"Auē, Māmā, ʻaʻole hiki iā ʻoe ke kulou i kou kuli..." "E Pāpā, ke pilikia nei ʻoe i ka hele wāwae?"... I ko kākou wā ʻelemakule, lohe pinepine mākou i nā moʻolelo e like me kēia mai ko kākou mau mākua a me nā ʻohana. ʻO ka ʻeha kuli kahi maʻi e hoʻopilikia nei i nā poʻe he nui. ʻOi loa aku i ka wā e luhi ai nā kuli, ʻo ia hoʻi, he mea hoʻonāukiuki loa ka ʻeha i hoʻokumu ʻia e ka osteoarthritis o ke kuli. No laila, ʻo kahi hopena no kēia he injection kūikawā i hāʻawi ʻia i ke kuli. I kēia lā ke kamaʻilio nei mākou e pili ana i kekahi o ia mau injection, ʻo Hylan GF 20.
He aha ka mea e hana maoli me kēia lāʻau pale?
I ka ʻōlelo maʻalahi, ʻo Hylan GF 20 kahi gel kūikawā i hoʻokomo ʻia i loko o kou hui kuli. Ua lohe paha ʻoe iā ia ma lalo o nā inoa inoa Synvisc a i ʻole Synvisc-One.
E noʻonoʻo i ko kākou hui kuli e like me ka hinge i loko o kahi mīkini. I mea e hana pono ai kēia hinge, pono iā ia kahi mea e like me ka momona. Loaʻa i ko kākou mau hui kahi lubricant i kapa ʻia ʻo synovial fluid. I ka arthritis, emi ka maikaʻi o kēia mea kūlohelohe a hoʻomaka ke cartilage i loko o ke hui e hamo kekahi i kekahi. ʻO ia ka manawa e loaʻa ai ka ʻeha, ka pehu, a me ka paʻakikī i ke kulou ʻana a me ka hoʻopololei ʻana i ke hui.
No laila, ʻo ka hana a kēia inikini Hylan GF 20, ʻo ia ke pani i kēlā lubricant kūlohelohe i hoʻemi ʻia me kahi mea ʻoi aku ka maikaʻi a mānoanoa i loko o ke ami. Ua like loa kēia me ka ʻāpana i kapa ʻia ʻo hyaluronan i loaʻa maoli i loko o ko kākou mau ami. Ke inikini ʻia kēia i loko o ke ami, hana ia ma ke ʻano he uluna a hoʻēmi i ka friction ma waena o nā iwi. Hana pū ia ma ke ʻano he lubricant a hoʻomaʻalahi i ka neʻe ʻana o ke ami. Hoʻēmi nui kēia i ka ʻeha o ke kuli.
Nā mea e haʻi aku i kāu kauka ma mua o ka loaʻa ʻana o ka lāʻau pale
Ma mua o ka hoʻoholo ʻana inā kūpono kēia lāʻau lapaʻau iā ʻoe, he mea nui e haʻi i kāu kauka e pili ana i kekahi mau mea. E nānā i ka papa ma lalo. Inā pili kekahi o kēia mau mea iā ʻoe, e hōʻoia e haʻi i kāu kauka.
| Nā mea e haʻi aku i kāu kauka | |
|---|---|
| ʻAno kuli | Inā loaʻa iā ʻoe ka pehu nui, ka maʻi, a i ʻole kahi maʻi ʻili ma kahi i ini ʻia ma kou kuli. |
| Nā maʻi ʻaleka | Inā loaʻa iā ʻoe kahi maʻi allergy i kēia lāʻau pale (Hylan GF 20), hyaluronan, hua manu, moa, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha. |
| Nā pilikia olakino ʻē aʻe | Nā kūlana e like me nā veins varicose i nā wāwae a i ʻole nā pilikia o ke kahe koko (venous stasis). |
| Ka hāpai ʻana a me ka hānai ʻana i ka waiū | Inā ʻoe e hāpai ana, e hoʻāʻo ana e hāpai, a e hānai waiū ana paha. |
Pehea e hāʻawi ʻia ai kēia lāʻau pale?
ʻAʻole kēia he lāʻau lapaʻau hiki iā ʻoe ke lawe i ka home. ʻOiai ua hoʻokomo pololei ʻia kēia lāʻau pale i loko o ka hui kuli, pono e hāʻawi ʻia e ke kauka kūpono a i ʻole ke kauka olakino ma kahi haukapila a i ʻole ke keʻena lapaʻau.
ʻO ka maʻamau, ʻo ka mālama ʻana iā Synvisc e pili ana i 3 mau inikini, hoʻokahi i kēlā me kēia pule. Me Synvisc-One, hoʻopau ʻia ka mālama ʻana me hoʻokahi inikini. He mea nui loa ia e hele i nā manawa i hāʻawi ʻia e kāu kauka iā ʻoe, ma muli o ke ʻano lapaʻau āu e loaʻa nei. Inā ʻaʻole hiki iā ʻoe ke hele i ka lā i hoʻonohonoho ʻia no kekahi kumu, e ʻoluʻolu e hoʻomaopopo i kāu kauka ma mua.
ʻAʻole ʻae ʻia kēia lāʻau lapaʻau no ka hoʻohana ʻana i nā keiki, no laila e kamaʻilio me kāu kauka e pili ana i ka hoʻohana ʻana i nā keiki.
He aha inā lawe nui wau i ka lāʻau lapaʻau?
Ma muli o ka lawelawe ʻia ʻana o kēia e ke kauka, ua haʻahaʻa loa ka pilikia o ka overdose. Eia nō naʻe, inā manaʻo ʻoe ua hana ʻia kekahi mea, e kelepona koke i kāu kauka a i ʻole e hele i ka Emergency Treatment Unit (ETU) kokoke loa. Eia kekahi, inā manaʻo ʻoe i kekahi lāʻau make, hiki iā ʻoe ke kelepona i ke National Poisons Information Centre ma ka Halemai Lahui ʻo Colombo no ka ʻōlelo aʻoaʻo.
Nā mea e makaʻala ai ma hope o ka loaʻa ʻana o ka lāʻau pale
Hoʻomaha ka hapa nui o ka poʻe i ka ʻeha ma hope o 6 mau mahina o ka mālama ʻana. Eia nō naʻe, inā ʻaʻole hoʻomaikaʻi kāu mau hōʻailona a i ʻole e ʻoi aku ka ʻino, e kamaʻilio me kāu kauka.
ʻO ka mea nui loa! No nā hola 48 mua (2 lā) ma hope o ka inikini, e pale i nā mea e kau ai i ke kaumaha hou ma ke kuli, e like me ka holo wikiwiki, ka hāpai kaumaha, a i ʻole ka hoʻoikaika kino ikaika. He mea nui loa ka hoʻomaha ʻana i ke ami.
He aha nā hopena ʻaoʻao e hiki mai ana?
E like me nā lāʻau lapaʻau āpau, hiki i kēia lāʻau pale ke hana i nā hopena ʻaoʻao i kekahi poʻe. Hiki i kekahi o kēia mau mea ke koʻikoʻi, no laila he mea nui e makaʻala iā lākou.
| ʻAno o ka hopena ʻaoʻao | Nā hōʻailona |
|---|---|
| Nā hopena ʻaoʻao koʻikoʻi e pono e hōʻike koke ʻia i ke kauka | |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| Paʻakikī ka hanu ʻana | Paʻakikī ka hanu ʻana. |
| ʻEha nui/pehu ʻana o nā hono | ʻEha hiki ʻole ke hoʻomanawanui a i ʻole ka pehu nui ma ke kuli ma hope o ka loaʻa ʻana o ka lāʻau pale. |
| Nā hiʻohiʻona ʻē aʻe | Kuni a ʻūlū paha, kahe koko ʻano ʻē a i ʻole ka palapū. |
| Nā hopena ʻaoʻao ʻaʻole i koʻikoʻi pinepine, akā pono e hōʻike ʻia i ke kauka inā hoʻomau lākou | |
| Ma kahi o ka inikini | ʻEha iki, ʻulaʻula, palapū, a mumū paha. |
| ʻEha iki o nā hono | ʻEha iki a pehu paha ma ke kuli. |
| Nā ʻano laulā ʻē aʻe | ʻEha poʻo , poniuniu, nāwaliwali, manaʻo kuni, ʻūmiʻi o nā ʻiʻo. |
ʻAʻole i loko o kēia papa inoa nā hopena ʻaoʻao āpau . Inā loaʻa iā ʻoe kekahi mea ʻokoʻa, e kamaʻilio me kāu kauka no ka ʻōlelo aʻo.
Leka Lawe-Home
- He inikini kūikawā ʻo Hylan GF 20 i hoʻokomo ʻia i loko o ka hui kuli e hōʻemi i ka ʻeha o ka ʻāʻī kuli.
- Hoʻohui kēia i kahi lubricant a me ka cushion i ka hui, e hōʻemi ana i ka friction iwi.
- Ma mua o ka loaʻa ʻana o kēia lāʻau pale, pono ʻoe e haʻi i kāu kauka i kāu ʻike olakino āpau, ʻoiai hoʻi nā maʻi allergies.
- E hōʻalo i nā hana e hoʻokaumaha ai i kou mau kuli no ʻelua lā ma hope o ka loaʻa ʻana o ka lāʻau pale.
- Inā loaʻa iā ʻoe nā hopena ʻino (pehu nui, paʻakikī ka hanu ʻana, nā hopena allergies), e hoʻomaopopo koke i kāu kauka.
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