ʻO nā haki paʻa o ke kua

ʻO nā haʻihaʻi o ka hope i haki i ka vertebrae. ʻO Vertebrae nā iwi o ka iwi kuamoo.

ʻO Osteoporosis ke kumu maʻamau o kēia ʻano haki. ʻO ka Osteoporosis kahi maʻi kahi nāwaliwali nā iwi. I ka hapanui o nā hihia, lilo ka iwi i ka calcium a me nā minela ʻē aʻe me ka makahiki. Hiki i nā kumu ʻē aʻe ke:

• Trauma i ka hope
• ʻO nā tumors i hoʻomaka i ka iwi a i ʻole pāhola i ka iwi mai nā wahi ʻē aʻe
• Nā tumors e hoʻomaka i ka iwi kuamoʻo, e like me myeloma maha

Loaʻa i nā haki he nui o ka vertebrae hiki i ke kyphosis. ʻO kēia ka piko o ka iwi kuamoʻo.

Hiki i nā haʻihaʻi paʻa ke hiki koke. Hiki i kēia ke hōʻeha i ke kua i hope.

• ʻIke pinepine ʻia ka ʻeha ma ke kuamoʻo waena a i lalo paha. Hiki ke ʻike ʻia ma nā ʻaoʻao a i ʻole i mua o ka iwi kuamoʻo.
• ʻOi ka ʻeha a "like me ka pahi." Hiki ke hōʻeha ʻia ka ʻeha, a hala he mau pule a hala he mau mahina e hele aku ai.

ʻO nā haʻihaʻi hoʻohaʻahaʻa ma muli o ka osteoporosis ʻaʻole kumu o nā ʻōuli i ka wā mua. Pinepine, ʻike ʻia lākou ke hana ʻia nā kukuna x o ka iwi kuamoʻo no nā kumu ʻē aʻe. I ka hala ʻana o ka manawa, hiki mai nā ʻōuli keu:

• ʻO ka ʻeha hope e hoʻomaka lohi, a ʻoi aku ka maikaʻi me ka hele wāwae ʻana, akā ʻaʻole ʻike ʻia ke hoʻomaha
• Ka nalowale ʻana o ke kiʻekiʻe, ma kahi o 6 ʻīniha (15 kenimika) i ka manawa
• ʻO ke kau ʻana o Stooped-over, a i ʻole kyphosis, i kapa ʻia he puʻupuʻu dowager

ʻO ke kaomi ʻana i ka iwi kuamoʻo mai ka hunched ma luna o ke kūlana hiki, i nā hihia maʻamau, ke kumu:

• Pōpō
• ʻŪlili
• Nawaliwali
• Ke hele wāwae paʻakikī
• Ka nalowale ʻana o ka ʻōpū a i ʻole bladder

E hana i kāu mea mālama ola i kahi hoʻokolohua kino. Hōʻike paha kēia:

• A humpback, a kyphosis paha
• ʻO ke aloha ma luna o ka iwi iwi ākea a iwi paha

Hiki i ke kuamoʻo x-ray ke hōʻike ma kahi o 1 vertebra compressed i ʻoi aku ka pōkole ma mua o nā vertebrae ʻē aʻe.

Nā hoʻokolohua ʻē aʻe i hiki ke hana ʻia:

• ʻO kahi ho'āʻo o ka iwi iwi e loiloi ai no ka osteoporosis
• ʻO kahi CT a MRI paha scan, inā aia kahi hopohopo i hoʻokumu ʻia ka haki e kahi tumo a i ʻole trauma ʻeha (e like me ka hāʻule ʻana a i ʻole kahi ulia kaʻa)

ʻO ka hapa nui o nā haʻihaʻi compression i ʻike ʻia i ka poʻe kahiko me ka osteoporosis. ʻAʻole pinepine kēia mau haki i mea e hōʻeha ai i ka iwi kuamoʻo. Lapaʻau pinepine ʻia ke ʻano me nā lāʻau a me nā mea hoʻopiha calcium e pale ai i nā haʻi hou.

Hiki ke mālama ʻia ka ʻeha me:

• Lapaʻau ʻeha
• Hoʻomaha moe

Hiki i nā mālama ʻē aʻe ke:

• Paʻa hope, akā e hoʻonāwaliwali paha kēia i nā iwi a hoʻonui i ka makaʻu no ka haki hou
• ʻO ka hoʻōla kino e hoʻomaikaʻi ai i ka neʻe a me ka ikaika a puni ka iwi kuamoʻo
• ʻO kahi lāʻau i kapa ʻia ʻo calcitonin e kōkua ai e hōʻoluʻolu i ka ʻeha o ka iwi

Hana ʻia ke kaha inā loaʻa iā ʻoe ka ʻehaʻeha a hōʻeha hoʻi no ka ʻoi aku o 2 mau mahina i maikaʻi ʻole me nā lāʻau ʻē aʻe. Hiki i ke ʻoki kino ke komo pū:

• ʻO Balloon kyphoplasty
• ʻO Vertebroplasty
• Hoʻohui iwi kuamoʻo

Hiki ke hana ʻia i kahi ʻoki ʻē aʻe e wehe i ka iwi inā pili ka haki ma muli o kahi tumo.

Ma hope o ke kahakaha pono ʻoe:

• Kahi paʻa no 6 a 10 mau pule inā he ʻeha ka haʻihaʻi.
• ʻO ke kīʻaha hou aku e hui pū i nā iwi o ka iwi kuamoʻo a i ʻole e hoʻokuʻu i ke kaomi ma ke aʻa.

ʻO ka hapanui o nā haʻihaʻi o ka compression ma muli o ka hōʻeha e hoʻōla ai i 8 a 10 mau pule me ka hoʻomaha, ke kau ʻana i ka paʻa, a me nā lāʻau ʻeha. Eia nō naʻe, hiki ke hoʻolōʻihi ʻia ke ola ʻana inā ua hana ʻia ke ʻoki.

ʻO nā haʻihaʻi ma muli o ka osteoporosis lilo pinepine i mea ʻeha me ka hoʻomaha a me nā lāʻau ʻeha. ʻO kekahi o nā haki, hiki i ke ʻeha a me ke kīnā ʻole o ka wā lōʻihi.

Hiki i nā lāʻau lapaʻau ke mālama i ka osteoporosis ke kōkua i ka pale ʻana i nā haʻihaʻi o ka wā e hiki mai ana. Eia nō naʻe, ʻaʻole hiki i nā lāʻau ke hoʻohuli i ka pohō i hala.

No nā haʻihaʻi compression i hoʻokumu ʻia e nā tumors, pili ka hopena i ke ʻano o ka tumo e pili ana. ʻO nā tumors e pili ana i ka iwi kuamoʻo:

• Maʻi ʻaʻai umauma
• Kanesa maʻi ʻaʻai
• Lymphoma
• Maʻi ʻaʻai Prostate
• Myeloma lehulehu
• Hemangioma

Komo pū nā pilikia:

• Hoʻohui ʻole o nā iwi i ka fuse ma hope o ke kaha ʻana
• Humpback
• Spinal kaula a i ʻole ke aʻa paʻa aʻa

Kāhea i kāu mea hāʻawi inā:

• Loaʻa iā ʻoe ka ʻehaʻeha a manaʻo ʻoe he ʻeha haʻihaʻi kou.
• Ke hele nei a maikaʻi ʻole kāu mau ʻōuli, a i ʻole he pilikia paha kāu e kaohi ana i kāu hana o ka maʻi ʻaʻai a me kou ʻōpū.

ʻO ka hana ʻana i nā hana e pale a mālama ai i ka osteoporosis ʻo ia ke ala kūpono e pale aku ai i ka haʻihaʻi a i ʻole nā ​​haki o ka lawa ʻole. ʻO ke kiʻi ʻana i nā hana hoʻoili maʻamau (e like me ka hele wāwae) hiki ke kōkua iā ʻoe e hōʻalo i ka nalo ʻana o ka iwi.

Pono ʻoe e nānā i kou nui iwi i kēlā me kēia manawa, keu hoʻi no nā wahine post-menopausal. Pono ʻoe e nānā pinepine pinepine inā loaʻa iā ʻoe ka moʻolelo ʻohana o ka osteoporosis a i ʻole nā ​​haʻihaʻi o ka compression.

Nā hakihaki Vertebral; Osteoporosis - haʻihaʻi haki

• Haki pāʻina

ʻO Cosman F, de Beur SJ, LeBoff MS, et al. ʻO ke alakaʻi a ka mea lapaʻau i ka pale a me ka mālama ʻana i ka osteoporosis. ʻO Osteoporos Int. 2014; 25 (10): 2359-2381. PMID: 25182228 www.ncbi.nlm.nih.gov/pubmed/25182228.

Savage JW, Anderson PA. Nā haʻi iwi o Osteoporotic. I: Browner BD, Jupiter JB, Krettek C, Anderson PA, hua. Trauma skeletal: ʻepekema kumu, ka hoʻokele, a me ke kūkulu hou ʻana. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 35.

Waldman SD. Thoracic vertebral compression haʻi. I: Waldman SD, hoʻoponopono. Nā Atlas o nā Syndrome Pain maʻamau. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 73.

ʻO Williams KD. Nā haʻihaʻi, nā dislocations, a me nā haʻihaʻi-dislocations o ka iwi kuamoʻo. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed.Piladelapia, PA: Elsevier; 2017: chap 41.