ʻAʻole anei i lawa ke koko i kou mau iwi? Ua kapa ʻia kēia he Avascular Necrosis a i ʻole Osteonecrosis!

Ua lohe paha ʻoe i ka mea e hana ʻia ke nalowale ke kahe koko o kou mau iwi? He mea weliweli iki ia, ʻeā? Akā, he mea ia e pono ai kākou e ʻike. I ka ʻōlelo maʻalahi, ke loaʻa ʻole i ko kākou mau iwi ke koko e pono ai, hoʻomaka mālie ka make ʻana o ka ʻiʻo iwi. ʻO ia ka mea a kākou e kapa nei he avascular necrosis a i ʻole osteonecrosis. E kamaʻilio hou aku kākou e pili ana i kēia?

No ke aha e hiki mai ai kēia i ko kākou mau iwi? He aha ka Avascular Necrosis?

E noʻonoʻo e pili ana i ia mea, e like me kēlā me kēia cell i loko o ko kākou kino, pono ko kākou mau iwi i ka oxygen a me nā meaʻai e ola a ikaika. ʻO wai ka mea lawe i kēia mau mea? Koko. ʻAʻole wale ko kākou mau iwi he mau ʻāpana pōhaku. He mau ʻiʻo ola lākou e hoʻohou mau ʻia ana, me nā cell kahiko e make ana a me nā cell hou e hana ʻia ana. E like me ka hoʻoponopono ʻana i kahi hale, e wāwahi ʻia ana nā paia kahiko a kūkulu ʻia nā mea hou, ʻo ia ka mea e hana ʻia i loko o nā iwi. Kāhea mākou i kēia hoʻoponopono hou ʻana o ka iwi . I kēia manawa e noʻonoʻo e pili ana i ia mea, he aha ka mea e hana ʻia inā no kekahi kumu e ālai ʻia a hoʻōki ʻia paha ke kahe koko i kēia mau iwi? E like me ka mae ʻana o kahi mea kanu i ka wā ʻaʻole i loaʻa ka wai, ʻaʻole i loaʻa i nā iwi ka meaʻai a me ka oxygen e pono ai lākou. A laila emi ka hana ʻana o nā cell iwi hou, akā e hoʻomau ka make ʻana o nā cell kahiko. Ma hope o kekahi manawa, lilo ka ʻāpana o ka iwi i loaʻa ʻole ke koko i nāwaliwali, palupalu, a hiki ke hiolo i ka hopena. E like me ka lāʻau i ʻai ʻia e nā ʻuku. ʻO ia ka mea a mākou e kapa nei (Avascular Necrosis).

Pehea ka maʻamau o kēia maʻi? ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana?

ʻOiaʻiʻo, ʻaʻole kēia he mea maʻamau loa, akā ʻaʻole ia he mea ʻole. No ka laʻana, ma kahi ʻāina e like me ʻAmelika, ua hōʻike ʻia ma kahi o 10,000 a 20,000 mau kānaka i kēlā me kēia makahiki e loaʻa i kēia maʻi. Hiki ke hana kēia i kekahi o kēlā me kēia makahiki, me ka nānā ʻole i ke kāne. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o ka poʻe ma waena o 30 a me 40 mau makahiki . ʻO ke ʻano kēia, pono nō hoʻi ka poʻe ʻōpio, ka poʻe hana e hopohopo e pili ana i kēia.

Ma hea kahi e hana pinepine ai ka Avascular Necrosis?

ʻOiai hiki i kēia maʻi ke hoʻopilikia i kekahi mau hono o ke kino, ʻike pinepine ʻia ia ma ka hono ʻūhā . ʻO kēia kahi e hui ai kou wāwae me kou ʻūhā. Eia kekahi, hiki iā ia ke hoʻopilikia i kekahi mau wahi ʻē aʻe. Eia kēia:

• Nā kuʻekuʻe wāwae
• Iwi ʻauwae
• Nā kuli
• Lima luna - humerus a me nā poʻohiwi

E noʻonoʻo e pili ana i ia mea, ʻo ka ʻūhā kekahi o nā hono kaumaha nui i loko o ko kākou kino. No laila, inā he pilikia e like me kēia ma laila, hiki ke paʻakikī ke hele a kū paha.

No ke aha e hana ai kēia (Avascular Necrosis)? He aha nā kumu?

I ka ʻōlelo maʻalahi, ʻo nā mea āpau e kāohi ana i ke kahe koko i nā iwi hiki ke hana i kēia. I kekahi manawa, ma kahi o 20% o nā hihia, ʻaʻohe kumu maopopo e loaʻa . Akā hiki ke hoʻokaʻawale ʻia nā kumu nui i ʻelua mau pūʻulu: 1. Traumatic Avascular Necrosis: Hana ʻia kēia i ka wā e haki ai ka iwi a hemo paha kahi hui i kahi ulia. A laila hiki ke hōʻino ʻia nā kīʻaha koko e hoʻolako ana i ka iwi. 2. Non-traumatic Avascular Necrosis:Hana ʻia kēia ke pilikia ke kahe koko i nā iwi, ma muli o kekahi maʻi ʻē aʻe a i ʻole ma muli o kahi lāʻau lapaʻau āu e lawe nei. ʻO ka mea kūikawā ma ʻaneʻi, ʻo ia ka wā e hana ʻia ai kēia, hoʻopilikia pinepine ia i nā hono like ma nā ʻaoʻao ʻelua o ke kino . No ka laʻana, inā he avascular necrosis kou ma kou poʻohiwi ʻākau, nui ka manawa e hana pū ʻia ma kou poʻohiwi hema.

He aha nā ʻano haki e hiki ai ke hoʻoulu i ka Traumatic Avascular Necrosis?

ʻAʻole hana kēia me nā haki āpau, akā ʻoi aku ka nui o ka pilikia o kekahi mau haki.

• Nā haki ʻūhā a me nā dislocations : Ua ʻōlelo ʻia ma kahi o 20% o ka poʻe e hiki ke loaʻa i ka avascular necrosis, ʻoiai ke dislocation ʻia ka hui ʻūhā. ʻO kēia no ka mea aia nā kīʻaha koko nui e hoʻolako ana i ke koko i ka iwi ʻūhā ma nā wahi koʻikoʻi loa.

He aha nā maʻi a me nā pilikia ʻē aʻe e hoʻoulu ai i ka Nontraumatic Avascular Necrosis?

Aia kekahi mau mea e hiki ai ke kumu i kēia:

• ʻO ka Osteoporosis : He maʻi e hoʻopau ai i nā iwi. ʻOi loa aku i nā wahine ʻelemakule (a me kekahi mau kāne), hiki i ka avascular necrosis ke ulu koke i ke kuli. Ua kapa ʻia hoʻi kēia ʻo `(SPONK - Spontaneous Osteonecrosis of the Knee)`.
• Nā maʻi koko: No ka laʻana, nā maʻi e like me ka anemia cell sickle . I loko o kēia mau maʻi, loli ke ʻano o nā hunaola koko ʻulaʻula a hiki iā lākou ke paʻa i loko o nā kīʻaha koko liʻiliʻi.
• ʻO ka maʻi diabetes : ʻOi aku ka nui o ka pilikia o ka poʻe me ka maʻi diabetes no ka mea hiki i ka maʻi diabetes ke hōʻino i nā kīʻaha koko.
• Nā lāʻau lapaʻau no ke kanesa : ʻO kekahi mau lāʻau lapaʻau no ke kanesa, ʻoiai ka radiation therapy , hiki ke hōʻino i nā kīʻaha koko ma ia wahi, e hana ai i ka avascular necrosis.
• Maʻi decompression : Ke piʻi wikiwiki nei nā mea luʻu kai hohonu, hiki ke hana ʻia nā pehu ea i loko o ke koko a paʻa i nā kīʻaha koko.
• HIV
• Lupus: He maʻi kēia o ka ʻōnaehana pale.
• Nā Hoʻoili Kino: Aia nō hoʻi kēia pilikia, ʻoiai ma hope o nā mea e like me nā hoʻoili puʻupaʻa. ʻO kekahi kumu no kēia kekahi o nā lāʻau lapaʻau i hoʻohana ʻia.

He aha nā mea i ko kākou nohona e hoʻonui ai i kēia pilikia?

Hiki i kekahi mau ʻano maʻamau ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i kēia (Avascular Necrosis).

• ʻO ka inu ʻona nui: ʻO ka inu ʻana i ka waiʻona nui e hoʻonui i ka waiho ʻana o nā momona i loko o ke koko a paʻa i nā kīʻaha koko.
• Puhipaka: He mea ʻino loa hoʻi ka puhipaka i nā kīʻaha koko.
• Ka hoʻohana lōʻihi ʻana i nā corticosteroids: No ka laʻana, nā lāʻau lapaʻau e like me `(Prednisone).` He mau lāʻau lapaʻau kēia i hāʻawi ʻia no nā maʻi he nui. Eia nō naʻe, i ka wā e lawe ʻia ai no ka manawa lōʻihi a ma nā dosis kiʻekiʻe, hiki ke loaʻa kēia mau ʻano hopena ʻaoʻao.

He aha nā hōʻailona o ka Avascular Necrosis?

ʻAʻole ʻike ʻia nā hōʻailona i ka manawa hoʻokahi. ʻAʻole paha ʻoe e ʻike i kekahi mea no nā pule a i ʻole nā ​​mahina. I ka hala ʻana o ka manawa, ʻike ʻia kēia mau hōʻailona:

• ʻEha e hele mai a hele aku: ʻEha e hele mai a hele aku, ʻoiai ke kau ʻia ke kaomi i ka iwi i hoʻopilikia ʻia, a laila emi iho ke wehe ʻia ke kaomi.
• Hoʻonui mālie i ka ʻeha a me ka ʻoʻoleʻa: Hiki ke ʻeha iki i ka wā mua, akā ma hope e lilo paha ka ʻeha i mea koʻikoʻi a paʻakikī paha ke hoʻoneʻe i ke ami.
• Ka palena o ka neʻe ʻana o ke ami: No ka laʻana, ma ke ʻano o ka poʻohiwi, lilo ia i mea paʻakikī ke hāpai i ka lima. Ma ke ʻano o ka ʻūhā, lilo ia i mea paʻakikī ke kulou a hoʻopololei paha i ka wāwae.
• Limping: Inā loaʻa kēia ʻano ma kou ʻūhā a kuli paha, hiki iā ʻoe ke limp ke hele ʻoe.
• Ka paʻakikī o ka piʻi ʻana i nā alapiʻi, ke kū ʻana, a me ka hele ʻana.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​pono ʻoe e ʻike i ke kauka .

Pehea e ʻike ai nā kauka i ka Avascular Necrosis?

Ke hele ʻoe i ke kauka, e nīnau mua lākou iā ʻoe e pili ana i kāu mau hōʻailona a nānā iā ʻoe. A laila e hana paha lākou i hoʻokahi a ʻoi aku paha o nā hoʻokolohua aʻe:

• Nā kukuna X-ray: Hiki iā lākou ke nānā i nā mea e like me nā haki a me ka rumatika. Eia nō naʻe, ʻaʻole paha e ʻike ʻia ka Avascular Necrosis ma nā kukuna X-ray i nā pae mua.
• MRI (Magnetic Resonance Imaging - MRI): ʻO kēia ka hoʻāʻo maikaʻi loa a koʻikoʻi loa no ka ʻike ʻana i ka Avascular Necrosis. Hiki i kahi MRI ke ʻike maopopo i nā loli liʻiliʻi loa i nā iwi, ʻoiai nā wahi i emi ai ke kahe o ke koko.

Pehea e mālama ʻia ai ka Avascular Necrosis?

Pili ka lāʻau lapaʻau i ka hōʻino ʻana i kou mau iwi.

Inā he liʻiliʻi ka pōʻino o nā iwi, no nā iwi liʻiliʻi, ʻaʻole e hāpai i ke kaumaha:

I kēia mau hihia, ʻaʻole pono paha ke ʻoki kino. Hiki i kāu kauka ke paipai i nā mea e like me:

• Nā ʻeke anu a me nā ʻeke wela (Nā ʻeke anu, Lapaʻau wela): E hōʻemi i ka ʻeha a me ka pehu.
• Hoʻomaha: He mea nui loa ia e hoʻomaha i ka hui i hoʻopilikia ʻia.
• Nā lāʻau anti-inflammatory nonsteroidal (NSAIDs): ʻO nā lāʻau ʻeha, e like me ka ibuprofen, e kāohi i ka ʻeha a me ka pehu.
• Hoʻōla kino:Nā hoʻomaʻamaʻa kino a me nā lāʻau ʻē aʻe e hōʻemi i ka ʻeha o nā hono a hoʻonui i ka laulā o ka neʻe ʻana.
• Nā mea kōkua hele wāwae: E hoʻohana i nā mea kōkua hele wāwae e like me ke koʻokoʻo a me nā lāʻau e hōʻemi i ke kaumaha ma luna o ke ami i hoʻopilikia ʻia.

(Avascular Necrosis) Inā koʻikoʻi ke kūlana, hana ʻoki kino:

I nā hihia he nui, ʻoiai inā aia ia i loko o kahi hui e hāpai ana i ke kaumaha e like me ka ʻūhā (avascular necrosis), pono ke ʻoki kino . Aia kekahi mau ʻano ʻoki kino e hiki ke hana ʻia:

• ʻO ka hoʻokaʻawale ʻana i ke koʻokoʻo: Ma kēia kaʻina hana, hana ke kauka lapaʻau i kekahi mau lua liʻiliʻi (cores) i loko o ka iwi i hoʻopilikia ʻia. Kōkua kēia i ka hoʻēmi ʻana i ke kaomi i loko o ka iwi a kōkua i ka ulu ʻana o nā kīʻaha koko hou. I kekahi manawa , hoʻohana ʻia nā hoʻopili iwi a i ʻole nā ​​​​​​inikini ʻē aʻe e wikiwiki i ka ho'ōla ʻana o ka iwi. He holomua wale nō kēia inā ʻike mua ʻia ka maʻi.
• Hoʻololi Hui: Pili kēia i ka wehe ʻana i ke hui i hōʻino ʻia a hoʻololi iā ia me kahi hui hana. ʻO nā Hoʻololi Hip a me nā Hoʻololi Knee ʻelua mau ʻokiʻoki holomua loa (ma kahi o 95%) e hōʻoluʻolu i ka ʻeha a kōkua i ka poʻe me Avascular Necrosis e hoʻihoʻi i ka neʻe maikaʻi.

Hiki ke pale ʻia ka Avascular Necrosis?

I kekahi manawa, ʻaʻole hiki ke pale ʻia kēia, ʻoiai inā he ulia ka mea i hana ʻia. Akā, aia kekahi mau mea hiki iā kākou ke hana e hōʻemi i ka pilikia:

• Ke haʻalele ʻana i ka puhipaka: He mea kēia āu e hana ai.
• E kaupalena i ka inu ʻana i ka waiʻona: ʻOi aku ka maikaʻi e hōʻemi iā ia i ka hiki.
• Ke kaohi ʻana i nā pae cholesterol: ʻAʻole maikaʻi ka hoʻonui ʻia o ka cholesterol i loko o ke koko no nā kīʻaha koko.
• Inā ʻoe e lawe ana i nā corticosteroids no kahi maʻi maʻi mau, e kamaʻilio me kāu kauka e pili ana i ka hōʻemi ʻana i ka nui. Mai hoʻōki i ka lawe ʻana i kāu lāʻau lapaʻau a hoʻololi paha i ka nui me ka ʻole o ka nīnau mua ʻana i kāu kauka.

Hiki ke ho'ōla loa ʻia ka Avascular Necrosis?

ʻO ka mea pōʻino, ʻaʻohe lāʻau lapaʻau no ka Avascular Necrosis. Hiki i ka lāʻau lapaʻau ke kāohi wale i ka holomua o ka maʻi a hōʻemi i ka ʻeha. Pono ka nui o ka poʻe i ke ʻoki ʻana, ʻoiai ke ʻoki pani hui. Hiki i ka poʻe me Avascular Necrosis ke loaʻa i ka osteoarthritis koʻikoʻi i ka hala ʻana o ka manawa.

Āhea wau e ʻike ai i ke kauka?

He maʻi ka avascular necrosis e ʻoi mālie ana ka ʻino i ka hala ʻana o ka manawa. Inā ua ʻike ʻia ʻoe me kēia maʻi, pono ʻoe e makaʻala pono i kāu mau hōʻailona, ​​ʻoiai ka ʻeha a me ka paʻakikī i ka neʻe ʻana. E ʻike koke i ke kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:

• ʻEha ʻaʻole e nalowale ma hope o ka hoʻomaha ʻana a i ʻole ka lawe ʻana i nā mea hoʻomaha ʻeha.
• Ua nui loa ka ʻeha a hiki ke paʻakikī ke hele a neʻe paha.
• Inā ʻoe e ʻōʻopa ana no ke kumu ʻole .

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

He mea maikaʻi ke nīnau i kēia mau nīnau ke hele ʻoe e ʻike i ke kauka:

• No ke aha i loaʻa ai iaʻu ka Avascular Necrosis?
• He aha ke ʻano lapaʻau kūpono loa iaʻu?
• He aha nā pilikia o kēia mau lāʻau lapaʻau?
• He aha ke ʻano o ka mālama ma hope o ka lāʻau lapaʻau e pono ai iaʻu?

He ʻeha loa ka Avascular Necrosis a he mea hoʻoweliweli i ke ola. Inā loaʻa iā ʻoe kahi maʻi e hoʻonui ai i kou pilikia o ka loaʻa ʻana o kēia maʻi, a inā ʻoe e lawe ana i nā lāʻau lapaʻau e hoʻonui ai i kou pilikia, e kamaʻilio me kāu kauka. Hiki iā ia ke wehewehe i nā hōʻailona o ka Avascular Necrosis iā ʻoe. Hiki i ka ʻike mua a me ka mālama ʻana ke kōkua i ka lohi o ka holomua o ke ʻano.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, e hōʻuluʻulu kākou i kekahi o nā mea e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

• ʻO ka Avascular Necrosis ka wā e pau ai ke kahe koko i nā iwi, a make nā iwi.
• ʻO ka mea maʻamau, hoʻopilikia kēia i ka ʻūhā , akā hiki ke hoʻopilikia i nā wahi e like me nā kuli a me nā poʻohiwi.
• Hiki ke hana ʻia kēia e nā mea e like me ka haki ʻana o ka iwi, kekahi mau maʻi (e like me ka maʻi diabetes, lupus), kekahi mau lāʻau lapaʻau (e like me corticosteroids), ka hoʻohana nui ʻana i ka waiʻona, a me ka puhipaka .
• Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha pinepine, ka ʻoʻoleʻa o nā hono, a i ʻole ka ʻōʻō ʻana, e ʻike i ke kauka.
• ʻO ka MRI ke ala maikaʻi loa e ʻike ai i kēia.
• ʻO ka lāʻau lapaʻau e komo pū ana me ka hoʻomaha, ka lāʻau lapaʻau, ka hoʻoikaika kino , a i nā hihia koʻikoʻi, pono paha ke ʻoki kino (Core Decompression, Joint Replacement) .
• ʻOiai ʻaʻole hiki ke ho'ōla loa ʻia kēia, hiki ke kāohi ʻia ka maʻi inā ʻike mua ʻia a hoʻomaka ʻia ka lāʻau.

Inā he mau nīnau hou aku kāu e pili ana i kēia, mai kānalua e kamaʻilio me kāu kauka. E noho olakino!