Ka manaʻo

Ua hoʻokumu ʻia ka haʻawina COSMIC no ka mea ʻaʻohe manaʻo e pili ana i ka mālama kūpono i nā maʻi me maʻi maʻi waena me ka hōʻike ʻole o ka ʻeha iwi kuamoʻo. ʻekahi maʻi maʻi waena he maʻi ia e hoʻomohala ai nā maʻi i kahi ʻeha ʻāpana iwi spinal i ka wā ʻeha, kahi i ʻoi aku ai ka nalowale o nā kaʻa ma nā lima ma mua o nā wāwae, ʻaʻole ʻike ʻia ma lalo o ka pae o ka lesion, a / a i ʻole nā ​​maʻi o ka ʻōpū.

Ua ʻike ʻia ʻo kēia ʻano ʻeha o ke kuamoʻo (ʻāpana) hiki ke ola koke, akā, hiki ke hana ʻia ka deterioration neurological lua ma muli o ka piʻi ʻana o ka paʻi ʻana ma ka myelum ma muli o ka edema.. No ka pale ʻana i kēia, hiki ke hana i kahi decompression cervical preventive. Eia nō naʻe, pilikia ka ʻoki ʻana a ʻaʻole pono i nā manawa a pau ma muli o ka hiki ke hoʻihoʻi koke. No laila ʻo ka nīnau inā ʻoi aku ka maikaʻi o ke kali a hana paha.

ʻO ka pahuhopu o ke aʻo ʻana ʻo ia ka hoʻoholo ʻana i ka mālama conservative, i hoʻolaha ʻia i ka wā ma mua a i hoʻopaʻa mau ʻia, Loaʻa ka hopena lapaʻau e like me ka decompression ʻoki mua. ʻO ka pōmaikaʻi o ka hoʻopau ʻana i ke kaʻina hana mua, ʻo ia ka pale ʻana i ka pōʻino lua ma hope o kekahi ʻano o ka ʻeha o ke kuamoʻo ma muli o ka ʻeha ʻāʻī., kahi i ʻike ʻole ʻia ai ka pōʻino o ka iwi kuamoʻo.

Ke hoʻokokoke ʻana

ʻO nā poʻe maʻi hōʻeha spinal cord e komo ana i kēia haʻawina i koho ʻia i kahi hui conservative a hana paha. ʻO ka mea nui, ʻaʻohe hōʻike o ka ʻeha osseous a i ʻole ligament ma MRI a i ʻole CT. ʻO ka mea maʻi i ka hui hana i loko 24 hana ʻia i nā hola ma hope o ka ʻeha. Ua ukali ʻia nā maʻi no ʻelua mau makahiki a mākou i nānā ai i ka hana o kēlā me kēia lā o nā hui maʻi ʻelua. ʻO ka manaʻolana ka loaʻa ʻana o ka ʻike i ka hui maʻi i ʻoi aku ka maikaʻi o ka hopena hana i ʻelua mau makahiki ma hope o ka trauma.

Ka hopena

No ka noiʻi ʻana i kēia, ua hoʻoholo ʻia e hana i kahi haʻawina randomized multi-center. Ma hope o hoʻokahi makahiki a me ka hapa, hoʻokahi wale nō mea maʻi i ʻike ʻia i kūpono no kēia haʻawina. I kēlā me kēia makahiki, ua manaʻolana nā mea noiʻi a puni 20 e hookomo i na ma'i. ʻO ka poʻe a pau i ʻike mua ʻia he kūpono, ua kāpae ʻia ma muli o nā ʻike ma ka MRI a i ʻole CT.. 'O ke kumu nui, 'o ia ka 'ike 'ole o ka pō'ino o ka iwi kuamo'o. (ma muli o nā mea ʻino ma MRI a i ʻole CT kiʻekiʻe), ʻoiai e puka pinepine mai kēia i ka palapala kahiko.

Nā haʻawina

ʻO ka haʻawina, pono e hoʻopili ʻia nā wehewehe kahiko me ke kūlana o ka ʻepekema a ma kēia hihia ke ʻano o ka noiʻi radiological i kēlā manawa.. A laila pono e nānā ʻia inā ʻaʻohe ʻano hana ʻē aʻe i kēia manawa e ʻike koke ʻia nā mea a ʻaʻole pili hou nā wehewehe..

No laila, ʻo ka hoʻolālā ʻana o ka haʻawina e hoʻāʻo ai i nā pono o kahi hiʻohiʻona, ʻAʻole hiki ke hana hou ʻia ma muli o ka hoʻomaikaʻi wikiwiki ʻana o nā lako radiological.

HAALELE ANA I NA OLELO