Ua loaʻa i ka hapa nui o kākou ka ʻeha hope i kekahi manawa o ko kākou ola. Hiki paha ke kumu o ka hāpai ʻana i nā mea kaumaha, ka noho ʻana ma ke kūlana kūpono ʻole, a i ʻole ka luhi wale nō. Akā inā e ʻoi aku ka ʻino o kou ʻeha hope i kēlā me kēia lā, a manaʻo ʻoe e like me ʻoe e loaʻa ana i ke kuni a me ke anu, mai hoʻowahāwahā iā ia he ʻeha hope maʻamau wale nō. No ka mea, ʻoiai he mea kakaikahi loa, hiki ke lilo i hōʻailona o kahi maʻi iwi kuamoʻo. Hiki i kēia mau mea ke lilo i mea weliweli loa, no laila e makaʻala kākou i kēia.
He aha kēia mau maʻi iwi kuamoʻo?
I ka ʻōlelo maʻalahi, ʻo ka maʻi iwi kuamoʻo he maʻi ia o ke kolamu iwi kuamoʻo a i ʻole nā ʻiʻo a puni i hoʻokumu ʻia e ka bacteria a i ʻole ka fungi. Hana ʻia ko mākou iwi kuamoʻo i kahi moʻo o nā iwi liʻiliʻi (i kapa ʻia he vertebrae) i hoʻopaʻa ʻia ma luna o kekahi. Hiki i kēia maʻi ke hoʻopilikia i nā iwi o ka iwi kuamoʻo, nā disc ma waena o nā iwi, a i ʻole nā membrane e hoʻopuni ana i ka iwi kuamoʻo.
E noʻonoʻo ʻoe he maʻi kou ma waena o kou iwi kuamoʻo. Hiki iā ʻoe ke ʻeha nui i ke kua, ke kuni, ka emi ʻana o ke kaumaha, a me ka paʻakikī o ka mimi ʻana. He mau maʻi koʻikoʻi kēia, no laila inā he mau hopohopo kāu, he mea nui e ʻike koke i kāu kauka e loaʻa ai kahi hōʻailona kūpono. A i ʻole, hiki iā ʻoe ke hōʻeha hou ʻole i kou iwi kuamoʻo a me nā ʻano a puni.
E nānā kākou i kekahi o nā ʻano nui o kēia mau maʻi.
1. ʻOsteomyelitis
He ʻano maʻi ʻōiwi kēia i maʻamau i nā pākeke. I kekahi manawa ua kapa ʻia ʻo ia he `(Spondylodiscitis)`. ʻO kēia ka wā e loaʻa ai ka maʻi i nā iwi o ke kuamoʻo, i kapa ʻia he vertebrae . Hiki nō hoʻi ke laha i nā uluna ma waena o nā iwi (nā disc intervertebral).
He aha nā kumu no kēia?
Hiki ke hana ʻia kēia kūlana e nā bacteria, nā parasites, a i ʻole nā fungi e komo ana i ke kaula spinal. Aia kekahi mau ala e hiki ai i kēia mau germs ke komo:
- ʻO ke ʻoki kino: No ka laʻana, ma hope o ke ʻoki ʻana o ke kuamoʻo, hiki i kahi maʻi ke komo ma o ka hana metala kuamoʻo i hoʻokomo ʻia i kēlā manawa.
- Ka laha ʻana mai nā ʻiʻo a puni: Inā he maʻi i loko o nā ʻiʻo a puni ka iwi kuamoʻo , hiki iā ia ke laha i ke kaula kuamoʻo.
- Hohola ma ke koko: Hiki i kahi maʻi ma nā wahi ʻē aʻe o ke kino (e like me ka ʻili, nā māmā) ke hele ma o ke koko a noho i loko o ke kaulahao kuamoʻo.
He aha nā hōʻailona?
ʻO ka hōʻailona nui a i kekahi manawa ʻo ia wale nō ka hōʻailona o kēia, ʻo ia ka ʻeha hope, ʻoi aku ka ʻino i ka pō a ʻaʻole e emi me ka hoʻomaha ʻana.ʻO ke ʻano kūikawā o kēia, ʻo ia ka ʻeha nui. ʻOi aku ka ʻeha i ka wā e hoʻāʻo ai ʻoe e hiamoe i ka pō ma hope o ka hana ʻana i ka lā a pau.
He mea paʻakikī ke ʻike pinepine i kēia maʻi no ka mea he ʻeha wale nō ia. Eia nō naʻe, inā e ʻomi ka maʻi i ke kaula kuamoʻo, hiki iā ia ke hana i nā pilikia e like me ka paʻakikī i ka neʻe ʻana i nā lālā a me ka manaʻo o ka mae.
Ka lāʻau lapaʻau a me ka hōʻailona
Inā kānalua kāu kauka i kēia kūlana, hiki iā lākou ke kauoha i nā hoʻokolohua aʻe.
| Hoʻāʻo | He aha kāu e nānā nei? (Pahuhopu) |
|---|---|
| Nā hoʻāʻo koko | E nānā i ka maʻi i loko o ke kino (ka helu o nā keʻokeʻo koko). |
| X-ray, CT scan, MRI scan | E nānā e ʻike i ka mamao o ka laha ʻana o ka maʻi, inā ua hana ʻia kahi abscess, a inā he pōʻino iwi. |
Hoʻoholo ʻia ka lāʻau lapaʻau ma muli o nā hopena o kēia mau hoʻokolohua. Hiki ke mālama ʻia kēia me kahi papa lōʻihi o nā antibiotics. Eia nō naʻe, inā he mau pilikia ʻē aʻe, e like me ka paʻa ʻole o ka iwi kuamoʻo, pono paha ke ʻoki ʻana.
2. ʻO ka maʻi ʻōpū
Ma waena o nā iwi kuamoʻo ʻelua, aʻu i ʻōlelo ai ma mua, aia kahi wahi e like me ka jelly. Kāhea mākou i kēia ʻo ka disc intervertebral. Ua like ia me nā mea hoʻokuʻu haʻalulu i loko o ke kaʻa, e omo ana i ke kaomi ma ka iwi kuamoʻo. ʻO ka Discitis ka wā e loaʻa ai ka maʻi i kēlā disc a pehu. Manaʻo kekahi mau kauka he ʻelua pae o ka maʻi like ʻo Osteomyelitis a me Discitis.
Nā kumu no kēia
He maʻi nō hoʻi kēia e hiki ke hana ma hope o ke ʻoki kino a i ʻole ma hope koke iho. ʻO ke kumu nui o ia mea ʻo ka bacteria 'Staphylococcus aureus'. Eia kekahi, ʻo nā ʻano bacteria ʻē aʻe e like me 'Streptococcus' ke kumu.
E noʻonoʻo i ka loaʻa ʻana o kahi maʻi mimi a i ʻole ka maʻi pneumonia i kekahi. Hiki i kēia mau maʻi ke hele ma ke kahe koko a noho ma ke kua o ke poʻo. ʻOi aku ka nui o kēia ʻano e hiki mai i nā poʻe me nā maʻi ʻē aʻe, e like me ka maʻi diabetes mellitus.
Nā hōʻailona a me nā pilikia
Hiki i ke kanaka me ka discitis ke ʻike i nā hōʻailona e like me ke kuni, ke anu, a me ka ʻeha i ka wā e neʻe ai i ka iwi kuamoʻo, hiki ke pālahalaha i nā ʻāpana ʻē aʻe o ke kino (e like me nā wāwae). Hiki ke loaʻa kēia ʻano i nā pēpē a me nā keiki ʻōpio. Hiki iā ia ke hana i nā ʻano ʻē o ka iwi kuamoʻo a me nā pilikia neurological.
Lapaʻau
Hoʻōla ʻia kēia me nā antibiotics a i kekahi manawa ke kākoʻo ʻana i ka iwi kuamoʻo. Inā koʻikoʻi ka maʻi, pono paha ke ʻoki ʻana. Pili kēia ʻoki i kahi mea i kapa ʻia ʻo debridement. ʻO ke ʻano kēia o ka wehe ʻana a me ka hoʻomaʻemaʻe ʻana i nā ʻiʻo i loaʻa i ka maʻi.
3. Meningitis - ka mumū o ka lolo
ʻO ka meningitis, a i ʻole e like me kā mākou e ʻike nei, ʻo ka meningitis, he ʻano ia e hiki ke lilo i mea weliweli loa inā ʻaʻole mālama pono ʻia. He mumū ia o nā membrane pale e hoʻopuni ana i ka lolo a me ke kaula spinal. Hiki iā ia ke laha koke.
Nā kumu no kēia
ʻAʻole wale ia i hana ʻia e nā germs. Hiki ke hana ʻia e kekahi mau lāʻau lapaʻau a me nā kūlana olakino. Akā ʻo ka mea maʻamau, ʻo ia ka maʻi viral a bacteria paha. ʻOiai ke kumu, he maʻi koʻikoʻi ka meningitis e hoʻopilikia ai i ka lolo.
Nā hōʻailona
E like me nā maʻi viral maʻamau, hiki ke loaʻa mua ke kuni a me nā ʻeha kino (myalgias). A laila, ʻike ʻia nā hōʻailona maʻamau o ka meningitis.
| Nā hōʻailona o ka meningitis | |
|---|---|
| Nā hiʻohiʻona nui | |
| |
| Ke hoʻopilikia ʻia ka lolo (hihia koʻikoʻi) | |
|
ʻIke a me ka lāʻau lapaʻau
No ka ʻike ʻana i kēia, e hana ke kauka i nā hoʻokolohua koko a me nā swabs ʻāʻī. Akā ʻo ka hoʻokolohua koʻikoʻi loa he loiloi wai cerebrospinal (CSF). Pili kēia i ka lawe ʻana i kahi wai liʻiliʻi mai kou iwi kuamoʻo (i kapa ʻia he lumbar puncture) a hoʻāʻo iā ia no ka protein, glucose, a me ka helu o nā cell. Hiki i kēia ke kōkua i ka hoʻoholo ʻana i ke kumu o ka maʻi (inā he bacteria a he virus paha).
He pilikia olakino ka maʻi meningitis bacteria! Pono e lawe koke ʻia ka mea maʻi i ka haukapila a hāʻawi ʻia i nā antibiotics a me nā corticosteroids. Hoʻopau pinepine ka maʻi meningitis viral iā ia iho i loko o kekahi mau pule. Hāʻawi ʻia nā lāʻau antiviral e mālama i nā hōʻailona a, inā pono, e mālama i ka maʻi.
Leka Lawe-Home
- Mai hoʻowahāwahā i ka ʻeha kua i like ʻole me ka ʻeha kua maʻamau, akā e hele pū ʻia me nā hōʻailona e like me ke kuni, ke anu, a me ka pohō kaumaha .
- ʻOiai he mea kakaikahi nā maʻi iwi kuamoʻo, hiki iā lākou ke lilo i mea koʻikoʻi loa.
- ʻO Osteomyelitis, Discitis, a me Meningitis kekahi o nā ʻano nui. Hiki i kēlā me kēia o lākou ke loaʻa nā hōʻailona like ʻole.
- ʻO ke ʻike koke ʻana i ke kauka a me ka loaʻa ʻana o kahi hōʻailona pololei ke ala maikaʻi loa e pale aku ai i ka hōʻino mau loa.
- Mai hele i ka lāʻau lapaʻau nou iho. E hahai mau i nā ʻōlelo a kāu kauka.
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