Pāpaʻi herniated

Loaʻa kahi diski herniated (paheʻe) i ka wā e hoʻokau ʻia ai kahi āpau a ʻāpana paha o kahi disk ma o kahi ʻāpana nāwaliwali o ka pā. Hiki i kēia ke hoʻokau i nā ʻalalā kokoke a i ʻole ke kuamoʻo.

Mālama nā iwi (vertebrae) o ke kolamu iwi i nā ʻalolo i puka mai ka lolo a hele i kou kua e hana i ka iwi kuamoʻo. ʻO nā aʻa nerve nā aʻa nunui e lālā i waho o ka iwi kuamoʻo a waiho i kou kolamu iwi i waena o kēlā me kēia vertebra.

Hoʻokaʻawale ʻia nā iwi ākea e nā pā. Hoʻopili kēia mau disks i ke kolamu iwi a kau i kahi ma waena o kāu vertebrae. ʻAe nā pā i ka neʻe ma waena o ka vertebrae, e ʻae ai iā ʻoe e kūlou a hiki.

Me ka pā herniated:

• E neʻe paha ka pāpaʻi ma waho o kahi (herniate) a haki hāmama (haki) mai ka ʻeha a me nā kānana. Ke hiki mai kēia, aia paha he kaomi ma nā ʻāʻī o ke kuamoʻo. Hiki i kēia ke alakaʻi i ka ʻeha, numbness, a nāwaliwali paha.
• ʻO ke kua o lalo (lumbar area) o ka iwi kuamoʻo ka wahi maʻamau i hoʻopili ʻia e kahi disk paheʻe. ʻO ka ʻāʻī (cervical) nā diski ka lua o nā wahi e laha pinepine ʻia. ʻAʻohe pili iki nā disks o luna-a-waena-hoʻi (thoracic).

ʻO kahi disk herniated kahi kumu o radikulopathy. He kūlana kēia e hoʻopili ai i nā aʻa aʻa iwi kuamoʻo.

Kū pinepine nā pāheʻe paheʻe i nā wā waena a me nā kāne ʻelemakule, ma hope o ka hana nui. Hiki i nā mea ʻē aʻe ke komo pū me:

• Ke hāpai nei i nā mea kaumaha
• Kaumaha nui ʻana
• Kūlou pinepine a wili paha i ka hope lalo
• Noho a kū i ke kūlana like no nā hola lōʻihi
• Nohona hana ʻole
• Puhipaka

Kū pinepine ka ʻeha ma kekahi ʻaoʻao o ke kino. Hoʻololi nā ʻōuli, kaukaʻi ʻia i ka pūnaewele o ka ʻeha, a hiki ke hoʻopili i kēia mau mea:

• Me kahi disipe paheʻe i kou kua i lalo, loaʻa paha iā ʻoe ka ʻeha ʻoi ma kekahi ʻāpana o ka wāwae, ka ʻūhā, a i ʻole ka ʻūhū, a me ka helu i nā ʻāpana ʻē aʻe. ʻIke paha ʻoe i ka ʻeha a me ka helu ʻole ma ka hope o ka bipi keiki a i ʻole ka wāwae o ka wāwae. E nawaliwali paha ka wāwae like.
• Me kahi pā paheʻe i loko o kou ʻāʻī, loaʻa paha iā ʻoe ka ʻeha ke neʻe i kou ʻāʻī, ʻehaʻeha hohonu kokoke a ma luna o ka poʻohiwi, a i ʻole ʻeha e neʻe i ka lima o luna, ka lima, a me nā manamana lima.Hiki iā ʻoe ke hele i ka numbness ma kou poʻohiwi, kuʻe lima, lima, a me nā manamana lima.

Hoʻomaka mālie ka ʻeha. E māhuahua paha:

• Ma hope o ke kū a noho ʻana paha
• I ka pō
• Ke kahe, kahe, a me ka ʻakaʻaka
• Ke kūlou ʻana i hope a i ʻole ka hele wāwae ʻana ma mua o kekahi mau pā a mika paha
• Ke kānana a paʻa paha i kou hanu, e like me ka neʻe ʻana o ka ʻōpū

Hiki paha iā ʻoe ke nāwaliwali i kekahi mau mākala. I kekahi manawa, ʻaʻole ʻoe e nānā a hiki i ka manawa e nānā ai kāu kauka olakino iā ʻoe. I nā hihia ʻē aʻe, e ʻike ʻoe he paʻakikī kou hāpai ʻana i kou wāwae a lima paha, e kū ana ma kou manamana wāwae ma kekahi ʻaoʻao, e ʻūlū paʻa ana me kekahi o kou mau lima, a i ʻole nā ​​pilikia ʻē aʻe. Lilo paha kāu kaohi huki.

ʻO ka ʻeha, ka helu, a me ka nāwaliwali e hele pinepine a hoʻomaikaʻi paha i nā mea he nui i mau pule i mau mahina.

ʻO kahi hoʻokolokolo kino akahele a me ka mōʻaukala ka aneane mau o ka ʻanuʻu mua. Ke hilinaʻi nei i kahi o kāu mau hōʻailona, ​​nānā i kāu mea hāʻawi i kou ʻāʻī, poʻohiwi, lima, a me nā lima, a i ʻole kou kua i lalo, nā pūhaka, nā wāwae, a me nā wāwae.

E nānā kāu mea hāʻawi:

• No ka helu a me ka nalo o ka manaʻo
• Hoʻoikaika kou mau mākala, e lohi a nalowale paha
• ʻO kou ikaika i nā mākala, e nāwaliwali paha
• Kou kūlana, a i ʻole ke ala e piʻo ai kou kuamoʻo
• ʻO kou hiki ke wili i kou kuamoʻo

E noi paha kāu mea hāʻawi iā 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 neʻe i kou ʻāʻī i mua, i hope, a i ka ʻaoʻao.
• E hāpai i kou poʻohiwi, kuʻe lima, lima a me ka lima, a nānā i kou ikaika i kēia mau hana.

ʻO ka ʻeha o ka wāwae e kū ai ke noho ʻoe ma ka papa ʻaina hoʻāʻo a hāpai pono i kou wāwae i luna e hōʻike mau ana i kahi disk i paheʻe ʻia i kou kua i lalo.

I kahi hōʻike ʻē aʻe, e kulou ʻoe i kou poʻo i mua a i nā ʻaoʻao ʻoiai e hoʻokau ka mea hāʻawi i lalo i luna o kou poʻo. ʻO ka hoʻonui ʻia o ka ʻeha a me ka helu ʻole i ka wā o kēia hoʻokolohua he maʻa mau ke kaomi ma ke aʻalolo i kou ʻāʻī.

NA HOAILOA DIAGNOSTIC

Hiki i nā hoʻokolohua i hana ʻia ke:

• E hana ʻia ʻo Spine MRI a i ʻole CT CT e hōʻike ai i kahi e kaomi nei ka disk herniated ma ka canal spinal.
• Hana ʻia paha ka Electromyography (EMG) e hoʻoholo ai i ke aʻa aʻa pono e pili ana.
• E hana ʻia paha ʻo Myelogram e hoʻoholo ai i ka nui a me kahi o ka herniation disk.
• Hiki ke hana ʻia hoʻi ka ho'āʻo wikiwiki wikiwiki.
• E hana ʻia paha ka spine x-ray e kāpae i nā kumu ʻē aʻe o ka ʻeha o ke kua a ʻāʻī paha. Hiki iā ia ke nānā aku i ke olakino o kou iwi a nānā pū no ka nui o kahi lumi no kāu mau iwi ʻalalā e hele ai i waho o ka iwi kuamoo. Eia nō naʻe, ʻaʻole hiki ke kuhi i kahi disk herniated e kahi iwi x x ray wale nō.

ʻO ka lapaʻau mua ʻana no ka pāheʻe paheʻe, he wā pōkole ia o ka hoʻomaha a me ka lawe ʻana i nā lāʻau no ka ʻeha. Hahai ʻia kēia e ka lāʻau hoʻoikaika kino. ʻO ka hapa nui o ka poʻe e ukali nei i kēia mau ʻano hana hoʻōla a hoʻi i nā hana maʻamau. Pono kekahi poʻe e loaʻa hou ka lāʻau. Hiki i kēia ke hoʻopili i nā injection steroid a i ʻole ke ʻoki ʻana.

NA LAAU LAPAAU

Hiki i nā lāʻau ke kōkua i kou ʻeha. Kauoha paha kāu mea hāʻawi i kekahi o kēia mau mea:

• Nā NSAID no ka mālama ʻeha lōʻihi
• Nā lāʻau Narcotics inā ʻeha ke kaumaha a ʻaʻole pane i nā NSAID
• ʻO nā lāʻau e hoʻomālie i nā aʻalolo
• Hoʻomaha hoʻomaha kaʻiʻo i nā spasms hoʻi

NA OLELO OLA

Inā nui kou kaumaha, pono nui ka papaʻai a me ka hoʻoikaika kino no ka hoʻomaikaʻi ʻana i ka ʻeha o ke kua.

He mea nui ka hoʻōla kino no ka poʻe āpau me nā maʻi disk. E aʻo nā Therapists iā ʻoe pehea e hāpai pono ai, ʻaʻahu, hele wāwae, a hana i nā hana ʻē aʻe. Aʻo lākou iā ʻoe pehea e hoʻoikaika ai i nā mākala e kōkua i ke kākoʻo i ka iwi kuamoo. E aʻo nō ʻoe pehea e hoʻonui ai i ka maʻalahi i kou kuamoʻo a me kou mau wāwae.

E mālama i kou kua i ka home:

• E hoʻemi i ka hana no nā lā mua. Hoʻomoe mālie i kāu mau hana maʻamau.
• Hōʻalo i ka hāpai hāpai ʻana a wili paha i kou kua no nā pule he 6 ma hope o ka hoʻomaka ʻana o ka ʻeha.
• Ma hope o 2 a 3 mau pule, e hoʻomaka iki i ka hoʻoikaika kino.

INJECTIONS

Hiki i nā kuʻina lāʻau lāʻau Steroid i loko o ke kua i ka wahi o ka diski herniated ke kōkua i ka mālama ʻana i ka ʻeha no kekahi mau mahina. ʻO kēia mau injection e hoʻoliʻiliʻi i ka pehu a puni ka iwi kuamoʻo a me ka disk a hoʻokuʻu i nā hōʻailona he nui. ʻAʻole lākou e hoʻonā i ka pilikia ma lalo a hoʻi mai kou ʻeha ma hope o nā pule a i ʻole nā ​​mahina. ʻO nā kuʻiwi ʻōiwi kahi hana o waho.

NA MEA HANA

Hiki i ke ʻoki kino ke koho inā ʻaʻole hele aku kou mau hōʻailona me nā ʻano lapaʻau ʻē aʻe a me ka manawa.

ʻO kahi ʻoki pēlā ʻo diskectomy, kahi e kāpae ai i nā mea āpau a ʻāpana paha o kahi disk.

Kūkākūkā me kāu mea nāna e hāʻawi i nā koho ʻoi loa iā ʻoe.

Hoʻonui ka hapa nui o ka poʻe me ka lāʻau. Akā loaʻa paha iā ʻoe ka ʻeha hope loa, ʻoiai ma hope o ka lāʻau.

He mau mahina paha a i hoʻokahi makahiki a ʻoi paha e hoʻi i kāu mau hana āpau me ka ʻole o ka ʻeha a me ke kaʻe ʻana i kou kua. ʻO ka poʻe e hana ana i nā hana e pili ana i ka hāpai hāpai kaumaha a i ʻole ka hoʻihoʻi hope e pono paha e hoʻololi i kā lākou hana hana e hōʻalo ai i ka hōʻeha hou ʻana i ko lākou kua.

I nā hihia maʻamau, hiki i nā pilikia aʻe ke kū:

• ʻO ka ʻeha hope lōʻihi a ʻeha hoʻi ka wāwae
• Ka nalowale o ka neʻe ʻana a i ʻole ka manaʻo i nā wāwae a i ʻole nā ​​wāwae
• Lilo o ka ʻōpū a me ka hana o ka ʻai
• Ka hōʻeha paʻa o ke kuamoʻo paʻa (ʻano laha ʻole)

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:

• ʻEhaʻeha hope loa i hele ʻole
• Kekahi numbness, nalo o ka neʻe, nāwaliwali, a i ʻole hoʻololi i ke ʻōpū a i ʻole ka ʻaʻa

I mea e pale aku ai i ka ʻeha hope.

• E hoʻohana i nā ʻenehana hāpai pono.
• Mālama i kahi kaupaona olakino.
• Hana i nā hoʻoikaika kino e mālama i kou ʻōpū (kumu) a me nā mākala hope i ikaika.
• Loiloi i kāu hoʻonohonoho ʻana ma ka hana. I kekahi manawa hiki i kahi pākaukau kū a i ʻole ka hoʻololi ʻana i kahi o kāu pale kamepiula ke kōkua i kou kūlana.

E ʻōlelo paha kāu mea hāʻawi i ka paʻa lima e kōkua i ke kākoʻo ʻana i ka iwi kuamoʻo. Hiki i kahi pale ke pale i nā hōʻeha i ka poʻe hāpai i nā mea kaumaha i ka hana. Akā ʻo ka hoʻohana ʻana i kēia mau hāmeʻa he nui hiki ke hoʻonāwaliwali i nā mākala e kākoʻo i kou kuamoʻo a hoʻonui i ka pilikia.

Lumbar radiculopathy; ʻO ka radicalopathy cervix; Kōpae intervertebral Herniated; Kōpae intervertebral i hele ʻia; Pā hōʻeʻe; Kōpae i wāwahi ʻia; Herniated nucleus pulposus: ʻeha kua haʻahaʻa - herniated disk; LBP - disk herniated; ʻO Sciatica - disk herniated; Diska herniated; Disc - herniated

• Iwi kuamoʻo
• ʻ nerveiwi sciatic
• ʻO Herniated nucleus pulposus
• Hoʻoponopono diska Herniated
• ʻO ke kīʻaha lumbar spinal - series
• Pākuʻi lumbar Herniated

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

Magee DJ. ʻŌiwi lumbar. I: Magee DJ, hoʻoponopono. Helu Helu Orthopedic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2014: chap 9.

Sudhir A, Perina D. Musculoskeletal ʻeha hope. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 47.