I kēia lā, e kamaʻilio ana mākou e pili ana i kahi kumuhana nui i nā poʻe he nui. Ke manaʻo nei ʻoe i kekahi manawa i ka ʻeha ma kou kino, ka ʻeha o nā hono, a i ʻole kekahi ʻoluʻolu ʻole i ka wā e hele ana? ʻO wai kā mākou e kāhea aku ai i ka wā e hana ʻia ai kēlā? I kēia lā, e kamaʻilio ana mākou e pili ana i kahi loea e kōkua mai iā mākou i ia mau manawa - ʻo ia ke kauka ʻoki kino, a i ʻole e like me kā mākou e ʻike nei iā ia, ʻo ke kauka i kapa ʻia ʻo Orthopedic Surgeon. Ua kapa pū kekahi iā ia he Orthopedic.
ʻO wai kēia Kauka Lapaʻau Orthopedic?
I ka ʻōlelo maʻalahi, he kauka lapaʻau orthopedic he kauka loea i ka mālama ʻana i nā pilikia a me nā maʻi o ka ʻōnaehana musculoskeletal, me nā iwi, nā hono, nā ʻiʻo, a me nā tendon . Hiki iā lākou ke kōkua iā ʻoe e hoʻopau i ka ʻeha, neʻe maikaʻi, a hana maʻamau.
He aha kēia mau pilikia o ke kino a me ke kino?
Me he mea lā he huaʻōlelo nui kēia, akā he maʻalahi ia. Pili ia i nā pilikia me nā ʻāpana o ko mākou kino e kōkua iā mākou e neʻe a neʻe. E noʻonoʻo i ko mākou kino e like me ka mīkini i hana ʻia me nā ʻāpana pākahi. ʻO kekahi o nā ʻāpana nui o kēia "mīkini" ʻo ia ka ʻōnaehana musculoskeletal:
- Nā iwi: ʻO kēia nā mea e hana ai i ka iwi o ko kākou kino.
- Cartilage: ʻO ka ʻāpana e like me ka uluna ma waena o nā hono e pale ai i nā iwi mai ka hamo ʻana kekahi i kekahi.
- Nā hono: Nā wahi e pili ai nā iwi ʻelua (e.g. kuli, kuʻekuʻe).
- Ligaments: Nā ʻano ikaika, e like me ke kaula e hoʻohui i nā iwi.
- Nā ʻiʻo: Nā ʻāpana e kōkua i ke kino e neʻe a me ka ʻaelike.
- Nā aʻalolo: ʻO nā aʻalolo e lawe i nā leka mai ka lolo a puni ke kino, e ʻae ana iā mākou e ʻeha a hoʻopā.
- Nā ʻūhā: Nā kaula ikaika e hoʻopili ai i nā ʻiʻo i nā iwi.
Inā he pilikia ma kekahi o kēia mau wahi, hiki ke manaʻo ʻia he pilikia musculoskeletal.
He aha nā ʻano maʻi e mālama ai ke kauka orthopedic?
Hoʻōla kēia mau kauka i nā ʻano maʻi like ʻole a me nā kūlana. Eia kekahi mau laʻana:
- ʻArthritis: ʻEha i hoʻoulu ʻia e ka degeneration o nā hono, ʻoiai ʻo ka osteoarthritis.
- Nā puʻupuʻu palupalu maikaʻi.
- Ka maʻi ʻaʻai iwi.
- Bursitis - Ka pehu ʻana o nā ʻeke piha wai kokoke i nā hono.
- Nā kīnā hānau: No ka laʻana, ka dysplasia wāwae kalapu a me ka ʻūhā.
- ʻEha ka ʻāʻī a me ke kua i lalo.
- ʻO ka trauma Orthopedic: Nā mea e like me ka haki iwi.
- Nā ʻeha haʻuki.
- Nā ʻūmiʻi a me nā ʻūmiʻi.
- Tendinitis - Ka mumū o ke aʻalolo.
- Scoliosis - Ke kūlou ʻana o ke kuamoʻo.
He aha ka ʻokoʻa ma waena o kahi Rheumatologist a me kahi Orthopedic Surgeon?
He nui ka poʻe i loaʻa i kēia pilikia. He loea maoli kēia mau kauka ʻelua i nā maʻi e pili ana i ko kākou mau iwi, nā hono, a me nā ʻiʻo. Hoʻōla lāua ʻelua i kekahi mau maʻi e like me ka rumatika, ka ʻeha hope, a me ka osteoporosis. Eia nō naʻe, aia kekahi mau ʻokoʻa koʻikoʻi.
- Hana nā kauka ʻoki kino i ke ʻoki kino . ʻAʻole hana nā rheumatologists i ke ʻoki kino maʻamau.
- Hoʻoikaika nui ke kauka ʻokiʻoki orthopedic i nā pilikia i hoʻokumu ʻia e nā ʻeha, nā kīnā hānau, a me nā maʻi degenerative i hoʻokumu ʻia e ka hoʻohana lōʻihi ʻana o ke kino .
- Ma ka ʻaoʻao ʻē aʻe, mālama kahi kauka rheumatologist i nā kūlana i hoʻokumu ʻia e nā maʻi ʻōnaehana e hoʻopilikia i ke kino holoʻokoʻa. Hiki ke hoʻokumu pinepine ʻia kēia mau mea e nā pilikia me ka ʻōnaehana pale. ʻO nā laʻana e komo pū me ka lupus, vasculitis, rheumatoid arthritis, a me kekahi mau maʻi hoʻoilina kakaikahi.
Eia nō naʻe, i kekahi manawa hana pū kēia mau kauka ʻelua e mālama i nā maʻi. No ka laʻana, inā loaʻa iā ʻoe ka rheumatoid arthritis, hiki i kahi rheumatologist a me ke kauka orthopedic ke hana pū e hāʻawi iā ʻoe i ka lāʻau lapaʻau maikaʻi loa.
He aha ka hana a ke kauka orthopedic?
Hoʻōla kekahi mau kauka ʻokiʻoki orthopedic i nā ʻano maʻi orthopedic like ʻole (generalists). ʻO ke ʻano kēia, ʻaʻole lākou e kaupalena iā lākou iho i hoʻokahi wahi kikoʻī. Loaʻa i kekahi poʻe ke aʻo hou aʻe ma kahi wahi kikoʻī a hana i ka mālama ʻana i nā maʻi e pili ana i kēlā wahi.
Eia kekahi o nā ʻano hana kūikawā orthopedic:
- ʻO ke ʻoki wāwae a me ka kuʻekuʻe wāwae.
- ʻO ke ʻoki lima a me nā lālā o luna.
- ʻO ke ʻoki kino pani hui.
- ʻO ka oncology Orthopedic - Ka mālama ʻana i nā maʻi ʻōpū a me nā maʻi ʻaʻai o nā iwi a me nā ʻiʻo palupalu.
- ʻO ka trauma Orthopedic - nā ʻeha koʻikoʻi e like me nā iwi haʻihaʻi.
- ʻO ke ʻoki kino orthopedic pediatric - Nā pilikia iwi a me nā hono i nā keiki.
- ʻOki ʻana o ke kuamoʻo.
- Lāʻau lapaʻau haʻuki - nā ʻeha a me nā maʻi o nā mea pāʻani.
He aha ke ʻano o ke aʻo lapaʻau a kēia mau kauka orthopedic e loaʻa ai?
ʻAʻole kēia he huakaʻi maʻalahi. ʻO ka lilo ʻana i kauka orthopedic e pono ai ma kahi o 14 mau makahiki o ke aʻo lapaʻau .
- ʻO ka mea mua, he kekelē ʻepekema ʻehā makahiki (nā haʻawina lae pua).
- A laila ʻehā mau makahiki o ke kula lapaʻau. Hiki i kēia ke lilo i kekelē lapaʻau kuʻuna, ʻo ia hoʻi he M.D. (Kauka Lapaʻau), a i ʻole he hoʻonaʻauao osteopathic, ʻo ia hoʻi he kekelē D.O. (Kauka Osteopathy). Noʻonoʻo pono kēia mau kauka D.O. i ka noʻonoʻo, ke kino, a me ka ʻuhane o ke kanaka, a hahai i kahi ʻano hana o ka mālama ʻana i ke 'kanaka holoʻokoʻa'.
- ʻO ka mea aʻe, pono ʻoe e hoʻopau i kahi noho orthopedic, ʻo ia hoʻi he ʻelima mau makahiki. Maanei ʻoe e loaʻa ai ka ʻike kūpono ma kahi haukapila a aʻo e pili ana i nā ʻoki kino a me nā lāʻau lapaʻau like ʻole.
- Inā makemake ʻoe e hana i kahi ʻoihana kūikawā ma kahi ʻoihana ʻē aʻe, e like me ka mea i ʻōlelo ʻia ma luna, pono ʻoe e hoʻopau i hoʻokahi makahiki a ʻelua paha o ke aʻo kūikawā (fellowship).
Ma hope o ka pau ʻana o kēia mau mea a pau, hiki iā lākou ke lilo i mau kauka ʻokiʻoki orthopedic i hōʻoia ʻia e ka papa. No kēlā, pono lākou e hala i nā hoʻokolohua kūikawā. Ma hope o kēlā, pono lākou e hoʻomau i ke aʻo ʻana i nā mea hou a me ka hoʻonui ʻana i ko lākou ʻike lapaʻau (hoʻomau i ka hoʻonaʻauao lapaʻau).
Āhea wau e ʻike ai i kahi kauka lapaʻau orthopedic?
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, he manaʻo maikaʻi paha e ʻike i ke kauka orthopedic:
- Inā he kani 'kiri kiri' a i ʻole he kani 'tok' ke hoʻoluliluli ʻia ka hui pili.
- Inā he pehu a ʻulaʻula paha (ka mumū) ma ke hono.
- Inā loaʻa iā ʻoe ka ʻeha o nā hono .
- Inā ʻoe e manaʻo ana i ka mae a i ʻole ke kani ʻana .
- Inā ua kaupalena ʻia kou neʻe ʻana ma muli o ka ʻeha.
- Inā ʻoe e manaʻo ana i ka paʻa a i ʻole ka ʻoʻoleʻa i loko o kou kino .
Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, ʻoi aku ka maikaʻi o ke kipa ʻana i ke kauka me ka hoʻowahāwahā ʻole iā lākou.
He aha kaʻu e manaʻo ai i kaʻu hālāwai mua ʻana?
ʻAe, e ʻōlelo kākou ua hele wale ʻoe e ʻike i ke kauka. I ka lā mua, eia ka mea maʻamau e hana ʻia:
- E kamaʻilio ke kauka me ʻoe e pili ana i kāu mau hōʻailona, kou mōʻaukala olakino, a me kou nohona . E nīnau lākou iā ʻoe e pili ana i nā pilikia āu, pehea ka lōʻihi o kou loaʻa ʻana iā lākou, a i ka wā e lilo ai lākou i mea ʻino.
- E nānā ʻia kou kino. E hana lākou i kahi hoʻokolokolo kino, ʻoiai ke hoʻopā ʻana i ke ami i hoʻopilikia ʻia ma nā ʻano like ʻole . E nānā pū lākou e ʻike inā pehu ka wahi, ʻulaʻula, a ʻeha paha ke hoʻopā.
- Hiki ke noi ʻia ʻoe e hana i kahi hoʻokolohua, e like me ka X-ray, e nānā i ke kūlana o kou mau iwi.
- Ke wehewehe nei i kāu hōʻailona.
- A laila, e haʻi lākou iā ʻoe e pili ana i nā ʻōlelo aʻoaʻo no ka mālama ʻana .
I kekahi manawa, inā pono ʻoe e nānā hohonu aku, pono kahi CT scan a i ʻole MRI scan.Hiki ke hana pololei ʻia. Hiki i kēia mau mea ke mālama pono ʻaʻole wale i nā iwi, akā, i nā ʻiʻo palupalu e like me ke cartilage a me nā tendons. I kēlā hihia, ʻaʻole paha e hiki ke ʻike pololei i ke ʻano o ka maʻi a me ke ʻano o ka hoʻolālā lapaʻau i ka lā mua. I kēia manawa, e aʻo aku ke kauka iā ʻoe e hōʻemi i nā hōʻailona.
ʻO ke hālāwai ʻana me ke kauka ʻoki iwi ke ʻano anei e pono ai ʻoe e hana i ke ʻoki kino?
ʻAʻole, ʻaʻohe mea like me ia! He kuhihewa kēlā a ka poʻe he nui. I ka lohe ʻana i ka huaʻōlelo "kauka lapaʻau," makaʻu mākou e pono mākou e hana i kahi ʻoki.
He loea nā kauka ʻoki kino i nā ʻano hana ʻoki kino ʻole a me nā ʻano hana ʻoki kino. ʻO ke ʻoki kino paha ke koho mua no nā trauma orthopedic a i ʻole nā maʻi hānau.
Eia nō naʻe, no ka hapa nui o nā kūlana ʻē aʻe, hoʻāʻo mua nā kauka i nā lāʻau lapaʻau ʻoki ʻole. I kekahi manawa pono nā lāʻau lapaʻau he nui e loaʻa ai ka hōʻoluʻolu mau loa. He mea maʻamau ka hoʻāʻo ʻana i kekahi mau lāʻau lapaʻau i ka manawa like. Inā ʻaʻole hoʻomaha kekahi o kēia mau lāʻau lapaʻau i kāu mau hōʻailona, pono ʻoe e noʻonoʻo i ke ʻoki ʻana. ʻOiai i kēlā manawa, e wehewehe kāu kauka i nā kikoʻī, nā pilikia, a me nā pono iā ʻoe.
He aha nā ʻano hana lapaʻau ʻokiʻoki ʻole i hoʻohana ʻia e nā kauka ʻokiʻoki orthopedic?
ʻAe, e nānā kākou i ka mea hiki ke hana me ke ʻoki ʻole ʻana. Nui nā lāʻau lapaʻau e like me kēia:
- Nā lako kūikawā: nā pale lima, nā ʻūmiʻi (e like me ke kaula e kau ana mai ka lima), ka plaster of Paris (nā mea i hoʻoheheʻe ʻia - kapa mākou iā lākou he POPs) a i ʻole nā splints (splints - nā kaula manawa pōkole e hoʻopaʻa ai i nā iwi a i ʻole nā hono i kahi).
- Nā inikini hui: Nā lāʻau steroid, e like me ka cortisone, e hōʻemi i ka ʻeha a me ka pehu. I kekahi manawa, hiki ke hoʻohana ʻia nā inikini i kapa ʻia ʻo viscosupplementation, kahi e hoʻokomo ai i kahi lubricant i loko o ka hui.
- Nā lāʻau lapaʻau ʻaʻole opioid: Nā lāʻau lapaʻau e like me Paracetamol a i ʻole Ibuprofen (pono e lawe ʻia kēia mau mea e like me ke kuhikuhi a ke kauka).
- Hoʻōla kino: Nā hoʻomaʻamaʻa kūikawā a me nā lāʻau lapaʻau e wehe i nā ʻiʻo paʻa, hoʻoikaika i nā ʻiʻo, a hoʻonui i ka neʻe ʻana o nā hono.
- Hoʻōla hana: Kōkua iā ʻoe e hana i nā hana o kēlā me kēia lā, e like me ke komo ʻana a me ka ʻai ʻana, me ka maʻalahi inā paʻakikī ma muli o ka maʻi.
- ʻO ka lāʻau lapaʻau plasma waiwai platelet (PRP): Pili kēia i ka hoʻokaʻawale ʻana i nā platelet mai kou koko ponoʻī a hoʻokomo hou iā lākou i loko o ka wahi pilikia. He lāʻau hoʻokolohua kēia no kekahi mau maʻi.
- Nā Orthotics:ʻO nā hoʻokomo kāmaʻa maʻamau he mau hoʻokomo kūikawā e kōkua ai i ke kau pono ʻana i ka wāwae. Hiki i kēia ke hōʻemi i ka ʻeha o ka wāwae.
He aha nā ʻano hana ʻoki kino a nā kauka orthopedic e hana ai?
I kēia manawa, e nānā kākou i ke ʻano o nā ʻoki kino a kēia mau kauka e hana ai. ʻO ke ʻano o ke ʻoki kino kūpono iā ʻoe e pili ana i ke kūlana āu i loaʻa ai. Eia kekahi mau laʻana.
Nā kaʻina hana wāwae a me nā kuʻekuʻe wāwae
- Hoʻoponopono ʻana i ke aʻalolo Achilles
- ʻO ke ʻoki hoʻoponopono bunion - he iwi e puka mai ana ma ka manamana wāwae nui.
- ʻO ke ʻoki ʻana o ka manamana wāwae - kahi kūlana e kūlou ai nā manamana wāwae.
- ʻO ke ʻoki kino hoʻokuʻu i ka plantar fasciitis - no ka ʻeha ma ka ʻāwae o ka wāwae.
- Hoʻololi piha ʻia ka kuʻekuʻe wāwae a i ʻole ka fusion
Nā ʻoki lima a me nā lālā o luna
- ʻO ke ʻoki kino no ka carpal tunnel syndrome (Carpal tunnel release) - no ka numbness o ka lima.
- ʻO ke ʻoki ʻana o Dupuytren - kahi kūlana i hiki ʻole ai ke hoʻolōʻihi ʻia nā manamana lima.
- Ka wehe ʻana i ka cyst ganglion - He cyst piha i ka wai e hana ʻia ma ka ʻāpana pulima.
- ʻO ke ʻoki ʻana o ka cuff rotator - e hoʻoponopono i kahi aʻalolo i haehae ʻia ma ka poʻohiwi.
- ʻO ke ʻoki ʻana i ka manamana lima hoʻokuʻu - He kūlana kahi e paʻa ai ka manamana lima ke kūlou ʻoe a hoʻopololei.
Hoʻololi a me ke kūkulu hou ʻana o nā hui
- Hoʻololi piha ʻana o ka ʻūhā
- Hoʻololi kuli piha a hapa
- Hoʻololi poʻohiwi holoʻokoʻa
- Nā kaʻina hana maʻamau ʻole, e like me ke pani kuʻekuʻe lima a i ʻole ka pulima lima
Ka mālama ʻana i nā trauma Orthopedic
- Hoʻoponopono i ka dislocation
- Hoʻopaʻa ʻana i nā haki - me ka hoʻohana ʻana i nā uea a me nā papa.
- Lapaʻau no ka nonunion, malunion, a i ʻole osteomyelitis ma hope o ka haki ʻana.
- ʻO ke ʻoki kino hou e hoʻoponopono hou i nā iwi haʻihaʻi nui a i ʻole nā hono i hōʻino nui ʻia.
Nā ʻoki kino iwi kuamoʻo
- Laminectomy - wehe ʻana i kahi ʻāpana o ke kaula spinal e hōʻemi i ke kaomi ʻana o nā aʻalolo.
- Hoʻēmi i ke kaomi ʻana o ka iwi kuamoʻo - Hoʻemi i ke kaomi ma luna o nā aʻalolo.
- Spinal fusion - He hana ʻoki e hoʻopaʻa i ka iwi kuamoʻo ma ka hoʻohui ʻana i ʻelua a ʻoi aku paha vertebrae i hoʻokahi.
Nā kaʻina hana hōʻeha haʻuki
- ʻO ke ʻoki ʻana o ka meniscus - e hoʻoponopono i ke cartilage i haehae ʻia ma ke kuli.
- Hoʻoponopono ʻana i ka ligament cruciate mua (ACL) - e hoʻoponopono i kahi ligament nui ma ke kuli.
- Hoʻoponopono i ka haehae ʻana o ka cuff rotator
- ʻO ke ʻoki ʻūhā no nā waimaka labral
ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai (Leka Lawe-Home)
No laila, he kauka orthopedic kekahi kanaka e kōkua ana i nā kānaka o nā makahiki āpau me nā pilikia e pili ana i ko lākou mau iwi, nā hono, a me nā ʻiʻo. He loea kekahi i nā wahi kikoʻī, e like me nā lima, nā wāwae, a me ka iwi kuamoʻo. Ke kipa aku ʻoe i kāu kauka, e mākaukau e kamaʻilio e pili ana i kāu mau hōʻailona, nā maʻi i hala, a me nā lāʻau lapaʻau āu i hoʻāʻo ai.
E hoʻomanaʻo, ʻo ka ʻike ʻana i ke kauka orthopedic ʻaʻole ia he manaʻo mau e pono ʻoe e hana i kahi ʻoki.
Hāʻawi lākou i nā poʻe he nui i nā lāʻau lapaʻau ʻoki ʻole e like me nā inikini a me ka hoʻōla kino. No laila, inā ʻoe e ʻeha nei a ʻoluʻolu ʻole paha i kou kino a i ʻole nā hui, mai kānalua e ʻike i kahi kauka orthopedic a e ʻimi i ka ʻōlelo aʻoaʻo.
Kauka ʻoki kino, Kauka ʻoki kino, Nā maʻi iwi, Nā maʻi hono, Nā maʻi musculoskeletal, ʻEha kua, ʻEha kuli, ʻoki kino
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