ʻEha ʻeha haʻahaʻa - maʻi mau

ʻO ke kaumaha o ke kua i lalo e pili ana i ka ʻeha āu e ʻike ai i kou kua i lalo. Hiki paha iā ʻoe ke ʻāʻī o ke kua, hoʻemi i ka neʻe o ka ʻaoʻao i lalo, a paʻakikī e kū pololei.

ʻO ke ʻeha o ke kua i kahi wā lōʻihi i kapa ʻia ʻo ka ʻehaʻeha hope loa.

ʻO ka ʻehaʻeha o ke kua i lalo ka maʻamau. ʻAneʻane loaʻa i nā kānaka āpau ke ʻehaʻeha i kekahi manawa i ko lākou ola. ʻO ka pinepine, ʻaʻole hiki ke loaʻa ke kumu kūpono o ka ʻeha.

ʻAʻole i loaʻa i hoʻokahi hanana kāu ʻeha. Ke hana nei paha ʻoe i nā hana he nui, e like me ka hāpai ʻana i ke ala hewa, no kekahi manawa lōʻihi. A laila hiki koke, hoʻokahi neʻe maʻalahi, e like me ke kiʻi ʻana i kekahi mea a i ʻole ke kūlou ʻana mai kou pūhaka, alakaʻi i ka ʻeha.

Nui nā poʻe me ka ʻehaʻeha hope loa i ka maʻi o ka maʻi. A i ʻole he ʻaʻā nui a me ka waimaka o ke kuamoʻo, ma muli paha o:

• Hoʻohana kaumaha mai ka hana a haʻuki paha
• Nā ʻeha a haki paha
• ʻOki kino

Ua loaʻa paha iā ʻoe kahi pākaʻi herniated, ma kahi o ka iwi kuamoʻo i kipaku ʻia ai i nā ʻalalā kokoke. ʻO ka maʻamau, hāʻawi nā pākaʻi i kahi a me ka cushion i kou iwi kuamoʻo. Inā maloʻo kēia mau pāpaʻi a lahilahi a mānoanoa, hiki iā ʻoe ke lilo i ka neʻe ʻana i ka iwi kuamoʻo i ka holo ʻana o ka manawa.

Inā hele a ākea nā hakahaka ma waena o nā ʻalalā iwi a me ka iwi maha, hiki i kēia ke alakaʻi i ka stenosis spinal. Kapa ʻia kēia mau pilikia he degenerative ami a i ʻole ka maʻi kuamoʻo.

ʻO nā kumu kūpono ʻē aʻe o ka ʻehaʻeha o ke kua i hope.

• Ka piko o ka iwi kuamoʻo, e like me scoliosis a i ʻole kyphosis
• Nā pilikia olakino, e like me fibromyalgia a i ʻole rheumatoid arthritis
• ʻO Piriformis Syndrome, kahi maʻi ʻeha e pili ana i ka mākala ma ka puʻupuʻu i kapa ʻia ka mākala piriformis

ʻOi aku ka makaʻu no ka ʻehaʻeha o ke kua inā ʻoe:

• Aia ma luna o 30 mau makahiki
• Kaumaha kaupaona
• Hāpai lākou
• Mai hoʻoikaika kino
• Manaʻo kaumaha a kaumaha paha
• He hana kāu e hana ai i ka hāpai hāpai ʻana, kūlou a wili ʻana, a i ʻole pili i ka haʻalulu kino holoʻokoʻa, e like me ka hoʻokele kaʻa kalaka a hoʻohana paha i kahi sandblaster
• Puhi

Pākuʻi ʻia paha nā ʻōuli i kekahi o kēia mau mea:

• ʻEha ʻehaʻeha
• ʻEha ʻeha
• Tingling a i ʻole ʻā ahi
• Nāwaliwali i kou mau wāwae a wāwae paha

Hiki ke ʻokoʻa ka ʻeha o ke kua haʻahaʻa mai kekahi kanaka i kekahi. Māmā paha ka ʻeha, a i ʻole hiki ke kaumaha loa a hiki ʻole iā ʻoe ke neʻe.

Ke hilinaʻi nei i ke kumu o kou ʻehaʻeha, loaʻa paha iā ʻoe ka ʻeha ma kou wāwae, hip, a ma lalo o kou wāwae.

I ka wā o ka hoʻāʻo kino, e hoʻāʻo ka mea mālama ola e kuhikuhi i kahi o ka ʻeha a ʻike pehea ka hopena i kāu neʻe.

ʻO nā hoʻokolohua ʻē aʻe āu i hilinaʻi ai i kāu mōʻaukala a me nā ʻōuli.

E komo pū paha nā hoʻāʻo:

• Nā ho'āʻo koko, e like me ka helu piha o ke koko a me ka helu sedimentation erythrocyte
• CT scan o ka iwi kuamoʻo o lalo
• MRI scan o ka iwi kuamoʻo o lalo
• Myelogram (x-ray a i ʻole CT scan o ke kuamoʻo ma hope o ka waihoʻoluʻu i injected i loko o ka iwi kolamu)
• X-ray

ʻAʻole paha e hele pau kou ʻehaʻeha, a i ʻole manawa ʻeha hou aku i kekahi manawa. E aʻo e mālama i kou kua i ka home a pehea e pale aku ai i nā ʻāpana o ka ʻeha hope. Hiki i kēia ke kōkua iā ʻoe e hoʻomau me kāu mau hana maʻamau.

E ʻōlelo paha kāu mea hāʻawi i nā ana e hōʻemi ai i kou ʻeha, me:

• Kākoʻo hope e kākoʻo i kou kua
• ʻO nā ʻeke anuanu a me nā hoʻomehana wela
• Hoʻoikaika
• ʻO ke olakino kino, e pili ana i ka hoʻolōʻihi a me ka hoʻoikaika ʻana i nā hoʻoikaika kino
• Kūkā e aʻo i nā ala e maopopo ai a mālama i kou ʻeha

Hiki ke kōkua i kēia mau lawelawe lawelawe olakino ʻē aʻe:

• Lapaʻau lomilomi
• ʻO kekahi e hana i ka acupuncture
• ʻO kekahi e hana i ka lāʻau spinal manipula (kahi chiropractor, kauka osteopathic, a i ʻole mea hoʻoponopono kino)

Inā pono, hiki i kāu mea hāʻawi ke kuhikuhi i nā lāʻau e kōkua ai me kou ʻehaʻeha.

• Aspirin, naproxen (Aleve), a i ʻole ibuprofen (Advil), hiki iā ʻoe ke kūʻai me ka ʻole o ka palapala.
• Nā lāʻau haʻahaʻa o nā lāʻau lapaʻau
• Nā Narcotics a i ʻole nā ​​opioids ke kaumaha loa ka ʻeha

Inā ʻaʻole hoʻomaikaʻi kou ʻeha me ka lāʻau lapaʻau, hoʻōla kino, a me nā ʻano lāʻau ʻē aʻe, e ʻōlelo paha kāu mea hāʻawi i kahi lāʻau epidural.

Manaʻo ʻia ke kīkala Spinal inā loaʻa ʻoe nā hōʻino nerve a i ʻole ke kumu o ka ʻeha hope ʻaʻole e hoʻōla ma hope o ka lōʻihi.

I kekahi mau mea maʻi, hiki i kahi stimulate cord stimulator ke kōkua i ka hōʻemi ʻana i ka ʻeha o ke kua.

ʻO nā ʻano lapaʻau ʻē aʻe e koi ʻia inā ʻaʻole hoʻomaikaʻi kou ʻeha me ka lāʻau a me ka hoʻōla kino.

• ʻO ke kīʻaha ʻōiwi, inā he ʻeha nā nerve ʻoe a i ʻole ke kumu o kou ʻeha ʻaʻole e hoʻōla ma hope o ka manawa lōʻihi
• Hoʻoulu ka iwi kuamoʻo, kahi mea liʻiliʻi e hoʻouna i kahi au uila i ka iwi kuamoʻo e ālai i nā hōʻailona ʻeha

Pono paha kekahi poʻe me ka ʻehaʻeha haʻahaʻa:

• Hoʻololi Job
• 'Joblelo aʻoaʻo hana
• Hoʻomaʻamaʻa hana hou ʻana
• ʻOihana lapaʻau

ʻOi aku ka maikaʻi o nā pilikia hoʻi i kā lākou iho. E hāhai i nā ʻōlelo aʻoaʻo a kāu mea hāʻawi e pili ana i ka mālama ʻana a me nā ana mālama pilikino.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe ka ʻehaʻehaʻeha loa i hele ʻole. Kāhea koke inā loaʻa ʻoe i ka helu, nalowale o ka neʻe, nāwaliwali, a i ʻole hoʻololi i ka ʻōpū a i ʻole nā ​​ʻaʻa.

ʻEhaʻeha hope ʻole. Backache - maʻi mau; ʻEha Lumbar - maʻi mau; ʻEha - kua - mau; Paʻi hoʻi hope loa - haʻahaʻa

• ʻOki kua - hoʻokuʻu

• Spen stenosis
• ʻAchesiwi ʻiwi

Abd OHE, Amadera JED. Pākuʻi hope haʻahaʻa a i ʻole sprain. 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 48.

Maher C, Underwood M, Buchbinder R. ʻehaʻeha hope haʻahaʻa ʻole kikoʻī. Lancet. 2017; 389: 736-747. PMID: 27745712. www.ncbi.nlm.nih.gov/pubmed/27745712.

Malik K, Nelson A. Hōʻike o nā maʻi ʻehaʻeha o ke kua. I: Benzon HT, Raja SN, Liu SS, Fishman SM, Cohen SP, eds. Nā mea nui o ka lāʻau lapaʻau ʻeha. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 24.