ʻO Bursitis

ʻO Bursitis ka pehu a me ka ukiuki o kahi bursa. ʻO kahi bursa kahi ʻeke piha piha i ka wai e hana ma ke ʻano he cushion ma waena o nā mākala, nā uaua, a me nā iwi.

ʻO ka Bursitis ka hopena pinepine o ka overuse. Hiki ke kumu ʻia e ka loli i ka pae o ka hana, e like me ka hoʻomaʻamaʻa ʻana no ka marathon, a i ʻole ke kaumaha nui.

ʻO nā kumu ʻē aʻe e pili ana i ka trauma, rheumatoid arthritis, gout, a i ʻole ka maʻi. I kekahi manawa, ʻaʻole hiki ke loaʻa ke kumu.

Kū pinepine ka Bursitis i ka poʻohiwi, kuli, kuʻe lima, a me ke kīkala. ʻO nā wahi ʻē aʻe e hiki ke hoʻopili ʻia me ka tendon Achilles a me ka wāwae.

Hiki i nā ʻōuli o ka bursitis ke hoʻopili i kekahi o kēia mau mea:

• Ka ʻeha pū a me ka palupalu ke kaomi ʻoe a puni ka hono
• ʻOʻoleʻa a ʻeha hoʻi ke neʻe ʻoe i ka ami i hoʻopili ʻia
• ʻO ka pehu, hoʻomehana a ʻulaʻula paha ma luna o ka ami
• ʻEha i ka neʻe ʻana a hoʻomaha
• Pāhola paha ka ʻeha i nā wahi kokoke

E nīnau ka mea mālama ola e pili ana i kāu mōʻaukala olakino a hana i ka hoʻokolohua kino.

ʻO nā hoʻokolohua i kauoha ʻia e komo pū:

• Nā hoʻokolohua Laboratory e nānā no ka maʻi
• Ke lawe nei i ka wai mai ka bursa
• ʻO ka moʻomeheu o ka wai
• Kukuna ultrasound
• MRI

E kamaʻilio pū kāu mea lawelawe iā ʻoe e pili ana i kahi hoʻolālā lapaʻau e kōkua iā ʻoe e hoʻomaka hou i kāu mau hana maʻamau, me kahi o nā ʻōlelo aʻoaʻo aʻe.

Nā ʻōlelo aʻoaʻo e hoʻomaha ai i ka ʻeha bursitis:

• E hoʻohana i ka hau 3 a 4 mau manawa i ka lā no 2 a 3 mau lā mua.
• Uhi i ka ʻehaʻeha me kahi kāwele, a kau i ka hau ma luna ona no 15 mau minuke. MAI hiamoe ʻoiai e hoʻopili ana i ka hau. Hiki iā ʻoe ke loaʻa i ka hau ke waiho ʻoe ma kahi lōʻihi.
• Hoʻomaha i ka ami.
• Ke hiamoe ana, mai moe i ka ʻaoʻao i loaʻa ka bursitis.

No ka bursitis a puni nā pūhaka, nā kuli, a me nā kuʻekuʻe wāwae:

• E hoʻāʻo e kū ʻole i nā wā lōʻihi.
• Kū i kahi papa palupalu, ʻūlū, me ke kaupaona like ma kēlā me kēia wāwae.
• Ke kau nei i kahi uluna ma waena o kou mau kuli ke moe ana ma kou ʻaoʻao hiki ke kōkua i ka hōʻemi ʻana i ka ʻeha.
• Kōkua pinepine nā kāmaʻa pālahalaha cushioned a ʻoluʻolu hoʻi.
• Inā ʻoi aku ka momona, kōkua paha i ka lilo ʻana o ka paona.

Pono ʻoe e hōʻalo i nā hana e pili ana i nā neʻe hou ʻana o kēlā me kēia ʻāpana o ke kino ke hiki.

ʻO nā ʻano lāʻau ʻē aʻe kekahi:

• Nā lāʻau e like me NSAIDs (ibuprofen, naproxen)
• Hoʻoikaika kino
• Ke kau nei i ka pale a i ʻole ke kuʻi e kākoʻo i ka ami a kōkua i ka hoʻohaʻahaʻa ʻana i ka mumū
• Hana ʻoe i ka hana ma ka home e kūkulu i ka ikaika a mālama i ke kelepona paʻa ʻoiai e hala ka ʻeha
• Ke wehe nei i ka wai mai ka bursa a kiʻi i kahi kīkiʻi corticosteroid

Ke hele nei ka ʻeha, manaʻo paha kāu mea hāʻawi i nā hana e kūkulu i ka ikaika a mālama i ka neʻe i kahi ʻeha.

I nā hihia kakaʻikahi, hana ʻia ke kaha ʻana.

Hana maikaʻi kekahi poʻe me ka lāʻau. Ke hiki ʻole ke hoʻoponopono i ke kumu, loaʻa paha iā ʻoe ka ʻeha lōʻihi.

Inā maʻi ka bursa, lilo ia i mea wela a ʻeha hoʻi. Pono kēia i nā antibiotic a i ʻole ke ʻoki kino.

Kāhea i kāu mea hāʻawi inā hoʻi hou nā ʻōuli a hoʻomaikaʻi ʻole paha ma hope o 3 a 4 mau pule o ka mālama ʻana, a i ʻole inā e ʻeha ana ka ʻeha.

Ke hiki, pale i nā hana e hoʻopili i nā neʻe hou ʻana o nā ʻāpana o ke kino. ʻO ka hoʻoikaika ʻana i kou mau mākala a hana i kāu kaulike hiki ke kōkua i ka hoʻēmi ʻana i ka pilikia o ka bursitis.

Kuʻe lima o ka haumāna; Olecranon bursitis; Kuli o ka wahine hale; Bursitis Prepatellar; Lalo o Weaver; Ischial gluteal bursitis; ʻO Baker's cyst; Gastrocnemius - semimembranosus bursa

• Bursa o ka kuʻe lima
• Bursa o ke kuli
• Bursitis o ka poʻohiwi

ʻO Biundo JJ. ʻO Bursitis, tendinitis, a me nā maʻi periarticular a me nā lāʻau haʻuki. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 247.

ʻO Hogrefe C, Jones EM. ʻO Tendinopathy a me bursitis. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 107.