Aloha e ke hoa! Pehea ʻoe? I kēia lā, e kamaʻilio ana kākou e pili ana i kekahi mau ʻāpana koʻikoʻi o ko kākou kino. ʻO ia hoʻi ko kākou mau iwi, nā hono, a me nā ʻiʻo. E noʻonoʻo wale, me ka ʻole o kēia mau mea, ʻaʻole hiki iā kākou ke kū, hele, a hana paha i kekahi mea. No laila, i ka wā e loaʻa ai kekahi pilikia a ʻeha paha i loko o ia ʻōnaehana koʻikoʻi, aia kekahi kauka loea e kōkua iā kākou. Malia paha ua hāʻule ʻoe a ʻeha i ka lima a i ʻole ka wāwae, a ua ʻeha paha i ke kuli a i ʻole ka ʻeha poʻohiwi. ʻO ia ka manawa e pono ai kākou e hālāwai me kēia kauka loea. E ʻike kākou ʻo wai kēia kauka a me kāna hana.
He aha ka ʻōnaehana musculoskeletal? E hoʻomaopopo maʻalahi kākou!
I ka ʻōlelo maʻalahi, ʻo kēia ka inoa a mākou e hāʻawi ai i ka ʻōnaehana holoʻokoʻa e kōkua ai i ko mākou kino e neʻe a hana. E noʻonoʻo iā ia e like me kahi hale.
- Nā iwi : ʻO kēia nā ʻōnaehana o ko kākou kino. E like me nā paia a me ka hale o ka hale. Hāʻawi nā iwi i ke ʻano a me ka ikaika o ko kākou kino. Mālama pū lākou i nā ʻōpū koʻikoʻi i loko o kākou, e like me ka lolo a me ka puʻuwai .
- Nā hono : ʻO nā hono nā wahi e pili ai nā iwi ʻelua. E like me nā ʻūmiʻi ma ka puka. Hiki iā lākou ke kūlou, hoʻolōʻihi, a hoʻoneʻe i ko mākou kino. ʻO nā kuli , nā kuʻekuʻe lima, nā poʻohiwi, a me nā ʻūhā nā hono a mākou e hoʻohana pinepine ai.
- Nā ʻiʻo: Ua like kēia me nā mīkini o ko kākou kino. Hoʻopili ʻia lākou i nā iwi a i ka wā e kīkoʻo ai a ʻūlū ai, hiki iā kākou ke neʻe. Kōkua nā ʻiʻo i ka hoʻomalu ʻana i nā mea a kākou e hana ai me ka ʻike (hele wāwae, holo) a me nā mea a kākou e hana ai me ka ʻike ʻole (puʻuwai).
- Nā Ligaments a me nā Tendons: He mau kāʻei ikaika nā ligaments e hoʻopili ana i kekahi iwi i kekahi. ʻO nā tendons he mau kāʻei e hoʻopili ana i nā ʻiʻo i nā iwi. Me ka ʻole o lākou, ʻaʻole e paʻa nā hono, a ʻaʻole e hoʻoili ʻia ka ikaika mai nā ʻiʻo i nā iwi.
No laila, ʻo kēia mau mea a pau ka mea e hoʻomau ai i kā mākou hana. Inā he wahi liʻiliʻi iki paha i loko o kēia ʻōnaehana, hiki ke hoʻopilikia ʻia kā mākou mau hana o kēlā me kēia lā, ʻeā?
ʻO wai kēia loea iwi a me nā hono (Orthopedic Surgeon)?
ʻIke ʻoe, aia kekahi mau kauka e mālama ana i nā maʻi āpau (kapa mākou iā lākou he mau kauka lapaʻau maʻamau - GP). Eia kekahi, aia kekahi mau kauka i aʻo kūikawā ʻia a ʻike e pili ana i hoʻokahi
maʻi a i ʻole kekahi ʻāpana o ke kino. Ua kapa ʻia kēlā ʻano loea
he loea iwi a me nā hono . Ma ka ʻōlelo Pelekania, kapa mākou ia he "Orthopedic Surgeon". ʻO kēia mau kauka ka poʻe a mākou i ʻōlelo ai ma mua.
ʻO ka poʻe i loaʻa i ka hoʻomaʻamaʻa kūikawā e mālama i nā ʻeha , nā maʻi, a me nā ʻano pilikia ʻē aʻe e kū mai ana i nā iwi, nā hono, nā ʻiʻo, nā ligaments, a me nā tendons. He mea nui: ʻOiai ka huaʻōlelo 'Surgeon' ma ko lākou inoa, ʻaʻole kēia mau mea a pau he mau kauka ʻoki kino. ʻO ka ʻoiaʻiʻo, hoʻāʻo pinepine lākou e mālama i kāu pilikia me ke ʻoki ʻole ʻana , me ka hoʻohana ʻana i nā lāʻau lapaʻau, nā hoʻoikaika kino, a i ʻole nā ʻano hana ʻē aʻe. Pono ke ʻoki kino inā ʻaʻole holo pono nā mea ʻē aʻe, a inā pono maoli ke ʻano o ka ʻeha/maʻi i ke ʻoki kino.
Ua aʻo kēia mau loea i ka lāʻau lapaʻau no nā makahiki he nui, a laila ua hoʻolilo i nā makahiki he nui e hoʻomaʻamaʻa pono ana i ka ʻōnaehana iwi a me nā hono. No laila, he ʻike nui ko lākou ma kēia kahua. I ka manawa hea e pono ai mākou e ʻike i ke Kauka Lapaʻau Orthopedic?
ʻAe, i kēia manawa ke noʻonoʻo nei paha ʻoe, "He aha ke ʻano o ka pilikia e pono ai iaʻu e hele i ke kauka e like me kēia?" E nānā inā ua loaʻa iā ʻoe kekahi o kēia mau hōʻailona:- Nā haki: Inā hāʻule ʻoe a loaʻa paha i kahi ulia a haki kahi lima, wāwae, a i ʻole kekahi iwi ʻē aʻe, i kekahi manawa he māwae liʻiliʻi paha ia.
- Nā ʻūmiʻi a me nā ʻūmiʻi: E noʻonoʻo ua kuʻia koke ʻoe i ka wā e pāʻani ana i ka cricket, a i ʻole ua wili ʻoe i kou kua i ka wā e hāpai ana i kahi mea kaumaha. He mau ʻeha kēia i nā ligaments a i ʻole nā tendons.
- ʻEha Hui : ʻEha mau a me ka pehu ʻana i nā hui e like me nā kuli, nā poʻohiwi, nā kuʻekuʻe lima, a me nā pūhaka. ʻO kekahi kumu o kēia he maʻi i kapa ʻia ʻo `(Arthritis)`.
- ʻEha Kua a me ka ʻĀʻī: He pilikia maʻamau kēia no nā kānaka he nui. Hiki ke hana ʻia kēia ʻeha e nā mea e like me ke kūlana kūpono ʻole, ka hāpai ʻana i nā mea kaumaha , a me nā loli e kū mai ana me ka ʻelemakule.
- Nā ʻeha haʻuki : ʻO kēlā me kēia ʻano ʻeha i loaʻa i ka wā e pāʻani ana i nā haʻuki. No ka laʻana, kahi haehae ACL (anterior cruciate ligament) ma ke kuli, kahi poʻohiwi i hemo, a pēlā aku.
- Ka mae a me ka nāwaliwali o nā lālā: I kekahi manawa, hiki i kahi aʻalolo i ʻoki ʻia ke kumu o ka mae a me ka ʻeha ma nā lima a me nā manamana lima. ʻO kahi laʻana he kūlana i kapa ʻia ʻo "Carpal Tunnel Syndrome."
- Nā kīnā o nā iwi a i ʻole nā hono: He hānau ʻia kekahi mau kūlana (e.g., clubfoot) a ulu aʻe paha ma hope, e like me ka scoliosis.
- Ka nāwaliwali o ka iwi:ʻO nā kūlana e like me ka osteoporosis e hoʻonāwaliwali ai nā iwi a haki maʻalahi.
- Paʻakikī ke hele wāwae, hiki ʻole ke hoʻoneʻe i nā hono: Inā paʻa kahi hono, me he mea lā ʻaʻole hiki ke hoʻoneʻe ʻia.
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ʻoi aku ka maikaʻi o ka ʻike ʻana i kahi kauka lapaʻau maʻamau, a ma muli o kā lākou ʻōlelo aʻo, e ʻike i kahi loea iwi a me nā hono. Pehea e hiki ai i kahi kauka Orthopedic ke kōkua iā ʻoe?
Ke hele ʻoe e ʻike i kahi loea e like me kēia, e hana ʻo ia i kekahi mau ʻanuʻu e ʻike pololei i kāu pilikia a hāʻawi i ka lāʻau kūpono. 1. Hōʻike - Ke ʻike pololei nei i ka maʻi
- E nīnau ʻia ʻoe e pili ana i kāu mau hōʻailona: ʻO ka mea mua, e nīnau ke kauka iā ʻoe. Ma hea ka ʻeha, pehea i hoʻomaka ai, i ka manawa hea i ʻoi aku ai ka ʻino, a inā he mau maʻi ʻē aʻe kāu. He mea nui loa nā kikoʻī āu e hāʻawi mai ai.
- Hoʻokolokolo Kino: A laila, e nānā ke kauka iā ʻoe. E hoʻopā ʻo ia i ka ʻeha, e hoʻoneʻe i kou mau lālā, a e kūlou i kou mau kuli. E kōkua kēia iā lākou e loaʻa kahi manaʻo o kahi o ka pilikia a pehea kona koʻikoʻi.
- Nā Hoʻāʻo Kiʻi: I kekahi manawa pono e lawe ʻia nā kiʻi e ʻike pono i ka mea e hana nei i loko.
- `(X-ray)` (X-ray): Hiki ke hoʻohana nui ʻia kēia e ʻike i nā mea e like me nā haki, nā haki, nā māwae, a me nā dislocations o nā hono.
- `(CT scan)` (CT scan - Computed Tomography scan): Hiki i kēia ke lawe i nā kiʻi ʻokiʻoki ʻoi aku ka maopopo ma mua o ka X-ray. Hiki iā ia ke hāʻawi i kekahi manaʻo ʻaʻole wale no nā iwi, akā, no nā ʻiʻo palupalu hoʻi.
- `(MRI scan)` (M.R.I. Scan - Magnetic Resonance Imaging scan): Hiki i kēia ke ʻike maopopo i nā pilikia me nā ʻiʻo palupalu e like me nā ʻiʻo, nā ligaments, nā tendons, a me ke cartilage (ka ʻāpana e like me ka cushion ma waena o nā hono).
Ma hope o kēia mau hoʻokolohua, e hoʻoholo pono ke kauka i kou pilikia. 2. Lapaʻau - ho'ōla i ka maʻi
Ma hope o ka hōʻoia ʻana, e hoʻoholo ke kauka i ka lāʻau lapaʻau kūpono loa nāu. E hoʻomanaʻo, ua ʻōlelo mua wau ʻaʻole ʻo ke ʻoki kino ka pane no nā mea āpau. Nā Lapaʻau ʻokiʻoki ʻole:
ʻO ka hapa pinepine, hoʻomaka kēia mau ʻano me:- Lāʻau lapaʻau: Hiki ke hāʻawi ʻia nā lāʻau hoʻopau ʻeha a me nā lāʻau anti-inflammatory.
- Nā inikini: Hiki ke hoʻomaha ʻia kekahi ʻeha hui, no ka laʻana, ka ʻeha i hoʻokumu ʻia e ka maʻi ʻaʻai, e nā lāʻau lapaʻau e like me nā inikini steroid i lawelawe pololei ʻia i loko o ka hui.
- Nā Mea Hoʻoheheʻe, Nā ʻĀpana Lapaʻau, Nā Palekana: Ke haki kahi iwi, kau ʻia kahi mea hoʻoheheʻe e hoʻopaʻa iā ia. Ke loaʻa kahi ʻeha, hiki ke kau ʻia kahi ʻāpana lapaʻau a mea pale paha e pale i kahi hui.
- Hoʻōla kino:He mea nui loa kēia. E aʻo aku kekahi physiotherapist iā ʻoe i nā hoʻomaʻamaʻa kikoʻī e hana ai, nā ala e hoʻoikaika ai i kou mau ʻiʻo, a me nā ala e hoʻonui ai i ka laulā o ka neʻe ʻana i kou mau hono. Hiki i kēia ke kōkua iā ʻoe e ho'ōla wikiwiki a hōʻemi i ka pilikia o nā pilikia e hoʻi hou mai ana.
- Nā Hoʻololi ʻana i ke ʻAno o ka Noho ʻana: I kekahi manawa, inā ʻoe he momona loa, e aʻo ʻia paha ʻoe e hōʻemi i ke kaumaha. ʻO kēia no ka mea ʻo ke kaumaha nui e kau i ke kaomi ma luna o nā hono e like me nā kuli a me nā pūhaka. E aʻo ʻia paha ʻoe e noho kūpono a hāpai i nā mea i kahi ala e hōʻeha ʻole ai i kou kua.
Nā Hana Lapaʻau:
Inā paha ua hoʻāʻo ʻia nā lāʻau lapaʻau ʻē aʻe a pau, a i ʻole ma muli o ke koʻikoʻi o ka pilikia, hiki i ke kauka ke hoʻoholo e hana i ke ʻoki kino. Mai makaʻu, e wehewehe ke kauka i nā mea āpau iā ʻoe.- Hoʻoponopono ʻana i ka haki: Hoʻonohonoho ʻia nā ʻāpana iwi haʻihaʻi a hoʻopaʻa ʻia me nā uea, nā kui, nā pā, a me nā wili.
- Hoʻololi Hui: Hoʻoneʻe ʻia kahi hui i pau a ʻeha hoʻi, e like me ke kuli a i ʻole ka ʻūhā, a hoʻololi ʻia me kahi hui hana i hana ʻia me ka metala a i ʻole ka palakiko (`Hip replacement`, `Knee replacement`). Hoʻopau kēia i ka ʻeha a hiki iā ʻoe ke hele a hana maikaʻi hou.
- `(Arthroscopy): He ʻano hana ʻoki kino kēia i kapa ʻia ʻo "keyhole surgery." Hoʻokahi a ʻelua paha mau lua liʻiliʻi i hana ʻia ma kahi kokoke i ke hono, kahi e hoʻokomo ʻia ai kahi kāmela liʻiliʻi (arthroscope) a me nā mea hana ʻoki kino e hoʻoponopono i nā pilikia i loko o ke hono (e.g., cartilage haehae, ligaments). No ka mea, ʻaʻohe ʻoki nui, wikiwiki ka hoʻōla ʻana.
- Hoʻoponopono Ligament a me ke Tendon: ʻO nā ligaments a i ʻole nā tends, e like me ka ACL, i haehae ʻia i ka wā o nā haʻuki e humuhumu ʻia.
- ʻO ke ʻoki kino hoʻokuʻu aʻalolo: I nā kūlana e like me ka Carpal Tunnel Syndrome, hana ʻia kahi ʻoki kino liʻiliʻi e hoʻokuʻu i ke aʻalolo i hoʻopaʻa ʻia.
He mau laʻana wale nō kēia. E kūkākūkā kāu kauka me ʻoe i ka lāʻau lapaʻau i kūpono loa i kou kūlana. Nā mea e hoʻomanaʻo ai ma mua a i ka wā o kāu manawa i hālāwai ai me kahi kauka Orthopedic
- He leka mai kāu kauka lapaʻau (Kuhikuhi): I ka hapanui o nā hihia, e kuhikuhi kāu kauka ʻohana (GP) iā ʻoe i kēia ʻano loea. E lawe pū me ʻoe i kēlā leka.
- Nā hōʻike kahiko: Inā loaʻa iā ʻoe kekahi mau kiʻi X a i ʻole nā scan ma mua, e lawe mai i kēlā mau mea pū kekahi.
- Nā kikoʻī lāʻau lapaʻau: E haʻi i kāu kauka i nā lāʻau lapaʻau āu e lawe nei.
- E nīnau i nā nīnau:
"Mai makaʻu e nīnau i ke kauka. E nīnau a pane i kāu mau kānalua a me nā nīnau a pau. ʻO ka ʻike nui ʻana iā ʻoe e pili ana i kou maʻi a me ka lāʻau lapaʻau, ʻo ka wikiwiki o kou ola ʻana."
E nīnau i nā nīnau e like me ka mea e hana ai, ka mea e hana ʻole ai, a me ka lōʻihi o ka manawa e ho'ōla ai. Pehea e mālama ai i ko kākou mau iwi, nā hono, a me nā ʻiʻo i ke olakino? He mau ʻōlelo aʻoaʻo
Aia kekahi mau mea e hiki ai iā kākou ke hana e pale aku i kēia ʻōnaehana koʻikoʻi o kākou mai ka maʻi ʻana a i ʻole ka ʻeha ʻana:- He ʻai kaulike: E ʻai i nā meaʻai waiwai i ka calcium a me ka wikamina D (waiū, tīhi, yogurt, nā mea kanu ʻōmaʻomaʻo, iʻa liʻiliʻi). Hoʻoikaika kēia i nā iwi.
- Hoʻoikaika kino mau: ʻO nā hoʻomaʻamaʻa e like me ka hele wāwae, ka holo ʻana, a me ka ʻauʻau ʻana e hoʻoikaika i nā ʻiʻo a hoʻololi i nā hono.
- Ka mālama ʻana i ke kaumaha o ke kino: Hoʻokomo ke kaumaha nui i ke kaomi pono ʻole ma nā hono.
- E hahai i nā hana palekana: E hoʻohana i nā lako palekana i ka wā e pāʻani ana i nā haʻuki a ma ka hana. E makaʻala i nā pōʻino hāʻule hiki ke hāʻule.
- Kūlana Maikaʻi: E hoʻopololei i kou kua i ka wā e noho ana, kū ana, a hāpai ana i nā mea kaumaha.
Leka Lawe-Home
No laila, e kuʻu hoaaloha, i kēia lā ua kamaʻilio nui kākou e pili ana i ke ʻano o kahi `Orthopedic Surgeon`, a i ʻole he loea iwi a me nā hono, he aha kāna hana, a i ka manawa hea e hele ai kākou iā ia, ʻeā? ʻO ka mea nui e hoʻomanaʻo ai:- Inā loaʻa iā ʻoe kekahi ʻeha, pilikia ʻole, a ʻeha paha e pili ana i kou mau iwi, nā hono, a i ʻole nā ʻiʻo, mai hoʻowahāwahā iā ia.
- ʻO ke kauka ʻoki iwi he kanaka ia e like me kou hoaaloha, mākaukau e kōkua iā ʻoe me kēia mau pilikia.
- ʻAʻole pono mau ke ʻoki kino. Nui nā ʻano lāʻau lapaʻau ʻaʻole me ke ʻoki kino.
- Ma ka ʻike koke ʻana i ke kauka a me ka ʻimi ʻana i ka ʻōlelo aʻo, hiki iā ʻoe ke hoʻōla i kou pilikia ma mua o ka lilo ʻana i mea ʻino.
Manaʻolana wau e ʻike ʻoe he pono kēia ʻike iā ʻoe. Ke makemake nei i ke olakino maikaʻi o kākou a pau! kauka ʻoki iwi sinhala, loea iwi, loea hui, lāʻau haki, arthroscopy, ʻeha kuli, ʻeha hope, nā ʻeha haʻuki sinhala, ʻōnaehana musculoskeletal sinhala
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