Loaʻa iā ʻoe kekahi ʻeha pinepine i ke kua? A i ʻole he maʻi kou e like me 'Sciatica', ʻo ia hoʻi ka ʻeha e hele ana mai ke kua a i nā wāwae, e like me ke au, a i ʻole e hele mai me ka ʻeha ʻana? I kekahi manawa hiki nō hoʻi ke lilo i ʻeha e hele ana mai ka ʻāʻī a i nā lima. Ma muli o ia ʻeha, pono ʻoe e ʻoluʻolu ʻole a ʻaʻole hiki ke hana pono i kāu mau hana o kēlā me kēia lā. No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi ʻano lapaʻau holomua a holomua e hiki ai iā ʻoe ke kāohi i ia ʻeha.
He aha kēia Transforaminal Epidural Steroid Injection?
ʻOiai paha he mea paʻakikī iki kēia inoa, he maʻalahi loa kona manaʻo. E wehewehe kākou i nā huaʻōlelo.
- Transforaminal: ʻO ke ʻano kēia "ma o ka foramen." E noʻonoʻo e pili ana iā ia, ʻo ke kaula aʻalolo nui mai ka lolo, ke kaula spinal, e holo ana ma o ko kākou iwi kuamoʻo. Aia nā lua liʻiliʻi ma waena o nā vertebrae no nā aʻalolo e puka mai i waho o kēia kaula spinal i nā ʻāpana like ʻole o ke kino. Ua kapa ʻia kēlā mau lua he `foramina`. No laila ua hāʻawi ʻia kēia inikini ma o kēlā lua.
- Epidural: Ua hoʻopuni ʻia ko kākou iwi kuamoʻo e kahi membrane pale mānoanoa i kapa ʻia ʻo `dura mater`. ʻO `Epidural` ka inoa i hāʻawi ʻia i ka hakahaka ma waho o kēlā membrane.
I ka ʻōlelo maʻalahi, ʻo ka Transforaminal Epidural Steroid Injection kahi hana e hoʻokomo ʻia ai kahi nila ma o ka lua (foramen) kahi e puka mai ai ke aʻalolo spinal, a hoʻokomo ʻia kahi hui o ka steroid a me ka lāʻau anesthetic i loko o ka wahi pale a puni ke kaula spinal (epidural space).
ʻO ka mea nui, ʻaʻole kēia he inikini pololei i loko o ke kaula kuamoʻo a i ʻole nā aʻalolo. Hoʻokomo ʻia ka lāʻau lapaʻau i loko o kahi palekana a puni lākou. ʻO ka hana a kēia lāʻau lapaʻau, ʻo ia ka hōʻemi ʻana i ka pehu a me ka mumū a puni ke aʻalolo e hoʻoulu ai i ka ʻeha.
He aha nā kūlana e kūpono ai kēia lāʻau lapaʻau?
Aia kekahi mau kumu e paipai ai kāu kauka i kēia lāʻau lapaʻau. ʻO ka hapa pinepine, hoʻohana ʻia ia e kāohi i ka ʻeha i hoʻokumu ʻia e kahi aʻalolo i ʻoki ʻia a ʻeha paha i loko o ka iwi kuamoʻo.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| ʻEha hope haʻahaʻa | ʻEha pinepine a hoʻoweliweli i ke ola. |
| ʻO ka maʻi ʻeha (Sciatica) | ʻEha nui, mae wale, a i ʻole ke kuni e pālahalaha ana mai ke kua ma o nā puʻupuʻu a i lalo i ka wāwae. |
| Disc Herniated | He ʻāpana e like me ka jelly o ke kaula kuamoʻo e puka a kaomi ana ma luna o ke aʻalolo. |
| ʻO ka Stenosis Spinal | ʻO ke kaomi ʻana o nā aʻalolo ma muli o ka haiki ʻana o ke kahawai kuamoʻo me ka ʻelemakule. |
| ʻAʻalolo i ʻūmiʻi ʻia | ʻEha a me ka maneʻo i hoʻokumu ʻia e ke aʻalolo i ʻoki ʻia ma muli o ka iwi a i ʻole nā kumu ʻē aʻe. |
| Nā iwi kui | Ka ʻomi ʻana o nā aʻalolo ma muli o ke kūkulu ʻia ʻana o ka iwi hou ma ka iwi kuamoʻo. |
Ke mālama nei kēia lāʻau i nā ʻāpana like ʻole o ka iwi kuamoʻo?
ʻAe. Ma muli o ka wahi o ka ʻeha, hiki ke hāʻawi ʻia kēia inikini i nā ʻāpana like ʻole o ka iwi kuamoʻo.
- ʻInikini lumbar: Hāʻawi ʻia kēia i loko o ke kua lalo. ʻO kēia ka mea a ka poʻe he nui e hana ai no ka ʻeha kua a me ka ʻeha sciatica e iho ana i lalo i ko lākou mau wāwae.
- ʻInikini Thoracic: Hana ʻia kēia no ka ʻeha i hoʻokumu ʻia e ke aʻalolo ma waenakonu o ke kua, no ka laʻana, ka ʻeha e pālahalaha ana i ka umauma a i ʻole ka ʻōpū.
- ʻO ka inikini ʻana o ka ʻāʻī: Hana ʻia kēia ma ka ʻāʻī. He kūpono loa kēia lāʻau lapaʻau no ka ʻeha e pālahalaha ana mai ka ʻāʻī i lalo ma ka poʻohiwi a i ka lima.
Pehea e hana ʻia ai kēia lāʻau lapaʻau? He nui anei ka ʻeha?
ʻAʻohe kumu e makaʻu ai i kēia. Penei ke ʻano o kēia kaʻina hana.
1. Hoʻomākaukau: E kau ʻia ʻoe ma luna o kahi moe kūikawā me kahi mīkini X-ray, e hoʻohuli ʻia i kou ʻōpū.
2. Māʻū: Ma mua o ka hāʻawi ʻana i ka inikini, e inikini ke kauka i kahi liʻiliʻi o ka anesthetic i loko o kou ʻili e māʻū ai ka wahi. Hiki paha iā ʻoe ke manaʻo i kahi ʻano wela iki i kēia manawa, akā e nalo aku ia i loko o kekahi mau kekona.
3.Hoʻomaha: Inā makemake ʻoe, hiki iā ʻoe ke hāʻawi ʻia kahi mea hoʻomaha iā ʻoe ma o kahi aʻa koko i loko o kou lima e kōkua i ka hoʻēmi ʻana i ka hopohopo a hoʻonui i ka ʻoluʻolu. E hoʻohiamoe kēia iā ʻoe, akā e ala mau ana ʻoe. Hiki iā ʻoe ke kamaʻilio me kāu kauka.
4. Alakaʻi X-ray: ʻO ka mea kūikawā e pili ana i kēia lāʻau lapaʻau, ʻo ia ka hana ʻia ma lalo o ke alakaʻi X-ray (Fluoroscopy) . ʻO ia hoʻi, hiki i ke kauka ke ʻike i loko o kou iwi kuamoʻo e like me ke wikiō ola. No laila, hana ʻia kēia ma ka nānā pono ʻana i kahi i hoʻokomo ʻia ai ka nila.
5. Ke hāʻawi ʻana i ka inikini: ʻOiai e nānā ana i ka X-ray, e hoʻokomo pono ke kauka i kahi nila lahilahi a lōʻihi i loko o ka ʻāpana o ke aʻalolo e hoʻoulu ai i ka ʻeha. A laila, e hoʻokomo ʻia kahi hui o nā steroids a me ka anesthetic.
Ma kahi o 30 mau minuke ka lōʻihi o ke kaʻina hana holoʻokoʻa. ʻAʻole ʻoe e ʻeha nui ma muli o ka mae ʻana, akā hiki paha iā ʻoe ke manaʻo i kahi paʻi iki ke hoʻokomo ʻia ka nila.
He aha kāu e pono ai e makaʻala ma hope o ka injection?
Ma hope o ka lāʻau lapaʻau, hiki iā ʻoe ke ʻai, inu, a lawe i kāu mau lāʻau lapaʻau e like me ka maʻamau. Akā e makaʻala i kēia mau mea.
- Mai kalaiwa no 12 mau hola ma hope o ka lāʻau lapaʻau.
- Mai hana i ka hoʻoikaika kino nui a i ʻole ka hāpai kaumaha no hoʻokahi lā.
- Hiki iā ʻoe ke hoʻi i kāu mau hana maʻamau mai ka lā aʻe.
Hiki ke hala i 24-48 mau hola no ka hoʻomaka ʻana o ka steroid. Hiki ke hala a hiki i ʻelua pule no ka ʻike piha ʻana i ka hopena. Inā ʻaʻole e emi ka ʻeha ma hope o ʻelua pule, e ʻike hou i kāu kauka e kūkākūkā i ka pilikia.
Pehea ka lōʻihi o ka hopena o kēia lāʻau lapaʻau?
ʻOkoʻa kēia mai kēlā kanaka a kēia kanaka. Loaʻa i kekahi poʻe ka hōʻoluʻolu o ka ʻeha no kekahi mau pule a i kekahi mau mahina . Inā holomua kēia lāʻau lapaʻau iā ʻoe, hiki iā ʻoe ke loaʻa i kēia mau inikini i nā manawa a pau e pono ai e kāohi i kou ʻeha. Manaʻo ʻia he palekana ke loaʻa ma waena o 3-6 mau inikini i kēlā me kēia makahiki. Eia nō naʻe, ʻo kāu kauka ke kanaka maikaʻi loa e hoʻoholo.
Nā hopena ʻaoʻao a me nā mea e makaʻala ai
He haʻahaʻa loa ka pilikia o nā pilikia koʻikoʻi mai kēia lāʻau lapaʻau. He palekana loa ia no ka mea ua hana ʻia ma lalo o ke alakaʻi ʻana o X-ray. Eia nō naʻe, aia kekahi mau hopena ʻaoʻao liʻiliʻi e hiki ke loaʻa pinepine ʻole.
- Ka ʻūlū iki a nāwaliwali paha ma nā wāwae a i ʻole nā lima.
- Pōʻaiʻī.
- ʻEha poʻo.
ʻO ka maʻamau, nalo loa kēia mau mea i loko o kekahi mau hola.
| Inā loaʻa iā ʻoe kēia mau hōʻailona, e kāhea koke aku i kāu kauka. | |
|---|---|
| 1. | Inā ʻoi aku ka lōʻihi o ka mae a nāwaliwali paha o nā lālā ma mua o hoʻokahi lā. |
| 2. | Inā loaʻa iā ʻoe ka ʻeha hou i loaʻa ʻole ma mua o ka inikini. |
| 3. | Inā e ʻoi aku ka ʻeha. |
| 4. | Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi e like me ka pehu ʻana, ka ʻulaʻula, ka mehana, a i ʻole ke kuni ma kahi i ini ʻia. |
Hiki ke paʻakikī ke noho me ka ʻeha mau i hoʻokumu ʻia e nā kūlana e like me ka sciatica a me nā disc herniated. Hiki i kēia lāʻau lapaʻau, i kapa ʻia ʻo Transforaminal Epidural Steroid Injection, ke hoʻomaikaʻi nui i kou ʻano ola ma ka mālama ʻana i ke aʻalolo e hoʻoulu ai i ka ʻeha.
Leka Lawe-Home
- ʻO ka Transforaminal Epidural Steroid Injection kahi ʻano lapaʻau pololei a palekana hoʻi e hōʻemi i ka ʻeha a me ka pehu i hoʻokumu ʻia e ke kaomi ʻana o ke aʻalolo spinal.
- Ma muli o ka hana ʻia ʻana o kēia lāʻau lapaʻau ma lalo o ke alakaʻi ʻana a X-ray, hiki ke hāʻawi pololei i ka lāʻau lapaʻau ma kahi e pono ai.
- He lāʻau lapaʻau kēia e hāʻawi ai i ka hōʻoluʻolu ma o ka kaohi ʻana i ka ʻeha a me ka ʻae ʻana iā ʻoe e hana i nā hana o kēlā me kēia lā me ka maʻalahi, ma mua o ka hoʻōla piha ʻana i ka maʻi.
- ʻOkoʻa ka hōʻoluʻolu o ka ʻeha mai kēlā me kēia kanaka a hiki ke mau mai kekahi mau pule a i kekahi mau mahina.
- E kamaʻilio me kāu kauka e pili ana i ka kūpono o kēia lāʻau lapaʻau iā ʻoe a me kona mau pono e hana i ka hoʻoholo maikaʻi loa.
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