Hele mākou, holo, kūlou i lalo e hāpai i kahi mea ma ka papahele, kū aʻe mai kahi noho, noho i lalo ... ʻEhia mau mea a mākou e hana ai i kēlā me kēia lā? Hana mākou i kēia mau neʻe a pau me ka maʻalahi. Akā i kēia lā e kamaʻilio mākou e pili ana i kahi hui koʻikoʻi a ikaika loa i loko o ko mākou kino e kōkua iā mākou mai hope o kēia mau mea a pau. ʻO ia ka hui ʻūhā, a i ʻole e like me kā mākou e ʻike nei, ʻo ka 'hui ʻūhā'.
I ka ʻōlelo maʻalahi, he aha kēia hui ʻūhā?
ʻO ke ami ʻūhā kahi e pili ai kou iwi ʻūhā (ka iwi lōʻihi loa o ko kākou ʻūhā) i kou pelvis, ke kino iwi nui a puni kou pūhaka. ʻO ka ʻoiaʻiʻo, ʻo ia ka lua o ka ami nui loa o ko kākou kino, ma hope o ko kākou ami kuli.
ʻO ka mea kūikawā e pili ana i kēia hui, ʻo ia ka 'hui pōpō-a-kuʻina.' E noʻonoʻo i kahi ʻāpana poepoe e like me ka pōpō i hoʻopaʻa ʻia i loko o kahi hakahaka poepoe e like me ke kīʻaha. Pēlā i hana ʻia ai kēia hui. ʻO ka ʻāpana e like me ka pōpō ma ka piko o kou iwi ʻūhā (femur) e komo i loko o kahi lua e like me ke kīʻaha i loko o kou pelvis. ʻO ia ke kumu e hiki ai iā mākou ke hoʻohuli, kūlou, a hoʻolōʻihi i ko mākou mau wāwae i aneane i kēlā me kēia ʻaoʻao.
I ka lāʻau lapaʻau, ua kapa ʻia kēia hui no kēia pilina. Kāhea mākou i ka ʻāpana kīʻaha o ka pelvis ʻo ka acetabulum. Ua kapa ʻia ka iwi ʻūhā ʻo ka femur. No laila, no ka hui pū ʻana o kēia mau mea ʻelua, ua kapa ʻia kēia hui ʻo ka 'acetabulofemoral joint'. Akā i ka wā e kamaʻilio ai mākou, pono mākou e ʻōlelo wale 'hip joint' a i ʻole 'hip joint'.
No laila he aha ka lawelawe a kēia hui e hāʻawi ai i ko mākou kino?
ʻAʻole kēia he wahi wale nō e hui ai nā iwi ʻelua. Hana ka hui ʻūhā i kahi hana koʻikoʻi loa no ko mākou kino.
- Ke hāpai nei i ke kaumaha o ke kino holoʻokoʻa: Ke kū nei kākou, ke hele, a i ʻole ke holo ʻana, ke hāpai nei kēia mau hono ʻelua i ke kaumaha holoʻokoʻa o ko kākou kino o luna a hāʻawi iā ia i ko kākou mau wāwae. E noʻonoʻo i ka nui o ia kuleana.
- Ke kōkua nei iā mākou e mālama i ko mākou kaulike: Ke kū mākou ma kekahi wāwae, hele, a hilinaʻi paha i kekahi ʻaoʻao, ʻo kēia hui, me nā ʻiʻo a puni ia, he kuleana nui ia i ka mālama ʻana iā mākou i ke kaulike a ʻaʻole e hāʻule.
- ʻAe ʻana i ka neʻe ʻana o nā wāwae: ʻO kēia ka pōmaikaʻi a mākou e ʻike nui ai. ʻO ke ʻano 'pōpō a me ke kuapo' o kēia hui e hiki ai iā mākou ke loaʻa kahi ākea o ka neʻe ʻana.
- E hāpai i kou mau wāwae i mua (Flexion)
- E hoʻolōʻihi i kou mau wāwae i hope (Extension)
- E hoʻohuli i kou mau wāwae a me kou mau pūhaka mai kēlā ʻaoʻao a i kēia ʻaoʻao (Rotation)
- E hoʻohuli i nā wāwae i loko o kahi pōʻai (Circumduction)
I ka ʻōlelo maʻalahi, pili kēia hui ʻūhā i ka aneane o nā neʻe āpau e hoʻohana ana i kou mau wāwae a i ʻole kou mau pūhaka.
He aha nā ʻāpana o ka hui ʻūhā?
Hana ʻia kēia hui kupaianaha me kekahi mau ʻāpana. Hana kēlā me kēia ʻāpana i kāna hana ponoʻī, ʻo ia ke kumu e hiki ai iā mākou ke hele a holo me ka ʻole o nā pilikia. E nānā kākou i kēlā mau ʻāpana.
| ʻĀpana o ka hui | Ka wehewehe a me ka hana |
|---|---|
| Nā iwi | Hoʻokumu ʻia kēia hui ma ka hui ʻana o ka femur a me ka pelvis. ʻO kēia nā ʻōnaehana kumu o ke hui. |
| ʻO ke iwi ʻili | Ua uhi ʻia ka ʻāpana pōpō-a-socket o ka iwi ʻūhā a me ka lua o ka pelvis me kēia ʻiʻo laumania a ʻālohilohi i kapa ʻia ʻo cartilage. E like me ka momona i loko o ka ʻenekini kaʻa, hiki iā ia ke neʻe mālie i nā iwi ʻelua me ka ʻole o ka hamo ʻana kekahi i kekahi. Hana pū ia ma ke ʻano he 'mea hoʻopūhoihoi', e omo ana i ka haʻalulu ke lele a holo mākou. |
| Nā ʻiʻo | He nui nā ʻiʻo ikaika loa a puni ka hui ʻūhā. ʻO kēia nā mea e hoʻoneʻe a hoʻopaʻa i ka hui. ʻO nā mea nui nā ʻiʻo gluteal, nā adductor, nā ʻiʻo iliopsoas, nā quadriceps, a me nā hamstrings. |
| Nā ligaments | Ua like kēia me nā kāʻei ikaika a palupalu e hoʻohui ana i nā iwi, e mālama ana i ke ami i paʻa a pale iā ia mai ka paheʻe ʻana. |
| Nā ʻūmiʻi | He mau kāʻei kēia e like me nā ligaments. Akā hoʻopili kēia i nā ʻiʻo i nā iwi. Ke ʻūlū kahi ʻiʻo, hoʻoili ʻia kēlā ikaika i ka iwi a neʻe ka neʻe ʻana ma o kēia mau tendons. |
| Nā aʻalolo | Loaʻa i ka hui ʻūhā ka ʻike mai nā aʻalolo nui ʻekolu. ʻO ia hoʻi, ʻike ia i nā mea e like me ka ʻeha a me ka hoʻopā. ʻO lākou nā aʻalolo femoral, obturator, a me superior gluteal. |
He aha nā maʻi a me nā pilikia maʻamau e hoʻopilikia ai i ka hui ʻūhā?
ʻOiai ʻo ka hui ʻūhā he ikaika loa a paʻa hoʻi, hiki ke hōʻino ʻia e nā ʻano maʻi like ʻole a me nā ulia. ʻO ka nui o kā mākou hoʻohana ʻana i kēia hui, ʻo ka nui o ka loaʻa ʻana o nā pilikia.
ʻO ka mea nui loa, inā loaʻa iā ʻoe kekahi ʻeha mau a ʻoluʻolu ʻole paha ma kou hui ʻūhā, mai hoʻowahāwahā iā ia. ʻO ka ʻimi ʻana i ke aʻo lapaʻau i ka manawa kūpono hiki ke pale i kahi pilikia nui.
E nānā kākou i nā pilikia maʻamau.
| ʻAno pilikia | Wehewehena |
|---|---|
| Nā Kūlana | |
| ʻO ka ʻāʻī o ka ʻūhā | ʻO kēia ka pilikia i loaʻa i nā kānaka he nui. Kāhea mākou iā ia he 'ʻaʻahu hui'. I ko mākou ʻelemakule ʻana, ʻo kēlā papa o ke cartilage a mākou i kamaʻilio ai e pau ana. ʻO ia ka osteoarthritis. Hoʻoulu kēia i ka ʻeha, ka ʻoʻoleʻa, a me ka paʻakikī i ka hoʻoneʻe ʻana i ke hui. |
| ʻOsteoporosis | ʻO kēia ka manawa e nāwaliwali ai nā iwi, hakahaka i loko, a haki maʻalahi. ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona i ka wā mua. ʻOiai ka hāʻule iki ʻana hiki ke kumu i ka haki ʻana o ka ʻūhā. Inā ʻoi aku ʻoe ma mua o 50, a inā paha he maʻi kēia i loko o kou ʻohana, he manaʻo maikaʻi e kamaʻilio me kāu kauka e pili ana i kahi hoʻāʻo mānoanoa o ka iwi. |
| ʻO ka Dysplasia Hip | He kūlana kēia e kū pinepine ana i nā keiki ʻōpio. ʻO kēia ka wā e kūpono ʻole ai ka pōpō a me ke kua o ka hui ʻūhā, a he palupalu iki. Inā ʻaʻole i ʻike ʻia a mālama ʻia i ka wā mua, hiki i nā kūlana e like me ka arthritis ke ulu aʻe ma hope o ke ola. |
| Nā ʻeha | |
| Nā ʻeha o ka ʻūhā | He mea maʻamau kēia i nā mea pāʻani haʻuki. Inā holo koke ʻoe a lele paha a hoʻolōʻihi i kahi ʻiʻo a puni kou ʻūhā, hiki iā ia ke haehae i kona mau olonā. Kāhea mākou i kēia he 'strained nerve'. |
| ʻO ka ʻūhā bursitis | He mau ʻeke liʻiliʻi piha i ka wai nā Bursa e hoʻopuni ana i nā hono. Kōkua lākou i ka hōʻemi ʻana i ka hakakā ma waena o nā ʻiʻo, nā tendon, a me nā iwi. Inā huhū a hōʻino ʻia paha kekahi o kēia mau bursa ma kekahi ʻano, hiki iā ia ke lilo i pehu a ʻeha. Ua kapa ʻia kēia he bursitis. |
| ʻŪhā i hemo | Inā hoʻokomo ʻia ka ikaika nui, e like me kahi ulia kaʻa koʻikoʻi, hiki i ka ʻāpana pōpō o ka femur ke puka i waho o ka lua pelvic. He ʻano ʻeha loa kēia e pono ai ka mālama koke ʻana. |
| ʻŪhā haʻihaʻi | Hiki i ka hāʻule ʻana a i ʻole ka ulia ke haki i ka piko o ke pelvis a i ʻole ka iwi ʻūhā. He mea koʻikoʻi loa kēia no kekahi ma luna o 65 mau makahiki i loaʻa i ka osteoporosis. Hiki ke hana ʻia kēia ʻano haki ʻoiai inā he mea maʻalahi e like me ka paheʻe a me ka hāʻule ʻana i loko o ka lumi ʻauʻau. |
Pehea ʻoe e ʻike ai i kahi pilikia me ka hui hip?
Loaʻa i nā kānaka a pau nā ʻehaʻeha liʻiliʻi i kēlā me kēia manawa. He mea maʻamau ke manaʻo iki he ʻoʻoleʻa ke ala ʻoe ma hope o ka noho ʻana i ka lā a pau. Eia nō naʻe, inā hoʻomau kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei no hoʻokahi a ʻelua paha pule, mai hoʻowahāwahā iā ia.
- ʻEha ʻūhā: Hiki ke hele mai kēia ʻeha mai loko mai o ka ʻūhā, ka ʻūhā, ka puʻupuʻu, a i lalo paha o ka ʻūhā.
- ʻOʻoleʻa o ke ami: He manaʻo oʻoleʻa i ke ami, inā paha i ke ala ʻana i ke kakahiaka, ma hope o ke noho ʻana ma ke kūlana like no kekahi manawa, a i ʻole i ka wā e neʻe ai.
- Pehu: Lilo ka ʻāpana a puni ke hono i pehu a mehana ke pā aku.
- Paʻakikī ke neʻe: ʻAʻole hiki ke hoʻoneʻe i kou wāwae me ka maʻalahi a me ka laumania e like me ma mua. Paʻakikī ke kau ʻana i nā kāmaʻa a me nā socks, a me ka mālama ʻana i kou wāwae i luna.
Inā loaʻa iā ʻoe kēia mau hōʻailona, a ke hoʻolilo nei ia i mea paʻakikī ke hana i kāu mau hana o kēlā me kēia lā, e ʻike pono i kāu kauka. E nānā ʻo ia iā ʻoe, e kauoha i nā hoʻokolohua e like me nā X-ray inā pono, a e hoʻoholo pono i ka mea i pilikia iā ʻoe a kuhikuhi i ka lāʻau lapaʻau e pono ai.
ʻOiai ke noʻonoʻo ʻole mākou i ia mea, ʻoiai ke hiamoe nei mākou, ke hana nei ka hui ʻūhā ma ke ʻano he kākoʻo no ko mākou kino. ʻO ia kekahi o nā hui nui loa a ikaika loa i loko o ko mākou kino. Ua lawa ka ikaika o kēia hui e kākoʻo iā mākou i ko mākou ola a pau. Eia naʻe, hiki ke hoʻopilikia ʻia e nā ulia a me nā ʻano maʻi like ʻole. No laila, ʻaʻole pono ʻoe e noho me ka ʻoluʻolu ʻole a me ka ʻeha. Inā manaʻo ʻoe ʻaʻole ikaika a paʻa paha kou hui ʻūhā e like me ka wā ma mua, e ʻike i ke kauka. A laila hiki iā ʻoe ke loaʻa ke kōkua āu e pono ai e ola hou.
Leka Lawe-Home
- He hui 'ball-and-socket' ikaika loa ka hui ʻūhā e hoʻopili ana i ko mākou iwi ʻūhā i ka pelvis.
- He mea nui kēia hono no ke kākoʻo ʻana i ke kaumaha o ko mākou kino, ka mālama ʻana i ke kaulike, a me nā neʻe nui a pau o nā wāwae.
- Inā mau nā hōʻailona e like me ka ʻeha, ka ʻoʻoleʻa, ka pehu ʻana, a i ʻole ka paʻakikī i ka neʻe ʻana i kou ʻūhā no hoʻokahi a ʻelua paha pule, mai hoʻowahāwahā iā ia a e ʻike koke i kāu kauka.
- ʻO nā kūlana e like me ka osteoarthritis, osteoporosis, a me nā ʻeha e like me ke kaumaha o nā ʻiʻo a me nā haki, hiki ke hoʻopilikia pinepine i ka hui ʻūhā.
- E mālama i kou mau hono. Inā loaʻa iā ʻoe kekahi mau pilikia, ʻo ka ʻimi ʻana i ke kōkua lapaʻau i ka wā mua e hiki ke kōkua iā ʻoe e loaʻa ka hōʻailona kūpono a me ka lāʻau lapaʻau, a pale i nā maʻi koʻikoʻi.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo