He hopena no kou ʻeha tendon - e aʻo kākou i nā mea āpau e pili ana i ka tenotomy.

I kekahi manawa, loaʻa iā kākou kahi ʻeha mau ma nā wahi like ʻole o ko kākou kino, ʻoiai ma nā wahi e like me nā poʻohiwi, nā kuʻekuʻe lima, a me nā kuʻekuʻe wāwae, ʻeā? Malia paha he kanaka haʻuki ʻoe. A i ʻole he kanaka paha ʻoe e hana mau ana i ka hana like. ʻO ke kumu o kēia ʻeha he pilikia paha ia me kekahi o kou mau tendon. I kēia lā, e kamaʻilio mākou e pili ana i kahi ʻano lapaʻau kūikawā a nā kauka e ʻōlelo ai i ia mau hihia.

He aha ka tenotomi? I ka ʻōlelo maʻalahi...

ʻAe, e nānā mua kākou i ke ʻano o nā tendon. I ka ʻōlelo maʻalahi, he mau kaula ikaika lākou e like me ke kaula e hoʻopili ai i ko kākou mau ʻiʻo i ko kākou mau iwi. Kōkua kēia mau tendon iā kākou e neʻe, holo, a lele. No laila, ke hōʻino ʻia a pehu paha kekahi o kēia mau tendon, hiki ke paʻakikī loa ka ʻeha.

ʻO ka tenotomi kahi lāʻau lapaʻau no kahi ʻiʻo i hōʻino ʻia a ʻeha. Pili ia i ka 'māhele' ʻana a i ʻole ka 'ʻoki ʻana' i ke ʻiʻo. Hiki ke hana ʻia kēia ma kekahi o nā ʻano ʻelua:

1. ʻAno nila: Hoʻokomo ke kauka i kahi nila ma kou ʻili a mālama i ke aʻalolo i hōʻino ʻia.

2. ʻAno hana ʻoki: Hana ʻia kahi ʻoki liʻiliʻi ma ka ʻili a wehe ʻia ka ʻāpana i hoʻopilikia ʻia o ke aʻalolo ma ke ʻoki ʻana.

ʻOiai hiki ke hana ʻia kēia lāʻau lapaʻau ma kekahi tendon i loko o ke kino, hana pinepine ʻia ia ma nā wahi aʻe:

• ʻO ke aʻalolo e hoʻopili ana i ka ʻiʻo biceps ma kou lima i kou poʻohiwi.
• Ke aʻalolo ma ke kuʻekuʻe lima.
• Nā ʻūlū ma nā wāwae a me nā kuʻekuʻe wāwae.

E ʻike pono kākou i ke ʻano o ka ʻokoʻa ma waena o kēia mau lāʻau lapaʻau?

Aia kekahi mau lāʻau lapaʻau ʻē aʻe me nā inoa like me ka tenotomi. He nui ka poʻe e huikau nei i kēia. E nānā kākou i ka ʻokoʻa.

E like me kāu i ʻike ai, ʻoiai he mau lāʻau lapaʻau kēia no nā tendons, ʻokoʻa nā ʻano hana a me nā pahuhopu. E kūkākūkā kāu kauka me ʻoe i ka lāʻau lapaʻau kūpono loa iā ʻoe.

He aha nā kūlana e pono ai ka mālama ʻana i ka tenotomy?

Hoʻohana pinepine ʻia ka tenotomy e mālama i ka ʻeha tendon lōʻihi i pane ʻole i nā lāʻau ʻē aʻe. Eia kekahi mau laʻana:

• ʻO ka biceps tendinitis: ʻEha poʻohiwi i hoʻokumu ʻia e ka mumū o ke aʻalolo o ka ʻiʻo biceps.
• ʻO ka tendinitis calcific poʻohiwi: ʻEha nui i hoʻokumu ʻia e nā waihona calcium i loko o nā aʻalolo o ka poʻohiwi.
• Kuʻekuʻe Tennis a i ʻole kuʻekuʻe lima o Golfer: ʻEha ma waho a i loko paha o ke kuʻekuʻe.
• ʻO Plantar fasciitis: ʻO ka ʻeha hiki ʻole ke hoʻomanawanui ma lalo o ke kuʻekuʻe wāwae ke ala ʻoe i ke kakahiaka.
• Ka wāwae kalapu: He kūlana kēia kahi e hānau ʻia ai kekahi mau pēpē me ko lākou mau wāwae kūlou. Hoʻohana ʻia kēia lāʻau lapaʻau e hoʻoponopono i kēia.
• Nā manamana wāwae hāmare: He ʻano i kūlou ai nā manamana wāwae i waenakonu a like me ka 'hāmare'.
• Patellar tendinitis: ʻEha ma ke aʻalolo kuli. Ua kapa ʻia hoʻi ʻo "runner's knee" a i ʻole "jumper's knee."
• Nā ʻeha o ke aʻalolo Achilles: Nā ʻeha i ke aʻalolo Achilles, ke aʻalolo nui loa i loko o ko mākou kino, aia ma luna o ke kuʻekuʻe wāwae.

He aha ka hana a ke kauka ma mua o ka hana ʻana i kahi tenotomi?

ʻAʻole loa e kuhikuhi koke ke kauka iā ʻoe i kahi tenotomi. Manaʻo pinepine ʻia kēia he koho hope loa. Ma mua o kēlā, e hoʻāʻo ʻia nā lāʻau lapaʻau ʻē aʻe ʻaʻole ʻoki kino.

ʻO kēia nā mea mua a ke kauka e ʻōlelo pinepine ai:

• Hoʻomaha: Ke noho mamao aku mai ka haʻuki a i ʻole ka hana e hoʻoulu ai i ka ʻeha no kekahi manawa. ʻO ia hoʻi ke hāʻawi ʻana i ka tendon i kahi hoʻomaha.
• Hau a me nā NSAID: ʻO ka hoʻopili ʻana i ka hau i ka wahi ʻeha a me ka hoʻohana ʻana i kahi lāʻau hoʻomaha ʻeha NSAID (e.g., ibuprofen) i ʻōlelo ʻia e kāu kauka hiki ke kōkua i ka hōʻemi ʻana i ka pehu a me ka ʻeha.
• Hoʻōla kino: He mea nui loa kēia. E aʻo aku kekahi mea hoʻōla kino iā ʻoe i nā hoʻomaʻamaʻa e hoʻoikaika a hoʻolōʻihi i nā ʻiʻo a puni ke aʻalolo i ʻeha. E hōʻemi kēia i ke kaomi ma ke aʻalolo.
• Nā inikini Corticosteroid: Inā koʻikoʻi loa ka pehu ʻana, hiki i kāu kauka ke inikini i kahi inikini steroid i loko o ka wahi. E kōkua kēia i ka hōʻemi koke ʻana i ka pehu.

Inā ʻaʻole e emi kou ʻeha ma hope o nā mahina o ka hoʻāʻo ʻana i kēia mau mea a pau, a laila hiki i kāu kauka ke kuhikuhi i ka mālama ʻana i ka tenotomy.

He aha ka mea e hana maoli ana i ka wā o ka mālama ʻana i ka tenotomy?

E like me kā mākou i kūkākūkā ai ma mua, hana ʻia kēia ma nā ʻano nui ʻelua. E koho ke kauka i kekahi o kēia mau ʻano ʻelua ma muli o ka pilikia me kou tendon.

ʻO ka Tenotomy nila Percutaneous

ʻO ke ʻano o ka huaʻōlelo 'Percutaneous' ma kēia ʻo ia hoʻi "ma o ka ʻili." ʻAʻole kēia he ʻoki kino.

E noʻonoʻo ʻoe he ʻeha kou ma kou kuʻekuʻe lima. ʻO ka mea mua a kāu kauka e hana ai, ʻo ia ke hoʻokomo i kahi anesthetic kūloko i loko o ka wahi. A laila, me ka hoʻohana ʻana i kahi scan ultrasound, nānā pono lākou i kou tendon i hōʻino ʻia a hoʻokomo i kahi nila kūikawā i loko. A laila, hoʻohana lākou i ka nila e hana i nā lua liʻiliʻi ma ke tendon a wehe paha i nā ʻāpana i hōʻino ʻia.

He mea kupaianaha kēia. Ke hana ʻoe i kahi ʻeha liʻiliʻi e like me kēia, hoʻomaka ke kaʻina hana ho'ōla kūlohelohe o ke kino. Manaʻo ke kino aia kahi ʻeha hou ma laila. No laila, hoʻouna ia i ke koko a me nā meaʻai hou aku i ka wahi. Hāʻawi kēia i ke aʻalolo i kahi manawa e ulu ai nā ʻiʻo hou a ho'ōla iā ia iho.

ʻO ka Tenotomy wehe

He ʻoki kino liʻiliʻi kēia. Hiki ke hāʻawi ʻia iā ʻoe ka anesthesia laulā a i ʻole ka anesthesia kūloko.

A laila hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi ma ka ʻili a wehe i ke aʻalolo i hōʻino ʻia. A laila ʻoki ʻia a hoʻokuʻu ʻia ke aʻalolo. Hoʻokuʻu kēia i ke aʻalolo a hōʻoluʻolu i ka ʻeha. I kekahi manawa, ke ʻoki ʻia ke aʻalolo ma kēia ʻano, ulu hou ia i kahi lōʻihi a emi iki ka paʻa ma mua o ka wā ma mua.

He aha nā pōmaikaʻi a me nā pilikia o kēia lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, aia nā pono a me kekahi mau pilikia liʻiliʻi.

He aha nā pono?

• Ua manaʻo ʻia kēia mau lāʻau ʻelua he palekana loa a he pono hoʻi .
• I ka hapanui o ka manawa, hiki ke hana ʻia kēia mau mea me ka wikiwiki.
• ʻAʻole ke ʻano nila he hana ʻoki kino, no laila ua haʻahaʻa loa ka pilikia.
• ʻOiai inā hana ʻia ma ke ʻoki ʻana, he minimally invasive ia, no laila he ʻōpala liʻiliʻi wale nō, ʻaʻole i ʻoi aku ma mua o kekahi mau ʻīniha ka lōʻihi, i koe ma ke kino.

Aia kekahi mau pilikia?

ʻAʻole hiki kēia mau pilikia i nā kānaka a pau, akā he mea maikaʻi ke ʻike iā lākou.

• ʻĀʻī ʻiʻo: Manaʻo paha kekahi poʻe i kahi ʻāʻī ʻiʻo, ʻoiai ke hana nei i kēia lāʻau lapaʻau ma ke aʻalolo biceps. Eia naʻe, ʻaʻole manaʻo ka hapa nui o ka poʻe i kēia. Inā paha e hana lākou, e emi iho ka ʻoluʻolu ʻole i ka hala ʻana o ka manawa.
• ʻIʻo palapū: Inā hana ʻia ka ʻiʻo palapū i loko o ka wahi i mālama ʻia, hiki iā ia ke hōʻeha.
• Ka hoʻi hou ʻana o nā hōʻailona: Hiki i kekahi poʻe ke ʻeha hou i nā makahiki ma hope. He kiʻekiʻe loa kēia pilikia inā ʻoe e hoʻohana nui i kou mau tendon, a inā pili kāu hana a haʻuki paha i ka neʻe hou ʻana.

ʻEhia ka lōʻihi e hoʻōla ai ma hope o ka lāʻau lapaʻau?

E loli kēia ma muli o ke ʻano o ka tenotomi āu i hana ai a me kahi o ka lāʻau lapaʻau. Eia nō naʻe, he mea nui loa ʻaʻole e hoʻohana i ke aʻalolo no kekahi manawa ma hope o ka lāʻau lapaʻau.

ʻO ka maʻamau, pono ʻoe e pale i nā haʻuki a me ka hoʻoikaika kino no kekahi mau mahina . E hāʻawi kāu kauka a kauka ʻoki paha iā ʻoe i kahi papa hana hoʻōla kikoʻī a me nā kuhikuhi. He mea nui e hahai pono i kēia mau kuhikuhi e hōʻoia i ka hoʻōla wikiwiki ʻana.

Āhea ʻoe e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe ka ʻeha a i ʻole kekahi mea ʻē aʻe i loko o kou kino, mai hoʻowahāwahā iā ia. E ʻimi koke i ke kōkua lapaʻau i nā kūlana aʻe:

He lāʻau palekana a maikaʻi hoʻi ka tenotomi no nā ʻano maʻi like ʻole e pili ana i ke tendon a me ka ʻeha. Eia nō naʻe, pono i kāu kauka ke hoʻoholo inā kūpono kēia iā ʻoe. No laila, e wehe a ʻoiaʻiʻo me ia e pili ana i kou ʻeha.