Ke ʻeha nei kou makuahine a makuakāne paha i ka ʻeha kuli a ʻaʻole hiki ke piʻi i nā alapiʻi? A i ʻole ua lohe paha ʻoe i kahi hoaaloha i haki kona lima i ka wā e pāʻani ana i ka cricket a pono e kau ʻia kahi ʻōpala? Malia paha he ʻeha kou ʻūhā a ʻeha paha ke kua a makaʻu ʻoe i ke kauka e kamaʻilio ana e pili ana i ke ʻoki kino. He nui o mākou e hopohopo iki ke lohe mākou i nā huaʻōlelo "Orthopaedic Surgery," a i ʻole ke ʻoki kino e pili ana i nā iwi, nā hono, a me nā ʻiʻo. Akā he mea maoli anei kēia e makaʻu ai? E kamaʻilio kākou e pili ana i kēia lā e hoʻomaʻemaʻe i nā kānalua āu e pili ana i ia mea.
I ka ʻōlelo maʻalahi, he aha ke ʻoki kino orthopedic?
E noʻonoʻo i ko kākou kino e like me kahi hale i kūkulu nani ʻia. ʻO ke kiʻikuhi o kēlā hale, ʻo ia hoʻi, nā paia, ka hale, nā puka makani a me nā puka, ʻo ia ko kākou iwi. I ka lāʻau lapaʻau, kapa mākou i kēia ʻo ka ʻōnaehana musculoskeletal. ʻO kēia ka mea e kōkua iā mākou e kū pololei, hele, holo, hāpai i nā mea kaumaha, i ka pōkole, hana i nā ʻano neʻe āpau.
No laila, ua hana ʻia kēia 'ʻōnaehana musculoskeletal' i kekahi mau ʻāpana nui:
- Nā iwi: ʻO ke ʻōnaehana e hāʻawi i ke ʻano a me ka ikaika i ko kākou kino.
- Nā ʻiʻo: Nā ʻāpana e kōkua i ka hoʻoneʻe ʻana i nā iwi.
- Nā hono: Nā wahi e pili ai nā iwi ʻelua. E like me nā ʻūmiʻi ma ka puka. ʻAe kēia iā mākou e kūlou a hoʻolōʻihi i ko mākou mau lālā.
- Nā ʻūhā a me nā ligaments: Nā ʻano ikaika, like me ke kaula e hoʻopili ai i nā ʻiʻo i nā iwi a me nā iwi kekahi i kekahi.
- Cartilage: He mea laumania a lahilahi e pale ai i nā iwi mai ka hamo ʻana kekahi i kekahi ma loko o nā hono.
- Nā ʻiʻo palupalu: ʻO nā ʻiʻo ʻē aʻe e hoʻopuni ana i kēia mau mea a pau.
I kēia manawa, ua maopopo paha iā ʻoe ke koʻikoʻi o kēia ʻōnaehana. Hiki ke hōʻino ʻia kēia mau ʻāpana ma muli o kahi ulia, ka ʻelemakule, a i ʻole kekahi maʻi ʻē aʻe. A laila, ʻeha mākou, ʻaʻole hiki ke hele, a ʻaʻole hiki ke hana i kā mākou mau hana o kēlā me kēia lā. I kēlā mau manawa, kapa mākou i nā ʻokiʻoki i hana ʻia e hoʻoponopono, kūkulu hou, a hoʻololi paha i nā ʻāpana i hōʻino ʻia me nā mea hou ʻo 'Orthopaedic Surgery'.
He aha nā ʻano hana ʻoki kino o kēia mau mea? Ma nā ʻāpana hea o ke kino e hana ʻia ai lākou?
Ua hoʻomaʻamaʻa ʻia nā kauka ʻokiʻoki orthopedic e hana ma nā ʻāpana like ʻole o ke kino. No laila, ʻaʻole hana ʻia nā ʻokiʻoki āpau e ke kauka hoʻokahi. He loea kekahi i nā kuli, ʻo kekahi i nā iwi kuamoʻo. Ua like ia me ka loaʻa ʻana o kahi mīkini e kūkulu ana i kahi ʻenekini kaʻa a me kahi mīkini e hoʻoponopono.
Hiki iā ʻoe ke loaʻa kahi manaʻo maikaʻi e pili ana i kēia mai ka papa ma lalo nei.
| Nā ʻāpana o ke kino i hana ʻia ke ʻoki ʻana | Nā wahi o ka ʻike loea |
|---|---|
| ʻŪhā | Oncology - nā ʻōpū iwi: Ka wehe ʻana i nā ʻōpū e ulu ana i loko o nā iwi. |
| Kuli | ʻEha a ʻeha paha: Nā ʻeha koʻikoʻi, e like me nā mea i hana ʻia e kahi ulia. |
| Lima a me ka pulima lima | Nā ʻeha haʻuki: Nā ʻeha i loaʻa i ka wā e pāʻani ana i nā haʻuki. |
| Ka wāwae a me ka kuʻekuʻe wāwae | Pediatric: Nā pilikia iwi i nā keiki ma lalo o 18 mau makahiki. |
| iwi kuamoʻo | - |
| Poʻohiwi a me ke kuʻekuʻe | - |
ʻO ʻelua o nā ʻoki kino maʻamau i hana ʻia ma Sri Lanka ʻo ia ke ʻoki ACL a me ke ʻoki pani kuli.
He aha ka mea e hana ʻia ma mua, i ka wā, a ma hope o ke ʻoki kino?
ʻAe, e nānā kākou pehea e hana ai kēia kaʻina holoʻokoʻa. ʻO ka ʻike ʻana i kēia ʻanuʻu ma kēlā me kēia ʻanuʻu e hōʻemi nui i kou makaʻu.
Ma mua o ke ʻoki kino... (Kūkākūkā)
Ke hoʻoholo ʻia e pono ʻoe i ke ʻoki kino, e kuhikuhi mua ʻia ʻoe i kahi loea i loea i kou kūlana. Kāhea mākou i kēia hālāwai he 'kūkākūkā'.
E nīnau ke kauka iā ʻoe e pili ana i kou mōʻaukala olakino piha. ʻO ia hoʻi, pehea ka lōʻihi o kou ʻeha ʻana, pehea i hoʻomaka ai, he aha nā maʻi ʻē aʻe āu e loaʻa nei, he aha nā lāʻau lapaʻau āu e lawe nei, a pēlā aku. A laila, e nānā ʻo ia i kahi āu e ʻeha nei. Inā loaʻa iā ʻoe kekahi mau kiʻi X-ray a MRI paha, e nānā pono ʻo ia iā lākou e hoʻomaopopo i kou kūlana pololei.
ʻO kēia ka manawa kūpono loa e nīnau ai i nā nīnau a pau āu e noʻonoʻo nei. Pehea e hana ʻia ai ke ʻoki kino? Pehea ka lōʻihi o koʻu noho ʻana ma ka haukapila? Pehea ka lōʻihi e hoʻōla ai? Aia kekahi mau pilikia? Mai makaʻu e nīnau i ke kauka i nā mea a pau āu e pono ai e ʻike. E nīnau a hiki i ka loaʻa ʻana o kahi pane maopopo.
A laila e hoʻonohonoho ke kauka i kāu ʻoki kino. Inā he pilikia ia, pono paha ʻoe e hana koke i ke ʻoki kino. A i ʻole, he mau lā a he mau pule paha ma hope.
I ka lā o ke ʻoki kino...
I ka lā o kou ʻoki kino, e hoʻokomo ʻia ʻoe i kahi keʻena haukapila. E hele mai kahi kahu maʻi a hoʻololi iā ʻoe i kahi lole ʻoki kino. Pono ʻoe e wehe i nā mea hoʻonani, e like me nā lei, nā kūpeʻe lima, a i ʻole nā apo. A laila e nānā ʻia kou koko a me ka helu o ka pulse, a e kau ʻia paha kahi laina IV ma kou lima.
A laila e lawe ʻia ʻoe i ke keʻena hana. Ma laila e nānā ʻia ai ʻoe e ke kauka anesthesiologist. E hoʻomoe ʻo ia iā ʻoe i ʻole ʻoe e ʻeha i ka wā o ke ʻoki ʻana. Mai makaʻu i kēia, ua aʻo nui ʻia lākou i kēia.
E hoʻomaka ke kauka ʻoki i ke hana ma hope o kou hiamoe ʻana.
- Inā haki kahi iwi, hoʻonohonoho pololei ʻia a hoʻopaʻa ʻia me nā wili, nā pine, nā koʻokoʻo a i ʻole nā papa.
- Inā haehae ʻia kahi ligament, e wehe ʻia ka ʻāpana i hōʻino ʻia a hoʻololi ʻia me kahi ʻāpana o nā ʻiʻo olakino mai kahi ʻāpana ʻē aʻe o kou kino, a i ʻole kahi kāpili mai kekahi kanaka ʻē aʻe.
- Inā ua pau kahi hono (arthritis), kau ʻia nā pāpale metala a i ʻole ka palaki ma luna o nā ʻāpana iwi i pau i ka hana maʻalahi hou ʻana o ke hono. ʻO kēia ka mea a mākou e kapa nei he pani hono.
Ma hope o ka pau ʻana o ke ʻoki ʻana, e pani ʻia nā ʻoki me nā humuhumu a uhi paʻa ʻia me kahi bandage.
Ma hope o ke ʻoki kino... (manawa hoʻōla)
Ma hope o ke ʻoki kino, e hoʻoneʻe ʻia ʻoe i kahi lumi hoʻōla. E noho ʻoe ma laila a hiki i kou hoʻi hou ʻana mai ka anesthesia. A laila e hoʻihoʻi ʻia ʻoe i ka lumi. No kekahi mau ʻoki kino, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. No kekahi mau ʻoki kino koʻikoʻi, pono ʻoe e noho ma ka haukapila no kekahi mau lā.
Ke hoʻi ʻoe i ka home, e hāʻawi ʻia ʻoe i kekahi mau kuhikuhi no ka mālama ʻana i kāu mau humuhumu, a me nā mea āu e hana ai a me nā mea ʻaʻole pono e hana. He mea nui loa ka hahai pololei ʻana i kēia mau kuhikuhi no ka hoʻōla wikiwiki ʻana. Pono ʻoe i ka nui o ka hoʻomaha i nā lā mua. No laila he kōkua nui inā loaʻa iā ʻoe kekahi e kōkua iā ʻoe me ka hana home.
E hāʻawi ke kauka iā ʻoe i nā manawa hoʻopaʻa e nānā i ka ho'ōla ʻana o kou ʻeha. Pono paha ʻoe e hana hou i kahi X-ray.
I ka manawa pinepine, ma hope o kēia mau ʻano ʻoki kino, e kuhikuhi ʻia ʻoe i ka hoʻōla kino . ʻO ke ʻano kēia e hāʻawi ʻia ʻoe i nā hoʻomaʻamaʻa ma lalo o ka nānā ʻana a kekahi kanaka i aʻo kūikawā ʻia e hoʻoikaika a hoʻomaikaʻi i ka laulā o ka neʻe ʻana o ka lima, ka wāwae, a i ʻole ke ami i hana ʻia. He mea kēia āu e hana ai me ka ʻole o ka luhi.
He aha nā pōmaikaʻi a me nā pilikia o kēia mau ʻoki kino?
E like me nā mea āpau, he mau pono kēia mau ʻoki a he mau pilikia liʻiliʻi loa.
Nā Pōmaikaʻi:
- Hoʻopau i ka ʻeha: Hiki iā ʻoe ke hoʻopau i ka ʻeha mau.
- Hoʻonui i ka hana o ke kino: Hiki iā ʻoe ke kūlou, pololei, a hele maikaʻi.
- Hoʻomaikaʻi i ke ʻano o ka neʻe ʻana: Hiki iā ʻoe ke hana i nā mea āu i hiki ʻole ke hana ma mua.
- Hoʻopaʻa pololei ʻana i nā iwi haʻihaʻi: Hoʻopaʻa pololei ʻia ka iwi, me ka ʻole o ka huki ʻana.
- Ka wehe ʻana i nā puʻupuʻu ʻino: Ka wehe ʻana i nā puʻupuʻu e hoʻoweliweli paha i ke ola.
Nā Pōʻino:
ʻOiai he mau mea kakaikahi loa kēia, he mea nui e ʻike iā lākou.
- Ke kahe ʻana o ke koko
- Maʻi
- ʻEha a ʻoʻoleʻa paha nā hono
- Nā ʻūpā koko
- Nāwaliwali o nā ʻiʻo
- Māʻule
E wehewehe pono kāu kauka i kēia mau pilikia iā ʻoe ma mua o ke ʻoki ʻana.
Āhea ʻoe e ʻike koke ai i ke kauka ma hope o ke ʻoki ʻana?
Ke hoʻi ʻoe i ka home ma hope o ke ʻoki ʻana, he mea nui loa ia e hoʻolohe i nā loli i kou kino. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e kelepona koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila.
| Nā hōʻailona e makaʻala ai | He aha ke ʻano o ia mea? |
|---|---|
| kuni | He hōʻailona paha ia o kahi maʻi i loko o ke kino. |
| Ka pehu a me ka ʻulaʻula ma kahi i hana ʻia ai ke ʻoki kino | He hōʻailona o ka maʻi ʻeha a i ʻole ka suppuration. |
| ʻEha nui hiki ʻole ke hoʻomanawanui | Inā ʻaʻole e emi ka ʻeha ma hope o ka lawe ʻana i ka lāʻau lapaʻau, aia paha he pilikia kūloko. |
| Ka wai a i ʻole ke kahe koko mai nā sutures | He maʻi paha a he pilikia paha me nā humuhumu. |
| ʻO ke kala ʻili (polū/ʻeleʻele) | Aia paha he pilikia me ke kahe ʻana o ke koko. |
Leka Lawe-Home
- He hana lapaʻau kūpono loa ke ʻoki kino Orthopedic hiki ke hōʻemi i ka ʻeha a kōkua iā ʻoe e ola hou i kahi ola olakino a ikaika.
- Mai makaʻu pono ʻole i kēia mau ʻoki kino. E kūkākūkā i nā nīnau a kānalua paha āu e loaʻa ai me kāu kauka.
- E hahai i nā ʻōlelo a ke kauka ma hope o ke ʻoki ʻana, ʻoiai hoʻi ka manawa hoʻomaha a me nā hoʻomaʻamaʻa kino. Aia ka ho'ōla wikiwiki ʻana ma luna o ia mea.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē (kuni, ʻeha nui, pehu) ma hope o ke ʻoki ʻana, mai hoʻowahāwahā iā lākou. E ʻimi koke i ke kōkua lapaʻau.
- Ma hope o kēia mau ʻoki kino, e hiki iā ʻoe ke hoʻomau i kāu mau hana o kēlā me kēia lā me ka ikaika a me ka hauʻoli ma mua o ka wā ma mua.











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