Ke ʻeha nei ʻoe i kou kuʻekuʻe wāwae i kou hele ʻana a i ʻole ke piʻi ʻana i ke alapiʻi? Ke ʻoi aku nei ka ʻeha o kēia ʻeha i kēlā me kēia lā, a i ʻole ʻaʻole ia e hoʻomaikaʻi? Ua hoʻopilikia anei kēia ʻeha i kou ola a hiki i kahi hiki ʻole iā ʻoe ke hele wāwae me nā hoaaloha, hele i ka hale pule, a i ʻole e hana i nā hana o ka hale e like me kāu hana ma mua? No laila, e kamaʻilio mākou e pili ana i kahi mea nui loa iā ʻoe.
He aha ke ʻano o ka hoʻololi ʻana i ka kuʻekuʻe wāwae holoʻokoʻa?
I ka ʻōlelo maʻalahi, he ʻoki kino kēia e like me ke pani ʻana o ka ʻūhā a me ke kuli. Ua kapa ʻia kēia ma ke ʻano lapaʻau he arthroplasty kuʻekuʻe wāwae. Pili kēia i ka wehe ʻana i nā ʻāpana i hōʻino ʻia a luhi o kou hui kuʻekuʻe wāwae a hoʻololi iā lākou me nā ʻāpana metala a me nā ʻāpana plastik i hana kūikawā ʻia i kapa ʻia ʻo prosthetics. Hana pū kēia mau ʻāpana hou e like me kou hui maoli a kōkua iā ʻoe e hoʻoneʻe i kou kuʻekuʻe wāwae.
Akā e hoʻomanaʻo, ʻaʻole kēia he mea i hana ʻia no nā mea āpau me ka ʻeha kuʻekuʻe wāwae. ʻO ka maʻamau, ua ʻōlelo ʻia kēia ʻoki kino no ka poʻe i loaʻa ka ʻeha nui i kāohi ʻole ʻia e nā lāʻau ʻē aʻe a he mea hoʻopilikia nui ia i ko lākou ola o kēlā me kēia lā.
He aha nā kūlana e hiki ke mālama ʻia me kēia ʻoki kino?
Hana pinepine ʻia kēia ʻoki kino ma ke ʻano he lāʻau lapaʻau no kahi maʻi i kapa ʻia ʻo ka ʻāʻī kuʻekuʻe wāwae. Ma kahi e hui ai nā iwi ʻelua i loko o kahi hui, aia kahi membrane pahee a ikaika hoʻi i kapa ʻia ʻo ka cartilage e uhi ana i nā wēlau o kēlā mau iwi. ʻO kēia ka mea e hiki ai i ko mākou mau hui ke kūlou a hoʻolōʻihi maʻalahi me ka ʻole o ka ʻeha.
E noʻonoʻo, i kou wā ʻelemakule, e hoʻohana i ke ami no ka manawa lōʻihi, a i ʻole e ʻeha i nā ʻeha ma ke kuʻekuʻe wāwae (e.g., nā haki), hoʻomaka kēia cartilage e mae, lahilahi, a lilo i ʻinoʻino. ʻO ia ka manawa e hamo ai nā iwi, e hōʻeha nui ai. Kāhea mākou i kēia arthritis.
Eia kekahi o nā hōʻailona nui o ka ankle arthritis.
| Hōʻailona | Wehewehena |
|---|---|
| Paʻakikī ka hele wāwae | ʻO ka ʻeha a me ka ʻoʻoleʻa o ke ami e hiki ʻole ai ke hele maʻamau. Pono paha ʻoe e hele me ka ʻoʻopa. |
| ʻEha hui | ʻEha nui, ʻoiai i ka wā e hele ai, kū ai, a ala paha i ke kakahiaka. |
| Pehu hui | Ua pehu ka kuʻekuʻe wāwae a i kekahi manawa ua mehana ke pā aku. |
Loaʻa i ka poʻe he nui ka hōʻoluʻolu me nā lāʻau lapaʻau maʻalahi e like me nā mea hōʻeha ʻeha, ka hoʻōla kino, a me nā kāmaʻa kūikawā a i ʻole nā kākoʻo kuʻekuʻe wāwae (orthotics). Eia nō naʻe, no kekahi poʻe, pau ka hono a hiki i kahi i hiki ʻole ai i kēia mau lāʻau lapaʻau ke kāohi i ka ʻeha. ʻO ia ka manawa e noʻonoʻo ai kāu kauka i ke ʻoki ʻana.
ʻO wai ka mea pono ʻole e hana i kēia ʻoki kino?
ʻAʻole kēia ʻoki kino ka hopena maikaʻi loa no nā mea āpau me ka ʻāʻī kuʻekuʻe wāwae. I kekahi mau hihia, he mea paʻakikī paha ke hoʻokō i nā hopena i makemake ʻia mai kēia ʻoki kino. Eia kekahi mau kūlana kahi e ʻōlelo ʻole ai kāu kauka i kēia ʻoki kino.
- ʻO ke kīnā koʻikoʻi a i ʻole ka paʻa ʻole o ka hui kuʻekuʻe wāwae: Inā ua kīkoʻo loa ʻia ke hui a ʻaʻole ikaika paha, he mea paʻakikī paha ke hoʻokomo pono i kahi hui hana.
- Nā pilikia olakino ʻē aʻe: ʻOi aku ka nui o ka pilikia o ka poʻe me nā kūlana olakino ma hope o kēia ʻoki kino.
| Nā kumu e ʻole ai e hana i ke ʻoki kino | He wehewehe pōkole |
|---|---|
| Nā maʻi iwi | Inā aia kekahi maʻi i loko o nā iwi, hiki i ke ʻoki kino ke hoʻolaha hou aku. |
| Nā pilikia kahe koko | Inā ʻaʻohe lako koko maikaʻi o nā wāwae, e lōʻihi ka manawa e ho'ōla ai ka ʻeha ma hope o ke ʻoki ʻana. |
| Maʻi diabetes | ʻO ka maʻi diabetes i kāohi ʻole ʻia e alakaʻi i ka lohi o ka ho'ōla ʻana o nā ʻeha a me ka hoʻonui ʻia o ka pilikia o ka maʻi. |
| Momona | Hiki i ke kaumaha o ke kino ke kau i ke kaomi nui ma luna o ke hono hoʻopunipuni, e hoʻoulu ai i ka pau koke ʻana. |
ʻO ka mea mua, e nānā kāu kauka iā ʻoe a lawe i nā hoʻokolohua e like me nā X-ray e ʻike ai inā he moho kūpono ʻoe no kēia ʻoki kino. ʻAʻole kēia ʻoki kino wale nō ka mea i hana ʻia i kou kuʻekuʻe wāwae. Hiki paha iā ʻoe ke ʻoi aku ka maikaʻi me kahi lāʻau ʻē aʻe, e like me ka ankle fusion (arthrodesis) a i ʻole ka ankle arthroscopy.
Pehea mākou e hoʻomākaukau ai ma mua o ke ʻoki kino?
He mea nui loa ke alo ʻana i kēia ʻoki kino a me ka wā hoʻōla ma hope me nā manaʻolana kūpono.
- E kamaʻilio me ka hui lapaʻau: E kamaʻilio me kāu kauka a me ka mea hoʻoponopono kino ma mua o ke ʻoki ʻana e hōʻoia i ka maopopo o nā mea āpau.
- E hoʻōki i ka puhipaka: Inā he mea puhipaka ʻoe, pono ʻoe e hoʻōki i kekahi mau pule ma mua o ke ʻoki kino. Hoʻopaʻa ka puhipaka i nā kīʻaha koko a hoʻopaneʻe nui i ka ho'ōla ʻana o ka ʻeha.
- Ke hoʻōki ʻana i kekahi mau lāʻau lapaʻau: Hiki i kāu kauka ke aʻo iā ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau (ʻoiai nā mea hoʻokahe koko) ma mua o ke ʻoki ʻana.
- E hoʻolālā me kou ʻohana: Ma hope o ke ʻoki ʻana, e paʻakikī iā ʻoe ke hele no kekahi manawa. No laila he mea nui loa ka loaʻa ʻana o kekahi e kōkua iā ʻoe me nā hana o ka hale, ke kūʻai ʻana, a me ka piʻi ʻana i luna a i lalo o ke alapiʻi. E kamaʻilio me nā ʻohana o kou ʻohana ma mua a e hoʻolālā.
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
He hana ʻoki kino paʻakikī loa kēia e hana ʻia e ke kauka ʻoki kino. Hana pū kekahi kauka anesthesiologist, nā limahana kahu maʻi, a me nā limahana mālama ola ʻē aʻe e hana i kēia kaʻina hana.
1. ʻO ka mea mua, e hoʻomaʻemaʻe loa ʻia ʻoe (General Anesthesia) a i ʻole e hoʻomānoanoa ʻia kou wāwae (Nerve Block).
2. A laila hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi ma ke alo o ka kuʻekuʻe wāwae.
3. Hoʻopau pono ʻia nā ʻāpana iwi a me nā ʻāpana cartilage i pau.
4. Ua hoʻomākaukau ʻia ka ʻili o ka iwi a ua hoʻopili ʻia nā ʻāpana prosthetic hou.
5. Hoʻāʻo ʻia ke ami hou e ʻike inā e hana pono ana a e neʻe ana.
6. Inā pono, hana ʻia nā kaʻina hana liʻiliʻi ʻē aʻe e hoʻoponopono i ke kūlana o ka wāwae a me ka kuʻekuʻe wāwae.
ʻO ka maʻamau, pono ʻoe e noho i ka haukapila i ka pō ma hope o kēia ʻoki kino. Eia nō naʻe, hiki i kekahi mau maʻi ke hana i ke ʻoki kino ma ke ʻano he outpatient a hoʻi i ka home i ka lā hoʻokahi. Hoʻoholo ʻia kēia e kāu kauka.
He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?
Nā Pōmaikaʻi
ʻO ka pōmaikaʻi nui o kēia ʻoki kino, ua pau kou ʻeha , a ua loaʻa hou i kou kuʻekuʻe wāwae ka ikaika a me ke kūpaʻa. Eia kekahi, ua mālama ʻia ka laulā o ka neʻe ʻana o ke ami. Ma muli o ka neʻe ʻana o kēia mau ʻāpana hana e like me ke ami maoli, hiki iā ʻoe ke hele maʻamau me ka ʻeha ʻole a alakaʻi i kahi ola hana.
ʻOi aku ka maikaʻi o kēia ma mua o ke ʻoki ʻana i ka kuʻekuʻe wāwae, no ka mea, i ka wā e hoʻopili ʻia ai ke ami, nalowale nā neʻe āpau o ke kuʻekuʻe wāwae. Hiki i kēia ke hoʻololi i ke ala āu e hele ai a kau i ke kaomi hou aku ma luna o nā ami ʻē aʻe, hiki ke alakaʻi i ka rumatika.
Nā Pōʻino
E like me nā ʻoki kino āpau, aia kekahi mau pilikia liʻiliʻi. He mea kākaʻikahi loa lākou, akā he mea nui e makaʻala iā lākou.
| Ka pilikia hiki ke loaʻa |
|---|
| Nā ʻūpā koko |
| Maʻi |
| Ka wehe ʻana o nā ʻāpana prosthetic |
| Ka hōʻino ʻana o ke aʻalolo a i ʻole ke kīʻaha koko |
| Nā pilikia e ho'ōla ana i ka ʻoki |
| Ka pau ʻana o nā ʻāpana i ka hala ʻana o ka manawa |
ʻEhia ka lōʻihi e hoʻōla ai ma hope o ke ʻoki kino?
Hiki ke hala ma waena o 6 a me 12 mau mahina e ho'ōla piha ai. ʻOkoʻa kēia mai kēlā kanaka a kēia kanaka.
I ka wā mua, pono ʻoe e hoʻohana i nā koʻokoʻo. E hāʻawi ʻia hoʻi ʻoe i kahi ʻōpala a i ʻole splint e kōkua i kou kuʻekuʻe wāwae e ho'ōla a mālama iā ia i ka neʻe ʻole. I loko o kēia manawa, e hāʻawi kāu kauka iā ʻoe i ka lāʻau lapaʻau e pale aku i nā ʻōpū koko.
Hoʻōla kinoHe ʻāpana koʻikoʻi loa kēia o ke kaʻina hana ho'ōla. ʻO ia ke ʻano o kou kūkulu hou ʻana i ka laulā o ka neʻe ʻana a me ka ikaika i kou kuʻekuʻe wāwae.
- Ke aʻo ʻana e kū a hele hou
- Lomilomi e hōʻemi i ka pehu
- Nā hoʻoikaika kino
- Nā hoʻolōʻihi e hoʻonui ai i ka laulā o ka neʻe ʻana o ka hui
- Hoʻoikaika kino kaumaha e hoʻonui mālie ana i ka hala ʻana o ka manawa
Ma hope o ke ʻoki ʻana, e noi aku kāu kauka iā ʻoe e ʻike iā ia i nā manawa maʻamau. I kēlā manawa, e hana ʻo ia i nā hoʻokolohua e like me nā X-ray e hōʻoia i ka ho'ōla pono ʻana o ke ami hou.
Āhea wau e ʻike ai i ke kauka ma hope o ke ʻoki ʻana?
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ke ʻoki ʻana, pono ʻoe e hoʻomaopopo koke i kāu kauka . He mau hōʻailona paha kēia o kahi maʻi a i ʻole kekahi pilikia ʻē aʻe.
- kuni
- Ka pehu nui ʻana o ke kuʻekuʻe wāwae a i ʻole ka wāwae
- Pus a i ʻole ke kahe koko nui mai ka ʻoki ʻana
- Nā hōʻailona o ka maʻi, e like me ka ʻulaʻula a me ka ʻeha nui a puni ka ʻoki ʻana
Hiki iā ʻoe ke hōʻemi nui i kou pilikia o ka hoʻomohala ʻana i kēia mau pilikia ma ka ʻai ʻana i kahi meaʻai olakino, ka pale ʻana i ka puhipaka, a me ka hahai ʻana i nā ʻōlelo aʻoaʻo a pau a kāu kauka e hāʻawi ai iā ʻoe.
Leka Lawe-Home
- He ʻoki kino holomua ka Total Ankle Replacement no ka ʻeha nui o ka maʻi kuʻekuʻe wāwae i hōʻoluʻolu ʻole ʻia e nā lāʻau ʻē aʻe.
- Hoʻopau kēia i ka ʻeha, mālama i ka neʻe ʻana o nā hono, a hiki iā ʻoe ke alakaʻi hou i kahi ola hana.
- ʻAʻole kūpono kēia ʻoki kino no nā kānaka a pau. E nānā kāu kauka iā ʻoe a hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu.
- He mau mahina ka lōʻihi e ho'ōla piha ai ma hope o ke ʻoki ʻana, a he mea nui loa e hahai i nā lāʻau lapaʻau kino a me nā ʻōlelo aʻoaʻo lapaʻau.
- ʻO ka mālama ʻana i ke kaumaha o ke kino olakino a me ka pale ʻana i nā hana koʻikoʻi nui e hiki ke kōkua i ka pale ʻana i kou hui hou no ka wā lōʻihi.
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