ʻEha anei kou hui manamana wāwae nui? E kamaʻilio kākou e pili ana i ke ʻoki hoʻololi hui manamana wāwae.

Ua loaʻa anei iā ʻoe kahi ʻeha nui ma kou hui manamana wāwae nui? ʻO kēia ʻeha, ka mea e paʻakikī ai ka hele wāwae, ua hoʻopilikia paha i kāu mau hana o kēlā me kēia lā. Manaʻo ka poʻe he mea maʻamau kēia a e emi iho i loko o kekahi mau lā. Akā i kekahi manawa aia kekahi kumu koʻikoʻi ma hope o kēia ʻeha. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau hiki ke hoʻohana ʻia ma ke ʻano he hopena hope loa i ia kūlana, ʻo ia hoʻi, kahi ʻoki hoʻololi hui ma kahi manamana wāwae.

He aha kēia ʻoki hoʻololi no ka hui manamana wāwae?

I ka ʻōlelo maʻalahi, pili kēia i ka wehe ʻana i kahi hui i hōʻino ʻia a luhi i kou manamana wāwae a hoʻololi iā ia me kahi hui hana. Kāhea mākou i kēia hui hana he prosthesis . Hana ʻia kēia mau mea me nā mea e like me ka metala, keramika, a i ʻole ka palakiko. Ua hoʻolālā ʻia lākou e hana e like me kahi hui olakino.

ʻO ka hapa pinepine, hana ʻia kēia ʻoki ma ka manamana wāwae nui. I ka pololei, ʻo ke ami kahi e pili ai ka manamana wāwae nui i ka wāwae (Metatarsophalangeal - MTP joint) . E noʻonoʻo, pono kēia ami e kūlou me kēlā me kēia kapuaʻi a mākou e hana ai. No laila, inā ua hōʻino ʻia a paʻakikī paha kēia ami, lilo ka hele wāwae i mea ʻeha loa. Ua kapa ʻia kēia ʻoki he arthroplasty ma nā ʻōlelo lapaʻau.

No ke aha ʻoe e pono ai e hana i kēia ʻano ʻoki kino?

ʻAʻole kēia ʻoki kino ke koho mua loa. E hoʻohana wale ke kauka i kēia ʻano ʻoki kino inā ua hoʻāʻo ʻia nā lāʻau lapaʻau ʻē aʻe ʻaʻole ʻoki kino a ʻaʻohe mea i loaʻa nā hopena holomua.

Eia nā lāʻau lapaʻau i hoʻāʻo mua ʻia:

• Ke komo ʻana i nā kāmaʻa kūikawā a i ʻole nā ​​​​kāʻei pale e maʻalahi ai ka hele wāwae.
• Ke hoʻololi nei i kāu mau hana (e laʻa, ka hōʻemi ʻana i ka hāpai kaumaha, ka holo wikiwiki, a pēlā aku).
• Ke hāʻawi nei i nā lāʻau hōʻeha.
• Hoʻōla kino.
• Nā inikini steroid i loko o ke hui.

Inā ʻaʻohe o kēia mau mea e hōʻoluʻolu i ka ʻeha, hiki ke kumu o kēia mau kūlana. ʻO kēia ka manawa e noʻonoʻo ai i ke ʻoki ʻana.

He aha ka ʻokoʻa ma waena o ka hoʻololi hui a me ka fusion hui?

He nīnau kēia a nā poʻe he nui e nīnau ai. ʻO Joint Fusion a i ʻole Arthrodesis kahi hana ʻoki e hoʻohui mau ai i nā iwi ʻelua e hana ana i kahi hui. Hoʻomaha kēia i ka ʻeha a hoʻopaʻa i ka hui. Eia naʻe, ʻo ka hemahema nui, ʻaʻole hiki ke hoʻoneʻe ʻia ka hui ma hope o ke ʻoki ʻana.

Eia nō naʻe, ʻoiai ʻo ka hoʻololi ʻana o kahi hui e pili ana i ka hoʻokomo ʻana i kahi hui hana, hiki nō iā ʻoe ke neʻe a kulou i ka hui manamana lima ma hope o ke ʻoki ʻana. Eia nō naʻe, hiki ke ʻokoʻa ka holomua o kēia ʻoki ʻana mai kēlā kanaka a kēia kanaka. Na kāu kauka orthopedic e hoʻoholo i ka ʻoki ʻana i kūpono loa iā ʻoe.

He aha ka mea e hana ʻia ma mua o ke ʻoki kino?

Ma mua o ka hana ʻana i kahi ʻoki kino e like me kēia, e noʻonoʻo pono kāu kauka i kekahi mau kumu.

• E nīnau mākou e pili ana i kou olakino holoʻokoʻa a me nā kūlana olakino ʻē aʻe āu e loaʻa ai (e like me ka maʻi diabetes a me ke koko kiʻekiʻe).
• Nīnau lākou e like me ka lōʻihi o kou ʻeha ʻana i ka manamana lima a pehea kona hopena i kou ola.
• Hoʻokolokolo ʻia ka manamana lima e ʻike i kona ikaika a me kona laulā o ka neʻe ʻana.
• E hana ʻia kahi X-ray o ka wāwae e nānā i ke kūlana o nā iwi.
• Hiki ke hana ʻia nā hoʻokolohua ʻē aʻe, e like me nā hoʻāʻo koko, e ʻike ai inā ua mākaukau kou kino no ke ʻoki kino.

He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?

ʻO ka maʻamau, ʻelua a ʻekolu paha hola ka lōʻihi o kēia hana ʻoki kino. Hana ʻia ia ma kahi haukapila a i ʻole kekahi hale ʻē aʻe me nā lumi hana. Eia ka wehewehe ʻana i nā mea e hana ʻia ana i ka wā o ke ʻoki kino:

1. Anesthesia: ʻO ka mua, hāʻawi ʻia ka anesthesia i loko o kahi aa koko ma kou lima e hoʻohiamoe loa iā ʻoe.

2. ʻOki ʻana: A laila hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi ma luna o ka manamana wāwae nui.

3. Ka wehe ʻana i nā ʻāpana i hōʻino ʻia: Ma o kēlā ʻoki ʻana, ua wehe ʻia ke ami i hōʻino ʻia, ke cartilage i ʻeha, a me nā ʻāpana iwi.

4. Hoʻololi hui hana: Hoʻokomo ʻia ka hui hana (prosthesis) i ʻōlelo ʻia ma mua ma kahi o ka hui i wehe ʻia.

5. Hoʻopaʻa ʻana: Hoʻopaʻa pono ʻia kēia hui hana i nā iwi ma nā ʻaoʻao ʻelua o ka manamana lima me ka hoʻohana ʻana i nā kui liʻiliʻi, nā pine, nā wili, a i ʻole kekahi ʻano sima iwi kūikawā.

6. Hoʻāʻo ʻana: Nānā mākou e hōʻoia i ka paʻa ʻana o nā mea āpau a ke neʻe pono nei ka hui hou.

7. Humuhumu ʻana: ʻO ka hope loa, ua pani ʻia ka ʻoki me nā humuhumu. A laila ua kāʻei ʻia e pale aku i nā germs, a malia paha ua kau ʻia kahi ʻōpala a i ʻole kahi kāmaʻa kūikawā.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino?

Ma hope o ke ʻoki ʻana, e ala ʻoe i loko o kahi lumi hoʻōla. E kāʻei ʻia kou wāwae a malia paha i loko o kahi ʻōpala. E nānā ke kime lapaʻau iā ʻoe e hōʻoia ʻaʻohe hopena ʻaoʻao mai ka anesthesia.

Pono ʻoe e noho i ka haukapila a hiki i kou hiki ke hele palekana me ka hoʻohana ʻana i ka mea hele wāwae a i ʻole nā ​​​​koʻokoʻo. Ma mua o kou hoʻi ʻana i ka home, e hāʻawi ke kauka a me nā limahana kahu maʻi iā ʻoe i kahi hoʻonohonoho o nā kuhikuhi e hahai ai ma ka home.

• E hoʻopili i ka hau e hōʻemi i ka ʻeha a me ka pehu.
• E hoʻokiʻekiʻe i kou mau wāwae i ka lōʻihi e like me ka hiki.
• ʻO ka lā e pono ai ʻoe e hoʻi mai e ʻoki i nā humuhumu.
• Ke komo ʻana i nā kāmaʻa me nā kapuaʻi mānoanoa e like me ka hiki.

He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?

E like me nā ʻoki kino āpau, aia nā pono a me nā pilikia. E wehewehe pono kāu kauka i kēia mau mea iā ʻoe.

He mea kākaʻikahi loa kēia mau pilikia, akā he mea nui e ʻike iā lākou.

ʻEhia ka lōʻihi e ho'ōla ai? A me nā pilikia e pono ai ke hele i ke kauka

E paipai kāu kauka iā ʻoe e hoʻohana i kou hui hou i ka hikiwawe loa ma hope o ke ʻoki ʻana, ʻo ia hoʻi ka hele wāwae. ʻOiai he ʻeha iki paha i ka wā mua, he ʻāpana koʻikoʻi loa ka hoʻoikaika kino i ke kaʻina hana ho'ōla. E emi ana ka ʻeha i ka hala ʻana o ka manawa.

Pono paha ʻoe e hana i ka hoʻōla kino. Hiki ke hala ma kahi o 8 mau pule e hiki ai ke hele piha me ke kaumaha.

E kāhea koke aku i kāu kauka inā loaʻa iā ʻoe kēia mau hōʻailona:

• Inā manaʻo ʻoe he kuni a he anu paha.
• Inā piʻi aʻe ka ʻeha ma kahi o ka emi ʻana.
• Inā he pus ka mea i ʻoki ʻia a he ʻala maikaʻi ʻole paha.
• Inā he ʻulaʻula a pehu paha a puni ka ʻoki (hiki i kēia ke lilo i mau hōʻailona o ka maʻi)

Eia kekahi, inā manaʻo ʻoe he pilikia me ka hui i hoʻoili ʻia ma hope o kekahi manawa, ʻo ia hoʻi,

• Inā ua hoʻemi ʻia ka hana a i ʻole ka ikaika o ke ami.
• Inā manaʻo paʻa ʻole ke ami a kokoke e hemo (Instability).
• Inā loaʻa iā ʻoe ka ʻeha hou, ka ʻoʻoleʻa, a i ʻole ka pehu ʻana.

I kēlā me kēia hihia e like me kēia, e ʻike koke i ke kauka nāna ʻoe i mālama.