Malia paha ua ʻeha kou kuli i ka wā e pāʻani ana i nā haʻuki. A i ʻole he ʻeha kou mau hono i hoʻonui ʻia i kou wā ʻelemakule a he paʻakikī iā ʻoe ke hele. Malia paha, auē kuʻu Akua, ua haki kou lima a wāwae paha i kahi ulia. I kēlā mau hihia, pono mākou e ʻike i kahi kauka hana lapaʻau i loea i nā iwi a me nā hono. Nui ka poʻe e makaʻu i ka lohe ʻana i ka huaʻōlelo "ʻoki iwi." Akā, ʻaʻole ia he mea weliweli loa. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia ʻoki iwi a me nā hono, a i ʻole 'Orthopaedic Surgery'.
He aha ke ʻoki kino Orthopedic?
I ka ʻōlelo maʻalahi, he lālā kūikawā kēia o ka lāʻau lapaʻau e nānā a mālama i nā maʻi, nā ʻeha, a me nā ʻano kūlana like ʻole e kū mai ana i loko o ka ʻōnaehana e kōkua ai i ko mākou kino e neʻe, ʻo ia hoʻi, ka ʻōnaehana musculoskeletal.
ʻO kā mākou ʻōnaehana neʻe ʻana:
- Nā iwi: ʻO nā ʻāpana paʻakikī e hana ana i ka iwi o ko kākou kino.
- Nā ʻiʻo: Nā ʻāpana e hoʻoneʻe ai i nā iwi.
- Nā hono: Nā wahi e pili ai nā iwi kekahi i kekahi.
- Nā ʻiʻo a me nā ligaments: Nā ʻiʻo e hoʻopili ai i nā ʻiʻo i nā iwi a me nā iwi kekahi i kekahi.
- Cartilage: ʻO ka ʻāpana laumania ma waena o nā hono e pale ai i nā iwi mai ka hamo ʻana.
- Nā ʻiʻo palupalu: Nā ʻiʻo ʻē aʻe e kōkua i ka hoʻopaʻa ʻana i nā mea āpau.
Kōkua kēia ʻōnaehana iā mākou e hele, holo, hāpai i nā mea kaumaha, a kū pololei. No laila, inā he ʻeha i kēia mau ʻāpana, a inā he maʻi paha, hiki iā ʻoe ke ʻeha a ʻaʻole hiki ke hoʻoneʻe i kou kino. Hoʻoponopono ke ʻoki kino Orthopedic i nā pōʻino i kēia ʻōnaehana.
Aia kekahi mau ʻano ʻokoʻa o kēia mau ʻoki kino?
ʻAe, ʻoiaʻiʻo nō. I kekahi manawa, hoʻomaʻamaʻa kūikawā ʻia nā orthopedics no kekahi mau ʻāpana o ke kino a i ʻole kekahi mau kūlana olakino.
Ma muli o ke ʻano o ke kino, hana ʻia kēia mau hana:
- ʻŪhā
- Kuli
- Lima a me ka pulima lima
- Ka wāwae a me ka kuʻekuʻe wāwae
- iwi kuamoʻo
- Poʻohiwi a me ke kuʻekuʻe
Eia kekahi, ua hoʻokaʻawale ʻia hoʻi lākou e like me kā lākou mau wahi loea.
| Wahi Kūikawā | Ma nā huaʻōlelo maʻalahi ... |
|---|---|
| Ka maʻi ʻaʻai (Oncology) | Ka wehe ʻana i nā puʻupuʻu kanesa i loko o nā iwi. |
| ʻEhaeha | Ke mālama ʻana i nā ʻeha e like me nā haki koʻikoʻi i hoʻokumu ʻia e ka hāʻule ʻana, nā ulia kaʻa, a pēlā aku. |
| Lāʻau lapaʻau haʻuki | Ka mālama ʻana i nā ʻeha e like me ka haehae ʻana o nā ʻiʻo a me nā ligament i kū mai i ka wā o nā haʻuki. |
| Nā Pediatrics | Ka mālama ʻana i nā pilikia o ka iwi a me nā hono i nā keiki ma lalo o 18 mau makahiki. |
He aha ka mea e hana ʻia ma mua o ke ʻoki kino?
Inā pono ʻoe i ke ʻoki kino, pono mua ʻoe e ʻike i kahi loea. Ua kapa ʻia kēia he loiloi a i ʻole kūkākūkā . E lawe ke kauka i ka mōʻaukala piha o kou kūlana, e nānā i ka ʻāpana o kou kino āu e hoʻolālā nei e hana ʻoki kino, a e nānā hou i nā X-ray a i ʻole nā hoʻokolohua ʻē aʻe e loaʻa ai kahi ʻike maikaʻi o kou kūlana.
A laila wale nō e hoʻonohonoho ʻia ai kahi lā no ke ʻoki kino. E wehewehe pono ke kauka iā ʻoe i nā pilikia, nā pilikia, a me ka manawa hoʻōla e kū mai ana mai ke ʻoki kino.
I kēia manawa, mai makaʻu e nīnau i ke kauka i kāu mau nīnau, ʻaʻohe mea liʻiliʻi. He mea nui loa ka wehewehe ʻana i nā mea āpau.
E noʻonoʻo, inā he iwi haki koʻikoʻi kou i loko o kahi ulia, hiki ke hoʻokomo ʻia ʻoe i ka Emergency Department (ETU) a pono e hana koke ʻia ke ʻoki kino. Eia nō naʻe, inā he ʻoki kino i hoʻolālā ʻia, ʻaʻole ia he pilikia, hiki ke hala i kekahi mau lā, pule, a i ʻole mahina.
He aha ka mea e hana ʻia i ka lā o ke ʻoki kino?
I ka lā o kou ʻoki kino, e lawe ʻia ʻoe i kahi lumi hana ma ka haukapila. E hāʻawi ke kauka anesthesiologist iā ʻoe i ka anesthesia. A laila e hoʻomoe ʻia ʻoe me ka ʻeha ʻole. Ke hiamoe ʻoe, e hoʻomaka ke kauka ʻoki kino i ke ʻoki kino.
ʻOkoʻa nā mea i hana ʻia i ka wā o ke ʻoki kino ma muli o ke kumu o ke ʻoki kino. ʻO kekahi o nā mea i hana pinepine ʻia:
- Ke hoʻoponopono ʻana i nā iwi haʻihaʻi:I mea e hōʻoia ai ua hoʻonohonoho pono ʻia a hoʻōla ʻia nā ʻāpana iwi haʻihaʻi, ua hoʻopaʻa ʻia lākou me ka hoʻohana ʻana i nā mea e like me nā `pin`, `screws`, `rods`, a i ʻole `plates`.
- Ka hoʻoponopono ʻana i kahi ligament i hōʻino ʻia: Hoʻoneʻe ʻia ka ligament i hōʻino ʻia a pani ʻia me nā ʻiʻo olakino mai kahi ʻāpana ʻē aʻe o kou kino a i ʻole kahi ʻiʻo mai kahi mea hāʻawi (kahi 'graft').
- Lapaʻau no ka ʻāʻī: Hoʻokomo ʻia nā pāpale metala a palaki paha ma luna o nā wēlau o nā iwi o kahi hui i mae ma muli o ka ʻāʻī. Hoʻēmi kēia i ka ʻeha a hoʻihoʻi i ka hana kūpono o ke hui.
E hoʻomaopopo kāu kauka iā ʻoe e pili ana i kēia mau mea a pau ma mua o ke ʻoki ʻana. Ma hope o ka pau ʻana o ke ʻoki ʻana, e humuhumu ʻia ka ʻoki a e hoʻonani maikaʻi ʻia.
He aha ka mea e manaʻo ai ma hope o ke ʻoki kino?
Ma hope o ke ʻoki ʻana, e lawe ʻia ʻoe i kahi lumi hoʻōla. E noho ʻoe ma laila a pau nā hopena o ka anesthesia. Ma muli o ke ʻano o ke ʻoki ʻana, hiki paha iā ʻoe ke hoʻi i ka home i loko o kekahi mau hola, a i ʻole pono paha ʻoe e noho i ka haukapila no ka nānā ʻana no hoʻokahi a ʻelua paha lā.
Ke hoʻi ʻoe i ka home, e loaʻa iā ʻoe nā kuhikuhi no ka mālama ʻana i kou ʻeha, nā mea hiki iā ʻoe ke hana a me nā mea hiki ʻole iā ʻoe ke hana. He mea nui e loaʻa ka nui o ka hoʻomaha ma hope o ke ʻoki ʻana. He mea maʻalahi loa inā he lālā o ka ʻohana a he hoaaloha paha kāu e kōkua iā ʻoe.
E noi aku kāu kauka iā ʻoe e hoʻi mai i loko o kekahi mau lā, pule, a i ʻole mahina e nānā i kou hoʻōla ʻana ('nā manawa hahai'). I kēlā manawa, hiki iā lākou ke hana i nā hoʻokolohua e like me nā X-ray e nānā i ke ʻano o ka ho'ōla ʻana o kou mau iwi. Pono paha ʻoe i ka lāʻau lapaʻau kino e kōkua iā ʻoe e hoʻihoʻi i ka ikaika ma ka wahi o kou kino i ʻoki ʻia.
He aha nā pōmaikaʻi a me nā pilikia kūpono o ke ʻoki kino?
E like me nā mea āpau, aia nā pono a me nā pilikia liʻiliʻi. Akā ʻo ka maʻamau, ʻoi aku ka nui o nā pono ma mua o nā pilikia. E wehewehe pono kāu kauka i kēia iā ʻoe.
| Nā Pōmaikaʻi | Nā Pōʻino |
|---|---|
| Ua emi ka ʻeha. | Ke kahe ʻana o ke koko. |
| Hoʻonui ʻia ka hana o ke kino. | Ka maʻi ʻeha. |
| Hoʻonui ʻia ka laulā o ka neʻe ʻana. | ʻEha a hui paha a ʻoʻoleʻa paha. |
| Hoʻopaʻa pololei ʻana o nā haki. | Nā ʻūpā koko. |
| Ke wehe nei i nā puʻupuʻu ʻino. | Ka nāwaliwali o nā ʻiʻo a i ʻole ka mae ʻana o ka ʻiʻo. |
ʻEhia ka lōʻihi e ho'ōla ai?
ʻOkoʻa loa ka manawa e hana ai kēia ma muli o ke ʻoki kino. Hiki ke loaʻa mai kekahi mau pule a i kekahi mau mahina. Eia kekahi laʻana:
- ʻO ke ʻoki ACL: Ma kahi o 9 mau mahina.
- No ka hoʻoponopono ʻana i kahi haki: ma kahi o 3 mahina.
- No ke pani ʻana i nā hono kuli: ma kahi o 3 mahina.
ʻO ka mea nui loa, ʻo ia ka hahai pololei i nā kuhikuhi a kāu kauka . ʻO ka hoʻoikaika nui ʻana iā ʻoe iho me ka hāʻawi ʻole ʻana i ka wahi i ʻōlelo ʻia iā ʻoe e hoʻomaha hiki ke hoʻopaneʻe i ka ho'ōla ʻana o ka ʻeha, alakaʻi i ka maʻi, a pono paha e hana hou ʻia ke ʻoki kino.
Nā manawa kūikawā ke ʻike ʻoe i ke kauka ma hope o ke ʻoki ʻana
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona i ka wā o kāu lā hoʻokipa, pono ʻoe e hoʻomaopopo koke i kāu kauka .
- Inā loaʻa iā ʻoe ke kuni.
- Inā pehu nui ke kahua ʻoki.
- Inā ua loli ke kala o ka ʻili.
- Inā he ʻeha hiki ʻole ke hoʻomanawanui.
- Inā e kahe ana kekahi mea e like me ke wai a i ʻole ke koko mai ka ʻoki.
He kūleʻa loa kēia ʻano hana ʻoki kino a he mea maʻamau i kēia mau lā. No laila, mai makaʻu iā lākou. Ma ka hahai ʻana i nā ʻōlelo aʻoaʻo lapaʻau kūpono, e olakino a ikaika hou ʻoe a hiki iā ʻoe ke hana i kāu mau hana o kēlā me kēia lā.
Leka Lawe-Home
- ʻO ke ʻoki kino Orthopedic, kahi i hana ʻia e mālama i nā pilikia e pili ana i nā iwi, nā hono, a me nā ʻiʻo, he hana ʻoki maʻamau a palekana hoʻi i kēia lā.
- Ma mua o ke ʻoki ʻana, e kamaʻilio me kāu kauka e pili ana i nā kānalua a i ʻole nā nīnau āu e loaʻa ai.
- ʻO ka hahai pono ʻana i nā ʻōlelo kuhikuhi i hāʻawi ʻia ma hope o ke ʻoki ʻana (hoʻomaha, lāʻau lapaʻau, hoʻoikaika kino) he mea nui ia no ka hoʻōla koke ʻana.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona hōʻailona ma hope o ke ʻoki ʻana, e like me ke kuni, ka ʻeha nui, ka pehu ʻana, a i ʻole ka kahe ʻana mai ka ʻeha, e kāhea koke aku i kāu kauka.
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