Ua ʻeha anei kou kuʻekuʻe wāwae no ka manawa lōʻihi? Malia paha ke manaʻo nei ʻoe i ka ʻūmiʻi a i ʻole ka ʻūmiʻi i ka wā e hele ana a piʻi paha i nā alapiʻi? A i ʻole ke ʻeha nei ʻoe i loko o kou kuʻekuʻe wāwae ʻoiai ʻoe e kū wale ana? ʻAʻole anei i hoʻomaikaʻi ʻia kēia kūlana ʻoiai ua lawe ʻoe i ka lāʻau lapaʻau a ke hana nei i ka hoʻōla kino? A laila ua haʻi aku paha kāu kauka iā ʻoe e pili ana i kahi ʻoki kino i kapa ʻia ʻo 'Ankle Arthroscopy'. ʻO ka lohe ʻana i kēia inoa ua hopohopo iki paha ʻoe. Ua manaʻo paha ʻoe, "ʻO kekahi ʻoki kino ʻē aʻe?" Akā, mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i nā mea āpau ma ke ʻano maʻalahi loa hiki iā ʻoe ke hoʻomaopopo.
He aha ka Ankle Arthroscopy?
I ka ʻōlelo maʻalahi, he ʻoki kino kēia e hana ʻia e like me ke nānā ʻana ma o kahi puka kī. ʻO ia ke kumu i kapa ʻia ai ʻo "ʻoki kino puka kī." Ma kahi o ka hana ʻana i kahi ʻoki nui ma kou kuʻekuʻe wāwae a wehe iā ia e like me ka wā ma mua, me kēia kaʻina hana, hana kāu kauka i kekahi mau ʻoki liʻiliʻi loa (ʻoi aku ka liʻiliʻi ma mua o ka hapalua ʻīniha) ma ka ʻili o kou kuʻekuʻe wāwae.
A laila, ma o kēlā ʻoki liʻiliʻi, ua hoʻokomo ʻia kahi mea hana kūikawā. Ua kapa ʻia ʻo ia he arthroscope . He ʻōmole lahilahi ia me kahi kāmela liʻiliʻi loa a me kahi kukui i hoʻopili ʻia iā ia. Hōʻike ʻia nā kiʻi mai kēia kāmela ma kahi pale nui (monitor), no laila hiki i ke kauka ke ʻike maopopo i nā mea āpau i loko o kou hui kuʻekuʻe wāwae, me nā iwi, nā cartilage, a me nā ligaments.
Ke ʻike ʻia kahi kikoʻī o ka pilikia, hoʻokomo ʻia nā mea hana ʻoki liʻiliʻi ma o kahi ʻoki liʻiliʻi ʻē aʻe e hoʻoponopono i ka pōʻino i loko o ke hono. ʻOiai ʻaʻole ia he ʻoki nui, he hana kēia e emi ai ke kaumaha.
ʻO wai ka mea e pono ai kēia ʻoki kino?
ʻO ka maʻamau, ke ʻeha ka kuʻekuʻe wāwae o ka mea maʻi, ʻaʻole kuhikuhi koke ke kauka iā lākou no ke ʻoki kino. Hoʻohana mua ʻia nā lāʻau lapaʻau ʻoki ʻole e like me nā lāʻau ʻeha, nā inikini steroid, a me ka hoʻōla kino.
Eia nō naʻe, inā ʻaʻohe o kēia mau mea e hāʻawi i ka hōʻoluʻolu kūpono mai kou ʻeha a me ka ʻoʻoleʻa, aia paha ka pilikia i loko o ke ami ponoʻī. ʻO ia ka manawa e noʻonoʻo ai kāu kauka i ka arthroscopy kuʻekuʻe wāwae. Inā paʻa ʻole kou kuʻekuʻe wāwae a hiki ʻole iā ʻoe ke hele, a inā ʻoe e ʻōwili pinepine i kou kuʻekuʻe wāwae, he hopena maikaʻi paha kēia ʻoki kino.
He aha nā kūlana e hiki ke mālama ʻia me ka Ankle Arthroscopy?
Hiki i kēia ʻoki puka kī ke hoʻoponopono i nā pilikia kuʻekuʻe wāwae he nui. E nānā kākou i nā kūlana nui i mālama ʻia me kēia ʻoki.
| Kūlana olakino | Ua wehewehe maʻalahi ʻia |
|---|---|
| ʻO ke kūpaʻa ʻole o ke kuʻekuʻe wāwae | I kekahi manawa, ma muli o kahi kīnā o nā iwi kuʻekuʻe wāwae a i ʻole ka nāwaliwali o nā ligaments, manaʻo ka kuʻekuʻe wāwae e like me ka "haʻalulu" a i ʻole "nalowale ka mana" i kou hele ʻana. Hiki i kēia ʻoki kino ke ʻike i ke kumu a hoʻoponopono iā ia. |
| Ka hoʻopilikia ʻana | Ke kau ʻia nā ʻiʻo a puni ke kuʻekuʻe wāwae i ke kaomi no ka manawa lōʻihi, pehu lākou a hoʻomaka e ʻeha. ʻO kēia ke kumu o ka paʻakikī o ke kuʻekuʻe wāwae a hiki ʻole ke kūlou a pololei paha. Hiki i kēia ʻoki kino ke wehe i nā ʻāpana e hoʻokumu ana i ka paʻakikī. |
| Ka wehe ʻana i nā ʻāpana iwi/cartilage haʻihaʻi a me nā ʻiʻo scar | Ma hope o kahi ulia, hiki i nā ʻāpana liʻiliʻi o ka iwi a me ke cartilage ke paʻa i loko o ke ami. Hiki i kēia ke hana i ka nui o ka ʻeha. Eia kekahi, hiki i ke ami ke paʻa ma muli o ka ʻiʻo ʻeha i makemake ʻole ʻia e hana ʻia i ka wā e ho'ōla ai kahi ʻeha. Hoʻopau kēia ʻoki kino i kēia mau ʻāpana i makemake ʻole ʻia a hoʻomaʻemaʻe i ke ami. |
| Nā Ligaments i haehae ʻia | Ua like nā ligaments me nā kaula laholio e hoʻopili ai i ko kākou mau iwi. Inā haehae ʻia kēia mau mea ma muli o kahi ulia a i ʻole ka hāʻule ʻana, ʻaʻole e hana pono ka kuʻekuʻe wāwae. Hiki i kēia ʻoki kino ke hoʻoponopono i nā ligaments i haehae ʻia. |
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
I mea e holomua ai ke ʻoki ʻana, pono ʻoe e mākaukau ma mua. He mea nui loa e hahai pololei i nā ʻōlelo a ke kauka.
| He aha e hana ai/e ho'ōki ai | No ke aha mai kēlā? (Kumu) |
|---|---|
| Nā mea hoʻokahe koko | E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (me nā huaora a me nā mea hoʻohui). Hiki i nā lāʻau hoʻokahe koko (e.g., aspirin, warfarin) ke hoʻonui i ke kahe koko i ka wā a ma hope o ke ʻoki ʻana. E haʻi aku kāu kauka iā ʻoe i ka wā e hoʻōki ai i ka lawe ʻana iā lākou. |
| Puhipaka | Inā he mea puhi paka ʻoe, he mea nui e hoʻōki i ka liʻiliʻi o ʻehā pule ma mua o ke ʻoki kino. Hoʻopaneʻe nui ka puhi paka i ka ho'ōla ʻana o nā ʻeha. |
| ʻAila | Hiki i ka waiʻona ke hoʻomāmā i ke koko, no laila e pale loa i ka waiʻona no kekahi mau lā ma mua a ma hope o ke ʻoki ʻana. |
| Hoʻokē ʻai | ʻOiai ʻoe e hoʻomaʻi ʻia ana no ke ʻoki ʻana, ʻoi aku ka maikaʻi o ka ʻole e ʻai a inu paha i kekahi mea no kekahi mau hola (ʻo ka maʻamau he 8-12 mau hola) ma mua o ke kaʻina hana. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī no kēia. |
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
Ma hope o kou lawe ʻia ʻana i ke keʻena hana, e hāʻawi ke kauka hoʻomaha iā ʻoe i ka hoʻomaha. Hiki ke hana ʻia kēia ma nā ʻano ʻelua:
1. Anesthesia Laulā: Ma kēia, e hiamoe loa ʻoe a hiki i ka pau ʻana o ke ʻoki ʻana. ʻAʻole ʻoe e manaʻo i kekahi mea.
2. Anesthesia ʻĀpana: Hoʻomāno wale kēia i ka ʻāpana ma lalo o kou pūhaka a i ʻole a puni kou mau kuʻekuʻe wāwae. Ua ʻike ʻoe, akā ʻaʻole ʻoe e ʻeha.
Ma hope o ka anesthesia, hana ke kauka lapaʻau i kekahi mau ʻoki liʻiliʻi ma ke kuʻekuʻe wāwae a hoʻokomo i kahi arthroscope e nānā i loko o ke hui. Ke ʻike ʻia kahi kikoʻī o ka pilikia, hoʻokomo ke kauka lapaʻau i nā mea hana e pono ai ma o nā ʻoki ʻē aʻe e hoʻoponopono ai i ka pōʻino. ʻO ka maʻamau, hoʻokahi hola ka lōʻihi o ke kaʻina hana holoʻokoʻa. Eia nō naʻe, hiki ke loli kēia manawa ma muli o kou kūlana.
He aha ka Debridement?
Hiki paha iā ʻoe ke lohe i kēia huaʻōlelo ke kamaʻilio e pili ana i ke ʻoki kino. ʻO ke ʻano o ka debridement ʻo ia hoʻi ka 'hoʻomaʻemaʻe'.. E noʻonoʻo i kahi lumi i loko o kou hale he lepo. Malia paha he pono e hoʻomaʻemaʻe iki ʻia. Malia paha he pono e hoʻomaʻemaʻe pono ʻia. ʻO kēlā me kēia ʻano, ua like ka hopena hope loa, a he lumi maʻemaʻe a maʻemaʻe hoʻi ia. ʻO ka debridement kekahi mea like. ʻO kēia ka manaʻo o ke kauka ma ka wehe ʻana i nā ʻiʻo pono ʻole, hōʻino ʻia, nā ʻāpana iwi, a me nā ʻāpana cartilage mai loko mai o kou hui kuʻekuʻe wāwae a me ka 'hoʻomaʻemaʻe' ʻana i ka hui.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
He hana maʻamau kēia no ka poʻe ma waho o ka haukapila . E nānā ʻia ʻoe no kekahi mau hola ma hope o ke kaʻina hana a laila e ʻae ʻia e hoʻi i ka home. E wehewehe ke kauka a kahu maʻi paha iā ʻoe i ka mea e pono ai ʻoe e hana ma hope o kou hoʻi ʻana i ka home.
- Mai kau i ke kaumaha ma luna o ka wāwae i ʻoki ʻia no nā pule mua. Pono ʻoe e hoʻohana i nā koʻokoʻo no kēia.
- E hoʻoluʻu i ka hau a hoʻokiʻekiʻe i kou kuʻekuʻe wāwae: ʻO ka hoʻokiʻekiʻe ʻana i kou wāwae, e like me ka noho, hiki ke kōkua i ka hōʻemi ʻana i ka pehu. ʻO ka hoʻoluʻu ʻana i kou kuʻekuʻe wāwae no 15-20 mau minuke i nā manawa he nui i ka lā he mea maikaʻi nō hoʻi no ka ʻeha a me ka pehu.
- E mālama i ka ʻeha maʻemaʻe: Pono e uhi ʻia nā ʻoki a mālama ʻia i ka maʻemaʻe. E uhi iā lākou me kahi uhi pale wai i ka wā e ʻauʻau ana. ʻAʻole ia he manaʻo maikaʻi e ʻauʻau a hele paha i nā loko ʻauʻau a hiki i ka wā e ola ai nā ʻeha.
- Nā lāʻau hoʻopau ʻeha: E lawe i nā lāʻau hoʻopau ʻeha (e like me NSAID) i kauoha ʻia e kāu kauka i ka manawa kūpono.
- ʻŌpala: No nā pule mua, e noi ʻia ʻoe e ʻaʻahu i kahi ʻōpala a kāmaʻa paha e kaupalena i ka neʻe ʻana o kou kuʻekuʻe wāwae.
I loko o kekahi mau lā, e ʻike hou ke kauka iā ʻoe, e ʻoki i nā humuhumu, a e haʻi iā ʻoe i ka mea e hana ai ma hope. Ma hope o kēlā, pono ʻoe e hoʻomaka i ka hoʻōla kino . He mea nui kēia no ka hoʻihoʻi ʻana i ka ikaika a me ka neʻe ʻana i kou kuʻekuʻe wāwae.
He aha nā pōmaikaʻi o kēia ʻoki kino?
I ka hoʻohālikelike ʻia me nā ʻoki kino invasive, he nui nā pono o ka ankle arthroscopy.
He hana ʻoki kino kēia e hōʻino iki ai i ke kino a hāʻawi i nā hopena holomua loa. ʻO ia ke kumu e makemake ai nā kauka a puni ka honua i kēia ʻano hana.
- Hoʻōla wikiwiki: ʻOiai ʻaʻohe ʻeha nui, he pōkole loa ka manawa hoʻōla. Hiki iā ʻoe ke hoʻi hou i nā hana maʻamau i loko o kekahi mau pule.
- ʻEha iki: He liʻiliʻi loa ka ʻeha ma hope o ke ʻoki ʻana.
- Kahe koko liʻiliʻi a me nā ʻeha liʻiliʻi: ʻO nā ʻoki liʻiliʻi e hopena i ke kahe koko liʻiliʻi, a he kakaikahi wale nō nā ʻeha liʻiliʻi e ʻike iki ʻia.
- Haʻahaʻa ka pilikia o nā pilikia: Haʻahaʻa loa ka pilikia o nā pilikia e like me nā maʻi.
Aia kekahi mau pilikia?
E like me nā ʻoki kino āpau, aia kekahi mau pilikia, akā he mau kūlana kakaikahi loa kēia ʻaʻole i hana pinepine ʻia.
- Ka hopena maʻi i ka anesthesia
- Ka pōʻino o ke aʻalolo
- Nā ʻūpā koko, ʻoi aku hoʻi i loko o nā aʻa koko o nā wāwae (Deep Vein Thrombosis - DVT)
- Ka maʻi ʻeha
- Ke kahe nui ʻana o ke koko a i ʻole ka pehu ʻana
- ʻO ka ʻeha ma ka kuʻekuʻe wāwae a me ka wāwae
- Malia paha, inā ʻaʻole i hoʻoponopono loa ʻia ka pilikia, pono paha ke ʻoki kino ʻē aʻe.
Mai makaʻu i kēia mau pilikia. E hana kāu kauka i nā hana āpau e pono ai e hōʻemi i kēia mau pilikia.
Āhea wau e ʻike ai i ke kauka ma hope o ke ʻoki ʻana?
He mea nui e makaʻala i kou kino ma hope o kou hoʻi ʻana i ka home ma hope o ke ʻoki kino. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e kāhea koke aku i kāu kauka a i ʻole e hele i ka haukapila kahi i loaʻa ai iā ʻoe ka lāʻau lapaʻau.
- Inā ʻoe e loaʻa i ka ʻeha hiki ʻole ke hoʻomanawanui .
- Inā e kahe nui ana ke koko o ka ʻeha.
- Inā hoʻomau ka nausea a me ka luaʻi .
- Inā ʻike ʻoe i nā hōʻailona o ka maʻi (e like me ke kuni, ka ʻulaʻula, ka pehu, ka mehana a puni ka ʻoki, ka pus).
Leka Lawe-Home
- ʻO ka Ankle Arthroscopy kahi "keyhole surgery" holomua loa e mālama ai i nā pilikia kuʻekuʻe wāwae me ka liʻiliʻi o ka hōʻino ʻana i ke kino.
- He hopena maikaʻi kēia no nā kūlana e like me ka ʻeha kuʻekuʻe wāwae lōʻihi, ka ʻoʻoleʻa, a me ka paʻa ʻole i ho'ōla ʻia e nā lāʻau ʻē aʻe.
- Ke hoʻohālikelike ʻia me nā ʻoki kino nui, ʻoi aku ka liʻiliʻi o ka manawa hoʻōla, emi ka ʻeha, a emi mai nā pilikia.
- He mea nui no ka ho'ōla koke ʻana e hahai pono i nā ʻōlelo a ke kauka ma mua a ma hope o ke ʻoki ʻana.
- ʻO ka hoʻoikaika kino ma hope o ke ʻoki kino ʻo ia wale nō ke ala e hoʻihoʻi ai i ka ikaika piha a me ka hana o ka kuʻekuʻe wāwae.
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