Contents
Paʻi kua: no hea mai ka ʻeha o ke kua?
Ke kamaʻilio nei mākou e pili ana i ka ʻeha hope ino o ke keneturi, laha loa keia ma'i.
Eia nō naʻe, ʻaʻole kuhikuhi ka ʻeha hope i kahi maʻi, akā he pūʻulu o nā hōʻailona hiki ke loaʻa nā kumu he nui, koʻikoʻi a ʻaʻole ʻole, acute a maʻi paha, inflammatory a mechanical, etc.
ʻAʻole i manaʻo ʻia kēia pepa e papa inoa i nā kumu āpau o ka ʻeha hope, akā e hāʻawi i kahi hōʻuluʻulu o nā maʻi like ʻole.
ka manawa hoʻopaʻapaʻa, ʻo ia hoʻi ka "ʻeha spine", hoʻohana ʻia e kuhikuhi i nā ʻeha hope a pau. Ma muli o ka wahi o ka ʻeha ma ke kuamoʻo, kamaʻilio mākou e pili ana:
ʻeha ma ke kua lalo: ʻeha kua haʻahaʻa
i ka wā e loaʻa ai ka ʻeha ma ke kua i lalo i ka pae o ka vertebrae lumbar. ʻO ka ʻeha hope haʻahaʻa ka maʻi maʻamau.
ʻO ka ʻeha ma ke kua o luna, ʻoiaʻiʻo he ʻeha ʻāʻī
Ke pili ka ʻeha i ka ʻāʻī a me ka ʻāʻī cervical, e ʻike i ka pepa ʻoiaʻiʻo ma nā Muscle Disorders of the Neck.
ʻEha ma waena o ke kua: ʻeha hope
Ke pili ka ʻeha i ka vertebrae hope, ma waena o ke kua, ua kapa ʻia ʻo ka ʻeha hope
ʻO ka hapa nui o ka ʻeha hope he "maʻamau", ʻo ia hoʻi ʻaʻole pili i kahi maʻi koʻikoʻi.
ʻEhia ka poʻe i ʻike i ka ʻeha hope?
He mea maʻamau ka ʻeha hope. Wahi a nā haʻawina1-3 , Ua manaʻo ʻia ʻo 80 a 90% o nā kānaka e loaʻa i ka ʻeha hope ma ka liʻiliʻi hoʻokahi i ko lākou ola.
I kēlā me kēia manawa, ma kahi o 12 a 33% o ka heluna kanaka e hoʻopiʻi nei i ka ʻeha hope, a me ka ʻeha hope i ka nui o nā hihia. Ma kahi o hoʻokahi makahiki, ua manaʻo ʻia ʻo 22 a 65% o ka heluna kanaka e loaʻa i ka ʻeha haʻahaʻa. He mea maʻamau nō hoʻi ka ʻeha ʻāʻī.
Ma Farani, ʻo ka ʻeha hope ke kumu ʻelua o ke kūkākūkā ʻana me ke kauka lapaʻau. Ua komo lākou i ka 7% o ka pau ʻana o ka hana a ʻo ia ke kumu nui o ke kīnā ma mua o 45 makahiki4.
Ma Kanada, ʻo lākou ke kumu maʻamau o ka uku o nā limahana5.
He pilikia olakino o ka lehulehu a puni ka honua.
Kumu o ka ʻeha o ke kua
Nui nā kumu e hiki ai ke hōʻeha hope.
Hiki iā ia ke hōʻeha (nā haʻalulu, nā haʻihaʻi, nā sprains…), nā neʻe pinepine ʻana (ka lima lima, nā haʻalulu…), ka osteoarthritis, akā ʻo nā maʻi maʻi maʻi, infectious a inflammatory. No laila he paʻakikī ke hoʻoponopono i nā kumu kūpono a pau, akā e hoʻomaopopo ʻoe:
- i ka 90 a hiki i ka 95% o nā hihia, ʻaʻole ʻike ʻia ke kumu o ka ʻeha a ke kamaʻilio nei mākou no ka "ʻeha hope maʻamau" a i ʻole nonspecific. Hiki mai ka ʻeha, i ka hapanui o nā hihia, mai nā ʻeha ma ke kiʻekiʻe o nā disc intervertebral a i ʻole mai ka osteoarthritis vertebral, ʻo ia hoʻi mai ka ʻaʻahu ʻana o ka cartilage o nā hui. ʻO ka ʻeha pūpū, i ka mea nui, pili pinepine i ka osteoarthritis.
- i ka 5 a hiki i ka 10% o nā hihia, pili ka ʻeha hope i kahi maʻi koʻikoʻi koʻikoʻi, pono e ʻike mua ʻia, e like me ke kanesa, ka maʻi maʻi, ankylosing spondylitis, cardiovascular a pulmonary pilikia, etc.
No ka hoʻoholo ʻana i ke kumu o ka ʻeha hope, hāʻawi nā kauka i ka mea nui i kekahi mau pae6 :
- ka noho o ka eha
- ke ʻano o ka hoʻomaka ʻana o ka ʻeha (ka holomua a i ʻole ka hikiwawe, ma hope o kahi haʻalulu a ʻaʻole paha ...) a me kona ʻano
- ke ʻano mumū ʻeha a ʻaʻole paha. Hōʻike ʻia ka ʻeha ʻeha e ka ʻeha pō, ka ʻeha hoʻomaha, ke ala ʻana i ka pō a me ka manaʻo ʻoʻoleʻa i ke kakahiaka i ke ala ʻana. ʻO ka ʻokoʻa, hoʻonui ʻia ka ʻeha mechanical ma ka neʻe ʻana a hoʻomaha ʻia e ka hoʻomaha.
- nā moʻolelo hoʻomōkino
No ka mea he "nonspecific" ka ʻeha hope i ka hapa nui o nā hihia, ʻaʻole pono mau nā hoʻokolohua kiʻi e like me nā x-ray, scans a i ʻole MRI.
Eia kekahi mau maʻi ʻē aʻe a i ʻole nā kumu e hiki ai ke kumu no ka ʻeha hope7:
- ankylosing spondylitis a me nā maʻi rumatika ʻē aʻe
- ʻo kaʻoki ākea
- osteoporosis
- lymphoma
- ka maʻi (spondylodiscite)
- "intraspinal" tumo (meningioma, neuroma), iwi mua a me nā metastases ...
- pōʻino iwi kuamoʻo
hoʻi i kaʻeha8 : Ma waho aʻe o nā kumu i helu ʻia ma lalo nei, hiki ke hoʻopili ʻia ka ʻeha waena o ke kua i kekahi mea ʻē aʻe ma mua o ka pilikia spine, ʻo ia hoʻi ka maʻi visceral a pono e nīnau koke. Hiki iā lākou ke hopena o kahi maʻi cardiovascular (infarction, aneurysm of the aorta, dissection of the aorta), o kahi maʻi pulmonary, digestive (gastric or duodenal ulcer, pancreatitis, cancer of the esophagus, ʻōpū a i ʻole pancreas). ʻO kaʻeha hope loa : Hiki ke hoʻopili ʻia ka ʻeha hope haʻahaʻa i ka maʻi renal, digestive, gynecological, vascular disorder, etc. |
Ka papa a me nā pilikia kūpono
ʻO nā pilikia a me ka holomua ʻana e hilinaʻi ʻia i ke kumu o ka ʻeha.
I ka hihia o ka ʻeha hope me ka ʻole o ka maʻi i lalo, hiki i ka ʻeha ke ʻeha (4 a hiki i ka 12 pule), a emi iho i loko o kekahi mau lā a i ʻole he mau pule, a i ʻole ka maʻi maʻi (ke lōʻihi ma mua o 12 pule). pule).
Aia kahi pilikia nui o ka "chronicization" o ka ʻeha hope. No laila he mea nui e nīnau koke i kāu kauka e pale i ka ʻeha mai ka hoʻokomo mau ʻana. Eia nō naʻe, hiki i kekahi mau ʻōlelo aʻoaʻo ke kōkua i ka hoʻopaʻa ʻana i kēia pilikia (e ʻike i ka ʻeha haʻahaʻa a me nā maʻi muscular o nā pepa ʻāʻī).