ʻEha anei kou mau kuli i kou ala ʻana mai kahi moe i ke kakahiaka? A i ʻole ke loaʻa nei iā ʻoe ka ʻeha o ke kua i ke ahiahi ma hope o ka noho ʻana ma kahi noho i ka lā a pau? Malia paha ua wili ʻoe i kou kuʻekuʻe wāwae i ka wā e pāʻani ana i nā haʻuki, a ʻaʻole i emi iho ka ʻeha? Loaʻa iā mākou āpau ka ʻeha a me ka ʻoluʻolu ʻole i loko o ko mākou kino, nā iwi, nā hono, a me nā ʻiʻo i kekahi manawa o ko mākou ola. No laila, i kēia lā e kamaʻilio kikoʻī mākou e pili ana i ka mea maoli ke kauka e pono ai mākou e ʻike i kahi manawa e like me kēia, a pehea lākou e hiki ai ke kōkua iā mākou.
ʻO wai maoli ke Kauka Lapaʻau Orthopedic?
I ka ʻōlelo maʻalahi, he kauka kēia i loea i nā maʻi a me nā maʻi e pili ana i ka ʻōnaehana musculoskeletal o ko mākou kino, ʻo ia hoʻi, nā iwi, nā hono, a me nā ʻiʻo. I kekahi manawa kapa mākou iā lākou he 'mau kauka iwi'. Ma ka ʻōlelo Pelekania, ua kapa ʻia kēia loea he 'Orthopedic Surgeon' a i ʻole 'Orthopedicist'.
Ke nānā nui nei lākou i nā pilikia e kū mai ana i loko o ka 'Musculoskeletal System' o ko kākou kino, ʻo ia hoʻi, ka ʻōnaehana iwi a me nā ʻiʻo. E nānā kākou i nā mea e pili ana i kēia ʻōnaehana.
- Nā iwi: ʻO ke iwi e hāʻawi i ke ʻano a me ka ikaika i ko kākou kino.
- Nā hono: Nā wahi e pili ai nā iwi kekahi i kekahi (e.g. kuli, kuʻekuʻe).
- Cartilage: He uhi laumania a palekana e pale ai i nā iwi mai ka hamo ʻana kekahi i kekahi ma nā hono.
- Ligaments: Nā ʻiʻo ikaika e hoʻohui i nā iwi i kekahi i kekahi a hoʻopaʻa i nā hono.
- Nā ʻiʻo: Nā ʻiʻo e kōkua i ke kino e neʻe.
- Nā ʻiʻo: Nā ʻiʻo ikaika e hoʻopili i nā ʻiʻo i nā iwi.
- Nā aʻalolo: ʻO ka ʻōnaehana e lawe i nā hōʻailona mai ka lolo a puni ke kino. I kekahi manawa, hiki ke ʻūmiʻi ʻia nā aʻalolo ma muli o nā pilikia me nā iwi a i ʻole nā hono.
ʻO ka hana nui a kēia mau kauka loea, ʻo ia ke hoʻoponopono i kekahi ʻeha, pilikia, a kūlana paha e kū nei ma nā wahi āpau o kēia ʻōnaehana a kōkua iā ʻoe e hoʻomau i kāu mau hana o kēlā me kēia lā me ka ʻole o ka ʻeha.
He aha nā maʻi lapaʻau maʻamau a kēia mau kauka e mālama ai?
He ākea loa ke ʻano o nā maʻi i mālama ʻia e nā kauka ʻoki iwi. Loaʻa lākou mai nā pilikia hānau ʻana, a hiki i nā ʻeha i hana ʻia e nā ulia pōpilikia, a hiki i nā kūlana e ulu ana i ko kākou ʻelemakule ʻana. E nānā kākou i kekahi o nā mea koʻikoʻi loa.
| Maʻi/pilikia | He wehewehe maʻalahi |
|---|---|
| ʻO ka ʻāʻī o ke kino | ʻO ka pehu a me ka ʻeha o nā hono. ʻO ka Osteoarthritis, kahi maʻi i hoʻokumu ʻia e ka ʻaʻahu a me ka haehae ʻana o nā hono, he mea maʻamau ia, ʻoiai hoʻi i ko kākou ʻelemakule ʻana. |
| Nā haki iwi | He iwi haki a haki paha ma muli o ka hāʻule ʻana, ka ulia, a pēlā aku. Kāhea pū mākou i kēia he 'haʻihaʻi'. |
| Nā ʻeha haʻuki | ʻO ka haehae ʻana o ke ligament (e like me ka haehae ACL), nā ʻeha o nā ʻiʻo, nā sprains, a me nā mea ʻē aʻe e kū mai ana i ka wā o nā haʻuki. |
| ʻEha kua a me ka ʻāʻī | ʻEha i hoʻokumu ʻia e nā kumu like ʻole, e like me ke kūlana kūpono ʻole a me ka prolapse disc. |
| Nā kīnā hānau | Loaʻa nā pilikia iwi i ka wā hānau, e like me ka clubfoot a me ka hip dysplasia. |
| Nā puʻupuʻu iwi a me nā ʻiʻo palupalu | Nā puʻupuʻu maʻi ʻaʻai a i ʻole nā pūʻupuʻu ʻaʻai ʻole e ulu ana i loko o nā iwi a i ʻole nā ʻiʻo palupalu e like me nā ʻiʻo a me nā tendon. |
| Scoliosis | Ke kūlou ʻana o ka iwi kuamoʻo ma ka ʻaoʻao. |
| ʻO ka ʻeha o ka ʻūhā | ʻO ka pehu ʻana a me ka ʻeha ma nā tendons. |
He like anei ke kauka ʻeha (Rheumatologist) a me ke kauka ʻoki kino (Orthopedic Surgeon)? He aha ka ʻokoʻa?
He mea kēia e huikau ai ka poʻe he nui. ʻO ka 'Rheumatologist' a me ka 'Orthopedic Surgeon' he ʻelua poʻe ʻokoʻa. ʻOiai ke mālama nei lāua i nā maʻi e pili ana i nā iwi, nā hono, a me nā ʻiʻo, ʻokoʻa ke ʻano o kā lāua nānā ʻana i ka pilikia a me nā ʻano o ka mālama ʻana.
I ka ʻōlelo maʻalahi, hana kahi Orthopedic Surgeon i ke ʻoki ʻana, akā ʻaʻole hana kahi Rheumatologist.
E hoʻomaopopo iki kākou i kēia ʻokoʻa.
| Hoʻohālikelike | Kauka Lapaʻau Orthopedic | Kauka Lapaʻau ʻōpū |
|---|---|---|
| ʻoki kino | ʻAe , lawe ʻia nā hana ʻokiʻoki a me nā hana ʻokiʻoki ʻole. | ʻAʻole , hāʻawi nui ʻia nā lāʻau lapaʻau a me nā lāʻau lapaʻau ʻē aʻe ʻaʻole me ke ʻoki ʻana. |
| Ka mea nui e nānā ai | Nā pilikia mīkini e like me nā ʻeha, nā ulia pōpilikia, nā kīnā hānau, a me nā pilikia hono. | ʻO nā maʻi ʻōnaehana nā maʻi e hoʻopilikia i ke kino holoʻokoʻa ma muli o nā pilikia me ka ʻōnaehana pale. |
| Nā Laʻana | Nā haki, ka osteoarthritis, nā ʻeha haʻuki, nā pilikia kua. | ʻO ka Rheumatoid Arthritis, Lupus, Vasculitis. |
Akā hana pinepine kēia mau ʻano loea ʻelua. No ka laʻana, inā loaʻa iā ʻoe ka rheumatoid arthritis, e kuhikuhi kahi rheumatologist i ka lāʻau lapaʻau e kāohi i kou kūlana. Akā inā ua luhi loa kou hui kuli ma muli o ka maʻi, hiki ke kuhikuhi ʻia ʻoe i kahi kauka ʻokiʻoki orthopedic no ke ʻoki hoʻololi hui.
Aia kekahi mau ʻoihana kūikawā ʻē aʻe i nā maʻi iwi?
ʻAe. ʻAe nō. E like me nā ʻoihana lapaʻau ʻē aʻe, aia nā ʻoihana kūikawā hohonu i nā maʻi iwi a me nā hono. Ma waho aʻe o kahi loea orthopedic laulā, loaʻa i kekahi mau kauka ke aʻo hou aʻe ma kahi kikoʻī .
- ʻO ke ʻoki wāwae a me ka kuʻekuʻe wāwae: He loea i nā pilikia paʻakikī e kū mai ana i ko mākou mau wāwae.
- ʻO ke ʻoki lima a me nā lālā o luna: Nā pilikia e pili ana i ka lima, ka pulima lima, ke kuʻekuʻe lima, a me ka poʻohiwi.
- Hoʻololi hono: Nā loea i ke ʻoki kino ʻana i nā hono i pau e like me ka ʻūhā a me ke kuli.
- ʻO ke ʻoki kino orthopedic pediatric: Lapaʻau ʻana i nā pilikia me ka ʻōnaehana iwi o nā keiki ʻōpio a me nā keiki e ulu ana.
- ʻO ke ʻoki iwi kuamoʻo: Nā loea e mālama i nā kūlana paʻakikī o ke kua a me ka ʻāʻī.
- Lapaʻau haʻuki: ʻIke loea i ka pale ʻana a me ka mālama ʻana i nā ʻeha i nā mea pāʻani.
- ʻO ka oncology Orthopedic: Lapaʻau ʻana i nā ʻōpū kanesa e kū mai ana i nā iwi a me nā ʻiʻo palupalu.
- ʻO ka trauma Orthopedic: Ka mālama ʻana i nā haki paʻakikī a me nā ʻeha i hoʻokumu ʻia e nā ulia koʻikoʻi.
I ka manawa hea ʻoe e ʻike ai i kahi loea iwi a me nā hono?
Inā hoʻomau ʻoe i kekahi a ʻoi aku paha o nā hōʻailona ma lalo nei, he mea nui loa ia e ʻike i kahi kauka lapaʻau maʻamau, a inā pono, e kuhikuhi ʻia i kahi loea iwi a me nā hono.
| Hōʻailona | He aha ke ʻano o kēia |
|---|---|
| He kani pahū a wili paha i ka wā e neʻe ai i kahi hui | Aia paha he ʻaʻahu a me ka haehae ʻana o ke cartilage i loko o ke hui a i ʻole he pilikia me ka ligament. |
| ʻEha, pehu, a me ka ʻulaʻula i nā hono | Hiki iā ia ke hōʻailona o kahi maʻi mumū e like me ka arthritis. |
| ʻO ka mae a i ʻole ke kani ʻana o nā lālā | Hiki ke hana i kēia ma muli o ke kaomi ʻana o ke aʻalolo e kahi iwi a i ʻole ka cartilage disc. |
| Ka paʻakikī e neʻe ma muli o ka ʻeha | ʻO nā mea e like me ka hiki ʻole ke hāpai i nā poʻohiwi a kūlou paha i nā kuli e hōʻike ana i kahi kīnā. |
| ʻOʻoleʻa o ke ami kakahiaka | Inā pilikia ʻoe i ke kulou ʻana a me ka hoʻolōʻihi ʻana i kou mau hono no kekahi manawa ma hope o ke ala ʻana, he hōʻailona paha ia o ka maʻi ʻaʻai. |
He aha ka mea e hana ʻia i ka lā mua āu e hele ai e ʻike i ke kauka?
He mea maʻamau ke hopohopo iki i kou hele ʻana e ʻike i kahi loea. Akā, ʻo ka ʻike ʻana i ka mea e manaʻo ai ma mua e hiki ke kōkua i ka hoʻomaha ʻana i kēlā makaʻu. Eia kekahi mau mea e hana pinepine ʻia i kāu hālāwai mua ʻana.
1. Ke kamaʻilio ʻana e pili ana i kāu mau hōʻailona: E nīnau ke kauka iā ʻoe i nā nīnau he nui, me ke ʻano o kou ʻeha, pehea ka lōʻihi o kou loaʻa ʻana, i ka wā e ʻoi aku ai ka ʻino, he aha nā lāʻau lapaʻau ʻē aʻe āu e lawe ai, kāu ʻoihana, a me kou nohona.
2. Hoʻokolokolo kino: Nānā ʻia ke ami ʻeha a i ʻole ka ʻāpana kino. Hiki ke kulou, kīkoʻo, a hoʻoneʻe ʻia i nā ʻaoʻao like ʻole.
3. Nā noiʻi: E noi ʻia paha ʻoe e hana i kahi mea e like me ka X-ray e hoʻomaopopo ai i ka pilikia kikoʻī. I kekahi manawa, inā pono nā kikoʻī hou aku, hiki ke ʻōlelo ʻia kahi CT scan a i ʻole MRI scan.
4. Ka Hōʻoia a me ka Lāʻau: ʻO ka hapa nui o ka manawa, ma muli o kēia ʻike, e wehewehe ke kauka i kou kūlana a wehewehe i kahi hoʻolālā lapaʻau e kūpono iā ʻoe. Eia nō naʻe, i kekahi manawa hiki ke hana ʻia kahi hōʻoia paʻa ma hope o ka loaʻa ʻana o nā hopena hoʻāʻo, e like me ka MRI.
Ke hele au i ke kauka orthopedic, pono anei iaʻu e hana i kahi ʻoki?
ʻO kēia ka makaʻu nui a ka poʻe he nui. Akā ʻo ka pane, ʻaʻole . ʻAʻole wale ke kauka ʻoki iwi he kanaka hana ʻoki kino. He poʻe akamai nō hoʻi lākou i nā lāʻau lapaʻau ʻole me ke ʻoki kino.
E hoʻomanaʻo, ʻo ka ʻike ʻana i kahi kauka ʻoki iwi ʻaʻole ia he ʻoki mau. No nā kūlana he nui, hiki i nā lāʻau lapaʻau ʻoki ʻole ke hāʻawi i ka hōʻoluʻolu holomua.
Ma keʻano laulā, koe wale nō nā hihia o ka ʻeha koʻikoʻi a i ʻole kekahi mau kīnā hānau, e hoʻāʻo mua nā kauka i nā lāʻau lapaʻau ʻoki ʻole. Inā ʻaʻole e hāʻawi kēlā mau lāʻau i kahi hopena holomua, e noʻonoʻo ʻia ke ʻoki ʻana.
No laila, he aha nā ʻano lapaʻau nonsurgical?
- Ke komo ʻana i nā lako kūikawā: Nā mea e like me nā pale lima, nā kaula, ka plaster of Paris (casts) a i ʻole nā splints e kōkua i ka lālā e noho mālie a ho'ōla.
- Nā inikini hui: Ke inikini ʻana i nā lāʻau steroid, e like me ka cortisone, i loko o ka hui e hōʻemi i ka ʻeha a me ka pehu.
- Nā lāʻau lapaʻau: Nā lāʻau hoʻopau ʻeha (e.g. paracetamol, ibuprofen), nā mea hoʻomaha ʻiʻo, a pēlā aku.
- Hoʻōla Kino: Kōkua nā hoʻomaʻamaʻa kikoʻī i ka hoʻoikaika ʻana i nā ʻiʻo, hoʻonui i ka laulā o ka neʻe ʻana i nā hono, a hoʻemi i ka ʻeha.
- Hoʻōla Hana: Ke aʻo ʻana i ka hana maʻalahi i nā hana o kēlā me kēia lā (e like me ke kapa ʻana, ka kuke ʻana) me ka ʻeha ʻole.
- ʻO ka lāʻau lapaʻau PRP (Platelet-rich plasma therapy): He ʻano lapaʻau hou e hoʻohana ana i nā platelets mai ke koko ponoʻī o ka mea maʻi e hoʻolalelale i ka ho'ōla ʻana o nā ʻiʻo i hōʻino ʻia.
- Orthotics: Nā mea hoʻokomo i hoʻolālā kūikawā ʻia i kau ʻia i loko o nā kāmaʻa e hoʻoponopono i ke kūlana o ka wāwae a hōʻemi i ke kaomi ma ka wāwae i ka wā e hele ana.
He aha ke ʻano o nā ʻoki kino a kēia mau kauka e hana ai?
Inā pono ke ʻoki kino, aia nā ʻano ʻoki kino like ʻole e hiki ke hoʻopilikino ʻia i kou kūlana.
ʻO ke ʻoki hoʻololi hui
- Hoʻololi piha ʻana o ka ʻūhā
- Hoʻololi kuli piha a hapa
- Hoʻololi poʻohiwi holoʻokoʻa
Nā ʻoki lima a me nā lālā o luna
- ʻO ke ʻoki kino no ka carpal tunnel syndrome (Carpal tunnel release)
- Hoʻoponopono i ka haehae ʻana o ka cuff rotator (ʻoki ʻana i ka cuff rotator)
- ʻO ke ʻoki manamana lima
ʻO ke ʻoki ʻana o ka iwi kuamoʻo
- ʻO ke ʻoki kino e hōʻoluʻolu i ke kaomi ʻana o ke aʻalolo (Spinal decompression, Laminectomy)
- Hoʻohuihui iwi kuamoʻo
ʻO ke ʻoki kino no nā ʻeha haʻuki
- ʻO ke ʻoki ʻana o ka meniscus
- Hoʻoponopono ʻana i ka ligament cruciate mua (ACL)
Leka Lawe-Home
- He loea i aʻo nui ʻia ke Kauka ʻoki Orthopedic nāna e mālama i nā pilikia e pili ana i ko mākou mau iwi, nā hono, a me nā ʻiʻo.
- ʻAʻole manaʻo mau ka hele ʻana e ʻike iā lākou e pono ai ke hana ʻoki kino. Nui nā ʻano lapaʻau ʻoki ʻole i loaʻa, e like me ka hoʻōla kino, nā lāʻau lapaʻau, a me nā inikini.
- Inā loaʻa iā ʻoe ka ʻeha ami no ka manawa lōʻihi, ka pehu ʻana, ka ʻoʻoleʻa, a i ʻole ka paʻakikī i ka neʻe ʻana, mai hoʻokaʻulua i ka ʻimi ʻana i ke kōkua lapaʻau.
- He mea nui ka kamaʻilio ākea ʻana me kāu kauka e pili ana i kāu mau hōʻailona, ke ʻano o ka nohona, a me nā mea i manaʻo ʻia e hoʻoholo ai i ka hoʻolālā lapaʻau kūpono.
- Me ka lāʻau kūpono, hiki iā ʻoe ke ola i kahi ola hana a ʻoluʻolu hoʻi me ka ʻeha ʻole.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo