ʻEha kua haʻahaʻa - koʻikoʻi

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.

Hiki ke ʻehaʻeha hope ʻeha no kekahi mau lā i kekahi mau pule.

Loaʻa i ka hapanui o ka poʻe i hoʻokahi ʻāʻī hope i ko lākou ola. ʻOiai ʻo kēia ʻeha a ʻoluʻolu ʻole paha e hiki i kēlā me kēia wahi o kou kua, ʻo ka wahi maʻamau i hoʻopili ʻia ʻo kou kua i lalo. ʻO kēia no ka mea ke kākoʻo nei ke kua i lalo i ka hapa nui o ke kaumaha o kou kino.

ʻO kaʻeha haʻahaʻa ke kumu ʻelua o ke ʻano o ko ʻAmelika ʻike i kā lākou kahu mālama ola. ʻO ka lua wale ia o ke anu a me ka maʻi palū.

E ʻike pinepine ʻoe i ka ʻeha ma hope o ke hāpai ʻana i kahi mea kaumaha, neʻe emo ʻole, noho i kahi kūlana no ka manawa lōʻihi, a i ʻole he ʻeha a ulia paha.

ʻO ka ʻehaʻeha o ke kua i lalo pinepine ʻia e ka ʻeha pōkole i nā io a me nā liga e kākoʻo ana i ke kua. Hoʻokumu ʻia ka ʻeha e nā spasms muscle a i ʻole kahi ʻeha a haehae paha i nā mākala a me nā ligament.

ʻO nā kumu o ka ʻehaʻeha o ke kua i hope me ka:

• ʻO nā haki kaomi ʻana i ka iwi kuamoʻo mai ka osteoporosis
• Ka maʻi ʻaʻai e pili ana i ka iwi kuamoʻo
• Haki o ka iwi kuamoʻo
• ʻO ka spasm Muscle (nā mākala paʻa loa)
• Haki a i ʻole herniated disk
• ʻO Sciatica
• Spen stenosis (hoʻoliʻiliʻi o ke kuamoʻo iwi)
• ʻO nā curvature Spine (e like me scoliosis a i ʻole kyphosis), i hoʻoili ʻia a ʻike ʻia i nā keiki a i nā ʻōpio paha
• Kuhi a waimaka paha i nā mākala a i ʻole nā ​​ligament e kākoʻo ana i ke kua

ʻO ke kaumaha ʻeha hoʻi ma muli o:

• ʻO kahi aneurysm aortic aortic e kulu ana.
• ʻO nā kūlana o ka maʻi o ka maʻi, e like me osteoarthritis, psoriatic arthritis, a me ka rheumatoid arthritis.
• ʻO ka maʻi o ke kuamoʻo (osteomyelitis, diskitis, abscess).
• Ka maʻi ʻaʻai a me nā pōhaku hakuʻala.
• Nā pilikia pili i ka hāpai ʻana.
• Hiki i nā pilikia me kāu pēpē kepa a i ʻole pancreas ke kumu i kaʻeha o ke kua.
  
• ʻO nā kūlana olakino e hoʻopili i nā ʻōnaehana hānau wahine, e like me endometriosis, ovist cysts, ovarian cancer, a i ʻole uterine fibroids.
• ʻEha a puni ke kua o kou pelvis, a i ʻole sacroiliac (SI) hui.

ʻIke paha ʻoe i nā ʻōuli like ʻole inā ua hōʻeha ʻoe i kou kua. Hiki paha iā ʻoe ke ʻalalā a i ʻole ke ʻā ʻana o ka naʻau, kahi ʻano ʻono puʻupuʻu, a i ʻole ʻeha ʻeha. 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, ʻūhā, a i lalo paha o kou wāwae. Hiki paha iā ʻoe ke nāwaliwali i kou mau wāwae a me kou mau wāwae.

Ke ʻike mua ʻoe i kāu mea nāna e hāʻawi, e nīnau ʻia ʻoe e pili ana i kou ʻehaʻeha, me ka pinepine o ka hana a me ke koʻikoʻi.

E hoʻāʻo kāu mea lawelawe e hoʻoholo i ke kumu o kou ʻehaʻeha a inā paha e ʻoi aku ka maikaʻi me nā hana maʻalahi e like me ka hau, nā painkillers ʻoluʻolu, a me nā hoʻoikaika kino. ʻO ka hapanui o ka manawa, e ʻoi aku ka maikaʻi o ka ʻeha hope me ka hoʻohana ʻana i kēia mau kiʻina hana.

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

ʻO ka hapa nui o ka poʻe me ka ʻeha hoʻi e hoʻomaikaʻi a hoʻōla hou i loko o 4 a 6 mau pule. ʻAʻole paha e kauoha kāu mea hāʻawi i nā hoʻokolohua i ka wā o ka kipa mua ke ʻole ʻoe he mau hōʻailona.

ʻO nā hoʻāʻo e kauoha ʻia ana paha:

• X-ray
• CT scan o ka iwi kuamoʻo o lalo
• MRI o ka iwi kuamoʻo lalo

E hoʻomaikaʻi wikiwiki ai, e hana i nā ana kūpono ke ʻike mua ʻoe i ka ʻeha.

Eia kekahi ʻōlelo aʻoaʻo no ka mālama ʻana i ka ʻeha.

• Kāohi i ka hoʻoikaika kino maʻamau no nā lā mua. E kōkua kēia i ka hōʻoluʻolu i kāu mau hōʻailona a hōʻemi i ka pehu ʻana ma kahi o ka ʻeha.
• Pili i ka wela a i ʻole ka hau i ka wahi ʻeha. Hoʻohana kahi hana maikaʻi i ka hau no 48 a 72 mau hola ma mua, a laila hoʻohana i ka wela.
• Lawe i nā mea hōʻoluʻolu ʻeha e like me ibuprofen (Advil, Motrin) a i ʻole acetaminophen (Tylenol). E hāhai i nā ʻōlelo ʻōkuhi i ka nui e lawe. Mai lawe i nā mea i koi ʻia.

ʻOiai e hiamoe ana, e hoʻāʻo e moe i kahi curled-up, kahi fetal me kahi uluna ma waena o kou mau wāwae. Inā hiamoe pinepine ʻoe ma kou kua, e waiho i kahi uluna a i ʻolokaʻa ʻia ma lalo o kou mau kuli e hoʻomaha ai i ke kaomi.

ʻO kahi kuhi hewa maʻamau e pili ana i ka ʻeha o hope e pono ʻoe e hoʻomaha a pale i ka hana no ka manawa lōʻihi. I ka ʻoiaʻiʻo, ʻaʻole e koi ʻia ka hoʻomaha moena. Inā ʻaʻohe ou hōʻailona o ke kumu koʻikoʻi no kou ʻeha o ke kua (e like me ka nalowale ʻana o ka ʻōpū a i ʻole kaohi ʻana o ka maʻi ʻaʻa, nāwaliwali, nāwaliwali, a me nā fiva), a laila pono ʻoe e noho i ka hana e hiki.

E makemake paha ʻoe e hōʻemi i kāu hana no nā lā mua ʻelua. A laila, e hoʻomaka mālie i kāu mau hana maʻamau ma hope o kēlā. Mai hana i nā hana e pili ana 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. Ma hope o 2 a 3 mau wiki, pono ʻoe e hoʻomaka hou i ka hoʻoikaika kino.

• E hoʻomaka me ka hana aerobic māmā.ʻO ka hele wāwae, ke kaʻa kaʻa paikikala paʻa, a me ka ʻauʻau kekahi laʻana maikaʻi loa. Hiki i kēia mau hana ke hoʻomaikaʻi i ke kahe o ke koko i kou kua a paipai i ka hoʻōla. Hoʻoikaika lākou i nā mākala i kou ʻōpū a me kou kua.
• Hiki iā ʻoe ke pōmaikaʻi mai ka hoʻōla kino. E hoʻoholo kāu mea hāʻawi inā pono ʻoe e ʻike i kahi mea hoʻoponopono kino a hiki ke kuhikuhi iā ʻoe i hoʻokahi. E hoʻohana mua ka mea hoʻoponopono kino i nā ʻano hana e hōʻemi i kou ʻeha. A laila, e aʻo ka mea hoʻomaʻamaʻa iā ʻoe i nā ala e pale ai i ka hoʻi hou ʻana o ka ʻeha.
• He mea nui ka hoʻolōʻihi a me ka hoʻoikaika ʻana i nā hoʻoikaika kino. Akā, e hoʻomaka koke ana i kēia mau hana ma hope o ka hōʻeha ʻana e hōʻeha ai i kou ʻeha. Hiki i kahi mea hoʻoponopono kino ke haʻi iā ʻoe i ka manawa e hoʻomaka ai i ka hoʻolōʻihi a me ka hoʻoikaika ʻana i nā hoʻoikaika kino a pehea e hana ai.

Inā ʻoi aku ka lōʻihi o kou ʻeha ma mua o 1 mahina, hiki i kāu mea hāʻawi mua ke hoʻouna iā ʻoe e ʻike i kahi orthopedist (ka loio iwi) a i ʻole neurologist (loea nerve).

Inā ʻaʻole i hoʻomaikaʻi kou ʻeha ma hope o ka hoʻohana ʻana i nā lāʻau, ke ola kino, a me nā ʻano lāʻau ʻē aʻe, e ʻōlelo paha kāu mea hāʻawi i kahi inikua epidural.

E ʻike paha ʻoe:

• He kahu 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)

I kekahi manawa, kōkua kekahi mau kipa ʻana i kēia mau loea i ka ʻeha hope.

ʻOi aku ka maikaʻi o ka poʻe i loko o 1 pule. Ma hope o kekahi 4 a 6 mau pule, pono e pau ka ʻeha hope.

Kāhea koke i kāu mea hāʻawi inā loaʻa iā ʻoe:

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

Kāhea pū inā:

• Ke lilo nei ʻoe i ka paona me ka manaʻo ʻole
• 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

Nui nā mea hiki iā ʻoe ke hana e hoʻohaʻahaʻa i kou manawa o ka ʻeha hope. He mea nui ka hoʻoikaika kino no ka pale ʻana i ka ʻeha hope. Ma o ka hoʻoikaika kino hiki iā ʻoe:

• E hoʻomaikaʻi i kou kūlana
• Hoʻoikaika i kou kua a hoʻomaikaʻi i ka maʻalahi
• Lilo kaupaona
• Hōʻalo i ka hāʻule

He mea nui pū kekahi e aʻo e hāpai a kūlou pono. E hāhai i kēia mau ʻōlelo aʻoaʻo:

• Inā kaumaha a kūpilikiʻi paha kahi mea, e kōkua.
• E hohola i kou mau wāwae e hāʻawi i kou kino i kumu ākea o ke kākoʻo ke hāpai ʻana.
• Kū kokoke loa i ka mea āu e hāpai nei.
• Kulou ma kou mau kuli, ʻaʻole ma kou pūhaka.
• E hoʻopaʻa paʻa i kou mau ʻōpū o ka ʻōpū i kou hāpai ʻana i ka mea a i lalo paha i lalo.
• Paʻa i ka mea kokoke i kou kino e like me kou hiki.
• E hāpai i ka hoʻohana ʻana i nā mākala o kou wāwae.
• Ke kū aʻe ʻoe me ka mea, mai kūlou i mua.
• Mai wili ʻoiai ʻoe e kulou ana i lalo no ka mea, hāpai iā ia i luna, a hāpai paha iā ia.

Nā hana ʻē aʻe e pale aku ai i ka ʻeha o ke kua.

• Hōʻalo i ke kū ʻana no nā wā lōʻihi. Inā pono ʻoe e kū no kāu hana, e hoʻomaha ana i kēlā me kēia wāwae ma kahi noho.
• Mai komo i nā kuʻekuʻe wāwae kiʻekiʻe. E hoʻohana i nā kapuwaʻi cushioned ke hele wāwae.
• Ke noho nei no ka hana, keu hoʻi inā e hoʻohana nei ʻoe i kahi kamepiula, e nānā pono i kahi noho pololei o kou noho me kahi noho hoʻoneʻe a me ke kua, nā pūʻali lima, a me kahi noho swivel.
• E hoʻohana i kahi noho ma lalo o kou mau wāwae i ka wā e noho ana i ʻoi aku ke kiʻekiʻe o kou mau kuli ma mua o kou pūhaka.
• E hoʻonoho i kahi uluna liʻiliʻi a i ʻōwili ʻia paha ma hope o kou kua i lalo ke noho a hoʻokele paha i nā wā lōʻihi.
• Inā ʻoe e kalaiwa i kahi mamao loa, kū a hele a puni kēlā me kēia hola. Lawe i kou noho i kahi mamao loa i hiki ke pale i ke kūlou. Mai hāpai i nā mea kaumaha ma hope o ka holo.
• E haʻalele i ka puhi pua ʻana.
• Lilo kaupaona.
• Hana i nā hana i nā manawa maʻamau e hoʻoikaika i kou ʻōpū a me nā mākala nui. E hoʻoikaika kēia i kāu kumu e hōʻemi i ka makaʻu no nā ʻeha hou aʻe.
• E aʻo e hoʻomaha. E hoʻāʻo i nā hana e like me yoga, tai chi, a lomilomi paha.

ʻAcheiwi kua; ʻEha kua haʻahaʻa; ʻEha Lumbar; ʻEha - kua; ʻEhaʻeha hope loa; Paʻi kua - hou; Paʻi kua - wā pōkole; Pākuʻi kua - hou

• ʻOki kua - hoʻokuʻu

• Lumbar vertebrae
• ʻAchesiwi ʻiwi

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El Abd OH, 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.

Grabowski G, Gilbert TM, Larson EP, Cornett CA. Nā kūlana degenerative o ka iwi ʻeha a me ka iwi kuamoʻo. I: Miller MD, Thompson SR, eds. ʻO DeLee, Drez, & Miller's Orthopedic Sports Medicine. 5th lā. Piladelapia, PA: Elsevier; 2020: chap 130.

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.

Misulis KE, Murray EL. Paʻū ʻo lalo a me lalo i ka 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 32.