ʻO ka Wrist Arthroplasty: ʻO kēia anei ka hopena maikaʻi loa e haʻi aku ai i ke aloha i ka ʻeha?

Ua lōʻihi anei kou ʻeha ʻana ma ka pulima? He ʻeha nui anei ia a hiki ʻole iā ʻoe ke hoʻoneʻe i kou lima, hāpai i kekahi mea, a hana paha i nā hana o kēlā me kēia lā? Malia paha ʻaʻole hiki iā ʻoe ke hana i nā hana maʻalahi e like me ke kāhili ʻana i kou lauoho, hāpai i ke kīʻaha, a kākau paha. Inā ʻaʻole i emi ka ʻeha me ka lawe ʻana i ka lāʻau lapaʻau a me ke komo ʻana i nā ʻano lāʻau like ʻole, ua haʻi aku paha kāu kauka iā ʻoe e pili ana i ke "ʻoki hoʻololi pulima." Hiki ke hopohopo iki ka lohe ʻana i kēia inoa. Akā i kēia lā, e kamaʻilio kākou e pili ana i nā mea āpau me ka maʻalahi a me ka maopopo.

He aha ke ʻano o kēia, ke pani ʻana i ka hono pulima?

I ka ʻōlelo maʻalahi, ʻo ke ʻoki ʻana i ka hui pulima, a i ʻole ma ka ʻōlelo lapaʻau , ka arthroplasty pulima , ʻo ia ka wehe ʻana i kou hui pulima i hōʻino ʻia a luhi a me ke pani ʻana me kahi hui hana.

E noʻonoʻo e like me ka wehe ʻana i kahi hinge puka kahiko a haki a hoʻololi iā ia me kahi mea hou. 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 like me kahi hui pulima olakino.

ʻAʻole hoʻokahi wale nō iwi ko kākou pulima lima. He hui paʻakikī loa ia i hana ʻia me nā iwi liʻiliʻi he nui. Maanei kahi e pili ai ko kākou lima a me ka lima poʻohiwi (ka ʻāpana mai ke kuʻekuʻe a i ka lima). Ke lulu ʻoe i kou lima, holoi i kou lauoho, paʻi ma ke kamepiula, lawe i kahi mea mai ka papahele, ʻo ke hui pulima lima ka mea nui i kēia mau mea a pau. No laila, i ka wā e hōʻino nui ʻia ai kēia hui a paʻa paha, ʻo kēia mau hana o kēlā me kēia lā ke kumu o ka ʻeha nui.

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

Ua haʻi aku paha kāu kauka iā ʻoe e pili ana i kahi ʻoki fusion wrist, i ʻike ʻia hoʻi ʻo arthrodesis . Aia kahi ʻokoʻa nui ma waena o nā mea ʻelua. He mea nui iā ʻoe e maopopo e pili ana i kēia.

E hoʻomaopopo maikaʻi kākou i kēia ʻokoʻa mai ka papa ma lalo nei.

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

ʻAʻole kēia ʻoki kino ke koho mua no ka ʻeha o ka pulima. Paipai nā kauka iā ia ma ke ʻano he koho hope loa ma hope o ka hiki ʻole ʻana o nā lāʻau lapaʻau ʻē aʻe ke kāohi i ka ʻeha. ʻO ka mea maʻamau, ʻo ka mea mua a lākou e hoʻāʻo ai:

• Ke hoʻololi nei i ka hana āu e hana ai (hāʻawi i kou mau lima i kahi hoʻomaha).
• Nā lāʻau hoʻopau ʻeha, no ka laʻana, anti-inflammatory.
• Ke kau nei i kahi splint (kākoʻo) no ka pulima lima.
• Lapaʻau physiotherapy.
• Ke hāʻawi nei i nā inikini steroid.

Inā ʻaʻohe o kēia mau mea e holo pono, e noʻonoʻo ʻia ke ʻoki kino. Aia kekahi mau kumu nui o ka ʻeha o ka pulima:

• ʻEha: Kekahi mea e like me ka iwi haki ma ka pulima (haʻi iwi).
• ʻO ke kuni ʻōpū:
• Osteoarthritis: He ʻano maʻi i hoʻokumu ʻia e ka ʻaʻahu a me ka haehae ʻana o nā hono. E lilo kēia i mea maʻamau me ka makahiki.
• ʻO ka Rheumatoid Arthritis: He maʻi e hoʻoulu ai i ka pehu a me ka ʻeha i nā hono ma muli o kahi pilikia me ka ʻōnaehana pale o ke kino.
• Osteonecrosis: Make ʻana o nā ʻiʻo iwi ma muli o ka emi ʻana o ke kahe koko i ka iwi.

Hiki i kēia ʻoki kino ke lilo i hopena maikaʻi no nā mea e like me ka ʻeha hiki ʻole ke hoʻomanawanui, ka ʻoʻoleʻa o nā hono, a me ke kani "nahā" i ka wā e neʻe ai kou lima.

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

Pono e hana ʻia kēia e kahi loea iwi a me nā hono, ʻoiai hoʻi ka mea i ʻike i ke ʻoki lima. Ma mua o ka ʻōlelo ʻana i ke ʻoki lima, e hana kāu kauka i kēia mau mea:

• E nīnau lākou e pili ana i kou olakino laulā a me nā maʻi ʻē aʻe.
• E nīnau e pili ana i ka lōʻihi o ka ʻeha o kou pulima a pehea kona hopena i kou ola.
• E nānā ʻia kou pulima lima, e nānā ana i kona ikaika a me kona laulā o ka neʻe ʻana.
• Hana ʻia kahi hoʻokolokolo X-ray e nānā i ke kūlana o nā iwi.
• Hiki ke hana ʻia nā hoʻokolohua ʻē aʻe, e like me nā hoʻokolohua koko, e ʻike ai inā kūpono ʻoe no ke ʻoki kino.
• E hōʻoiaʻiʻo lākou ua hoʻāʻo ʻia nā lāʻau lapaʻau ʻē aʻe a pau a ua kūkākūkā lākou i nā koho ʻoki kino ʻē aʻe me ʻoe.

Pehea e hana ʻia ai ke ʻoki kino?

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

1. E hāʻawi ʻia ʻoe i kahi anesthetic laulā e hoʻohiamoe loa iā ʻoe. Eia kekahi, hiki ke hāʻawi ʻia iā ʻoe kahi inikini anesthetic ʻokoʻa (poloka ʻaoʻao o luna) no kou lima wale nō e kōkua i ka hōʻemi ʻana i ka ʻeha ma hope o ke ʻoki ʻana.

2. Hana ʻia kahi ʻoki liʻiliʻi ma luna o ka pulima.

3. Hoʻoneʻe pono ʻia ke ami i hōʻino ʻia a me nā ʻāpana cartilage a me nā iwi i pau.

4. Hoʻokomo ʻia ka hui hana i hana mua ʻia (prosthesis) a hoʻopaʻa ʻia i ka iwi me nā kui liʻiliʻi, nā wili, a i ʻole kahi ʻano sima kūikawā (sima iwi).

5. E hōʻoia i ke kūlana kūpono o ka hui hana a ua hoʻopaʻa pono ʻia.

6. E nānā inā e neʻe pono ana ke ami.

7. Hoʻololi hou ʻia nā ʻiʻo a puni, nā aʻalolo, a me nā tendon.

8. ʻO ka hope loa, ua pani ʻia ka ʻoki me nā humuhumu a uhi ʻia me kahi kāʻei antiseptic a me kahi splint.

Pehea ka lōʻihi e hoʻōla ai? Pehea e hiki ai iaʻu ke mālama iaʻu iho ma ka home?

ʻO ka maʻamau, ma kahi o 6 a 12 mau pule e ho'ōla piha ai. Ma hope o ka wehe ʻia ʻana o ka ʻōpala mua, pono ʻoe e kau i kahi splint no kekahi manawa.

ʻOiai paha e ʻeha iki paha ke hoʻoikaika kino ʻoe i ka wā mua, i ka hala ʻana o ka manawa e emi ana ka ʻeha a e holomua ka hana o kou lima. Hiki i kāu kauka ke kuhikuhi iā ʻoe i kahi mea hoʻoponopono kino.

E mālama pono i kēia mau mea ma ka home:

• Kekahi e kōkua: He mea maʻalahi loa ka loaʻa ʻana o kekahi e kōkua i nā hana o kēlā me kēia lā i nā lā mua ma hope o ke ʻoki ʻana.
• E pale i ka hāpai ʻana i nā mea kaumaha: He mea nui loa kēia. Mai hāpai ʻoe ma mua o ke kaumaha a kāu kauka e ʻōlelo ai (ʻo ka maʻamau he 2-3 kg), no ka mea hiki i kēia ke hōʻino i ka hui hana. Inā ʻoe e hahai pololei i kēia, hiki iā ʻoe ke hoʻohana i kāu hui hana no ka manawa lōʻihi.
• E pale iā ʻoe iho mai ka hāʻule ʻana: E makaʻala i nā wahi o kou home kahi e paheʻe ai a hāʻule paha ʻoe (lumi ʻauʻau, alapiʻi). E noho mamao aku mai nā haʻuki e hiki ai iā ʻoe ke hāʻule no kekahi manawa.
• Hana e hoʻokaumaha ai i kou mau lima: E pale i ka hana e hoʻokaumaha ai i kou mau lima, e like me ka hoʻohana ʻana i ka hāmare.

ʻEhia ka lōʻihi o ke ola ʻana o kahi hui hana? Āhea wau e ʻike ai i ke kauka?

Inā mālama pono ʻia, e mau ana kēia hui hoʻopunipuni ma kahi o 10 a 15 mau makahiki .

Ma hope o ke ʻoki ʻana, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e ʻike koke i kāu kauka. He mau hōʻailona paha kēia o kahi maʻi:

• Kuni a i ʻole ke anu.
• ʻUlaʻula a pehu paha a puni ka ʻeha.
• Ka pus a i ʻole kahi wai ʻala pilau e kahe ana mai ka ʻoki.
• ʻEha mau a hoʻonui paha.

I ka hala ʻana o ka manawa, i ka wā e pau ai ka prosthesis a i ʻole e ulu aʻe nā pilikia ʻē aʻe, hiki ke ʻike ʻia kēia mau hōʻailona. Inā hana ʻia kēia, e haʻi i kāu kauka:

• Ka emi ʻana o ka hana a i ʻole ka ikaika o ke hono.
• Ka hoʻi hou ʻana o ka ʻeha, ka ʻoʻoleʻa, a i ʻole ka pehu ʻana.
• Manaʻo e like me ke kūpaʻa ʻole o ke hono (me he mea lā e "lele ana").