ʻO ka ʻeha hope kahi pilikia i loaʻa i nā poʻe he nui o ko kākou ʻāina i kēia manawa, me ka nānā ʻole i ka makahiki, ʻeā? Manaʻo pinepine mākou ua hana ʻia ka ʻeha hope e ka disc paheʻe a i ʻole ka arthritis. Akā i kekahi manawa, ʻaʻohe mea nui ka nui o nā lāʻau lapaʻau a i ʻole ka hoʻōla kino āu e lawe ai, aia nā ʻeha hope ʻaʻole e emi. ʻAʻole paha ke kumu e like me kā mākou e manaʻo nei. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi ʻano kūikawā o ka ʻeha hope i ʻike ʻia e ka ʻepekema lapaʻau, ʻo ia hoʻi ka " ʻeha vertebral ".
I ka maʻalahi, he aha ka ʻeha Vertebrogenic?
I mea e hoʻomaopopo ai i kēia, e noʻonoʻo mua kākou e pili ana i ko kākou iwi kuamoʻo. Ua hana ʻia ko kākou iwi kuamoʻo i kahi puʻu o nā iwi liʻiliʻi (vertebrae) i hoʻopaʻa ʻia ma luna o kekahi, e like me nā piliki i hoʻopaʻa ʻia ma luna o kekahi. Ma waena o kēia mau "piliki" aia ka disc a kākou a pau i ʻike ai.
Akā ʻo ka ʻāpana koʻikoʻi o kēia moʻolelo ʻo ia ka papa pale kūikawā e kau ana ma luna a ma lalo o kēlā me kēia vertebra. He papa lahilahi kēia i hana ʻia me ke cartilage a me ka iwi. Ma nā ʻōlelo lapaʻau, ua kapa ʻia kēia ʻo ka vertebral endplate . I ka wā ma mua, ua manaʻo nā kauka ʻo nā pilikia disc ke kumu nui o ka ʻeha hope. Akā ua ʻike ʻia kahi noiʻi hou i ka wā e hōʻino ʻia ai kēia mau endplates, hiki i nā aʻalolo e holo ana ma o lākou ke ʻomi ʻia, e hana ana i ka ʻeha nui a lōʻihi.
I ka ʻōlelo maʻalahi, ʻo ka " ʻeha Vertebrogenic" ʻo ia ka ʻeha kua i hana ʻole ʻia e ka disc, akā ma muli o ka hōʻino ʻia ʻana o nā endplates ma luna a me lalo o ka vertebrae.
Hiki paha i kēia ke pili i nā pilikia disk. Ua ʻike nā kānaka noiʻi ma kahi i mae ai kahi disk, loaʻa nā loli i ke kaula spinal ma luna a ma lalo. Aia kekahi mau olonā nerve e lawe ana i ka ʻeha ma kēlā mau wahi. Akā ke hoʻomaopopo nei lākou pehea e hana ai kēlā.
He aha nā kumu o kēia kūlana?
Nui nā kumu e hiki ai i kā mākou mau papa hope ke hōʻino ʻia. Hiki ke hana ʻia kēia e ka ʻaʻahu kūlohelohe a me ka haehae e hele mai me ka ʻelemakule, a me kahi ulia.
ʻAʻole kēia e hana ʻia i nā kānaka a pau, akā, ʻoi aku ka nui o ka pilikia o kekahi poʻe i ka loaʻa ʻana o kēia maʻi.
- ʻOi aku ma mua o 40 mau makahiki: Hoʻonui ʻia kēia pilikia me nā loli kūlohelohe ʻē aʻe i ke kino i ko kākou wā ʻelemakule.
- Kiʻekiʻe: Hiki i nā kānaka kiʻekiʻe ke loaʻa i ke kaomi nui ma ko lākou iwi kuamoʻo.
- Momona: I ka piʻi ʻana o ke kaumaha o ke kino , piʻi aʻe ke kaumaha ma luna o ka iwi kuamoʻo, e hoʻonui ai i ka maʻalahi o nā hono o ka facet i ka hōʻino ʻia.
- Puhipaka: Hoʻopilikia ka puhipaka i nā kīʻaha koko e hoʻohaiki, e hōʻemi ana i ke kahe koko i nā ʻāpana o ka iwi kuamoʻo. Ke pale nei kēia i ke kaʻina hana ho'ōla.
- Hana kino kaumaha: ʻO ka poʻe e hana ana i nā hana e pili ana i ka hāpai ʻana i nā mea kaumaha a i ʻole ke kaumaha ʻana i ko lākou kua, e like me ke kūkulu ʻana, ʻoi aku ka pilikia.
- Moʻolelo ʻohana : Inā ua loaʻa i kekahi o kou ʻohana ka ʻeha kua mau loa, hiki iā ʻoe ke loaʻa iā ia ma muli o nā mana hoʻoilina.
Pehea e ʻike ai i nā hōʻailona?
He ʻokoʻa iki kēia ʻeha mai nā ʻeha kua ʻē aʻe. E nānā inā loaʻa iā ʻoe kēia mau hōʻailona pū kekahi.
| Hōʻailona | Wehewehena |
|---|---|
| Nā manawa e hoʻonui ai ka ʻeha | Hoʻonui ka ʻeha i ka wā e kūlou ana i mua, e noho ana no ka manawa lōʻihi, a i ka wā o nā hana e like me ka hoʻoikaika kino ʻana. |
| ʻAno o ka ʻeha | Hiki ke manaʻo ʻia e like me ka ʻeha nui, ke kuni ʻana, a i ʻole ka ʻeha wela e puka mai ana mai loko mai. |
| Kahi i loaʻa ai ka ʻeha | ʻO ka ʻeha pinepine ma ka ʻaoʻao haʻahaʻa, waena o ke kua. |
| ʻO ka ʻokoʻa nui loa | ʻAʻole ʻike pinepine ʻia ka maneʻo a me ke kani ʻana o nā wāwae, e like me ka mea i ʻike ʻia me nā pilikia disc, ma kēia ʻano. Eia nō naʻe, inā loaʻa iā ʻoe nā pilikia ʻelua, hiki ke ʻike ʻia kēia mau hōʻailona. |
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Inā ua ʻeha kou kua no nā mahina ʻeono a ʻaʻole i hoʻomaikaʻi ʻia me nā lāʻau lapaʻau maʻamau, hiki i kāu kauka ke kānalua i kēia kūlana (ʻeha Vertebrogenic). E hana ʻia nā hana aʻe e hana ai i kahi hōʻailona:
1. Ke nīnau nei iā ʻoe e pili ana i kou moʻolelo: Aia kekahi o kou ʻohana i loaʻa i nā pilikia kua e like me kēia a pehea ke ʻano o ka ʻeha?
2. Hoʻokolokolo kino: E noi ʻia ʻoe e kūlou i mua a i nā ʻaoʻao, a e nānā i ka wā e hoʻonui ai ka ʻeha.
3. Ke kāpae ʻia ʻana o nā maʻi ʻē aʻe: Hana ʻia nā hoʻokolohua ʻē aʻe e ʻike inā he mau kumu ʻē aʻe, e like me ka pilikia disc a i ʻole kahi puʻupuʻu.
4. MRI scan: ʻO ka pane hope loa a maopopo loa mai kahi MRI (Magnetic Resonance Imaging) scan. Hiki i kēia ke kiʻi i nā kiʻi maopopo loa o ka iwi kuamoʻo.
Ma kahi MRI, hiki i kāu kauka ke ʻike i nā loli kikoʻī i nā endplates e hoʻoulu ai i ka ʻeha. Ua kapa ʻia kēia mau mea he mau loli Modic . Loaʻa lākou i ʻelua ʻano nui:
- ʻAno Modic 1: Aia ka pehu a me ka mumū i loko o ka iwi iwi.
- ʻAno Modic 2: Ma kahi o ka iwi ʻulaʻula olakino, ʻike ʻia ka iwi melemele momona.
Pehea e mālama ʻia ai?
ʻO ka mea mua, e ʻōlelo kāu kauka i nā lāʻau lapaʻau maʻamau e like me nā painkillers (NSAIDs), nā mea hoʻomaha ʻiʻo, a me ka hoʻoikaika kino.
Eia nō naʻe, inā ʻaʻohe hoʻomaikaʻi ma hope o 6 mau mahina o kēia lāʻau lapaʻau, hiki ke noʻonoʻo ʻia kahi ʻano lapaʻau kūikawā. Ua kapa ʻia ʻo ia ʻo Basivertebral Nerve Ablation .
He aha ka Basivertebral Nerve Ablation?
I ka ʻōlelo maʻalahi, ʻo ke aʻalolo nui e lawe ana i nā hōʻailona ʻeha i ko kākou mau wēlau, ʻo ia ka "basivertebral nerve." ʻO kēia lāʻau lapaʻau e pili ana i ka hōʻino ʻana i kēia aʻalolo ma kahi e komo ai i loko o ka vertebrae kahi e hele mai ai ka ʻeha, e kāohi ana i nā hōʻailona ʻeha mai ka hele ʻana i ka lolo.
ʻAʻole kēia he hana nui. E hāʻawi ʻia ʻoe i ka anesthesia, no laila ʻaʻole ʻoe e ʻeha. E hana ke kauka ʻoki i kahi ʻoki liʻiliʻi ma ka ʻili kahi i loaʻa ai iā ʻoe ka ʻeha hope a hoʻokomo i kahi mea liʻiliʻi ma o ia mea i loko o ka iwi kuamoʻo. A laila, e hoʻohana lākou i ka wela e hōʻino i ke aʻalolo.
Hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. ʻOi aku ka pōkole o ka manawa hoʻōla ma mua o nā ʻoki kua ʻē aʻe. Ua ʻike ʻia e ka noiʻi hiki i kēia lāʻau lapaʻau ke kōkua iā ʻoe e noho ʻeha ʻole no 5 mau makahiki a ʻoi aku paha.
Āhea wau e ʻike ai i ke kauka?
Inā ua mau kou ʻeha kua no nā pule he nui, inā e ʻoi aku ka ʻino o ka ʻeha, a inā ʻaʻole kōkua ka lāʻau lapaʻau, e ʻike pono i ke kauka .
ʻOi aku hoʻi kēia mau mea aʻeInā loaʻa kekahi mau hōʻailona hae ʻulaʻula, e ʻimi koke i ke kōkua lapaʻau :
- Ka nawaliwali a i ʻole ka ʻeha o nā wāwae
- Paʻakikī ke kū a hele paha
- Ke kahe ʻana o ka mimi a i ʻole ka ʻōpala me ka makemake ʻole (he pilikia koʻikoʻi loa kēia, e hele koke i ka lumi pilikia o ka haukapila (ETU) )
- Ka emi koke ʻana o ke kaumaha
- kuni
Leka Lawe-Home
- ʻO ka ʻeha Vertebrogenic kahi ʻano ʻeha hope i hoʻokumu ʻole ʻia e kahi pilikia disc, akā ma ka hōʻino ʻana i nā ʻaoʻao hope o ka iwi kuamoʻo.
- Hoʻonui kēia ʻeha i ka wā e kūlou ana i mua a noho paha, a ʻo nā hōʻailona e like me ka maneʻo o ka wāwae ʻaʻole pinepine pinepine.
- Pono paha kahi scan MRI e ʻike pololei i ka maʻi.
- Inā ʻaʻole hāʻawi nā lāʻau lapaʻau kuʻuna i ka hōʻoluʻolu, loaʻa i kēia manawa nā lāʻau lapaʻau hou a holomua e like me ka "Bivertebral nerve ablation".
- Mai hoʻowahāwahā i ka ʻeha o ke kua. Inā hoʻomau ia a i ʻole he mau hōʻailona koʻikoʻi, e ʻike pono i kāu kauka.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo