Spondylosis cerviera

ʻO ka Cerond spondylosis kahi maʻi kahi e komo ai ka cartilage (disks) a me nā iwi o ka ʻāʻī (cervical vertebrae). He kumu maʻamau ia o ka ʻāʻī mau o ka ʻāʻī.

Hoʻokumu ʻia ka cervical spondylosis e ka ʻelemakule a me ka ʻaukū mau ma ka iwi ʻaoʻao. Hoʻopili kēia i nā diski a i ʻole nā ​​pale ma waena o ka ʻāʻī vertebrae a me nā hono ma waena o nā iwi o ka iwi ʻiwi. Hiki paha i nā ulu ulu a kolo paha ma nā iwi o ka iwi kuamoʻo (vertebrae).

I ka hala ʻana o ka manawa, hiki i kēia mau hoʻololi ke kaomi ma lalo (compress) i hoʻokahi a ʻoi paha o nā aʻa aʻa. I nā hihia holomua, ua pili ka iwi kuamoʻo. ʻAʻole hiki i kēia ke hoʻopili i nā lima wale nō, akā ʻo nā wāwae pū kekahi.

Hoʻomaka ka lole a haehae i kēlā me kēia lā i kēia mau loli. ʻO ka poʻe e hana nui i ka hana a i nā haʻuki paha e loaʻa paha iā lākou.

ʻO ka mea pilikia nui ka ʻelemakule. I ka makahiki 60, hōʻike ka hapanui o nā kānaka i nā hōʻailona o ka spondylosis cervix ma x-ray. ʻO nā kumu ʻē aʻe i hiki ke hoʻonui i kekahi i ka spondylosis:

• Kaumaha a hana ʻole paha
• Loaʻa kahi hana e koi ai i ka hāpai hāpai ʻana a i ʻole ke kūlou ʻana a me ka wili
• Ka ʻeha o ka ʻā i hala (pinepine mau mau makahiki ma mua)
• ʻOki kua iwi i hala
• Ua haki a i ʻole pāheʻe ʻia
• ʻO ka maʻi kōpaʻa koʻikoʻi

Hoʻonui mālie nā ʻōuli i ka manawa. Akā hoʻomaka paha lākou a ʻinoʻino paha i ka manawa. Māmā paha ka ʻeha, a i ʻole hiki ke hohonu a ʻino loa hiki ʻole iā ʻoe ke neʻe.

ʻIke paha ʻoe i ka ʻeha ma luna o ka poʻohiwi. Pālahalaha paha ia i ka lima luna, ka forearm, a i ʻole nā ​​manamana lima (i nā hanana kakaikahi).

E ʻeha paha ka ʻeha:

• Ma hope o ke kū a noho ʻana paha
• I ka pō
• Ke heʻe, uha, a ʻakaʻaka ʻoe
• Ke kūlou ʻoe i ka ʻāʻī i hope a wili paha i kou ʻāʻī a hele wāwae paha ma mua o kekahi mau iwilei a ʻoi aku paha ma mua o kekahi mau mika

Hiki paha iā ʻoe ke nāwaliwali i kekahi mau mākala. I kekahi manawa, ʻaʻole paha ʻoe e ʻike a nānā hou kāu kauka iā ʻoe. I nā hihia ʻē aʻe, e ʻike ʻoe he paʻakikī kou hāpai ʻana i kou lima, kaomi ikaika ʻana me kekahi o kou mau lima, a i ʻole nā ​​pilikia ʻē aʻe.

ʻO nā ʻōuli maʻamau ʻē aʻe:

• ʻOʻoleʻa ka ʻāʻī e ʻoi aku ka hewa ma mua o ka manawa
• Numbness a i ʻole nā ​​manaʻo ʻē aʻe i nā poʻohiwi a i ʻole nā ​​lima
• ʻO nā poʻo poʻo, keu hoʻi i ka hope o ke poʻo
• ʻO kaʻeha ma loko o ka poʻohiwi a me kaʻeha o ka poʻohiwi

ʻO nā ʻōuli liʻiliʻi ʻoi aku ka:

• Lilo o ke kaulike
• ʻEha a mū ʻole paha i nā wāwae
• Ka nele o ka kaohi ma luna o ka bladder a i ʻole nā ​​ʻōpū (inā he kaomi ma ka iwi kuamoʻo

Hōʻike paha kahi hoʻokolohua kino he pilikia kou i kou neʻe ʻana i kou poʻo i kou poʻohiwi a hoʻohuli i kou poʻo.

E noi paha kāu mea mālama ola iā ʻoe e kūlou i kou poʻo i mua a i kēlā me kēia ʻaoʻao me ke kau ʻana i ke kaomi haʻahaʻa i luna o kou poʻo. ʻO ka hoʻonui ʻia o ka ʻeha a me ka helu ʻole i ka wā o kēia hoʻokolohua he hōʻailona maʻamau ia aia kaomi ma ke aʻalolo i kou iwi kuamoʻo.

ʻO ka nāwaliwali o kou poʻohiwi a me kou mau lima a i ʻole ka nalo ʻana o ka manaʻo hiki ke lilo i hōʻailona o ka hōʻino ʻana i kekahi aʻa aʻa a i ʻole ka iwi kuamoʻo.

Hiki ke hana ʻia kahi kuamoʻo a ʻāʻī x-ray e nānā ai i ka maʻi kōkō a i ʻole nā ​​loli ʻē aʻe i kou kuamoʻo.

Hana ʻia ka MRI a i ʻole CT scans o ka ʻāʻī ke loaʻa iā ʻoe:

• ʻEha ʻeha a ʻeha ʻeha paha e maikaʻi ʻole me ka lāʻau
• Ka nāwaliwali a i ʻole numbness i kou mau lima a lima paha

Hiki ke hana ʻia ka EMG a me ka wikiwiki conduction velocity e nānā ai i ke aʻa aʻa aʻa.

Hiki i kāu kauka a me nā ʻoihana olakino ʻē aʻe ke kōkua iā ʻoe e mālama i kou ʻeha i hiki ai iā ʻoe ke noho ʻeleu.

• E kuhikuhi paha kāu kauka iā ʻoe no ka lāʻau hoʻoikaika kino. E kōkua ka mea hoʻoponopono kino iā ʻoe e hōʻemi i kou ʻeha me ka hoʻohana ʻana i nā kikoo. E aʻo ka mea hoʻomaʻamaʻa iā ʻoe i nā hoʻoikaika kino e hoʻoikaika ai i kou ʻāʻī o ka ʻāʻī.
• Hiki i ka mea hoʻoponopono ke hoʻohana i ka ʻāʻī huhū e hōʻoluʻolu i kekahi kaomi o kou ʻāʻī.
• Hiki paha iā ʻoe ke ʻike i kahi therapist lomilomi, kekahi mea e hana ana i ka acupuncture, a i ʻole kekahi e hana i ka lāʻau spinal manipula (kahi chiropractor, kauka osteopathic, a mea hoʻoponopono kino paha). I kekahi manawa, kōkua kekahi mau kipa me ka ʻāʻī o ka ʻāʻī.
• Hiki i nā ʻeke anuanu a me ka hoʻomehana wela ke kōkua i kou ʻeha i ka wā o ke ahi ahi.

Hiki ke kōkua ʻia kahi ʻano o ke kamaʻilio kamaʻilio ʻana i kapa ʻia ka lōkahi behavioral therapy inā he hopena koʻikoʻi ka ʻeha i kou ola. Kōkua kēia hana iā ʻoe e hoʻomaopopo pono i kou ʻeha a aʻo iā ʻoe pehea e hoʻokele ai.

Hiki i nā lāʻau ke kōkua i kou ʻāʻī ʻeha. Kauoha paha kāu kauka i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) no ka mālama ʻana i ka ʻeha lōʻihi. Kau ʻia nā Opioids inā koʻikoʻi ka ʻeha a ʻaʻole pane i nā NSAID.

Inā ʻaʻole pane ka ʻeha i kēia mau ʻano hana, a i ʻole he nalowale ʻana o ka neʻe ʻana a i ʻole ka manaʻo, e noʻonoʻo ʻia ke ʻoki. Hana ʻia ke ʻoki kino e hōʻoluʻolu i ke kaomi ma nā ʻalolo a i ʻole ke kuamoʻo.

ʻO ka hapa nui o ka poʻe me ka spondylosis ʻehaʻeha loaʻa kekahi mau ʻōuli lōʻihi. Hoʻomaikaʻi kēia mau ʻōuli me ka lāʻau lapaʻau ʻole.

Hiki i nā poʻe he nui me kēia pilikia ke mālama i kahi ola ola. E noho kekahi poʻe me ka ʻeha mau loa (lōʻihi).

Hiki i kēia ʻano ke alakaʻi i kēia mau mea:

• Ka hiki ʻole ke hoʻopaʻa i nā feces (fecal incontinence) a i ʻole ka mimi (urinary incontinence)
• Ka nalowale ʻana o ka hana maʻa a i ʻole ka manaʻo
• Ka maʻi kīnā paʻa (i kekahi manawa)
• Palena maikaʻi ʻole

Kāhea i kāu mea hāʻawi inā:

• Lilo ka ʻino i ke ʻano
• Aia nā hōʻailona o nā pilikia
• Hoʻokumu ʻoe i nā hōʻailona hou (e like me ka nalo ʻana o ka neʻe a i ʻole ke ʻano i kahi wahi o ke kino)
• Lilo ʻoe i ka kaohi o kāu ʻōpū a i ʻole kou ʻōpū (kāhea koke aku)

Osteoarthritis maʻi; Pā kuʻi - ʻāʻī; ʻĀiwi ʻāʻī; ʻEha ʻeha mauʻu; Maʻi maʻi Degenerative disk

• Iwi kuamoʻo
• Spondylosis cerviera

ʻO A wikiwiki, Dudkiewicz I. ʻO ka maʻi degenerative cervical. I: Frontera WR, Silver JK, Rizzo TD, Jr., eds. Nā mea nui o ka lāʻau lapaʻau a me ka hoʻoponopono hou. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 3.

ʻO Kshettry VR. Spondylosis cerviera. I: Steinmetz, MP, Benzel EC, hua. ʻO Benzel's Spine Surgery. ʻEhā ed. Piladelapia, PA: Elsevier; 2017: chap 96.