Ke kamaʻilio mākou ʻeha kua haʻahaʻa ke kamaʻilio nei mākou i kekahi o nā kumu pinepine i hana ʻia ai nā kūkākūkā ma ke kahua o ka traumatology, Ma waho aʻe o ke kumu maʻamau o nā palena i ka hana o kēlā me kēia lā i nā poʻe ma luna o nā makahiki 40 makahiki. ʻO ka lumbago He ʻeha ia i puka mai ma ka ʻāpana lumbar., ʻo ia hoʻi, ma ke kua lalo, a hiki ke lilo i pilikia nui ma muli o ka ʻeha a me ka nele o ka neʻe ʻana i ka mea i loaʻa iā ia..
Papa kuhikuhi
He aha ka ʻokoʻa ma waena o ka lumbago a me ka sciatica?
Es importante saber distinguir entre lumbago a me sciatica. ʻOiai ma ke ʻano o ka ʻeha hope haʻahaʻa, pili loa ka ʻeha i ka ʻāpana lumbar, me ka ʻole o ka hoʻomālamalama ʻia ʻana ma nā wahi ʻē aʻe o ke kino, ma ka hihia o ka sciatica He ʻeha hope haʻahaʻa ma muli o ka hoʻonāukiuki ʻana o kahi aʻa aʻalolo ma kēia ʻāpana a hoʻomālamalama ia e hoʻopilikia i nā wahi ʻē aʻe o ke kino., e like me ka ʻāpana poʻo a i ʻole nā ʻaoʻao haʻahaʻa.
Nā kumu o ka ʻeha hope haʻahaʻa
En lo que respecta a la ʻeha kua haʻahaʻa, Pono e ʻike i nā kumu e hiki ai ke kumu, a oia no ma ka 50% de las ocasiones tienen su origen en nā ʻokoʻa a i ʻole nā hoʻololi degenerative o ka lumbar spine, a hoʻouna i kahi manawa kokoke ma waena 7 a 10 lā. ʻO keʻano o kaʻeha hope haʻahaʻa i emi iho ma mua o 6 semanas recibe el nombre de ʻeha hope haʻahaʻa.
Se puede hablar de ʻeha hope haʻahaʻa subacute i loko o ia mau hihia e ulu ana i ka manawa o 6 a 12 pule, mientras que se considera que estamos ante una ʻeha hope haʻahaʻa mau i ka manawa o ka 12 mau pule lōʻihi. I kēia mau ʻano hanana, pono kahi haʻawina me nā hoʻokolohua hoʻohui e hiki ke kōkua iā mākou e ʻike i nā kumu o ka pathology..
Kahi mea hou aʻe, el dolor lumbar puede venir dado por nā hoʻololi like ʻole i nā hale anatomical o ka ʻāpana lumbar o ka iwi kuamoʻo, hana i loko o ka vertebrae, ligaments, musculature, nā diski intervertebral, ʻaoʻao ami, etc..
E ʻike i ke kumu o ka ʻeha hope haʻahaʻa, hiki ke hoʻokaʻawale ʻia i ʻelua, ʻO wai kēia mau mea:
Lumbago Mechanical
ʻO ka lumbago mechanical hiki mai ma muli o ka hana ʻino ʻana o ka musculoskeletal i loko o ke kuamoʻo lumbosacral, ka mea e hoʻololi ai i ka hana a i ʻole ke kūkulu ʻana:
- Nā disc herniated.
- Scoliosis.
- spondylolysis / Spondylolisthesis
- ʻO nā ʻeha vertebral traumatic a pathological paha (osteoporosis a i ʻole metastasis)
- kūʻokoʻa ʻāpana (spondyloarthrosis)
- Deep gluteal space syndrome (pyramidal syndrome)
- channel stenosis / Estenosis foraminal
ʻEha hope haʻahaʻa non-mechanical
ʻO ka ʻeha hope haʻahaʻa non-mechanical liʻiliʻi pinepine a hiki ke hāʻawi ʻia ke kumu e:
- nā maʻi iwi
- ʻO nā maʻi ʻaʻai
- nā maʻi kaʻapuni
- ʻeha neuropathic
- spondylitis infectious
- Visceral
- ʻO nā ʻōpū
hōʻailona o ka ʻeha hope haʻahaʻa
El principal síntoma de la lumbalgia es el ʻehaʻeha. Ke keia eha ma ke kua lalo o kumu mechanical, ʻO ia ka mea i hōʻike ʻia e ka piʻi nui ʻana i ka wā e hoʻoikaika kino ai a emi iho i ka wā hoʻomaha, lāʻau analgesic-anti-inflammatory, y el incremento progresivo de la actividad. No es frecuente que la lumbalgia llegue a provocar trastornos a la hora de conciliar el sueño, ʻoiai ma kekahi mau mea hiki ke keʻakeʻa loa i ka ʻoluʻolu o ka hiamoe.
Cuando se trata de un ʻeha hope haʻahaʻa non-mechanical ʻeha kakahiaka a me ka pilikia hiamoe. Ma keia mau ano hihia, ʻAʻole lawa ka hoʻomaha no ka hoʻomaikaʻi ʻana i ka mea maʻi, a he mea nui ka ʻike e hiki ai ke mālama pono i ka ʻeha.
ʻIke ʻeha haʻahaʻa haʻahaʻa
No ka hana ʻana i kahi hōʻailona kūpono o ka lumbago, es necesario contar con un historial clínico detallado a través de una ka hoʻokolokolo kino piha.
No kēia, e nānā ʻia ka mōʻaukala lapaʻau, e noiʻi ana i ka mōʻaukala pilikino a me nā pathologies mau., ma waho aʻe o ka ʻike ʻana i nā kumu o ka ʻeha a me ka hoʻokaʻawale ʻana ma waena o ka ʻeha hope haʻahaʻa a me ka lumbosciatica, ma waho aʻe o ka hoʻohālikelike ʻana i nā ʻano like ʻole e like me ka ulu ʻana o ka ʻeha.
I ka wā o ka hoʻokolokolo kino, loiloi ʻia ka mea maʻi., me nā ʻano e like me ke ʻano o ka hele ʻana, manaʻo postural a me nā palena hana. Pono e loiloi ʻia ka neʻe ʻana ma nā pae āpau, ma waho aʻe o ka loiloi ʻana i ka pōʻino o ke aʻa, hana i nā ho'āʻo elongation aʻa a me nā hoʻololi ikaika, atrophies a i ʻole nā hoʻololi ʻana i nā reflexes.
Lapaau eha haahaa
El tratamiento de la ʻeha kua haʻahaʻa hiki ke conservative a ʻokiʻoki paha. No ke koho ʻana i kekahi a i ʻole kekahi, he mea koʻikoʻi ia e noʻonoʻo i ka pathology e hoʻomaka ai, a me ka ikaika a me ka lōʻihi o ka ʻeha, ya que la operación quirúrgica se lleva a cabo cuando la patología es una sciatica a i ʻole lumbar hernia.
Ma ke kumu, Hoʻohana pinepine ʻia ka ʻeha hope me nā lāʻau ʻeha, anti-inflammatory a me nā ʻiʻo hoʻomaha, me ke kākoʻo o ka hoʻoikaika kino kino. Ma keia hihia, Kū'ē i ka mea āu e manaʻo ai, Pono e pale ʻia ka hoʻomaha ʻana i kahi moe a me nā hana passive, nā hana kino kino, hoʻohaʻahaʻa i ke kaumaha o ke kino a me ka puhi paka. Pēlā nō, pono e mālama i ka leo muscle kūpono o ke kua, lumbar a me ka ʻōpū, i mea e pale aku ai i ka hoʻi hou ʻana i ka pilikia like.
Ma muli o ka lōʻihi o ke kaʻina hana a me kona ikaika, a me ka hoʻi hou ʻana o ka pilikia a inā hāʻule ka mālama conservative, hiki ke lilo i mea pono ke koho no ka lapaau.
ʻO ka lua, Aia nā hana haʻuki like ʻole i ʻōlelo ʻia e hiki ke hoʻoponopono pono i ka ʻeha haʻahaʻa haʻahaʻa.. e hoʻomaka, He mea pono e hele wāwae i mea e hoʻoikaika ai i ka ho'ōla mai ka lumbago, pero también practicar ʻauʻau a me yoga. He mea pono, i kekahi hihia, e hoʻohana i nā lawelawe a nā poʻe loea e hiki ke hāʻawi i nā ʻōlelo aʻo kūpono a me nā hōʻailona e hiki ai ke hoʻoponopono i kēia pilikia olakino.
I kēlā me kēia hihia, pono e mālama i ka pathology i kahi ala kūikawā a pilikino., Ma waho aʻe o ka hōʻikeʻana i nā hana likeʻole i hiki ke hanaʻia ma ka home i mea e hana ai i kaʻeha hope haʻahaʻa e hiki ai ke hoʻopilikia i nā pilikia a me kaʻeha.. En determinados casos también se puede llegar a indicar el ka hoʻohana ʻana i nā kāʻei lumbar no ka hoʻihoʻi ʻana i ka lumbago.