ʻAʻohe anei he hopena no kēia ʻeha poʻo hiki ʻole ke hoʻomanawanui? E aʻo kākou e pili ana i ka Occipital Nerve Block?

I kekahi manawa, ʻaʻole hiki ke hoʻomanawanui i nā ʻeha poʻo, ʻeā? ʻO ka poʻe wale nō i ʻeha iā lākou ka poʻe i ʻike i ka ʻeha e hele pū me lākou, ʻoiai ke hoʻomaka ka ʻeha ma ke kua o ka ʻāʻī a pālahalaha a puni ke poʻo, e like me ka mea e puka ana kou mau maka i waho. Ke manaʻo nei hoʻi ʻoe ʻaʻohe hōʻoluʻolu mai kēia, ʻaʻohe mea nui ka nui o ka lāʻau āu e lawe ai a i ʻole kāu hana? Inā ʻoe e ʻeha nei i kēia pilikia, ua haʻi aku paha kāu kauka iā ʻoe e pili ana i kahi lāʻau i kapa ʻia ʻo 'Occipital Nerve Block'. ʻOiai paha he mea weliweli iki ka inoa, ʻaʻole ia he mea nui loa. No laila e kamaʻilio kākou e pili ana i kēia ma ke ʻano maʻalahi a maopopo i kēia lā.

I ka ʻōlelo maʻalahi, he aha kēia Occipital Acid Block?

ʻO ka Occipital Anderve Block kahi inikini i hāʻawi ʻia ma kahi kokoke i nā aʻalolo occipital ma ke kua o kou poʻo. Ua like ia me ka lāʻau hoʻomālielie i hāʻawi ʻia i kou mau ʻāʻī ma mua o ka unuhi ʻana i ka niho. Hoʻomālielie ka inikini i nā aʻalolo a me nā ʻiʻo a puni no kekahi manawa. Hana pinepine ʻia me kahi anesthetic . I kekahi manawa, hoʻohui ʻia kahi steroid e hōʻemi i ka mumū i loko o nā aʻalolo.

ʻAʻole kēia he hana ʻoki kino nui. Hoʻomalu wale ia i ka ʻeha no kekahi manawa a hāʻawi i ke aʻalolo i kahi manawa e ho'ōla ai.

Aia i hea kēia mau aʻalolo occipital?

Hoʻomaka kēia mau aʻalolo occipital mai nā iwi kuamoʻo (C2 a me C3) ma ke poʻo o kou ʻāʻī. Hāʻawi lākou i ka ʻike i ka ʻili a me ke poʻo ma ke kua o kou poʻo. ʻEkolu ʻano o kēia mau aʻalolo ma kēlā me kēia ʻaoʻao o ko kākou poʻo.

E noʻonoʻo, ke hele hewa kekahi mea me kēia mau aʻalolo, ʻaʻole wale ka ʻeha ma ke kua o ka ʻāʻī. I kekahi manawa hiki ke hele mai ka ʻeha mai nā wahi e like me nā maka a me ka lae. Kāhea nā kauka i kēia 'ʻeha i kuhikuhi ʻia'. ʻO ia hoʻi, aia ka pilikia ma kekahi wahi, akā ua ʻike ʻia ka ʻeha ma kahi ʻē aʻe.

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He aha nā kūlana e hoʻohana ʻia ai kēia lāʻau lapaʻau?

ʻO ka maʻamau, ʻōlelo aʻo nā kauka i kēia Occipital Nerve Block no nā ʻeha poʻo nui i paʻakikī ke kaohi me nā lāʻau ʻē aʻe.

• ʻO ka Neuralgia Occipital: ʻO kēia ke kumu nui. He ʻeha ʻoi a like me ka uila i hoʻokumu ʻia e ke kaomi a i ʻole ka hōʻino ʻana i ke aʻalolo occipital.
• ʻEha poʻo migraine
• ʻEha poʻo hui
• ʻEha poʻo cervicogenic: ʻEha poʻo i hoʻokumu ʻia e nā pilikia me ka vertebrae ma ka ʻāʻī.
• ʻEha poʻo postdural puncture
• ʻEha ʻāʻī: ʻEha nui ka ʻeha ma ka ʻaoʻao o luna, hope o ka ʻāʻī.
• Nā ʻeha ʻāʻī mai kahi ulia (Whiplash)

I kekahi manawa, hoʻohana paha kāu kauka i kēia poloka aʻalolo no nā kumu diagnostic e ʻike ai i ke kumu pololei o kou ʻeha. E noʻonoʻo, inā e pau kou ʻeha ma hope o kēia injection, hōʻoia ia aia ka pilikia ma ke aʻalolo occipital. A laila e maʻalahi ka hoʻolālā ʻana i ka lāʻau lapaʻau lōʻihi kūpono no ia.

Pehea ʻoe e hoʻomākaukau ai no kēia?

ʻAʻole pono kēia i ka hoʻomākaukau nui ʻana. He hana maʻalahi ia i hana ʻia ma ka ʻoihana outpatient.

Eia nō naʻe, i kekahi manawa e hoʻoholo paha kāu kauka e hāʻawi iā ʻoe i kahi mea hoʻomaha e hoʻomālielie iā ʻoe a hoʻohiamoe iki iā ʻoe. Inā hana lākou, e haʻi aku lākou iā ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no 6 a 8 mau hola. Eia kekahi, pono ʻoe e lawe mai i kekahi e hoʻokele iā ʻoe i ka home no ka mea ʻaʻole hiki iā ʻoe ke hoʻokele i kēlā lā. E wehewehe mua kāu kauka i kēia mau mea āpau iā ʻoe. No laila, mai makaʻu e nīnau iā ia i nā nīnau āu e loaʻa ai.

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

He wikiwiki loa kēia kaʻina hana, ʻaʻole iʻoi aku ma mua o 5 mau minuke.

1. ʻO ka mea mua, e noi ʻia ʻoe e noho ma luna o kahi noho a hoʻohaʻahaʻa iki ʻia kou poʻo. A i ʻole, e noi ʻia ʻoe e moe ma kou ʻōpū ma luna o kahi moe me kahi uluna ma lalo o kou umauma i kūlou iki ai kou ʻāʻī.

2. Inā e hoʻomoe ʻia ana ʻoe, e hoʻokomo ʻia kahi cannula i loko o kahi aa koko ma kou lima a hāʻawi ʻia kekahi lāʻau lapaʻau ma o ia mea.

3. A laila e hoʻopā ke kauka i ke kua o kou ʻāʻī e ʻike i kahi kikoʻī o ke aʻalolo. I kekahi manawa, hiki ke hoʻohana ʻia kahi scan (ultrasound a fluoroscopy paha) e ʻike i kahi kikoʻī.

4. Ua hoʻomaʻemaʻe pono ʻia kahi i inikini ʻia me kahi wai hoʻomaʻemaʻe.

5. A laila, hoʻokomo ʻia ka lāʻau lapaʻau ma kahi kokoke i ke aʻalolo i ʻike ʻia me kahi nila lahilahi loa.

6. E noi ʻia ʻoe e hoʻomaha no kekahi mau minuke ma hope o ke kuʻi ʻana.

ʻO ia wale nō ka mea e hana ʻia. ʻAʻohe mea e makaʻu ai.

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

Inā ua hāʻawi ʻia ʻoe i kahi mea hoʻomaha, e nānā ʻia ʻoe e ke kahu maʻi no kahi o 15-30 mau minuke. ʻO kēia ke ʻike inā loaʻa kekahi mea ʻē. Ma hope o kēlā, hiki iā ʻoe ke hoʻi i ka home. Inā ʻaʻole i hāʻawi ʻia ʻoe i kahi mea hoʻomaha, hiki iā ʻoe ke haʻalele ma hope o kahi o 10 mau minuke.

Nā hopena ʻaoʻao a me nā hopena

ʻOiai he palekana loa kēia lāʻau lapaʻau, e like me nā kaʻina hana lapaʻau āpau, hiki ke loaʻa nā pilikia liʻiliʻi.

• Nā hopena ʻaoʻao maʻamau: Aia paha kekahi ʻeha iki, ʻulaʻula, a pehu paha ma kahi i inikini ʻia no ʻelua a ʻekolu mau lā. He mea maʻamau kēia. Hiki i kekahi poʻe ke manaʻo iki i ka poniuniu a i ʻole ka luaʻi.
• Nā Steroid: Inā ʻoe e hoʻohana i kahi lāʻau steroid, hiki iā ʻoe ke ʻike i ka lahilahi o ka ʻili a puni ka wahi i inikini ʻia (atrophy) a i ʻole ka nalowale o ka lauoho no ka manawa pōkole (alopecia). He mea kākaʻikahi loa kēia.
• Nā pilikia kakaikahi: He mea kākaikahi loa ke kahe koko, ka maʻi, ka hōʻino ʻana o nā aʻalolo, a me ka dysphagia transient.

Pehea ka lōʻihi o kēia hoʻomaha ʻeha?

Eia ka mea nui. ʻOkoʻa loa nā hopena mai kēlā kanaka a kēia kanaka . Loaʻa i kekahi poʻe ka hōʻoluʻolu nui i ka ʻeha i loko o 20-30 mau minuke o ka inikini, a mau ka hōʻoluʻolu no nā mahina. Loaʻa i kekahi poʻe ka hōʻoluʻolu no kekahi mau hola a i ʻole nā ​​lā. I kekahi manawa, aia kekahi poʻe i ʻike ʻole i ka hōʻoluʻolu iki.

No nā kūlana e like me ka Occipital Neuralgia a me ka Cervicogenic headache, pono paha ʻoe e loaʻa i kekahi mau inikini e hoʻokō ai i ka hōʻoluʻolu mau loa. E hoʻoholo ʻia kēia e kāu kauka ma muli o kou kūlana.

Āhea ʻoe e kāhea aku ai i ke kauka?

Ke hoʻi ʻoe i ka home ma hope o ka mālama ʻana, e makaʻala i kēia mau mea.

• Inā pehu nui ka wahi i ini ʻia, ʻulaʻula, kahe ka pus , a i ʻole he kuni (he mau hōʻailona paha kēia o kahi maʻi).
• Inā piʻi aʻe ka ʻeha ma kahi o ka emi ʻana.
• Inā ʻoe e manaʻo i kahi ʻeha wela hou, ka mae ʻana a i ʻole ka nāwaliwali i kou mau lālā.

Inā loaʻa iā ʻoe kekahi mau hōʻailona hou e like me kēia, e kāhea koke aku i kāu kauka. Mai hopohopo, akā he mea nui e hoʻomaopopo ʻia.