ʻO ka ʻeha kua kua he ʻeha hope e kū pono ana i ka iwi kuamoʻo. No laila, ʻike ʻia nā ʻeha i ka pae o ka ʻumikūmālua vertebrae hope. ʻO ka ʻeha pinepine, ʻeha hope paha ka hopena o ka ʻeha hope o ka hōʻailona, ​​static a hana paha. Ma mua o ka mālama ʻana i kahi ʻeha hope hana, no laila pono e hoʻokaʻawale i ka ʻeha hope maʻi e puka mai ana mai ka cardiovascular, pleuropulmonary, nā kumu digestive a i ʻole nā ​​​​maʻi ma lalo o ke kuamoʻo a me ka ʻeha hope.

Wehewehe ʻana o ka ʻeha hope

ʻO ka ʻeha hope e pili ana i ka ʻeha hope e kū pono ana i ka iwi kuamoʻo - a i ʻole ka ʻōpū. No laila, ʻike ʻia nā ʻeha ma ke kiʻekiʻe o ka vertebrae hope he ʻumikumamālua, i koho ʻia D1 a i D12 - a i ʻole T1 a i T12.

ʻAno ʻeha kua kua

Hiki ke hoʻokaʻawale ʻia ka ʻeha hope i ʻekolu ʻano:

• ʻO ka ʻeha hope o ka hōʻailona, ​​ʻeha pinepine;
• "Stick" kua ʻeha, pili i kahi maʻi ulu a i ʻole static;
• ʻO ka ʻeha hope "Functional", pili pinepine i ka ʻeha o ka ʻiʻo a me kahi kumu noʻonoʻo, hoʻonohonoho mālie i ka manawa.

Nā kumu o ka ʻeha hope

Ma waena o nā kumu o ka hōʻailona ʻeha hope:

• ʻO nā maʻi maʻi cardiovascular: ka lawa ʻole o ka coronary, pericarditis, thoracic aortic aneurysm;
• ʻO nā maʻi maʻi pleuropulmonary: ka maʻi maʻi bronchial, pleurisy infectious a invasive (mesothelioma, bronchial cancer), ka maʻi maʻi mediastinal;
• ʻO nā maʻi maʻi: ka maʻi ʻōpū a i ʻole duodenal, maʻi hepatobiliary, esophagitis, pancreatitis a i ʻole gastritis, maʻi maʻi o ka ʻōpū, esophagus, pancreas;
• Ma lalo o ke kuamoʻo: spondylodiscitis (ka maʻi o kahi disc intervertebral a me nā kino vertebral e pili ana), spondyloarthropathy (maʻi hui), osteoporotic fracture, intraspinal tumor, malignant tumor, benign tumor, Paget's disease (chronic and localized bone maʻi);
• ʻO kahi disc herniated hope - e hoʻomaopopo ʻo ka ʻāpana hope ka mea i loaʻa pinepine ʻia e nā disc herniated.

Hiki ke hoʻokumu ʻia ka ʻeha hope static e:

• ʻO Kyphoscoliosis a i ʻole ka hoʻololi ʻelua o ka iwi kuamoʻo, e pili ana i kahi ʻaoʻao ʻaoʻao (scoliosis) a me kahi ʻae ʻana me ka convexity hope (kyphosis);
• ʻO ka dystrophy ulu o ke kuamoʻo (me ka maʻi o Scheuermann) a i ʻole ka hoʻololi ʻana o ke ʻano disco-vertebral e kū nei i nā keiki a me nā ʻōpio. I ke kumu o ka ulu ʻana o nā maʻi, hiki iā ia ke hana i nā sequelae i ka wā makua.

ʻAʻohe kumu i ʻike maoli ʻia ka ʻeha hope, akā hiki ke hui pū ʻia o nā ʻano mechanical a me psychological:

• Nā hemahema postural ke nāwaliwali loa nā ʻiʻo hope;
• Hoʻonui ʻia ka haʻalulu o ka ʻiʻo e ke kaumaha a me ka hopohopo;
• Hoʻololi i nā hui spinal me ka makahiki (discarthrosis);
• ʻO ka hāpaiʻana: piʻi ke kaumaha o ka'ōpū a me nā hormones o ka hāpaiʻana e hoʻomaha ai nā ligaments o ka'ōiwi;
• ʻO ke kīkoʻo a i ʻole ka hōʻeha ʻana i ka ʻiʻo o ke kua ma muli o ka neʻe ʻana a i ʻole ka haʻalulu;
• A he nui aku nā mea'ē aku

ʻIke ʻana i ka ʻeha kua kua

Ma mua o ka mālama ʻana i ka ʻeha hope, pono e hoʻokaʻawale i ka ʻeha hope - e puka mai ana mai ka maʻi cardiovascular, pleuropulmonary, nā kumu hoʻoheheʻe a i ʻole nā ​​​​maʻi ma lalo o ka iwi kuamoʻo - a me ka ʻeha hope e pono ai e pōmaikaʻi mai nā lāʻau kūikawā.

ʻO ka mea mua, nānā ʻia ka ʻeha hope ma ka nīnauele ʻana i ka mea maʻi:

• ʻEha: kahua, kani, ka hopena o nā koʻikoʻi mechanical, nā kūlana, ka lā a me ke ʻano o ka hoʻomaka ʻana, ka papa, ka mōʻaukala;
• ʻO ka hoʻomaikaʻi ʻana i ka meaʻai a ʻaʻole ʻole, ka naʻau i nā lāʻau anti-inflammatory non-steroidal (NSAIDs), ka hele ʻana o ka irradiation "ma ke kāʻei" (ma nā iwi ʻaoʻao), etc. ;
• pōʻaiapili noʻonoʻo.

ʻO ka hoʻokolohua lapaʻau ma hope o ka nīnau:

• ʻO ka nānāʻana i ke kuamoʻo: static, hiki ke maʻalahi i ka flexion a me ka hoʻonuiʻana, nā heluʻeha ma ka palpation, ke kūlana o ka musculature thoracic;
• Nānā nui: pleuropulmonary, cardiovascular, digestive and hepatic;
• Nānā neurological.

ʻO ka hope, pono e lawe ʻia kahi x-ray o ka spine thoracic.

Ma muli o ka diagnostic orientation, hiki ke hana ʻia nā hoʻokolohua ʻē aʻe:

• E ʻimi i nā hōʻailona olaola o ka mumū;
• ʻO Scintigraphy (ka ʻimi ʻana i ke kolamu a i ʻole nā ​​ʻāpana me ka hoʻohana ʻana i kahi mea radioactive e pili ana iā lākou a lawelawe ʻia i nā mea liʻiliʻi loa);
• CT scan o ka iwi kuamoʻo;
• ʻO ke kiʻi hoʻonaʻauao magnetic (MRI) o ka iwi kuamoʻo;
• ʻO ka hopena o ka ʻōpū;
• ʻO ka ʻimi ʻana i ka maʻi cardiovascular ...

ʻO ka poʻe i hoʻopilikia ʻia e ka ʻeha hope

ʻOiai ma kahi o 14% o ka heluna kanaka e loaʻa ana i ka ʻeha hope o ka hana, ʻike ʻia nā wahine ikaika i kēia mau ʻeha hope.

Nā mea e makemake ai i ka ʻeha hope

Hiki i nā kumu like ʻole ke hoʻoikaika i ka ʻeha hope:

• ʻAʻole hana kino ;
• Ka nele i ka hana;
• ʻAʻole lawa ka muscle hope;
• ʻO ka Immobilization ma muli o ka makahiki a i ʻole ka halemai;
• Ka wā o ka haʻi ʻana;
• Ka hāpai ʻana a i ʻole ke kaumaha nui;
• Ka hopohopo a me ke kaumaha;
• Nā maʻi noʻonoʻo a i ʻole psychosomatic.

ʻeha ʻeha

Hoʻomaka pinepine ka ʻeha hope o ka hōʻailona. I kēia mau kūlana, koi ʻia nā ʻōlelo aʻoaʻo olakino e noiʻi i ke kumu.

ʻeha ʻeha

Hiki i ka ʻeha hope o ka hana ke hoʻoulu i ka ʻeha ma waena o nā ʻūhā poʻohiwi, a i ʻole kūloko, a keakea i ka hanu. Hiki ke hoʻohuihui iā lākou me ka ʻeha ʻāʻī ke loaʻa lākou ma ke kiʻekiʻe o ka vertebrae hope hope, ma ka hui me ke kumu o ka ʻāʻī.

maʻi eha

Ke hoʻomau mau ka ʻeha hope a ʻoi aku paha ma mua o ʻekolu mahina, ua kapa ʻia ʻo ka ʻeha mau loa.

ʻO nā hōʻailona ʻē aʻe

• Hoʻopaʻapaʻa ;
• ʻO ke kaniʻuhū;
• Tingling;
• Puhi.

Ma waho aʻe o ka ʻeha hope hōʻailona e koi ai i ka mālama kūikawā, pili ka hoʻokele therapeutic i ka ʻeha hope hana.

Hiki ke hui pū ka mālama ʻana i ka ʻeha hope hana:

• ʻO ka hana maʻamau o kahi hoʻoikaika kino i hoʻololi ʻia e hoʻoikaika i ke kua a me ka ʻōpū;
• ʻO nā kau ma ka physiotherapist a i ʻole osteopath e kōkua i ka hoʻomaha ʻana i nā ʻiʻo, e hoʻomaʻamaʻa i ke kuamoʻo a hoʻomaha i ka ʻeha;
• Hiki ke hoʻololi i nā ergonomics ma ka hana inā hiki;
• Hiki ke kuhikuhi ʻia nā analgesics i ka wā o ka ʻeha ʻeha;
• ʻO ka hana hoʻoikaika hanu - e like me ka hanu ʻana - a i ʻole ka hoʻomaha ʻana i mea e hoʻomaha ai;
• Ka mālama kino;
• Nā Antidepressants e like me ka mea e pono ai.

No ka pale ʻana i ka ʻeha hope o ka hana, pono e mālama ʻia kekahi mau mea:

• E hoʻomaʻamaʻa i kahi haʻuki kūpono i mea e hoʻoikaika ai i ke kua a hoʻomohala i nā ʻōpū ikaika, i nā makahiki āpau;
• E hoʻopaʻa i ke kūlana kūpono i ka wā e hana ana, e mālama pono i ke kua;
• Mai mālama i ke kūlana hoʻokahi i lōʻihi loa: pōkole akā maikaʻi nā hoʻomaha maʻamau;
• Lawe i nā ukana kaumaha a kokoke i ke kino;
• Mai hana wili i ka iwi kuamoʻo;
• Hōʻalo i nā kuʻekuʻe wāwae kiʻekiʻe e alakaʻi i ke kūlana maikaʻi ʻole a me ka curvature hana o ka iwi kuamoʻo;
• E moe ma kou ʻaoʻao a pale i ka hiamoe ma kou ʻōpū;
• E hoʻomaʻamaʻa i nā ʻenehana hoʻomaha e hoʻopau i ka hopohopo;
• E pale i ke kaumaha nui.