Ua noʻonoʻo paha ʻoe pehea e loaʻa ai i ko kākou mau iwi, ʻoiai ke ʻano o ko lākou ikaika, ko lākou koko a me ke aʻalolo, a pehea lākou e ulu hou ai i ka wā e haki ai? Aia kekahi mea kūikawā a puni ko kākou mau iwi e kōkua ana i kēlā. ʻO ia ka mea a mākou e kapa nei he periosteum i ka ʻepekema lapaʻau. Ua like ia me kahi 'uhi' pale a hānai a puni ko kākou mau iwi. E kamaʻilio kākou e pili ana i kēia periosteum me nā kikoʻī hou aku i kēia lā, ʻae?
He aha ka mea e hana maoli ai i ka periosteum?
I ka ʻōlelo maʻalahi, hana kēia membrane (periosteum) i ʻekolu mau hana nui no ko kākou mau iwi. E nānā kākou i ko lākou ʻano.
1. Ke hoʻolako nei i ke koko i nā iwi
E noʻonoʻo, ua like ko kākou mau iwi me nā mea kanu. Pono pū lākou i ka meaʻai a me ka oxygen e ola a ikaika. ʻO kēlā meaʻai, ʻo ia hoʻi ke koko hou, me ka oxygen, e lawe ʻia mai iā kākou ma o nā kahawai koko liʻiliʻi i loko o kēia (periosteum). Hoʻopili ʻia kēia mau kahawai koko i ka ʻōnaehana kahe koko ma loko o ko kākou kino, e lawe mai ana i ke koko hou, waiwai i ka oxygen e pono ai ko kākou mau iwi.
2. Ke hāʻawi nei i ka manaʻo i nā iwi
Ua lohe anei ʻoe i kahi "pop" ke kuʻi ʻoe i kahi iwi? A i ʻole ka ʻeha nui e hele mai me ka haki ʻana o ka lima a i ʻole ka wāwae? ʻO kēlā manaʻo, kēlā ʻeha, i hana ʻia e nā aʻalolo i loko o kēia (periosteum). ʻO ia hoʻi, ʻo kēia aʻalolo ka mea e hāʻawi i ka 'sensation' i ko kākou mau iwi. Ma muli o kēia mau aʻalolo hiki iā kākou ke ʻike i kekahi ʻeha a i ʻole ka pōʻino i ko kākou mau iwi.
3. Ka ulu ʻana a me ka hoʻoponopono ʻana o ka iwi
He hana kupaianaha kēia o ka periosteum.
I ko kākou wā ʻōpiopio, i ko kākou wā pēpē, ulu mālie a hoʻolōʻihi ko kākou mau iwi. Hoʻokumu ʻia kahi ʻano cell kūikawā e kōkua ana i kēia, i kapa ʻia ʻo osteoblasts , i loko o kēia periosteum. ʻO kēia mau osteoblasts nā cell e hana i nā ʻiʻo iwi hou a hoʻoulu i nā iwi. E like me ke kūkulu ʻana i hale, hoʻohui ʻoe i nā piliki.
No laila, no ka mea e ulu mau ana nā iwi o nā pēpē a me nā kamaliʻi, he nui kēia mau pūnaewele (Osteoblasts) e hana nei i loko o kā lākou (Periosteum).
Akā i ko kākou wā e ulu ana, i ka wā e pau ai ka ulu ʻana o ka iwi, e emi iki ana kēia mau pūnaewele (Osteoblasts). Akā, e noʻonoʻo inā haki kou lima a i ʻole kekahi iwi ʻē aʻe, ma kahi ulia a hāʻule paha. A laila, e ala aʻe kahi ʻano pūnaewele kumu i kapa ʻia ʻo (nā pūnaewele Osteoprogenitor) e like me nā koa 'hiamoe' i loko o kēia (Periosteum) a hoʻomaka e hana hou i kēlā mau (Osteoblasts). ʻO ia ka manawa e ho'ōla hou ai ka iwi haʻihaʻi me ka nani, e hoʻokumu ʻia nā ʻiʻo iwi hou a hoʻopiha i kēlā hakahaka. ʻO ia hoʻi, i ka wā e hana ʻia ai kahi mea e like me ka haki iwi , ʻo nā pūnaewele i loko o kēia (Periosteum) e ho'ōla iā ia.
Aia ma hea kēia (periosteum)?
ʻO kaʻoiaʻiʻo, ʻo ka hapa nui o nā iwi i loko o ko kākou kino he membrane i kapa ʻia ʻo ka periosteum a puni lākou. Uhi ia i aneane nā ʻāpana āpau o nā iwi. Akā ʻelua wale nō wahi i nalowale ai. A ʻo ia hoʻi:
- Ma nā wahi i uhi ʻia ai nā wēlau o nā iwi me ke cartilage .
- Kahi e pili ai ko kākou mau ʻiʻo, nā ligaments, a me nā tendons i ko kākou mau iwi.
Aia anei nā iwi me ka ʻole o ka periosteum?
ʻAe, aia kekahi ʻano iwi. Ua kapa ʻia lākou (nā iwi Sesamoid) . He mau iwi liʻiliʻi kēia i hoʻokomo pinepine ʻia i loko o ko kākou mau ʻiʻo a i ʻole nā ligaments. Eia kekahi laʻana:
- Kou kuli (patella) .
- Kekahi o nā iwi liʻiliʻi ma nā lima a me nā pulima lima.
- Kekahi mau iwi liʻiliʻi ma nā wāwae.
ʻOiai ʻaʻohe kahe koko pololei o kēia mau iwi (nā iwi sesamoid) mai ka periosteum mai, inā ua hōʻino ʻia, ʻoi aku ka lōʻihi o ko lākou ho'ōla ʻana ma mua o nā iwi ʻē aʻe.
Nā Papa o ka Periosteum
Hana ʻia kēia membrane (periosteum) i ʻelua papa nui.
1. Papa waho: ʻO kēia ka mea pale. Mālama ia i ka papa o loko a me ka iwi ma lalo. Hana ʻia ia me nā olonā collagen . Aia ka hapa nui o nā kīʻaha koko a me nā aʻalolo i loko o ka periosteum ma kēia papa o waho.
2. Papa o loko: I kekahi manawa ua kapa ʻia kēia ʻo ka papa cambium . Loaʻa nā pūnaewele osteoprogenitor i ʻōlelo ʻia ma mua a me nā pūnaewele e ulu ana mai ia mau mea (osteoblasts) ma kēia papa. ʻO ia hoʻi, ke hana nei nā pūnaewele ma kēia papa i ka wā e ulu ana ka iwi a i ʻole ke ho'ōla ʻia ma hope o ka haki ʻana.
ʻO kahi mea nui, ʻoi aku ka mānoanoa o ka periosteum o nā keiki ʻōpio a me nā mākua ʻōpio no ka mea e ulu mau ana ko lākou mau iwi. I ko lākou wā ʻelemakule, i ka wā e pau ai ka ulu ʻana o ka iwi, e lahilahi iki kēia periosteum.
He aha nā (Periosteum), (Endosteum) a me (Perichondrium)?
ʻO kēia nā papa ʻekolu o nā ʻiʻo e hoʻopuni ana i ko kākou mau iwi. No ka mea hiki iā lākou ke lilo i mea huikau iki, e nānā kākou iā lākou ma ke kaʻawale.
- Periosteum: ʻO kēia ka uhi waho o nā iwi a mākou e kamaʻilio nei. Loaʻa iā ia nā kīʻaha koko, nā aʻalolo, a me nā ʻele e kōkua i nā iwi e ulu a ho'ōla.
- (Endosteum): He membrane nō hoʻi kēia. Akā, aia kēia ma loko o nā iwi, e uhi ana i ka lua kahi o ka iwi ʻiʻo.
- ʻO Perichondrium: Ua like loa kēia me ka Periosteum, akā uhi ia i ke cartilage ma nā wēlau o nā iwi. Kōkua ka Periosteum i ka ulu ʻana o nā iwi, a kōkua nā cell i loko o ka Perichondrium i ka ulu ʻana o ke cartilage hou ma kahi e pono ai ke cartilage.
Maopopo iā ʻoe ka ʻokoʻa ma waena o kēlā mau mea ʻekolu?
He aha nā maʻi maʻamau e hoʻopilikia ai i ka periosteum?
ʻElua mau pilikia nui e hoʻopilikia ai i ka periosteum.
1. ʻO ka periostitis
ʻO kēia ka inoa lapaʻau no ka mumū o ka periosteum. Ke hoʻohana nui ʻia nā ʻiʻo i hoʻopili ʻia i ka periosteum, ʻo ia hoʻi ke hoʻomau nei lākou i ka neʻe ʻana ma ke ʻano like, hiki i ka periosteum ke kaumaha a hoʻomaka e pehu a ʻeha.
ʻO kahi laʻana maikaʻi o kēia he mau shin splints.ʻO kēia ka ʻeha e puka mai ana mai ke alo o ka iwi ma ka ʻāpana shin no ka poʻe e pāʻani ana i nā haʻuki holo a me ka lele. Akā hiki i kēia kūlana (Periostitis) ke ulu ma kekahi wahi kahi i hoʻohana nui ʻia ai kekahi ʻiʻo (ka periosteum).
I kekahi manawa, hiki ke hana ʻia ka periostitis e nā maʻi . Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, pono ʻoe e ʻike i ke kauka a hele koke paha i ka haukapila:
- ʻEha nui kokoke i ka iwi.
- Ka hoʻokuʻu ʻia ʻana o ka pus a i ʻole kekahi wai ʻē aʻe.
- Kuni .
2. Nā haki iwi
He mea kēia a kākou a pau i ʻike ai. Ma ke ʻano lapaʻau, ua kapa ʻia ka iwi haki he haki iwi. ʻO ka maʻamau, loaʻa kēia mau mea i nā ulia koʻikoʻi e like me nā ulia kaʻa a me nā hāʻule ʻana. ʻO nā hōʻailona o ka haki iwi:
- ʻEha nui.
- Pehu.
- Ka palupalu.
- ʻAʻole hiki ke hoʻoneʻe i kahi ʻāpana o ke kino i hiki ke hoʻoneʻe ʻia ma ke ʻano maʻamau.
- Ka palapū a i ʻole ka loli ʻana o ka ʻili.
- ʻIke ʻia kahi puʻupuʻu a i ʻole ke ʻano kīnā i ʻike ʻole ʻia.
Inā ua loaʻa iā ʻoe kahi ulia a manaʻo ʻoe ua haki kou iwi, pono ʻoe e hele koke i kahi lumi pilikia .
He aha nā hoʻokolohua e hana ʻia e nānā ai i ka periosteum?
ʻO ka maʻamau, ʻaʻohe hoʻāʻo kikoʻī e nānā wale i ka periosteum. Hoʻopili pinepine nā hoʻāʻo i hana ʻia ma kou mau iwi i ka iwi holoʻokoʻa.
ʻO kahi hoʻāʻo maʻamau e nānā i ke olakino o ka iwi he hoʻāʻo mānoanoa o ka iwi . Ua lohe paha ʻoe iā ia ma ke ʻano he scan DEXA a i ʻole DXA scan. Hoʻohana ia i nā kukuna X-pae haʻahaʻa e ana i ka ikaika o kou mau iwi. Hoʻohana ʻia ia e ana i ka nalowale o ka iwi i kou wā ʻelemakule.
Inā loaʻa iā ʻoe kahi haki, pono paha i kāu kauka a kauka paha nā hoʻokolohua kiʻi e like me kēia:
- Nā kukuna X
- Kiʻi Hoʻohui Magnetika (MRI)
- ʻIke CT (ʻIke CT - ʻIke Tomography i hoʻopili ʻia)
Inā kānalua kāu kauka he maʻi kou a he pilikia ʻē aʻe paha, hiki iā lākou ke lawe i kahi ʻāpana ʻiʻo a hana i kahi biopsy .
Pehea e mālama ai i ke olakino o kou periosteum?
ʻO ka mālama ʻana i kou periosteum olakino, ʻo ia ka mālama ʻana i kou iwi holoʻokoʻa i ke olakino . He mea nui e hahai i kahi papaʻai maikaʻi, hoʻolālā hoʻoikaika kino, a me nā nānā mau ʻana me kāu kauka.
E hoʻomanaʻo i kēia mau ʻōlelo aʻoaʻo maʻalahi e pale iā ʻoe iho mai nā pōpilikia:
- E kau mau i ke kāʻei palekana i ka wā e holo ana i loko o ke kaʻa.
- E komo i nā lako palekana kūpono i ka wā e pāʻani ana i nā haʻuki a me ke komo ʻana i nā hana ʻē aʻe.
- E mālama i kou home a me kahi hana i maʻemaʻe a kaʻawale mai nā mea pono ʻole. E kōkua kēia i ka hōʻemi ʻana i ka pilikia o ka paheʻe a me ka hāʻule ʻana.
- Ke kūʻai ʻoe i kahi mea mai loko mai o ka hale,E hoʻohana i nā lako kūpono (e like me ke alapiʻi). Mai piʻi ma luna o nā noho, nā pākaukau, a i ʻole nā pākaukau.
- Inā pilikia ʻoe i ka hele wāwae a i ʻole ua pilikia nui ʻoe i ka hāʻule ʻana, e hoʻohana i kāu koʻokoʻo a mea hele wāwae paha.
ʻO ka mea hope loa, he aha nā mea e hoʻomanaʻo ai! (Leka Lawe-Home)
Manaʻo pinepine mākou he mau mea paʻa a make ʻole ko mākou mau iwi. Akā, he ʻōnaehana paʻakikī lākou o nā ʻiʻo ola . ʻO ka membrane e hoʻopuni ana i kou mau iwi, i kapa ʻia ʻo ka periosteum, kōkua iā lākou e ulu a ikaika. ʻO ia hoʻi ka mea e hoʻokuʻu i nā pūnaewele kūikawā e kōkua i ka ho'ōla ʻana iā lākou inā ʻoe e hōʻeha i kahi iwi.
No laila, e mālama pono i ke olakino o kou iwi. E kamaʻilio me kāu kauka a e aʻo e pili ana i nā ala e hoʻomau ai i ka ikaika o kou mau iwi. No ka mea, ʻo ka ikaika o kou mau iwi, ʻo ka liʻiliʻi o ka hōʻino ʻia ʻana i kahi ulia. ʻO nā iwi olakino ke kumu no ke ola olakino!
ʻO Periosteum, iwi, olakino o ka iwi, haki iwi, periostitis, ulu ʻana o ka iwi, lako aʻalolo











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