Luhi i ka ʻeha o ka pulima lima? E aʻo kākou e pili ana i ke ʻoki ʻana i ka pulima lima!

Ke ʻike nei ʻoe i ka ʻeha hiki ʻole ke hoʻomanawanui ke kūlou ʻoe a huli paha i kou pulima? Malia paha ke lohe nei ʻoe i kahi leo kaomi me ka paʻakikī? Ua lilo anei kēia ʻeha i mea hoʻonāukiuki loa a hiki ʻole iā ʻoe ke hana i nā hana maʻalahi o kēlā me kēia lā, e like me ke kāhili ʻana i kou lauoho, ka hāpai ʻana i ke kīʻaha, a i ʻole ke kākau ʻana? Inā pēlā, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau e hiki ke lilo i mea nui loa iā ʻoe. ʻO ia ke ʻoki hoʻololi pulima.

He aha kēia pani lima? (Pani lima)

I ka ʻōlelo maʻalahi, he hana ʻoki kino kēia. Pili kēia i ka wehe ʻana i kou hui pulima i hōʻino ʻia a luhi a hoʻololi iā ia me kahi hui hana. Kāhea mākou i kēia hui hana he `(prosthesis)`. Hana pinepine ʻia ia me ka metala a me kahi ʻano plastik kūikawā `(polyethylene)`. Ua hoʻolālā ʻia e hana e like me ka pulima olakino. I ka lāʻau lapaʻau, ua kapa pinepine ʻia ke ʻoki hoʻololi hui ʻo `(Arthroplasty)`.

He hui paʻakikī ko kākou pulima lima i hana ʻia me nā iwi liʻiliʻi he nui. Hoʻohui ia i ko kākou lima a me ka lima poʻohiwi (mai ke kuʻekuʻe a i ka lima). Ke hoʻoluliluli kākou i ko kākou mau lima, kākau, a hāpai i kahi mea, neʻe ka pulima lima. No laila, ke hōʻino nui ʻia a luhi paha kēia hui, ʻoiai ka hana ʻana i nā hana o kēlā me kēia lā e lilo ia i kumu o ka ʻeha nui.

He mea like anei ke pani ʻana o ka pulima lima a me ka fusion hui?

ʻAe, ʻelua ʻano lāʻau lapaʻau kēia. E wehewehe paha kāu kauka i nā koho ʻelua iā ʻoe. He mea nui loa ia e hoʻomaopopo i ka ʻokoʻa ma waena o nā mea ʻelua.

• Hoʻohui Pūlima / Arthrodesis: Pili kēia i ka hoʻohui ʻana i nā iwi e hana ana i ke ami a hoʻopaʻa mau ʻia. Ma hope o kēia, ʻaʻole hiki ke hoʻoneʻe ʻia ke ami. Eia naʻe, ua aneane pau loa ka ʻeha. ʻAʻohe mea keakea i ka hāpai ʻana i nā mea kaumaha a i ʻole ka hoʻohana ʻana i nā mea hana e like me ka hāmare. He hopena maikaʻi kēia no kekahi mea makemake e hoʻopau i ka ʻeha a hana i ka hana ikaika.

• Hoʻololi Pūlima / Arthroplasty: ʻO kēia ke ʻoki kino a mākou e kamaʻilio nei. ʻOiai ua hoʻokomo ʻia kahi hui hana i loko o kēia, hiki nō iā ʻoe ke hoʻoneʻe i kou pūlima ma hope o ke ʻoki kino. ʻO ia hoʻi, hiki iā ʻoe ke kūlou a hoʻohuli i kou lima i kekahi ʻano. Eia nō naʻe, e kaupalena ʻia ka hāpai ʻana i nā mea kaumaha a me ka hana ʻana i nā hana ikaika.

E hoʻomaopopo pono kēia papa iā ʻoe i ka ʻokoʻa ma waena o nā mea ʻelua.

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

ʻO ke ʻoki ʻana i ka pulima lima ka hopena hope loa . Hoʻohana wale nā ​​​​kauka iā ia inā ʻaʻole hiki i nā lāʻau lapaʻau ʻē aʻe ke kāohi i ka ʻeha. Eia nā lāʻau lapaʻau ʻoki ʻole i hoʻāʻo mua ʻia:

• E hoʻololi i kāu mau hana (e pale i nā hana e hoʻonui ai i ka ʻeha).
• Nā lāʻau hoʻopau ʻeha (anti-inflammatories, acetaminophen)
• Nā ʻāpana pulima a me nā mea ʻaila.
• Hoʻōla kino.
• Nā inikini steroid.

Inā ʻaʻohe o kēia mau mea e holo pono, pono paha ʻoe e noʻonoʻo i ke ʻoki kino. ʻO nā kumu nui no kēia ʻoki kino penei:

• ʻO ka maʻi ʻaʻai: ʻOi loa aku ka osteoarthritis a me ka rheumatoid arthritis.
• Nā ʻeha: Ka hōʻino ʻana i ke hono ma muli o kahi ʻeha nui, e like me ka haki ʻana o ka pulima.
• ʻAʻole i holomua ke ʻoki ʻana i ka hui pū ʻana o ka pulima: Inā ʻaʻole i holomua kahi ʻoki ʻana i ka hui pū ʻana o ka pulima ma mua.
• Osteonecrosis: ʻO kahi kūlana kahi e hoʻopilikia ʻia ai ke kahe koko i nā iwi o ke hono, e make ai nā ʻiʻo iwi.

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

Ma mua o ka ʻōlelo ʻana i kēia ʻano hana, e nānā pono kāu kauka orthopedic i kekahi mau kumu.

• E nīnau lākou e pili ana i kou olakino holoʻokoʻa a me nā kūlana olakino ʻē aʻe.
• Nīnau lākou i ka manawa i hoʻomaka ai ka ʻeha o ka pulima lima a pehea e pili ai i kou ola.
• Hoʻāʻo ʻia ka ikaika a me ka laulā o ka neʻe ʻana o ka pulima.
• Hana ʻia kahi X-ray e nānā i ke kūlana o nā iwi.
• Hana lākou i nā mea e like me nā hoʻāʻo koko e ʻike ai inā hiki iā lākou ke hoʻomākaukau iā ʻoe no ke ʻoki kino.
• E hōʻoia mākou ua hoʻāʻo ʻia nā lāʻau lapaʻau ʻē aʻe a ua kūkākūkā ʻia nā koho ʻoki ʻē aʻe me ʻoe.

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

Hana pinepine ʻia kēia ʻoki kino ma kahi haukapila. ʻAʻole i ʻoi aku ma mua o ʻelua hola. Eia ka mea e hana ʻia i ka wā o ke ʻoki kino:

1. Anesthesia: Hāʻawi ʻia ka anesthesia ma o kahi IV (intravenous) i loko o kou lima e hoʻohiamoe loa iā ʻoe. Eia kekahi, hāʻawi pinepine ʻia kahi poloka o ka ʻaoʻao o luna e hōʻemi i ka ʻeha ma hope o ke ʻoki ʻana.

2. ʻOki ʻana: Hana ʻia kahi ʻoki liʻiliʻi (ʻoki ʻana) ma luna o ka pulima.

3. Ka wehe ʻana i nā hono: Ua wehe ʻia ke hono i hōʻino ʻia, ke cartilage i ʻeha, a me nā ʻāpana iwi.

4. Ke kau ʻana o ka hui hana: Hoʻopili ʻia ka hui hana hou (prosthesis) i nā iwi i hoʻopilikia ʻia me nā pine, nā wili, a i ʻole kahi ʻano sima kūikawā (sima iwi).

5. Nānā: E nānā e ʻike inā ua kau ʻia ka hui hou a ke neʻe pono nei.

6. Humuhumu: Hoʻihoʻi ʻia nā ʻiʻo a puni, nā aʻalolo, a me nā tendon, a pani ʻia a humuhumu ʻia ka ʻoki.

7. Kāʻei a me ka ʻāpana ʻokiʻoki: ʻO ka hope loa, ua uhi ʻia ka ʻeha me nā kāʻei maʻemaʻe a ua kau ʻia kahi ʻāpana ʻokiʻoki e hoʻopaʻa i ka lima.

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

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

Nā mea e hana ai ma ka home no kou olakino

Aia kekahi mau mea hiki iā ʻoe ke hana e kōkua iā ʻoe e hoʻōla koke a palekana ma hope o ke ʻoki ʻana. ʻO ka hahai ʻana i kēia mau ʻanuʻu e kōkua pū i kou hui hou e lōʻihi.

• Kekahi e kōkua: He mea maʻalahi loa ka loaʻa ʻana o kekahi e kōkua iā ʻoe me nā hana o kēlā me kēia lā i nā lā mua ma hope o ke ʻoki ʻana. Hiki i nā mea e like me nā lole me nā lima lima nui a me nā pā pepa ke kōkua i kēia manawa.
• Mai hāpai i nā mea kaumaha: Mai hāpai ʻoe ma mua o ka mea i ʻōlelo ʻia e ke kauka. ʻO kēia ma kahi o 2-5 kg. E pale i ka hoʻohana ʻana i kekahi mea e like me ka hāmare a i ʻole ke kūlou ʻana o kou lima i ka palena loa.
• E pale iā ʻoe iho mai ka hāʻule ʻana: Hiki i ka hāʻule ʻana ke hōʻino i kou pulima. E makaʻala ma ka wehe ʻana i nā ʻili pahee a me nā mea hiki iā ʻoe ke kuʻi ma ka home. E noho mamao mai nā haʻuki e loaʻa ana ka pilikia nui o ka hāʻule ʻana i kēia manawa.
• Hoʻoikaika Kino: E hana i nā hoʻoikaika kino e like me ka mea a kāu kauka a me ka mea hoʻoponopono kino e hāʻawi aku ai iā ʻoe. Aia paha kekahi ʻeha i ka wā mua, akā e emi mālie ana ia a e ikaika kou lima.

I ka manawa hea e ʻike ai i ke kauka

Inā kū mai kekahi mau pilikia ma hope o ke ʻoki ʻana, he mea nui loa e ʻike koke iā lākou a e ʻimi i ka lāʻau lapaʻau.

Inā loaʻa iā ʻoe kēia mau hōʻailona i kekahi mau lā ma hope o ke ʻoki ʻana, e haʻi koke aku i kāu kauka :

He mau hōʻailona paha kēia o kahi maʻi.

• Inā manaʻo ʻoe he kuni a he anu paha.
• Inā he ʻulaʻula a me ka pehu a puni ka ʻoki.
• Inā he pus ka mea i ʻoki ʻia a he ʻala maikaʻi ʻole paha.
• Inā e ʻoi aku ka ʻino o ka ʻeha ma kahi o ka emi ʻana.

Inā loaʻa iā ʻoe kekahi o kēia mau mea ma hope o kekahi manawa, e ʻike i ke kauka:

He mau hōʻailona paha kēia o ka hāʻule ʻana o nā hono.

• Ka hoʻi hou ʻana o ka ʻeha.
• ʻOʻoleʻa a pehu paha i ke hono.
• Inā manaʻo ʻia ke ami he palupalu a ʻaʻole hiki ke kaohi ʻia, ua kapa ʻia ia he `(Instability)`.
• Ka emi ʻana o ka ikaika a i ʻole ka hana ma ka lima.

Inā loaʻa iā ʻoe ka ʻeha mau ma kou pulima ma muli o kahi ʻeha a i ʻole ka ʻāʻī, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki ʻana i ka pulima. Hiki i kēia ke hōʻemi i kou ʻeha a hiki iā ʻoe ke hana maʻalahi i nā hana o kēlā me kēia lā.