I kekahi manawa aia kekahi mau ʻeha kua i emi ʻole ma hope o ka lawe ʻana i ka lāʻau lapaʻau a i ʻole ka hana physiotherapy. ʻOiai i ko kākou ʻelemakule ʻana, a i ʻole ma hope o kahi ulia liʻiliʻi, ʻaʻole hiki ke hoʻomanawanui i ka ʻeha i hoʻokumu ʻia e ka haki compression. Ua loaʻa anei iā ʻoe kēia ʻike? Inā pēlā, hiki i kēia lāʻau lapaʻau kūikawā i kapa ʻia ʻo Vertebroplasty ke lawe mai iā ʻoe i ka hōʻoluʻolu nui. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ka maopopo.
He aha ka Vertebroplasty?
Ke ʻōlelo ka poʻe he vertebroplasty, manaʻo lākou he ʻoki kino nui a koʻikoʻi. Akā, ʻaʻole ia. He lāʻau lapaʻau liʻiliʻi loa ia, a i ʻole he lāʻau lapaʻau liʻiliʻi loa. I ka ʻōlelo maʻalahi, ua like ia me ke kau ʻana i kahi sima ma kahi paia nahā e hoʻoikaika iā ia.
Ua hana ʻia kou iwi kuamoʻo i kahi puʻu o nā iwi liʻiliʻi (vertebrae) i hoʻopaʻa ʻia ma luna o kekahi. Ke haki kekahi o kēia mau vertebrae, i kapa ʻia he haki compression, pili pū nā ʻāpana iwi haki, e hōʻeha nui ana. ʻO ka Vertebroplasty e pili ana i ka hoʻokomo ʻana i kahi sima ʻoki kūikawā ma o kahi nila i loko o ka iwi haki e hoʻopaʻa iā ia. A laila e pau ka pili ʻana o nā ʻāpana iwi, a aneane nalowale loa ka ʻeha.
ʻO ka mea nui loa, ʻaʻole kēia he hana ʻoki kino nui e pono ai ka noho ʻana ma ka haukapila. Hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi me ka mālama ʻana.
He aha nā ʻano hihia i mālama ʻia me Vertebroplasty?
Aia kekahi mau kumu nui o nā haki ʻana o ke kuʻi ʻana i loko o ka iwi kuamoʻo. E nānā kāu kauka iā ʻoe e ʻike inā ʻo kekahi o kēia ke kumu o kou ʻeha.
| Ke kumu o ka haʻihaʻi ʻana | He wehewehe maʻalahi |
|---|---|
| ʻOsteoporosis | ʻO kēia ke kumu maʻamau. I ka wā e ʻelemakule ai nā wāhine, ʻoi aku hoʻi ma hope o ka menopause, e nāwaliwali a palupalu ko lākou mau iwi. A laila, ʻoiai he kihe nui a kūlou iki paha hiki ke hana i ka haki. |
| He ulia i ka iwi kuamoʻo | Hiki i kahi vertebra olakino ke haki ma muli o kahi ulia, ka hāʻule ʻana mai kahi kiʻekiʻe, a i ʻole nā ʻeha koʻikoʻi ʻē aʻe i ka iwi kuamoʻo. |
| Ka maʻi ʻaʻai | Hiki i kekahi ʻano maʻi kanesa, ʻoiai nā mea e like me ka Multiple Myeloma , ke laha i nā iwi o ka iwi kuamoʻo, e hoʻonāwaliwali ana iā lākou a me ke kumu o nā haki. |
ʻO wai ka mea kūpono no kēia lāʻau lapaʻau?
ʻAʻole kēia lāʻau lapaʻau no nā pilikia kua āpau. Inā kūpono ʻoe no kēia,
- Pono ka ʻeha nui i hoʻokumu ʻia e ka haki o ka iwi kuamoʻo.
- Pono kēlā ʻeha e mau no ʻelua mahina ma ka liʻiliʻi.
- ʻAʻole pono e hoʻomaha ʻia ka ʻeha e nā lāʻau ʻē aʻe e like me ka hoʻomaha, nā lāʻau ʻeha, a me ka hoʻoikaika kino.
Ma hope o ka noʻonoʻo ʻana i kēia mau mea a pau, e hoʻoholo hope loa kāu kauka inā kūpono kēia lāʻau iā ʻoe a ʻaʻole paha.
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
Inā ʻōlelo kāu kauka i kēia lāʻau lapaʻau, aia kekahi mau mea e pono ai ʻoe e hana ma mua o ke ʻoki ʻana.
- Ke kipa ʻana i ke kauka: E nānā ke kauka lapaʻau iā ʻoe a kamaʻilio e pili ana i kāu mau hōʻailona. E kauoha pū ʻo ia i kahi X-ray spine, MRI a i ʻole CT scan, kahi hoʻāʻo mānoanoa o ka iwi (DEXA scan), a me kekahi mau hoʻāʻo koko.
- Ke kamaʻilio ʻana e pili ana i nā lāʻau lapaʻau: Inā ʻoe e lawe ana i kekahi mau lāʻau lapaʻau, e like me nā lāʻau hoʻokahe koko, e noi ʻia paha ʻoe e hoʻōki i ka lawe ʻana iā lākou i kekahi mau lā ma mua o ke ʻoki ʻana. Akā e hoʻomanaʻo, mai hoʻōki i ka lawe ʻana i kāu mau lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- Mea ʻAi a me Mea Inu: E noi ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no kekahi mau hola ma mua o ke ʻoki kino.
- Puhipaka: Inā he mea puhipaka ʻoe, e kōkua nui ka haʻalele ʻana ma mua o ke ʻoki ʻana i ke kaʻina hana ho'ōla.
- Kōkua e hoʻi i ka home: ʻOiai ʻaʻole hiki iā ʻoe ke hoʻokele iā ʻoe iho ma hope o ke ʻoki ʻana, he mea nui e hoʻonohonoho mua no kekahi e lawe iā ʻoe i ka home.
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
ʻOiai ua makaʻu iki wau i koʻu lohe ʻana i kēia, ua maʻalahi loa kēia kaʻina hana.
1. E lawe ʻia ʻoe i ka lumi lapaʻau a e hoʻomoe ʻia ma kou ʻōpū.
2. E hāʻawi ke kauka anesthesiologist iā ʻoe i ka anesthesia āu e pono ai, no laila ʻaʻole ʻoe e ʻike i kekahi ʻeha ʻoi.
3. A laila, hoʻohana ke kauka lapaʻau i kahi ʻano hana X-ray kūikawā i kapa ʻia ʻo fluoroscopy. E like me ka GPS, kōkua kēia X-ray i ke kauka e hoʻokomo pono i ka nila i loko o ka iwi haʻihaʻi.
4. Ke kau ka nila ma kahi kūpono, e hoʻokomo ʻia ka sima ʻoki kūikawā i loko o ka iwi.
5. Hoʻopaʻakikī koke kēia sima i loko o kekahi mau minuke, e hoʻoikaika ana i ka iwi.
ʻO ka maʻamau, he 60 mau minuke ka lōʻihi e mālama ai i hoʻokahi vertebra.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino? Pehea ka lōʻihi e hoʻōla ai?
Ke pau ka mālama ʻana, e hoʻoneʻe ʻia ʻoe i ka lumi lapaʻau me kahi band-aid liʻiliʻi i kau ʻia ma luna o kahi i hoʻokomo ʻia ai ka nila.
- Hoʻomaha: Pono ʻoe e hoʻomaha maikaʻi no kahi o 24 mau hola ma hope o kou hoʻi ʻana i ka home.
- ʻEha: No kekahi poʻe, nalo koke ka ʻeha ma hope o ka mālama ʻana. No kekahi poʻe, emi ka ʻeha ma hope o ʻelua a ʻekolu mau lā. Aia paha kekahi ʻeha ma kahi i inikini ʻia no kekahi mau lā. Hiki ke kōkua ka hoʻopili ʻana i kahi ʻeke hau i ka wahi.
- Hana: Hiki iā ʻoe ke hoʻi hou i kāu mau hana maʻamau i hoʻokahi a ʻelua paha lā. Eia nō naʻe, ke aʻo aku nei kāu kauka iā ʻoe e pale i ka hāpai ʻana i nā mea kaumaha a i ʻole ka hana ʻana i ka hoʻoikaika kino no kahi o ʻeono pule .
| Nā Pōmaikaʻi o ka Lapaʻau Vertebroplasty | Nā hopena ʻaoʻao hiki (kākaʻikahi) |
|---|---|
| He mau mea kākaʻikahi loa kēia:
|
He aha ka ʻokoʻa ma waena o Kyphoplasty a me Vertebroplasty?
Hoʻohana ʻia kēia mau lāʻau ʻelua e mālama i nā haki iwi kuamoʻo. ʻO ka ʻokoʻa nui, ma Kyphoplasty, ma mua o ke kāpili ʻana, hoʻokomo ʻia kahi pōpō liʻiliʻi i loko o ka iwi a hoʻopiha ʻia, e hana ana i kahi hakahaka i loko o ka iwi haʻihaʻi. Hoʻāʻo pū kēia e hoʻihoʻi i kekahi o ke kiʻekiʻe o ka iwi. A laila wale nō e hoʻopili ʻia ai ka pōpō. Ma Vertebroplasty, ʻaʻole hoʻohana ʻia kēia pōpō, akā ua hoʻokomo pololei ʻia ka pōpō.
Āhea wau e ʻike koke ai i ke kauka?
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ka mālama ʻana, pono ʻoe e kāhea koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa iā ʻoe.
- Inā piʻi aʻe ka ʻeha ma kahi o ka emi ʻana.
- Inā ʻike ʻoe i nā hōʻailona o ka maʻi e like me ke kuni, ka pehu ʻana, a i ʻole ka ʻili ʻana.
- Inā he nui ke kahe koko mai kahi i hoʻokomo ʻia ai ke kui.
- Inā ʻike ʻoe i ka ʻeha a i ʻole ke kani ʻana i kou mau wāwae a lima paha.
Leka Lawe-Home
- He lāʻau lapaʻau kūpono a palekana hoʻi ka Vertebroplasty no ka ʻeha nui i hoʻokumu ʻia e nā haki iwi kuamoʻo ma muli o nā kumu e like me ka osteoporosis.
- ʻAʻole kēia he ʻoki kino nui. He hana liʻiliʻi loa ia e hiki ai ke ho'ōla koke.
- ʻAʻole kūpono kēia lāʻau lapaʻau no nā pilikia kua a pau, no laila he mea nui e nānā ʻia e ke kauka kūpono e hoʻoholo ai inā kūpono ia iā ʻoe.
- Mai kānalua e kūkākūkā i kekahi mau nīnau, hopohopo, a kānalua paha āu e loaʻa ai me kāu kauka, ma mua a ma hope o ka lāʻau lapaʻau.
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