Maopopo ka poʻe he nui i kēia pilikia, he maʻi maʻamau ia. ʻO kaʻeha i ka puʻupuʻu iho he mea ʻoluʻolu ʻole, lawe mai ia i nā mea he nui ʻole. Akā ʻaʻole pinepine ka hoʻoweliweli i ke olakino. Eia nō naʻe, pono i kekahi ke ʻike i ke kino i kēia ala e hāʻawi i kahi hōʻailona i ke ʻano o ka ʻeha e pili ana i kona olakino maʻi.
No ke aha e ʻeha ai nā pūpū ma hope o ka holo ʻana?
Hiki i nā ʻūpā o ke kanaka ke ʻeha ma ke ʻano he hopena o nā maʻi o nā mea hoʻopili, nā ʻōnaehana mākala, a me nā iwi o ka iwi. ʻO nā kumu maʻamau: nā ʻeha, ka hoʻoikaika kino nui, nā kaʻina infectious, nā pathologies o nā ʻōpala like ʻole, nā ʻōnaehana, a pēlā aku. E nānā mākou i nā mea e hōʻeha pinepine ai nā pūpū.
ʻO ka hoʻoikaika kino ikaika
ʻO ka hoʻoikaika nui ka mea i alakaʻi pinepine ʻia i ka ʻehaʻeha o nā mākala. ʻO kēia ka manawa no ka hoʻokaʻulua ʻana i ka ʻeha ma hope o ka hoʻoikaika ʻana i ke kino. Hana ʻia ia ma 20-70 mau hola. ʻIke maikaʻi loa ia ke neʻe; ma hope o ka hoʻomaha, emi iki ka ʻeha.
Me ka hoʻoikaika kino nui, ʻaʻole loaʻa i nā mākala ka nui o ka oxygen, no laila, hoʻomaka e wāwahi i nā phine phinefate a me ka glycogen. ʻO ka hopena, e hoʻokuʻu ʻia ka lactate, ʻo ia hoʻi ka waikawa lactic kaulana. Hoʻokumu ʻia ʻo Microtrauma a me nā waimaka i nā mākala mākala. E hōʻeha lākou a hiki i ka ulu nui ʻana. He hana physiological maʻamau kēia.
Hōʻike wale ʻia ʻo Microtrauma i ka pane ʻana i kahi ukana maʻamau, kahi i maʻa ʻole nā mākala. Ke hoʻololi ke kino, e hoʻonui ka pae o ka phine phateate a me ka glycogen, ʻo ia hoʻi ka liʻiliʻi o ka microtrauma a me ka ʻeha, a ke hala ka manawa e hiki ke pale loa iā ia.
Ka hoʻohaunaele o ke aʻalolo sciatic (sciatica)
ʻO sciatica - alakaʻi i ka pinching o ke aʻalolo sciatic. Hoʻonāukiuki ʻia kona aʻa āpau. Hoʻomaka ke aʻalolo i ka hope, lālā a hele i waena i nā kī i nā wāwae. Ke kumu o ka hōʻeha: hernia, spinal stenosis. No laila, pinched a hoʻonāukiuki ʻia ʻo sciatica, kū ka mumū.
No laila, ʻeha ka pūpū, i ka mahele mua i ʻike ʻia i ka lumbar. Eia kekahi, hohola ka pehu i lalo. Hele ka ʻeha mai kēlā manawa kēia manawa, akā hoʻi mau nō ia.
ʻOiai hiki ke atrophy. Ma ke ʻano he kū ka ʻeha ma kekahi ʻaoʻao. I nā wahine, pili ka ʻūhā ʻākau i ka nui, i nā kāne, i ka ʻokoʻa.
ʻO ka hoʻohaunaele o nā mākala gluteal
ʻO nā maʻi aʻe e alakaʻi i ka mumū o nā mākala:
- Kaumaha nui loa - holo me ka mehana ʻole, hoʻoikaika kino kūpono ʻole i ka hale hoʻoikaika kino me ka ʻole o ke kaʻi. Hōʻeha nā mea āpau: nā pūpū, nā pūhaka, kua, nā wāwae.
- Kaumaha - ʻO nā ʻike maikaʻi ʻole a me ke koʻikoʻi ke alakaʻi pinepine ʻia i ke kani nui o nā mākala.
- Polymyositis - ʻike ʻia e ka hōʻino ʻana i nā hunaola mākala, a ukali ʻia e ka atrophy. Hāʻawi ʻia ka hoʻomohala e nā kaʻina hana autoimmune.
- Ka piko o ka iwi kuamoʻo - no laila, loli ke kani o nā mākala. Hoʻomaha mālie a hoʻonui ʻia kekahi mau mākala, ʻoiai nā ʻē aʻe, ʻē aʻe, kūpikipiki a me he mea lā kaomi ʻia. ʻAʻole ʻike ʻia ka deformation i kekahi manawa e ka maka. No laila, inā ʻeha ka pūpū ma mua o hoʻokahi pule, e nīnau i ke kauka. ʻO ia wale nō ka mea hiki ke ʻike pono i ka maʻi.
- Fibromyalgia - hoʻomaopopo maikaʻi ʻole ʻia, loaʻa kahi genesis maopopo ʻole. ʻO ka hōʻailona nui ka ʻeha mau o ka ʻūmau. Hoʻopili ʻia nā mākala o nā lima a me nā wāwae, akā ʻeha pū ka ʻūpā pū kekahi.
- Myalgia mua a me ke kula kiʻekiʻe - pili i ka ʻike maka ʻia o nā mākala, nā hono āpau.
- ʻO Myositis kahi maʻi hōʻeha hiki ʻole ke hoʻoliʻiliʻi o kaʻiʻo muscle.
Osteochondrosis ʻo Lumbosacral
ʻIke ka mea hoʻomanawanui i ka ʻeha mau: ʻo ke kua i lalo, ka huelo, nā pūhaka, ua ʻeha nā pūkaʻi. Aia kekahi kani i ke kua i lalo, nā mākala o ka puʻupuʻu. Ke emi nei ka noʻonoʻo. Akā hiki ke hopena i ka hopena ʻē aʻe: nāwaliwali o nā gluteal a me nā mākala femoral, hoʻemi i ka neʻe o ka hui pūhaka, kua.
Hernia intervertebral
ʻO ke hernia intervertebral ka mea e hōʻeha ai i ka ʻehaʻeha ma loko o ka iwi kuamoʻo. Hoʻolahalaha ia i nā hiʻupuʻu, huki i nā wāwae, ʻehaʻeha ka makaʻu i ka makaʻu ʻole. ʻEha mau ia ma kekahi ʻaoʻao o ke kino, kaukaʻi ʻia i ke aʻalolo. Hoʻopilikia ʻia ka makaʻala i nā puʻupuʻu a me nā ʻūhā. Hoʻoweliweli paha ka nāwaliwali a me kahi ʻano ʻono mau.
Nā hana Purulent-inflammatory
ʻO ka pinepine, ʻeha ka pūpū ma ke ʻano he hopena o nā hanana purulent-inflammatory like ʻole.
ʻO ka pinepine pinepine ia e hana:
ʻO Phlegmon ʻO kahi hana hoʻomeamea o ka aʻa adipose, diffuse a purulent. Hōʻike ia iā ia iho i ke ʻano o ka ʻehaʻeha loa i ka pūpū, ʻulaʻula, pehu.
Loaʻa ʻole - like me nā hōʻailona phlegmon. Akā ʻokoʻa ke ʻano o ka abscess - he lua ia i piha i ka pā. Hoʻomaopopo ka lāʻau lapaʻau a mālama i kēia mau maʻi. ʻO ka hoʻomaʻamaʻa ka nui o ka ʻoki ʻana, a hōʻike ʻia nā ʻano lāʻau ʻino.
Osteomyelitis - ʻike ʻia e ke alo o kahi kaʻina purulent-inflammatory i ka iwi. Manaʻo ka mea maʻi ʻaʻole hiki ke hoʻomanawanui, ʻeha ʻeha. No laila, ʻeha loa ke kū a noho ʻana.
Aia ʻelua mau ʻano osteomyelitis:
- hematogenous - komo ka maʻi i ke kahe koko i loko o ke kahe o ke koko;
- post-traumatic - ua komo nā microorganism i ka ʻeha mai waho.
Furuncle - ke nānā aku e like me kahi eminence ʻano cone, ʻeha loa. I waenakonu ke kumu o ka maʻiulia purulent-necrotic. Hoʻomaopopo ʻia ka ʻula a me ka pehu iki. ʻO ka hapanui hiki ke ʻike ʻia ma ka pope
Kuhikū hewa - hana paha kahi hematoma. ʻO ke kumu o kēia ua komo pololei ka nila i loko o ka moku. Inā liʻiliʻi ka hematoma, a laila ma ka holo ʻana o ka manawa hiki ke hoʻoheheʻe maikaʻi ʻia. Hoʻohuli pinepine nā hematomas nui i mau abscesses. Loaʻa kēia i ka mālama ʻole o ka meli. ʻo ke koʻokoʻo a i ʻole ka mea hoʻomanawanui e kāhili i ka ʻeha me nā lima haumia a lawe i ka maʻi.
Hiki ke ʻike ʻia kahi puʻupuʻu (infiltration) ma ka ʻūhā. ʻO ka manaʻo ʻaʻole i hoʻokomo ʻia ka lāʻau i loko o ka mākala, akā i loko o ka aʻa adipose. Aia kekahi mau moku koko i loko o laila, kahi e hana pinepine ʻia ai nā hana hoʻoheheʻe a me nā hanana infiltrative ma laila.
Nā maʻi o ka hui pūhaka
Hoʻomaka nā maʻi āpau i nā ʻano like ʻole, akā like ka hopena: ua ʻeha lākou i ka puʻupuʻu, nā pūhaka, aia kekahi hewa i nā hana kaʻa.
ʻO nā kumu aʻe ke kumu i ka maʻi:
- genetis predisposition:
- maʻi metabolic;
- trauma, microtrauma, haki;
- ka nele o ka calcium;
- nā maʻi like ʻole: viral, microbial.
Nā maʻi pinepine pinepine:
- ʻO Osteoarthritis - ka maʻi hoʻohaʻahaʻa articular, nānā ʻia me ka lole a me nā waimaka o ka cartilage. ʻO ka hōʻailona mua: ʻeha nā pūkaʻi, nā hono ʻoʻoleʻa, ka hōʻeha a me ke kīnā ʻole.
- ʻO ka maʻi femoro-acetabular - hoʻokumu ʻia nā hana iwi (osteophytes). ʻO ke kumu nui ka hōʻeha hui.
- ʻO Bursitis - ka hoʻohaunaele o ka bursa, ʻano e ka hoʻokumu ʻana o exudate. ʻO nā kumu he maʻa mau loa: nā puhaka o ka pūhaka, ka hoʻokahuli kūlohelohe ʻole o ka ami.
- ʻO Osteonecrosis - kū i ka wā e hōʻino ʻia ke kahe o ke koko. ʻAʻole lawa ka momona o ka iwi, no laila, make ka cell. Alakaʻi pinepine kēia i: lawe i nā corticosteroids, hōʻeha koʻikoʻi.
ʻO Fibromyalgia
ʻO kēia kahi pathology o nā hono, nā mākala, nāʻiʻo fibrous. Hoʻohālikelike ʻia ia e ka nui o ka sensory, ʻaneʻane ʻeha mau i ke kino. ʻO ka headache, ka luhi mau, kaumaha i ke kanaka.
He paʻakikī ka ʻike ʻana i ka maʻi no ka mea like kona mau ʻōuli me nā maʻi ʻē aʻe. ʻAʻole ʻae ka ʻeha o nā mākala i ka hiamoe ʻana, a i ke kakahiaka he paʻakikī paʻakikī ʻole ia e hele i waho o kahi moe, ʻaʻohe ikaika. Hoʻopili kēia maʻi i 3-7% o ka heluna kanaka, akā ʻike pinepine ʻia i nā wahine.
ʻO Myositis
ʻO Myositis ka mumū o ka mākala. Hiki ke kumu ʻia e nā maʻi ʻino nui: staphylococcus, nā maʻi ʻino, nā parasite like ʻole, a pēlā aku. Hiki ke hāʻawi ʻia ka impetus o ka maʻi e nā ʻeha, overstrain o nā mākala, hypothermia. Hoʻoulu ka Myositis i ka hana hewa i nā hana metabolic i loko o ke kino, me nā maʻi endocrine.
He ʻeha ka mea hoʻomanawanui i ka ʻūpā, hoʻopili ʻia ka ʻōnaehana muscle, aia ka palena o ka neʻe. Hoʻopilikia kaʻiʻo o nā lālā, hoʻi, hope i hope. Me ka myositis koʻikoʻi, e lahilahi nā mākala a hoʻopau pinepine ia me ke atrophy, kīnā ʻole.
ʻIke a me ka mālama ʻana i ka ʻeha puʻupuʻu gluteal
Loaʻa i kēlā me kēia maʻi nā hōʻailona ponoʻī, nā hōʻailona i kapa ʻia o ka maʻi.
ʻOhi mua ke kauka i kahi anamnesis, alakaʻi i kahi hoʻokolokolo, nīnau i nā nīnau:
- I ka manawa hea i ʻike mua ʻia ai ka ʻeha, pehea ka lōʻihi?
- Hiki paha i nā hono ke kelepona?
- I ka ʻāpana hea ʻoe e ʻeha ai, he aha ka mea e hoʻonāukiuki ai iā ʻoe?
- Aia kekahi mehana?
- He aha nā hana i hana ʻia no ka mālama ʻana?
Ma hope o kēlā, e kuhikuhi ke kauka iā ʻoe i ke kauka kūpono a e kauoha paha iā ia iho i nā noi hou:
- biochemical a i ʻole nā anamanaʻo maʻamau;
- CT, MRI, ultrasound;
- X-kukuna;
- Electromyography, etc.
ʻO kahi laʻana, me ka osteochondrosis, mālama ʻia ka mālama conservative. Kauoha i nā anti-inflammatory non-hormonal agents, massage, physiotherapy e hōʻike ʻia.
Inā pono, hana ʻia ka tomography i helu ʻia. Inā ʻeha ka pākē ma muli o ka palapū, a i ʻole banal ka hoʻoulu kino, hiki ke hoʻohana ʻia i nā hamo a me nā gels (anti-inflammatory), hōʻike ʻia ka hoʻomaha.
Hoʻomaʻamaʻa pinepine ʻia kahi hernia intervertebral e kahi neurologist a i ʻole orthopedist. ʻO ke ʻano lapaʻau ʻoi loa ka laser. Me myositis, hōʻike ʻia kahi unuhi mai ka arnica kuahiwi no ka ʻānai ʻana. Lawe ʻia nā kaʻina hana physiotherapeutic: UHF, phonophoresis, electrophoresis, a pēlā aku. Ua ʻike ʻia ʻo Myositis e kahi neurologist. Kauoha ʻia ʻo Electromyography a i ʻole ultrasound.
Hoʻomaʻamaʻa a lawelawe paha ka lāʻau. Hiki ke kuhikuhi ʻia ka lāʻau e ke kauka wale nō, no kēlā me kēia maʻi - kāna mālama ponoʻī.
He aha ka mea e hiki ke hoʻohana ʻia me ka hōʻeha ʻole i ke olakino, ma nā ʻōuli ʻeha mua:
- wai anesthetic me ka novocaine, ka waiʻona, anesthesin i ke ʻano o ka hamo aila aila paha;
- analgesics: Toradol, Ketanov, Ketorolac, Lidocaine, Ultracaine, Novocaine;
- nā lāʻau hoʻohaʻahaʻa inā pono;
- lāʻau hoʻomake kuʻikuʻi, hōʻoluʻolu i ka ʻeha, hōʻoluʻolu i ka palahū
Nā hana pale
E noʻonoʻo i kou nohona ma mua, ka nele o ka hoʻoikaika kino e alakaʻi pinepine ai i ka maʻi.
Nā hana pale:
- E aʻo e noho i kahi noho: pono e hana i kou pūhaka a me kou mau kuli i kahi kihi kūpono. Māhele ʻia ke kaupaona i nā iwi pelvic.
- E hiamoe ma luna o ka moena orthopedic.
- Hōʻalo i ka hoʻokahuli i ka gluteus maximus.
- E nānā i kāu papaʻai, inu i ka wai lawa.
- He manaʻo maikaʻi e haku i kahi o nā hana e hoʻoikaika i nā mākala.
- Wehe i ke kaupaona keu inā pono.
- Hoʻomaʻamaʻa pinepine, akā i ke kaulike.
- Hoʻopau i ka hiki o ka hypothermia.
- Pono nā hoʻomehana ʻōnaehana no ka hana sedentary.
- E mālama i nā maʻi maʻi i ka manawa kūpono.
I pale aku iā ʻoe iho mai ia mau pilikia, alakaʻi i kahi nohona kūpono, hoʻoikaika mau. Inā ma waena o 3-4 mau lā ʻaʻole hiki ke pane i kāu nīnau "No ke aha e ʻeha ai kaʻu mau puʻupuʻu?" e nīnau i ke kauka ʻoihana no ke kōkua a me ka ʻōlelo aʻo. Mai lāʻau ponoʻī, ʻoi aku ka pipiʻi o ke olakino.
