Ua ʻike anei ʻoe ua pehu kekahi o kou mau hono, e like me kou kuli a kuʻekuʻe paha, ma mua o kekahi, ma hope koke o ke ala ʻana i ke kakahiaka a ma hope paha o ka hana ʻana i ka lā a pau? Manaʻo anei ʻoe he paʻakikī ke hele a kūlou paha? He nui ka poʻe o mākou e kapa nei i kēia 'ua piha ka hono i ka wai'. ʻAʻole kēia he wahaheʻe. Ma nā ʻōlelo lapaʻau, ʻo kēia ka mea e hana ʻia ma kēia ʻano, a mākou e kapa nei he Joint Effusion . No laila, e kamaʻilio kākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi i kēia lā.
He aha ka Joint Effusion?
I ka ʻōlelo maʻalahi, ʻo ka hoʻokahe ʻana o ke ami ka hōʻiliʻili ʻana o ka wai keu i loko o nā ʻiʻo a puni kou ami, e hoʻoulu ai i ka pehu. No ka hoʻomaopopo ʻana i kēia, e nānā mua kākou pehea e hana ʻia ai kahi ami.
E noʻonoʻo i kou kuli. He hui ia i hana ʻia me ʻekolu iwi. ʻAʻole wale ka iwi he hui, he nui nā ʻāpana koʻikoʻi ʻē aʻe:
- ʻO ke cartilage: ʻO kēia ka membrane laumania a pahee e uhi ana i nā wēlau o nā iwi. Hoʻōki kēia i nā iwi ʻelua mai ka hamo ʻana a hiki i ka hono ke neʻe maʻalahi.
- ʻO ka membrane synovial: ʻO kēia kahi e hoʻokuʻu ʻia ai ka wai synovial , kahi wai kūikawā e hana ana e like me ka 'grease' no ka hui. He mea nui kēia no ka hana maʻalahi o ka hui.
- Bursas: Ua like kēia me nā pōpō liʻiliʻi i piha i ka wai e hana ana ma ke ʻano he mau uluna ma waena o nā iwi, nā ʻiʻo, a me nā ligaments, e pale ana iā lākou.
- Ligaments: Nā hui ikaika, e like me nā hui elastic, e hoʻohui i nā iwi a hāʻawi i ke kūpaʻa i nā hono.
- Nā ʻūhā: Hoʻopili kēia mau ʻūhā i nā ʻiʻo i nā iwi.
ʻO ka maʻamau, loaʻa i kēia mau ʻiʻo āpau kekahi nui o ka wai. Eia nō naʻe, i ka wā e hōʻiliʻili ai kahi maʻi, ʻeha, a i ʻole kekahi ʻano olakino ʻē aʻe i kahi nui kūpono ʻole o ka wai (koko, pus, a i ʻole kekahi wai) i loko o kēia mau ʻiʻo, kapa mākou ia he Joint Effusion .
He aha nā hui e hiki ai i kēia kūlana ke hoʻopili?
Hiki i kēia maʻi ke hoʻopilikia i ka aneane o nā hono i loko o ko mākou kino. Eia nā ʻano nui o nā hono i hoʻopilikia ʻia:
| Nā hono nui o ke kino | Nā hono liʻiliʻi i ke kino |
|---|---|
| Kuli | Nā hono manamana lima |
| Kuʻekuʻe | Nā hono manamana wāwae |
| Poʻohiwi | Pūlima lima |
| Kuʻekuʻe wāwae | - |
He aha nā kumu nui o nā hono pehu?
ʻAʻole hoʻokahi kumu hoʻokahi o ka hui pehu, akā he nui. ʻO nā kumu nui:
| Kumu | He Wehewehe Maʻalahi |
|---|---|
| Maʻi | Komo kahi germ i loko o ke hono a hoʻoulu i kahi maʻi. Kāhea mākou i kēia he septic arthritis . He kūlana weliweli loa kēia. Hiki iā ia ke hōʻeha mau loa i ke hono, a pono paha ke ʻoki ʻana e pani i ke hono. I kēia hihia, piha ke hono me ka pus. |
| Ka mumū | ʻO ka ʻāʻī ka mumū o nā hono i hoʻokumu ʻia e nā kūlana e like me ka osteoarthritis , rheumatoid arthritis, a me ka gout . |
| Hoʻohana nui ʻia o ka hui ʻana | Ka hoʻohana mau ʻana a nui hoʻi o ka hui hoʻokahi. Eia kekahi laʻana, he ʻeha kuli mai ka holo ʻana no nā mamao lōʻihi. |
| ʻO ka trauma i ka hui | ʻO kekahi mea e like me ka ligament haehae i loko o kahi hono a i ʻole ka iwi haki (haʻi iwi). Hiki ke hana ʻia kēia mau mea ma muli o nā ʻeha haʻuki, hāʻule ʻana, a i ʻole nā ulia kaʻa. |
| He puʻupuʻu | Hiki ke hana ʻia ka pehu ʻana e kahi puʻupuʻu maʻi ʻaʻai a ʻaʻole paha he puʻupuʻu maʻi ʻaʻai e ulu kokoke ana i ka hui ʻana. |
ʻO ka mea nui, he hōʻailona ka pehu ʻana o nā hono, ʻaʻole he maʻi. No laila, he mea nui e ʻike pono i ke kumu o kēia pehu ʻana a mālama iā ia.
He aha nā lāʻau lapaʻau no ka pehu ʻana o nā hono?
Aia ka lāʻau lapaʻau i ke kumu o kou mau hono pehu. Hiki ke ho'ōla loa ʻia kekahi mau kumu. ʻOiai ʻaʻole hiki ke ho'ōla ʻia kekahi mau maʻi, e like me ka arthritis, hiki iā ʻoe ke hoʻokele i nā hōʻailona a ola i kahi ola maʻamau.
Eia kekahi o nā lāʻau lapaʻau a ke kauka e hana pinepine ai:
- Nā lāʻau antibiotic: Inā loaʻa iā ʻoe kahi maʻi bacteria, e like me ka septic arthritis , e hāʻawi ʻia iā ʻoe nā lāʻau antibiotic e pepehi i nā germs.
- Arthrocentesis: Pili kēia i ka wehe ʻana i ke kahe nui mai ke ami me ka hoʻohana ʻana i kahi nila. A laila hoʻouna ʻia ka hāpana wai i kahi keʻena hoʻokolohua e hoʻāʻo ʻia no nā germs, protein, a me nā ʻano cell. Hiki i kēia hoʻāʻo ke kōkua i ke kuhikuhi ʻana i ke kumu o ke kūlana .
- Nā Steroid: He mau lāʻau lapaʻau ikaika kēia e hōʻemi ana i ka mumū. I kekahi manawa hāʻawi ʻia lākou ma ke ʻano he pila a i ʻole he inikini pololei i loko o ke hono.
- Nā lāʻau lapaʻau kikoʻī: No nā kūlana e like me ka gout , hāʻawi ʻia nā lāʻau lapaʻau kikoʻī (e like me Colchicine).
ʻO ka mea nui loa, ʻo ke kamaʻilio ʻana me kāu kauka a hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe.
He aha nā mea hiki iā mākou ke hana ma ka home?
ʻOiai ʻoe e loaʻa ana i ka lāʻau lapaʻau, aia kekahi mau mea hiki iā ʻoe ke hana ma ka home e kōkua i ka mālama ʻana i kāu mau hōʻailona:
- Hoʻomaha: He mea nui loa ka hoʻomaha ʻana i ke ami pehu. Inā hiki, e hoʻēmi i ke kaumaha ma ke ami. Inā pono, e hoʻohana i kahi mea e like me ke koʻokoʻo.
- Hau: He kōkua nui ka hau i ka hōʻemi ʻana i ka pehu a me ka ʻeha. E kau i kahi ʻeke hau i wahī ʻia i loko o ke kāwele no 15-20 mau minuke i kekahi mau manawa i ka lā.
- Wela: No kekahi poʻe, ʻoi aku hoʻi ka poʻe me ka rumatika, hiki i ka hoʻopili ʻana i ka wela ke kōkua i ka hōʻemi ʻana i ka ʻeha. Eia nō naʻe, i ka wā e nui ai ka pehu, ʻoi aku ka maikaʻi o ka hau.
- Kaohi kaumaha: ʻO ka mālama ʻana i ke kaumaha o ke kino olakino hiki ke hōʻemi i ke kaomi ma luna o nā hono kaumaha e like me nā kuli a me nā kuʻekuʻe wāwae.
- Nā lāʻau hoʻopau ʻeha (NSAID): Hiki i nā lāʻau hoʻopau ʻeha e like me Ibuprofen lāua ʻo Naproxen ke kōkua i ka hoʻomalu ʻana i ka ʻeha a me ka pehu ʻana i kekahi ʻano. Eia nō naʻe, e nānā pono me kāu kauka ma mua o ka hoʻomau ʻana i ka hoʻohana ʻana i kēia mau lāʻau. ʻAʻole paha lākou e kūpono no ka poʻe me kekahi mau maʻi (e laʻa me ka gastritis, ka maʻi puʻupaʻa).
Āhea ʻoe e pono ai e ʻike i ke kauka?
ʻAʻole hiki ke mālama ʻia ka pehu ʻana o nā hono ma ka home i nā manawa a pau. Pono e mālama ʻia kekahi mau hihia ma ke ʻano he mau pilikia.
| 🚨 Nā hihia kahi e pono ai ʻoe e hele koke i ka haukapila (ETU) | |
|---|---|
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| 🩺 Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike i ke kauka. | |
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Pehea ka lōʻihi e ola ai kēia maʻi?
Aia wale nō ia i ke kumu o ka pehu ʻana. Inā ma muli o ka iwi haki, hiki ke hala i nā pule a i ʻole nā mahina. Inā he maʻi e like me ka osteoarthritis, hiki ke lilo i maʻi no ke ola holoʻokoʻa e pono ai ke mālama ʻia. Akā, mai hopohopo, me ka mālama kūpono a me nā loli o ke ʻano o ka nohona, hiki iā ʻoe ke kaohi i kāu mau hōʻailona a noho maikaʻi.
Leka Lawe-Home
- ʻO ka hoʻokahe ʻana o ke ami ka hōʻiliʻili ʻana o ka wai keu i loko o nā ʻiʻo a puni kahi ami. He mea nui e ʻimi i ke kumu kumu, ma mua o kahi mea ʻē aʻe.
- Hiki i nā kumu ke komo i nā maʻi, ka rumatika, nā ʻeha i ke hono, a i ʻole ka hoʻohana nui ʻana.
- Inā pehu ke ami a hele pū me nā hōʻailona e like me ke kuni, ka ʻeha nui, a i ʻole ka hiki ʻole ke neʻe, he pilikia ia. E hele koke i ka ʻOihana Pilikia (ETU).
- ʻOiai hiki i ka hoʻomaha a me ka hau ʻana ma ka home ke kōkua, he mea nui e mālama i ke kumu kumu. No laila e ʻike pono i kāu kauka .
- E pale i ka hoʻohana ʻana i nā lāʻau ʻeha no ka manawa lōʻihi me ka ʻole o ke aʻo ʻana a ke kauka. Hiki iā ia ke hana i nā pilikia olakino ʻē aʻe.
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