Ua loaʻa i kou iwi ka maʻi? E aʻo kākou e pili ana i ka osteomyelitis!

Ke manaʻo nei ʻoe i kekahi manawa e like me ka ʻeha o kahi iwi ma kou kino, pehu paha? A i ʻole he ʻeha liʻiliʻi paha ua loaʻa ka maʻi nui? ʻAʻole paha he mau mea maʻalahi kēia. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi iwi i koʻikoʻi iki, akā hiki ke ho'ōla ʻia inā mālama pono ʻia. ʻO kēia ka mea a mākou e kapa nei he osteomyelitis.

He aha ka Osteomyelitis?

I ka ʻōlelo maʻalahi, ʻo ka osteomyelitis kahi maʻi e kū mai ana i loko o kou mau iwi . E noʻonoʻo e pili ana i ia mea, i kekahi manawa ke loaʻa iā mākou kahi ʻeha ma ko mākou kino a ʻaʻole mālama pono ʻia, komo mai nā bacteria a i ʻole nā ​​​​fungi a hoʻoulu i ka maʻi? ʻĀ, kū mai kēia ʻano ke laha kēia mau germs i nā iwi. ʻO ke kikoʻī, hoʻopilikia ia i ka ʻāpana i loko o kou mau iwi i kapa ʻia ʻo ka iwi iwi . A laila lilo kēlā wahi i pehu nui a hoʻomaka e ʻeha .

Hiki ke loaʻa i loko o kekahi iwi o ke kino. Eia nō naʻe, i nā keiki ʻōpio , loaʻa pinepine ia i nā iwi lōʻihi o nā wāwae a i ʻole nā ​​​​lima. I nā pākeke , loaʻa pinepine ia i loko o nā vertebrae a i ʻole nā ​​​​iwi ʻūhā o ka iwi kuamoʻo.

ʻO ka mea nui loa, inā ʻaʻole mālama pono ʻia kēia i ka manawa kūpono , hiki iā ia ke hōʻeha mau loa i nā iwi, a i kekahi manawa necrosis (make ʻana o nā ʻiʻo). No laila, he mea nui loa ka makaʻala i kēia.

He aha nā ʻano nui o ka osteomyelitis?

ʻAe, aia kekahi mau ʻano nui o ka osteomyelitis. E nānā kākou i ke ʻano o lākou.

• ʻO ka osteomyelitis koʻikoʻi: ʻO kēia ke ʻano maʻamau . Hana ʻia ia ke loaʻa iā ʻoe kekahi maʻi ʻē aʻe (e like me ka ʻeha ʻili) a laha nā germs i ka iwi. Hiki ke hoʻomaka koke.
• ʻO ka osteomyelitis vertebral: E like me ka inoa e hōʻike nei, ʻo kēia ka osteomyelitis e hoʻopilikia i nā iwi o kou iwi kuamoʻo (vertebrae) . Hōʻike pinepine ia me ka ʻeha hope.
• ʻO ka osteomyelitis mau loa: He ʻano kēia e pono ai ka nānā ʻana. I kekahi manawa, ma hope o ka mālama ʻia ʻana o ka maʻi mua, ʻaʻole paha e ho'ōla loa ʻia a noho i loko o ke kino, e ʻike hou ʻia i nā mahina a i ʻole nā ​​makahiki ma hope . Ua like ia me kahi maʻi mau loa. ʻO ke ala maikaʻi loa e pale aku ai i kēia, ʻo ia ka lawe ʻana i ka lāʻau lapaʻau a kāu kauka i kuhikuhi ai no ka lōʻihi o ka mālama ʻana. A i ʻole, ʻaʻole paha e nalowale loa ka maʻi.

Pehea ka maʻamau o kēia maʻi i kapa ʻia ʻo Osteomyelitis?

ʻO ka ʻoiaʻiʻo, ʻaʻole kēia he maʻi e hoʻopilikia i nā kānaka a pau. Wahi a nā kānaka noiʻi, ʻaʻole ia e hoʻopilikia i ka 25 mau kānaka i kēlā me kēia 100,000 i kēlā me kēia makahiki. Eia nō naʻe, aia kahi ʻokoʻa liʻiliʻi ma ʻaneʻi. Ma waena o ka poʻe i hoʻopau i ka haukapila a loaʻa ka lāʻau lapaʻau,ʻOi aku ka maʻamau o kēia ʻano. Kuhi kekahi mau noiʻi e loaʻa ana ia ma kahi o 1 i kēlā me kēia 675 poʻe i hoʻokomo ʻia i ka haukapila.

I kēia manawa, ke noʻonoʻo nei paha ʻoe no ke aha e hana ai kēia, ʻeā? Manaʻo nā loea he mau pilikia olakino ʻē aʻe ko kekahi poʻe ma ka haukapila, nā ʻeha, a i ʻole nā ​​ʻoki kino e maʻalahi ai ka bacteria a i ʻole ka fungi e komo i ko lākou kino a hele i ko lākou mau iwi. ʻO ke ʻano kēia, ʻoi aku ka maʻalahi o lākou i kēia ʻano maʻi.

He aha nā hōʻailona o ka osteomyelitis?

Hiki ke ʻokoʻa iki nā hōʻailona o kēia ma muli o ke ʻano o ka osteomyelitis āu e loaʻa ai a me ka iwi i loaʻa i ka maʻi. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau. E nānā kākou i ke ʻano o lākou.

• Kuni.
• Manaʻo make, maʻi. Me he mea lā e maʻi ana.
• ʻEha iwi. ʻO kēia ka hōʻailona nui. Manaʻo ʻoe e hoʻopā i ka wahi e ʻeha ana.
• Manaʻo e like me ʻoe e anu ana (Chills).
• Ka hou ʻana, ʻoi aku hoʻi i ka pō.
• Ka luaʻi a me ka luaʻi.
• ʻOle ke kala o ka ʻili. Hiki ke ʻulaʻula a ʻeleʻele ka ʻili ma kahi o ka maʻi.
• Pehu. Hiki ke pehu ka ʻāpana i loaʻa i ka maʻi.
• Mehana ka ʻili. Ke kau ʻoe i kou lima ma luna, me he mea lā he wela.
• Ka hoʻokahe ʻana o ka pus a i ʻole kekahi wai ʻē aʻe, ʻoiai inā he maʻi a puni kahi ʻeha a wahi ʻoki paha.

Eia kekahi, ʻike pinepine ka poʻe me ka vertebral osteomyelitis i ka ʻeha nui ma ke kua haʻahaʻa . I kekahi manawa, ʻaʻohe hōʻailona o ka poʻe me ka osteomyelitis mau . ʻO ia ka mea e hopohopo iki ai.

He aha ke kumu nui o ka osteomyelitis?

I ka ʻōlelo maʻalahi, ʻo ke kumu nui o kēia he maʻi i laha i kou mau iwi . ʻO ka hapa nui o ka manawa, ʻo kahi maʻi ma ka ʻili o kou ʻili - e like me, kahi i loaʻa ai iā ʻoe kahi ʻeha a i ʻole kahi i hana ʻia ai ʻoe i kahi ʻoki - ke kumu o nā germs e komo i loko o kou koko a hele ma ke koko a hiki i ka iwi iwi, aia i loko o kou mau iwi. Ua like ia me kahi ʻenemi e komo malū ana.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka osteomyelitis?

Hiki ke hiki i kekahi ke loaʻa iā ia. Eia nō naʻe, ʻoi aku ka nui o ka loaʻa ʻana o ia mea i kekahi poʻe. E nānā kākou iā lākou:

• ʻO ka poʻe ma lalo o 20 makahiki a me ka poʻe ma luna o 50 makahiki. ʻOi aku ka nui o ka pilikia o kēia mau hui makahiki ʻelua.
• ʻO ka poʻe me nā ʻeha hāmama ma hope o kahi ʻeha a ulia paha. E noʻonoʻo i kahi ʻeha nui, a inā ʻaʻole i pani pono ʻia, hiki i nā germs ke komo maʻalahi, ʻeā?
• ʻO ka poʻe i hana ʻia i ke ʻoki kino hou nei, ʻoiai ka poʻe i hana ʻia i ke ʻoki kino pani hui (Arthroplasty - hoʻololi hui) , a i ʻole ka poʻe i hoʻokomo ʻia nā uea a i ʻole nā ​​pine i loko o ka haki iwi, aia lākou i ka pilikia. ʻO kēia no ka mea hiki i nā germs ke komo pū ma o nā mea hana i hoʻokomo ʻia.
• ʻO ka poʻe i ʻeha i nā ʻeha i hou ʻia. E noʻonoʻo inā ua hou ʻia kou ʻili e kahi nila a i ʻole ke kui, ua komo hohonu ia a hiki i nā germs ke hiki i nā iwi.
• ʻO ka poʻe me nā ʻeha paʻi a i ʻole nā ​​ʻeha moe. Ke noho ʻoe ma ke kūlana hoʻokahi no ka manawa lōʻihi, lilo kekahi mau wahi i mau ʻeha paʻi. Hiki nō hoʻi ke loaʻa nā maʻi ma o kēlā mau ʻeha.

Eia kekahi, ʻo ka poʻe me kekahi mau maʻi olakino a me ka poʻe e lawe ana i nā lāʻau lapaʻau e hoʻonāwaliwali i ka ʻōnaehana pale e ʻoi aku ka nui o ka loaʻa ʻana o ka osteomyelitis. Eia kekahi mau laʻana:

• ʻO nā kānaka me ka maʻi koko i kapa ʻia ʻo ka sickle cell anemia .
• Nā kānaka me ka maʻi diabetes. He kiʻekiʻe loa kēia pilikia i nā kānaka i loaʻa i nā ʻeha wāwae e pili ana i ka maʻi diabetes.
• Nā kānaka e lawe ana i nā immunosuppressants. Hāʻawi ʻia kēia mau lāʻau lapaʻau no kekahi mau maʻi a i ʻole ma hope o nā hoʻoili ʻana o nā kino.
• ʻO ka poʻe e hana ʻia ana i ka hemodialysis. ʻO ia hoʻi, ka poʻe e hana ʻia ana i ka lāʻau lapaʻau e hoʻomaʻemaʻe i ko lākou koko no ka mea ʻaʻole hana pono ko lākou mau puʻupaʻa.

He aha nā pilikia ʻē aʻe e hiki ke kū mai ma muli o ka osteomyelitis?

ʻAe, hiki i kēia ke alakaʻi i kekahi mau pilikia inā ʻaʻole mālama ʻia i ka manawa kūpono. E nānā kākou i ke ʻano o lākou:

• Nā ʻōpū: Hiki i nā maʻi iwi ke hōʻiliʻili i ka pus a hana i nā abscesses, hiki ke pohā i kekahi manawa ma o ka ʻili. ʻO ka mālama ʻana i kēia mau abscesses, ʻo ia hoʻi ka hoʻokahe ʻana i ka pus, ua ʻōlelo ʻia he kakaikahi loa ka pilikia o ka maʻi ʻili, a piʻi iki iki.
• Osteonecrosis (make ʻana o ka iwi): Inā ʻoki ʻia ke kahe koko i ka iwi ma muli o ka pehu ʻana i hana ʻia e ka maʻi, hiki i ka iwi ke make. He mea kākaʻikahi loa kēia. Eia nō naʻe, inā hana ia, pono paha i kekahi poʻe ke wehe ʻia ka iwi ma ke ʻoki ʻana (amputation).
• Ka lohi o ka ulu ʻana: Inā loaʻa i nā keiki ʻōpio ka osteomyelitis, lohi paha ka ulu ʻana o ko lākou iwi ma mua o ka maʻamau. ʻO ke ʻano kēia, hiki ke lohi nā mea e like me ka piʻi ʻana o ke kiʻekiʻe a me ka hoʻolōʻihi ʻana o nā lālā.

Pehea e ʻike ai ke kauka i ka osteomyelitis?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​ke hele ʻoe e ʻike i ke kauka, e hana mua lākou i kahi hoʻokolokolo kino . A laila e nīnau lākou iā ʻoe e pili ana i kāu mau hōʻailona, ​​​​e like me ka wā i hoʻomaka ai . Inā ua hana ʻia ʻoe i ke ʻoki kino, ua loaʻa kahi ʻeha, a hoʻomaka paha e lawe i nā lāʻau lapaʻau hou no kekahi maʻi ʻē aʻe, he mea nui kēlā mau mea āpau.Pono wau e haʻi i ke kauka . He mea nui loa ia.

Eia kekahi, hiki i kāu kauka ke hana i kekahi mau hoʻokolohua e hōʻoia i ka maʻi a nānā i ke kūlana o kou mau iwi, e like me:

• Nā hoʻāʻo koko: Hiki i kēia ke nānā i ka maʻi i loko o ke kino.
• X-ray: No ka ʻike ʻana inā he mau loli i nā iwi.
• MRI scan (Magnetic Resonance Imaging - MRI): Hiki i kēia ke kiʻi i kahi kiʻi maopopo o nā iwi, ka iwi ʻiʻo, a me nā ʻiʻo a puni.
• CT scan (Computed Tomography - CT scan): Kōkua pū kēia i ka lawe ʻana i nā kiʻi kikoʻī o nā iwi.
• ʻO ke scan Ultrasound: I kekahi manawa hoʻohana ʻia kēia e ʻike inā he pehu a i ʻole ka hōʻiliʻili ʻana o ka pus.
• Iwi scan: Hiki i kēia ke kuhikuhi i nā wahi i loaʻa i ka maʻi o nā iwi.
• ʻO ka biopsy iwi: I kekahi manawa, lawe ʻia kahi ʻāpana liʻiliʻi o ka iwi a iwi paha a hoʻāʻo ʻia e ʻike pono i ke kumu o ka maʻi.

Pehea e mālama ʻia ai ka osteomyelitis?

E kuhikuhi kāu kauka i ka lāʻau lapaʻau e kōkua i ka hoʻomaʻemaʻe ʻana i ka maʻi a pale i ka hōʻino mau loa i kou mau iwi . ʻO nā lāʻau lapaʻau nui:

• Nā lāʻau antibiotic: Inā loaʻa ka maʻi i ka bacteria , e hāʻawi ʻia ʻoe i nā lāʻau antibiotic e mālama ai. Hiki ke hāʻawi ʻia iā ʻoe nā lāʻau antibiotic intravenous (IV) no kekahi mau pule, a ukali ʻia e nā lāʻau antibiotic waha no kekahi mau pule hou aʻe. E lōʻihi kēia i kekahi manawa.
• Nā lāʻau antifungal: Inā he fungus ka mea i hoʻoulu ʻia ai ka maʻi, ua kuhikuhi ʻia nā lāʻau antifungal. Lawe pinepine ʻia kēia mau mea ma ka waha no kekahi mau mahina.
• Nā lāʻau hoʻopau ʻeha: No ka hōʻemi ʻana i ka ʻeha a me ka pehu, hiki iā ʻoe ke lawe i nā lāʻau hoʻopau ʻeha ma luna o ke kūʻai aku e like me ka paracetamol a i ʻole nā ​​​​lāʻau anti-inflammatory non-steroidal (NSAID) i kuhikuhi ʻia e kāu kauka. Akā, ʻoi aku ka maikaʻi o ka lawe wale ʻana i ka nui a kāu kauka e ʻōlelo ai iā ʻoe e lawe?
• Ka huki ʻana i ka nila: Inā ua hana ʻia ka pus ma ke ʻano o nā abscesses, hiki i ke kauka ke hoʻohana i kahi nila e wehe ai i ka pus a i ʻole ka wai.
• ʻOki kino: Inā koʻikoʻi ka maʻi a i ʻole he nui ka pilikia o nā pilikia , pono paha ʻoe i ke ʻoki kino. ʻO ka poʻe me ka vertebral osteomyelitis ka mea e pono ai ke ʻoki kino.

ʻEhia ka manawa e ʻoi aku ai koʻu maikaʻi ma hope o ka hoʻomaka ʻana o ka lāʻau lapaʻau?

He manawa lōʻihi ka ho'ōla ʻana o ka osteomyelitis.Pono paha ʻoe e lawe i nā antibiotics a i ʻole nā ​​​​antifungals no kekahi mau mahina. Eia nō naʻe, ke hoʻomaka ʻoe e lawe i ka lāʻau lapaʻau, e kāohi ʻia ka maʻi a e hoʻomaka ka make ʻana o nā germs, a e hoʻomaka mālie ʻoe e ʻoluʻolu . Eia nō naʻe, pono ʻoe e hoʻomanawanui e loaʻa ai kahi ho'ōla piha.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka osteomyelitis?

Hoʻōla ka hapa nui o ka poʻe i loaʻa i ka osteomyelitis me ka ʻole o nā pilikia lōʻihi inā mālama pono ʻia . Akā ʻo ka mea nui loa, ʻo ia ka ʻike mua ʻana i ka maʻi a hoʻomaka i ka mālama ʻana i ka wā hikiwawe loa . Inā loaʻa iā ʻoe nā hōʻailona o kahi maʻi, e ʻike koke i ke kauka.

Pehea ka lōʻihi e hiki ai i kēia osteomyelitis ke mau?

Hiki i ka Osteomyelitis ke lōʻihi . Pono paha ʻoe e loaʻa i ka lāʻau lapaʻau no kekahi mau mahina a hiki i ka pau ʻana o ka maʻi. No laila e nīnau i kāu kauka a kauka ʻoki paha i ka mea e manaʻo ai.

Pehea mākou e pale aku ai i kēia osteomyelitis?

ʻO ka ʻoiaʻiʻo, ʻo nā mea nui loa āu e hiki ai ke hana e pale aku i kēia, ʻo ia ka mālama ʻana i nā ʻeha hou, nā ʻoki, a me nā ʻoki i maʻemaʻe a me ka mālama ʻana i nā wahi ʻoki i maʻemaʻe . ʻO kēia nā ala maikaʻi loa e pale aku ai i nā maʻi iwi.

• E holoi mau i kou mau lima me ke kopa.
• E hoʻomaʻemaʻe i nā ʻōpala a i ʻole nā ​​ʻoki me ke kopa a me ka wai mahana i ka wā e kū mai ai. Mai hana i kahi ʻeha nui, ʻoiai inā he liʻiliʻi.
• Inā loaʻa iā ʻoe kahi ʻoki hohonu, ʻeha puka, a i ʻole kahi ulia nui, e hele koke i ka lumi pilikia.
• Ma hope o kekahi ʻoki kino, e nīnau i kāu kauka pehea e mālama pono ai i ka ʻeha. He mea nui loa ia e hahai i kēlā mau kuhikuhi.

Pehea lā wau e mālama ai iaʻu iho, ma kēia ʻano?

He mea nui loa kēia. Inā ua kuhikuhi kāu kauka i nā lāʻau antibiotic a i ʻole nā ​​​​​​lāʻau antifungal, pono ʻoe e lawe iā lākou no ka manawa piha i kuhikuhi ʻia, me ka ʻole o ka hala ʻana o kahi lā. Mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau ʻoiai inā manaʻo ʻoe ua ʻoi aku ka maikaʻi. Pono ʻoe e hoʻopau i ka papa holoʻokoʻa. A i ʻole, inā ʻoe e hoʻōki i ka lāʻau lapaʻau i ka wā mua, ʻaʻole paha e ho'ōla loa ʻia ka maʻi. Hoʻonui kēia i ka pilikia o ka loaʻa ʻana o ka osteomyelitis mau a me nā pilikia ʻē aʻe .

Ma hope o ke ʻoki ʻana, e nīnau i kāu kauka ʻoki pehea e mālama ai i ka maʻemaʻe o nā ʻoki . E haʻi aku ʻo ia iā ʻoe i nā mea āpau mai ka wā e ʻauʻau ai a holoi i ka ʻeha, pehea e hoʻomaʻemaʻe ai i ka ʻeha, a me ke ʻano o ke kopa e hoʻohana ai.

ʻO ka mea nui loa, inā ʻike ʻoe i nā hōʻailona o ka maʻi - ʻoiai ma kahi o ke ʻoki ʻana - e hoʻomaopopo koke i kāu kauka a kauka ʻoki paha .

Āhea wau e ʻike pono ai i ke kauka?

Inā ʻike ʻoe i nā hōʻailona o ka maʻiInā ʻike ʻoe i kekahi pus a wai paha e puka mai ana mai kahi ʻeha a wahi ʻoki paha, e ʻike koke i kāu kauka a kauka ʻoki paha, me ka hoʻokaʻulua ʻole . I kēia mau hihia, ʻoi aku ka maikaʻi o ka wikiwiki.

He aha nā nīnau koʻikoʻi e pono iaʻu e nīnau aku i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, he manaʻo maikaʻi ke nīnau i kekahi mau nīnau e like me kēia. Ma kēlā ala, e ʻoi aku kou maopopo i ka maʻi.

• "He aha ke ʻano o ka osteomyelitis i loaʻa iaʻu?"
• He aha ke kumu o kēia maʻi iwi?
• He aha ke ʻano o ka lāʻau lapaʻau e pono ai iaʻu?
• Pehea ka lōʻihi e pono ai iaʻu ke lawe i nā lāʻau antibiotic a i ʻole nā ​​lāʻau antifungal?
• He aha ke ala maikaʻi loa e mālama ai i ka maʻemaʻe o koʻu wahi ʻoki a i ʻole ka ʻeha e pale aku ai i ka maʻi?

Pehea ke koʻikoʻi o kēia maʻi i kapa ʻia ʻo osteomyelitis?

He maʻi koʻikoʻi ka Osteomyelitis e pono ai ka mālama koke ʻana . ʻO ka nūhou maikaʻi, ʻo ka hapa nui o ka manawa, pane maikaʻi ia i ka mālama ʻana . Eia nō naʻe, i mea e pale aku ai i nā pilikia koʻikoʻi, he mea nui e hoʻomaka koke i ka mālama ʻana. No laila, mai hopohopo, a e ʻike i ke kauka inā loaʻa iā ʻoe kekahi mau hōʻailona.

E hoʻōla anei kēia osteomyelitis iā ia iho?

ʻAʻole, ʻaʻole loa. ʻAʻole e nalowale ka Osteomyelitis iā ia iho. He mea nui loa ia e ʻike i ke kauka e ʻike a mālama ʻia. He ʻoiaʻiʻo nō e hakakā ka ʻōnaehana pale o kou kino i nā germs, a hana ia i nā mea kupanaha. Eia nō naʻe, no ka hoʻopau ʻana i ka maʻi e hoʻoulu ai i ka osteomyelitis, pono ʻoe i nā antibiotics a i ʻole nā ​​​​antifungals .

Inā ʻike ʻoe i nā hōʻailona o ka maʻi a puni kahi ʻeha, mai hoʻowahāwahā iā ia , ʻoiai inā ua hana ʻia ʻoe i ke ʻoki kino i hala koke aku nei. Inā ʻike ʻoe i kekahi mau loli i kou wahi ʻoki kino, e hoʻomaopopo koke i kāu kauka a kauka ʻoki kino paha. ʻOi aku ka maikaʻi o ka nīnau ʻana ma mua o ka nīnau ʻole ʻana i kekahi nīnau . Inā manaʻo ʻoe a ʻike paha i kahi mea i kūpono ʻole iā ʻoe, pono ia e noiʻi.

ʻO ka leka koʻikoʻi loa e lawe i ka home

ʻAe, no laila, ʻo ka osteomyelitis a mākou i kamaʻilio ai i kēia lā he maʻi iwi ia e kū mai ana i ka wā e laha ai ka bacteria a i ʻole ka fungi i kou iwi iwi. Hiki i kēia ke lilo i mea koʻikoʻi loa, a hiki iā ia ke hōʻeha mau loa i kou mau iwi . Eia nō naʻe, inā ʻoe e hoʻomaka i ka mālama ʻana i loko o kekahi mau lā, ʻo ia hoʻi, wikiwiki, hiki ke kāohi nui ʻia a hoʻōla ʻia .

Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi, e like me ke kuni, ka mehana ma kahi i loaʻa i ka maʻi, ka pus, a i ʻole ka kahe ʻana o ke kahe, e ʻike koke i ke kauka.

He mea nui loa ia e mālama i kou mau ʻoki i maʻemaʻe, ʻoiai inā ua hana ʻia ke ʻoki kino . E hāʻawi aku kāu kauka ʻoki iā ʻoe i nā ʻōlelo aʻoaʻo maopopo no ka mālama ʻana iā lākou i maʻemaʻe.Mai makaʻu e nīnau. Aia kāu mau kauka ma laila e kōkua iā ʻoe e palekana a olakino. ʻAʻole loa lākou e huhū iā ʻoe no ka wehewehe ʻana i nā mea ma ke ʻano ʻē aʻe a i ʻole ka haʻi pololei ʻana iā ʻoe i ka mea e hana ai. ʻO ka mea nui loa, ʻo ia ka mālama ʻana i kou olakino ponoʻī!

ʻOsteomyelitis , maʻi iwi, maʻi iwi, ʻeha iwi, ʻiʻo iwi, pus, antibiotics