʻia kēia he `slipped disk` a i ʻole "slipped disc".

ʻO ka ʻāpana o ka disc e puka mai ana e like me kēia e kaomi ana i ke kaula kuamoʻo kokoke a me nā aʻalolo e puka ana i waho. ʻO ia ka manawa e hoʻomaka ai mākou e ʻike i nā hōʻailona e like me ka ʻeha, ka mae ʻana, a i kekahi manawa ka nāwaliwali i ko mākou mau lālā.

ʻOiai hiki ke loaʻa kēia ʻano ma nā wahi āpau o ka iwi kuamoʻo, ʻike pinepine ʻia ia ma ke kua haʻahaʻa (lumbar spine) a me ka ʻāʻī (cervical spine). He mea kākaʻikahi loa ia ma ka iwi kuamoʻo thoracic.

He hernia koʻu disk? He aha nā hōʻailona?

Aia nā hōʻailona ma kahi o ka iwi kuamoʻo e pehu ana ka disc. E nānā kākou pehea kona manaʻo ma nā wahi nui ʻelua.

No ke aha e hana ai kēia? Nā kumu a me nā kumu pilikia

E like me kā mākou i kūkākūkā ai ma mua, ʻo ke kumu nui, ua nāwaliwali ka ʻili waho o ka diski, e hoʻoheheʻe ana i ka mea like me ka jelly i loko. Aia kekahi mau kumu e hiki ke hoʻopilikia i kēia.

Nā kumu nui:

• Ka ʻelemakule ʻana: I ko kākou ʻelemakule ʻana, emi iho ka nui o ka wai i loko o kā kākou mau diski, e maloʻo iki ai lākou a emi iki ka palupalu. ʻOi aku ka maʻalahi o ka haki ʻana mai ka hopena iki loa.
• Nā Ulia: ʻO kahi hahau ikaika i ka iwi kuamoʻo, e like me ka hāʻule koke ʻana a i ʻole kahi ulia kaʻa, hiki ke hōʻino i kahi diski.
• Kūlana maikaʻi ʻole: ʻO ka hana ʻana me kou kua i kūlou no ka manawa lōʻihi, ka hāpai hewa ʻana i nā mea kaumaha, a pēlā aku hiki ke hoʻonui mālie i ke kaomi ma nā diski a hōʻino. E noʻonoʻo i kahi mea hana ma ke keʻena no nā hola he nui me ko lākou kua i kūlou. ʻOi aku ka nui o ka pilikia o ka poʻe e like me ia.
• Ke hāpai ʻana i nā mea kaumaha: ʻO ka hāpai ʻana i kahi mea kaumaha i ka manawa hoʻokahi me ke ʻano kūpono ʻole ke kumu koke o kēia pilikia no nā poʻe he nui. Eia kekahi laʻana, hiki ke hana ʻia kēia inā kūlou ʻoe i kou kua e hāpai i kahi mea e like me ka pahu kinoea a i ʻole kahi bākeke wai.

Nā Kumu Pilikia:

• Makahiki: ʻIke pinepine ʻia kēia ʻano i nā poʻe ma waena o 30 a me 50 mau makahiki.
• Kāne: ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā kāne ma mua o nā wahine.
• Puhi paka:Hoʻemi ka puhipaka i ke kahe koko i nā diski, hiki ke hoʻonāwaliwali koke a hōʻino iā lākou.
• Kaumaha nui: Ke piʻi aʻe nei ke kaumaha o ke kino, piʻi aʻe ke kaomi ma nā diski, ʻoi aku hoʻi ma ke kua haʻahaʻa.
• Hoʻoilina: Inā loaʻa i kekahi o kou ʻohana kēia mau kūlana, ʻoi aku ka nui o kou hoʻomohala ʻana iā lākou.
• ʻOihana: ʻO ka poʻe e hana ikaika ana, hāpai i nā mea kaumaha, hoʻokele mau, a noho paha ma ke kūlana like, ʻoi aku ka nui o ka pilikia.

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Ke hele ʻoe e ʻike i ke kauka me nā hōʻailona e like me kēia, ʻo ka mea mua āna e hana ai, ʻo ia ke nīnau iā ʻoe i nā nīnau a nānā i kou kino.

• Hoʻokolokolo kino: E nānā ke kauka i kou mau kiko ʻeha, ka ikaika o nā ʻiʻo, nā reflexes, a me ke ʻano o kou ʻili.
• Hoʻāʻo Hoʻokiʻekiʻe Wāwae Pololei: Ma kēia hoʻāʻo, ua hoʻomoe ʻia ʻoe ma luna o kahi moe a ua hāpai pololei ʻia ka wāwae ma ka ʻaoʻao ʻeha me ka ʻole o ke kulou ʻana i ke kuli. Inā hele ka ʻeha i lalo i ka wāwae i ka wā e hana ai i kēia, he hōʻailona paha ia o kahi disk herniated.

Ma hope o kēia mau hoʻokolohua, hiki i ke kauka ke ʻōlelo i kekahi mau hoʻokolohua hou aʻe e hōʻoia i ke kūlana a loiloi i ka nui o ka pōʻino.

• MRI scan (Magnetic Resonance Imaging): ʻO kēia ke ala maikaʻi loa e ʻike pono ai i ke kūlana o ka disc a inā paha he ʻūmiʻi aʻalolo.
• X-ray: ʻAʻole hiki i kahi X-ray ke hōʻike i ka disc, akā hiki iā ia ke kōkua i ka nānā ʻana i nā pilikia ʻē aʻe me nā iwi, e like me ka herniated disc.
• CT scan (Computed Tomography): Hiki i kēia ke hana i nā kiʻi kikoʻī o ka iwi kuamoʻo a me nā ʻiʻo a puni.
• ʻO ke aʻo ʻana i ka EMG a me ke alakaʻi ʻana o nā aʻalolo: Kōkua kēia mau hoʻokolohua i ke ana ʻana i ka nui o ka hōʻino ʻana i nā aʻalolo a pehea e hele ai nā hōʻailona ma o lākou.

He aha nā lāʻau lapaʻau? Aia kekahi mau mea hiki iaʻu ke hana ma ka home?

ʻO kēia ka mea nui loa. 9 mai loko mai o 10 mau kānaka me kahi herniated disk e ho'ōla me ke ʻoki ʻole ʻana, me nā lāʻau lapaʻau maʻalahi. No laila, ʻaʻohe kumu e makaʻu ai.

Nā mea hiki ke hana ʻia ma ka home i nā wā mua:

• E hoʻomaha iki: Inā ʻeha loa ka ʻeha, e hoʻomaha no hoʻokahi a ʻekolu paha lā. Akā , mai noho lōʻihi ma kahi moe. Hiki i ka hana ʻana pēlā ke hoʻopaʻa i nā ʻiʻo a hoʻonui i ka ʻeha. E ho'āʻo e hana i nā hana liʻiliʻi i kēlā me kēia lā e like me ka hiki.
• Nā lāʻau hoʻopau ʻeha: Hiki iā ʻoe ke noi i kāu kauka no kahi lāʻau hoʻopau ʻeha e like me ka ibuprofen a i ʻole acetaminophen.
• Palai anu a wela paha:ʻO ke kau ʻana i kahi ʻeke hau i ka ʻiʻo i nā lā ʻelua mua o ka ʻeha hiki ke kōkua i ka hōʻemi ʻana i ka pehu a me ka ʻeha. Ma hope o ʻelua a ʻekolu paha lā, ʻo ke kau ʻana i kahi ʻōmole wai wela a i ʻole ka ʻeke wai wela i ka ʻiʻo e hoʻomaha a hōʻemi i ka ʻeha.

Lapaʻau lapaʻau:

Inā ʻaʻole e emi ka ʻeha ma hope o kekahi mau pule o nā mālama ʻana ma ka home, hiki i kāu kauka ke ʻōlelo aku i kēia ʻano lāʻau.

• Lāʻau lapaʻau: Hiki ke hāʻawi ʻia nā lāʻau hōʻoluʻolu ʻeha anti-inflammatory a i ʻole nā ​​​​​​mea hoʻomaha ʻiʻo e hōʻemi i ka ʻeha a me ka pehu.
• Hoʻōla Kino: He lāʻau lapaʻau koʻikoʻi loa kēia. E aʻo aku kekahi mea hoʻōla kino iā ʻoe i nā hoʻomaʻamaʻa kūikawā a me nā hoʻolōʻihi e hoʻoikaika ai i kou kua a me nā ʻiʻo ʻōpū a hoʻēmi i ke kaomi ma kou mau aʻalolo.
• Nā Inikini ʻIwi Kuamoʻo: Inā ʻeha nui, hāʻawi pololei ʻia kahi inikini me ka steroid i kapa ʻia ʻo `epidural` a i ʻole `nerve block` i loko o ka wahi ʻeha o ke kuamoʻo. Hiki i kēia ke hōʻemi koke i ka ʻeha a me ka pehu.

Āhea e pono ai ke ʻoki kino?

Eia nō naʻe, inā ʻaʻole e emi ka ʻeha ma hope o nā mahina o nā lāʻau ʻē aʻe, inā hiki ʻole i ka ʻeha ke hana i nā hana o kēlā me kēia lā, a inā e hoʻonui ana ka nāwaliwali o nā lālā, e noʻonoʻo paha ke kauka i ke ʻoki kino.

He mea kākaʻikahi loa, hiki i kahi disc herniated nui ke ʻūlū i nā aʻalolo e kāohi ana i ka mimi a me ka defecation. Inā hopena kēia i ka nalowale o ka mana o ka ʻōpū mimi a i ʻole ka ʻōpū, he pilikia ia. Pono ʻoe e hele koke i ka keʻena pilikia o ka haukapila (ETU). Pono paha kēia i ke ʻoki kino pilikia.

ʻO ke ʻoki maʻamau i hana ʻia i kēia manawa he ʻoki liʻiliʻi i kapa ʻia ʻo "microdiskectomy." Ma kēia, hana ʻia kahi ʻoki liʻiliʻi a, me ka hoʻohana ʻana i kahi microscope a me nā mea hana liʻiliʻi, ʻo ka ʻāpana disc e puka mai ana wale nō e wehe ʻia.

Pehea e pale ai iā ʻoe iho mai kēia kūlana? ʻO ke kāohi ka mea maikaʻi loa!

Nui nā mea hiki iā ʻoe ke hana e pale aku ai i kēia ʻano ʻeha.

He aha nā manawa koʻikoʻi loa e ʻike ai i ke kauka?

ʻOiai hiki iā ʻoe ke hoʻomaka me nā lāʻau lapaʻau ma ka home, i nā hihia e like me kēia, pono ʻoe e ʻike i ke kauka.

• Inā ʻaʻole hiki iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā (e.g., hele i ka hana) ma muli o ka ʻeha.
• Inā ʻaʻohe hoʻomaikaʻi ʻana o nā hōʻailona ma hope o 4 a 6 mau pule.
• Inā e ʻoi aku ka ʻino o nā hōʻailona.
• Inā ʻoe e hoʻonui nei i ka helu ʻana, ke kani ʻana, a i ʻole ka nāwaliwali i kou mau lima, nā wāwae, nā poho lima, a i ʻole nā ​​​​​​pōʻalima.
• Inā pilikia ʻoe i ke kū ʻana a i ʻole ka hele ʻana.
• I ka manawa hea e hele koke ai i ka haukapila: ʻAʻole hiki ke kāohi i ka mimi a i ʻole ka ʻōpala. He pilikia kēia.