He manamana wāwae nui ʻoʻoleʻa a ʻeha hoʻi kou? E aʻo kākou e pili ana i ke ʻoki ʻana o Cheilectomy

Ua ʻike anei ʻoe i ka ʻeha hiki ʻole ke hoʻomanawanui ma kou manamana wāwae nui i kou hele ʻana, ʻoiai ke komo ʻoe i nā kāmaʻa paʻa? Manaʻo ʻoe ʻaʻole hiki iā ʻoe ke kulou pono i kou manamana wāwae, manaʻo ia he ʻoʻoleʻa, paʻa ... manaʻo ia ua paʻa i loko o kahi pōhaku. ʻOiai paha e manaʻo ʻoe he mea maʻamau kēia, hiki ke kumu o kahi maʻi i loko o kou hui manamana wāwae nui. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi ʻoki kino i kapa ʻia ʻo `Cheilectomy`, kahi i hoʻohana ʻia a puni ka honua ma ke ʻano he hopena maikaʻi no kēia pilikia.

I ka ʻōlelo maʻalahi, he aha ka Cheilectomy?

ʻAe, e wehewehe maʻalahi kākou i kēia. ʻO Cheilectomy (puana ʻia ʻo 'kee-lek-to-mee') he hana ʻoki kino e pili ana i ka wehe ʻana i nā iwi spurs keu (i kapa ʻia ʻo 'bone spurs' ) e ulu ana ma luna o ka hui manamana wāwae nui. E noʻonoʻo iā ia e like me kahi ʻūpā puka e pale ai i kou manamana wāwae nui mai ke kūlou ʻana a i ʻole ka neʻe pono ʻana. No laila, ma ka wehe ʻana i nā iwi spurs, hiki i kou manamana wāwae nui ke kūlou a neʻe hou me ke kūʻokoʻa.

He aha ke ʻano o ke kūlana e hana ʻia ai ʻo Cheilectomy?

Hana nui ʻia kēia ʻoki kino no kahi maʻi i kapa ʻia ʻo 'Hallux Rigidus' . ʻO ke ʻano kēia he "manamana wāwae nui ʻoʻoleʻa" . ʻO "Hallux" ke ʻano o ka manamana wāwae nui, ʻo "Rigidus" ke ʻano o ka ʻoʻoleʻa. He ʻano mumū hui kēia e kū mai ana ma ka hui nui o kou manamana wāwae nui (i kapa ʻia ma ke ʻano lapaʻau he "metatarsophalangeal (MTP) joint"). ʻO ka ʻōlelo pololei, he ʻano "osteoarthritis" kēia e hoʻopilikia pū i nā hui e like me nā kuli a me nā pūhaka.

Ke loaʻa iā ʻoe kēia ʻano i kapa ʻia ʻo 'Hallux Rigidus', hoʻomaka nā iwi ʻeha (osteophytes) e hana ma luna o ke ami. ʻO kēia mau iwi ke kumu o ka ʻili e pehu ma luna o ke ami. No laila, ke kau ʻoe i kou mau kāmaʻa, paʻa kēia mau iwi i ka piko o ke kāmaʻa, e hōʻeha nui ai. Ma hope o kekahi manawa, hiki i kēia ʻeha ke hoʻolilo i ka hele wāwae i mea paʻakikī a ʻeha hoʻi.

Pono anei nā kānaka a pau e hana i ke ʻoki kino?

ʻAʻole. ʻAʻole e ʻōlelo koke ke kauka i ke ʻoki kino ke ʻike lākou ua loaʻa iā ʻoe kēia maʻi. E hoʻāʻo mua lākou e kāohi i ka ʻeha ma o nā ʻano hana ʻē aʻe me ke ʻoki ʻole a hāʻawi iā ʻoe i ka hōʻoluʻolu. ʻO ke ʻoki kino kahi koho hope loa inā hāʻule nā ​​​​mea ʻē aʻe.

Eia nā lāʻau lapaʻau i ʻōlelo pinepine ʻia ma mua o ke ʻoki ʻana:

Inā ʻaʻole e emi kou ʻeha me kēia mau lāʻau lapaʻau, a ke hoʻomau nei ʻoe i ka pilikia i ka hana ʻana i nā hana o kēlā me kēia lā, a laila e kamaʻilio kāu kauka me ʻoe e pili ana i kahi ʻoki kino 'Cheilectomy'.

He ʻelua mau mea like ʻole ʻo Cheilectomy a me Bunion Surgery?

ʻAe, aia kahi ʻokoʻa maopopo ma waena o nā mea ʻelua. He nui ka poʻe e huikau i nā mea ʻelua. Pili nā mea ʻelua i ka wehe ʻana i ka iwi keu, akā ʻo ka ʻokoʻa nui aia ma kahi o ka iwi spur.

E noʻonoʻo ʻoe he lumi ke ami o kou manamana wāwae nui.

• He hana ʻoki kino ʻo Cheilectomy i hana ʻia ma kahi puʻupuʻu ma luna o ka hale o ka hallux. Pili kēia i ka wehe ʻana i nā iwi spurs e hana ʻia ma luna o ke hono. Ua kapa ʻia kēia ʻano ʻo Hallux Rigidus.
• Hana ʻia ke ʻoki ʻana i ka bunion `(Bunionectomy)` ma kahi puʻupuʻu ma ka paia ʻaoʻao o ka hallux valgus. ʻO ia hoʻi, ua wehe ʻia kahi puʻupuʻu iwi `(bunion)` e hana ʻia ana ma ka ʻaoʻao (ʻaoʻao o loko) o ke hono. Kāhea mākou i kēia ʻano ʻo `Hallux Valgus`.

I ka ʻōlelo maʻalahi, ʻo ke ʻano o ke ʻoki ʻana i hana ʻia e pili ana i ka mea aia ka iwi spur ma luna a i ʻole ma ka ʻaoʻao o ke hui.

He aha ka mea e hana ʻia ma mua o ke ʻoki kino?

Ma mua o ka hoʻoholo ʻana i kahi lā no ke ʻoki kino, e nānā pono kāu kauka iā ʻoe.

• Hoʻokolokolo kino: ʻO ka mea mua, e nānā pono lākou i ka mamao e hiki ai iā ʻoe ke kulou i kou manamana wāwae nui i luna a i lalo, pehea ka ʻeha ke kulou ʻoe, a inā he pehu.
• Hoʻokolokolo X-ray: A laila lawe ʻia kahi X-ray e ʻike pono i ke ʻano o ke kūlana i loko o ke hono, pehea ka nui o ke cartilage i pau, a pehea ka nui o nā iwi spurs. Hoʻohana ʻia kēia ʻike e hoʻoholo ai inā kūpono ke ʻoki kino iā ʻoe.

E kamaʻilio iki kākou e pili ana i ke ʻano o ka hana ʻana o ke ʻoki kino.

I ka wā o ke ʻoki ʻana, hana ʻia kahi ʻoki liʻiliʻi ma luna o kou wāwae, ma luna o ka hono o ka manamana wāwae nui. A laila, ma o kēlā ʻoki ʻana, wehe pono lākou i nā ʻāpana iwi ʻeha e pale ana iā ʻoe mai ke kūlou ʻana i kou manamana wāwae.

Hiki ke hana ʻia kēia ʻoki kino ma nā ʻano nui ʻelua:

1. ʻO ka Cheilectomy hāmama

Ma kēia, hana ʻia kahi ʻoki nui iki, wehe ʻia ke hono i mea e ʻike maikaʻi ai, a wehe ʻia nā iwi kuʻi.

2. Cheilectomy Minimally Invasive

Ma kēia ʻano hana, ma kahi o kahi ʻoki nui, hana ʻia kekahi mau puka liʻiliʻi ma ka ʻili. A laila, hoʻokomo ʻia kahi mea hana kūikawā i kapa ʻia ʻo 'burr' ma o kēlā mau lua e wāwahi a wehe i nā iwi ʻoki. ʻO ka pōmaikaʻi o kēia ʻano hana, ʻo ia ka emi ʻana o ka ʻeha a me ka manawa ho'ōla wikiwiki iki paha.

Na kāu kauka e hoʻoholo i ke ʻano hana kūpono loa iā ʻoe.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino?

ʻAʻole kēia he hana ʻoki kino nui e pono ai ka noho ʻana ma ka haukapila no kekahi mau lā, no laila hiki iā ʻoe ke hoʻi i ka home i ke ahiahi hoʻokahi ( ʻoki kino outpatient ).

• He kāmaʻa kūikawā: Ma hope o kou hoʻi ʻana i ka home, pono ʻoe e komo i kahi kāmaʻa kūikawā no kekahi mau pule i ka wā e ho'ōla ai kou wāwae. E kōkua kēia i ka hoʻemi ʻana i ke kaumaha ma kahi ʻoki.
• Ka mana ʻeha: No ka kaohi ʻana i ka ʻeha, hiki i ke kauka ke ʻōlelo i kahi lāʻau hoʻomaha ʻeha e like me ka ibuprofen a i ʻole acetaminophen.
• Pehu: Hiki ke pehu iki kou wāwae. ʻOi aku ka maikaʻi o ka hoʻokiʻekiʻe ʻana i kou wāwae i ka hiki.

He aha nā pōmaikaʻi o kēia ʻoki kino?

ʻO ka pōmaikaʻi nui o ke ʻoki ʻana `cheilectomy` ʻo ia ka hōʻoluʻolu.

ʻAʻohe pilikia a pilikia paha?

E like me nā ʻoki kino āpau, aia kekahi mau pilikia e pili ana. Eia nō naʻe, he mea kakaikahi kēia, a hana nā kauka i kā lākou mea maikaʻi loa e hōʻemi iā lākou.

• ʻEha mau: Loaʻa paha i kekahi poʻe ke ʻeha i ka wā e kulou ai ko lākou manamana lima ma hope o ke ʻoki ʻana.
• Pono no ke ʻoki kino hou aʻe: I kekahi manawa, inā e ʻoi aku ka ʻino o ke kūlana o 'Hallux Rigidus', pono paha ʻoe e hana i ke ʻoki kino hou aʻe e mālama ai. Eia kekahi laʻana:
• ʻO ke kaʻina hana arthrodesis kahi hana ʻoki e hoʻohui pū ai i nā iwi o kahi hui.
• He ʻoki kino e hōʻemi i ke kaomi ma luna o ke cartilage i ʻeha o ka hui (ʻoki kino ʻo Moberg osteotomy) .
• Nā pilikia ʻē aʻe: E like me nā ʻoki kino āpau, aia kahi manawa liʻiliʻi o ka maʻi a me ka ʻeha. Hiki paha iā ʻoe ke ʻeha ma lalo o kou wāwae.

Mai hopohopo no kēia. E kūkākūkā pono kāu kauka i kēia mau mea me ʻoe ma mua o ke ʻoki kino.

ʻEhia ka lōʻihi e ola ai? Āhea wau e hoʻi ai i ka hana?

ʻOkoʻa ka manawa ho'ōla mai kēlā kanaka a kēia kanaka.

• Pehu: Hiki ke pehu iki kou wāwae no kekahi mau pule, a i ʻole nā ​​mahina, ma hope o ke ʻoki ʻana. He mea maʻamau kēia.
• Nā Kāmaʻa: Pono e ʻaʻahu ʻia kēlā mau kāmaʻa kūikawā no ka liʻiliʻi he ʻelua pule , a hiki i ka wā e ʻōlelo ai ke kauka iā ʻoe.
• Ke hoʻi ʻana i ka hana: Hiki i ka hapa nui o ka poʻe ke hoʻi i ka hana i loko o hoʻokahi a ʻelua paha mahina . Eia nō naʻe, inā koi kāu hana i ka nui o ka hele wāwae a kū paha, a inā ʻoi aku ka koʻikoʻi o kou ʻeha a me ka pehu ʻana, hiki ke lōʻihi iki ka manawa e hoʻi ai i ka hana. ʻOi aku ka maikaʻi o ke kūkākūkā ʻana i kēia me kāu kauka.

I ka wā e pono ai ʻoe e ʻike koke i ke kauka

Ke hoʻi ʻoe i ka home ma hope o ke ʻoki kino, e makaʻala i kēia mau hōʻailona. Inā loaʻa iā ʻoe kekahi o kēia mau mea, e kāhea koke aku i kāu kauka.

• Inā ʻulaʻula loa ka ʻili a puni ka ʻoki ʻia.
• Inā pehu nui kēlā wahi.
• Inā puka mai kahi wai melemele e like me ka pus mai loko mai o ka ʻoki.
• Inā loaʻa iā ʻoe ka ʻeha hiki ʻole ke hoʻomanawanui ʻia ʻoiai ke lawe nei ʻoe i nā mea hōʻeha lāʻau a inā paha e ʻoi aku ka ʻino o ka ʻeha i kēlā me kēia lā.
• Inā he kuni kou.

He mau hōʻailona paha kēia o kahi maʻi, no laila he mea nui e ʻimi koke i ka lāʻau lapaʻau.