Ua lōʻihi anei kou ʻeha ʻana i ke kua? Ua hoʻāʻo paha ʻoe i nā lāʻau lapaʻau, physiotherapy, a me nā ʻano inikini like ʻole, akā ʻaʻohe hōʻoluʻolu. Aia kekahi mau ʻano ʻeha kua, he paʻakikī ke loaʻa ke kumu pololei. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau holomua loa a hou no kahi ʻano ʻeha kua kikoʻī loa.
No laila he aha kēia kaʻina hana Intracept?
I ka ʻōlelo maʻalahi, ʻo ke kaʻina hana Intracept , a i ʻole ma nā huaʻōlelo lapaʻau, Basivertebral Nerve Ablation , he lāʻau lapaʻau minimally invasive no kahi ʻano kikoʻī o ka ʻeha hope mau. Ua kapa ʻia kēia ʻano kikoʻī o ka ʻeha hope he ʻeha vertebrogenic .
ʻO ka huaʻōlelo "vertebrogenic" ʻo ia hoʻi "mai loko mai o ka vertebrae." ʻO ke ʻano kēia, ua puka mai kēia ʻeha i loko o ka vertebrae i loko o kou iwi kuamoʻo.
E noʻonoʻo, ua hana ʻia ko kākou iwi kuamoʻo i kahi puʻu o nā iwi liʻiliʻi i hoʻopaʻa ʻia ma luna o kekahi. Ma waena o kēia mau iwi ʻelua he uluna e like me ka jelly. Kapa mākou iā ia ʻo ka disc spinal. Ma kahi e hui ai kēia uluna a me nā iwi ʻelua ma luna a ma lalo, aia kahi uhi pale ma ka ʻaoʻao o ka iwi. Ua kapa ʻia kēia mau endplates . Ua like kēia me kahi uhi ma ka iwi. Ke hōʻino ʻia kēia mau endplates, hoʻoulu ʻia ke aʻalolo basivertebral i loko o ka vertebrae a hoʻomaka ka ʻeha.
Hoʻohana ke kaʻina hana Intracept i ka ikehu radiofrequency e hoʻopau mālie i ke aʻalolo basivertebral, ʻo ia ke kumu o ka ʻeha. I nā huaʻōlelo ʻē aʻe, hoʻomehana ia i ke aʻalolo a hoʻōki i nā hōʻailona ʻeha mai ka hele ʻana i ka lolo. E hōʻoluʻolu kēia i kou ʻeha hope.
ʻO ka maʻamau, ʻōlelo nā kauka i kēia lāʻau lapaʻau no ka poʻe i kōkua ʻole ʻia e nā lāʻau lapaʻau, nā inikini, a i ʻole ka hoʻōla kino. He koho maʻalahi loa ia a emi iki ka pilikia ma mua o ke ʻoki kino nui o ka iwi kuamoʻo.
Pehea ʻoe e hoʻomākaukau ai no kēia lāʻau lapaʻau?
ʻOiai ʻo ka maʻamau, hana ʻia kēia lāʻau lapaʻau ma lalo o ka anesthesia laulā, ʻaʻole hiki iā ʻoe ke hele wale i ka haukapila a mai laila mai. Pono ʻoe i kekahi e lawe iā ʻoe a hoʻihoʻi mai iā ʻoe.
Eia kekahi, pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau, nā huaora, a i ʻole nā mea hoʻohui āu e lawe nei. Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau i kekahi mau lā ma mua o kāu mālama ʻana.
He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?
He hana maʻalahi kēia e lawe ana ma kahi o hoʻokahi hola a me ka hapa. ʻO ka maʻamau, pili ia i kekahi mau ʻanuʻu e like me kēia.
| Nā ʻanuʻu | Wehewehena |
|---|---|
| 1. Hoʻomākaukau | E hoʻohuli ʻia kou alo i lalo ma luna o ka papa hoʻokolokolo a moe i lalo. A laila e hoʻokomo ke kauka anesthesiologist iā ʻoe ma lalo o ka anesthesia laulā. |
| 2. Ke kau nei i kahi ʻoki liʻiliʻi | Hana ke kauka i kahi ʻoki liʻiliʻi loa ma kou kua kahi i loaʻa ai ka vertebra pili. |
| 3. Ke hoʻokomo nei i ka hāmeʻa | Me ka hoʻohana ʻana i kahi mīkini X-ray kūikawā (fluoroscopy), ua hoʻokomo ʻia kahi ʻōmole lahilahi loa (cannula) ma o ka ʻoki ʻana a i loko o ka vertebra pili. |
| 4. Ke hōʻea nei i ke aʻalolo | A laila, me ka hoʻohana ʻana i nā mea hana liʻiliʻi, ua hana ʻia kahi ala liʻiliʻi ma kahi o ke aʻalolo basivertebral. |
| 5. Hoʻopau ʻana i ke aʻalolo | Hoʻoili ʻia kahi mea liʻiliʻi e hoʻopuka i ka ikehu radiofrequency (kahi probe radiofrequency) ma kēlā ala, e hoʻomehana ana i ke aʻalolo a hoʻopau iā ia. |
| 6. Hoʻopau ʻana | ʻO ka hope, wehe ʻia nā mea hana a pau a pani ʻia ka ʻoki liʻiliʻi me nā humuhumu. |
He hana ma waho kēia. ʻO ke ʻano kēia, ke hoʻi hou ʻoe i ka ʻike ma hope o ka anesthesia, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi.
He aha kaʻu mea e hopohopo ai ma hope o ka mālama ʻana?
E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo maopopo e pili ana i nā mea āu e hana ai a me nā mea ʻaʻole pono e hana ma hope o ka mālama ʻana. Ma ke ʻano laulā, he mea nui e hoʻomaha a pale i ka hoʻoikaika kino no nā lā ʻelua mua (48 hola).
Aia paha he ʻeha iki ma kahi i ʻoki ʻia no kekahi mau lā. Hiki i kekahi poʻe ke ʻike i kahi palapū a me ka pehu. He mea maʻamau kēia. Hiki iā ʻoe ke lawe i kahi lāʻau hoʻomaha ʻeha maʻalahi e like me ka acetaminophen a i ʻole ibuprofen no kēia ʻeha. Eia nō naʻe, e ʻoluʻolu e nīnau i kāu kauka ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau.
He aha nā pōmaikaʻi o kēia lāʻau lapaʻau?
Nui nā pono o ke kaʻina hana Intracept.
| Pōmaikaʻi | Wehewehena |
|---|---|
| Hoʻokomo iki ʻia | ʻAʻohe ʻoki nui, hoʻokahi wale nō ʻoki liʻiliʻi. No laila, ʻoi aku ka maʻalahi ma mua o kahi ʻoki nui. |
| Holomua loa | Hoʻōla kēia i ke aʻalolo e hoʻoulu ai i ka ʻeha (ke kumu ʻeha). No laila, he mea kūpono loa ia no ka poʻe me ka ʻeha vertebrogenic. |
| Nā hopena lōʻihi | Ua hōʻike ʻia nā noiʻi ua hiki i ka poʻe he nui i hana ʻia i kēia lāʻau lapaʻau ke noho ʻeha ʻole no 5 mau makahiki a ʻoi aku paha. |
| E hoʻoikaika koke | ʻOi aku ka pōkole o ka manawa hoʻōla ma mua o ke ʻoki kino nui. Hiki iā ʻoe ke hoʻōla piha i loko o hoʻokahi a ʻelua paha pule. |
Aia kekahi mau pilikia i kēia lāʻau lapaʻau?
E like me nā ʻoki kino a pau, hiki ʻole ke loaʻa pinepine nā pilikia, akā, ʻaʻole ia he mea maʻamau.
- Ke kahe ʻana o ke koko
- Maʻi
- Ka pōʻino o ke aʻalolo
- Hoʻonui ʻia ka ʻeha hope
Inā makemake ʻoe e ʻike hou aʻe e pili ana i kēia, e kamaʻilio me kāu kauka. E wehewehe ʻo ia i ke kūpono o kēia iā ʻoe a me nā pilikia, ma muli o kou kūlana.
I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?
Inā loaʻa iā ʻoe kekahi mau hōʻailona o ka maʻi ma hope o ka hoʻi ʻana i ka home ma hope o ka mālama ʻana, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.
| E kāhea koke aku i kāu kauka! | |
|---|---|
| Inā loaʻa iā ʻoe nā hōʻailona penei: | |
| - Ke kuni ma luna o 101°F (38.3°C) | |
| - Inā ʻoe e anu a haʻalulu (Chills) | |
| - Inā he ʻulaʻula a me ka wela a puni ka ʻoki | |
| - Inā e kahe ana kahi wai e like me ka pus mai ka ʻoki | |
| - Inā hoʻomau ka piʻi ʻana o ka pehu ma hope o ʻekolu a ʻehā paha lā | |
| - Inā ʻaʻole e emi ka ʻeha ʻoiai ke lawe ʻana i ka lāʻau lapaʻau | |
Aia kekahi poʻe i kūpono ʻole kēia lāʻau lapaʻau no lākou?
ʻAe, ʻaʻole kūpono kēia lāʻau lapaʻau no nā kānaka a pau. ʻAʻole ʻōlelo ʻia kēia lāʻau lapaʻau no ka poʻe me kēia mau kūlana:
- No nā wahine hāpai
- ʻO ka poʻe me ka pacemaker a i ʻole nā mea lapaʻau uila implantable ʻē aʻe
- No ka poʻe me kahi maʻi ʻeha i loko o ke kino
- No ka poʻe me ka maʻi puʻuwai a i ʻole ka hana puʻuwai maikaʻi ʻole
- No ka poʻe me ka hana pulmonary nāwaliwali
Inā ua ʻeha kou kua no nā mahina ʻeono a ʻaʻole i hoʻomaikaʻi ʻia me nā lāʻau lapaʻau maʻamau, e kamaʻilio me kāu kauka e pili ana i ke kaʻina hana Intracept. Ma hope o ka hana ʻana i nā hoʻokolohua e like me ka MRI e hōʻoia i ka ʻeha vertebrogenic i hoʻokumu ʻia ai kou ʻeha, e hoʻoholo ʻo ia inā kūpono kēia lāʻau lapaʻau iā ʻoe.
Leka Lawe-Home
- ʻO ke kaʻina hana Intracept kahi lāʻau lapaʻau hou, minimally invasive no nā ʻano ʻeha kikoʻī e kū nei i loko o kahi vertebra i loko o ka iwi kuamoʻo (ʻeha disc vertebral).
- Hoʻopili kēia i ka hoʻopau ʻana i ke aʻalolo basivertebral, ka mea e hoʻoulu ai i ka ʻeha, me ka wela radiofrequency.
- He koho maikaʻi kēia no ka poʻe i hiki ʻole ke loaʻa ka hōʻoluʻolu mai nā lāʻau lapaʻau maʻamau e like me ka lāʻau lapaʻau a me ka physiotherapy. He mea maʻalahi loa ia ma mua o ke ʻoki kino nui.
- He maikaʻi ka lāʻau lapaʻau, he lōʻihi ka hopena, a he pōkole ka manawa ho'ōla.
- ʻO kāu kauka wale nō ke hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe. No laila, e ʻimi i ke kōkua lapaʻau inā loaʻa iā ʻoe ka ʻeha hope mau.
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