No ke aha i haki ai nā iwi i kekahi manawa mai nā mea liʻiliʻi loa? (Pathologic Fracture) E aʻo kākou e pili ana i ia mea.

E noʻonoʻo ʻoe e hele ana ʻoe i loko o kou hale a paʻa kou wāwae ma ke kihi o kahi kāpeti a i ʻole kahi ʻanuʻu liʻiliʻi. A i ʻole e ʻōlelo kākou ua paʻi iki ʻoe i ka wāwae o ka noho. ʻO ka maʻamau, ʻaʻole e haki kahi iwi nui ma ko mākou lima a i ʻole ka wāwae mai kahi mea like, ʻeā? Eia naʻe, ua nāwaliwali iki nā iwi o kekahi poʻe, no laila hiki i kahi mea liʻiliʻi e like me ia ke haki iā lākou. ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā (Pathologic Fracture).

He aha kēia (Pathologic Fracture)?

I ka ʻōlelo maʻalahi, he haki iwi ka Pathologic Fracture. Akā, ʻaʻole kēia e hana wale ʻia. Ua nāwaliwali kou mau iwi ma muli o kekahi maʻi ʻē aʻe i loko o kou kino, e ʻoi aku ka maʻalahi o ka haki ʻana ma mua o nā iwi maʻamau. I kekahi manawa, kapa pū nā kauka i kēia he Pathologic Fracture.

E noʻonoʻo wale, ʻo kahi hāʻule wale ʻana, kahi ulia liʻiliʻi i ka wā e pāʻani ana i nā haʻuki, a i ʻole kahi hopena liʻiliʻi e hiki ai i ke kino ke kū maʻamau, hiki ke hana i kahi haki pathologic i loko o kekahi me nā iwi nāwaliwali. Ua like ia me kahi ʻāpana lāʻau pala e hiki ke haki me ka liʻiliʻi loa o ke kaomi.

He aha nā ʻano iwi i hoʻopilikia nui ʻia e kēia?

ʻO kēia kūlana, i kapa ʻia he haki pathologic, hiki ke hana maoli i loko o kekahi iwi o ke kino. Eia nō naʻe, ʻike pinepine ʻia ia i nā iwi i ikaika loa a ʻaʻole e haki maʻalahi . Eia kekahi laʻana:

• Vertebrae : ʻO kēia nā iwi liʻiliʻi e hana ana i ko mākou iwi kuamoʻo.
• Pelvis
• Humerus : ʻO kēia ka iwi ma ka ʻaoʻao luna o ka lima mai ka poʻohiwi a i ke kuʻekuʻe.
• Femur : ʻO ka iwi lōʻihi loa a ikaika loa hoʻi i loko o ko mākou kino.
• Tibia : Ka iwi mānoanoa o ka wāwae mai ke kuli a i ka kuʻekuʻe wāwae.
• Fibula : He iwi lahilahi e holo like ana me ka tibia.

ʻO ka maʻamau, ʻoiai inā ʻoe e paheʻe iki i ka wā e hana ana i nā hana o ka hale a nalowale paha kou kaulike i ka wā e iho ana i lalo o ke alapiʻi, ʻaʻole pinepine kēia mau iwi nui i loko o ko mākou mau lima a me nā wāwae e haki. Eia nō naʻe, inā he maʻi kou e hoʻonāwaliwali ai i kou mau iwi, ʻoiai kahi hanana liʻiliʻi e like me kēlā hiki ke hana i kahi haki pathologic .

I kekahi manawa, pono paha ke ʻoki ʻana e hoʻoponopono i ka iwi haki. A i ʻole, pono paha ke ʻoki ʻana e pale aku i ka haki pathologic ma mua o ka hiki ʻana mai. E paipai pū kāu kauka i nā lāʻau lapaʻau ʻē aʻe no ke kūlana e hoʻonāwaliwali ai kou mau iwi. ʻO ka manawa e ho'ōla ai ma muli o ka iwi i haki a me ke kumu.

He aha nā hōʻailona o ka Pathologic Fracture?

Ua like loa nā hōʻailona o kahi Pathologic Fracture me nā hōʻailona o ka haki maʻamau. ʻO ia hoʻi:

• ʻEha : Hiki ke loaʻa ka ʻeha nui a hiki ʻole ke hoʻomanawanui.
• Pehu : E pehu ka wahi i haki ai ka iwi.
• Palupalu: ʻIke ʻia ka ʻeha ke hoʻopā ʻia a kaomi ʻia paha.
• ʻAʻole hiki ke neʻe maʻamau : ʻAʻole hiki ke hoʻoneʻe ʻia a hoʻohana ʻia paha ka ʻāpana kino i hoʻopilikia ʻia.
• ʻEha a ʻili paha ke ʻano : I kekahi manawa hiki ke nānā aku i ka polū/poni.
• He kīnā a puʻupuʻu paha : Hiki ke ʻike ʻia kahi ʻano ʻē a puʻupuʻu paha ma kahi o ka haki.

ʻO ka mea nui loa, ʻoiai inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​pono ʻoe e ʻimi i ke kōkua lapaʻau e ʻike pono inā he Pathologic Fracture ia a i ʻole, a he aha ke kumu.

No ke aha e hana ai kēia? (Pathologic Fracture) Nā kumu

ʻO ke kumu nui o ka Pathologic Fracture, me kou ʻike ʻole ʻana, ʻo ia ke alo o kahi maʻi olakino i loko o kou kino e hoʻonāwaliwali ai kou mau iwi i ke ʻano kūlohelohe ʻole . ʻElua o nā kumu nui o kēia, ʻo ia ka osteoporosis a me nā puʻupuʻu iwi.

Ma muli o ka osteoporosis

He maʻi ka Osteoporosis kahi e lilo mālie ai nā iwi i porous a palupalu . Me he mea lā ua ʻoki wale ʻia mai loko mai. ʻO kēia ka mea e emi ai ka ikaika o nā iwi a ʻoi aku ka maʻalahi o ka haki ʻana. ʻIke wale ka poʻe he osteoporosis ko lākou ma hope o ka haki ʻana o ka iwi. ʻO kēia no ka mea ʻaʻohe hōʻailona maopopo o ka maʻi i ka wā mua .

ʻOi aku ka pilikia o nā wāhine a me nā kānaka ma luna o 65 mau makahiki i ka loaʻa ʻana o ka osteoporosis. Ua lohe paha ʻoe e haki ana ko kākou mau kūpuna i ka lima a i ʻole ka wāwae ʻoiai inā hāʻule iki lākou. ʻO kekahi o nā kumu nui o ia mea, ʻo ia ka osteoporosis.

Ma muli o nā ʻōpū iwi a i ʻole nā ​​​​​​ʻeha

He puʻupuʻu paʻa o nā ʻāpana ʻē ka puʻupuʻu e hana ʻia ma nā wahi āpau o ko kākou kino. Hiki i kekahi o kēia mau mea ke maʻi kanesa (malignant), aʻo kekahi hiki ke maʻi ʻole (benign). ʻAʻole nā ​​​​​​ʻeha iwi he mau puʻupuʻu paʻa, akā he mau waihona ʻāpana ʻē e hoʻonāwaliwali i ka iwi.

Hiki ke loaʻa kahi (Pathologic Fracture) inā ulu kahi puʻupuʻu a i ʻole ka ʻeha i loko o ka iwi, a inā paha e pālahalaha ia i ka iwi mai kahi ʻē aʻe. A laila e hoʻonāwaliwali ʻia ke ʻano maoli a me ka ikaika o ka iwi.

• Nā puʻupuʻu ʻino: Inā loaʻa iā ʻoe ka maʻi ʻaʻai iwi (sarcoma), hiki iā ia ke ulu i loko o ka iwi ponoʻī. Eia nō naʻe, ʻoi aku ka maʻamau o ka laha ʻana o ka maʻi ʻaʻai i nā iwi mai kahi ʻāpana ʻē aʻe o ke kino (e.g., umauma, māmā, prostate) (metastasis iwi).
• Nā puʻupuʻu iwi maikaʻi: ʻO kēia nā puʻupuʻu ʻaʻohe ona mau hunaola kanesa, akā ulu i loko o nā iwi. Aia nā ʻano like ʻole. Hiki i kekahi o kēia mau ʻano ke hoʻonāwaliwali i ka iwi (haʻi pathologic).

Pehea ʻoe e ʻike pono ai i kēia maʻi?

Na ke kauka e nānā iā ʻoe me kahi Pathologic Fracture.Hana ʻia kahi hoʻokolohua kino a me nā hoʻokolohua kiʻi like ʻole .

E hana ʻia ma ka liʻiliʻi hoʻokahi o nā hoʻokolohua kiʻi e nānā i kou iwi i ʻeha a me ka ʻāina a puni:

• Nā kukuna X-ray : Hiki i kēia ke hōʻike maopopo i nā haki iwi.
• MRI Scan (MRI - Magnetic Resonance Imaging) : ʻAe kēia iā ʻoe e ʻike ʻaʻole wale i nā iwi, akā, i nā ʻiʻo palupalu a puni a me nā mea e like me nā puʻupuʻu.
• CT scan (Computed Tomography scan) : Hiki i kēia ke hana i nā kiʻi kikoʻī o nā iwi a me nā ʻiʻo a puni.

Ma muli o ke kumu o ka haki, pono paha ʻoe e hana i nā hoʻokolohua hou aʻe. Eia kekahi laʻana:

• Nā hoʻāʻo koko no ka maʻi kanesa : E nānā i nā hōʻailona o ka maʻi kanesa.
• Biopsy : Ke lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo a i ʻole ka ʻiʻo a nānā iā ia ma lalo o kahi microscope.
• Hoʻāʻo mānoanoa o ka iwi (DXA scan) : He mea nui loa kēia no ka nānā ʻana i ka osteoporosis.

Pehea ʻoe e mālama ai i kahi (Pathologic Fracture)?

ʻO ka lāʻau lapaʻau no ka Pathologic Fracture e pili ana i ka iwi i haki a me ke kumu . E like me nā haki ʻē aʻe, hoʻohana ʻia nā lāʻau lapaʻau no nā Pathologic Fractures:

• Hoʻopaʻa ʻana: Pono paha ʻoe e komo i kahi ʻōpala a i ʻole splint. ʻO ka lōʻihi o kou pono e komo ai i hoʻokahi e pili ana i ke ʻano o ka iwi haki. Pono ka hapa nui o ka poʻe e komo i kahi ʻōpala no kekahi mau pule. Pono paha ʻoe e loaʻa nā X-ray e nānā i ka ho'ōla pono ʻana o ka iwi.
• ʻO ke ʻoki kino: Pono kekahi mau haki pathologic i ke ʻoki kino. Hoʻonohonoho ke kauka ʻoki kino i ka iwi haki a hoʻopaʻa iā ia i kona wahi a hiki i ka wā e ola ai a hoʻi hou mai. ʻO ke ʻano maʻamau ka 'hoʻopaʻa kūloko'. ʻO ia hoʻi, hoʻokomo ke kauka ʻoki kino i nā papa metala, nā wili, a i ʻole nā ​​pine i loko o ka iwi. I kekahi manawa hiki i kēia mau mea ke noho ma kahi no ke ola. Pono paha kekahi poʻe i kahi ʻoki kino ʻē aʻe e wehe iā lākou ma hope.
• Lapaʻau radiation: Inā hiki i ke kauka ke loaʻa kahi puʻupuʻu a i ʻole ka lesion ma mua o ka haki ʻana o ka iwi, hiki ke hāʻawi ʻia ka radiation therapy e luku iā ia. Hoʻopau kēia radiation i ka ulu ʻana maʻamau ʻole o ka iwi a ʻae i nā hunaola iwi olakino e ulu hou. Hiki ke hāʻawi ʻia ka radiation therapy ma hope o ke ʻoki ʻana no kahi haki pathologic i hoʻokumu ʻia e ka maʻi ʻaʻai iwi.
• Ke mālama ʻana i ke kūlana kumu: He mea nui loa kēia.Pono paha ʻoe i nā lāʻau ʻē aʻe e mālama ai i ke kūlana kumu a i ʻole ka puʻupuʻu i hoʻokumu i ka haki. No ka laʻana, inā he maʻi kanesa kou, pono ʻoe e hana pū me kahi kauka maʻi kanesa. E wehewehe kāu kauka i ka mea e manaʻo ai a me ke ʻano o ka lāʻau āu e pono ai.

Nā pilikia ʻē aʻe e hiki ke kū mai ma muli o ka Pathologic Fracture

ʻO nā haki pathologic, e like me nā haki ʻē aʻe, hiki ke hana i kekahi mau pilikia. ʻO kekahi o lākou:

• ʻO ka Acute Compartment Syndrome (ACS): ʻO kēia ka wā e piʻi ai ke kaomi i loko o kahi ʻiʻo a ʻoki ʻia ke kahe o ke koko i nā ʻiʻo. Hiki i kēia ke hōʻino mau loa i nā ʻiʻo a me nā aʻalolo.
• Malunion: Ke hui pono ʻole nā ​​​​iwi haʻihaʻi i ka wā e ho'ōla ai.
• Nonunion: He iwi i hoʻi ʻole i hui piha a hapa paha.

Pehea ka lōʻihi o ka ho'ōla ʻana o kahi (Pathologic Fracture)?

ʻO ka manawa e ho'ōla ai kahi haki pathologic e pili ana i kekahi mau kumu:

• ʻO wai ka iwi i haki?
• He aha ke kumu o ka haki ʻana o ka iwi?
• He aha ke ʻano o ka lāʻau lapaʻau āu i makemake ai?
• Ua loaʻa anei iā ʻoe kekahi mau ʻeha ʻē aʻe?

He pinepine ka lōʻihi o kekahi mau mahina no ka ho'ōla ʻana o ka iwi haki. E kamaʻilio me kāu kauka a kauka ʻoki paha e pili ana i kahi manawa kūpono no kou kūlana kikoʻī. E hilinaʻi nō hoʻi kou manawa hoʻōla i ke kūlana kumu i hoʻokumu ai i ka haki. ʻOiai ma hope o ka ho'ōla ʻana o ka iwi haki, pono paha i nā kūlana e like me ka osteoporosis, nā ʻōpū iwi maikaʻi ʻole, a i ʻole ke kanesa ka manawa hou e mālama ai.

Hiki ke pale ʻia kēia ʻano haki?

ʻAe, hiki ke pale ʻia i kekahi ʻano. Inā hiki i kāu kauka ke ʻike i kahi puʻupuʻu, lesion, a i ʻole nā ​​hōʻailona o ka osteoporosis ma mua o ka haki ʻana o ka iwi, aia kahi manawa kūpono e hiki ke pale ʻia kahi haki pathologic. I kekahi manawa, hiki i nā puʻupuʻu a me nā kūlana e hoʻonāwaliwali ai i nā iwi ke hōʻeha ma mua o ka haki ʻana o ka iwi. Ua kapa ʻia kēia he "impending pathological fracture," ʻo ia hoʻi "he haki iwi e hiki koke mai ana." Inā manaʻo ʻoe i kekahi ʻeha iwi hou , e ʻike koke i ke kauka.

I kekahi manawa, hiki ke hana ʻia ke ʻoki kino (i kapa ʻia he prophylactic fixation) e wehe i kahi puʻupuʻu a i ʻole ka lesion ma mua o ka haki ʻana o ka iwi. Inā loaʻa iā ʻoe ka osteoporosis a i ʻole kekahi ʻano ʻē aʻe e hoʻopilikia ai i ka nui o ka iwi, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau a me nā lāʻau ʻē aʻe e hoʻoikaika i kou mau iwi a hōʻemi i kou pilikia o ka haki ʻana.

He mea nui e hana i kahi hoʻokolohua lapaʻau i hoʻokahi manawa i ka makahiki (a i ʻole e like me ka manawa a kāu kauka e ʻōlelo ai).Eia kekahi, inā loaʻa iā ʻoe kekahi mau hōʻailona hou, e like me ka ʻeha a puni ka iwi a i ʻole ka ʻeha ke kaomi ʻoe iā ia, e haʻi koke i kāu kauka . Inā manaʻo ʻoe ua pilikia ʻoe, e nīnau i kāu kauka e pili ana i ka hoʻāʻo genetic no ka maʻi ʻaʻai a i ʻole kahi hoʻāʻo mānoanoa o ka iwi, hiki ke ʻike mua i ka osteoporosis.

Āhea ʻoe e hele koke ai i ka haukapila? (Inā he pilikia)

Inā manaʻo ʻoe ua haki kou iwi, ʻoiai inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e hele koke i ka lumi pilikia :

• ʻEha nui loa.
• Inā ʻaʻole hiki iā ʻoe ke hoʻoneʻe i kahi ʻāpana o kou kino.
• Inā he ʻano ʻē ke ʻano o kahi ʻāpana o ke kino, a i ʻole me he mea lā ua kūpono ʻole i kahi.
• Inā ʻike ʻia ka iwi ma o ka ʻili.
• Inā he pehu.
• Inā ua ʻike ʻia nā palapū hou me kēia mau hōʻailona.

Nā nīnau e nīnau aku ai i kāu kauka

Hiki iā ʻoe ke nīnau i kāu kauka i nā nīnau penei:

• He aha ka iwi i haki?
• He haki Pathologic anei kēia a i ʻole kekahi ʻano haki ʻē aʻe?
• E pono anei iaʻu ka lāʻau lapaʻau hou aku?
• He aha ke kūlana olakino i hoʻokumu ai i kēia haki?
• He maʻi kanesa koʻu?

He mea weliweli mau ka haki ʻana o ka iwi. Hiki ke ʻoi aku ka weliweli ke hana ʻia ma muli o kahi maʻi āu i ʻike ʻole ai. E wehewehe kāu kauka i ke kumu o ka haki ʻana o ka iwi, pehea e hiki ai iā ʻoe ke kōkua i kou kino e ho'ōla, a me nā lāʻau lapaʻau e pono ai e kāohi i ke kumu kumu.

Mai makaʻu e nīnau. ʻO ka maikaʻi o kou hoʻomaopopo ʻana i kou kūlana olakino, ʻo ka nui o kou hilinaʻi i ke alo ʻana i nā mea e hiki mai ana.

ʻO ka hope loa (Leka Lawe-Home)

He maʻi koʻikoʻi ka Pathologic Fracture. Eia nō naʻe, hiki ke mālama ʻia me ka ʻike kūpono a me ka mālama ʻana . ʻO ka mea nui loa, ʻo ia ka mālama ʻana i ke olakino o kou iwi a me ka ʻimi ʻana i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē. E kamaʻilio me kāu kauka, e nīnau i kāu mau nīnau, a e hahai i kāu hoʻolālā lapaʻau. E hiki iā ʻoe ke hoʻoponopono pono i kēia maʻi.

ʻO ka haki ʻana o ka iwi, ka haki ʻana o ka iwi, nā iwi nāwaliwali, ka osteoporosis, ka puʻupuʻu iwi, ka maʻi ʻaʻai iwi, ke olakino o ka iwi