Paʻi kua - ke ʻike ʻoe i ke kauka
Ke ʻike mua ʻoe i kāu mea mālama ola no ka ʻeha o ke kua, e nīnau ʻia ʻoe e pili ana i kou ʻehaʻeha, e like me ka manawa a me ka wā e hiki ai a pehea kona ʻino.
E hoʻāʻo kāu mea lawelawe e hoʻoholo i ke kumu o kou ʻeha a inā paha e ʻoi aku ka maikaʻi me nā hana maʻalahi, e like me ka hau, nā mea ʻehaʻeha, a me nā hoʻoikaika kino.
E nīnau paha kāu mea hāʻawi:
- ʻO kou ʻāʻī hope i hoʻokahi ʻaoʻao a i ʻole ʻaoʻao ʻelua paha?
- He aha ke ʻano o ka ʻeha? ʻĀʻū paha ia, ʻoi aku paha, ʻāʻā, a ʻā paha?
- ʻO kēia ka manawa mua i loaʻa iā ʻoe ka ʻeha o ke kua?
- I ka manawa hea i hoʻomaka ai ka ʻeha? Ua hoʻomaka koke paha?
- He ʻeha a he ulia paha kāu?
- He aha kāu hana ma mua o ka hoʻomaka ʻana o ka ʻeha? ʻO kahi laʻana, ke hāpai nei a kūlou paha ʻoe? Noho i kāu kamepiula? Ke kalaiwa nei i kahi mamao?
- Inā ua loaʻa ʻoe i ka ʻeha kua ma mua, ʻokoʻa a ʻokoʻa paha kēia ʻeha? Ma ke ʻano he ʻokoʻa ia?
- ʻIke paha ʻoe i ke aha i hōʻeha ai kou kua i ka hala?
- Pehea ka lōʻihi o ka lōʻihi o kēlā me kēia ʻāpana o ka ʻeha hope?
- ʻIke paha ʻoe i ka ʻeha ma nā wahi ʻē aʻe, e like me kou uha, ʻūhā, wāwae a wāwae paha?
- He numbness a wili paha kāu? Kekahi nāwaliwali a nalowale paha o ka hana i kou wāwae a i ʻole ma kahi ʻē?
- He aha ka mea e ʻeha ai ka ʻeha? Hāpai, wili, kū, a noho paha no nā kau lōʻihi?
- He aha kou mea e ʻoi aku ai ka maikaʻi?
E nīnau ʻia ʻoe inā loaʻa iā ʻoe kekahi mau ʻōuli ʻē aʻe, kahi e kuhikuhi ai i kahi kumu koʻikoʻi hou aʻe. E haʻi i kāu mea hāʻawi inā loaʻa iā ʻoe ka pohō kaumaha, ke kuni, kahi hoʻololi o ka urination a i ʻole ka ʻōpū, a i ʻole ka moʻaukala o ka maʻi ʻaʻai.
E hana ana kāu mea hāʻawi i kahi hoʻokolohua kino e hoʻāʻo e ʻike i kahi kikoʻī o kou ʻeha, a hoʻoholo pehea ka hopena i kāu neʻe. E kaomi ʻia kou kua i nā wahi like ʻole e ʻike kahi e ʻeha ai. E noi ʻia ʻoe e:
- Noho, kū, a hele wāwae
- Hele wāwae ma kou manamana wāwae a laila kou kuʻekuʻe wāwae
- Kulou i mua, i hope, a me ka ʻaoʻao
- E hāpai pololei i kou mau wāwae i ka wā e moe ana i lalo
- Neʻe i kou kua i kekahi mau kūlana
Inā ʻoi aku ka ʻeha a iho i kou wāwae ke hāpai pono ʻoe i kou mau wāwae i ka wā e moe ana i lalo, loaʻa paha iā ʻoe ka sciatica, keu hoʻi inā ʻike ʻoe i ka helu a i ʻole ke kani ʻana e iho i ka wāwae like.
E hoʻoneʻe kāu mea lawelawe i kou mau wāwae i nā kūlana ʻokoʻa, me ke kūlou ʻana a me ka hoʻoponopono ʻana i kou mau kuli.
Hoʻohana ʻia kahi hāmare kāpili liʻiliʻi e nānā i kāu reflexes a ʻike inā e hana pono nā ʻalolo. E hoʻopili aku kāu mea hāʻawi i kou ʻili i nā wahi he nui, e hoʻohana ana i kahi pin, pulupulu, a i ʻole hulu. Hōʻike kēia i kahi e hiki ai iā ʻoe ke haha a ʻike i nā mea.
ʻO Dixit R. ʻehaʻeha hope. 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 47.
Qaseem A, Wilt TJ, McLean RM, Forciea MA; ʻO ke Kōmike Alakaʻi Clinical o ke Kulanui ʻAmelika o nā Kauka. Nā kuʻina noninvasive no ka ʻehaʻeha, subakua, a me ka ʻehaʻeha hope loa: kahi papa hana hoʻomaʻamaʻa maʻi mai ke Kulanui ʻAmelika o nā Kauka. ʻO Ann Intern Med. 2017; 166 (7): 514-530. PMID: 28192789 www.ncbi.nlm.nih.gov/pubmed/28192789.