I kekahi manawa, ʻaʻole hiki ke hoʻomanawanui i ka ʻeha ma kou kuʻekuʻe wāwae i ka wā e hele ana a holo paha, ʻeā? I kekahi manawa, ʻo ka ʻeha e kū mai ana i kou piʻi ʻana i kahi alapiʻi a i ʻole ke hehi ʻana i kahi puʻupuʻu liʻiliʻi, ʻaʻole ia e ola ma hope o nā mahina o ka lawe ʻana i ka lāʻau lapaʻau a me nā ʻano lāʻau like ʻole. Inā ʻaʻole e emi ka ʻeha, hiki i kāu kauka ke kuhikuhi i ke ʻoki kino. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻoki kino kuʻekuʻe wāwae. ʻAʻohe mea e hopohopo ai, e ʻike ʻoe i ka nui o ka hōʻoluʻolu ke ʻike ʻoe e pili ana i ia mea.
He aha kēia ʻoki kuʻekuʻe wāwae?
I ka ʻōlelo maʻalahi, ʻo ia kekahi ʻoki kino i hana ʻia e mālama i kahi maʻi a i ʻole ʻeha ma kou kuʻekuʻe wāwae. E noʻonoʻo e pili ana i ia mea, ʻo ka hui kuʻekuʻe wāwae kahi e hui ai ka wāwae haʻahaʻa a me ka wāwae. ʻAʻole ia he hui wale nō. He ʻano paʻakikī a koʻikoʻi hoʻi i hana ʻia me kekahi mau iwi , cartilage a me nā ligaments e hoʻopaʻa pū ana iā lākou, a me nā ʻiʻo a me nā tendons e kōkua i ka hoʻoneʻe ʻana i ka hui. Manaʻo wale mākou i ke ʻoki kino inā he ʻeha i hana ʻia e ka hōʻino ʻana i kekahi o kēia mau ʻāpana a ʻaʻole holo pono nā lāʻau ʻē aʻe.
He aha nā kūlana i mālama ʻia me ke ʻoki kuʻekuʻe wāwae?
Aia kekahi mau kumu e pono ai ke ʻoki ʻana i ka kuʻekuʻe wāwae. E nānā kākou i nā kūlana nui e hana ʻia ai kēia ʻoki ʻana.
| Kūlana | He wehewehe maʻalahi |
|---|---|
| ʻO ka ʻeha kuʻekuʻe wāwae | Loaʻa ka ʻeha a me ka pehu ʻana i ka wā e mae ai ke cartilage o ke hono a hamo nā iwi kekahi i kekahi. |
| Kuʻekuʻe wāwae | Ka loli ʻana o ke ʻano o ka kuʻekuʻe wāwae ma muli o ka hānau ʻana a i ʻole ka ulia. |
| Ka haki ʻana o ke kuʻekuʻe wāwae | Ka haki ʻana o kekahi a ʻoi aku paha o nā iwi ma ke kuʻekuʻe wāwae ma muli o kahi ulia. |
| Ka Pā ʻana o ke Kuʻekuʻe Kuʻekuʻe | ʻEha i hoʻokumu ʻia e kahi ʻāpana iwi a ʻiʻo paha i paʻa i loko o ke hono. Ua kapa ʻia hoʻi kēia ʻo 'kuʻekuʻe wāwae o ka mea pôpeku'. |
| ʻO ka ʻeha o ka ʻūhā | ʻO ka pehu ʻana a me ka ʻeha ma nā ʻūlū kuʻekuʻe wāwae. |
| Nā iwi kui | Ka ulu ʻana o ka iwi keu a puni ke ami. |
| Ka paʻa ʻole o ke kuʻekuʻe wāwae | ʻO ka ʻeha pinepine o ke kuʻekuʻe wāwae, kahi manaʻo o ka wehe ʻana. Hoʻokumu ʻia kēia e ka nāwaliwali o nā ligaments. |
| Haehae ʻUmiʻumi | Ka haki ʻana o nā olonā nui e pili ana me ka kuʻekuʻe wāwae (e.g., peroneal a i ʻole ke olonā Achilles). |
He aha nā kaʻina hana ʻoki kino nui?
ʻAe, e nānā kākou i nā ʻano ʻoki kino like ʻole a ke kauka e kuhikuhi ai ma muli o kou kūlana.
1. ʻO ke ʻoki ʻana i ka haki o ke kuʻekuʻe wāwae
Hana ʻia kēia ʻoki kino e hoʻoponopono hou i ka iwi haki ma ke kuʻekuʻe wāwae. Pili ia i ka hoʻohana ʻana i nā papa, nā wili, a me nā uea e hoʻopaʻa i ka iwi haki ma kahi. I kekahi manawa, inā ua hōʻino ʻia ka iwi a me nā ligaments, hiki ke hoʻoponopono ʻia i ka wā o ke ʻoki kino.
2. ʻO ke ʻoki ʻana i ka kuʻekuʻe wāwae
Hana ʻia kēia no ka maʻi ʻāʻī holomua loa. Pili ia i ka wehe ʻana i ke cartilage a me ka iwi i hōʻino ʻia, ke kau ʻana i nā iwi ma luna a ma lalo o ke hono, a me ka hoʻopaʻa ʻana iā lākou me nā papa a me nā wili. I ka hala ʻana o ka manawa, hui pū nā iwi ʻelua, a lilo i iwi hoʻokahi.
ʻO ka mea nui loa, ʻoiai ua pau loa ka ʻeha o ka rumatika ma hope o kēia ʻoki kino, ua nalowale ke kūlou o ke kuʻekuʻe wāwae. Eia nō naʻe, hoʻoponopono nā kauka iā ia ma ke ʻano e hiki ai iā ʻoe ke hele a kū me ka ʻole o ka ʻeha.
3. ʻO ke ʻoki hana hou ʻana o ka ligament kuʻekuʻe wāwae
Hana ʻia kēia no ka poʻe e ʻeha pinepine ana ko lākou mau kuʻekuʻe wāwae a he 'kuʻekuʻe wāwae palupalu'. ʻO kēia no ka mea ʻaʻole e ho'ōla pono nā ligaments i haehae ʻia. Maanei, ua humuhumu ʻia a hoʻopaʻa ʻia nā ligaments nāwaliwali. Ua kapa ʻia kēia ʻano hana ʻo ke kaʻina hana Brostrom . I kekahi mau hihia koʻikoʻi, pono paha e hoʻoili ʻia kahi tendon i lawe ʻia mai kahi ʻē aʻe.
4. ʻO ke ʻoki hoʻololi kuʻekuʻe wāwae holoʻokoʻa
Ua like kēia me ke kau ʻana i kahi hui hana i loko o ke kuli. Kāhea mākou i kēia he arthroplasty. Maanei, ua wehe loa ʻia nā ʻāpana i hōʻino ʻia o ke kuʻekuʻe wāwae a ua pani ʻia me kahi hui hana i hana ʻia me ka metala a me ka plastic. He hopena maikaʻi kēia no ka maʻi ʻāʻī koʻikoʻi a me nā deformities.
5. ʻO ke kuʻekuʻe wāwae Arthroscopy
He hana ʻoki kino maoli kēia. ʻO ka hapa nui o ka manawa, hoʻāʻo nā kauka ʻoki kino e hana i ke ʻoki kino ma o kahi ʻoki liʻiliʻi e like me ka hiki. ʻO Arthroscopy kekahi o ia mau hana. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka hana ʻana i kahi ʻoki liʻiliʻi a hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela (arthroscope) ma loko o ia mea i loko o ka hui. A laila, hiki i ke kauka ke ʻike i loko o ka hui ma kahi monitor a hana i nā mea e like me ka wehe ʻana i nā ʻiʻo i paʻa a me ka hoʻomaʻemaʻe ʻana i ke cartilage.
E aʻo pū kākou e pili ana i nā pilikia a me ka manawa hoʻōla o ke ʻoki kino.
E like me nā hana ʻoki kino āpau, hiki i ke ʻoki kuʻekuʻe wāwae ke lawe mai i kekahi mau pilikia liʻiliʻi, akā ʻaʻole hana pinepine ʻia kēia mau mea.
- Maʻi
- Nā ʻūpā koko
- Nā pilikia o ka Anesthesia
- Nā pilikia ho'ōla ʻeha
- Ka hōʻeha ulia pōpilikia i kahi kīʻaha koko a i ʻole ke aʻalolo
Eia kekahi, e hoʻomanaʻo he mea nui loa ka hahai ʻana i ka physiotherapy ma hope o ke ʻoki ʻana. Inā ʻaʻole ʻoe e hana pēlā, e lilo paha kou kuʻekuʻe wāwae i ʻoʻoleʻa a nāwaliwali.
He ʻeha anei ke ʻoki ʻana? ʻAʻole. E hoʻomaʻemaʻe ʻia ʻoe i ka wā o ke ʻoki ʻana, no laila ʻaʻole ʻoe e ʻeha. E hāʻawi ʻia nō hoʻi iā ʻoe ka lāʻau lapaʻau e kāohi i ka ʻeha ma hope o ke ʻoki ʻana.
ʻEhia ka lōʻihi e ho'ōla ai?
ʻOkoʻa ka manawa hoʻōla ma muli o ke ʻoki ʻana. ʻO ka maʻamau, he ʻelua a ʻeono pule.Pono ʻoe e ʻaʻahu i kahi ʻōpeʻa a i ʻole kahi kāmaʻa kūikawā ma kou kuʻekuʻe wāwae no kekahi manawa. I loko o kēia manawa, he mea nui e hoʻohana i kahi kākoʻo e like me ke koʻokoʻo ma kahi o ka hoʻomaha ʻana i kou wāwae ma ka honua.
Ma hope o ka wehe ʻia ʻana o ke kāpili, e hala ana kekahi mau pule o ka hoʻōla kino e hoʻihoʻi i kou kuʻekuʻe wāwae i ke ʻano. Hiki i ka hapa nui o ka poʻe ke hoʻi i kā lākou hana maʻamau i loko o 8 a 12 mau pule . Eia nō naʻe, hiki ke hala i kēlā me kēia wahi mai ʻeono mahina a i hoʻokahi makahiki no ka ho'ōla piha ʻana o kou kuʻekuʻe wāwae. E aʻo aku kāu kauka iā ʻoe i kēia mau mea a pau.
Leka Lawe-Home
- ʻAʻole pono ke ʻoki ʻana i nā ʻeha kuʻekuʻe wāwae a pau. Hoʻāʻo mua ʻia nā lāʻau lapaʻau a me nā lāʻau lapaʻau kino.
- Manaʻo ʻia ke ʻoki kino ke holo pono ʻole nā lāʻau ʻē aʻe a inā paʻakikī ke kūlana.
- I kēia manawa, hoʻohana nui ʻia nā ʻano hana minimally invasive e like me ka arthroscopy.
- I mea e hoʻōla piha ai ma hope o ke ʻoki ʻana, he mea nui e hahai pono i nā ʻōlelo a ke kauka a me ka physiotherapy.
- E kamaʻilio ākea me kāu kauka e pili ana i ke ʻoki kino i kūpono loa no kou kūlana a me kona mau pilikia. Mai makaʻu, ʻoi aku ka maikaʻi o ka ʻike ʻia.
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