Kukui ʻōkā

ʻO ke kuli arthroscopy kahi ʻoki e hoʻohana i kahi pahu paʻi liʻiliʻi e nānā i loko o kou kuli. Hana ʻia nā ʻoki liʻiliʻi e hoʻokomo i ka pahu paʻi kiʻi a me nā pono hana ʻoki liʻiliʻi i kou kuli no ke kaʻina hana.

ʻEkolu mau ʻano ʻoluʻolu ʻeha (anesthesia) e hoʻohana ʻia no ka ʻoki ʻana o ke kuli arthroscopy:

• Anesthesia kūloko. Pōpō paha kou kuli me ka lāʻau ʻeha. Hāʻawi ʻia iā ʻoe i nā lāʻau e hoʻomaha ai iā ʻoe. E ala ʻoe.
• Anesthesia iwi kuamoʻo. Ua kapa ʻia kēia he anesthesia āpana. Hoʻokomo ʻia ka lāʻau ʻeha i kahi ākea i kou kuamoʻo. E ala ʻoe akā ʻaʻole e hiki iā ʻoe ke ʻike i kekahi mea ma lalo o kou pūhaka.
• Anesthesia laulā. E hiamoe ʻoe a ʻaʻohe ʻeha.
• Paukū nerve ʻāpana (palaka kanal femoral a i ʻole adductor canal block). ʻO kēia kekahi ʻano anesthesia āpana. Hoʻokomo ʻia ka lāʻau ʻeha a puni ke aʻa i loko o kou aʻa. E hiamoe ʻoe i ka wā o ka hana. E kāpae kēia ʻano anesthesia i ka ʻeha no laila pono ʻoe i ka anesthesia laulaha.

Hoʻokomo ʻia paha kahi hāmeʻa e like me kou ʻūhā e kōkua i ke kāohi ʻana i ke kahe i ke kaʻina hana.

E ʻokiʻoki ke kaukipoki i ʻelua a ʻekolu paha mau ʻoki a puni kou kuli. E hoʻopili ʻia ka wai paʻakai (saline) i loko o kou kuli e hoʻonui i ke kuli.

E hoʻokomo ʻia kahi pahu haiki me kahi kāmela liʻiliʻi ma ka hopena ma o kekahi o nā ʻoki. Hoʻopili ʻia ka pahu paʻi kiʻi i kahi nānā wikiō e hiki ai i ke kaukipō ke ʻike i loko o ke kuli.

Hoʻokomo paha ke kaukōkō i nā mea hana ʻē aʻe i loko o kou kuli ma o nā ʻoki ʻē aʻe. A laila e hoʻoponopono a wehe paha ke kauka iā ʻoe i kou pilikia ma kou kuli.

I ka hopena o kāu ʻoki ʻana, e hoʻokahe ʻia ka paʻakai mai kou kuli. E pani ke kaukōkō i kāu mau ʻokiʻoki me nā sutures (humuhumu) a uhi iā lākou me kahi lole. Nui nā kaukipō i paʻi i nā kiʻi o ke kaʻina hana mai ka mea nānā wikiō. Hiki paha iā ʻoe ke nānā i kēia mau kiʻi ma hope o ka hana i hiki ai iā ʻoe ke ʻike i ka mea i hana ʻia.

Koi ʻia ʻo Arthroscopy no kēia mau pilikia kuli:

• Meniskus haehae. ʻO Meniscus ka cartilage e hūnā i ka hakahaka ma waena o nā iwi i ke kuli. Hana ʻia ka ʻoki kino e hoʻoponopono a wehe iā ia.
• Haehae a hōʻeha paha i ka ligament cruciate mua (ACL) a i ʻole ligament cruciate hope (PCL).
• Haehae a hōʻeha paha i ka ligament collateral.
• Pehu (hoʻāhu) a i ʻole ʻinoʻino i ka uhi o ka hui. Kapa ʻia kēia ʻili ka synovium.
• Kneecap (patella) i waho o ke kūlana (misalignment).
• Nā ʻāpana liʻiliʻi o ka cartilage haki i ka hui kuli.
• Ka wehe ʻana i kahi cyst Baker. ʻO kēia ka pehu ma hope o ke kuli i piha i ka wai. I kekahi manawa kū ka pilikia i ka wā o ka pehu a me ka ʻeha (mumū) mai nā kumu ʻē aʻe, e like me ka maʻi kō.
• Hoʻoponopono i ka kīnā i ka cartilage.
• Kekahi haki o nā iwi o ke kuli.

ʻO nā pilikia no ka anesthesia a me ke kahakaha ʻana:

• Nā hopena āpau i nā lāʻau
• Nā pilikia hanu
• Kahena
• Maʻi kīnā

ʻO nā pilikia hou aʻe no kēia ʻoki ʻana:

• Kahe i loko o ka hui kuli
• Ka hōʻino i ka cartilage, meniscus, a i ʻole nā ​​ligament i ka kuli
• Pākuʻi koko i ka wāwae
• Ka ʻeha i kahi kīʻaha koko a i ʻole nā ​​aʻalolo
• ʻO ka maʻi i ke kuli hui
• ʻOʻoleʻa kuli

E haʻi mau i kāu mea mālama ola i nā lāʻau āu e lawe nei, a ʻo nā lāʻau, nā mea hoʻopihapiha, a me nā mea kanu āu i kūʻai ai me ka ʻole o ka lāʻau.

I loko o 2 mau pule ma mua o kou ʻoki kino:

• ʻ belelo ʻia aku paha ʻoe iā ʻoe e haʻalele i ka lawe ʻana i nā lāʻau e paʻakikī ai ke kō ʻana o kou koko. Hoʻopili kēia i ka aspirin, ibuprofen (Advil, Motrin), naproxen (Naprosyn, Aleve), a me nā mea ʻemi koko ʻē aʻe.
• E nīnau i nā lāʻau āu e lawe ai i ka lā o kou ʻoki ʻana.
• E haʻi i kāu mea hāʻawi inā inu ʻoe i ka nui o ka waiʻona (ʻoi aku ma mua o 1 a 2 mau inu i ka lā).
• Inā puhi ʻoe, hoʻāʻo e kū. E noi i kāu mea hāʻawi mai i kōkua. Hiki i ka puhihihi ke hoʻolohi i ka ʻeha a me ka hoʻōla iwi. Alakaʻi hoʻi ia i kahi kiʻekiʻe o nā ʻōpala ʻoki.
• E hoʻomaopopo mau i kāu mea hoʻolako e pili ana i kekahi anuanu, flu, fever, breakout herpes, a i ʻole nā ​​maʻi ʻē aʻe āu i loaʻa ai ma mua o kāu ʻoki.

I ka lā o kou ʻoki kino:

• E noi pinepine ʻia ʻoe mai inu a ʻai ʻole i kekahi mea no 6 a 12 mau hola ma mua o ke kaʻina hana.
• E lawe i nā lāʻau i kauoha ʻia iā ʻoe e lawe me kahi wahi wai ʻuʻuku.
• E haʻi ʻia ʻoe i ka wā e hōʻea ai i ka haukapila.

E loaʻa iā ʻoe kahi kaula ace ma kou kuli ma luna o ka lole. Hele ka hapa nui o ka poʻe i ka home i ka lā like i loaʻa iā lākou ke ʻoki. E hāʻawi kāu mea hāʻawi iā ʻoe i nā hana e hiki ai iā ʻoe ke hoʻomaka ma hope o ke kaha ʻana. E kuhikuhi ʻia ʻoe i kahi mea hoʻoponopono kino.

ʻO ka hoʻōla piha ʻana ma hope o ke kaʻe o ke kuli e kauka ʻia i ke ʻano o ka pilikia i mālama ʻia.

ʻO nā pilikia e like me ka meniskus haehae, nā iwi i haki, Baker cyst, a me nā pilikia me ka synovium e hoʻoponopono maʻalahi pinepine ʻia. Noho mau ka hapa nui o ka poʻe ma hope o kēia mau ʻoki ʻana.

ʻO ka hoʻōla ʻana mai nā kaʻina maʻalahi he wikiwiki i ka hapanui o nā hihia. Pono paha ʻoe e hoʻohana i nā koʻokoʻo no kekahi manawa ma hope o kekahi ʻano o ke ʻoki. Kauoha paha kāu mea hāʻawi i ka lāʻau ʻeha.

Lōʻihi aku ka hoʻōla inā ua loaʻa iā ʻoe kahi kaʻina paʻakikī. Inā ua hoʻoponopono a kūkulu hou ʻia paha nā ʻāpana o kou kuli, ʻaʻole hiki iā ʻoe ke hele wāwae me ka ʻole o ke koʻokoʻo a i ʻole ke kuʻi kuli no nā pule he nui. ʻO ka hoʻōla piha ʻana he mau mahina a hoʻokahi paha ka makahiki.

Inā loaʻa ʻoe i ka maʻi kōkō i kou kuli, e loaʻa mau nō ʻoe i nā ʻōuli o ke kuamoʻo ma hope o ke kaha ʻana e hoʻoponopono i nā mea ʻino ʻē aʻe i kou kuli.

Ke kuli o ke kuli - hoʻokuʻu i ka hope hope o ka arthroscopic; Synovectomy - kuli; Patellar (kuli) ʻōpala; Hoʻoponopono Meniskus; Hoʻokuʻu ākea; ʻOki kino kukuli; Meniskus - arthroscopy; Ligament hui - arthroscopy

• Hana hou ʻo ACL - hoʻokuʻu
• Ke hoʻomākaukau nei i kou home - ke kuli a me ke kaʻe o kou uha
• Hoʻopili ke kuli - hoʻokuʻu
• Mālama ʻeha ʻeha - wehe

• Lapaʻau ʻōkū
• Kukuna arthroscopy - moʻo

ʻO Griffin JW, Hart JA, Thompson SR, Miller MD. Nā kumu o ka arthroscopy kuli. I: Miller MD, Thompson SR, eds. ʻO DeLee lāua ʻo Drez's Orthopedic Sports Medicine. ʻEhā ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 94.

Phillips BB, Mihalko MJ. ʻO Arthroscopy o ka palena haʻahaʻa. I: Azar FM, Beaty JH, Canale ST, hua. ʻO Campbell's Operative Orthopedics. 13th ed. Piladelapia, PA: Elsevier; 2017: chap 51.

ʻO Waterman BR, Owens BD. Arthroscopic synovectomy a me posterior kuli arthroscopy. I: Miller MD, Browne JA, Cole BJ, Cosgarea AJ, Owens BD, eds. Nā Hana Hana: Ke Kino Kuli. ʻElua ed. Piladelapia, PA: Elsevier; 2018: chap 3.