ʻO ka maʻi ʻeha trochanteric ʻoi aku ka nui

ʻO ka maʻi ʻeha trochanteric ʻoi aku ka nui (GTPS) he ʻeha e kū ma waho o ka ʻūhā. Aia ka pūʻali koa nui ma ka piko o ka ʻūhā (femur) a ʻo ia ka ʻāpana koʻikoʻi o ka ʻūhā.

Hiki ke kumu ʻia ʻo GTPS e:

• Hoʻohana a koʻikoʻi paha ma ka uha mai ka hoʻoikaika kino a i ʻole ke kū no nā wā lōʻihi
• ʻEha Hip, e like me ka hāʻule
• Kaumaha nui ʻana
• Loaʻa ka lōʻihi o ka wāwae i kekahi
• Pahu ka iwi ma ka ʻūhā
• ʻO ka maʻi o ka uha, ke kuli, a ka wāwae paha
• Nā pilikia ʻeha o ka wāwae, e like me ka bunion, callas, plantar fasciitis, a i ʻole Achilles tendon pain
• Nā pilikia Spine, me scoliosis a me nā maʻi o ka iwi kuamoʻo
• ʻO ke kaulike ʻole o ka ʻū e kau i ke koʻikoʻi a puni nā mākala o ka pūhaka
• Haehae i ka mānoanoa kuhū
• Maʻiʻaʻai (pohihihi)

ʻOi aku ka maʻamau o ka GTPS i nā mākua makua. Ma waho o ke ʻano a i ʻole ke kaupaona ʻana e kau iā ʻoe i ka makaʻu nui no ka bursitis hip. ʻOi aku ka hopena o nā wahine ma mua o nā kāne.

ʻO nā ʻōuli maʻamau ka:

• ʻO ka ʻeha ma ka ʻaoʻao o ka ʻūhā, a ma loko paha o ka ʻūhā i ʻike ʻia ai
• ʻEha ʻoi a ikaika paha i ka wā mua, akā lilo i ʻeha hou
• Ke hele wāwae paʻakikī
• ʻOʻoleʻa hui
• ʻO ka pehu a me ka mahanahana o ka hui pūhaka
• Hopu a kaomi ʻana i ka manaʻo

E ʻike hou paha ʻoe i ka ʻeha ke:

• Ke hele nei i waho o kahi noho a kahi moe paha
• Noho no ka manawa lōʻihi
• Ke hele wāwae nei i luna
• Ke hiamoe a moe paha i ka ʻaoʻao i hoʻopilikia ʻia

E hana ana kāu mea mālama ola i kahi hoʻokolohua kino a nīnau e pili ana i kāu mau hōʻailona. Hana paha ka mea hāʻawi i kēia mau mea i ka wā o ka hoʻokolohua:

• E noi iā ʻoe e kuhikuhi i kahi o ka ʻeha
• Manaʻo a kaomi i kou ʻūhā
• E hoʻoneʻe i kou uha a me kou wāwae i kou moe ʻana ma ka papa hōʻike
• Nonoi aku iā ʻoe e kū, hele wāwae, noho i lalo a kū aʻe i luna
• E ana i ka lōʻihi o kēlā me kēia wāwae

E kāpae i nā kūlana ʻē aʻe i hiki ke kumu i kāu mau hōʻailona, ​​loaʻa paha iā ʻoe nā hoʻokolohua e like me:

• Nā kukuna X
• Kukuna ultrasound
• MRI

Hele aku nā hihia he nui o GTPS me ka hoʻomaha a me ka mālama pono ʻana. Koi paha kāu mea hāʻawi iā ʻoe e hoʻāʻo i kēia:

• E hoʻohana i ka pahu hau 3 a 4 mau manawa i ka lā no nā lā 2 a 3 paha i hala.
• Lawe i nā mea hōʻoluʻolu ʻeha e like me ibuprofen (Advil, Motrin) a i ʻole naproxen (Aleve, Naprosyn) e kōkua i ka hoʻoluhi i ka ʻeha a me ka pehu.
• Hōʻalo i nā hana e hoʻonui ai i ka ʻeha.
• Ke hiamoe ana, mai moe i ka ʻaoʻao i loaʻa ka bursitis.
• Pale i ke kū ʻana no nā wā lōʻihi.
• Ke kū nei, kū i luna o kahi ʻili palupalu, ʻūlū. E kau i ka nui o ke kaupaona 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 kou ʻeha.
• E komo i nā kāmaʻa ʻoluʻolu, cushioned maikaʻi me kahi kuʻekuʻe liʻiliʻi.
• Lilo i ke kaupaona inā ʻoi nui ʻoe.
• E hoʻoikaika i kou mau mākala nui.

Ke hele nei ka ʻeha, manaʻo paha kāu mea hāʻawi i nā hana e kūkulu i ka ikaika a pale i ka atrophy muscle. Pono ʻoe i kahi lāʻau hoʻoikaika kino inā pilikia ʻoe i ka neʻe ʻana i ka ami.

ʻO nā ʻano lāʻau ʻē aʻe kekahi:

• Ke lawe nei i ka wai mai ka bursa
• Pākuʻi Steroid

I mea e pale aku ai i ka ʻeha uha:

• Hoʻomaʻamaʻa mau a hoʻolōʻihi ma mua o ka hoʻomaʻamaʻa a hoʻoluʻolu ma hope. E kīloi i kou quadriceps a me nā hamstrings.
• Mai hoʻonui i ka mamao, ka ikaika, a me ka nui o ka manawa āu e hoʻoikaika ai i ka manawa like.
• Hōʻalo i ka holo pololei ʻana i lalo o nā puʻu. Hele i lalo ma kahi.
• ʻAʻau ma kahi o ka holo a kaʻa paikikala paha.
• Holo ma kahi papa mālie, palupalu, e like me ke ala. Hōʻalo i ka holo ʻana ma ka sima.
• Inā he mau wāwae pālahalaha kou, e hoʻāʻo i nā hoʻokomo kāmaʻa kāmaʻa kūikawā a me nā kākoʻo arch (orthotics).
• E hōʻoia pono i kou mau kāmaʻa holo a holo pono.

Kāhea i kāu mea hāʻawi inā hoʻi mai nā ʻōuli a hoʻomaikaʻi ʻole paha ma hope o 2 mau pule o ka mālama ʻana.

E kiʻi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Hoʻokumu ʻia kou ʻeha uha e kahi hāʻule nui a i ʻole ʻeha ʻē aʻe
• Hōʻino ʻia kou wāwae, ʻehaʻeha, a hoʻokahe koko paha
• ʻAʻole hiki iā ʻoe ke hoʻoneʻe i kou ʻūhā a i ʻole kaamo i kekahi kaumaha i kou wāwae

ʻEha hip - ʻoi aku ka maʻi ʻeha trochanteric; GTPS; Bursitis o ka'ūhā; Pākuʻi hip

Fredericson M, Lin CY, Chew K. Nui ʻoi aku ka maʻi trochanteric pain. I: Frontera WR, Silver JK, Rizzo TD, huaʻi. Nā mea nui o ka lāʻau lapaʻau a me ka hoʻoponopono hou. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 62.

ʻO Javidan P, Gortz S, Fricka KB, Bugbee WD. ʻO ka'ūhā. I: Hochberg MC, Gravallese EM, Silman AJ, Smolen JS, Weinblatt ME, Weisman MH, eds. Rheumatology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 85.

• ʻO Bursitis
• Nā hōʻeha hip a me nā maʻi