He inikini i loko o ke kuamoʻo no kekahi ʻeha wāwae? E kamaʻilio kākou e pili ana i kēia Lumbar Sympathetic Block!

Ke manaʻo nei ʻoe i kekahi manawa i ka ʻeha a me ka ʻeha o nā wāwae, ʻaʻohe mea nui ka nui o nā lāʻau lapaʻau āu e lawe ai a i ʻole ka lāʻau lapaʻau āu e loaʻa ai? A i ʻole he maʻi maʻi diabetes kou e paʻakikī ai ke hoʻomanawanui i ka ʻeha a me ka mumū i kou mau wāwae? Ua haʻi aku paha kāu kauka iā ʻoe e pili ana i kahi 'Lumbar Sympathetic Block'. ʻOiai ke kani iki nei ka inoa i mea weliweli a paʻakikī, he hana lapaʻau maʻalahi a palekana hoʻi ia i lawe mai i ka hōʻoluʻolu i nā poʻe he nui. E kamaʻilio kākou e pili ana i nā mea āpau ma ke ʻano maʻalahi loa i kēia lā.

He aha maoli ka Lumbar Sympathetic Block?

I ka ʻōlelo maʻalahi, he inikini kūikawā kēia i hāʻawi ʻia i loko o kou kua haʻahaʻa. Hoʻopale ia i nā hōʻailona ʻeha mai ka hele ʻana i kou mau wāwae a me nā wāwae. I kekahi manawa, hoʻohui ʻia nā lāʻau lapaʻau i ka inikini e kōkua i ka ho'ōla ʻana o nā aʻalolo i hōʻino ʻia.

E noʻonoʻo i nā aʻalolo i loko o ko kākou kino e like me kahi pūnaewele o nā kaula uila e holo ana ma loko o ko kākou kino. Ke lawe nei kēia mau kaula i nā hōʻailona ma waena o ka lolo a me ke koena o ke kino. ʻO kēia mau hōʻailona ka mea e hiki ai iā kākou ke ʻike i ka ʻeha, ka pā ʻana, a me ka hana ʻana o nā ʻiʻo.

ʻO kahi ʻāpana kūikawā o kēia ʻōnaehana nerve i kapa ʻia ʻo nā aʻalolo 'sympathetic'. Hoʻomalu kēia mau mea i nā mea e hana nei i loko o ko mākou kino me ka ʻike ʻole ʻia, no ka laʻana, ka hanu ʻana, ka hou ʻana, a me ke koko. Akā i kekahi manawa, ma hope o kekahi ʻano ulia, hoʻomaka kēia mau aʻalolo 'sympathetic' e hoʻouna i nā hōʻailona ʻeha me ka hewa.

Aia nā aʻalolo `Lumbar sympathetic` ma ka ʻaoʻao haʻahaʻa o ko kākou iwi kuamoʻo, ma mua pono o nā iwi kuamoʻo. No laila, ke kuhikuhi nei kēia inikini `Lumbar Sympathetic Block` i kēlā mau aʻalolo. Hiki iā ia ke pale iā lākou mai ka hoʻouna ʻana i nā hōʻailona ʻeha pono ʻole.

He aha ke ʻano o nā mea e hoʻohana ʻia ai kēia poloka?

Hoʻohana ʻia kēia lāʻau pale no ʻekolu mau kumu nui.

Nā kūlana e ʻōlelo ʻia ai kēia lāʻau lapaʻau

Inā loaʻa iā ʻoe kekahi o kēia mau kūlana e hoʻopilikia ana i kou mau wāwae a i ʻole kou mau kapuwaʻi, hiki i kāu kauka ke ʻōlelo i kēia lāʻau lapaʻau.

• ʻO ka Complex Regional Pain Syndrome (CRPS): He ʻano ʻeha mau loa a ʻoi aku ka koʻikoʻi e kū mai ana ma hope o kahi ulia.
• ʻEha Limb Phantom: Ke ʻano mau o ka ʻeha ma kahi wāwae a lima paha i ʻoki ʻia.
• Hyperhidrosis: Ka hou nui ʻana o nā lima a me nā wāwae.
• ʻO ka Neuropathy pili i ka maʻi diabetes: Ka mumū, ka ʻeha, a me ka ʻeha i hōʻino ʻia e nā aʻalolo ma nā wāwae ma muli o ka maʻi diabetes.
• Neuralgia Postherpetic: ʻEha aʻalolo e kū mai ma hope o ka maʻi herpes (ʻo ia ka maʻi like e hoʻoulu ai i ka chickenpox).
• ʻO ka maʻi ʻo Raynaud: He ʻano e emi ai ke kahe o ke koko i nā manamana lima, e hoʻoulu ai i ka ʻeleʻele a me ka ʻeha ke hōʻike ʻia i ke anu.
• ʻEha maʻi kanesa.
• ʻEha koko.

Pono anei iaʻu e hoʻomākaukau no kēia inikini ma mua?

ʻO ka hapa nui o ka manawa, ʻaʻole pono kēia i kahi hoʻomākaukau kūikawā.

Eia nō naʻe, i kekahi mau hihia, hiki i ke kauka ke hoʻoholo e hoʻokomo iā ʻoe i loko o kahi kūlana hiamoe (sedation). Inā pēlā, e noi ʻia ʻoe e hoʻokē ʻai no kahi o 6-8 mau hola . Eia kekahi, he mea nui e lawe kekahi iā ʻoe i ka home ma hope o ke kaʻina hana.

Pehea e hana ʻia ai ke kaʻina hana?

Hana pinepine ʻia kēia ma ke ʻano ma waho o ka haukapila, me ka ʻole o ka noho ʻana i ka haukapila. Eia nā ʻanuʻu e hana pinepine ʻia:

• E kau ʻia ʻoe ma luna o kahi papa kūikawā, e kū pono ana i lalo.
• Hiki ke hāʻawi ʻia iā ʻoe kahi mea hoʻomaha e kōkua iā ʻoe e hoʻomaha, ma o kahi laina IV ma kou lima.
• E hoʻomaʻemaʻe pono ke kauka i kahi i ini ʻia me kahi hopena antiseptic.
• A laila, hāʻawi ʻia kekahi inikini liʻiliʻi e hoʻomāno i ka wahi. I kēia manawa, hiki iā ʻoe ke manaʻo i kahi ʻeha iki ke kuʻi ka nila.
• ʻO ka mea aʻe, ʻoiai e nānā ana i nā kiʻi ma kahi mīkini X-ray (X-ray imaging), hoʻokomo pono ke kauka i kahi nila lahilahi i loko o ka ʻaoʻao o ka iwi kuamoʻo.
• I mea e hōʻoia ai e hele ana ka lāʻau lapaʻau i kahi kūpono, pono paha ʻoe e hoʻokomo i kahi ʻāpana o kahi 'contrast dye' kūikawā.
• ʻO ka hope, hāʻawi ʻia kahi inikini steroid e hōʻemi i ka ʻeha a me ka pehu.

ʻO ka maʻamau, ʻaʻole ma mua o 30 mau minuke ka lōʻihi o kēia kaʻina hana holoʻokoʻa.

He aha ka mea e hana ʻia ma hope o ka inikini?

Ma hope o ke kaʻina hana, e ʻike paha ʻoe i kahi manaʻo mahana a "ʻokoʻa" paha ma kou wāwae a me ke kua haʻahaʻa. E ʻike nō hoʻi ʻoe e emi mālie ana ka ʻeha. Mai hopohopo inā he ʻano mae iki a make paha kou wāwae, no ka mea, e nalowale loa kēia ke pau nā lāʻau hoʻomaha ʻeha.

Hiki iā ʻoe ke ʻai a lawe i kāu mau lāʻau lapaʻau e like me ka mea maʻamau. Akā, e pale i nā hana ikaika, ka hāpai ʻana i nā mea kaumaha, a i ʻole ka hoʻoikaika kino no 24 mau hola. E hoʻomaha. Hiki iā ʻoe ke hoʻi hou i kāu mau hana maʻamau i ka lā aʻe.

Nā pōmaikaʻi a me nā hopena ʻaoʻao hiki ke loaʻa mai kēia

Nā Pōmaikaʻi

• Ua nalowale ke ʻeha no kekahi manawa, a hiki ke hana maʻalahi ʻia nā hana o kēlā me kēia lā.
• Hoʻēmi ia i ka pehu ʻana i loko o nā aʻalolo e hoʻoulu ai i ka ʻeha a kōkua iā lākou e ho'ōla.
• Kōkua ia i ke kauka e ʻike i ke kumu kikoʻī o ka ʻeha.

Eia nō naʻe, he mea nui e hoʻomanaʻo ʻaʻole e loaʻa i nā kānaka a pau ka hōʻoluʻolu ʻeha mai kēia inikini. Inā hana ʻia kēia, e kuhikuhi kāu kauka i nā lāʻau lapaʻau ʻē aʻe.

Nā hopena ʻaoʻao a me nā pilikia

E like me nā kaʻina hana lapaʻau a pau, aia kekahi mau pilikia, akā he mea kakaikahi loa nā pilikia koʻikoʻi.

Pehea ka lōʻihi o kēia hoʻomaha ʻeha?

He nīnau kēia a nā poʻe he nui e nīnau ai. Akā, ʻaʻohe pane hoʻokahi i ia mea. He ʻokoʻa loa ia mai kēlā kanaka a kēia kanaka.

No kekahi poʻe, e emi koke ana ka ʻeha ke hāʻawi ʻia ka inikini. Eia nō naʻe, hiki ke hoʻi hou mai ka ʻeha ke pau ka lāʻau ʻeha. Hoʻomaka ka hōʻoluʻolu lōʻihi ma hope o ka hoʻomaka ʻana o ka lāʻau steroid e hana, ʻo ia hoʻi i loko o ʻelua a ʻekolu mau lā. No kekahi poʻe, mau kēia hōʻoluʻolu no kekahi mau lā, no kekahi poʻe, mau ia no nā pule.

I ka hapanui o nā hihia, no ka mālama ʻana i ka hōʻoluʻolu, pono ʻoe e lawe i kekahi mau inikini o kēia ʻano i loko o kekahi manawa. I kekahi manawa ua lawa paha ʻelua, i kekahi manawa ʻoi aku ma mua o ʻumi. Hoʻoholo ʻia kēia e kāu kauka.

I ka manawa hea e pono ai iaʻu ke kāhea aku i ke kauka?

He mea nui loa kēia. Inā loaʻa iā ʻoe kekahi mau hōʻailona hou ma hope o ka inikini ʻana, a inā loaʻa iā ʻoe kekahi mau pilikia (no ka laʻana, nā hōʻailona o ka maʻi e like me ka ʻulaʻula, ka pehu ʻana, a i ʻole ke kuni ma kahi i inikini ʻia, a i ʻole nā ​​loli i kou mau aʻalolo e like me ka ʻeha a i ʻole ke kani ʻana o kou mau wāwae), e kāhea koke i kāu kauka.