Hoʻololi hui hip

ʻO ke kuapo o Hip hui kahi ʻoki e hoʻololi i nā mea āpau a ʻāpana paha o ka hui pūhaka me kahi ami i hana ʻia e ke kanaka. Kapa ʻia ka ami ʻimi hana he prostesis.

Hana ʻia kou hui pūhaka i 2 ʻāpana nui. Hiki ke hoʻololi i hoʻokahi a i ʻole ʻelua mau ʻāpana i ke kau ʻana:

• ʻO ke kumu hip (kahi ʻāpana o ka iwi pelvic i kapa ʻia ʻo ka acetabulum)
• ʻO ka wēlau luna o ka ʻūhā (i kapa ʻia ʻo ke poʻo femoral)

ʻO ka uha hou e pani i ka mea kahiko i haku ʻia o kēia mau ʻāpana.

• ʻO kahi kumu, i hana mau ʻia me ka hao hao ikaika.
• He liner, i kūpono i loko o ke kumu. ʻO ka palaki pinepine ia. Ke hoʻāʻo nei kekahi mau kauka lapaʻau i nā pono ʻē aʻe, e like me ka ceramic a me ka mea hao. ʻAe ka liner i ka huina e neʻe me ka maikaʻi.
• ʻO kahi kinipōpō a pālolo paha e pani i ke poʻo āpau (luna) o kou iwi ʻūhā.
• ʻO ke koʻokoʻo hao e pili ana i ka iwi o ka ʻūhā e heleuma ai i ka ami.

ʻAʻole ʻoe e ʻike i kahi ʻeha i ka wā o ke kaha. E loaʻa iā ʻoe kekahi o nā ʻano anesthesia ʻelua:

• Anesthesia laulā. ʻO kēia ka mea e hiamoe ʻoe a hiki ʻole ke ʻeha.
• Anesthesia āpana (spinal or epidural). Hoʻokomo ʻia ka lāʻau i loko o kou kua i nū ma lalo o kou pūhaka. E kiʻi ʻoe i ka lāʻau e hiamoe ai ʻoe. A loaʻa paha iā ʻoe ka lāʻau e poina ai iā ʻoe nā hana, ʻoiai ʻaʻole ʻoe e hiamoe piha.

Ma hope o kou loaʻa ʻana i ka anesthesia, e ʻoki ana kāu kauka lāʻau i kahi ʻokiʻoki e wehe i kou hui pūhaka. ʻO kēia ʻokiʻoki pinepine ia ma luna o ka pupu. A laila ʻo kāu kauka:

• E ʻoki a hemo i ke poʻo o kou iwi ʻūhā.
• E hoʻomaʻemaʻe i kāu kumu hip a hemo i ke koena o ka cartilage a ua hōʻino ʻia a iwi iwi paha.
• E kau i ke kumu ʻūhā hou i kahi, a laila kau ʻia ka liner i ke kumu hou.
• Hoʻokomo i ke koʻokoʻo hao i kou iwi ʻūhā.
• E kau i ka kinipōpō kūpono no ka ami hou.
• E hoʻopaʻa i nā ʻāpana hou i kahi, i kekahi manawa me kahi sima kūikawā.
• Hoʻoponopono i nā mākala a me nā olonā a puni ka hono hou.
• Pani i ka ʻeha ʻoki.

ʻO kēia ʻoki ʻana ma kahi o 1 a 3 mau hola.

ʻO ke kumu maʻamau e loaʻa ai kēia ʻoki no ka hoʻōla ʻana i ka maʻi o ka maʻi. Hiki i ka ʻehaʻeha o ke kuamoʻo ke kaupalena i kāu mau hana.

ʻO ka hapanui o ka manawa, hana ʻia ke kuapo hui pūhaka i nā makahiki 60 a ʻoi. ʻOi aku ka ʻōpio o ka poʻe i loaʻa i kēia ʻoki. ʻO ka poʻe ʻōpio i loaʻa ka ʻūhā i pani ʻia e hoʻokau i ke koʻikoʻi ma ka ʻūhā hana. Hiki i kēlā keu keu keu ke hana i ka wā kahiko ma mua o ka poʻe ʻelemākule. Pono e hakahaka hou kahi ʻāpana a i ʻole nā ​​hui āpau inā kū kēlā.

Hiki i kāu kauka ke koi aku i kahi hakahaka e pani no kēia mau pilikia:

• ʻAʻole hiki iā ʻoe ke hiamoe i loko o ka pō no ka ʻeha o ka pūhaka.
• ʻAʻole i ʻoi aku ka maikaʻi o kou ʻeha uha me nā lāʻau ʻē aʻe.
• Pākuʻi ka ʻeha o Hip a pale iā ʻoe mai ka hana ʻana i kāu mau hana maʻamau, e like me ka ʻauʻau ʻana, hoʻomākaukau ʻana i nā meaʻai, hana i nā hana o ka hale, a me ka hele wāwae.
• Loaʻa iā ʻoe nā pilikia e hele wāwae ana e koi iā ʻoe e hoʻohana i kahi kō a me ka mea hele wāwae.

ʻO nā kumu ʻē aʻe no ka hoʻololi ʻana i ka hui pūhaka:

• Nā ʻāpana i ka iwi o ka ʻūhā. Loaʻa i nā mākua ʻelemakule kahi hakahaka hou no kēia kumu.
• Tumors hui pū ʻia.

E haʻi mau i kāu mea mālama ola i nā lāʻau āu e lawe nei, a me nā lāʻau, nā mea hoʻopili, a i ʻole 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:

• E hoʻomākaukau i kou home.
• E noi ʻia paha 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), nā koko lahilahi e like me warfarin (Coumadin), a me nā lāʻau ʻē aʻe.
• Pono paha ʻoe e haʻalele i ka lawe ʻana i ka lāʻau i hiki ke loaʻa iā ʻoe i ka maʻi. Hoʻopili kēia i ka methotrexate, Enbrel, a me nā lāʻau ʻē aʻe e kāohi i kāu ʻōnaehana pale.
• E nīnau i kāu mea hāʻawi i nā lāʻau e pono ai ʻoe e lawe i ka lā o kou ʻoki ʻana.
• Inā loaʻa ʻoe i ka maʻi diabetes, maʻi maʻi puʻuwai, a i ʻole nā ​​ʻano olakino ʻē aʻe, e noi ana kāu kauka iā ʻoe e ʻike i ka mea nāna e mālama iā ʻoe no kēia mau ʻano.
• E haʻi i kāu mea hāʻawi inā inu nui ʻoe i ka waiʻona, ʻoi aku ma mua o 1 a 2 mau inu i ka lā.
• Inā puhi ʻoe, pono ʻoe e hoʻokū. E noi i kāu mea lawelawe a kahu maʻi paha no ke kōkua. E hoʻolohi ka puhi i ka ʻeha a me ka hoʻōla iwi. Ua hōʻike ʻia he maikaʻi nā hopena o ka poʻe puhipaka ma hope o ke kaha ʻana.
• 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.
• Makemake paha ʻoe e kipa i kahi mea hoʻoponopono kino e aʻo i kekahi hana e hana ai ma mua o ke kaha ʻana a hoʻomaʻamaʻa i ka hoʻohana ʻana i nā koʻokoʻo a i ka mea hele wāwae paha.
• E hoʻonohonoho i kou home e hana maʻalahi i nā hana o kēlā me kēia lā.
• E noi i kāu mea nāna e ʻike inā pono ʻoe e hele i kahi home hānai a i ʻole kahi kūkulu hou ma hope o ke kahakaha ʻana. Inā ʻoe e hana, pono ʻoe e nānā i kēia mau wahi ma mua o ka manawa a hoʻomaopopo i kāu makemake.

E hoʻomaʻamaʻa i ka hoʻohana ʻana i ke kō, ka mea hele wāwae, nā koʻokoʻo, a i ʻole ka noho huila i pololei i:

• E hele a i waho o ka ʻauʻau
• E piʻi i luna a i lalo i nā ʻanuʻu
• Noho i lalo e hoʻohana i ka lua a kū i luna ma hope o ka hoʻohana ʻana i ka lua
• E hoʻohana i ka noho ua

I ka lā o kou ʻoki kino:

• E noi ʻia ʻoe ʻaʻole e inu a ʻai i kekahi mea no 6 a 12 mau hola ma mua o ke kaʻina hana.
• E lawe i nā lāʻau i haʻi aku ai kāu mea lawelawe iā ʻoe e lawe me kahi wai liʻiliʻi.

E haʻi aku kāu mea lawelawe iā ʻoe i ka wā e hōʻea ai i ka haukapila.

E noho ʻoe i ka haukapila no 1 a 3 mau lā. I loko o kēlā manawa, e ola ʻoe mai kāu anesthesia a mai ke ʻoki ponoʻī. E noi ʻia ʻoe e hoʻomaka i ka neʻe ʻana a me ka hele wāwae ʻana i ka lā mua ma hope o ke kaha ʻana.

Pono kekahi poʻe e noho pōkole i kahi kikowaena hou ma hope o ka haʻalele ʻana i ka haukapila a ma mua o ka hoʻi ʻana i ka home. Ma kahi kikowaena rehab, e aʻo ʻoe pehea e hana palekana ai i kāu hana i kēlā me kēia lā iā ʻoe iho. Loaʻa nā lawelawe olakino home.

ʻOi aku ka maikaʻi o nā hopena o ke kahakaha hope. ʻO ka hapa nui a i ʻole kou ʻeha āpau e hele.

Hiki paha i kekahi poʻe ke loaʻa ka pilikia me ka maʻi, ke kala ʻana, a i ʻole ka hemo ʻana o ka hui pūhaka hou.

Ma hope o ka hala ʻana o ka manawa, hiki i ka ami hip synthetic ke hoʻokuʻu. Hiki i kēia ke hana ma hope o 15 a 20 mau makahiki paha. Pono ʻoe i kahi pani hou. Hiki ke loaʻa i kahi maʻi. Pono ʻoe e hōʻoia me kāu kaukukū i kēlā me kēia manawa e hōʻoia i ke kūlana maikaʻi o kou pūhaka.

ʻO nā ʻōpio, ʻoi aku ka ikaika o ka poʻe e hana i nā ʻāpana o kā lākou hip hou. Pono paha e hoʻololi ʻia ma mua o ka hemo ʻana o ka hip hana.

Hiproproplasty Hip; Hoʻololi holoʻokoʻa hip; Hip hemiarthroplasty; Pā kuʻi - pani hakahaka; Osteoarthritis - hope hip

• Ka palekana i ka lumipaku no nā mākua
• Ke hoʻomākaukau nei i kou home - ke kuli a me ke kaʻe o kou uha
• Hoʻololi Hip a kuli paha - ma hope - he aha e nīnau ai i kāu kauka
• Hoʻololi Hip a kuli paha - ma mua - he aha e nīnau ai i kāu kauka
• Hoʻololi Hip - hoʻokuʻu
• Pāleʻa ka pale ʻana
• Ke pale nei i ka hāʻule - he aha e nīnau aku ai i kāu kauka
• Mālama ʻeha ʻeha - wehe
• Mālama i kāu hui pūhaka hou

• Haki hakahaka
• ʻO Osteoarthritis vs. rheumatoid arthritis
• Hoʻololi hui pū ʻia Hip - moʻo

Pūnaewele ʻAmelika Hui Pū ʻIa o Orthopedic Surgeons. ʻO OrthoInfo. Huina pani hip. orthoinfo.aaos.org/en/treatment/total-hip-replaced. Hoʻohou ʻAukake 2015. Loaʻa iā Kepakemapa 11, 2019.

Pūnaewele ʻAmelika Hui Pū ʻIa o Orthopedic Surgeons. Kāohi i ka maʻi thromboembolic venous i nā mea maʻi e hana ana i ka hip elect a me ke kuli arthroplasty: Ka papa kuhikuhi a me nā hōʻike hōʻike. www.aaos.org/globalassets/quality-and-practice-resource/vte/vte_full_guideline_10.31.16.pdf. Hoʻohou ʻia Kepakemapa 23, 2011. Loaʻa iā Pepeluali 25, 2020.

Ferguson RJ, Palmer AJ, Taylor A, Porter ML, Malchau H, Glyn-Jones S. Hip pani. Lancet. 2018; 392 (10158): 1662-1671. PMID: 30496081 www.ncbi.nlm.nih.gov/pubmed/30496081.

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 Rizzo TD. Huina pani hip. I: Frontera WR, Silver JK, Rizzo TD Jr, eds. Nā mea nui o ka lāʻau lapaʻau a me ka hoʻoponopono hou. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 61.