Created at:1/13/2025
Question on this topic? Get an instant answer from August.
ʻO ka chymopapain injection he lāʻau lapaʻau enzyme kūikawā i hoʻohana ʻia e hoʻoheheʻe i nā mea disc herniated i kou iwi kuamoʻo. Hana kēia lāʻau lapaʻau i hoʻokumu ʻia i ka protein ma ka wāwahi ʻana i ka mea gel-like i loko o nā disc spinal e hiki ke kaomi i nā aʻalolo a hoʻoulu i ka ʻeha. ʻOiai ua hāʻawi kēia lapaʻau i ka manaʻolana no ka poʻe me ka ʻeha hope loa, ʻaʻole i loaʻa hou no ka hopohopo palekana i puka mai i ka manawa.
ʻO Chymopapain kahi enzyme i loaʻa mai ka mea kanu papaya i hiki ke hoʻoheheʻe i kekahi mau protein. Ke hoʻokomo pololei ʻia i loko o kahi disc spinal herniated, wāwahi ia i ka nucleus pulposus - ke kikowaena palupalu, gel-like o ka disc e hiki ke puʻupuʻu a kaomi i nā aʻalolo kokoke. Kapa ʻia kēia hana ʻo chemonucleolysis, ʻo ia hoʻi ka
Akā, he mea nui e ʻike ʻaʻole hoʻohana pinepine ʻia ka pahu chymopapain i ka hapa nui o nā ʻāina, me ʻAmelika Hui Pū ʻIa, ma muli o nā hopena maʻi maʻi koʻikoʻi a me ka hoʻomohala ʻana i nā lāʻau lapaʻau palekana a ʻoi aku ka maikaʻi.
Hana ʻo Chymopapain ma ka ʻimi ʻana i nā protein kikoʻī e hana i ka mea disc herniated. Ke hoʻokomo pololei ʻia i loko o ka disc i hoʻopilikia ʻia, hoʻomaka ka enzyme e wāwahi i ka nucleus pulposus - ke kikowaena palupalu i hele i waho o ka papa waho o ka disc.
Hoʻemi kēia hana wāwahi i ka nui o ka herniation, hiki ke hoʻomaha i ke kaomi ʻana i nā aʻalolo spinal kokoke. I ka wā e hoʻoheheʻe ʻia ai ka mea disc, hiki ke emi nui ka paʻi ʻana e hana ana i kou ʻeha, ka ʻeha, a i ʻole ka nāwaliwali. ʻO ka hana holoʻokoʻa e lawe maʻamau i kekahi mau pule a i ʻole mau mahina no ka hopena piha.
He mea pono e hoʻomaopopo ʻia he hana ikaika kēia - ʻoi aku ka ikaika ma mua o nā lāʻau lapaʻau a i ʻole ka lāʻau lapaʻau kino, akā ʻaʻole i emi ka invasive ma mua o ke ʻoki ʻana i ke kuamoʻo. ʻAʻole hiki ke hoʻololi ʻia ka hana a ka enzyme ke hoʻokomo ʻia, ʻo ia ke kumu he mea nui ka koho ʻana i ka mea maʻi.
Ua hana mau ʻia ka pahu chymopapain ma ke ʻano he hana lapaʻau i loko o kahi haukapila a i ʻole kahi keʻena loea. ʻAʻole ʻoe e lawe i kēia lāʻau lapaʻau ma ka home a i ʻole ma kekahi ala ʻē aʻe ma waho o ka hoʻokomo pololei ʻana i loko o ka disc spinal.
Ma mua o ke kaʻina hana, pono ʻoe e hoʻokē ʻai no kekahi mau hola, e like me ka hoʻomākaukau ʻana no ke ʻoki. Ua hana ʻia ka injection ma lalo o ka anesthesia kūloko a me ke alakaʻi X-ray e hōʻoia i ka waiho pololei ʻana. ʻO ka hana holoʻokoʻa ma kahi o 30 a 60 mau minuke.
Ma hope o ka hoʻokomo ʻana, pono ʻoe e noho i ka haukapila no ka nānā ʻana, maʻamau no 24 a 48 mau hola. He mea nui kēia manawa nānā no ka mea hiki ke loaʻa nā hopena maʻi maʻi koʻikoʻi i nā hola ma hope o ke kaʻina hana. E nānā kāu hui lapaʻau i nā hōʻailona o nā pilikia i kēia manawa koʻikoʻi.
ʻO ka hoʻokomo ʻana o Chymopapain he hana hoʻokahi manawa ma mua o ka lapaʻau mau. Ke hoʻokomo ʻia, e hana ka enzyme i nā pule a me nā mahina e hiki mai ana e hoʻoheheʻe i ka mea disc. ʻO ka hapa nui o nā maʻi e ʻike i ka hoʻomaikaʻi ʻana i ka 2 a 12 mau pule ma hope o ka hoʻokomo ʻana.
Ua manaʻo ʻia nā hopena he mau loa no ka mea e wāwahi ʻole ka enzyme i ka mea disc. Eia naʻe, ʻaʻole i pale kēia i ka hoʻomohala ʻana i nā pilikia disc hou ma nā wahi ʻē aʻe o kou iwi kuamoʻo i ka manawa. Pono kekahi mau maʻi i nā kaʻina hana hou, akā ʻaʻole maʻamau kēia.
E hilinaʻi kāu manawa hoʻōla i nā mea he nui, me ka nui o kāu herniation mua, kou olakino holoʻokoʻa, a me ka maikaʻi o kou hahai ʻana i nā ʻōlelo aʻoaʻo mālama ma hope o ke kaʻina hana. Manaʻo pinepine ʻia ka lāʻau lapaʻau kino e kōkua i ka hoʻoikaika ʻana i kou mau ʻiʻo kua i ka wā o ke kaʻina hana hoʻōla.
ʻO ka hoʻomaopopo ʻana i nā hopena ʻaoʻao o ka hoʻokomo ʻana o chymopapain e kōkua i ka wehewehe ʻana i ke kumu i hoʻohana ʻole ʻia ai kēia lapaʻau. ʻOiai ua loaʻa i nā maʻi he nui ka hōʻoluʻolu ʻeha, ua ʻoi aku ka nui o nā pilikia ma mua o nā pōmaikaʻi no ka hapa nui o nā mea lawelawe lapaʻau.
ʻO nā hopena ʻaoʻao maʻamau he mea hiki ke mālama ʻia a ua komo pū me ka ʻeha hope ma ke kahua hoʻokomo, nā spasms ʻiʻo, a me ka ʻoʻoleʻo manawa. ʻO ka maʻamau, ua mau kēia mau hōʻailona i kekahi mau lā a i mau pule a hiki ke mālama ʻia me nā lāʻau lapaʻau ʻeha a me ka neʻe mālie.
Eia nā hopena ʻaoʻao pinepine e hiki iā ʻoe ke ʻike:
He ʻāpana kēia mau hana maʻamau o ke kaʻina hana hoʻōla maʻamau i ka wā i pane aku ai kou kino i ka enzyme a ua wāwahi ʻia ka mea disc.
Eia naʻe, ʻo nā hopena ʻino loa ka mea i alakaʻi i ka emi ʻana o ka hoʻohana ʻana o chymopapain. ʻO ka mea e hopohopo nui ai, ʻo ia nā hopena maʻi koʻikoʻi, hiki ke hoʻoweliweli i ke ola a ua hana ʻia ma kahi o 1% o nā maʻi.
Eia nā hopena ʻino loa e pono ai ka lāʻau lapaʻau koke:
ʻO kēia mau pilikia koʻikoʻi, ʻoiai he kakaikahi, ua lawa ka nui o nā kikowaena lapaʻau i ka hāʻawi ʻana i ka pahu chymopapain i mea e makemake ai i nā koho palekana.
Ua manaʻo ʻia kekahi mau pūʻulu o nā kānaka he kūpono ʻole no ka pahu chymopapain ma muli o ka piʻi ʻana o nā pilikia. E loiloi pono kāu kauka i kāu moʻolelo lapaʻau a me ke kūlana o kēia manawa ma mua o ka noʻonoʻo ʻana i kēia lapaʻau.
ʻAʻole ʻoe he moho no ka pahu chymopapain inā he maʻi ʻoe i ka papaya, nā mea palupalu ʻiʻo, a i ʻole ka ʻike mua ʻana iā chymopapain. Ua kāpae ʻia nā kānaka me kekahi mau maʻi spinal, e like me nā maʻi spinal, nā maʻi, a i ʻole ka maʻi ʻāʻī nui, mai ka lapaʻau.
Eia nā kūlana nui e pale ai iā ʻoe mai ka loaʻa ʻana o ka pahu chymopapain:
Eia kekahi, ʻaʻole i manaʻo ʻia nā keiki a me nā maʻi ʻelemakule me nā maʻi olakino he nui he mau moho maikaʻi ma muli o nā pilikia kiʻekiʻe o nā pilikia.
Ua kūʻai ʻia ka injection Chymopapain ma lalo o ka inoa inoa Chymodiactin i ka wā i loaʻa ai. ʻO kēia ka hoʻomākaukau kalepa nui i hoʻohana ʻia i nā kaʻina hana lapaʻau i nā makahiki 1980 a me nā makahiki 1990.
Ua hana ʻia ʻo Chymodiactin e Travenol Laboratories a ma hope e nā hui lāʻau lapaʻau ʻē aʻe. Ua hele mai ka lāʻau lapaʻau ma ke ʻano he pauka e pono e hui pū ʻia me kahi hopena kūikawā ma mua o ka injection. Pono kēia hoʻomākaukau i ka mālama pono ʻana a me ka mālama ʻana e mālama i ka pono o ka enzyme.
I kēia lā, ʻaʻole ʻoe e ʻike i ka injection chymopapain i loaʻa ma lalo o kekahi inoa inoa ma ka hapa nui o nā ʻāina, no ka mea, ua hoʻihoʻi nui ʻia mai ka mākeke ma muli o nā hopohopo palekana a me ka loaʻa ʻana o nā koho lapaʻau maikaʻi.
Hāʻawi ka lāʻau lapaʻau hou i kekahi mau koho palekana a ʻoi aku ka maikaʻi ma mua o ka injection chymopapain no ka mālama ʻana i nā diski herniated. Ua pani nui kēia mau koho i ka chymopapain no ka mea hāʻawi lākou i nā ʻikepili palekana maikaʻi a pinepine i nā hopena maikaʻi.
ʻO nā koho maʻamau e pili ana i nā kaʻina hana ʻokiʻoki liʻiliʻi e like me ka microdiscectomy, e wehe ana i ka mea diski herniated ma o kahi ʻoki liʻiliʻi. He maikaʻi loa nā helu holomua o kēia ala a me nā pilikia haʻahaʻa loa o nā pilikia koʻikoʻi i hoʻohālikelike ʻia me ka injection chymopapain.
Eia nā koho nui e hiki i kāu kauka ke ʻōlelo aku i kēia lā:
Hāʻawi pinepine kēia mau lapaʻau hou i nā hopena maikaʻi me ka liʻiliʻi o nā pilikia, ʻo ia ke kumu i lilo ai lākou i ka maʻamau o ka mālama ʻana i nā pilikia diski herniated.
Ke hoʻohālikelike ʻia ʻo chymopapain me nā lapaʻau diski hou, ua manaʻo ʻia nā koho hou he ʻoi aku ka maikaʻi ma ke ʻano o ka palekana a me ka pono. ʻOiai ua kōkua ʻo chymopapain i kekahi poʻe maʻi e pale i ka ʻoki nui, ua hōʻoia nā pilikia i mea nui loa no ka hoʻohana ākea.
ʻO nā ʻenehana ʻoki liʻiliʻi hou e like me microdiscectomy he 85-95% ka holomua no nā moho kūpono, i hoʻohālikelike ʻia me ka 70% o ka holomua o chymopapain. ʻOi aku ka mea nui, ʻoi aku ka haʻahaʻa o nā helu pilikia koʻikoʻi me nā lapaʻau o kēia manawa.
Hāʻawi pū nā koho ʻē aʻe o kēia lā i nā hopena hiki ke wānana a me nā manawa hoʻōla wikiwiki. Hiki i ka hapa nui o nā maʻi e hele ana i ka microdiscectomy ke hoʻi i nā hana maʻamau i loko o 2-6 pule, ʻoiai ʻo ka injection chymopapain e koi pinepine i 2-3 mau mahina no ka hopena piha. ʻO ka hiki ke hoʻoponopono pololei i ka pilikia ma o ke ʻoki ʻana, ʻo ia hoʻi ka liʻiliʻi o ka maopopo e pili ana inā e hana ka lapaʻau.
I ka wā i loaʻa ai ka chymopapain, hiki i ka poʻe me ka maʻi diabetes ke loaʻa i ka lāʻau lapaʻau, akā pono lākou i ka nānā a me ka mālama hou. Hiki i ka maʻi diabetes ke hoʻopilikia i ka hoʻōla a hoʻonui i nā pilikia o ka maʻi, no laila pono ke kauka e loiloi pono i kāu kaohi kōpaʻa koko a me ke olakino holoʻokoʻa. Eia naʻe, no ka mea, ʻaʻole i loaʻa hou ka chymopapain, he mea mōʻaukala kēia.
He mea kakaʻikahi loa ka overdose chymopapain no ka mea, ua hāʻawi ʻia ka lāʻau lapaʻau e nā poʻe lapaʻau i aʻo ʻia i nā wahi haukapila i mālama ʻia. Inā loaʻa ka overdose, e mālama koke ʻia e ka hui lapaʻau me ka mālama kākoʻo, ka nānā pono ʻana, a me ka mālama ʻana i nā hopena maʻi. ʻO kēia kekahi o nā kumu i koi ai ke kaʻina hana i ka haukapila no ka nānā ʻana.
ʻAʻole pili kēia nīnau i ka injection chymopapain no ka mea he hana hoʻokahi ia i hana ʻia ma kahi keʻena lapaʻau, ʻaʻole he lāʻau lapaʻau āu e lawe ai ma ka home ma kahi papa. Ke loaʻa iā ʻoe ka injection, e hana mau ka enzyme e wāwahi i ka mea disc i nā pule a me nā mahina e hiki mai ana.
ʻAʻole ʻoe e
ʻO ka hapa nui o nā maʻi i loaʻa i ka chymopapain injection me ka ʻole o nā pilikia i loaʻa ka hoʻomaha lōʻihi mai ko lākou ʻeha e pili ana i ka disc. Eia naʻe, ua loaʻa i kekahi poʻe nā pilikia lōʻihi, me ka ʻeha hope mau, ka liʻiliʻi o ka neʻe ʻana o ka iwi kuamoʻo, a i ʻole nā ʻano maʻi maʻi. ʻO ke ʻano mau o ka wāwahi ʻana o ka mea disc, ʻo ia hoʻi, ʻo nā hopena, maikaʻi a maikaʻi ʻole, he mea mau ia. ʻO kēia kekahi kumu e makemake nui ʻia ai nā lāʻau lapaʻau hou, hiki ke hoʻohuli ʻia i kēia lā.