Ke manaʻo nei ʻoe i kekahi manawa i ka ʻeha ma kou ʻūhā ke ala ʻoe i ke kakahiaka a i ʻole ma hope o ka hele wāwae ʻana no kekahi manawa? Loaʻa iā ʻoe kahi 'whew' ke ala ʻoe mai kahi noho a i ʻole ke puka i waho o ke kaʻa? He pilikia kēia ʻeha ʻūhā i loaʻa i nā poʻe he nui. I kekahi manawa he mea liʻiliʻi ia, akā i kekahi manawa he mea ia e pono ai ka nānā iki. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o ka ʻeha ʻūhā, no ke aha e hana ʻia ai, a me nā mea hiki ke hana ʻia e pili ana i ia mea.
He aha maoli ka ʻeha o ka ʻūhā?
I ka ʻōlelo maʻalahi, ʻo ka hui ʻūhā kahi e pili ai nā iwi ʻelua o ko kākou kino. I ka pololei, pili ko kākou iwi ʻūhā (femur) i ka pelvis (pelvis) ma kēia hui ʻūhā. ʻO kēia kekahi o nā hui nui loa a ikaika loa i ko kākou kino. Kōkua nui kēia hui iā kākou i ka wā e hele ai, holo ai, hāpai i ke kaumaha, a mālama i ke kaulike.
I kēia manawa, me kēia kiko ʻeha, hiki iā mākou ke loaʻa kahi manaʻo maʻamau o kahi o ka pilikia. E noʻonoʻo wale...
- Inā manaʻo ʻia aia ma luna o ka ʻūhā, kokoke i ka ʻili, he pilikia paha ia me nā ʻiʻo, nā tendon, a i ʻole nā ligamen.
- Inā manaʻo ka ʻeha e like me ia e hele mai ana mai loko mai, hiki ke kumu o kahi pilikia me nā iwi a i ʻole ke kāʻei.
- I kekahi manawa hiki ke pālahalaha ka ʻeha ʻūhā i nā wahi ʻē aʻe, e like me ke kua a me ka ʻūhā.
ʻAʻole mau kēia ʻeha. Hiki ke loaʻa wale nō ia i ka wā e hele ai ʻoe a hana paha a nalowale ke hoʻomaha ʻoe. Loaʻa i kekahi poʻe ka ʻeha nui loa i ke kakahiaka. No kekahi poʻe, ʻoi aku ka ʻino o ka ʻeha i ka pō, ʻoiai ke moe lākou ma ka ʻaoʻao e ʻeha ana. ʻO ka maʻamau, hiki ke hoʻomalu ʻia ka ʻeha iki me nā lāʻau lapaʻau home a me nā lāʻau hōʻeha. Eia nō naʻe, inā ua nui ka ʻeha e hoʻopilikia i kāu mau hana o kēlā me kēia lā a ʻaʻole e emi i loko o kekahi mau lā, pono ʻoe e ʻike i ke kauka.
He aha nā kumu nui o ka ʻeha o ka ʻūhā?
He hōʻailona wale nō ka ʻeha o ka ʻūhā. Nui nā ʻano maʻi like ʻole e hiki ke hoʻoulu iā ia. E nānā kākou i nā kumu nui.
| Kumu | He aha ka mea e hana ʻia me kēia? | Nā Laʻana |
|---|---|---|
| ʻO ka ʻāʻī o ke kino | He kūlana e hoʻoulu ai i ka ʻeha a me ka mumū i nā hono. He mea maʻamau loa ka ʻāʻī o ka hui ʻūhā. | - ʻOsteoarthritis - ʻO ka ʻāʻī rheumatoid - ʻO ka maʻi spondylitis Ankylosing |
| ʻO ka bursitis | Hiki mai ka ʻeha ma muli o ka pehu ʻana o nā ʻeke liʻiliʻi i piha i ka wai i kapa ʻia ʻo bursa e hoʻopuni ana i ko mākou mau hono. | - ʻO ka bursitis iliopectineal - ʻO ka bursitis Trochanteric |
| Nā ʻeha | Hiki ke hana ʻia ka ʻeha e kekahi mea e hōʻino ai i nā ʻāpana o ka hui ʻūhā. Hiki ke hana kēia i nā ulia pōpilikia a i ʻole i ka wā e pāʻani ana i nā haʻuki. | - Nā ʻeha o nā ʻiʻo o ka ʻūhā - ʻO ka maʻi hui ʻIliotibial - Nā waimaka labral hip - Nā haki iwi |
| Nā Kūlana Kūkulu | Hiki ke hānau ʻia kekahi poʻe me kekahi mau pilikia me ke ʻano o ko lākou mau pūhaka, hiki ke hōʻeha i ka wā kamaliʻi a ma hope paha. | - Hoʻopili ʻana i ka Femoroacetabular (FAI) - Ka dysplasia ulu ʻana o ka ʻūhā (DDH) |
E like me kāu e ʻike ai, he nui nā kumu. ʻO ka poʻe e hoʻohana ana i ko lākou mau ʻūhā i nā ʻaoʻao āpau, e like me nā mea hula a me nā mea hoʻoikaika kino, he mea maʻalahi loa lākou i ka loaʻa ʻana o kēia mau ʻano ʻeha.
Pehea ʻoe e mālama ai i kēia ʻeha ʻūhā?
ʻO ke ʻano o ka lāʻau lapaʻau āu e pono ai e pili ana i ke kumu o kou ʻeha a me kona koʻikoʻi. ʻO kāu kauka ke kanaka kūpono loa e hana i kēlā hoʻoholo.
Nā mea hiki iā ʻoe ke hana ma ka home: Ke ʻano RICE
ʻO kēia ka lāʻau lapaʻau ma ka home maʻalahi a maikaʻi loa no nā ʻeha liʻiliʻi. ʻO 'RICE' ka leka mua o nā huaʻōlelo ʻehā.
- R - Hoʻomaha:E hoʻōki i kekahi mea e hoʻoulu ai i ka ʻeha, ʻo ia hoʻi, ka hana ikaika, no kekahi manawa. ʻO ka hoʻomaha ʻana i ke ami e pale aku i ka ʻino mai ka ʻoi aku ka ʻino.
- I - Hau: E ʻōwili i kahi ʻeke hau a i ʻole kahi lole i hoʻomoʻa ʻia i ka wai anuanu i loko o ke kāwele a kau ma luna o ka wahi i hoʻopilikia ʻia no 10-15 mau minuke. E hana i kēia ma kahi o hoʻokahi hola no ka lā mua. A laila, e hana i kēlā me kēia 3-4 hola no nā lā e hiki mai ana. Mai kau pololei i ka hau ma luna o ka ʻili.
- C - Kaomi ʻana: Kōkua kēia i ka hōʻemi ʻana i ke kahe koko a kaohi i ka pehu. E hoʻohana i kahi kāʻei kaomi, hiki iā ʻoe ke kūʻai ma kahi hale kūʻai lāʻau lapaʻau.
- E - Kiʻekiʻe: Inā hiki, e kau i kou wāwae i luna ma luna o nā uluna a mālama iki ma luna o ka pae o kou puʻuwai.
Nā lāʻau hoʻopau ʻeha (Nā lāʻau lapaʻau)
Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e kāohi i ka ʻeha a me ka pehu. ʻO kēia mau mea me nā NSAID (nā lāʻau anti-inflammatory non-steroidal) i kūʻai ʻia ma luna o ka counter, e like me ibuprofen a me naproxen. Hoʻohana ʻia hoʻi ka Acetaminophen (Paracetamol).
Akā e hoʻomanaʻo, mai lawe i kēia lāʻau lapaʻau no nā lā he 10 a ʻoi aku me ka ʻole o ke kamaʻilio ʻana me kāu kauka.
Hoʻōla kino
Inā loaʻa iā ʻoe ka ʻeha ma muli o kahi maʻi e like me ka arthritis a i ʻole kahi pilikia kūkulu, hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi mea hoʻōla kino. E aʻo lākou iā ʻoe i nā hoʻomaʻamaʻa a me nā kīkoʻo e hoʻoikaika i nā ʻiʻo a puni kou ʻūhā. E hoʻonui kēia i ke kūpaʻa o ka ʻūhā a hōʻemi i ka ʻeha.
ʻoki kino
ʻAʻole pono nā kānaka a pau me ka ʻeha o ka ʻūhā i ke ʻoki kino. Eia nō naʻe, inā koʻikoʻi ka ʻeha a ʻaʻole holo pono nā lāʻau ʻē aʻe, e noʻonoʻo paha kāu kauka i ke ʻoki kino.
- ʻO ka arthroscopy ʻūhā: ʻO kēia ke ʻano hana maʻamau. Pili ia i ka hana ʻana i kekahi mau ʻoki liʻiliʻi i loko o ka ʻili a me ke komo ʻana i kahi mea hana liʻiliʻi i kapa ʻia he arthroscope, i lako me kahi kāmela, e ʻike a hoʻoponopono i ka pōʻino i loko.
- Hoʻololi ʻūhā: I kekahi mau hihia koʻikoʻi, ʻoiai inā ʻeha loa ka ʻeha a hiki ʻole ke hele a kū paha, pono paha ka hip arthroplasty. Pili kēia i ka wehe ʻana i ka hui i hōʻino ʻia a me ke pani ʻana me kahi hui hana (prosthesis).
Hiki ke pale ʻia ka ʻeha o ka ʻūhā?
ʻAʻole hiki iā mākou ke pale aku i kahi mea e like me kahi ulia pōpilikia mai ka hiki ʻana mai, akā aia kekahi mau mea e hiki ai iā mākou ke hana e hōʻemi i ka pilikia.
I ka wā e pāʻani ana i nā haʻuki a me ka hoʻoikaika kino:
- E hoʻomehana mau ma mua o ka hoʻomaka ʻana i kāu hoʻomaʻamaʻa kino.
- Ke pau kāu hoʻoikaika kino, e hoʻomālielie a hana i nā kīkoʻo.
- E hoʻomau i ka ʻeha a pāʻani a puni e ʻōlelo ana "ua maikaʻi" a mai hoʻoikaika kino.
- Hāʻawi i kou kino i ka manawa e pono ai e hoʻōla ma hope o ka hoʻoikaika kino.
No ka palekana maʻamau, e noʻonoʻo i kēia mau mea:
- Mai waiho wale i nā mea ma ka home a ma ka hana paha e hiki ai iā ʻoe ke paheʻe a hāʻule.
- Mai piʻi i luna o nā noho a i ʻole nā papa e hiki ai i kahi mea ma luna. E hoʻohana i kahi mea kūpono, e like me ke alapiʻi.
- Inā pilikia ʻoe i ka hele wāwae a i ʻole e hāʻule ana paha, mai makaʻu e hoʻohana i ke koʻokoʻo (kō/mea hele wāwae).
Āhea ʻoe e ʻike ai i ke kauka?
He mea nui loa kēia.
Inā mau ka ʻeha o kou ʻūhā, a inā paha e pale ana iā ʻoe mai ka hana ʻana i kāu mau hana o kēlā me kēia lā a i ʻole ka hana ʻana i nā mea āu e hauʻoli ai, pono ʻoe e ʻike koke i ke kauka.
Inā ua loaʻa iā ʻoe kahi ulia, e like me kahi ulia kaʻa a i ʻole ka hāʻule ʻana, a inā ʻaʻole hiki iā ʻoe ke hoʻoneʻe i kou ʻūhā a wāwae paha, a inā manaʻo ʻoe ua haki kou iwi, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
ʻOiai he mea maʻamau ka ʻeha o ka ʻūhā, ʻaʻole pono ʻoe e noho me ia. Hiki i kāu kauka ke ʻike i ke kumu o kou ʻeha a hāʻawi iā ʻoe i ka lāʻau lapaʻau āu e pono ai e hoʻi koke i ka hana.
Leka Lawe-Home
- ʻOiai he mea maʻamau ka ʻeha o ka ʻūhā, mai hoʻowahāwahā iā ia. He hōʻailona ka ʻeha mai kou kino mai.
- Ma muli o ke ʻano o ka lāʻau lapaʻau ma muli o ke kumu o ka ʻeha, he mea nui loa ia e ʻimi i ke kumu kikoʻī.
- Hiki i nā lāʻau lapaʻau home e like me ke ʻano RICE ke kōkua i ka hōʻoluʻolu ʻana i ka ʻeha iki a me ka pehu.
- Inā ʻaʻole e emi ka ʻeha i loko o kekahi mau lā, inā he koʻikoʻi, a inā paha e hoʻopilikia i nā hana o kēlā me kēia lā, e ʻike pono i kāu kauka.
- Inā loaʻa iā ʻoe ka ʻeha nui ma hope o kahi ulia a manaʻo paha ʻoe ua haki ka iwi, e hele koke i ka ʻOihana Hoʻopilikia (ETU) o ka haukapila.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka maʻi i kuhikuhi ʻia ai nā papa/kapsula Fluvastatin (Fluvastatin / Lescol)?
He lāʻau lapaʻau 'High Cholesterol/Hyperlipidemia' (Statin) kēia! ʻAʻole paha e like kona ikaika me Atorvastatin, akā ʻo ka mea kūikawā o kēia, he lāʻau lapaʻau ia i hoʻolālā ʻia e hōʻemi i ka pilikia o ka pani hou ʻana o nā aʻa koko i ka poʻe i loaʻa i ka hōʻeha puʻuwai a i ʻole ke ʻoki puʻuwai (PTCA/Bypass). Eia kekahi, he kakaikahi loa nā pilina lāʻau me nā lāʻau lapaʻau ʻē aʻe.
💬 Pehea e hoʻoheheʻe ai kēia pila kolesterol (Fluvastatin) i ka kolesterol maikaʻi ʻole ke komo i loko o ko kākou kino?
ʻO ka mīkini nui e hana ana i ka cholesterol i loko o ke akepaʻa o ko kākou kino ua kapa ʻia ʻo 'HMG-CoA Reductase'. I ka hiki ʻana mai o kēia pila i ko kākou akepaʻa, ʻo kāna mau molekole hana (i loaʻa mai ka synthetically) e ālai/laka i kēlā mīkini 100% (Enzyme Inhibition). Ke pio ka mīkini, ʻaʻohe koho ʻē aʻe o ke akepaʻa akā e hoʻomaka e omo i ka cholesterol maikaʻi ʻole/LDL i loko o ko kākou koko (Up-regulation of LDL receptors).
💬 He aha nā pōʻino a me nā hopena ʻaoʻao weliweli loa e makaʻala ai i ka wā e lawe ai i kēia pila cholesterol (Fluvastatin)?
ʻOiai he haʻahaʻa ka pilikia o kēia lāʻau lapaʻau i nā hopena ʻaoʻao, ʻo ka pōʻino nui loa ʻo ia ka 'Myopathy/Rhabdomyolysis'! Inā ʻike ʻoe i ka ʻeha ʻiʻo hiki ʻole ke hoʻomanawanui, ka nāwaliwali, a me ka mimi ʻeleʻele, e haʻi koke i kāu kauka, a i ʻole e pau paha ka hana a kou mau puʻupaʻa a make paha ʻoe. Eia kekahi, ua pāpā ʻia kēia no nā 'makuahine hāpai' a me ka poʻe me ka 'maʻi akepaʻa'!
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