I kekahi manawa hiki iā ʻoe ke manaʻo i kahi ʻeha liʻiliʻi e puka mai ana mai kou ʻūhā a i ʻole ka ʻāpana groin. Ke lohe nei paha ʻoe i ke kani kaomi ʻana i kou hele ʻana a kūlou paha i kou wāwae, a i ʻole manaʻo ʻoe ua paʻa? Manaʻo ka poʻe he mea maʻamau kēia, he wahi ʻeha wale nō ma ke kino, akā he haehae paha ia i loko o ke cartilage ma ka hui ʻūhā. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi kūlana i kapa ʻia ʻo Acetabular Labral Tear, kahi i ʻike ʻole ʻia e ka poʻe he nui, akā he mea maʻamau.
He aha ka haehae labral hip?
I ka ʻōlelo maʻalahi, he hōʻino kēia i ke cartilage ma ka hui ʻūhā. E noʻonoʻo i ko kākou hui ʻūhā e like me ka hui pōpō a me ke kua. ʻO ka pōpō ka hopena o luna o kou iwi ʻūhā. Kūpono ia i loko o kahi ʻāpana e like me ke kua o ka iwi ʻūhā. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻo ka acetabulum.
I kēia manawa, a puni kēia kīʻaha (ʻo ia hoʻi, ka lua ʻūhā) aia kahi apo ikaika a palupalu o ke cartilage. Ua like ia me ke kaula laholio. ʻO kēia ka mea a mākou e kapa nei he labrum. ʻElua ona hana nui:
1. ʻOiai he uluna: Hana kēia ma ke ʻano he uluna no ke ami, e pale ana i nā iwi ʻelua (iwi ʻūhā a me ka iwi ʻūhā) mai ka hamo ʻana.
2. Ke hāʻawi nei i ke kūpaʻa: Kōkua pū kēia labrum i ka mālama ʻana i ka iwi wāwae o luna (femur) i paʻa a paʻa pono i loko o ka lua ʻūhā.
No laila, inā he pōʻino i kēia labrum, ʻo ia hoʻi, inā haehae ia, kapa mākou ia he haehae hip labral.
He aha nā kumu o kēia kūlana?
Nui nā kumu e haehae ai kēia labrum. I kekahi manawa hiki ke hana koke ʻia mai kahi ulia, a i ʻole ma muli o ka pōʻino e hana mālie ʻia i ka hala ʻana o ka manawa.
| Kumu | Wehewehena |
|---|---|
| Nā ulia pōpilikia | Hiki ke hana i kēia ma muli o ka hōʻino nui ʻana i ka hui ʻūhā, e like me ka hāʻule ʻana a i ʻole nā ulia kaʻa. |
| Ke pāʻani nei i nā pāʻani | ʻOi aku ka nui o ka pilikia o ka poʻe e pāʻani ana i nā haʻuki e pono ai ka hoʻohuli pinepine ʻana o ka hui ʻūhā (e like me ka pôpeku, kolepa, bowling wikiwiki i ka cricket, hula ballet). Hiki i ka holo wikiwiki ke hana i kēia. |
| Poino i ka hala ʻana o ka manawa | ʻO ka mea kupanaha, ʻo 75% o ka poʻe me kēia maʻi ʻaʻohe kumu kikoʻī . ʻO ke ʻano kēia, i ka hala ʻana o ka manawa, hiki i ke cartilage ma ka hui ʻūhā ke hōʻino mālie a haehae. |
| Nā kūlana olakino ʻē aʻe | ʻOi aku ka nui o ka pilikia o ka poʻe me kekahi mau ʻano kīnā o nā iwi ʻūhā (e.g., hip dysplasia). Pili pū kēia maʻi me ka osteoarthritis. |
Ua hōʻike ʻia e ka noiʻi he 22% o nā mea pāʻani e hoʻopiʻi nei i ka ʻeha o ka ʻūhā he haehae ko lākou ma kēia hui ʻūhā. Eia kekahi, he mea maʻamau loa kēia maʻi i waena o nā wahine.
He aha nā hōʻailona o kēia?
Hiki ke ʻokoʻa nā hōʻailona o kēia mai kēlā kanaka a kēia kanaka.
Loaʻa paha i kekahi poʻe kēia ʻano me ka ʻole o ka ʻoluʻolu ʻole, akā hiki i kekahi poʻe ke loaʻa ka ʻeha e hiki ʻole ai ke hana i nā hana o kēlā me kēia lā.
ʻO nā hiʻohiʻona nui e ʻike ʻia:
- ʻEha: He ʻeha ʻoi ma ka ʻāpana ʻūhā a i ʻole a puni ka ʻūhā. Hiki i kēia ʻeha ke pālahalaha i ka ʻūhā luna a i ʻole ka puʻupuʻu.
- 'Kaomi' a 'paʻa' paha: He leo 'kaomi' a 'popping' paha e puka mai ana mai ka hui ʻūhā i ka wā e neʻe ai i ka wāwae, ʻoiai i ka wā e kūlou ai a hoʻohuli paha. I kekahi manawa e like paha ka wāwae me he mea lā ua paʻa.
- Ka palena o ka neʻe ʻana: Ka palena o ka neʻe ʻana ma muli o ka ʻeha a me ka hiki ʻole ke hoʻoneʻe pono i ka hui ʻūhā.
Inā waiho ʻole ʻia kēia kūlana me ka mālama ʻole ʻia, hiki i ke kaomi keu ma luna o ke hono ke hoʻoulu i ka ʻaʻahu hou aʻe a me ka haehae ʻana i ka hala ʻana o ka manawa, e alakaʻi ai i ka hōʻino mau loa.
Pehea ʻoe e ʻike ai i kēia?
ʻO kaʻoiaʻiʻo, he paʻakikī iki ka ʻike ʻana i kēia maʻi. Ua hōʻike kekahi mau noiʻi ua ʻeha ka poʻe me kēia maʻi no nā makahiki ʻelua ma mua o ka loaʻa ʻana o kahi hōʻailona kūpono.
Ke hele ʻoe e ʻike i ke kauka, ʻo ka mea mua āna e hana ai, ʻo ia ke nānā pono iā ʻoe. Nānā ʻo ia i kou ʻūhā a noi iā ʻoe e kūlou a hoʻohuli i kou wāwae i nā ʻaoʻao like ʻole e ʻike inā he ʻeha.
A laila, e nānā inā aia kēia waimaka ma laila.Hiki ke noi ʻia ʻoe e hana i kahi mea e like me ka MRI scan, akā i kekahi manawa hiki ke paʻakikī ke ʻike maopopo i kēia mau hoʻokolohua.
ʻO kekahi ala maopopo e ʻike ai i kēia ma o ka arthroscopy . Pili kēia i ka hana ʻana i kekahi mau ʻoki liʻiliʻi loa a me ke komo ʻana i kahi mea hana liʻiliʻi i lako me ke kāmela i loko o ka hui ʻūhā e ʻike pololei inā he haehae i ka labrum. Hana pinepine ʻia kēia ma ke ʻano he ʻāpana o ke kaʻina hana ʻoki.
Pehea e mālama ʻia ai?
Inā ua ʻike ʻia ʻoe me ka haehae hip labral, e hoʻāʻo mua kāu kauka e mālama iā ia me ke ʻoki ʻole ʻana.
Lapaʻau ʻoki ʻole (Lapaʻau Hoʻomau)
- Hoʻomaha a me ka lāʻau lapaʻau: ʻO ka mea mua, e hoʻomaha i ka hui ʻūhā a hiki ke hāʻawi ʻia nā lāʻau ʻeha.
- Hoʻōla Kino: He mea nui loa kēia. E aʻo aku kekahi mea hoʻōla kino iā ʻoe pehea e hana ai e hōʻemi i ke kaumaha ma ke hono a me nā hoʻomaʻamaʻa e hoʻoikaika i nā ʻiʻo a puni ka ʻūhā. Ke ikaika kēia mau ʻiʻo, e hoʻonui ʻia ke kākoʻo i hāʻawi ʻia i ke hono.
Akā ʻo ka pilikia ma ʻaneʻi, ʻaʻole i loaʻa ka nui o ke koko i ka hapa nui o kā mākou labrum, no laila ua haʻahaʻa loa ka manawa e ho'ōla maoli ai kēia waimaka.
ʻoki kino
Inā ʻaʻole hāʻawi nā lāʻau lapaʻau i luna i ka hōʻoluʻolu, hiki i kāu kauka ke kuhikuhi iā ʻoe no ke ʻoki ʻana i ka ʻiʻo arthroscopic .
Hoʻokomo kēia i ke komo ʻana i kahi kāmela a me nā mea hana palupalu ma o ʻelua a ʻekolu paha mau ʻoki liʻiliʻi e wehe i ke cartilage i haehae ʻia (debridement) a i ʻole, i kekahi mau hihia, e hoʻoponopono i ka ʻāpana i haehae ʻia ma ke humuhumu ʻana iā ia.
Akā, aia kekahi mau mea e pono ai ʻoe e ʻike ma mua o ka hoʻoholo ʻana i kēia ʻoki kino:
- ʻAʻohe hōʻike maopopo e hiki i kēia ʻoki kino ke pale i ka maʻi ʻaʻai i ka wā e hiki mai ana.
- Aia kekahi hōʻike e hōʻike ana he haʻahaʻa iki ka holomua o kēia ʻoki kino i nā poʻe maʻi ma luna o 45 mau makahiki.
- E like me nā ʻoki kino āpau, aia kekahi mau pilikia, e like me ka hōʻino ʻana o nā aʻalolo no ka manawa pōkole.
- ʻOiai aia kahi hoʻomaikaʻi pōkole ma hope o ke ʻoki ʻana, he paʻakikī ke ʻōlelo i ka lōʻihi o kona mau ʻana. ʻO ka poʻe i loaʻa mua nā pilikia ʻē aʻe o ka ʻūhā (e like me ka arthritis) e emi paha ka nui o ka holomua mai ke ʻoki ʻana.
Ma hope o ke ʻoki ʻana, pono maoli ka hoʻoikaika kino e hoʻihoʻi i ka ikaika a me ka maʻalahi i ka hui.
No laila, ma mua o ke ʻoki ʻana, e kūkākūkā i nā pono a me nā pōʻino me kāu kauka. Inā hiki, he mea kūpono hoʻi ke kiʻi i ka manaʻo ʻelua mai kekahi loea ʻē aʻe.
Leka Lawe-Home
- Inā loaʻa iā ʻoe ka ʻeha mai kou ʻūhā a ʻūhā paha, me ke kani 'kāomi' a i ʻole ka paʻa ʻana, he Haehae Hip Labral paha ia.
- Hiki ke hana ʻia kēia kūlana e kahi ulia, ka pāʻani haʻuki, a i ʻole ka hoʻohana nui ʻana i ka hono i loko o kekahi manawa.
- He paʻakikī iki ka ʻike ʻana a pono paha kahi scan MRI.
- He mea nui ka hoʻomaha, nā mea ʻeha ʻeha, a me ka hoʻoikaika kino ma ke ʻano he lāʻau lapaʻau mua.
- Hoʻokahi wale nō koho o ke ʻoki kino. ʻAʻole like ka nui o ka holomua no kēlā me kēia kanaka. No laila e kamaʻilio pono me kāu kauka ma mua o ka hoʻoholo ʻana.
- ʻO ka mea nui loa, mai hoʻowahāwahā i ka ʻeha o ka ʻūhā. E ʻike pono i ke kauka no ka ʻōlelo aʻo.
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