ʻO Sciatica

ʻO sciatica e pili ana i ka ʻeha, nāwaliwali, numbness, a i ʻole ke kani ʻana o ka wāwae. Hoʻokumu ʻia ia e ka ʻeha a i ʻole kaomi ʻana ma ke aʻalolo sciatic. ʻO Sciatica kahi hōʻailona o kahi pilikia olakino. ʻAʻole ia he kūlana olakino ma kāna iho.

Hana ʻia ʻo sciatica ke loaʻa ke kaomi a hōʻino paha i ke aʻalolo sciatic. Hoʻomaka kēia aʻalolo i ke kua i lalo a holo i hope o kēlā me kēia wāwae. Mālama kēia nerve i nā mākala o ke kua o ke kuli a me ka wāwae lalo. Hāʻawi pū ia i ka sensation i ka hope o ka ʻūhā, ʻo ka ʻaoʻao i waho a me hope o ka wāwae haʻahaʻa, a me ka wāwae o ka wāwae.

ʻO nā kumu maʻamau o sciatica e:

• Pākuʻi herniated paheʻe
• Spen stenosis
• Piriformis Syndrome (kahi maʻi ʻeha e pili ana i nā mākala ʻikiʻī i ka ʻūhā)
• ʻEha pelvic a haki paha
• Nā Tumors

ʻO nā kāne ma waena o 30 a 50 mau makahiki ka nui o ka loaʻa o ka sciatica.

Hiki ke ʻokoʻa ka ʻeha sciatica. ʻIke paha ia e like me ke kani ʻoluʻolu, ʻeha puʻupuʻu, a i ʻole ke ʻā ʻana o ke ahi. I kekahi mau hihia, ʻehaʻeha loa ka ʻeha e hiki ʻole ai i kahi kanaka ke neʻe.

Kū pinepine ka ʻeha ma kekahi ʻaoʻao. Loaʻa i kekahi poʻe ka ʻehaʻeha ma kekahi ʻāpana o ka wāwae a i ʻole ka uha a me ka helu ʻana i nā ʻāpana ʻē aʻe. E ʻeha pū ka ʻeha a i ʻole ka helu paha ma ke kua o ka bipi keiki a i ʻole ka wāwae o ka wāwae. E nawaliwali paha ka wāwae i hoʻopili ʻia. I kekahi manawa, paʻa kou wāwae i ka honua ke hele wāwae.

E hoʻomaka mālie paha ka ʻeha. E māhuahua paha:

• Ma hope o ke kū a noho ʻana paha
• I kekahi mau manawa o ke ao, e like me 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 iwilei a i ʻole mika, keu hoʻi inā nā stenosis spinal
• Ke kānana a paʻa paha i kou hanu, e like me ka neʻe ʻana o ka ʻōpū

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

• Ka nāwaliwali ke piʻo ke kuli
• Ka paʻakikī e kūlou ʻana i ka wāwae i loko a i lalo paha
• Ke hele nei i ka paʻakikī i kou manamana wāwae
• Paʻa i ke kūlou ʻana i mua a i hope paha
• Nā reflexes maʻamau a nāwaliwali paha
• Ka nalowale o ke ʻano a i ʻole ka helu
• ʻEha ke hāpai pololei ʻana i ka wāwae ke moe ʻoe ma ka papa hōʻike

ʻAʻole makemake pinepine ʻia nā hoʻāʻo inā ʻaʻole ʻeha a lōʻihi paha ka ʻeha. Inā kauoha ʻia nā hoʻāʻo, komo pū paha lākou:

• X-ray, MRI, a i ʻole nā ​​hōʻike kiʻi ʻē aʻe
• Nā hoʻāʻo koko

ʻOiai ʻo sciatica kahi hōʻailona o kekahi ʻano olakino, pono e ʻike ʻia a mālama ʻia ke kumu kumu.

I kekahi mau hihia, ʻaʻohe koi e koi ʻia a loaʻa iā ia ka hoʻōla iā ia iho.

ʻOi aku ka maikaʻi o ka mālama ʻana ʻo Conservative (non-surgical) i nā hanana he nui. E ʻōlelo paha kāu mea hāʻawi i kēia mau hana e hoʻomaha ai i kāu mau ʻōuli a hoʻēmi i ka lī.

• Lawe i nā mea hōʻoluʻolu ʻeha e like me ibuprofen (Advil, Motrin IB) a i ʻole acetaminophen (Tylenol).
• Pili i ka wela a i ʻole ka hau i ka wahi ʻeha. E hoʻāʻo i ka hau no 48 mau hola 72, a laila hoʻohana i ka wela.
  

Nā hana e mālama ai i kou kua i ka home e komo pū paha:

• Paipai ʻole ʻia ka hoʻomaha moe.
• Paipai ʻia nā hana o hope i ka wā mua e hoʻoikaika i kou kua.
• E hoʻomaka i ka hoʻoikaika kino hou ma hope o 2 a 3 mau pule. Hoʻopili pū i nā hoʻoikaika e hoʻoikaika i kou mākala (kāna) nā mākala a hoʻomaikaʻi i ka maʻalahi o kou kuamoʻo.
• E hoʻemi i kāu hana no nā lā ʻelua. A laila, e hoʻomaka lohi i kāu mau hana maʻamau.
• Mai hana i ka hāpai hāpai ʻana a i ʻole ka wili ʻana o kou kua i nā pule he 6 ma hope o ka hoʻomaka ʻana o ka ʻeha.

Hōʻike paha kāu mea hāʻawi i ka hoʻōla kino. Hoʻopili ʻia nā hana hou i ke ʻano o ke kumu o ka sciatica.

Inā ʻaʻole kōkua kēia mau ana, hiki i kāu mea hāʻawi ke paipai i nā kuʻina o kekahi mau lāʻau e hōʻemi i ka pehu a puni ke aʻalolo. Kau ʻia nā lāʻau ʻē aʻe e kōkua i ka hōʻemi ʻana i nā ʻeha kuʻikuʻi ma muli o ka huhū o ke aʻa.

He mea paʻakikī loa ke ʻeha nerve e mālama. Inā loaʻa ʻoe i nā pilikia e hoʻomau nei me ka ʻeha, makemake paha ʻoe e ʻike i kahi neurologist a i ʻole kahi loea ʻeha e hōʻoia ai hiki ke loaʻa iā ʻoe i ka laulā nui o nā koho lapaʻau.

Hiki ke hana i ke kaha me ka hōʻoluʻolu i ke kaomi ʻana o kou aʻa iwi kuamoʻo, akā naʻe, ʻo ka maʻamau ka hopena hope loa no ka mālama ʻana.

ʻO ka pinepine, ʻoi aku ka maikaʻi o sciatica ma kāna iho. Akā he mea mau ia e hoʻi.

ʻOi aku nā pilikia koʻikoʻi i ke kumu o ka sciatica, e like me ka paheʻe disk a i ʻole stenosis spinal. Hiki iā sciatica ke alakaʻi i ka numbness mau a i ʻole nāwaliwali o kou wāwae.

Kāhea koke i kāu mea hāʻawi inā loaʻa iā ʻoe:

• Ke kuni kuhi ʻole me ka ʻeha o ke kua
• Paʻi kua ma hope o ka pā nui a hāʻule paha
• ʻO kaʻulaʻula a ʻōhū paha ma ke kua a me ka iwi kuala
• ʻO kaʻeha e hele ana i kou mau wāwae ma lalo o ke kuli
• Ka nāwaliwali a i ʻole ka helu ʻana i kou puʻupuʻu, ʻūhā, ʻūhā, a i ʻole pelvis
• Ke puhi nei me ka urination a i ʻole ke koko i kou mimi
• ʻOi aku ka ʻeha ʻoi aku ka maikaʻi ke moe ʻoe i lalo, a i ʻole hoʻāla iā ʻoe i ka pō
• ʻEha loa a ʻaʻole hiki iā ʻoe ke ʻoluʻolu
• Lilo o ka kaohi o ka mimi a me ka noho (incontinence)

Kāhea pū inā:

• Ke lilo nei ʻoe i ka paona me ka manaʻo ʻole (ʻaʻole ma ke kumu)
• Hoʻohana ʻoe i nā steroid a i ʻole nā ​​lāʻau lapaʻau intravenous
• Ua ʻeha ʻoe i ka ʻeha ma mua, akā ʻokoʻa kēia ʻāpana a ʻoi aku ka maikaʻi o ka manaʻo
• ʻOi aku ka lōʻihi o kēia māhele o ka ʻeha hope ma mua o 4 mau pule

He ʻokoʻa ka pale ʻana, kaukaʻi ʻia i ke kumu o ka hōʻino o ke aʻalolo. Hōʻalo i ka noho hoʻolōʻihi a moe ʻana paha me ke kaomi ma ka ʻūhā.

ʻO ka loaʻa ʻana o nā mākala ikaika o ka ʻōpū a koʻikoʻi ka mea nui e hōʻalo ai i ka sciatica. Ke hele a makua ʻoe, he mea maikaʻi e hana i nā hoʻoikaika kino e hoʻoikaika i kāu kumu.

Neuropathy - sciatic nerve; ʻO ke kīnā ʻole nerve sciatic; ʻEha ʻeha haʻahaʻa - sciatica; LBP - sciatica; Lumbar radiculopathy - sciatica

• ʻOki kua - hoʻokuʻu

• ʻ nerveiwi sciatic
• Cauda equina
• Poino i ke aʻalolo sciatic

ʻO Marques DR, Carroll WE. Neurology. I: Rakel RE, Rakel DP, eds. Puke aʻo o ka lāʻau lapaʻau ʻohana. 9th ed. Piladelapia, PA: Elsevier Saunders; 2016: chap 41.

ʻO Ropper AH, Zafonte RD. ʻO Sciatica. N Engl J Med. 2015; 372 (13): 1240-1248. PMID: 25806916 pubmed.ncbi.nlm.nih.gov/25806916/.

ʻO Yavin D, ʻo Hurlbert RJ. Nonsurgical a me ka hoʻokele posturgical o ka ʻehaʻeha o ke kua. I: Winn HR, hoʻoponopono. ʻO Youmans a me Winn Neurological Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 281.