Ke manaʻo nei ʻoe i kekahi manawa i kahi ʻeha palupalu a i ʻole kahi ʻano ʻūlū ma loko o kou ʻūhā? He paʻakikī iki anei kou hele ʻana, ʻoiai ke kūlou ʻoe i kou wāwae? Manaʻo ka poʻe he nui he ʻūpā wale nō kēia o nā ʻiʻo, akā malia paha ke kumu he aʻalolo kūikawā i loko o ko mākou kino. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi aʻalolo i ʻike ʻole ʻia, akā he mea nui loa ia no ka neʻe ʻana a me ka ʻike ʻana o ko mākou mau wāwae. ʻO ia ka Obturator Acid.
He aha ke aʻalolo Obturator?
I ka ʻōlelo maʻalahi, ʻo ke aʻalolo Obturator ke aʻalolo nui e hāʻawi i ka manaʻo (manaʻo) a me ka neʻe ʻana (neʻe ʻana) i ka ʻaoʻao o loko o kou ʻūhā. He ʻāpana ia o ka ʻōnaehana aʻalolo Peripheral (PNS) o ko mākou kino. ʻO kēia ʻōnaehana ka mea e kōkua ai i ka lawe ʻana i nā leka mai ko mākou lolo i ke koena o ke kino.
Hoʻomaka kēia aʻalolo mai kahi hui o nā aʻalolo ma ko mākou kua haʻahaʻa. Ma ke ʻano lapaʻau, kapa mākou i kēia "lumbar plexus". Hāʻawi kēia hui o nā aʻalolo i ka ʻike a me ka neʻe ʻana i nā ʻaoʻao o luna a me lalo o ko mākou mau wāwae, a me ko mākou mau wāwae. No laila, hoʻomaka pū kēia Obturator Aʻalolo mai kēlā hui o nā aʻalolo a hele i kahi lōʻihi ma o ko mākou ʻūhā a i ka ʻaoʻao o loko o ka ʻūhā.
He aha nā hana nui o kēia aʻalolo?
Hana kēia aʻalolo i ʻelua mau hana nui ma ka ʻaoʻao o loko o ko kākou ʻūhā. ʻO lākou ke kāohi ʻana i nā neʻe (nā hana motor) a me ka hāʻawi ʻana i nā manaʻo (nā hana sensory). E nānā kākou i kēia mau mea.
| ʻAno hana | Ke kaʻina hana e hana ʻia |
|---|---|
| Ke kāohi ʻana i nā neʻe (Nā Hana Motor) |
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| Nā Hana Sensory |
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Pehea e hele ai kēia aʻalolo i loko o ko kākou kino?
He ʻano paʻakikī ke ala o ke Aʻalolo Obturator, akā e mālama kākou i ka maʻalahi.
1. Hoʻomaka: Hoʻomaka kēia me ka "lumbar plexus", i hana ʻia e nā aʻa aʻalolo e hele mai ana mai nā vertebrae (L2, L3, L4) ma ko kākou kua haʻahaʻa.
2. Ala: A laila hele kēia aʻalolo i lalo ma o ka ʻiʻo psoas ma ko mākou kua haʻahaʻa. A laila, i loko o ko mākou pelvis, hele ia ma hope o kahi kīʻaha koko nui i kapa ʻia ʻo ke aʻa iliac.
3. Ke komo ʻana i ka ʻūhā: ʻO ka hope loa, komo ke kahawai obturator i ka ʻaoʻao o luna o ko mākou ʻūhā ma o kahi puka liʻiliʻi ma ke pelvis.
Ma hope o ka hiki ʻana i ka ʻūhā, māhele ʻia kēia aʻalolo i ʻekolu mau lālā nui. ʻO kēia ka lālā mua, ka lālā ʻili, a me ka lālā hope. Lawe kēlā me kēia o kēia mau lālā i nā leka i nā ʻiʻo a me ka ʻili like ʻole ma ka ʻaoʻao o loko o ka ʻūhā.
Pehea e hōʻino ʻia ai ke aʻalolo Obturator?
Inā ua hōʻino ʻia kēia aʻalolo (ʻeha obturator nerve), hiki iā ʻoe ke ʻike i ka ʻeha, ka mae ʻana, a i ʻole ke kani ʻana o ka ʻūhā ma kou ʻūhā a i ʻole ka ʻūhā. Hiki iā ʻoe ke manaʻo i ka nāwaliwali ke kulou ʻoe i kou wāwae i loko. Aia kekahi mau kumu kūpono no kēia.
| Kumu o ka pōʻino | He wehewehe maʻalahi |
|---|---|
| Nā maʻi aʻalolo (Obturator neuropathy) | Hiki ke hana ʻia e ka ʻaʻahu maʻamau a me ka haehae ʻana i ka hala ʻana o ka manawa a i ʻole e kahi aʻalolo i ʻoki ʻia i loko o kahi ulia. |
| ʻO ka hernia obturator | Puka mai ka ʻiʻo ʻōpū ma ka puka e hele ai ke aʻalolo (kanal obturator), e ʻomi ana i ke aʻalolo. |
| Ka paʻa ʻana o ke aʻalolo | Kaomi ma luna o ke aʻalolo ma muli o ka pehu ʻana o nā ʻiʻo a puni. Hiki ke hana kēia i ka wā hāpai a i ʻole i nā kūlana e like me ka endometriosis. |
| ʻEha Pelvic | Ke hānau ʻia he pēpē, a i ʻole i loko o kahi ulia kaʻa, hiki i ke kahe koko i loko ke kumu e ʻomi ai ke aʻalolo. |
| Nā puʻupuʻu a i ʻole ke kanesa | Hiki i nā puʻupuʻu e ulu ana i loko o nā ʻōpū e like me ka ʻōpū mimi a me ka cervix ke kau i ke kaomi ma luna o ke aʻalolo. |
| Nā ʻeha haʻuki | Hiki ke hana ia i nā haʻuki e pili ana i ka nui o ke kīkē ʻana, e like me ka pôpeku, a i ʻole i nā haʻuki e pono ai ka noho ʻana no ka manawa lōʻihi, e like me ke kaʻa paikikala a i ʻole ka holo lio. |
ʻO ka mea nui loa, ʻo ko kākou pelvis kahi e waiho ai nā ʻōpū koʻikoʻi he nui, nā kīʻaha koko, a me nā aʻalolo i loko o kahi liʻiliʻi. No laila, aia kahi pilikia liʻiliʻi o ka hōʻino ʻia ʻana o kēia mau aʻalolo i kekahi mau ʻoki kino a i ʻole ka hānau keiki ʻana. Akā, akahele loa nā kauka i kēia.
He aha nā hōʻailona e pono ai ʻoe e ʻike i ke kauka?
Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei, he mea nui loa ia e ʻike i kāu kauka no ka ʻōlelo aʻo me ka hoʻowahāwahā ʻole iā lākou.
- ʻO ka ʻeha mau ma ka ʻāpana ʻūhā.
- ʻO ka ʻeha a i ʻole ka ʻeha e holo ana i lalo i ka ʻaoʻao o loko o ka ʻūhā.
- He ʻano ʻūlili ma ka ʻāpana ʻūhā, e like me nā nalo e holo ana a puni .
- ʻŪhā wāwae.
- Ka nāwaliwali o nā ʻiʻo ma ka ʻaoʻao o loko o ka ʻūhā.
- ʻO Claudication ka ʻeha ʻeha o nā ʻiʻo e kū mai ana i ka wā o ka hana a nalowale ke hoʻomaha ʻoe.
- ʻO ka maneʻo ma ka ʻaoʻao o loko o ka ʻūhā.
- Hoʻonui ka ʻeha i ka neʻe ʻana o ka wāwae mai kēlā ʻaoʻao a i kēia ʻaoʻao.
He aha nā lāʻau lapaʻau no kēia? He aha ka Obturator Nerve Block?
Ke ʻike ʻoe i ke kauka, e nānā ʻo ia iā ʻoe a, inā pono, e kuhikuhi iā ʻoe no nā hoʻokolohua e like me nā scan, e ʻike ai i ke kumu pololei. E hilinaʻi ka lāʻau lapaʻau i ke kumu o ka hōʻino.
I kekahi manawa, hoʻohana nā kauka i kahi lāʻau i kapa ʻia ʻo Obturator Nerve Block. I ka ʻōlelo maʻalahi, ua like ia me ka lāʻau hoʻomāʻū i loaʻa iā ʻoe ma mua o ka unuhi ʻana i ka niho. Maanei, hoʻokomo ke kauka i kahi lāʻau lapaʻau e hoʻomāʻū iki, a hoʻomāʻū paha, i ke Aʻalolo Obturator. Hana ʻia kēia no kekahi mau kumu nui:
- E hōʻoluʻolu i ka ʻeha ma mua o ke ʻoki ʻana o ka ʻūhā a i ʻole ke kuli.
- E ho'ōki i ka ʻūmiʻi wāwae me ka makemake ʻole i ka wā o nā ʻoki kino e like me ke kanesa o ka ʻōpū mimi.
- E hōʻoluʻolu i ka ʻeha o ka ʻūhā a i ʻole ka ʻūhā i pane ʻole i nā lāʻau ʻē aʻe.
- E mālama i nā kūlana e like me ka spasticity, ʻo ia hoʻi ka paʻa nui o nā ʻiʻo ma ka ʻaoʻao o loko o ka ʻūhā.
ʻO ka hapa nui o ka manawa, ʻaʻole mākou e noʻonoʻo e pili ana i ke Aʻalolo Obturator a hiki i ka wā e hewa ai kekahi mea me ia a manaʻo mākou i ka ʻeha a i ʻole ka ʻoluʻolu ʻole. He mea maʻamau kēlā. Akā e hoʻomanaʻo, he mea maʻamau kēia ʻano ʻoluʻolu ʻole. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke ʻimi i ke kumu pololei a loaʻa ka lāʻau kūpono. A laila hiki iā ʻoe ke olakino hou.
Leka Lawe-Home
- ʻO ke aʻalolo Obturator kahi aʻalolo koʻikoʻi no ka neʻe ʻana a me ka ʻike ma ka ʻaoʻao o loko o kou ʻūhā.
- Mai hoʻowahāwahā i ka ʻeha mau, ka ʻoʻoleʻa, a i ʻole ka nāwaliwali ma ka ʻūhā o loko a i ʻole ka ʻūhā.
- Hiki ke hana ʻia kēia mau hōʻailona e kahi ulia, kahi aʻalolo i ʻoki ʻia, a i ʻole kekahi maʻi ʻē aʻe.
- Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e ʻike koke i kāu kauka no ka ʻike kūpono a me ka mālama ʻana. Hiki i ka mālama mua ke kōkua iā ʻoe e hoʻōla wikiwiki.
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