Ua noʻonoʻo paha ʻoe pehea e loaʻa ai i ko mākou kino kēia ʻano kikoʻī, pehea mākou e kū pololei ai, hele, holo, lele? Ma hope o kēia mau mea a pau he ʻōnaehana ikaika a kupaianaha i loko o ko mākou kino. Kāhea mākou iā ia he ʻōnaehana iwi . Akā, ʻaʻole ia he mau iwi wale nō. He ʻōnaehana paʻakikī loa ia a koʻikoʻi loa. E kamaʻilio kākou e pili ana i kēia lā.
He aha maoli kēia ʻōnaehana iwi?
I ka ʻōlelo maʻalahi, ʻo ka ʻōnaehana iwi ke ʻano kākoʻo nui o kou kino. Ua like ia me ke kahua a me nā pou ʻē aʻe āu e kau ai ma mua o ke kūkulu ʻana i hale. ʻO ia ka mea e hāʻawi i ko mākou kino i ko lākou ʻano, mālama i ko mākou mau ʻōpū i ke kūlana, a mālama iā mākou i luna.
Akā, ʻaʻole ia he hōʻiliʻili wale nō o nā iwi, e like me ka manaʻo o ka poʻe he nui. Aia i loko o kēia ʻōnaehana nā iwi, nā ʻiʻo, nā cartilage, nā tendon, a me nā mea ʻē aʻe he nui. Ma muli o ka hana pū ʻana o kēia mau mea a pau, kapa mākou iā ia i kekahi manawa ʻo ka ʻōnaehana musculoskeletal . ʻO kēia ʻōnaehana ka mea e hiki ai iā mākou ke neʻe, a kōkua pū ia iā mākou e palekana.
He aha nā lawelawe nui i hāʻawi ʻia i ko mākou kino e ka ʻōnaehana iwi?
Hana nui ka ʻōnaehana iwi no ko mākou kino. Hiki iā mākou ke ʻike a hoʻopā i kekahi mau mea. Akā, hana pū kekahi i nā hana ʻike ʻole ʻia, akā he mea nui loa.
- Hāʻawi i ke ʻano i ke kino: E noʻonoʻo i ke ʻano o kākou me ka ʻole o ko kākou mau iwi. E moe pālahalaha kākou ma ka honua e like me ka pōpō i piha i ka wai. ʻO ko kākou iwi ka mea e kākoʻo ana i ke kaumaha o ko kākou kino holoʻokoʻa. Hoʻopili ʻia nā ʻiʻo ʻē aʻe a pau i kēia iwi.
- Kōkua iā mākou e neʻe: ʻAʻole nā iwi wale nō e hoʻoneʻe iā mākou. Hana pū ko mākou mau hono, nā ʻiʻo, a me nā ʻiʻo pili e hoʻoneʻe iā mākou. Ke kīkoʻo a ʻūmiʻi nā ʻiʻo, neʻe nā iwi a lākou e hoʻopili ai. ʻO ia ke kumu e hiki ai iā mākou ke hoʻoneʻe i ko mākou mau lālā, hele, a hana i nā mea āpau.
- Mālama i ko kākou mau kino palupalu: Ua like ke iwi me kahi lole pale i kūkulu ʻia i loko o ko kākou kino. E noʻonoʻo i kēia ʻano: inā paʻi kekahi mea i kou poʻo, pale kou iwi poʻo iā ia. Mālama ia i ko kākou lolo e like me ka mahiole. Eia kekahi, pale nā iwi ʻaoʻao i loko o ko kākou umauma i ko kākou puʻuwai a me nā māmā e like me kahi pā palekana. Mālama ka iwi kuamoʻo i ko kākou kaula iwi kuamoʻo.
- Ka hana ʻana i nā hunaola koko hou: He mea kēia a ka poʻe he nui i ʻike ʻole ai. Aia i loko o ko kākou mau iwi nui kahi mea i kapa ʻia ʻo ka iwi ʻiʻo . ʻO kēia ka hale hana e hana ana i nā hunaola koko ʻulaʻula a me nā hunaola koko keʻokeʻo e pono ai ko kākou kino. Me ka ʻole o kēia mau hunaola, ʻaʻole hiki iā kākou ke noho olakino.
- Ka mālama ʻana i nā minelala:ʻO ko kākou mau iwi kahi e mālama nui ai i nā minelala koʻikoʻi e like me ka calcium a me ka wikamina D. Hana lākou e like me kahi panakō. Ke pono ke kino iā lākou, hoʻokuʻu ʻia lākou mai nā iwi.
He aha nā ʻāpana nui o ka ʻōnaehana iwi?
E nānā kākou i nā ʻāpana e hana ana i kēia ʻōnaehana kupaianaha. E hoʻomanaʻo i kēlā iwi palakiko āu i loaʻa ai ma ka papa ʻepekema ma ke kula? ʻAʻole wale nā iwi, he nui aku.
| ʻĀpana | I ka ʻōlelo maʻalahi... |
|---|---|
| Nā iwi | ʻO kēia ke kākoʻo nui o ko kākou kino. Aia ma kahi o 206 mau iwi i loko o ke kino o ke kanaka makua. |
| Nā ʻiʻo | ʻO kēia nā ʻiʻo e hoʻoneʻe ai iā mākou, i hana ʻia me nā olonā elastic. Aia ma mua o 600 mau ʻiʻo i loko o ko mākou kino. Kōkua lākou i nā mea āpau mai ka hele wāwae a i ka hanu ʻana a hiki i ka ʻeli ʻana i ka meaʻai. |
| ʻO ke iwi ʻili | He mau ʻiʻo ikaika a palupalu kēia e hana ana ma ke ʻano he mea hoʻopau haʻalulu e pale aku i nā iwi mai ka hamo ʻana kekahi i kekahi i loko o ko kākou mau hono. Loaʻa nō hoʻi lākou i loko o ko kākou ihu a me nā pepeiao. |
| Nā ligaments | Ua like kēia me nā ligaments ikaika e hoʻohui ana i kekahi iwi i kekahi a mālama i ke ami i paʻa. |
| Nā ʻūmiʻi | Ua like kēia me nā kaula ikaika. Hoʻopili kēia mau olonā i nā ʻiʻo i nā iwi. |
| Nā hono | Kāhea mākou i kahi ami i kēlā me kēia wahi e hui ai nā iwi ʻelua. Aia paha kekahi a i ʻole nā ʻāpana āpau i luna i loko o kēia ami. |
He aha nā maʻi a me nā kūlana maʻamau e hoʻopilikia ai i kēia ʻōnaehana?
Ma muli o ko mākou hoʻohana mau ʻana i ko mākou ʻōnaehana iwi, nui nā maʻi a me nā ʻeha e hiki ke hoʻopilikia iā ia. ʻO nā mea āpau e hōʻino ana i nā iwi a i ʻole nā ʻiʻo pili e hoʻopilikia i kēia ʻōnaehana.
Nā maʻi i ʻike pinepine ʻia
- ʻO ka ʻāʻī: Ua lohe ka poʻe he nui i kēia. I ka ʻōlelo maʻalahi, he ʻano ia e pehu ai a ʻeha ai nā hono.
- Bursitis: ʻO ka mumū o nā ʻeke piha i ka wai (bursae) a puni nā hono e hoʻomaʻamaʻa ai i ka neʻe ʻana.
- Tendinitis: Ka pehu ʻana a i ʻole ka mumū ʻana o nā aʻalolo.
- Osteoporosis: He ʻano kēia e emi ai ka nui o nā iwi, e hoʻonāwaliwali ai a haki maʻalahi hoʻi.
Nā maʻi Autoimmune
I kekahi manawa, hewa ka ʻōnaehana pale ʻana o ko kākou kino a hoʻomaka e hoʻouka i nā ʻāpana olakino o ko kākou kino ponoʻī, ʻoiai hoʻi nā hono.
- ʻO ka ʻArthritis Rheumatoid (RA)
- ʻO ka maʻi ʻeha Psoriatic
- Lupus
Nā Traumas a me nā ʻeha
Hiki i nā mea e like me ka hāʻule ʻana, nā ulia kaʻa, a me nā ʻeha haʻuki ke hōʻino i ka ʻōnaehana iwi.
- Nā ʻeha haʻuki
- Nā haki iwi
- Nā neʻe ʻana
- Nā ʻeha o nā ʻiʻo
- Nā haehae/ʻūmiʻi o ka ligament
He aha nā hōʻailona e hiki ai ke kuhikuhi i kahi pilikia me ka ʻōnaehana iwi?
ʻOiai he nui nā maʻi a me nā ʻeha e hoʻopilikia nei i kēia ʻōnaehana, hiki ke ʻokoʻa nā hōʻailona. Inā ʻoe e ʻike nei i kahi mea like, e makaʻala iā ia.
| Hōʻailona | Wehewehena |
|---|---|
| ʻEha | ʻEha i loko o nā ʻiʻo, nā hono, a i ʻole nā iwi. |
| ʻOʻoleʻa | Ke paʻakikī nei ka hoʻoneʻe ʻana i nā hono, ʻoiai i ke ala ʻana i ke kakahiaka. |
| Pehu ʻana | Ka pehu ʻana o kahi hono a i ʻole kekahi ʻāpana. He hōʻailona paha kēia o ka mumū. |
| ʻO ke kala ʻili/palapala | Ke ʻano polū a poni paha ma kahi o kahi ʻeha. |
| Mehana ka manaʻo | ʻOi aku ka mehana o ka wahi pehu a ʻeha paha ke hoʻopā ʻia ma mua o nā wahi ʻē aʻe. |
| Paʻakikī ke neʻe ʻana | Ka hiki ʻole ke hoʻoneʻe i kahi ʻāpana o ke kino e like me ka mea maʻamau. |
| Ke lohe nei i kahi kani e like me 'tock' a i ʻole 'pop' | Ke lohe ʻana a i ʻole ka manaʻo ʻana i kahi kani e like me nā iwi e hamo ana i kekahi i kekahi i ka wā e kūlou ai a hoʻoneʻe paha i kahi hui. |
He mea nui: Inā hoʻomau kēia mau hōʻailona, mai hoʻowahāwahā iā lākou. E ʻike pono i kāu kauka no ka ʻōlelo aʻo.
He aha nā hoʻokolohua a me nā lāʻau lapaʻau no kēia ʻano pilikia?
Ke hele ʻoe e ʻike i ke kauka, nāna e hoʻoholo i nā hoʻokolohua e pono ai ma muli o kāu mau hōʻailona.
Nā hoʻokolohua i hana pinepine ʻia
- Nā kukuna X-ray: E nānā no nā iwi haki a i ʻole nā loli i nā hono.
- Nā Ultrasounds: E nānā i ke kūlana o nā ʻiʻo palupalu e like me nā ʻiʻo a me nā tendons.
- CT scan: E kiʻi i kahi kiʻi kikoʻī o nā iwi a me nā ʻiʻo a puni.
- MRI Scan (MRI):E nānā pono no ka hōʻino ʻana i nā ʻiʻo palupalu, nā ligaments, a me ke cartilage.
- Hoʻāʻo mānoanoa o ka iwi (DXA scan): E nānā no nā kūlana e like me ka osteoporosis.
Nā ʻano lapaʻau
Aia ka lāʻau lapaʻau i ke kūlana a i ʻole ka ʻeha i loaʻa iā ʻoe. E kuhikuhi kāu kauka i ka lāʻau lapaʻau kūpono loa iā ʻoe.
- Nā lāʻau lapaʻau: Hāʻawi ʻia nā lāʻau lapaʻau e like me NSAID (nā lāʻau anti-inflammatory nonsteroidal) e hōʻemi i ka ʻeha a me ka pehu. Inā he maʻi autoimmune, ua kuhikuhi ʻia nā lāʻau lapaʻau kikoʻī no ia mea.
- Hoʻopaʻa ʻana: Ke loaʻa kahi ʻeha, pono paha ʻoe e hoʻohana i kahi splint, kahi hoʻolei, a i ʻole kahi maʻa ma kou lima e mālama i ka ʻāpana a hiki i ka wā e ho'ōla ai.
- Hoʻōla kino: ʻOi loa ma hope o kahi hōʻeha, pono paha ʻoe i ke kōkua o kahi mea hoʻōla kino e hoʻoikaika i nā ʻiʻo a hoʻihoʻi i ka neʻe ʻana o ka hui.
- ʻO ke ʻoki hoʻololi hui (Arthroplasty): Ua hōʻino nui ʻia nā hui o kekahi poʻe a pono paha ke ʻoki ʻia e pani i ka hui holoʻokoʻa a i ʻole kekahi hapa. ʻO nā ʻano hoʻololi hui maʻamau ka kuli a me ka ʻūhā.
Pehea mākou e mālama ai i ko mākou ʻōnaehana iwi?
Nui nā mea e hiki ai iā kākou ke hana e mālama i ko kākou ʻōnaehana kākoʻo waiwai nui i ikaika a olakino hoʻi.
- ʻAi maikaʻi: ʻO ka loaʻa ʻana o nā meaʻai waiwai i ka calcium (waiū, yogurt, tīhi, iʻa liʻiliʻi, nā mea kanu ʻōmaʻomaʻo) a me ka wikamina D (mai ka lā, nā yolks hua manu) he mea nui ia no nā iwi ikaika.
- Hoʻoikaika kino mau: Hoʻoikaika ka hoʻoikaika kino ʻana i nā iwi me ke kaumaha (hele wāwae, holo, piʻi ʻana i nā alapiʻi). He mea nui nō hoʻi ka hoʻoikaika kino e hoʻoikaika ai i nā ʻiʻo.
- Ka mālama ʻana i ke kaumaha olakino: I ka piʻi ʻana o ke kaumaha o ke kino, ua kau ʻia ke kaomi ma luna o nā hono, ʻoiai nā kuli a me nā pūhaka.
- E hōʻalo i ka puhipaka a me ka inu nui ʻana i ka waiʻona: Hoʻemi kēia mau ʻano ʻelua i ka nui o ka iwi a hoʻonui i ka pilikia o ka osteoporosis.
E hoʻomanaʻo i kēia mau mea e pale aku iā ʻoe iho mai nā pōpilikia:
- E kau i ke kāʻei palekana i kēlā me kēia manawa āu e noho ai i loko o ke kaʻa.
- E komo i nā lako palekana kūpono i ka wā e pāʻani ana i nā haʻuki.
- Mai poina e hoʻomehana ma mua o ka hoʻoikaika kino ʻana a hoʻomāalili ma hope.
- Ma ka home a ma ka hana, mai waiho i nā mea ma ka papahele e hiki ai iā ʻoe ke paheʻe a hāʻule.
- Mai piʻi i luna o nā noho a i ʻole nā papa e hiki ai i kahi mea ma luna. E hoʻohana i kahi mea kūpono no ia kumu.
- Inā pilikia ʻoe i ka hele wāwae a i ʻole e hāʻule ana paha, e hoʻohana i nā koʻokoʻo a i ʻole ka mea hele wāwae .
He ʻōnaehana kupaianaha ko kākou ʻōnaehana iwi e hoʻopaʻa pū ana iā kākou. Inā he mea pāʻani kākou a he kanaka paha e noho ana ma ke kaʻa e heluhelu ana i kēia ʻatikala, hoʻohana mau kākou i ko kākou mau iwi, nā ʻiʻo, a me nā ʻiʻo pili. No laila he mea nui loa ka mālama ʻana iā lākou. Inā ʻoe e manaʻo nei i kekahi ʻeha hou, ʻoʻoleʻa, a pehu paha, e ʻike koke i ke kauka e ʻike i ke kumu a loaʻa ka lāʻau lapaʻau.
Leka Lawe-Home
- ʻAʻole wale nā iwi ka ʻōnaehana iwi; ua komo pū kekahi me nā ʻiʻo, nā cartilage, nā tendon, a me nā ligaments.
- ʻO kāna mau hana nui ka hāʻawi ʻana i ke ʻano i ke kino, hoʻolako i ka neʻe ʻana, pale i nā ʻōkana, hana i nā hunaola koko, a mālama i nā minelala.
- Mai hoʻowahāwahā i nā hōʻailona e like me ka ʻeha o nā hono, ka pehu ʻana, a me ka paʻakikī i ka neʻe ʻana. He mau hōʻailona paha kēia o kahi maʻi a i ʻole kahi ʻeha.
- Hiki iā ʻoe ke mālama i kou ʻōnaehana iwi i ikaika ma ka ʻai ʻana i ka meaʻai momona i ka calcium a me ka wikamina D a me ka hoʻoikaika kino mau.
- Inā loaʻa iā ʻoe ka ʻeha mau a i ʻole nā hōʻailona ʻē aʻe, e ʻike koke i kāu kauka no ka ʻōlelo aʻo.











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