Loaʻa iā ʻoe kēia ʻano ʻeha ma kou ʻūhā? E kamaʻilio kākou e pili ana i ka haehae labral hip!

Ua ʻike anei ʻoe i ka ʻeha nui, ka paʻa, a i ʻole ka ʻeha paʻa ma kou ʻūhā? Malia paha ʻoi aku ka ʻino o kēia ʻeha ke hele ʻoe, kūlou, a hoʻoikaika kino paha. Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​hiki ke loaʻa ma muli o ka hōʻino ʻia o ka labrum ma kou hui ʻūhā. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā.

He aha ka haehae labral hip?

I ka ʻōlelo maʻalahi, ʻo ka haehae ʻana o ka hip labral he ʻeha ia i ka labrum, he apo o ke cartilage i loko o kou hui ʻūhā. ʻAe, e nānā kākou i ke ʻano o kēia hui ʻūhā a me ka hana a ka labrum.

ʻO nā hono o ko kākou kino kahi e pili ai nā iwi ʻelua kekahi i kekahi. ʻO kou hono ʻūhā kahi e pili ai kou iwi ʻūhā (femur) a me kou pelvis (pelvis) . ʻO ka pololei, ʻo ka piko o ka iwi ʻūhā (poʻo femoral) ua like ia me ka pōpō. Hoʻopili ʻia kēia pōpō i kahi ʻano kīʻaha (acetabulum) i loko o ka iwi ʻūhā.

A puni kēia lua e like me ke kīʻaha, ʻo ka acetabulum, he cartilage palupalu a pale i kapa ʻia ʻo labrum . Ua like ia me ka mea holoi. Mālama ia i ke kīʻaha a pale i nā iwi ʻelua mai ka hamo ʻana kekahi i kekahi. Kōkua pū ka labrum i nā iwi ma ka hui ʻūhā e neʻe mālie a hoʻopaʻa i ka hakahaka ma waena o nā iwi. ʻO ia hoʻi, kōkua ia e mālama i nā iwi i kahi pū, akā ʻaʻole e hoʻopā pololei kekahi i kekahi.

No laila, inā ua hōʻino ʻia kēia labrum no kekahi kumu, ʻo ia ka mea a mākou e kapa nei he haehae labrum. Inā loaʻa iā ʻoe ka ʻeha o ka ʻūhā a i ʻole ka ʻoʻoleʻa e mau ana no kekahi mau pule, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike i ke kauka.

He aha nā hōʻailona o ka labrum i haehae ʻia ma ka hui ʻūhā?

ʻAe, i kēia manawa e nānā kākou i nā hōʻailona e ʻike ai ke kanaka me ka haehae labral. ʻAʻole e ʻike nā kānaka a pau i nā hōʻailona like. Eia naʻe, ʻo nā hōʻailona maʻamau:

• ʻEha ʻūhā: Hiki ke loaʻa kēia ʻeha ke kūlou ʻoe i kou ʻūhā, neʻe, hoʻomaʻamaʻa, a pāʻani paha i nā haʻuki.
• ʻOʻoleʻa: He manaʻo o ka ʻūmiʻi ma ka ʻūhā.
• He kani a manaʻo paha e kaomi ana a pahū ana paha: Ke neʻe ʻoe i kou ʻūhā, hiki iā ʻoe ke manaʻo i kahi kani 'komo' a i ʻole kekahi mea e pahū ana i loko.
• Kūpaʻa ʻole: He manaʻo o ka nalowale ʻana o ka mana a me ka paheʻe ʻana o ka ʻūhā, inā paha e kū ana a e neʻe ana paha.

I kekahi manawa, inā liʻiliʻi loa ka haehae labrum, ʻaʻohe paha he mau hōʻailona iki. ʻAʻole paha e ʻike ka poʻe he maʻi ko lākou, a hiki ke ʻike ʻia ma ke ʻano ulia wale nō ke hana ʻia kahi hoʻāʻo kiʻi no kekahi kumu ʻē aʻe.

Pehea ke ʻano o kēia ʻeha?

ʻOkoʻa ka ʻeha o kēlā me kēia kanaka. Hiki ke ʻokoʻa ke ʻano o ka ʻeha ma muli o ke koʻikoʻi o kou haehae labrum a inā he mau maʻi ʻē aʻe kāu. ʻO ka maʻamau, hiki ke wehewehe ʻia kēia ʻeha penei:

• He ʻeha palupalu e mau ana: me he mea lā e ʻeha mau ana kekahi mea i loko.
• ʻEha ʻoi a ʻoi i kekahi mau kūlana a hana paha: No ka laʻana, hiki ke ʻike ʻia kēia ʻano ʻeha i ka wā e hiamoe ana ma ka ʻaoʻao e ʻeha ana, a i ka wā e hoʻoikaika kino ai.
• Me he mea lā e hele mai ana ka ʻeha mai loko mai o ke kino: ʻAʻole paha e like me ka ʻeha haʻahaʻa a i ʻole ka ʻeha ʻiʻo, akā he mea hohonu aʻe, e like paha me ka ʻeha iwi .
• ʻEha e hoʻomālamalama ana: Hiki i kekahi poʻe ke loaʻa ka ʻeha ma ka ʻūhā, ke kua i lalo, a i ʻole ka wāwae ma muli o ka haehae ʻana o ka hip labrum.

E noʻonoʻo e pili ana i ia mea, i kekahi manawa hiki iā ʻoe ke hoʻololi i ke ala āu e hele ai a me kou kūlana ma muli o kēia ʻeha. Ke hoʻololi ʻoe i ke kūlana o kou kino me ka ʻike ʻole, hiki iā ia ke kau i ke kaumaha hou aʻe ma luna o nā ʻiʻo a me nā ʻiʻo ʻē aʻe a puni kou ʻūhā i ʻeha.

He aha nā kumu o ka waimaka hip labral?

ʻAe, no ke aha lā e hana ʻia ai nā waimaka labral? I ka ʻōlelo maʻalahi, ʻo nā mea e kau nui ana i ke kaomi ma kou hui ʻūhā hiki ke hōʻino i ka hui a hana i ka waimaka labral. ʻO nā kumu maʻamau:

• ʻO ka Femoroacetabular Impingement (FAI): He inoa paʻakikī paha kēia, akā ʻo ia hoʻi, ʻaʻole kūpono nā iwi i loko o kou hui ʻūhā. Ua like ia me kahi ʻūpā puka i kūpono ʻole. Ke kūpono ʻole nā ​​iwi, kau mau ʻia ke kaomi hou ma luna o ka labrum o ka ʻūhā. I ka hala ʻana o ka manawa, hiki i kēia kaomi a me ka friction ke kumu o ka haehae ʻana o ka labrum. Ua kapa pū nā kauka i kēia ʻano he Hip Impingement .
• Nā ʻeha: ʻO nā ʻeha haʻuki, nā hāʻule ʻana, a me nā ulia kaʻa hiki ke hana i ka haehae ʻana o ka labrum hip. No ka laʻana, ʻo ka hāʻule koke ʻana a i ʻole ka huli hewa ʻana o ka ʻūhā i ka wā e pāʻani ana i nā haʻuki hiki ke hana i kēia ʻano hōʻino.
• Osteoarthritis: ʻO kēia ka mea a mākou e kapa pinepine ai ʻo "wear and tear arthritis." Hoʻokumu ʻia kēia kūlana e ke kaumaha maʻamau a ko mākou mau hono e kau ai i ke ola o kēlā me kēia lā i ka hala ʻana o ka manawa. Inā loaʻa iā ʻoe ka osteoarthritis , hiki i ke cartilage i loko o ke hono ke mae a hiki i ka labrum ke haehae.

ʻO wai ka mea i pilikia nui no kēia maʻi?

ʻO kaʻoiaʻiʻo, hiki i kekahi ke haehae i ka labrum o ko lākou hui ʻūhā, inā paha mai kahi ulia a i ʻole kekahi kumu ʻē aʻe. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kekahi mau mea pāʻani no ka mea ua kau lākou i ke kaumaha hou ma luna o ko lākou mau hui ʻūhā. Eia kekahi laʻana:

• Hockey
• Hula
• Pōpeku (Pōpeku - Pōpeku ʻAmelika/Rāpaki)
• Pōpeku
• Kolepa
• Hoʻoikaika kino

I nā haʻuki e like me kēia, ke neʻe wikiwiki nei ka ʻūhā i nā ʻaoʻao like ʻole, no laila he kiʻekiʻe ka manawa e hōʻino ʻia ai ka labrum ma muli o nā neʻe koke.

Pehea e ʻike ai nā kauka i kahi haehae labral?

Ke hele ʻoe e ʻike i ke kauka me ka ʻeha o ka ʻūhā, ʻo ka mea mua āna e hana ai, ʻo ia ke nānā kino iā ʻoe a nīnau iā ʻoe e pili ana i kāu mau hōʻailona. Pono ʻoe e maopopo i ka wā i hoʻomaka mua ai ʻoe e ʻike i ka ʻeha a me nā hōʻailona ʻē aʻe, a me nā hana, nā neʻe ʻana, a i ʻole nā ​​kūlana e hoʻonui ai iā lākou.

A laila, e noi paha ke kauka iā ʻoe e hoʻoneʻe i kou ʻūhā, kū, moe i lalo, a hele. Inā ʻoe e ʻeha i kēia manawa, e haʻi iā lākou i nā neʻe ʻana i ʻoi aku ka ʻeha.

I ka manawa pinepine, pono nō hoʻi ke kauka e hana i kekahi mau hoʻokolohua kiʻi kūikawā e kiʻi i nā kiʻi o ka hui ʻūhā a me nā ʻiʻo a puni. ʻO kēia mau mea:

• X-ray o ka ʻūhā
• ʻO ke kiʻi ʻana o ka ultrasound
• Kiʻi Hoʻohui Magnetika (MRI)
• ʻO ke kiʻi ʻikepili Computed Tomography (CT)

ʻO kēia mau hoʻokolohua wale nō ke ala e ʻike pono ai inā ua hōʻino ʻia ka labrum, ka nui o ka pōʻino i hana ʻia, a inā he mau pilikia ʻē aʻe.

He aha nā lāʻau lapaʻau no ka haehae labrum ma ka hui ʻūhā?

ʻAe, i kēia manawa e nānā kākou i nā lāʻau lapaʻau i loaʻa no kēia. E ʻōlelo aku kāu kauka i nā lāʻau lapaʻau e kōkua i ka kaohi ʻana i kāu mau hōʻailona. ʻO ke ʻoki kino wale nō ke ala e hoʻoponopono piha ai i ka haehae labrum hip. Eia nō naʻe, hiki i kekahi poʻe ke hoʻokele i kā lākou mau hōʻailona me nā lāʻau lapaʻau ʻoki ʻole.

ʻO nā lāʻau lapaʻau i hoʻohana pinepine ʻia:

• Nā lāʻau hoʻopau ʻeha ma luna o ke kauka (OTC): Hiki i nā NSAID ma luna o ke kauka (e like me ibuprofen, aspirin, a me naproxen) a i ʻole acetaminophen ke kōkua i ka hōʻemi ʻana i ka pehu a me ka hōʻoluʻolu i ka ʻeha. Akā e hoʻomanaʻo, mai lawe i kēia mau lāʻau hoʻopau ʻeha no nā lā he 10 a ʻoi me ka ʻole o ke aʻo ʻana mai ke kauka.
• Corticosteroids: He mau lāʻau lapaʻau ikaika kēia i kuhikuhi ʻia e ke kauka e hōʻemi i ka mumū. I kekahi manawa, hiki i kāu kauka ke hoʻokomo pololei i kekahi o kēia mau corticosteroids i loko o kou hui ʻūhā.
• Hoʻōla kino: E aʻo aku kekahi mea hoʻōla kino iā ʻoe i nā hoʻolōʻihi kikoʻī a me nā hoʻoikaika kino e hoʻoikaika i nā ʻiʻo a puni kou hui ʻūhā i ʻeha a hoʻonui i ka maʻalahi. He lāʻau lapaʻau koʻikoʻi loa kēia.

ʻO ke ʻoki ʻana i ka haehae ʻana o ka hip labral

Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi, a inā ʻaʻole kōkua nā lāʻau ʻē aʻe ma hope o kekahi mau mahina, hiki i kāu kauka ke ʻōlelo i ke ʻoki ʻana e hoʻoponopono i kou haehae labrum hip.

Hana pinepine ke kauka lapaʻau i kahi kaʻina hana i kapa ʻia he hip arthroscopy . Ma kēia, hoʻokomo ʻia kahi kāmela a me nā mea hana palupalu ma o kekahi mau ʻoki liʻiliʻi e hoʻoponopono i ka haehae labrum a me nā pōʻino ʻē aʻe i loko o ka hui ʻūhā. Inā loaʻa iā ʻoe ka impingement hip i ʻōlelo ʻia ma luna, hiki paha iā lākou ke hoʻoponopono hou i nā iwi i ka manawa like e kūpono ai ke hui.

ʻO ka maʻamau, he mau kaʻina hana outpatient nā hip arthroscopies, ʻo ia hoʻi hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. E wehewehe kāu kauka a kauka paha i kēia iā ʻoe ma mua o ke kaʻina hana.

Hiki i kēia waimaka ke ho'ōla iā ia iho?

ʻAʻole, ʻaʻole e ho'ōla ponoʻī nā haehae labral hip. ʻO ke ala wale nō e hoʻoponopono ai i ka labrum haehae me ke ʻoki ʻana. He liʻiliʻi loa kekahi mau haehae ʻaʻole lākou e hōʻeha a i ʻole nā ​​​​hōʻailona ʻē aʻe. Eia nō naʻe, ʻoiai nā haehae liʻiliʻi e like me kēia, ʻaʻole e ho'ōla ponoʻī me ke ʻoki ʻole ʻana.

Eia nō naʻe, inā ʻaʻohe ou hōʻailona koʻikoʻi, a ʻaʻole hoʻopilikia ka haehae labrum i kou ola maikaʻi a i ʻole nā ​​​​hana o kēlā me kēia lā, hiki iā ʻoe ke ola me ia me ke ʻoki ʻole ʻana.

Mai hoʻowahāwahā i ka ʻeha, ka ʻoʻoleʻa, a i ʻole nā ​​hōʻailona ʻē aʻe. Inā ʻaʻole e hoʻomaikaʻi ka ʻeha o kou ʻūhā ma hope o kekahi mau pule o ka hoʻomaha a me nā lāʻau lapaʻau ma ka home, e ʻike pono i ke kauka.

He aha nā ala e pale ai i ka haehae ʻana o ka labrum hip?

ʻO kaʻoiaʻiʻo, he mea paʻakikī pinepine ke pale aku i ka haehae ʻana o ka hip labral. ʻO ia no ka mea ʻo ka hapa nui o lākou ke kumu o ke ʻano maoli o kou hui hip (inā loaʻa iā ʻoe ka FAI ), kahi maʻi olakino hiki ʻole iā ʻoe ke pale aku (e like me ka osteoarthritis ), a i ʻole nā ​​​​​​ʻeha i manaʻo ʻole ʻia.

Eia nō naʻe, he manaʻo maikaʻi e hahai i kēia mau ʻōlelo aʻoaʻo palekana laulā e hōʻemi i ka pōʻino i hana ʻia e nā ulia:

• E mālama i kou home a me kāu wahi hana i nā mea ʻino e hiki ai ke hoʻopilikia iā ʻoe a i ʻole nā ​​​​​​mea ʻē aʻe.
• I ke hāpai ʻana i kahi mea i luna o ka hale, e hoʻohana mau i kahi mea hana a mea hana paha i kūpono no ka hana. Mai piʻi i luna o nā noho, nā pākaukau, a i ʻole nā ​​pākaukau.
• Inā pilikia ʻoe i ka hele wāwae a i ʻole ua pilikia nui ʻoe i ka hāʻule ʻana, e hoʻohana i ke koʻokoʻo a i ʻole ka mea hele wāwae.

I ka wā e pāʻani ana i nā haʻuki a i ʻole nā ​​​​hana kino ʻē aʻe:

• E komo i nā lako palekana kūpono no kēlā me kēia haʻuki.
• Inā ʻeha kou ʻūhā, i ka wā a ma hope paha o ka hana kino, mai "pāʻani ma o ka ʻeha."
• Hāʻawi i kou kino i ka manawa e hoʻomaha ai a hoʻōla ma hope o ka hana ikaika.
• E hoʻomehana a hoʻolōʻihi pono ma mua o ka pāʻani ʻana i nā haʻuki a i ʻole ka hoʻoikaika kino.
• Ma hope o ka hana kino , e hoʻomaha a hoʻolōʻihi hou i ke kino .

He aha kāu e manaʻo ai inā he ʻūhā labrum kou i haehae ʻia?

Hiki i nā poʻe he nui me ka haehae labral hip ke hoʻokele i kā lākou mau hōʻailona me ka hui pū ʻana o nā lāʻau lapaʻau. Inā ua lawe ʻoe i ka lāʻau lapaʻau a hana i ka hoʻōla kino a loaʻa mau ka ʻeha a i ʻole nā ​​​​hōʻailona ʻē aʻe, e kamaʻilio me kāu kauka. E haʻi aku ʻo ia iā ʻoe inā pono ʻoe e noʻonoʻo i ke ʻoki ʻana.

ʻOiai ʻaʻole e ho'ōla ponoʻī nā waimaka labral hip, ʻaʻole pono ʻoe e noho me ka ʻeha mau a i ʻole ka ʻoluʻolu ʻole. Inā manaʻo ʻoe e loli ana kāu mau hōʻailona - ʻoiai inā e ʻoi aku ka ʻino a i ʻole ke hoʻopilikia nei i kāu mau hana o kēlā me kēia lā - e kamaʻilio me kāu kauka. Hiki iā ia ke kōkua iā ʻoe.

ʻEhia ka lōʻihi e ho'ōla ai?

ʻO ka maʻamau , ʻehā a ʻeono mahina e ho'ōla ai mai ka hip arthroscopy . E haʻi aku kāu kauka ʻoki iā ʻoe i ka lōʻihi o ka manawa e pono ai ma muli o kou kūlana.

Inā ʻoe e hana nei i nā lāʻau lapaʻau conservative/ʻaʻole ʻoki kino, ʻaʻole paha ʻoe i loaʻa kahi manawa hoʻōla kikoʻī. ʻO kēia no ka mea ʻaʻole hoʻoponopono maoli nā lāʻau lapaʻau a me ka hoʻōla kino i ka haehae. Eia nō naʻe, inā hiki iā ʻoe ke hoʻokele i kāu mau hōʻailona a mālama iā lākou me ka ʻole o ka hoʻopilikia ʻana i kāu mau hana o kēlā me kēia lā, ʻaʻole paha ʻoe e pono i ke ʻoki kino.

Hiki iā ʻoe ke hele me ka labrum ʻūhā i haehae ʻia?

Hiki i ka hapa nui o nā kānaka ke hele me ka haehae ʻana o ka ʻūhā. ʻAʻole ʻeha kekahi poʻe. Hiki i kekahi ke hele a neʻe a puni, akā ʻike ʻia ka ʻoluʻolu ʻole.

ʻOiai hiki iā ʻoe ke hele wāwae, neʻe a puni, a hoʻomaʻamaʻa paha me ka haehae ʻana o ka hip labrum, ʻaʻole paha e palekana ke komo i ka hana kino koʻikoʻi.E kamaʻilio me kāu kauka e pili ana i nā hana hiki iā ʻoe ke hana me ka palekana.

Āhea wau e ʻike ai i ke kauka?

He mea maʻamau ka ʻeha o ka ʻūhā. I ka hapanui o nā hihia, aia nā kumu e hiki ke mālama ʻia ma ka home me ka hoʻomaha, ka hau, a me nā lāʻau hoʻopau ʻeha ma luna o ke kauka. Eia nō naʻe, inā ʻaʻole e hoʻomaikaʻi kou ʻeha ʻūhā, ka ʻoʻoleʻa, a me nā hōʻailona ʻē aʻe ma hope o kekahi mau pule, e ʻike i ke kauka. Eia kekahi, mai hoʻowahāwahā i ka ʻeha inā hoʻi hou mai a i ʻole e ʻoi aku ka ʻino.

Nā kūlana i ka wā e pono ai ke ʻimi i ka mālama ulia pōpilikia

Inā loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei, e hele koke i kahi lumi pilikia:

• ʻEha nui o ka ʻūhā a i ʻole ka ʻūhā.
• Inā loaʻa iā ʻoe kahi trauma, e like me ka hāʻule ʻana a i ʻole kahi ulia kaʻa.
• Inā ʻaʻole hiki iā ʻoe ke neʻe a kau paha i kekahi kaumaha ma kou ʻūhā a wāwae paha.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka?

Ke hele ʻoe e ʻike i kāu kauka, he mea maikaʻi ke nīnau i nā nīnau e like me kēia e loaʻa ai kahi ʻike maopopo o kou kūlana:

• Loaʻa iaʻu kahi haehae labral hip a i ʻole kekahi ʻeha ʻē aʻe?
• He aha ke ʻano o nā hoʻokolohua e pono ai iaʻu e hana?
• He aha nā lāʻau lapaʻau ʻokiʻoki ʻole i kūpono iaʻu?
• Āhea wau e noʻonoʻo ai i ke ʻoki kino?
• He aha nā hana a i ʻole nā ​​haʻuki e pono iaʻu e hōʻalo?

Nā mea e pono ai kākou e hoʻomanaʻo mai kēia moʻolelo (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui mākou e pili ana i kēia kūlana i kapa ʻia he haehae labral hip. ʻO ke koʻikoʻi o ia mea ma muli o ke ʻano o kona hana ʻana a me ka nui o kona hopena i ka hoʻohana ʻana i kou ʻūhā. He liʻiliʻi loa kekahi mau haehae a ʻaʻole paha ʻoe e ʻike he waimaka kou. Hiki paha iā ʻoe ke hoʻokele i nā hōʻailona o kahi haehae liʻiliʻi me ka hoʻōla kino a i ʻole nā ​​​​lāʻau hoʻomaha ʻeha ma luna o ke kauka.

Eia nō naʻe, hiki i kekahi mau waimaka labral ke koʻikoʻi e pono ai ke ʻoki ʻana. Hiki i kēia mau waimaka ke hōʻeha nui a hoʻolilo iā ia i mea paʻakikī (a hiki ʻole paha) ke neʻe a puni a hana.

He mea maʻamau ka makaʻu ke lohe ʻoe i kahi mea i loko o kou kino i kapa ʻia he "haehae." Eia nō naʻe, he nui kāu mau koho no ka mālama ʻana i kahi labrum ʻūhā i haehae ʻia. E ʻōlelo paha kāu kauka i nā lāʻau lapaʻau ʻoki ʻole no kekahi mau mahina i ka wā mua. Hiki i nā poʻe he nui ke kāohi i kā lākou mau hōʻailona e pale aku ai i ke ʻoki ʻana. Eia nō naʻe, inā loaʻa mau iā ʻoe ka ʻeha ma hope o kekahi manawa, pono paha ʻoe i ka arthroscopy hip .

Inā pono ʻoe i ke ʻoki kino a i ʻole, e kamaʻilio me kāu kauka e pili ana i kou manaʻo. ʻAʻole pono ʻoe e noho me ka ʻeha, a ʻaʻole maikaʻi no kou olakino ke noho mau i ka ʻeha ʻole.E haʻi pololei i kāu kauka e pili ana i kou manaʻo a me ka nui o ka hoʻopilikia ʻana o kāu mau hōʻailona i kāu mau hana o kēlā me kēia lā. E kōkua ʻo ia iā ʻoe e hoʻi i kou ola maʻamau.

ʻO ka haehae ʻana o ka hip labral, ʻeha hip, ʻeha hui, cartilage, arthroscopy, hoʻōla kino