ʻEha ʻāʻī

ʻAʻole ʻeha ka ʻāʻī o ka ʻāʻī i nā ʻano o nā ʻāʻī. Hoʻopili kēia i nā mākala, nā aʻalolo, nā iwi (vertebrae), nā hono, a me nā pā ma waena o nā iwi.

Ke ʻeha kou ʻāʻī, pilikia paha ʻoe i ka neʻe ʻana, e like me ka huli ʻana i kekahi ʻaoʻao. Hōʻike ka poʻe he nui i kēia me ka ʻāʻī ʻoʻoleʻa.

Inā pili ka ʻāʻī o ka ʻāʻī i ke kaomi ʻana o kou aʻa, ʻike paha ʻoe i ka helu ʻana, ka ʻūlū ʻana, a me ka nāwaliwali o kou lima a lima paha.

ʻO kahi kumu maʻamau o ka ʻāʻī ʻeha ka ʻūʻī a me ka haunaele. ʻO ka pinepine, nā hana o kēlā me kēia lā ka hewa. ʻO ia mau hana e:

• Kūlou ma luna o kahi pākaukau no mau hola
• Loaʻa ke kūlana maikaʻi ʻole i ka nānā ʻana i ke kīwī a i ʻole e heluhelu ana
• Loaʻa ke kiʻekiʻe a haʻahaʻa paha o kāu kamepiula kamepiula
• Ke hiamoe nei i kahi kūlana hōʻoluʻolu ʻole
• Ke wili nei a hoʻohuli i kou ʻāʻī i kahi ʻano haʻalulu i ka wā e hana ana
• Ke hāpai wikiwiki nei i nā mea a i ʻole me ke kūlana maikaʻi ʻole

Hiki i nā pōpilikia a hāʻule paha ke hōʻeha i nā ʻāʻī koʻikoʻi, e like me ka haʻi ʻana o ka vertebral, whiplash, ʻeha o ke kīʻaha koko, a me ka maʻi lōlō.

Nā kumu ʻē aʻe e:

• Nā kūlana olakino, e like me fibromyalgia
• ʻO ka maʻi cervical or spondylosis
• Kōpae i wāwahi ʻia
• Nā haki liʻiliʻi i ka iwi kuamoʻo mai ka osteoporosis
• Spen stenosis (hoʻoliʻiliʻi o ke kuamoʻo iwi)
• Kāpala
• ʻO ka maʻi o ke kuamoʻo (osteomyelitis, discitis, abscess)
• ʻO Torticollis
• ʻO ke kanesa e pili ana i ka iwi kuamoʻo

ʻO ka mālama ʻana a me ka mālama pono ʻana i kou ʻāʻī ʻeha e pili ana i ke kumu o ka ʻeha. Pono ʻoe e aʻo:

• Pehea e hoʻomaha ai i ka ʻeha
• He aha kāu pae hana
• He aha nā lāʻau i hiki iā ʻoe ke lawe

No nā mea liʻiliʻi, nā kumu maʻamau o ka ʻāʻī ʻāʻī:

• 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 hoʻohana i ka hau no 48 a 72 mau hola ma mua, a laila hoʻohana i ka wela ma hope o kēlā.
• Pili i ka wela me nā ua mehana, nāomi wela, a i ʻole ka pale hoʻomehana. I mea e pale aku ai i ka ʻeha o kou ʻili, mai hiamoe me kahi pale hoʻomehana a ʻeke hau paha ma kahi.
• Kāohi i ka hoʻoikaika kino maʻamau no nā lā mua. Kōkua kēia i ka hōʻoluʻolu i kāu mau hōʻailona a hōʻemi i ka pehu.
• Hana i nā hoʻolālā neʻe lohi, i luna a i lalo, i kēlā ʻaoʻao a i kēia ʻaoʻao, a mai ka pepeiao a i ka pepeiao. Kōkua kēia i ka hoʻolōʻihi ʻana i nā ʻāʻī o ka ʻāʻī.
• E hoʻolohi mālie kahi hoa i nā ʻeha a ʻeha paha.
• E hoʻāʻo e hiamoe ma kahi moena paʻa me ka uluna e kākoʻo i kou ʻāʻī. Makemake paha ʻoe e kiʻi i kahi uluna ʻāʻī kūikawā.
• E noi i kāu mea mālama ola e pili ana i ka hoʻohana ʻana i kahi koleko ʻāʻī palupalu e hōʻoluʻolu ai i ka makaʻu. Eia naʻe, ʻo ka hoʻohana ʻana i ke kola no ka manawa lōʻihi hiki ke hoʻonāwaliwali i nā ʻāʻī o ka ʻāʻī. Lawe iā ia i kēlā me kēia manawa e hiki ai i nā mākala ke ikaika.

E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe:

• ʻO ke kuni a me ka ʻeha poʻo, a ʻoʻoleʻa kou ʻāʻī ʻaʻole hiki iā ʻoe ke hoʻopā i kou auwae i kou umauma. Meningitis paha kēia. Kāhea iā 911 a i ʻole ka helu kūloko kūloko a i ʻole e kiʻi i kahi haukapila.
• Nā ʻōuli o ka puʻuwai puʻuwai, e like me ka pōkole o ka hanu, ka hou ʻana, ka ʻeha, ka luaʻi, a i ʻole ka ʻeha a me ka ʻāʻī.

Kāhea i kāu mea hāʻawi inā:

• ʻAʻole hele aku nā ʻōuli i 1 pule me ka mālama pilikino
• He numbness ʻoe, tingling, a nāwaliwali paha i kou lima a lima paha
• Ua hōʻeha ʻia kou ʻāʻī ʻāʻī e kahi hāʻule, pā a ʻeha paha - inā ʻaʻole hiki iā ʻoe ke neʻe i kou lima a lima paha, e kāhea aku kekahi iā 911 a i ʻole ka helu pilikia kūloko.
• He mau ʻōpū pehu kou a i ʻole he puʻupuʻu i kou ʻāʻī
• ʻAʻole e hala kou ʻeha me nā maʻa mau o ka lāʻau ʻeha over-the-counter
• He paʻakikī ʻoe e ale a me ka hanu pū ʻana me ka ʻāʻī o ka ʻāʻī
• E māhuahua ka ʻeha ke moe ʻoe i lalo a ala ʻoe i ka pō
• Nui loa kou ʻeha a hiki ʻole iā ʻoe ke ʻoluʻolu
• Lilo ʻoe i ka kaohi i ka urination a i ʻole ka ʻōpū
• Loaʻa iā ʻoe ka pilikia e hele a kaulike

E hana ana kāu mea hāʻawi i kahi hoʻokolohua kino a nīnau e pili ana i ka ʻāʻī o kou ʻāʻī, e like me ka pinepine a me ka nui o ka ʻeha.

ʻAʻole paha e kauoha kāu mea hāʻawi i nā hōʻike i ka kipa mua. Hana ʻia nā hoʻokolohua inā loaʻa iā ʻoe nā hōʻailona a i ʻole ka mōʻaukala e hōʻike i kahi tumo, maʻi, haʻi, a me nā maʻi ʻehaʻeha koʻikoʻi. I kēlā hihia, e hana ʻia nā hoʻokolohua aʻe:

• X-kukuna o ka ʻāʻī
• CT scan o ka ʻāʻī a poʻo poʻo paha
• Nā ho'āʻo koko e like me ka helu piha o ke koko (CBC)
• MRI o ka ʻāʻī

Inā pili ka ʻeha i ka spasm muscle a i ʻole ke aʻa i kui ʻia, hiki i kāu mea hāʻawi ke kuhikuhi i kahi hoʻomaha hoʻomaha o ka ʻili a i ʻole kahi mea hoʻomaha ʻeha ʻoi aku ka ikaika. Hana pinepine nā lāʻau laulā e like me nā lāʻau lapaʻau. I kekahi manawa, hāʻawi paha kāu mea hāʻawi iā ʻoe i nā steroid e hōʻemi ai i ka pehu. Inā he ʻeha nā nerve, hiki i kāu mea hāʻawi ke kuhikuhi iā ʻoe i kahi neurologist, neurosurgeon, a i ʻole ke kauka lāʻau orthopedic no ke kūkā ʻana.

ʻEha - ʻāʻī; ʻĀʻī ʻoʻoleʻa; Cer servgia; Whiplash; ʻĀʻī ʻoʻoleʻa

• ʻOki kua - hoʻokuʻu

• ʻEha ʻāʻī
• Whiplash
• Kahi o ka ʻeha whiplash

Cheng JS, Vasquez-Castellanos R, Wong C. ʻeha ʻeha. I: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, nā hua. ʻO kā Kelly a me Firestein puke aʻo o Rheumatology. 10 o ka lā. Piladelapia, PA: Elsevier; 2017: chap 45.

ʻO Hudgins TH, Origenes AK, Pleuhs B, Alleva JT. ʻO ke olonā a me ke kanana. I: Frontera WR, Silver JK, Rizzo TD Jr, eds. Nā mea nui o ka lāʻau lapaʻau a me ka hoʻoponopono hou ʻana: nā maʻi Musculoskeletal, Pain, and Rehabilitation. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 6.

ʻO Ronthal M. Ka lima a me ka ʻāʻī ʻeha. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 31.