Hoʻoneʻe Kneecap - ma hope o ka mālama ʻana

Noho kou kneecap (patella) ma mua o ka hui o kou kuli. Ke kūlou a pololei paha i kou kuli, lele ka lalo o kou kneecap ma luna o kahi uka i loko o nā iwi e hana ana i kou kuli.

• ʻO kahi kneecap e heʻe ana i waho o ke alawai i kapa ʻia he subluxation.
• ʻO kahi kneecap e neʻe piha i waho o ke ana i kapa ʻia he dislocation.

Hiki ke kīkē ʻia kahi kneecap mai ke aniani ke kū ʻia ke kuli mai ka ʻaoʻao.

Hiki i kahi kneecap ke heʻe pū aku ma waho o ke ana ma ka neʻe maʻamau a i ʻole ke huli wili ʻana a i ʻole huli huli.

Kneecap subluxation a i ʻole dislocation hiki ke hana ma mua o hoʻokahi manawa. He ʻeha nā manawa mua loa, a ʻaʻole hiki iā ʻoe ke hele wāwae.

Inā hoʻomau ka hanana subluxations a mālama ʻole ʻia, ʻike paha ʻoe i ka ʻeha ʻoi loa ke hiki mai lākou. Eia nō naʻe, nui aʻe paha nā mea hōʻino i kou hui kuli i kēlā me kēia manawa ke hele.

Loaʻa paha iā ʻoe kahi kukuli x-ray a i ʻole he MRI e hōʻoia i ka haki ʻole o kou iwi kneecap a ʻaʻohe mea i hōʻino ʻia i ka cartilage a i ʻole nā ​​uaua (nā mea ʻē aʻe i kou hui kuli).

Inā hōʻike nā hōʻike ʻaʻole ou ʻino:

• Hoʻokomo ʻia paha kou kuli i kahi paʻa, ʻūlū, a i ʻole kiloi ʻia i mau pule.
• Pono paha ʻoe e hoʻohana i nā koʻokoʻo i ka wā mua i kau ʻole ʻoe i ke kaupaona ma kou kuli.
• Pono ʻoe e ukali me kāu kahu mālama mua a i ʻole kauka kauka (orthopedist).
• Pono ʻoe i kahi lāʻau hoʻoikaika kino e hana i ka hoʻoikaika a me ka hoʻoikaika ʻana.
• ʻO ka hapa nui o ka poʻe e ola pono i loko o 6 a 8 mau pule.

Inā hōʻeha a kūpaʻa paha kāu kneecap, pono paha ʻoe i kahi ʻoki e hoʻoponopono a hoʻopaʻa iā ia. E kuhikuhi pinepine kāu mea mālama ola iā ʻoe i kahi kaukō lapaʻau orthopedic.

Noho me kou kuli e hoʻāla ma kahi o 4 mau manawa i ka lā. E kōkua kēia i ka hoʻēmi ʻana i ka pehu.

Ice kou kuli. E hana i kahi ʻeke hau ma ke kau ʻana i nā pahu hau i loko o kahi ʻeke ea a wahī i kahi lole a puni.

• No ka lā mua o ka ʻeha, kau i ka pahu hau i kēlā me kēia hola no 10 a 15 mau minuke.
• Ma hope o ka lā mua, hau ka ʻāpana i kēlā me kēia 3 a i 4 mau hola no 2 a 3 mau lā a i ʻole e hala ka ʻeha.

ʻO nā lāʻau ʻeha e like me acetaminophen, ibuprofen (Advil, Motrin, a me nā mea ʻē aʻe), a i ʻole naproxen (Aleve, Naprosyn, a me nā mea ʻē aʻe) hiki ke kōkua i ka ʻeha a me ka ʻōhū.

• E lawe pono i kēia mau mea e like me ke kuhikuhi. E heluhelu pono i nā ʻōlelo aʻoaʻo ma ka lepili ma mua o kou lawe ʻana iā lākou.
• E kamaʻilio me kāu mea hāʻawi ma mua o ka hoʻohana ʻana i kēia mau lāʻau inā loaʻa ʻoe i ka maʻi puʻuwai, ke koko kiʻekiʻe, nā maʻi ʻōpū, nā maʻi ate, a i ʻole loaʻa nā puʻuwai ʻōpū a i ʻole nā ​​kahe kūloko i ka wā i hala.

Pono ʻoe e hoʻololi i kāu hana ʻoiai ʻoe e kau nei i kahi splint a i ʻole ke komo lima. E aʻo aku kāu mea hāʻawi iā ʻoe e pili ana i:

• Ehia mau paona i hiki iā ʻoe ke kau i kou kuli
• Ke hiki iā ʻoe ke hemo i ka mālamana a i ʻole ke kūpeʻe
• Paikikala ma kahi o ka holo ʻana ke hoʻōla ʻoe, keu hoʻi ke holo nei kāu hana maʻamau

Hiki i nā hoʻoikaika he nui ke kōkua i ka hoʻolōʻihi a me ka hoʻoikaika ʻana i nā mākala a puni kou kuli, ʻūhā, a me kou pūhaka. Hōʻike paha kāu mea hāʻawi i kēia mau mea iā ʻoe a i ʻole hana paha ʻoe iā ʻoe me kahi mea hoʻoponopono kino e aʻo iā lākou.

Ma mua o ka hoʻi ʻana i ka haʻuki a i ʻole ka hana ikaika, pono ka ikaika o kou wāwae ʻeha e like me kou wāwae ʻeha ʻole. Hiki iā ʻoe ke:

• Holo a lele i kou wāwae ʻeha me ka ʻole o ka ʻeha
• E hoʻopololei a pelu i kou kuli ʻeha me ka ʻole o ka ʻeha
• Jog a holo pololei i mua me ka limping a me ka ʻeha ʻole
• Hiki ke hana i nā ʻoki 45 a 90 mau kekele ke holo nei

Kāhea i kāu mea hāʻawi inā:

• Kūleʻa ʻole kou kuli.
• E hoʻi ka ʻeha a i ʻole ka pehu ʻana ma hope o ka hele ʻana.
• ʻAʻole maikaʻi ka maikaʻi o kou ʻeha me ka manawa.
• He ʻeha kou i ka hopu ʻana o kou kuli a me nā laka.

Palapala hoʻoiho Patellar - ma hope o ka mālama ʻana; Subluxation Patellofemoral - mālama hope; Kneecap subluxation - mālama mālama

ʻO Miller RH, ʻo Azar FM. Nā hōʻeha kuli. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier Mosby; 2017: chap 45.

Tan EW, Cosgarea AJ. Patellar instability. I: Miller MD, Thompson SR, eds. ʻO DeLee lāua ʻo Drez's Orthopedic Sports Medicine. ʻEhā ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 104.

• Nā hoʻoneʻe
• Nā ʻeha a me nā maʻi o ke kuli