He mea paʻakikī ke loaʻa i kahi kanaka i loaʻa ʻole i ka ʻeha hope i kekahi manawa o ko lākou ola, ʻeā? I kekahi manawa, ʻo kahi ʻeha liʻiliʻi, kahi ʻeha mai ka hāpai ʻana i kahi mea kaumaha, a i ʻole kahi ʻeha hope koke ʻole i wehewehe ʻia hiki ke hoʻonāukiuki loa. ʻO ka hapa nui o ka manawa, nalowale ia i loko o kekahi mau lā, akā hiki i kekahi ʻeha hope ke lilo i hōʻailona o kahi mea ʻē aʻe e pono ai kā mākou nānā. No laila i kēia lā, e kamaʻilio kākou e pili ana i nā kumu o ka ʻeha hope, pehea e ʻike ai, a me nā lāʻau lapaʻau i loaʻa.
ʻO ka mea mua, e nānā kākou pehea i hana ʻia ai ko kākou iwi kuamoʻo.
E noʻonoʻo wale i ko kākou iwi kuamoʻo e like me ke kaula o nā momi. He 33 mau iwi liʻiliʻi i kapa ʻia he vertebrae . Hoʻopili ʻia kēia mau iwi ma luna o kekahi e hana i ko kākou iwi kuamoʻo. Ma waena o kēia mau iwi he wahi e like me ka jelly, paʻa iki i kapa ʻia ʻo ka intervertebral disc . Hana kēia e like me ka mea hoʻopau haʻalulu i loko o ke kaʻa, e omo ana i ke kaomi i ka wā e holo ai, lele ai, a hāpai paha i nā mea kaumaha, e pale ana i ko kākou iwi kuamoʻo mai ka hōʻino ʻia.
ʻO ke kaula kuamoʻo, kahi aʻalolo koʻikoʻi loa e kaohi ana i ko mākou kino holoʻokoʻa, e holo ana ma kēia iwi kuamoʻo holoʻokoʻa.
Hiki ke māhele ʻia ko kākou iwi kuamoʻo i nā ʻāpana nui:
- Nā iwi kuamoʻo o ka ʻāʻī: Nā iwi 7 ma ka ʻāʻī.
- Nā iwi kuamoʻo: Nā iwi 12 ma waena o ke kua i lalo a me ka ʻāʻī.
- ʻO nā iwi kua hope: ʻO nā iwi ikaika loa ʻelima ma ke kua haʻahaʻa. Maanei kahi e loaʻa ai ka nui o ka ʻeha o ke kua.
- ʻO Sacrum a me Coccyx: ʻO nā iwi i hoʻopili ʻia ma lalo o ka iwi kuamoʻo.
No ke aha mākou e loaʻa ai ka ʻeha o ke kua?
Nui nā kumu no ke ʻeha o ke kua, ʻaʻole hoʻokahi a ʻelua paha. I kekahi manawa he maʻalahi loa ke kumu.
- Nā Ulia : Kekahi mea e like me ka hāʻule ʻana, kahi ulia kaʻa.
- Nā ʻūmiʻi ʻiʻo: Hiki i kēia ke hana ke hāpai pono ʻoe i kahi kaumaha a wili koke.
- Nā ulia haʻuki: Nā ʻeha i loaʻa i ka wā e pāʻani ana i nā haʻuki.
- Kūlana maikaʻi ʻole : Noho ʻana ma ke kūlana like no ka manawa lōʻihi, ʻoiai ma ke ʻano e hōʻino ai i ke kua.
Ma waho aʻe o kēia mau kumu maʻalahi, nui nā kumu ʻē aʻe, e like me nā disc herniated a me ka arthritis.
Pehea e ʻike ai ke kauka i ka maʻi?
Ke hele ʻoe e ʻike i ke kauka no ka ʻeha kua, e nīnau mua ʻo ia iā ʻoe e pili ana i ka ʻeha, pehea i hoʻomaka ai, a nānā pono iā ʻoe. A laila, inā pono, hiki iā ia ke kauoha i nā hoʻokolohua e like me kēia e ʻike ai i ke kumu pololei.
| Hoʻāʻo | He aha kāu e ʻike ai ma kēia? |
|---|---|
| X-ray | Hiki iā ʻoe ke nānā i nā mea e like me ke kūlana o nā iwi ma ka iwi kuamoʻo, nā kui o ka iwi, nā puʻupuʻu, a me nā haki. |
| CT Scan | Hiki ke ʻike maopopo ʻia nā kūlana e like me ka herniated disc a i ʻole ka spinal stenosis. |
| MRI Scan | Hiki iā ia ke hāʻawi i kahi kiʻi maopopo loa o nā diski, nā aʻa aʻalolo, a me ke kaula kuamoʻo. Hoʻohana pinepine ʻia ma mua o ke ʻoki ʻana. |
ʻElua mau kūlana kūikawā e kū mai ana ma ka iwi kuamoʻo
ʻOiai he nui nā kūlana kikoʻī e hiki ai ke hōʻeha i ke kua, e kamaʻilio mākou e pili ana i ʻelua i kēia lā. Ua lohe paha ʻoe i kēia mau mea.
1. Ka Spondylolisthesis
He mea maʻalahi loa ka mea e hana ʻia ma kēia. Hoʻokahi iwi kuamoʻo i loko o ko kākou iwi kuamoʻo (vertebral RA ) e paheʻe ana i mua a i hope paha ma luna o ka mea ma lalo. Ua like ia me kekahi o nā piliki ma ka lālani e neʻe ana i mua a i mua. Hana pinepine ʻia kēia ma ka lalo loa o ka iwi kuamoʻo.
Nā Kumu: Aia kekahi mau kumu hiki ke kumu o kēia. Hiki ke lilo i nāwaliwali hānau ʻia, he haki mai kahi ulia, he haki koʻikoʻi mai nā haʻuki, a i ʻole he maʻi.
Nā hōʻailona:
- ʻEha hope haʻahaʻa
- ʻOʻoleʻa a me ka paʻa ma ke kua a me nā ʻiʻo a puni
- ʻEha ma ka ʻāpana puʻupuʻu
- ʻEha e hele ana i lalo i nā wāwae (ʻo kēia ke kumu o ka iwi paheʻe e kaomi ana i nā aʻa nerve)
- Ka nāwaliwali o nā ʻiʻo a i ʻole ke kani ʻana o nā wāwae
Lapaʻau:I ka hapanui o nā hihia, hiki ke hoʻomalu ʻia kēia kūlana e ka lāʻau lapaʻau kino , kahi e hoʻoikaika ai i nā ʻiʻo a puni ka iwi kuamoʻo. Hiki i kāu kauka ke kuhikuhi i nā lāʻau ʻeha (NSAID) e like me ka paracetamol a i ʻole ibuprofen a i ʻole naproxen no ka ʻeha. I kekahi manawa hāʻawi ʻia kahi inikini steroid epidural. Hiki ke hāʻawi ʻia nā lāʻau lapaʻau kūikawā e like me gabapentin a me pregabalin no ka ʻeha o ke aʻalolo.
Inā ʻaʻole kēia mau lāʻau lapaʻau e hāʻawi i ka hōʻoluʻolu a ua lawa ka ʻeha e hoʻopilikia i nā hana o kēlā me kēia lā, pono e noʻonoʻo ʻia kahi laminectomy decompressive (ʻoki ʻana e hōʻoluʻolu i ke kaomi ma nā aʻalolo).
2. Ke kaomi ʻana o ke aʻalolo cervical (Cervical Radiculopathy)
He pilikia ʻāʻī kēia ma mua o ka pilikia kua. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ke kaomi ʻia ʻana o ke aʻa aʻalolo e puka mai ana mai kekahi o nā iwi kuamoʻo o ko kākou ʻāʻī no kekahi kumu.
Nā Kumu: I ka poʻe ʻōpio, hiki ke hana pinepine ʻia kēia e ka disc i haki, me nā ʻāpana e puka ana i waho e kaomi ana i ke aʻalolo. I ka wā e ʻelemakule ai ka poʻe, hiki ke hana ʻia e ka arthritis a i ʻole nā maʻi ʻē aʻe.
Nā hōʻailona:
- ʻO ka hōʻailona nui ka ʻeha e pālahalaha ana i ka ʻāʻī, ka umauma, nā poʻohiwi, a me nā lima .
- Manaʻo o ke kani ʻana a i ʻole ka mae ʻana o nā manamana lima.
- Ka nāwaliwali o nā ʻiʻo ma nā lima.
- Ka paʻakikī e hana i nā hana lima maikaʻi (nele i ka hoʻonohonoho ʻana).
Lapaʻau: Hoʻokomo pū kēia i nā lāʻau ʻeha, ka lāʻau lapaʻau kino, a me nā lāʻau steroid (waha a i ʻole injectable). ʻO nā lāʻau lapaʻau kino e komo pū me ke koʻikoʻi mālie o ka cervical a me nā hoʻomaʻamaʻa e kōkua i ka hōʻemi ʻana i ka ʻeha.
Eia kekahi, inā ua ʻūmiʻi nui ʻia ke aʻalolo a he nāwaliwali ma ka lima, pono paha ke ʻoki ʻana e hōʻoluʻolu i ke kaomi. Na kāu kauka a me ke kauka lapaʻau e hana i kēia hoʻoholo.
I ka manawa hea e pono ai ʻoe e ʻike i ke kauka no ka ʻeha o ke kua?
Pono e nalo aku ka ʻeha kua maʻalahi i loko o kekahi mau lā. Akā inā loaʻa iā ʻoe kekahi o nā "hae ʻulaʻula" ma lalo nei, e ʻike koke i ke kauka. Pono paha ʻoe e hele i ka ʻOihana Pilikia (ETU) .
- ʻEha nui ma hope o kahi ulia a hāʻule paha.
- Inā e piʻi ana ke kani a me ka nāwaliwali o nā wāwae.
- Inā pilikia ʻoe i ka kaohi ʻana i kou ʻōpū a i ʻole ka mimi.
- Inā ʻoe e emi ana ke kaumaha me ke kumu ʻole, a inā paha he kuni kou.
- Inā ʻoi aku ka ʻino o ka ʻeha i ka pō a ʻaʻole paha e emi iho ma hope o ka hoʻomaha ʻana.
- Inā loaʻa i kekahi kanaka me ka mōʻaukala o ka maʻi ʻaʻai ka ʻeha hope hou.
Leka Lawe-Home
- ʻOiai he mea maʻamau ka ʻeha o ke kua, ʻaʻole pono ʻoe e hoʻowahāwahā iā ia.
- Hiki ke pale nui ʻia ka ʻeha hope ma ka pale ʻana i ke kūlana maikaʻi ʻole a me ka hoʻohana ʻana i ke ʻano kūpono i ka wā e hāpai ai i nā mea kaumaha.
- ʻO ka Spondylolisthesis a me ka Cervical Radiculopathy ʻelua mau kūlana e pono ai ka nānā kūikawā a hiki ke hoʻopili i nā aʻalolo.
- Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi e like me ka mae ʻana o kou mau wāwae, ka nāwaliwali, a i ʻole ka paʻakikī ke kāohi i kou mimi, he pilikia ia. E ʻike koke i kāu kauka.
- He mea nui loa ka ʻimi ʻana i ke kumu pololei o kou ʻeha a loaʻa i ka lāʻau kūpono loa no ia. No laila, mai mālama ma muli o ke kuhi wale ʻana, akā e hahai i nā ʻōlelo aʻoaʻo a ke kauka.
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