Spenosis Stenosis

Anter

• He aha nā hōʻailona o ka stenosis spinal?
• He aha nā kumu o ka stenosis spinal?
• Pehea e ʻike ʻia ai ka stenosis spinal?
• He aha nā koho lapaʻau no ka stenosis spinal?
• Nā lapaʻau lālani mua
• ʻOki kino
• Aia kekahi mau ala e pale aku ai i ka stenosis spinal?
• He aha ka wā lōʻihi e nānā ai no ka poʻe me ka stenosis spinal?

He aha ka stenosis ʻōiwi?

ʻO ka iwi kuamoʻo kahi kolamu o nā iwi i kapa ʻia he vertebrae e hāʻawi i ke kūpaʻa a me ke kākoʻo no ke kino kiʻekiʻe. Hāʻawi iā mākou e huli a wili. Holo nā aʻalolo iwi ma nā puka o ka vertebrae a alakaʻi i nā hōʻailona mai ka lolo i ke koena o ke kino. Pale ka iwi a puni a me nāʻaʻaʻa i kēia mau aʻalolo. Inā hōʻino a hōʻino ʻia paha lākou i kekahi ʻano, hiki ke hoʻopili i nā hana e like me ka hele wāwae, ke kaulike, a me ka sensation.

ʻO ke kuamoʻo stenosis kahi ʻano e hoʻopili ai ke kolamu iwi a hoʻomaka i ke kaomi ʻana i ka iwi kuamoʻo. ʻOi aku ka maʻalahi o kēia hana. Inā liʻiliʻi ka hoʻopili ʻana, ʻaʻole e loaʻa nā ʻōuli. Hiki i ka hoʻohaʻahaʻa nui loa ke kaomi i nā aʻa a kumu i nā pilikia.

Hiki i ka stenosis ke hana ma nā wahi āpau ma ka iwi kuamoʻo. ʻEhia ka nui o ka iwi kuamoʻo e hiki ke loli.

Kāhea ʻia ʻo Spinal stenosis:

• pseudo-haʻiʻōlelo
• stenosis iwi kuamoʻo
• stenosis iwi kuamoʻo

He aha nā hōʻailona o ka stenosis spinal?

Holomua nā ʻōuli ma mua o ka manawa, i ka lilo ʻana o nā aʻalolo i mea kaomi hou ʻia. E ʻike paha ʻoe:

• nāwaliwali o ka wāwae a lima paha
• ʻehaʻeha o ke kua i lalo ke kū a hele paha
• ʻōlohelohe i kou mau wāwae a i ʻole nā ​​ʻūlū
• pilikia pilikia

ʻO ka noho ʻana ma ka noho ka mea kōkua mau i ka hoʻopakele ʻana i kēia mau hōʻailona. Eia nō naʻe, e hoʻi lākou me nā wā o ke kū a me ka hele wāwae paha.

He aha nā kumu o ka stenosis spinal?

ʻO ke kumu maʻamau o ka stenosis ʻōiwi ka ʻelemakule. Hana ʻia nā hana degenerative ma loko o kou kino i kona mau makahiki. E hoʻomaka paha nā mānoanoa o nā ʻōpū i ka mānoanoa, a e nui aʻe paha nā iwi, e kaomi ana i nā aʻa. ʻO nā kūlana e like me ka osteoarthritis a me ka rheumatoid arthritis e hāʻawi pū paha i ka stenosis spinal. Hiki i ka mumū a lākou ke hoʻokau i kou kaula kuamoʻo.

ʻO nā kūlana ʻē aʻe i hiki ke kumu i ka stenosis me:

• hemahema ʻōiwi i ka wā hānau
• he kaula iwi kuamoʻo maoli
• ʻōwili ʻōiwi, a i ʻole scoliosis
• ʻO ka maʻi o Paget o ka iwi, ke kumu o ka luku ʻana a me ka hoʻoulu hou ʻana o ka iwi
• iwi kuamoʻo
• achondroplasia, kahi ʻano dwarfism

Pehea e ʻike ʻia ai ka stenosis spinal?

Inā loaʻa iā ʻoe nā ʻōuli o ka stenosis spinal, e hoʻomaka kāu kauka ma ka lawe ʻana i kahi mōʻaukala olakino, hana ʻana i kahi hoʻokolohua kino, a me ka nānā ʻana i kāu neʻe. E kauoha paha kāu kauka i nā hoʻokolohua e hōʻoia i kahi kuhi hewa, e like me:

• X-ray, MRI scan, a i ʻole CT scan e ʻike i nā kiʻi o kou kuamoʻo
• electromyelogram e nānā i ke olakino o nā iwi ʻiwi
• ʻimi iwi e nānā no ka hōʻino a i ʻole nā ​​ulu ʻana i kou iwi kuamoʻo

He aha nā koho lapaʻau no ka stenosis spinal?

Nā lapaʻau lālani mua

Hoʻomaʻamaʻa pinepine ʻia ka lāʻau hoʻomalu. ʻO ka pahuhopu e hoʻomaha i kou ʻeha. Hiki i nā kuʻi Cortisone i loko o kāu kolamu iwi ke hoʻemi i ka pehu. Hiki i nā lāʻau anti-inflammatory Nonsteroidal (NSAIDs) ke kōkua pū me ka ʻeha.

ʻO ke kūʻau kino kekahi koho. Hiki iā ia ke hoʻoikaika i nā mākala a hohola mālie i kou kino.

ʻOki kino

Pono paha ke ʻoki no ka ʻehaʻeha a i ʻole inā he nalowale neurological. Hiki iā ia ke hoʻomaha i ke kaomi paʻa mau. Hoʻohana ʻia kekahi ʻano o ke ʻoki e mālama i ka stenosis spinal:

• ʻO ka laminectomy ka ʻano maʻamau o ke keʻoki. Lawe kahi mea lapaʻau i kahi ʻāpana o kāu vertebrae e hāʻawi i kahi lumi hou aʻe no nā ʻalolo.
• ʻO Foraminotomy kahi ʻoki i hana ʻia e hoʻonui i ka ʻāpana o ka iwi kuamoo kahi e puka ai nā aʻalolo.
• Hana pinepine ʻia ka iwi kuamoʻo i nā hihia ʻoi aku ka paʻakikī, keu hoʻi ke pili nā pae he nui o ka iwi kuamoʻo, i mea e pale ʻole ai i ka hiki ʻole. Hoʻohana ʻia nā iwi iwi a i ʻole nā ​​mea hoʻowali keleawe e hoʻopili pū i nā iwi pili o ka iwi kuamoʻo.

Aia kekahi mau ala e pale aku ai i ka stenosis spinal?

ʻO nā koho ʻē aʻe ma mua o ke kahakaha ʻana e hōʻoluʻolu ai i ka ʻeha o ka stenosis spinal me:

• pūʻolo wela a i ʻole ka hau
• ʻākehu
• lomilomi

He aha ka wā lōʻihi e nānā ai no ka poʻe me ka stenosis spinal?

ʻO ka poʻe he nui me ka stenosis ʻōiwi e alakaʻi i nā ola piha a hoʻomau i ka hana. Eia nō naʻe, pono paha lākou e hoʻololi i kā lākou hana kino. He nui ka poʻe i koe i ka ʻeha residual ma hope o ka hana ʻana a me ke ʻoki ʻana.