He uhi pale ko nā iwi! E kamaʻilio kākou e pili ana i ka Periosteum.

Ua ʻike kākou a pau ua hana ʻia ko kākou kino me kahi iwi. Akā, ua ʻike anei ʻoe he membrane lahilahi ko kēia mau iwi no ka pale ʻana, e like me ka 'uhi hope' ma ke kelepona? ʻO ia ka mea a mākou e kapa nei he Periosteum i ka lāʻau lapaʻau. ʻAʻole kēia he uhi wale nō, hana ia i kahi hana nui aʻe, a he mea kupaianaha ia e pono ai no ke olakino o ko kākou mau iwi. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ke ʻano aloha.

He aha maoli ka periosteum?

I ka ʻōlelo maʻalahi, he membrane lahilahi ka periosteum e uhi ana i waho o kēlā me kēia o kou mau iwi. ʻO kāna hana nui ka pale ʻana i nā iwi. Akā, ʻaʻole ia wale nō, kōkua pū ia i nā iwi e ho'ōla i ka wā e ʻeha ai a haki paha, a i kekahi manawa kōkua i ke kūkulu ʻana i nā ʻiʻo iwi hou.

E noʻonoʻo e pili ana i ia mea, ua hoʻohālikelike kekahi poʻe ʻepekema i kēia me ka papa cambium o kahi lāʻau. E like me nā lāʻau e ho'ōla ai i nā ʻeha a ulu i nā mea hou me ka nānā ʻole i ke ʻano ʻino o ko lākou kaiapuni, kōkua kēia Periosteum i ko mākou mau iwi e hana like.

ʻElua mau papa nui o ka periosteum:

1. Papa waho: ʻO kēia ka mea e kōkua ai i nā iwi a me nā ʻiʻo a puni e loaʻa ai ke koko e pono ai. Loaʻa pū kekahi i loko o ia mea ka pūnaewele o nā olonā aʻalolo e lawe i nā leka ma loko o ko kākou kino.

2. Papa o loko: ʻO ka hana nui o kēia, ʻo ia ke pale i ka iwi a hoʻoulu iā ia e hoʻoponopono iā ia iho ke ʻeha a haki paha. ʻO ka mea kupanaha, he mānoanoa loa kēia papa i ko kākou wā i loko o ka ʻōpū o ko kākou makuahine a i ko kākou wā kamaliʻi. I ko kākou ulu ʻana a hiki i ka wā makua, e lahilahi mālie ana kēia papa.

ʻO ke kūlana i kapa ʻia ʻo Periosteal Chondroma

ʻOiai i ka hapa nui o ka manawa he maikaʻi loa kēia Periosteum no ko mākou kino, i kekahi manawa hiki iā ia ke hana i nā pilikia liʻiliʻi. ʻO ia hoʻi, i kekahi manawa hewa ke ʻano o kāna kōkua ʻana i ka ulu ʻana o nā iwi, a hiki ke hana ʻia nā puʻupuʻu ʻaʻole kanesa (benign) . ʻO kēia ka mea a mākou e kapa nei he Periosteal Chondroma . Hana ʻia kēia mau mea me ke cartilage . ʻO ka hapa nui o ka manawa, ʻike ʻia kēia mau mea ma nā hono kahi e pili ai nā iwi ʻelua.

Akā inā waiho ʻole ʻia no ka manawa lōʻihi, hiki i ka ʻiʻo iwi a puni kēia mau puʻupuʻu ke palaho, ʻo ia hoʻi hiki ke hoʻoheheʻe ʻia, e hōʻeha mau loa ana.

ʻIke a me ka lāʻau lapaʻau

• Hoʻokolokolo lapaʻau : ʻO ka mea mua, e nānā kāu kauka i ka wahi ʻeha a nīnau e pili ana i kāu mau hōʻailona. E nānā lākou no ka ʻeha i ke kaomi ʻana ma ia wahi, kahi puʻupuʻu i ʻike ʻia, a me kekahi kaohi ʻana i ka neʻe ʻana o nā hono.
• Hoʻokolokolo X-ray: ʻO ke ala maikaʻi loa e ʻike ai i ke kūlana kikoʻī o kahi puʻupuʻu e like me kēia, ʻo ia ke lawe i kahi X-ray .

• Nā hoʻokolohua ʻē aʻe: Inā hana ʻia ka puʻupuʻu me nā ʻiʻo palupalu, hiki i kāu kauka ke paipai i kahi mea e like me ka CT scan. Eia kekahi, inā he kānalua e pili ana i ka maʻi kanesa o ka puʻupuʻu, hiki ke hana ʻia kahi biopsy . Pili kēia i ka lawe ʻana i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai ka puʻupuʻu a nānā iā ia ma lalo o kahi microscope.
• Lapaʻau: Inā pono e wehe ʻia ka puʻupuʻu, e hana ke kauka i kahi ʻoki kino i kapa ʻia ʻo excision . Inā ua hōʻino ʻia ka iwi a puni i ka wā o ke ʻoki kino, e hoʻoponopono hou ke kauka i kēlā.

ʻO ka periostitis a me kona hopena

ʻO ka periostitis ka mumū, a i ʻole ka pehu wale ʻana, o ka papa periosteum a mākou i kamaʻilio ai ma mua. Hiki ke hana ʻia kēia e kahi maʻi, a i ʻole he maʻi mau loa i hoʻokumu ʻia e ka hopena mau a i ʻole ka hōʻeha ʻana i kahi wahi kikoʻī.

ʻO ka Periostitis Mau Loa

Hoʻomaʻamaʻa pinepine ʻia kēia ʻano i ka poʻe e hoʻoikaika kino, holo, a lele paha, ma muli o ka pā pinepine ʻana ma ka iwi. I kekahi manawa hiki ke huikau ʻia kēia me kahi ʻano i kapa ʻia ʻo shin splints a i ʻole ka haki stress (kahi māwae liʻiliʻi ma ka iwi). No laila, inā loaʻa iā ʻoe ka ʻeha a pehu paha ma hope o ka hoʻoikaika kino, he mea nui loa ia e kamaʻilio me kāu kauka e pili ana i ia mea.

Hiki i nā hōʻailona ke komo pū me:

• Ka paʻakikī i ke kaumaha.
• ʻEha i ke kaomi ʻana i ka iwi.
• ʻEha a ʻoʻoleʻa paha i kekahi mau lā ma hope o ka hoʻoikaika kino.
• Kuni a i ʻole ke anu.
• Ka pehu ʻana a puni ka iwi.
• Hoʻokumu ʻia ʻana o nā ʻeke pus a puni ka iwi.

ʻOiai ʻaʻohe lāʻau lapaʻau kūikawā no kēia ʻano, e aʻo aku kāu kauka iā ʻoe e hoʻomaha, lawe i nā ʻehaʻeha, a hana i nā hoʻomaʻamaʻa hoʻōla hou .

ʻO ka Periostitis koʻikoʻi

Hoʻokumu ʻia kēia ʻano e kahi maʻi bacteria. ʻAʻole ia he maʻi i loko ona iho, akā he hōʻailona ia o kahi maʻi ʻē aʻe i loko o ke kino. Hiki iā ʻoe ke ʻeha nui a loaʻa nā abscesses piha i ka pus a puni ka iwi.

ʻIke a me ka lāʻau lapaʻau:

I ka mālama ʻana i kahi maʻi, ʻo ka hana wikiwiki ke kī i ka hoʻōla ʻana. Hiki i kāu kauka ke hana i kahi scan iwi e hōʻoia ʻaʻohe pilikia iwi ʻē aʻe a e ʻike i ke koʻikoʻi o ka maʻi. Hiki iā lākou ke hana i nā hoʻokolohua koko a i ʻole kahi moʻomeheu bacteria e ʻike ai i ka bacteria e hoʻokumu ana i ka maʻi a hoʻoholo i ka lāʻau lapaʻau maikaʻi loa.

I kekahi manawa pono ke ʻoki ʻana e hoʻokahe i ka pus. A laila, hāʻawi ʻia nā antibiotics waha a i ʻole intravenous no kekahi mau lā a i ʻole nā ​​​​pule. ʻO ka maʻamau, ʻoi aku ka lōʻihi o ka mālama ʻana i nā maʻi iwi no ka mea hiki i nā antibiotics i nā iwi me ka lohi ma mua o nā ʻiʻo palupalu.