Pale ʻana o ke aʻalolo Femoral - E kamaʻilio kākou e pili ana i kēia?

E noʻonoʻo ʻoe a i ʻole kekahi āu i ʻike ai e kokoke ana e hana ʻoki ʻia kou wāwae, ʻoiai kou kuli a ʻūhā paha. A i ʻole, e ʻōlelo kākou he maʻi koke kou a he iwi ʻūhā haki. I kēia lā e kamaʻilio mākou e pili ana i kahi ʻano hana kūikawā a nā kauka e hoʻohana ai e kāohi i ka ʻeha nui āu e manaʻo ai i ka manawa e like me kēia. Ua kapa ʻia kēia he 'Femoral Nerve Block'. Hiki paha iā ʻoe ke hopohopo iki ke lohe ʻoe e pili ana i kēia, akā he hana palekana loa ia a hoʻohana pinepine ʻia.

He aha ka poloka aʻalolo femoral ma nā huaʻōlelo maʻalahi?

I ka ʻōlelo maʻalahi, he inikini kēia o kahi lāʻau hoʻomaha ʻeha i loko o ka ʻāpana o kou ʻūhā i kapa ʻia ʻo ke aʻalolo femoral. Hiki i kēia ke hāʻawi i ka hoʻomaha ʻeha no ka manawa pōkole (analgesia) a i ʻole ka hoʻomānoʻo ʻana i ka wahi no ke ʻoki ʻana (anesthesia kūloko). Hiki i kēia ke lilo i inikini hoʻokahi manawa, a i ʻole hiki ke hāʻawi ʻia i loko o kekahi manawa.

ʻO kekahi o nā aʻalolo nui loa o kou wāwae ʻo ia ke aʻalolo femoral . Holo ia i lalo i mua o kou ʻūhā. ʻElua mau hana nui o kēia aʻalolo.

1. Hana hoʻoikaika kino: Kōkua iā ʻoe e hoʻoneʻe i kou mau pūhaka, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae.

2. Hana ʻike: Hiki iā ʻoe ke manaʻo i nā mea e like me ka hoʻopā ʻana, ka ʻeha, ka wela, a me ke anu.

Ke loaʻa iā ʻoe kahi poloka aʻalolo femoral, ua poloka ʻia nā hōʻailona ʻeha i kou lolo no kekahi manawa. Eia nō naʻe, hiki iā ʻoe ke manaʻo i kahi mae wale no kekahi manawa i kou ʻūhā a me nā ʻiʻo flexor hip i ka wā e hoʻomaka ai ka lāʻau.

I ka manawa hea e hāʻawi ʻia ai kēia lāʻau pale?

Hoʻohana nui nā kauka i kēia ʻano hana ma nā kūlana ʻelua: e hoʻomānoʻonoʻo i ka wahi i ka wā o ke ʻoki ʻana a e kāohi i ka ʻeha i nā pilikia.

I kekahi mau ʻoki kino, hiki i nā kauka ke hoʻoholo e hoʻohui i kēia poloka me nā ʻano poloka aʻalolo ʻē aʻe (e laʻa, poloka sciatic) a i ʻole ka anesthesia laulā.

Pehea e hana ai kēia kaʻina hana?

ʻAʻohe mea e hopohopo ai a makaʻu paha. Penei ka hana maʻamau o kēia kaʻina hana.

• ʻO ka mea mua, e hoʻomoe ʻia ʻoe ma luna o kahi moe.
• Hiki ke hāʻawi ʻia iā ʻoe kahi mea hoʻomaha ma o kahi laina IV e kōkua iā ʻoe e hoʻomaha a me ka manaʻo iki i ka hoʻomaha.
• E nānā pono ke kime lapaʻau i kou olakino ma o ke kaʻina hana, me ka nānā ʻana i kāu pae oxygen (me ka pulse oximeter), ka helu o ka puʻuwai (me ka EKG), a me ke koko.
• A laila, e ʻimi ke kauka i kahi kūpono e hāʻawi ai i ka inikini. Hiki ke hana ʻia kēia me ka hoʻohana ʻana i kahi scanner ultrasound .
• I kekahi manawa hiki ke hoʻohana ʻia kahi mīkini liʻiliʻi i kapa ʻia he nerve stimulator. Hoʻohana kēia i kahi nila liʻiliʻi i kau ʻia ma kahi kokoke i ke aʻalolo a hoʻouna i kahi hōʻailona uila, e ʻae ana i ke kauka e kuhikuhi i kahi kikoʻī o ke aʻalolo ke wili nā ʻiʻo o ke kuli.
• A laila, ma mua o ka hāʻawi ʻia ʻana o ka inikini poloka aʻalolo, ua inikini ʻia kahi liʻiliʻi o ka lāʻau lapaʻau e hoʻomāno i ka wahi . No laila, ʻaʻole ʻoe e ʻeha nui, a e ʻoluʻolu iki paha ʻoe ke komo ka nila.
• ʻO ka mea hope loa, ua hoʻokomo ʻia ka lāʻau lapaʻau poloka aʻalolo i loko o kahi kikoʻī i ʻike ʻia. Inā pono ka hoʻomau ʻana o ka lawelawe ʻana, ua kau ʻia kahi ʻōmole lahilahi a palupalu i kapa ʻia he catheter kokoke i ke aʻalolo a hoʻopaʻa ʻia i ka ʻili me kahi plaster.

He aha nā pono a me nā pilikia?

E like me nā lāʻau lapaʻau a pau, aia nā pono a me kekahi mau pilikia kakaikahi loa.

Nā Pōmaikaʻi Nui

ʻO ka pōmaikaʻi nui o kēia ʻano hana, hiki iā ia ke kaohi pono i ka ʻeha nui i hoʻokumu ʻia e nā ʻoki kino a me nā ulia.

• Ka emi ʻana o ka hoʻohana ʻana i nā lāʻau ʻeha pain ikaika:Hoʻemi kēia ʻano hana i ka hilinaʻi ʻana i nā lāʻau ʻeha ikaika e like me ka morphine (Opioids). He kōkua nui kēia i ka pale ʻana i nā hopena ʻaoʻao o nā opioids, hiki ke hoʻopili.
• Ka hiki ke haʻalele i ka haukapila i ka wā mua: Ma muli o ka mālama maikaʻi ʻia o ka ʻeha, hiki iā ʻoe ke hoʻi i ka home mai ka haukapila i ka wā mua.

Nā Pōpilikia Kakaikahi

He mau mea kākaʻikahi loa kēia, akā he mea nui e makaʻala.

• Ka hōʻino ʻana o ke aʻalolo no ka manawa pōkole a mau loa paha.
• Ka hopena maʻi i ka lāʻau lapaʻau.
• Hoʻokumu ʻia ʻana o kahi ʻōpū koko (hematoma) ma kahi i inikini ʻia.
• Ka maʻi ma kahi i inikini ʻia.
• Ka pilikia o ka hāʻule ʻana: He mea kēia e makaʻala ai. ʻOiai ʻo ka poloka e hoʻonāwaliwali i nā ʻiʻo ʻūhā, aia kahi kiʻekiʻe iki o ka pilikia o ka hāʻule ʻana i ke ala ʻana a me ka hele ʻana ma hope o ke ʻoki ʻana. No laila, e aʻo aku ke kime lapaʻau iā ʻoe pehea e pale aku ai i ka hāʻule ʻana.
• He mea laha ʻole ka Local Anesthetic Systemic Toxic akā he hopena koʻikoʻi paha. Akā, mai hopohopo , ua mākaukau loa kāu hui lapaʻau e mālama iā ia inā hana ia.

Pehea ka lōʻihi o kēia mae ʻana?

ʻOkoʻa paha ka lōʻihi o kēia ʻano mae ʻana mai kēlā kanaka a kēia kanaka. Nui nā kumu e hoʻopilikia ai iā ia. No ka laʻana, ʻo ke ʻano o ka lāʻau lapaʻau i hoʻohana ʻia, kona nui, a me kona ikaika e hoʻoholo ai i ka lōʻihi o kona mau ʻana. Ma muli o kou kūlana, hiki iā ʻoe ke loaʻa kahi manaʻo maopopo e pili ana i kēia mai kāu kauka.

I kekahi manawa, ʻaʻole paha e like ka maikaʻi o kēia ālai ʻana me ka mea i manaʻo ʻia. Inā hana ʻia kēia, e kōkua kāu hui lapaʻau iā ʻoe e ʻimi i nā ala ʻē aʻe e kāohi ai i kou ʻeha.

I ka manawa hea e pono ai iaʻu ke kāhea aku i ke kauka?

Inā loaʻa iā ʻoe kekahi mau hōʻailona hou a i ʻole nā ​​​​pilikia ma hope o ke ālai ʻana, e kāhea koke i kāu kauka . E makaʻala pono i kēia mau mea:

• Nā hōʻailona o ka maʻi (pehu, ʻulaʻula, kuni) ma kahi i inikini ʻia.
• Nā pilikia aʻalolo (ʻeha e like me ke kuni ʻana, nāwaliwali mau a i ʻole ka numbness).