Nā pōʻino o ka ʻūhā a me ke kuli

Loaʻa nā pilikia i nā ʻoki āpau no nā pilikia. ʻO ka ʻike ʻana i kēia mau pilikia a pehea e pili ai iā ʻoe kahi ʻāpana o ka hoʻoholo inā ʻaʻole ʻoe e ʻoki ʻia.

Hiki iā ʻoe ke kōkua i ka hoʻohaʻahaʻa i kāu manawa kūpono o nā pilikia mai ke ʻoki ʻana ma o ka hoʻolālā mua ʻana.

• Koho i ke kauka a me kahi haukapila e hāʻawi i ka mālama kiʻekiʻe kiʻekiʻe.
• E kamaʻilio me kāu mea mālama ola ma mua o kou ʻoki ʻana.
• E ʻike i kāu mea e hiki ai ke hana e pale aku ai i nā pilikia i ka wā a ma hope o ke kaha ʻana.

Pili nā ʻano ʻoki a pau i nā makaʻu. ʻO kekahi o kēia mau mea:

• Nā pilikia hanu ma hope o ke kahakaha ʻana. ʻOi aku ka maʻamau o kēia inā loaʻa iā ʻoe ka anesthesia ākea a me ka paipu hanu.
• Ka hōʻeha puʻuwai a i ʻole hahau i ka wā a ma hope paha o ke kaha.
• ʻO ka maʻi i ka hui, nā māmā (pulemonia), a i ʻole ke kaha urinary.
• Hoola ʻeha maikaʻi ʻole. ʻOi aku paha kēia no nā poʻe i olakino ʻole ma mua o ke ʻoki ʻana, nā puhipaka a i ʻole ka maʻi diabetes, a i ʻole nā ​​mea nāna e lawe i nā lāʻau e hoʻonāwaliwali i kā lākou pale pale
• Kahi hopena maʻi i ka lāʻau i loaʻa iā ʻoe. Kākaʻikahi kēia, akā ʻo kekahi o kēia mau hopena ke hoʻoweliweli i ke ola.
• Holo i ka haukapila. Hiki i ka Falls ke lilo i pilikia nui. Hiki i nā mea he nui ke hāʻule i ka hāʻule, e like me nā kapa komo leʻaleʻa, nā papa paheʻe, nā lāʻau e hiamoe ai ʻoe, ʻeha, nā wahi kamaʻāina ʻole, nāwaliwali ma hope o ka ʻoki ʻana, a neʻe paha me nā paipu i pili i kou kino.

He mea maʻamau ka lilo ʻana o ke koko i ka wā a ma hope o ke kīwī a me ke kuli. Pono kekahi poʻe i ka hoʻokaʻawale ʻana o ke koko i ka wā o ke ʻoki a i ʻole i ka wā o ko lākou ola ʻana i ka haukapila. ʻAʻole pono ʻoe i kahi transfusion inā lawa ka helu o kou koko ʻulaʻula ma mua o ke kahakaha ʻana. Pono kekahi mau ʻoki ʻana iā ʻoe e hāʻawi i ke koko ma mua o ke kaha ʻana. Pono ʻoe e nīnau i kāu mea hāʻawi e pili ana inā pono kēlā.

ʻO ka nui o ke kahe ʻana i ka wā o ke kaha mai ka iwi i ʻoki ʻia. Hiki i kahi ʻeha ke hōʻiliʻili ke koko a puni ka hui hou a i ʻole ma lalo o ka ʻili ma hope o ke kahakaha ʻana.

ʻOi aku ka kiʻekiʻe o kou loaʻa ʻana i kahi palapala hoʻopili koko i ka wā a ma hope koke iho o ka hōʻoki ʻana o ke kuli a i ʻole ke kuli. Noho a moe i lalo no nā manawa lōʻihi i ka manawa a ma hope o ke kaha ʻana e neʻe mālie kou koko ma o kou kino. Hoʻonui kēia i kou makaʻi i ke kōkō o ke koko.

ʻElua ʻano o ke kahe koko:

• Trombosis o ka aa hohonu (DVT). ʻO kēia ke koko o ke koko e hana i loko o kou mau uaua wāwae ma hope o ke kahakaha ʻana.
• Emperor pulmonary. ʻO kēia ke koko koko e hele a hiki i kou mau māmā a hana i nā pilikia hanu nui.

E hoʻohaʻahaʻa i kou makaʻi o ke koko clots:

• Loaʻa paha iā ʻoe ka lahilahi o ke koko ma mua a ma hope o ke kaha ʻana.
• Hiki paha iā ʻoe ke komo i nā lāʻau kaohi ma luna o kou mau wāwae e hoʻomaikaʻi i ke kahe o ke koko ma hope o ke kahakaha ʻana.
• E paipai ʻia ʻoe e hana i nā hoʻoikaika kino i kou wā e moe ana a hele i waho o kahi moe a hele i nā keʻena e hoʻomaikaʻi ai i ke kahe o ke koko.

Hiki i kekahi mau pilikia ke kū ma hope o ke kīkala a i ʻole ke kuli.

• ʻO ka maʻi i kāu hui hou. Inā kū kēia, pono e hemo i kāu hui hou e hoʻomaʻemaʻe i ka maʻi. ʻOi aku paha kēia pilikia i ka poʻe i loaʻa i ka maʻi kō a i ʻole ka nāwaliwali nāwaliwali. Ma hope o ke kaha ʻana, a ma mua pinepine o ke kaha ʻana, e aʻo ʻoe i nā mea āu e hiki ai ke pale aku i nā maʻi i kāu hui hou.
• Hewa o kāu hui hou. Kākaʻikahi kēia. Kū pinepine ia inā hoʻi ʻoe i nā hana ma mua o kou mākaukau. Hiki i kēia ke kumu i ka ʻeha a me ka hiki ʻole ke hele wāwae. E kāhea ʻoe i kāu mea hāʻawi inā kū kēia. Pono paha ʻoe e hele i ka lumi pilikia. Pono ʻoe i kahi ʻoki hoʻoponopono inā kū pinepine kēia.
• Ke wehe nei i kāu hui hou ma mua o ka manawa. Hiki i kēia ke hōʻeha i ka ʻeha, a i kekahi manawa pono ʻia kahi ʻoki hou e hoʻoponopono i ka pilikia.
• E ʻaʻahu a haehae i nā ʻoniʻoni o kāu hui hou i ka manawa. E haki paha nā ʻāpana liʻiliʻi a hōʻino hoʻi i ka iwi. Pono paha kēia i kahi hana hou e pani i nā ʻoniʻoni e neʻe a hoʻoponopono i ka iwi.
• ʻO kahi hopena maʻi ʻino i nā ʻāpana metala i kekahi o nā hono hana. Kākaʻikahi loa kēia.

Hiki i nā pilikia ʻē aʻe mai ke kīkala a i ʻole ke kuli ke pani. ʻOiai kākaʻikahi lākou, ʻo nā pilikia e pili pū me:

• ʻAʻole lawa ka hoʻomaha ʻeha. Hoʻomaha ka ʻoki pani pani i ka ʻeha a me ka ʻoʻoleʻa o ka maʻi kōpū no ka hapanui o ka poʻe. Loaʻa paha i kekahi poʻe kekahi mau ʻōuli o ka maʻi kō. No ka hapanui o ka poʻe, hāʻawi ka ʻoki maʻamau i ke kōkua no nā kānaka he nui.
• ʻO ka wāwae lōʻihi a pōkole paha. No ka mea ua ʻoki ʻia ka iwi a hoʻokomo ʻia kahi implant kuli hou, ʻoi aku ka lōʻihi a ʻoi aku paha ka pōkole o kou wāwae me ka ami hou ma mua o kou wāwae ʻē aʻe. ʻO kēia ʻokoʻa ma kahi o 1/4 o ka ʻīniha (0.5 kenimita). ʻAʻohe kumu iki i kekahi pilikia a i ʻole nā ​​hōʻailona.

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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.

ʻO McDonald S, ʻAoʻao MJ, Beringer K, Wasiak J, Sprowson A. Hoʻomaʻamaʻa mua no ka hakahaka a me ke kuli. ʻO Cochrane Database Syst Rev.. 2014; (5): CD003526. PMID: 24820247 www.ncbi.nlm.nih.gov/pubmed/24820247.

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.