Lua I Ka Pūhaka

He dimple sacral kahi hohonu a i ʻole ka lua ma ka ʻili ma ke kua haʻahaʻa i loaʻa i ka wā hānau i kekahi mau pēpē. ʻO ka mea maʻamau, aia ma luna pono o ka ʻili ma waena o nā ʻūhā. ʻAʻohe mea pōʻino ka hapa nui o nā dimple sacral a ʻaʻohe pono e mālama.

Hiki i ka dimple sacral ke hōʻailona o kahi pilikia spinal koʻikoʻi i kahi pēpē hou inā nui ka dimple a i ʻike ʻia ma kahi kokoke i kahi ʻōpala o ka lauoho, tag ʻili, ʻāpana a i ʻole wahi kala ʻokoʻa. I kēia mau hihia, hiki i ka mea mālama ola o kāu keiki ke kuhikuhi i kahi hoʻokolohua kiʻi. Inā loaʻa kahi pilikia spinal, hilinaʻi ka mālama ʻana i ke kumu kumu.

ʻO ka lua o ka sacrum kahi hohonu a i ʻole ka lua ma ka ʻili ma ke kua haʻahaʻa — ma ka maʻamau ma luna pono o ka ʻili ma waena o nā ʻūhā. ʻO ka hapanui o nā lua o ka sacrum he liʻiliʻi a pālahalaha.

ʻAʻohe kumu i ʻike ʻia no kahi dimple sacral. He kūlana i hānau ʻia mai ia, ʻo ia hoʻi, aia ia i ka wā hānau.

ʻO nā kumu pilikia no nā dimples sacral ka hānau ʻia me kahi pilikia o ka iwi kuamoʻo, e like me ka tethered cord syndrome. I kēia kūlana, ʻaʻole e kau palaualelo ka iwi kuamoʻo i loko o ke kahawai o ka iwi kuamoʻo. Hiki nō hoʻi ke loaʻa nā dimples sacral i nā pēpē hou me ka ʻole o nā kūlana olakino ʻē aʻe.

Ikaika loa, pili nā dimples sacral i kahi hemahema koʻikoʻi o ke kua a i ʻole ke kua o ke kua. ʻO nā hoʻohālikelike:

• Spina bifida. ʻO kahi ʻano palupalu loa o kēia kūlana, i kapa ʻia ʻo spina bifida occulta, e kū mai ana ke pani ʻole pono ʻia ke kua a puni ke kua o ke kua, akā noho mau ke kaula i loko o ke kahawai kua. I ka hapanui o nā hihia, ʻaʻohe hōʻailona o ka spina bifida occulta a ʻaʻole pono ke lapaʻau.
• Tethered cord syndrome. Hoʻokaʻawale maʻamau ke kaula kua i loko o ke kahawai kua. ʻO ka tethered cord syndrome kahi maʻi e kū mai ana i ka wā e kaupalena ai ka ʻiʻo i hoʻopili ʻia i ke kaula kua i kona neʻe ʻana. Hiki i nā hōʻailona a me nā hōʻailona ke komo pū me ka nāwaliwali a i ʻole ka numbness i nā wāwae a me ka incontinence o ka ʻōpū a i ʻole ka ʻōpū.

Hoʻonui ka pilikia o kēia mau pilikia kua inā hui pū ʻia ka dimple sacral me kahi ʻōpala lauoho kokoke, tag ʻili a i ʻole ʻāpana, a me kekahi mau ʻano o ka discoloration o ka ʻili.

Hoʻomaopopo ʻia ka lua kuamoʻo sacral ma o kahi hōʻike kino, maʻamau i ka wā o ka nānā mua ʻana o ka pēpē. Inā nui ka lua kuamoʻo sacral a i ʻike ʻia me kahi lauoho kokoke, tag ʻili a i ʻole ʻāpana, a i ʻole kekahi ʻano o ka loli o ka ʻili, hiki i kāu mea mālama ola ke ʻōlelo aku i nā hoʻokolohua kiʻi e nānā i nā pilikia o ka iwi kuamoʻo.

Hiki i kēia mau hoʻokolohua ke komo pū me:

• Ultrasound. ʻO kēia kaʻina hana ʻole e hoʻohana ana i nā nalu kani e hana i nā kiʻi o nā ʻano o ke kino.
• Magnetic resonance imaging (MRI). Inā pono hou aku ka kikoʻī, hiki i kāu mea mālama ola ke ʻōlelo aku i kahi MRI, kahi e hoʻohana ai i nā nalu lekiō a me kahi kahua magnetic ikaika e hana i nā kiʻi ʻokiʻoki o ke kino. Pono kēia ʻano i ka lāʻau lapaʻau e pale aku ai i ke keiki mai ka neʻe ʻana i ka wā o ka scan. Ke kapa ʻia kēia he sedation.

ʻAʻole pono ka lāʻau lapaʻau no kahi dimple sacral maʻalahi.