Pūʻulu ʻEha Nerve Clinic Back. He palupalu nā aʻalolo a hiki ke hoʻopōʻino ʻia e ke kaomi, hoʻopololei, a ʻokiʻoki paha. Hiki i ka ʻeha i ke aʻalolo ke hoʻōki i nā hōʻailona i ka lolo a me ka hana pono ʻole o nā ʻiʻo a nalowale ka manaʻo ma ka wahi ʻeha. Mālama ka ʻōnaehana nerve i ka hapa nui o nā hana o ke kino, mai ka hoʻoponopono ʻana i ka hanu o ke kanaka a hiki i ka hoʻomalu ʻana i ko lākou mau ʻiʻo a me ka ʻike ʻana i ka wela a me ke anu. Akā, i ka wā i hōʻeha ʻia ai ka ʻeha mai kahi ʻeha a i ʻole kahi maʻi kumu i hōʻeha ʻia ke aʻalolo, hiki ke hoʻopilikia nui ʻia ka maikaʻi o ke ola o ke kanaka. Ua wehewehe ʻo Kauka Alex Jimenez i nā manaʻo like ʻole ma o kāna hōʻiliʻili ʻana i nā waihona e hoʻopuni ana i nā ʻano ʻeha a me ke kūlana e hiki ai ke hoʻopilikia i ke aʻalolo a me ke kūkākūkā ʻana i nā ʻano lapaʻau like ʻole a me nā hoʻonā e hōʻoluʻolu i ka ʻeha nerve a hoʻihoʻi i ka maikaʻi o ke ola o kēlā me kēia kanaka.
ʻAʻole i manaʻo ʻia ka ʻike ma ʻaneʻi e hoʻololi i kahi pilina hoʻokahi me kahi ʻoihana mālama olakino kūpono a i ʻole kauka laikini a ʻaʻole ia he ʻōlelo aʻo. Paipai mākou iā ʻoe e hoʻoholo i kāu mau hoʻoholo mālama ola kino e pili ana i kāu noiʻi a me ka hui pū ʻana me kahi ʻoihana mālama ola olakino. Ua kaupalena ʻia kā mākou ʻike i ka chiropractic, musculoskeletal, nā lāʻau lapaʻau kino, ka maikaʻi, nā pilikia olakino koʻikoʻi, nā ʻatikala lapaʻau hana, nā kumuhana, a me nā kūkākūkā. Hāʻawi mākou a hōʻike i ka laulima lapaʻau me nā loea mai kahi ākea o nā aʻoaʻo. Hoʻomalu ʻia kēlā me kēia loea e kā lākou ʻoihana ʻoihana o ka hana a me kā lākou mana o ka laikini. Hoʻohana mākou i nā protocols olakino a maikaʻi e mālama a kākoʻo i ka mālama ʻana i nā ʻeha a i ʻole nā pilikia o ka ʻōnaehana musculoskeletal. ʻO kā mākou wikiō, nā pou, nā kumuhana, nā kumuhana, a me nā ʻike e pili ana i nā mea lapaʻau, nā pilikia, a me nā kumuhana e pili ana a kākoʻo, pololei a ʻole paha, kā mākou ʻoihana lapaʻau. ka noiʻi noiʻi kūpono a i ʻole nā haʻawina e kākoʻo ana i kā mākou mau pou. Hāʻawi mākou i nā kope o nā noiʻi noiʻi kākoʻo i loaʻa i nā papa hoʻoponopono a me ka lehulehu ma ke noi.
Hoʻomaopopo mākou ua uhi mākou i nā mea e koi ai i kahi wehewehe hou aʻe pehea e kōkua ai ia i kahi hoʻolālā mālama a i ʻole ka mālama mālama. no laila, e kūkākūkā hou aʻe i ke kumuhana ma luna, e ʻoluʻolu e nīnau ʻO Kauka Alex Jimenez Ai'ole e leka uila iā mākou 915-850-0900.
Ke hōʻike ʻia ka sciatica a i ʻole nā ʻeha aʻalolo ʻē aʻe, hiki i ke aʻo ʻana e hoʻokaʻawale i waena o ka ʻeha aʻalolo a me nā ʻano ʻeha like ʻole e kōkua i ka poʻe e hoʻomaopopo i ka wā e huhū ai nā aʻa aʻa spinal a i ʻole nā pilikia koʻikoʻi e pono ai ka mālama olakino?
Nā Aʻa Nerve Spinal a me nā Dermatomes
ʻO nā kūlana spinal e like me ka herniated discs a me ka stenosis hiki ke alakaʻi i ka ʻeha e hele i lalo i hoʻokahi lima a i ʻole wāwae. ʻO nā hōʻailona ʻē aʻe e pili ana i ka nāwaliwali, ka helu ʻana, a / a i ʻole ka pana ʻana a i ʻole ke ʻano uila. ʻO ka huaʻōlelo lapaʻau no nā hōʻailona nerve pinched he radiculopathy (Nā National Institute of Health: National Institute of Neurological Disorders and Stroke. 2020). Hiki i nā Dermatomes ke kōkua i ka huhū i loko o ke kuamoʻo, kahi e hōʻailona ai nā aʻa aʻalolo ma ke kua a me nā lālā.
Anatomy
He 31 mau ʻāpana o ke kuamoʻo.
He mau aʻa aʻa ko kēlā me kēia māhele ma ka ʻākau a me ka hema e hāʻawi ana i nā hana kaʻa a me nā manaʻo i nā lālā.
Hoʻohui ʻia nā lālā kamaʻilio mua a me hope e hana i nā aʻalolo spinal e puka ana i ka canal vertebral.
ʻO nā ʻāpana spine 31 ka hopena i nā aʻalolo spinal 31.
Hoʻouna kēlā me kēia mea i ka hoʻokomo aʻalolo sensory mai kahi ʻāpana ʻili ma kēlā ʻaoʻao a me kahi o ke kino.
Ua kapa ʻia kēia mau ʻāpana he dermatomes.
Koe wale no ke aʻalolo spinal cervical mua, aia nā dermatomes no kēlā me kēia aʻalolo kuamoʻo.
Hoʻokumu nā aʻalolo spinal a me nā dermatomes pili i kahi pūnaewele ma ke kino holoʻokoʻa.
Ke kumu o Dermatomes
ʻO Dermatomes nā wahi kino / ʻili me ka hoʻokomo sensory i hāʻawi ʻia i kēlā me kēia aʻalolo spinal. He dermatome pili ko kēlā me kēia aʻa aʻalolo, a hāʻawi nā lālā like ʻole i kēlā me kēia dermatome mai kēlā aʻa aʻalolo hoʻokahi. ʻO nā dermatomes nā ala e hoʻouna ai i nā ʻike pili i ka ʻili i nā hōʻailona i ka ʻōnaehana nū waena. Hoʻouna ʻia nā manaʻo i ʻike ʻia i ke kino, e like me ke kaomi a me ka mahana, i ka ʻōnaehana nūnū waena. Ke hoʻopili ʻia ke aʻa aʻalolo iwi kuamoʻo a i ʻole ka huhū, ma muli o ka pili ʻana me kahi hale ʻē aʻe, hopena ia i ka radiculopathy. (Nā National Institute of Health: National Institute of Neurological Disorders and Stroke. 2020).
ʻO Radiculopathy
Hōʻike ʻo Radiculopathy i nā hōʻailona i hoʻokumu ʻia e kahi aʻalolo i ʻoki ʻia ma ka iwi kuamoʻo. ʻO nā hōʻailona a me nā manaʻo e pili ana i kahi o ke aʻalolo a me ka nui o ka paʻi.
Ka nui
He maʻi maʻi kēia o ka ʻeha a me / a i ʻole sensorimotor deficiency i ka wā e paʻa ai nā aʻa aʻalolo ma ka ʻāʻī.
Hōʻike pinepine ia me ka ʻeha e iho i lalo i kekahi lima.
Hiki i nā kānaka ke ʻike i nā manaʻo uila e like me nā pine a me nā nila, nā haʻalulu, a me nā ʻano wela, a me nā hōʻailona kaʻa e like me ka nāwaliwali a me ka helu.
Lumbar
ʻO kēia radiculopathy ka hopena ma muli o ka hoʻopiʻi ʻana, ka mumū, a i ʻole ka hōʻeha ʻana i kahi aʻalolo spinal ma ke kua lalo.
ʻO ke ʻano o ka ʻeha, ka ʻeha, ke kani ʻana, ka uila a i ʻole ka wela, a me nā hōʻailona kaʻa e like me ka nawaliwali e hele ana i lalo o ka wāwae hoʻokahi.
ʻike,
ʻO kahi ʻāpana o kahi hoʻokolohua kino radiculopathy e hoʻāʻo ana i nā dermatomes no ka ʻike. E hoʻohana ka mea hoʻomaʻamaʻa i nā hoʻāʻo manual kikoʻī e hoʻoholo ai i ka pae spinal kahi i puka mai ai nā hōʻailona. Hoʻopili pinepine ʻia nā hoʻokolohua lima me nā hoʻokolohua diagnostic imaging e like me MRI, hiki ke hōʻike i nā mea ʻino i ke aʻa aʻalolo. ʻO ka hoʻokolokolo kino holoʻokoʻa e hoʻoholo inā ʻo ke aʻa aʻalolo ke kumu o nā hōʻailona.
Hoʻoponopono i nā kumu kumu
Hiki ke mālama ʻia nā maʻi he nui me nā lāʻau lapaʻau conservative e hāʻawi i ka hoʻomaha ʻeha. No ka herniated disk, no ka laʻana, hiki ke ʻōlelo ʻia nā kānaka e hoʻomaha a lawe i kahi lāʻau anti-inflammatory nonsteroidal. Acupuncture, physical therapy, chiropractic, non-surgical traction, or nā lāʻau lapaʻau decompression hiki ke kuhikuhi ʻia. No ka ʻeha nui, hiki i ka poʻe ke hāʻawi ʻia i kahi epidural steroid injection e hiki ke hāʻawi i ka hōʻoluʻolu ʻeha ma o ka hoʻemi ʻana i ka mumū. (American Academy of Orthopedic Surgeons: OrthoInfo. 2022) No ka spinal stenosis, hiki i ka mea hoʻolako ke nānā mua i ka hoʻomaʻamaʻa kino e hoʻomaikaʻi i ke olakino holoʻokoʻa, hoʻoikaika i ka ʻōpū a me nā ʻiʻo hope, a mālama i ka neʻe ʻana i ka iwi kuamoʻo. ʻO nā lāʻau lapaʻau e hoʻomaha ai i ka ʻeha, me nā NSAID a me nā inikini corticosteroid, hiki ke hoʻemi i ka mumū a hoʻomaha i ka ʻeha. (Ke Kulanui o Rheumatology ʻAmelika. 2023) Hāʻawi nā mea lapaʻau kino i nā lāʻau lapaʻau like ʻole e hōʻemi i nā hōʻailona, me ka manual and mechanical decompression and traction. Hiki ke ʻōlelo ʻia ke ʻoki ʻana no nā hihia o ka radiculopathy i pane ʻole i nā lāʻau conservative.
Injury Medical Chiropractic a me Functional Medicine Clinic mālama i nā hoʻolālā a me nā lawelawe lapaʻau kūikawā a nānā i nā ʻeha a me ke kaʻina hana hoʻōla piha. ʻO kā mākou mau wahi hana e pili ana i ka Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic ʻEha, nā ʻeha paʻakikī, ka hoʻokele koʻikoʻi, nā lāʻau lapaʻau hana, a me nā kuʻina mālama i loko o ka pā. Ke nānā nei mākou i ka hoʻihoʻi ʻana i nā hana kino maʻamau ma hope o ka trauma a me nā ʻeha ʻeha palupalu me ka hoʻohana ʻana i nā Kūlana Chiropractic Specialized, Wellness Programs, Functional and integrative Nutrition, Agility, a me ka mobility Fitness Training, a me Rehabilitation Systems no nā makahiki āpau. Inā makemake ke kanaka i nā lāʻau lapaʻau ʻē aʻe, e hoʻouna ʻia ʻo ia i ke kauka a i ʻole ke kauka i kūpono loa i ko lākou kūlana. Ua hui pū ʻo Dr. Jimenez me nā kauka lapaʻau kiʻekiʻe, nā mea lapaʻau lapaʻau, nā mea noiʻi lāʻau lapaʻau, nā mea lapaʻau, nā mea hoʻomaʻamaʻa, a me nā mea hoʻolako hoʻoponopono mua e lawe iā El Paso, nā lāʻau lapaʻau kiʻekiʻe, i ko mākou kaiāulu.
Hoʻihoʻi hou i kāu Mobility: ʻO ka mālama chiropractic no ka Sciatica Recovery
Hiki i nā poʻe ke loaʻa i ka pana ʻana, ka ʻeha ʻeha ma nā ʻaoʻao haʻahaʻa, a me ka ʻeha wāwae wāwae e loaʻa ana i ka neurogenic claudication. Hiki i ka ʻike ʻana i nā hōʻailona ke kōkua i nā mea mālama olakino e kūkulu i kahi hoʻolālā lapaʻau kūpono?
ʻO Claudication Neurogenic
Hana ʻia ka neurogenic claudication i ka wā e hoʻopili ʻia ai nā aʻalolo spinal i ka lumbar a i ʻole ka iwi kuamoʻo haʻahaʻa, e hōʻeha ana i ka ʻeha wāwae. Hiki i nā aʻalolo i hoʻopaʻa ʻia i loko o ke kuamoʻo lumbar ke hōʻeha i ka wāwae a me ka ʻeha. Hoʻonui pinepine ʻia ka ʻeha me nā neʻe ʻana a i ʻole nā hana e like me ka noho ʻana, kū, a kūlou paha i hope. Ua ʻike ʻia ʻo ia ʻo pseudo-claudication i ka wā e hāiki ai ka hakahaka o loko o ka iwi kuamoʻo. ʻO kahi maʻi i kapa ʻia ʻo lumbar spinal stenosis. Eia nō naʻe, ʻo ka neurogenic claudication kahi maʻi a i ʻole pūʻulu o nā hōʻailona i hoʻokumu ʻia e kahi aʻalolo spinal spinal, aʻo ka stenosis spinal e wehewehe ana i ka hōʻemi ʻana o nā ʻaoʻao spinal.
Ōuli
Hiki ke komo i nā hōʻailona neurogenic claudication:
ʻO ka ʻūhā wāwae.
ʻO ka helu ʻana, ke kani ʻana, a i ʻole ke ʻano wela.
ʻO ka luhi a me ka nāwaliwali o ka wāwae.
He manaʻo o ke kaumaha ma ka wāwae/s.
ʻEha ʻoi, pana, a ʻehaʻeha paha e hoʻonui ana i nā ʻāpana haʻahaʻa, pinepine ma nā wāwae ʻelua.
Hiki ke ʻeha ma ke kua lalo a i ʻole ka ʻāʻī.
ʻOkoʻa ka neurogenic claudication mai nā ʻano ʻeha ʻē aʻe o ka wāwae, no ka mea, ke hoʻololi nei ka ʻeha - hoʻomaha a hoʻomaka maʻamau a piʻi aʻe me nā neʻe a i ʻole nā hana kikoʻī. ʻO ke kū ʻana, ka hele ʻana, ka iho ʻana i ke alapiʻi, a i ʻole ka lohi ʻana i hope hiki ke hoʻoulu i ka ʻeha, ʻoiai e noho ana, piʻi i ke alapiʻi, a hilinaʻi paha i mua e hoʻopau i ka ʻeha. Eia naʻe, ʻokoʻa kēlā me kēia hihia. I ka wā lōʻihi, hiki i ka neurogenic claudication ke hoʻopili i ka neʻe ʻana i ka wā e hoʻāʻo ai nā kānaka e pale i nā hana e hōʻeha ai, me ka hoʻoikaika kino, ka hāpai ʻana i nā mea, a me ka hele lōʻihi. I nā hihia koʻikoʻi, hiki i ka neurogenic claudication ke paʻakikī i ka hiamoe.
ʻAʻole like ka neurogenic claudication a me ka sciatica. ʻO ka neurogenic claudication e pili ana i ka hoʻopaʻa ʻana i ke aʻalolo ma ke kahawai waena o ka spine lumbar, e hōʻeha ai i nā wāwae ʻelua. ʻO Sciatica ka hoʻopili ʻana i nā aʻa aʻalolo e puka ana mai nā ʻaoʻao o ka ʻāʻī lumbar, e hōʻeha ai i ka ʻeha ma kekahi wāwae. (ʻO Carlo Ammendolia, 2014)
Nā kumu
Me ka neurogenic claudication, compressed spinal nerves ke kumu kumu o ka ʻeha wāwae. I nā manawa he nui, ʻo ka stenosis spinal lumber - ʻo LSS ke kumu o ke aʻalolo pinched. ʻElua ʻano o ka lumbar spinal stenosis.
ʻO ka stenosis waena ke kumu nui o ka claudication neurogenic. Me kēia ʻano, ʻoi aku ka liʻiliʻi o ke awāwa waena o ka iwi kuamoʻo, kahi e waiho ai i ke kuamoʻo, e hōʻeha i nā wāwae ʻelua.
Hiki ke loaʻa a hoʻomohala ʻia ka stenosis spinal lumbar ma hope o ke ola ma muli o ka hōʻino ʻana o ka spine.
ʻO ka Congenital, ua hānau ʻia ke kanaka me ke ʻano.
Hiki i nā mea ʻelua ke alakaʻi i ka neurogenic claudication ma nā ʻano like ʻole.
ʻO ka foramen stenosis kekahi ʻano ʻē aʻe o ka stenosis spinal lumbar e hōʻemi ana i nā hakahaka ma kēlā ʻaoʻao kēia ʻaoʻao o ka spine lumbar kahi e lālā ai nā aʻa aʻalolo mai ke kuamoʻo. ʻOkoʻa ka ʻeha pili ma ka wāwae ʻākau a hema paha.
Pili ka ʻeha i ka ʻaoʻao o ke kuamoʻo kahi e ʻimi ʻia ai nā aʻalolo.
Loaʻa iā Lumbar Spinal Stenosis
Loaʻa pinepine ʻia ka stenosis lumbar spinal ma muli o ka degeneration o ka lumbar spine a manaʻo e hoʻopilikia i ka poʻe ʻelemakule. ʻO nā kumu o ka hōʻemi ʻana hiki ke komo:
ʻO ka ʻeha iwi kuamoʻo, e like me ke kuʻi kaʻa, hana, a i ʻole ʻeha haʻuki.
ʻO ka herniation disc.
ʻO ka osteoporosis spinal - ʻāʻahu a me ka waimaka.
ʻO Ankylosing spondylitis - he ʻano o ka maʻi ʻāʻī e pili ana i ka iwi kuamoʻo.
Osteophytes - nā iwi iwi.
ʻO nā maʻi maʻi maʻi - nā maʻi maʻiʻole a me ka maʻi kanesa.
ʻO ka Stenosis Lumbar Spinal Stenosis
ʻO ka congenital lumbar spinal stenosis, ʻo ia hoʻi, ua hānau ʻia ke kanaka me nā mea ʻino o ka iwi kuamoʻo i ʻike ʻole ʻia i ka wā hānau. No ka mea, ua haiki ka hakahaka o ke kuamo'o, ua pilikia ka iwi kuamoo i na hoololi e like me na makahiki. Hiki i nā poʻe me ka maʻi o ka maʻi ʻeha ke ʻike i nā hōʻailona o ka neurogenic claudication i ka wā mua a hoʻomohala i nā hōʻailona i ko lākou mau makahiki 30 a me 40 ma mua o ko lākou mau makahiki 60 a me 70.
ʻike,
Hoʻokumu ʻia ka ʻike ʻana o ka neurogenic claudication ma ka mōʻaukala olakino o kēlā me kēia kanaka, ka nānā kino, a me ke kiʻi. ʻO ka nānā kino a me ka loiloi e ʻike i kahi e hōʻike ai ka ʻeha a i ka manawa. Hiki i ka mea mālama ola ke nīnau:
Aia kekahi moʻolelo o ka ʻeha hope?
ʻO ka ʻeha ma kekahi wāwae a ʻelua paha?
ʻO kaʻeha mau anei?
Hele mai ka ʻeha a hele?
E ʻoi aʻe ka maikaʻi a i ʻole ka ʻeha ke kū a noho paha?
Hiki i nā neʻe a i ʻole nā hana ke kumu i nā hōʻailona ʻeha a me nā manaʻo?
Aia kekahi mau manaʻo maʻamau i ka wā e hele ana?
lapaʻau
Hiki i nā lāʻau lapaʻau ke komo i ka lāʻau lapaʻau kino, spinal steroid injections, a me nā lāʻau ʻeha. ʻO ka ʻokiʻoki ka hopena hope loa inā ʻaʻole hiki i nā lāʻau lapaʻau ʻē aʻe ke hāʻawi i ka hoʻomaha maikaʻi.
E kōkua kēia i ka hoʻomaikaʻi ʻana a me ka hoʻopaʻa ʻana i nā ʻiʻo haʻahaʻa hope a hoʻoponopono i nā pilikia posture.
E ʻōlelo ka ʻoihana lapaʻau i nā hoʻololi ʻana i nā hana e hōʻeha ai i nā hōʻailona ʻeha.
Hoʻopili kēia me nā mīkini kino kūpono, mālama i ka ikehu, a me ka ʻike ʻana i nā hōʻailona ʻeha.
Hiki ke paipai ʻia nā pale kua a i ʻole nā kāʻei.
Hoʻopili ʻia ʻo Steroid Spinal
Hiki i nā mea mālama ola ke ʻōlelo aku i nā injections steroid epidural.
Hāʻawi kēia i kahi steroid cortisone i ka ʻāpana o waho o ke kolamu spinal a i ʻole ka epidural space.
Hiki i nā injections ke hoʻomaha i ka ʻeha no ʻekolu mahina a ʻekolu mau makahiki. (Sunil Munakomi et al., 2024)
Pain Meds
Hoʻohana ʻia nā lāʻau ʻeha e mālama i ka intermittent neurogenic claudication. Aia kēia mau mea:
ʻO nā analgesics e like me ka acetaminophen.
Nā lāʻau anti-inflammatory nonsteroidal a i ʻole NSAID e like me ibuprofen a i ʻole naproxen.
Hiki ke kuhikuhi ʻia nā NSAID inā pono.
Hoʻohana ʻia nā NSAID me ka ʻeha neurogenic mau loa a pono e hoʻohana wale ʻia inā pono.
ʻO ka hoʻohana lōʻihi o nā NSAID hiki ke hoʻonui i ka pilikia o ka ʻōpū o ka ʻōpū, a ʻo ka hoʻohana nui ʻana i ka acetaminophen hiki ke alakaʻi i ka ʻawaʻawa a me ka hāʻule ʻole o ka ate.
Ho'āla
Inā ʻaʻole hiki i nā lāʻau lapaʻau ke hāʻawi i ka hoʻomaha maikaʻi a me ka neʻe ʻana a me / a i ʻole ka maikaʻi o ke ola, hiki ke ʻōlelo ʻia ke ʻoki i ʻike ʻia he laminectomy e hoʻopau i ka spine lumbar. Hiki ke hana i ke kaʻina hana:
Laparoscopically - me nā ʻoki liʻiliʻi, nā scopes, a me nā mea hana ʻoki.
ʻO ka wehe ʻana - me kahi scalpel a me nā humuhumu.
I ka wā o ke kaʻina hana, ua wehe ʻia nā ʻaoʻao o ka vertebra i kahi hapa a i ʻole holo loa.
No ka hoʻopaʻa ʻana, hoʻohui ʻia nā iwi i kekahi manawa me nā wili, nā papa, a i ʻole nā koʻokoʻo.
ʻOi aku a liʻiliʻi paha nā uku lanakila no lāua ʻelua.
Ma waena o 85% a me 90% o nā poʻe e hana ana i ke kaʻina e loaʻa ai ka hoʻomaha ʻeha mau loa a / a mau loa paha. (Xin-Long Ma et al., 2017)
ʻO ka lāʻau lapaʻau: Chiropractic Care
E hoʻomaopopo '
Ammendolia C. (2014). Degenerative lumbar spinal stenosis a me kāna mau mea hoʻopunipuni: ʻekolu mau noiʻi hihia. ʻO ka Journal of the Canadian Chiropractic Association, 58 (3), 312-319.
Munakomi S, Foris LA, Varacallo M. (2024). Spinal Stenosis a me Neurogenic Claudication. [Hoʻohou 2023 ʻAukake 13]. Ma: StatPearls [Internet]. Waiwai Waiwai (FL): StatPearls Publishing; 2024 Ian-. Loaʻa mai: www.ncbi.nlm.nih.gov/books/NBK430872/
Ma, XL, Zhao, XW, Ma, JX, Li, F., Wang, Y., & Lu, B. (2017). ʻO ka maikaʻi o ke kaʻina hana me ka mālama conservative no ka lumbar spinal stenosis: kahi loiloi ʻōnaehana a me ka meta-analysis o nā hoʻokolohua hoʻokele randomized. ʻO ka puke pai honua no ka ʻoki ʻana (London, ʻEnelani), 44, 329–338. doi.org/10.1016/j.ijsu.2017.07.032
No ka poʻe e pili ana i ka ʻeha mau loa, hiki anei i ka hana ʻana i ke kaʻina hana aʻalolo ke kōkua i ka hoʻohaʻahaʻa a mālama i nā hōʻailona?
Nā poloka nerve
ʻO ka poloka aʻalolo kahi hana i hana ʻia e hoʻopau/pale i nā hōʻailona ʻeha ma muli o ka hana ʻino a i ʻole ka ʻeha. Hiki ke hoʻohana ʻia no ka hana diagnostic a lapaʻau paha, a he pōkole a lōʻihi paha ko lākou hopena, ma muli o ke ʻano o ka hoʻohana ʻana.
A poloka aʻalolo manawa hiki ke komo i ka noi a i ʻole ka injection e hoʻōki i ka hoʻouna ʻana i nā hōʻailona ʻeha no ka manawa pōkole.
No ka laʻana, i ka hāpai ʻana, hiki ke hoʻohana ʻia kahi epidural injection i ka wā o ka hana a me ka hānau ʻana.
Paʻa aʻalolo mau e ʻoki/ʻoki a wehe paha i kekahi mau ʻāpana o ke aʻalolo e hoʻopau i nā hōʻailona ʻeha.
Hoʻohana ʻia kēia i nā hihia me nā ʻeha nui a i ʻole nā maʻi ʻeha mau ʻē aʻe i hoʻomaikaʻi ʻole me nā ala lapaʻau ʻē aʻe.
Hoʻohana Lapaʻau
Ke ʻike ka poʻe lawelawe mālama ola i kahi maʻi ʻeha mau i hoʻokumu ʻia e ka hōʻeha a i ʻole ka hana ʻino, hiki iā lākou ke hoʻohana i kahi poloka nerve e ʻimi ai i kahi e hoʻoulu ai i nā hōʻailona ʻeha. Hiki iā lākou ke hana i ka electromyography a/a i ʻole a ho'āʻo ʻana i ka wikiwiki hoʻokele aʻalolo/NCV e kuhikuhi i ke kumu o ka eha mau aʻalolo. Hiki nō hoʻi i nā poloka Nerve ke mālama i ka ʻeha neuropathic mau loa, e like me ka ʻeha i hoʻokumu ʻia e ka pōʻino a i ʻole ke kaomi ʻana. Hoʻohana mau ʻia nā poloka Nerve e mālama i ka ʻeha hope a me ka ʻāʻī i hoʻokumu ʻia e nā disc herniated a i ʻole spinal stenosis. (ʻO Johns Hopkins Medicine. 2024)
ano
ʻEkolu mau ʻano:
Local
Neurolytic
Haʻioa
Hiki ke hoʻohana ʻia nā mea ʻekolu no nā kūlana e hoʻoulu ai i ka ʻeha mau. Eia nō naʻe, paʻa mau nā poloka neurolytic a me nā ʻokiʻoki a hoʻohana wale ʻia no ka ʻeha nui i ʻoi aʻe me nā lāʻau lapaʻau ʻē aʻe i hiki ʻole ke hāʻawi i ke kōkua.
Nā Palena Kūikawā
Hana ʻia kahi poloka kūloko ma ka hoʻokomo ʻana a i ʻole ka hoʻohana ʻana i nā lāʻau lapaʻau kūloko, e like me ka lidocaine, i kekahi wahi.
ʻO ka epidural he poloka aʻalolo kūloko e hoʻokomo i nā steroid a i ʻole analgesics i loko o kahi a puni ka spinal cord.
He mea maʻamau kēia i ka wā hāpai, hana, a me ka hānau ʻana.
Hiki ke hoʻohana ʻia nā Epidurals no ka mālama ʻana i ka ʻāʻī mau a i ʻole ka ʻeha hope ma muli o ke aʻalolo kuamoʻo.
ʻO nā poloka kūloko he manawa pōkole wale nō, akā ma kahi hoʻolālā lapaʻau, hiki ke hana hou ʻia i ka manawa e mālama ai i ka ʻeha mau mai nā maʻi e like me ka arthritis, sciatica, a me ka migraines. (NYU Langone Health. 2023)
Palaka mau
Hoʻohana ka poloka neurolytic i ka waiʻona, phenol, a i ʻole nā mea wela e mālama ai i ka ʻeha nerve mau loa. (National Institute of Neurological Disorders and Stroke. 2023) Hoʻopilikia kēia mau kaʻina hana i kekahi mau wahi o ke ala aʻalolo i hiki ʻole ke hoʻouna ʻia nā hōʻailona ʻeha. Hoʻohana nui ʻia kahi poloka neurolytic no nā maʻi ʻeha mau loa, e like me ka ʻeha mai ka maʻi maʻi a i ʻole ka maʻi ʻeha o ka ʻāina paʻakikī / CRPS. Hoʻohana ʻia lākou i kekahi manawa no ka mālama ʻana i ka ʻeha mau mai ka pancreatitis mau a me ka ʻeha ma ka paia o ka umauma ma hope o ke ʻoki ʻana. (ʻO Johns Hopkins Medicine. 2024) (Alberto M. Cappellari et al., 2018)
Hana ka neurosurgeon i kahi poloka aʻalolo e pili ana i ka wehe ʻana a i ʻole ka hōʻino ʻana i nā wahi kikoʻī o ke aʻalolo. (National Institute of Neurological Disorders and Stroke. 2023) Hoʻohana wale ʻia ka poloka aʻalolo no nā maʻi ʻeha nui, e like me ka ʻeha maʻi maʻi a i ʻole trigeminal neuralgia.
ʻOiai he mau kaʻina hana mau ka neurolytic a me ka hoʻopaʻa ʻana, nā hōʻailona ʻeha, a me nā manaʻo hiki ke hoʻi mai inā hiki i nā aʻalolo ke ulu hou a hoʻoponopono iā lākou iho. (Eun Ji Choi et al., 2016) Eia naʻe, ʻaʻole hiki ke hoʻi mai nā hōʻailona a me nā manaʻo i nā mahina a i ʻole mau makahiki ma hope o ke kaʻina hana.
Hiki i kēia mau kaʻina hana ke loaʻa ka pōʻino o ke aʻalolo mau loa. (Mele Kea. 2023) He maʻalahi nā aʻalolo a hoʻoulu hou ʻia, no laila hiki i kahi hewa liʻiliʻi ke kumu i nā hopena ʻaoʻao. (D O'Flaherty et al., 2018) Loaʻa nā hopena ʻaoʻao maʻamau:
ʻO ka lolo ʻiʻo
ʻO kaʻino
Helu pinepine
I nā hihia kakaʻikahi, hiki i ka poloka ke hoʻonāukiuki i ke aʻalolo a hoʻonui i ka ʻeha.
Hoʻomaʻamaʻa ʻia nā loea olakino mākaukau a laikini e like me nā kaukō, nā kauka mālama ʻeha, anesthesiologists, a me nā niho niho e hana pono i kēia mau kaʻina hana.
Loaʻa ka pilikia o ka pōʻino a i ʻole ka hōʻeha ʻana i ke aʻalolo, akā ʻo ka hapa nui o nā poloka aʻalolo me ka palekana a me ka holomua e hoʻemi a kōkua i ka mālama ʻana i ka ʻeha mau. (Mele Kea. 2023)
Ka mea e manaʻo ai
Hiki paha i nā kānaka ke ʻeha a ʻeha paha a ʻike paha i ka ʻulaʻula a i ʻole ka ukiuki kokoke a i ʻole a puni ka wahi no ka manawa pōkole.
Hiki nō hoʻi ke pehu, kahi e hoʻopaʻa ai i ke aʻalolo a pono ka manawa e hoʻomaikaʻi ai. (Lapaau Stanford. 2024)
Hiki ke noi ʻia nā kānaka e hoʻomaha no kekahi manawa ma hope o ke kaʻina hana.
Ma muli o ke ʻano o ke kaʻina hana, pono paha ka poʻe e noho i kekahi mau lā ma kahi haukapila.
Aia paha kekahi ʻeha, akā ʻaʻole ia he manaʻo ʻaʻole i holo ka hana.
Pono nā kānaka e kūkākūkā me kahi mea mālama ola e pili ana i nā pilikia a me nā pōmaikaʻi e hōʻoia i ka pono lapaʻau.
Sciatica, nā kumu, nā hōʻailona, a me nā ʻōlelo aʻoaʻo
Cappellari, AM, Tiberio, F., Alicandro, G., Spagnoli, D., & Grimoldi, N. (2018). ʻO Intercostal Neurolysis no ka mālama ʻana i ka ʻeha hope o ka Thoracic: kahi hihia. ʻO ka ʻiʻo a me ke aʻalolo, 58(5), 671–675. doi.org/10.1002/mus.26298
Choi, EJ, Choi, YM, Jang, EJ, Kim, JY, Kim, TK, & Kim, KH (2016). Neural Ablation and Regeneration in Pain Practice. The Korean journal of pain, 29(1), 3–11. doi.org/10.3344/kjp.2016.29.1.3
O'Flaherty, D., McCartney, CJL, & Ng, SC (2018). ʻEha aʻalolo ma hope o ka pale ʻana i ke aʻalolo peripheral-ʻike a me nā alakaʻi i kēia manawa. BJA hoʻonaʻauao, 18(12), 384–390. doi.org/10.1016/j.bjae.2018.09.004
ʻO ka poʻe e loaʻa ana i nā hōʻailona ʻeha e like me ka pana ʻana, ka ʻū ʻana, a i ʻole nā manaʻo uila i ka latissimus dorsi o ke kua i luna e hiki ke kumu ma muli o kahi ʻeha aʻalolo i ke aʻalolo thoracodorsal. Hiki i ka ʻike ʻana i ke anatomy a me nā hōʻailona ke kōkua i nā mea mālama olakino e hoʻomohala i kahi hoʻolālā lapaʻau kūpono?
Aʻalolo Thoracodorsal
ʻOiai iʻikeʻia he aʻalolo waena a i ʻole ke aʻalolo lōʻihi, ua lala ia mai kahi hapa o ka plexus brachial a hāʻawi i ka innervation / hana kaʻa i ka ʻiʻo latissimus dorsi.
Anatomy
ʻO ka plexus brachial kahi pūnaewele o nā aʻalolo e puka mai ana mai ke kuamoʻo ma ka ʻāʻī. Hāʻawi nā aʻalolo i ka hapa nui o ka manaʻo a me ka neʻe ʻana o nā lima a me nā lima, me kekahi ma kēlā me kēia ʻaoʻao. Loaʻa kona mau aʻa ʻelima mai nā ākea ma waena o ka ʻelima a hiki i ka ʻewalu o ka ʻāʻī o ka ʻōpū a me ka vertebra thoracic mua. Mai laila mai, hana lākou i hale ʻoi aku ka nui, a laila puʻunaue, hui hou, a puʻunaue hou e hana i nā aʻalolo liʻiliʻi a me nā hale aʻalolo i ko lākou hele ʻana ma lalo o ka ʻāʻī. Ma o ka ʻāʻī a me ka umauma, hui pū nā aʻalolo a hana i ʻekolu mau kaula e komo pū ana:
kaula ʻaoʻao
kaula waena
kaula hope
Hoʻopuka ke kaula hope i nā lālā nui a me nā lālā liʻiliʻi e komo pū ana:
Aʻalolo axillary
Aʻalolo Radial
ʻO nā lālā liʻiliʻi he:
ʻO ke aʻalolo subscapular kiʻekiʻe
Aʻalolo subscapular haʻahaʻa
ʻO ke aʻalolo Thoracodorsal
Hoʻolālā a me ke kūlana
ʻO nā lālā aʻalolo thoracodorsal mai ke kaula hope ma ka ʻāʻī a hele i lalo, ma hope o ke aʻa subscapular, i ka ʻiʻo latissimus dorsi.
Hoʻopili ia i ka lima o luna, hohola ma ke kua o ka ʻāʻī, e hana i ka axillary arch, a laila hoʻonui i loko o kahi huinakolu nui e ʻōwili ai i nā iwi ʻaoʻao a me ke kua.
Aia ke aʻalolo thoracodorsal i loko o ka latissimus dorsi, a ʻo ka ʻaoʻao haʻahaʻa e pili kokoke i ka pūhaka.
likeʻole
Aia kahi kūlana maʻamau a me ke ala o ke aʻalolo thoracodorsal, akā ʻaʻole like nā aʻalolo pākahi i kēlā me kēia.
Hoʻopuka pinepine ke aʻalolo i ke kaula hope o ka plexus brachial mai ʻekolu mau wahi like ʻole.
Hiki i nā lats ke loaʻa kahi hoʻololi anatomical kakaʻikahi i kapa ʻia ʻo a ʻO ka pio o Langer, he ʻāpana ʻē aʻe e hoʻopili ai i nā ʻiʻo a i ʻole ka ʻiʻo pili o ka lima luna ma lalo o ke kiko hoʻohui maʻamau.
I nā poʻe me kēia ʻano ʻino, hāʻawi ke aʻalolo thoracodorsal i ka hana / innervation) i ka ʻāʻī. (Ahmed M. Al Maksoud et al., 2015)
Launch
ʻAʻole hiki ke hana ka ʻiʻo latissimus dorsi me ka ʻole o ke aʻalolo thoracodorsal. Kōkua ka ʻiʻo a me ke aʻalolo:
E hoʻopaʻa i ke kua.
Huki i ke kaumaha o ke kino i ka piʻi ʻana, ʻauʻau, a i ʻole ka huki ʻana.
E kōkua i ka hanu ʻana ma ka hoʻonui ʻana i ka iwi ʻaoʻao i ka wā o ka hoʻohu ʻana a me ka hoʻopaʻa ʻana i ka wā e hemo ai. (Encyclopaedia Britannica. 2023)
E hoʻohuli i ka lima i loko.
Huki i ka lima i waenakonu o ke kino.
E hoʻolōʻihi i nā poʻohiwi ma o ka hana ʻana me nā ʻiʻo nui, teres minor, a me nā ʻiʻo deltoid hope.
E hoʻohaʻahaʻa i ke kāʻei poʻohiwi ma ke pio ʻana i ka iwi kuamoʻo.
E kūlou i ka ʻaoʻao ma ke pio ʻana i ke kuamoʻo.
E hoʻokuʻu i ke pelvis i mua.
Nā kūlana
Hiki ke hōʻeha ʻia ke aʻalolo thoracodorsal ma nā wahi āpau ma kona ala e ka trauma a i ʻole ka maʻi. Hiki i nā hōʻailona o ka pōʻino nerve ke komo: (US National Library of Medicine: MedlinePlus. 2022)
ʻO ka ʻeha e pili ana i ka pana ʻana, ka ʻū ʻana, a i ʻole nā manaʻo uila.
Numbness, tingling.
ʻO ka nāwaliwali a me ka nalowale o ka hana ma nā ʻiʻo a me nā ʻāpana kino e pili ana, me ka hāʻule o ka lima a me ka manamana lima.
Ma muli o ke ala o ke aʻalolo ma ka ʻāʻī, pono nā kauka e makaʻala i nā ʻano anatomical i ʻole lākou e hōʻino i ke aʻalolo i ka wā o nā kaʻina hana maʻi maʻi umauma, me ka wehe ʻana o ke axillary.
Hana ʻia ke kaʻina hana no ka nānā ʻana a wehe ʻana paha i nā ʻōpū lymph a hoʻohana ʻia i ka mālama ʻana i ka maʻi maʻi umauma a me ka mālama ʻana.
Wahi a kahi noiʻi, 11% o ka poʻe me ka axillary lymph node dissection i hōʻeha i ke aʻalolo. (ʻO Roser Belmonte et al., 2015)
Ka Hana Hou
I ka hana hou ʻana i ka umauma, hiki ke hoʻohana ʻia nā lats ma ke ʻano he pā ma luna o ka implant.
Ma muli o nā kūlana, hiki ke waiho ʻia a ʻoki ʻia paha ke aʻalolo thoracodorsal.
Al Maksoud, A. M., Barsoum, A. K., & Moneer, M. M. (2015). Langer's arch: he anomaly kakaikahi e pili ana i ka lymphadenectomy axillary. Nūpepa o nā hōʻike hihia ʻokiʻoki, 2015(12), rjv159. doi.org/10.1093/jscr/rjv159
Belmonte, R., Monleon, S., Bofill, N., Alvarado, M. L., Espadaler, J., & Royo, I. (2015). ʻO ka ʻeha aʻalolo lōʻihi i ka maʻi maʻi maʻi umauma i mālama ʻia me ka axillary lymph node dissection. Ka mālama kākoʻo ʻana i ka maʻi maʻi maʻi: nūpepa kūhelu o ka Multinational Association of Supportive Care in Cancer, 23(1), 169–175. doi.org/10.1007/s00520-014-2338-5
Kwon, S. T., Chang, H., & Oh, M. (2011). Anatomic kumu o ka interfascicular aʻalolo mahele o innervated hapa latissimus dorsi muscle flap. Nūpepa o ka plastic, hana hou a me ka ho'opono 'ana: JPRAS, 64(5), e109–e114. doi.org/10.1016/j.bjps.2010.12.008
Hiki i nā poʻe me ke aʻalolo maʻi ke hoʻohui i ka decompression nonsurgical e hoʻihoʻi i ka hana sensory-mobility i ko lākou kino?
Introduction
Aia ka iwi kuamo'o i loko o ka pūnaewele musculoskeletal i nā iwi, nā hono, a me nā a'alolo e hana pū ana me nā 'i'o a me nā 'i'o like 'ole no ka mālama 'ana i ke kuamo'o. ʻO ke kuamoʻo kekahi ʻāpana o ka ʻōnaehana nūnū waena kahi e hohola ʻia ai nā aʻa aʻalolo i nā ʻāpana kino o luna a lalo e hoʻolako i nā hana sensory-motor. ʻO kēia ka mea e hiki ai i ke kino ke neʻe a hana me ka ʻole o ka ʻeha a me ka ʻeha. Eia nō naʻe, i ka wā e ʻelemakule ai ke kino a me ka iwi kuamoʻo a i ka wā e hana ai ke kanaka me nā ʻeha, hiki i nā aʻa aʻalolo ke lilo i mea hoʻonāukiuki a hoʻoulu i nā manaʻo ʻē e like me ka numbness a i ʻole ke kani ʻana, e hoʻopili pinepine ʻia me ka ʻeha kino. Hiki i kēia ke hoʻokau i kahi kaumaha socio-economic i nā poʻe he nui a, inā ʻaʻole mālama koke ʻia, hiki ke alakaʻi i ka ʻeha mau. I kēlā manawa, hiki iā ia ke alakaʻi i nā poʻe he nui e pili ana i ka ʻeha hope o ke kino e pili ana me ka dysfunction nerve sensory. ʻO kēia ke kumu e hoʻomaka ai ka poʻe e pili ana i nā maʻi musculoskeletal e ʻimi i ka lāʻau lapaʻau. Nānā ka ʻatikala o kēia lā i ke ʻano o ka hoʻopau ʻana o ke aʻalolo i nā ʻokiʻoki a pehea e hiki ai i ka decompression nonsurgical ke kōkua i ka hōʻemi ʻana i ka hana aʻalolo e hiki ai ke neʻe hou i nā lālā o luna a lalo. Ke kamaʻilio nei mākou me nā mea lapaʻau i hōʻoia ʻia e hoʻokomo i ka ʻike o kā mākou poʻe maʻi e hāʻawi i nā hoʻonā nonsurgical e like me ka decompression e kōkua i nā poʻe me ka maʻi ʻeha. Hoʻomaopopo pū mākou i nā poʻe maʻi pehea e hiki ai i ka decompression nonsurgical ke hoʻihoʻi i ka mobility-sensory i nā ʻaoʻao o luna a lalo. Paipai mākou i kā mākou poʻe maʻi e nīnau i nā nīnau paʻakikī a hoʻonaʻauao i kā mākou mau mea lapaʻau pili e pili ana i nā hōʻailona e like me ka ʻeha a lākou e ʻike nei e pili ana me ka dysfunction nerve sensory. Hoʻohana ʻo Dr. Alex Jimenez, DC, i kēia ʻike ma ke ʻano he lawelawe kula. Akahana.
Pehea ka hopena o ka Nerve Dysfunction i nā Extremities
Loaʻa iā ʻoe ke kani ʻana a i ʻole ka ʻeha ʻana i kou mau lima a i ʻole nā wāwae i makemake ʻole e haʻalele? Ua ʻeha paha ʻoe i nā ʻāpana kua like ʻole e hiki ke hoʻomaha wale ʻia ma o ka hoʻolōʻihi ʻana a i ʻole ka hoʻomaha ʻana? A i ʻole he mea ʻeha paha ke hele wāwae lōʻihi a manaʻo paha ʻoe e hoʻomaha mau? Nui nā hiʻohiʻona e like me ka ʻeha e pili ana i ka hana ʻole o ke aʻalolo sensory e hiki ke hoʻopilikia i nā ʻaoʻao o luna a lalo. I ka wā e ʻike ai ka poʻe he nui i ka ʻeha o ke aʻalolo sensory a pili i nā ʻano ʻano ʻē i ko lākou wēlau, manaʻo ka poʻe ma muli o ka ʻeha musculoskeletal ma ko lākou ʻāʻī, poʻohiwi, a i ʻole ke kua. He ʻāpana wale nō kēia o ka pilikia, no ka mea, hiki ke hoʻopili ʻia ka nui o nā mea kaiapuni me ka ʻeha nerve sensory, ʻoiai ke hoʻopili ʻia nei nā aʻa aʻalolo a hoʻonāukiuki ʻia, e hōʻeha ana i nā aʻalolo sensory ma nā ʻaoʻao. Ma muli o ka hohola ʻana o nā aʻa aʻalolo mai ke kuamoʻo, hoʻouna ka lolo i ka ʻike neuron i nā aʻa aʻalolo e ʻae i ka hana sensory-mobility ma nā ʻaoʻao o luna a lalo. ʻO kēia ka mea e hiki ai i ke kino ke hele me ka ʻole o ka ʻeha a me ka ʻeha a me ka hana ma o nā hana o kēlā me kēia lā. Eia nō naʻe, ke hoʻomaka ka poʻe he nui e hana i nā neʻe hou e hoʻopiʻi mau ai ka spinal disc, hiki ke alakaʻi i ka herniation disc a me nā maʻi musculoskeletal. Ma muli o ka hohola ʻia ʻana o nā aʻa aʻalolo he nui i nā ʻāpana ʻokoʻa, i ka wā e hoʻonui ʻia ai nā aʻa aʻalolo nui, hiki iā ia ke hoʻouna i nā hōʻailona ʻeha i kēlā me kēia ʻaoʻao. No laila, nui ka poʻe e pili ana i ka hoʻopaʻa ʻana i ke aʻalolo e alakaʻi ai i ke kua i lalo, ka ʻūhā, a me ka ʻeha wāwae e hiki ke hoʻopilikia i kā lākou hana i kēlā me kēia lā. (Karl et al., 2022) I ka manawa like, nui ka poʻe me ka sciatica e pili ana i ka maʻi nerve sensory e pili ana i ko lākou hiki ke hele. Me ka sciatica, hiki ke hoʻopili ʻia me ka spinal disc pathology a kumu i nā poʻe he nui e ʻimi i ka lāʻau lapaʻau. (ʻO Bush & al., 1992)
Hōʻike ʻia nā mea huna Sciatica-Video
I ka ʻimi ʻana i ka lāʻau lapaʻau e hōʻemi ai i ka hana ʻole o ke aʻalolo sensory, nui ka poʻe e koho i nā hoʻonā nonsurgical e hōʻemi i nā hōʻailona e like me ka ʻeha a hoʻemi i nā hōʻailona ʻeha e hōʻeha ai i nā ʻaoʻao o luna a lalo. Hiki i nā mea lapaʻau nonsurgical e like me ka decompression ke kōkua i ka hoʻihoʻi ʻana i ka hana aʻalolo sensory ma o ka huki haʻahaʻa ʻana ma o ka hoʻokuʻu ʻana i ka disc spinal i ke aʻa aʻalolo a hoʻomaka i ke kaʻina hana hoʻōla maoli o ke kino. I ka manawa like, kōkua ia e hōʻemi i nā maʻi musculoskeletal mai ka hoʻi ʻana mai. Hōʻike ka wikiō ma luna nei pehea e hoʻemi ʻia ai ka sciatica pili me ka sensory nerve dysfunction ma o nā lāʻau lapaʻau nonsurgical e ʻae ai i nā wēlau o ke kino e ʻoi aku ka maikaʻi.
Nonsurgical Decompression Hoemi Nerve Dysfunction
Hiki i nā lāʻau lapaʻau nonsurgical ke kōkua i ka hōʻemi ʻana i ka ʻeha hope haʻahaʻa e pili ana me ka dysfunction nerve sensory e hoʻihoʻi i ka hana sensory-motor i nā ʻaoʻao o luna a lalo. Hiki i nā poʻe he nui i hoʻokomo i nā lāʻau lapaʻau nonsurgical e like me ka decompression ma ke ʻano o ko lākou olakino a maikaʻi hoʻi e ʻike i ka holomua ma hope o ka mālama ʻana. (Chou et al., 2007) Ma muli o ka nui o nā kauka lapaʻau i hoʻokomo i nā lāʻau lapaʻau nonsurgical e like me ka decompression i kā lākou mau hana, ua ʻoi aku ka maikaʻi o ka mālama ʻana i ka ʻeha. (ʻO Bronfort et al., 2008)
Ke hoʻomaka ka poʻe he nui e hoʻohana i ka decompression nonsurgical no ka maʻi nerve sensory, nui ka poʻe e ʻike i ka hoʻomaikaʻi ʻana i ko lākou ʻeha, ka neʻe ʻana, a me nā hana o ko lākou ola i kēlā me kēia lā. (ʻO Gose et al., 1998). ʻO ka hana hoʻohaʻahaʻa ʻana o ke kuamoʻo no nā aʻa aʻalolo, ʻo ia ke kōkua i ka diski i hoʻopilikia ʻia e hoʻomāhuahua ana i ke aʻa aʻalolo, huki hou i ka diski i kona kūlana mua, a hoʻomaʻemaʻe hou. (Ramos & Martin, 1994) Ke hoʻomaka ka poʻe he nui e noʻonoʻo e pili ana i ko lākou olakino a maikaʻi, hiki i nā lāʻau lapaʻau nonsurgical ke kūpono no lākou ma muli o ko lākou kumukūʻai kūpono a pehea e hiki ai ke hui pū ʻia me nā lāʻau lapaʻau ʻē aʻe e hoʻokele maikaʻi ai i ka ʻeha e pili ana i ke kīpē aʻalolo e pili ana i ko lākou kino.
E hoʻomaopopo '
Bronfort, G., Haas, M., Evans, R., Kawchuk, G., & Dagenais, S. (2008). ʻO ka mālama ʻana i nā hōʻike hōʻike o ka ʻeha haʻahaʻa haʻahaʻa haʻahaʻa me ka manipulation spinal a me ka mobilization. Iwi J, 8(1), 213-225. doi.org/10.1016/j.spinee.2007.10.023
Bush, K., Cowan, N., Katz, DE, & Gishen, P. (1992). ʻO ka moʻolelo kūlohelohe o sciatica e pili ana me ka disc pathology. ʻO kahi haʻawina kūpono me ka hahai radiologic lapaʻau a kūʻokoʻa. Spine (Phila Pa 1976), 17(10), 1205-1212. doi.org/10.1097/00007632-199210000-00013
Chou, R., Huffman, LH, American Pain, S., & American College of, P. (2007). Nā lāʻau lapaʻau nonpharmacologic no ka ʻeha haʻahaʻa haʻahaʻa haʻahaʻa a maʻamau: kahi loiloi o nā hōʻike no kahi American Pain Society / American College of Physicians clinical practice guideline. Ann Intern Med, 147(7), 492-504. doi.org/10.7326/0003-4819-147-7-200710020-00007
Gose, EE, Naguszewski, WK, & Naguszewski, RK (1998). ʻO Vertebral axial decompression therapy no ka ʻeha e pili ana i nā disc herniated a i ʻole degenerated disc a i ʻole facet syndrome: kahi haʻawina hopena. ʻO Neurol Res, 20(3), 186-190. doi.org/10.1080/01616412.1998.11740504
Karl, HW, Helm, S., & Trescot, AM (2022). ʻO ke kiʻekiʻe a me ka waena o ka Cluneal Nerve Entrapment: kahi kumu o ke kua haʻahaʻa a me ka ʻeha Radicular. Uku Lapaʻau, 25(4), E503-E521. www.ncbi.nlm.nih.gov/pubmed/35793175
Ramos, G., & Martin, W. (1994). Nā hopena o ka decompression axial vertebral ma ke kaomi intradiscal. J Neurosurg, 81(3), 350-353. doi.org/10.3171/jns.1994.81.3.0350
No ka poʻe e pili ana i nā maʻi ʻeha mau hiki ke loaʻa ka ʻike maikaʻi ʻana i nā loea hoʻokele ʻeha e kōkua i ka hoʻomohala ʻana i nā hoʻolālā lapaʻau multidisciplinary?
Nā loea hoʻoponopono ʻeha
ʻO ka mālama ʻana i ka ʻeha kahi lāʻau lapaʻau e ulu nei e lawe i kahi ʻano hoʻopaʻi multi-disciplinary i ka mālama ʻana i nā ʻano ʻeha āpau. He lālā ia o ka lāʻau lapaʻau e hoʻohana ana i nā ʻenehana a me nā ʻano hana i hōʻoia ʻia e ka ʻepekema e hoʻomaha, hoʻemi, a mālama i nā hōʻailona ʻeha a me nā manaʻo. Hoʻoponopono ka poʻe loea hoʻokele ʻeha, hoʻoponopono hou, a mālama i ke ʻano o nā kūlana, me ka ʻeha neuropathic, sciatica, ka ʻeha postoperative, nā kūlana ʻeha mau, a me nā mea hou aku. He nui nā mea mālama ola kino e kuhikuhi i kā lākou poʻe maʻi i nā loea hoʻokele ʻeha inā hoʻomau a koʻikoʻi paha nā hōʻailona ʻeha i kā lākou hōʻike.
ʻO nā mea kūikawā
Hoʻomaopopo ka poʻe lawelawe mālama ola i ka hoʻokele ʻeha i ke ʻano paʻakikī o ka ʻeha a hoʻokokoke i ka pilikia mai nā ʻaoʻao āpau. ʻO ka lāʻau lapaʻau ma ke keʻena ʻeha he maʻi-centric akā pili i nā kumuwaiwai i loaʻa. I kēia manawa, ʻaʻohe paʻa i hoʻonohonoho ʻia no nā ʻano aʻo e pono ai, ʻo kekahi kumu ʻē aʻe nā koho lapaʻau e ʻokoʻa mai ke keʻena a i ke keʻena. Wahi a ka poʻe loea e hāʻawi i kahi hale i nā maʻi:
He kauka hoʻonohonoho ʻoihana loea i ka hoʻoponopono ʻeha a me ke kūkākūkā ʻana i nā loea no ka mea maʻi.
ʻO nā mea kūikawā ʻē aʻe i hōʻike ʻia i ka mālama ʻana i ka ʻeha he anesthesiology, neurosurgery, a me ka lāʻau lapaʻau kūloko. Hiki i kekahi mea mālama ola kino ke kuhikuhi i kekahi kanaka no nā lawelawe mai:
Pono ka mea mālama ola e hoʻopau i ka hoʻomaʻamaʻa hou a me ka hōʻoia ʻana i ka lāʻau ʻeha a lilo i MD me ka palapala hōʻoia ma ka liʻiliʻi o hoʻokahi o kēia mau mea (Papa Lapaau o Amerika. 2023)
Anesthesiology
Ka hoʻoponopono kino
ʻO ka hauāmana
ʻO ke olakino
Pono kekahi kauka mālama ʻeha i kā lākou hana i kaupalena ʻia i ka ʻoihana kūikawā a lākou e paʻa ai i ka palapala hōʻoia.
Nā Pahuhopu Hoʻokele
ʻO ke kahua o ka hoʻoponopono ʻeha e mālama i nā ʻano ʻeha āpau ma ke ʻano he maʻi. ʻO ka maʻi maʻi, e like me ke poʻo; acute, mai ka oki, a oi. ʻAe kēia i ka hoʻohana ʻana i ka ʻepekema a me nā holomua lapaʻau hou loa i ka hoʻomaha ʻeha. I kēia manawa, nui nā ʻano hana, e like me:
ka lapaʻauʻia
Nā ʻenehana hoʻoponopono ʻeha - nā poloka aʻalolo, nā mea hoʻoikaika i ka iwi spinal, a me nā lāʻau lapaʻau like.
ʻO ke olakino
He lāʻau'ē aʻe
ʻO ka pahuhopu e hōʻemi a hoʻoponopono i nā hōʻailona.
Ua hoʻoholo ka poʻe ʻaʻole e pōmaikaʻi ke ʻoki i ko lākou kūlana.
ʻO ka hoʻomaopopo maikaʻi ʻana i nā maʻi ʻeha e nā kaiāulu a me nā ʻoihana ʻinikua a me ka hoʻonui ʻana i nā haʻawina ʻeha e kōkua i ka hoʻonui ʻana i ka ʻinikua no ka mālama ʻana a me ka ʻenehana e hoʻomaikaʻi i nā hopena interventional.
ʻO ka mālama Chiropractic no ka paʻakikī o ka wāwae
Nalamachu S. (2013). ʻO kahi hiʻohiʻona o ka mālama ʻana i ka ʻeha: ka maikaʻi a me ka waiwai o ka mālama ʻana. The American journal of managed care, 19(14 Suppl), s261–s266.
ʻAmelika Hui Pū ʻIa o nā Kauka ʻEha Interventional. (2023). Uku Lapaʻau.
Hiki ke loa'a ka paresthesia i ka po'e a i 'ole ka pine a me ka nila a me ka nila e hiki ke loa'a i ka lima a i 'ole ka wāwae. Hiki i ka ʻike ʻana i nā hōʻailona a me nā kumu ke kōkua i ka ʻike a me ka mālama ʻana?
Nā Manaʻo o ke Kino Paresthesia
ʻO ka ʻeha a i ʻole ke kani ʻana i ka wā i hiamoe ai ka lima, ka wāwae, a me ka wāwae, ʻaʻole ia e pili ana i ke kahe koko akā ka hana aʻalolo.
ʻO Paresthesia kahi manaʻo ʻino i ʻike ʻia i loko o ke kino ma muli o ka paʻi ʻana a i ʻole ka huhū o nā aʻalolo.
Hiki iā ia ke kumu mechanical e like me ke aʻalolo paʻi/pinched.
A i ʻole ma muli paha o kahi maʻi olakino, ʻeha, a maʻi paha.
Manaʻo e like me ka hiamoe o ka lima a i ʻole ka wāwae.
ʻO ke kānalua
Kāwili.
Nā manaʻo kuni.
Paʻakikī i ka hoʻopaʻa ʻana i nā ʻiʻo.
Paʻakikī i ka hoʻohana ʻana i ka lima a i ʻole ka wāwae.
Loaʻa nā hōʻailona no 30 mau minuke a i ʻole.
ʻO ka lulu ʻana i ka lālā i hoʻopilikia pinepine ʻia e hoʻomaha i nā manaʻo.
Hoʻokahi lima a wāwae paha ka paresthesia i ka manawa.
Eia naʻe, hiki ke hoʻopili ʻia nā lima a me nā wāwae, ma muli o ke kumu.
E kūkākūkā i kahi mea mālama ola inā lōʻihi nā hōʻailona ma mua o 30 mau minuke. Pono paha ka lapaʻau ʻana inā loaʻa nā manaʻo o ke kino paresthesia e kahi kumu kumu koʻikoʻi.
Nā kumu
ʻO ka noho ʻana me nā kūlana kūpono ʻole a maikaʻi ʻole hiki ke hoʻopaʻa i ke aʻalolo a hoʻoulu i nā hōʻailona. Eia naʻe, ʻoi aku ka pili o kekahi mau kumu a hiki ke komo:
ʻO ka haʻalulu a me ka huki ʻana a i ʻole ka huki ʻana i ke aʻalolo.
E imi ana i na kokua lapaau
Inā ʻaʻole e pau nā hōʻailona ma hope o 30 mau minuke a i ʻole e hoʻi mau ana no nā kumu ʻike ʻole, e kelepona i kahi mea mālama ola e ʻike i ke kumu o ka ʻike ʻole. Pono e nānā ʻia kahi maʻi ʻino e kahi mea mālama ola.
ʻO ka neuropathy peripheral i hoʻokumu ʻia e ka maʻi maʻi maʻamau e hoʻomaka me ka manaʻo o ka paresthesia ma ka wāwae / wāwae a hiki ke hōʻeha a alakaʻi i nā pilikia ʻē aʻe.
E hana pū kekahi mea mālama ola i kēlā me kēia kanaka e hoʻomaopopo i nā hōʻailona a hana i nā hoʻokolohua diagnostic kūpono e hoʻoholo ai i ke kumu. E koho ka mea mālama ola i nā hoʻokolohua ma muli o ka hoʻokolokolo kino. Aia nā kaʻina hana diagnostic maʻamau: (ʻO Merck Manual ʻOihana ʻOihana. 2022)
ʻO ke kiʻi hoʻonaʻauao magnetic - MRI o ka spine, lolo, a i ʻole nā hopena.
X-ray no ka hoʻokuʻu ʻana i nā mea ʻino o ka iwi, e like me ka haʻi.
Nā hoʻāʻo koko.
Electromyography - nā haʻawina EMG.
ʻO ka wikiwiki o ka neʻe ʻana o ke aʻalolo - hōʻike NCV.
Inā hele pū ka paresthesia me ka ʻeha kua a i ʻole ka ʻāʻī, hiki i ka mea mālama ola ke manaʻo i kahi aʻalolo spinal compressed/pinched.
Inā loaʻa i kēlā me kēia kanaka ka mōʻaukala o ka maʻi maʻi i mālama maikaʻi ʻole ʻia, manaʻo paha lākou i ka neuropathy peripheral.
lapaʻau
ʻO ka mālama ʻana no ka paresthesia e pili ana i ka ʻike. Hiki i kahi mea mālama ola ke kōkua i ka hoʻoholo ʻana i ka hana maikaʻi loa no ke kūlana kikoʻī.
ko mākou hopohopo System
Inā hoʻomaka ʻia nā hōʻailona e kahi maʻi hopohopo waena e like me MS, e hana pū nā kānaka me kā lākou mea mālama ola e loaʻa i ka lāʻau kūpono.
Hiki ke ʻōlelo ʻia ka lāʻau lapaʻau kino e hoʻomaikaʻi i ka holo holoʻokoʻa holoʻokoʻa. (Nazanin Razazian, et al., 2016)
Aʻalolo iwi kuamoʻo
Inā loaʻa ka paresthesia ma muli o ke kaomi ʻana o ke aʻalolo kuamoʻo, e like me ka sciatica, hiki ke hoʻouna ʻia nā kānaka i kahi a ke kupikipi a me ka hui hoʻoikaika kino e hoʻokuʻu i ke aʻalolo a me ke kaomi. (ʻO Julie M. Fritz, et al., 2021)
Hiki i ke kauka lapaʻau kino ke kuhikuhi i nā hoʻomaʻamaʻa iwi kuamoʻo e hoʻomaha ai i ka paʻi ʻana o ke aʻalolo a hoʻihoʻi i nā ʻano maʻamau a me ka neʻe.
Hiki ke kuhikuhi ʻia nā hoʻoikaika ikaika e hoʻihoʻi i ka maʻalahi a me ka neʻe ʻana inā loaʻa ka nāwaliwali me nā manaʻo o ke kino paresthesia.
Kōpae Herniated
Inā ʻo ka herniated disc ke kumu i nā ʻano ʻano ʻino, a ʻaʻohe mea i hoʻomaikaʻi ʻia me nā hana conservative, hiki i kahi mea mālama ola ke ʻōlelo i ka ʻokiʻoki e hoʻomaha i ke kaomi ʻana i ke aʻalolo. (ʻAhahui ʻAmelika o nā Kaukaʻi Neurological. 2023)
Ma nā kaʻina hana e like me ka laminectomy a i ʻole discectomy, ʻo ka pahuhopu ke hoʻihoʻi i ka hana nerve.
Ma hope o ka ʻoki ʻana, hiki ke hāʻawi ʻia nā kānaka i kahi lāʻau lapaʻau kino e kōkua hou i ka neʻe ʻana.
National Institute of Neurological Disorders and Stroke. (2023) Paresthesia.
ʻAhahui ʻAmelika o nā Kaukaʻi Neurological. (2023) ʻO ka disc.
National Institute of Diabetes and Digestive and Kidney Diseases. (2018) ʻO ke kino neuropathy.
ʻO Merck Manual ʻOihana ʻOihana. (2022) ʻO ke kānalua.
Razazian, N., Yavari, Z., Farnia, V., Azizi, A., Kordavani, L., Bahmani, DS, Holsboer-Trachsler, E., & Brand, S. (2016). Hoʻomaʻamaʻa i nā hopena i ka luhi, ke kaumaha, a me ka paresthesia i nā maʻi wahine me ka maʻi sclerosis. Lapaʻau a me ka ʻepekema i nā haʻuki a me ka hoʻoikaika kino, 48(5), 796–803. doi.org/10.1249/MSS.0000000000000834
Fritz, JM, Lane, E., McFadden, M., Brennan, G., Magel, JS, Thackeray, A., Minick, K., Meier, W., & Greene, T. (2021). ʻO ka hoʻomaʻamaʻa kino e kuhikuhi ʻia mai ka mālama mua ʻana no ka ʻeha hope ʻeha me ka Sciatica: kahi hoʻāʻo i hoʻopaʻa ʻia. Nā moʻolelo o ka lāʻau lapaʻau kūloko, 174(1), 8–17. doi.org/10.7326/M20-4187
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