He inikini no kou ʻeha kuli? E kamaʻilio kākou e pili ana i kēia Genicular Nerve Block!

Ke paʻakikī nei hoʻi iā ʻoe ke piʻi i nā alapiʻi, hele iki, a hana paha i nā hana o kēlā me kēia lā ma muli o ka ʻeha o ke kuli? Malia paha ua lawe ʻoe i nā lāʻau ʻeha, ua hele i ka hoʻōla kino, a ua hana i nā mea like ʻole, akā ʻaʻole i emi ka ʻeha ma kou kuli. Inā pēlā, i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau lapaʻau kūikawā a kāu kauka e kuhikuhi ai nou. Ua kapa ʻia kēia he 'Genicular Nerve Block.'

I ka ʻōlelo maʻalahi, he aha ka Genicular Nerve Block?

He mea maʻalahi loa ia. ʻO ka poloka aʻalolo genicular e pili ana i ka hoʻokomo ʻana i kahi lāʻau hoʻopau ʻeha i loko o kahi aʻalolo kikoʻī a puni kou kuli e lawe ana i ka ʻeha i kou lolo. Hāʻawi kēia inikini i ka hoʻomaha manawa pōkole mai ka ʻeha kuli. I kekahi manawa hiki ke lōʻihi kēia hoʻomaha. Hana pinepine ʻia ia ma ka hoʻohui ʻana i kahi anesthetic kūloko me kahi steroid.

Kōkua ʻia ko mākou hui kuli e ka nui o nā aʻalolo. Ma waena o kēia mau mea, ua pālahalaha ʻia kekahi mau lālā aʻalolo nui a puni ke kuli. ʻO kēia mau lālā aʻalolo liʻiliʻi ka mea a mākou e kapa nei ʻo 'Genicular Aʻalolo'. ʻO kēia nā aʻalolo a nā kauka e kuhikuhi nei i kēia lāʻau lapaʻau:

• ʻO ke aʻalolo genicular superolateral (SLGN)
• ʻO ke aʻalolo genicular Superomedial (SMGN)
• ʻO ke aʻalolo genicular inferomedial (IMGN)

I loko o kēia lāʻau lapaʻau, ʻoiai aia kekahi aʻalolo ʻē aʻe e like me kēia (ke aʻalolo Inferolateral genicular - ILGN), ʻaʻole ia i hoʻokomo ʻia. ʻO kēia no ka mea aia kokoke loa ia i kekahi aʻalolo nui ʻē aʻe (ke Aʻalolo Peroneal) he mea nui no ka neʻe ʻana o ko mākou mau wāwae, no laila ua hana ʻia kēia e pale aku i ka hiki ke hōʻino ʻia.

Āhea e hāʻawi ʻia ai kēia lāʻau pale?

ʻElua kumu nui no ka hoʻohana ʻana i kahi Genicular Nerve Block.

1. ʻEha kuli mau loa: Inā ua loaʻa iā ʻoe ka ʻeha kuli no ka manawa lōʻihi, ʻoiai ma muli o ke ʻano e like me ka Knee Osteoarthritis, a inā ʻaʻole i kāohi ʻia ka ʻeha me nā lāʻau lapaʻau maʻamau (e like me nā lāʻau ʻeha a me ka hoʻōla kino), hiki i kāu kauka ke kuhikuhi i kēia inikini.

2. No ka ʻeha ma hope o ke ʻoki kuli: Hoʻohana nā anesthesiologists i kēia inikini e kāohi i ka ʻeha nui ma mua a ma hope o ke ʻoki kuli nui, e like me ka arthroplasty kuli holoʻokoʻa. Hāʻawi ʻia kēia ma waho aʻe o ka anesthesia laulā.

He aha kāu e hana ai ma mua o ka mālama ʻana?

ʻAʻole pono kēia i ka hoʻomākaukau nui. Eia nō naʻe, i kekahi mau hihia, hiki i kāu kauka ke hoʻoholo e hāʻawi iā ʻoe i kahi mea hoʻomaha e kōkua iā ʻoe e hoʻomaha, ʻo ia hoʻi e hiamoe iki ʻoe. I kēia hihia, e aʻo ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no 6-8 mau hola ma mua o ka mālama ʻana. He mea nui hoʻi e loaʻa i kekahi e hoʻokele iā ʻoe i ka home ma hope o ka mālama ʻana.

Eia nō naʻe, e hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo maopopo e pili ana i kēia. E hahai pololei i kēlā mau ʻōlelo aʻoaʻo. Mai makaʻu e nīnau i kāu mau nīnau.

He aha ka mea e hana ʻia ke loaʻa iā ʻoe ka lāʻau pale?

He hana liʻiliʻi kēia maʻamau i hana ʻia ma kahi hoʻonohonoho outpatient, ma kahi o ka haukapila. ʻO ke ʻano kēia hiki iā ʻoe ke hoʻi i ka home ma hope koke iho o ka inikini. Eia ka mea e hana ʻia i ka wā o ka mālama ʻana:

• E hoʻomoe ʻia ʻoe ma luna o kahi moena kūikawā, me kahi uluna liʻiliʻi e kau ʻia ma lalo o ke kuli ʻeha a e kulou iki kou kuli.
• Hiki ke hāʻawi ʻia iā ʻoe ka lāʻau lapaʻau ma o ka laina IV e kōkua iā ʻoe e hoʻomaha.
• A laila e hoʻomaʻemaʻe pono ke kauka i ka ʻili ma kou kuli me kahi hopena antiseptic.
• A laila, hāʻawi ʻia kahi inikini liʻiliʻi o ka anesthetic kūloko e hoʻomānoino i ka wahi e hāʻawi ʻia ai ka inikini. I kēia manawa, hiki iā ʻoe ke manaʻo i kahi ʻeha iki i ka wā e komo ai ke kui.
• A laila, me ka hoʻohana ʻana i kahi mīkini scan kūikawā e like me ka ultrasound a i ʻole fluoroscopy , e ʻike ke kauka i kahi kikoʻī o ke aʻalolo e hoʻokomo ai i ka lāʻau lapaʻau.
• ʻO ka mea hope loa, ua hoʻokomo ʻia ka lāʻau lapaʻau e like me ka hiki i kēlā aʻalolo.

ʻElima a ʻumi mau minuke wale nō ka lōʻihi o ke kaʻina hana holoʻokoʻa. Ma hope o kēlā, hiki iā ʻoe ke hoʻomaha no kekahi manawa a hoʻi i ka home.

He aha nā pōmaikaʻi a me nā pilikia o kēia?

Nā Pōmaikaʻi

Aia kekahi mau pono e hiki ke loaʻa mai kēia lāʻau lapaʻau:

• Hoʻomaha iki a lōʻihi paha mai ka ʻeha , e maʻalahi ai ka hana ʻana i nā hana o kēlā me kēia lā.
• Hoʻemi ʻia ka pehu ʻana o nā aʻalolo e hoʻoulu ai i ka ʻeha, e kōkua ana iā lākou e ho'ōla.
• Loaʻa ka hōʻoluʻolu maikaʻi mai ka ʻeha ma hope o ke ʻoki ʻana.
• He koho maikaʻi ia no ka hoʻokele ʻeha no ka poʻe hiki ʻole ke hana ʻoki kuli ma muli o nā pilikia olakino ʻē aʻe.

Nā Pōʻino

E like me nā kaʻina hana lapaʻau āpau, aia kekahi mau pilikia e pili ana, akā he kakaikahi nā pilikia koʻikoʻi.

• Aia paha he pehu iki a he ʻeha paha ma kahi i inikini ʻia. Hoʻopau pinepine ʻia kēia i loko o hoʻokahi a ʻelua paha lā.
• I ka manawa pinepine, ʻo nā mea e hiki ke hana ʻia penei:
• Ka maʻi ma kahi i inikini ʻia.
• Ke kahe nei ke koko mai ka pūnaewele.
• Ka hoʻokomo ulia ʻana o ka lāʻau lapaʻau i loko o ke kīʻaha koko.
• Ka hoʻokomo ʻana i ka lāʻau lapaʻau i loko o ke ami kuli me ka ulia pōpilikia.
• I kekahi manawa, inā hele hewa ka lāʻau lapaʻau i kahi aʻalolo kokoke (ka Common Peroneal Nerve), hiki ke hana ʻia kahi kūlana i kapa ʻia ʻo 'foot drop' , kahi hiki ʻole ke hāpai ʻia ka wāwae mai ka kuʻekuʻe wāwae.

Pehea ka lōʻihi o ka hopena o ka lāʻau pale?

He pilikia kēia i loaʻa i nā kānaka he nui. ʻO ka ʻoiaʻiʻo, hiki ke ʻokoʻa loa ka hōʻoluʻolu mai kēia mai kēlā kanaka a kēia kanaka. Hiki i kekahi poʻe ke loaʻa ka hōʻoluʻolu no kekahi mau lā, aʻo kekahi poʻe e loaʻa ka hōʻoluʻolu no nā pule, nā mahina, a i ʻole hoʻokahi makahiki. Ma ka awelika, hiki iā ʻoe ke manaʻo i ka hōʻoluʻolu no kahi o 3 mahina. Eia nō naʻe, ʻaʻole paha e loaʻa i kekahi poʻe kekahi hōʻoluʻolu.

Āhea wau e ʻike ai i ke kauka?

Ma hope o ka loaʻa ʻana o ka lāʻau pale, inā loaʻa iā ʻoe kekahi mau hōʻailona hou, no ka laʻana, nā hōʻailona o ka maʻi e like me ka pehu ʻana, ka ʻulaʻula, a i ʻole ka pus ma kahi i inikini ʻia, a inā ʻike ʻoe i ka wela ʻē, ka mae ʻana, a i ʻole ka nāwaliwali , e hoʻomaopopo koke i kāu kauka.

Inā he mau hopohopo a kānalua paha kāu e pili ana i kēia lāʻau lapaʻau, e kamaʻilio ākea me kāu kauka e pili ana. E pane ʻo ia i kāu mau nīnau a pau.