Ua luhi anei ʻoe i ka ʻeha nui ma kou wāwae, ʻoi aku hoʻi ma ke kuʻekuʻe wāwae? Ke hoʻopilikia nei kēia ʻeha iā ʻoe ʻaʻole wale i ka wā e hele ana, e piʻi ana i nā alapiʻi, akā i ka wā e kū wale ana? Ua hoʻāʻo paha ʻoe i nā lāʻau lapaʻau he nui. Inā pēlā, he mea nui loa kēia ʻatikala iā ʻoe. I kēia lā e kamaʻilio mākou e pili ana i kahi ʻoki kūikawā e lawe mai i kahi hopena mau loa i kēlā ʻeha wāwae nui.
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I ka ʻōlelo maʻalahi, he aha ka Subtalar Fusion?
He hana ʻoki kino ʻo Subtalar Fusion e hoʻohui mau ai i ʻelua iwi i loko o kahi hono i kou wāwae. ʻO kekahi inoa no kēia ʻo "arthrodesis" e nā kauka.
I kēia manawa, e nānā kākou i kahi o kēia hui. Ma kou wāwae, ma lalo pono o ke kuʻekuʻe wāwae, kahi e pili ai ka iwi kuʻekuʻe wāwae (calcaneus) a me ka iwi kuʻekuʻe wāwae ma luna ona (talus), ua kapa ʻia kēia hui ʻo (subtalar joint). ʻO kēia hui ka mea e kōkua ai i kou wāwae e huli i loko a i waho. No laila, he mea nui loa kēia hui iā ʻoe e hele a holo me ke kaulike.
No laila, no ke aha mākou e pono ai ke ʻoki kino ma kēia hui? ʻO ke kumu nui, ʻo ia ka maʻi ʻāʻī koʻikoʻi. Hoʻopau ka maʻi ʻāʻī i ke cartilage (ka ʻāpana like me ka cushion e pale ai i nā iwi ʻelua mai ka hamo ʻana kekahi i kekahi) i loko o ko mākou mau hui e mae. A laila hoʻomaka nā iwi ʻelua e hamo kekahi i kekahi. E noʻonoʻo i ka nui o ka ʻeha ke hamo mau nā iwi ʻelua kekahi i kekahi. No ka hōʻoluʻolu ʻana i kēlā ʻeha, hoʻokomo nā kauka i nā wili i loko o kēia mau iwi ʻelua a hoʻopaʻa iā lākou i hoʻokahi. Ua kapa ʻia kēia ʻo "Subtalar Fusion".
ʻO ka maʻamau, ʻōlelo pinepine ke kauka i kēia ʻoki kino ke ʻole i hāʻawi mai nā lāʻau ʻē aʻe, e like me nā lāʻau ʻeha, nā inikini, a me ka hoʻoikaika kino, i ka hōʻoluʻolu.
He aha ka mea e hana ʻia ma mua o ke ʻoki kino?
Ma hope o kou hoʻoholo ʻana e hana i ke ʻoki kino, e loaʻa iā ʻoe kekahi mau hālāwai me kāu kauka a me ke kauka ʻoki kino. E nīnau lākou iā ʻoe i kēia mau nīnau:
- Pehea ka hopena o kēia ʻeha i kou ola o kēlā me kēia lā?
- He aha nā lāʻau lapaʻau āu i loaʻa ai a hiki i kēia manawa? Pehea ka nui o ka hōʻoluʻolu i hāʻawi ʻia mai e lākou?
He mea nui e ʻōlelo pololei ma ʻaneʻi. He mea maʻamau ke manaʻo iki i ka makaʻu ke haʻi ʻia iā ʻoe e pili ana i ke ʻoki kino. Akā, mai hoʻēmi i kou ʻeha ma muli o kēlā makaʻu. E haʻi pololei i kāu kauka i nā mea e like me, "ʻAʻole hiki iaʻu ke ala aʻe mai kahi moe i ke kakahiaka ma muli o kēia ʻeha," "ʻAʻole au makemake e hele i kahi huakaʻi me nā hoaaloha," "ʻAʻole hiki iaʻu ke hana i ka haʻuki aʻu i aloha ai ma mua." A laila hiki iā ia ke hana i ka hoʻoholo maikaʻi loa nāu.
E noi ʻia ʻoe e hana i kēia mau hoʻokolohua ma mua o ke ʻoki ʻana:
- He hoʻokolokolo kino piha: E ʻike inā ua lawa kou olakino e hana ʻia ai ke ʻoki kino.
- Nā Hoʻāʻo Kiʻi: E hana ʻia kahi X-ray. E noi ʻia paha ʻoe e hana i kahi MRI a i ʻole CT scan.
- Nā hoʻāʻo koko: E nānā i nā mea like ʻole i loko o ke koko.
E hōʻoia e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau, nā huaora, a i ʻole nā lāʻau lapaʻau lāʻau āu e lawe nei. Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau i kekahi mau lā ma mua o ke ʻoki ʻana. Hiki ke aʻo ʻia ʻoe e hoʻokē ʻai no 12 mau hola ma mua o ke ʻoki ʻana.
Pehea e hana ʻia ai ke ʻoki kino?
I ka lā o ke ʻoki kino, e hāʻawi ʻia ʻoe i ka anesthesia. ʻO ke ʻano kēia e hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e hōʻoluʻolu ʻole ai ʻoe i ka ʻeha. Hiki ke hoʻomoe loa ʻia ʻoe (anesthesia laulā) a i ʻole e hoʻomānoanoa wale ʻia kou wāwae (anesthesia kūloko).
I ka wā o ke ʻoki ʻana, e hoʻohui pū ke kauka ʻoki i nā iwi ʻelua o kou wāwae.
ʻO ka hapa nui o ka manawa, hana ʻia kēia ma ke ʻano he ʻoki kino hāmama. ʻO ia hoʻi,
1. E hana ke kauka i kahi ʻoki liʻiliʻi ma ka ʻili kahi i loaʻa ai ke ami i hoʻopilikia ʻia ma kou wāwae.
2. A laila, wehe ʻia nā ʻāpana cartilage a me nā iwi i pau a hōʻino ʻia.
3. A laila, ua hoʻokomo ʻia nā iwi ʻelua a ua hoʻokomo ʻia nā wili metala kūikawā ma o lākou e hoʻopaʻa pū iā lākou.
4. ʻO ka hope loa, ua humuhumu ʻia ke ʻoki a pani ʻia.
Hiki i kekahi poʻe ke hana i kēia ʻoki ma o kahi ʻoki hoʻokahi i kapa ʻia he arthroscopy. Ma kēia, ma kahi o kahi ʻoki nui, ʻelua a ʻekolu paha ʻoki liʻiliʻi i hana ʻia. Hoʻokomo ʻia kahi mea i lako me ke kāmela i kapa ʻia he arthroscope ma o kēlā ʻoki a hana ʻia ke ʻoki ʻana i ka wā e nānā ʻia ana ma kahi monitor. Na kāu kauka e hoʻoholo i kahi o kēia mau ʻano ʻelua i kūpono loa iā ʻoe.
ʻO ka maʻamau, ma kahi o ʻelua hola ka lōʻihi o kēia ʻoki kino.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino? A he aha nā pōmaikaʻi a me nā pōʻino?
He hana ʻoki kino pinepine kēia a hiki iā ʻoe ke hoʻi i ka home. Ma hope o ke ʻoki kino, e hoʻokomo ʻia ʻoe i loko o kahi kāmaʻa kūikawā a i ʻole ke kākoʻo e hoʻopaʻa i kou wāwae a pale i ke kaumaha ma kou wāwae. E haʻi ʻia iā ʻoe e hoʻohana i nā koʻokoʻo no kekahi mau pule a e hoʻokiʻekiʻe i kou wāwae i ka hiki.
| Nā Pōmaikaʻi | Nā Pōʻino/Nā Pōʻino |
|---|---|
| Hōʻoluʻolu nui mai ka ʻeha: ʻO ka pōmaikaʻi nui loa, ʻo ia ka nalowale loa o ka ʻeha nui i hoʻopilikia i kou ola o kēlā me kēia lā. | ʻAʻohe hui:I kekahi manawa, ʻaʻole paha e kūpono nā iwi ʻelua i hoʻopaʻa ʻia me nā wili e like me ka mea i manaʻo ʻia. Inā hana ʻia kēia, pono paha kekahi ʻoki kino ʻē aʻe. |
| Hoʻomaikaʻi ʻia ke ʻano o ke ola: Ke pau ka ʻeha, hiki iā ʻoe ke hoʻi i kāu hana, hoʻoikaika kino, a hele wāwae i nā wahi āu e makemake ai. | Ka emi ʻana o ka neʻe ʻana: ʻOiai ua hui ʻia nā iwi ʻelua i hoʻokahi, hiki ke emi iki ka hiki ke hoʻohuli i ka wāwae i loko a i waho. Eia naʻe, ʻaʻole kēia he pilikia nui ke hoʻohālikelike ʻia me ka ʻeha nui. |
| He kaʻina hana palekana a holomua: Ua manaʻo ʻia kēia he ʻoki kino palekana me nā hopena holomua loa. | Nā pilikia ʻoki kino laulā: Aia pū kekahi ma ʻaneʻi nā pilikia o kekahi ʻoki kino, e like me ka maʻi, ke kahe koko nui, a me nā hopena i ka anesthesia. |
ʻEhia ka lōʻihi e ola ai? E hiki anei iaʻu ke hele hou?
ʻAe, hiki iā ʻoe ke hele, holo, a noho maʻamau hou. ʻOiaʻiʻo, e hiki iā ʻoe ke hele me ka ʻoluʻolu ma mua o ka wā ma mua no ka mea ʻaʻohe ou ʻeha!
He mau mahina ka lōʻihi e ho'ōla piha ai. Ma waena o 8 a me 12 mau pule no nā iwi ʻelua i hoʻohui ʻia e hui pū a lilo i ikaika. I loko o kēia manawa, pono ʻoe i ka hoʻōla kino . E kōkua kekahi mea hoʻōla kino iā ʻoe e aʻo pehea e hoʻohana pono ai i kou wāwae, me ka hāpai kaumaha a me nā hoʻoikaika kino. ʻOi aku ka maikaʻi o ka ʻole e kau i ke kaumaha ma kou wāwae no hoʻokahi a ʻelua paha mahina.
I ka manawa hea e pono ai ʻoe e ʻike koke i ke kauka?
Ma hope o kou hoʻi ʻana i ka home ma hope o ke ʻoki ʻana, inā ʻike ʻoe i kekahi o kēia mau hōʻailona, pono ʻoe e kāhea koke i kāu kauka.
- Loaʻa ke kuni ma luna o 101 Fahrenheit (39 Celsius).
- Nā hōʻailona o ka maʻi i loko o ka ʻeha ʻoki (e like me ke kahe ʻana o ka wai e like me ka pus mai ka ʻeha, ka pehu ʻana, ke kala ʻana o ke kala, kahi ʻala pilau, a i ʻole ka mehana ke pā aku).
- Ma kahi o ka hoʻēmi ʻana i ka ʻeha, hoʻonui hou ia.
- Ke kahe nui ʻana o ke koko mai ka ʻeha.
He 85% ka holomua o kēia ʻoki kino. ʻO ia hoʻi, he 85 o 100 mau kānaka e ʻike nei i ka hōʻoluʻolu nui o ka ʻeha a me ka hoʻōla maikaʻi ʻana. Inā ʻaʻole pane mai ka ʻeha o kou wāwae i nā lāʻau ʻē aʻe, mai makaʻu e kamaʻilio me kāu kauka e pili ana i kēia ʻoki kino. Hiki iā ia ke hana i kahi ʻokoʻa nui i kou ola.
Leka Lawe-Home
- He hana ʻoki kino holomua ʻo Subtalar Fusion no ka ʻeha wāwae i hoʻokumu ʻia e nā kūlana e like me ka arthritis koʻikoʻi.
- Hoʻopili kēia i ka hoʻohui mau ʻana i nā iwi ʻelua ma ke kuʻekuʻe wāwae a me ka kuʻekuʻe wāwae.
- ʻO ka pōmaikaʻi nui o kēia ʻoki ʻana ka hōʻoluʻolu nui mai ka ʻeha hiki ʻole ke hoʻomanawanui.
- He mau mahina e ho'ōla piha ai ma hope o ke ʻoki ʻana, a he mea nui ka hoʻōla kino.
- ʻOiai ua kaupalena ʻia ka neʻe ʻana o ka wāwae ma hope o ke ʻoki ʻana, ʻo ka hiki ke hele me ka ʻeha ʻole he pono nui ia.
- E kamaʻilio ākea me kāu kauka e pili ana i kou kūlana a inā paha he kūpono kēia ʻoki kino iā ʻoe.
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