He aha ka Cauda Equina Syndrome (CES) a pehea e mālama ʻia ai?

Anter

• He aha nā hōʻailona?
• He aha ke kumu o CES?
• ʻO wai ka pilikia ma CES?
• Pehea e ʻike ʻia ai ka maʻi CES?
• Koi koi ʻia?
• He aha nā koho lapaʻau ma hope o ke kahakaha ʻana?
• He aha ka kuanaʻike?
• Noho me CES

He aha ʻo CES?

Ma ka wēlau o kou kuamoʻo kahi pūʻā o nā aʻa aʻa i kapa ʻia ʻo ka cauda equina. ʻO ia ka Lākina no ka "huelo lio." Kūkākūkā ka cauda equina me kou lolo, e hoʻouna ana i nā hōʻailona nerve i mua a i ʻole e pili ana i nā hana sensory a me nā motika o kou mau lālā i lalo a me nā lālā i kou pelvic.

Inā ʻemi ʻia kēia aʻa aʻa, hiki iā ʻoe ke hoʻomohala i kahi ʻano i kapa ʻia ʻo cauda equina syndrome (CES). He mea, manaʻo ʻia e hoʻopili. Hoʻoikaika ʻo CES i ka kaohi ma luna o kāu bladder, nā wāwae, a me nā ʻāpana kino ʻē aʻe. Inā haʻalele ʻole ʻia, hiki ke alakaʻi i nā pilikia lōʻihi lōʻihi.

E hoʻomau i ka heluhelu ʻana e aʻo ai i nā ʻōuli ke kumu o ke ʻano, pehea e hoʻokele ai, a me nā mea hou aʻe.

He aha nā hōʻailona?

Hiki i nā hōʻailona CES ke hoʻolōʻihi i kahi manawa lōʻihi a ʻano ʻokoʻa paha i ka paʻakikī. Hiki i kēia ke hana i ka diagnose paʻakikī.

I ka hapanui o nā hihia, ʻo ka pūpū a me nā wāwae nā wahi mua e hoʻopili ʻia e CES.

ʻO kahi laʻana, pilikia paha ʻoe i ka hoʻopaʻa ʻana a i ʻole ka hoʻokuʻu ʻana i ka mimi (incontinence).

Hiki i ka CES ke hana i ka ʻeha a i ʻole ka nalo ʻana o ka manaʻo i nā ʻāpana kiʻekiʻe o kou mau wāwae, a ʻo kou pupu, kou wāwae, a me kou kuʻekuʻe wāwae. ʻIke maopopo loa ʻia nā loli i ka "ʻāpana noho," a i ʻole nā ​​ʻāpana o kou mau wāwae a me kou mau puʻupuʻu e pā i ka noho lio inā ʻoe e holo ana i kahi lio. Hiki ke koʻikoʻi kēia mau ʻōuli a, inā haʻalele ʻole ʻia, e mānoanoa no ka manawa.

ʻO nā ʻōuli ʻē aʻe e hōʻailona paha iā CES:

• ʻehaʻeha hope loa
• nāwaliwali, ʻeha, a i ʻole ka nalo o ka naʻau i hoʻokahi a i ʻole ʻelua mau wāwae
• incontinence ʻōpū
• nalowale o nā reflexes i kou mau lālā lalo
• moe kolohe

Inā ʻike ʻoe i kekahi o kēia mau ʻōuli, pono ʻoe e ʻike i ke kauka.

He aha ke kumu o CES?

ʻO kahi diski herniated kekahi o nā kumu maʻamau o CES. ʻO kahi disk kahi cushion ma waena o nā iwi i kāu vertebrae. Hana ʻia ia i loko e like me ka jelly a me kahi kūwaho kūwaho.

Hana ʻia kahi disk herniated ke kipaku ʻia ka loko palupalu ma o ka paʻakikī o waho o ka pā. Ke hele a makua, nāwaliwali nā mea disk. Inā lawa ka ʻeha a haehae, ʻo ka hoʻoikaika ʻana e hāpai i kahi mea kaumaha a i ʻole ke wili wale ʻana i ke ala hewa e hiki ai ke haki kahi diski.

Ke hiki kēia, hiki ke hoʻonāukiuki nā aʻalolo kokoke i ka disk. Inā lawa ka hakahaka ma kāu lumbar lalo, nui paha ia e pahu aku ai i ka cauda equina.

ʻO nā kumu kumu ʻē aʻe o CES me:

• lesions a i ʻole nā ​​tumors ma kou iwi ʻaoʻao lalo
• maʻi ʻaʻai
• pehu o kou iwi kuamoʻo lalo
• ʻōiwi stenosis, kahi ākea o ka auwai e hoʻonoho i kou kaula i ʻōiwi
• hānau kīnā ʻole
• nā pilikia ma hope o ke kaʻi ʻana o ka ʻōiwi

ʻO wai ka pilikia ma CES?

ʻO ka poʻe e hoʻomohala iā CES me nā poʻe i loaʻa kahi diski herniated, e like me ka poʻe mākua a i ʻole nā ​​ʻaleʻa i nā haʻuki kūlana kiʻekiʻe.

ʻO nā kumu pilikia ʻē aʻe no kahi disk herniated me:

• ke kaumaha a momona paha
• he hana e koi ai i ka hāpai hāpai nui, ka wili ʻana, kaomi ʻana, a me ke kūlou ʻana i ka ʻaoʻao
• ke loaʻa nei kahi predisposition genetical no kahi diski herniated

Inā ua loaʻa ʻoe i kahi ʻehaʻeha koʻikoʻi o ke kua, e like me ka mea i hopena ʻia e kahi ulia kaʻa a i ʻole kahi hāʻule, ʻoi aku nō ka makaʻu nui iā CES.

Pehea e ʻike ʻia ai ka maʻi CES?

Ke ʻike ʻoe i kāu kauka, pono ʻoe e hoʻolako i kāu mōʻaukala pilikino pilikino. Inā loaʻa i kou mau mākua a ʻohana ʻē aʻe paha nā pilikia i hope, kaʻana like i kēlā ʻike. E makemake pū kāu kauka i kahi papa inoa kikoʻī o kāu mau hōʻailona āpau, e like me ka wā i hoʻomaka ai a me ko lākou koʻikoʻi.

I kāu koho ʻana, e hana ana kāu kauka i kahi hoʻokolokolo kino. E hōʻoia lākou i ke kūpaʻa, ka ikaika, ke kaulike, a me nā reflexes o kou mau wāwae a me kou mau wāwae.

E noi ʻia paha ʻoe i:

• noho
• kū
• hele wāwae ma kou kuʻekuʻe wāwae a me kou manamana wāwae
• hāpai i kou mau wāwae i ka wā e moe ana i lalo
• kūlou i mua, i hope, a i ka ʻaoʻao

Kaukaʻi ʻia i kāu mau ʻōuli, hiki i kāu kauka ke nānā i kou mau mākala anal no ka leo a me ka helu.

E aʻo ʻia ʻoe e loaʻa kahi scan MRI o kou kua i lalo. Hoʻohana kahi MRI i nā māla uila e kōkua i ka hana ʻana i nā kiʻi o kou aʻa iwi kuamoʻo a me nā aʻa e hoʻopuni ana i kou iwi kuamoʻo.

E ʻōlelo paha kāu kauka i kahi hoʻokolohua kiʻi myelogram. No kēia hoʻāʻo, ua hoʻokomo ʻia kahi kala kūikawā i loko o kaʻiʻo e hoʻopuni ana i kou iwi kuamoʻo. Lawe ʻia kahi X-ray kūikawā e hōʻike i nā pilikia me kāu iwi kuamoo a i ʻole nā ​​ʻalolo i hoʻokumu ʻia e kahi diski herniated, tumo, a i ʻole nā ​​pilikia ʻē aʻe.

Koi koi ʻia?

Hoʻopili pinepine ʻia kahi hōʻailona CES e ke ʻoki e hoʻomaha i ke kaomi ma nā ʻalolo. Inā he diski herniated ke kumu, hiki ke hana i kahi hana ma ka disk e lawe i nā mea e kaomi ana i ka cauda equina.

Pono e hana i ke kaha ma waena o 24 a 48 mau hola o ka hoʻomaka ʻana o nā ʻōuli koʻikoʻi, e like me:

• ʻehaʻeha hope loa
• ka nalowale koke ʻana o ka manaʻo, nāwaliwali, a i ʻole ʻeha ma hoʻokahi a ʻelua paha mau wāwae
• ka hoʻomaka ʻana o ka ihu a me ka mimiki ʻole
• ka nalo ʻana o nā reflexes i kou mau wāwae haʻahaʻa

Hiki i kēia ke pale i ka hōʻino ʻia o nā aʻa a me ke kīnā ʻole. Inā haʻalele ʻole ʻia ke ʻano, hiki iā ʻoe ke lilo i lolo a hoʻomohala i ka hoʻomau mau ʻole.

He aha nā koho lapaʻau ma hope o ke kahakaha ʻana?

Ma hope o ke kahakaha ʻana, e ʻike kau kauka iā ʻoe i kēlā me kēia manawa e nānā i kou ola ʻana.

Hiki ke ola piha mai nā pilikia CES āpau, ʻoiai loaʻa i kekahi poʻe kekahi mau ʻōuli lohi. Inā hoʻomau ʻoe i nā ʻōuli, e ʻike pono i kāu kauka.

Inā pili ʻo CES i kou hiki ke hele wāwae, e hoʻopili ana kāu papa hoʻolālā i kāu lāʻau hoʻoikaika kino. Hiki i kahi mea hoʻoponopono kino ke kōkua iā ʻoe e loaʻa hou kou ikaika a hāʻawi iā ʻoe i nā hoʻoikaika kino e kōkua i ka hoʻomaikaʻi ʻana i kāu ala. He mea kōkua paha kahi mea hoʻomaʻamaʻa hana inā hoʻopili ʻia nā hana o kēlā me kēia lā, e like me ke kāʻei ʻana, e CES.

Hiki i nā loea ke kōkua me ka hoʻomau ʻole a me ka hana moekolohe ʻana kekahi o kāu kime hoʻihoʻi.

No ka mālama wā lōʻihi, koi paha kāu kauka i kekahi mau lāʻau e kōkua i ka mālama ʻeha.

• ʻO nā mea hōʻemi ʻeha i kuhikuhi ʻia, e like me ka oxycodone (OxyContin), kōkua paha ma hope koke o ke kaha ʻana.
• Hiki ke hoʻohana i nā mea hōʻeha ʻeha ma luna o ka counter, e like me ka ibuprofen (Advil) a i ʻole ka acetaminophen (Tylenol) no ke kōkua ʻeha o kēlā me kēia lā.
• Kau ʻia nā Corticosteroids e kōkua i ka hōʻemi ʻana i ka mumū a me ka pehu ʻana a puni ke kuamoʻo.

Kau kauka paha i kau kauka no ka mimino maikaʻi a i ʻole ka mana ʻōpū. ʻO nā koho maʻamau e:

• ʻoxybutynin (Ditropan)
• tolterodine (Detrol)
• hyoscyamine (Levsin)

Loaʻa paha iā ʻoe ka pōmaikaʻi mai ke aʻo bladder. Hiki i kāu kauka ke koi aku i nā hoʻolālā e kōkua iā ʻoe e ninini i kāu ʻōpū ma ke kumu a hoʻohaʻahaʻa i kou makaʻi no ka incontinence. Hiki i nā kākoʻo Glycerin ke kōkua iā ʻoe e hakahaka i kou ʻōpū ke makemake pū ʻoe.

He aha ka kuanaʻike?

Ma hope o ke kaha ʻana, lohi paha kou manaʻo a me ka hoʻokele kaʻa i ka hoʻi ʻana. ʻO ka hana ʻo Bladder kahi hope loa e ola hou ai. Pono paha ʻoe i kahi catheter a hiki i kou loaʻa hou ʻana ka kaohi ma luna o kāu bladder. Eia nō naʻe, pono i kekahi poʻe i mau mahina a i ʻole i mau makahiki ʻelua e ola. ʻO kāu kauka kāu kumu waiwai ʻoi loa no ka ʻike e pili ana i kāu kuanaʻike pilikino.

Noho me CES

Inā ʻaʻole ola piha ka ʻōpū a me ka ʻōpū, pono paha ʻoe e hoʻohana i ka catheter i kekahi mau manawa o ka lā e hōʻoia pono ʻoe e kāpae i kāu ʻōpū. Pono ʻoe e inu i nā wai he nui e kōkua ai i ka pale ʻana i kahi maʻi urinary tract. Hiki ke kōkua i nā pale pale a i ʻole nā ​​diapers makua i ka hana ʻana me ka huki a me ka naʻau ʻole ʻole.

He mea nui e ʻae i ka mea hiki ʻole ke loli. Akā pono ʻoe e hoʻoikaika e pili ana i nā ʻōuli a i ʻole nā ​​pilikia e hiki ke mālama ʻia ma hope o kāu ʻoki ʻana. E noʻonoʻo e kūkākūkā i kāu koho me kāu kauka i nā makahiki e hiki mai ana.

E kōkua paha i ke aʻo ʻana i ka naʻau a i ʻole ka noʻonoʻo ʻana iā ʻoe e hoʻoponopono, no laila e kamaʻilio me kāu kauka e pili ana i nā koho i loaʻa iā ʻoe. He mea nui nō ke kākoʻo o kou ʻohana a me kou mau hoaaloha. ʻO ka hoʻokomo ʻana iā lākou i kāu hoʻōla e kōkua paha iā lākou e hoʻomaopopo i ka mea āu e hana nei i kēlā me kēia lā a hiki iā lākou ke kōkua maikaʻi iā ʻoe ma o kou hoʻōla ʻana.