Ua luhi anei ʻoe i ka loaʻa ʻana o ka ʻeha nui mau ma kou wāwae a i ʻole ke kua haʻahaʻa? I kekahi manawa he paʻakikī ke loaʻa ke kumu o kēia ʻeha, ʻeā? I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano lapaʻau kūikawā a nā kauka e hoʻohana ai i ia mau hihia. Ua kapa ʻia kēia ʻo Lumbar Sympathetic Block. ʻOiai he paʻakikī iki ka inoa, ʻo ka hōʻoluʻolu e hāʻawi ai he mea kūpono ia.
He aha ka Lumbar Sympathetic Block?
I ka ʻōlelo maʻalahi, he inikini kūikawā kēia o ka lāʻau lapaʻau i loko o kou kua haʻahaʻa, aia ma ka iwi kuamoʻo lumbar. Hoʻopaʻa ia i nā hōʻailona ʻeha mai ka hele ʻana i kou mau wāwae.
E noʻonoʻo i ko kākou ʻōnaehana nerve e like me kahi pūnaewele o nā uea uila. Lawe kēia mau aʻalolo i nā leka mai ka lolo a i ke kino a mai ke kino a i ka lolo. Aia kekahi ʻāpana o kēia ʻōnaehana nerve i kapa ʻia ʻo 'autonomic nervous system'. Hoʻomalu kēia ʻāpana i nā mea i waho o ko kākou mana, e like me ka hanu ʻana, ka hou ʻana, a me ke koko.
Hoʻomaka kekahi manawa nā aʻalolo 'Sympathetic' i loko o ka ʻōnaehana nerve autonomic e hoʻouna i nā hōʻailona ʻeha pono ʻole i ka lolo ma hope o kahi ulia. ʻO ia ka manawa e 'hoʻopau' ai ka Lumbar Sympathetic Block i kēlā mau aʻalolo a hoʻemi i ka ʻeha.
He aha nā hoʻohana o kēia lāʻau lapaʻau?
Hoʻohana ʻia kēia ʻano lapaʻau no ʻekolu mau kumu nui.
| Kumu o ka mālama ʻana | He wehewehe maʻalahi |
|---|---|
| Hoʻomaha ʻeha | Hāʻawi ia i ka hōʻoluʻolu manawa pōkole no ka ʻeha ʻoi a mau paha. Hoʻemi kēia lāʻau lapaʻau i ka pehu ʻana o nā aʻalolo a hāʻawi iā lākou i kahi manawa e ho'ōla ai. |
| Ke ʻike nei i ke kumu o ka ʻeha | I kekahi manawa he paʻakikī ke loaʻa ke kumu pololei o ka ʻeha. I kēlā manawa, e hāʻawi ke kauka i kēia inikini. Inā emi ka ʻeha, hiki ke hōʻoia ʻia aia ka pilikia ma kēia mau aʻalolo. Inā ʻaʻohe hōʻoluʻolu, hiki ke loaʻa ke kumu ma kahi ʻē aʻe. |
| Ma ke ʻano he lāʻau hoʻomaha ʻeha no ke ʻoki kino | Hāʻawi ʻia kēia poloka ma mua o kekahi mau ʻoki kino e kāohi i ka ʻeha e kū mai ana ma hope o ke ʻoki kino. |
Hiki i ke kauka ke ʻōlelo aku i kēia lāʻau lapaʻau inā loaʻa iā ʻoe ka ʻeha ma kou mau wāwae haʻahaʻa a me nā wāwae, ʻoiai ma muli o kēia mau kūlana:
- ʻO ka Syndrome ʻEha ʻĀpana Paʻakikī (CRPS)
- ʻEha lālā phantom
- Ka hou nui ʻana (Hyperhidrosis)
- ʻO ka neuropathy e pili ana i ka maʻi diabetes
- ʻO ka neuralgia postherpetic (ʻeha aʻalolo ma hope o ka shingles)
- ka maʻi o Raynaud
- ʻEha maʻi kanesa
- ʻEha koko
Pehea ʻoe e hoʻomākaukau ai no kēia?
ʻO kaʻoiaʻiʻo, ʻaʻole pono kēia i ka hoʻomākaukau kūikawā nui.
Eia nō naʻe, inā hāʻawi ke kauka iā ʻoe i ka hoʻomaha i ka wā o ke kaʻina hana, e haʻi aku ʻo ia iā ʻoe e kāohi i ka ʻai ʻana a i ʻole ka inu ʻana no kahi o 6-8 mau hola . E noi aku nō hoʻi ʻo ia iā ʻoe e lawe mai i kekahi e lawe iā ʻoe i ka home i kēlā lā. No ka mea e ʻona ana ʻoe, ʻaʻole hiki iā ʻoe ke hoʻokele.
ʻO ka mea nui loa, ʻo ia ka hahai pono ʻana i nā kuhikuhi a kāu kauka. Inā he mau hopohopo kāu, mai makaʻu e nīnau.
He aha ka mea e hana ʻia i ka wā o ke kaʻina hana?
Hana pinepine ʻia kēia ma ke ʻano outpatient, me ka ʻole o ka noho ʻana i ka haukapila. ʻO ia hoʻi, hiki iā ʻoe ke hoʻi i ka home ma hope koke iho o ke kaʻina hana.
E nānā kākou i ka mea e hana pinepine ʻia ma kēlā me kēia ʻanuʻu:
1. E hoʻohuli ʻia ʻoe ma kou ʻōpū a e hoʻomoe ʻia ʻoe ma kahi papa kūikawā.
2. Hiki ke hāʻawi ʻia iā ʻoe kahi mea hoʻomaha mālie ma o kahi laina IV ma kou lima e kōkua iā ʻoe e hoʻomaha.
3. A laila, hoʻomaʻemaʻe pono ʻia kahi i ini ʻia me kahi wai hoʻomaʻemaʻe.
4. Hāʻawi ʻia kahi inikini liʻiliʻi e hoʻomāʻū i ka wahi. No laila, ʻaʻole ʻoe e ʻeha nui, akā hiki paha iā ʻoe ke ʻoluʻolu iki ke komo ka nila.
5. A laila, hoʻokomo ke kauka i ka nila i loko o ke aʻalolo kūpono me ka nānā ʻana iā ia me kahi X-ray.
6. Pono paha ʻoe e hoʻokomo i kahi wai kūikawā (contrast dye) e hōʻoia i kona wahi kūpono.
7. A laila, hāʻawi ʻia kahi inikini steroid e hōʻemi i ka ʻeha a me ka pehu.
ʻAʻole ma mua o 30 mau minuke ka hana ʻana o kēia mau mea a pau.
He aha kāu e manaʻo ai ma hope o ka injection?
Ma hope o ke komo ʻana, e mahana paha kou kua lalo a me kou wāwae a i ʻole he ʻano 'ʻokoʻa' iki. E emi mālie ana ka ʻeha. E palupalu iki paha kou wāwae, akā e nalo ana kēia i ka pau ʻana o ka lāʻau hoʻomālielie.
Hiki iā ʻoe ke ʻai a lawe i kāu lāʻau lapaʻau ma ke ʻano maʻamau. Akā , mai hana i kekahi hana kaumaha a luhi paha no 24 mau hola. E hoʻomaha nui. Hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau i ka lā aʻe.
Aia kekahi mau pilikia a me nā hopena ʻaoʻao?
E like me nā lāʻau lapaʻau āpau, aia nā hopena ʻaoʻao, akā he mea kākaʻikahi nā pilikia koʻikoʻi.
| ʻAno o ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena ʻaoʻao maʻamau | |
| Ma kahi o ka inikini | Aia paha kekahi mau palapū, pehu, a me ka ʻeha iki. Nalo pinepine kēia mau mea i loko o kekahi mau lā. |
| Nā pilikia maʻamau ʻole | |
| Nā hopena ʻē aʻe | Hiki ke kahe ke koko, ka poniuniu, ka ʻeha poʻo, a me ka maneʻo a nāwaliwali paha no ka manawa pōkole ma ka wāwae ma ka ʻaoʻao kahi i hāʻawi ʻia ai ka inikini. |
| Nā pilikia koʻikoʻi akā laha ʻole | |
| Nā kūlana koʻikoʻi | Aia kekahi mau mea e hiki ke hana ʻia, e like me ka loaʻa ʻana o kahi maʻi, ka hoʻokomo hewa ʻana i ka lāʻau lapaʻau i loko o ke kīʻaha koko, ka hōʻino ʻana i nā puʻupaʻa, a i ʻole ka loaʻa ʻana o kahi hopena maʻi i ka lāʻau. Akā, he mea kākaʻikahi loa kēia. |
Pehea ka lōʻihi o kēia hōʻoluʻolu?
ʻOkoʻa maoli kēia mai kēlā kanaka a kēia kanaka. Hele kekahi poʻe i kekahi mau lā me ka ʻeha ʻole, ʻo kekahi he mau pule. Hiki ke emi koke ka ʻeha ma hope o ka inikini ʻana. Akā, no ka mea, he lāʻau hoʻomāʻū ka steroid. Ke hoʻomaka ka hana ʻana o ka steroid, pono ʻelua a ʻekolu mau lā no ka hoʻomaka ʻana o ka hōʻoluʻolu lōʻihi.
I ka hapanui o nā hihia, no ka mālama ʻana i ka hōʻoluʻolu, pono ʻoe e loaʻa i kēia inikini i nā manawa he nui. I kekahi manawa e lawa ʻelua, i kekahi manawa pono ʻoe e loaʻa ma mua o 10 mau inikini i ka hala ʻana o ka manawa. Na kāu kauka e hoʻoholo i kēia.
I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?
Inā loaʻa iā ʻoe kekahi mau hōʻailona hou ma hope o ka inikini ʻana, no ka laʻana, inā ʻulaʻula ka wahi i inikini ʻia, pehu, a i ʻole e like me ka maʻi, inā loaʻa iā ʻoe ka ʻeha o ka wāwae, ka ʻūlū nui, a i ʻole ka nāwaliwali, e kāhea koke aku i kāu kauka.
He lāʻau maikaʻi ka Lumbar Sympathetic Block e lawe mai i ka hōʻoluʻolu i nā poʻe he nui e noho ana me ka ʻeha. Eia naʻe, ʻaʻole like nā hopena no kēlā me kēia kanaka. Inā he mau makaʻu a kānalua paha kāu e pili ana i kēia inikini, mai hūnā i kekahi mea. E kamaʻilio ākea me kāu kauka a wehewehe i nā mea āpau.
Leka Lawe-Home
- He ʻōkuʻi kūikawā ka Lumbar Sympathetic Block i hāʻawi ʻia i loko o ke kua haʻahaʻa. Hoʻopili ia i nā hōʻailona ʻeha e hele ana i nā wāwae no kekahi manawa.
- Hoʻohana ʻia ia e mālama i ka ʻeha, e ʻimi i ke kumu o ka ʻeha, a e kāohi i ka ʻeha ma hope o kekahi mau ʻoki kino.
- ʻO ka maʻamau, ʻaʻole ma mua o 30 mau minuke kēia hana. He mea nui e hoʻomaha no 24 mau hola ma hope.
- ʻAʻole like nā hopena o kēlā me kēia kanaka, a ʻokoʻa paha ka hōʻoluʻolu āu e loaʻa ai mai kēlā manawa a kēia manawa.
- He mea nui loa e kamaʻilio me kāu kauka me ka makaʻu ʻole e pili ana i ka lāʻau lapaʻau a i ʻole kekahi ʻehaʻeha e hiki mai ana ma hope.
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