Loaʻa pinepine iā ʻoe ka ʻeha hope? ʻEha anei ke kū a hele paha ʻoe no ka manawa lōʻihi? Manaʻo paha ʻoe i kekahi manawa e iho ana ka ʻeha i kou mau wāwae? Nui nā kumu no kēia, akā aia paha kekahi kumu ma hope ou i noʻonoʻo ʻole ai. ʻO ia ka wā e paheʻe ai kekahi o nā iwi ma kou kua, he vertebra, a i ʻole e paheʻe iki mai kahi e pono ai. I ka lāʻau lapaʻau, kapa mākou i kēia maʻi ʻo Spondylolisthesis . ʻOiai paha he mea ʻē iki ka inoa, he kumuhana koʻikoʻi kēia e pono ai mākou e kamaʻilio a hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka Spondylolisthesis?
E noʻonoʻo i kou iwi kuamoʻo e like me kahi lālani o nā piliki i hoʻonohonoho ʻia kekahi ma luna o kekahi. Ua kapa ʻia kēlā me kēia o kēia mau piliki he vertebra . Aia ma kahi o 33 o kēia mau vertebrae i loko o ko kākou iwi kuamoʻo. ʻOiai ua pili lākou kekahi i kekahi, hiki iā lākou ke neʻe iki i ka wā e hele ai kākou, kūlou, a hoʻoneʻe i ko kākou kino.
I kēia manawa, ma ke ʻano o ka spondylolisthesis, ʻo kekahi o nā piliki ma kēia lālani, ʻo ia hoʻi, hoʻokahi vertebra, e paheʻe iki aʻe ma mua o ka mea e pono ai, e kau ana i ke kaomi ma luna o ka vertebra ma lalo. Ua like ia me hoʻokahi piliki i ka lālani o nā piliki e puka iki ana i waho. Ke paheʻe ia e like me kēia, hiki ke hoʻopaʻa ʻia nā aʻalolo a puni ia. ʻO ia ka manawa e ʻike ʻia ai nā hōʻailona e like me ka ʻeha hope a me ka ʻeha e iho ana i lalo i nā wāwae.
ʻOiai hiki ke loaʻa kēia ʻano ma nā wahi āpau o ka iwi kuamoʻo, ʻike pinepine ʻia ia ma ka ʻaoʻao haʻahaʻa o ko kākou iwi kuamoʻo, ʻo ia hoʻi, ka iwi kuamoʻo lumbar . Hiki nō hoʻi ke loaʻa i kekahi manawa ma ka ʻāʻī (cervical spine) a me ka ʻaoʻao o luna o ka iwi kuamoʻo (thoracic spine).
Hiki paha i ka vertebra paheʻe ke hoʻoweliweli iā ʻoe, akā, ʻaʻole ia he manaʻo ua kū ʻole kou iwi kuamoʻo holoʻokoʻa. He kūlana kēia e hiki ke mālama pinepine ʻia a hoʻokele ʻia.
He aha nā ʻano nui o ka Spondylolisthesis?
Hiki ke hoʻokaʻawale ʻia ka spondylolisthesis i kekahi mau ʻano nui ma muli o ke ʻano o kona hana ʻana. E nānā kākou i ke ʻano o lākou.
| ʻAno o ka spondylolisthesis | He wehewehe maʻalahi |
|---|---|
| ʻO ka Spondylolisthesis Degenerative (ʻano pili i ka makahiki) | ʻO kēia ke ʻano maʻamau. I ko kākou ʻelemakule ʻana, e mae ana nā discs like me ka cushion ma waena o ko kākou vertebrae. I ka lahilahi ʻana o kēia mau discs, e hoʻonui ʻia ka hakahaka ma waena o nā vertebrae, e ʻoi aku ka maʻalahi o kekahi e paheʻe. |
| ʻO ka Spondylolisthesis Congenital (ma ke ʻano he kīnā hānau) | Hana ʻia kēia ke hana pono ʻole ʻia ka iwi kuamoʻo o ka pēpē i kona wā e ulu ana i loko o ka ʻōpū. Hiki i kēia ke kumu i ka hewa iki o nā iwi kuamoʻo mai ke kumu. Hiki ke ʻike ʻia nā hōʻailona i ka wā mua o ke ola, a i ʻole e ʻike ʻia paha ma hope o ke ola. |
| ʻO ka Isthmic Spondylolisthesis (ma muli o ka haki ʻana o ka iwi) | Hiki mai kēia kūlana i ka wā e haki ai kahi ʻāpana iwi liʻiliʻi i kapa ʻia ʻo pars interarticularis, ka mea e hoʻopili ai i ʻelua vertebrae. ʻO kēia haki ke kumu o ka nalowale ʻana o ke kūpaʻa o ka vertebra a me ka paheʻe. He mea maʻamau kēia kūlana i waena o nā mea pāʻani. |
| ʻO ka Spondylolisthesis Traumatic (ma muli o kahi ulia) | Hiki ke hemo kahi vertebra ma muli o ka ikaika nui i hoʻopili ʻia i ka iwi kuamoʻo, e like me kahi ulia a i ʻole ka hāʻule ʻana. |
| ʻO ka Spondylolisthesis Pathological (ma muli o kekahi maʻi ʻē aʻe) | Hiki ke hana ʻia kēia ʻano e nā kūlana e hoʻonāwaliwali ai i nā iwi, e like me ka osteoporosis, a i ʻole kahi puʻupuʻu e hana ʻia ana i loko o nā iwi. |
| ʻO ka Spondylolisthesis Postsurgical (ma hope o ke ʻoki ʻana) | He ʻano laha ʻole kēia a hiki ke hana ʻia ma ke ʻano he hopena ʻaoʻao o ke ʻoki kua. |
Pehea ʻoe e ʻike ai inā loaʻa iā ʻoe kēia maʻi? He aha nā hōʻailona?
He mea kupaianaha ka loaʻa ʻana o ka spondylolisthesis i kekahi poʻe akā ʻaʻole lākou i ʻike i kekahi mau hōʻailona.ʻEkahi. Inā liʻiliʻi loa ka nui o ka herniation spinal disc (haʻahaʻa), ʻaʻole paha ia e hoʻoulu i ke kaomi nui ma nā aʻalolo, no laila ʻaʻole paha ʻoe e ʻeha.
Eia nō naʻe, inā loaʻa nā hōʻailona, hiki ke like me kēia:
- ʻEha hope haʻahaʻa: ʻO kēia ka hōʻailona nui a maʻamau.
- Sciatica: He ʻano ʻeha kēia, he ʻeha iki, a he kuni paha e pālahalaha ana i lalo o ka wāwae. Hoʻokumu ʻia ia e kahi vertebra paheʻe e kaomi ana i ke aʻalolo sciatic.
- ʻOʻoleʻa o ke kua: Manaʻo ʻoʻoleʻa i ke kua ke ala ʻoe i ke kakahiaka a i ʻole ma hope o ka noho ʻana no kekahi manawa.
- Paʻakikī ke hele a kū paha: ʻO ka ʻeha e hoʻonui ʻia ke kū a hele paha no nā minuke he nui.
- Ka maneʻo, ka nāwaliwali, a i ʻole ke ʻano ʻūlū ma nā kapuwaʻi .
Hiki ke ʻokoʻa ke wahi o ka ʻeha ma muli o ke wahi o ka iwi kuamoʻo i paheʻe. I kekahi manawa hiki ke pālahalaha ka ʻeha i nā puʻupuʻu a i ʻole nā ʻūhā.
No ke aha e paheʻe ai nā iwi kuamoʻo penei? He aha nā kumu pilikia?
E nānā kākou i nā kumu o ka paheʻe ʻana o ka vertebra a ʻo wai ka mea i pilikia nui no ia.
Nā kumu nui:
- Ka ʻelemakule: ʻO ke kumu nui ka ʻaʻahu a me ka waimaka o nā diski i loko o ka iwi kuamoʻo me ka ʻelemakule.
- Ua hānau ʻia kekahi poʻe me nā iwi kuamoʻo lahilahi: ʻO kēia ka mea e ʻoi aku ai ka maʻalahi o ka haki ʻana.
- Nā ʻeha haʻuki: He kiʻekiʻe loa kēia pilikia no ka poʻe e pāʻani ana i nā haʻuki e kau ana i ka nui o ke kaomi a i ʻole ke kaumaha ma ke kua (e like me ka gymnastics, ka hāpai kaumaha, ka bowling wikiwiki i ka cricket).
- Ka ulu wikiwiki ʻana o nā keiki: Hiki ke ulu kēia mau kūlana ma muli o ka ulu wikiwiki ʻana o nā iwi i nā wā e piʻi koke ai ke kiʻekiʻe o nā keiki a me nā ʻōpio.
- Nā Ulia: Nā ʻeha kua i hana ʻia e nā mea e like me ka hāʻule ʻana a me nā ulia kaʻa.
ʻO wai ka mea i ʻoi aku ka nui o ka pilikia?
- No nā poʻe ma luna o 50 mau makahiki (ʻoi aku ke ʻano degenerative).
- No nā wāhine.
- No nā mea pāʻani haʻuki (ʻoi aku ka poʻe e pāʻani ana i nā haʻuki e pili ana i ke kulou pinepine ʻana i ko lākou kua a me ka lele ʻana).
- No ka poʻe me ka mōʻaukala ʻohana o kēia ʻano a i ʻole nā maʻi e pili ana i ka iwi.
Pehea e hoʻoholo pono ai i kēia kūlana?
Inā loaʻa iā ʻoe kēia mau hōʻailona, ʻo ka mea mua āu e hana ai, ʻo ia ke ʻike ʻana i ke kauka . E nīnau ke kauka iā ʻoe a nānā i kou kua.
Pono ʻoe e haʻi i kāu kauka i ka wā i hoʻomaka ai ka ʻeha, nā ʻano mea āu e hana ai e hoʻonui ai i ka ʻeha, a inā paha ʻoe i loko o kekahi mau ulia ma mua o ka puka ʻana o kēia mau hōʻailona.
Ma hope o kēlā, e paipai ke kauka i kekahi mau hoʻokolohua e hōʻoia i ka maʻi:
- He X-ray hope: Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā ua paheʻe kahi vertebra a me ka nui o kona paheʻe ʻana.
- Hoʻāʻo CT scan (Computed Tomography scan):Hiki i kēia ke hāʻawi i kahi kiʻi maopopo o ke ʻano o nā iwi.
- MRI (Magnetic Resonance Imaging) scan: Hiki i kēia ke nānā pono no ka hōʻino ʻana i nā disc a me nā aʻalolo ma waena o ka vertebrae.
Kekelē o ka stenosis spinal (Nā Papa)
Ma hope o ka X-ray, e hoʻokaʻawale ke kauka i kāu vertebrae i kahi papa e pili ana i ka nui o ko lākou kūlou ʻana.
- Papa Haʻahaʻa (Papa I a me Papa II): ʻO ke ʻano kēia he liʻiliʻi ka paheʻe. Loaʻa i ka hapa nui o ka poʻe kēia pae. ʻAʻole pono kēia i ke ʻoki kino.
- Papa Kiʻekiʻe (Papa III a me Papa IV): ʻO ke ʻano kēia he nui ka paheʻe ʻana. I kēia mau hihia, pono paha ke ʻoki ʻana, ʻoiai inā nui ka ʻeha.
He aha nā lāʻau lapaʻau no kēia?
Hiki i nā poʻe he nui me ka spondylolisthesis ke hoʻokele maikaʻi i kā lākou mau hōʻailona me nā lāʻau lapaʻau ʻole.
| ʻAno lapaʻau | Wehewehena |
|---|---|
| Hoʻomaha | ʻO ka noho mamao ʻana mai nā haʻuki a me nā hana kino ikaika e kau ana i ke kaomi ma ke kua no kekahi manawa e hōʻemi i ke kaomi ma ka iwi kuamoʻo. |
| Nā lāʻau hoʻopau ʻeha (Nā lāʻau lapaʻau) | Hiki iā ʻoe ke lawe i nā NSAID (e.g., Ibuprofen, Diclofenac) a i ʻole Paracetamol e like me ke kauoha a kāu kauka e hōʻemi i ka ʻeha a me ka pehu. Mai lawe i nā lāʻau ʻeha me ka ʻole o ke kūkākūkā ʻana me ke kauka. |
| Nā Corticosteroids | He mau lāʻau anti-inflammatory ikaika kēia. Hiki ke hāʻawi ʻia iā lākou ma ke ʻano he mau pila a i ʻole he pana cortisone i hāʻawi pololei ʻia i kahi o ka ʻeha. |
| Hoʻōla kino | He lāʻau lapaʻau koʻikoʻi loa kēia. E aʻo aku kekahi mea hoʻōla kino iā ʻoe i nā hoʻomaʻamaʻa e hoʻoikaika i nā ʻiʻo a puni kou kua a me kou ʻōpū (nā ʻiʻo koʻikoʻi). Ke ikaika kēia mau ʻiʻo, e hoʻemi ʻia ke kaomi ma kou iwi kuamoʻo, a hiki iā ʻoe ke neʻe maʻalahi me ka ʻole o ka ʻeha. |
| Ke kau nei i kahi kākoʻo hope | Inā he haki kou vertebra, hiki i kāu kauka ke ʻōlelo e komo i kahi mea kākoʻo e like me kēia e mālama i kou iwi kuamoʻo. |
Āhea e pono ai ke ʻoki kino?
ʻAʻole pono nā kānaka a pau me ka spondylolisthesis i ke ʻoki kino. ʻOiai inā he maʻi haʻahaʻa ia, a ʻaʻole koʻikoʻi nā hōʻailona, hiki paha iā ʻoe ke ola me ke ʻoki ʻole ʻia.
Eia nō naʻe, i kēia mau hihia, hiki i kāu kauka ke kuhikuhi i ka noʻonoʻo ʻana i ke ʻoki ʻana:
- Inā loaʻa iā ʻoe ka spondylolisthesis kiʻekiʻe .
- Inā ʻeha nui loa ka ʻeha a hiki ʻole iā ʻoe ke kū a hele paha.
- Inā ʻaʻole hoʻomaikaʻi nā hōʻailona ma muli o nā lāʻau ʻē aʻe (ʻaʻole ʻokiʻoki).
ʻO ka maʻamau, pili ka ʻoki ʻana i kahi hana i kapa ʻia ʻo spinal fusion . Pili kēia i ka hoʻohui ʻana i ka vertebra paheʻe a me ka vertebra ma lalo iho e hana i hoʻokahi iwi. Hāʻawi kēia i ka ʻāpana i ka ikaika a me ke kūpaʻa. Pono paha ʻoe e hana i kahi ʻoki ʻana i kapa ʻia ʻo spinal decompression e hōʻoluʻolu i ke kaomi ma nā aʻalolo.
He aha kāu e pono ai e ʻike i ka wā e noho ai me kēia maʻi?
Ke ʻike ʻia ʻoe me ka spondylolisthesis, pono e hoʻomaikaʻi kāu mau hōʻailona i loko o kekahi mau pule a i ʻole mau mahina me nā lāʻau lapaʻau e like me ka hoʻomaha, ka lāʻau lapaʻau, a me ka hoʻōla kino. Akā e hoʻomanaʻo, ʻo kēia mau lāʻau lapaʻau wale nō ka mea e hōʻemi ai i ka ʻeha a kōkua iā ʻoe e hana maʻamau, ʻaʻole e hoʻihoʻi i ka vertebra paheʻe i kona wahi. ʻO ke ʻoki kino wale nō ke hiki ke hoʻihoʻi i ka vertebra paheʻe i kona wahi.
Inā he mea pāʻani ʻoe, pono paha ʻoe e hoʻomaha iki mai nā haʻuki a hiki i kou hiki ke neʻe palekana me ka ʻeha ʻole. E kamaʻilio me kāu kauka ma mua o kou hoʻomaka hou ʻana e pāʻani.
ʻO ka mea nui loa, ʻo ia ka pale ʻana i nā hana e kau ai i ke kaomi nui ma kou kua a kulou nui i kou iwi kuamoʻo. E wehewehe kāu kauka a mea hoʻoponopono kino paha iā ʻoe i ka mea kūpono a me ka mea kūpono ʻole iā ʻoe.
Āhea ʻoe e makemake ai e ʻike i ke kauka?
Inā loaʻa iā ʻoe ka ʻeha kua e mau ana ma mua o kekahi mau lā, a i ʻole ua lawa ka koʻikoʻi e hoʻopilikia i kāu mau hana o kēlā me kēia lā, e ʻike koke i ke kauka. ʻO ka wikiwiki o ka ʻike ʻia ʻana o ke kūlana, ʻoi aku ka maʻalahi o ka mālama ʻana a me ka ho'ōla ʻana.
I ka manawa hea e hele ai i ka Emergency Treatment Unit (ETU):
- Inā ua loaʻa iā ʻoe kahi ulia , e like me ka hāʻule ʻana a i ʻole kahi ulia kaʻa.
- Inā nalowale kou manaʻo ma kou mau wāwae a i ʻole pilikia ʻoe i ka kaohi ʻana i kou mimi a i ʻole kou ʻōpala , e hele koke i ka ʻOihana Pōpilikia (ETU) o ka haukapila. He mau pilikia koʻikoʻi loa kēia.
Leka Lawe-Home
- ʻO ka spondylolisthesis ka wā e paheʻe ai kahi vertebra (iwi) i loko o ka iwi kuamoʻo mai kona wahi aku. Hiki i kēia ke lilo i kumu nui o ka ʻeha hope a me ka ʻeha e pālahalaha ana i lalo i nā wāwae (sciatica).
- ʻO ka ʻelemakule, nā ʻeha haʻuki, a me kekahi mau kūlana hānau hou ke kumu o kēia.
- ʻAʻole nā kānaka a pau me kēia maʻi e loaʻa nā hōʻailona, a ʻaʻole pono nā kānaka a pau i ke ʻoki ʻana.
- Hiki i nā poʻe he nui ke kaohi i nā hōʻailona me nā lāʻau maʻalahi e like me ka hoʻomaha, nā ʻeha ʻeha, a me ka hoʻoikaika kino.
- ʻO ka mālama ʻana i kou mau ʻiʻo kua a me ka ʻōpū i ikaika a me ka mālama ʻana i kahi nohona olakino e kōkua i ka pale ʻana a me ka kaohi ʻana i kēia maʻi.
- Inā hoʻomau kou ʻeha hope no nā lā he nui, mai hoʻowahāwahā iā ia a e ʻike pono i kāu kauka.
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