Spen stenosis

ʻO ka spen stenosis ke ʻikiʻī nei i ka kolamu o ke kuamoʻo e kū i ke kaomi o ka iwi kuamoʻo, a i ʻole ka hoʻopili ʻana o nā puka (i kapa ʻia ʻo neural foramina) kahi e haʻalele ai nā aʻalolo iwi i ke kolamu iwi kuamoʻo.

Kū pinepine ka iwi kuamoʻo i ke ʻano o ke kanaka, eia nō naʻe, hānau ʻia kekahi mau mea maʻi me ka liʻiliʻi o kahi no kā lākou iwi kuamoʻo.

• E maloʻo a maloʻo nā iwi kuamoʻo a hoʻomaka e ʻōhū.
• Mānoanoa nā iwi a me nā liga o ka iwi kuamoʻo a ulu nui paha. Hoʻokumu ʻia kēia e ka arthritis a i ʻole ka huʻihu wā lōʻihi.

Hiki ke kumu ʻia ka spenosis stenosis e:

• ʻO ka maʻi o ka iwi kuamoʻo, maʻamau i waena o nā makahiki a i ʻole nā ​​poʻe kahiko
• Nā maʻi iwi, e like me ka maʻi Paget
• Hema a ulu paha i ka iwi kuamoʻo i kū mai ka wā hānau
• Kanal iwi kuamoo i hānau ai ke kanaka
• Herniated a i ʻole pāheʻe ʻia, kahi i hana pinepine ʻia i ka wā i hala
• ʻO ka ʻeha nāna e hoʻokumu i ke aʻa aʻa a i ʻole ke kuamoʻo
• Nā tumors i ka iwi kuamoʻo
• Haki a ʻeha paha o ka iwi iwi kuamoo

Hōʻalo pinepine nā ʻōuli i ka manawa. ʻO ka pinepine, aia nā ʻōuli ma kekahi ʻaoʻao o ke kino, akā pili paha i nā wāwae ʻelua.

ʻO nā hōʻailona me:

• Numbness, cramping, a ʻeha paha ma ke kua, ka ʻūhā, nā ʻūhā, a me nā keiki bipi, a i ka ʻāʻī, poʻohiwi, a i ʻole nā ​​lima
• Ka nāwaliwali o ka ʻāpana o ka wāwae a i ʻole ka lima

Hiki ke loaʻa nā ʻōuli a ʻoi aku paha ka maikaʻi ʻole ke kū aʻe ʻoe a hele wāwae paha. Hoʻoemi pinepine a nalo paha lākou i kou noho ʻana i lalo a i ʻole hilinaʻi i mua. ʻAʻole hiki i ka hapanui o ka poʻe me ka stenosis spinal ke hele wāwae no kahi wā lōʻihi.

ʻO nā hōʻailona koʻikoʻi ʻoi aku:

• Ka paʻakikī a me ke kaulike maikaʻi ʻole ke hele wāwae
• Nā pilikia e kaohi ana i ka mimi a i ʻole ka ʻōpū

I ka wā o kahi hoʻokolohua kino, e hoʻāʻo kāu mea mālama ola e ʻike i kahi o ka ʻeha a aʻo i ka hopena o kāu neʻe. E noi ʻia ʻoe e:

• Noho, kū, a hele wāwae. ʻOiai ʻoe e hele wāwae ana, e noi paha kāu mea hāʻawi iā ʻoe e hoʻāʻo e hele wāwae ma kou manamana wāwae a laila kou kuʻekuʻe wāwae.
• Kulou i mua, i hope, a me ka ʻaoʻao. E kaumaha paha kou ʻeha me kēia neʻe.
• E hāpai pololei i kou mau wāwae i ka wā e moe ana i lalo. Inā ʻoi aku ka ʻeha ke hana ʻoe i kēia, loaʻa paha iā ʻoe ka sciatica, keu hoʻi inā ʻike ʻoe i ka helu a i ʻole ke kani ʻana i kekahi o kou mau wāwae.

E neʻe kāu mea lawelawe i kou mau wāwae i nā kūlana ʻokoʻa, e like me ke kūlou ʻana a me ka hoʻoponopono ʻana i kou mau kuli. ʻO kēia e nānā i kou ikaika a me kou hiki ke neʻe.

I mea e hoʻāʻo ai i ka hana nerve, e hoʻohana kāu mea hāʻawi i ka hāmare rubber e nānā i kāu reflexes. I mea e hoʻāʻo ai i ke ʻano o ka manaʻo o kou ʻalolo, e hoʻopā kāu mea hāʻawi i kou mau wāwae ma nā wahi he nui me kahi pin, pulupulu, a hulu paha. No ka nānā ʻana i kāu kaulike, e noi ana kāu mea hāʻawi iā ʻoe e pani i kou mau maka me ka mālama pū ʻana i kou mau wāwae.

Kōkua ka lolo a me ka ʻōnaehana ʻōnaehana (neurologic) i ka hōʻoia i ka nāwaliwali o ka wāwae a me ka nalo ʻana o ka naʻau i nā wāwae. Loaʻa paha iā ʻoe nā hōʻike aʻe:

• Spinal MRI a i ʻole scan CT spinal
• X-ray o ka iwi kuamoʻo
• Uila (EMG)

Kōkua kāu mea lawelawe a me nā ʻoihana olakino ʻē aʻe iā ʻoe e mālama i kou ʻeha a mālama iā ʻoe i ka hana e like me ka hiki.

• E kuhikuhi paha kāu mea hāʻawi iā ʻoe no ka hoʻōla kino. E aʻo ka mea hoʻoponopono kino iā ʻoe i nā kau a me nā hoʻoikaika kino e hoʻoikaika ai i kou mau kua i hope.
• Hiki paha iā ʻoe ke ʻike i kahi chiropractor, kahi therapist lomilomi, a me kekahi mea e hana ana i ka acupuncture. I kekahi manawa, kōkua kekahi mau kipa i kou kua a ʻeha ʻeha paha.
• Hiki i nā ʻeke anuanu a me ka hoʻomehana wela ke kōkua i kou ʻeha i ka wā o ke ahi ahi.

ʻO nā mālama ʻana no ka ʻeha o ke kua i hoʻokumu ʻia e ka stenosis spinal e:

• Nā lāʻau lapaʻau e kōkua ai e hōʻoluʻolu i ka ʻeha hope.
• ʻO kahi ʻano o ke kamaʻilio kūkā kamaʻilio ʻia i kapa ʻia ʻo ka behavioral therapy e kōkua iā ʻoe e hoʻomaopopo pono i kou ʻeha a aʻo iā ʻoe pehea e mālama ai i ka ʻeha o ke kua.
• ʻO ke kuʻi ʻōiwi epidural (ESI), kahi e hoʻopili pono ai i ka lāʻau i loko o ke ākea e puni ana i kou aʻa iwi kuamoʻo a i ʻole ka iwi kuamoʻo.

ʻOi aku ka hewa o nā ʻōiwi spenosis ma mua o ka manawa, akā lohi paha kēia. Inā ʻaʻole pane ka ʻeha i kēia mau ʻano hana, a i ʻole nalowale ka neʻe ʻana a i ʻole ka manaʻo, pono paha ʻoe i kahi ʻoki.

• Hana ʻia ka ʻoki kino e hōʻoluʻolu i ke kaomi ma nā aʻa a i ʻole nā ​​iwi kuamoo.
• Hiki iā ʻoe a me kāu mea hāʻawi ke hoʻoholo i ka wā e pono ai ʻoe e hana i kahi ʻoki no kēia mau ʻōuli.

Hiki i ke ʻoki ke wehe i kahi puʻupuʻu puʻupuʻu, ka hoʻoneʻe ʻana i ka ʻāpana o ka iwi vertebra, a i ʻole ka hoʻonui ʻana i ka auwai a me nā puka ma kahi o kāu ʻalalā iwi.

I loko o kekahi o nā ʻoki ʻōiwi, e hemo ka mea lapaʻau i kekahi iwi e hana i wahi hou aʻe no nā ʻāʻī o kou iwi kuamoʻo a i ʻole ka iwi kuamoʻo. Hoʻopili ke kaukipoki i kekahi o nā iwi o ka iwi kuamoʻo e paʻa paʻa ai kou iwi kuamoʻo. Akā e paʻakikī kēia i kou kua a hoʻonā i ka maʻi kōma i nā wahi ma luna a ma lalo paha o kou iwi kuʻi.

Hiki i nā poʻe he nui me ka stenosis spinal ke hana me ke ʻano, ʻoiai lākou e pono e hana i kekahi mau hoʻololi i kā lākou mau hana a hana paha.

ʻO ke kīʻaha Spine e ʻāpana pinepine a hoʻopau piha paha i nā ʻōuli i kou mau wāwae a i ʻole nā ​​lima. He paʻakikī e wānana inā ʻoe e hoʻomaikaʻi a me ka nui o ke kahakaha kōkua e hāʻawi ai.

• ʻO ka poʻe i loaʻa ka ʻeha hope lōʻihi ma mua o kā lākou ʻoki ʻana e loaʻa paha iā lākou kekahi ʻeha ma hope o ke kaha ʻana.
• Inā makemake ʻoe i ʻoi aku ma mua o hoʻokahi ʻano o ke ʻoki kua, e loaʻa paha iā ʻoe nā pilikia e hiki mai ana.
• ʻO ka ʻāpana o ke kolamu iwi ākea ma luna a ma lalo o kahi kuʻikuʻi e hoʻopili nui ʻia a loaʻa i nā pilikia a me nā arthritis i ka wā e hiki mai ana. Hiki i kēia ke alakaʻi i nā hana hou aʻe ma hope.

I nā hihia kakaikahi, mau nā ʻeha ma muli o ke kaomi ʻana i nā ʻalolo, ʻoiai ke hoʻomaha ʻia ke kaomi.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka stenosis spinal.

ʻO nā hōʻailona koʻikoʻi hou aʻe e pono e nānā koke:

• Ka paʻakikī a me ke kaulike maikaʻi ʻole ke hele wāwae
• Hoʻomaʻemaʻe i ka helu a me ka nāwaliwali o kou lālā
• Nā pilikia e kaohi ana i ka mimi a i ʻole ka ʻōpū
• Nā pilikia i ka mimi ʻana a i ʻole ka neʻe ʻana o ka ʻōpū

Pseudo-claudication; Stenosis ʻōiwi waena; Stenosis ʻōiwi foraminal; Maʻi maʻi Degenerative spine; Paʻi kua - stenosis spinal; ʻEha ʻeha haʻahaʻa - stenosis; LBP - stenosis

• ʻOki kua - hoʻokuʻu

• ʻ nerveiwi sciatic
• Spen stenosis
• Spen stenosis

Gardocki RJ, Pāka AL. Nā maʻi Degenerative o ka iwi kuʻi a me ka lumbar. Azar FM, Beaty JH, Canale, ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 39.

Issac Z, Sarno D. Lumbar spinal stenosis. I: Frontera, WR, kālā JK, Rizzo TD Jr, eds. Nā mea nui o ka lāʻau lapaʻau a me ka hoʻoponopono hou. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 50.

Kreiner DS, Shaffer WO, Baisden JL, et al. Kahi papa kuhikuhi e pili ana i ka hōʻoia no ka hōʻailona a me ka mālama ʻana i ka stenosis lumbar spinal degenerative (update). ʻO Spine J. 2013; 13 (7): 734-743. PMID: 23830297 pubmed.ncbi.nlm.nih.gov/23830297/.

Lurie J, Tomkins-Lane C. Ka mālama ʻana i ka stenosis spinal lumbar. BMJ. 2016; 352: h6234. PMID: 26727925 pubmed.ncbi.nlm.nih.gov/26727925/.