Ke hoʻoholo nei e loaʻa ke kuli a i ʻole ke kuapo

Nui nā mea hiki iā ʻoe ke hana e kōkua e hoʻoholo inā loaʻa ke kuli a i ʻole ke kīwaha ma hope o ka ʻoki ʻana. Pākuʻi paha kēia i ka heluhelu ʻana e pili ana i ka hana a me ke kamaʻilio pū ʻana me nā poʻe ʻē aʻe me nā pilikia o ke kuli a me ka uha.

Ke kamaʻilio nei kahi kī nui i kāu mea mālama ola e pili ana i kou ola a me nā pahuhopu no ke ʻoki.

ʻAʻole paha ke koho ʻoki kūpono na ʻoe. ʻO ka noʻonoʻo akahele wale nō ke kōkua iā ʻoe e hoʻoholo.

ʻO ke kumu maʻamau e loaʻa ke kuli a i ʻole ka hakahaka e hoʻololi i ka hāʻawi ʻana i ke kōkua mai ka ʻeha ʻehaʻeha loa e kaohi ana i kāu mau hana. Koi paha kāu mea hāʻawi i kahi ʻoki pani inā:

• Pale ka ʻeha iā ʻoe mai ka hiamoe ʻana a i ʻole hana i nā hana maʻamau.
• ʻAʻole hiki iā ʻoe ke neʻe iā ʻoe iho a pono e hoʻohana i kahi kō a me ka mea hele wāwae.
• ʻAʻole hiki iā ʻoe ke mālama palekana iā ʻoe iho ma muli o kāu pae o ka ʻeha a me ke kīnā.
• ʻAʻole i hoʻomaikaʻi ʻia kou ʻeha me nā lāʻau ʻē aʻe.
• Maopopo iā ʻoe ke ʻoki a me ke ola hou ʻana.

ʻOi aku ka makemake o kekahi poʻe e ʻae i nā palena o nā kuli a me nā ʻeha ʻeha ma luna o lākou. E kali lākou a hiki i ka ʻoi loa ʻana o nā pilikia. E makemake kekahi e hana i kahi ʻoki pani hou i mea e hoʻomau ai i nā haʻuki a me nā hana ʻē aʻe a lākou e hauʻoli ai.

Hana pinepine ʻia nā pani kuli a i ʻole ke kīkala i ka poʻe 60 a ʻoi. Eia nō naʻe, ʻoi aku ka ʻōpio o ka poʻe i loaʻa i kēia ʻoki. Ke pau ke kuli a i ʻole ka hope i hope, pau paha ka hui hou i ka holo ʻana o ka manawa. ʻOi aku paha kēia i nā poʻe me ka ʻoi aku o ka nohona hana a i ʻole i ka poʻe e ola lōʻihi ana ma hope o ka ʻoki ʻana. Minamina, inā makemake ʻia kahi pani kuapo ʻelua i ka wā e hiki mai ana, ʻaʻole maikaʻi paha e like me ka mea mua.

No ka hapa nui, ʻo ke kuli a me ke kuapo ka hope i koho ʻia. ʻO kēia ke hana ʻia kēia mau hana ʻokiʻoki ke mākaukau ʻoe e ʻimi i ke kōkua no kou ʻeha, ʻaʻole no ke kumu olakino olakino.

I ka hapanui o nā hihia, ʻaʻole pono ka hoʻolohi ʻana i ke kahakaha e hana i ka hope hou inā ʻaʻole ʻoe e koho i ka wā e hiki mai ana. I kekahi mau hihia, koi ikaika paha ka mea hāʻawi i ke kīʻaha inā deformity a i ʻole weluwelu loa ma ka ami e pili ana i nā ʻāpana ʻē aʻe o kou kino.

Eia nō naʻe, inā ke ʻae nei ka ʻeha iā ʻoe mai ka neʻe maikaʻi ʻana, e nāwaliwali nā mākala a puni kou mau hono a lahilahi hoʻi kou mau iwi. Hiki i kēia ke hoʻololi i kāu manawa hoʻōla inā loaʻa kāu ʻoki ʻana ma kahi lā hope.

Koi paha kāu mea hāʻawi iā ʻoe e kūʻē i ke kuli a i ʻole ke kuapo hope inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Ka momona nui (ke kaupaona ma luna o 300 paona a i ʻole 135 kilokilo)
• Nā quadriceps nāwaliwali, nā mākala i mua o kou mau ʻūhā, hiki ke hana paʻakikī iā ʻoe e hele a hoʻohana i kou kuli
• ʻO ka ʻili maikaʻi ʻole e pili ana i ka ami
• ʻO ka maʻi ma mua o kou kuli a ʻo kou uha
• ʻO ke kāpili mua a i ʻole nā ​​ʻeha i ʻae ʻole i kahi pani kūleʻa kūleʻa
• Nā pilikia puʻuwai a i ʻole māmā, i mea e ʻoi aku ai ke koʻikoʻi o ke kaha nui
• Nā hana kūpono ʻole e like me ka inu ʻana, ka hoʻohana ʻana i ka lāʻau, a i ʻole nā ​​hana kiʻekiʻe
• ʻO nā kūlana olakino ʻē aʻe e ʻae ʻole ai iā ʻoe e ola maikaʻi mai nā ʻoki pani pani

ʻO Felson DT. Ka mālama ʻana i ka osteoarthritis. I: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, nā hua. ʻO Kelley lāua ʻo Firestein's Bookbook of Rheumatology. 10 o ka lā. Piladelapia, PA: Elsevier; 2017: chap 100.

Ferguson RJ, Palmer AJ, Taylor A, Porter ML, Malchau H, Glyn-Jones S. Hip pani. Lancet. 2018; 392 (10158): 1662-1671. PMID: 30496081 www.ncbi.nlm.nih.gov/pubmed/30496081.

ʻO Harkess JW, ʻo Crockarell JR. Pākuʻi o ka uha. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 3.

Mihalko WM. Arthroplasty o ke kuli. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 7.

• Hoʻololi Hip
• Hoʻololi Knee