Hiki paha i kēia ke kumu o kou ʻeha kuli? E aʻo kākou e pili ana i (Plica Syndrome)

Ke manaʻo nei ʻoe i kahi ʻeha ʻē a i ʻole ka ʻūmiʻi ke piʻi ʻoe i luna o kahi alapiʻi, e ala aʻe ma hope o ka noho ʻana no kekahi manawa, a i ʻole e kūlou a hoʻopololei i kou kuli? Ke manaʻo nei ʻoe i kekahi manawa i kahi leo 'kaomi' a i ʻole 'kaomi' e puka mai ana mai loko mai o kou kuli? ʻAʻole nui ka poʻe e nānā nui i kēia, me ka manaʻo he ʻeha kuli a hui paha ia. Akā malia paha ke kumu o kēia he ʻano āu i lohe ʻole ai, akā he mea maʻamau loa ia, i kapa ʻia ʻo 'Plica Syndrome.' Mai hopohopo, i kēia lā e kamaʻilio mākou e pili ana i kēia me ka maʻalahi a ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

I ka ʻōlelo maʻalahi, he aha ka Plica Syndrome?

ʻAe, e hoʻomaka kākou mai ka hoʻomaka. He ʻano paʻakikī loa ko kākou hui kuli. I loko o kēia hui, aia kahi membrane e pale aku iā ia a kōkua iā ia e hana maʻalahi. Loaʻa i kēia membrane kahi moʻo o nā pelu kūlohelohe. I ka lāʻau lapaʻau, kapa mākou i kēlā mau pelu ʻo 'plica'. ʻO ka maʻamau, loaʻa i kēlā me kēia kanaka ma kahi o ʻehā mau pelu ma ko lākou mau kuli.

ʻAʻole pilikia ka loaʻa ʻana o kēia mau mea. Eia nō naʻe, i kekahi manawa, ʻoiai ka medial plica, aia ma waenakonu o ke kuli, e ʻeha a hoʻomaka e pehu ma muli o ka hamo pinepine ʻana a i ʻole kekahi ulia. ʻO ka ʻeha a me nā ʻoluʻolu ʻole ʻē aʻe e hele mai me kēlā pehu ʻo ia ka mea a mākou e kapa nei he Plica Syndrome . I ka pololei, he ʻāpana kūlohelohe kēia o ke kuli e hoʻomaka ana e hoʻopilikia iā mākou.

Pehea ka ʻokoʻa o kēia mai kahi meniscus haehae?

He nīnau kēia a ka poʻe he nui. No ka mea, i ka wā e ʻeha ai ke kuli, manaʻo ka poʻe he nui ua haehae ʻia ke cartilage ma ke kuli i kapa ʻia ʻo 'Meniscus'. ʻO ke kumu o kēia, ua like loa nā hōʻailona o nā maʻi ʻelua. Eia nō naʻe, aia kahi ʻokoʻa maopopo ma waena o nā mea ʻelua.

E ho'āʻo kāu kauka e hoʻokaʻawale ma waena o kēia mau kūlana ʻelua i ka nānā ʻana i kou kuli. Eia nō naʻe, ua ʻōlelo pinepine ʻia kahi MRI e kōkua i ka hoʻokaʻawale ʻana ma waena o nā kūlana ʻelua a e hōʻoia ʻaʻohe pilikia ʻē aʻe. No laila, inā loaʻa iā ʻoe ka ʻeha kuli, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka ma mua o ke kuhi ʻana iā ʻoe iho.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi?

ʻOiai hiki ke loaʻa kēia ʻano i kekahi, ʻoi aku ka nui o ka pilikia o kekahi poʻe.

• Nā mea pāʻani: He mea maʻamau kēia i ka poʻe e komo ana i nā haʻuki e pili ana i ke kūlou mau ʻana a me ka wehe ʻana o ke kuli, e like me ka holo ʻana a me ke kaʻa paikikala, no ka mea, e hamo mau ʻia ana ka membrane plica i kēlā mau hana.
• Nā mea i loaʻa i kahi ulia pōpilikia: Hiki ke hana ʻia kēia ʻano ma hope o kahi ulia pōpilikia koke, e like me ke kuʻi ʻana i ke kuli ma ka dashboard i kahi ulia kaʻa, a i ʻole ke kuʻi ikaika ʻana i ke kuli i ka hāʻule ʻana.
• Kūlana hana: Pono kekahi mau hana i ka poʻe e hana me ko lākou mau kuli e kulou i ka lā a pau (e.g., nā mea hana tile), a ua pilikia pū lākou.

E noʻonoʻo wale, hiki i kekahi e piʻi a iho i ke alapiʻi ma ke keʻena i nā manawa he nui i ka lā, a i ʻole kekahi e holo paikikala mau ana, ke loaʻa i kēia ʻano ʻeha. No laila, ʻaʻole kēia he mea i kaupalena ʻia i nā mea pāʻani.

He aha nā hōʻailona nui o ka Plica Syndrome?

Inā kānalua ʻoe he maʻi kou, e hoʻolohe i nā hōʻailona ma lalo nei. ʻO kēia nā hōʻailona maʻamau o Plica Syndrome.

Pehea e ʻike ai ke kauka a mālama i kēia?

Ke hele ʻoe e ʻike i ke kauka me kēia mau hōʻailona, ​​e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona, ​​pehea lākou i hoʻomaka ai, a i ka wā e ʻoi aku ai ka ʻeha. A laila e nānā lākou i kou kuli. Inā he plica pehu, hiki paha iā ʻoe ke ʻike iā ia ke kaomi ʻoe i ke poʻo kuli.

A laila, e like me ka mea i ʻōlelo ʻia ma mua, e kauoha lākou i kahi X-ray a i ʻole MRI scan e hōʻoia ʻaʻohe pilikia kuli ʻē aʻe (e like me ka tendinitis a i ʻole ka haehae meniscus).

I ka wā e pili ana i ka mālama ʻana, ʻo ka nūhou maikaʻi, ʻo ka hapa nui o ka manawa, ʻaʻole ia e koi i ke ʻoki kino nui . Hiki ke mālama ʻia me nā lāʻau lapaʻau maʻalahi.

Āhea e pono ai ke ʻoki kino?

I ka hapanui o nā hihia, hiki i nā mea i ʻōlelo ʻia ma luna ke kōkua i ka kaohi ʻana i ke kūlana i loko o kekahi mau mahina. Eia nō naʻe, inā ʻaʻohe hoʻomaikaʻi ʻana me kēia mau hana, a hoʻomau ka ʻeha i ka hoʻopilikia ʻana i nā hana o kēlā me kēia lā, hiki i kāu kauka ke ʻōlelo i ke ʻoki ʻana.

ʻO ke ʻoki ʻana no kēia ua kapa ʻia ʻo 'arthroscopic resection'. Mai hopohopo, ʻaʻole kēia he ʻoki nui kahi e ʻoki loa ai ʻoe i ke kuli. ʻO ka mea i hana ʻia ma ʻaneʻi, ʻo ia ka hana ʻana i kahi ʻoki liʻiliʻi, hoʻokomo ʻia kahi kāmela, a laila hana ʻia kekahi ʻoki liʻiliʻi ʻē aʻe, a hoʻokomo ʻia nā mea hana maikaʻi e ʻoki a wehe i ka Plica pilikia a pehu. Ma hope o kēia ʻoki ʻana, hiki iā ʻoe ke hoʻi i ka maʻamau ma kahi o 6 mau pule.

Pehea e hiki ai iā ʻoe ke pale aku i kēia kūlana?

ʻOiai ʻaʻole hiki ke pale loa ʻia kēia, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia.

• Mai hoʻokaumaha nui i kou mau kuli. Mai hana mau i ka hana like me ka hoʻomaha ʻole.
• I ka hoʻomaka ʻana i kahi hana hoʻoikaika kino hou, e hoʻomaka mālie. Mai kau i ke kaumaha nui ma kou mau kuli i ka manawa hoʻokahi. E hāʻawi i kou kino i ka manawa e hoʻomaʻamaʻa ai.
• E hoʻoikaika i nā ʻiʻo o kou wāwae. ʻO nā hoʻomaʻamaʻa e hoʻoikaika i nā ʻiʻo o kou ʻūhā (quadriceps a me hamstrings) e hoʻonui i ke kākoʻo i hāʻawi ʻia i kou hui kuli.
• E ʻaʻahu i nā kāmaʻa kūpono. ʻO ke komo ʻana i kahi kāmaʻa maikaʻi e kūpono i kāu hana he mea maikaʻi nō hoʻi ia no kou mau kuli.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe ka ʻeha mau, ka pehu ʻana, a i ʻole ka ʻoʻoleʻa ma kou kuli, mai hoʻowahāwahā iā ia. E ʻike pono i ke kauka.

ʻO ka manaʻo he ʻeha wale nō kēia e hoʻonui wale i ka pilikia. Inā ʻike ʻoe i ke kumu pololei a loaʻa iā ʻoe ka lāʻau lapaʻau kūpono a me nā ʻōlelo aʻoaʻo, e hiki iā ʻoe ke hoʻopau i kēia ʻeha a hoʻomau i kāu mau hana o kēlā me kēia lā e like me ka mea maʻamau, me ke keakea ʻole.