He hopena no ka ʻeha mau: E kamaʻilio kākou e pili ana i ka 'Nerve Block'?

I kekahi manawa, loaʻa iā kākou ka ʻeha ʻaʻole e nalo me ka nānā ʻole i ka mea a kākou e hana ai a lawe paha i ka lāʻau lapaʻau. Malia paha he ʻeha kua, ʻeha kuli, a i ʻole he ʻeha nui ma kekahi ʻaoʻao o ke poʻo. ʻO ka poʻe wale nō i ʻeha i kēia ʻano ʻeha mau e ʻike i ka paʻakikī o ke ola ʻana. No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi ʻano lapaʻau kūikawā a nā kauka e hoʻohana ai e kāohi i kēia ʻano ʻeha. Ua kapa ʻia kēlā he 'Nerve Block' .

I ka ʻōlelo maʻalahi, he aha ka poloka aʻalolo?

E noʻonoʻo i nā aʻalolo i loko o ko kākou kino e like me nā kaula. Lawe kēia mau aʻalolo i nā leka mai ka lolo i nā ʻāpana ʻē aʻe o ke kino, a mai kēlā mau ʻāpana hoʻi i ka lolo. ʻO nā mea a pau a kākou e manaʻo ai, e neʻe ai, e hanu ai, a e hou ai, ua kāohi ʻia e kēia mau leka. ʻO ka ʻeha kekahi o ia mau leka.

ʻO ke ālai aʻalolo kahi lāʻau i hoʻokomo ʻia i loko o ke aʻalolo a i ʻole ka pūʻolo aʻalolo kahi e ʻike ʻia ai ka ʻeha. Hoʻōki kēia i ka hele ʻana o ka leka ʻeha i ka lolo no kekahi manawa . Ua like ia me ke ʻoki ʻana i kahi kelepona ma waena.

I kekahi manawa, hoʻohui ʻia kahi lāʻau ʻeha a me kahi mea anti-inflammatory i kēia injection. Kōkua kēia i ka hōʻemi ʻana i ka pehu ʻana o ke aʻalolo a hāʻawi i ke aʻalolo i hōʻino ʻia i kahi manawa e ho'ōla ai. He manawa pōkole ka hōʻoluʻolu mai kēia. Loaʻa i kekahi poʻe ka hōʻoluʻolu me hoʻokahi wale nō injection, aʻo kekahi poʻe e pono e loaʻa iā ia i nā manawa he nui. Eia nō naʻe, ʻaʻole paha e loaʻa i kekahi poʻe ka hōʻoluʻolu mai kēia. I kēlā hihia, pono paha nā lāʻau lapaʻau ʻē aʻe.

He aha nā kumu no ka poloka ʻana o ke aʻalolo?

ʻEkolu mau kumu nui no ka hoʻohana ʻana i kahi poloka aʻalolo.

1. Ma ke ʻano he lāʻau lapaʻau no ka ʻeha (Therapeutic Nerve Blocks): ʻO kēia ke kumu maʻamau o kona hoʻohana ʻia ʻana. Hoʻohana ʻia ia e hāʻawi i ka hōʻoluʻolu manawa pōkole mai ka ʻeha hiki ke koʻikoʻi a mau paha. No ka laʻana, hiki ke hoʻohana ʻia no ka ʻeha nui o ke kua a i ʻole ka ʻeha kuli.

2. Nā Pale ʻAna o ke Aʻalolo Hōʻailona: E noʻonoʻo ʻoe ua ʻeha ʻoe, akā ʻaʻole hiki i kāu kauka ke kuhikuhi i kahi e puka mai ai ka ʻeha. A laila e hana ʻo ia i kahi pale aʻalolo e kuhikuhi ana i ke aʻalolo i manaʻo ʻia. Inā emi kou ʻeha ma hope o ka inikini ʻana, hōʻoia ia aia ka pilikia ma kēlā aʻalolo. Inā ʻaʻole emi ka ʻeha, hōʻike paha ia aia ka pilikia ma kahi ʻē aʻe. Hiki i kēia ke lilo i mea kōkua nui i ka hoʻolālā ʻana i ka lāʻau e hiki mai ana.

3. No ka anesthesia (Anesthetic Nerve Blocks): Hoʻohana nā anesthesiologists i kēia ʻano hana e kāohi i ka ʻeha ma hope o ke ʻoki ʻana. I nā ʻoki nui, hāʻawi ʻia kēia ma waho aʻe o ka anesthesia laulā. No kekahi mau ʻoki liʻiliʻi, e like me ke ʻoki ʻana o ka carpal tunnel ma ka lima, hiki ke hoʻohana ʻia kahi poloka nerve ma kahi o ka anesthesia laulā.

He aha nā ʻano poloka aʻalolo i loaʻa?

Ma muli o ka loaʻa ʻana o nā haneli o nā aʻalolo i ko kākou kino, nui nā ʻano o nā poloka aʻalolo. ʻO kēia kekahi o nā mea i hoʻohana pinepine ʻia.

Pehea e hana ai kēia lāʻau lapaʻau?

I mea e hoʻomaopopo ai i kēia, pono kākou e ʻike iki e pili ana i ke ʻano o ka ʻeha o ko kākou kino.

Ma nā wēlau o ko kākou mau aʻalolo he mau mea loaʻa kūikawā. Ua like kēia me nā mea ʻike liʻiliʻi. Inā he ʻeha a pōʻino paha ma kekahi wahi o ke kino, hoʻouna kēia mau mea ʻike i kahi hōʻailona uila wikiwiki i ka lolo e ʻōlelo ana, "Aia kahi pilikia ma ʻaneʻi!"

ʻAʻole kēia hōʻailona he ʻeha pololei. Ua like ia me kahi code. Loaʻa i ka lolo kēia hōʻailona a wehewehe i kēlā code, ka mea e hoʻomaopopo ai iā mākou i ka manaʻo o ka "ʻeha."

Hoʻōki nā lāʻau ʻeha i loko o kahi poloka aʻalolo i nā hōʻailona uila mai ka hoʻouna ʻia ʻana a i ʻole ka loaʻa ʻana. ʻO ia hoʻi, ke ālai nei lākou i ka leka mai ka wahi pilikia a i ka lolo. A laila, ʻaʻole loaʻa i ka lolo ka leka e pili ana i ka ʻeha, no laila ʻaʻole mākou e ʻike i ka ʻeha.

Pehea ʻoe e hoʻomākaukau ai ma mua o kahi poloka nerve?

ʻAʻole pono kēia i ka hoʻomākaukau nui ʻana. Eia nō naʻe, i kekahi manawa e hoʻoholo paha kāu kauka e hāʻawi iā ʻoe i kahi mea hoʻomaha māmā (sedation). Inā ʻo kēia ke ʻano, e noi ʻia ʻoe e hoʻokē ʻai no 6-8 mau hola ma mua o ka mālama ʻana. Pono nō hoʻi ʻoe i kekahi e hoʻokele iā ʻoe i ka home ma hope o ka mālama ʻana.

Eia nō naʻe, e hāʻawi kāu kauka iā ʻoe i nā kuhikuhi a pau āu e pono ai. E hahai pololei i kēlā mau kuhikuhi. Mai makaʻu e nīnau inā he mau nīnau kāu.

He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?

Hana pinepine ʻia kēia ma kahi hoʻonohonoho outpatient i hiki iā ʻoe ke hoʻi i ka home me ka ʻole o ka noho ʻana i ka haukapila. ʻOiai he nui nā ʻano o nā poloka aʻalolo, ʻo ia kekahi o nā mea maʻamau.

• ʻO ka mea mua, e kau ʻia ʻoe ma kahi kūlana kikoʻī ma ka papa hoʻokolokolo e maʻalahi ai i ke kauka ke lawelawe i ka injection.
• I mea e kōkua ai iā ʻoe e hoʻomaha, hiki ke hāʻawi ʻia iā ʻoe kahi mea hoʻomaha mālie ma o kahi cannula i kau ʻia i loko o kahi aa koko ma kou lima (laina IV).
• A laila, hoʻomaʻemaʻe ʻia ka wahi i ini ʻia me kahi hopena disinfectant.
• Ma mua o ka hāʻawi ʻia ʻana o ke ālai ʻana o ke aʻalolo, hāʻawi ʻia kahi inikini liʻiliʻi (anesthesia kūloko) e hoʻomāno i ka wahi. I kēlā manawa, e manaʻo paha ʻoe i kahi ʻano ʻū iki.
• Hiki i ke kauka ke hoʻohana i nā ʻenehana e like me ka ultrasound a i ʻole X-ray e ʻimi ai i kahi kūpono e hāʻawi ai i ka injection.
• A laila, hoʻokomo ʻia ka lāʻau lapaʻau i kahi kokoke loa i ke aʻalolo i nīnau ʻia.
• Ma hope o ka lāʻau lapaʻau, e noi ʻia ʻoe e hoʻomaha no kahi o 15-30 mau minuke a hiki i ka hopena o ka lāʻau.

He aha nā pōmaikaʻi a me nā pilikia o kahi poloka nerve?

Nā Pōmaikaʻi

• Hāʻawi ia i ka hōʻoluʻolu manawa pōkole a mau loa paha mai ka ʻeha , e maʻalahi ai ka hoʻokō ʻana i nā hana o kēlā me kēia lā.
• Ua hoʻēmi ʻia ka pehu ʻana o ke aʻalolo , e hāʻawi ana i ke aʻalolo i kahi manawa e ho'ōla ai.
• He kōkua ia e ʻike pono i ke kumu o ka ʻeha.

Nā Pōʻino

He mea kākaʻikahi nā pilikia mai kahi poloka aʻalolo. Eia kekahi, he mau pilikia kūikawā ko kēlā me kēia ʻano. Akā eia kekahi o nā pilikia maʻamau.

• Ka maʻi ma kahi i inikini ʻia.
• Ke kahe ʻana o ke koko mai kahi i inikini ʻia.
• Ka hoʻokomo ulia ʻana o ka lāʻau lapaʻau i loko o ke kīʻaha koko .
• Hiki ke pālahalaha koke ka lāʻau i nā aʻalolo ʻē aʻe a i ʻole ke kaula kuamoʻo.

No laila, ma mua o ka hoʻomaʻamaʻa ʻia ʻana, e kamaʻilio pono me kāu kauka e pili ana i ke ʻano o ka poloka aʻalolo e loaʻa iā ʻoe, a me kona mau pono a me nā pilikia.

Āhea ʻoe e pono ai e kamaʻilio me ke kauka?

Ma hope o ka lāʻau lapaʻau, inā loaʻa iā ʻoe kekahi mau hōʻailona hou e like me nā hōʻailona o ka maʻi (ʻulaʻula, pehu, kuni), mumū, ʻūlū ʻano ʻē a nāwaliwali paha ma kahi i inikini ʻia , e kāhea koke aku i kāu kauka . Inā loaʻa kahi pilikia, e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.

He ala maikaʻi loa nā poloka aʻalolo e mālama ai i nā ʻano ʻeha like ʻole. Eia nō naʻe, hiki ke ʻokoʻa loa nā hopena mai kēlā kanaka a kēia kanaka. Inā he mau hopohopo a nīnau paha kāu e pili ana i kēia inikini, mai kānalua e kamaʻilio me kāu kauka.