Ua luhi hoʻi ʻoe i ka hiki ʻole ke hana pono i kāu mau hana o kēlā me kēia lā ma muli o ke ʻeha o ke kua a ʻaʻole hiki ke hauʻoli? ʻO ka hana ʻana i nā hana o ka hale, ka māla ʻana, ka hele ʻana me nā hoaaloha, a me ka pāʻani ʻana me kāu mau keiki ua lilo i mea paʻakikī loa ma muli o kēia ʻeha o ke kua. ʻO ke kumu nui o ia ʻeha mau o ke kua, ʻo ia ka hōʻino ʻia o nā hono i ko kākou kua i kapa ʻia ʻo `(Lumbar Facet Joints)`. ʻO ka ʻoiaʻiʻo, ma kahi o 45% o nā maʻi e ʻeha nei i ke kua he mau pilikia e pili ana i kēia mau hono. No laila, inā loaʻa iā ʻoe ke ʻeha o ke kua a i ʻole ka paʻakikī ke kulou a me ka wili ʻana i kou kua, he mea nui loa ia e ʻike e pili ana i kēia lāʻau i kapa ʻia ʻo `(Lumbar Facet Joint Injection)`.
He aha kēia mau hono o ke kua o ka ʻaoʻao lumbar?
I ka ʻōlelo maʻalahi, ʻo nā ʻanuʻu liʻiliʻi o ko kākou kua i lalo, ma hope o nā iwi kuamoʻo (vertebrae). Ua kapa ʻia hoʻi kēia mau mea ʻo nā ʻanuʻu Zygapophysial.
E noʻonoʻo i kou kuli. E like me ka hiki ʻana o ke ami kuli iā mākou ke kūlou a hoʻolōʻihi i ko mākou wāwae, ʻae kēia mau 'ami ʻaoʻao' iā mākou e kūlou i mua, e hoʻohuli i nā ʻaoʻao, a mālama i ko mākou iwi kuamoʻo i pololei. Aia kahi wai lubricating i loko o kēia mau ami. Kōkua kēia i kēia mau ami e neʻe mālie me ka ʻole o ka hamo ʻana kekahi i kekahi.
Eia nō naʻe, i ka wā e pau ai kēia mau hono, ʻo ia hoʻi, i ka wā e kū mai ai nā maʻi arthritis e like me ka "Facet Arthropathy", hiki ke loaʻa ka ʻeha hope hiki ʻole ke hoʻomanawanui.
No laila he aha kēia Lumbar Facet Joint Injection?
Ua kapa ʻia hoʻi kēia he Lumbar Facet Joint Block. Pili kēia i ka hoʻokomo ʻana i kahi mea hoʻomaʻemaʻe kūloko i loko a i ʻole kokoke i ka hui ʻeha o ke kuamoʻo. I kekahi manawa ua hoʻohui ʻia kahi steroid i kēia e hōʻemi i ka ʻeha a me ka pehu. Ma muli o kou kūlana a me ka helu o nā hui i hoʻopilikia ʻia, pono paha ʻoe e loaʻa i hoʻokahi a ʻoi aku paha nā inikini.
He ʻano lapaʻau maʻamau kēia i hoʻohana pinepine ʻia e nā kauka e mālama ana i ka ʻeha o ke kua. He mea kūpono loa ia no ka ʻeha i hoʻokumu ʻia e ka maʻi disc degenerative a me kekahi mau kumu mechanical o ka ʻeha o ke kua haʻahaʻa (mechanical lower back pain).
Hana ʻia kēia lāʻau lapaʻau e nā kauka a i ʻole nā limahana kahu hānai i aʻo kūikawā ʻia i loaʻa i ka hoʻomaʻamaʻa kūikawā i ka hoʻokele ʻeha , ka mālama ʻana i ke kuamoʻo, a i ʻole ka hoʻōla kino a me ka hoʻoponopono hou ʻana.
Aia kekahi mau hopena ʻaoʻao o kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, aia kekahi mau pilikia a me nā hopena ʻaoʻao. Akā, ʻo kēia mau meaHe mea nui e hoʻomanaʻo he mau hanana kakaikahi loa kēia. E hōʻike aku kāu kauka iā ʻoe e pili ana i kēia me nā kikoʻī.
| Ka hopena ʻaoʻao | He wehewehe maʻalahi |
|---|---|
| Ka hopena alerika | ʻAleʻaleʻa i nā lāʻau lapaʻau i hoʻohana ʻia. |
| Maʻi | Nā huakino e komo ana i kahi i hoʻokomo ʻia ai. (Kākaʻikahi loa) |
| Ke kahe ʻana o ke koko | Hiki ke hana nui ia i nā poʻe e lawe ana i nā lāʻau hoʻokahe koko . |
| ʻEha aʻalolo | Hiki ke hana kākaʻikahi loa. |
| Hoʻonui ʻia ka ʻeha no kekahi manawa | Hiki ke hoʻonui iki ʻia ka ʻeha no kekahi mau lā ma hope o ke komo ʻana. |
| ʻĒ aʻe (kākaʻikahi) | Hiki ke loaʻa ke kiʻekiʻe o ke kō koko, ka ʻulaʻula o ka maka no ka manawa pōkole, ka emi ʻana o ka nui o ka iwi, a me ka maʻi ʻeha koʻikoʻi o ka ʻūhā (avascular necrosis). |
Pehea ʻoe e hoʻomākaukau ai no ka inikini?
Aia kekahi mau hana e pono ai ʻoe e hahai ma mua, i ka wā, a ma hope o kēia lāʻau lapaʻau.
ʻO ka poʻe ʻaʻole pono e loaʻa i kēia inikini
ʻAʻole kūpono kēia lāʻau lapaʻau no kekahi mau maʻi. Inā hāʻule ʻoe i kekahi o kēia mau ʻano, pono ʻoe e haʻi i kāu kauka .
- ʻO ka poʻe i maʻi i nā lāʻau lapaʻau i hoʻohana ʻia (nā lāʻau ʻeha poʻo, nā steroid, nā mea hoʻohālikelike).
- ʻO ka poʻe i loaʻa ka maʻi i loko o ko lākou kino.
- Nā wahine hāpai .
- ʻO nā kānaka me nā maʻi kahe koko.
- Nā kānaka me ke kanesa o ke kaula kuamoʻo a i ʻole ka maʻi ʻaʻai.
- ʻO nā kānaka me ka maʻi diabetes i kāohi ʻole ʻia a i ʻole ka hāʻule ʻana o ka puʻuwai congestive .
Nā mea e hana ai ma mua a i ka wā o ka mālama ʻana
E nānā kāu kauka i kāu mōʻaukala lapaʻau piha, e wehewehe i nā pono a me nā pōʻino o kēia lāʻau lapaʻau, a e pane i kāu mau nīnau. Inā ʻoe e lawe ana i kekahi mau lāʻau hoʻokahe koko , e aʻo ʻia paha ʻoe e nīnau i kāu kauka lapaʻau inā pono ʻoe e hoʻōki i ka lawe ʻana iā lākou a pehea.
I ka lā o ka mālama ʻana, e hana i kēia mau mea:
- E ʻauʻau maikaʻi, e kau i ke kopa, a hoʻomaʻemaʻe iā ʻoe iho.
- Mai hoʻopili i kekahi lotion a i ʻole ka kirīmi lāʻau lapaʻau ma kahi i iniki ʻia.
- E ʻaʻahu i nā lole ʻoluʻolu, palupalu iki, a me nā waihoʻoluʻu ʻeleʻele.
- E hōʻea i ka haukapila a i ʻole ke keʻena lapaʻau ma kahi o 30 mau minuke ma mua o kāu lāʻau lapaʻau.
- E ʻoluʻolu e lawe mai i kekahi e lawe iā ʻoe i ka home. ʻAʻole kūpono ke kalaiwa ma hope o ka lāʻau lapaʻau.
- E lawe mai i kahi papa inoa o nā lāʻau lapaʻau a pau āu e lawe ai a me nā mea allergies āu e loaʻa ai.
- Inā loaʻa iā ʻoe kāu mau hōʻike X-ray a MRI paha hou loa, e lawe mai iā lākou.
He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?
Ma waena o 10 a me 30 mau minuke ka lōʻihi o ke kaʻina hana holoʻokoʻa. ʻO ka hapa nui o ka manawa, ʻaʻole ʻoe e hoʻohiamoe piha ʻia, no laila e ʻike pono ʻoe.
1. ʻO ka mea mua, e hāʻawi ʻia ʻoe i kahi lole haukapila e ʻaʻahu ai. Pono nō hoʻi ʻoe e kau inoa i kahi palapala ʻae.
2. E lawe aku kekahi kahu maʻi iā ʻoe i ka lumi lapaʻau a e noi aku iā ʻoe e moe i lalo ma luna o kahi moe. E hoʻopili ʻia kahi mea nānā koko i kou lima a e hoʻopili ʻia kahi mea nānā puʻuwai i kou manamana lima.
3. Hoʻohana ke kauka i kahi mea hana X-ray e ʻimi i ke ami kūpono e hoʻokomo ai i ka lāʻau lapaʻau.
4. A laila hoʻomaʻemaʻe ʻia ka ʻili ma ia wahi me kahi hopena antiseptic a hoʻokomo ʻia kahi liʻiliʻi o ka lāʻau hoʻomāno. Hiki paha iā ʻoe ke manaʻo i kahi ʻano wela iki i kēia manawa.
5. A laila, hoʻokomo ʻia ke nila nui, hoʻokomo ʻia kahi mea hoʻohālikelike, ʻike pono ʻia ke ami, a hoʻokomo ʻia kahi hui steroid a me ka lāʻau ʻeha. Hiki paha iā ʻoe ke manaʻo i kahi kaomi iki ma kou kua i kēia manawa.
6. A pau ka hana, wehe ʻia ke kui, hoʻomaʻemaʻe ʻia ka wahi, a hoʻopili ʻia kahi palaki liʻiliʻi.
7. A laila e lawe ʻia ʻoe i kahi lumi kaʻawale no ka nānā ʻana no kahi o 15-45 mau minuke.
Ma hope o ka mālama ʻana
Inā he laina IV kāu, e wehe ʻia. E nānā ke kahu maʻi i kou koko a hāʻawi iā ʻoe i nā kuhikuhi no ka mea e hana ai a me ka mea e hana ʻole ai ke hoʻi ʻoe i ka home. E haʻi pū lākou iā ʻoe i ka wā e wehe ai i ke kāʻei, kahi moʻolelo ʻeha e hoʻopaʻa i kou ʻeha, a me ka wā e ʻike hou ai i kāu kauka.
He mea nui loa: Inā loaʻa iā ʻoe ka pōkole o ka hanu koke, ka maule ʻana, nā hōʻailona maʻi āpau (ka maneʻo, ka hives), ka ʻeha poʻo nui, ka ʻeha nui, a i ʻole ka hoʻōki ʻana i ka inu ma hope o ka mālama ʻana, e kāhea koke i kāu kauka a i ʻole e hele i ka haukapila kokoke loa i ka Emergency Department (ETU).
Leka Lawe-Home
- He lāʻau lapaʻau kūpono a hoʻohana nui ʻia ka Lumbar Facet Joint Injection no ka ʻeha mau loa i hoʻokumu ʻia e ka herniation spinal disc.
- ʻOiai he lāʻau palekana kēia ma ke ʻano laulā, e like me nā kaʻina hana lapaʻau āpau, aia kekahi mau pilikia liʻiliʻi a me nā hopena ʻaoʻao e hiki ke loaʻa.
- He mea nui loa ia e hahai pono i nā ʻōlelo a kāu kauka ma mua o ka mālama ʻana. E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei a me nā kūlana olakino āu e loaʻa nei.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē ma hope o ka mālama ʻana, e ʻimi koke i ke kōkua lapaʻau. Mai hopohopo a hoʻowahāwahā iā ia.
- Na ke kauka nāna ʻoe e nānā e hoʻoholo inā kūpono kēia lāʻau lapaʻau iā ʻoe. No laila, inā loaʻa iā ʻoe ka ʻeha kua, e ʻike i kahi loea a loaʻa i ka ʻōlelo aʻoaʻo kūpono.
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