ʻEha kukuli

ʻO ka ʻeha knee kahi hōʻailona maʻamau i nā poʻe o nā makahiki āpau. E hoʻomaka koke paha ia, ma hope pinepine o ka ʻeha a hoʻoikaika kino paha. E hoʻomaka paha ka ʻeha o ke kuli ma ke ʻano ʻoluʻolu ʻole, a laila hele a ʻino.

Hiki i nā ʻeha kuli ke loaʻa i nā kumu like ʻole. ʻO ka keu kaupaona e hoʻokau iā ʻoe i ka makaʻu nui no nā pilikia o ke kuli. Hiki i ka overusing kuli ke hoʻonāukiuki i nā pilikia o ke kuli e hōʻeha i ka ʻeha. Inā loaʻa iā ʻoe kahi mōʻaukala o ka maʻi pākī, hiki iā ia ke hōʻeha i ke kuli.

Eia kekahi mau kumu maʻamau o ka ʻeha o ke kuli.

OLELO HOOLAHA

• Pākuʻi Me ka rheumatoid arthritis, osteoarthritis, lupus, a me ka gout.
• Baker cyst. Hoʻopiha kahi wai i piha i ka wai ma hope o ke kuli e hiki ke hana me ka pehu (mumū) mai nā kumu ʻē aʻe, e like me ka maʻi kō.
• Pālahalaha ka maʻi i hohola i kou mau iwi a i ʻole hoʻomaka i nā iwi.
• ʻO ka maʻi Osgood-Schlatter.
• ʻO ka maʻi i nā iwi o ke kuli.
• ʻO ka maʻi i ke kuli hui.

INJURIES A ME KAHI

• ʻO Bursitis. ʻO ka hoʻāla ʻana mai ke kaomi pinepine ma ke kuli, e like me ke kukuli no ka manawa lōʻihi, hoʻohana nui ʻia, a i ʻole ʻeha.
• Hoʻoneʻe o ka kneecap.
• ʻO ka haki o ka kneecap a i ʻole nā ​​iwi ʻē aʻe.
• ʻIliotibial band syndrome. ʻO ka hōʻeha i ka hui mānoanoa e holo ana mai kou pūhaka a i waho o kou kuli.
• ʻEha ma ke alo o kou kuli a puni ka kneecap.
• Līkiʻi haehae. ʻO kahi ʻeha ligament cruciate mua (ACL) ʻeha, a i ʻole ʻeha waena waena (MCL) ʻeha e hiki ai ke kahe i kou kuli, pehu, a i ʻole ke kuli kūpaʻa ʻole.
• Haehae cartilage (kahi waimaka meniskus). ʻIke ka ʻeha ma loko a ma waho paha o ka hui kuli.
• Kuhi a ʻōpala paha. ʻO nā hōʻeha liʻiliʻi i nā ligament i hoʻokumu ʻia e ka wili ʻana a kūlohelohe ʻole paha.

ʻO nā kumu maʻalahi o ka ʻeha o ke kuli e hoʻomaʻemaʻe pinepine iā lākou iho ke hana ʻoe i nā hana e mālama ai i kāu mau ʻōuli. Inā hopena ʻia ka ʻeha o ke kuli e kahi ulia a ʻeha paha, pono ʻoe e hoʻokaʻaʻike aku i kāu kauka.

Inā ua hoʻomaka kou ʻeha o kou kuli a ʻaʻole koʻikoʻi, hiki iā ʻoe:

• E hoʻomaha a pale i nā hana e hōʻeha ai i ka ʻeha. Hōʻalo i ka kau ʻana i ke kau ma kou kuli.
• Pili hau. ʻO ka mea mua, kau i kēlā me kēia hola a hiki i 15 mau minuke. Ma hope o ka lā mua, hoʻopili iā ia ma kahi o 4 mau manawa i kēlā me kēia lā. Uhi i kou kuli me kahi kāwele ma mua o ka hoʻopili ʻana i ka hau. Mai hiamoe i ka hoʻohana ʻana i ka hau. Hiki iā ʻoe ke waiho ma kahi lōʻihi loa a loaʻa i ka hau.
• E hoʻokiʻekiʻe i kou kuli e like me ka hiki ke lawe i lalo i kahi pehu.
• E komo i kahi lole wili a i ʻole ka lima elima, kahi hiki iā ʻoe ke kūʻai ma nā hale kūʻai lāʻau nui. Hoʻoemi paha kēia i ka pehu a hāʻawi i ke kākoʻo.
• Lawe i ka ibuprofen (Motrin) a i ʻole naproxyn (Aleve) no ka ʻeha a me ka pehu. Hiki i ka Acetaminophen (Tylenol) ke kōkua i ka hōʻoluʻolu i ka ʻeha, akā ʻaʻole ka ʻōhū. E kamaʻilio me kāu mea hoʻolako ma mua o ka lawe ʻana i kēia mau lāʻau inā loaʻa iā ʻoe nā pilikia olakino, a i ʻole inā lawe ʻoe iā lākou no hoʻokahi a ʻelua a ʻelua paha mau lā.
• E hiamoe me kahi uluna ma lalo a ma waena paha o kou mau kuli.

E hāhai i kēia mau ʻōlelo aʻoaʻo laulaha e kōkua ai e hōʻoluʻolu a pale i ka ʻeha o ke kuli.

• Hoʻomaʻamaʻa mau ma mua o ka hoʻomaʻamaʻa a hōʻoluʻolu ma hope o ka hoʻolālā. E hoʻolōʻihi i nā mākala i mua o kou ʻūhā (quadriceps) a ma ka hope o kou ʻūhā (hamstrings).
• Hōʻalo i ka holo ʻana i nā puʻu - hele ma kahi.
• Paikikala, a ʻoi aku paha, e ʻauʻau ma kahi o ka holo.
• E hoʻemi i ka nui o ka hoʻoikaika kino āu e hana ai.
• Holo ma kahi ʻoluʻolu, palupalu, e like me ke ala, ma kahi o ka sima a me ke keʻehi.
• Lilo i ke kaupaona inā ʻoi nui ʻoe. ʻO kēlā me kēia paona (0.5 kilokilo) ke kaupaona ʻoe e kau ma kahi o 5 mau paona keu (2.25 kilokilo) o ke kaomi i kāu kneecap ke hele ʻoe i luna a i lalo i nā ʻanuʻu. E noi i kāu mea hāʻawi e kōkua i ka lilo ʻana o ka paona.
• Inā he mau wāwae pālahalaha kou, e hoʻāʻo i nā hoʻokomo kāmaʻa kāmaʻa kūikawā a me nā kākoʻo arch (orthotics).
• E hōʻoia i ka hana maikaʻiʻia o kou mau kāmaʻa holo, kūpono kūpono, a me ka uluna maikaʻi.

Hiki ke hilinaʻi i nā ʻanuʻu hou aʻe no ka ʻeha o kou kuli.

Kāhea i kāu mea hāʻawi inā:

• ʻAʻole hiki iā ʻoe ke kau i ke kaumaha ma kou kuli.
• He ʻehaʻeha kou, ʻoiai ke kau ʻole i ke kaumaha.
• Kuli kou kuli, kaomi, a i ʻole laka.
• Ua kīnā a kuhi hewa ʻia paha kou kuli.
• ʻAʻole hiki iā ʻoe ke wili i kou kuli a loaʻa iā ʻoe ka pilikia e hoʻoponopono iā ia a puni.
• He kuni kou, ʻulaʻula a mehana paha ma ke kuli, a he nui ka pehu.
• Loaʻa iā ʻoe ka ʻeha, ka pehu ʻana, ka helu ʻana, ka ʻūlū ʻana, a i ʻole discoloration bluish i loko o ke keiki bipi ma lalo o ke kuli ʻeha.
• Loaʻa iā ʻoe ka ʻeha ma hope o 3 mau lā o ka mālama ʻana i ka home.

E hana ana kāu mea hāʻawi i kahi hoʻokolohua kino, a nānā i kou mau kuli, nā pūhaka, nā wāwae, a me nā hono ʻē aʻe.

E hana paha kāu mea hāʻawi i kēia mau hoʻokolohua:

• X-kukuli o ke kuli
• MRI o ke kuli inā he ligament a meniscus waimaka paha ke kumu
• CT scan o ke kuli
• ʻO ka moʻomeheu hui wai (wai lawe ʻia mai ke kuli a nānā ʻia ma lalo o kahi microscope)

Hoʻokomo paha kāu mea hāʻawi i kahi steroid i kou kuli e hoʻemi i ka ʻeha a me ka mumū.

Pono paha ʻoe e aʻo i ka hoʻonui ʻana a me ka hoʻoikaika ʻana i nā hoʻoikaika kino. Pono paha ʻoe e ʻike i kahi podiatrist e hoʻomākaukau ʻia no nā orthotics.

I kekahi mau hihia, pono ʻoe i ke ʻoki.

ʻEha - kuli

• Hana hou ʻo ACL - hoʻokuʻu
• 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
• Hoʻopili ke kuli - hoʻokuʻu

• ʻEha wāwae (Osgood-Schlatter)
• Nā mākala wāwae lalo
• ʻEha kukuli
• Baker cyst
• Tendinitis

ʻO Huddleston JI, Goodman S. Hip a me ka ʻeha o ke kuli. I: Firestein GS, Budd RC, Gabriel SE, McInnes IB, O'Dell JR, nā hua. ʻO Kelley lāua ʻo Firestein's Bookbook of Rheumatology. 10 o ka lā. Piladelapia, PA: Elsevier; 2017: chap 48.

ʻO McCoy BW, Hussain WM, Griesser MJ, Parker RD. ʻEha Patellofemoral. I: Miller MD, Thompson SR, eds. ʻO DeLee lāua ʻo Drez's Orthopedic Sports Medicine. ʻEhā ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 105.

Niska JA, Petrigliano FA, McAllister DR. Nā hōʻeha ligament cruciate mua (me ka hoʻoponopono). I: Miller MD, Thompson SR, eds. ʻO DeLee lāua ʻo Drez's Orthopedic Sports Medicine. ʻEhā ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 98.