Ke hoʻolilo nei ka ʻeha ma kou kuʻekuʻe wāwae i ka hele wāwae a i ʻole ka holo ʻana i mea hiki ʻole ke hoʻomanawanui? Malia paha ua pilikia ʻoe i kahi ʻeha i hiki ʻole ke ho'ōla, ʻoiai he mau mahina ma hope o kahi kuʻekuʻe maʻalahi ma ke alapiʻi. Inā ʻaʻole i hāʻawi ka lāʻau lapaʻau a me nā lāʻau lapaʻau ʻē aʻe i ka hōʻoluʻolu, e ʻōlelo paha kāu kauka i ke ʻoki ʻana. E kūkākūkā kākou i ke ʻoki ʻana i ka kuʻekuʻe wāwae—ʻo ka ʻike i ka mea e manaʻo ai hiki ke hana i kahi ʻokoʻa nui i kou manaʻo e pili ana i ke kaʻina hana.
He aha ke ʻoki kuʻekuʻe wāwae?
I ka ʻōlelo maʻalahi, uhi kēia huaʻōlelo i kekahi kaʻina hana ʻoki i hana ʻia e mālama i kahi ʻeha a i ʻole ke ʻano e pili ana i kou kuʻekuʻe wāwae. ʻO kou hui kuʻekuʻe wāwae ka pilina paʻakikī ma waena o kou wāwae haʻahaʻa a me kou wāwae. ʻAʻole ia he hinge maʻamau wale nō; he ʻano paʻakikī ia i haku ʻia me nā iwi , i uhi ʻia e ke cartilage , i hoʻopaʻa ʻia e nā ligaments, a neʻe ʻia e nā ʻiʻo a me nā tendons . Inā ua hōʻino ʻia kekahi o kēia mau ʻāpana a ua hāʻule nā lāʻau lapaʻau ʻole, ua manaʻo ʻia ke ʻoki e hoʻihoʻi i ka hana a hōʻemi i ka ʻeha.
He aha nā kūlana i mālama ʻia me ke ʻoki kuʻekuʻe wāwae?
Nui nā kumu e pono ai ʻoe e hana ʻoki kino. Eia nā kūlana maʻamau:
| Kūlana | He wehewehe maʻalahi |
|---|---|
| ʻO ka ʻeha kuʻekuʻe wāwae | ʻO ke kaumaha a me ka haehae ʻana o ke cartilage hui, e alakaʻi ana i ka hakakā ʻana o ka iwi ma ka iwi, ka ʻeha, a me ka pehu. |
| Kuʻekuʻe wāwae | ʻO ka loli ʻana i ke ʻano o ka kuʻekuʻe wāwae ma muli o nā pilikia hānau mua a i ʻole nā ʻeha i hala. |
| Ka haki ʻana o ke kuʻekuʻe wāwae | Ua haki kekahi a ʻoi aku paha nā iwi e hana ana i ke kuʻekuʻe wāwae ma muli o kahi trauma. |
| Ka Pā ʻana o ke Kuʻekuʻe Kuʻekuʻe | Nā ʻiʻo palupalu a i ʻole nā ʻāpana iwi i hoʻopaʻa ʻia i loko o ke ami e hōʻeha ai, i kapa pinepine ʻia ʻo 'footballer's ankle'. |
| ʻO ka ʻeha o ka ʻūhā | ʻO ka mumū a me ka ʻeha ma nā ʻaʻa e hoʻopuni ana i ka kuʻekuʻe wāwae. |
| Nā ʻŌpae Iwi | Ke ulu nei nā iwi a puni ke hono. |
| Ka paʻa ʻole o ke kuʻekuʻe wāwae | ʻO nā ʻeha pinepine a me ka manaʻo o ka kuʻekuʻe wāwae 'hāʻawi ʻia' ma muli o ka nāwaliwali o nā ligaments. |
| Haehae ʻUmiʻumi | Ka haki ʻana o nā aʻalolo nui (e like me Peroneal a i ʻole Achilles). |
Nā Kaʻina Hana Maʻamau
Ma muli o kāu hōʻailona, hiki i kāu kauka ke kuhikuhi i kekahi o kēia mau mea:
1. ʻO ke ʻoki ʻana i ka haki o ke kuʻekuʻe wāwae
Inā haki kou kuʻekuʻe wāwae, hōʻoia kēia ʻoki kino e ho'ōla pono nā iwi. Hoʻohana nā kauka lapaʻau i nā papa metala, nā wili, a me nā uea e hoʻopaʻa i nā iwi haʻihaʻi i ko lākou kūlana kūpono i ko lākou hoʻoponopono ʻana. Inā ua hōʻino ʻia nā ligaments i ka ulia, hiki ke hoʻoponopono ʻia i ka manawa like.
2. ʻO ke ʻoki ʻana i ka kuʻekuʻe wāwae
Hoʻohana pinepine ʻia kēia no ka maʻi ʻāʻī koʻikoʻi. Wehe ke kauka lapaʻau i ke cartilage a me nā iwi i hōʻino ʻia, a laila hoʻohui i nā iwi i koe me ka hoʻohana ʻana i nā papa a me nā wili. I ka hala ʻana o ka manawa, hui pū nā iwi i hoʻokahi ʻāpana paʻa.
He mea nui e ʻike ʻoiai ʻo kēia ʻoki kino e hoʻopau pono i ka ʻeha o ka rumatika, e nalowale ana kekahi palupalu i kou kuʻekuʻe wāwae. Eia nō naʻe, hana nā kauka i kēia e hōʻoia i hiki iā ʻoe ke kū a hele me ka ʻoluʻolu me ka ʻole o ka ʻeha.
3. Ke kūkulu hou ʻana i ka ligament kuʻekuʻe wāwae
Hoʻolālā ʻia no ka poʻe me ka paʻa ʻole mau a i ʻole nā kuʻekuʻe wāwae 'wehe'. Hoʻopaʻa ʻia a hoʻoponopono ʻia paha nā ligaments, me ka hoʻohana pinepine ʻana i kahi kaʻina hana i kapa ʻia ʻo Brostrom . I nā hihia koʻikoʻi, hiki ke hoʻohana ʻia kahi tendon mai kahi ʻāpana ʻē aʻe o ke kino ma ke ʻano he graft.
4. Hoʻololi Kuʻekuʻe Kuʻekuʻe Holoʻokoʻa
E like me ke pani ʻana o ke kuli, ua ʻike ʻia kēia ʻo Arthroplasty. Hoʻoneʻe ʻia nā ʻāpana hui i hōʻino ʻia a hoʻololi ʻia me nā ʻāpana hana i hana ʻia me ka metala a me ka plastic. He hopena maikaʻi loa kēia no ka arthritis holomua a i ʻole ke ʻano deformity koʻikoʻi.
5. ʻO ke kuʻekuʻe wāwae Arthroscopy
He ʻano hana hoʻopilikia iki kēia. Hana ke kauka lapaʻau i nā ʻoki liʻiliʻi a hoʻokomo i kahi Arthroscope - he ʻōmole lahilahi me kahi kāmela - i loko o ke hui. ʻAe kēia i ke kauka lapaʻau e nānā i ke hui ma kahi monitor a hana i nā hoʻoponopono, e like me ka wehe ʻana i nā ʻiʻo palupalu a i ʻole ka hoʻomaʻemaʻe ʻana i ke cartilage i hōʻino ʻia, me ka ʻole o nā ʻoki nui.
Nā Pōʻino a me ka Hoʻōla Hou ʻana
E like me nā hana nui a pau, aia kekahi mau pilikia, ʻoiai he mea maʻamau ʻole lākou:
- Maʻi
- Nā ʻūpā koko
- Nā pilikia mai ka anesthesia
- Nā pilikia ho'ōla ʻeha
- Ka hōʻeha ulia pōpilikia i nā kīʻaha koko a i ʻole nā aʻalolo
E hoʻomanaʻo, he mea koʻikoʻi ka hoʻōla kino mau ma hope o ke ʻoki kino. Inā ʻaʻole, e lilo paha kou kuʻekuʻe wāwae i ʻoʻoleʻa a nāwaliwali.
He ʻeha anei ke ʻoki ʻana? E hoʻomaʻamaʻa ʻia ʻoe i ka wā o ke kaʻina hana, no laila ʻaʻole ʻoe e manaʻo i kekahi mea. E hāʻawi ʻia ka lāʻau hoʻomalu ʻeha ma hope e hōʻoluʻolu iā ʻoe.
Pehea ka lōʻihi o ka ho'ōla ʻana?
Aia ka ho'ōla ʻana ma ke kaʻina hana. Ma ke ʻano laulā, e noho ʻoe i loko o kahi ʻōpeʻa a i ʻole kāmaʻa lapaʻau no ʻelua a ʻeono pule , me ka hoʻohana ʻana i nā koʻokoʻo e mālama i ke kaumaha mai ka kuʻekuʻe wāwae. Ma hope o ka wehe ʻia ʻana o ka ʻōpeʻa, e hoʻomau ʻia ka hoʻōla kino no kekahi mau pule hou aʻe. Hoʻi ka nui o ka poʻe i nā hana maʻamau i loko o 8 a 12 mau pule , ʻoiai hiki i ka ho'ōla piha ke hala i ʻeono mahina a i hoʻokahi makahiki . E alakaʻi kāu mea mālama ola iā ʻoe ma o kēlā me kēia pae.
Leka Lawe-Home
- ʻAʻole pono ke ʻoki ʻana i nā ʻeha kuʻekuʻe wāwae a pau; ʻo nā koho conservative e like me ka lāʻau lapaʻau a me ka hoʻoikaika kino ke koho mua mau.
- Manaʻo ʻia ke ʻoki kino inā ʻaʻole holomua nā lāʻau lapaʻau conservative a inā paʻakikī ke kūlana.
- I kēia manawa, he mea maʻamau nā ʻano hana minimally invasive e like me Arthroscopy.
- He mea koi ʻia ka mālama ʻana i nā ʻōlelo aʻoaʻo a kāu kauka ʻoki kino a me ka hele ʻana i nā kau hoʻoikaika kino a pau no ka hoʻōla piha ʻana.
- E kamaʻilio ākea me kāu kauka ʻoki e pili ana i nā pilikia a me nā pono e pili ana i kou kūlana. Eia ʻo Nirogi Lanka e kākoʻo iā ʻoe—mai makaʻu e nīnau i nā nīnau; ʻo ka ʻike ʻana ke kaʻina mua i ka ho'ōla ʻana.
ʻOki Kuʻekuʻe wāwae, ʻEha Kuʻekuʻe wāwae, ʻĀʻī Kuʻekuʻe wāwae, Haʻihaʻi iwi, Haʻihaʻi Kuʻekuʻe wāwae, Lapaʻau Kino
